Yu kin gɛt prɔblɛm bak fɔ pis? Lɛ wi lan bɔt aw pɔsin kin urinary retention

Sɔntɛnde yu kin fil lɛk se yu fɔ stɔp af-af we yu de pis , ɔ yu blad nɔ ɛmti ɔl? Ɔ i nɔ kin izi fɔ yu fɔ bigin pis ? Dis na kɔmɔn wɛl bɔdi prɔblɛm wae bɔrku pipul dɛn kin shem fɔ tɔk bɔt, bɔt e kin bi rili impɔtant wɛl bɔdi prɔblɛm. Tide wi de tɔk bɔt dis kכndyushכn we dεn kכl urinary retention, כ we dεn kכl mεdikal wan as ``Urinary Retention''. Nɔr wɔri, dis na tin wae yu kin kɔntrol if yu ɔndastand ɛn trit yu fayn fayn wan.

Fɔ tɔk am simpul wan, wetin na fɔ kip yu urinary?

Tink bɔt yu blad lɛk wata tank. wi kidni dεm de filta di west prodakt dεm frכm wi bכdi εn prodyuz urine (pi/urine) we de kכlekt insay dis blad. we wi nid fכ pis, di urine de kכmכt na dis tank tru wan tכb we dεn kכl urethra.

Urinary retention na we yu blad nɔ de ɛmti kɔmplit wan we yu de pis. Sɔntɛnde, i kin lɛf smɔl, ɛn if i rili bad, yu nɔ kin ebul fɔ pis atɔl.

Tu men kayn dis de.

Dis urinary retention kondishכn kin apin tu men we dεm. Di sayn dɛm ɛn aw dɛn kin tranga fɔ ɛni wan pan dɛn kin difrɛn.

1. Acute Urinary Retention: Dis na wan sik we de apin wantɛm wantɛm , we kin apin wantɛm wantɛm. Yu fil se yu nid fɔ pis, bɔt yu nɔ ebul fɔ pis ivin smɔl. Dis kin kam wit bad bad pen na di lכw bכdi. Dis na mɛdikal imejensi. If dis apin, yu fɔ go na di imejensi rum (ETU) na ɔspitul wantɛm wantɛm.

2. Krכnik Urinary Retention: Dis na kכndyushכn we de divεlכp sכmtεm as tεm de go. Yu kin pis, bɔt yu blad nɔ de ɛmti ɔl. Bɔrku tɛm, de sik nɔr kin tranga, so sɔm pipul dɛn nɔr kin pe atɛnshɔn to am bɛtɛ. Bɔt i stil impɔtant fɔ gɛt tritmɛnt fɔ dis sik.

Wetin na di sayn dɛm fɔ dis sik?

Naw lɛ wi luk di sayn dɛm wae yu kin si pan dɛn tu kayn sik ya. I go rili impɔtant fɔ mek yu no aw fɔ no klia wan bitwin dɛn tin ya.

Wetin mek urine kin stɔp lɛk dis? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?

Bɔku rizin dɛn de we mek di urine kin stɔp. Lɛ wi tɔk bɔt di men rizin dɛn wan bay wan.

1. Urinary tract obstruction (Blɔk) .

Fɔ tɔk am simpul wan, sɔntin de we de ambɔg di rod we di urine de flɔ. Jɔs lɛk we yu swɛt wata paip, di wata we de flɔ kin go dɔŋ. di men rizin fכ dis na di prכstat gland we de big na man dεm (Enlarged Prostate כ Benign Prostatic Hyperplasia - BPH) . biכs dis gland de rawnd di urethra, we i big, i de tayt di urethra εn blok di rod fכ urine.

Apat frɔm dat:

• Ston we de na di urinary tract, blɔd we de klɔt, ɔ kansa.
• di urethra we de sכmtεm sכmtεm bikoz fכ di ska tisu (Urethral Stricture) .
• Cystocele (we di blad de go insay di vagina) insay uman dεm.
• rεktosεl (we de kכmכt na di rεktum insay di vagina wכl) insay uman dεm.

2. Sɔm mɛrɛsin dɛn

Sɔm mɛrɛsin wae yu kin tek fɔ ɔda sik kin mek bak yu nɔr de pis. Fɔ ɛgzampul, sɔm mɛrɛsin dɛn we de mek yu gɛt alɛji (Antihistamines), sɔm tin dɛn we de mek yu nɔ fil pen (Opiates), ɛn sɔm mɛrɛsin dɛn we de mek yu nɔ fil bad (Tricyclic Antidepressants) kin afɛkt di we aw yu blad mɔsul dɛn de wok.

3. Nɛv Isyu dɛn

Di bren de gi wi di signal fɔ pis. di bren de tεl di mכsul dεm na di blad fכ tayt εn di mכsul dεm we de rawnd di urethra fכ rilaks. If ɛni damej de pan di nerve kɔnekshɔn bitwin di bren ɛn di urinary system, di prɔses fɔ urinary kin disrupt.

