Yu kin lik urine bak we yu nɔ no? Lɛ wi tɔk bɔt Urinary Incontinence!

Sɔntɛnde yu kin fil lɛk se i nɔ kin izi fɔ yu fɔ ol yu urine? Yu tink se na prɔblɛm na yu layf fɔ lik smɔl urine we yu de laf, kɔf, ɔ ɛksesaiz? Dis na prɔblɛm we bɔku pipul dɛn gɛt, bɔt bɔku pipul dɛn kin shem ɛn nɔ kin fil fayn fɔ tɔk bɔt am smɔl. Bɔt nɔr wɔri, tide wi go tɔk bɔt dis kɔndishɔn (Urinary Incontinence) mɔr ditayli.

Wetin na Urinary Incontinence?

Fɔ tɔk am simpul wan, we yu nɔ ebul fɔ kip yu urine na we yu nɔ ebul fɔ kɔntrol yu urine ɛn di urine we de lik we yu nɔ want. Dis kin rili afɛkt yu layf.

Wi bɔdi gɛt wan we aw wi kin pis. Ɛni ɔgan na in yon. Ɔl dis togɛda de filta di dɔti tin dɛn we de na wi bɔdi, kip dɛn, ɛn pul dɛn kɔmɔt lɛk urine. We dis sistɛm de wok fayn, bɔku tɛm yu kin go na di bafa di rayt tɛm, ɛn di urine nɔ kin lik fɔ natin. Bɔt if sɔntin nɔ go fayn wit dis sistɛm, dat min se dis sityueshɔn we i nɔ ebul fɔ kɔntrol dis urine kin apin. Bɔku rizin dɛn kin de fɔ dis.

Dis na sɔntin we ɔlman kin gɛt as dɛn de ol?

Bɔku pipul dɛn kin tink se dis na sɔntin we kin apin as wi de ol ɛn dɛn nɔ kin ebul fɔ stɔp am. Na tru se di risk kin bɔku as wi de ol. Bɔt, i kin apin to ɛnibɔdi pan ɛni ej. Di bɛst pat na dat dɛn kin trit am. Yu nɔ nid fɔ stɔp fɔ du tin dɛn we yu de du ɛvride ɔ fɔ de aktif bikɔs ɔf dis prɔblɛm.

Akɔdin to di data we de naw, lɛk 62% pan di uman dɛn we dɔn pas 20 ia gɛt sɔm kayn we fɔ urinary incontinence. pan man dεm, dis nכmba de sכmtεm sכmtεm, na lεk 14%. So yu kin si aw dis kin apin.

Wetin na di kayn we aw pɔsin kin urinary incontinence?

Difrɛn kayn dis sik de. Dɛn gɛt difrɛn tin dɛn we kin mek dɛn gɛt dis sik, difrɛn sayn dɛn, ɛn di tin dɛn we kin mek dɛn gɛt dis sik. Fɔ no ustɛm yu gɛt na impɔtant tin fɔ yu tritmɛnt plan.

Na sɔm pan di men kayn dɛn ya:

• Urge incontinence: Dis na we yu gɛt wan urge we yu nɔ go ebul fɔ stɔp fɔ pis. Bɔku tɛm, yu kin lik sɔm urine bifo yu ivin rich na tɔylɛt. Blad we de wok pasmak na di men tin we kin mek dis apin. Imajin, we yu de na wokples, yu kin gɛt fɔ pis wantɛm wantɛm, ɛn yu nɔ kin ebul fɔ stɔp ilɛksɛf yu rɔn.
• Stress incontinence: Dis na wae yu de lɔs smɔl urine wae yu de du tin dɛm lɛk fɔ laf, kɔf, sniz, rɔn, jomp, ɔr fɔ es wɛt. Speshal, dis kin apin we yu gɛt prɔblɛm fɔ pis.
• Ovaflɔ inkontinɛns: Insay dis, di blad nɔ de ɛmti ɔl afta yu dɔn pis.Na smɔl tin lɛf. Dis kayn tin kin mɔs pan man dɛm wae gɛt benign prostatic hyperplasia (BPH), ɔr pan dɛm wae gɛt sik lɛk strok ɔr dayabitis.
• Miks inkontinɛns: As di nem sho, dis kin bi wan kɔmbaynshɔn pan di kayn dɛn we wi dɔn tɔk bɔt. Fɔ ɛgzampul, yu kin gɛt ɔl tu di strɛs inkɔntinɛns ɛn yu blad we de wok pasmak. If yu gɛt dis kayn miks inkɔntinɛns, pe atɛnshɔn gud wan to we yu de lik urine. Dɔktɔ dɛn kin ɛp yu fɔ no us kayn yu gɛt ɛn ɛp yu fɔ manej am akɔdin to dat.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu no?

