I fate hian zun a harsat em? Posterior Urethral Valves (PUV) vang pawh a ni thei!

Nu emaw, pa emaw i nih angin i fate hriselna tur i ngaihtuah nasa hle a ni lawm ni? A châng chuan, kan fate natna tê tê tête pawh hi lungngaihna nasa tak thlentu a ni thei. Vawiin hian kan sawi dawn a, ngaihtuahna engemaw chen mamawh, mahse hlauthawng lovin i hriatthiam a ngai a ni. Hei hi pianpui natna a ni a, mipa naupang chauh a nghawng a , chu chu `Posterior Urethral Valves` emaw `(PUV)` emaw an ti a ni.

Posterior Urethral Valve (PUV) te hi eng nge ni?

A awlsam zawngin, `Posterior Urethral Valves` hi kan naupangte zun chhuahna tube chhungah tissue extra piece a lo thang lian a, chu chu urethra (doctor-te chuan urethra an ti bawk), zun kalna tur a tikhawlo a ni. Tui pipe lai takah thil a tlakbuak ang maiin han ngaihtuah teh. Hei hi pianpui natna a ni .

Chutianga urethra a block chuan bladder chu a empty vek lo. Chuti a nih chuan eng nge thleng? Zun hi bladder-ah a back up thei a, chutah chuan kidney-ah a lut leh thei bawk. Tui pipe a block lai ang bawkin a back up a, a chho leh thin. Hei hian bladder leh kidney a tichhe thei a ni.

A châng chuan doctor-te chuan naute chu a pum chhunga a la awm laiin ultrasound scan-ah he natna hi an hmuchhuak ṭhin. A nih loh leh naute pian hnuah emaw, nausen lai emaw pawhin a hriatchhuah theih bawk. Hetiang dinhmun hian mipa naupang chauh a nghawng tih hriat reng a pawimawh . Hmun thenkhatah chuan Congenital Obstructive Posterior Urethral Membrane (COPUM) an ti bawk.

Hetiang dinhmun hi a tlem hle em?

Dik tak chuan khawvel pumah kum tin nausen piang 500 vel chu he natna, ``Posterior Urethral Valves'' hian a vei niin an sawi. ' Mipa naupang zun kawng tikhawtlai thlentu lian ber a ni bawk.

Hetiang natna lan chhuah dan hi engte nge ni?

Tunah chuan he `(PUV)` dinhmunah hian naupang hian eng symptom nge a lantir tih i en ang u. A châng chuan hengte hi i hmuh hunah nang pawhin, ‘Ah, ka fapa chungah pawh hetiang hi a thleng ve tho a ni lawm ni?’ tih hi i hrechhuak ang.

• Zun kalna kawng kil chu a chak lo hle a, a nih loh leh a tla chhuak: Naute zun chhuah hian a sir chu a chak lo hle niin a lang em ? A nih loh leh naute zun zawh hnuah pawh a drip em ? Hei hi symptom pakhat a ni.
• Frequent urinary tract infections (UTIs): Naupang tê tê chu khawsik a nei a, bawnghnute a in lo a, a tap nasa a, a zun harsa a nih chuan UTI a ni thei. Naupang UTI vei te hian heng natna hi an vei tam zawk a ni.
• Naute rihna a pung tha tawk lo: I naute hian bawnghnute in tam viau mahse, a rihna hi a zawi hle a nih chuan chu chu i ngaihtuah tur a ni bawk.
• Zun laiin natna : Zun a harsa a , a na bawk . Naute pawh a tap mai thei. Hei hi Doctor-te chuan `(Dysuria)` an ti a.
• Zun harsatna : I naute chu zun a harsat hmel em ? EmawZun chhuah tan nan hun rei tak a ngai em ?
• Oligohydramnios: I naupai scan lai khan i naute chhehvela amniotic fluid awm zat a tlem (oligohydramnios) a ti em ? Chu pawh chu he thil nen hian a inzawm thei bawk.
• Hydronephrosis: Doctor-te pawhin scan , naupai lai emaw, naute pian hnuah emaw, kal (kidney) a hring (Hydronephrosis) angin an report thei bawk . Chumi awmzia chu kal (kidney) a tui a chhuak tha lo va, pressure a awm tihna a ni.

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Awle, tunah chuan, ‘Engvangin nge kan fapa chungah hetiang hian a lo awm?’ tih hi i ngaihtuah mai thei. Eng thilin nge hetiang hi a thlen tak tak?

Heng `Posterior Urethral Valves` te hi naute pum chhunga a lo pian tirh laia urethra bladder hnaih berna hmuna extra tissue lo thang lian vang a ni. He extra tissue hian urethra a ti tawi a, a chhungah tube a inkhung ang maiin a ti tawi a ni. Hei hian zun chhuahna kawng a tikhawlo a ni.

