Bladder na pawh i nei fo em? (Interstitial Cystitis/Bladder Pain Syndrome) - Hemi chungchang hi han sawi ila!

I pum hnuai lam, bladder awmna hmunah hian natna emaw, nuam lo emaw i nei fo em? Tawt tawi, mahse zun chhuah ngai fo i nei em ? Chutiang a nih chuan hei hi i tan thil pawimawh tak a ni mai thei. Hetiang dinhmun hi "Interstitial Cystitis" emaw "Bladder Pain Syndrome" (BPS) emaw kan ti thin. A awlsam zawngin, hei hi bladder-a natna rei tak emaw, nuam lo emaw a ni.

Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) hi eng nge ni?

A awlsam zawngin sawi ila, interstitial cystitis hi a chhunga "interstitial" awm hian kan tissue emaw organ emaw inkar hmun hrang hrang tichhe thei thil tihna a ni. "Cystitis" tih awmzia chu inflammation tihna a ni. Chuvangin, thil thleng chu i bladder wall-ah hian inflammation chi khat nena lo awm natna a awm a ni.

IC/BPS i neih chuan a pangngai aia tam (frequency) i zun a ngai mai thei. Tin, zun chhuah a ngai nghal tih i hre thei bawk (urgency) . Hei hi an ti bawk:

• Bladder natna (bladder syndrome) natna nei
• Frequency-urgency-dysuria natna hi a awm lo
• Pelvic natna rei tak a awm

IC/BPS hi chi hnih a awm a.

Doctor-te chuan hei hi chi hnih ah an then a:

1. Ulcerative IC/BPS: Hemiah hian bladder wall-ah "Hunner's ulcers" an tih ulcer na tak tak a lo awm thin. Mahse, hei hi a tlem zawk a, IC/BPS vei zinga 5% leh 10% inkar velin a nghawng a ni.

2. Non-ulcerative IC/BPS: Hei hi a tam ber a ni. IC/BPS vei zinga 90% velin he chi hi an nei a ni. Hetiang chiah hian thisen chhuak tenau tak tak, hliam tenau (glomerulations) -te ang chi hi bladder wall-ah hmuh tur a awm.

I bladder chu balloon te tak te ang maiin ngaihtuah rawh. Zun a khat angin a lian chho zel a , i zun hian a te lehzual leh bawk . Tunah chuan IC/BPS nen chuan chu balloon chhunga lining chu a chhia a, a sensitive ta ang mai a ni.

He "Stage 4" IC/BPS hi eng nge ni?

"Stage 4" IC/BPS tih hi i hre tawh mai thei. Hei hi kum hnih aia tam IC/BPS symptoms nei chhunzawm zel tawhte tan a ni. Hetih lai hian bladder tissue chu a khauh hle a, chuvang chuan a hma angin zun tam tak a chelh thei tawh lo. Hetiang dinhmun hi a chunga kan sawi tak "Hunner's ulcers" vei te zingah hian hmuh tur a awm fo thin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

IC/BPS hi a takah chuan i ngaihtuah aiin a tam zawk. Entirnan, United States-ah chauh pawh:

• Mipa maktaduai 1 leh maktaduai 4 inkar
• He natna hian hmeichhia maktaduai 3 leh maktaduai 8 inkar a nghawng nia chhut a ni.

Hei hian hmeichhiate zingah hmuh tur a tam zawk a, mahse mipaah ​​pawh a lo thang lian thei tih a tilang chiang hle.

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

A natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan hrehawmna tlemte chauh an nei thei a , thenkhat erawh chuan natna nasa tak an nei thei thung . Tin, heng symptoms te hi a awm reng thei a, a chang chuan a lo kal leh chhuak thei bawk.

Hengte hi a lan chhuah dan tlangpui chu a ni:

• Bladder natna (cystitis) a awm thei.
• I pum hnuai lam, chu chu i bladder awmna hmunah a na tihna a ni.
• Bladder a zun a khat chuan pressure emaw discomfort emaw .
• Zun tam leh zun a ngai tih hriat nghal mai .
• Zun kan chhuah hian zun a chhuak tlem hle .

