I zun control pawh i harsat em? A chhan chu nervous system-ah a ni mai thei! (Neurogenic Bladder) tih a ni.

A chang chuan i bladder control thei lo ang maiin i inhria em ? Zun a ngai tih i hre thut em, a nih loh leh zun tha thei lo ang maiin i inhria em? Hei hi thil dang mai a ni lo va, i nervous system-a harsatna engemaw vang pawh a ni thei. Chu chu medical lamah chuan Neurogenic Bladder kan tih chu a ni. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.

A awlsam zawngin Neurogenic Bladder hi eng nge ni?

I taksa hi electrical circuit complex tak angin ngaihtuah rawh. Thluak hi master control center a ni. Thuchahte chu thluak atanga taksa peng zawng zawngah nerve hmangin a kal thin. I bladder a khat chuan thluak hnenah signal a thawn a, "Okay, tunah chuan bladder a khat tawh a, i empty a ngai a ni," a ti. Tichuan, a hun a lo thlen chuan thluak chuan i bladder chhunga muscle te chu contract turin signal a thawn a, chubakah zun kalna tur kawng hawn nan signal a thawn bawk. Heng zawng zawng hi nervous system kaltlangin a thleng vek a ni. Neurogenic Bladder an tih dinhmunah chuan thluak, ruhro emaw, nerve emaw a tihchhiat avangin he signaling system hi a buai thin. Miswire ang mai a ni. Chuvang chuan bladder hian message dik tak a dawng lo a, a nih loh leh message dik lo a dawng bawk. Chuvang chuan i bladder control i hloh thei a ni.

Neurogenic Bladder hi chi hnih a awm a, chungte chu:

Nervous system a chhiat dan azirin Neurogenic Bladder hi chi hnih lian takah then theih a ni. 1. Overactive Bladder (Spastic Bladder): Hetiang a nih chuan bladder hi a inzawm fo a, thunun theih lohvin a inzawm khawm thin. A dik tak chuan thluak hian a bladder chu a khat tawk chauh a nih pawhin a hring chhuak turin signal a thawn chhunzawm zel a ni. Hei hian bladder chu zun tam ngai ang maiin a siam a, zun chhuah nghal duhna a siam bawk. 2. Underactive Bladder (Flaccid Bladder): A kalh zawng a ni. Bladder muscle te hian contract dik tak an dawng lo. Chuvangin, bladder a khat lai pawhin a hnawh chhuah vek a harsa hle. Zun chu bladder-ah a awm reng thei.

Hetiang natna lan chhuah dan hi engte nge ni?

Neurogenic Bladder i neih chi hrang hrang a zirin symptoms a inang lo thei. Heng symptoms te hi eng nge ni tih han thlir ila.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Neurogenic Bladder hi a chhan awm thei tam tak a awm. Ṭhenkhat chu pianpui (congenital conditions) an ni a, ṭhenkhat erawh chu natna emaw, naupan laia thil thleng emaw avanga lo awm thei a ni.

Pianpui atanga lo chhuak a ni

• Spina bifida: Hei hi pian tirh atanga ruhro (spinal cord) a lo thang tha lo a nih chuan a lo awm thin a ni.
• Cerebral palsy: Thluak hmasawnna tichhe thei natna a ni.
• Caudal regression syndrome tih hi a awmzia a awm lo.Lower spine a lo thanglian tha lo.

A hnu lama a chhan

• Spinal cord injuries: Accident emaw tlu emaw avanga spinal cord chhiatna.
• Nervous system tichhe thei natna: 1.1.
• Multiple sclerosis ( MS ) natna a ni.
• Parkinson natna a ni
• Stroke a awm
• Central nervous system tumors: Thluak emaw, ruhro emaw a lo awm thin.
• Zunthlum: Hun rei tak chhung zunthlum vei hian nerve a tichhe thei a ni.

Hemi avanga harsatna (complication) dang lo awm thei te

Neurogenic bladder hi uluk taka enkawl a nih loh chuan hriselna lama harsatna dang a awm thei bawk.

