Hmun dang atanga zun chhuah (urine leakage) pawh i tawng ve em? He urethrocutaneous fistula chungchang hi i zir dawn teh ang!

Hmun pangngai ni lo hmun dang atanga zun chhuak ang maiin i inhriat ngai em? A nih loh leh urinary tract infection (UTI) i vei fo em? Hengte hi a chang chuan kan ngaihven vak loh thil ni mahse, a bulpui ber chu Urethrocutaneous Fistula an ti a ni. Lungngai suh, he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

He urethrocutaneous fistula hi eng nge ni?

A awlsam zawngin sawi ila, hei hi hming hi a buaithlak deuh a, mahse hriatthiam harsa a ni lo. Heng thute hi i hrethiam phawt ang u.

• Urethra: Urethra chu i taksa atanga zun ( pee an ti bawk) chhuaktu tube a ni . Tui pipe ang mai a ni.
• Cutaneous: Hei hian vun nena inzawm thil a kawk a ni .
• Fistula: Fistula chu taksa chhung lam peng pahnih inkar emaw, chhungril lam leh vun chunglam inkara inzawmna, culvert emaw tunnel emaw a ni.

Tichuan, urethrocutaneous fistula chu i urethra atanga i serh chhehvel vun emaw, i hnute leh mipat hmeichhiatna inkar vun (damdawi lamah chuan perineum kan tih) emaw thlenga kalna kawng thar, pianphung lo tak a ni. Tui pipe-a khur, hmun danga tui chhuak ang maiin han ngaihtuah teh.

A tlangpuiin zun hi urethra kaltlangin taksa atanga chhuak chauh tur a ni. Mahse he fistula avang hian zun chu chu kawng thar atang chuan a kal tan a, chu vun chunglama chu khur thar atang chuan a chhuak ta a ni. Hei hi urinary fistula emaw urethral fistula emaw an ti bawk .

He dinhmun hi a mah chauhin a dam dawn loh avangin a nasat deuh nia ngaih a ni. Surgery hmanga siamthat a ngai ngei ang . A nih loh chuan urinary tract infection (UTI) leh harsatna dang tam zawk a thlen thei a ni.

Hei hi eng symptoms nge ni? Engtin nge i hriat?

Hetiang natna hi i vei tih tilang thei symptom pawimawh engemaw zat a awm a:

• Khur (fistula) siam thar atanga zun chhuak (leaking urine): Hei hi a lan chhuah dan ber leh langsar ber a ni. Zun lai chauh ni lovin, a chang chuan ding lai pawhin. Hei hi urinary incontinence kan ti bawk a, chu chu zun control theih lohna tihna a ni.
• Frequent urinary tract infection (UTIs): Hetiang kawng pianphung lo tak hian natna hrik te chu awlsam takin urinary tract ah a lut a, infection a thlen thei a ni. Hei hian a chhehvel taksa peng leh tissue te pawh a tichhe thei bawk.

Hetiang symptoms i neih chuan doctor pan ngei ngei a, check out a tha ber.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Urethrocutaneous fistula lo awm chhan lian tak tak engemaw zat a awm.

• Surgery hmasa lama harsatna awm angin: Hei hi a chhan tam ber a ni. Hetiang fistula chi hi a lo awm thei a, a bik takin hypospadias tih natna avanga operation hnuah a lo awm thei a ni.
• Hypospadias chu eng nge ni? A awlsam zawngin sawi ila, tlangval pianpui dinhmun a ni. Chumi awmzia chu zun kawng hawnna chu penis tip-ah ni lovin, penis hnuai lamah a awm tihna a ni. Chuvangin, hei hi siamthat tumin operation an tih hnuah fistula hi a chang chuan side effect angin a lo awm thei a ni.
• Infection: A châng chuan, infection avângin, chu lai hmuna tissue chhûngah chuan pus a awm khawm thei a, abscess a siam thei bawk . He pus hi enkawl a, a dam hnuah chuan chu tissue chhungah chuan kawngpui te tak te, drain ang maia awm chu a awm thei a ni. Chu chu fistula a lo ni ta a ni.
• Hliam: Hei hi a natna hmuna vuakna nasa tak avanga lo awm thei a ni. Entirnan, cricket khelh laiin ball mishit emaw, hockey ang game-a puck emaw, bicycle crossbar-a tlak ( straddle injury tia koh) emaw hian hetiang dinhmun hi a thlen thei a ni.
• A chhan awm lo: A tlem hle a, naupang thenkhat chu he natna hi neiin an piang thei. Tin, zunthlum control tha lo (i.e., an HbA1c level chu kum khat emaw a aia tam emaw chhung chu 8% aia sang a nih chuan, enkawl fo pawh ni se) te chu he fistula hi an vei thei a ni.

