I hriat lohvin zun pawh i leak em? (Urinary Incontinence) Hemi chungchang hi han sawi ila!

I nuih lai, i khuh emaw, chhan awm lovin i zun tlem tal i leak fo thin em? Hei hi mi tam takin harsatna an neih a ni a, mahse sawi tur chuan a zahthlak deuh thei a ni. Mahse medically explainable condition a ni. Vawiin hian he thu hi chipchiar takin sawi ila, a chhan chu hei hi i nun nghawngtu thil a nih chuan a chinfel dan tur a awm.

Urinary Incontinence tih hi eng nge ni? I hrethiam phawt ang u!

A awlsam zawngin, urinary incontinence chu i bladder control theih loh a, accident-a zun i leak vang a ni. Urinary control chu eng nge ni a, he system hian kan taksaah engtin nge hna a thawh tih hi han en hmasa ila. Kan kal (kidney) te hian thisen atanga bawlhhlawh paih chhuakin zun a siam thin. Tichuan, he zun hi ureter pahnih hnuaiah a kal a, bladder-ah a tawp ta a ni . Bladder hi ball te tak te ang mai a ni. Kan pum hnuai lam ah a awm a. Zun a khat chuan a lian lehzual a, kan zun hian a te lehzual leh bawk. Kan zun kan mamawh hian kan zun bang chhunga thau te chu a nghet a, zun kawngkhar kawngkhar khar hna thawk thin sphincter thau chu a hahdam thin. Tichuan, zun chu urethra hmangin a chhuak ta a ni . Tunah chuan heng urinary control problems te hi bladder muscle te an overactive vang emaw, an hnathawh that loh vang te hian a lo awm ta a ni. A châng chuan heng ruhte hi a khauh lutuk chuan hmui ang chi ruhte aiin a chak zawk thei a, i hriat lohvin zun a chhuak thei bawk. I hrethiam em?

Urinary control problem chi hrang hrang a awm a.

Hetianga tum loh taka zun chhuah hi kawng hrang hrangin a thleng thei a ni. A chi hrang hrang a awm a, chungte chu:

1. Stress Insum theih lohna (Stress Incontinence) a ni

Nui ri nasa tak, thawk hah, khuh, a nih loh leh thil rit tak chawi chu han mitthla teh. I pum hnuai lam pressure i hriat nghal a, chutah zun tlem i leak chuan ‘stress incontinence’ an ti a ni. Hei hi hmeichhiaah hmuh tur a awm fo a, a bik takin menopause an hnaih lai emaw, nau an pai hnu emaw hian a lang fo thin.

2. Insum theih lohna (Urge Incontinence) tih

A chi dang a awm a, chu chu zun duhna a lo chhuak nghal a, tuar theih loh a ni. Mahse bathroom-ah pawh i tlan hmain zun chu a leak thei. Hei hi ‘Urge Incontinence’ an ti a ni. A chang chuan hei hi "overactive bladder" tih natna nen a inzawm thin. Hetiang dinhmun hi nervous system nena inzawm natna nei, zunthlum, stroke, multiple sclerosis, Alzheimer’s disease, leh Parkinson’s disease te zingah a tam zawk a ni.

3. Overflow Incontinence tih a ni

A dawt leh chu ‘Overflow Incontinence’ tih a ni.. Hei hi bladder chu a khat vek tawh a, mahse a khar tha thei lo a nih chuan a ni. Chuvang chuan zun a chhuak fo thei a, a chhan chu bladder a khat vang a ni. Mahse zun a ngai tih i hre lo. Hei hi mipaah ​​chuan prostate gland lian tak, urethra block vang emaw, spinal cord tihchhiat vang emaw a thleng thei.

4. Hnathawh lama insum theih lohna

A tawp berah chuan ‘Functional Incontinence’ a awm a. Hei hi taksa emaw rilru lam harsatna i neih a, a hun taka bathroom kal theih lohna tur i neih chuan a ni. Entirnan, ruh natna vei, an kalna tikhawtlai tu emaw, accident avanga kea kal thei lo emaw, dementia ang chi hriatrengna lama harsatna nei emaw, muthilh tir thei sedatives ei emaw chuan a hun taka bathroom kal chu a hre reng thei lo mai thei. Chumi awmzia chu hetah hian buaina chu zun kawng lama harsatna a ni lo va, chhan dang avanga a hun taka bathroom kal theih lohna a ni zawk tihna a ni.

