A chang chuan i nuih a, i khuh a, i thil rit i chawi a, i exercise i tih hian zun tlem i leak ang maiin i inhria em? Urinary incontinence hi mipa tam tak tan chuan harsatna awm fo a ni a, a bik takin prostate cancer avanga radical prostatectomy an tih hnuah. Khawtlang nunah sawi tur zahthlak deuh ni mahse, enkawl theih dinhmun a ni. Chumi atana solution hlawhtling leh tunlai ber chu Male Sling surgery hi a ni. Chuvangin, vawiinah hian chiang takin sawi ila.
A awlsam zawngin, Male Sling surgery hi eng nge ni?
Male Sling surgery hi minimally invasive surgery a ni a, mipa zun insum theih lohna enkawlna atan a ni. Urethra, zun chhuahna tube vel chu support pe turin support te tak te dahin han ngaihtuah teh. Chu chu hei hian a ti a ni.
Hetiang tihnaah hian i doctor chuan i urethra-ah surgical tape nem tak, synthetic mesh ang maiin a khuh a, chu chu i urethra-a tel ve a ni. Urethral bulb hi i penis bul ah a awm a. Tape hian urethra leh bladder neck chu tlem a chawi sang a, support a pe a ni. He support hian zun control tu sphincter muscle te chu chakna a pe zawk a ni. Hei hian i khuh emaw, i thawk hah emaw hian zun a leak loh nan a pui a ni.
He surgery hi brand hming AdVance® sling emaw Coloplast Virtue® male sling emaw hmanga hriat a ni bawk.
He surgery hmang hian tute nge enkawl?
He surgery hi mipa radical prostatectomy hnua an zun control harsat tan chuan a tha fo thin.
A pawimawh ber chu hei hi incontinence mild to moderate nei tan a tha ber. Chumi awmzia chu ni khata pad pakhat, pahnih, pathum pawh hmang thei te chuan he thil hmang hian result tha ber an hmu thei tihna a ni.
Surgery hmain eng test nge tih thin?
He surgery i tih hma hian i doctor chuan i dinhmun dik taka enfiah turin test eng emaw zat a ti ang. Heng test te hian operation atana candidate tha tak i nih leh nih loh leh operation hnuah result tha tak i neih leh neih loh hriat nan a pui ang.
| Test Hming | Chutah chuan eng nge i hmuh? |
|---|---|
| Urodynamic testing tih a ni | I bladder leh urethra-a muscle leh nerve te hnathawh that dan an enfiah thin. I bladder chhunga pressure leh zun chhuah chakna ang chi thil an teh thin. |
| Darkar 24 chhung pad test a ni | Hei hian darkar 24 chhungin pad engzat nge i mamawh tih leh i zun engzat nge i leak tih chiang takin a teh thei a ni. |
| Cystoscopy hmanga enfiah a ni | Tube te tak te, te tak te, camera vuah chu i urethra hnuaiah a kal a, chu chuan doctor chuan i bladder chhung chu a hmu thei a ni. |
| ECG test (Electrocardiogram) hmanga enfiah a ni. | He test hi i thinlung hian he surgery hi a tuar theih nan tih a ni. |
| Thisen test a ni | Thisen zam (e.g., hemophilia) i neih leh neih loh enfiah i ni ang. Chutianga i tih chuan operation laiin thisen chhuah theihna a sang zawk mai thei. |
| Urinalysis tih a ni | Hei hian operation tichhe thei damdawi dang, urinary tract infection (UTIs), kidney disease, emaw diabetes emaw a awm leh awm loh hriat theih nan a pui a ni. |
Engtin nge operation atan ka inbuatsaih ang?
Surgery atana inbuatsaih pawh a pawimawh hle.
- Damdawi i ei zawng zawngte chu i doctor hnenah hrilh rawh: prescription damdawi, over-the-counter damdawi, Ayurvedic damdawi, vitamin... Heng zawng zawng hi i doctor hnenah hrilh rawh.
- Thisen tithianghlimtu damdawi ei kha bansan rawh:Operation hma kar khat atanga kar hnih chhungin thisen tithianghlimtu (anticoagulants), aspirin, leh natna tidamtu (NSAID) te ei kha bansan turin an ti ang che. Hengte hian operation laiin thisen chhuah theihna a tipung thei a ni. Lu na tan acetaminophen (acetaminophen) ei hi a pawi lo.
- Damdawi i ei chhunzawm theih dan: I doctor-in thurawn dang a pek loh chuan a hnuaia damdawi te hi i ei chhunzawm thei ang.
- Antibiotics damdawi a ni
- Thisen sang tan damdawi
- Hormonal damdawi te
- Lung natna damdawi
- Ei leh in: Operation hma zan atang khan liquid foods (e.g. soup, thei tui, jelly) chauh ei turin an ti ang che. Operation hma darkar tlemteah ei leh in i chawlhsan vek a ngai dawn a ni. Hei hian operation neih laiin i intestines a thianghlim theih nan a pui ang a, chu chuan natna kai theihna a ti tlem ang.
Surgery neih chhung hian eng nge thleng?
He surgery hi specialist team ten an ti a, chung zingah chuan bladder leh urinary tract surgeon (Urologist), anesthesiologist leh nurse te an tel a ni.