Di men sayn na we yu urine kin lik sɔm tɛm, lɛk bifo yu go na tɔylɛt, we yu de kɔf, laf, ɔ du ɛksɛsayz. Yu kin lik bɔku urine, ɔ yu kin lik smɔl. Yu kin lik kɔntinyu, ɔ yu kin lik smɔl wan wan tɛm. Dɛn sayn ya kin difrɛn difrɛn wan fɔ di kayn wae yu gɛt. Bɔt, di kɔmɔn sayn dɛm na:

• Nid fɔ pis pas et tɛm insay di de (`(Frequent urination)`).
• We yu go na di bafa, na smɔl tin nɔmɔ kin kɔmɔt wan tɛm.
• Fɔ grap fɔ pis pas tu tɛm insay wan nɛt (`(Nocturia)`).
• Fɔ wet na bed (Enuresis).
• urine we de lik we yu de du ɛksɛsayz, laf, kɔf, sniz, bɛnd ɔp, ɔ du mami ɛn dadi biznɛs.

Wetin mek wi nɔ ebul fɔ kɔntrol wi urine? Wetin na di rizin dɛn?

Difrɛn rizin dɛn kin de fɔ dis. Dɛn rizin ya kin difrɛn bak fɔ no if yu na uman ɔ yu na man. Sɔm rizin dɛn kin de fɔ sɔm tɛm ɛn dɛn kin go wit tritmɛnt. Ɔda wan dɛn kin kam bikɔs ɔf sik dɛn we dɛn kin gɛt fɔ lɔng tɛm. Na dɛn kayn tin ya, dɛn nɔ kin go ɔlsay ivin wit tritmɛnt, bɔt dɛn kin kɔntinyu fɔ bi wan sayn.

Rizin dɛn fɔ sɔm tɛm ɔ fɔ shɔt tɛm:

• Infεkshכn dεm na di urinary tract (UTI) .
• We uman gɛt bɛlɛ ɔ afta i bɔn pikin
• Sɔm mɛrɛsin, fɔ ɛgzampul, wata pils (diuretics) ɛn antidipreshan (antidepressant) .
• Sɔm drink dɛn, lɛk kɔfi ɛn rɔm
• Banbɛlɛ

Di tin dɛn we kin mek pɔsin sik fɔ lɔng tɛm:

• Ova aktiv blad (`(Ova aktiv blad)`)
• Strok
• Dayabitis (`(Dayabitis Mɛlitɔs)`)
• Menopause we pɔsin kin gɛt
• Mכltipכl sklεrosis (`(Mכltipכl sklεrosis - MS)`)
• Pakinsin sik (`(Pakinsin sik)`)
• Prɔstat we de mek i big
• Prostatectomy (ɔpareshɔn fɔ pul di prɔstat gland) .

Wetin mek dis kin apin we uman gɛt bɛlɛ?

Bɔku rizin dɛn de we mek dis sik kin apin we uman gɛt bɛlɛ:

• Prɛshɔn pan di blad: .as di pikin de gro na di bεlε, di uterus de gro bak. Dis kin put prɛshɔn pan di blad. Dis kin mek yu nid fɔ pis bɔku tɛm. dis kכndyushכn kin bכku we di bεlε de dכn, biכs di pikin de bכku bכku wan.
• di mכsul dεm na di bכdi we wik: di mכsul dεm na yu bכdi na di wan dεm we de ol כl di כgan dεm na yu bכdi. dis mכsul dεm kin strεch εn wik we yu bεlε, as yu uterus de gro, כ afta yu bכn.

