I hriat lohvin zun pawh i leak em? Hei hi functional incontinence an ti a! Hemi chungchang hi kan sawi dawn em ni?

A chang chuan i hriat lohvin i zun i leak thin em? A nih loh leh toilet-a tlan chhuah a ngaih hmain i zun thin? Hei hi mi tam takin harsatna an neih a ni a, mahse sawi tur chuan a zahthlak deuh thei. Lungngai suh, nangmah chauh i ni lo. Damdawi lam hawi chuan he natna hi ``Functional Incontinence'' an ti a. A awlsam zawngin, i bladder ( zun a khawlkhawmna hmun)-a harsatna lian tak vang ni lovin, chhan dang vangin toilet a hun taka i thlen theih loh vang a ni. Hemi chungchang hi chipchiar zawkin han sawi ila .

Functional Incontinence tih hi eng nge ni?

A awlsam zawngin sawi ila, ``(Functional Incontinence)`` chu i bladder control loh a, accident-a zun i leak hian a ni. Mahse hei hi i urinary system natna direct vang a ni lo. A hun taka toilet kal harsatna i neih hian, emaw, zun chhuah a ngai tih i hriat chuan a thleng thin , taksa emaw rilru lam dinhmun dang vang a ni. Imagine, you have a very strong urge to urinate , mahse toilet panna tur kawng a awm lo, chuti a nih chuan hei hi a thleng thei.

Hei hi ``Functional Urinary Incontinence'' an ti bawk. An pahnih hian awmzia inang an nei.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan, a tlangpuiin, urinary incontinence, emaw ``Urinary Incontinence'' hi i ngaihtuah aiin a tam zawk. Report thenkhatin an sawi dan chuan America ang ramah hian mi maktaduai 30 velin ``Urinary Incontinence'' chi khat emaw an nei a ni. Chuvangin Sri Lanka ramah pawh hian mi engzat nge hetiang harsatna hi an tuar tih chu i ngaihtuah thei ang. ``Functional Incontinence'' hi chutiang chi khat a ni. Chuvangin hei hi nangmah chauha thleng tur a ni lo, mi tam takin he dinhmun hi an tuar a ni.

Functional Incontinence natna lan chhuahna chu engte nge ni?

Awle, chuti a nih chuan engtin nge he ``Functional Incontinence'' dinhmun hi kan hriat theih ang? Heng thilte hi i chungah a thleng em tih en rawh:

• Urine leak (dribbling) fo thin chu hriat lohvin .
• A châng chuan bladder pumpui chu hriat lohvin a hring vek ṭhin.
• Toilet ka luh hma loh chuan ka zun ka chelh thei lo.
• I thawmhnaw atang emaw, in chhehvel atang emaw chuan zun rim a chhuak ang maiin i hria.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihven a tha.

Functional incontinence hi eng nge ni?

Tunah chuan he ``Functional Incontinence'' natna hi eng thilin nge a thlen tih hi han en ila. A nihna takah chuan a chhan tam tak a awm thei.

• Cognitive disorders : Chung zingah chuan dementia (hriatrengna hloh zual), delirium (rilru lama buai nghal), leh rilru lama harsatna te a tel. Entîr nân, dementia vei tu emaw chuan zun a harsat phah thei .I tih tur chu i hre reng lo mai thei a, toilet awmna hmun i hmu thei lo mai thei bawk.
• Neurological disorders: Thluak, ruhro emaw, nervous system emaw tichhe thei dinhmun, multiple sclerosis (MS), Parkinson’s disease (thil tiharhtu), leh stroke te. Heng dinhmunte hian i bladder control nana signal mamawh te chu a thawk tha tawh lo thei a ni.
• Natna, taksa ruh tichhe thei, inthiarna kal emaw, inchei harsa emaw : Entirnan, `(Arthritis)` (ruh natna). Tunah chuan i nu emaw i pa emaw hian `(Arthritis)` a nei tih han ngaihtuah teh. An ke ruhte chu ben leh hrual harsa an ti hle. Tichuan, kawr hak tan chuan chawi sang a harsat a, pants ha tan chuan a bun phelh a, a zip emaw a harsat hunah chuan toilet-a kal a, inbuatsaih hun a ngai a ni. Chu chu hre lova tlem tal i kal theih hun chu a ni.
• Bladder emaw pelvic floor muscle chak lo : Heng muscle te hi a chak lo a nih chuan zun a vawn harsa thin.
• Taksa lama harsatna : Stairs, lighting tha lo, mipui tamna hmuna toilet hmuh harsat ang chi thil. Kum upa tawh tak, wheelchair-a thuin han mitthla teh, toilet zawng zawng hi wheelchair hmanga kal theih a ni lo.
• Vaginal tissue a thinning emaw infection emaw a awm thei.
• Ngaihtuah theihna tichhe thei damdawi : Mut theihna damdawi, etc. Hengte hian mut a ti buai thei a, zun pawh a theihnghilh thei bawk .
• Diuretics : Heng damdawi te hi natna thenkhat tan pek thin a ni.
• Urinary Tract Infections (UTIs) : Hei hi a awm fo bawk.
• Constipation : Constipation a nasat lai pawhin bladder-ah pressure a pung thei a, hetiang dinhmun hi a thlen thei a ni.

