I hriat lohvin zun pawh i leak em? (Urinary Incontinence) - Hei hi zahpui tur a ni lo, sawi ila!

I nuih a, i khuh emaw, thil rit tak i chawi emaw hian zun tlemte i leak palh em? A châng chuan rang takin toilet-ah i kal a ngai a, i tlan chhuah hma pawhin i zun a ngai ṭhin em? Hei hi i tan chauh harsatna a ni lo. Mi tam takin sawi chhuah zak mah se, a awm dan tlanglawn tak a ni. Damdawi lamah chuan hei hi Urinary Incontinence kan ti a. I nun nghawng thei mah se, i nunpui a ngai lo. A enkawl dan tha tak tak a awm.

A awlsam zawngin, he zun thunun theih lohna hi eng nge ni?

Kan urinary system hnathawh dan hi han hrethiam hmasa ila. Tui dahna ang chi system angin ngaihtuah rawh. Kan kal (kidney) atanga thisen filter atanga zun lo awm chu bag pakhatah an khawlkhawm a, chu chu Bladder an ti a. He bladder hi a khat chuan kan thluak ah signal a rawn thawn a, "Tunah hian toilet ka kal a ngai a ni," tih hi a ni. Tichuan toilet-ah kan kal a, kan zun a. Hetiang kalphung zawng zawng hi kan nerve leh muscle te hian a thunun vek a ni.

Urinary incontinence chu kan bladder kan thunun theih loh vang a ni. Kan duh loh hunah thunun theih lohvin zun kan hloh tihna a ni.

Mi tam tak chuan hei hi tar chakna thil pangngai niin an ngai a, an tih theih tur a awm lo. Dik tak chuan, kum upat deuh deuh hian he natna hi vei theihna a sang chho zel a ni. Mahse kum eng pawhah a thleng thei. A pawimawh ber chu hei hi tuar tur thil a ni lo. Hetiang dinhmun hi enkawl dan tur tha tak tak a awm.

Hetiang dinhmun hi eng chi hrang hrang nge ni ber?

Urinary incontinence chi hrang hrang a awm a. Eng type nge i neih tih chiang taka hriat hi enkawlna i zawn dawnin a pawimawh hle.

I zun hun i ngaihven chuan eng type nge i neih tih hi rough idea i nei thei ang. Mahse, chiang taka hriat tur chuan doctor pan a ngai a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

A lan chhuahna ber chu zun insum theih lohna a ni a, mahse a lo awm dan azirin chhinchhiahna dang a awm thei bawk.

• Ni khatah vawi 8 aia tam zun a ngai .
• Vawi tam tak chu toilet-a kal hian zun a chhuak tlem hle .
• Zan khatah vawi hnih aia tam zun chhuah tur chuan mut atanga harh a ngai (Nocturia).
• Khum hnim (Enuresis) tih a ni.
• Exercise, nuih, thawk hah, ben, emaw sex hman laia zun chhuah.

Engvangin nge kan zun kan thunun theih loh? A chhan engte nge ni?

Hei hi chhan tam tak a awm thei. A chhan thenkhat chu hun eng emaw chen atan a ni a, enkawlna nen chuan a reh vek dawn tihna a ni. A chhan thenkhat chu hun rei tak natna nena inzawm a ni.

Hun eng emaw chen atana chhan

Heng chhante hi enkawl a nih chuan zun lama harsatna awmte chu a bo tlangpui.

• Urinary Tract Infections (UTIs): Urinary tract infection a awm chuan bladder a ti na thei a, chu chuan zun a chhuah fo a, control theih lohna a thlen thei bawk.
• Naupai leh nau neih: Naute a lo seilian chhoh zel chuan nausen pum (uterus) hian thisen zam (bladder) chu pressure a siam a. Nau neih lai hian pelvic floor muscle te chu a chak lo thei hle.
• Damdawi thenkhat: Thisen sang tan diuretics thenkhat leh depression damdawi thenkhat te hian he natna hi a thlen thei a ni.
• In tur thenkhat: Coffee, tea leh zu hian bladder a tichak a, zun a tichhuak fo bawk.
• Constipation: Constipation i nih chuan he harsatna hi a awm thei a, a chhan chu full rectum hian bladder chhunga nerve te chu pressure a siam vang a ni.

Chronic chhan hrang hrang

Hengte hi natna dang chhinchhiahna a ni tlangpui.

• Menopause: Hmeichhiain thlasik a chawlhsan chuan taksaa estrogen hormone a tlahniam thin. He hormone hi zun kawng hriselna atan pawh a pawimawh hle. A tlahniam chuan taksa ruhte a chak lo thei a, he dinhmun hi a lo awm thei bawk.
• Stroke, Diabetes, Multiple Sclerosis (MS), Parkinson’s disease: Nervous system tichhe thei natnaah chuan bladder control tu nerve te a chhe thei a.
• Enlarged Prostate: Mipa tar tawhte zingah prostate gland a lian chhoh zel chuan zun kawng a tikhawlo thei a, zun chhuah kim vek tur a veng thei a, chu chuan overflow incontinence a thlen thei a ni.
• Prostatectomy: Cancer vei thenkhatah chuan he operation hnuah hian zun control tu muscle te hi a nghawng thei a ni.

