Yu kin gɛt prɔblɛm bak fɔ pis? (Urinary Hesitancy) Lɛ wi tɔk bɔt dis!

Sɔntɛnde yu kin gɛt fɔ wet fɔ sɔm tɛm fɔ mek yu urine kɔmɔt? Ɔ yu kin stɔp wantɛm wantɛm we yu de pis , ɛn na smɔl tin nɔmɔ kin kɔmɔt we yu tray bak? If dis dɔn apin to yu, den yu kin gɛt di kɔndishɔn bak we wi de tɔk bɔt tide, ‘difikulti fɔ pis ’. dis na mεdikal kכl am `(Urinary Hesitancy)`. Lɛ wi tɔk mɔ bɔt dis.

Wetin na dis prɔblɛm we pɔsin kin gɛt we i de pis ? (Urinary Hesitancy insay simpul wɔd dɛn)

Fɔ tɔk am simpul wan, `(Urinary Hesitancy)` min se yu gɛt prɔblɛm fɔ pis (i.e. fɔ pas urine). Dis min se yu kin gɛt prɔblɛm fɔ bigin pis , ɔ yu kin gɛt prɔblɛm fɔ kɔntinyu fɔ pis wit wan stedi, stedi paz. Sɔntɛnde, yu kin stɔp fɔ pis pan ɔl we yu stil want fɔ pis .

Dis kin rili apin to ɛnibɔdi, bɔt if yu na man, yu kin gɛt dis sik smɔl.

Dɔktɔ dɛn kin yuz di wɔd "hesitancy" fɔ tɔk bɔt di prɔblɛm fɔ bigin pis ɔ di prɔblɛm fɔ mek di urine kɔntinyu fɔ flɔ .

Us sayn dɛm wae yu kin gɛt pan dis kayn tin?

di men simptom dεm fכ ``Urinary Hesitancy'' na difεlεnt fכ stat fכ pis εn st כp fכ pis bifo di blad ɛmti kכmplit. Apat frɔm dat, ɔda sayn dɛn kin apin.

• Fɔ fil lɛk se yu nid fɔ pis , bɔt nɔ ebul fɔ pis .
• Di want fɔ pis .
• Fɔ fil lɛk se yu urine de pas sloslo, ɔ lɛk wan tin we de kɔmɔt na yu urine .
• Dribbul, ivin afta yu dɔn fɔ pis .

Ɔda sayn dɛm apat frɔm we i nɔ izi fɔ pis

sכmtεm dis kכndyushכn fכ ``Urinary Hesitancy`` kin mek yu ``Urinary Retention`` כ ivin di inability fכ urinate . If na so i bi, i kin kam wit sɔm sayn dɛm lɛk:

• Fɔ fil pen na yu bɛlɛ we de dɔŋ.
• Fɔ fil lɛk se yu bɛlɛ dɔn blo.
• lik sכm urine we yu nכ no (dεn kכl am bak ``Urinary Incontinence'').

Wetin mek dis de apin? Wetin na di rizin dɛn?

Bɔku rizin dɛn de we mek i nɔ kin izi fɔ pis . Lɛ wi tek wan luk pan wetin dɛn bi.

Di tin wae kin mek pɔrsin kin gɛt dis sik kin afɛkt man dɛm

di mכst kכmכn kכz fכ dis na di prכstat gland we de big (Benign Prostatic Hyperplasia - BPH).. Dis kin apin mɔ pan man dɛn we dɔn pas 60. Di prɔstat na smɔl gland we na man dɛn nɔmɔ gɛt. i de dכn di blad, we de rawnd di urethra. So we i gro, i kin kɔmprɛs di urethra ɛn mek di urine nɔ flɔ .

Ɔda rizin dɛn we kin apin

Apat frɔm dat, sɔm ɔda rizin dɛn kin de:

• Urinary Tract Infections (UTIs) ɔ Bladder Infections: Dɛn tin ya kin rili bɔku pan wi.
• Prɔstataytis: Dis na sik we di prɔstat gland kin swel ɛn gɛt infɛkshɔn.
• Ska ɛn smɔl na di urethra (Urethral Stricture): di urethra kin smɔl frɔm insay bikɔs ɔf aksidɛnt ɔ infɛkshɔn.
• Sivɛri kɔnstipɛshɔn: We kɔnstipɛshɔn rili bad, i kin put prɛshɔn pan di blad ɛn afɛkt di we aw yu de pis .
• Sɔm mɛrɛsin dɛn: Fɔ ɛgzampul, sɔm mɛrɛsin dɛn we de mek pɔsin nɔ fil bad (Tricyclic Antidepressants), mɛrɛsin fɔ mek pɔsin nɔ ebul fɔ urinary, ɛn sɔm mɛrɛsin fɔ kol ɛn alɛji kin mek pɔsin gɛt dis bak.
• Nɔ ebul fɔ rilaks di mɔsul dɛn na di bɛlɛ fayn fayn wan: Dɛn mɔsul dɛn ya nid fɔ rilaks we dɛn de pis . If dɛn nɔ rilaks fayn, i kin at fɔ pis (Pelvic Floor Dysfunction).
• Nεv sistεm sik dεm: Na di nεv sik dεm we di signal dεm we de kכmכt na di bren to di blad nכ de wok fayn fayn wan. Fɔ ɛgzampul, strok, multiple sclerosis (MS), ɔ nyuropathy we gɛt fɔ du wit dayabitis.
• di כgan dεm we de kכmכt na di bכdi: we di mכsul dεm na di bכdi wik, di כgan dεm lεk di blad kin dכn. Dis kin afɛkt bak di we aw pɔsin de pis .

Udat dɛn go mɔs afɛkt dis kayn tin?

As wi bin dɔn tɔk, dis kin apin to ɛnibɔdi, pan ɛni ej. Bɔt i kin apin mɔ pan man dɛn we dɔn pas 60 ia we gɛt prɔstat we dɔn big (BPH).

Aw dɔktɔ kin no dis?

We yu tɛl yu famili dɔktɔ (Primary Care Physician - PCP) se yu gɛt prɔblɛm fɔ pis , i go aks yu bɔt yu sik dɛn, tek yu wɛlbɔdi istri, ɛn du yu bɔdi ɛgzam.

Kwɛstyɔn dɛn fɔ aks yu

Di dɔktɔ kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw lɔng yu dɔn gɛt dis prɔblɛm fɔ pis ?
• Yu fil se yu de pis sloslo pas aw yu kin pis?
• Yu tink se dɛn sik ya bin kam wantɛm wantɛm, ɔ dɛn bin de bɔku smɔl smɔl?
• Ɛni mɛrɛsin de we yu kin tek na di famasi fɔ gɛt rilif frɔm dis?
• Yu dɔn ɛva fil lɛk se dis prɔblɛm kin bɔku we yu it sɔm it dɛn ɔ du sɔm tin dɛn?

Bay di ansa we yu gi to dɛn kwɛstyɔn ya, di dɔktɔ kin gɛt gud aidia bɔt di tin we apin.

Us tɛst dɛn dɛn kin du?

Afta dat, di dɔktɔ kin ɔda sɔm tɛst fɔ kɔnfɔm di kɔndishɔn fɔ ``Urinary Hesitancy'' ɛn fɛn di kɔz.

• Yurodaynamik Tεst dεm: Dis na wan kכmbaynshכn fכ sεvεra tεst dεm. Dɛn tin ya de luk pan:
• Aw bɔku yu de pis ?
• Aw di spid ɛn trɛnk we yu de pis de pis ?
• Aw di prɛshɔn we de insay yu blad de?
• Imej tɛst: Fɔ ɛgzampul, dɛn kin ɔda fɔ mek dɛn du ɔltra saund skan ɔ CT skan. Dɛn tin ya kin luk aw yu blad de ful-ɔp ɛn ɛmti, ɛn dɛn kin chɛk bak di sayz fɔ yu prɔstat. Sɔntɛnde dɛn kin du sistoskɔpi, we na fɔ put smɔl kamɛra tru yu urethra fɔ luk insay yu blad.
• Dijital Rɛktal Ɛgzam: Dis involv fɔ chɛk di sayz fɔ di prɔstat gland wit yu an.
• Urinalysis: Dɛn kin tek wan sampul pan yu urine ɛn tɛst di tin dɛn we de insay (maykroskɔpik indikɛtɔ, kemikal).
• Yurin Kɔlchɔ: Dɛn kin du dis tɛst fɔ chɛk if baktri infɛkshɔn de na di urine .

Wetin na di tritmɛnt dɛm fɔ mek i nɔ izi fɔ pis ?