"I hmu em, chhan tam tak a awm. Chuvangin hei hi thil pakhat chauh a ni lo."

Tu nge functional incontinence nei tam zawk?

Hetiang dinhmun hi tu chungah pawh lo awm thei mahse, mi thenkhat chu an hlauhawmna a sang zawk.

• Thluak hnathawh tichhe thei natna (`(Cognitive disorder)`) i neih chuan.
• Neurological disorder i neih chuan.
• I taksa ruh leh ruhkawr tichhe thei, arthritis ang chi i neih chuan.
• Damdawi thenkhat i ei a nih chuan, entirnan, diuretics emaw, mut tichhuak thei damdawi emaw i ei a nih chuan.
• Kum 65 chunglam : Hetiang dinhmun hi nursing home-a awm tarte zingah a tam hle. Taksa a inthlak danglam zel chuan kum upa lam a nih chuan a hlauhawmna a sang chho zel a ni.
• Hetiang hlauhawmna hi taksa chak lo tan pawh a sang zawk a ni.

Engtin nge hei hi hriat chhuah a nih? (Engtin nge functional incontinence hi hmuhchhuah a nih?)

Heng symptoms te hi i nei nia i hriat chuan eng nge i tih leh ang? Doctor i pan ngei ngei tur a ni. Doctor emaw nurse emaw chuan a enfiah ang che a, zawhna engemaw zat a zawt ang che. Chûng zawhnate chu:

• Tunah hian damdawi lam harsatna dang i neih avangin enkawl i ni em?
• I ei dan chu eng nge ni? Engzat nge i ei leh in?
• Ni khatah tui engzat nge i in thin? Eng nge i in thin?
• Zu emaw caffeine (tea, coffee) emaw i in em?
• Exercise engzat nge i tih thin? Eng ang exercise nge i tih thin?
• Awlsam takin i inher kual thei em?

Heng zawhnate hi dik taka chhan a pawimawh hle , a chhan chu chutih hunah chauh chuan doctor chuan thil awmdan dik tak chu a hrethiam thei dawn a ni.

Eng ang test nge tih a nih ang?

Doctor chuan a chhan dik tak hriat tumin test engemaw zat a ti thei a ni.

• Urinalysis : Hei hian i zun sample lak a, natna hrik emaw, harsatna dang emaw i neih leh neih loh enfiah a ni.
• Pelvic floor dysfunction test : Hengte hian i pelvic floor muscle te hnathawh that leh chak loh te an enfiah thin.
• Urodynamic testing : Hei hi test buaithlak zawk a ni. I bladder chhunga nerve leh muscle te hnathawh dan te, i zun a luang chak dan te, i bladder chhung leh a chhehvela pressure te a teh thin.

A châng chuan i doctor chuan urinary leh reproductive system lama specialist (``Urologist'') emaw, hmeichhia pelvic floor lama harsatna enkawltu specialist (``Urogynecologist'') emaw hnenah a refer thei che a ni.

Engtin nge functional incontinence hi i tihziaawm theih ang?

Okay, tunah chuan he ``Functional Incontinence`` condition hi tihtlem emaw control emaw theih dan tur kan en ang. Enkawl dan tur chu a chhanah a innghat.

Entirnan, arthritis i vei a, i thawmhnaw phelh harsa i tih chuan thawmhnaw phelh awlsam, elastic, emaw Velcro emaw i ha a tha zawk. Urinary tract infection (UTI) i neih chuan i doctor chuan antibiotics a pe ang che. Damdawi thenkhatin he natna hi a thlen a nih chuan i doctor nen inbiain damdawi dang a awm leh awm loh i en thei ang.