Udat dis tin kin afɛkt mɔ?

I kin divɛlɔp insay ɛnibɔdi. Bɔt i kin apin mɔ na sɔm grup dɛn ɛn sɔm tɛm dɛn na layf. I kin mɔna uman dɛn, mɔ:

• We uman gɛt bɛlɛ
• Afta we dɛn bɔn pikin
• Wit mεnopos (`(Mεnopos)`)

pan כl dεn kes dεm ya, di mכsul dεm na di bכdi kin wik sכmtεm εn di blad kin chenj, we na wetin kin mek dis nכ ebul fכ kכntrכl urine.

Dis risk kin go ɔp wit di ej?

Yɛs, dis risk kin bɔku afta wi dɔn ol 50. Wi bɔdi kin chenj ɔlsay na wi layf. De risk fɔ gɛt dis sik kin bɔku as yu de ol, mɔr lɛk:

• If yu gɛt sik we dɔn de fɔ lɔng tɛm.
• If yu dɔn bɔn pikin dɛn.
• If yu dɔn pas we yu dɔn pas 40 ia.
• If yu prɔstat gland dɔn big.
• If yu dɔn gɛt ɔpreshɔn pan yu prɔstat.

So, e fayn fɔ tɔk bɔt dɛn prɔblɛm ya wit yu dɔktɔ so dat yu go ebul fɔ fɛn we fɔ kɔntrol di sik ɛn mek i nɔ ambɔg yu ɛvride layf.

Dis kin apin to uman dɛn?

Yɛs, dis sik kin bɔku pan uman dɛn. We uman gɛt bɛlɛ, we i de bɔn pikin, ɛn we i de lɛf fɔ gɛt bɛlɛ, ɔl dis kin mek i gɛt prɔblɛm wit di we aw i de pis.

di urinary incontinence we uman bεlε kin bi fכ sכt tεm εn i kin bεtε afta dεn bכn. Bɔt sɔm uman dɛn kin gɛt inkɔntinɛns we dɛn bɔn afta dɛn bɔn. dis na biכs di mכsul dεm na di bכdi de strεch εn wik we i de bכn.

Menopause na tɛm bak we big chenj dɛn kin apin na di bɔdi. Yu ɔmon dɛn, mɔ di ɛstrojen, kin chenj insay dis tɛm. Dis kin afɛkt bak fɔ kɔntrol di urinary.

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

Dɔktɔ kin no dis sik bay we i de luk bak pan yu sik dɛn, yu mɛrɛsin histri, ɛn fɔ chɛk yu bɔdi. I kin aks yu kwɛstyɔn dɛn lɛk:

• Aw ɔltɛm yu kin pis?
• Yu kin lik urine bitwin trip to toilet?
• Aw ɔltɛm urine kin kɔmɔt lɛk dat?
• Aw bɔku urine de kɔmɔt wan tɛm?
• Frɔm ustɛm yu notis se dis urine de kɔmɔt?
• Us mɛrɛsin yu de tek naw ɔ yu dɔn tek trade?
• Yu gɛt bɛlɛ? Ɔ yu dɔn gɛt bɛlɛ bifo?
• Ɔmɔs pikin dɛn yu dɔn bɔn?

Dɛn kwɛstyɔn ya kin ɛp yu dɔktɔ fɔ no aw yu de urinary flow. Dis go ɛp am fɔ no us kayn inkɔntinɛns yu gɛt. I kin ɔda ɔ du ɔda tɛst dɛn bak fɔ no if pɔsin gɛt di sik.

Us tɛst dɛn de du fɔ dis?

