Zun chhuah tan harsa i ti ngai em , emaw i zun zawh hnuah pawh i zun ( bladder ) ah zun i la awm reng tih i hre ngai em ? I zun luang chu a slow a, a inthlak danglam a ni mai thei. Zan lamah vawi tam tak thawh a ngai em ? Hengte hi ngaihthah tur symptom a ni lo. Hetiang harsatna hi damdawi lam thila awm thei Bladder Outlet Obstruction (BOO) hi a ni. Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
A awlsam zawngin, Bladder Outlet Obstruction chu eng nge ni?
I bladder chu tuiin a khat balloon angin ngaihtuah rawh. He balloon hawnna hi zun atanga zun chhuahna hmun a ni. Bladder Outlet Obstruction tih awmzia chu kawngpuiah hmun khatah zun chhuahna tur blockage a awm tihna a ni. He blockage hian zun kal chu a ti hniam a, a nih loh leh a titawp vek thei bawk.
Hetiang dinhmun hi mipa kum 65 chunglam ah a awm tam ber a , mahse hmeichhia, thalai, naupang te, nausen thlengin a awm thei bawk. He natna hi nausen pum chhunga lo awm hi Fetal Lower Urinary Tract Obstruction (LUTO) an ti bawk. Condition engemaw chen chu a buaithlak a, a awm lo hle bawk.
Hmeichhia, a bik takin zunthlum (cystocele) nei te hian he inkharkhip hi an nei tam zawk.
Hetiang natna lan chhuah dan hi engte nge ni?
Bladder Outlet Obstruction nei chuan harsatna chi hrang hrang a tawk thei a. Heng symptoms te hi a inzawm khawm chuan medically chuan Lower Urinary Tract Symptoms (LUTS) kan ti thin. Nang pawhin heng symptoms te hi i nei em tih hi han en teh.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Zun tan harsa | Even if you try to urinate , zun chhuah tan nan second tlemte emaw a aia rei emaw a ngai thin. |
| Bladder a hring vek lo | I zun zawh hnuah pawh a chhungah zun a la awm ang maiin i hria. |
| Urine stream chak lo, a inthlak danglam thin | Zun chu chak takin a chhuak lo va, a chhuak zawi zawi hle. A chang chuan lui chu rei vak lo a ding a, chutah a intan leh thin. |
| Zanah zun fo thin | I mut that chuan zan khatah vawi hnih emaw vawi thum emaw a aia tam emaw zun chhuah turin i tho a ngai a ni. |
| Zun chhuah a ngai fo thin | Ni khatah vawi tam tak zun turin ka kal a ngai a, mahse a vawi khatnaah chuan tlemte chauh a chhuak thin. |
| Hmanhmawh taka zun chhuah a ngai | As soon as I feel the need to urinate , ka chelh thei lo va, washroom lam pan chuan ka tlan chhuak a ngai ta a ni. |
| Pum hnuai lam emaw, hnungzang sir lehlamah emaw natna | Urinary retention avanga bladder fullness hian pum hnuai lam na emaw, kidney-a nghawng a neih avangin hnungzang sir lehlamah natna emaw a thlen thei. |
| Zun laiin natna | Zun laiin kang emaw, natna emaw (a bik takin natna a awm chuan) . |
Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?
Hetianga zun kawng (urinary tract obstruction) hi chhan hrang hrang a awm thei.
Mipa nghawng chhan ber
Mipaah hian he natna hi a thlen tam ber chu prostate gland lian vang a ni . Hei hi damdawi lamah chuan Benign Prostatic Hyperplasia (BPH) kan ti a.Prostate hi gland te tak te, bladder hnuai lama awm, urethra vel a ni. I upat deuh deuh chuan, a tlangpuiin kum 50 i tlin hnuah he gland hi zawi zawiin a lo lian tan thin. Hei hi cancer a ni lo. Mahse, he gland hi a lian chhoh zel chuan urethra chu a block tan ta a ni. Chu chu zun harsatna a awm lai a ni.
A chhan tlangpui dang
BPH bakah hian thil dang engemaw zatin hei hi a nghawng thei a ni.
- Urethral Stricture: Infection, accident emaw surgery emaw avanga urethra-ah hian scar tissue a lo awm thei a, chu chuan kalna kawng chu a ti tawi thei hle.
- Bladder Stones: Mineral te chu bladder-ah a awm khawm a, lung a siam chuan urethra-ah a lodge thei a, zun kalna tur kawng a tikhawlo thei bawk.
- Pelvic Organ Prolapse: Hmeichhe thenkhat, a bik takin hmeichhe upa zawk, fa engemaw zat nei tawhah chuan bladder emaw uterus emaw chu vagina chhungah a tla thla thei a ni. Hei hian urethra chu a ben a, a block thei bawk.
- Severe Constipation: Constipation na tak nei tan chuan rectum luah khattu stool hian bladder leh urethra a press thei a.
- Cancer natna: Heng blockage te hi cancer natna, prostate cancer, bladder cancer, leh cervical cancer te vang pawh a ni thei.
- Nervous system lama harsatna: Hetiang dinhmun hi thluak, ruhro emaw, bladder nena inzawm nerve-a harsatna avanga bladder muscle-te hnathawh that loh vang pawh a awm thei bawk.