Chu bâkah, hetiang thilte hian a ṭanpui thei bawk:

• Incontinence pads emaw underwear emaw : Hengte hi damdawi dawr atangin lei theih a ni. Brand lar tak Depends® tih pawh a awm bawk. Hengte hi hman hian thawmhnaw hnim leh i zun palh a nih chuan i rilru hahna a tiziaawm thei a ni.
• Bladder training : Hei hi timed voiding an ti bawk. Hemiah hian zun chhuah turin an ti che a niA ngai lo a nih pawhin nilengin (a tlangpuiin darkar hnih danah) hun pangngaiah toilet-ah kal thin ang che. Hei hian i bladder a khat hmain i empty thei ang. Heng hun inkar hi zawi zawiin i tipung thei a ni.
• Urinary catheter : A nasat dan thenkhatah chuan doctor chuan hun eng emaw chen emaw hun rei tak emaw urinary catheter hman a rawt thei. Hei hian urethra kaltlangin tube te tak te, flexible tak chu bladder chhungah dahin, zun chu bag-ah a khawlkhawm a ni.
• Condom catheter : Hei hi mipa hman theih thil a ni. Condom ang maiin penis-ah a inbun a, zun chu bag-ah a inzawm khawm tube hmangin an la khawm a ni.
• Pelvic floor physical therapy : Specialist chuan i pelvic floor muscle tichak turin exercise (Kegel exercise ang chi) a zirtir ang che. Heng ruhte tihchak hian toilet i kal hmain i zun chhungah rei vak lo i vawn thei a ni.

In lama i awm lai chuan toilet panna kawng chu thianghlim takin dah la. Kawngkhar chu hawn la, lei chu thil tul lo awm lohna hmunah dah la, chutiang chuan tlu leh tlu theihna a tlem phah ang. Hmuh harsatna i neih chuan in chhehvelah light extra dah la, a bulah torch te tak te dah la. I chhuah hmaa restroom zawng hi tih dan tha tak a ni bawk.

Hei hi ven theih a ni em? (Functional incontinence hi ven theih a ni em?)

Dik tak chuan `(Functional Incontinence)` thlentu thil thenkhat, chu chu taksa ruh, nervous system, emaw thluak hnathawh (`(Muscular, neurological or cognitive conditions)`) tichhe thei natna te hi kan veng thei lo. Chumi awmzia chu `(Dementia)` ang natna lo awm tur venna tur direct way kan nei lo tihna a ni. Mahse, risk factor thenkhat tihziaawm kan tum thei. Entirnan, nun hrisel taka nun leh taksa hriselna enkawl ang chi thil te.

Functional incontinence ka neih chuan eng nge ka beisei theih ang?

Parkinson natna ang chi natna khirh tak avanga functional incontinence i neih chuan i dam chhung zawng chu i nunpui a ngai mai thei. Mahse, chu chuan i tuar a ngai tihna erawh a ni lo. Hetiang hunah hian i natna lan chhuah dan tur tha ber tur i doctor nen inbiakna neih a pawimawh hle. Nun a awlsam zawk nan kawng tam tak a awm a.

Engtin nge ka in enkawl ang? (Engtin nge ka in enkawl ang?)

``(Functional Incontinence)`` i neih chuan heng thilte hian i in enkawl theih nan a pui thei che a ni:

• Keep a bladder diary : Hei hian ni khata tui i in zat, i ei leh in (a bik takin caffeine, ei tur rimtui), i zun tam dan , i zun hun , leh i zun rei zawng te a huam ang.I zun tam zia, i zun tam zia, etc. te ziak la, he thu hi bladder training atan leh i doctor tan i dinhmun hriatthiamna atan a \angkai hle ang.
• Bladder tichaktu ei leh in ei loh tur : Caffeine (tea, coffee, leh chocolate-a awm), zu, soda, ei tur rimtui, leh citrus fruit tui tomato, limes, leh orange te hian bladder a tichak a, zun tam duhna a siam thei bawk. Hengte hi tlem tal tihtlem tum la, danglamna i hmu em tih en rawh.
• I tan taksa rihna hrisel tak vawng reng rawh : I pum thau tam lutuk hian i bladder-ah a tul lovah pressure a siam thei. Thil rihna engemaw chen tihtlem pawhin a pui thei bawk.
• Kal fo : Kea kal hian i taksa a tichak a, i bladder a khat lai leh toilet i zawn a ngaih hun tur a hriat theih nan a pui bawk. Ni khatah minute 30 tal kea kal tum ang che.
• Meizial zuk bânsan : A châng chuan, meizuk laiin khuh hian zun a chhuak thei bawk. Meizial zuk hian bladder tan pawh a pawi hle. Chuvangin, meizuk bânsan hian he natna hi a tihziaawm thei bawk.

