Yu kin gɛt prɔblɛm bak fɔ ɛmti yu blad ɔltogɛda? Lɛ wi tɔk bɔt Urinary Retention!

Sɔntɛnde yu kin fil lɛk se yu nɔ ebul fɔ pis ɔlsay? Ɔ yu kin jɔs pis smɔl ɛn afta dat yu kin fil lɛk se yu fɔ pis bak? dis na wetin wi jכs kכl urinary retention, כ mεdikal wan dεn kכl am ``Urinary Retention''. Wetin kin apin pan dis na dat yu blad nɔ kin ɛmti ɔl. Wi blad tan lɛk wata tank. di urine we di kidni dεm de filta frכm di wata εn wata we wi de drink, de kכlekt insay dis blad. Dɔn i kin kɔmɔt na do tru di urethra.

Wetin na di urinary retention? Yu tink se difrɛn kayn dɛn de?

Fɔ tɔk am simpul wan, di we aw yu de pis na we yu blad nɔ de ɛmti ɔl we yu de pis. Dis kin apin tu men we dɛn. 1. Akyu urinary retention: Dis na tin we kin apin wantɛm wantɛm, we kin apin wantɛm wantɛm. Sɔntɛm yu nɔ go ebul fɔ pis atɔl. Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan. 2. Krכnik urinary retention: Dis na kכndyushכn we de divεlכp sכmtεm as tεm de go. Di sayn dɛm bak kin apia smɔl smɔl. Dis kin kam bikɔs ɔf tin dɛm lɛk wae yu nɔr kin ebul fɔ urinary tract, sɔm mɛrɛsin dɛm, ɛn wae yu gɛt prɔblɛm wit yu nervɔs sistɛm.

Imajin dis, lɛk we sɔntin stɔp na wata paip, di wata kin stɔp fɔ flɔ.

Akyu urinary retention kin bi imejensi . If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm. Krכnik urinary retention na mכst kכmכn pan man dεm we ol bitwin 60 εn 80 ia.

Aw dis sik kin kɔmɔn?

Stɔdi dɔn sho se lɛk 10% pan di man dɛn we dɔn pas 70 ia ɛn lɛk 30% pan di man dɛn we dɔn pas 80 ia kin gɛt dis sik. Pan ɔl we uman dɛn kin gɛt bak we dɛn nɔ kin ebul fɔ pis, i nɔ kin bɔku pas man dɛn.

Wetin na di sayn dɛm wae de sho se yu nɔr de pis?

Dɛn sik ya kin difrɛn difrɛn wan fɔ no if yu gɛt akyu ɔr krɛse sik.

Di simptom dɛm fɔ Akyu Urinary Retention

If na so i bi, di sayn dɛn kin apin wantɛm wantɛm.

• Nɔ ebul fɔ pis, ɔ jɔs pas smɔl urine ivin we di blad ful-ɔp.
• If yu gɛt siriɔs kes, yu kin gɛt prɔblɛm wit yu bɛlɛ ɛn yu bɛlɛ kin fil pen . If dis apin to yu, yu fɔ go to dɔktɔ wantɛm wantɛm.

Di simptom dɛm fɔ Kronik Urinary Retention

Di sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm sayn wae kin kam pan pɔrsin wae gɛt dis sik na:

• I nɔ izi fɔ bigin fɔ pis.
• Wik, slo, ɔ nɔ ebul fɔ kɔntrol di urine strim.
• Fɔ fil lɛk se yu nid fɔ pis bak jɔs afta yu dɔn pis.
• Fɔ fil lɛk se yu nid fɔ pis ɔltɛm.
• Lik smɔl urine we yu nɔ no.
• Fɔ gɛt fɔ grap bɔku tɛm na nɛt fɔ pis (Nocturia).

Wetin na di tin dɛn we kin mek pɔsin nɔ ebul fɔ pis?

Bɔku rizin dɛn kin de we kin mek pɔsin nɔ ebul fɔ pis. Di men wan dɛn na:

• Sɔm kayn tin de we de ambɔg di rod we di urine de kɔmɔt na di bɔdi.
• Sɔm mɛrɛsin wae yu kin tek fɔ ɔda sik dɛm.
• Prɔblɛm dɛn we gɛt fɔ du wit di nerve we de ambɔg di chenj we di bren ɛn di urinary system de chenj mɛsej .
• Infεkshכn כ swel we de mek di urine fכ fכlכ.
• Ɔpreshɔn (espɛshali afta sɔm ɔpreshɔn dɛn).

