Tun hnaiah zun harsa deuh i nei em? A hma angin zun a luang chak lo em ni, a tang em, a nih loh leh i zun loh ang maiin i hria em? Hetiang harsatna hi mipaah a thleng nasa thei hle. Hei hi a chhan ber pakhat chu zunthlum (urethra) a block a, a nih loh leh damdawi lama kan tih angin , urethra a tawi (Urethral Stricture) . Chuvangin vawiin hian Urethral Dilation kan sawi dawn a, chu chu he harsatna chinfelna atana tih thin, surgery awlsam tak, tenau tak a ni.
A awlsam zawngin, Urethral Dilation chu eng nge ni?
Urethral Dilation hi damdawi lam thil awlsam tak a ni a, chu chuan urethra a tawi emaw, a block emaw chu a tizau a ni. I in chhunga tui pipe-ah bawlhhlawh chi khat a tlakbuak chuan tui luang chu a tlahniam ang tih han ngaihtuah teh, a dik em? Hetah pawh hi chutiang chu a ni. I taksa atanga zun chhuahna tube chu urethra an ti a. He tube chhungah hian khawi emaw laiah scar tissue a lo awm thei a, a kalna tur chu a block thei bawk. Hei hi urethral stricture an ti a .
Hetiang blockage hi chhan hrang hrang a awm thei a:
- An infection a ni.
- Pun.
- Zun kawnga accident emaw hliam (trauma) emaw a awm.
- A châng chuan, a chhan chiang tak hmuh tur a awm lo mai thei.
Chuvangin, Urethral Dilation enkawlnaah chuan Urologist chuan i urethra block na hmun chu zawi zawiin a tizau zauh theih nan instrument (sound) tha tak tak, sei tak tak, rod ang chi a hmang thin. A châng chuan, hei hi balloon ang chi thil te tak te dah luh a, inflate nawn fo hmanga tih a ni.
A pawimawh ber chu urethra vawi khat dilate hnuah blockage a lo awm leh thei a ni. Chutiang a nih chuan, dilation tih nawn leh ai chuan, urethroplasty ang chi, solution awm reng zâwk, urethroplasty , hman hi a ṭha ber ṭhin. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.
Hei hi urethrotomy nen a inang em?
Urethrotomy hi zunthlum (urethral dilation) chi khat a ni. Hetianga tihnaah hian doctor chuan pencil ang maia lian, camera hmanga siam tube (cystoscope) chu i urethra-ah a dah lut a, a blockage chu a enfiah thin. Tichuan, chu instrument vekah chuan chemte (scalpel) te tak te tak hmangin doctor chuan a block tirtu scar tissue chu a cut chhuak a, urethra chu a zau ta a ni.
He enkawlna atan hian engtin nge ka inbuatsaih ang?
Hei hi surgery lian tak a ni lo. Mahse chumi hma chuan doctor rawn la, thurawn i la hmasa tur a ni. Sawtah,
- I hriselna dinhmun tlangpui chu enfiah a ni.
- Thisen sang leh pulse ang chi thil te chu enfiah thin a ni.
- Cystoscopy emaw imaging test dang emaw hmangin urethra hi engtiang chiahin nge a block tih hriat theih a ni.
- Infection a awm leh awm loh enfiah nan urinalysis tih a ni ang. Infection a awm chuan he enkawlna hma hian damdawi i ei a ngai dawn a ni.
- I damdawi ei zawng zawng (prescription leh over-the-counter pain reliever leh vitamin) te chu doctor hnenah hrilh rawh, damdawi thenkhat, aspirin ang chi hian thisen chhuah theihna a tipung thei a ni.
