I ṭhiante nen ring taka nui dun emaw, khawsik avanga khuh tlem emaw, i thawmhnaw chungah i zun palh ang tih han ngaihtuah teh. Hei hi mi tam tak tan chuan harsatna lian tak a ni tak zet a, vantlang hmaa chhuah pawh an hlau hle. Hetiang dinhmun hi ‘Stress Incontinence’ kan ti a ni. A bik takin prostate cancer (prostatectomy) avanga operation an neih hnuah mipa hian he harsatna hi an tawk fo thin. Chuti a nih chuan hei hi chinfelna a awm lo em ni? A awm ngei ang. Vawiin hian technology lama hmasawn tak, chutiang mite tana tangkai thei tur solution kan sawi dawn a ni.
He Artificial Urinary Sphincter hi eng nge ni?
A awlsam zawngin sawi ila, hei hi damdawi hmanraw te tak te, kan taksa chhunga dah a ni a, zun kal dan tur a thunun thei a ni. Hei hi a tawi zawngin AUS an ti a. Surgery hmangin urethra vel ah an inzawm khawm thin. Kan taksa natural urinary control muscle a chak loh laia hna thawk tura attached external helper ang a ni.
Hei hi hrethiam tur chuan kan taksain zun a control dan hi han en hmasa ila. Kan bladder (the urethra) atanga zun phurtu tube hi ‘valve’ ang maia thawk muscle pahnih in a hual vel a ni. Hengte hi `urinary sphincters` kan ti a.
- Internal Sphincter: Hei hi bladder leh urethra inzawmna hmun a ni.
- External Sphincter: Hei hi pelvic floor muscle-ah a awm a.
A tlangpuiin heng ruh te hi an tight a, urethra an block thin. Chuvang chuan zun chhuak kan hre lo. Zun kan mamawh hunah chuan thluak atanga signal lo lut ang zelin heng ruh te hi an relax a, chutah chuan zun chu awlsam takin a chhuak thin. Mahse heng ruhte hi operation vang emaw, thil dang emaw avanga chak lo a nih chuan, pum chungah pressure tlem a awm a nih pawhin (khuh, nuih lai) zun chu a leak tan thin. Chutih lai chuan he artificial urinary control (AUS) hian min pui ta a ni.
Engtin nge he device (AUS) hian hna a thawh?
He device hian part lian pathum a nei a. An pathum hian taksa chhungah an dah vek a ni.
1. Urethral Cuff: Hei hi a pawimawh ber a ni. ‘bracelet’ te tak te, zunthlum vel a bun ang mai a ni. A tlangpuiin tuiin a khat a, zawi zawiin urethra a hrual thin. Kan thisen sang kan enfiah hian kan kut vel a band tikhauh ang mai a ni. Hei hian zun a chhuah loh nan a veng a ni.
2. Pressure Balloon: Hei hi balloon te tak te, pum hnuai lam, ruh hnuai lama dah a ni. Hei hi ‘cuff’ atana tui mamawh chu pressure hnuaia dahkhawmna hmun a ni.
3. Pump hmanga siam:Hei hi controller a ni. Mipa tan chuan he pump te tak te hi vun hnuaiah hian scrotum chhungah dah a ni a, chutah chuan testicles a awm a ni. Hmeichhia tan chuan labia majora bulah dah a ni. A thlen awlsam zawnga dah a ni.
Tunah chuan he system hian engtin nge hna a thawh tih hi han en ila:
Tunah hian i zun a ngai tih han ngaihtuah teh. I tih tur chu hetiang hi a ni:
- I scrotum chhunga pump chu kut hmangin vawi hnih emaw vawi thum emaw i squeeze thin.
- Tichuan, cuff chhunga tui thenkhat chu pressure gauge -ah a lut ta a ni.
- Cuff chu a deflated chuan a relax a, urethra a inhawng bawk. Chumi hnuah chuan a pangngaiin i zun thei ang.
- Engmah tih a ngai lo. Minute tlemte hnuah balloon chhunga tui chu cuff-ah a kir leh ang a, a tikhauh ang a, urethra chu a inkhar nghal mai ang.
A awlsam zawngin, zun i mamawh hunah pump chu i hrual a, ‘valve’ chu i hawng a, i tih zawh chuan a khar nghal mai thin. Hei hian nitin i zun control theihna a siam a ni.
Hetiang hmanrua hi eng nge a thatna leh a that lohna?
