I nuih emaw, i khuh emaw hian zun i leak bawk em? 'Stress Incontinence' chungchang hi han sawi ila.

Chibai! A châng chuan i nuih a, i khuh emaw, i hrual emaw, thil rit tak i chawi emaw hian i thawmhnaw i hnim ṭhin tih i hmu ṭhin em? Mi thenkhat tan chuan hei hi drop tlemte a ni thei a, thenkhat tan chuan tlem a tam zawk pawh a ni thei. Hei hi a takah chuan mi tam takin an neih tawh, mahse mualphona avangin an sawi tam lo. Chuvangin vawiinah hian hei hi eng thil nge a thlen tih leh eng nge tih theih ang tih hi han sawi ila. Hei hi medical science-a ‘Stress Incontinence’ an tih chu a ni.

‘Stress Incontinence’ tih hi eng nge ni?

A awlsam zawngin, stress incontinence chu i bladder (kan zun chhuahna hmun ) chu pressure a awm laiin i control theih loh vang a ni. Entirnan, i khuh, i hnim, i nuih, i zuang, i tlan emaw, i chawi emaw hian i pum hian i bladder a nawr a. Chu chu zun i leak lai a ni.

Hei hian zun tlemte a chhuah tir tlangpui. Mahse, mipui hmaa chhuah chu a zahthlak thei a, a hlauhawm hial thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Stress incontinence hi a takah chuan urinary incontinence chi khat a ni ber. Hmeichhia zingah a hluar hle. Zirna hrang hrangah chuan hmeichhe pathum zinga pakhat vel chuan an dam chhungin engtik lai pawhin he natna hi an tawk dawn tih a tarlang. Mipaah ​​a tlem zawk a, mahse a thleng lo tihna erawh a ni lo.

Urinary incontinence chi dang a awm em?

Ni e, ‘stress incontinence’ tih loh hi chi dang engemaw zat a awm bawk.

• Urge Incontinence: Hei hi zun chhuah ngai, tihdam theih loh leh zun chhuahna a ni. Hei hi overactive bladder vang a ni fo thin. Stress incontinence nei zinga a chanve aia tam pawhin urge incontinence an nei bawk. Hei hi mixed incontinence an ti a.
• Overflow Incontinence: Hei hi zun a chhuak a, a chhan chu zun (bladder) a khat hma loh chuan a chhuak tha thei lo.

‘Stress Incontinence’ hi engte nge ni?

Hei hi bladder leh urethra (bladder atanga taksa pawn lama zun phurtu tube)-a pressure a awm nghal hian a thleng thin. Hetiang pressure hian urethra chhunga sphincter muscle chu a inhawng nghal vat a, zun chu a luang chhuak thei a ni. Ngaihtuah teh, bladder tibuai thei thil eng pawh, inbeng, zuang, khuh, emaw, thawk hah te hian leak a siam thei a ni.

Hei hi eng risk factors nge a nghawng?

Hetiang dinhmun hian tu pawh a nghawng thei a, mahse hmeichhiaah chuan mipa aiin a let hnih zetin a tam zawk. Kum 65 chunglam hmeichhia zinga a chanve vel chuan he natna hi an nei nia chhut a ni. Mahse, hei hi tar chakna pangngai a ni lo tih hre reng ang che. Harsatna enkawl theih a nihna chhinchhiahna a ni.

Risk factor lian ber ber thenkhat chu hetiang hi a ni:

• Naupai leh nau neih: A bik takin vaginal birth, pelvic floor muscles te hi nau neih laiin a chhe thei hle.
• Menopause: Hormone estrogen tlahniam vangin taksa ruh a chak lo thei.
• Nerve hliam te chu pelvis emaw lower back ah a awm.
• Obesity: Thau lutuk hian bladder-ah pressure a siam reng a.
• Pelvic surgery: Hysterectomy ang chi thil.
• Chronic cough: Asthma leh bronchitis ang chi natna avanga khuh chhunzawm zel.
• Zunthlum (Diabetes Mellitus) natna a ni.
• Mipa prostate cancer vei surgery emaw, benign prostatic hyperplasia (BPH) surgery emaw tih a ni.
• Nausen pum (uterine prolapse) a awm.

‘Stress Incontinence’ natna lan chhuah dan chu engte nge ni?

A symptom ber chu bladder-a pressure pek a nih chuan zun a chhuak (urine leakage) a ni.