Heng zun control lama harsatnate hian tute nge a nghawng nasa ber?

Tu pawhin zun control lama harsatna an nei thei. Mahse, i hlauhawmna a sang zawk thei a, chu chu:

• Hmeichhia i nih chuan .
• Kum 50 aia upa i nih chuan .
• I thau lutuk a nih chuan .
• I chhungte zingah hetiang harsatna tawk tawh an awm chuan.

Hetiang dinhmun hi hmeichhiaah chuan a let hnih zetin a tam zawk a ni. Hei hi a chhan chu naupai, nau neih leh menopause hian pelvic muscle chakna a nghawng thei a ni. Nausen lo puitling hian naupai laiin bladder-ah pressure a siam hi thil pangngai a ni. Chuvangin nu tam tak chuan he hun chhung hian zun control lama harsatna tenau te an tawk thei a ni.

He dinhmun hian engtin nge i rilru a nghawng?

Mi maktaduai tam takin he harsatna hi nei mah se, mi tam tak chuan sawi chhuah chu an zak emaw, an zak emaw a ni. Chu chuan mi dangte thlîr dân chungchânga lungkhamna a thlen thei a, mahni inngaihtuahna a tidanglam thei a, an nungchang pawh a tidanglam thei a ni.

Hetiang dinhmun avang hian i rilru a hah a, i lungkham a , i lungngai a nih chuan doctor pan nghal ngei ang che. Hei hi thup tur a ni lo.

I bladder-a harsatna a awm tih hriattir thei symptoms te chu engte nge ni?

I bladder-ah hian harsatna i neih theihna tur chhinchhiahna engemaw zat a awm a:

• A tlangpui aia tam zun. Mi tam zawk chuan ni khatah vawi sarih vel an zun thin. Mahse tui i in chuA zat leh natural diuretics (e.g. coffee, tea) i in leh in loh a zirin hei hi a let li velin a tlahniam thei a, a let sawm pawhin a tipung thei bawk.
• Thil tih dan pangngai, nuih, thawk hah, exercise, emaw sex hman laia tum loh taka zun emaw zun chhuah emaw.
• Zun chhuah ngai nia inhriatna nei lovin zun a leak. I taksain zun a ngai tih pawh a hrilh lo che.
• Zun a vawn theih loh. Zun chhuah ngai nia inhriat thut mah la, i titawp thei lo.
• Bedwetting tih hi a ni. I mut laiin zanah zun a ngai mai thei, mahse i harh lo mai thei (a bik takin naupangah, mahse puitling thenkhatah pawh).
• Spinal cord hliam chhinchhiahna. Ke chak lohna, mipat hmeichhiatna hmuna rilru hahna emaw hriatna hloh emaw ang chi thil.
• Pum hnuai lam pressure emaw muscle tightness emaw hriat. Hetiang pressure leh muscle tightness nuam lo tak hian zun chhuah a ngai nghal mai thei.

Urinary control chak lo chhante chu engte nge ni?

I hriselna, natna thenkhat, leh i nunphung inthlak danglamna te hian he zun control hi a tichak lo thei bawk.

Hriselna lama inthlak danglamna

• Kum upa lam : Kum upa lam kan lo upat deuh deuh hian taksa ruh (muscles) a chak lo hi thil awmze nei tak a ni.
• Constipation : Constipation a nasat chuan bladder-ah pressure a siam thei.
• Diabetes : Zunthlum hian nerve a tichhe thei a, chu chuan bladder control a tichhe thei a ni.
• Urinary tract obstruction: Hei hi kidney stone, ureteral stone, mipa prostate lian vang emaw, operation hnua scar tissue vang emaw a ni thei.
• Thau lutuk: Thau lutuk hian bladder leh pelvic muscle-ah pressure a siam nasa zawk.
• Urinary Tract Infection (UTI): Urinary tract infection i neih chuan i bladder a sensitive a, chu chuan zun tam a ngai thin a, control a harsa thin.