Engtikah nge ka healthcare provider ka hmuh ang?

``Functional Incontinence'' symptoms i neih tan veleh doctor pan vat a tha ber a , chu chu duh loh vanga zun chhuah, emaw, toilet-a rei vak lo kal a ngai emaw a ni. Mualpho leh hlauthawng suh. Hei hi doctor tan chuan thil pangngai a ni. Tichuan a chhan chu i zawng chhuak thei a, i duh angin i dinhmun chu i enkawl thei a, i duh loh zawnga leakage awm loh nan tanpuina i dawng thei bawk.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal hunah hetiang zawhna hi zawh theihnghilh suh:

• He ``Functional Incontinence'' natna hi ka neih chhan hi eng nge ni?
• Hei hi finfiah nan hian eng ang test nge tih a nih?
• Engtikah nge test result kan hriat ang?
• Ka pumpelh tur thiltih a awm em ?
• Eng ei leh in nge ka ei loh tur ?
• In lama awm lai hian engtin nge ka in enkawl ang?
• In atanga ka chhuah dawnin engtin nge ka in enkawl ang?
• Symptom dang ka ngaihven tur a awm em ?

Chûng zawhnate i zawh chuan, thil awm dân hriatthiamna ṭha zâwk i nei thei a ni.

Urinary incontinence chi dang a awm em?

Ni e, `(Functional Incontinence)` hi chi khat chauh a ni. Hetiang chi dang engemaw zat a awm bawk. Chumi chungchang pawh tlem han zir ila.

• Overflow incontinence : Hei hi i bladder a khat a, mahse i empty vek theih loh lai a ni. I bladder a khat avangin zun i leak thei a, mahse toilet pan a ngai tih i hre lo mai thei.
• Stress incontinence (`(Stress incontinence)`) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.: Hei hi bladder-a pressure (stress) a awm thut hian a thleng thin a, entirnan, khuh, nuih, thawk hah, thil rit tak chawi, exercise thenkhat tih, hriat lohvin zun a chhuah tir thin.
• Urge incontinence : Hei hi zun chhuah duhna thunun theih loh i neih thut a ni a, mahse toilet i thlen hma loh chuan i vawng tlat thei lo.

Hengte hi chi dang langsar tak takte chu an ni. Mi thenkhat chuan heng chi khat aia tam hi an inzawm khawm thei.

Take-Home Thuchah hnuhnung ber

Functional incontinence hi i nitin nun tibuaitu lian tak a ni thei. I ngaihtuah aiin a tam zawk viau nachungin, sawi chhuah chu i zak emaw, i zak emaw pawh a ni thei. Toilet thleng thuai theih loh hlauvin i nitin thiltih leh inpawh tawnna te pawh i pumpelh mai thei.

Heng harsatnate hi nangmah chauhin i nei lo tih hre reng ang che.

• Functional incontinence hi engmah tih theih a ni lo. Taksa leh rilru lam thil a nei thei.
• A pawimawh ber chu Doctor hnenah hemi chungchang hi zak leh hlau lova sawipui hi a ni.
• A chhan dik tak hriat chian a nih hnuah chuan he dinhmun hi enkawl leh thunun theih dan tam tak a awm a ni.
• Nunphung awlsam taka thlak danglam te, exercise lak te, a tul chuan damdawi ei te hian he natna hi hlawhtling taka nunpui turin a pui thei che a ni.
• I tanpui thei tur mi an awm. Chuvangin damdawi lam thurawn dik tak la rawh.

Nangmah emaw i hriat miin emaw heng symptoms te hi i neih chuan nang pawhin he natna nen hian nun tha tak i neih theih nan damdawi lam thurawn la rawh.

` Functional Incontinence, Zun chhuah, Zun Control hloh, Zun , Tar enkawlna, Neurology, Dementia