Urine trouble!

會有尿道問題！（譯註：跟"You're in trouble. 你麻煩大了"聽起來很像）

Who is writing these?!

到底是誰寫出這種講稿的！？

Hey pee-pees, Jules here for DNews.

嘿！會尿尿的你們好！我是DNews的Jules

Now, we've all been there.

我們都曾經經歷過那種感受

You've had too much to drink in too short a time,

你們曾在短時間內喝太多的水

your bladder feels like it's about to burst but… oh no!

你們的膀胱會感到要爆炸的感覺。但是．．．哦～不行

You're DJing your cousin's quinceanera and they just requested the Cha Cha,

你們在親戚的成人禮（十五歲的派對）中當DJ，他們要你播放能跳恰恰的音樂

so you are not going anywhere for a while!

所以，你們暫時不可以去任何地方！

You're just gonna have to hold it.

你們就只能繼續憋著

Maybe you'll do a little pee dance like you're Pelvis Presley,

你們可能會跳出憋尿的舞蹈，就像是貓王艾維斯普雷斯利

or try to distract yourself, but ultimately, you have to pee.

或者先別想尿尿這件事情。但是，到最後你們還是必須尿出來

So, just how bad is that for you?

所以，憋尿到底對你們有什麼壞處？

Should you wait it out to avoid embarrassment?

我們應該要先坐在馬桶上等小便好，免得之後發生糗事嗎？

Or should you bail on your prima's 15th birthday to relieve yourself?

或是我們應該要離開第一次的15歲生日就為了尿尿？

Well, it really depends, unless you're literally wearing Depends and then it doesn't matter.

好了，這可要真的視情況而定。除非你們就是穿著成人紙尿布，那就真的沒差了

The average adult pees about four to seven times a day, because

成年人一天平均小便四到七次，因為

the average adult bladder can really only hold about sixteen ounces worth of liquid before feeling the urge to purge.

在想小便之前，成年人的膀胱平均只能夠容納十六盎司的液體

At night, your bladder can actually hold up to twice that before signaling that you have to pee,

而晚上時，在想小便之前，你們的膀胱可以容納兩倍多的液體

which is why waking up to pee like a racehorse is a pretty common experience.

這就是為什麼起床後的小便通常都會大的像是賽馬的小便一樣

But every body is different, and the amount of bladder fullness necessary to feel the pee reflects changes

但是，每個人的身體是不一樣的。喝多少的水分會讓你們膀胱漲滿以及想小便的這個反射動作

based on how hydrated you are, the actual size of your bladder,

主要是根據你們喝了多少水、你們膀胱的實際大小、

and most importantly, your bladder sensitivity.

以及最重要的是，你們膀胱的敏銳度

See, when your bladder fills up, stretch receptors along your bladder walls

想看看。當你們的膀胱漲滿，膀胱壁的肌肉感應處因而被拉開

send a signal through your spinal cord up into your brain.

而會從你們的脊隨傳送訊息到你們的腦袋

In response, your brain sends back a “reflex” signal,

你們的腦袋會回送一個反射訊息來回應那樣的訊息

telling the detrusor muscle in your bladder to contract,

來告知你們的膀胱逼尿肌收縮

which squeezes your bladder and creates an even stronger stretch reflex.

逼尿肌會壓縮你們的膀胱。然後，製造出一個更強的牽張反射

This feedback loop is what makes you have to pee.

就是這樣的反饋迴路讓你們想要小便

Your internal bladder sphincter, which is a muscle that is normally tightened against the intersection of your urethra and bladder,

你們內在的膀胱括約肌，括約肌也就是肌肉，正常來說是使尿道保持關閉的狀態

opens up and is ready to let loose. But hold on a second,

而要小便時，則會鬆弛下來。但是，等一下！

if that’s all there was to it, we’d have no control over our urination.

如果就是那些器官組織而已，我們就沒辦法控制我們自己的小便

Luckily, there’s something in the way.

很幸運地！在這器官組織之中，還有一個東西

The external sphincter, which is the last line of defense against pee pants.

這個外部的括約肌，這是最後來防止小便在褲子上的防禦線

As long as our external sphincter, also called the “distal sphincter”is healthy and functional,

只要我們外部的刮約肌，也就是所謂的「末梢的尿道刮約肌」。只要他既健康又有功能性的

you can technically hold your pee forever.

嚴格來說，你們就可以憋尿一輩子

But you won’t.

但是，你們沒辦法

See, holding in your pee in is kind of like

想看看。憋尿就像是

an unstoppable force going against an immovable object.

一個無法違抗的急需

Either your external sphincter or your detrusor muscle are going to win the fight, and spoiler alert:

不是你們的外部括約肌，就是你們的逼尿肌會贏得這場戰爭。而且在這裡破個梗：

unless you've had bladder cancer, or bladder surgery, or if you've had a Radical Cystectomy with an Orthotopic Neobladder,

除非你們有過膀胱癌或者是膀胱手術，又或者你們有過膀胱根除術，切除原位膀胱手術

which is when doctors remove your bladder and replace it with a new one made out of your small intestines…

也就是醫生們會移除你們的膀胱，並放上一個由你們小腸子們做出來的新膀胱

if none of those things apply to you, then your detrusor muscle is going to win.

如果你們從未有過這些經歷，那你們的逼尿肌這方會贏過外部的括約肌

You're gonna pee all over yourself.