1. Blɔk we dɛn de blok

If sɔntin blok di fri flɔ fɔ urine frɔm di blad to di urethra, i kin mek di urinary obsstruction. Dis tin we de ambɔg na di men tin we kin mek pɔsin nɔ ebul fɔ urinate. Sɔm pan di tin dɛn we kin mek dɛn kayn tin ya we kin mek dɛn nɔ ebul fɔ du natin na:

• Prɔstat we dɔn big : Insay man dɛn, di prɔstat gland kin big ɛn prɛs pan di urethra, we kin mek i nɔ ebul fɔ waka. Dɛn kin kɔl dis bak Benign Prostatic Hyperplasia ( BPH ).
• Blad Outlet Obstruction: Na blכk we de na di say we di urine de kכmכt na di blad (di blad nεk).
• Yuretral Obstruction: Di urethra de blok bikɔs ɔf ston we de na di urinary, blɔd we de klɔt, tumor, ɔ ɔda tin dɛn.
• Cystocele : Na kכndyushכn we di blad na uman dεm de dכn dכn insay di vagina.
• Rεktosεl: na kכndishכn we pat pan di rεktum na uman dεn de push insay di wכl na di vagina.
• Yurethral Stricture: di urethra de sכmtεm bikoz fכ di ska tisu.

2. Di mɛrɛsin dɛn we dɛn kin yuz

Sɔm mɛrɛsin dɛn kin mek bak yu nɔ gɛt urinary. Fɔ ɛgzampul:

• Antihistamin dɛn (ɛgz. Benadryl®) .
• Antispasmodik dɛn (e.g. Detrol®) .
• Opiate pen kil (e.g., Vicodin®) .
• Trisayklik antidipreshan (lɛk Elavil®) .

dis kin chenj di we aw di blad mכsul dεm de wok. Sɔm ɔda kayn mɛrɛsin dɛn na:

• Sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn.
• Sɔm mɛrɛsin fɔ mental sik (Antipsychotics).
• Di tin dɛn we de mek di mɔsul dɛn rilaks.

3. Nɛv Isyu dɛn

Yu nɔ go no, bɔt wi bren de involv bak fɔ pis. di bren de sεnd signal to di mכsul dεm na di blad fכ tayt, we na we di urine kכmכt. di sem tεm, di bren de tεl di mכsul dεm we de rawnd di urethra (sphincter muscles) fכ rilaks. Dis na we di urine kin kɔmɔt izi wan. So, if prɔblɛm de na dis kɔmyunikeshɔn bitwin di bren ɛn di nerv dɛm, prɔblɛm kin apin we yu de pis. Di tin dɛn we kin mek pɔsin gɛt prɔblɛm dɛn we gɛt fɔ du wit di nerve:

• Strok .
• Dayabitis `(Dayabetis Mɛlitus)`.
• Mɔltipɛl Sklɛrosis (MS).
• Damej to di spayna ɔ pelvik eria frɔm aksidɛnt ɔ injuri.
• di kכmpreshכn fכ di spεnal kכd bikoz fכ wan tכmכro כ hεnia disk.
• Nɔmal pikin bɔn `(Vaginal Childbirth)`.
• Sɔm ɔpreshɔn dɛn bin de du na di say we di bɔdi de na di bɛlɛ.

If yu bin dɔn gɛt kateshɔn (urinary tube) trade, yu kin gɛt prɔblɛm wit yu nerv.

4. Infεkshכn כ Swεl

Infεkshכn εn swel kin blכk bak di fכ fכlכ di urine tru di urethra. Ɛgzampul dɛn:

• Prostatitis: Na infεkshכn כ swel na di prכstat gland, we de mek i swel εn prεs pan di urethra, we de blכk di fכ fכlכ di urine.
• Urinary Tract Infection (UTI): Infεkshכn na di urinary system kin mek di urethra swεla כ di blad wik. Dɛn tu tin ya kin mek pɔsin nɔ ebul fɔ pis.
• Sekswal Transmitted Infections (STI): Dɛn infekshɔn ya kin mek bak yu swel ɛn mek yu nɔ ebul fɔ urinary.

5. Ɔpreshɔn

Urinary retention kin apin bak afta sɔm ɔpreshɔn. Fɔ ɛgzampul, fɔ riples hip ɔ ɔpreshɔn fɔ di spɛnal. Dɔn bak, di urinary retention fɔ sɔm tɛm kin apin bikɔs ɔf di jenɛral anestezi we dɛn de du ɔpreshɔn.

