I bladder khar vek pawh i harsat em? Urinary Retention chungchang hi han sawi ila!

A chang chuan zun kim thei lo ang maiin i inhria em? A nih loh leh tlem chauh i zun hnuah zun leh tur angin i inhria em? Hei hi urinary retention kan tih mai mai, a nih loh leh damdawi lam atanga ``Urinary Retention'' kan tih mai chu a ni. Hemi a thil thleng chu i bladder chu a hring vek lo tih hi a ni. Kan bladder hi tuikhuah ang mai a ni. Kan tui leh tui kan in atanga kal (kidney) in a filter thin zun chu, he bladder ah hian a khawl khawm thin. Chumi hnuah chuan urethra hmangin a chhuak leh thin.

Urinary retention tih hi eng nge ni? Type a awm em?

A awlsam zawngin, urinary retention chu i zun laiin i bladder a hring vek loh vang a ni. Hei hi kawng lian pahnihin a thleng thei. 1. Acute urinary retention: Hei hi thil thleng nghal, rang taka awm a ni. I zun thei lo tak tak pawh a ni thei. Hei hi emergency medical treatment mamawhna a ni. 2. Chronic urinary retention: Hei hi hun kal zelah a lo thang zauh zauh thin. Symptoms pawh a lo lang zauh zauh bawk. Hei hi zun kawng (urinary tract obstruction), damdawi thenkhat, leh nervous system lama harsatna te vang a ni thei.

Hei hi han ngaihtuah teh, tui pipe-a thil a tlakbuak chuan tui a luang chhuak tawh lo ang.

Acute urinary retention hi emergency a ni tlangpui . Hetiang a nih chuan Doctor i pan nghal tur a ni. Chronic urinary retention hi mipa kum 60 leh 80 inkar ah a tam ber.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Zirna hrang hrangah chuan mipa kum 70 chunglam zinga 10% vel leh kum 80 chunglam zinga 30% velin he natna hi an nei thei tih a tarlang. Hmeichhia pawhin zun insum theih lohna an nei thei a, mahse mipa aiin a tlem zawk hle.

Urinary retention symptoms te chu engte nge ni?

Heng symptoms te hi acute emaw chronic emaw symptoms i neih dan azirin a danglam thei.

Acute Urinary Retention natna lan chhuah dan

Chutiang a nih chuan a natna lan chhuah dan chu a lang nghal vek a ni.

• Zun theih lohna, emaw, zun (bladder) a khat lai pawha zun tlemte chauh pass.
• A nasat chuan i pum a na thei a, i pum hnuai lam a na thei bawk . Hetiang hi i chungah a lo thleng a nih chuan Doctor i pan nghal tur a ni.

Chronic Urinary Retention natna lan chhuah dan

Mi tin hian natna lan chhuah dan a inang lo thei. A lan chhuah dan tlangpui thenkhat chu:

• Zun tan harsa.
• Urine stream chak lo, slow, emaw control theih loh emaw.
• I zun zawh hnu lawkah zun leh tur anga inhriatna.
• Zun chhuah ngai ang maia inhriatna.
• Hriat lohvin zun tlem a leak.
• Zanah vawi tam tak thawh a ngai a, zun chhuah (Nocturia).

Urinary retention awm chhante chu engte nge ni?

Urinary retention hi chhan hrang hrang a awm thei. A bulpui berte chu:

• Taksa atanga zun chhuahna kawngah hian eng emaw tikhawtlai a awm a.
• Damdawi thenkhat chu condition dang atan i ei thin.
• Nerve nena inzawm harsatna, thluak leh zun kawng inkara thuchah inthlengna tibuaitu .
• Infection emaw swelling emaw, zun kalna tur tikhawlo thei.
• Surgery (a bik takin surgery thenkhat hnuah).

1. Blockage a awm

Thil pakhatin bladder atanga urethra-a zun zalen taka kal chu a tikhawlo a nih chuan zun kawng a tikhawlo thei a ni. He obstruction hi urinary retention thlentu ber a ni. Chutiang daltu awm thei ṭhenkhat chu:

• Enlarged Prostate : Mipaah ​​chuan prostate gland a lian thei a, urethra a press thei a, chu chuan obstruction a thlen thei. Hei hi Benign Prostatic Hyperplasia ( BPH ) an ti bawk.
• Bladder Outlet Obstruction: Bladder (bladder neck) atanga zun chhuahna hmuna blockage a awm.
• Ureteral Obstruction: Urinary lung, thisen zam, tumor, emaw thil dang avanga urethra block.
• Cystocele : Hmeichhiaah chuan bladder chu vagina chhungah a tla thla thin.
• Rectocele: Hmeichhiaah chuan an rectum thenkhat chu an vagina wall-ah an nawr lut thin.
• Urethral Stricture: Scar tissue avanga zun kawng a tawi.

2. Damdawi chi hrang hrang

Damdawi thenkhat chuan zun a tikhawlo thei bawk. Entir nan:

• Antihistamines (e.g. Benadryl®) te hi a tha hle.
• Antispasmodics (e.g. Detrol®) hmanga tihdam theih a ni.
• Opiate natna tidamtu (e.g., Vicodin®) .
• Tricyclic antidepressant (Elavil® ang chi) te hi a tha hle.

Hengte hian bladder muscle hnathawh dan a tidanglam thei a ni. Damdawi chi dang thenkhat chu:

• Thisen sang damdawi thenkhat.
• Rilru natna damdawi thenkhat (Antipsychotics).
• Muscle tih hahdamna a ni.

3. Nerve chungchang

I hre lo mai thei, mahse kan thluak pawh hi zun chhuahnaah a inrawlh ve tho. Thluak hian bladder chhunga muscle te chu tighten turin signal a thawn a, chu chu zun a chhuah hun a ni. Chutih rual chuan thluak hian urethra chhehvela ruh (sphincter muscles) te chu chawlh hahdam turin a hrilh bawk. Hei hi zun awlsam taka a chhuah hun a ni. Chuvangin, thluak leh nerve inkara he inbiakpawhnaah hian harsatna a awm chuan zun lama harsatna a awm thei a ni. Nerve nena inzawm harsatna thlen thei te:

• Thai .
• Zunthlum natna `(Diabetes Mellitus)`.
• Multiple Sclerosis (MS) natna a ni.
• Accident emaw hliam emaw avanga ruhro emaw pelvic area emaw a chhiatna.
• Tumor emaw herniated disc emaw avanga spinal cord compression.
• Nau neih dan pangngai `(Vaginal Childbirth)`.
• Surgery thenkhat chu pelvic area-ah an ti bawk.

Tun hmaa catheter (urinary tube) i lo neih tawh chuan nerve lama harsatna i neih theihna a sang zawk.

4. Infection emaw Swelling emaw

Infection leh swelling hian urethra kaltlangin zun kalna a tikhawlo thei bawk. Entirnan:

• Prostatitis: Prostate gland infection emaw swelling emaw, a hring chhuak a, urethra a press a, zun kalna tur a tikhawlo a ni.
• Urinary Tract Infection (UTI): Urinary system-a infection a awm chuan zun kawng a ti na emaw, a zun (bladder) a chak lo emaw a ni thei. Heng pahnih hian zun a tikhawlo thei a ni.
• Sexually Transmitted Infections (STIs): Heng infection te hian a hring leh zun a tikhawlo thei bawk.

5. Surgery tih a ni

Surgery thenkhat hnuah pawh urinary retention a awm thei bawk. Entirnan, hip thlak emaw, ruhro surgery emaw. Tin, operation neih laiin general anesthesia avang hian hun eng emaw chen chu zun a awm thei bawk.

Urinary retention awm thei tur risk factors te chu engte nge ni?

