Naupai lai hian i zun control harsa i ti em? (Urinary Incontinence) tih a ni.

A châng chuan i nuih a, i khuh emaw, i thawk hah emaw hian zun tlem i leak palh ṭhin em? A chang chuan toilet-ah i tlan nghal vat a, mahse a tawpah chuan i zun hma deuh thin em? Hei hi a takah chuan nu tam takin naupai laiin an tawn fo thin a ni. Chuvangin he thil hi zah tur leh hlauh tur a awm lo. A tam zawkah chuan he dinhmun hi hun eng emaw chen atan a ni. Naute pian hnu thla engemaw zat chhungin engkim a pangngaiin a awm leh thin. Chuvangin vawiin hian he thu hi chipchiar takin sawi ila.

Incontinence chu eng nge ni?

A awlsam zawngin, urinary incontinence chu i bladder chunga thuneihna hloh tihna a ni. Hei hi zun duhna nasa tak avang emaw, toilet i kal laiin i duh loh zawnga zun a chhuah vang emaw a ni thei. A châng chuan, toilet-a kal tam a ngaihna hi he natna lan chhuahna a ni. Naupai leh nau neih hi he natna thlentu ber pahnih an ni.

Thu lawmawm tak chu naupai laiin he harsatna hi rei lo te chhung atan a ni fo thin . Naute pian hnu thla engemaw zat chhungin a bo tam ber ang.

Naupai laiin thrush chi hrang hrang awm tam ber chu engte nge ni?

Hetiang dinhmun hi naupai laiin kan hmuh theih chi hnih a awm a. Heng pahnih hi i hriat chian a pawimawh hle.

Hei hi engtiang chiahin nge a awm tak tak?

Hei hi i ngaihtuah aiin a tam zawk. Hmeichhia 40% leh 50% inkar chuan naupai laiin hetiang hi an tawk thin. A bik takin naupai thla thumnaah chuan naute rihna a sang a, chu chuan bladder-ah pressure a siam nasa zawk a ni. Chuvangin he natna hi he hun chhung hian a tam ber a ni. Mahse, naupai laiin engtik lai pawhin a thleng thei.

He harsatna hi nau neih hnuah pawh a awm thei a, a zual thei bawk. Hetiang hlauhawmna hi vaginal delivery-ah chuan a sang hle.

Naupai lai leh nau neih hnuah engvangin nge hetiang hi a lo awm?

Naupai lai hian i taksa chu i naute lo thang lian zel tur angin a inthlak thin. Mahse heng inthlak danglamna te hian i bladder control a tichhe thei a ni. Hemi chhan hi han thlir ila.

• Uterine enlargement: I uterus hi i bladder hnung lamah a awm a. I naute a lo seilian chuan i nausen chu a lian chho zel a. Hei hian i bladder-ah pressure a siam a ni. Hei hian i bladder-in zun a vawn theih zat a ti tlem a ni.
• Hormone inthlak danglamna: Naupai lai hian progesterone ang chi hormone hian i pelvic floor muscle te a ti hahdam a, a tichak lo bawk. Heng thau te hian i bladder chu a hmunah a vawng tlat thei a ni. Heng ruhte hian i naute tan hmun siam nan leh nau neih tura inbuatsaih nan an hahdam a ngai a ni. Mahse heng ruh te hi an chak loh chuan zun chhuah a ngai tih i hriat hunah "hold in" a harsa thei.
• Nau neih: Pelvic nerve a chhe thei a, a bik takin vaginal birth lai hian. A chang chuan forceps delivery hian heng muscle te hi a tichhe thei bawk. Tin, nau neih laiin rei tak nawr hian nerve tihchhiatna a tipung bawk.
• Pelvic Organ Prolapse (POP): A chang chuan naupai emaw, nau neih lai emaw hian pelvic floor muscle te chu a chak lo em em a, organs te chu a hmunah an chelh thei lo. Entirnan, bladder hi a tla thla thei. Hetiang dinhmun hi ``cystocele'' an ti bawk. Hei hian zun control lamah harsatna a thlen thei bawk.

Eng risk factor dang nge he dinhmun hi nghawng?

Naupai leh nau neih bakah hian thil dang engemaw zatin he natna hi a tipung thei a ni.

• Taksa rih zawng: I body mass index (BMI) chu 25 aia tam (overweight) emaw 30 aia tam (obese) emaw a nih chuan he risk hi a let hnih a ni thei. A chang chuan taksa rihna tihtlem hian he natna hi a thunun thei a ni.
• Kum: Nau neih hmasak ber laia kum 30 chunglam te chu kum 30 hnuai lam aiin SUI an vei tam zawk.
• Vaginal delivery: Vaginal delivery hian cesarean section (C-section) aiin nau neih hnuah urinary incontinence a thlen tam zawk.
• Episiotomy: Hei hi nau neih awlsam zawk nan vaginal opening bulah cut te tak te a ni. Tun hma chuan urinary control lama harsatna ang chi hlauhawmna a tihziaawm nia ngaih a nih laiin, tunah chuan pelvic floor muscles a tichak lo tih hmuhchhuah a ni ta.
• Naute rih zawng: Naute pian tirh atangin kilogram 4 (9 pounds) aia rit a nih chuan nau neih laiin nerve tihchhiat theihna a sang thei.
• Diet leh nunphung: Ei leh in thenkhat hian bladder a tichak thei. Caffeinated beverages (a bik takin coffee), zu leh carbonated drinks te hian bladder a ti contract a, zun hmanhmawh a tulna a tipung thei a ni. Chutiang bawkin ei tur spicy, acidic pawh a awm thei. Zirna thenkhatah chuan meizuk hian he hlauhawmna hi a tipung bawk.

