I zun pawh harsatna i nei em? (Urinary Hesitancy) Hemi chungchang hi han sawi ila!

A chang chuan i zun a chhuah hma chu rei vak lo i nghah a ngai em? A nih loh leh i zun laiin i chawlhsan nghal mai a, i zun leh hunah tlemte chauh a chhuak em? Hei hi i chungah a thleng tawh a nih chuan vawiin a kan sawi tak, ‘ zun harsa ’ tih hi i nei ve mai thei bawk. Hei hi damdawi lamah chuan `(Urinary Hesitancy)` tia hriat a ni. Hemi chungchang hi chipchiar zawkin han sawi ila.

He zun harsatna hi eng nge ni ? (Urinary Hesitancy hi a awlsam zawngin sawi ila)

A awlsam zawngin `(Urinary Hesitancy)` tih hian zun harsatna (i.e. zun chhuah) tihna a ni. Hei hian zun chhuah tan harsatna i nei thei tihna a ni , a nih loh leh zun chhunzawm zel harsa i ti thei bawk. A châng chuan, zun i la duh chung pawhin i zun i chawlhsan thei .

Hei hi tu chungah pawh a thleng thei tak zet a, mahse mipa i nih chuan hetiang dinhmun hi i tawk tlem zawk a ni.

Doctor-te chuan "hesitancy" tih thumal hi zun chhuah tan harsatna emaw, zun kal dan tur vawn that harsatna emaw sawina atan an hmang thin .

Hetiang dinhmunah hian eng symptoms nge i neih?

``Urinary Hesitancy'' chhinchhiahna ber chu zun tan harsatna leh zunthlum tihtawp a, chu chu zun (bladder) a hring vek hmaa zun chhuah tihtawp a ni. Tin, symptom dang pawh a awm thei bawk.

• Zun chhuah ngai ang maia inhria , mahse zun theih loh .
• Zun chhuah duhna chu .
• I zun chu a kal zawi zawi hle ang maia inhriatna, a nih loh leh zun chhuak hring hring ang maia inhriatna .
• Dribbling, i zun zawh hnuah pawh .

Zun harsatna bakah symptom dang

A châng chuan he ``Urinary Hesitancy`` dinhmun hian ``Urinary Retention`` emaw, zun theih lohna emaw pawh a thlen thei . Chutiang a nih chuan a natna lan chhuahna te pawh a awm thei a, chungte chu:

• Pum hnuai lam natna hriat.
• I pum a hring ang maia inhriatna.
• Hriat loha zun tlemte leak (``Urinary Incontinence'' an ti bawk).

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

Zun a harsat chhan hrang hrang a awm . Eng nge an nih i han thlir teh ang.

Mipa natna thlentu tam ber

Hei hi a chhan langsar ber chu prostate gland lian (Benign Prostatic Hyperplasia - BPH) vang a ni.. Hei hi mipa kum 60 chunglam ah a tam ber a, prostate hi gland te tak te, mipa chauhin an neih a ni. Bladder hnuaiah a awm a, urethra vel a ni. Chuvângin, a lo ṭhan chuan urethra chu a compress thei a, zun kal pawh a tikhawlo thei bawk .

A chhan tlangpui dang

Chu bâkah, a chhan dang engemaw zât a awm thei bawk:

• Urinary Tract Infections (UTIs) emaw Bladder Infection: Hengte hi kan zingah a hluar hle.
• Prostatitis: Hei hi prostate gland a lo hring chhuak a, a natna a ni.
• Urethra scarring leh narrowing of the urethra (Urethral Stricture): Accident emaw infection emaw avanga zunthlum chu a chhung lam atangin a zim thei.
• Constipation na tak: Constipation a nasat chuan bladder-ah pressure a siam thei a, zun pawh a nghawng thei bawk .
• Damdawi thenkhat: Entirnan, antidepressant thenkhat (Tricyclic Antidepressants), zun insum theih lohna damdawi, leh khawsik leh allergy damdawi thenkhat te pawhin hetiang hi a thlen thei bawk.
• Pelvic floor muscle te hi a relax tha thei lo: Heng muscle te hian zun an chhuah hian an relax a ngai a ni . An relax tha lo a nih chuan zun a harsa thei hle (Pelvic Floor Dysfunction).
• Nervous system natna: Nerve natna, thluak atanga bladder thlenga signal lo lutte a thawk tha lo. Entirnan, stroke, multiple sclerosis (MS), emaw, zunthlum kaihhnawih neuropathy emaw.
• Pelvic Organ Prolapse: Pelvic cavity chhunga thau te a chak loh chuan bladder ang chi organ te chu a tla thla thei a ni. Hei hian zun a nghawng thei bawk .

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Sawi tawh ang khan hetiang hi tu chungah pawh a thleng thei a, kum eng pawhah a thleng thei. Mahse, mipa kum 60 chunglam, prostate lian (BPH) nei te zingah a tam ber.

