A chang chuan zun tan harsa i ti em , a nih loh leh i zun zawh hnuah pawh i bladder a khat ang maiin i la inhria em ? A nih loh leh i zun chhuak zawi zawiin emaw, a tawp emaw ang chi harsatna i nei em? Hengte hi random thil mai a ni lo va, i upat deuh deuh chuan thil pangngai angin hnawl suh. Hei hi damdawi lam chhan a awm thei. Vawiin hian chutiang dinhmun pakhat, ‘Bladder Outlet Obstruction’ chungchang kan sawi dawn a ni.
Bladder Outlet Obstruction (BOO) tih hi eng nge ni?
A awlsam zawngin, hei hian eng emaw chhan vangin i bladder atanga i taksa pawn lam panna tube, urethra-ah hian blockage emaw obstruction emaw a awm tihna a ni. Hetianga inkharkhip hian i zun chu a titawp vek thei a, a luang zawi zawi hle bawk.
Hetiang dinhmun hi mipa kum 65 chunglam zingah a tam ber a, hmeichhia, naupang, a chang chuan nausen pum chhungah pawh a awm thei bawk. Nausen pum chhunga a lo awm hian ``Fetal Bladder Outlet Obstruction'' kan ti a, naute kal leh taksa peng dangte a tichhe thei a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
Bladder Outlet Obstruction hian Lower Urinary Tract Symptoms (LUTS) a thlen thei a ni. Nang pawhin heng symptoms te hi i nei em tih hi han en teh.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Zun tan harsa | Bathroom-a kal hnu rei vak lo zun tan loh. |
| Bladder a hring vek lo | I zun zawh hnuah pawh zun tlem a la awm ang maia hriat. |
| Zanah zun fo thin | Vawi tam tak zun chhuah tur chuan mut atanga tho a ngai. |
| Urine stream chak lo emaw, a inthlak danglam emaw | Urine flow rate nasa takin a tlahniam emaw, a tawp a, a tan leh emaw a ni. |
| Pum hnuai lam emaw, pelvis emaw a na | Bladder full emaw kidney chhiat avanga natna. |
| Hmanhmawh taka zun chhuah a ngai | Zun chhuah nghal a ngai tih hriatna chak tak leh control harsat. |
Engvangin nge hetiang hi a lo awm? A chhan berte chu engte nge ni?
Hei hi chhan hrang hrang a awm thei. Mipaah chuan a chhan langsar ber chu prostate gland lian vang a ni. Mahse, thil dang pawh a awm thei bawk.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Benign Prostatic Hyperplasia (BPH) natna a awm thei lo. | Hei hi mipaah a thlen tam ber a ni. He gland hian urethra a hual vel avangin a lian chuan urethra a constrict thei a ni. |
| Urethral tihkhawtlai (Urethral stricture) a awm | Tun hmaa infection, accident emaw surgery emaw a awm chuan urethra chhungah hliam a awm thei a, a ti tawi thei bawk. |
| Bladder Lung (Bladder Lung) te | Bladder chhunga lung lo awm hian zun chhuahna kawng chu a tikhawlo thei a ni. |
| Cancer natna vei te | Prostate, bladder, cervix emaw uterus cancer vangin zun kawng a zim thei a ni. |
| Pelvic Organ a tlakchhiat avangin | Hmeichhiaah chuan uterus emaw bladder emaw ang chi taksa peng hrang hrangte chu vagina chhungah a tla thla a, chu chuan urethra chu a ben a, a block thin. |
| Constipation na tak a awm | Stool tam tak a awm khawm a, rectum a luah khat chuan pawn lam atang chuan bladder neck a press thei a ni. |
Enkawl loh chuan eng harsatna nge awm thei?
Hetiang dinhmun hi a rang thei ang bera enkawl a pawimawh hle a, a chhan chu zun chhuah hi thil awlsam a ni lo. Chutiang a nih loh chuan, a hnuaia harsatna lian tak tak a awm thei a ni.
- Frequent urinary tract infections (UTIs): Zun chu bladder-ah a awm reng avangin bacteria chu awlsam takin a lo thang lian thei a, natna a thlen thei bawk.
- Kidney chhiatna: Bladder-a pressure sang chuan kidney-ah a back up thei a, kidney a tichhia a ni.
- Kidney hnathawh tlahniam: Hetiang dinhmun hi rei tak a awm chuan kal pawh a chak lo thei.
- Kidney leh bladder stone: Lung siam theihna a sang zawk a, a chhan chu zun hmun khatah a awm reng a ni.
