Nang pawhin zun harsa i ti em? Posterior Urethral Stenosis chungchang hi han sawi ila!

A chang chuan zun chhuah tan harsa i ti em, a nih loh leh i zun kawng a zim ang maiin i inhria em? I zun zawh hnuah pawh zun a la awm ang maiin i inhria em, a nih loh leh i rilru a buai vek lo tih i hria em? Heng thilte hi a pangngai angin ngaihthah suh. A chhan chu hriselna lama harsatna awm thei chhinchhiahna an ni thei a ni. Vawiin hian hmeichhia aiin mipa a nghawng tam zawk, mahse a hun taka hriat leh enkawl a nih chuan a dam kim theih tur dinhmun kan sawi dawn a ni. Hei hi Posterior Urethral Stenosis (PUS) an ti a.

Posterior Urethral Stenosis hi eng nge ni?

A awlsam zawngin, hei hi i urethra hnunglam , i bladder atanga i taksa thlenga zun phurtu tube-a narrowing emaw constriction emaw a ni. "Stenosis" tih thumal hian narrowing tihna a ni. A chang chuan "urethral stricture" an ti bawk.

Tunah chuan, he "posterior urethra" hi eng nge ni? Hei hi i zunthlum hnaih ber urethra hmun a ni. A bik takin, bladder neck, external urethral sphincter muscle, zun control tu muscle leh prostate gland te a huam a ni. Mipa zunthlum hi a tlangpuiin inches 8 atanga 9 (centimetre 20 vel) a sei a ni. Hmeichhiaah chuan inches 1.5 (centimetre 3-4) chauh a ni. Chuvangin, mipaah ​​hian he urethra sei tak chunglam, chu chu bladder hnaih ber inches 1-2 vel chu posterior urethra an ti a.

Hetianga urethra a block hian, a bik takin a block nasat chuan zun chhuah a harsa hle thei. A châng chuan, i zun theih loh pawh a ni thei.

He dinhmun hi tuin nge hmu tam ber?

Posterior Urethral Stenosis hi a takah chuan hmeichhia aiin mipaah ​​a tam zawk. A chhan chu, a hmaa ka sawi tawh ang khan mipaah ​​chuan urethra hi a sei zawk vang a ni. Tin, he natna hi mipain prostate nena inzawm harsatna an neih theihna nen a inzawm thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi thil awm dan tlangpui a ni lo. A tam zawkah chuan chu hmuna natna dang enkawl hnuah a thleng thin. Prostate cancer enkawlna angin ngaihtuah la, chutiang hmuna accident lian tak a thlen hnuah pawh ngaihtuah rawh. A tlem hle a, he natna hi pian tirh atangin a awm thei. ``Congenital'' kan ti a. Hetiang dinhmun hi hmeichhiaah a tlem hle.

Eng nge a lan chhuah dan? Hengte pawh hi i nei em tih en rawh...

Heng symptoms zinga pakhat emaw a aia tam emaw i neih leh neih loh en rawh:

• Zun harsatna: Hei hi a lan chhuah dan ber a ni.
• Zun kawng a zim leh chak lohna.
• A tlangpui aia zun chhuah tlem zawk.
• Zun hnuah pawh bladder a hring vek lo tih hriatna ( Urinary Retention ).
• Zun laiin natna (Dysuria).
• Urinary tract infection (UTI) awm fo thin .
• Prostate Infection a awm thei.
• Zun dum emaw, zun chhunga thisen awm (hematuria).
• Pum natna.

Heng symptoms pakhat emaw pahnih emaw i nei a nih pawhin ngaihthah suh la, "Chu chu eng nge ni?" Damdawi lam thurawn lak a tha ber.

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

Ka sawi tawh ang khan he natna hi pianpui a ni thei lo hle. Mahse a tam zâwk chu accident emaw, damdawi lam enfiahna emaw, chu hmuna enkawlna an tih emaw vânga thleng a ni. Entirna tlemte chu hetiang hi a ni:

• Pelvic fracture hi pelvic area a fracture a , zun kawng a tichhia a ni. Mi pakhat chu hmun sâng aṭanga a tlu emaw, car accident-a a tlu emaw chuan hetiang thil hi a thleng thei ang tih han ngaihtuah teh.
• Prostate Cancer enkawl dan tur : 1.1.
• Radiation hmanga enkawlna a ni
• Thlai chi phun (Brachytherapy) 1.1.
• Pawn lam Beam Radiation Therapy (EBRT) hmanga enkawl a ni.
• Prostatectomy tih a ni
• Benign Prostatic Hyperplasia (BPH) natna vei enkawlna . Entirna pakhat chu Transurethral Resection of the Prostate (TURP) tih surgery hi a ni.

Hetiang thil avang hian zun kawng chu a hliam a, chu hliamte chu a dam chhoh zel chuan scar tissue a lo awm a, chu chuan zun kawng chu a tikhawlo ta a ni.

