I thiante nen nui chhuak chungin i zun a ngai tawh em, emaw, i thawk chhuah thut lai emaw, naupai laia i khuh nasa lutuk lai emaw khan i zun a ngai tawh em? Bathroom-ah i kal fo a ngai tawh mai thei. Hei hi nangmah chauh a ni lo. Nu tam takin naupai laiin hetiang hi an tawng tawh a ni. Chuvangin vawiin hian he thil hi eng thil nge a thlen tih te, thil pangngai a ni em, leh he dinhmun hi thunun theih nan eng nge kan tih theih tih te hi han sawi ila.
Incontinence chu eng nge ni?
A awlsam zawngin, urinary incontinence chu i zun kal dan control theih lohna a ni. Zun duhna nasa tak i nei nghal thei a, bathroom i thlen thlengin zun tlemte i leak thei bawk. Tin, a tlangpui aia tam i zun a ngai mai thei bawk. Hetiang dinhmun hi naupai lai leh nau neih hnuah a awm fo thin.
Mahse a tha ber chu naupai laiin he urinary incontinence hi hun eng emaw chen atan a ni fo thin . Naute pian hnu thla engemaw zat chhungin he natna hi a tam zawk chu a pangngaiin a lo kir leh thin.
Naupai laiin thrush chi hrang hrang awm tam ber chu engte nge ni?
Hetiang dinhmun chi hnih hi i hrechiang ang u. Chûngte chu i hriatthiam phawt chuan i chunga thil thleng chu i hriatthiam a awlsam phah ang.
| Urinary incontinence chi hrang hrang | A awlsam zawngin hetiang hi a thleng thin. |
|---|---|
| Stress Urinary Incontinence (SUI) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Hei hi naupai laiin a thleng fo thin. I bladder-a pressure a awm chuan, i khuh, i thawk hah, i nuih a, i kal lai ang chi te hian i zun tlemte i leak palh thei a ni. |
| Urge zun chak lohna (UUI) . | Hei hi i bladder muscle te chu i thunun theih lohvin a inzawm nghal a ni. Hei hian i duh loh zawnga zun chhuah ngai hmanhmawhthlak tak a siam a ni . Bathroom-a i tlan chuan zun tlemte pawh i leak tawp mai thei. |
Naupai lai hian engvangin nge hetiang hi a lo awm?
Naupai lai hian i taksa hian inthlak danglamna a tawk a, chu chuan i naute a thanlenna tur boruak hrisel tak a siam a ni. Mahse chutiang inthlak danglamna chuan a chang chuan i bladder control-ah nghawng tlemte a nei thei. Eng thilin nge an thlen tih hi han thlir ila.
- Enlarged uterus: I uterus hi i bladder hnung lamah a awm a. I naute a lo seilian chhoh zel chuan i nausen (uterus) pawh a lo thang lian zel bawk. Hei hian i bladder-ah pressure a siam a, tuiin a khat balloon-a rit tlemte ang maiin. Hei hian i bladder-in zun a vawn theih zat a ti tlem a ni.
- Hormone te nghawng: Naupai lai hian progesterone ang chi hormone te hian i pelvic floor muscle te chu a ti hahdam a, a ti flexible bawk. Heng ruhte hi i bladder leh uterus hmuna vawngtu net ang an ni. Heng muscle te hi i naute thanlenna atan leh nau neih nan a pawimawh hle. Mahse, heng ruhte hi a chak loh chuan i zun chhunga rei lo te chelh a harsa thin.
- Nau neihin nghawng a neih dan: He natna hi a zual thei hle a, a bik takin vaginal delivery lai hian a zual thei hle.
- Nerve chhiatna: Nau neih a harsat emaw, hun rei tak a daih emaw chuan bladder function control tu pelvic nerve te chu a chhe thei a ni.
- Muscle chhiatna: A chang chuan naute chu forceps hmanga nau a nih chuan pelvic floor muscle te a chhiat theihna a awm thin.
- Pelvic Organ Prolapse (POP): A chang chuan naupai emaw nau neih lai emaw hian pelvic floor muscle te chu a chak lo hle a, organ te chu a hmunah an chelh thei tawh lo. Entirnan, bladder hi a tla thla thei. Hei hi cystocele kan ti a. Chutiang hunah chuan zun control lama harsatna a awm bawk.