Di dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk dɛn wan ya:

• Pεlvik εgzam: Dis kin chεk di trεnk fכ yu bכdi mכsul dεm εn chεk fכ כda hεlth prכblεm dεm we kin de mek dis kכndyushכn.
• Dijital rɛktal ɛgzam: Dis kin ɛp fɔ chɛk fɔ si if di prɔstat dɔn big pan man dɛn.
• Urinalysis: Dɛn kin tɛst wan urine sample we yu gi fɔ chɛk fɔ infɛkshɔn ɛn blɔd na di urine (hematuria).
• Blad ultrasound: Dis na test we nɔ de mek yu fil pen we de luk yu blad ɛn aw yu kin ɛmti yu blad fayn fayn wan.
• Stress test: If yu fil se yu nid fɔ pis we yu de kɔf, rɔn, ɔ jomp, yu dɔktɔ kin aks yu fɔ du dɛn tin dɛn de fɔ si if yu rili de pis.
• Sistoskopi: Insay dis tɛst, dɛn kin put wan tin tiub we gɛt kamɛra (sistoskɔp) tru yu urethra ɛn insay yu blad fɔ chɛk yu urinary system. Bɔt, bɔku pipul dɛn nɔ nid dis tɛst.
• Yurodaynamik tɛst: Dis na sɔm tɛst we dɛn kin du fɔ no ɔmɔs urine yu blad kin ol ɛn aw yu kin ol fayn fayn wan ɛn afta dat yu kin ɛmti yu blad.
• Pad test: Di dɔktɔ kin gi yu spɛshal pad fɔ wɛr ɔnda yu ɔndawea. I go gɛda urine we yu nɔ no se yu dɔn pas. We di tɛst dɔn, dɛn go chɛk ɔmɔs urine de na di pad.

Yu dɔktɔ kin aks yu bak fɔ kip blad dayari fɔ sɔm dez. Insay de, yu fɔ rayt se:

* Aw ɔltɛm yu kin pis?

* Aw bɔku yu kin pis wan tɛm?

* Yu kin lik urine bitwin trip to di bathroom?

* Wetin yu bin de du we yu de pis?

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Nɔ fɔgɛt fɔ tek dis dayari wit yu we yu go si dɔktɔ. Dis infɔmeshɔn go ɛp yu fɔ no wan patɛn ɛn fɛn di patikyula kayn.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

I dipen pan di kayn we aw yu gɛt. Di dɔktɔ go fɔs no us kayn yu gɛt. Dɔn i go tɛl yu bɔt di tritmɛnt dɛn we yu go gɛt ɛn ɛp yu fɔ pik di wan we go fayn fɔ yu.

Di men we dɛn fɔ trit am na:

• Di we aw pipul dɛn de liv dɛn layf kin chenj
• Fizik tɛrapi
• Mɛrɛsin dɛn we dɛn kin yuz
• Ɔpreshɔn ɔ ɔda tin dɛn we dɛn kin du

Ɛni wan pan dɛn we ya gɛt gud ɛn bad tin dɛn, ɛn di dɔktɔ go ɛksplen ɔltin to yu.

Di we aw pipul dɛn de liv dɛn layf kin chenj

Sɔntɛnde, if yu chenj smɔl smɔl tin dɛn we yu de du ɛvride, dat kin ɛp fɔ mek di sik bɛtɛ we yu nɔ gɛt ɛni ɔda tritmɛnt. Bɔt dɛn chenj ya nɔ kin mɛn ɔl kayn inkontinɛns. Yu fɔ tɔk to yu dɔktɔ bifo yu bigin ɛni wan pan dɛn tin ya.

Di chenj dɛn we kin apin na di we aw pipul dɛn de liv dɛn layf:

• Timed voiding: Pis di tɛm we yu dɔn sɛt, pas fɔ wet te yu fil se yu nid fɔ pis.
• Urinate bifo yu du fyzikal aktiviti: If yu pis bifo yu stat ɛni aktiviti kin ɛp fɔ ridyus di urine lik bitwin urinate.
• Nɔ es ebi ebi tin: If yu nid fɔ es sɔntin we big ɔ ebi, aks pɔsin fɔ ɛp yu.
• Kegel eksasaiz: Dɛn ɛgzampul ya kin ɛp fɔ mek yu mɔsul dɛn na yu bɛlɛ strɔng. Aks yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi aw fɔ du dɛn.
• Nɔ drink bɔku wata (espɛshali di wan dɛn we gɛt kafin) bifo yu bigin fɔ du sɔntin ɛn bifo yu go slip na nɛt.
• Yuz absɔbɛnt urinary pad ɔ ɔndawea: Dɛn wan ya de absɔb urine ɛn yu kin wɛr am ɔnda klos we nɔbɔdi nɔ si.
• Blad ritrenin: Dis kin mek yu ebul fɔ pis wan tɛm ɛn smɔl smɔl yu kin mek di tɛm bitwin yu pis lɔng.
• Mek yu gɛt wɛl bɔdi wet we fit yu: We yu lɔs yu wet na di bɛlɛ eria, i de ridyus di prɛshɔn pan di blad ɛn i de mek di blad gɛt wɛlbɔdi.
• Vagina inserts: Yu kin bay dɛn tin ya na di kɔwnta na famasi we yu nɔ gɛt prɛskrishɔn. we dεn put dεm insay di vagina, dεn de εp fכ strεch di urethra εn rεdכks strεs inkontinεns.

Mɛrɛsin dɛn we dɛn kin yuz

Bɔku mɛrɛsin dɛn de we kin mek yu nɔ gɛt bɔku urine we yu de lik. Sɔm mɛrɛsin dɛn kin ɛp fɔ mek di mɔsul dɛn kɔntrakt we kin mek di blad wok pasmak. Ɔda wan dɛn kin ɛp fɔ mek di mɔsul dɛn rilaks ɛn ɛp fɔ mek di blad ɛmti kpatakpata. If yu de go tru menopause, ɔmon tɛrapi lɛk vaginaal ɛstrojen krim kin ɛp fɔ mek yu blad wok bak bay we yu de riples di ɛstrojen ɔmon we yu bɔdi nɔ de mek igen.

Sɔm mɛrɛsin dɛn we dɛn kin yuz:

• ``Oksibutinin (Ditropan®, Ditropan XL®, Ɔksitrɔl®)`
• `Tɔltɛrodin (Dɛtrol®)`
• `Sɔlifenasin (VESIcare®)`
• `Fɛsotɛrodin (Toviaz®)`
• `Darifenasin (Ɛnablɛks®)`
• `Trɔspiɔm (Sanctura®)`
• `Mirabegron (Myrbetriq®)`
• `Vibegron (Gɛmtesa®)`

Bɔku tɛm, dɔktɔ dɛn kin bigin wit smɔl doz ɛn dɛn kin ad di doz smɔl smɔl. Dis kin ridyus di risk fɔ gɛt sayd ɛfɛkt ɛn alaw dɛn fɔ si aw di mɛrɛsin de wok fayn fayn wan.

Ɔpreshɔn ɛn ɔda we dɛn

Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Dɛn tin ya kin bi:

• Bulking agents: Di dɔktɔ injekt wan tin we gɛt wata insay di layn na yu urethra. Dis de mek di layn na yu urethra tik ɛn i de ɛp fɔ kɔntrol di flɔ we di urine de flɔ.
• Botulinum toxin (Botox®) injεkshכn: Dɛn kin trit di Urge incontinence wit Botox®. Dis kin mek di mɔsul dɛn na di blad rilaks. Bɔt dis nɔto tritmɛnt we go de sote go, ɛn dɛn fɔ ripit di injɛkshɔn wan wan tɛm.
• Nyuromoduleshɔn divays dεm: dεn divays dεm ya de mek di nεv dεm go na di blad εn i de mek dεn kכntrכl bεtεh.
• di we aw yu de sling: Insay dis, dɛn kin yuz wan mɛsh we mɔtalman mek (sintetik) lɛk ɔspitul tep, ɔ sɔm pan yu yon bɔdi tisu fɔ sɔpɔt di urethra.
• Atifishal urinary sphincter: Dɛn kin advays dis fɔ pipul dɛm wae gɛt strɛs inkontinɛns afta dɛn dɔn du ɔpreshɔn fɔ prɔstat kansa. Dis na tin we dɛn kin yuz fɔ mɛn pipul dɛn we dɛn kin blo. I kin ol urine insay te yu nid fɔ go na di bafa.

