Toilet-ah pawh i kal fo a ngai em? A nih loh leh, i neih pawh i hriat loh zun emaw, bawlhhlawh emaw ang chi thil avang hian vantlang hmuna chhuah hi i mualpho a, i zak em? Hei hi mi tam takin harsatna an neih a ni a, mahse midang nena sawi dun chu an zak hle. Chutiang dinhmun avang chuan nun i bo a, in chhuahsan pawh i hlau châng a awm thei. Chuvangin vawiin hian chutiang dinhmunte tanpui thei tur enkawlna kawng bik leh tunlai tak kan sawi dawn a ni.
Sacral Nerve Stimulation (SNS) hi eng nge ni?
A awlsam zawngin kan taksa chhunga dah luh hmanraw te tak te tak hmangin kan bladder leh bowels control tu nerve te hnenah electrical impulse na lo tak tak a thawn thin. Heng nerve te hi kan zun leh kan zun chhuah huna kan thunun theitu an ni.
Ngaihtuah teh, kan thluak leh kan ruhro hi kan bladder leh bowels-ah "a hun tawh" tih signal thawntu an ni. A châng chuan he signaling system-a harsatna engemaw a awm avangin zun emaw ek emaw chu thunun theih lohvin a chhuak thei a ni. Chutiang hunah chuan he SNS device hian chu signal te chu a "reset" a, control chu i kuta lak let leh turin a pui che a ni. Doctor thenkhat chuan hei hi `(sacral neuromodulation therapy)` an ti bawk.
He enkawlna hian eng dinhmun nge a puih?
He enkawlna dan hi a hnuaia natna pahnih, enkawlna dang hmanga tihdam lohte tan hman a ni ber.
| Damlohna | A awlsam zawngin... | Engtin nge SNS hian a puih theih ang? |
|---|---|---|
| Stool control theih lohna (Fecal Incontinence) 1.1. | I duh loh lai, i hriat loh pawha stool pass tihna thiltih. Hei hian hlauhna leh mualphona a thlen fo thei a ni. | Anus khar tu sphincter muscle leh pelvic floor muscle te hian zun chhuah control nan a pui thin. |
| Bladder chak lutuk (OAB) . | Zun duhna thut, tuar theih loh, thawmhnaw atanga zun chhuak (urinary incontinence), ni leh zan lama zun tam. | Zun tamna a ti tlem a, zun a thunun thei bawk. |
Heng dinhmunte hian i nun a nghawng nasat zia chu nangmah chauhvin i hria. Hlauhna leh mualpho reng reng hian lungngaihna a thlen thei bawk. Chuvangin, damdawi dang, damdawi ang chite hlawhtlin lohna hmunah chuan he SNS enkawlna hian hahdamna nasa tak a thlen thei che a ni.
Engtin nge enkawl a nih?
Hei hi vawi khata i tih vek a ni lo. Device hi permanent install hmain experiment tlem tal i ti ang a, i tan a tha em tih i en ang.
Step hmasa ber: Evaluation Phase
Hei hi test drive ang mai a ni. I taksaa permanent device dah hmain i symptoms tihziaawmna atan a pui em tih kan en ang.
- Eng nge thleng?: I anesthetized lo , mahse device dahna tur hmun chauh chu numbed a ni (local anesthesia). Tichuan i hnute chunglam vun hnuaiah wire (lead) te tak te tak te chu i dah lut a. He wire hi pawn lam thil te tak te, i thawmhnaw hnuaia belt-a bun thin nen a inzawm a ni.
- Hun chhung: He trial hun chhung hi kar khat atanga kar hnih (ni 7-14) thleng a ni thei.
- I tih tur: Hemi chhung hian controller te tak te pek i ni ang a, chu chuan device atanga electrical signal lo chhuak level chu a control thei ang. Doctor chuan i natna lan chhuah dan diary-a ziak turin a ti bawk ang che.
He trial period tawp lamah hian i symptoms nasa taka a tlahniam (50% aia tam) a nih chuan he enkawlna hi i tan a hlawhtling tawh a ni. Tichuan, a dawt leh tur lamah i kal thei ang.
Step hnihna: Implantation Phase
Experiment a hlawhtlin chuan surgeon chuan i taksaah permanent device (neurostimulator) chu a dah ang.
- Eng nge thleng?: Hei pawh hi thil tenawm tak a ni a, chu chu a hmun chu numbing a ni. Test hmasa na hmun khatah hian incision te tak te siam a ni a, vun hnuaiah, a hnungzang chunglam ah chuan hmanraw te tak te tak, pawisa fai pahnih vel zeta lian chu dah a ni bawk. Chumi hnuah chuan nerve -ah a inzawm a, a incision chu khar a ni.