Engtin nge doctor hian hei hi a hriat theih?

I chhungkaw doctor (Primary Care Physician - PCP) hnenah zun harsatna i neih thu i hrilh chuan i natna lan chhuah dan a zawt ang che a, i hriselna chanchin a la ang che a, taksa enfiahna a nei ang che.

Zawhna zawh tur che

Doctor chuan hetiang zawhna hi a zawt thei ang:

• Eng chen nge hetiang harsatna hi i neih tawh ?
• A hma aia zawiin i zun ang maiin i hria em?
• Heng symptoms te hi a lo lang nghal em ni, a nih loh leh a pung zauh zauh em?
• Hemi atanga hahdamna dawng tur hian damdawi dawr atanga i lak theih tur damdawi a awm em?
• Chaw thenkhat i ei emaw, thil engemaw i tih emaw hian he harsatna hi a pung tih i hre ngai em?

Heng zawhnate i chhânna a\ang hian doctor chuan thil awmdan chu a hre chiang thei a ni.

Eng test nge tih thin?

Chumi hnuah chuan doctor chuan ``Urinary Hesitancy'' dinhmun finfiah nan test thenkhat a ti thei ang a, a chhan pawh a hmu thei ang.

• Urodynamic Tests: Hei hi test hrang hrang inzawmkhawm a ni. Hengte hian hetiang hi an en a ni:
• Engzat nge i zun ?
• I zun chakna leh chakna chu engtin nge a awm?
• I bladder chhunga pressure chu engtin nge a awm?
• Imaging test: Entirnan, ultrasound scan emaw CT scan emaw tih tur a ni. Hengte hian i bladder a fill leh empty dan a en thei a, i prostate size pawh a check thei bawk. A châng chuan cystoscopy, i urethra kaltlangin camera te tak te dahin i bladder chhunga en theih a ni ṭhin.
• Digital Rectal Exam: Hei hian prostate gland lian tham tak chu kut hmanga enfiah a ni.
• Urinalysis: I zun sample lak a, a chhunga thil awm (microscopic indicators, chemicals) te test a ni.
• Urine Culture: He test hi zun chhunga bacteria infection awm leh awm loh enfiah nan tih a ni .

Zun harsatna enkawlna tur engte nge ni ?

Urinary hesitancy enkawlna chu a chhan leh damdawi dang i neih leh neih lohah a innghat a ni. I doctor chuan a hnuaia enkawlnate hi a rawn rawt thei ang:

• Bladder Retraining / Hun bi neia Voiding
• Pelvic Floor atanga taksa lam enkawlna
• Damdawi chi hrang hrang
• Inzai
• Sacral Nerve tihchak / Sacral Neuromodulation hmanga tihchak

Heng zawng zawng hi chipchiar deuhin han thlir ila.

Bladder zirtirna (Timed Voiding) 1.1.

Hei hian i bladder muscle te retraining a huam a ni. Hei hian hun bi neia zun chhuah (a tlangpuiin darkar hnih danah) a huam a ni. Hei hi i bladder a khat hmain empty-in tih a ni. I zun duh lo pawh nise , hun bi neia kal tum tur a ni.

Pelvic Floor atanga taksa lam enkawlna

Hei hian i pelvic floor-a taksa ruhte ti hahdam thei tur exercise zirtirna a huam a ni. Heng ruhte hi a relax tha a nih chuan zun a awlsam zawk .

Damdawi chi hrang hrang

Doctor chuan prostate lo thang zel tur tihtawp nan emaw, a awmsa tihtlem nan emaw damdawi (e.g. Dutasteride, Finasteride) a pe thei che a ni. A nih loh leh, bladder leh prostate muscle ti hahdamna tur damdawi (Alpha-blockers) a pe thei che a ni. Infection a awm chuan antibiotics a pe ang che.

Inzai

Urethra a zim chuan a zau zawk (Urethral Dilation) emaw, siam thar leh (Urethral Reconstruction) emaw hmangin operation tih theih a ni. BPH vangin prostate gland a lian a nih chuan a tissue tam lutuk lakchhuah nan surgical procedure hrang hrang a awm a. Ṭhenkhat chu a awlsam a, doctor office-ah pawh tih theih a ni. A dangte chu electric emaw laser emaw hmanga surgery a ni. A châng chuan prostate gland ṭhenkhat emaw, a pum emaw lak chhuah (Prostatectomy) tih pawh theih a ni. Pelvic organs a tlahniam (Pelvic Organ Prolapse) a nih chuan organs te chu a hmunah dah leh a, a tlak leh loh nan support turin surgery a awm thin.

Sacral Nerve tihchakna (Scral Nerve) tihchakna

Hei hian i hnute bula vun hnuaiah hian thil te tak te ``Neurostimulator'' an tih chu dah a ni. He device hian i sacral nerve bulah electrical impulse tha tak tak a thawn a, chu chuan bladder muscle te a tichak a ni.

