Sɔntɛnde yu kin fil lɛk se yu nɔ go ebul fɔ ɛmti yu blad ɔltogɛda we yu de go na tɔylɛt? Ɔ yu kin fil lɛk se na smɔl urine nɔmɔ de kɔmɔt, we kin mek yu want fɔ go bak? We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis Urinary Retention . I jɔs min se yu blad nɔ de ɛmti fayn fayn wan. Tink bɔt yu blad lɛk wata tank: di wata we yu kidni dɛn filta kin gɛda de bifo i pas aut tru di urethra.
Wetin na Urinary Retention, ɛn difrɛn kayn dɛn de?
Fɔ tɔk am simpul wan, di urinary retention kin apin we yu blad nɔ ɛmti ɔl. Dis kin apin insay tu men we dɛn:
1. Akyu Urinary Retention: Dis na wan tin we kin apin wantɛm wantɛm, we yu nɔ bin de ɛkspɛkt usay yu kin si se yu nɔ ebul fɔ pis atɔl. Dis na mɛdikal imejensi we nid fɔ tek tɛm wit am wantɛm wantɛm.
2. Krכnik Urinary Retention: Dis na kכndyushכn we de divεlכp sכmtεm fכ lכng tεm, wit di simptom dεm we de sho sכmtεm.
Di tin dɛn we kin mek i nɔ ebul fɔ blo na di say we yu de urinary tract, sɔm mɛrɛsin dɛn, ɔ tin dɛn we gɛt fɔ du wit di nerve.
Tink bɔt am lɛk kink na gadin hos—if sɔntin blok di rod, di wata nɔ go ebul fɔ kɔmɔt fayn.
As wi bin dɔn tɔk, akyu urinary retention na mɛdikal imejensi ; if yu gɛt dis, go to dɔktɔ wantɛm wantɛm. Krכnik urinary rεtεnshכn dεn kin si am mכst pan man dεm we ol bitwin 60 εn 80 ia.
Aw dis sik kin kɔmɔn?
stכdi dεn sho se di rεtεnshכn fכ urinary kin afekt lεk 10% pan di man dεm we pas 70 ia εn 30% pan di man dεm we pas 80. Pan כl we uman dεm kin gεt akyu urinary rεtεnshכn bak, i nכ kin bכku pan uman dεm we yu kכmpεr to man dεm.
Wetin na di sayn dɛm wae de sho se yu nɔr de pis?
Di sayn dɛm kin dipen pan if de sik na akyu ɔr krεse.
Di simptom dɛm fɔ Akyu Urinary Retention
Dɛn sayn ya kin apin wantɛm wantɛm:
- Wan we pɔsin nɔ ebul fɔ pis atɔl, ɔ we i jɔs pas smɔl pan ɔl we yu blad ful-ɔp .
- If yu gɛt siriɔs prɔblɛm, yu kin gɛt bɔku prɔblɛm wit yu bɛlɛ ɔ yu kin gɛt pen na yu bɛlɛ . If dis apin, go to dɔktɔ wantɛm wantɛm bay we yu kɔl 911 ɔ go na di ɔspitul we de nia yu.
Di simptom dɛm fɔ Kronik Urinary Retention
Di sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Di sayn dɛn we dɛn kin si na:
- I nɔ izi fɔ stat di flɔ we di urine de flɔ.
- Wan wik ɔ slo urine strim, ɔ i nɔ izi fɔ kɔntrol di flɔ.
- Wan filin we yu nid fɔ go bak wantɛm wantɛm afta yu dɔn dɔn.
- Wan tin we pɔsin kin want fɔ pis ɔltɛm.
- Di urine we de lik we yu nɔ want.
- Nid fɔ wek bɔku tɛm na nɛt fɔ pis (Nocturia).
Wetin kin mek yu nɔ gɛt urinary?
Bɔku tin dɛn de we kin mek pɔsin nɔ ebul fɔ pis, mɔ:
- Blɔk na di urinary tract.
- Mɛrɛsin dɛn we dɛn kin tek fɔ ɔda wɛlbɔdi prɔblɛm dɛn.
- Di tin dɛn we gɛt fɔ du wit di nerve we de ambɔg di signal dɛn bitwin di bren ɛn di urinary system .
- Infεkshכn כ inflameshn we de ambɔg fכ fכlכ.
- Ɔpreshɔn (patikul di pɔst-ɔpareshɔn rikavari).