Heng symptoms te hi thla tin i period chhungin a zual thei a, a bik takin hmeichhia i nih chuan.

Hei hi engtin nge a ngaih?

Hei hi mi zawng zawng tan chuan a danglamin a lang tak zet a ni. Mi thenkhat chuan an pum hnuai lam ah hian a rit deuh emaw, a nuam lo deuh emaw chauh pawh a ni thei. Mi dangte chuan natna nasa tak an nei thei a, chu chu mi pakhatin an chhungril aṭanga a hrual emaw, chemte hmanga a chil emaw ang maiin a ni. Hemi rual hian, zun chhuah ngai reng reng , leh zun chhuah leh ngai tlem te pawh a liam hnuah pawh, a ti thinrim hle.

IC/BPS awm chhante chu engte nge ni?

Dik tak chuan doctor leh medical researcher te hian IC/BPS awm chhan dik tak hi an la hre chiang lo. Mahse, a hnuaia damdawi lam dinhmun thenkhat nen hian a inzawm thei niin an ring:

• Autoimmune diseases: Chu chu kan taksa ngeiin keimahni cell a beih nana natna a ni.
• Allergy: Mi thenkhat chuan thil chi hrang hrangah allergy an nei a.
• I bladder lining-ah hian chhiatna engemaw zat a awm a.
• Vascular natna / thisen kalna lam natna .
• "Mast cells"-a thil danglam, allergy symptoms thlentu cell chi khat.
• I zun ah thil pangngai lo awm . Entirnan, zun chhunga protein tam lutuk (proteinuria) .
• Hri kai hriat loh.

Chûng thil pakhat emaw, a aia tam emaw chuan he dinhmun hi a thlen thei a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Tu pawhin IC/BPS an nei thei. Mahse, he natna hi i vei theihna chance a sang zawk thei a, chu chu:

• Hmeichhia chuan .
• Kum 30 aia upaMi tu emaw chuan.
• Damdawi lam thil dang, hun rei tak chhunga natna thlen thei (e.g. Irritable Bowel Syndrome, Fibromyalgia) i neih chuan.

IC/BPS hi engtin nge dik taka kan hriat theih ang? (Diagnosis) tih a ni.

IC/BPS i neih leh neih loh hriat chian theihna tur test bik a awm lo. Mahse, doctor chuan natna dang emaw, damdawi lam harsatna emaw i neih loh nan test eng emaw zat a ti ang. Heng test-ah hian:

• Medical history: I doctor chuan i symptoms te a zawt ang che. I natna lan chhuah dan te, i in tur te, i in zat te, leh i zun zat te telin diary ziak turin an ti mai thei che a ni . Hei hian i doctor chuan i dinhmun a hriat chian theih nan a pui ang.
• Urinalysis / urine test: Zun sample i pek hian microscope hmangin zun chhunga thisen awm leh awm loh (hematuria) leh infection chhinchhiahna (bacteria, pus, white blood cells) te enfiah thin a ni. Infection a awm chuan doctor chuan antibiotics a pe ang . I zun-ah enkawl hnuah natna hrik a awm lo a, mahse i natna lan chhuah dan a awm reng chuan i doctor chuan IC/BPS a ringhlel thei a ni.
• Biopsy: Hei hi anesthesia hnuaia dah (i muhil tihna) leh needle tha tak hmanga bladder wall leh urethra atanga tissue sample tlemte lak a ni. Hei hi natna khirh dang, bladder cancer ang chi a awm loh nan tih a ni.
• Cystoscopy: Hetiang tih danah hian doctor chuan i urethra leh bladder chhungah a en thin. Hei hi tube te tak te, flexible tak hmanga tih a ni a, a tawp khatah camera leh light (cystoscope) . Hei hi i urethra kaltlangin i bladder chhungah a lut a ni. Hetiang tihna atan hian anesthesia i mamawh lo tlangpui. Mahse, i doctor chuan cystoscopy nen biopsy lak a ngai tih a rel chuan anesthesia pek i ni thei.
• Cystoscopy under anesthesia with hydrodistension: A chang chuan doctor te pawhin he test hi an ti thin. Cystoscopy an tih lai hian bladder chu tuiin a khat a, a lian ber thlengin a distended a ni. Hetiang tih hian bladder-a hliam emaw, mittui tlak emaw a awm leh awm loh a enfiah thei a ni. A na a, chuvangin anesthesia hnuaiah tih a ni. Mahse, mi tam tak chuan hemi hnu hian an IC/BPS symptoms atang hian hun eng emaw chen chu hahdamna an hmu thin.

