Mi tam tak chuan an nuih a, an khuh a, an thawk a, an inhriat loh chuan exercise an tih hian zun a chhuak tlem hle. Hei hi zahthlak tak leh khawtlang nunah pawh a buaithlak thei hle. Hetiang dinhmun hi a bik takin mipaah chuan operation thenkhat hnuah a awm thei a ni. Chuvangin vawiin hian hei hi enkawlna atana hman tur special device kan sawi dawn a ni.
He Artificial Urinary Sphincter hi eng nge ni?
A awlsam zawngin sawi ila, hei hi hmanraw te tak te, taksaah surgery hmanga dah a, zun insum theih lohna enkawlna atana hman thin a ni. Hei hi zun thunun thei lo tan chuan tanpuina ropui tak a ni.
Urologist (urinary tract natna lama tui tak surgeon) chuan he device hi i urethra vel ah a dah lut thin. He device chhungah hian liquid a awm a. He liquid hian device chu a ti inflated reng a, urethra a block bawk. Tichuan, zun a chhuak lo. Zun i duh hunah chuan scrotum chhungah pump te tak te i squeeze a ngai a ni. Tichuan, device chu a deflated a, urethra a inhawng a, zun a chhuak tan ta a ni. Minute thum vel hnuah he device hi a inflate leh ta a ni.
A hmasain natural urinary sphincter chu eng nge a nih kan en ang.
Kan taksa hian a pianphungah chuan zun chhuahna control thei muscle a nei a. Tui tap-a valve ang maiin a thawk a ni. He ruh hi a hnathawh dan pangngaia a thawh chuan a inzawm khawm a, zun chu zun (bladder) chhungah a awm reng thin. Zun kan mamawh hunah he ruh hian a ti hahdam a, zun a chhuak thei bawk.
Kan taksaah hian hetiang hian control muscle pahnih a awm a:
- Internal urethral sphincter: Hei hi bladder leh urethra inzawmna hmun a ni. A relax chuan zun chu bladder atang hian urethra ah a luang lut thin.
- External urethral sphincter: Hei hi pelvic floor muscle-ah a awm a. A relax chuan zun chu urethra kaltlangin taksa atangin a chhuak chhuak thin.
Eng emaw chhan vanga heng ruhte hi a chak lo a nih chuan kan mamawh hmain zun kan leak thei a, a bik takin khuh emaw, kan thawk hah emaw hian kan zun kan leak thei a ni. Hei hi Stress Incontinence kan tih chu a ni . Chuvangin, artificial urinary continence (AUS) hian heng taksa chak lo tak takte hna hi a thawk a ni.
Eng ang mi nge he device (AUS) hi hman?
Doctor-te chuan stress urinary incontinence nei mipa tan he device hi an rawt tlangpui.He natna enkawlna atan hman a ni a, a bik takin damdawi dang, damdawi emaw, bladder training emaw hmanga enkawl ngai lote tan hman a ni.
Mipaah chuan he natna hi prostate cancer (prostatectomy) avanga operation an neih hnuah a awm fo thin. Hetiang natna vei hian a hnuaia thil awm danah hian zun a leak thei a ni:
- Nuih lai chuan
- Hriak a chhuah lai hian
- Khuh laiin
- Kal lai chuan
- Exercise a tih laiin
Hmeichhiaah hian he natna atan hian artificial urinary catheter (AUS) hman a ni tlem hle.
Engtin nge he device hian hna a thawh?
Artificial urinary continence (AUS) hi a bulpui pathum a awm a. Chiang takin i hrethiam ang u.
| Device atanga a then | Hmun leh hnathawh dan |
|---|---|
| Pressure Balloon hmanga siam a ni | Hei hi pum ruh hnuaiah dah a ni. He balloon hian liquid pakhat chu pressure mumal takin a nawr thin. He pressure hian urethra chu a khar reng a ni. |
| Urethral Cuff a ni | He band hi urethra vel ah dah a ni. Fluid-in a khat reng a ni. Doctor-in i kut a blood pressure cuff a dah ang mai a ni a, chu chuan urethra a tikhauh bawk. Chutiang chuan zun a leak lo. |
| Pump a ni | Mipaah chuan he pump hi scrotum chhunga vun hnuaiah dah a ni. Hmeichhiaah chuan labia majora-ah dah a ni. He pump hian device chhunga tui luang chhuak chu a control a ni. |
Zun a ngai tih i hriat chuan he pump hi i kut hmangin i hrual thin. Tichuan, urethra vel cuff chhunga tui awm chu balloon chhungah a pump lut ta a ni.A kal ta a ni. Belt a khar chuan a deflate a, urethra a inhawng bawk. Chumi hnuah chuan i zun thei ang. Minute engemaw zat hnuah balloon chhunga tui chu a takin belt-ah a kir leh a, urethra chu a khar ta a ni.
