A chang chuan i zun chhunga chelh harsa i ti thin em? I nuih, i khuh, exercise i tih hian zun tlemte leak hi i nunah harsatna a ni em? Hei hi mi tam takin harsatna an neih a ni a, mahse mi tam tak chuan mualpho leh sawi nuam lo deuhin an inhria. Mahse lungngai suh, vawiinah hian he natna (Urinary Incontinence) chungchang hi chipchiar zawkin kan sawi dawn a ni.
Urinary Incontinence tih hi eng nge ni?
A awlsam zawngin sawi ila, urinary incontinence chu i zun control theih lohna leh duh loh vanga zun chhuahna a ni. Hei hian i nunah nghawng lian tak a nei thei a ni.
Kan taksa hian zun (urinary system) a nei a. Organ tin hi a ta a ni. Heng zawng zawng hi a inzawm khawm chuan kan taksa bawlhhlawh te chu a filter a, a khawlkhawm a, zun angin a paih chhuak thin. He system hi a thawk tha a nih chuan a hun takah bathroom-ah i kal thei tlangpui a, zun pawh a thlawnin a chhuak lo. Mahse, he system-ah hian thil a dik lo a nih chuan he zun hi control theih lohna dinhmun hi a lo awm ta a ni. Hei hi chhan hrang hrang a awm thei.
Hei hi mi zawng zawngin an upat deuh deuha an lo thanglian zel tur thil a ni em?
Mi tam tak chuan hei hi kan upat deuh deuha thil thleng a ni a, tihtawp theih loh niin an ngai. Kan upat deuh deuh chuan risk a sang chho zel tih hi a dik a ni. Amaherawhchu, tu chungah pawh kum eng pawhah a thleng thei. A tha ber chu enkawl theih a ni. He harsatna avang hian nitin hnathawh i chawlhsan emaw, active taka awm emaw a ngai lo.
Tuna data atanga a lan dan chuan kum 20 chunglam hmeichhia 62% vel chuan zun inthiar theih lohna chi khat emaw an nei a ni. Mipa zingah chuan he zat hi a hniam deuh a, 14% vel a ni. Chuvangin hei hi a hluar zia chu i hmu thei ang.
Urinary incontinence chi hrang hrangte chu engte nge ni?
Hetiang dinhmun hi chi hrang hrang a awm. A chhan, symptom leh trigger hrang hrang an nei a. Eng type nge i neih tih chiang taka hriat hi i treatment plan atan a pawimawh hle.
A chi hrang hrang thenkhat chu hetiang hi a ni:
- Urge incontinence: Hei hi zun chhuah duhna do theih loh i neih lai a ni. Vawi tam tak chu toilet i thlen hmain zun engemaw zat i leak thin. Overactive bladder hi a chhan lian ber a ni. Ngaihtuah teh, hnathawhna hmuna i awm lai hian rang takin i zun a ngai a, i tlan pawhin i chawlhsan thei lo.
- Stress incontinence: Hei hi nuih, khuh, thawk hah, tlan, zuang, rit phurh ang chi thil i tih hian zun tlem i hloh a ni. A bik takin, hei hi zun harsa i tih hunah a thleng thin.
- Overflow incontinence: Hetah hian i zun hnuah i zun (bladder) chu a hring vek lo.Tlemte a la awm. Hetiang chi hi mipa benign prostatic hyperplasia (BPH) vei, emaw, stroke emaw zunthlum emaw ang chi natna nei te zingah a tam zawk.
- Mixed incontinence: A hming ang bawkin hei hi a chunga kan sawi chi hrang hrangte inzawmkhawm a ni thei. Entirnan, stress incontinence leh overactive bladder te pawh i nei thei. Hetiang mixed incontinence i neih chuan zun i leak lai kha uluk takin ngaihven rawh. Doctor-te chuan eng chi nge i neih tih hriat theih nan an pui thei che a, chutiang chuan i enkawl thei bawk.
Eng nge a lan chhuah dan? Engtin nge i hriat?