• Mild: Exercise hahthlak tak tak, nuih, khuh, leh thawk hah ang chi thil tih laiin zun tlemte a bo thei.
• A hniam emaw, a na emaw: Thil eng emaw, ding emaw, khup emaw lai pawhin tablespoon khat aia tam i zun i pass thei. Sex hman laiin zun i leak thei bawk.

Engtin nge hei hi i diagnose?

Doctor i hmuh chuan i natna lan chhuah dan a zawt ang a, taksa enfiahna (hmeichhia tan pelvic exam) a ti ang. Ni hnih emaw ni thum emaw chhung chu "bladder diary" ziak turin an ti thei che a ni. Hei hian tui i in zat, bathroom i kal tam zia, engtikah nge zun i leak tih leh chutih laia i thil tih ang chi te chu i record a ngai dawn tihna a ni. He information hian doctor chu a natna chu a hriat theih nan a pui ang.

Hei hi test hrang hrang tih a ni a:

• Urinary pad test: Darkar 24 chhung in lama hak tur special pad pek i ni ang. Pad hman zawhah chuan zun engzat nge a leak tih hriat nan an rit leh thin.
• Urinalysis: I zun sample lak a, natna hrik leh thisen (hematuria) a awm leh awm loh enfiah a ni. Hei hian harsatna dang a awm leh awm loh hriat theih nan a pui thei a, chu chu urinary tract infection (UTI) te hi a ni.
• Bladder scan na tur: 1.1.Hei hi doctor office-a ultrasound test tenau tak a ni. I zun hnuah i bladder a empty tha em tih en nan tih a ni .
• Ultrasound examination: Pelvis emaw abdomen emaw ultrasound hmangin taksa peng hrang hrang, bladder leh kidney te dinhmun enfiah a ni.
• Cystoscopy: Hetiang tih danah hian doctor chuan camera dahna tube (scope) te tak te chu i urethra hnuaiah a pass a, a chhung lam a en thin.
• Urodynamic testing: Hei hi test hrang hrang inzawmkhawm a ni. I zun (urinary system) hian zun a vawn that leh chhuah that dan a teh thin. Hei hi postvoid residual urine test an ti bawk . I zun hnuah i bladder a zun awm zat a teh thin .

Hei hi pelvic floor exercise (Kegels) hian a pui em?

Ni e, a dik ngei ang! Pelvic floor exercises , emaw kan hriat vek angin , ‘Kegels’ te hian stress incontinence nasa takin a ti tha thei a ni. Heng exercise te hian i urinary system thlawptu muscle te chu a tichak a ni.

Mahse heng pelvic floor muscle te hi hmuh leh exercise hi a harsa deuh thei. Pelvic floor disorders lama tui tak physical therapist chuan hetiang tih dan hi a zirtir thei che a ni. A châng chuan biofeedback tih technique hmangin taksa ruh dik tak i hmang tih hriat theih a ni. Symptoms tihtlem nan heng exercise te hi kar li atanga kar ruk vel chhung chu i tih chhunzawm zel a ngai a ni.

Hemi chungchangah hian pianphungah eng nge tih theih ang?

Kegels bakah hian heng thilte hian a pui thei bawk:

• Fiber tamna ei tur ei la, tui in tam rawh. Hei hian constipation a veng thei a, hei hian he natna hi a ti na zual thei a ni.
• Meizial i zuk chuan bânsan tûrin ṭanpuina dîl rawh.
• I taksa rihna hrisel tak vawng reng rawh. Thau tihtlem i duh chuan ti rawh.
• Diabetes leh thisen sang ang chi natna i neih chuan control tha rawh.
• Hun ruat saah bathroom kal (bladder training emaw timed voiding emaw). Chu chu bladder training tihna a ni.

Hmeichhia tan eng enkawlna nge awm?

Hmeichhia tan hian enkawlna bik engemaw zat a awm a:

• Vaginal estrogen cream, gel, ring emaw patch: Hengte hian menopause hnua vagina thau leh tissue te a tichak thei a ni.
• Pessary devices vagina chhunga dah: Hengte hian bladder leh urethra tanpuitu hna an thawk a.
• Urethral injection: Hengte hian hun eng emaw chen chu urethra ruhte a tikhauh a, sphincter chu a khar reng a ni.
• Surgery: I tissue, donor tissue emaw special surgical mesh emaw atanga siam ‘sling’ chu urethra hnuaiah dahin support a pe thin.

Mipa tan eng enkawlna nge awm?

