I zun fo a ngai em? Control a awm lo em ni? Overactive Bladder (OAB) chungchang hi han sawi ila

Khawi hmunah emaw kal turin i inbuatsaih a... a nih loh leh hna pawimawh tak i thawk a... rang takin zun a ngai tih i hre ta a. Bathroom lam pana tlan pawh hun i nei lo. A châng chuan i thawmhnaw pawh i hriat loh pawhin i hrual thei bawk. Heng thilte hian i rilru a ti nuam lo hle a, i mualpho hle em? Chuvangin vawiinah hian thupui pawimawh tak kan sawi dawn a ni. Chu chu Overactive Bladder, a tawi zawngin OAB a ni. Hei hi mi tam takin sawi duh loh leh mualpho tak ni mah se, a awm dan tlangpui a ni. Tin, a enkawlna tha tak tak a awm bawk.

Overactive Bladder (OAB) hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Overactive Bladder hi natna a ni lo va, symptom hrang hrang inzawmkhawm a ni. Heta thil thleng hi i bladder chu a overactive ta a ni. A tlangpuiin bladder a khat chuan thluak hian signal a thawn a, zun kan mamawh thu min hrilh a ni. Mahse, OAB vei mi pakhatah chuan bladder muscle te chu a inzawm kim lo a nih pawhin a inzawm nghal mai thin. Chutih lai chuan thunun theih loh, hmanhmawh taka zun chhuah ngai chu a lo awm ta a ni.

Hengte hi OAB-a symptom hmuh tur lian ber berte an ni.

Hetiang dinhmun hi tuin nge tawk tam zawk?

OAB hian kum eng pawh a nghawng thei a, mahse kum 65 chunglam zingah a tam ber a, hmeichhiate pawhin mipa aiin he natna hi an nei hma deuh thei a, kum 45 vel atanga tan pawh a ni mai thei.

Hei hi a hluar em em a, khawvel puma mi maktaduai tam takin he natna hi an tuar a ni. Mahse mi tam tak chuan an sawi zak lutuk a, chuvang chuan inenkawlna an zawng lo. Chu chu a zahthlak tak zet a ni. A chhan chu hei hi enkawlna hmanga a tam zawka thunun theih thil a nih vang a ni.

Engvangin nge hetiang hi a lo awm? OAB awm chhante chu engte nge ni?

Detrusor muscle hi i bladder wall chhunga muscle awm a ni. OAB hi natna thenkhat emaw hliam emaw avanga lo awm a ni a, chu chuan he ruh hi a nghawng a ni. A chhan berte han thlir ila.

• Abdominal trauma: Naupai leh nau neih lai, a bik takin hmeichhiaah chuan pelvic area-a ruh te chu a inzawm khawm thei a, a chak lo thei bawk. Heng ruhte hi bladder leh taksa peng dangte a hmuna vawng tlattu an ni. An chak loh chuan bladder chu tlem a tla thei a, a hnathawh a tichhe thei a ni.
• Nerve chhiatna: Ngaihtuah teh, kan bladder leh thluak hi nerve hmangin an inbiakpawhna a ni. Thluak hian a hun dik takah a bladder empty turin signal dik lo a hmuh chuan eng nge thleng ang? Chu chu hetah hian thil thleng a ni. Heng nerve te hi damdawi lam thil leh accident thenkhatin a tichhe thei a ni. Entir nan:
• Pelvic emaw hnungzang emaw surgery a ni
• Spinal cord natna (herniated discs) te hi a awm thei lo.
• Radiation hmanga enkawlna a ni
• Parkinson natna a ni
• Multiple sclerosis natna a ni
• Thai
• Damdawi thenkhat, zu, leh caffeine: Chûngte chuan i nervous system a ti slow thei a, i thluak lama signal kalte pawh a nghawng thei bawk. Diuretics (zun tipungtu damdawi) leh caffeine (tea, coffee) te hian i bladder a tikhat nghal vat thei a, chu chuan thunun theih lohvin i zun a thlen thei bawk.
• Hri kai theihna: 1.1.Urinary tract infection (UTI) ang chi thil a lo awm chuan bladder chhunga nerve te a tichak a, a tul lovah bladder a tikhawlo thei bawk.
• Extra weight: I taksa rihna a san chuan i bladder-ah pressure a siam belh zel a ni. He pressure hian i zun control a ti harsa thei bawk.
• Menopause hnua Estrogen tlakchhamna: Menopause hnua hmeichhe taksaa hormone inthlak danglamna avang pawh hian OAB hi a awm thei bawk.

