I pum hnuai lam natna i nei fo em? Toilet kal duhna i nei fo em? Hei hi Interstitial Cystitis (IC/BPS) chungchang a ni.

Ni khatah vawi tam tak toilet kal a ngai bawk em? Tlemte chauh i zun thin em? I pum hnuai lam ah hian mak tak maiin rit emaw, natna emaw i nei mai mai em? Hei hi urinary tract infection (UTI) niin i ngai mai thei, mahse damdawi ei pawhin a pui dawn lo em ni? Tichuan he vawiin a kan sawi tur dinhmun, Interstitial Cystitis hian a nghawng thei bawk che a ni. Hei hi a buaithlak deuh a, mi tam takin an hriat chian loh thupui a ni. Chuvangin awlsam takin, i hriatthiam theih tur angin i sawi ang u.

Interstitial Cystitis (IC/BPS) hi eng nge ni tak tak?

A awlsam zawngin, hei hi i bladder-a natna rei tak emaw, i rilru hahna emaw a ni . Tunah chuan doctor-te chuan hei hi Bladder Pain Syndrome (BPS) an ti ta a ni. He hming awmzia hi tlem han then ila.

• Interstitial tih awmzia chu "tissue inkar space-ah" tihna a ni.
• Cystitis tih awmzia chu "bladder inflammation" tihna a ni a, chu chu a hring chhuak thei dinhmun a ni tihna a ni.

Chu chu, hun rei tak chhunga inflammation leh pain, bladder tissue inkara awm a ni tihna a ni. Hetiang natna vei hian a tlangpui aia tam a zun a ngai a ni. Tin. Hei hi frequency (zun fo) leh urgency (urgent need) kan ti a ni.

Hetiang dinhmun hi chi hnih a awm a.

Ni e, mi zawng zawng a nghawng dan inang lo. A chi hnihah then theih a ni. Heng chi hnih hi test (Cystoscopy) hmanga hriat theih a ni a, chutah chuan doctor chuan i bladder-ah camera a dah lut a, chu chu a en a ni.

Stage 4 IC/BPS chu eng nge ni?

Natna stage hrang hrang i hre tawh mai thei. Stage 4 hi a na ber a ni a, kum hnih chuang zet symptoms a awm tawh a ni. Hetih lai hian bladder tissue chu a thim hle a, a rigid bawk. Chuvang chuan zun (bladder) hian a hma angin zun a chelh thei lo. Hetiang dinhmun hi Hunner’s ulcers vei te zingah a tam ber.

IC/BPS natna lan chhuah dan chu engte nge ni?

A natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Ṭhenkhat tân chuan an nêm thei a, ṭhenkhat tân erawh chuan hrehawm tak an ni thei thung. Mi thenkhat tan chuan symptoms hi a awm reng a, thenkhat tan chuan a lo kal leh zel bawk.

A feature lian ber berte chu hengte hi an ni:

• Pum hnuai lam (bladder awmna)-ah natna, pressure, emaw, nuam lo emaw a awm. He natna hi bladder a khat chuan a pung thei a ni.
• Zun tam lutuk ngai. Ni khatah vawi 15, 20, emaw vawi 40-50 emaw pawh a ni thei.
• Zun a ngai tih i hriat hian i insum theih loh khawpa hmanhmawhthlakna i nei thin.
• Zun tlemte chauh hi vawi khatah a chhuak thin.
• Hmeichhia tan chuan thlasik laiin natna lan chhuah dan a zual thei.

Engvangin nge hetiang thil hi a lo thlen?

Hei hi mi tam takin harsatna an neih a ni. Dik tak chuan doctor te pawhin IC/BPS thlentu hi 100% chiang takin an la sawi thei lo. Mahse, a thawhpui nia rinhlelh thil tlemte a awm a:

• Bladder lining-a chak lohna: Kan bladder hian a chhungah venhimna layer a nei a. Hei hian zun chhunga thil tha lo awm laka bladder wall a venghimtu a ni. He layer hi a chhiat chuan chu thil tha lo tak takte chu bladder wall-ah a luang lut thei a, natna leh inflammation a thlen thei bawk.
• Immune system lama harsatna (Autoimmune diseases): 1.1.Taksa invenna system hian a bladder cells te chu a bei sual thei a ni.
• Allergy: Tin, taksaa cell thenkhat (mast cells) allergy thlentu hnathawh hi hemi nen hian a inzawm nia rinhlelh a ni bawk.
• Hri kai hriat loh: A chang chuan a hmaa natna kai tawh, enkawl that loh chuan bladder chhunga nerve te a tichhe thei a, hun rei tak chhung natna a thlen thei bawk.
• Zun chhunga thil dik lo: Entirnan, zun chhunga protein tam lutuk (proteinuria).

Tute nge hetiang hi vei theihna hlauhawm zawk?

• Hmeichhia hi mipa aiin an hlauhawm zawk.
• Kum 30 chunglam ah a tam ber .
• Natna dang, fibromyalgia leh irritable bowel syndrome (IBS) nei te pawhin IC/BPS an vei tam zawk bawk.

Doctor, engtin nge hei hi i diagnose?

IC/BPS finfiah thei tur test pakhat mah a awm lo. I doctor chuan i symptoms thlentu tur condition dang a paih chhuak ang. Hei hian test eng emaw zat neih a ngai mai thei. Lungngai suh, eng nge an nih i en ang u.

Hei hi eng enkawlna nge ni?

Hei hi a pawimawh ber a ni. A hmasa berin IC/BPS damdawi a la awm lo. Mahse, lungngai suh. I natna lan chhuah dan enkawl dan tur leh nun pangngaia nunpui thei tur enkawlna tha tak tak a awm nual.

