Tun hnaiah i prostate gland hi operation emaw cancer enkawlna emaw i nei tawh em? Engkim a kal tha a, rei vak lo i lo haw hnuah i zun chhuah danah danglamna engemaw zat i hmu tan em ? Zun luang chu a tlahniam deuh mai thei, a nih loh leh zun chhuah tur chuan tlem tal i strain a ngai niin i hria em ? Hei hi i chungah a thleng tawh a nih chuan Bladder Neck Contracture tih hming pu condition vang pawh a ni thei a, hei hi vawiinah hian kan sawi dawn a ni. Ngaihtuah buai suh, he thu hi thumal awlsam takin kan sawi dawn a ni.
A awlsam zawngin Bladder Neck Contracture hi eng nge ni?
Okay, hei hi hrethiam tur chuan kan taksaa urinary system hnathawh dan hi han thlir hmasa ila. I bladder chu tuiin a khat balloon angin ngaihtuah rawh. Hei hi i zun khawlkhawmtu leh dahkhawmna bag a ni . He bladder hnuai lamah hian balloon hmui ang maiin tube te tak te nena inzawmna hmun a awm a. Hei hi bladder neck kan ti a. When you urinate , chu zun chu he kawr atang hian a chhuak a, urethra ah a lut thin.
Tunah chuan prostate surgery emaw radiation therapy ang chi thil hnuah chuan bladder neck-ah scar tissue a lo awm thei ta a ni. Kan vunah hliam kan neih hian hliam a lo awm ang bawkin. He scar tissue hian bladder neck chu zawi zawiin a ti tawi emaw, a ti hrual emaw a ni. Chu chu Bladder Neck Contracture kan tih chu a ni.
A awlsam zawngin, hei hi prostate surgery hnua scar tissue-in bladder atanga zun chhuahna kawng a block thinna a ni. Hei hian zun a ti harsa thei a, enkawl loh chuan zun leh kal a nghawng thei bawk.
Eng ang enkawlna nge he natna hi a thlen theih?
Hei hi prostate enkawlna avanga side effect a ni fo thin. He hlauhawmna hi a bik takin a hnuaia enkawlna hnuaiah hian a sang hle a ni:
- Prostatectomy: Prostate gland chu operation hmanga lakchhuah a ni.
- Radical Prostatectomy: Cancer vangin prostate gland chu a chhuak vek.
- Transurethral resection of the prostate (TURP): Prostate gland hmun thenkhat lakchhuah nan urethra kaltlangin hmanrua dah a ni.
- Radiation therapy: Radiation hmanga enkawlna pek.
Hei hi thil awm dan tlangpui a ni lo. Mipa sawm zinga pakhat velin prostate surgery an neih chuan he natna hi a vei dawn niin an chhut. Mahse hei hi i hriat chian a pawimawh hle.
Hetiang natna lan chhuah dan hi engte nge ni?
Heng symptoms te hi prostate surgery atanga thla thum atanga thla ruk chhungin a lang tan fo thin. A tir lamah chuan hmuh tur a awm lo mai thei a, mahse hun kal zelah zawi zawiin an pung thei a ni. Heng symptoms te hi i nei em tih en rawh.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Zun chhuah loh (Urinary incontinence) a awm | Zun chhuah tan nan strain leh strain a ngai. |
| Zun natna (Dysuria) . | Zun laiin kang emaw, na emaw. |
| Zun chhuak chak lo | Speed leh zun tam lutuk tihtlem . Stream chak lo tak. |
| Urine stream tihtawp leh restart | Zun chhunzawm loh, rei vak lo chawlhsan, chutah tan leh. |
| Bladder empty kim lo (Urinary retention) . | I zun zawh hnuah pawh bladder ah zun a la awm ang maia hriat . |
| Urinary tract infection (UTI) awm fo thin . | Bladder hi a khar kim lo va, chu chuan bacteria lo thang lian leh infection a tipung a ni. |
| Bladder lung a awm | Zun chhunga mineral salt awm, bladder-a awm chu a pungkhawm a, lung a siam thin. |
| Overflow incontinence a ni | Bladder a khat lutuk avanga zun (urine dribbling) control loh. |
Engvangin nge hetiang hi a lo awm? Eng nge a chhan?