Engtin nge hei hi i hmuh theih, Doctor?

Heng symptoms te hi doctor pan tura i kal hian a tih hmasak ber tur chu i sawi tur chu ngun taka ngaithla a ni ang. Tichuan, i pelvic area leh i hnute chhehvel chu zawi zawiin a enfiah ang. Zawhna a zawt thei che a ni:

• I symptoms te chu engte nge ni?
• Eng chen nge heng symptoms te hi a awm tawh?
• I chhungkuaah hian hetiang dinhmun hi an nei em?
• Eng damdawi nge i hman? (over-the-counter damdawi te pawh a tel)
• Ni khatah eng nge i in thin? Engtikah nge i in thin?
• I ei leh in chu engtin nge a awm?

A châng chuan i doctor chuan urologist hnenah a refer thei che a ni.

Diagnostic test te pawh a awm

I doctor chuan a natna hriat chian nan hetiang test eng emaw zat neih a rawt thei ang.

• Urinalysis: He test hian i zun chu natna hrik, thisen cell, etc. a enfiah thin a, UTI ang thil hian i OAB a thlen a nih chuan he test hian a hmuchhuak thei a ni.
• Urodynamic testing: Heng test te hian thil tam tak a teh thei a, chu chu i zun hnua i zun (bladder) chhunga zun awm zat te, zun a chhuah chak dan te, leh a khat huna zun (bladder) chunga pressure awm zat te hi a ni.
• Ultrasound scan: Hei hi natna nei lo scan a ni a, i bladder leh a chhehvel taksa peng hrang hrangte chipchiar taka thlalak a siam thei a ni.
• CT scan: Hei hian bladder hi three-dimensional (3D) image a siam thei bawk.
• Cystoscopy: Hei hian i urethra kaltlangin camera hmanga thuam, cystoscope an tih, i bladder chhung lam enfiah turin i dah lut a ni. Procedure hmain numbing gel pek i ni ang a, chuvangin lungkham a ngai lo. A tlem hle a, he procedure atan hian full anesthesia pek i ni thei.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu OAB enkawlna atana pui turin enkawlna chi hrang hrang a awm a, chung zingah chuan nunphung leh nungchang tihdanglamna te, damdawi te, leh nerve tihchakna te pawh a tel a ni.

1. Nunphung leh nungchang inthlak danglamna

Damdawi ei hma hian nangmah ngeiin i tih theih tam tak a awm a. Hengte hi enkawlna hmasa ber a ni.

Bladder diary siam tur a ni.

I doctor chuan ni engemaw zat chhung chu i zun dan diary-ah ziak turin a ti thei che a ni. Hei hian i dinhmun a zual hun leh i ei leh in tur hriatthiamna a pe ang che. A hnuaia mite hi chhinchhiah rawh:

• Eng nge i in?
• Engzat nge i in thin?
• Eng thil nge ei tur awm?
• Engzat nge i zun thin?
• Zun a chhuah chuan engtikah nge engzat nge?
• Eng chen nge hmanhmawhthlak a ngai tih i hriat?
• Khuh, thawk hah, nuih vangin zun i leak em?

I ei leh in tur enkawl

Ei leh in thenkhat hian bladder a tichak a, OAB symptoms a tipung thei bawk. Heng ei tur te hi tihtlem emaw, paih vek emaw tum ang che:

• Thingpui
• Kawfi
• Zu
• Caffeine awmna soft drinks te pawh a awm
• Citrus thei leh thei in tur (orange, tangerine) te .
• Chocolate
• Tomato leh tomato awmna ei tur
• Chaw rimtui leh acidic tak tak te
• Thil thlum siamtu (diet drinks, chewing gums thenkhat) awmna thil .

Intestines hnathawh thatna tur

Constipation hian i bladder-ah pressure a siam belh thei a, OAB symptoms a tipung thei bawk. Chuvangin i ril a hrisel theih nan hengte hi han ti ve teh:

• Fiber tamna ei tur (brown rice, bean, oats, legumes, thlai, thei chi hrang hrang) ei thin ang che.
• Ni khatah tui glass 2-4 vel in tur a ni.
• Exercise neih fo thin ang che.

Weight control leh meizuk bânsan

Rihna tam lutuk tihtlem hian bladder-a pressure a tihziaawm thei. Tin, zu i in chuan bladder muscle a nghawng thei bawk. Chuvangin meizuk bânsan pawh hi a pawimawh hle.

Engtin nge bladder hi retrain theih ang? (Bladder Retraining tih a ni) .