Yu tink se dis tin go go kɔmɔt kpatakpata?

I dipen pan us kayn inkontinɛns yu gɛt. Sɔntɛnde, di kɔndishɔn go go we dɛn nɔ gɛt tritmɛnt wans di kɔz (e.g., wan urinary tract infection, sɔm mɛrɛsin, kɔnstipɛshɔn) dɔn kɔmɔt.

Yu nɔ tink se dis nɔ go apin?

Nɔto ɔl di tin dɛn we kin mek pɔsin gɛt dis sik, dɛn kin ebul fɔ avɔyd. I kin kam bikɔs ɔf difrɛn tin dɛn na layf. Bɔt yu kin ridyus yu risk bay we yu de mek yu mɔsul dɛn na yu bɛlɛ strɔng wit Kegel ɛksesaiz ɛn mek yu gɛt wɛlbɔdi wet we fit yu.

Aw yu de liv wit dis sityueshɔn?

Fɔ bɔku pipul dɛn, if dɛn nɔ ebul fɔ kɔntrol dɛnsɛf de mek dɛn strɛs, dɛn at pwɛl, ɔ dɛn de wɔri , i kin fayn fɔ tɔk to dɔktɔ ɔ dɔktɔ we de stɔdi bɔt pɔsin in maynd. Dɛn kin ɛp yu fɔ kɔntrol yu maynd wɛl bɔdi, ɔr kin gi yu mɛrɛsin if nid de.

Ustɛm yu fɔ go to dɔktɔ?

Si dɔktɔ jɔs lɛk aw yu fɔs notis se yu urine de lik, ɔ jɔs afta yu notis se yu dɔn chenj di we aw yu de was. Dɛn kin ɛp yu fɔ no di kɔz ɛn di kayn tin, ɛn ɛp yu fɔ trit ɔr mɛn am.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn inkontinɛns a gɛt?
• Us tritmɛnt yu kin advays?
• Wetin na di sayd ɛfɛkt dɛm fɔ mɛrɛsin fɔ kɔntrol di urinary?
• Wetin na di bad tin dɛn we kin apin we dɛn du dis ɔpreshɔn ɔ we dɛn kin du am?

Bɔku pipul dɛn kin shem fɔ tɔk bɔt di we aw dɛn de was. Yu kin shem ɛn shem fɔ we yu nɔ ebul fɔ kɔntrol yu urine. Ɔ, yu kin fred fɔ mek yu urine lik ɔ yu nɔ go ebul fɔ go na di bafa insay di rayt tɛm if yu gɛt ɛnitin fɔ du wit am, we kin mek yu nɔ ebul fɔ du di tin dɛn we yu kin du ɛvride. Bɔt dɔktɔ kin ɛp yu fɔ no wetin mek yu gɛt prɔblɛm wit yu urinary control ɛn ɛp yu fɔ wɛl. Yu nɔ nid fɔ sɔfa tru dis nɔmɔ.

Tɔk to yu dɔktɔ fɔ no di bɛst tritmɛnt fɔ dis prɔblɛm we de mek yu nɔ ebul fɔ urinary. Dɔn yu kin liv yu layf ɛn nɔ wɔri bɔt am.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

• Inkontinɛns na kɔmɔn tin, bɔt nɔr dismis am as nɔmal tin.
• Difrɛn rizin ɛn difrɛn kayn dɛn de fɔ dis.
• Sɔm tritmɛnt dɛn de we go wok fayn. So nɔ shem ɔ fred fɔ go to dɔktɔ.
• Dɛn kin kɔntrol dis sik bay we dɛn chenj dɛn layf, ɛksesaiz, tek mɛrɛsin, ɛn sɔntɛm ɔpreshɔn.
• Nɔto yu wan, aks fɔ ɛp.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

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