Mahse, doctor-te chuan he extra tissue hi hetianga a lo awm chhan dik tak hi an la hre chiang thei lo. Tunah hian embryonic stage-a lo awm thin, developmental abnormality anga ngaih a ni.

Hei hian eng harsatna dang nge a thlen theih?

He ``(PUV)`` natna hi uluk leh rang taka enkawl a nih loh chuan hriselna lama harsatna dang a thlen thei a ni. Chuvang chuan hei hi hriat thuai a, doctor thurawn zawm a pawimawh hle.

• Vesicoureteral reflux (VUR) : Hei hi bladder atanga zun chu ureter kaltlangin hnunglam hawia kal (kidney) chhunga a luang lut thin a ni. Chu ai chuan a tlahniam tur zun chu a sang zawk a nih chuan eng nge thleng ang tih han ngaihtuah teh? Kidney infection leh hun rei tak chhunga chhiatna thlen thei a ni.
• Urinary retention: Hei hian zun zawng zawng a chhuak vek lo tihna a ni a, tlem chu a chhungah a awm reng tihna a ni. Hei hian bladder a ti lian thei a, infection a thlen thei bawk.
• Kidney swelling: Kal a na thei a, hei hi zun kawng a tihkhawtlai vang a ni.
• Kidney failure: Hei hi he natna atanga lo chhuak hlauhawm ber a ni. Hun rei tak chhung chu kal (kidney) hi a chhe thei a, a hnathawh pawh a hloh thei bawk.

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

Tunah chuan doctor-te’n he ``(PUV)`` dinhmun hi dik taka an hriat dan, chu chu natna hmuhchhuah dan tur hi i en ang u.

• Naupai laiin Ultrasound Scan: A châng chuan, naute i beisei laiin ultrasound scan tih hian he natna chungchangah hian clues a pe thei a (e.g., bladder lian, kal hring, naute chhehvela amniotic fluid tlahniam).
• Naute pian hnua test neih thinte chu:
• Kidney `Ultrasound Scan` hmanga tihchhuah a ni:Naute pian hnua ultrasound scan an tih chuan naute kal, zunthlum leh zun kawnga inthlak danglamna emaw, tihkhawtlai emaw a awm chuan chiang takin a hmu thei a ni.
• `Voiding Cystourethrogram (VCUG): Hei hi `(PUV)` awm leh awm loh finfiah nan test ber a ni. Chutah chuan naupang zunthlum (urethra)-ah tube te tak te (catheter) dahin, chuta tang chuan tui bik (contrast dye) chu bladder-ah an lut a ni. Tichuan naupang zun laiin `X-ray` thlalak hrang hrang lak a ni . Hei hian bladder a khat dan te, a empty dan te, urethra a block dan (`valves`) leh zun chu hnunglam hawiin kidney-ah a luang lut em tih te (`VUR`) a entir a ni.
• Cystoscopy: Hei hian tube te tak te, flexible tak (camera leh light attached device - cystoscope) chu urethra hnuai lamah pass a, blocked valve te chu direct-a en a ni. Hei hian ngun zawka en theih a ni a, a chang chuan a tih lai hian enkawl theih a ni bawk.
• Kidney function test: Thisen leh zun test a, kal (kidney) hian engtiang chiahin nge hna a thawh that tih hriat a ni.

Hei hi eng enkawlna nge ni?

Awle, tunah chuan hei hi enkawl dan tur kan sawi dawn nia. He thu hi hre hlau suh, a chhan chu tunah chuan hei hi enkawl dan tha tak tak a awm tawh a ni. Doctor ten i fa enkawl dan tha ber an pe ang.

Enkawlna tum ber chu zun kawng a blockage awm chu tihbo a, zun awlsam taka kal theihna tur a ni.

• `Fulguration` (Valve ablation): Hei hi blockage thlentu tissue (valves) lakchhuah nan an ti fo thin. `Cystoscopy` neih lai hian hmanraw te tak te chu `cystoscope` kaltlangin, electric emaw laser light emaw hmangin, a tam zawk tissue chu lumnain a tichhia a ni. Hei hi `fulguration` emaw `valve ablation` emaw an ti a. Hei hi enkawlna bulpui leh hmasa ber a ni.

