I zun chhuah hian a harsa deuh thin em , a nih loh leh i bladder chu a hring vek lo ang maiin i inhria em? Damdawi lam harsatna leh surgery thenkhat chuan chutiang harsatna chu a thlen thei a ni. Chuvangin, chutiang hunah chuan bladder-a zun awm zawng zawng tihthianghlim vek theihna atana hmanraw pakhat chu ‘catheterization’ an ti a ni. He hming hriat hi a hlauhawm deuhin a lang thei. Mahse a takah chuan doctor-te thurawn leh practice dik tak nena him tak leh awlsam taka tih theih thil a ni.
‘Self-Catheterization’ tih hi eng nge ni?
A awlsam zawngin, hei hi nangmah ngeiin i bladder i empty dan a ni. Hei hi hming dang chu ‘Clean Intermittent Catheterization’ ( CIC ) emaw ‘Intermittent self-catheterization ’ (ISC) emaw a ni.
Hetiang hi a ni: Tube te tak te, flexible tak, catheter tia koh chu i urethra kaltlangin uluk takin i bladder-ah dah a ni. Chumi hnuah i bladder chhunga zun zawng zawng chu tube kaltlangin toilet emaw, collection container emaw-ah a luang chhuak vek a ni. I bladder a khar vek tawh chuan tube chu i la chhuak fo thin. Hei hi ni khatah vawi tam tak tih a ni a, a tlangpuiin darkar li atanga darkar ruk danah tih thin a ni .
Lungngai suh, i doctor emaw nurse emaw chuan hetiang tih dan tur dik tak a kawhhmuh ang che. Catheter chi hrang hrang leh lian leh te a awm a, i doctor chuan i tana tha tur a thlang ang. Tin, a tih awlsam zawk nan lubricant leh antiseptic towelette ang chi thil i mamawh bawk ang. Infection laka inven nan englai pawha kut fai taka vawn reng a pawimawh.
Engvangin nge hetiang thil hi i tih a ngaih?
Hriselna thenkhatah chuan bladder chu a hring vek thei lo. Bladder-ah zun a awm reng chuan harsatna engemaw zat a thlen thei a ni. Entirnan, urinary tract infection (UTIs), bladder chhiatna, a tawpah chuan kidney chhiatna.
A hnuaia table hian he method hi a tul theihna tur dinhmun thenkhat a tarlang a ni.
| Condition emaw a chhan emaw | A sawifiahna awlsam tak |
|---|---|
| Prostate lian emaw, inflammation (prostatitis) emaw . | Hetiang dinhmun, mipaah hian a awm fo thin a, zun kalna kawng a tikhawlo a, zun kalna tur a tikhawlo thin. |
| Nervous system natna te | Multiple sclerosis (MS), Parkinson’s disease, spina bifida, leh cerebral palsy te hian bladder hnathawh control tu nerve (Neurogenic bladder) te a nghawng thei a ni. |
| Spinal cord hliam a awm | Accident avanga spinal cord a chhiat chuan zun control a bo thei. |
| Bladder surgery emaw surgery dang emaw avanga harsatna awm thei | Operation hnuah chuan zun a harsa thei a, hun eng emaw chen emaw, a awm reng emaw pawh nise. |
| Zun retention emaw zun insum theih lohna emaw | Hei hi chhan hrang hrang avanga heng dinhmun lo awm thinte chinfelna a ni. |
A pawimawh ber chu bladder hi a ni .Bowel movement mumal tak neih thin. Hei hian i kal (kidney) a venghim ang a, natna hrik kai lo turin a pui bawk ang che.
Engtin nge he thil atan hian i inbuatsaih a, i tih dik?
Chutianga tih chu i hman thiam hma loh chuan thil mak deuhin i hria mai thei a, mahse step dik taka i zawm chuan a awlsam hle.
Step 1: Faina hi a pawimawh ber!
- Kut sil : A hmasa berin sahbawn hmangin i kut silfai tur a ni.
- Faina: A dawtah chuan i serh chhehvel chu sahbawn leh tui emaw, i doctor-in a pek antiseptic solution-a tissue hnim emaw hmangin uluk takin silfai ang che. Hei hian hri kai theihna nasa takin a tihziaawm dawn a ni.