Wetin na di risk factor dɛm fɔ urinary retention?

Pan ɔl we ɛnibɔdi kin mek pɔsin nɔ ebul fɔ pis, i kin apin mɔ pan man dɛn . dis risk kin bכku pan man dεm we gεt di prכstat gland we big (Benign Prostatic Hyperplasia כ BPH), biכs dεn prכstat gland de prεs pan di urethra εn i de blok di fכ fכlכ di urine.

Wetin na di kɔmplikɛshɔn dɛm we kin apin bikɔs ɔf di urinary retention?

If dɛn nɔ no ɔ trit dis sik, dɛn prɔblɛm ya kin apin:

• Urinary tract infections (UTIs): We di urine gɛda na di blad, i de mek fayn ples fɔ mek baktri dɛn gro. Dis kin mek yu gɛt infekshɔn na di urinary tract, we kin spre to di kidni dɛm.
• Blad damej: We bɔku urine gɛda na di blad, di blad mɔsul dɛn kin strɛch ɛn pwɛl.
• Kidni we dɔn pwɛl:If infεkshכn na di urinary tract infεkshכn spre to di kidni dεm, di kidni dεm kin swel εn inflamed. Dis prɛshɔn kin pwɛl di kidni ɛn mek di kidni sik.
• urine we yu nɔ want: We yu blad nɔ ɛmti ɔl, yu kin lik sɔm urine bak we yu nɔ no.
• Blad Ston: Blada ston kin fכm we di urine de kכmכt na di blad.

Aw dɛn kin no se pɔsin kin gɛt urinary retention?

Akyu urinary retention na wan mɛdikal imejensi . If i nɔ izi fɔ yu fɔ pis wantɛm wantɛm, mɔ if yu gɛt pen na yu bɛlɛ ɔ yu bak, yu fɔ go to dɔktɔ wantɛm wantɛm . If yu gɛt chronic urinary retention, yu fɔ go to urologist. I go:

• Dɛn go aks bɔt yu sik ɛn aw lɔng yu dɔn gɛt dɛn.
• Dɛn go gɛt yu kɔmplit mɛdikal istri.
• I de du wan ɛgzam pan in bɔdi.
• Dɛn kin tɛst wan urine sampul fɔ si if infɛkshɔn de.
• dεn kin du dijital rεktal εgzam fכ egzamin di prכstat gland.

Apat frɔm dat, di dɔktɔ kin du ɔda tɛst dɛn fɔ no wetin mek pɔsin nɔ ebul fɔ pis:

• Post-void Residual Urine Test (PVR): Dis de mek yu no aw bɔku urine lɛf na yu blad afta yu dɔn pis.
• Sistoskopi: Dis min se yu fɔ chɛk di insay pat pan di blad ɛn di yuretra bay we yu yuz sistoskɔp, we na wan tiub we di sayz lɛk pensil, wit layt ɛn kamɛra ɔ lens.
• Yurodaynamik Tεst: Dis tεst de mכsu di nεv εn mכsul dεm fכ wok, prεshכn insay εn rawnd di blad, εn di urine fכ fכlכ rεt.
• PSA Tεst: Dis bכdi tεst de chεk fכ prכstat kεnsar bay we dεn de mכsu di lεvεl fכ Prכstat-Sεsifik Antijen (PSA).

Wetin na di tritmɛnt fɔ mek yu nɔ gɛt urinary?

Di tritmɛnt fɔ urinary retention de dipen pan if yu gɛt akyu ɔr chronic incontinence, ɛn di kɔz.

Tritmɛnt fɔ mek yu nɔ gɛt urinary wantɛm wantɛm

Bikɔs dis na mɛdikal imejensi, di dɔktɔ go put kateta (tyub) insay yu blad fɔ mek i pul wata. Dis fɔ mek pɔsin fil fri kwik kwik wan. Afta dat, dɛn go no di kɔz ɛn dɛn go bigin fɔ gi di rayt tritmɛnt.

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

Di tritmɛnt dipen pan di tin we mek i apin. I kin min fɔ jɔyn wan ɔ mɔ pan dɛn tin ya:

• Mɛrɛsin dɛn we dɛn kin yuz.
• Ɔpreshɔn.
• Opshɔn dɛn we nɔto ɔspitul (di chenj dɛn we pɔsin kin biev).