Engtin nge he natna hi i hriat theih ang? Doctor hian eng nge a tih?

Doctor i pan hunah he harsatna chungchang hi a zawt ang che. Rinawm taka awm leh thudik sawi hian natna dik tak hriat theihna kawngah nasa takin a pui ang.

Doctor hnena zawhna zawh tur

• Ni khatah vawi engzat nge zun i mamawh?
• Engtikah nge zun a leak? (Khuh, nuih lai, rang takin?)
• Vawi khatah zun engzat nge i pass thin? (Tlem tlem emaw, tam emaw?)
• He harsatna hi eng chen nge a awm tawh?
• Tunah hian damdawi i ei em?
• Naupai i ni em? Fa engzat nge i neih tawh?

Test tih theih a ni

A tam zawkah chuan doctor chuan i thil chipchiar tak tak atang chauhvin natna hi a hre thei a ni. Mahse, a châng chuan, a chhan dik tak hriat nân hetiang test hi tih theih a ni.

A châng chuan i doctor chuan "bladder diary" ziak turin a ti ang che. Chumi awmzia chu vawi engzat nge i zun tih te, i zun tam zia te, hriat lohvin engtikah nge i zun tih te, chutih laia i thil tih lai te chu ni engemaw zat ziak chhuak tihna a ni. Hei hian i dinhmun hriat chian nan a pui thei che a ni.

Hei hi eng enkawlna nge ni?

A tha ber chu hei hi enkawl dan tur tam tak a awm a ni. I doctor chuan i dinhmun leh i chhan nena inmil ber enkawlna a rawn rawt ang che.

1. Nunphung inthlak danglamna

Hengte hi hmanraw hmasa ber a ni fo thin. Mi ṭhenkhat tân chuan hei chauh hian buaina chu nasa takin a thunun thei a ni.

• Kegel Exercises: Hei hi a pawimawh ber a ni. Exercise bik, pelvic floor muscle tichaktu. Heng ruhte hi a chak chuan zun control-na kawngah nasa takin a pui thin. Hengte hi tih dan dik tak chu physiotherapist hnen atangin i zir thei ang.
• Bladder Retraining: Zun chhuah duhna i neih nghal chuan rei vak lo nghak la, toilet panna inkar hun chu zawi zawiin tipung rawh.
• Hun bi neia Voiding:Darkar 2-3 dan ang bawkin, zun rit tak i neih hma chu nghah ngai lovin, a hun takah toilet-ah kal.
• I taksa rihna hrisel tak vawng reng rawh: I taksa rihna a san chuan, a bik takin i pum thau hian i bladder-ah a tul lovah pressure a siam thin. I taksa rihna tihtlem hian he pressure hi a tiziaawm thei a ni.
• I ei leh in tur ngaihtuah rawh: Mi thenkhat chuan coffee, tea, zu, leh ei tur chi hrang hrang an ei tlem hian hahdamna an hmu thin.

2. Damdawi chi hrang hrang

Nunphung thlak danglam ringawt pawh a tawk lo a nih chuan i doctor chuan damdawi a pe thei ang.

• Urge incontinence tan chuan bladder muscle contraction control thei damdawi (e.g. Oxybutynin, Tolterodine) a awm.
• Menopause hnua condition lo awm tan chuan vaginal estrogen cream hman theih a ni.
• Overflow incontinence atan hian damdawi a awm a, chu chuan bladder chu a khar vek thei a ni.

Pawimawh: Hetiang damdawi hi doctor thurawn tel lo chuan hmang ngai suh.

3. Surgery leh tih dan tur

Enkawlna dang a hlawhtlin loh emaw, a natna a nasat emaw chuan doctor chuan heng thilte hi a hmang thei a ni.

• Bulking Agents: Urethra vel ah thil bik inject a, urethra tlem a constrict a, zun a chhuah loh nan a hmang thin.
• Botox Injection: Bladder muscle-ah hian an duh loh zawng tihziaawm nan Botox hi inject a ni. Hei hi hun eng emaw chen enkawlna a ni.
• Sling Procedures: Stress incontinence avanga surgery tih dan tlangpui. Hetiang tihnaah hian sling ang chi thil bik hmangin urethra chu a pui thei a ni.
• Artificial Urinary Sphincter: Hei hi thil siam chhuah a ni. Urination control tu muscle chak lo nei teah dah a ni.

I doctor chuan heng enkawlna tinte thatna leh that lohna chu uluk takin a hrilhfiah ang che.