He natna hi enkawl loh chuan a zual thei ang em?

Ni e, a dik tak zet. Posterior Urethral Stenosis hi enkawl tha a nih loh chuan hun kal zelah a na zual thei. Hei hian dinhmun khirh tak tak a thlen thei a, chungte chu:

• Urinary tract infection (UTI) awm fo thin.
• Bladder a tichhe vek.
• Vesicoureteral reflux chu zun (bladder) atanga kal (kidney) thlenga hnunglam hawia luang chhuak a ni. Hei hi one-way pipe atanga tui chhuak leh ang mai a ni.
• Kidney a chhiat phah. Hei hi a hlauhawm hle mai.

Chuvang chuan a natna lan chhuah dan i hriat veleh Doctor pan vat a pawimawh hle. Hei hian heng ang harsatna lian tham tak takte hi a veng thei a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor i pan hunah i medical history a zawt hmasa ang a, i symptoms te a zawt ang a, chumi hnuah taksa enfiahna a nei leh ang. Chu bakah, an natna hriat chian nan test eng emaw zat an order thei bawk a, chungte chu:

• X-ray hmanga tih a ni.
• Ultrasound hmanga test a ni.
• Cystoscopy: Hei hi tube te tak te, camera te tak te, urethra atanga inzawmkhawm hmanga urethra leh bladder chhung enfiah nan pass a ni. Tlem chuan nuam lo deuhin a lang thei a, mahse hei hian a blockage awmna leh eng ang nge a nih tih chiang taka hriat theih nan a pui thei a ni.
• Retrograde Urethrogram: Hei hi X-ray test a ni bawk. Hetah hian urethra-ah thil bik (contrast dye) inject a, X-ray image lak a ni. Hei hian urethra chhunga blockage awm zawng zawng chu chiang takin a hmu thei a ni.
• Voiding Cystourethrogram (VCUG): Hei hian i zunthlum chu thil bik hmanga khat a, i zun laiin X-ray lak a ni. Hei hian i zun a luang dan te, blockage a awm em tih te, zun chu hnunglam hawia a luang em tih te (reflux) a hriat theih nan a pui thei a ni.

Heng test te zawhah hian doctor chuan Posterior Urethral Stenosis , i vei em tih chiang takin a hrilh thei che a, a awm a nih chuan eng chen nge i neih tih pawh a hrilh thei bawk che a ni.

Posterior Urethral Stenosis hi a dam kim thei em?

Awle! Hei hi chanchin tha ber a ni. He natna hi dik taka hmuhchhuah a nih a, a \ha taka enkawl a nih chuan tihdam theih a ni. Chuvangin hlauhna tur a awm lo.

Hei hi engtin nge enkawl a nih?

Enkawlna chu a chhan, scar tissue awm zat leh a block na hmun sei zawngah a innghat a ni. Tunah hian hemi atan hian damdawi hman tur a la awm lo. Enkawlna kawng hrang hrang pahnih a awm a, chungte chu:

1. Urethral tihzauh dan:

• Hei hian zunthlum (rods) sei tak, te tak te emaw, balloon ang chi emaw hmanga zun kawng khar chu zawi zawiin tihzauh a huam a ni.
• Hei hi a awlsam hle a, a invasive lo hle.
• Mahse hei hi chu solution nghet tak a ni lo . Hun engemaw chen hnuah a tang leh thei. Chuvangin he enkawlna hi vawi tam tak i tih a ngai mai thei.

2. Urethroplasty tih tur a ni:

• Hei hi surgery a ni . He surgery hian zun kawng chhia, block tawh chu a siam tha emaw, chu hmun chu a paih chhuak a, tissue hrisel tak hmangin a chhiatna chu a siam tha leh thin.
• Hei hi a chunga kan sawi tak `(Urethral Dilation)` method aiin result hlawhtling zawk pe thei method a ni . Hlawhtlinna rate hi 80% aia tam a ni. Mahse, surgery a nih avangin risk engemaw zat a awm a, a dam leh theih nan hun engemaw chen a ngai a ni.

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

Enkawlna hnuah eng harsatna nge thleng thei?

Enkawl hnuah pawh Posterior Urethral Stenosis a lo awm leh theihna chance a awm. Chuvang chuan doctor-in a sawi angin chhunzawm zel a pawimawh .Follow-up appointment neih a pawimawh hle a, chutiang chuan i dam leh tawh em tih leh harsatna lo awm leh tur chhinchhiahna a awm em tih i hmu thei ang.

Urethral Dilation (UD) hi vawi tam tak tih nawn a ngai mai thei a, mahse Urethroplasty hlawhtlinna hi a sang hle.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Mi tam zawk chuan ``Urethral Dilation'' an neih hnuah kar khat chhungin an dam tan thin. Mahse, ``Urethroplasty'' surgery atanga a dam kim theih nan kar hnih atanga kar thum vel a ngai thei.

Hetiang dinhmun laka inven dan tur a awm em? (Invenna) 1.1.