Hemi chungchangah hian eng nge kan tih theih ang?

Naupai lai hian i zun control tihchangtlun nan thil engemaw zat i tih theih a awm. Chûngte chu enchhin chu hahdamna nasa tak a ni thei.

1. Kegel Exercise tih te

Hei hi hmanraw pawimawh leh tangkai ber a ni. Kegel exercise hian i bladder a hmuna vawng tlattu pelvic floor muscle te chu a tichak a ni. Heng muscle te hi a chak chuan i zun control nan a pui thin.

Engtin chiah nge Kegel hian exercise a tih thin?

I zun laiin zun kha tihtawp nghal tum la, han mitthla teh. A nih loh leh gas leak tihtawp tumna. Chu chu i taksa ruh i tensing lai hian i tih tur a ni.

1. Taksa dik tak hriatchhuah: A hmasa berin chu ruhte chu zawng rawh.

2. Tighten and hold: Tunah chuan chu muscle te chu tighten la, second 10 count chhung chu vawn tlat rawh. Hetih hun chhung hian i ke, i hnute, i pum ruh te tense lo turin fimkhur rawh.

3. Relax: Tichuan muscle te chu relax vek rawh.

4. Ti nawn leh rawh: Hetiang hian vawi 15 ti rawh. Chu chu round khat a ni. Ni khatah hetiang hi round 5 vel tih tum ang che.

2. Nunphung inthlak danglam

Kegel exercise bakah hian nitin i tih dan tlemte thlak danglam hian danglamna nasa tak a thlen thei bawk.

• Caffeine leh eitur rimtui tak tak ei loh tur: Caffeine tel lo in tur emaw tui emaw ei tur a ni. Chaw rimtui leh acidic te chu a theih ang anga tihtlem tur a ni.
• Zan lama tui in tlem: Zanriah ei zawha tui in tlem hian toilet kal tur chuan zan lama harh a ngaihna a ti tlem thei a ni.
• Fiber tamna ei tur: Constipation hi fiber tamna ei hian a veng thei a ni. Bowel movement laiin straining hian bladder-ah pressure a siam thei bawk a, zun a chhuak thei bawk.
• Rihna hrisel tak vawn reng: Rihna hrisel vawn reng hian bladder-a pressure a tihziaawm thei.
• Bladder Training: Zun duhna i neih hun leh i zun hun tur diary-ah ziak thin ang che. Tichuan, zun chhuah duhna i neih hmain bathroom-a kal turin ruahmanna siam rawh. Zawi zawiin bathroom panna inkar hun hi tihpun tum ang che. Hei hian i pelvic muscle te chu zun chhunga vawn turin a zirtir ang.

Heng thil i tih lai hian pad emaw special underwear (incontinence underwear) emaw i hmang thei bawk. Hei hi zah tur a ni lo, nu dang sang tam takin nangmah ang bawkin he thil tawn hi an tawng ve bawk.

He zun hi a chhuak em? Nge thil dang a ni em?

Naupai lai hian i vagina atanga thil lo chhuak hi ngaihven a pawimawh hle. Engtin nge zun, vaginal discharge, amniotic fluid a ni tih chiang taka i hriat theih ang?

Engtikah nge Doctor ka hmuh ang?

Naupai lai hian urinary control chungchangah doctor hriattir hi a tha fo thin a, mahse heng case ah hian doctor advice lak hi a pawimawh zual hle.

• Nau neih hnu kar ruk emaw a aia rei emaw hnuah pawh he harsatna hi a awm reng chuan.
• He harsatna hian i nitin nun a tibuai a nih chuan . Entirnan, zun chhuah hlau vanga social event i pumpelh a nih chuan, emaw, chhuah duhna i neih chuan.
• Fluid chhuak tur chungchangah rinhlelhna i neih chuan.

I doctor chuan taksa enfiahna a nei thei a, a tul chuan zun test (`Urinalysis`), `Ultrasound scan`, `Cystoscopy`, emaw `Urodynamic testing` ang chi test atan a refer thei che a ni.

Mi tam zawk chuan naute an neih hnu thla 3 atanga thla 6 chhungin bladder control an nei leh thin. Mahse mi thenkhat tan chuan a rei deuh thei. Thil tam takah a innghat a, i nau neih dan leh i naute rit zawngah a innghat.