Tin, zun mumal pawh i harsat em? Non-Neurogenic Voiding Dysfunction chungchang hi i zir dawn nia!

A chang chuan zun harsa i ti thin em ? A nih loh leh i zun zawh hnuah i bladder chu a hring vek lo ang maiin i hria em ? Beisei loh takin zun pawh i leak mai thei. Hei hi i tan chauh ni lovin, mi tam tak tan pawh harsatna a ni. Vawiin hian urinary incontinence chungchang kan sawi dawn a , chu chu neurological problems engmah avanga lo awm lo a ni . Damdawi lamah chuan hei hi ``Non-Neurogenic Voiding Dysfunction'' kan ti a.

Non-Neurogenic Voiding Dysfunction hi eng nge ni?

A awlsam zawngin sawi ila, hei hi i bladder i khar vek theih lohna condition a ni. Heta "non-neurogenic" tih thumal hian i nervous system, chu chu i thluak, i ruhro, i nerve-a harsatna awm vang a ni lo tihna a ni. "Voiding dysfunction" tih awmzia chu zun chhuah dan a dik lo tihna a ni.

Hetiang dinhmun hi tu pawhah a awm thei. A tam zawkah chuan hei hi bladder muscle chak lo vang te, zun kawng khawi emaw laiah blockage vang te, hun rei tak atanga kan lo tih tawh thin thil tha lo vang te pawh a ni thei. Mahse, he natna hi naupang kum 4 leh 6 inkar toilet training nei tawh leh hmeichhia kum 40 chunglam ah a tam zawk a, han ngaihtuah teh, naupang kum 4 leh 6 inkar panga zinga pakhat vel chuan he `(Non-neurogenic voiding dysfunction)` avang hian nitin an zun a ngai thin. Tin, hmeichhia kum 40 chunglam zinga 6% aia tam chuan he natna hi an nei bawk.

Hetiang natna lan chhuah dan hi engte nge ni? (Non-Neurogenic Voiding Dysfunction natna lan chhuah dan)

Heng mizia te hi i nei em tih en rawh:

• Zun tan a harsa em ? A nih loh leh i zun laiin i strain a ngai em ?
• Urinary tract hi a zim hle em? A nih loh leh zun kawng a intan a, rei vak lo a tawp a, a tan leh thin em?
• I zun dawnin i pum ruh hi i tikhauh tur em ni ? Nge i pum hnuai lam chu kut pahnihin i chelh tur em ni?
• I zun zawh hnuah pawh i bladder a hring lo ang maiin i hria em ?
• I constipated em ? (Hei pawh hi a inzawm fo bawk)
• I zun dan pangngai aia tam (zun fo thin) nge a tlem zawk?
• Zun engemaw zat i leak palh em (urinary incontinence)?
• Zun chhuah (urge incontinence) hmanhmawhthlak takin i hria nghal em?
• Zana mut laiin vawi khat aia tam zunChutiang ti tur chuan i tho a ngai em (nocturia)?

Naupang tê tête hian mizia bik an neih theihte chu:

Naupang tê tête hian he natna hi an neih chuan hetiang hi an lantîr thei a ni:

• Nitin (toilet training zawhah pawh) i thawmhnaw hnim hnim .
• Zun ah hian thil chi hrang hrang tih theih a awm a . Entir nan:
• Ka ke chu a cross a.
• Thut lai chuan squatting.
• An ke chu an kut emaw, an kekawrte emaw hmangin an vawn tlat a ni.

I fain heng thil a tih lai i hmuh chuan tlem chuan i ngaihtuah tur a ni.

Eng thilin nge hei hi a thlen? (Non-Neurogenic Voiding Dysfunction awm chhan)

Hetiang dinhmun hi a chhan lian tak tak engemaw zat a awm a:

• Bladder muscle chak lohna.
• I zun kawng khawi emaw laiah blockage a awm a.
• A rilru a buai em em a, a rilru a hah em em bawk a. Overactive bladder (overactive bladder).
• Bladder hi a thawk tha lo tihna a ni a, chu chu zun chhuah ngai (``underactive bladder'') a awm lo tihna a ni.
• Constipation (hei hi a chhan pawimawh tak a ni).
• Zun kawng natna (UTIs) te.
• Even though you need to urinate , i ngaihthah a, i bladder a khat hma chu i nghak a, chutah chuan i zun leh ang.
• Mipaah ​​chuan prostate gland lian tak (Benign Prostatic Hyperplasia - BPH) a ni.
• Prostate cancer a ni.

