I fa te hian urinary tract infection (UTI) a vei fo em? A châng chuan khawsik an nei a, i naute chu a nuam lo a, i hlauthawng hle ngei ang. Nu leh pa tam tak chuan he harsatna hi an buaipui hle. A tam zawkah chuan zun kawng a chhiatna tenau vang a ni. Vawiin hian chutiang dinhmun leh a enkawl dan awlsam tak, surgery tluk zeta lian lo chungchang kan sawi dawn a ni.
He zun hi eng nge hnunglam hawi? (Vesicoureteral Reflux - VUR) (A rilru a hah lutuk chuan a rilru a buai em em a ni) .
A awlsam zawngin kan taksa kal (kidney) pahnih ah hian zun a lo chhuak thin. Chuta tang chuan zun chu tube pahnih kaltlangin bladder, zun inkhawmna bawm thlengin a kal a. Heng tube te hi ``(Ureters)`` kan ti a. A tlangpuiin zun chu heng tube hnuaiah hian a kal a, chu chu bladder thlengin a kal a ni. A chho leh thei lo, kal (kidney) thlengin. A chhan chu heng tube te hi bladder nena an inzawmna hmun hi one-way valve angin a thawk a ni.
Mahse naupang thenkhatah chuan he `valve` hian hna a thawk tha lo. Tichuan, bladder-a zun awmkhawm chu kal lam hawiin a chho leh ta a ni. Hei hi damdawi lama `Vesicoureteral Reflux` emaw `(VUR)` emaw kan tih chu a ni.
Ngaihtuah teh, zunthlum (bladder)-ah hian bacteria a awm thei. Kidney-ah an kir leh a nih chuan eng nge thleng ang? Kal (kidney) hian natna a kai thei a ni. Heng infection te hi a lo awm fo chuan hun kal zelah kal (kidney) te hi a chhe thei a, chu chu a hliam hial a ni thei tihna a ni. Chuvangin he dinhmun hi ngaihven a pawimawh hle.
Chuti a nih chuan he enkawlna hi eng nge Deflux an tih?
A tam zawkah chuan he `VUR` dinhmun hi naupangte an lo puitlin chuan a mah chauhin a tha chho zel a ni. Mahse chumi hma chuan hri kai fo thin chu tihtawp a ngai a ni. Chuvang chuan `Deflux` tih damdawi hman a ni.
`Deflux` hi a bik taka siam gel a ni. Kan taksaa pianphung a awm ang chi thil pahnih atanga siam a ni.
- Dextranomer: Hengte hi sugar molecule atanga siam a ni. Damdawi leh hliam silfai nan an hmang bawk.
- Hyaluronic acid gel: Hei pawh hi kan taksaa pianphung anga siam chhuah a ni bawk. Beauty product-ah pawh hman a ni nasa hle.
He gel hi taksa nena inmil a nih avangin side effect a neih theihna a tlem hle. Doctor-in a tih tur chu he gel hi tlem tal chu `valve` malfunctioning awmna hmunah a inject a ni. Tichuan, chutah chuan bulge te tak te a lo piang a, `valve` thar angin a che tan ta a ni. Hei hian zun a tlak loh nan a veng lo va, mahse a chho leh vek tur chu a titawp tlat thung.
Hei hi surgery lian tak a ni lo. Hei hi minimally invasive procedure a ni. Chu chu incision lian tham a awm lo tihna a ni.
Hun a kal zel a, he gel hi zawi zawiin kan taksa cell-in a hip lut a, a hip lut a, chu hmun chu tissue-in a luah khat ta a ni. Mahse, hei hian enkawlna hlawhtlinna a nghawng lo.
Deflux enkawl dan leh inbuatsaihna
He enkawlna hi a awlsam em em a, a rang hle bawk. A tlangpuiin minute 30 aia rei lo a ni. Outpatient procedure a nih avangin damdawi ina awm a ngai tawh lo.
| Huntha | Eng thil nge thleng tih leh i tih tur |
|---|---|
| Enkawl hmaa inbuatsaihna |
|
| Enkawl lai hian | 1. Naupangin natna leh hahdamna a neih loh nan general anesthesia pek thin a ni. 2. Gel hmangin zunthlum (urethra) chu a numb thin. 3. Tube te tak te tak, a tawp lamah camera awm, cystoscope , an tih chu urethra kaltlangin bladder chhungah an lut a. 4. Bladder chhungah saline a khat a, a chhung lam a lang tha zawk. 5. Deflux gel hi camera chhunga kal nghal thei needle nalh tak hmangin hmun dik takah inject a ni. 6. Instrument zawng zawng lakchhuah vek a ni a, bladder chhunga tui awm zawng zawng chu paih vek a ni. |
| Enkawl hnuah |
|
Deflux enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin hlawkna leh hlauhawmna tenau a awm a, chu chu hriat reng a pawimawh.