- I doctor chuan enkawlna hma eng chen nge ei leh in i chawlhsan tur tih a hrilh ang che. A tlangpuiin general anesthesia i neih chuan darkar 6 tal ei leh in loh a tha ber.
| Enkawl dan chungchanga hriat tur | Hrilhfiahna |
|---|---|
| Surgery lian tak a ni em? | Ni lo, hei hi surgery lian tak a ni lo. Damdawi ina awm ngai lovin ni khatah i haw thei fo. |
| Eng chen nge a daih ang? | Darkar khat aia rei lo a daih tlangpui. |
| A hrehawm em? | Anesthesia pek i nih dawn avangin enkawl chhungin natna i nei lovang. Chumi hnu ni engemaw zat i zun hunah natna tlem emaw, kang emaw i nei thei. Hei hi natna tidamtu hman tlanglawn hmanga control theih a ni. |
Enkawl hnuah eng nge thleng?
Enkawl zawhah i zun kawng a dam hma loh chuan zun chhuahna tur (urinary catheter) dah i ni thei. I doctor emaw nurse emaw chuan a enkawl dan tur a hrilh ang che. Ni engemaw zat hnuah catheter lakchhuah hnuah awlsam takin i zun theih tur a ni.
Catheter i dah chuan i bladder chu a hring vek chung pawhin zun chhuah duhna i nei thei. Hei hian hlauthawng suh. Tin, i zun (hematuria) ah thisen tlem a awm hi thil pangngai a ni. Mahse, i catheter a block a, zun a chhuak lo a nih chuan, .Doctor hnenah i hriattir nghal a ngai a ni.
Eng ang nge a rah chhuah?
He enkawlna hian a hlawkna ber chu zun retention-a hrehawmna chu a bo tawh a, awlsam leh tha takin i zun thei bawk.
Mahse, hei hi chinfelna nghet tak a ni lo. Hun a kal zel a, blockage chu a lo awm leh thei bawk. Chuvangin he enkawlna hi i tih nawn leh a ngai mai thei a, a nih loh leh enkawlna \ha dang i zawn a ngai mai thei.
Hlawhtlinna lam hawi chuan centimetre 2 aia tlem lo blockage tenau te tan 60% hlawhtlinna a awm. Mahse, hun kal zelah he percentage hi a tlahniam thei a ni.
Enkawl zawhah eng thil nge ka fimkhur tur?
Dam leh hun chhung hi mi hrang hrangah a inang lo. A tlangpuiin ni engemaw zat chhungin i dam tha hle ang.
- Hnathawh lama kir leh: Ni engemaw zat hnuah hna pangngai i thawk leh thei ang. Mahse, taksa lama harsatna i neih chuan doctor hnenah ni engemaw zat chawlh belh turin dil rawh.
- Exercise: I doctor-in phalna a pek che hma chuan exercise hahthlak tak tak kha pumpelh rawh.
- Mipat hmeichhiatna hman: Inenkawl hnu kar khat tal mipat hmeichhiatna hman loh hi a finthlak hle. Hemi chungchang pawh hi i doctor nen sawiho rawh.
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
Enkawlna hnua natna lan chhuah dan danglam tak i neih chuan ngaihthah suh. Doctor call nghal rawh. A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
- Zun theih lohna.
- Urethral tube dah luh chu a block a, zun a chhuak lo.
- Infection chhinchhiahna lantir, khawsik, khawsik, leh khur.
- Natna a zual zel a nih chuan.
- Thil danglam tak a awm chuan.
Dam hnuah pawh zun chhuah lohna symptom a lo lang leh a nih chuan doctor pan tur a ni.
Take-Home Thuchah a ni
- Urethral Dilation hi non-invasive a ni a, urethral strictures tan chuan damdawi hmanraw him tak a ni.
- Hei hi surgery lian tak a ni lo va, damdawi inah awm lovin i haw thei fo bawk.
- Enkawl hnua natna tenau leh hrehawmna te chu ni engemaw zat chhungin a reh ang.
- He enkawlna hi solution awm reng a ni lo thei a, hun kal zelah blockage a lo awm leh chuan enkawl nawn leh emaw, operation dang emaw neih a ngai thei bawk.
- Enkawl hnua natna lan chhuah dan danglam (zun theih lohna, khawsik, natna nasa tak) i neih chuan doctor hnenah hriattir nghal tur a ni.
- I dinhmun chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen takin sawipui rawh. I tanpui turin an inpeih reng a ni.
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