Naupang tê têah chuan hei hi "dysfunctional elimination syndrome" an tih natna vang pawh a ni thei a, chu chu bladder-a taksa ruh leh nerve-te'n an thawh dun ṭhat loh vang a ni.

Hetiang dinhmun avanga harsatna awm thei te chu engte nge ni?

I bladder a khar kim loh chuan zun la awma bacteria awm hian natna a thlen thei a ni. Entirnan, zun kawng natna (UTIs). Tin, kidney stone emaw bladder stone emaw i nei tam zawk bawk. A chang chuan he harsatna hi a zual zel chuan kal (kidney) pawh a tichhe thei a ni.

A pawimawh ber chu zun chungchangah harsatna eng emaw tak neih hian rilru lamah pawh a nghawng thei che a ni. Mi tam tak chuan an zun an thunun theih loh avangin an mualpho a . Tin, "Mi dangte tana phurrit ka ni em?" Heng symptoms te nen hian nitin hnathawh i chawlhsan reng a ngai a nih chuan. Hei vang hian khawtlang atanga i inhlat a nih chuan lungkhamna leh lungngaihna ang chi natna khirh tak tak i tawk thei bawk.

Engtin nge doctor-te hian non-neurogenic voiding dysfunction hi an hriat theih?

Doctor chuan non-neurogenic voiding dysfunction chu i medical history zawtin leh taksa enfiahna hmangin a hmu thei a ni. Hmeichhia tan pelvic exam emaw, mipa tan digital rectal exam emaw a ti thei bawk.

Chu bakah, i doctor chuan "bladder diary" ziak turin a ti thei bawk. Chutah chuan heti hian i ziak ang:

• Ni khatah tui engzat nge i in thin?
• Engtik lai nge i zun thin ?
• Vawi khatah zun engzat nge i pass thin?
• Engtikah nge leh engtin nge tum loh takin zun a chhuah?

He information hmang hian doctor chuan test dang engemaw zat a nei thei bawk a, chu chuan a natna hmuhchhuah chu a nemnghet thei a ni.

Eng test nge tih thin?

Doctor chuan heng test zinga pakhat emaw a aia tam emaw a ti thei ang:

• Prostate-specific antigen (PSA) test: Hei hi thisen test a ni. PSA level sang tak a zawng thin. PSA level a san chuan prostate gland-ah harsatna a awm thei.
• Urinalysis: Hei hian urinary tract infection (UTI) i neih leh neih loh hriat nan a pui thei a ni.
• Ultrasound scan: Hei hian i zun hnuah i zun (bladder) chhunga zun awm zat a enfiah thin . He natna hian i kal (kidney) a nghawng em tih pawh a enfiah thei bawk.
• Urodynamic testing: Heng test te hian i bladder hian zun engzat nge a chelh theih tih leh i bladder, urethra leh pelvic floor-a muscle te hian an thawk dun tha em tih te a teh a ni.
• Cystoscopy: He test-ah hian doctor chuan i urethra kaltlangin instrument sei tak, te tak te (camera attached) a dah lut a, i urethra leh bladder-ah harsatna a awm leh awm loh a enfiah thin.

Naupang naupang zawk tan chuan heng test te hi a invasive lo fo thin. Doctor chuan zun diary ziak turin a ti thei che a, thisen test, zun enfiah, ultrasound leh urodynamic test thenkhat chauh tih a rawt thei bawk.

Hei hi engtin nge enkawl a nih? (Engtin nge enkawl a nih?)

He natna (Non-neurogenic voiding dysfunction) enkawlna hi a chhan a zirin a inang lo. Enkawlna atan hian:

1. Bladder training neih a ni

I bladder muscle te chu zun rei zawk vawn turin i training thei bawk. Chumi awmzia chu nitin toilet-ah hun pangngaiah i kal a ngai tihna a ni a, i kal ngai lo nia i hriat pawhin . Hei hian i bladder a luang chhuak lo tur chu a titawp thei a ni. Hemi kawngah hian pelvic floor problems lama tui tak physical therapist chuan a pui thei che a ni.

2. Pelvic floor muscle exercise (Pelvic floor therapy) tih hi a tha hle.

A bik taka training nei physical therapist chuan awlsam zawka i zun theih nan i pelvic floor muscle te tih hahdam dan tur a zirtir thei che a ni. I vagina emaw rectum emaw ah "biofeedback sensor" an dah thei bawk a, chu chu i taksa ruh dik tak i exercise tih chian nan a ni.

Tin, i pelvic floor muscle tichak turin Kegel exercise an zirtir bawk ang che. Pelvic floor muscle chak tak hian zun inthiar theih lohna a veng a, incontinence a tichak bawk.