A lan chhuahna ber chu hun engemaw chen, toilet kal hma te, khuh, nuih emaw, exercise lak lai te, zun a leak thin hi a ni. Zun tam tak i leak thei a, a tlem berah i leak thei bawk. I leak chhunzawm zel thei a, a nih loh leh a khat tawkin tlem i leak thei bawk. Heng symptoms te hi i neih chi hrang hrang a zirin a danglam thei. Mahse, a lan chhuah dan tlangpui chu:
- Ni khatah vawi riat aia tam zun a ngai (`(Frequent urination)`).
- Bathroom-a i kal chuan vawi khatah tlemte chauh a chhuak thin.
- Zan khatah vawi hnih aia tam zun chhuah tura thawh (`(Nocturia)`).
- Khum hnim (Enuresis) tih a ni.
- Exercise i tih laiin zun leak, nuih, khuh, thawk hah, khup emaw, sex hman lai emaw.
Engvangin nge kan zun kan thunun theih loh? A chhan engte nge ni?
Hei hi chhan hrang hrang a awm thei. Hmeichhia emaw, mipa emaw i nih dan azirin heng chhante hi a inang lo thei bawk. Chhan thenkhat chu hun eng emaw chen atan a ni a, enkawlna nen a bo thin. A dangte chu hun rei tak natna avanga lo awm an ni. Chutiang hunah chuan enkawl pawhin a bo vek lo thei a, mahse a lan chhuah dan a ni chhunzawm zel thei.
Hun eng emaw chen emaw, hun rei lote chhunga emaw chhan:
- Zun kawng natna (UTIs) .
- Naupai lai emaw, nau neih hnu emaw
- Damdawi thenkhat, entirnan, tui pill (diuretics) leh antidepressant (antidepressant) te .
- In tur thenkhat, coffee leh zu ang chi te
- Ek khal
Hun rei tak chhunga a chhan:
- Bladder a thawk nasa lutuk
- Thai
- Zunthlum (`(Diabetes Mellitus)`) a ni.
- Menopause a awm
- A rilru a buai em em a, a rilru a hah em em bawk a.
- Parkinson natna (`(Parkinson natna)`) .
- Prostate tihpun a ni
- Prostatectomy (prostate gland lakchhuahna atana surgery) tih a ni.
Naupai lai hian engvangin nge hetiang hi a lo awm?
Naupai lai hian hetiang dinhmun hi a lo awm chhan hrang hrang a awm a:
- Bladder-a pressure awm zat: 1.1.Nausen pum chhunga a lo seilian ang zelin nausen pum pawh a lo thang lian zel bawk. Hei hian bladder-ah pressure a siam thei a ni. Hei hian zun tam a mamawh phah thei a ni. He dinhmun hi naupai tawp lamah a zual thei a, naute chu a lian ber lai a nih avangin.
- Pelvic floor muscle chak lo: I pelvic floor muscle te hian i pelvis chhunga organ zawng zawng a vawng tlat a ni. Heng ruhte hi naupai lai te, i nausen pum a lo sei chhoh zel emaw, nau i neih hnuah emaw a inzawm khawm thei a, a chak lo thei bawk.
Hetiang dinhmun hian tute nge a nghawng nasa ber?
Tuah pawh a lo thanglian thei a ni. Amaherawhchu, pawl thenkhatah leh nun hun engemaw chen ah a tam zawk. Hmeichhiaah a tam zawk a, a bik takin:
- Naupai lai hian
- Nau neih hnuah
- Menopause (`(Menopause)`) nen chuan .
Heng zawng zawngah hian pelvic floor muscle te chu zawi zawiin a chak lo thei a, bladder pawh a danglam thei a, chu chu he zun control theih lohna hi a ni.
Kum upat rualin he risk hi a pung em?
Ni e, he hlauhawmna hi kum 50 hnuah a pung a, kan taksa hi kan dam chhungin a danglam thin. Kum i upat deuh deuh chuan he natna hi i vei theihna a sang chho zel a, a bik takin:
- Hun rei tak natna i neih chuan.
- Fa i hrin tawh a nih chuan.
- Postmenopausal i nih chuan.
- I prostate gland a lo lian a nih chuan.
- Prostate surgery i neih tawh chuan.
Chuvangin, heng hlauhawmnate hi doctor nen sawiho a pawimawh a, chutiang chuan i natna hi i enkawl dan tur leh i nitin nunah a tibuai loh nan i veng thei ang.