• Frequent urinary tract infection (UTIs): Zun kawngkhar chhunga zun awm reng hian bacteria lo thang lianin natna thlen theihna a tipung a ni.
• Kidney chhiatna: Kidney chhiatna hi bladder-a pressure sang vang emaw, zun hnunglam hawia kal ( vesicoureteral reflux ) vang emaw a ni thei.
• Urinary stones: Lung hi bladder emaw urinary system-ah emaw a lo awm thei.
• Psychological impact: I zun control theih lohna hian mipui hmaa chhuah zak leh hlauhna a thlen thei. Hei hian lungkhamna leh lungngaihna a thlen thei a ni . Heng rilru put hmangte hi i doctor hnenah sawi hreh suh.

Engtin nge doctor hian hei hi a hmuh theih?

Heng symptoms te hi doctor i hrilh hian i medical history a zawt ang che. Tichuan, taksa enfiahna an nei ang. Neurogenic bladder nia rinhlelh a nih chuan a chhan dik tak hriat theih nan test eng emaw zat neih an rawt mai thei.

• Imaging test: I kal leh i bladder en turin ultrasound scan, CT scan , emaw MRI scan emaw tihsak i ni thei.
• Cystoscopy: Tube te tak te, camera hmanga siam chu urethra kaltlangin bladder chhung lam enfiah nan an kalpui thin.
• Urodynamic testing: Hei hi test bik a ni a, i bladder hian zun engzat nge a chelh theih tih te, bladder chhunga pressure te, zun kal chak dan te, i bladder a empty that dan te a teh a ni.

Heng test neih zawh hian urologist hnenah refer i ni thei bawk.

Engtin nge enkawl a nih? Hei hi tihdam theih a ni em?

Enkawl dan tur ruahmanna chu i natna lan chhuah dan, i natna nasat dan leh a chhan a zirin a ni.

1. Nunphung thlak danglam leh bladder training

Doctor chuan hetiang thil hi enchhin hmasa phawt turin a hrilh ang che.

• Bladder diary vawng rawh: Ni khatah vawi engzat nge i zun tih te, i zun zat te, eng nge i in tih te, engtikah nge zun i mamawh tih te, leh engtik lai pawha i zun palh tih te record la. Hei hian pattern pakhat i hriat theih nan leh a hun takah zun chhuah thiam turin a pui thei che a ni.
• Diet: Coffee, tea, zu, leh carbonated drinks ang chi thilte hian rang takin bladder a tichak thei a. Anmahni tihtlem a tha.
• Kegel exercise: Pelvic floor muscle tichaktu exercise a ni.

2. Damdawi chi hrang hrang

Bladder muscle contraction tam lutuk tihziaawm thei emaw, bladder ti hahdam thei damdawi a awm. Entirnan, damdawi `oxybutynin`, `tolterodine`, `mirabegron` ang chi te. Hengte hi damdawi lam thurawn hnuaiah chauh hman tur a ni.

3. Catheter hmanga tihchak

Hetiang method hi an bladder empty kim thei lo tan chuan a pawimawh hle.

• Self-catheterization: Ni khatah vawi tam tak i urethra-ah tube fai leh te tak te (catheter) dahin i bladder kha empty rawh. I doctor emaw nurse emaw chuan hetiang tih dan tur a kawhhmuh ang che.
• Continuous catheterization: Catheter hman chhunzawm zel theih a ni.

4. Enkawlna dang

• Botox® injection: Botox hi bladder muscle-ah inject theih a ni a, chu chuan an overactivity a ti tlem thei a ni.
• Surgery: Enkawlna dang a hlawhtlin loh chuan surgery tih ngaihtuah theih a ni. Entirnan, augmentation cystoplasty emaw, urinary diversion emaw tih theih a ni.

I doctor chuan i dinhmun atana enkawlna tha ber chu a sawipui ang che. Neurogenic Bladder, zun control, nervous system, bladder, bladder control sinhala, zun insum theih lohna sinhala, zun retention sinhala