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.

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.