Pakhatnaah chuan anesthetized vek i ni ang. Hei hian engmah i hre lovang, i muhil vek dawn tihna a ni.
Tichuan surgeon chuan:
1. I scrotum leh anus (perineum) inkar hmunah hian incision te tak te tak tak siam a ni.
2. Urethra chu zawi zawiin a chhuak a.
3. Tichuan, a hmaa kan sawi tawh surgical tape (sling) kha uluk takin urethral bulb vel ah kan dah a.
He tape hian urethra chu hmun thar, a remchang zawkah a dah leh thin. Hei hian chu hmunah chuan pressure a tisang a, bladder neck tan pawh support tha tak a pe bawk. Surgery hi darkar khat vel a ni tlangpui.
Operation hnuah eng nge i beisei theih ang?
Surgery zawhah i hriatna a lo chhuah leh a, i dinhmun a nghet leh hma loh chuan recovery room-ah dah i ni ang.
- A tam zawkah chuan, hei hi outpatient procedure a ni , mahse, a then phei chuan, damdawi inah zan khat i awm a ngai mai thei.
- Surgery zawhah a tir lamah chuan zun a harsa thei a, hei hi a hring vang a ni. Ni engemaw zat chu urinary catheter awmna hmunah i dah a ngai mai thei. Vawikhat chu a hring a tlahniam chuan i zun pangngaiin i zun thei tawh ang.
- Dam hnuah chuan harsatna awm lovin a pangngaiin i zun theih tur a ni.
He surgery hian eng hlawkna leh hlawhtlinna rate nge a neih?
He surgery thatna ber chu zun insum theih lohna buaina hlawhtling taka chinfelna a nih vang a ni. Chubakah chuan:
- Incision te tak te a nih avangin a dam nghal vat thin.
- Hliam lian tham a hnutchhiah dawn lo.
- Recovery hun hi a rei lo hle.
- He sling hi taksa chhungah a awm vek avangin pawn lam atanga hmuh theih a ni lo.
Hlawhtlinna leh dam rei
He surgery hi a hlawhtling hle. Tun hnaia zirchianna hrang hrangah chuan he surgery nei mipa 80% vel chuan an zun theih lohna chu an titawp vek emaw, nasa takin an ti \ha emaw tih an hmuchhuak. Sling hi kum 10 atanga kum 15 chhung a daih tlangpui.
Side effect emaw risk awm thei te chu engte nge ni?
Surgery dang ang bawkin hlauhawmna engemaw zat a awm a, mahse harsatna erawh a awm tlem hle.
| Side Effect / Risk a awm thei | Hrilhfiahna |
|---|---|
| Zun theih lohna (Urinary retention) . | Surgery hnua lo awm thei harsatna tlanglawn tak. Urethral catheter hi kar engemaw zat a hmunah dah belh a ngai mai thei. A tlem hle a, hei hi siamthat nan operation dang neih leh a ngai mai thei. |
| Thisen chhuak | Surgery na hmun atang hian thisen chhuak tlem a awm thei bawk. |
| Kaichhawng | Incision emaw urinary tract emaw ah natna kai theihna a awm. |
| Incontinence lo awm leh thin | Hun kal zelah zun insum theih lohna buaina hi a lo awm leh theihna chance tlemte a awm. |
| Overactive bladder symptoms a awm thei | A lan chhuah dan chu zun tam (`urinary frequency`), zun a ngai thut (`urinary urgency`), emaw, zun chhuah tumin zanah tho a ngai (`nocturia`) te pawh a ni thei. |
Dam leh nitin hnathawh tan leh
Dam leh hun chhung hi mi hrang hrangah a inang lo.
- Dam lehna: Mi tam zawk chu kar khat chhungin an dam tan a, mahse a dam kim theih nan kar engemaw zat a ngai thei.
- Hnathawh lama kir leh: Desk hna i neih chuan ni engemaw zat hnuah hna i thawk leh thei tlangpui. Mahse, thil rit phurh emaw, taksa chakna emaw i neih chuan tlem tal chawlh i lak a ngai mai thei.
- Sex hman dan: Operation hnua sex hman leh chu engtikah nge a him tih doctor zawh a pawimawh.
Engtikah nge Doctor i hmuh ang?
Operation hnua in lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
- I zun theih loh chuan .
- I zun (hematuria) ah thisen a awm chuan.
- Infection chhinchhiahna a awm chuan (khawsik, khawsik, sesticles hring ang chi).
- I beisei angin result i hmu lo a nih chuan emaw, hun engemaw chen hnuah zun insum theih lohna harsatna a lo awm leh a nih chuan chu chu i doctor nen pawh sawipui rawh.
Take-Home Thuchah a ni
- Mipa Sling surgery hi urinary incontinence na lo leh na lo tak, a bik takin prostate surgery hnuah enkawlna tha tak leh him tak a ni.
- Hei hi incision lian tak ngai lo leh dam thuai theihna tur surgery a ni.
- Surgery hlawhtlinna rate hi a sang hle (80% vel) a ni.
- Operation i tih hmain i doctor nen i damdawi ei zawng zawng leh i ngaihtuahna zawng zawng chu zalen takin sawipui rawh.
- Operation hnua natna lan chhuahna na tak tak, zun theih lohna, khawsik sang, natna hrik kai theihna chhinchhiahna i neih chuan damdawi lam thurawn zawng nghal rawh.
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