你們將會尿得全身都是

Otherwise, if your bladder is structurally weak, it can rupture against the seal of your external sphincter,

另一方面，如果從結構上來說你們的膀胱是虛弱的，他會破裂，則因而脹滿外部的括約肌

filling your abdomen with urine that will have to be cathetered out.

以及使得你們的小腹充滿了小便，則會需要導尿管的幫助了

So if you've got a healthy bladder then nothing to worry about except peeing yourself,

所以，如果你們都有著健康的膀胱，你們什麼都不用擔心，只要擔心會不會尿髒自己而已

right?

對吧？

Wrong.

不對！

What you should be worried about are urinary tract infections.

你們要擔心的其實就是尿道管的感染

See, instead of thinking of your bladder like a five star hotel swimming lounge,

想想看。不要認為你們的膀胱是五顆星的休閒游泳池旅館

it’s kind of more like a dirty pond.

你們的膀胱反而像是一種骯髒的池塘

The longer you let the pond stagnate, the more likely it is to build up bacteria,

你們讓這樣的池塘堵塞越久，這樣的池塘可能就會累積著細菌

which can result in a urinary tract infection.

因而會導致尿道管的細菌感染

That's almost certainly E. coli.

這種絕對是大腸桿菌

And besides being an infection down there, which is already unpleasant,

除了尿道會病菌感染外，這已經是很惹人不舒服的

it can also cause you to feel like you have to pee when your bladder is empty!

這樣的病菌還會造成你們一直想小便，就算你們膀胱是空的！

So, in a way, if you keep holding your pee, you'll end up feeling like you have to pee

所以，這樣下來，如果你們習慣性憋著小便，你們最後一直都會想要小便

FOREVER!!!

永遠都會這樣！！！

The other side effect of regularly holding in your pee is called “urinary retention”

另一個偶爾憋尿的影響，也就是所謂的「尿滯留」

which is when your detrusor muscle is unable to fully evacuate the bladder.

也就是當你們逼尿肌沒辦法完全的從膀胱中排出小便

So every time you pee, you don’t get it all out.

所以，每一次你們小便，你們都沒辦法完全小便完

Here’s the point: holding your pee is natural, and we do it pretty much every night.

這裡有個重點：憋尿是慣性的，我們幾乎每個晚上都會這麼做

In a single case, for a healthy adult, holding your pee isn’t too big of a deal, and in

在另外一個案件裡，對於一個健康的成年人而言，憋尿並不是什麼大事。就在

the worst case scenario, you’ll probably just pee yourself.

最糟的情況下，你們就可能只是尿髒自己而已

But if you already have bladder issues, or if you regularly refuse to pee when your body demands it,

但是，如果你們已經有這樣的膀胱問題，或者如果你們時常不理會身體反應選擇憋尿時

then you’re very much at risk of developing a UTI, or another incontinent medical problem.

你們可能就有泌尿道感染危機，或是其他無法自我控制的健康問題

You could even burst your bladder in some cases.

甚至，在一些案件中，你們可能會憋尿憋到炸掉自己的膀胱

So, do yourself a favor, pee freely and don’t get pissed off.

所以呢，幫幫自己吧！想小便就去小便。但是，不要愛生氣

Remember: peeing is #1.

謹記在心：小便是首要之事

And while you’re peeing, think of all the time you’ve wasted not working on your beach bod.I know...that's all I think about while I’m peeing.

而當你們在小便時，想想看你們已經浪費多少時間沒訓練你們的體健身材。恩，這就是我在小便時，我會想到的事情

But don’t get too depressed, it’s not too late because there’s Beachbody On Demand.

但是，不要因為這樣就沮喪！還來得急，因為有一個網站Beachbody On Demand（急需健身教練）

Check them out online at DNewsBOD.com, where you can get access a wide variety of workout programs

來DNewsBOD.com看看他們。你們可以在DNewsBOD.com網站中，看到許多種類的健身頻道

including the world-famous P90X, Insanity, Focus T25, and a bunch of others.

也包括了世界著名的 P90X（健身在家有氧訓練）、Insanity系列出的 T25（既有強度、效率、省時間的有氧運動）、還有其他的健身方式

Sign up for Beachbody On Demand today and get a FREE 30-Day Membership.

今天就去訂閱Beachbody On Demand頻道，即可得到三十天免費的會員禮

So if you're healthy, hold in your pee or don't, I don't care. But what about your poops?

所以，如果你們都很健康，憋尿或不憋尿，就看你們吧！但是，你們的大便呢？

Now that's something I care about. If you do too, watch this video to find out more.

恩，這就是我現在在意的。如果你們也在意的話，就看看這個影片，你們可以了解到更多

Constipation is one of the most frequent GI problems in the US with at least 2.5 million poop-related doctor visits every year.

在美國，便祕在胃腸道疾病中是最經常發生的問題之一，每年至少有兩千五百萬人看腸胃方面的醫生

Constipation happens when your body draws too much water out of the passing food, drying out the mass as it approaches your colon.

便秘是因為你們的身體從攝取的食物中獲取全部的水分，而把這乾乾剩餘的消化物質存放在你們的腸子中

The dryer your poop is, the harder it is to pass. So when was the last time you peed your pants, I know I did just 10 minutes ago.

你們的大便越乾，大便則更難順利上出來。所以，你們最後一次尿在自己身上是在哪時候，我自己是在十分鐘前

Let us know down below in the comments and don't forget to like and subscribe for more DNews every single day.

讓我們知道你們的意見，也不要忘記喜歡這影片，同時訂閱我們DNews的頻道，每天就可以收看更多的影片！