- Hun: He surgery hi minute 40 leh 60 inkar a ni.
- Hmanrua:He permanent device hi a te hle a, a tlangpuiin inches 2 vel a sei a, gram 22 vel a rit a ni.
He enkawlna hian eng nge a hlawkna, a hlawhtlinna leh a hlauhawmna?
A thatna lian ber chu toilet hlau chunga khawsa reng reng a ngai lo. Hei hian i nun thunun leh turin a pui ang che.
Hlawhtlinna kan thlir chuan zirchianna atanga a lan dan chuan hei hi enkawlna hlawhtling tak a ni.
- He enkawlna hi fecal incontinence nei te hnena pek hnuah , kar khatah vawi 6 vel he harsatna nei te hian an dinhmun chu kar hnih danah vawi khat velin a tlahniam tih an hmu tawh a ni.
- Overactive bladder nei zinga 67% vel chuan kum 5 hnuah symptoms an tlahniam nasa hle.
Complication emaw risk emaw kan sawi chuan .
- Thil thleng thei ber chu a chang chuan device hian hna a thawk tawh lo.
- Device dahna hmunah hian natna hrik emaw, natna emaw a awm thei.
- A tlem hle a, symptoms a lo lang leh a nih chuan doctor chuan device chu a enfiah ang a, a program siam that nan a program-ah pawh inthlak danglamna tlemte a siam mai thei.
Enkawl hnuah eng nge thleng?
Operation hnua a dam kim theih nan kar 2-8 vel a ngai thei. I doctor chuan he hun chhung hian tui chawi te, tlan te, leh thil rit phurh te ang chi thil tih te chu rei lo te chhung chu pumpelh turin a hrilh mai thei che a ni. I incision chu a dam hma loh chuan i enkawl a ngai dawn a ni.
Device chhunga battery hi kum 15 vel hman theih a ni tlangpui. A thlak a ngaih hunah chuan surgery tenau tak neih a ngai thin. Heng zawng zawng hi i doctor chuan a hriattir ang che.
I symptoms a lo lang leh a nih chuan device chu a thawk tha lo tihna a ni thei. Chutiang a nih chuan doctor rawn nghal rawh .
Take-Home Thuchah a ni
- Sacral Nerve Stimulation (SNS) hi fecal incontinence leh overactive bladder, enkawlna dang laka chhang lote tan damdawi tha tak a ni.
- He enkawlna hi i tan a tha em tih hriat nan, permanent appliance dah hmain trial period pek a ni ngei ang.
- Hetiang tih hi local anesthesia hmanga tih a ni tlangpui a, a him tawk hle.
- Hei hian i nunphung nasa takin a tichangtlung thei a ni . Mahse, enkawl hmain i doctor nen a thatna leh that lohna zawng zawng sawipui hmasa phawt ang che.
- Hetiang harsatna i vei bawk a nih chuan nangmah chauhin tuar suh la, doctor hnenah thurawn dil ngei ang che.
👩🏽 ⚕️ Doctor hnen atanga zawhna zawh fo (FAQ) te
💬 Sacral Nerve Stimulation (SNS) hi eng nge ni?
A awlsam zawngin, hei hi taksa chhunga dah hmanraw te tak te hmanga bladder leh bowels control tu nerve-te hnena electrical signal fiah lo tak tak thawn chhuahna hmanga enkawlna a ni a, chu chuan chu taksa peng hrang hrangte hnathawh chu a tidanglam leh a ni.
💬 SNS therapy hian eng natna chi hrang hrangah nge a puih?
He enkawlna hi enkawlna dangin hahdamna a thlen lohna hmunah hman a ni ber. A bik takin fecal incontinence leh overactive bladder ang chi condition-ah a tangkai hle a, hei hi zun chhuah ngai fo leh rang taka awm thin a ni.
💬 SNS hmanrua hian engtin nge hna a thawh?
Kan thluak leh kan bladder emaw bowels inkara inbiakpawhna lama harsatna a awm chuan thunun theih lohvin zun emaw ek emaw kan hloh thei a ni. He SNS device hian a tih chu a kaihhnawih nerve-ah electrical signal fiah lo tak tak a thawn a, chu signal dik lote chu ‘siamthat’ a, thunun leh theihna tura min pui a ni.











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