Doctor-te chuan 100% a chhan chiang tak sawi thei lo mah se, a chhan lian tak pahnih, a chhan nia ngaih a awm.
1. Postoperative complication: Prostate gland a lakchhuah hnuah doctor chuan i bladder neck chu i urethra nen a thlunzawm leh ang (hei hi anastomosis an ti a). A châng chuan, he inzawmna hmuna stitches inkarah hian thisen zam (hematoma) te tak te a lo awm thei bawk. Chutiang a nih chuan stitches te chu a pull thei a, connection ah gap te te a awm thei. Taksa a dam chhoh zel chuan heng gap te hi a hmaa kan sawi tawh scar tissue te hian a khat ta vek a ni. He scar tissue hian a kalna tur a tikhawlo a ni.
2. Thisen tam tawk lo: A chang chuan zai laia stitches hman te kha a khauh lutuk chuan chu hmuna thisen kalna chu a tlahniam thei a ni. Thisen supply a tlem chuan tissue chu a dam tha lo a, chu ai chuan scarring a awm tam zawk.
Prostate surgery hnua bladder neck contracture vei theihna hi a sang deuh thei a, a bik takin taksaa thisen kalna tichhe thei damdawi dang, zunthlum emaw thinlung natna emaw nei tan chuan a sang hle thei a ni.
Engtin nge doctor hian hei hi a hriat chian tak tak?
A chunga kan sawi tak symptoms i neih chuan i tih hmasak ber tur chu i doctor pan leh tur a ni. A nih loh leh, urologist hmuh a tha ber ang. A enfiah ang che a, test thenkhat a kalpui ang a, i dinhmun a finfiah ang.
| Fiahna | Hei hi eng nge thleng? |
|---|---|
| Cystoscopy hmanga enfiah a ni | Tube te tak te tak, camera dahna chu urethra kaltlangin dahin bladder neck-a blockage awm chu direct-in a en thei a ni. Hetiang tih lai hian natna venna atan numbing medication pek thin a ni. |
| Cystourethrogram hmanga tihchhuah a ni | Bladder-ah hian tui bik (contrast dye) an inject a, X-ray image an la a ni. Hei hian bladder leh a chhehvel pianzia leh harsatna eng pawh chiang taka hmuh theih a ni. |
| Voiding cystourethrogram (VCUG) hmanga tihchhuah a ni. | A chunga test ang chiah kha a ni a, mahse tun tum chu i zun laiin X-ray i la . Hei hian i zun kal dan tur dik tak i hmu thei a ni. |
| Uroflow test a ni | Zun chhuah chak dan leh a chhuah zat tehna atan hmanraw bik hman a ni . Hei hian i flow a chak lo em tih chiang takin a hrilh thei che a ni. |
| Post-void residual urine test (PVR test) neih a nih chuan a chhuak leh ta a ni. | I zun zawh hnuah , ultrasound scan hmangin bladder-ah zun engzat nge awm tih hriat a ni. |
Hei hi eng enkawlna nge ni?
Hei hi enkawl theih a ni. I dinhmun a nasat dan azirin i doctor chuan i tana enkawlna tha ber a thlang ang.
- Dilation: Hei hi surgery a ni lo. Doctor office-a tih theih thil a ni. Tube te tak te, zawi zawiin a pung chho zel chu urethra kaltlangin an dah a, zawi zawiin a inkharkhipna hmun chu a zau zauh zauh thin.