Hei hi hmanraw pawimawh tak leh tangkai tak a ni. OAB i neih hian i bladder chu a khat tawkin a empty thiam thin. He training hmanga kan tih chu zun tlem tal vawn tam zawk turin bladder zirtir hi a ni. A awlsam zawngin sawi ila, bladder ‘resetting’ ang mai a ni.

Engtin nge hetiang hi kan tih ang?

1. Tuna i awm dan zawng rawh: A hmasa berin i zun diary en la, i zun tam zia zawng rawh. Darkar tin bathroom-ah i kal ang u.

2. Zawi zawiin hun tizau rawh: A dawtah chuan zun a ngai nia i hriat pawhin minute engemaw zat chu insum tum ang che. A tir lamah darkar khat chhunga i kal chuan darkar khat leh minute 15 chhung i tum ang.

3. Duh duhna thunun: Chu duhna chu a lo thlen chuan thawk la la, zawi zawiin thawk chhuak rawh. I rilru ti hahdam thei tur hmun han ngaihtuah teh. Urge a liam hma chu nghak rawh. Tichuan, a hma ang bawkin bathroom-ah kal rawh.

4. Schedule angin hna thawk rawh:I schedule thar (e.g., darkar 1 leh minute 15) chu kar khat vel nuam taka i vawn theih hnuah, hun chu minute 15 vel tihpun leh ang che. Zawi zawiin darkar 2 atanga darkar 4 chhung i zun i vawn theih thlengin hun hi ti sang rawh .

Urge control dan tur strategy hrang hrang

• I thil tih hi bansan la, i theih chuan thu rawh. Ngawi reng rawh.
• I pelvic muscles (Kegel exercise ang bawkin) vawi tam tak rang takin tikhauh la, ti hahdam rawh.
• I taksa dang zawng zawng kha ti hahdam rawh. Thâwk la la.
• Zun chhuah duhna chu tihtawp dan tur ngaihtuah mai rawh.
• Urge chu a liam tawh chuan zawi zawiin bathroom-ah kal rawh. Hlauthawng suh.

Damdawi inenkawlna leh hmanraw dang

Nunphung tihdanglam ringawt pawh hian natna thunun theih a tawk lo a nih chuan, i doctor chuan enkawlna dang a rawt thei ang.

Damdawi chi hrang hrang

Damdawi a awm a, chu chuan bladder muscle te a ti hahdam a, duh loh zawnga contraction a control bawk. Chungte chuan bladder hian zun tam zawk a vawng thei a ni.

• Anticholinergic damdawi: Oxybutynin (Ditropan®), Tolterodine (Detrol®), Solifenacin (VESIcare®) ang chi damdawi te hi a ni.
• Beta-3 adrenergic damdawi: Mirabegron (Myrbetriq®), Vibegron (Gemtesa®) ang chi damdawi te.

Heng damdawi te hi damdawi lam thurawn chauhvin hman tur a ni .

Nerve tihchakna (Simulation) a ni

Enkawlna dang a hlawhtlin loh chuan, bladder control tu nerve-te hnenah electrical signal nem tak thawn chhuakin, an hnathawhna tur a siam tha leh thin.

• Sacral nerve stimulation: Vun hnuaia hmanraw te tak te dahin nerve tihchak dan a ni.
• Percutaneous tibial nerve stimulation: Ankle bula nerve hmanga stimulation pek dan a ni.

Botulinum Toxin Injection hmanga tihdam theih a ni

Botox® hi a lar ber pawl a ni. Botox hi cystoscope hmangin bladder wall-ah an inject thin. Hei hian bladder muscle te a ti hahdam a ni. He enkawlna hian thla 6 vel a nghawng a, chuvangin injection nawn leh a ngai a ni.

Enkawlna hun chhunga harsatna awmte chu engtin nge kan enkawl ang?

I enkawlnain a nghawng hun i nghah lai emaw, a chang chuan leak i control theih loh chuan i rilru a hah lo va, i mualpho thei bawk. Mahse a chinfel dan tur a awm. Puitling tan special pad emaw diaper emaw (incontinence products) hman hian nitin nunphungah inrintawkna nen i kir leh thei ang.

• Switch fo thin ang che:Zun hnua pad thlak hian rim leh vun natna a veng thei a ni.
• Skin protection hmang rawh: Pad dah hmaa vunah barrier cream hnawih hian zun vanga vun chhiatna a veng thei a ni.
• Thawmhnaw hring, rawng dum ha rawh: Hei hian pad chu a lang lo ang. Tin, eng emaw ti takin a hnim a nih pawhin thawmhnaw dum-ah chuan a lang tlem zawk ang.