Hei hi hmeichhiaah a awm fo em?
Ni e, he natna hi hmeichhiaah a tam ber. Naupai te, nau neih te, menopause te hian zun control harsatna a thlen thei vek a ni.
Naupai laiin zun insum theih lohna hi hun rei lote chhung a ni tlangpui a, nau neih hnuah a tha zawk tlangpui. Mahse, hmeichhe thenkhat chuan nau neih hnuah incontinence an nei thei a ni. Hei hi a chhan chu nau neih laiin pelvic floor muscle te hi a inzawm khawm a, a chak lo bawk.
Menopause hi taksaa inthlak danglamna lian tham tak a thlen hun a ni bawk. Hemi hun chhung hian i hormone, a bik takin estrogen te chu a inthlak danglam thin. Hei hian zun control pawh a nghawng thei bawk.
Engtin nge doctor-te hian hei hi chiang taka an chhui chhuah?
Doctor chuan he natna hi i natna lan chhuah dan te, i damdawi lam chanchin te, leh i taksa enfiahna te enfiahin a hre thei a ni. Zawhna a zawt thei che a ni:
- Engzat nge i zun thin?
- Toilet panna inkar ah zun i leak em?
- Engzat nge chutiang chuan zun a chhuah thin?
- Vawi khatah zun engzat nge chhuah?
- Engtik atang khan nge he zun hi a chhuak tih i hriat?
- Tunah hian eng damdawi nge i ei mek emaw, tun hma pawhin i ei tawh emaw?
- Naupai i ni em? Nge i rai tawh em?
- Fa engzat nge i hrin tawh?
Heng zawhnate hian i doctor chu i zun kal dan tur a hriat theih nan a pui thei a ni. Hei hian eng ang incontinence nge i neih tih a hriat theih nan a pui ang. A dinhmun finfiah nan test dang a order thei bawk a, test dang pawh a ti thei bawk.
Hemi atan hian eng test nge tih a nih?
Doctor chuan hetiang test hi a ti thei ang:
- Pelvic exam: Hei hian i pelvic muscle chakna a enfiah thei a, he natna thlentu hriselna lama harsatna dang a neih leh neih loh a enfiah thei bawk.
- Digital rectal exam: Hei hian mipaah prostate lian tham a awm leh awm loh enfiah nan a pui thin.
- Urinalysis: Zun sample i pek chu infection leh zun chhunga thisen (hematuria) awm leh awm loh enfiah nan test a ni.
- Bladder ultrasound: Hei hi natna nei lo test a ni a, i bladder leh i bladder i empty theih dan tur a enfiah thin.
- Stress test: I khuh, i tlan emaw, i zuang emaw laia zun a ngai nia i hriat chuan, i zun tak tak em tih hriat nan i doctor chuan chutiang thilte chu ti turin a ti thei che a ni.
- Cystoscopy: He test-ah hian camera (cystoscope) nei tube te tak te chu i urethra kaltlangin i bladder chhungah dahin i urinary system enfiah a ni. Mahse, mi tam zawk chuan he test hi an mamawh lo.
- Urodynamic tests: Hei hi i bladder-in zun engzat nge a vawn theih tih leh i vawn that theih dan leh i bladder i empty theih dan tehna a ni.
- Pad test: Doctor chuan i underwear hnuaia bun tur pad bik a pe thei che a ni. I pass tawh tih i hriat loh zun a khawlkhawm ang. Test zawh hunah chuan pad-a zun engzat nge awm tih an enfiah ang.
I doctor chuan ni engemaw zat chu bladder diary ziak turin a ti thei bawk. Chutah chuan hetiang hian i ziak tur a ni:
* Engzat nge i zun?
* Vawi khatah engzat nge i zun?
* Bathroom panna kawngah zun i leak em?
* I zun lai khan eng nge i tih?
>
Doctor hmu tura i kal dawnin he diary hi i keng tel theihnghilh lo ang che. He information hian pattern pakhat i hriat theih nan leh a chi bik zawng turin a pui ang che.
Hei hi eng enkawlna nge ni? Dam theih a ni em?