Hei hi eng risk factors nge awm?

Urethrocutaneous fistula hi a takah chuan a awm lo hle. Mahse, a lo vei theihna tur risk factor lian ber chu i urethra-a operation i neih tawh kha a ni.

Entir nan:

• A hmaa kan sawi tawh hypospadias siamthatna tur surgery.
• Urethroplasty ( zunthlum siam thar lehna).
• Serhtan ang chi surgery te pawh .

Hetiang operation hnuah hian he fistula hi a chang chuan complication angin a lo awm thei bawk.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

A chhan hriat loha zun a chhuah emaw, a chhan hriat loha zun kawng infection emaw i neih chuan doctor chuan urethrocutaneous fistula a ringhlel thei a ni. I doctor-in a natna hriat chian nan test engemaw zat a tih theih a awm a:

• Voiding Cystourethrogram (VCUG): He test-ah hian doctor chuan i bladder-ah dye bik a inject a. Tichuan, examination table-ah zun turin an ti che a. Chumi hnuah chuan doctor chuan i zun nen dye chu khawiah nge a kal tih leh khawi hmunah pawh a leak em tih a hmu thei ang.
• Retrograde urethrogram emaw fistulogram emaw: Hei hi VCUG nen a inang a. Bladder-ah hian dye an inject a, chu chuan urethra awmna hmun, fistula awmna hmun leh a inzawm dan chiang takin an hmu thei a ni.
• CT scan (Computed Tomography - CT scan): CT scan hian X-ray leh computer technology hmangin taksa chhung lam chipchiar takin thlalak a la thin. Hei hian doctor-te chu fistula avanga harsatna dang, abscess ang chi a awm leh awm loh a hriat theih nan a pui thei a ni.
• Cystoscopy: Hei hian i zunthlum chhungah hmanraw sei tak, te tak te, eng tak, cystoscope an tih chu i luhtir a ni. Hei hian doctor chuan i urethra chhungah a hmu thei a, fistula awmna leh a lan dan dik tak a hmu thei bawk.

Hei hi eng enkawlna nge ni? Dam theih a ni em?

Ni e, he natna hi enkawl theih a ni. A tam zawkah chuan operation a ngai thin. Mahse enkawlna a tan hmain doctor chuan thil engemaw zat a ngaihtuah ang. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Fistula lian tham tak a ni.
• A awmna hmun (Location).
• Fistula pakhat aia tam a awm em (Fistula tam tak awm theihna) .

Enkawl dan tur chu heng thilte atanga chhut a ni.

• Fistula te zawk (< 2mm) te hi khar a awlsam hle. Doctor chuan i rilru hahdamna tur leh mutthilh tir turin sedative a pe ang che a, surgeon chuan fistula chu khar turin a stitch ang.
• Fistula lian zawkah chuan operation buaithlak zawk a ngai a ni. A châng chuan fistula chhehvel vun a hrisel loh chuan surgeon chuan multi-layered approach a hman a ngai mai thei. Chumi awmzia chu i taksa peng dang ( skin flaps tia koh) atanga vun hrisel tak chu a chhia thlak nan lak a ni a, chu chu waterproofing layer hmangin a khur chu seal a ni.

Mi tam tak chuan operation hnu ni engemaw zat chhung chu an bladder atanga zun chhuah nan urinary catheter an hmang a ngai dawn a ni. Hei hian siamthat tharna hmun chu a dam theih nan a pui thin. Operation hnuah ni khat emaw vel damdawi inah i awm a ngai thei bawk.

He fistula hi a mah chauhin a dam dawn em ni?

Ni lo, urethral fistula hi a mah chauhin a dam dawn lo.Hei hi khar tur hian mi tam tak chuan operation an mamawh ngei ang. Hei hi urologist , doctor, urinary system leh reproductive system nena inzawm natna hrang hranga specialist chauhvin a enkawl thei a ni.

Operation hnuah a dam leh theih nan eng chen nge a duh?

Hei hi chiang taka sawi a har khawp mai. Mi tin taksa hi a danglam vek a, chuvangin dam hun chhung hi mi tin a inang lo thei. Mahse a tlangpuiin, operation hnua a hring leh a hliam chu kar tlemte hnuah a reh mai thin. Doctor te chuan kar ruk vel chhungin i dam vek tur a ni an ti . Chumi hun chhung chuan doctor thupek dik taka zawm a pawimawh hle.

Hetiang dinhmun hi a lo thlen loh nan ven theih a ni em?

Dik tak chuan urethrocutaneous fistula lo awm chhan zawng zawng hi kan veng thei lo. Entirnan, operation avanga harsatna anga lo piang chu kan tan chuan thunun a harsa hle.