Hetiang dinhmun hi mipaah ​​hian prostate cancer surgery hnuah a awm fo thin. Mipa tan enkawl dan tur hrang hrang chu:

• Condom catheters (Texas catheters): Hengte hian mipa zang chu a khuh a, a tawp lama catheter hmangin zun chu bag-ah an la khawm thin. Hei hian zun chhuahna chu man turin a pui thei a, mahse a veng thei lo.
• Mipa sling surgery: Surgical mesh atanga siam ‘sling’ chu urethral bulb vel ah dahin support a pe thin.
• Artificial sphincter surgery: He hmanrua hian zun kawng a khar a. Zun i mamawh hunah pump te tak te hmangin hawn theih a ni.

‘Stress Incontinence’ avanga harsatna awm thei te chu engte nge ni?

Stress incontinence na tak chuan mualphona, lungkhamna leh lungngaihna te a thlen thei a ni. Puitling diaper leh absorbent urinary pads te hian zun chhuahna a titawp thei a, mahse a rim leh midangin an hmuh leh hmuh loh tur chu i la ngaihtuah reng mai thei. Bathroom-a chhuah emaw, inbual emaw i hlau mai thei. Zun a awm reng chuan vun a ti na thei a, vun a ti na thei bawk.

He risk tihtlem nan hian eng nge ka tih theih ang?

Urinary incontinence i neih theihna tur chu heng step te hi zawm hian i ti tlem thei ang:

• Meizial zu suh.
• I thau lutuk chuan i taksa rihna tihtlem la, i taksa rihna hrisel tak vawng reng rawh.
• Nitin pelvic floor exercise ti thin la, a bik takin naupai laiin.
• Constipation venna atan hma la rawh.

‘Stress incontinence’ nei tan chuan eng nge beiseina awm?

In lama enkawlna, pelvic floor exercise leh pelvic floor physical therapist nena thawhhona te hian stress incontinence nasa takin a tidam thei a ni. A tul chuan enkawlna dang hmangin leakage chu nasa takin a tihtlem thei a, a titawp vek thei bawk.

Ngaihtuah buai suh, hei hi enkawl theih a ni. A pawimawh ber chu mualpho lova Doctor biak hi a ni.

Ka doctor hnenah eng nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi zawh a tha ang:

• Eng ang urinary incontinence problem nge ka neih?
• Eng thilin nge ‘stress incontinence’ ka neih chhan?
• Ka test report-ah hian eng nge a sawi?
• In lamah eng enkawlna nge ka enchhin theih ang?
• Enkawlna dang eng nge awm?
• Ka tan surgery neih hi a inhmeh em?
• Surgery neih hian eng hlauhawmna nge a neih?

Stress incontinence hi a zual thei em?

Ni e, mild stress incontinence hi a hniam lam emaw, na tak emaw thlengin a kal thei. Hei hi i taksa rihna tam tak i tihpun chuan (a nih loh leh i thau lutuk lo a nih chuan) a dik hle. Meizial i zu chhunzawm chuan emaw, i natna thunun nan hmalakna dang i tih loh chuan i natna lan chhuah dan chu a zual thei hle.

‘Stress Incontinence’ leh ‘Urge Incontinence’ hi eng nge an danglamna?

Heng urinary incontinence chi hnih awm chhan leh a lan chhuah dan hi a inang lo hle a ni:

• Stress Incontinence: Pum pressure, urethral problem, leh pelvic floor chak lohna avanga lo awm a ni. Vawi tam tak chu zun tlemte a bo thin.
• Urge Incontinence: Bladder harsatna avanga lo awm, heng mite hian zun duhna an neih chuan zun tam tak an leak nghal mai thei.

Stress incontinence nasat dan azirin zun leak hi a mualpho thei a, a mualpho thei bawk. Bathroom-a kal emaw, exercise lak emaw i hlau mai thei. Mahse mi tam tak chuan pelvic floor exercise an tih fo hian an symptoms an ti tha thei a ni. Case nasat lutuk tan chuan device, injection emaw surgery emaw hmangin a pui thei a ni.

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

‘Stress incontinence’ symptom i neih chuan zak leh hlau suh. Hei hi natna tlanglawn tak a ni a, enkawl theih a ni. I tih hmasak ber tur chu Doctor hmu a, i dinhmun sawipui a ni. Tichuan i tan eng enkawlna nge tha ber tih i hre thei ang. ‘Kegels’ hi in lama tih tur ropui tak a ni. Tin, nunphung hrisel (weight control, meizuk bânsan, constipation control) neih hi a pawimawh hle. Nangmah chauh i ni lo, tanpuina a awm!

` Stress Incontinence, Urinary Incontinence, Hmeichhe hriselna, Bladder, Kegel Exercise, Pelvic Floor Muscles, Pelvic Floor Muscles