I duh loh zawnga zun chhuah (involuntary urine leakage) i tawk em? (Urinary Incontinence) - Nirogi Lanka ah hian a awm a

I nuih, i khuh, a nih loh leh a châng chuan chhan hriat loh pawhin accidental urine leakage i nei ngai em? Nangmah chauh i ni lo. Hei hi thil awmze nei tak a ni a, chutih rualin mi tam tak chuan mualphona avangin sawi harsa an ti hle. Mahse, hei hi damdawi lama hriat hlawh tak a ni. Nirogi Lanka -ah hian inbiakna zau tak neih kan ring a, a chhan chu hei hian i nitin nun a nghawng a nih chuan solution tha tak tak a awm a ni.

Urinary Incontinence hi eng nge ni tak tak? I tichhia ang u!

A awlsam zawngin sawi ila, urinary incontinence tih hian bladder control hloh a, chu chuan duh loh zawnga zun a chhuah theihna a kawk a ni. Hetiang thil a thlen chhan hriatthiam nan i taksa plumbing system hnathawh dan en hi a \angkai hle ang.

I kal (kidney) chuan i thisen bawlhhlawh chu a filter a, zun a siam a, chu chu ureter an tih tube pahnih hnuaiah a kal a, zun (bladder) a thleng a ni . I bladder chu i pum hnuai lama awm, flexible balloon angin ngaihtuah la; a khat tawkin a zau zel a, vawi khat i empty veleh a tlahniam bawk.

Zun i mamawh hunah chuan bladder wall-a ruhte chu a inzawm khawm a, ruh zung (circular muscle) sphincter an tih chu a relax a, chu chuan zun chu urethra kaltlangin a luang chhuak thei a ni Incontinence hi heng bladder muscle te hi an thawk nasa lutuk emaw, a hun takah sphincter a thawk tha lo emaw a ni. Heng ruhte hi chak lutuka an inzawm chuan sphincter chu an hneh thei a, chu chuan leakage a thlen thei a ni.

Urinary Incontinence chi hrang hrang

Involuntary urine leakage hi kawng hrang hrangin a lang thei. Heng chi hrang hrangte chu hetiang hi a ni:

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

I nuih, i khuh, i thawk hah, emaw thil rit tak i chawi lai emawa leakage i neih chuan stress incontinence a ni mai thei . Hei hi taksa pressure hian control hloh a thlen vang a ni. Hmeichhiaah a hluar hle a, a bik takin menopause lai emaw, nau neih hnuah emaw a tam hle.

2. Insum theih lohna (Urge Incontinence) tih

Hetiang chi hi zun chhuah duhna nasa tak, vawn harsa tak, restroom i thlen hmain leakage a awm fo thin. "Overactive bladder" nen a inzawm fo a, thluak lam natna nei, zunthlum , stroke , multiple sclerosis , Alzheimer's disease , emaw Parkinson's disease nei te tan a awm fo thin.

3. Overflow Incontinence tih a ni

Hei hi i bladder chu a khat reng a, mahse i empty vek thei lo a nih chuan a thleng thin. Chumi avang chuan bladder chu a luang chhuak a, kal duhna pawh i hre lo va, leak te te te a siam fo thin. Hei hi mipaah ​​prostate lian zawk emaw, ruhro hliam emaw ang chi thil tihkhawtlai vang a ni thei.

4. Hnathawh lama insum theih lohna

Hei hi urinary system ngeiah pawh harsatna a ni hauh lo va, taksa emaw rilru lam emaw inkharkhip, a hun taka bathroom thleng thei lo tur a ni zawk. Entîr nân, ruh natna , kal theihna tikhawtlai thei, hliam, dementia , a nih loh leh zun chhuah duhna chhân lêt harsa titu sedatives hman te hi a ni.

Tute nge zun chak lohna (urinary incontinence) vei theihna sang zawk?

Tu pawhin heng thilte hi an tawk thei a, mahse i risk chu a sang zawk thei a ni:

• Hmeichhia i ni .
• Kum 50 chunglam i ni tawh .
• Thau lutuk i tuar a ni .
• Chhungkaw history- ah bladder control chungchangah harsatna i nei a.

He natna hi hmeichhiaah a let hnih zetin a tam zawk a, a chhan lian ber chu naupai, nau neih leh menopause hian pelvic muscles a nghawng dan vang a ni . Naupai laiin naute lo thang lianin bladder a pressure hi transient incontinence a thlen fo thin.

Hei hian engtin nge i rilru hriselna a nghawng?

Mi maktaduai tam takin he thil hi tuar mah se, mi tam tak chuan an zak emaw, an lungkham emaw a ni. Hei hian mahni inhriatthiamna leh nunphung khapna tul lo tak a thlen thei a ni.