If yu gɛt urinary retention, mɔ bikɔs ɔf prɔblɛm dɛn we gɛt fɔ du wit yu nerve, yu kin ebul fɔ yuz kateshɔn fɔ sɔm tɛm na os. If na so, yu dɔktɔ go tich yu aw fɔ sɛf-katej di kateshɔn.

Mɛrɛsin we dɛn kin gi

Yu dɔktɔ kin gi yu mɛrɛsin fɔ trit di men tin we de mek yu nɔ ebul fɔ pis. Fɔ ɛgzampul:

• fכ di prכstat we big: Mεdikeshכn dεm lεk alfa-blכk εn 5-alfa rεduktas inhibito de shrink di prכstat gland כ rilaks di mכsul dεm we de rawnd am.
• Fɔ infɛkshɔn: Dɛn kin gi antibayɔtik fɔ trit infɛkshɔn we kin mek yu nɔ gɛt urinary.

Ɔpreshɔn

Dipen pan di tin we mek dɛn du am, i kin nid fɔ du ɔpreshɔn fɔ trit di we aw pɔsin de urinary retention. Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ dɛn tin ya:

• Prɔstat we dɔn big: Bɔku kayn ɔpreshɔn de fɔ trit dis. fכ egzampl, transyuretral rεsεkshכn fכ di prכstat (TURP), prostat urethral lift, כ holmium laser enucleation fכ di prכstat (HoLEP). Ɔl dɛn we ya (ɛn ɔda wan dɛn) kin pul di blɔk we de mek di blɔk.
• Yurethral stricture: Di dɔktɔ kin yuz kateshɔn ɔ balyɔn fɔ opin di ska tisu we de mek di skata smɔl. Wan ɔda tin we dɛn kin du na fɔ du ɔpreshɔn we dɛn kɔl urethroplasty, we gɛt fɔ du wit fɔ opin di urethra ɛn mek am fayn.
• Cystocele ɔ Rectocele: If yu simptom dɛn na bikɔs yu blad ɔ rektum dɔn prolaps ɔ kɔmɔt na do, yu dɔktɔ kin tɛl yu fɔ yuz pessary (wan tin we de ol di blad ɔp) ɔ ɔpreshɔn fɔ mek di ɔgan dɛn go bak na dɛn ples. Ɔpreshɔn de fɔ ɛni kayn pelvik ɔgan we dɔn prolaps.
• Ston we de na di urinary tract: Yu dɔktɔ kin yuz wan tin we dɛn kɔl cystolitholapaxy fɔ brok ɛn pul di ston dɛn na di blad ɔ di urethra.

Di dɔktɔ go tray fɔs fɔ yuz di we dɛn ɛn tritmɛnt dɛn we nɔ de mek pɔsin in at pwɛl. Bɔt if dɛn tin ya nɔ ɛp, dɛn kin tink bɔt mɔ we dɛn we de mek pɔsin invayd, lɛk:

• Fɔ pul di prɔstat gland kɔmplit wan (Prostatectomy).
• Spinal Kɔd Stimulation.
• Ɔpreshɔn fɔ blad.
• Urinary Rikɔnstrɔkshɔn ɛn Dayvɛnshɔn.

Tritmɛnt dɛn we Nɔ De Ɔspitul

Sɔntɛnde, di we aw dɛn nɔ de du ɔpreshɔn kin mek pɔsin fil fri frɔm di sayn dɛm. Ɛgzampul dɛn:

• Kegel eksasaiz ɔ pelvik flɔ mɔsul tɛrapi:Kegel eksasaiz εn fyzikal tεrapi de mek di mכsul dεm na di bכdi strכng.
• Vaginal Pessary: ​​na tin we lεk ring we dεn kin yuz fכ sכpכt di blad if i prolaps.
• Urinary control: Yu kin kɔntrol di urinary retention bay we yu de kɔntrol we yu nid fɔ urinate ɛn plan ustɛm fɔ drink wata.

Yu tink se dɛn kin mek yu nɔ gɛt urinary retention?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp dis kpatakpata, tin dɛn de we yu kin du fɔ ridyus di prɔblɛm:

• Go na tɔylɛt jɔs lɛk aw yu fil se yu nid fɔ pis. Nɔ ol yu urine insay.
• Pe atɛnshɔn to di we aw yu de pis. Tɛl yu dɔktɔ if yu notis ɛni chenj.
• It fayn it, kɔntinyu fɔ gɛt wɛlbɔdi, ɛn drink bɔku wata.

