Nervous system lama harsatna a awm avangin bladder control a bo em? (Neurogenic Bladder) chungchang hi han sawi ila.

A tlangpuiin zun duhna kan nei a, chu chu kan thunun a, bathroom kan luh hma chu kan nghak thin. Heng zawng zawng hi kan thluak, kan ruhro, nerve leh kan bladder inkara thawhhona mak tak hmanga thleng a ni a, chungte chu computer system ang maiin a thawk a ni. Mahse, heng thuchahte kengtu nervous system-a harsatna a awm avangin bladder control kan hloh a nih chuan eng nge thleng ang tih han ngaihtuah teh. Chu chu damdawi lam chuan ‘Neurogenic Bladder’ kan tih chu a ni.

A awlsam zawngin Neurogenic Bladder hi eng nge ni?

Nervous system hian kan taksa pum puiah electrical signal ang maiin thuchah a thawn chhuak thin. He nervous system hi a bulpui pathum atanga siam a ni a:

• Thluak
• Spinal cord a ni
• Nerves a awm

Heng nerve te hian i thluak ah i bladder a khat tih signal an thawn thin. Tichuan, i thluak atanga signal lo chhuak chuan i bladder-ah message a thawn leh a, "Tun hi zun hun dik tak a ni," tih a ni. He signal hi kan dawn chuan bladder muscle te chu a inzawm khawm a, zun a chhuak thin.

Neurogenic Bladder an tih dinhmunah chuan thluak, ruhro emaw nerve-a harsatna a awm avangin he signaling system hi a buai a ni. Hei hian bladder control a hloh vek thei a ni. Chu chu bladder chu a thawk nasa lutuk emaw, a hnathawh a tichhe emaw tihna a ni.

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

Neurogenic Bladder hi chi hnih ah then theih a ni a, chu chu a thlentu nerve tihchhiat dan azirin a ni. Hei hi hriatthiamna chuan i symptoms te chu a hrethiam zawk thei che a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Neurogenic bladder chhinchhiahna langsar ber chu zun control theih lohna hi a ni. Mahse, i neih chi hrang hrang a zirin symptoms a inang lo thei.

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

Neurogenic Bladder thlen thei thil engemaw zat a awm. Ṭhenkhat chu pianpui an ni a, ṭhenkhat erawh chu natna emaw, naupan laia thil thleng vang emaw a ni thei.

Pianpui atanga lo awm thei te:

• Spina bifida: Hei hi ruhro (spinal cord)-a harsatna awm, pian tirh atanga lo awm a ni.
• Cerebral palsy: Thluak hmasawnna tichhe thei natna a ni.
• Caudal regression syndrome: Ruh hnuai lam a thang chak lo.

A hnu lama lo awm chhan awm thei te:

• Central nervous system tumors: Cancer emaw tumor dang emaw, thluak emaw, ruhro emaw a lo awm.
• Multiple sclerosis (MS): Natna pakhat, nerve sheath tichhe thei.
• Parkinson’s disease: Thluaka nerve cells te tichhe thei natna a ni.
• Stroke: Thluak-a thisen kalna tihtawp.
• Spinal cord hliam: Tlu, car accident, etc. vang a ni.
• Diabetes Mellitus: Hun rei tak chhunga zunthlum thunun loh chuan nerve a tichhe thei a ni.

Side effect awm thei (complication) 1.1.

Neurogenic bladder hi uluk taka enkawl a nih loh chuan hriselna lama harsatna dang a thlen theihna a sang zawk.

• Kidney chhiat: Zun retention vangin bladder-a pressure a sang a, chu pressure chuan kidney a nghawng thei a ni.
• Frequent urinary tract infections (UTIs): Bladder khar kim loh chuan bacteria te tan boruak tha tak a siam thin.
• Urinary stones: Lung hi bladder emaw kidney-ah emaw a lo awm thei.
• Vesicoureteral reflux: Hei hi thil hlauhawm tak a ni a, zun chu bladder atanga kal (kidney)-ah hnunglam hawiin a luang lut thin.

Hêng taksa lama harsatnate bâkah hian rilru lam nghawng lian tak a awm thei bawk . Zun a chhuah hlauhna hian inpawh emaw, zin emaw pawh a hlau thei hle. Chu chuan lungkhamna, lungngaihna, leh mahni chauhna rilru a thlen thei a ni . Hetiang rilru put hmang hi i tawng a nih chuan i doctor hnenah hemi chungchang hi sawipui zak suh.

He natna hi engtin nge doctor hian a hriat theih ang?

Doctor i pan hunah i natna lan chhuah dan chu ngun takin a ngaithla ang. Tichuan, an enfiah ang che. Neurogenic bladder condition rinhlelh a nih chuan nervous system leh bladder nena inzawm test bik thenkhat neih an rawt ang.

• Cystoscopy: Tube ang chi camera te tak te hmanga zunthlum leh zunthlum chhung lam enfiah.
• Imaging test hrang hrang:CT scan, MRI scan, leh ultrasound ang chi test te.
• Urodynamic testing: Hei hi test bik deuh a ni. I zun engzat nge a chelh theih tih te, zun chhunga pressure te, zun kal chak dan te, leh zun a chhuah that dan te a teh a ni.

Heng test te hi i tih zawh hian, bladder leh urinary system lama tui doctor, urologist -ah an hruai thei che a ni.

Hei hi eng enkawlna nge ni?

Enkawl dan tur ruahmanna chu i dinhmun leh i natna lan chhuah dan a zirin a innghat a ni.

1. Nunphung tihdanglam

Pakhatnaah chuan doctor chuan thil awlsam tak hmangin hei hi thunun a tum thin.

• Bladder ti na thei ei leh in (coffee, zu, carbonated drinks) ei loh tur.
• Constipation control: Constipation hian bladder-ah pressure a siam thei bawk.
• Bladder training: I zun hun te, i zun zat te, leh duh loh zawnga i zun chhuah apiang diary-ah ziak turin an ti che a ni. Hei hian a hun takah zun chhuah i zir theih nan a pui ang che.
• Kegel exercise: Heng exercise te hian pelvic floor muscle te a tichak a, zun control a tichak thei bawk.

2. Damdawi chi hrang hrang

Damdawi chi hrang hrang, bladder muscle ti hahdam thei emaw, contraction tichak thei emaw a awm. Entirnan, i doctor chuan damdawi Oxybutynin, Tolterodine, leh Mirabegron te a pe thei ang.

3. Catheter hmanga tihchhuah

Hetiang method hi bladder a empty tha lo a nih chuan a pawimawh hle.

• Self-catheterization: Ni khatah vawi tam tak tube fai leh te tak te (catheter) hmanga i bladder khar vek dan tur zirtir i ni ang. Hei hi a tir lamah chuan thil harsa tak angin a lang thei a, mahse i hman thiam tawh chuan a awlsam tawh hle ang.
• Continuous catheterization: A then phei chuan continuous catheter hman a ngai thei bawk.

4. Enkawlna leh surgery dang

Enkawlna dang a hlawhtlin loh chuan i doctor chuan a hnuaia mite hi a ngaihtuah thei ang:

• Botox injection: Bladder muscle-ah hian Botox hi inject a ni a, chu chu a inzawm lutuk loh nan a ni.
• Inzai:Bladder chakna tihpunna tur surgery (augmentation cystoplasty) emaw, zun kalna kawng thlak danglam tura surgery (urinary diversion) emaw hi thil awm lo tak takah chuan a ngai thei a ni.

I doctor chuan a sawipui ang che a, eng enkawlna nge i tan a tha ber tih a rel ang.