Tin dɛn we kin mek dis apin:

• Strok
• Dayabitis (Dayabetes Mɛlitɔs) .
• Sik dεm we de afekt di nεv sεstem (e.g. Multiple Sclerosis) .
• Injuri na di spayna ɔ di pelvik eria
• Fɔ bɔn pikin
• Di ɔpreshɔn dɛn we dɛn kin du na di bɛlɛ

4. Infɛkshɔn ɔ Swel

If yu swel we yu gɛt urinary tract infection (UTI) , yu gɛt prɔstat infɛkshɔn (prostatitis) , ɔ yu gɛt infɛkshɔn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI) kin mek bak di urine nɔ pas.

5. Ɔpreshɔn

Di urinary retention kin apin fɔ sɔm tɛm, mɔ afta dɛn dɔn du big ɔpreshɔn lɛk fɔ riples di hip ɔ afta dɛn dɔn gi am anestezi.

Wetin kin apin if yu nɔ tek kia ɔf di urinary retention?

I nɔ fayn fɔ jɔs ignore dis as ɔda tin, bikɔs if dɛn nɔ trit di krɛse we yu de urinary retention, i kin mek yu gɛt ɔda prɔblɛm dɛn.

• Urinary tract infections (UTIs): We di urine de na di blad fɔ lɔng tɛm, di baktri dɛn kin gro mɔ. Dɛn infɛkshɔn ya kin ivin travul te to di kidni dɛm.
• Blad we de pwɛl: Bikɔs i ful-ɔp ɔltɛm, di blad mɔsul dɛn kin strɛch, wik, ɛn pwɛl.
• di kidni dεm we de pwεl: Infεkshכn כ pasmak prεshכn na di blad kin pwεl di kidni dεm εn mek di kidni sik.
• Blad Ston: We di urine gɛda na wan ples, di minral dɛn we de insay kin gɛda ɛn mek ston.

Aw yu go fɛn dis, Dɔktɔ?

If yu gɛt dɛn sik ya, di fɔs tin fɔ du na fɔ go to dɔktɔ. I bεst fכ go to dכkta we spεshal pan sik dεm na di urinary system (urologist).

Na di dɔktɔ rayt am:

• Dɛn go aks yu bɔt yu sik dɛn ɛn aw lɔng dɛn dɔn de.
• Aks bɔt yu kɔmplit mɛdikal istri.
• I de du wan ɛgzam pan in bɔdi.
• Dɛn kin tɛst wan urine sampul fɔ si if infɛkshɔn de.
• If yu na man, yu fɔ du rɛktal ɛgzam fɔ chɛk di prɔstat gland.(Dijital Rɛktal Ɛgzam) kin bi.

Apat frɔm dat, dɛn kin du ɔda tɛst dɛn fɔ no di rayt tin we mek i apin.

• Post-void residual (PVR) test: Dis de mek yu no aw bɔku urine lɛf na di blad afta yu dɔn fɔ pis.
• Sistoskopi: dεn de pas wan tכb we gεt sכmכl kεmεra dכn di urethra fכ egzamin insay di blad εn di urethra.
• Urodynamic testing: na wan siriכs tεst dεm we de mכsu di wok εn prεshכn fכ di blad εn di mכsul dεm we de rawnd am.
• PSA test: Na blɔd tɛst fɔ chɛk fɔ si if pɔsin gɛt prɔstat kansa.

Wetin na di tritmɛnt dɛm fɔ dis?

Di we aw dɛn kin trit yu kin dipen pan if yu gɛt akyu ɔr krɛse pen ɛn wetin na de kɔz.

Tritmɛnt fɔ akyu urinary ritɛnshɔn

Bikɔs dis na imejensi, di fɔs tin we yu fɔ du na fɔ put kateshɔn ɛn pul di urine na di blad. Dis go mek wi fil fri wantɛm wantɛm. Na da tɛm de nɔmɔ dɛn go ebul fɔ no di tin we mek i apin ɛn trit am.

Tritmɛnt fɔ di we aw pɔsin kin urinary retention we nɔ de dɔn

Bɔku tritmɛnt dɛn de fɔ dis.

• Mɛrɛsin: If di prɔstat dɔn big, dɛn kin gi am mɛrɛsin fɔ mek i smɔl ɔ fɔ mek di mɔsul dɛn we de rawnd am rilaks. Dɛn kin gi antibayɔtik fɔ infɛkshɔn.
• Ɔpreshɔn: I kin nid fɔ du ɔpreshɔn, i kin dipen pan wetin mek dɛn du am. dis kin inklud fכ pul di prכstat gland (TURP), fכ ripεr wan blכk na di urethra (Urethroplasty), כ fכ כpεrayshכn kכrekt wan sistosεl/rεktosεl.
• Di tritmɛnt dɛn we nɔto ɔpreshɔn:
• Kegel eksasaiz: Na di eksasaiz we de mek di mכsul dεm na di εria we de na di bכdi strכng.
• Vaginal Pessary: ​​Na tin we dɛn kin put na di vagina fɔ sɔpɔt blad we dɔn prolaps.
• Kכntrol di blad: di chenj dεm na di bihayvya lεk fכ kכntrכl ustɛm fכ drink wata.

Sɔm pipul dɛm wae gɛt nyurolɔjik disɔda, dɛn dɔktɔ kin tich dɛn aw fɔ sɛlf-kateshɔn na os we dɛn de yuz kateshɔn.