1. Blɔk dɛn
εnitin we de ambɔg di rod frכm di blad tru di urethra kin mek di rεtεnshכn. Dis na di wan dɛn we kin du bad pas ɔlman:
- Enlarged Prostate (BPH): As di prostate gland de gro, i kin pres pan di urethra, we kin mek i nɔ ebul fɔ waka. Dɛn kɔl dis Benign Prostatic Hyperplasia (BPH).
- Blad Ɔtlɛt Obstrɔkshɔn:wan blok we spεshal wan na di blad nεk usay di urine de kכmכt.
- Yurethral Obstruction: Na blɔk we kin kam bikɔs ɔf di kidni ston, blɔd we kin klɔt, ɔ we gɛt tumbu.
- Cystocele : Na kכndyushכn we di blad de prolaps insay di vagina.
- rεktosεl: na kכndishכn we pat pan di rεktum de push pan di vagina wכl.
- Yurethral Stricture: di urethra de sכmtεm bikoz fכ di ska tisu.
2. Di mɛrɛsin dɛn we dɛn kin yuz
Sɔm drɔgs kin ambɔg di blad mɔsul fɔ wok, lɛk:
- Antihistamin dɛn (ɛgz., Benadryl®) .
- Antispasmodik dɛn (ɛgz., Detrol®) .
- Opioid we de mek yu nɔ fil pen (ɛgz., Vicodin®) .
- Trisayklik Antidipreshan (ɛgz., Elavil®) .
Ɔda mɛrɛsin dɛn we kin ɛp na fɔ tek blɔd prɛshɔn, sɔm mɛrɛsin dɛn we de ɛp pɔsin fɔ gɛt maynd (antipsychotics), ɛn tin dɛn we de mek di mɔsul dɛn rilaks.
3. Nɛv Isyu dɛn
Yurin na wan kɔdinɛt ɛfɔt we involv di bren, we de gi signal fɔ di blad mɔsul dɛm fɔ kɔntrakt ɛn di sphincter mɔsul dɛm fɔ rilaks. If dis kɔmyunikeshɔn ambɔg, ritɛnshɔn kin apin. Di tin dɛn we kin mek i apin na:
- Strok .
- Dayabitis Mɛlitɔs.
- Mɔltipɛl Sklɛrosis (MS).
- Spinal kɔd ɔ pelvik injuri.
- Nεv kכmprεshכn biכs fכ wan tכmכro כ wan hεnia disk .
- Di pikin we dɛn kin bɔn wit vagina.
- Ɔpreshɔn we dɛn kin du na di bɛlɛ.
If yu bin dɔn nid kateshɔn bifo, yu risk fɔ gɛt prɔblɛm dɛn we gɛt fɔ du wit yu nerve we gɛt fɔ du wit yu nerve kin bɔku.
4. Infεkshכn כ Swεl
Infεkshכn kin mek di urinary tract swel, we kin mek di fכlכ nכ de:
- Prɔstataytis: If di prɔstat gland inflamɛns, i kin prɛs di yuretra.
- Urinary Tract Infection (UTI): Infεkshכn kin mek yu urethral swel כ wik blad mכsul dεm.
- Sexually Transmitted Infections (STI): Dɛn tin ya kin mek yu gɛt inflamɛns we kin mek yu kɔntinyu fɔ gɛt am.
5. Ɔpreshɔn
Pɔst-ɔpareshɔn urinary retention nɔ kin kɔmɔn, mɔ afta dɛn dɔn riples di hip ɔ spayna ɔpreshɔn. Apat frɔm dat, di jenɛral anestezi we dɛn kin yuz we dɛn de du ɔpreshɔn kin afɛkt di blad wok fɔ sɔm tɛm.
Wetin na di risk factor dɛm fɔ urinary retention?
Pan ɔl we di urinary retention kin afɛkt ɛnibɔdi, i kin rili mɔs pan man dɛn . Na di wan dɛn we gɛt prɔstat we dɔn big, we dɛn kɔl Benign Prostatic Hyperplasia (BPH) , kin gɛt mɔ risk. dis na biכs di prכstat we big kin kכmprεs di urethra, we de mek di fכshal blכk we de mek di urine nכ fכ fכlכ kכmכt fayn fayn wan.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin nɔ de gɛt urinary?
If dɛn nɔ no bɔt dis sik ɔ dɛn nɔ trit am, i kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm, lɛk:
- Urinary Tract Infections (UTIs): Di urine we de lɛf na di blad de mek baktri dɛn de bɔn, we kin mek yu gɛt infɛkshɔn we kin skata ɔp to yu kidni.
