I zun control pawh i harsat em? Urge Incontinence chungchang hi i zir dawn nia!

A chang chuan zun chhuah ngai ( urinary urgency), a chang chuan bathroom i thlen hma pawhin zun tlemte i pass thin em? A nih loh leh ni khatah vawi tam tak i zun a ngai em, a chang chuan vawi riat aia tam i zun a ngai em? Zan khatah vawi hnih emaw vawi thum emaw i harh hi thil pangngai a ni em ? Heng thilte hian i nun a nghawng a nih chuan lungngai suh , nangmah chauh i ni lo. Vawiin hian he zun a ngai nghal mai hi kan sawi dawn a ni , a nih loh leh damdawi lam tawngkam chuan `(Urge Incontinence)` tih hi kan sawi dawn a ni.

Urge Incontinence hi eng nge ni?

A awlsam zawngin sawi ila, Urge Incontinence chu zun kal dan control theih lohna a ni. Hei hi zun chhuah duhna, thunun theih loh i neih thut lai a ni , chu chu thunun harsa tak a ni thei a, a châng chuan bathroom-a i tlan hma pawhin i zun thei bawk. Mi thenkhat chuan ni khatah vawi riat aia tam an zun a ngai a, zan lamah pawh zun chhuah nan vawi tam tak an tho a ngai bawk . Hei hi thil lungchhiatthlâk tak a ni thei.

Urinary incontinence chi dang a awm em?

Ni e, urinary incontinence chi dang engemaw zat a awm a, chung zingah chuan ``Urge Incontinence'' pawh a tel. An zinga pakhat zel hian duh loh vanga zun tlemte hloh a huam vek a ni. Eng nge an nih hi han thlir ila:

• Stress Incontinence: Hei hi i nuih emaw, i khuh emaw, i thawk hah emaw, thil rit tak i chawi lai emawa zun tlem i leak hian a ni. I thiante nen in nuihzatthlak a i zun tlem i leak lai ang kha han ngaihtuah teh .
• Mixed incontinence: Hei hian ``Urge Incontinence'' leh ``Stress Incontinence'' te pawh a huam thei. Hei hian i zun duhna i nei bawk tihna a ni , i nuih emaw i khuh emaw hian i zun pawh i leak tihna a ni. Hmeichhia urge incontinence nei zinga a chanve aia tam pawhin ``Stress Incontinence'' an nei niin an sawi bawk.
• Overflow Incontinence: Hei hi zun ( urine dahna bag ) a khat lutuk vang emaw, zun kim theih loh vang emawa zun a chhuah vang a ni. Tank khata tui luang chhuak ang mai a ni.
• Functional Incontinence: Hei hi a hun taka bathroom i kal theih loh vang a ni a, emaw, zun chhuah a ngai lo tih i hriat hian , natna dang (entir nan, arthritis ang chi chak lohna thlentu) vang a ni.

He zun chhuah loh thut hi engtiang chiahin nge a awm?

I ngaihtuah aiin a tam zawk. Research atanga a lan dan chuan hmeichhia 40% vel leh mipa 30% vel chuan an dam chhungin engtik lai pawhin he natna hi an tawk dawn a ni. Chuvangin nangmah chauh i ni lo.

`(Urge Incontinence)` awm chhan ber chu eng nge ni?

Vawi tam tak chu hei hi a chhan ber chu overactive bladder a ni . Hei hi i bladder chhunga muscle te chu an inzawm tur aia tam an inzawmkhawm hun a ni. I bladder chuan " pee , pee " tiin a hrilh reng che ang mai a ni. I bladder a khat vek hma pawhin zun chhuah duhna nasa tak i nei a.

Hetianga bladder a inzawm chuan i urethra-a sphincter muscle (valve ang chi, zun chhuak tur titawptu) chu a inhawng mai thin. Chu chu zun a leak lai a ni.

`(Urge Incontinence)` natna lan chhuah dan chu engte nge ni?