Hetiang dinhmun hian lungkhamna nasa tak, lungkhamna , emaw lungngaihna a thlen che a nih chuan, khawngaihin doctor thurawn la vat rawh. Ngawi rengin i tuar a ngai lo.

Bladder issue i nei thei tih chhinchhiahna

Heng symptoms te hi i hriat chuan doctor rawn la:

• Zun chhuah fo thin. Bathroom-a kal zat chu i tui in tam dan leh coffee emaw tea ang chi natural diuretics i ei danah a innghat a, mahse i baseline-a inthlak danglam nghal chu hriat reng tur signal a ni.
• Taksa thawhrimna laiin nuih, khuh, exercise, emaw inpawhna ang chi leakage .
• Vaukhânna leh nawrna awm lovin a leak.
• Vawikhat duhna a lo thlen chuan zun hun sawn hlat .
• Bedwetting (nocturnal enuresis), naupang leh puitlingah a awm thei.
• Neurological symptoms , ke chak lo, pelvic region-a natna , emaw, hriatna hloh te.
• Pum hnuai lam pressure emaw tightening emaw hriatna .

Urinary incontinence hi eng nge ni?

Urinary incontinence hi i hriselna inthlak danglam vang te, damdawi lam dinhmun bulpui te, leh nunphung hrang hrang avang te a ni thei.

Hriselna inthlak danglamna

• Tar : I tar chhoh zel chuan i taksa ruhte a chak lo fo thin .
• Constipation : Constipation na tak emaw, rei tak emaw hian i bladder-ah pressure tam lutuk a siam thei a, a hnathawh a tichhe thei a ni.
• Diabetes : Zunthlum hian nerve a tichhe thei a, chu chuan i bladder control a tibuai fo thin.
• Urinary Tract Obstruction: Hei hi kal (kidney stones), ureteral stones, mipaah ​​prostate lian lutuk vang emaw, operation hnua scar tissue vang emaw a ni thei.
• Overweight: Thil rit lutuk phurh hian i bladder leh a chhehvel pelvic floor muscle-ah pressure a siam belh a ni.
• Urinary Tract Infection (UTI): UTI hian i bladder a ti na thei a, zun chhuah fo, hmanhmawh taka mamawhna a siam a, control neih a harsat phah thei bawk.

Damdawi lam dinhmun hnuaia awmte

Damdawi lam thil ṭhenkhat chuan bladder muscle emaw, engtikah nge contract emaw, relax emaw tur tih signal pe thei nerve te chu a tichhe thei a ni.

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

Nunphung a nghawng dan

Ei leh in, leh damdawi thenkhat pawh hi a tibuaitu a ni thei bawk:

• Zu.
• Thil thlum siamna hmanrua (artificial sweeteners) te.
• Thisen sang damdawi thenkhat.
• Caffeine (coffee, tea, energy drinks) te a awm bawk.
• Sedatives te pawh a awm.
• Soda leh carbonated in tur te.
• Chaw rimtui tak tak.
• Vitamin C a tam lutuk.
• Meizial zu leh ṭhut reng pawhin heng thilte hi a thlen thei a ni.

Engtin nge i doctor hian he natna hi a hriat theih?

Doctor i tlawh hunah i natna lan chhuah dan chipchiar takin an sawiho ang. Zawhna i dawng thei a, chungte chu:

• Zun engzat nge a leak a, engzat nge a leak?
• I thawmhnaw chungah i leak em, a nih loh leh restroom thlengin i thleng em?
• Hei hi ni khata hun bik takah a thleng em?
• Thil tih bik , thawk hah emaw, exercise emaw tih laiin a thleng em?
• Zun laiin natna emaw, nuam lo emaw i nei em?
• Zun chhuah duhna nasa tak i nei nghal em?
• Ni khatah vawi engzat nge bathroom-ah i kal thin?
• Restroom-a i awm hnuah zun chhuah tan i harsat em?
• Engtin nge i zun luang chakna chu?
• I tih zawh hnuah i bladder chu a hring vek ang maiin i inhria em?

I doctor chuan a chhan awm thei dang leh damdawi te pawh a zawt bawk ang:

• Neurological condition, kidney emaw ureteral stone emaw, prostate issue emaw i nei em?
• Tunah hian damdawi i ei em? A nih chuan engte nge?
• Herbal remedies emaw vitamin supplement emaw i ei em?
• Naupai emaw, vaginal delivery emaw i nei tawh em?
• I pum emaw, i pelvic emaw surgery i nei tawh em?
• Prostate surgery i nei tawh em?