IC/BPS hi engtin nge enkawl a nih?

A pawimawh ber chu IC/BPS hi a dam kim thei lo . Amaherawhchu, enkawl dan tur tam tak a awm a. Enkawlna tum ber chu i natna lan chhuah dan control a, hahdamna pek che hi a ni.Doctor in a bia ang che a, eng enkawlna nge i tana tha ber tih a rel ang. A châng chuan enkawlna inkawp pawh hman theih a ni.

Doctor-te chuan eng enkawlna pawh i dawn dan tur an sawi lawk thei lo. Chuvangin, enkawlna hrang hrang i enchhin a ngai mai thei a, i taksain a chhan dan i en a ngai mai thei. I natna lan chhuah dan chu a bo vek thei a, a zual zel thei bawk. I symptoms te chu a reh tawh a nih pawhin a hnuah a lo lang leh mai thei.

IC/BPS enkawlnaah hian:

I ei leh in lama inthlak danglamna

IC/BPS vei thenkhat chuan ei leh in thenkhat hian an natna lanchhuahna a tichhuak niin an sawi. Chuvang chuan nilengin i ei leh in te, i ei leh in zat te hi food diary-ah i vawn reng a pawimawh. I natna lan chhuah hma emaw, flare-up hma emawa i ei leh in te record hian i natna lan chhuahna thlentu ei tur te chu i hmuchhuak thei a, i pumpelh thei bawk.

Acid ei leh in tur (citrus fruits lemon leh orange ang chi, chili pepper, carbonated drinks, tomato ang chi) hian i natna a ti na zual tih i hriat chuan i doctor chuan i chaw ei rualin antacid ei turin a rawt mai thei. Antacids hian i zun a acid awm zat a tihtlem avangin hna a thawk a .

IC/BPS i neih chuan eng ei leh in nge chhiatna thlen thei?

Hengte hi IC/BPS symptoms ti na thei tlangpui ei leh in te chu an ni:

• Zu
• Thil thlum siamna hmanrua (artificial sweeteners) te
• Caffeine (tea leh coffee-a awm) .
• Carbonated in tur (soda ang chi) .
• Chocolate
• Tomato a ni
• Thei tui (a bik takin acidity sang tak nei) .

Doctor chuan i IC/BPS symptoms tihtlem nan diet tha ber siam tura pui thei tur dietitian hnenah pawh a refer thei che a ni.

Taksa tihchakna

Exercise leh taksa tihchakna hian IC/BPS symptoms a tiziaawm thei a ni. Chung zingah chuan:

• Kal
• Bicycle hmanga tlan
• Gentle stretching emaw yoga emaw tih mai tur

Stress tihziaawmna

Stress hian IC/BPS symptoms a ti flare-up thei a ni. Chuvangin, stress hriat leh enkawl dan zir hian i symptoms te chu a tihziaawm thei a ni. Mental health counselor (psychotherapy) nena inbiakna hian stress tihziaawmna a thlen thei.