A pawimawh ber chu heng symptoms te hi i neih chuan, "I tar deuh deuh chuan hei hi thil pangngai a ni," ti mai mai suh, doctor pan ngei ngei tur a ni. A chhan chu a chhan dik tak hriat chhuah a nih chauhvin enkawlna mumal tak pek theih a nih vang a ni.
Engtin nge doctor hian he natna hi a hriat chian tak tak?
Heng symptoms nei doctor i hmuh hunah chuan i symptoms te chu ngun takin a ngaithla hmasa ang. Tichuan, an enfiah ang che. Hemi chhung hian a chhan dik tak hriat theih nan test eng emaw zat neih an rawt mai thei.
| Fiahna | Hemiah hian eng nge i hmuh? |
|---|---|
| Urinalysis tih a ni | I zun chu natna hrik, thisen emaw, thil dang danglam emaw a awm leh awm loh enfiah a ni ang. |
| Thisen Test a ni | Kidney-te hi zun chhuah (urinary retention) vangin a nghawng em tih zawng rawh (creatinine level ang chi thil enfiah). |
| Ultrasound hmanga Scan a ni | Hei hian kidney, bladder, leh prostate (mipaah) te a enfiah thin. A blockages, bladder stones, leh post-void residual urine te a enfiah thei bawk . |
| Cystoscopy hmanga enfiah a ni | Hetah hian camera te tak te dahna tube te tak te chu i urethra hnuaiah a pass a, doctor chuan i bladder leh urethra chhunga thil thleng chu screen-ah a en thin. Hei hian khawi hmunah pawh blockage, narrowing, lung a awm em tih chiang takin a hmu thei. |
| Urodynamic Test hmanga tih a ni | Hei hi test bik a ni a, bladder a khat leh a empty laiin pressure leh muscle function te a teh thin. |
Hei hi eng enkawlna nge ni?
A tha ber chu Bladder Outlet Obstruction enkawlna hrang hrang a awm a, a chhan a zirin. I doctor chuan i tana tha ber tur enkawlna a thlang ang.
- Damdawi chi hrang hrang: 1.1.
- Enlarged prostate (BPH) avanga obstruction awm tan chuan alpha-blockers ang chi damdawi pek thin a ni a, chu chuan gland chhehvela taksa ruh te chu a ti hahdam thei a ni.
- A chang chuan Prostate lian tham ti tlemtu Finasteride ang chi damdawi te pawh pek thin a ni.
- Enkawlna dang: 1.1.
- Hmeichhia hian pelvic organ prolapse avanga harsatna awmte chu pessary an tih hmanrua hmangin hahdamna an hmu thei a, chu chu vagina chhungah dah a ni.
- Pelvic floor muscle tichak tura physical therapy hian mi thenkhat a pui bawk.
- Surgery leh tih dan dangte:
- Catheterization: Urethra a block vek chuan temporary tube (Foley catheter) chu bladder-ah dahin zun a chhuak thin. Mi thenkhat chuan in lamah self-catheterization an hmang thin.
- Blockage tihbo nan surgery: BPH ang chi condition tan chuan urethra kaltlangin instrument an kalpui a, prostate blocked parts te chu lakchhuah a ni (TURP ang chi surgery).
- Laser Lithotripsy: Bladder-ah lung a awm chuan laser beam hmangin an tikehsawm a, an paih chhuak thin.
- Urethroplasty: Urethra a zim (stricture) chuan zun kawng a pianphung pangngai siam leh turin operation tih a ni.
A tam zawkah chuan heng surgery te hi minimally invasive method hmanga tih a ni. Chumi awmzia chu incision lian tak tak awm lovin leh khur te tak te hmangin an ti a, chuvangin damdawi ina awm chhung chu a rei zawk a, dam lehna a rang zawk tihna a ni.
Engtikah nge damdawi lam thurawn i lak nghal ang?
Hei hi a pawimawh hle. A then phei chuan hei hi emergency a ni thei bawk.
I pum hnuai lam natna tuar theih loh i neih chuan , emaw darkar tam tak i beih hnuah pawh i zun theih loh chuan emergency a ni. Tin, zun kawng natna lan chhuahna, khawsik, khawsik, leh khur ang chi i neih chuan, damdawi in hnai ber emergency department (ETU)-ah kal nghal rawh .
He natna hi enkawl loh chuan harsatna lian tak tak, zun kawng infection, kal chhiatna, kal tha lo, leh bladder stone te a thlen thei a ni. Chuvangin a symptoms te hi ngaihthah suh.
Take-Home Thuchah a ni
- Zun harsatna (weak stream, zun tan harsa, zun tam lutuk) hi "i upa deuh deuh chuan a pangngai mai" tia ngaihin ngaihthah suh.
- Hei hi a chhan ber chu kum upat deuh deuhin mipa prostate gland a lo lian chho zel a, mahse hei hi chhan dang vangin hmeichhia leh tlangvalah pawh a awm thei a ni.
- Enkawl vat loh chuan he natna hian kal (kidney) a tichhe vek thei a, chuvangin a hmaa hriatchhuah leh enkawl a pawimawh hle.
- Heng symptoms te hi i neih chuan Doctor hmuh hi zak leh hlau suh. A tam zawkah chuan he natna hi damdawi emaw, hmanraw awlsam tak emaw hmangin a control tha thei a ni.
- Tuar theih loh khawpa natna i neih emaw, zun chhuah loh vek emaw i neih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
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