Is it bad to hold your pee? - Heba Shaheed

Translator: Uum sswp1033 Reviewer: Hui Bin Go

It begins with a bit of discomfort

Ia bermula dengan sedikit ketidakselesaan

and soon becomes a pressing sensation that's impossible to ignore.

dan tidak lama lagi menjadi sensasi mendesak yang mustahil untuk diabaikan.

Finally, it's all you can think about,

Akhirnya, itu anda boleh fikirkan,

and out of sheer desperation,

dan kerana terdesak ,

you go on a hunt for a bathroom until "ahh."

anda pergi ke bilik air sehingga “ahh.”

Humans should urinate at least four to six times a day,

Manusia harus buang air kecil 4 ke 6 kali sehari

but occasionally, the pressures of modern life forces us to clench and hold it in.

tetapi, tekanan kehidupan moden memaksa untuk menahannya.

How bad is this habit, and how long can our bodies withstand it?

Betapa buruknya tabiat ini, dan berapa lama badan kita boleh menahannya?

The answers lie in the workings of the bladder,

Jawapannya terletak pada tugas pundi kencing,

an oval pouch that sits inside the pelvis.

kantung bujur yang terletak di dalam pelvis.

Surrounding this structure are several other organs

Di sekeliling struktur ini, ada beberapa organ lain

that together make up the whole urinary system.

yang bersama-sama membentuk keseluruhan sistem kencing.

Two kidneys,

Dua ginjal,

two ureters,

dua ureter,

two urethral sphincters,

dua sfinkter uretra,

and a urethra.

dan uretra.

Constantly trickling down from the kidneys is the yellowish liquid known as urine.

Selalu menitis dari buah pinggang ialah cecair kekuningan iaitu air kencing.

The kidneys make urine from a mix of water and the body's waste products,

Ginjal membuat air kencing daripada air dan bahan buangan badan,

funneling the unwanted fluid into two muscular tubes called ureters.

menyalurkan cecair yang tidak diingini ke dalam dua tiub iaitu ureter.

These carry it downward into the hollow organ known as the bladder.

Ia dibawa turun ke bawah ke dalam organ berongga iaitu pundi kencing.

This organ's muscular wall is made of tissue called detrusor muscle

Dinding otot organ ini diperbuat dari tisu otot detrusor

which relaxes as the bladder fills allowing it to inflate like a balloon.

dimana ia mengendur apabila pundi kencing terisi kembang seperti belon.

As the bladder gets full, the detrusor contracts.

Apabila pundi kencing penuh, detrusor mengecut

The internal urethral sphincter automatically and involuntarily opens,

Sfinkter uretra dalaman automatik terbuka dan secara tidak sengaja

and the urine is released.

dan air kencing dikeluarkan.

Whooshing downwards, the fluid enters the urethra

Berdengung ke bawah, cecair memasuki uretra

and stops short at the external urethral sphincter.

dan berhenti sebentar di sfinkter uretra luar

This works like a tap.

Ia berfungsi seperti paip

When you want to delay urinating, you keep the sphincter closed.

Apabila anda melambatkan buang air kecil, anda menutup sfinkter.

When you want to release it, you can voluntarily open the flood gates.

Apabila anda mahu melepaskannya, anda boleh membukanya.

But how do you sense your bladder's fullness

Tetapi bagaimana anda rasa pundi kencing penuh

so you know when to pee?

supaya tahu bila hendak kencing?

Inside the layers of detrusor muscles are millions of stretch receptors

Dalam lapisan otot detrusor ada berjuta-juta reseptor regangan

that get triggered as the bladder fills.

yang tercetus apabila pundi kencing terisi

They send signals along your nerves to the sacral region in your spinal cord.

Ia menghantar isyarat sepanjang saraf ke sakral dalam saraf tunjang

A reflex signal travels back to your bladder,

Isyarat refleks kembali ke pundi kencing

making the detrusor muscle contract slightly

menjadikan otot detrusor mengecut sedikit

and increasing the bladder's pressure so you're aware that it's filling up.

dan meningkatkan tekanan pundi kencing supaya sedar ia berisi.

Simultaneously, the internal urethral sphincter opens.

Pada masa sama, sfinkter uretra dalaman terbuka

This is called the micturition reflex.

Ia dipanggil refleks miksi.

The brain can counter it if it's not a good time to urinate

Otak boleh melawan jika ia bukan masa sesuai untuk kencing

by sending another signal to contract the external urethral sphincter.

dengan menghantar isyarat lain untuk mengecutkan sfinkter uretra luar.

With about 150 to 200 milliliters of urine inside of it,

Kira-kira 150-200 mililiter air kencing di dalamnya,

the bladder's muscular wall is stretched enough

dinding otot pundi kencing diregangkan

for you to sense that there's urine within.

untuk merasakan ada air kencing dalamnya.

At about 400 to 500 milliliters, the pressure becomes uncomfortable.

Kira-kira 400-500 mililiter, tekanan menjadi tidak selesa

The bladder can go on stretching, but only to a point.

Pundi kencing boleh meregang tetapi hanya ke satu titik.

Above 1,000 milliliters, it may burst.

Lebih 1,000 mililiter, ia mungkin pecah

Most people would lose bladder control before this happens,

Banyak orang akan kehilangan kawalan pundi kencing,

but in very rare cases,

tetapi kes jarang berlaku,

such as when as a person can't sense the need to urinate,

seperti seseorang tidak merasa untuk kencing

the pouch can rupture painfully requiring surgery to fix.

kantung boleh pecah dengan menyakitkan dan memerlukan pembedahan untuk dibaiki.

But under normal circumstances,

Tetapi dalam keadaan biasa,

your decision to urinate stops the brain's signal to the external urethral sphincter,

keputusan buang air kecil hentikan isyarat otak kepada sfinkter uretra luar,

causing it to relax and the bladder to empty.

menyebabkannya berehat dan pundi kencing kosong.

The external urethral sphincter is one of the muscles of the pelvic floor,

Sfinkter luar ialah salah satu otot lapisan pelvis,

and it provides support to the urethra and bladder neck.

dan ia berikan sokongan kepada uretra dan leher pundi kencing

It's lucky we have these pelvic floor muscles

Nasib baik kita ada otot pelvis

because placing pressure on the system by coughing,

kerana meletakkan tekanan seperti batuk,bersin,ketawa

sneezing,

laughing,

or jumping could cause bladder leakage.

atau melompat menyebabkan kekurangan pundi kencing.

Instead, the pelvic floor muscles keep the region sealed

Sebaliknya, otot pelvis memastikan kawasan itu tertutup

until you're ready to go.

sehingga bersedia untuk pergi.

But holding it in for too long,

Tetapi menahannya masa yang lama,

forcing out your urine too fast,

memaksa air kencing keluar dengan pantas,

or urinating without proper physical support

atau buang air kecil tanpa sokongan fizikal

may over time weaken or overwork that muscular sling.

mungkin melemahkan otot kerana terlebih bekerja.

That can lead to an overactive pelvic floor,

Menyebabkan pelvis aktif, sakit pundi kencing

bladder pain,

urgency,

or urinary incontinence.

atau intontinensia kencing.

So in the interest of long-term health,

Jadi untuk kesihatan jangka panjang,

it's not a great habit to hold your pee.

menahan kencing bukan tabiat yang baik.

But in the short term, at least, your body and brain have got you covered,

Tetapi dalam jangka pendek, badan dan otak telah dilindungi

so you can conveniently choose your moment of sweet release.

jadi anda boleh memilih saat pelepasan dengan mudah.