- Blad we de pwɛl: We di blad de kɔntinyu fɔ bɔku pasmak fɔ lɔng tɛm, di blad mɔsul kin strɛch ɛn i kin pwɛl fɔ ɔltɛm.
- Kidni Damej: If UTI spre to di kidni, i kin mek yu swel ɛn inflamɛns. Dis prɛshɔn kin mek yu gɛt krɛse sik na yu kidni as tɛm de go.
- Inkontinɛns: We di blad nɔ ɛmti ɔl, yu kin gɛt lik we yu nɔ want (ɔvaflɔ inkontinɛns) we yu nɔ ivin no.
- Blad Ston dεm: di urine we de stagnant na di blad de gi di pafεkt envayroment fכ di fכmeshכn fכ di blad ston dεm.
Aw dɛn kin no se pɔsin kin gɛt urinary retention?
Akyu urinary retention na wan mɛdikal imejensi . If yu si se yu nɔ ebul fɔ pis wantɛm wantɛm, mɔ if yu gɛt bad bad pen na yu bɛlɛ ɔ na yu bɛlɛ, go to dɔktɔ wantɛm wantɛm .
If yu sɔspɛkt se yu gɛt chronic urinary retention, yu fɔ go to urologist. Yu dɔktɔ go tipikul:
- Tɔk bɔt yu sik dɛn ɛn aw lɔng yu dɔn de gɛt dɛn.
- Rivyu yu kɔmplit mɛdikal istri.
- Du wan ɛgzam fɔ yu bɔdi.
- Rikwest fɔ tek urine sampul fɔ chɛk fɔ sayn dɛn fɔ infɛkshɔn.
- Kɔndɔkt dijital rɛktal ɛgzam (DRE) fɔ no di sayz ɛn wɛlbɔdi fɔ yu prɔstat.
Fɔ no di rizin we mek yu gɛt dis sik, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ no if yu gɛt di sik:
- Post-void Residual (PVR) Urine Test: Dis de mek yu no aw bɔku urine de lɛf na yu blad jɔs afta yu dɔn tray fɔ pis.
- Sistoskopi: Dɛn kin put wan tin, fleksibul tyub wit kamɛra (cystoscope) insay di urethra fɔ mek yu dɔktɔ ebul fɔ si di insay pat pan yu blad ɛn di urethra.
- Yurodaynamik Tɛst: Dis batri fɔ tɛst de mɛzhɔ di nerve ɛn mɔsul dɛn we de wok, di blad prɛshɔn, ɛn di spid we yu urine de flɔ.
- PSA Test: Dis blɔd tɛst de mɛzhɔ di Prɔstat-Spɛsifik Antijen (PSA) lɛvɛl, we de ɛp fɔ chɛk fɔ prɔstat kansa ɔ ɔda prɔstat kɔndishɔn.
Aw dɛn kin trit di we aw pɔsin de urinary retention?
Di tritmɛnt na Nirogi Lanka dipen pan if di sik na akyu ɔr krɛse ɛn wetin na di ɔndalayn kɔz.
Trit Akyu Urinary Ritɛnshɔn
Bikɔs dis na mɛdikal imejensi, i go mɔs bi se yu dɔktɔ go put kateta fɔ mek yu blad pul wata wantɛm wantɛm, ɛn dis kin mek yu gɛt fridɔm wantɛm wantɛm. Wae yu blad dɔn ɛmti, yu dɔktɔ go chɛk wetin mek yu gɛt am ɛn mek wan tritmɛnt plan fɔ lɔng tɛm.
Fɔ Trit Kronik Urinary Ritɛnshɔn
Dɛn kin mek di tritmɛnt fɔ di patikyula tin we kin mek i sik ɛn i kin gɛt wan ɔ mɔ pan dɛn we ya:
- Di mɛrɛsin dɛn we dɛn kin yuz.
- Di we aw dɛn kin du ɔpreshɔn.
- Nɔn ɔspitul layf stayl ɛn bihayvya intavɛnshɔn.
If di sik na bikɔs ɔf di nerv prɔblɛm, yu kin nid fɔ yuz kateshɔn na os. Yu dɔktɔ go gi yu trenin bɔt aw fɔ du intamitɛnt sɛlf-kateshɔn sef wan.