A lan chhuahna ber chu zun chhuah duhna thut, thunun theih loh leh chuta chhuak zun tlemte a chhuah hi a ni .

Chu bakah, overactive bladder symptom dang pawh a awm thei bawk:

• Zun tam ( nitin vawi riat aia tam zun).
• Zan khatah vawi hnih aia tam zun chhuah tura thawh (Nocturia).
• Urine leak , bathroom kal hma emaw zun zawh nghal emaw .
• Khum hnim (Enuresis) tih a ni.

Heng taksa lama harsatna te bakah hian `(Urge Incontinence)` hian i rilru hriselna a nghawng thei bawk. Mi thenkhat chuan an dinhmun a nasat chuan pawn chhuah an hlau thin. "A bul hnaiah bathroom awm lo se engtin nge ni ang?" "Ka zun a ngai a nih chuan khawiah nge ka kal ang ?", rilru lam natna `(Stress)`, `(Anxiety)`, leh `(Depression) te pawh i nei thei bawk.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Hmeichhia hian mipa aiin ``Urge Incontinence'' an vei tam zawk a, a let hnih zetin an tam zawk. Kan tar chhoh zel chuan a hluar zual bawk. Amaherawhchu, doctor-te chuan tar lam thil pangngai a ni lo niin an sawi. Chu chu enkawl theih a ni tihna a ni.

Risk factor dang pawh a awm a:

• Zunthlum.
• Pelvic area-a operation i neih tawh chuan, hysterectomy ang chi.
• Damdawi thenkhat, entirnan antidepressant, diuretics, leh antihypertensives te.
• Menopause a awm.
• Nervous system natna, entirnan Alzheimer natna, Parkinson natna, leh Multiple Sclerosis (MS) te.
• Body Mass Index (BMI) 25 aia tam (i.e., thau lutuk/thau lutuk).
• Meizial zuk.
• Stroke ang chi dinhmun.
• Zun kawng natna (UTIs) te.
• Naupai leh nau neih (a bik takin vaginal delivery).
• Tun hmain eng thil vang pawhin pelvic area-ah radiation therapy i lo dawng tawh a nih chuan.
• Prostate lama harsatna, entirnan, prostate cancer emaw benign prostatic hyperplasia emaw a awm thei.

Engvangin nge ka zun ka thunun theih loh thut ?

Hun engemaw chen chu natna lan chhuahna tenau te i nei tawh mai thei a, a na zual tan chauh em tih pawh i hre lo mai thei. Mahse, tun hnaia operation hnu emaw, accident emaw, damdawi thar ei tan hnua heng symptoms te hi a lo lang a nih chuan doctor i pan ngei tur a ni. Nerve chhiatna emaw, harsatna dang emaw vang pawh a ni thei.

Engtin nge `(Urge Incontinence)` hi kan hriat theih ang?

Doctor chuan he natna hi i medical history la in i symptoms te a zawt ang che. Physics exam pawh an ti dawn a ni. Hmeichhia i nih chuan pelvic exam an ti thei a, mipa i nih chuan digital rectal exam an ti thei bawk.

Diagnosis dik tak siam tura pui turin i doctor chuan ni hnih atanga ni thum chhung "bladder diary" ziak turin a ti thei che a ni. Chutah chuan a hnuaia mite hi i record tur a ni:

• I in tur thil (tui, tea, coffee ang chi).
• Engzat nge i in thin?
• Engzat nge bathroom-ah i kal thin?
• Engzat nge zun i leak , engzat nge i leak?
• Zun i leak lai khan eng nge i tih ?

Chu bakah, doctor chuan test a ti thei bawk a, chungte chu:

• Urinary tract infection (UTIs) leh zun chhunga thisen (Hematuria) ang chi thil awm leh awm loh enfiah nan zun test (Urinalysis) a ni.
• Abdominal ultrasound hmanga taksa peng hrang hrang, bladder leh kidney te en theih a ni.
• Urinary system chu cystoscopy hmangin enfiah thin ang che.
• Urodynamic testing hi urinary system-in zun a vawn that leh hnawhchhuah dan test a ni a, post-void residual urine test hi zun hnua zun (bladder)-a zun awm zat hriat chian a ni.