Di tritmɛnt fɔ urinary hesitancy dipen pan di kɔz ɛn if yu gɛt ɛni ɔda mɛrɛsin. Yu dɔktɔ kin tɛl yu fɔ du dɛn tritmɛnt ya:

• Blad Ritrenin / Taym Voiding
• Pelvik Flɔr Fizik Tɛrapi
• Mɛrɛsin dɛn we dɛn kin yuz
• Ɔpreshɔn
• Sakral Nεv Stimulεshכn / Sakral Nyuromodyulεshכn

Lɛ wi luk ɛni wan pan dɛn tin ya smɔl mɔ.

Fɔ tren fɔ blad (Timed Voiding) .

Dis min se yu fɔ tren yu blad mɔsul dɛn bak. Dis involv fɔ go pis ɔltɛm (bɔku tɛm ɛvri tu awa). Dis kin bi bay we yu ɛmti yu blad bifo i ful-ɔp. Ivin if yu nɔ fil fɔ pis , yu fɔ tray fɔ go ɔltɛm.

Pelvik Flɔr Fizik Tɛrapi

Dis involv fɔ tich yu ɛksesaiz dɛn we go ɛp yu fɔ rilaks di mɔsul dɛn na yu bɛlɛ. We dɛn mɔsul dɛn ya rilaks fayn, i kin izi fɔ pis .

Mɛrɛsin dɛn we dɛn kin yuz

di dכkta kin gi yu mεdikeshכn fכ stכp di prכstat fכ gro כ fכ shrink di wan we de naw (e.g. Dutasteride, Finasteride). Ɔ i kin gi yu mɛrɛsin fɔ rilaks di mɔsul dɛn na di blad ɛn prɔstat (Alpha-blockers). If infekshɔn de, i go gi yu antibayɔtik.

Ɔpreshɔn

if di urethra sכmtεm, dεn kin du כpεrayshכn fכ mek i big (Urethral Dilation) כ fכ mek am bak (Urethral Reconstruction). if di prɔstat gland big bikɔs ɔf BPH, difrɛn ɔpreshɔn dɛn de fɔ pul di tisu we pasmak. Sɔm dɛn simpul ɛn dɛn kin du am na di dɔktɔ in ɔfis. Ɔda wan dɛn na ɔpreshɔn we dɛn kin yuz ilɛktrik ɔ lɛsa ɛnaji. Sɔntɛnde dɛn kin du ɔpreshɔn fɔ pul wan pat ɔ ɔl di prɔstat gland (Prostatectomy). if di pelvik כgan dεm dכn dכp (Pelvic Organ Prolapse), כpεrayshכn de fכ put di כgan dεm bak na di ples εn sכpכt dεm fכ mek dεn nכ dכp bak.

Sakral Nεv Stimulεshכn

insay dis, dεn kin put wan sכmכl tin we dεn kכl ``Neurostimulator'' כnda di skin nia yu bכtכk. dis divays de sεnd rili fayn fayn ilektrikal impuls dεm nia yu sakral nεv fכ mek di blad mכsul dεm wok.

Us tin dɛn yu kin du na os?

Sɔmtɛm, fɔ tɔk to yu dɔktɔ ɛn du simpul tin na os kin ɛp fɔ pul dis sik (Urinary Hesitancy).

• Ɔt: Tin dɛn lɛk fɔ was ɔt ɔt ɔt wata bɔtul ɔ ɔt pad na yu bɛlɛ we de dɔŋ kin mek di mɔsul dɛn na di bɛlɛ rilaks, ɛn dis kin mek i izi fɔ pis .
• Masaj: We yu de pis , fɔ masaj yu bɛlɛ we de dɔŋ (we di blad de) jisnɔ wit yu an ɔ fɔ prɛs saful wan, dat kin ɛp fɔ mek yu urine flɔ spid ɛn pawa.
• Stul Softeners ɔ Laxatives: If yu gɛt kɔnstipɛshɔn, fɔ tek di rayt it, drink, ɛn mɛrɛsin (we de insay di laxative kategori) fɔ mek yu bɔdi muv fayn fayn wan go ɛp bak fɔ mek yu blad wok.

Di tin we impɔtant pas ɔl na dat bifo yu tray dɛn tritmɛnt ya na os, yu fɔ rili go to dɔktɔ ɛn du dɛn nɔmɔ if dɛn se "i sef fɔ yu fɔ du dɛn tin ya."

Di bɛnifit dɛn we pɔsin kin gɛt we i de kip ‘bladder diary’.