Damdawi lam thil tih dan dang ang bawkin hlawkna leh hlauhawmna a awm bawk. Hei hi doctor nen sawiho a pawimawh.
| A thatna te | A that lohna & A hlauhawmna |
|---|---|
| Hlawhtlinna sang: Zirna hrang hrangah chuan hei hi 90% aia tam a hlawhtling tih hmuhchhuah a ni. | Surgery avanga hlauhawmna: Surgery eng pawha hlauhawm tlangpui, anesthesia, thisen chhuah leh natna hrik kai te. |
| Nunphung tihchangtlun: Zun chhuah hlau lovin zalenna nena inpawh, exercise leh nuih theihna. | Device malfunction: Hun a kal zel a, device thenkhat chu a chhe thei a, hna a thawk tawh lo thei bawk a, chu chu thlak leh tur chuan operation dang neih belh a ngai a ni. |
| Hun rei tak chhunga chinfel dan tur:A hman dik chuan he device hi kum 10 vel a daih thei a ni. | Device Erosion: A chang chuan cuff awmna hmunah hian urethra chhunga tissue te chu a chhe thei bawk. |
| I thunun thei: Engtikah nge i zun leh khawiah nge i zun tih chu i thunun vek a ni. | Pump hman harsatna: Mi thenkhat chuan pump hi hrual leh hman harsa deuh an ti mai thei. |
Operation hnuah eng thil nge i fimkhur tur?
Hei hi a pawimawh hle. Operation hnuah he device hi hman nghal phal a ni lovang.
- Damna hun pek: Operation hnuah chuan chhungril hliamte chu a dam a ngai a ni. Chuvangin doctor chuan he device hi ‘deactivated’ takin a dah ang . Hemi chhung hian zun control i hloh thei bawk.
- Device activate: I doctor chuan kar 6-8 hnuah a hmu leh ang che , hliam zawng zawng a dam tha vek a nih chuan device chu ‘activate’ in hman dan tur a zirtir ang che.
- Hnathawh pumpelh: Operation hnu kar 4-6 tal chu thil rit phurh, hna hahthlak tak tak, leh mipat hmeichhiatna hman loh zawng zawng i pumpelh vek tur a ni. Hemi hun chhung hian chawlh hahdam a pawimawh hle.
- Faina: Hliam fai leh vawt taka vawn reng hi natna hrik laka inven nan a pawimawh hle. I doctor thupek ang chiah kha zawm rawh.
Engtikah nge Doctor ka hmuh ang?
Operation hnuah chuan a hun takah follow-up test neih a ngai dawn a ni. Mahse, a hnuaia symptoms te hi i neih chuan doctor ko nghal tur a ni.
- Hliam atanga pus ang chi tui lo chhuak a awm chuan, a hmun chu a sen a, a hring a, a na hle a nih chuan.
- Hliam a thisen chhuak a nih chuan.
- Darkar 6 aia tam i zun theih loh chuan .
- Khawsik (101.5°F emaw 38.6°C aia sang) a ni.
- I penis emaw scrotum emaw a lo tender deuh chuan.
Hetiang thilah hian rinhlelhna tlemte pawh i neih chuan i doctor zawh pawh hlau ngai suh.
Incontinence hi i nunah daltu lian tak a ni thei. Mahse, i sualna a ni lo va, i inthup tur leh i tuar tur thil a ni lo. Damdawi dang, exercise leh exercise te pawhin a hlawhtlin loh chuan i doctor nen artificial urinary continence (AUS) chungchang sawipui rawh. I inrintawkna leh zalenna hloh tawh chu i neih let leh theih nan a pui thei che a ni.
Take-Home Thuchah a ni
- Artificial urinary incontinence (AUS) chu khuh leh nuih ang chi thil tih laiin a duh loh zawnga zun (stress incontinence) control nan taksaa damdawi hmanrua dah a ni.
- A ṭhen lian pathum (Cuff, Balloon, Pump) a awm a, zun i mamawh hunah pump chu i hrual a, zun kawng chu i hawng thei bawk.
- Hetiang hmanrua hi 90% aia tam a hlawhtling a, nunphung pawh nasa takin a tisang a ni.
- Operation hnuah chuan device a activate hma (kar 6-8 vel) leh a dam kim hma loh chuan thil hahthlak tak tak tih loh a pawimawh hle.
- Hliam natna, khawsik sang, zun theih lohna chhinchhiahna i neih chuan doctor rawn nghal rawh.
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