Damdawi lam dinhmun thenkhat

Natna thenkhat chuan bladder muscle emaw, chu muscle te hnena signal thawntu nerve te chu a tichhe thei a, chu chu a tikhauh emaw, a hahdam emaw thei a ni.

• Alzheimer natna a ni.
• `Multiple Sclerosis natna a awm`.
• Parkinson natna a ni.
• Naupai leh nau neih lai.
• Prostate operation tih a ni.
• Spinal cord tihchhiat a ni.
• Thai.

Nunphung a nghawng dan

Chaw leh damdawi thenkhat pawhin hetiang hi a thlen thei bawk:

• Zu.
• Artificial sugars te pawh a awm.
• Thisen sang damdawi thenkhat.
• Caffeine (coffee, tea, energy drinks) te a awm bawk.
• Sedatives te pawh a awm.
• Soda leh carbonated drinks te pawh a awm bawk.
• Chaw rimtui tak tak.
• Vitamin C ei tam lutuk.
• Meizial zu leh ṭhut reng pawhin hei hi a nghawng thei a ni.

Engtin nge doctor hian he natna hi a hriat chian tak tak?

Doctor i hmuh hunah i symptoms te a zawt ang che. Zawhna i zawh theih ṭhenkhat chu hetiang hi a ni:

• I hriat lohvin engzat nge zun i leak?
• Thawmhnaw lamah a kal em? Toilet ah a kal em? Eng zat nge?
• He harsatna hi ni khata hun engemaw chen ah a thleng em?
• Hei hi thil chiang tak tak , kea kal emaw, exercise lak emaw ang chi i tih hian a thleng thin em?
• I zun laiin natna emaw, nuam lo emaw i nei em?
• Zun chhuah a ngai tih i hre nghal em?
• Ni khatah vawi engzat nge i zun?
• Washroom-a i kal hian zun chhuah tan a harsa em?
• Engtin nge zun luang chu a awm?
• I zun hnuah i bladder chu a hring vek niin i hria em?

Tin, damdawi lam thil dang leh damdawi dang, hei hi a thlen thei te zawt bawk ang che:

• Neurological condition, kidney emaw urinary tract emaw lung emaw, prostate problem emaw i nei em?
• Tunah hian damdawi i ei em? Eng nge an nih?
• Herbal emaw vitamin emaw supplement i ei em?
• Naupai a, nau neih pangngai i nei tawh em?
• I pum emaw, i pelvic area emaw surgery i nei tawh em?
• Prostate surgery i nei tawh em?

Hei bakah hian doctor hian taksa enfiahna a nei dawn bawk a ni. Spinal cord chhiatna chhinchhiahna an zawng ang a, chu chu ke chak lohna leh serh hmuna rilru hahna te hi a ni. Rectal exam pawh an ti thei a, constipation an nei leh awm loh an enfiah thei bawk. Mipa i nih chuan i prostate pawh an check ang. Hmeichhia i nih chuan pelvic exam an nei thei a, vaginal dryness (vaginal atrophy) an enfiah thei bawk.

Diagnosis hriat chian nan eng test nge tih thin?

Diagnosis finfiah nan doctor chuan a hnuaia test te hi a ti thei ang:

• Urinalysis: Hei hian thin natna, kal natna, leh zunthlum ang chi thil a hmuchhuak thei a ni. Urinary tract infection (UTI) a awm leh awm loh a enfiah thei bawk.
• Kidney function test: Hei hi zun emaw thisen emaw test a ni. I kal (kidney) hnathawh that dan an enfiah thin.
• Post-void residual (PVR) hmanga zun enfiahna:I zun hnuah i bladder-a zun awm zat a teh a ni.
• Urine culture: Urinary tract infection thlentu hrik awm leh awm loh enfiah nan.
• Urodynamic testing: Hei hian nerve function, muscle function, urine flow rate, leh bladder chhung leh a chhehvela pressure te a teh thin.
• Bladder diary: Ni khata tui i in zat, i zun zat, i zun hun leh i zun tam zia te record siam la.