Hei hian eng hlawkna leh hlauhawmna nge a neih?
Hei hi a thatna ber chu hlau lova nitin hna i thawh theih hi a ni. Nuih te, khuh te, exercise lak te hi i hlau a ngai lo. I duh hunah chauh zun chhuah theihna control i nei.
Tin, surgery dang ang bawkin, hlauhawmna engemaw zat a awm bawk .
- Anesthesia nena inzawm harsatna.
- Hliam damna lama harsatna awm thei.
- Kaichhawng.
- Scarring a awm.
- Thisen chhuak.
He surgery-a risk bik thenkhat pawh a awm thei bawk:
- Thil hmanrua thenkhat chu hna a thawk tawh lo emaw, a chhe emaw a ni. Tichuan thlak a ngai ta a ni.
- Urge incontinence a tipung.
- Zun chhuahna tur straining.
- Urethra, bladder emaw a chhehvela taksa peng hrang hrangte chhiatna.
- Pump hman harsatna.
- Device erosion chu device awmna hmuna tissue awm zawi zawiin a chhe vek tihna a ni.
He device hi eng chen nge a daih?
Artificial urinary catheter hi kum 10 vel hman theih a ni tlangpui . Chu hun a tawp emaw, device hnathawh a chawlhsan emaw chuan surgery hmangin a thar dah a ngai a ni.
He device hlawhtlinna rate hi a sang hle. Zirna thenkhatah chuan hlawhtlinna rate chu 90% aia tam a ni . Mahse, device a chhe emaw, tissue a chhe emaw (urethral erosion) chuan urinary leakage a awm leh thei a ni.
Operation hnuah eng thil nge ka fimkhur tur?
I taksa hian operation hnuah a dam theih nan hun a mamawh a ni. A bik takin i urethra chhehvela cuff dahna hmun kha a dam a ngai a ni. Chuvangin, i doctor chuan operation hnu kar 6 atanga kar 8 chhungin device hi a activate ang. I incision te chu kar hnih chhungin a dam leh ang.
Engtin nge i in enkawl ang?
Operation hnu kar li tal chu hnathawh hahthlak tak tak, exercise leh mipat hmeichhiatna lama inhmang tak tak te chu pumpelh vek tur a ni. Hliam a dam fel hmaa hengte hi i tih chuan, .
- Seams te chu a chhe thei.
- Infection a awm thei.
- A natna a zual thei.
- Thisen chhuak a awm thei.
Tin, hliam a dam hma chu bathtub emaw shower emaw-ah inbual loh tur a ni. Shower lak pawh a pawi lo. Mahse a hmun chu a vawt thei ang bera vawt leh fai taka dah a pawimawh a, chu chuan natna hrik kai loh nan.
Engtikah nge Doctor ka hmuh ang?
Operation hnuah doctor nen follow-up appointment siam rawh. I hliam dam leh dan enfiah nan kar hnih vel hnuah doctor i pan a ngai ang a, kar 6-8 hnuah i device siamrem a ngai bawk ang.
A hnuaia symptoms te hi i neih chuan , i doctor ko nghal rawh.
| Symptoms fimkhur tur | |
|---|---|
| Hliam leh hliam, a rawng danglam, na, emaw, zun ang maia tui chhuak. | |
| Hliam atanga thisen chhuak. | |
| Darkar ruk aia tam zun theih lohna. | |
| Khawsik chu 101.5°F (38.6°C) aia sang a ni. | |
| I penis emaw testicles emaw ah bruising a pung. | |
Urinary incontinence hi mi tam takin an sawi mualpho a, an zak hle a ni. Mahse, damdawi leh exercise tam tak i lo enchhin tawh a, i dinhmun a ṭhat loh chuan i doctor nen artificial urinary continence (AUS) chungchang sawipui rawh. Hei hian i nun a ti awlsam thei hle.
Take-Home Thuchah a ni
- Artificial urinary incontinence (AUS) hi stress incontinence enkawlna tha tak a ni a, a bik takin enkawlna dang a hlawhchham chuan a tha hle.
- A ṭhen thum (belt, balloon leh pump) a awm a, zun chhuahna control turin nangmah ngeiin i thawk thei bawk.
- Operation hnua damna dik tak neih theihna hun pek leh damdawi lam thupek zawm a pawimawh hle.
- Operation hnua vaukhânna chhinchhiahna (khawsik, natna nasa lutuk, thisen chhuah) awm thei te chu hre reng la, heng zinga pakhat a awm chuan doctor hnenah hriattir nghal rawh.
- Hetiang dinhmun avang hian zak leh mualpho suh. I doctor nen zalen taka sawi dun hian enkawlna tha ber i hmu thei a ni.
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