`(Urge Incontinence)` hi a dam leh mai dawn em ni?

Urge incontinence hi a tlangpuiin a dam mai mai lo. Mahse, enkawlna hian i natna lan chhuah dan chu nasa takin a tihziaawm thei a ni.

Hemi atan hian eng enkawlna tha ber nge ni ang?

``Urge Incontinence'' enkawl dan chu i symptoms nasat danah a innghat. I doctor chuan he natna hian i nun a nghawng nasat zia hriat nan hetiang zawhna hi a zawt ang che:

• Nitin vawi engzat nge i zun?
• Zanah mut laiin zun chhuah turin vawi engzat nge i tho thin?
• Zun i leak em ?
• Zun engzat nge a leak?
• Engtikah nge zun a leak?
• Eng ang liquid nge i in thin?

Heng chhanna leh test result a\ang hian doctor chuan hetiang hi a rawt thei ang:

• Pelvic floor-a taksa lam enkawlna. Hei hian Kegel exercise leh pelvic floor muscle relaxation exercise te pawh a huam thei.
• Bladder retraining tih a ni.
• Nunphung a inthlak danglam thin.

Kegel hian exercise a ti thin

Pelvic floor exercise hi i urinary system thlawptu muscle te tichaktu exercise a ni. Dik taka tih a nih chuan i natna lan chhuah dan tihtlem nan an pui thei a ni.

Mahse, taksa ruh dik tak hriatchhuah leh hman chu i ngaihtuah angin a awlsam lo. Pelvic floor physiotherapist chuan heng exercise te hi dik taka tih dan tur a zirtir thei che a ni. Tin, i tih dik leh dik loh enfiah nan ``Biofeedback'' tih technique an hmang thei bawk. ``Urge Incontinence'' symptoms-a hmasawnna hmuh theih nan heng exercise te hi kar li atanga kar ruk vel chhung chu a rualin i ti tur a ni.

A châng chuan, overactive bladder symptoms hi i pelvic floor muscles tight emaw tightness emaw vangin a zual thei bawk. Chutiang a nih chuan physical therapist chuan heng taksa peng hrang hrangte hi tih hahdam dan leh inzawmkhawm dan tur a zirtir thei che a ni.

Bladder retraining tih a ni

Hei hian hun ruat saah chauh bathroom kal a huam a ni. Tum chu zun chhuah duhna nasa tak nei mahse i zun hmain rei vak lo nghah hi a ni . Hei hian i pelvic floor muscle te a tichak ang a, i zun chu rei zawk i vawn tlat theih nan a pui bawk ang.

Mi thenkhat chuan an zun fo a ngai a, entirnan darkar hnih danah an zun fo thin. Hei hi an bladder a khat hle hnuah chauh zun duhna an neih vang a ni a, chu chuan zun a ti harsa thei hle. Chuvangin kal fo leh bladder khar reng hian leakage harsatna a tiziaawm thei a ni.

Nunphung a inthlak danglam thin

Hengte hi nunphung inthlak danglamna, ``Urge Incontinence'' tihziaawmna tura pui theitu an ni:

• Meizial i zu a nih chuan titawp rawh.
• Bladder tichaktu in tur (caffeinated drinks coffee leh tea ang chi, carbonated drinks soda ang chi, leh zu) in tlem.
• I taksa rihna hrisel tak, i duh ang taka vawn reng.
• Constipation tih loh nanFiber tamna diet ei la, tui tam tak in rawh. Constipation hian urge incontinence a ti na zual thei.
• ``Urge Incontinence'' thlen thei damdawi dang a awm chuan enkawlna zawng rawh.