I doctor chuan enkawlna pakhat hmangin a tan ang a, i tan a thawk tha em tih a en ang a, chutah chuan enkawlna dang an thlak emaw, enkawlna engemaw zat an inzawmkhawm emaw a ngai em tih a rel ang. Hei hi trial-and-error process a ni deuh ber. I tana enkawlna dik tak zawn nan hun engemaw chen a la ngai mai thei.

1. Ei leh in lama inthlak danglamna

Mi tam tak chuan ei leh in thenkhat hian an natna lan chhuah dan a tizual tih an hmuchhuak. Hengte hi ‘triggers’ kan ti thin. Diary i vawng thei a, i ei leh in leh i natna lan chhuah dan a na zual hunah i ziak thei bawk. Hun a kal zel a, eng eitur nge i natna lanchhuahna thlentu tih i hre chhuak ang.

Mi tam tak tan chuan natna lan chhuahna tizual thei ei tur:

• Zu
• Caffeine (tea, coffee, chocolate) te hi a tha hle.
• Carbonated in tur te pawh a awm
• Tomato
• Citrus thei (orange, lemon) chi hrang hrang .
• Chaw siam chhuah (processed foods) te
• Chaw tui tak tak

2. Taksa Exercise leh Taksa Therapy

• Exercise: Exercise nem tak tak, kea kal leh cycle khalh te hian natna tihziaawmna kawngah a pui thei a ni.
• Pelvic Floor Physical Therapy: Hei hi a pawimawh hle. Pum hnuai lam ruh (pelvic floor muscles) te hi bladder ang chi taksa peng hrang hrangte a hmuna vawng tlattu an ni. Heng muscle-a tightness hian natna a tizual thei bawk. Specialist physical therapist chuan heng taksa ruhte hi tih hahdam leh tihchakna tur exercise dik tak a zirtir thei che a ni (Kegel exercises).

3. Stress tihziaawmna

Stress hi IC/BPS symptoms tipungtu lian tak a ni. Stress tihreh dan zir hian hahdamna nasa tak a pe thei a ni. Thâwk thûk taka exercise, meditation, leh yoga ang chi thilte hian a ṭanpui thei a ni. A tul chuan mental health counselor tanpuina i la thei bawk.

4. Bladder Retraining neih a ni

A natna avang hian i bladder a khat deuh chuan toilet kal i thiam thin. Hei hian i bladder chu zawi zawiin zun tlem zawk vawn thiam turin a siam a ni. Bladder retraining-ah hian toilet tlawh inkar hun chu tumruh taka tihpun a ngai a ni. Minute 5-10 chhung i tan a, zawi zawiin darkar 2-3 ah i tipung a.

5. Damdawi ei tur

• Antidepressant: Antidepressant thenkhat, amitriptyline te hi a tlem em em a pek chuan bladder na leh zun tam a ngaihna a tiziaawm thei a ni.
• Antihistamines: Hydroxyzine ang damdawi hian allergy a control thei a, natna a tiziaawm thei bawk.
• Pentosan Polysulfate Sodium (Elmiron®): Hei hi IC/BPS atana a bik taka pawmpui, ei tur damdawi awmchhun a ni. Bladder-a protective lining chhia chu siamṭhat lehna tura puitu niin an ngai.

6. Bladder-a instillations tih te

Hetah hian doctor chuan i urethra-ah tube (catheter) te tak te tak a dah a, i bladder-ah damdawi chi hrang hrang a inject a ni. Damdawi hman tlanglawn ber chu dimethyl sulfoxide (DMSO) a ni. He damdawi hi i bladder-ah rei vak lo dah a ni a, chutah chuan zun hmangin i paih chhuak leh thin.

7. Enkawlna dang

A chunga enkawlnate hi a hlawhtling lo a nih chuan i doctor chuan a hnuaia mite hi a ngaihtuah thei ang:

• Nerve Stimulation (Neuromodulation): Taksa chhunga nerve thenkhatah electrical signal te te thawn chhuakin bladder natna leh hmanhmawhthlakna control dan a ni.
• Botox® Injection: Botox hi bladder muscle-ah inject a ni a, an hnathawh a ti tlem a, natna a control bawk.
• Surgery: Hei hi a tawp ber atan tih a ni a, natna lan chhuahna na tak tak nei, enkawlna dang dawng lote tan chauh tih a ni. Hei hian bladder thenkhat emaw, a pum emaw lakchhuah (cystectomy) a huam a ni.

IC/BPS nen engtin nge kan khawsak ang?

Hei hi hun rei tak chhunga awm tur a nih avangin nunpui zir a pawimawh hle. Heng tips te hian flare-up i hmachhawn theih nan a pui ang che.

• Tui tam in tur: Zun a diluted chuan bladder discomfort a reh thei.
• Compress lum emaw vawt emaw: Tui lum bottle emaw ice pack emaw i pum hnuai lam dah chuan natna a tiziaawm thei a ni.
• Thawmhnaw nuam tak ha rawh: I pum tichhe thei pants leh underwear tight tak tak hak loh tur.
• Relaxation Techniques: Yoga pose ‘happy baby’ pose ang chi hian pelvic floor muscle te a ti hahdam thei a ni.
• Sex hi a hrehawm a nih chuan: I doctor nen painkiller ei hmasak leh lubricant hman ang chi thilte sawipui rawh.

Engtikah nge Doctor ka hmuh ang?

He thuziak-a tarlan ang chi symptoms i neih chuan doctor pan ngei ngei tur a ni. Urinary tract infection, IC/BPS, thil dang emaw a nih leh nih loh chiang taka i hriat a ngai a ni. Pawh,

Hei hi zahpui tur a ni lo. I nunphungah nghawng lian tak a nei thei a, chuvangin enkawlna dik tak neih a pawimawh.