Di mɛrɛsin dɛn we dɛn kin yuz
Yu dɔktɔ kin gi yu mɛrɛsin fɔ adrɛs di rut kɔz, lɛk:
- fכ BPH: Alfa-blכka כ 5-alfa rεduktas inhibito kin εp fכ shrink di prכstat כ rilaks di mכsul dεm we de rawnd am fכ mek di fכ fכlכ fayn.
- Fɔ Infɛkshɔn: Dɛn go gi di rayt antibayɔtik fɔ klia di baktriyal infɛkshɔn dɛn we de ɔnda am.
Di Opshɔn dɛn fɔ Ɔpreshɔn
I kin nid fɔ du ɔpreshɔn dipen pan di sik we dɛn dɔn no:
- Fɔ Enlarged Prostate: Bɔku tin dɛn de we dɛn kin du, lɛk Transurethral Resection of the Prostate (TURP), Prostatic Urethral Lift, ɔ Holmium Laser Enucleation (HoLEP), ɔl dɛn tin ya dɛn mek fɔ pul ɔ baypas di tin we de ambɔg am.
- Fɔ Yuretra Strikchɔ: Dɔktɔ kin yuz kateshɔn ɔ balyɔn fɔ mek di say we dɔn smɔl big. Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di bɔdi fayn bak we dɛn kɔl urethroplasty.
- Fɔ Pɛlvik Ɔgan Prolaps: If na di blad we dɔn prolaps (cystocele) ɔ rektum (rectocele) na di kɔz, dɔktɔ kin se dɛn fɔ ripa di pesary ɔ ɔpreshɔn fɔ mek di pelvik anatomi kam bak.
- Fɔ Blad Ston: Yu dɔktɔ kin yuz wan tin we dɛn kɔl cystolitholapaxy fɔ brok ɛn pul ston na yu blad.
Yu dɔktɔ go bigin ɔltɛm wit di we dɛn we nɔ go ambɔg yu. Bɔt if dɛn tin ya nɔ go du fɔ dɛn, dɛn kin tink bɔt mɔ advans intavɛnshɔn dɛn, lɛk:
- Prostatectomy (we dɛn kin du ɔpreshɔn fɔ pul di prɔstat).
- Spinal kɔd stimulashɔn.
- Ɔpreshɔn fɔ blad.
- Urinary rikostrɔkshɔn ɔ divayz.
Tritmɛnt dɛn we Nɔ De Ɔspitul
Bɔrku tɛm, dɛn kin ebul fɔ kɔntrol di sayn dɛm wae yu nɔr gɛt ɔpreshɔn:
- Kegel Exercises or Pelvic Floor Therapy: Dɛn we ya kin ɛp fɔ mek di mɔsul dɛn we de sɔpɔt yu blad strɔng.
- Vaginal Pessary: Na sɔpɔt tin we dɛn kin yuz fɔ uman dɛn fɔ kip di blad we dɔn prolaps na di rayt pozishɔn.
- Blad Ritrenin: Fɔ mek wan scheduled rutin fɔ urinate ɛn manej fluid intake fɔ impruv blad kɔntrol.
Yu tink se dɛn kin mek yu nɔ gɛt urinary retention?
Pan ɔl we nɔto ɔl di tin dɛn we kin mek yu gɛt dis sik, yu kin ridyus di prɔblɛm dɛn we yu kin gɛt bad bad wan:
- Lisin to yu bɔdi ɛn yuz di tɔylɛt jɔs afta yu fil di want. Nɔ ol yu urine fɔ lɔng tɛm.
- Wach aw yu de was ɛn go to yu dɔktɔ wantɛm wantɛm if yu notis se yu de chenj ɔltɛm.
- Mek yu it fayn fayn it, de du tin fɔ yu bɔdi, ɛn drink bɔku wata fɔ sɔpɔt ɔl yu urinary health.
I pɔsibul fɔ pis ivin if a gɛt urinary retention?
Yɛs, sɔm pipul dɛn we gɛt urinary retention kin stil pas smɔl urine. Urinary retention jɔs min se yu nɔ go ebul fɔ ɛmti yu blad ɔl, ɔ yu nɔ ebul fɔ pas urine atɔl. Sɔntɛnde, if di blad ful-ɔp tumɔs, i kin ful-ɔp, ɛn dis kin mek smɔl smɔl lik dɛn we nɔ want.
Wetin a fɔ ɛkspɛkt if a gɛt urinary retention?