Therapies dangte pawh a awm

Bladder training leh nunphung thlak danglam hian a puih loh chuan i doctor chuan hetiang enkawlna tur a rawt thei ang:

• Botulinum toxin (Botox ®) injection hmanga tihdam theih a ni.
• Neuromodulation hmanga enkawl a ni.

Botox hman a ni

Botox hian i bladder chhunga muscle te chu a ti hahdam a, zun tam zawk i vawn theih phah a ni. Mahse, a chinfelna nghet tak a ni lo. Thla ruk emaw vel danah injection i lak a ngai dawn a, a nghawng a reh zel ang.

Neuromodulation hmanga enkawl a ni

I bladder nena inzawm nerve te chu zawi zawia tihchak dan pathum a awm. Hei hian i nervous system leh i bladder inbiak dan tur a tidanglam thei a ni. Heng hmanrua te hi:

• Percutaneous tibial nerve stimulation (PTNS): Hei hian i ke ruh chung lam deuha nerve pakhat tihchak a huam a ni. He enkawlna hi kar khatah vawi khat kar 12 vel pek thin a ni. Thil lian tak a ni lo va, doctor office-ah pawh tih theih a ni a, hmanraw dang aiin a awlsam zawk bawk.
• Implantable tibial nerve stimulation (ITNS): Hei hian i ke ruh bulah vun hnuaiah hmanraw te tak te dahin posterior tibial nerve a tichak a ni. Hei hian kar khatah vawi khat office kal ngai lovin, in lamah stimulation chu a ti thei a ni.
• Sacral neuromodulation (SNM): Hei hian i hnungzang hnuai lam ah device te tak te dah a ni. Doctor chuan i ruhro bul (spinal cord) bulpuiah wire te tak te a dah a, i bladder nena inzawm tlat nerve pakhat chu a tichak reng a, zawi zawiin a pe chhuak thin. Tin, vun hnuaiah hian battery dah a ni bawk.

Engtin nge `(Urge Incontinence)` hlauhawmna tihziaawm theih ang?

``Urge Incontinence'' enkawlna atana puitu thilte tho hian a venna kawngah pawh a pui bawk:

• I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.
• Constipation hi pumpelh rawh.
• Meizial i zu a nih chuan titawp rawh.
• Caffeine, carbonated drinks, leh zu te tihtlem.
• I bladder khar loh nan zun fo thin ang che.

`(Urge Incontinence)` vei chuan eng nge a beisei ang?

Urge incontinence hi a buaithlak hle thei. Kegel exercise leh bladder training ang chi home remedies hmangin i urge incontinence i tihziaawm thei. Mahse, a danglamna hmuh theih nan thla khat emaw a aia rei emaw a ngai thei a, a natna lan chhuah dan chu a bo vek lo thei bawk. Chuvang chuan Doctor nena inbiak pawh a pawimawh hle.Chumi hnuah chuan i dinhmun a nasat zia leh a enkawl dan tur tha ber ber leh i nunah nghawng a neih tlem dan tur a hrilh ang che.

`(Urge Incontinence)` hi enkawl loh chuan eng nge thleng ang?

Enkawl loh chuan ``Urge Incontinence'' hi a na zual thei. Bathroom ah kal tam a ngai mai thei a , zun tam zawk i leak a ngai mai thei . Heng harsatnate hi i zuk emaw, i taksa rihna hrisel i neih loh emaw chuan a zual thei hle.

`(Urge Incontinence)` hi engtin nge kan hmachhawn ang?

Urge incontinence hian zun a tichhuak thei a, chuvangin i enkawlna a hlawhtlin hma chuan absorbent underwear emaw urinary pad emaw i hmang duh mai thei. Mahse, zun nawn fo hian diaper rash leh sores a thlen thei a ni. I vun venhim nan petroleum jelly (Vaseline®) ang chi thil hi hnawih a tha. Petroleum jelly ringawt hian a puih loh chuan zinc oxide awmna cream emaw ointment emaw enchhin la, doctor pan rawh.