- Bladder khar vek thei lo: Hei hi emergency a nih avangin damdawi lam pan vat a ngai a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i pan hunah i symptoms te a zawt hmasa ang che. Tichuan taksa enfiahna a nei ang. A natna hriat theih nan a hnuaia test pakhat emaw, a aia tam emaw a rawt thei bawk.
| Fiahna | Hemiah hian eng nge i hmuh? |
|---|---|
| Thisen Test neih a ni | Kidney a chhiat leh chhiat loh enfiah thin ang che. |
| Urinalysis tih a ni | Zun-ah thisen a awm leh awm loh enfiah thin ang che. |
| Ultrasound hmanga scan (Pelvic Ultrasound) hmanga tih a ni. | Kidney leh bladder en la, blockage awmna hmun chu zawng rawh. |
| Cystoscopy hmanga enfiah a ni | Camera te tak te chu urethra hnuaiah an pass a, chu chuan tube chhunga narrowing emaw, obstruction dang emaw awm chu direct-in an zawng thin. |
| Urodynamic Test hmanga tih a ni | Bladder muscle leh sphincter muscle te hi teh a ni. |
| Post-void-a Residual Urine Test neih a ni | I zun zawh hnuah scan hmangin bladder-ah zun engzat nge awm tawh tih enfiah a ni. |
Hei hi eng enkawlna nge ni?
I enkawl dan tur chu i zun a tihkhawtlai chhan a zirin a innghat ang. Entirnan, bladder stone enkawl dan hi prostate cancer enkawl dan nen a danglam hle.
- Damdawi: Mi thenkhat chuan alpha-blockers emaw finasteride emaw ang chi damdawi an ei thei a, chu chuan bladder neck-a muscle te chu a ti hahdam a, zun awlsam zawk a luang thei bawk.
- Physical Therapy: Pelvic area-a taksa ruh tichaktu exercise hian a chang chuan a pui thin.
- Pessary: Hei hi hmeichhe tan hmanraw hman a ni. Pelvic organs te chu a prolapsed a nih chuan a thlawp theih nan vagina chhungah dah theih a ni.
- Surgery leh tih dan dangte:
- Foley Catheter: Urethra chu a block vek thut chuan tube dahin, hun eng emaw chen chu bladder chu a hring chhuak thin.
- Obstruction tihbo nan surgery: A chhan azirin a obstruction lakchhuahna tur surgery hrang hrang a awm thin. A tam zawkah chuan hengte hi minimally invasive surgery a ni a, chu chuan dam thuai theihna a siam a ni.
- Laser Lithotripsy: Bladder-ah lung a awm chuan laser beam hmangin an tikehsawm a, an paih chhuak thin.
In lama i tih theih thilte
Enkawlna i nghah lai hian, tih dan ṭhenkhat chuan i rilru a hahdam thei a ni. Mahse hengte hi i tih hmain doctor i zawt hmasa phawt tur a ni .
- Zun chhuah tura thut: Mipa tan chuan ding chunga zun ai chuan ṭhut laia zun laiin an bladder khar vek chu a awlsam zawk mai thei.
- Self-catheterization: A then phei chuan i doctor chuan ni khatah vawi tam tak i bladder chhungah catheter fai taka dah dan tur a zirtir ang che, chu chuan i bladder chu a khar thei ang.
Engtikah nge Doctor ka hmuh ang?
Pawimawh tak: Natna tuar theih loh i neih chuan, emaw, i zun theih loh chuan , emergency a ni. Damdawi in hnai ber emergency room (ETU) ah kal nghal rawh. Tin, zun kawng infection symptoms, khawsik leh khawsik te i neih chuan doctor pan nghal rawh.
Surgery zawhah doctor-in a tih angin clinic-ah te kal ngei ngei tur a ni. Enkawlna hnua zun leh harsatna i neih chuan chu chu i doctor hnenah pawh hrilh bawk ang che.
Take-Home Thuchah a ni
- Zun harsatna (slow flow , zun tam, tan harsatna) hi "kum upa lam thil pangngai mai mai" tiin ngaihthah suh.
- Hetiang natna thlentu ber chu benign prostatic hyperplasia (BPH) ni mah se, a chhan lian tak tak dang, zunthlum, hliam, cancer te pawh a awm thei bawk.
- A hmaa hriatchhuah leh enkawl hian harsatna lian tham tak tak, kal chhiatna ang chi a veng thei a ni.
- Heng symptoms te hi i neih chuan zak leh hlau suh, doctor rawn la, thurawn la rawh. A tam zawkah chuan he natna hi hlawhtling taka enkawl leh tihdam theih a ni.
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