3. Damdawi chi hrang hrang

Zun lama harsatna tihziaawmna tur damdawi a awm. Entirnan:

• Alpha-blockers, entirnan tamsulosin (Flomax®) te hi a ni.
• Urinary antispasmodics, oxybutynin (Ditropan®) leh tolterodine (Detrol®) te hi a ni.

4. Botulinum toxin a awm

I doctor chuan i bladder-ah botulinum toxin (Botox®) a inject thei a ni. Hei hian bladder muscle a ti hahdam a, urge incontinence a ti tlem bawk.

5. Percutaneous tibial nerve tihchak (PTNS) hmanga tihchak a ni.

A chang chuan, i bladder muscle te tichak turin i nerve te hi "boost" tlem i pek a ngai thin. PTNS ah chuan i doctor chuan i ke ruh chhunga i tibial nerve bulah electrode a dah a. Tichuan, electrode-ah electrical signal nem tak tak an thawn thin. Hei hian tibial nerve a tichak a, chu chu i pelvis chhunga sacral nerve-ah a kal leh thin. Hei hian sacral nerve atanga urinary sphincter, bladder leh pelvic floor muscles lama signal pangngai lo chu a titawp a, bladder control leh theihna turin a pui che a ni.

6. Sacral nerve tihchakna

Hetiang procedure-ah hian i doctor chuan i hnute chungah chiah vun hnuaiah electrode a dah ang. Heng electrode te hian vun hnuaia kal wire (probe) te tak te hmangin sacral nerve ah electrical signal nem tak tak an thawn thin. Heng signal te hian i bladder chhunga muscle te chu contract turin a tichak a ni.

7. Mahni catheter hmanga insiam (self-catheterization).

Urinary catheter chu i bladder-ah a hun takah i dah thei a, i zun chu bag-ah i khawl khawm thei bawk. I doctor chuan hetiang tih dan tur (self-catheterization) a entir ang che.

8. Surgery tih a ni

Enkawlna dang a hlawhtlin loh chuan i doctor chuan bladder augmentation surgery (cystoplasty) neih a rawt thei ang. He surgery hian i bladder a ti lian a chuvang chuan zun tam zawk a vawng thei a ni .Thil tam tak ka tuar thei.

Non-neurogenic overactive bladder enkawlna hmasa berte chu engte nge ni?

He natna hi a hnuaia mi hi first-line treatment a ni tlangpui:

• Bladder tana chhiatna thlen thei ei leh in (tea, coffee, zu, spicy emaw acidic foods) tihtlem.
• Bladder training neih a ni.

Heng nungchang inthlak danglamna hian a puih loh chuan doctor-te chuan heng ang damdawi hi an pe thei a, chu chu non-neurogenic voiding dysfunction chi hrang hrang a zirin a ni:

• Anticholinergics hmanga siam a ni
• Alpha-blockers te pawh a awm
• Beta 3 receptor agonists te hi a awm a

Naupang tê têah hian engtin nge he natna hi enkawl a nih?

Alpha-blockers leh anticholinergic damdawi te hian naupang te te overactive bladder enkawlna kawngah a pui thei a ni. Naupang thenkhat chu pelvic floor exercise tih tir theih an ni bawk.

Doctor chuan bladder training pawh a rawt thei bawk. Entîr nân, naupang chu hun ruat saah toilet-a kal tûra fuih leh toilet-a dinhmun dik tak zirtîr.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

Enkawl dan azirin a danglam thei. Bladder training leh pelvic floor exercise te hian kar engemaw zat emaw thla engemaw zat emaw hnuah hna a thawk tan thei a ni. Nerve stimulation hian kar tlemte hnuah hna a thawk tan tlangpui. Damdawi hian ni engemaw zat emaw, kar tlemte emaw hnuah hna a thawk tan tur a ni. I doctor chuan hei hi ngaihtuahna tha tak a pe ang che.

Engtikah nge Doctor ka hmuh ang?

Toilet kal chungchanga heng harsatnate hi i hriat tan tirh veleh doctor nen inbiakna neihpui rawh:

• Hun rei tak zun theih lohna.
• I zun a inthlak danglam : Entirnan, rim na tak, rawng dum, emaw zun chhunga thisen (hematuria).
• Zun laiin natna (dysuria).
• Constipation symptoms awm reng.
• Hri kai chhinchhiahna: khawsik, khawsik, lu na.