Yu kin pis ivin if yu gɛt urinary retention?

Yɛs, sɔm pipul dɛn kin pis smɔl. Urinary retention min se yu nɔ kin ebul fɔ pis atɔl, ɔ yu blad nɔ de ɛmti ɔl we yu de pis. Sɔntɛnde, di blad kin ful-ɔp wit urine ɛn i kin bɔku, so sɔm urine kin lik.

Wetin a fɔ ɛkspɛkt if a gɛt urinary retention?

If dɛn no se yu gɛt urinary retention, i impɔtant fɔ fala yu dɔktɔ in tritmɛnt plan ɛksaktɔli. Go fɔ fala-ɔp tɛst fɔ si if yu sik dɛn de bɛtɛ. Fɔ bɔku pipul dɛn, di rayt tritmɛnt go ɛp fɔ mek dɛn nɔ gɛt di sik.

Ustɛm a fɔ go to dɔktɔ?

Si dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:

• If yu fil se yu nid fɔ pis bɔku tɛm, mɔ jɔs afta yu dɔn pis.
• If i nɔ izi fɔ yu fɔ bigin pis, ɔ if yu urine strim wik ɔ i dɔn stɔp.
• If yu gɛt pen na yu bɛlɛ we de dɔŋ, di say we yu de bɔn, ɔ yu bɔdi we de dɔŋ.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt urinary retention, i nɔmal fɔ gɛt kwɛstyɔn. Yu kin aks yu dɔktɔ tin dɛn lɛk:

• Wetin yu tink se na de mek a gɛt dis sik?
• Yu kin se yu fɔ du mɔ tɛst?
• Us kayn tritmɛnt yu kin advays?
• Aw a go ebul fɔ kɔntrol mi sik dɛn di bɛst we?
• Yu tink se di we aw a de urinary retention go wɛl kpatakpata?

I kin fil bad fɔ tɔk to yu fambul, padi dɛn, ɛn dɔktɔ dɛn bɔt yu prɔblɛm dɛn we yu gɛt fɔ kɔntrol yu urinary. Bɔt nɔto yu wan de. Urinary retention na wan kɔmɔn ɛn dɛn kin trit am. If yu notis se yu dɔn chenj di we aw yu de pis, ɔ if yu nɔ ebul fɔ pis atɔl, go to dɔktɔ. Bɔrku tritmɛnt dɛn de wae kin ɛp fɔ kɔntrol yu sayn dɛm.

Faynal Mɛsej fɔ Tek-Hom

Urinary retention na wan sik wae kin anɔynt smɔl sɔmtɛm, ɛn kin siriɔs wae yu gɛt imejensi. Di tin we impɔtant pas ɔl na fɔ no di sayn dɛm ɛn go to dɔktɔ kwik kwik wan.

• Imejɛnsi simptom dɛm: If yu gɛt sɔm sayn dɛm wantɛm wantɛm lɛk we yu nɔ ebul fɔ pis ɔ yu bɛlɛ de pen , go na ɔspitul wantɛm wantɛm .
• If yu gɛt sɔm sayn dɛn we nɔ de dɔn lɛk fɔ mek i nɔ izi fɔ yu fɔ pis, yu nɔ gɛt bɛtɛ pis, ɔ yu nid fɔ pis ɔltɛm, nɔ shem ɛn go to dɔktɔ fɔ mek dɛn chɛk yu.
• Bɔku tin kin de we kin mek i apin: prɔstat prɔblɛm, mɛrɛsin, nerve prɔblɛm, infɛkshɔn, ɛn ɔda tin dɛn, na we dɛn fɛn di rayt kɔz nɔmɔ dɛn go gi di rayt tritmɛnt.
• Tritmɛnt dɛn de: Dɛn kin trit dis sik wit mɛrɛsin, ɔpreshɔn, ɔr chenj in layf, i kin dipen pan de tin wae de mek pɔrsin gɛt dis sik.
• Nɔ ignore am: If dɛn nɔ trit am, prɔblɛm dɛn lɛk fɔ pwɛl di kidni ɛn infekshɔn kin apin.

So, if yu gɛt dis kayn diskɔmfɔt, nɔr frayd fɔ tɔk to dɔktɔ. Yu kin gɛt rilif if yu gɛt tritmɛnt kwik kwik wan.