I urge incontinence avânga stress, depression, emaw, lungkhamna i neih chuan, therapist emaw, psychologist emaw biak chu a ṭangkai thei ang . I rilru hriselna enkawl danah an pui thei che a ni.

Engtikah nge Doctor ka hmuh ang?

``Urge Incontinence'' symptoms i hriat hmasak ber emaw, i bathroom tih dan inthlak danglam i hmuh veleh emaw i doctor nen inbiakna neihpui rawh. A chhan zawng chhuakin, an enkawl thei a, i natna lan chhuah dante an enkawl thei bawk. I natna lan chhuah dan a zual chuan urinary tract infection (UTI) a awm leh awm loh enfiah a pawimawh bawk.

Doctor hnenah eng zawhna nge i zawh tur?

I doctor hnenah hetiang zawhna hi i zawt mai thei:

• `(Urge Incontinence)` ka neih chhan chu eng nge ni?
• Eng ang test nge i tih thin?
• Ka ``Urge Incontinence'' hi engtiang chiahin nge a nasat?
• Botox emaw, nerve therapy emaw, surgery emaw ka mamawh dawn niin i hria em?
• Botox, neurosurgery emaw, surgery emaw tih hian eng hlauhawmna nge a neih?

`(Urge Incontinence)` leh `(Stress Incontinence)` hi eng nge an danglamna?

Heng pahnih hi a chhan leh a lan chhuah dan hi a inang lo hle a ni:

• Stress Incontinence: Hei hi kan pumin bladder a pressure vang a ni. Chutiang a nih chuan zun chu a leak chhuak zauh zauh thin.
• Urge Incontinence: Hei hi a tlangpuiin overactive bladder vang a ni. Stress incontinence aiin zun tam zawk a leak thei a ni.

I inbual dan chungchang sawi chu a zahthlak thei a, chuvangin nangmah chauh hian he harsatna hi i nei niin i ngai mai thei. Mahse, nangmah chauh i ni lo. Urge incontinence hian mi tam tak chu an nunah engtik lai pawhin a nghawng thin.

Hemi chungchânga chhûngte emaw, ṭhiante emaw rintlak tak takte biak chuan i nungchang inthlâk danglamnate chu an hrethiam thei a ni. Tin, urge incontinence-in i nunah nghawng a neih chu tihtlem nan an pui thei bawk che a, i chhuah leh chhuah hunah bathroom i hmuh theih nan an pui thei bawk che a, bathroom-a rei lutuk i awm chuan midangte ngaihtuahna an tihbuai thei bawk.

A pawimawh ber chu i doctor nen i dinhmun enkawlna tha ber chungchang sawipui hi a ni. Enkawlna, ruahmanna siam lawk, leh mi dangte ṭanpuina hmangin, urge incontinence-in i nunah nghawng a neih chu i tihtlem thei a ni.

Thil pawimawh hriat reng tur (Take-Home Message) .

• Urge incontinence hi enkawl theih a nih avangin zak leh hlau suh.
• Hei hi a chhan ber chu overactive bladder vang a ni thei.
• Thil awlsam tak tak, nunphung thlak danglam, Kegel exercise, leh bladder training te pawh hian danglamna nasa tak a thlen thei a ni.
• Symptoms i neih chuan damdawi lam thurawn lak a pawimawh. Diagnose leh treatment dik tak chuan i nunphung a tichangtlung thei a ni.
• Nangmah chauh i ni lo. Hetiang dinhmun hian mi tam tak a nghawng a ni. Chuvangin thlawpna dawng la, midangte pawh he thil hi zirtir rawh.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` incontinence, urge incontinence, overactive bladder, bladder control, zun tam lutuk, nocturia, zun chhuah, Kegel exercise, bladder retraining, urinary control, urinary incontinence, Sinhala hriselna