Naupang dinhmun, blockage awm dan leh harsatna dang a awm leh awm loh a zirin doctor chuan enkawlna dang a rawt thei a ni:

• Catheterization: Bladder empty turin tube chu hun eng emaw chen atana dah a ni. A châng chuan naute pian hnu lawkah hetiang hian tih a ni a, chu chu bladder leh kidney-a pressure tihziaawmna atan a ni.
• Urethral dilation: A then phei chuan urethra hi a zau thei hle.
• Vesicostomy: Naupang thenkhat, a bik takin kal chhiatna nasa tak nei te chuan vesicostomy an tih surgery an nei thei a. Hei hian bladder atanga direct-a pum vunah khur te tak te siam a, chuta tang chuan zun a luang chhuak thei a ni. Hei hi hun eng emaw chen atan a ni tlangpui a, nakinah khar a ni ang.
• Antibiotics: Urinary tract infection i neih chuan antibiotics pek i ni ang. A châng chuan, natna hrik kai loh nân antibiotics dose tlem i ei chhunzawm thei bawk.
• `Dialysis` emaw `Kil thlak` emaw:Vanduaithlak takin naupang thenkhat kal chu a chhe nasa hle a, a hlawhchham a, dialysis emaw, kal thlak emaw a ngai thin.
• Antispasmodics: Naupang thenkhat chuan bladder function lamah harsatna an nei thei. Zun awlsam zawk nan antispasmodics pek theih a ni.

A tlem hle a, naute chu nausen pum chhunga a la awm laiin he natna hi hmuhchhuah a nih chuan specialist thenkhat chuan nausen surgery tih an tum ang a, mahse a buaithlak hle a, a tlem hle bawk.

Hetiang dinhmun nen hian hmalam hun eng nge awm ang? (Prognosis) tih a ni.

Okay, enkawl hnuah eng nge thleng? Naupang hmalam hun chu eng ang nge ni ang? Hei hi nu leh pa tam takin zawhna an neih a ni.

• Hun rei tak chhunga enkawl: I fa hian (PUV) tih natna a neih chuan enkawl ni mahse, a dam chhung zawng enkawl a ngai dawn a, a kal hnathawh leh zun kawng hriselna enfiah a ngai dawn a ni. Hei hian doctor pan chhunzawm zel a, thisen test te, zun test te, ultrasound scan te tih te a kawk a ni.
• Urinary incontinence: Naupang thenkhat chuan urinary incontinence, emaw urinary incontinence an nei thei , naupang emaw, tleirawl emaw, puitling emaw an nih pawhin.
• Kidney failure hlauhawmna: Zirna hrang hrangah chuan PUV vei naupang 15% vel chu an dam chhungin engtik lai pawhin kidney failure vei theihna an nei tih a tarlang Chuvang chuan damdawi lam enkawlna hnuaia awm reng a pawimawh.

Mahse, lungngai suh. Enkawlna mumal leh enkawlna tha tak a awm chuan naupang tam zawk chu nun pangngai, hrisel takin an nung thei a ni.

Engtikah nge Doctor ka hmuh ang?

I fa te hian kan sawi tawh ang chi natna lan chhuah dan, zun kawng chak lo, UTI nei fo te a neih chuan hun khawhral suh la, naupang enkawltu emaw naupang enkawltu doctor emaw hmu nghal rawh. He natna hi enkawl loh chuan hriselna lama harsatna lian tak a thlen thei a, a bik takin kal (kidney) a tichhe thei a ni.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor i hmuh hian i rilrua thil awm zawng zawng ngaihthlak a pawimawh. Heng zawhnate hi i inzawt a \angkai thei ang:

• Ka fa tan hian eng enkawlna kawng nge awm?
• Engtin nge he enkawlna hian hna a thawh? Chumi avang chuan eng nge thleng?
• Enkawl leh dam chhungin eng nge kan beisei ang?
• Ka fa chu dam leh hun chhungin engtin nge ka enkawl ang? Ka ngaihven bik tur thil thenkhat chu engte nge ni?
• Engtikah nge doctor rawn hmuh leh tur? (Chhunzawmna)

Nu leh pa, hei hi hre reng ang che.

I naute hian he natna hi a nei tih i hriat chuan hlauhna, lungngaihna leh lungngaihna i neih hi thil pangngai a ni. Mahse hei hi hre reng ang che:

Hetiang dinhmun hi venna tur hian engmah tih theih a awm lo. Hei hi i sual vang emaw, i thil tih emaw i sawi vang emaw, i tih loh vang emaw a ni lo. Hei hi pianpui nen a lo thleng thin a ni.

I fa doctor leh healthcare team te chuan i kalna apiangah an pui ang che a, an kaihruai ang che. Anni chuan engkim an hrilhfiah ang che, chutah chuan i beisei tur te, eng enkawlna tur nge awm tih te, leh i fa enkawl dan tur te pawh a tel ang. Chuvangin i doctor follow-up appointment te chu vawng reng ang che. Zawhna i neih apiang zawt la, eng ang pawhin tlem pawh ni se, hlau lo la, zak suh. I fa tan a tha ber i duh avangin engkim chiang taka hriat a pawimawh.

` Mipa naupang hnunglam Urethral Valves, PUV, Urinary Tract Diseases, Urinary Obstruction, Kidney Diseases, Naupang hriselna, Piansualna