I type neih danah a innghat. Doctor chuan eng type nge i neih tih a hre hmasa ang. Tichuan, i enkawlna awm theite chu a hrilh ang che a, i duh ber thlang tûrin a ṭanpui ang che.
Enkawl dan tlangpui chu:
- Nunphung a inthlak danglam thin
- Taksa lam enkawlna
- Damdawi chi hrang hrang
- Surgery emaw tih dan dang emaw
Heng hmanraw hrang hrangte hian thatna leh that lohna a nei vek a, doctor chuan a hrilhfiah vek ang che.
Nunphung a inthlak danglam thin
A châng chuan, nitin nunphungah inthlâk danglamna tê tê siam hian enkawlna dang awm lovin i dinhmun chu a ti ṭha thei a ni. Mahse, heng inthlak danglamnate hian insum theih lohna chi hrang hrang a tidam lo mai thei. Heng thil zawng zawng hi i tan hmain doctor nen inbiakna neih hmasak phawt tur a ni.
Nunphung inthlak danglamna tlangpui:
- Timed voiding: Hun ruat saah zun la , zun a ngai tih i hriat hma chu nghah ai chuan.
- Taksa tihchak hmaa zun: Eng hna pawh thawh tan hmaa zun hian zun inkara zun chhuah zat a tihziaawm thei a ni.
- Thil rit chawi loh tur: Thil lian emaw, rit emaw i chawi a ngai a nih chuan mi tu emaw hnenah tanpuina dil rawh.
- Kegel exercises: Heng exercise te hian i pelvic floor muscle te a tichak thei a ni. I doctor emaw physical therapist emaw hnenah engtin nge i tih ang tih zawt rawh.
- Thiltih i tan hmain leh zan mut hmain tui tam tak (a bik takin caffeine awmna) in loh tur.
- Absorbent urinary pads emaw underwear emaw hmang rawh: Hengte hian zun a hip lut a, thawmhnaw hnuaiah tumah hmuh lohvin bun theih a ni.
- Bladder retraining: Hei hian vawi khat zun chhuah theihna a siam a, chumi hnuah zun inkar hun chu zawi zawiin a ti rei thei a ni.
- I duh ang taksa rihna hrisel tak vawng reng rawh: Pum chhunga taksa rihna tihtlem hian bladder-a pressure a tihziaawm bakah bladder hriselna a ti tha hle.
- Vaginal inserts: Hengte hi damdawi dawrah damdawi inah damdawi man (prescription) tel lovin counter-in lei theih a ni. Vagina chhunga dah a nih chuan urethra a tizau a, stress incontinence a tihziaawm bawk.
Damdawi chi hrang hrang
Damdawi tam tak a awm a, chu chuan zun i leak a ti tlem thei a ni. Damdawi thenkhat hian overactive bladder thlentu muscle contraction te chu a stabilize thei a ni. Mi dangte chuan taksa ruhte chu a ti hahdam a, bladder chu a khar vek theih nan an pui bawk. Menopause i paltlang a nih chuan hormone therapy, vaginal estrogen cream ang chi hian i taksain a siam chhuah tawh loh estrogen hormone chu a thlak danglam thei a, chu chuan bladder function a siam tha leh thei a ni.
Damdawi hman tlanglawn thenkhat:
- ``Oxybutynin (Ditropan®, Ditropan XL®, Oxytrol®) te hi a awm a, a chhuahna tur hmun leh a hmanna tur hmun chu a in ang lo hle
- `Tolterodine (Detrol®) hmanga siam a ni`
- `Solifenacin (VESIcare®) hmanga hman theih a ni`
- `Fesoterodine (Toviaz®) hmanga siam a ni`
- `Darifenacin (Enablex®) tih a ni
- `Trospium (Sanctura®)` tih a ni
- `Mirabegron (Myrbetriq®)` tih a ni
- `Vibegron (Gemtesa®)` tih a ni
Doctor-te chuan dose hniam tak aṭangin an ṭan tlangpui a, zawi zawiin an tipung ṭhin. Hei hian side effects a tihziaawm bakah damdawi hian engtiang chiahin nge hna a thawh tih an hmu thei bawk.