Heng urinary control lama harsatna awmte siamthatna tur damdawi a awm em?

Ni e, a dik ngei ang! Urinary control lama harsatna awmte enkawlna atan chuan non-surgical treatment hi a hmasa ber a ni.

• Bladder control device (e.g., pessary) hmanga urinary leakage tihziaawmna turin urethra chu hmun dangah dah leh a ni.
• Bladder retraining: Hei hian hun ruat saah bathroom kal a, chu hun inkar chu zawi zawiin tihpun a ni.
• Biofeedback: Hei hian i pelvic floor muscle te hriatchhuah leh control dan zir turin a pui thin.
• Zu leh caffeine awmna in tur tihtlem.
• Bladder hnathawh control tu nerve te electrical stimulation hmanga tihchak.
• Kegel exercise (pelvic muscle exercise): Hengte hi a pawimawh hle. Pelvic muscle te a tichak thei a, zun control a ti tha thei bawk.
• Taksa lam enkawlna leh exercise lakna.
• I taksa rihna tihtlem: I thau lutuk chuan i taksa rihna tihtlem hian hahdamna nasa tak a pe thei bawk.

Heng non-surgical treatment te hian a puih loh chuan i doctor chuan surgery neih a rawt thei ang.

• Surgery hmanga mesh dah a ni.
• Sling procedures: Hei hian urethra vel ah support device dah a ni.
• Urethra bang thickness tipung thei injection pek (urethral bulking agents).
• Botulinum toxin (Botox®) chu bladder muscle-ah injection a ni. (Hei hi urge incontinence atan hman a ni)
• Nerve tichaktu hmanrua dah luh.
• Artificial urinary sphincter dah (hei hi mipa tan tih a ni fo) .

Hemi atana damdawi tha ber chu eng nge ni?

Damdawi i mamawh chuan i harsatna awm dan a zirin i doctor chuan damdawi dik tak a pe ang che. Damdawi lam thurawn tel lo chuan mahni indahdam suh.

• ‘Urge Incontinence’ i neih chuan:Damdawi chi hrang hrang `Oxybutynin (Oxytrol®)`, `Tolterodine (Detrol®)`, `Darifenacin (Enablex®)`, `Solifenacin (VESIcare®)`, `Trospium (Sanctura®)` te pek theih a ni. Chungte chuan bladder ruhte a ti hahdam a, zun hman vat a ngai lo.
• ‘Stress incontinence’ i neih chuan: Damdawi `Imipramine (Tofranil®)` leh `Pseudoephedrine (Sudafed®)` te hi a chang chuan pek theih a ni. Mahse, hengte hian side effect a nei thei a, chuvangin doctor-in uluk taka a ngaihtuah hnuah chauh pek tur a ni.
• Overflow incontinence i neih chuan damdawi te chu: `Bethanechol (Duvoid®)` (bladder tihkhauh nan a pui), `Terazosin (Hytrin®)`, `Alfuzosin (Uroxatral®)` (prostate gland a ti hahdam), leh `Finasteride (Proscar®)` (prostate gland a ti tawi) te pek i ni thei bawk.

He zawhna hi eng nge ka beisei theih ang?

Mi tam tak chuan heng zun lama harsatna te hi enkawlna hmangin an thunun thei emaw, an tidam vek thei emaw a ni. A châng chuan heng harsatnate hi rei lo tê chauh a ni. A chhan (entir nan, zun kawng infection, naupai) a awm tawh chuan buaina chu a mah chauhin a bo tawh ang. Mahse, hun rei tak chhunga natna ``chronic``, zunthlum emaw ``multiple sclerosis`` emaw i neih chuan heng zun control harsatna te hi a la awm chhunzawm zel thei. Chutiang hunah chuan doctor nen heng harsatnate enkawl dan tur tha ber berte sawipui a pawimawh hle. Lungngai suh, enkawl dan tur a awm.