Doctor i hmuh hunah heng zawhnate hi i zawt thei bawk ang:

• Engtin nge `(Non-neurogenic voiding dysfunction)` ka nei tih i hriat?
• Ka dinhmun chhan chu eng nge ni?
• Eng enkawlna nge min rawt?
• Chu enkawlna chuan eng side effect nge a neih?
• Chu enkawlna atanga result hmuh tur chuan eng chen nge a la ngai ang?
• Ka natna lan chhuah dan tihtlem nan eng nunphung tihdanglam nge i rawt?
• Eng complication nge ka fimkhur tur?
• Urologist ka hmuh tur em ni?

Hei hi ven theih a ni em?

He natna (Non-neurogenic voiding dysfunction) hi i nunphung leh ei leh in lama inthlak danglamna siamin i pui thei ang. Chûng zîngah chuan:

• Bladder tana tha lo ei leh in tur tihtlem: Caffeinated beverages (coffee, tea), citrus fruits (orange, limes ang chi), spicy foods, leh zu te hian bladder a tichak vek a, zun kawngah harsatna a thlen thei bawk.
• Fiber tamna ei tur tam zawk ei: Constipation hian he natna hi a thlen thei a, a ti na zual thei bawk. Bean, thei, thlai leh buh chi (whole-grain bread, oats, quinoa, brown rice, leh whole-grain pasta) tam zawk ei hian fiber i hmu thei a ni. Constipation atan hian laxatives (` laxatives ') i ei thei bawk. Mahse, laxatives ei hmain emaw, naupang hnena pek hmain doctor nen inbia tur a ni.
• I tana taksa rihna hrisel tak vawn reng: I body mass index (BMI) 25 aia tam a nih chuan (i thau lutuk) chuan i bladder-ah pressure a siam thei a, zun a chhuak thei bawk.
• Meizial zuk bân: Zuk leh hmuam siamtu ber nicotine hian zuk leh hmuam chhunga ruh (muscles) a tichak thei a ni. Meizial zutute pawhin khuh rei tak an nei tam zawk a, chu chuan bladder-ah pressure a siam thei a ni.

Non-neurogenic voiding dysfunction ka neih chuan eng nge ka beisei theih ang?

Hetiang natna vei te tan chuan hmalam hun a tha hle. Enkawlna hmang hian mi tam zawk chuan an bladder an control thei a ni. Bladder tihzauh nan operation (cystoplasty) neih a ngai lo.

Non-neurogenic leh Neurogenic Voiding Dysfunction te hi eng nge an danglamna?

Neurogenic voiding dysfunction (neurogenic bladder tia hriat bawk) hi i nervous system tichhe thei a ni. Chumi awmzia chu i thluak, nerve, spinal cord-a harsatna a awm avangin i bladder i control thei lo tihna a ni.

Mahse, vawiin a kan sawi tawh ``Non-neurogenic voiding dysfunction'' hi nervous system inrawlhna awm lovin a awm a ni.

Hriat reng tur pawimawh ber: Non-Neurogenic voiding dysfunction (NNOVD) hi nunna atana hlauhawm tak a ni a, naupang leh puitling pawh a nghawng thei a ni. Mualphona leh nuam lo tak a ni thei. Tin, a tul hunah i zun loh tur ang maia inhriatna a thlen thei bawk. Mahse, he dinhmun hian i nunphung a nghawng duh lo. Nangmah emaw, i hmangaih tak emaw hian heng symptoms te hi i nei a nih chuan doctor nen inbia ang che. A chhan zawng chhuakin enkawl turin an pui thei che a ni.

Thupui tawi (Take-Home Message) 1.1.

Okay, chuti a nih chuan tunah chuan vawiin a kan sawi tawh, ``Non-Neurogenic Voiding Dysfunction'' kha i hrethiam tawh hle. Hei hi nervous system a malfunction mai mai a ni lo.Hei hi a pawimawh ber a ni. Bladder muscle chak lohna te, zun kawng tikhawtlai te, nungchang tha lo te, leh constipation te hian hetiang hi a thlen thei a ni.

• Symptoms: Zun harsa , zun insum theih lohna, bladder empty kim lo, duh loh zawnga zun , naupang nitin zun , etc.
• Diagnosis: Damdawi lam test, zun diary, ultrasound, leh urodynamic test hmangin.
• Enkawlna: Nunphung thlak danglam, bladder training, pelvic floor exercise, damdawi, leh therapies bik thenkhat.
• Pawimawh: Symptoms i neih chuan zak suh la, doctor thurawn la rawh. Enkawl tan hma chuan harsatna a veng thei a ni.

Hemi chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

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