I doctor pawhin taksa enfiahna a nei bawk ang. Spinal cord issues chhinchhiahna an enfiah thei a, chu chu ke chak lo emaw, genital area-a rilru hahna emaw a ni thei. Constipation enfiah nan rectal exam an nei thei a, mipaah ​​chuan prostate enfiah nan an ti thei bawk. Hmeichhia i nih chuan pelvic exam an nei thei a, vaginal atrophy an enfiah thei bawk.

Diagnostic Test te neih a ni

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

• Urinalysis: Hei hian thin natna, kal natna, zunthlum, leh UTI te hriatchhuah nan a pui a ni.
• Kidney function test: Thisen emaw zun emaw test a, i kal hian engtiang chiahin nge hna a thawh tih hriat a ni.
• Post-void residual (PVR) urine test: I bladder i empty tum hnua i zun awm zat tehna a ni.
• Urine culture: Infection thlentu bacteria emaw natna hrik emaw a awm leh awm loh a enfiah thin.
• Urodynamic testing: Nerve leh muscle hnathawh dan te, i zun kal chak dan te, leh bladder chhung leh a chhehvela pressure te a zirchiang thin.
• Bladder diary: I tui in zat, i zun tam dan, i zun tam dan leh i zun hun tur record.

Bladder control lama harsatna nei tan hian enkawlna a awm em?

Ni e, a dik tak zet! Doctor-te chuan non-surgical treatment options hmangin an tan tlangpui.

• Bladder control devices: Pessary ang chi, urethra support tur leh leakage tihtlem nan.
• Bladder retraining: Bathroom tlawh hun tur ruahman la, an inkar hun chhung chu zawi zawiin tihpun.
• Biofeedback: I pelvic floor muscles te hriatchhuah leh control leh theihna turin a pui thin.
• Zu leh caffeine ei tlem.
• Electrical stimulation: Bladder hnathawh tidanglamtu nerve tichaktu atan hman a ni.
• Kegel exercises (pelvic floor exercises): Hengte hi pelvic floor tihchakna leh control tihchangtlunna atan a tangkai hle.
• Physical therapy leh targeted exercise te pawh a awm bawk.
• I taksa rihna tihtlem: I thau lutuk chuan i taksa rihna tihtlem hian nasa takin hahdamna a pe thei a ni.

Surgery ni lo enkawlna a hlawhtling lo a nih chuan i doctor chuan surgical options a rawn rawt thei ang:

• Surgical mesh hmanga tih a ni.
• Sling kalphung: Urethra tanpuitu "sling" pek.
• Urethral bulking agents: Urethral walls tihthianghlim nan injection an hmang thin.
• Botox® injection: Urge incontinence enkawlna atan bladder muscle atan hman a ni.
• Nerve tichaktu hmanrua dah luh.
• Artificial urinary sphincter: Mipa tan hmanraw hman fo a ni.

Hemi atana damdawi tha ber berte chu engte nge ni?

Damdawi i mamawh chuan i doctor chuan i bladder issue chi khat bik atana hman tur damdawi a pe ang che. Khawngaihin Nirogi Lanka emaw, i healthcare provider emaw atanga professional medical consultation tel lo chuan damdawi engmah ei tan suh.

• ‘Urge incontinence’ tan: Damdawi `Oxybutynin (Oxytrol®)`, `Tolterodine (Detrol®)`, `Darifenacin (Enablex®)`, `Solifenacin (VESIcare®)`, leh `Trospium (Sanctura®)` te pek theih a ni. Chûngte chuan bladder muscle-te chu a ti hahdam a, zun chhuah duhna nasa tak chu a tihziaawm theih nân a ṭanpui a ni.
• ‘Stress incontinence’ tan: Damdawi `Imipramine (Tofranil®)` emaw `Pseudoephedrine (Sudafed®)` emaw ang chi hi ngaihtuah theih a ni. Hengte hian side effect a neih theih avangin i doctor chuan i health history chu uluk takin a enfiah hmasa ang a, chu chu a recommend hmain a ni.
• ‘Overflow incontinence’ tan: A chhan bulpui a zirin i doctor chuan bladder contract pui turin `Bethanechol (Duvoid®)` a rawn rawt thei a, a nih loh leh prostate nena inzawm symptoms enkawl nan `Terazosin (Hytrin®)`, `Alfuzosin (Uroxatral®)`, leh `Finasteride (Proscar®)` ang chi damdawi te a rawn rawt thei bawk.

Hetiang dinhmun hi eng nge i beisei theih ang?

Mi tam tak tan chuan zun chak lohna chhinchhiahna chu \ha takin enkawl theih a ni a, enkawlna hmangin pawh a reh kim thei bawk. A châng chuan, buaina chu rei lo tê chauh a ni a, chu chu zun kawng natna emaw, naupai emaw a nih chuan; heng hunah hian a chhan bulpui ber ngaihtuah a nih veleh a natna lan chhuah dan chu a reh fo thin.