Mahse, chu lai hmuna hliam tuar lo turin hengte hi i ti thei ang:

• Infiamna i khelh emaw, thil dang khauh tak tak i tih hian athletic cup , jockstrap tia hriat bawk ha rawh. I tan a size dik tak a nih ngei ngei tur a ni.
• Motor khalh lai emaw, car-a chuang angin emaw seatbelt vuah fo ang che.
• Bike i khalh dawnin him takin awm rawh. A theih chuan i bike crossbar-ah pannier rack ang chi thil dah la. Hei hian accident a thlen hunah hliam tuar theihna a tihziaawm thei a ni.

Urethrocutaneous fistula ka neih chuan eng nge thleng ang? Ka lungngai tur em ni?

Urethrocutaneous fistula i nei tih i hriat chuan hlauhna tlem i neih hi thil pangngai a ni. Mahse a tha ber chu, a enkawlna tur a awm a, enkawlna nen chuan a pumpuiah a dam lehna rate a tha hle.

Zirchianna pakhatah chuan fistula siamthatna surgery hi 89% zetin a hlawhtling tih hmuhchhuah a ni. Chumi awmzia chu operation nei mi sawm zingah mi 9 vel chu an dam kim vek dawn tihna a ni. A châng chuan operation hmasa ber hnuah pawh symptoms a awm reng chuan layered approach buaithlak zawk pawh tih theih a ni. Hei pawh hi a hlawhtling hle. Mahse, operation vawi hnihna i neih chuan a hmun chu a dam kim theih nan operation hmasa ber atanga thla ruk tal i nghah a ngai dawn a ni.

Engtikah nge Doctor ka hmuh ang?

Urethrocutaneous fistula siamthatna tur operation i neih hnuah, i dam tha em tih hriat nan doctor nen appointment neih reng a pawimawh hle. I doctor-in a hrilh angin i appointment-te chu vawng reng ang che. Chutiang chuan i dinhmun chu a enfiah thei ang. I natna lan chhuah dan a la awm chuan operation dang neih leh a rawt thei bawk.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Operation hnuah a hnuaia symptoms te hi i neih chuan Emergency Room (ER) hnai ber pan nghal tur a ni:

• Surgery hmun atanga thisen chhuak tam lutuk a awm chuan.
• I khawsik Fahrenheit 100 (38 Celsius) aia sang i neih chuan .
• Natna chu tuar theih loh a lo nih chuan .
• Zun harsatna i neih chuan, emaw, i zun a block ang maia i awm chuan.
• Zun (Hematuria) ah thisen a awm chuan.

Tin, i catheter chu a mah chauha a chhuak a nih chuan, emaw, catheter chhehvel atanga zun a chhuak a nih chuan doctor pan nghal a tha ber.

I doctor zawh tur zawhna pawimawh tak takte chu engte nge ni?

Doctor hmu tura i kal hian hetiang zawhna hi zawh theihna i nei a ni. Chûngte chuan i dinhmun hriatthiamna ṭha zâwk i neih theih nân a ṭanpui ang che:

• Engtin nge Urethrocutaneous Fistula ka vei tih chiang taka i hriat theih ang?
• Eng thilin nge he fistula hi a thlen theih ang?
• Fistula te tak te emaw, lian tak emaw ka nei em?
• He fistula ka neih chhung hian engtin nge ka in enkawl ang? Eng nge ka tih ang a, eng nge ka tih loh ang?
• He fistula siamthatna surgery hian eng harsatna nge a thlen theih?
• Urethrocutaneous fistula ka neih chuan sex hman hi a pawi em? Chu chuan buaina a thlen ang em?

Hetiang zawhna zawh hi hlau suh. I doctor chuan engkim a hrilhfiah ang che.

A tawp berah chuan take-home message:

Okay, chuti a nih chuan tunah chuan kan sawi thin, Urethrocutaneous Fistula hi kan hrethiam tawh hle. A pawimawh ber chu hetiang symptoms i neih chuan, zun i chhuah laiin hmun dang atanga zun a leak emaw, UTI i neih fo chuan ngaihthah suh. A châng chuan thil tenawm tak a ni thei a, mahse hetiang thil hi a thleng thei avângin damdawi lam thurawn lak hi a finthlâk reng a ni.

Hemi atan hian enkawlna a awm tih hre reng la, enkawlna pawh a hlawk thei hle. Chuvangin doctor hmu a, i ngaihtuahnate sawipui chu hlau lo la, zak suh. Dam leh thuai turin duhsakna kan hlan e! Nangmah chauh i ni lo va, doctor-te pawh tanpui turin an awm a ni.

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