Hei hi a thlentu zawng zawng hi ven a harsa hle. Entirnan, cancer enkawlna ang chi thil te hi a tul chuan tih theih a ni. Mahse, hliam tuar lo turin i bei a, a bik takin pelvic area -ah chuan he natna hi i vei theihna tur i tihtlem thei a ni .

Hemi chungchangah hian i tih theih thenkhat chu hetiang hi a ni:

• Lirthei i chuan apiangin seatbelt vuah thin ang che.
• High-impact sport (e.g. hockey, football, karate, lacrosse)-ah chuan invenna padding/equipment dik tak ha rawh.
• Ruh chakna siamtu ei leh in zawm tur. Calcium leh vitamin D tamna ei tur ei thin ang che.
• I doctor hnenah ruh hloh ti tlem thei damdawi bisphosphonates te zawt la.
• Ruh tichaktu exercise ti la, a bik takin taksa rihna tizau thei thil ti rawh.
• Meizial zuk bansan la, zu in khap rawh. Meizial zu leh zu in nasa hian i ruh density a tichhe thei a ni.

Hetiang dinhmun hi a awm chuan eng nge thleng ang? Nakin hun chu eng nge ni? (Prognosis) tih a ni.

Posterior Urethral Stenosis awm theihna tur thlirna hi a tlangpuiin a tha hle. Enkawlna hian urethra block chu a tizau thei a, a siam tha thei a, a paih thei bawk. Mahse, ka sawi tawh ang khan he natna hi a lo awm leh thei a ni. Chuvangin doctor-in a tih angin regular checkup neih chhunzawm zel a pawimawh.

Engtikah nge Doctor ka hmuh ang?

Posterior urethral stenosis (PUS) , a bik takin i zun dan a inthlak emaw, i zun lan dan a danglam emaw i neih chuan doctor pan ngei ngei tur a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal a ngai ?

Heng symptoms te hi i neih chuan a rang thei ang bera emergency room hnai ber pan rawh:

• Zun chhuah theih lohna tak tak dinhmun.
• Zun chhuah hian a na zual sauh sauh thin.
• Zun chhungah thisen a awm.
• Infection chhinchhiahna (e.g. khawsik, khawsik, hah lutuk).

I doctor hnenah eng zawhna nge i zawh tur?

Doctor i pan dawnin heng zawhnate hi zawh a tha:

• Engtin nge posterior urethral stenosis ka nei tih chiang taka i hriat theih ang?
• Ka chunga hetiang thil a thlen chhan hi eng nge ni thei ang?
• Ka zun kawng khar hi engtiang chiahin nge a chhiat? / Eng chen nge a kal tawh?
• Hetiang dinhmun hi engtin nge ka hriselna ka enkawl ang?
• Eng enkawlna nge min rawt?
• Enkawlna kawng tinrengah hian eng hlauhawmna leh hlawkna nge awm?
• Engzat nge follow-up turin ka lo kal tur?
• Hetiang dinhmun hi ka chungah a thleng leh dawn i ti em?
• Hetiang thil hi a thlen leh tawh loh nan ka tih theih a awm em?
• Hemi chungchangah hian specialist (Urologist) min recommend thei ang em?

‘Urethral Stricture’ leh ‘Stenosis’ hi eng nge an danglamna?

"Stricture" leh "stenosis" tih hi doctor-te'n kawngpui emaw, kawngkhar emaw a tawi emaw, a inkhar emaw sawina atana an hman ṭhin thumal pahnih a ni. Technical lamah pawh danglamna tlem a awm. Urethral stricture chu penis hnuai lam a awm corpus spongiosum kal tlanga urethra hmun a tawi tihna a ni. Stenosis tih hian a tlangpuiin prostate emaw bladder neck emaw kal tlanga urethra hmun a tawi tihna a ni. Chutiang natna pakhat chu posterior urethral stenosis a ni.

A tawp berah chuan take-home message

Posterior Urethral Stenosis (PUS) hi natna awm lo tak a ni a, tu pawhin an vei thei a ni. Mahse, mipaah ​​a tam ber. Urethra chunglam inches 1-2 vel, bladder hnaih ber a scar tissue lo awm vang a ni. Hei hian zun lama harsatna mualpho tak leh hrehawm tak a thlen thei a ni.

Mahse, heng harsatnate hi i nunpui a ngai lo. Posterior Urethral Stenosis hi enkawl theih a ni a, enkawlna hlawhtlinna pawh a sang hle.

Heng symptoms te hi i neih chuan, a bik takin pelvic injury emaw, a kaihhnawih enkawlna dang emaw i neih hnuah doctor nen inbiakna neihpui ngei ngei tur a ni. Hriat hmasak chuan enkawlna a ti awlsam thei a, a dam thuai thei bawk.

` Urethral obstruction, Posterior Urethral Stenosis, Zun harsa, Mipa hriselna, Prostate, Zun natna