In lamah eng thil nge i tih theih?

A then phei chuan doctor nena inbiakna leh in lama thil awlsam tak tak tih hian he natna (Urinary Hesitancy) hi a tiziaawm thei a ni.

• Heat: Inbual lum emaw, tui lum bottle emaw, heating pad emaw i pum hnuai lam dah ang chi thilte hian pelvic floor muscles a ti hahdam thei a, zun a awlsam phah thei
• Massage: While urinating , i pum hnuai lam (bladder awmna hmun) chu i kut hmanga zawi zawia massage emaw, pressure zawi zawia dah emaw hian i zun kal chakna leh chakna a tipung thei a ni.
• Stool Softeners emaw Laxatives: Constipation i neih chuan i rilru a che tha thei tur khawpa ei tur, in tur leh damdawi (laxative category-a awm) ei hian bladder hnathawh a pui bawk ang.

A pawimawh ber chu heng in lama enkawlna te hi i enchhin hmain doctor rawn hmasa phawt tur a ni a, "hengte hi i tan a him" an tih chauhvin i ti tur a ni.

‘Bladder diary’ vawn thatna.

I doctor chuan "bladder diary" siam turin a ti thei bawk che a, chu chu i bladder nena inzawm thilte ziakna lehkhabu a ni. Chutah chuan hetiang hi i record tur a ni:

• Ni khata tui leh tui i in zat.
• I zun zat (a theih chuan teh rawh).
• Zun chakna (a kal tha emaw, a kal zawi emaw tih ang chi).
• Eng chen nge zun a rei ?
• Ni khatah vawi engzat nge i zun ?
• Chu bakah, symptom dang i nei thei bawk.

Hetiang diary i vawn hian nang leh i doctor te pawhin he dinhmun hi in hrethiam zawk thei ang.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Hei hi i zun chhuah loh chhan leh i enkawl danah a innghat tak zet a ni.

• Pelvic Floor Physical Therapy hmanga result hmuh theih nan kar engemaw zat a ngai thei.
• Muscle relaxants hian hna thawh tan nan darkar engemaw zat a daih thei.
• Sacral nerve stimulation device dah a nih hnuah chuan result hmuh nan kar engemaw zat a ngai thei.
• Operation hnua a dam kim theih nan thla engemaw zat a ngai thei .

Hetiang dinhmun hi ven theih a ni em?

`(Urinary Hesitancy)` thlentu zawng zawng hi kan veng thei lo. Mahse, zun thatna vawn reng leh constipation pumpelh hian eng emaw chen chu a pui thei a ni. Chu chu darkar tlemte danah i zun tur a ni a, i zun chu i vawn tlat tur a ni a, chubakah ni khatah vawi khat tal tha leh nem tak i neih tur a ni.

Doctor hmuh hun tha ber berte chu engte nge ni?

Zun harsatna i neih emaw, i zun a kal dan pangngai aia hniam zawk emaw i hriat veleh doctor rawn rawh . I symptoms te chu ngaihthah suh la, "a mah chauhin a bo ang" tiin ngaihtuah suh. It can be embarrassing to talk about urinating , mahse a symptom thar check out nghal a pawimawh.

Emergency Treatment Unit (ETU) ah kal a ngai em ?

Zun chhuah duhna nasa tak i nei a, mahse zun engmah i pass thei lo a nih chuan , a bik takin i pum hnuai lam emaw, i mipat hmeichhiatna hmuna natna a awm chuan Emergency Room (ER)-ah kal nghal rawh. Hei hi i tihkhawtlai loh tur thil a ni.

Doctor hnena zawhna pawimawh zawh tur

Doctor hmu tura i kal hunah hetiang zawhna hi zawh theihnghilh suh:

• Ka zun harsat chhan hi eng nge ni i tih , doctor?
• Eng test nge ka tih tur a rawt?
• Test dang neih belh a ngai em?
• Eng enkawlna nge ka tan a rawt?
• Ka zun harsatna hi a reh vek dawn em ni?

A tawp berah chuan hriat reng tur (Take-Home Message) .

Nitin kan sawi vek thil ni lo mah se, zun tam tak i neih chuan , i zun (bladder) kha khar vek a, zun chhuah chu a hrisel em em a ni, a dik em? Mahse chutih rual chuan, hahdam tak leh kim taka i zun theih loh a, thil engemaw a tihbuai hian a ti thinrim leh a zahthlak zia hi han ngaihtuah teh. Chu chu `(Urinary Hesitancy)` an tih chu a ni.

In lama damdawi awlsam tak takte hian i natna lan chhuahna a puih loh chuan doctor biak pawh zak suh. I hriselna enkawl hi a pawi lo a, zah tur pawh a awm lo. Chuvangin, harsatna i neih chuan i mamawh tanpuina zawng rawh.

` Urinary retention, zun harsatna , Urinary Hesitancy, BPH, Prostate, Urinary tract infection, Urinary symptoms