Surgery leh tih dan dangte
I doctor chuan operation neih a rawt thei che a ni. Chûng zîngah chuan:
- Bulking agents: Doctor chuan i urethra lining-ah tui atanga siam thil a inject a. Hei hian i urethra lining a ti thim a, zun kal dan pawh a control thei bawk.
- Botulinum toxin (Botox®) injection: Urge incontinence hi Botox® hmanga enkawl a ni. Hei hian bladder ruhte a ti hahdam a ni. Amaherawhchu, hei hi enkawlna nghet a ni lo va, injection hi a hun hunah tih nawn fo a ngai a ni.
- Neuromodulation devices: Heng devices te hian bladder thlenga nerve te chu a tichak a, control a tichak bawk.
- Sling kalphung: Hetah hian mihring siam (synthetic) mesh, surgical tape emaw, i taksa tissue thenkhat emaw hmangin urethra chu a thlawp a ni.
- Artificial urinary sphincter: Hei hi prostate cancer vanga operation hnua stress incontinence nei tan a tha tlangpui. Hei hi inflatable medical device a ni. Bathroom-a kal i mamawh thlengin zun a vawng thei a ni.
He dinhmun hi a bo vek dawn em ni?
Eng ang incontinence nge i neih tih ah a innghat. A châng chuan, a chhan (e.g., zun kawng infection, damdawi ṭhenkhat, constipation) a bo hnuah chuan enkawl lohvin a bo vek ang.
Hei hi a thleng lo thei lo em ni?
A chhan zawng zawng hi ven theih a ni lo. Nunnaah thil chi hrang hrang avanga lo awm thei a ni. Mahse, Kegel exercise hmangin i pelvic floor muscle te tichak la, i taksa rihna hrisel tak, i duh ang ang i neih chuan i hlauhawmna chu i tihtlem thei a ni.
Hetiang dinhmun hi engtin nge i nunpui?
Mi tam tak tân chuan, insum theih lohna hian rilru hahna, lungngaihna, a nih loh leh lungkhamna a thlen a nih chuan, therapist emaw, psychologist emaw biak chu a ṭangkai thei a ni. I rilru hriselna enkawl danah an pui thei che a, a tul chuan damdawi an pe thei bawk.
Engtikah nge doctor i hmuh ang?
Zun chhuah i hriat tirh veleh emaw, i inbual dan inthlak danglamna i hriat veleh emaw doctor pan rawh. A chhan leh chi hrang hrang zawng turin an pui thei che a, enkawl emaw, enkawl emaw pawh an pui thei bawk.
Doctor hnenah eng zawhna nge i zawh tur?
Doctor hnenah hetiang zawhna hi i zawt mai thei:
- Eng ang incontinence nge ka neih?
- Eng enkawlna nge i rawt?
- Urinary control na damdawi ei hian eng side effect nge a neih?
- He surgery emaw procedure emaw hian eng side effect nge a neih?
Mi tam tak chuan an inbual dan chungchang sawi hi an zak hle. I zun i thunun theih loh avangin i zak a, i mualpho thei bawk. A nih loh leh, emergency i neih chuan zun a leak emaw, a hun taka bathroom i thlen theih loh emaw i hlau mai thei a, chu chuan nitin hna i thawh theih loh phah thei a ni. Mahse, doctor chuan i zun control chungchanga harsatna awm chhan zawng chhuakin, i dam theih nan a pui thei che a ni. Hemi hmang chauh hian i tuar a ngai lo.
He urinary incontinence problem enkawlna tha ber hriat tumin i doctor nen inbia ang che. Tichuan i nun chu lungngai lovin i hmang thei tawh ang.
A tawp berah chuan thil hriat reng tur
- Incontinence hi thil awmze nei tak a ni a, mahse thil pangngai angin hnawl suh.
- Hei hi chhan leh chi hrang hrang a awm a.
- Enkawlna tha tak tak a awm a. Chuvangin damdawi lam thurawn zawng chu zak leh hlau suh.
- He natna hi nunphung thlak danglam te, exercise te, damdawi ei te, leh operation hmanga tihdanglam theih a ni.
- Nangmah chauh i ni lo, tanpuina dil rawh.
He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!
` Urinary control, urinary incontinence, incontinence, urge incontinence, stress incontinence, bladder, zun natna te











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh