I zun pawh harsatna i nei em? Urinary retention chungchang i zir dawn teh ang

I zun chhuah lai hian a chanve vel i chawlhsan a ngai niin i hria em , a nih loh leh i zunthlum chu a hring vek lo tih i hria em? Nge zun tan harsatna i nei em ? Hei hi hriselna lama harsatna tlanglawn tak a ni a, mi tam takin an sawi zak thin a, mahse hriselna lama harsatna pawimawh tak a ni thei. Vawiin hian he natna hi urinary retention an tih, a nih loh leh damdawi lama ``Urinary Retention'' tia hriat hi kan sawi dawn a ni. Lungngai suh, hei hi hriatthiam leh enkawl dan dik a nih chuan thunun theih thil a ni.

A awlsam zawngin, urinary retention chu eng nge ni?

I bladder chu tui dahna ang maiin ngaihtuah rawh. Kan kal (kidney) hian kan taksa atanga bawlhhlawh awmte chu a filter a, he bladder-a awmkhawm zun (pee/urine) a siam chhuak thin. Kan zun kan mamawh hunah zun hian he tank hi a chhuahsan a, chu chu urethra an tih tube hmangin a chhuak thin.

Urinary retention tih hi i zun laiin i bladder a hring vek loh chuan a ni. A chang chuan tlem a la awm thei a, a na zawkah chuan i zun theih loh phah thei bawk.

Hei hi chi hnih lian tak a ni.

He urinary retention condition hi kawng lian pahnih a awm thei. An natna lan chhuah dan leh a nasat dan pawh a inang lo vek.

1. Acute Urinary Retention: Hei hi thil thleng nghal , rang tak a ni. Zun a ngai tih i hria a, mahse tlemte pawh i zun thei lo. Hei hi pum hnuai lam natna nasa tak nen a inzawm thei bawk. Hei hi medical emergency a ni. Hetiang a nih chuan damdawi in pakhat emergency room (ETU) ah i kal nghal tur a ni.

2. Chronic Urinary Retention: Hei hi hun kal zelah a lo thang zauh zauh thin. I zun thei a, mahse i bladder chu a hring vek lo. A tam zawkah chuan a natna lan chhuah dan hi a na lo hle a, chuvangin mi thenkhat chuan an ngaihven vak lo mai thei. Mahse, he natna hi enkawl a la pawimawh hle.

Hetiang natna lan chhuah dan hi engte nge ni?

Tunah hian heng chi hnih atanga symptoms hmuh theih te hi han thlir ila. Hengte hi chiang taka thliar hran dan tur i hriat a pawimawh hle ang.

Engvangin nge hetiang hian zun hi a tlakbuak? A chhan berte chu engte nge ni?

Zun retention a awm theih chhan hrang hrang a awm. A chhan ber chu a hranin han sawi ila.

1. Urinary tract tihkhawtlai (Blockage) .

A awlsam zawngin, zun kalna kawngah hian harsatna a awm a. Tui pipe i hrual ang bawkin tui luang chu a tlahniam a ni. Hei hi a chhan ber chu mipa prostate gland lian lutuk (Enlarged Prostate emaw Benign Prostatic Hyperplasia - BPH) vang a ni. He gland hi urethra vel a awm avangin a lian chuan urethra a tikhauh a, zun kalna kawng a tikhawlo bawk.

Tin, hei bakah hian:

• Zun kawng lung, thisen zam, cancer emaw.
• Scar tissue avanga urethra tihtlem (Urethral Stricture) .
• Hmeichhiaah chuan Cystocele (bladder chu vagina chhungah a tla thla) thin .
• Hmeichhiaah chuan Rectocele (rectocele (rectum atanga vaginal wall chhunga rawn chhuak) a awm thin .

2. Damdawi thenkhat

Damdawi thenkhat chu natna dang atana i ei hian zun a tikhawlo thei bawk. Entirnan, allergy damdawi thenkhat (Antihistamines), natna tidamtu thenkhat (Opiates), leh antidepressant thenkhat (Tricyclic Antidepressants) te hian i bladder muscle hnathawh dan a nghawng thei a ni.

3. Nerve chungchang

Thluak hian zun chhuah theihna signal min pe a. Thluak hian bladder chhunga muscle te chu tighten turin a hrilh a, urethra vel muscle te chu relax turin a hrilh bawk. Thluak leh zun kawng inkara nerve connection-ah chhiatna a awm chuan zun chhuahna kalphung a tibuai thei a ni.

Hei hi a thlen thei thilte:

• Thai
• Zunthlum (Diabetes Mellitus) natna a ni.
• Nervous system tichhe thei natna (e.g. Multiple Sclerosis) .
• Spine emaw pelvic area emaw a hliam
• Nau neih a ni
• Pelvic surgery neih a ni

4. Infection emaw Swelling emaw a awm thei

Urinary tract infection (UTI) , prostate infection (prostatitis) , emaw sexually transmitted infection (STIs) avanga hliam pawh hian zun kalna a tikhawlo thei bawk.

5. Surgery tih a ni

Hun eng emaw chen chu zun a awm thei a, a bik takin hip thlak ang chi operation lian tak tak hnuah emaw, anesthesia pek hnuah emaw a awm thei.

Urinary retention i enkawl loh chuan eng nge thleng thei?

Hei hi thil dang anga ngaihthah mai mai hi a tha lo, a chhan chu chronic urinary retention hi enkawl loh chuan harsatna dang a thlen thei a ni.

• Urinary tract infection (UTIs): Zun chu bladder-ah rei lutuk a awm chuan bacteria a lo thang lian zawk thin. Heng natna hrik te hi kal thlengin a kal thei a ni.
• Bladder chhiatna: A khat reng avangin bladder muscle te chu a inzawm thei a, a chak lo thei a, a chhe thei bawk.
• Kidney chhiatna: Infection emaw, bladder-a pressure tam lutuk hian kal a tichhia a, kal natna a thlen thei bawk.
• Bladder Stones: Zun hmun khata a awm khawm chuan a chhunga mineral awmte chu a khawlkhawm a, lung a siam thei a ni.

Engtin nge hei hi i hmuh theih, Doctor?

Heng symptoms te hi i neih chuan doctor pan hmasak ber tur a ni. Urinary system natna hrang hranga specialist doctor (urologist) pan a tha ber.

Doctor hnen atangin:

• I natna lan chhuah dan leh eng chen nge a awm tawh tih zawhna i dawng ang.
• I medical history kimchang zawt rawh.
• Taksa enfiahna a ti thin.
• Zun sample an endik a, natna hrik a awm leh awm loh an enfiah thin.
• Mipa i nih chuan rectal exam hmangin prostate gland enfiah rawh.(Digital Rectal Exam) tih theih a ni.

Chu bâkah, a chhan dik tak hriat nân test dang neih belh theih a ni bawk.

• Post-void residual (PVR) test: Hei hian i zun zawh hnua i zun (bladder) chhunga zun awm zat tehna a ni.
• Cystoscopy: Camera te tak te nei tube chu urethra hnuaiah an pass a, bladder chhung leh urethra an enfiah thin.
• Urodynamic testing: Test hrang hrang, bladder leh a chhehvela taksa peng hrang hrangte hnathawh leh pressure tehna a ni.
• PSA test: Prostate cancer hlauhawmna enfiahna atana thisen test a ni.

Hei hi eng enkawlna nge ni?

Enkawl dan tur chu acute emaw chronic pain i neih leh neih loh leh a chhan eng nge ni tih a innghat a ni.

Acute urinary retention enkawlna

Hei hi emergency a nih avangin tih hmasak ber tur chu catheter dahin bladder atanga zun chhuah hi a ni. Hei hian chhawmdawlna a pe nghal ang. Chumi hnuah chauh chuan a chhan chu hriatchhuah leh enkawl theih a ni ang.

Chronic urinary retention enkawlna

Hei hi enkawlna kawng hrang hrang a awm.

• Damdawi: Prostate hi a lian a nih chuan a tihtlem nan emaw, a chhehvela taksa ruhte tih hahdam nan emaw damdawi pek theih a ni. Infection tan antibiotics pek theih a ni.
• Surgery: A chhan a zirin surgery neih a ngai mai thei. Hei hian prostate gland (TURP) lakchhuah te, urethra-a blockage siamthat (Urethroplasty) te, cystocele/rectocele surgery hmanga siamthat te a huam thei.
• Surgery nei lo enkawlna: 1.1.
• Kegel exercise: Pelvic area-a taksa ruh tichaktu exercise a ni.
• Vaginal Pessary: ​​Vagina chhunga dah, zunthlum (prolapsed bladder) thlawpna atana hmanraw.
• Bladder control: Nungchang inthlak danglamna, tui in hun tur control ang chi.

Neurological disorder nei thenkhat chu an doctor chuan in lama catheter hmanga self-catheterize dan tur a zirtir thin.