He risk tihtlem nan hian eng nge ka tih theih ang?

Heng harsatnate hi ven theih vek a ni lo mai thei a, mahse a hnuaia mite hi i tih hian i hlauhawmna chu i tihtlem thei a ni:

• Pelvic floor tichaktu exercise (Kegel exercise) tih thin. Hei hi engtin nge dik taka tih theih ang tih doctor emaw physical therapist emaw zawt rawh.
• Zu, caffeine awmna in tur, ei tur rimtui, leh artificial sugar tihtlem.
• Taksa rih zawng inthlak danglam nghal loh tur leh taksa rihna hrisel tak vawng reng tur a ni.
• I ei leh in ah fiber tam zawk dah (constipation a veng) .
• Meizial zu tihtlem emaw, tihtawp vek emaw.
• Taksa chak zawka awm.

Engtin nge ka in enkawl ang?

Mi tam tak chuan he zun chhuah hi tihtawp nan underwear bik (incontinence underwear emaw puitling diaper emaw) emaw pad emaw an hmang thin. Tampon ang maia hnathawk bladder support a awm bawk a, chu chu hman theih a ni a, a him bawk. Hengte hi a nuam hle a, pants hnuaiah pawh bun theih a ni. Puitling diaper leh pad thenkhat chu disposable a ni. A dangte chu silfai leh hman nawn theih a ni. Mahse , rimchhia lo leh vun natna laka inven nan heng diaper emaw pad emaw hi darkar tlemte danah thlak a tha ber.

Engtikah nge Doctor ka hmuh ang?

Urinary tract infection, constipation, i ei leh in te, leh damdawi thenkhat te hian hun rei lote chhung chu urinary control a hloh vek thei a ni. Mahse he harsatna hi kar khat aia rei a awm reng a nih chuan, emaw, nitin nun a nghawng a nih chuan doctor i pan ngei ngei tur a ni. Mualpho suh, hei hi mi tam takin harsatna an neih a ni.

Doctor hnenah eng nge ka zawh ang?

I doctor hnenah zawhna i zawt thei ang:

• Eng ang urinary control problem nge ka neih?
• Ka buaina chhan chu eng nge ni?
• Hei hi automatic in a tha leh dawn em ni?
• Hei hi a lo let leh thei ang em?
• Eng enkawlna tur nge i rawt?
• In lamah eng exercise nge ka tih theih ang?
• Ka nunphungah eng inthlak danglamna nge ka neih?

Engvangin nge washroom ka hmuh veleh ka zun ka chawlhsan theih loh?

A châng chuan, inbualna hmun hmuh emaw, tui luang thawm emaw chuan zun chhuah duhna a nei nghal thei a ni. He duhthusam rang tak hi ‘Urge Incontinence’ chhinchhiahna a ni. Hei hi neurological disorder nei zingah a awm fo thin. Thil thleng chu zun chhuah i inpeih tak tak lo nachungin i thluak hian i bladder chhunga nerve te chu a hahdam theih nan thu dik lo a thawn thin. Hei pawh hi enkawlna hmanga thunun theih a ni.

A tawp berah chuan hei hi hre reng ang che.

Urinary control lama harsatna hi a nuam lo tak zet a, a ti thinrim thei tak zet a ni. Bathroom i thlen theih loh laiin zun a leak emaw, a leak emaw hlauvin i thil tih pangngai pawh i titawp tawh mai thei.

Mahse, hre reng ang che, hemi chungchang hi Doctor nen inbiak pawh hlau suh. A tam zawkah chuan heng urinary control problems te hi urinary control problems te hi tha taka enkawl theih a ni a, a chang chuan a dam vek thei bawk.

Nang leh i doctor chuan in harsatna chi hrang hrang, a chhan leh enkawlna tha ber chu in hre thei ang. Chuvangin mualpho lo leh harsatna thup lova damdawi lam thurawn lak hi a tha ber. Nangmah chauh i ni lo! Urinary incontinence, urinary control, urinary incontinence, bladder, stress incontinence, urge incontinence, zun kawng infection te a awm bawk