Mahse, zunthlum emaw `(Multiple Sclerosis)` ang chi natna khirh tak tak nena i khawsa a nih chuan incontinence hi a awm reng thei. Chutiang hunah chuan i doctor nen thawhhona tha tak neiin management plan siam a pawimawh hle. Khawngaihin lungngai suh; he dinhmun hi enkawl dan tha tak tak a awm.

I risk tihhniam nan eng nge i tih theih ang?

Incontinence awm apiang chu i veng thei lo mai thei a, mahse heng proactive steps te hian i risk tihziaawmna kawngah a pui thei a ni:

• Kegel exercise hmangin i pelvic floor muscle te tichak rawh. I doctor emaw, physical therapist emaw hnenah technique dik tak chungchangah kaihhruaina zawt rawh.
• Bladder irritants zu, caffeinated beverages, spicy foods, leh artificial sweeteners te hi tihtlem rawh .
• I bladder-a a tul lo taka pressure awm loh nan taksa rihna hrisel tak vawng reng ang che .
• I ei leh in ah fiber tihpun la , constipation i veng thei a, hei hian bladder issue a ti na zual thei.
• Meizial zuk kha bansan emaw tihtlem emaw la, chu chuan i pelvic muscle-ah stress a siam a, chu chuan chronic cough a thlen theihna a tihziaawm a ni.
• Taksa chak takin awm rawh.

Engtin nge ni tin i thlamuanna chu i enkawl theih ang?

Mimal tam tak chuan incontinence underwear, puitling diaper, a nih loh leh absorbent pad hmangin hahdamna an hmu thin. Tampons ang bawka hnathawk bladder support te pawh hi duhthlan tur him leh tangkai tak a ni. Heng thilte hi fimkhur tak leh thawmhnaw hnuaia inbel tur atana siam a ni. Ṭhenkhat chu paih theih a nih laiin, ṭhenkhat chu silfai theih leh hman nawn theih a ni. Vun natna leh rimchhia lo turin nitin i pad emaw diaper emaw thlak fo thin tur a ni tih hre reng ang che.

Engtikah nge doctor i hmuh ang?

Hun rei lote chhunga bladder issues hi urinary tract infection, constipation, diet, emaw damdawi avanga side effects vang te a awm thei. Mahse, heng symptoms te hi kar khat aia rei a awm reng emaw, i nunphung nasa taka a nghawng emaw chuan healthcare professional rawn la. Mualphona a ngai lo—hei hi damdawi lam ngaihtuahna tlanglawn tak a ni.

I doctor hnenah eng zawhna nge i zawh tur?

I doctor hnenah a hnuaia zawhnate hi zawh hi a \angkai hle mai thei:

• Eng ang urinary incontinence nge ka neih?
• He thubuai awm chhan bulpui ber chu eng nge ni?
• Amah chauhin a chinfel a rinawm em?
• A lo lang leh theihna a awm em?
• Eng enkawlna tur nge i rawt?
• In lama ka tih theih exercise bik a awm em?
• Eng nunphung inthlak danglamna nge ka kalpui ang?

Engvangin nge restroom bulah hmanhmawhthlakna i tawn?

Restroom i hmuh veleh emaw, tui luang ri i hriat veleh zun chhuah a ngai nasa hle a nih chuan hei hi ‘Urge Incontinence’ chhinchhiahna a ni fo thin. Hei hi nerve lama harsatna nei thenkhatah chuan a awm fo thin. I thluak hian i bladder chu a khat lo a nih pawhin a khar theih nan signal a thawn hma vang a ni. Thu lawmawm tak chu hei hi targeted treatment hmanga enkawl theih a ni fo thin.

Nirogi Lanka hnen atanga ngaihtuahna hnuhnung ber

Urinary incontinence nena nun hi a harsa thei a, a lungchhiatthlak thei bawk. Leak hlauhna emaw, restroom hman tlem vang emawa i khawtlang nun i tihkhawtlai a nih chuan hriatthiam theih a ni.

Khawngaihin he thu hi i doctor nen sawiho hlau suh u tih hre reng ang che. Case tam zawk hi tha taka enkawl theih a ni a, tam tak chu a kim taka enkawl theih a ni bawk.

I healthcare team nena thawhhona hmang hian i natna lan chhuah chhan chu i hre thei a, i nunphung atana enkawlna tha ber i hmu thei bawk. Nangmah chauh i ni lo va, tanpuina pawh a awm bawk.

Urinary leakage, urinary control, urinary incontinence, bladder, stress incontinence, urge incontinence, zun kawng infection te a awm bawk