Hetiang dinhmun thlentu risk factors te hi engte nge ni?
Hetiang dinhmun hian naupai zawng zawng hi a nghawng dan inang vek lo. Mi thenkhat chu a tuar nasa zawk mai thei. Eng thilin nge a thlen theih tih hi han thlir ila.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Rihna a sang chho zel | I taksa rihna a san chuan (i BMI 25 aia tam a nih chuan) pelvic floor muscle-ah pressure tam zawk a awm thin. Hei hian zun control lama harsatna a thlen thei a ni. |
| Kum | Kum 30 chunglamte chuan an fa hmasa ber an neih hian kum 30 hnuai lam aiin he natna hi an vei tam zawk a ni. |
| Nau neih dan | Hetiang dinhmun hi cesarean section aiin vaginal delivery lai hian a sang zawk a, a chhan chu pelvic floor muscles te hi a stress zawk vang a ni. |
| Episiotomy tih a ni | Hei hian nau neih awlsam zawk nan vaginal opening bulah incision te tak te siam a huam a ni. Tun hma chuan risk a tihziaawm nia ngaih a nih laiin, tunah chuan pelvic floor muscle a tichak lo thei tih hmuhchhuah a ni ta. |
| Naute rit zawng | Naute hi a pian tirh atanga pound 9 (kilogram 4 vel) aia rit a nih chuan nau neih laiin nerve tihchhiat theihna a sang deuh hlek a ni. |
| Ei leh in leh nunphung | Caffeinated beverages coffee, zu, carbonated drinks, leh spicy leh acidic foods te hian bladder a tichak a, zun hman vat a ngaihna a tipung thei bawk. |
Hemi chungchangah hian eng nge kan tih theih ang? Keimahni ngeiin kan tih theih thil a awm em?
Ni e, a dik tak zet. Hetiang dinhmun hi enkawl dan tur tam tak a awm. Hengte hi thil awlsam tak a ni.
Kegel Exercises - I Thian Tha Ber!
He hming hi i lo hre tawh ngei ang. Hei hi i pelvic floor muscle tihchakna atana exercise tha ber a ni. Heng muscle te hi a chak chuan i bladder i control tha zawk thei a ni.
Engtin chiah nge Kegel hian exercise a tih thin?
Zun chhuah tawh loh i duh emaw, boruak kaltlang tawh loh i duh emaw han ngaihtuah teh. Hengte hi chutih laia i tihkhauh thin muscle te chu an ni.
1. A hmasa berin chu ruh (muscle) te chu hriat chian hmasa phawt ang che. (I zun laiin zun kha tihtawp nghal tum ang che. Hengte hi taksa ruh tikhauhtu an ni. Mahse hei hi exercise angin ti reng suh, ruh hriat theihna turin ti mai rawh.)
2. Tunah chuan chu ruh te chu tikhauh la, second 10 vel chu vawn tlat rawh . Hetiang hunah hian i ke, i hnute, i pum ruh te chu tense lo turin fimkhur rawh. A pangngaiin thawk la.
3. Tichuan chu ruhte chu ti hahdam rawh.
4. Hei hi vawi 15 ti rawh . Chu chu round khat a ni.
5. Ni khatah hetiang hian round 5 vel tih tum ang che.
A pawimawh ber chu nitin he exercise hi tih hi a ni . Results hmuh theih nan kar tlemte a ngai mai thei. Chuvangin beidawng suh. Hei hian nau neih hnua hliam tihdamna kawngah pawh nasa takin a pui bawk. Mahse, nau neih hnua hetiang thil hi tan hmain doctor nen inbia a, thurawn lak hmasak phawt a tha.
Nunphung dang inthlak danglamna
Kegel exercise bakah hian heng thil awlsam tak takte hi i nunah hian telh ve bawk ang che.
- Caffeine tihtlem: Coffee leh tea ai chuan tui emaw, caffeine tel lo emaw hmang zawk rawh. Tin, ei tur spicy leh acidic te pawh tihtlem bawk ang che.
