I urethra a block em? Ureteral Obstruction chungchang zawng zawng hi a awlsam zawngin i zir vek ang u!

I hnungzang na tak, i ruh hnuai lam emaw, i hnungzang sir lehlamah emaw i nei tawh em? A nih loh leh i zun laiin natna i nei ngai em, zun chhuah theih loh ang maiin? A châng chuan heng thilte hi kan ngaihsak vak lo chung pawhin i taksa chhûnga harsatna lian tak a awm tih chhinchhiahna a ni thei bawk. Vawiin hian hetiang hunah hian i rinhlelh theih tur, mahse mi tam takin an hriat loh dinhmun kan sawi dawn a ni. Chu chu Ureteral Obstruction, a nih loh leh `(Ureteral Obstruction)` a ni.

A awlsam zawngin, Ureteral Obstruction chu eng nge ni?

Okay, hei hi hrethiam tur chuan kan taksaa he system hian engtin nge hna a thawh tih hi han thlir hmasa ila. Kan taksaah hian kal (kidney) pahnih kan nei a ni lawm ni? Heng kidney pahnih hnathawh ber chu thisen filter a, a chhunga bawlhhlawh tul lote thliar hrang a, zun siam hi a ni. Tui filter ang mai a ni.

Chutianga zun lo piang chu kal (kidney) a\angin bladder (zun kan khat hun hriatna atana kan hman thin organ) thlengin a kal a ni. Heng tube pahnih hi ``Ureters'' an ti a. Kidney tin tan pakhat a awm. Chumi hnuah chuan zun (bladder)-a zun awmkhawm chu kan zun hian taksa atangin a chhuak chhuak thin.

Tunah chuan han ngaihtuah teh, he tube (Ureter) hian kidney atanga bladder thlenga zun phurtu hi eng emaw chhan vanga block emaw obstruct emaw a nih chuan eng nge thleng ang? Chu chu Ureteral Obstruction kan tih chu a ni. Tui pipe chhunga bawlhhlawh chi khat a tlakbuak a, tui a luang chhuak tawh lo ang mai a ni.

Chutianga zun luang chu a tawp chuan zun chu a back up tan a, kidney chhungah a khawl khawm tan a ni. Hei hian kal a ti na thei a, a ti chhe thei bawk. Tin, zun hmun khata awm reng avang hian hri kai theihna chance a sang hle bawk. Hei hi enkawl vat loh chuan natna khirh tak tak, kal (kidney failure) emaw, natna hrik na tak (sepsis) emaw a thlen thei a ni. Mahse lungngai suh, he natna hi hriatchhuah leh enkawl hmasak theih a ni.

He natna hi tuin nge vei tam ber?

Dik tak chuan he natna hi kum eng pawhah, tu pawhah a awm thei. Naupang tê tê pawhin pianpui thil engemaw vangin an nei thei a ni.

Mahse, he natna hi mipa kum 60 chunglam ah a tam zawk a, a chhan ber chu kan upat deuh deuh hian prostate gland a lian zel vang a ni. He gland hi bladder hnuaiah a awm a. Chuvangin a lian chuan urethra a squeeze leh block a awlsam zawk.

Hei hi eng symptoms nge ni? Engtin nge kan hriat chian?

Urinary tract obstruction symptoms hi mi hrang hrangah a inang lo thei. Tin, a tihbuai chhan leh a thlen chak dan azirin an danglam bawk. Entirnan, kal lung chu zunthlum (urethra)-ah a lo lut nghal a nih chuan a na hle. Mahse, a chhan dang avanga urethra a block zauh zauh chuan a symptoms chu a lo lang zauh zauh thin.

I hriat tur symptom thenkhat chu hetiang hi a ni:

Eng thilin nge hetiang hian urinary tract obstruction a thlen?

Hei hi a nghawng thei chhan tam tak a awm a. Ṭhenkhat chu taksa chhungril lam an ni a, thenkhat erawh chu pawn lam nawrna avanga lo awm an ni thung.

Taksa chhunga harsatna awmte: 1.1.

• Ureteral Stones: Hei hi a chhan tam ber a ni. Kidney-a lung lo awmte chu zun nen an kal a, he tube te tak te, ureter an tih chhungah hian an tang a ni.
• Benign Prostatic Hyperplasia (BPH): Kan sawi tawh ang khan mipa kum upa zawkah chuan prostate gland hi a lian thei a, urethra a press thei bawk.
• Scar Tissue: A hmaa operation, infection, accident avanga urethra chhungah Scar tissue a lo awm thei a, zun kalna tur a tikhawlo thei a ni. A châng chuan, hengte hi pian tirh lamah a awm thei bawk.
• Pian atanga lo chhuak harsatna: 1.1.
• `Ureteropelvic Junction Obstruction`: Hei hi pianpui atanga kal leh ureter inzawmna hmuna inkharkhip (congenital blockage) a ni.
• `Ureterocele`: Balloon ang maia bulge, bladder nena inzawmna hmuna urethra block.
• Ectopic Ureter: Ureter hi bladder chhunga hmun dik lovah a inzawm tlat a ni.