- Transurethral procedure: Hei hi anesthesia hmanga operation tenau tak a ni. Cystoscopy ang bawkin camera dahna hmanrua dahin electric current hmangin blockage thlentu scar tissue chu cut leh paih chhuah a ni.
- Urinary reconstruction leh diversion (major surgery): Hei hi tih a tlem hle a, a nasat em em lai chauh a ni. Hetiang tihnaah hian zun (bladder) thenkhat emaw, a pum emaw chu lakchhuah a ni a, taksa atanga zun chhuahna kawng dang (a pum chhunga inhawng te tak te ang chi) siam a ni.
Hetiang dinhmun hi a ṭha chho zel mai lo maw?
No. Bladder Neck Contracture hian a mah chauhin a dam dawn lo .Mahse i dinhmun a na lo hle a, chu chu i bladder i hrufai vek thei tihna a ni a, i kal (kidney) a tichhia lo a nih chuan i doctor chuan "wait and see" tih a rawt thei ang. Chu chu, i natna lan chhuah dan a ṭhat leh ṭhat loh enfiah tura enkawl loh rei vak lo nghah tihna a ni.
Engtikah nge Doctor ka hmuh ang? Engtik hunah nge Emergency Department (ETU) ah ka kal ang?
Hei hi a pawimawh hle a ni. Hei hi eng nge a nih chiang taka i hriat a ngai a ni.
Doctor i hmuh hun tur chu:
- Prostate enkawl hnuah a hmaa kan sawi tawh ang khan symptoms i neih chuan.
- Bladder Neck Contracture enkawl tawh i nih a, mahse a natna lan chhuah dan chu a lo lang leh emaw, a na zual emaw a nih chuan .
I theihnghilh suh, symptom tlemte pawh ngaihthah suh. Doctor i hmuh hma poh leh enkawl a awlsam zawk.
Engtikah nge Emergency Treatment Unit (ETU) pan nghal tur:
Heng a hnuaia mite hi i tawng a nih chuan damdawi in hnai ber Emergency Department (ETU) ah thil dang ngaihtuah lovin kal nghal rawh.
- I zun theih loh chuan.
- I pum emaw i groin area emaw ah natna nasa tak i neih chuan .
- I thawkrim lutuk chuan .
Hengte hi emergency a nih avangin tihkhawtlai suh.
Hei hi enkawl hnuah a lo kir leh thei ang em?
Mi tam zawk tan chuan enkawl hnuah an natna hi a reh vek thin. Mahse, a chang chuan scar tissue a lo awm leh thei a, blockage chu a lo awm leh thei bawk. A bik takin a hnuaia thil awm danah hian a lo lang leh theihna a sang hle:
- Radiation therapy i lo tih tawh chuan.
- I urethra hmanga surgery dang i neih tawh chuan.
- Enkawlna hmasa berah khan harsatna a awm a nih chuan.
A lo thleng leh a nih chuan enkawl leh a ngai mai thei. Chuvang chuan a natna lan chhuah dan hriat reng a pawimawh.
Take-Home Thuchah a ni
- Bladder neck contracture hi prostate surgery emaw enkawlna emaw hnua harsatna awm lo mahse a awm thei a ni.
- Zun chhuak chak lo, zun tam lutuk, zun chhuah lohChutianga i tih lai hian natna ang chi symptoms te chu fimkhur rawh. Hengte hi enkawl hnu thla engemaw zat hnuah a lo lang tlangpui.
- Hei hi enkawl theih a ni. Chuvangin symptoms i neih chuan hlauthawng suh la, ngaihsak lo la, doctor pan nghal rawh.
- I zun theih loh tak tak chuan emergency a ni. Damdawi in hnai ber emergency room (ETU) ah kal nghal rawh.
- Hetiang dinhmun hi ven nan hian engmah tih theih a awm lo. Mahse, a natna lan chhuah dan hriat hmasak a, enkawlna zawng hian harsatna lian tham a thlen loh nan a pui thei a ni.
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