If dɛn dɔn no se yu nɔ de ebul fɔ pis, i rili impɔtant fɔ fala di tritmɛnt plan we yu dɔktɔ tɛl yu fɔ du gud gud wan. Atɛnd ɔl di fɔlɔp apɔntin dɛm fɔ wach aw yu de go bifo ɛn mek shɔ se yu sik dɛn de bɛtɛ. Fɔ bɔku pipul dɛn, di rayt tritmɛnt kin mek dɛn gɛt bɔku rilif frɔm di sayn dɛn we dɛn kin gɛt.
Ustɛm a fɔ go to dɔktɔ?
Yu fɔ go to pɔsin we sabi bɔt wɛlbɔdi biznɛs if yu gɛt dɛn tin ya:
- Wan tin we yu kin want fɔ pis ɔltɛm, mɔ wantɛm wantɛm afta yu dɔn fɔ pis.
- I nɔ izi fɔ bigin yu urine strim, ɔ if yu flɔ wik ɔ i stɔp ɛn bigin wan wan tɛm.
- Pen na di lכw bכdi, di bכdi εria, כ di lכw bכk.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
If yu de gɛt prɔblɛm wit yu urinary retention, na nɔmal tin fɔ gɛt kwɛstyɔn dɛn. Yu kin aks yu dɔktɔ dɛn tin ya:
- Wetin yu tink se na di ɔndalayn kɔz fɔ mi sik dɛn?
- Yu kin se yu fɔ du ɛni ɔda tɛst fɔ no if yu gɛt di sik?
- Us tritmɛnt yu kin advays?
- Aw a go ebul fɔ kɔntrol dɛn sik ya fayn fayn wan na mi ɛvride layf?
- Mi urinary retention na kɔndishɔn we dɛn kin trit ɔl ɔ mɛn?
E kin fil nɔr fayn fɔ tɔk bɔt aw fɔ kɔntrol yu urinary wit yu fambul, padi dɛm, ɔr ivin dɔktɔ dɛm. Bɔt, duya no se nɔto yu wangren de. Urinary retention na wan kɔmɔn ɛn dɛn kin trit am bad bad wan. If yu notis ɛni chenj na di we aw yu de pis, ɔ if yu si se yu nɔ ebul fɔ pis atɔl, duya go to dɔktɔ kwik kwik wan. Bɔku fayn tritmɛnt dɛn de fɔ ɛp yu fɔ kɔntrol yu sik dɛn.
Mɛsej we dɛn kin kɛr go na os
Sɔntɛnde, di urinary retention kin mek yu at pwɛl, ɛn if yu bigin fɔ pis kwik kwik wan, i kin bi siriɔs mɛdikal imejensi. De tin wae impɔtant pas ɔl na fɔ no yu sik ɛn go to dɔktɔ kwik kwik wan.
- Imejɛnsi Simptom: If yu nɔ ebul fɔ pas urine wantɛm wantɛm ɔ yu gɛt siriɔs pen na yu bɛlɛ, go na di imejensi dipatmɛnt we de nia yu wantɛm wantɛm.
- Di Simptom dɛn we Nɔ De Du: If i nɔ izi fɔ yu fɔ bigin pis, yu nɔ gɛt bɛtɛ wata, ɔ yu kin want fɔ pis ɔltɛm, nɔ shem fɔ mek yu go to yu dɔktɔ fɔ mek dɛn chɛk yu fayn fayn wan.
- Bɔku bɔku tin dɛn we kin mek pɔsin gɛt dis sik:Kɔndishɔn lɛk prɔstat prɔblɛm, mɛrɛsin sayd ɛfɛkt, nerve damej, ɔ infɛkshɔn kin mek yu kɔntinyu fɔ gɛt am. Fɔ no di rayt tin we mek i sik na di men tin we go mek yu gɛt di tritmɛnt we go wok fayn.
- Tritmɛnt De: Di tritmɛnt kin bi mɛrɛsin, ɔpreshɔn, ɔ chenj di we aw pɔsin de liv igen, i kin dipen pan di tin we mek i gɛt am.
- Nɔ Ignore Am: If dɛn nɔ trit am, prɔblɛm dɛn lɛk we yu kidni pwɛl ɔ we yu gɛt infɛkshɔn we de kam bak kin apin.
Mɛmba se if yu de gɛt dis kayn prɔblɛm, nɔ fred fɔ tɔk to yu dɔktɔ. If Nirogi Lanka kia fɔ yu di rayt tɛm, yu kin gɛt rilif ɛn mek yu kwaliti layf bɛtɛ.