Taksa pawn lam atanga pressure avanga harsatna awm thei:

• Tumors or Cysts: Tumors or cysts: Pum emaw pelvic area-a tumor emaw cyst lo awm, cancer emaw cancer nei lo emaw pawh nise, urethra atanga rawn chhuakin a block thei. (Ex: Cervical cancer, Colon cancer) te hi a inang lo hle.
• Digestive system natna: Crohn natna leh diverticulitis ang chi natna hian intestines a ti na thei a, chu swelling chuan urethra-ah pressure a siam thei bawk.
• Hmeichhia te tana chhan bikte:
• Naupai: Naute lian zel avanga nausen pum a lian chhoh zel chuan zunthlum chu a compress thei a ni.
• Endometriosis: Nausen pum chhunga line siamtu tissue chu nausen pum pawnah a lo thang lian a, chu chuan zun kawng vel a tipung a, a tikhawlo thei a ni.
• Uterine Prolapse: Uterine hi a awmna pangngai atanga a chhuk thei a, chu chuan bladder leh urethra-ah pressure a siam thei a ni.

Engtin nge doctor hian he natna hi dik taka a hriat theih ang?

I natna lan chhuah dan nen doctor i pan chuan zawhna a zawt hmasa ang che a, a enfiah ang che a, chutah chuan i natna hriat chian nan test eng emaw zat a ti ang.

• Thisen test leh Urinalysis: Hengte hian i kal (kidney) hnathawh dan (a bik takin i creatinine level) leh i zun chhungah natna hrik emaw thisen emaw a awm leh awm loh a enfiah thei a ni.
• Ultrasound Scan: Hei hi test awlsam tak, hrehawm lo tak a ni. Kidney a hring emaw a block emaw tih chiang takin a hmu thei.
• CT Scan: Hei hian taksa chhung lam thlalak chiang zawk, three-dimensional a siam thei a ni. Hei hian blockage awmna hmun leh a chhan (e.g., lung emaw, lump emaw) chiang taka hriat theih nan a pui thei a ni.
• Bladder Scan: Hei hian i zun hnuah i bladder a khar vek em tih a enfiah a, zun a la awm em tih a enfiah bawk.

Engtin nge enkawl a nih?

Enkawlna chu i blockage chhan, blockage nasat dan leh i hriselna zawng zawngah a innghat a ni. Enkawlna kawngah hian step lian pahnih a awm a.

1. A hmasa ber: Zun lak chhuah (a blockage tihbo) .

A hmasa ber atan chuan taksa atanga zun khawlkhawm chu lakchhuah a, kal (kidney) tihchhiatna tihtawp a ni. Chutianga tih theih dan kawng hrang hrang a awm.

• Ureteral Stent: Tube (stent) te tak te, flexible tak chu bladder kaltlangin ureter hnuai lamah kidney thlengin dah a ni. He tube hian blocked tube chu a hawng a, zun chu awlsam zawkin a luang chhuak thei a ni.
• Nephrostomy Tube: A then phei chuan vun kaltlangin tube te tak te chu kal chhungah direct-in an dah a, chuta tang chuan zun chu bag-ah an la khawm thin.
• Catheterization: Blockage chu bladder bulah a awm chuan urethra kaltlangin bladder chhungah catheter dahin zun a chhuak thin.

2. Step hnihna: Blockage awm chhan enkawl rawh

Zun a luang leh chuan doctor chuan a block chhan bulpui chu a enkawl tan ang.

• Damdawi: Benign prostatic hyperplasia (BPH) ang chi natna atan chuan gland tihtlem emaw, a chhehvela taksa ruhte tih hahdamna emaw damdawi pek theih a ni.
• Inzai:A tam zawkah chuan permanent solution chu surgery a ni. Mahse "surgery" tih hi hlau suh. Tunlai technology hmang hian a tam zawkah chuan surgery hi incision tenau (Minimally Invasive) hmanga tih a ni.
• Urinary stone a nih chuan shockwave lithotripsy hmangin a tikehsawm thei a, camera hmanga instrument te tak te dahin endoscopy ang chi hmangin lakchhuah theih a ni bawk.
• Lump, scar, a nih loh leh congenital blockage a awm chuan surgery-in chu part chu a la chhuak ang a, tube chu a realign leh ang.

I doctor chuan eng enkawlna kawng nge i tan a tha ber tih chipchiar takin a hrilhfiah ang che.

Hetiang dinhmun hi veng turin kan tih theih a awm em?

A chhan \henkhat, a bik takin pianpui harsatna te hi ven theih a ni lo. Mahse, kan risk tihziaawmna tur thil kan tih theih a awm. Heng thilte hian a chhan tam ber, a bik takin zunthlum atanga lung awmte venna kawngah a pui thei a ni.

• Tui in tam: Ni khatah tui litre 2-3 tal in a pawimawh hle. Hei hian zun a ti dilute a, lung siam theihna a ti tlem bawk.
• I taksa rihna hrisel tak vawng reng rawh: I taksa rihna thunun a pawimawh.
• Chi ei tlem: I chaw ei tur chi i dah zat tihtlem. Canned foods, processed meats, leh sauce-ah te hian chi a tam hle.
• Calcium tam tawk la rawh: Mi thenkhat chuan calcium ei tlem hian lung siam theihna a ti tlem dawn niin an ngai. Mahse chu chu a dik lo. Nitin ei tur atanga calcium mamawh zat (milligram 1000-1200 vel) dawng thin ang che.