Step 2: Catheter buatsaih dan tur
- Catheter chu a package atang chuan la chhuak rawh. Fai taka vawn a ngai a, chuvangin kut sil zawhah catheter tih loh chu khawih loh tur a ni.
- Urethra chhunga dah tur catheter tawp lamah tui hmanga siam lubricant, `KY Jelly®` ang chi chu hnawih la, inches hnih vel sei rawh. Catheter thenkhat chu he lubricant hmang hian pre-lubricated an ni.
Step 3: Catheter dah luh dan
1. Hmun nuam takah awm rawh. Toilet-ah i thu thei a, i ding thei a, toilet chungah pawh i innghat thei bawk. Hmeichhia chuan urethral hawnna hmun hriat hmasak nan darthlalang te tak te hman chu a \angkai hle mai thei.
2. Tunah chuan catheter lubricated end chu zawi zawiin mahse nghet takin urethra chhungah dah rawh. A tawp dang chu toilet emaw, zun khawlna tur bawm emaw-ah vawn tlat ang che.
3. Bladder i thlen chuan catheter chu zawi zawiin nawr lut la, tube atanga zun a chhuah tan thlengin.
4. Zun a chhuah tan chuan inch khat emaw inch hnih emaw vel dah leh tur a ni.
5. Catheter chu a hmunah dah la, bladder a khar vek hma loh chuan. I pum hnuai lam chu i hrual thei a, hmalam i hawi deuh thei bawk a, chu chuan zun la awm zawng zawng chu paih chhuah theih a ni.
6. Zun kal a reh tawh chuan fimkhur tak leh zawi zawiin catheter chu hnuai lam leh chhuah tir rawh.
7. A tawp berah chuan sahbawn hmangin i kut uluk takin silfai leh ang che.
Heng catheter te hi single-use , chuvangin i hman zawh hunah bawlhhlawh bawmah paih rawh.
Doctor nena inbiakna neih a ngaih hunah
Hetiang tih dan hi a tlangpuiin a him viau nachungin, a chang chuan harsatna a awm thei bawk. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Catheter hi dah harsa a nih chuan | A hma aia harsa zawka i hriat emaw, i insert thei lo tak tak emaw a nih chuan. |
| I zun (hematuria) ah thisen a awm chuan . | Zun chu pink, red, dark brown a nih chuan. |
| Zun laiin natna i neih chuan (dysuria) . | Catheter tel lova i zun laiin kang emaw, na emaw i hriat chuan. |
| Urinary tract infection (UTI) natna lan chhuah dan . | Khawsik, khawsik, pum hnuai lam na, leh zun insum theih lohna. |
| Vun lama harsatna nei | Catheter dahna hmunah vun na, na, sen emaw a awm chuan. |
Hei hi a tir lamah chuan a buaithlak deuhin a lang thei. Mahse hei hi i hriselna atana tih tur pawimawh tak a ni tih hre reng ang che. Mi thenkhat chuan hun rei lote chhung chauh an tih a ngai mai thei. Mi dangte chuan an dam chhung zawngin an tih a ngai mai thei. I dinhmun a zirin a ni. Chuvangin zawhna emaw, lungkhamna emaw i neih chuan i doctor nen inhawng takin sawi rawh.
Take-Home Thuchah a ni
- Catheterizing hi i bladder khar vek theihna tur kawng him leh tangkai tak a ni. Hei hian i kal (kidney) a venghim thei a ni.
- Hri kai laka inven nan faina hi number one a ni . Catheter i dah hma leh i dah hnuah i kut chu uluk takin silfai fo ang che.
- Hei hi a tir lamah chuan a harsa deuhin a lang thei a, mahse i hman thiam tawh chuan thil awlsam tak a lo ni ta a ni. Dawhthei takin awm la, practice rawh.
- Natna, thisen chhuak, natna hrik kai chhinchhiahna a awm chuan hun khawhral lo la, doctor ko rawh.
- Hetiang tih dan hian i nunphung a ti tlahniam lovang. Dik tak chuan i nun chu a awlsam zawk dawn a, a chhan chu zun lama harsatna i ngaihtuah tawh loh vang a ni.
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