- Zanah tui in tlem: Mut hmain tui in tam loh tur. Hei hian zan lama bathroom kal fo ngai lohna a tiziaawm thei a ni.
- Fiber tamna chaw ei: Constipation hi fiber tamna ei tur chi hrang hrang, legumes, thlai leh thei chi hrang hrang ei hian a tihziaawm a ni. Constipated laiin defecate tura straining hian bladder-ah pressure a siam thei bawk a, zun a chhuak thei bawk.
- I taksa rihna hrisel tak vawng reng rawh: Naupai laiin taksa rihna tihtlem hi thil harsa tak a nih theih laiin, taksa rihna hrisel tak neih i tum thei bawk. Hei hian i bladder-a pressure a tihziaawm ang.
- Bladder Training: I zun hun leh i zun tam zia chu journal-ah ziak la. Tichuan, zun chhuah duhna i neih hmain bathroom kal chu practice hmasa phawt ang che. Zawi zawiin bathroom panna inkar hun hi tihpun tum ang che.
Heng thil i tih lai hian a tul chuan pad emaw incontinence underwear emaw i hmang thei bawk. Hei hi zahpui tur a ni lo. Nu dang tam tak pawhin nangmah ang bawk hian he thil tawn hi an tawk mek tih hre reng ang che.
Engtikah nge Doctor ka hmuh ang?
Naupai lai hian hei hi thil pangngai ni mahse, i doctor hnenah i mamawh thurawn a pek theih nan i hrilh a pawimawh hle.
- Naute neih atanga kar 6 hnuah pawh he natna hi a awm reng a nih chuan , i doctor hmu ngei ang che.
- If this urinary incontinence is interfering with your daily life , entirnan, khawtlang thil thleng i pumpelh emaw, chhuah i hlau emaw a nih chuan, i doctor nen sawiho rawh.
Doctor chuan a enfiah ang che a, a tul chuan a chhan zawng turin test hrang hrang (Bladder stress test, Cystoscopy, Ultrasound, Urinalysis, Urodynamic testing) atan a refer ang che.
He zun hi a chhuak em? Vaginal discharge a ni em? Emaw...?
Hei hi nu tam takin harsatna an neih a ni a, a bik takin naupai hun hnuhnung lamah chuan a ni. Heng pathumte hi thliar hran a pawimawh hle.
| Sravaya chuan a ti a | Rawng | Rim | Nihphung |
|---|---|---|---|
| Zun chhuah | Transparent emaw light yellow emaw a ni thei | Ammonia rim na tak emaw, rimtui lo tak tak emaw | Tui ang maia tui (liquid) a ni |
| Vaginal atanga chhuak | Transparent, white, dark yellow, brown, green, emaw gray emaw pawh a ni thei | Hriak rimtui lo, sangha rim ang mai, natna hrik a awm chuan | Milky, thick, foamy, emaw lumpy emaw pawh a ni thei |
| Amniotic Fluid a ni | A chiang, straw-colored, brown/greenish pawh a ni thei | Hriak rim nei lo emaw, rimtui deuh emaw | Tui ang maia tui (liquid) a ni |
A pawimawh hle mai:Amniotic fluid i leak tih rinhlelhna tlemte pawh i neih chuan, chu chu i "tui a chhe tawh" tihna a ni a, i doctor ko nghal la, damdawi in Emergency Department (ETU)-ah kal nghal rawh. Hei hi risk lak a tha lo.
Take-Home Thuchah a ni
- Naupai laiin zun control harsat hi a awm fo thin a , hun eng emaw chen atan a ni fo thin .
- Stress incontinence hi zun inthiar theih lohna chi khat a ni ber.
- Nitin Kegel exercise tih hian pelvic floor muscle te a tichak thei a, he dinhmun hi nasa takin a control thei bawk.
- Hei hi ei leh in hrisel, taksa rihna tihtlem, leh bladder training ang chi thilte hian a pui thei a ni.
- Hetiang dinhmun avang hian mualpho leh mualpho suh. I doctor nen inhawng takin sawi rawh.
- Discharge chu zun nge vaginal fluid tih i rinhlelh chuan doctor rawn nghal rawh.
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