Taksa lam enkawlna

I pelvic floor muscles te hian i bladder chu a hmunah a vawng tlat a , i zun chhuahna control nan a pui bawk . Heng taksa peng hrang hrangte tihchak (Kegel exercises) ., stretching, leh a bik takin relaxing hian interstitial cystitis/bladder pain syndrome symptoms te a tiziaawm thei a ni. Doctor chuan heng exercise te hi dik taka i tih theih nan a pui thei a ni. Mi tam tak chuan pelvic floor physical therapist nen thawk hovin heng taksa peng hrang hrangte hi uluk taka tih hahdam dan tur an zir thin.

Bladder retraining tih a ni

Bladder na i neih chuan i bladder a khat kim lo a nih pawhin i natna emaw, zun chhuah vat vat a ngai emaw i hriat veleh bathroom kal tih danah i insiam a awlsam hle. Hei hian i taksa chu bathroom kal fo turin a pui ang. Bladder retraining-ah hian i zun chu hun rei zawk vawng thei tura zirtirna leh he tih dan hi bansan a ngai a ni.

Hei hi i thiam theih nan i zun tam zia leh zun chhuah ngai nia i hriat tam zia te chu diary-ah ziak la . I diary hmangin bathroom zin inkar hun chu zawi zawiin tihpun tum ang che.

Damdawi ei tur

A hnuaia damdawi ei hian IC/BPS symptoms enkawlnaah a pui thei ang:

• Lung natna damdawi: Over-the-counter antacids (e.g., Tums®, Rolaids®) hian i taksaa acid awm zat a tihtlem bakah a natna lan chhuah dan a tiziaawm thei bawk.
• Antidepressants: Tricyclic antidepressant amitriptyline (Elavil®) ang chi dose tlem chuan natna tihziaawmna leh zun tam lutuk a tiziaawm thei a ni.
• Hydroxyzine: Chemical histamine an tih hian IC/BPS symptom a siam thei a. Hydroxyzine hi antihistamine chi khat a ni a . I bladder atanga histamine lakchhuah nan a pui thin.

Bladder ah hian instillation a awm thin

Hetiang tihnaah hian doctor chuan plastic tube (catheter) te tak te chu i urethra-ah a dah a, i bladder thlengin a thread a. Tichuan, tube kaltlangin i bladder chu damdawi engemaw zat inzawmkhawmin a khat a, chung zingah chuan dimethyl sulfoxide (DMSO) , steroid, leh numbing damdawi te pawh a tel a ni. DMSO hi liquid medication a ni a, symptoms tihziaawmna a ni.

Hydrodistension - enkawlna atan

Doctor chuan i bladder chu sterile water-in a khat ang a, a stretch ang. Hei hian bladder hian zun tam zawk a vawng thei dawn a ni.A size a sang chho zel. Tin, hydrodistension hian i thluak chu bladder natna i nei tih hrilhtu overactive nerve endings te chu a ti reh thei a, a tichhia thei bawk. Hydrodistension neih laiin anesthesia pek i ni a, chuvang chuan i muhil a, chuvangin i tih lai hian natna i nei lo.

Nerve tihchakna

Neuromodulation therapy hian i bladder hnathawh a tidanglam a, zun chhuah duhna leh zun tam duhna a ti tlem a ni. Electrical stimulation hmangin i nerve a tichak a, chhanna a siam bawk. A chang chuan i bladder leh i pum natna tihziaawmna atan pawh a pui thei bawk.

Botulinum toxin injection hmanga tihdam theih a ni

Doctor chuan cystoscope hmangin i bladder muscle-ah Botulinum toxin (Botox®) a inject a. Botox tlem te hian taksa ruh a ti paralyze a, natna a ti reh bawk. Mahse, thla li atanga thla kua danah Botox injection lak a ngai mai thei.

Inzai

IC/BPS symptoms na tak tak i neih a, enkawlna dang i chhan loh chuan i doctor chuan zai a rawt thei ang. Hei hian i bladder thenkhat emaw, a pum emaw lakchhuah (cystectomy) a huam a ni. Mahse hei hi a tawp ber atan chauh tih a ni.