Yu dɔktɔ kin aks yu bak fɔ kip "bladder diary," buk we de rayt tin dɛn we gɛt fɔ du wit yu blad. Insay de, yu fɔ rayt tin dɛn lɛk:

• Di wata ɛn wata we yu de drink fɔ wan de.
• Di amount of urine we yu de pis (mezhɔ am if i pɔsibul).
• Di spid we yu de pis (lɛk if i de go fayn ɔ i de go sloslo).
• Aw lɔng i kin tek fɔ pis ?
• Ɔmɔs tɛm yu kin pis insay wan de?
• Apat frɔm dat, yu kin gɛt ɔda sayn dɛn.

If yu kip wan dayari lɛk dis, yu ɛn yu dɔktɔ go ɔndastand dis tin we de apin to yu mɔ.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Dis rili dipen pan wetin mek yu de shem fɔ urinary ɛn di tritmɛnt we dɛn gi yu.

• Pɛlvik flo fizik tritmɛnt kin tek sɔm wiks fɔ si di rizɔlt.
• Di tin dɛn we de mek di mɔsul rilaks kin tek sɔm awa fɔ bigin fɔ wok.
• afta dεn dכn implant di sakral nεv stimulashכn divays , i kin tek sεvεra wik fכ si rizulεt.
• I kin tek sɔm mɔnt fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn .

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Wi nɔ go ebul fɔ stɔp ɔl di tin dɛn we kin mek pɔsin gɛt `(Urinary Hesitancy)`. Bɔt fɔ kɔntinyu fɔ gɛt gud abit fɔ pis ɛn fɔ avɔyd fɔ gɛt kɔnstipɛshɔn kin ɛp to sɔm mak. Dat min se yu fɔ pis ɛvri sɔm awa, nɔ ol yu urine insay. Dɔn bak, yu fɔ gɛt gud, saful bɔdi muvmɛnt wan tɛm insay di de.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

Si dɔktɔ jɔs afta yu notis se i nɔ izi fɔ yu fɔ pis ɔ yu urine de flɔ slo pas aw i kin flɔ. Nɔr ignore yu symptoms ɔr tink se "e go go fɔ insɛf." E kin shem fɔ tɔk bɔt aw fɔ pis , bɔt i impɔtant fɔ mek dɛn chɛk yu nyu sayn wantɛm wantɛm.

Yu nid fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu fil se yu want fɔ pis bad bad wan bɔt yu nɔ ebul fɔ pas ɛni urine , mɔ if i gɛt pen na yu bɛlɛ we de dɔŋ ɔ yu bɔdi, go na di Imejɛnsi Rum (ER) wantɛm wantɛm. Dis na sɔntin we yu nɔ fɔ delay.

Impɔtant kwɛstyɔn dɛn fɔ aks di dɔktɔ

We yu go si dɔktɔ, nɔ fɔgɛt fɔ aks kwɛstyɔn dɛn lɛk dis:

• Wetin yu tink se na di rizin we mek a nɔ izi fɔ pis , dɔktɔ?
• Us tɛst dɛn we dɛn kin se a fɔ du?
• A nid fɔ du ɛni ɔda tɛst?
• Us tritmɛnt dɛn kin advays mi?
• Yu tink se di prɔblɛm we a gɛt fɔ pis go ɛva bɛtɛ?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Pan ɔl we nɔto sɔntin we wi ɔl kin tɔk bɔt ɛvride, we yu gɛt gud urine , i kin rili fayn fɔ ɛmti yu blad ɔl ɛn pis , nɔto so? Bɔt di sem tɛm, tink bɔt aw i kin anɔynt ɛn shem we yu nɔ ebul fɔ pis fayn ɛn kɔmplit wan ɛn sɔntin de ambɔg yu. Na dat dɛn kɔl `(Urinary Hesitancy)`.

If simpul mɛrɛsin na os nɔr ɛp yu fɔ gɛt dis sik, nɔr shem fɔ tɔk to dɔktɔ. Natin nɔ bad fɔ kia fɔ yu wɛlbɔdi biznɛs, ɛn natin nɔ de fɔ shem. So, if yu gɛt prɔblɛm, gɛt di ɛp we yu nid.

` Urinary retention, difficulty fɔ urinary , Urinary Hesitancy, BPH, Prɔstat, Urinary tract infɛkshɔn, Urinary symptoms