Hlawkpuina
- Dam thuai: Naupang chu ni khat emaw ni hnih emaw chhungin a tih dan pangngaiah a kir leh thei a ni. Kar tam tak chawlh a ngai lo va, major surgery ang bawkin.
- Harsatna tlem zawk: Incision lian tak a awm loh avangin natna kai leh natna nasa lutuk a awm theihna a tlem zawk hle.
- Taksa tan a tha: `Deflux` gel hi taksa nena inmil thil atanga siam a nih avangin adverse reaction a awm tam lo.
Risk a awm thei
He enkawlna hlawhtlinna hi 70% leh 93% inkar a ni. Chu chu a tam zawkah chuan a hlawhtling tihna a ni. Mahse, a chang chuan thil thleng thei thenkhat a awm.
- Enkawlna hmang pawhin VUR leh zun kawng natna hi a awm reng thei.
- Urethra-ah hian blockage awm theihna chance a tlem hle.
- Bladder-ah hian chhiatna tenau a awm thei.
- Naupang thenkhat tan chuan gel hi vawi khat hnawih a tawk lo mai thei. Chutiang a nih chuan a vawi hnihna atan i tih a ngai mai thei.
A pawimawh ber chu i fate dinhmun enkawl dan tur tha ber chungchang doctor nen inbiakna neih hi a ni. I fain VUR grade a neih dan azirin enkawlna hlawhtlinna chu a inang lo thei.
Nausen enkawl hnua enkawl tur thilte
I fa hian enkawl a nih hnu ni khat emaw ni hnih emaw chhung chu harsatna engemaw zat a nei thei a ni. Hei hi thil pangngai a ni a, alarm tur a ni lo.
- I zun hian kang tlem emaw, na emaw i nei tih i sawi thei.
- I zun i hlau mai thei, i strain leh i ti thei lo.
- Zun chu pink a ni thei.
- I zun i chelh thei lo mai thei a, khumah i muhil thei bawk.
Heng thilte hi ni hnih aia rei a daih chuan Doctor koh a tha. Tin, i fa hian tui tam tak a in ngei ngei tur a ni. Zun an siam tam poh leh an dam chak zawk ang.
Doctor hmuh nghal hun tur
I fain a hnuaia symptoms te hi a neih chuan i enkawltu doctor chu ko nghal rawh.
| Ngaihtuah vat ngai symptoms te | |
|---|---|
| - Darkar 8-10 chhung zun loh emaw, zun theih loh emaw i nih chuan. | - Ni hnih hnuah pawh zun chhuah laiin natna nasa tak i la neih chuan. |
| - Pum, hnungzang, emaw pelvis-ah natna nasa tak a nei. | - Khawsik hi 38.6 degree Celsius (101.5 Fahrenheit) aia sang a nih chuan. |
| - Bladder spasm na tak, darkar 24 hnuah a reh lo. | - Luak chhuak chhunzawm zel a nih chuan. |
I fain VUR a neih chuan ngaihtuah hi thil awmdan pangngai a ni. Mahse tunah chuan Deflux ang chi enkawlna awlsam leh him tak a awm ta. Hei hi naupang tin tan a dik lo mai thei. Chuvangin, i fate tana duhthlan tur awm thei te, a thatna leh that lohna te chu i doctor nen sawiho la, thutlukna tha ber siam rawh.
Take-Home Thuchah a ni
- Urinary reflux (VUR) hi naupangte urinary tract infection awm fo chhan lian tak a ni.
- Deflux hi VUR enkawlna awlsam leh him tak a ni a, taksa tana tha tur gel inject a ni.
- Hei hi surgery lian tak a ni lo va, naupang chu a dam thuai thei a, nun pangngaiah a kir leh thei bawk.
- He enkawlna hi 100% a hlawhtling lo thei a, VUR natna khirh tak tak thenkhatah chuan enkawlna dang a ngai thei bawk.
- I fa tan eng enkawlna nge tha ber tih chu i doctor nen zalen takin sawiho la, a hlawkna leh a hlauhawmna zawng zawng pawh tiamin.
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