Ngaihtuah tur dangte

I bladder leh pelvic floor enkawl bakah hian doctor chuan i natna thlentu tur thil dang a ngaihtuah bawk ang. Entir nan:

• Hormone inthlauhna (hormone inthlauhna) a awm
• Endometriosis (nausen pum pawn lama nausen pum chhunga tissue lo thang lian) .
• I ril emaw, i ril lian emaw nghawng thei thil

Interstitial cystitis/bladder pain syndrome hi a dam vek dawn em ni?

Sawi a har khawp mai. Interstitial cystitis/bladder pain syndrome vei tam zawk chu an dam chhung zawng enkawl an ngai dawn a ni. Enkawlna an hmuh loh chuan an natna lan chhuah dan a lo lang leh thei a ni. An IC/BPS treatment an la ei lai pawhin flare-up of symptoms an nei thei.

Mahse, mi thenkhat chuan enkawlna an dawng tha hle. An natna lan chhuah dan chu a tlahniam zauh zauh a, a chang chuan a bo vek hial a ni.

IC/BPS hi rang taka tihbo theih dan a awm em?

A tha ber chu doctor pan nghal mai hi a ni . Eng treatment nge i IC/BPS symptoms atanga relief rang ber tur tih a hrilh thei che a ni. I tih duh ang chauh tih ai chuan damdawi lam thurawn zawng hi a finthlak hle.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

IC/BPS enkawlna hnuah i natna lan chhuah dan a lo tha chho tan theih nan kar engemaw zat emaw thla engemaw zat emaw a ngai thei. I enkawl danah dawhtheih a pawimawh.

IC/BPS hmasawnna hi a veng thei ang em?

Doctor leh medical researcher-te chuan interstitial cystitis/bladder pain syndrome vei theihna tihtlem dan tur leh a natna lan chhuah leh tur ven dan tur chiang takin an la hre lo. Mahse, flare-ups venna atan a hnuaia mi hi i ti thei ang:

• Food diary ziak la, harsatna thlentu i ei tur te chu hriatchhuah la, pumpelh rawh.
• I natna lan chhuah dan a bo pawhin i enkawl chhunzawm zel.
• I nunah stress tihziaawm tumna.

IC/BPS ka neih chuan eng nge ka beisei ang?

Mi tam tak tan chuan interstitial cystitis/bladder pain syndrome hi hun rei tak chhunga awm thin a ni. I natna lan chhuah dan chu a na lo emaw, a na emaw pawh a ni thei. A chang chang chauhvin an awm thei a, a awm reng thei bawk.

I dinhmun leh enkawlna tha ber berte hriat chian nan doctor nen inbiakna neih a pawimawh.

IC/BPS vei dam rei zawng chu engzat nge ni ang?

Interstitial cystitis/bladder pain syndrome hi nunna atana hlauhawm tak a ni lo. Bladder cancer a thlen lo va, i dam chhung pawh a nghawng lo. Mahse, i nunphung a nghawng thei a ni.

IC/BPS ka neih chuan engtin nge ka in enkawl ang?

A hnuaia tarlan te hian i interstitial cystitis/bladder pain syndrome flare-ups hun chhung leh a nasat dan tihtlem nan a pui thei ang:

• Symptoms a pun nghal thut (flare-up) i hriat veleh i symptoms tihziaawmna tur damdawi ei la.
• I zun tihthianghlim nan tui tam tak in thin ang che .
• Symptoms tizual thei ei leh in ei loh tur.
• I pum emaw, i serh leh i hnute (perineum) inkar hmunah emaw ice pack emaw heating pad emaw dah la .
• Tui lum (sitz bath) bawm khatah thu rawh .
• Yoga pose thenkhat hmangin i pelvic floor muscle te chu a relax thei ang. Entirnan, i ke chu a zau zawngin i squat down thei ("goddess squat"), i khup chu i rilru thlenga hrual chungin i hnungzang chungah i mu thei a, i ke chu a chunglam hawiin i ke hnunglam chu i inzawm khawm thei bawk ("happy baby").
• Relaxation technique, thawk thuk taka exercise te, meditation te, emaw massage neih te hi enchhin rawh.
• I pum tikhauh thei tur thawmhnaw tight (e.g., tight pants, tights, girdles) ha lo tur a ni.
• Sex hman hian symptoms a tipung a nih chuan sex hman hmain analgesic ei la, lubricants hmang la, lungawi lohna tihziaawmna tur a ni.

Engtikah nge Doctor ka hmuh ang?

Interstitial cystitis/bladder pain syndrome symptom i neih chuan doctor pan nghal turin appointment siam rawh . Doctor chuan infection emaw, i IC/BPS symptoms thlentu tur thil dang emaw i neih loh nan test a ti ang. Damdawi a pe thei bawk a, thurawn a pe thei bawk.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

I natna lan chhuah dan a nasat lutuk a nih chuan, emaw, enkawl hnua a ṭhat loh chuan emergency room hnai ber pan rawh .

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah heng zawhnate hi zawh hi a \angkai thei ang:

• Engtin nge interstitial cystitis/bladder pain syndrome ka neih leh neih loh i hriat theih ang?
• Interstitial cystitis/bladder pain syndrome ka neih loh chuan eng condition dang nge ka neih theih ang?
• I thutlukna chu nemnghet turin eng ang test nge i tih ang?
• Eng enkawlna nge i rawt?
• I enkawl dan tur i rawt hian side effect a nei em?
• Enkawlna pakhat chauh emaw, enkawlna hrang hrang inzawmkhawm emaw i rawt em?
• Ka ei loh tur ei leh in tur list kimchang chu eng nge ni?
• Eng nunphung inthlâk danglamna nge ka natna lan chhuahnate enkawl tûra ṭanpui thei?
• Nutritionist emaw, urologist emaw, specialist dang emaw ka pan tur em ni?

Interstitial cystitis/bladder pain syndrome leh urinary tract infection (UTI) te hi eng nge an danglamna?

Mi thenkhat chuan interstitial cystitis/bladder pain syndrome hi urinary tract infection (UTI) nen an inzawm tir thin. Mahse IC/BPS leh UTI hi a inang lo. UTI hi natna hrik (a tam zawkah chuan bacteria, a bik takin E. coli ) avanga lo awm a ni. Doctor-te hian IC/BPS hi eng nge a thlen tih chiang takin an la hre lo. Mahse, IC/BPS nena inzawm thei damdawi lam dinhmunte chu autoimmune natna, allergy, leh i thisen kalna kawng lama harsatna te a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Interstitial cystitis/bladder pain syndrome (IC/BPS) hi natna tlanglawn tak, hun rei tak chhunga awm thin a ni a, i bladder-ah inflammation leh discomfort a thlen thin. I zun dan pawh a nghawng thei bawk – ni khatah vawi tam tak i zun a ngai mai thei a, zun i mamawh hunah , hmanhmawhthlak tak a ni thei bawk.

Natna te, lungawi lohna te, zun lama harsatna te hian mualphona leh hlauhna a siam thei che a ni. Mahse, IC/BPS symptoms i neih chuan doctor biak pawh zak suh . Condition dang i neih loh nan test a run thei bawk. I flare-up hun chhung leh nasat lutuk tihtlem thei tur leh i nunphung tichangtlung thei tur enkawlna ruahmanna tha ber siam turin i thawhpui thei bawk.Nangmah chauh i ni lo, hei atan hian tanpuina a awm.

` Bladder na, Interstitial Cystitis, Bladder Pain Syndrome, Zun tam, Zun kawng infection, Bladder hliam, IC/BPS, Sinhala hriselna