Tu pawhah zun chhuah hi a awm thei a, mahse mipaah ​​a tam ber . Hetiang hlauhawmna hi mipa prostate gland lian zawk (Benign Prostatic Hyperplasia emaw BPH) nei tan chuan a sang hle a, a chhan chu an prostate gland hian urethra a press a, zun kalna a tikhawlo a ni.

Urinary retention avanga harsatna awm thei te chu engte nge ni?

He natna hi hriatchhuah emaw, enkawl emaw a nih loh chuan a hnuaia harsatnate hi a awm thei a ni:

• Urinary tract infection (UTIs): Zun kawng (bladder)-a zun a khawlkhawm hian bacteria te tan boruak tha tak a siam thin. Hei hian zun kawng natna a thlen thei a, chu chu kal (kidney)-ah a darh thei a ni.
• Bladder chhiatna: Bladder-a zun tam lutuk a awm chuan bladder muscle te chu a inzawm khawm thei a, a chhe thei bawk.
• Kidney chhiatna: 1.1.Urinary tract infection chu kal lamah a darh chuan kal a hring thei a, a hring thei bawk. Hetiang pressure hian kal a tichhia a, kal natna a thlen thei bawk.
• Involuntary leakage of urine: I bladder a khar kim loh chuan i hriat lohvin zun engemaw zat i leak thei bawk.
• Bladder Stones: Bladder-a zun a awm khawm hian bladder stone a lo awm thei a.

Engtin nge urinary retention hi an hriat theih?

Acute urinary retention hi damdawi lam emergency a ni a . Zun harsatna i neih thut chuan, a bik takin i pum emaw, i hnungzang hnuai lam emaw a na a nih chuan damdawi lam thurawn i dil nghal tur a ni . Chronic urinary retention i neih chuan urologist i pan tur a ni. Amah emaw chuan:

• I symptoms te leh eng chen nge i neih tawh tih te an zawt ang.
• I medical history kimchang chu i hmu vek ang.
• Taksa enfiahna a ti thin.
• Zun sample an endik a, natna hrik a awm leh awm loh an enfiah thin.
• Digital rectal exam hmangin prostate gland an enfiah thin.

Chu bâkah, doctor chuan zun chhuah lohna chhan hriat nân test dang a ti thei bawk:

• Post-void Residual Urine Test (PVR): Hei hian i zun zawh hnua i bladder-a zun awm zat a tehna a ni.
• Cystoscopy: Hei hi cystoscope, pencil ang vela lian tube hmanga bladder leh urethra chhung lam enfiah a ni a, light leh camera emaw lens emaw hmanga enfiah a ni.
• Urodynamic Testing: He test hian nerve leh muscle hnathawh dan, bladder chhung leh a chhehvela pressure, leh zun kal dan te a teh thin.
• PSA Test: He thisen test hian Prostate-Specific Antigen (PSA) level tehna hmangin prostate cancer a awm leh awm loh a enfiah thin.

Urinary retention hi eng enkawl nge ni ang?

Urinary retention enkawlna chu acute emaw chronic incontinence i neih leh neih lohah a innghat a, a chhan pawh a innghat.

Zun chhuak nghal vat vanga enkawlna

Hei hi medical emergency a nih avangin doctor chuan i bladder-ah catheter (tube) a dah ang a, chu chu a chhuak ang. Hei hian chhawmdawlna a pe nghal tur a ni. Chumi hnuah chuan a chhan hriatchhuah a ni ang a, a \ul anga enkawl \an a ni ang.

Chronic urinary retention enkawlna

Enkawlna chu a chhanah a innghat. A hnuaia mi pakhat emaw, a aia tam emaw inzawmkhawm a ni thei:

• Damdawi chi hrang hrang.
• Inzai.
• Surgery ni lo duhthlan tur (nungchang tihdanglam).

Urinary retention i neih chuan, a bik takin nerve nena inzawm harsatna avang hian in lamah catheter hi hun eng emaw chen i hmang thei mai thei. Chutiang a nih chuan i doctor chuan catheter chu self-catheterize dan tur a zirtir ang che.

Damdawi ei tur

I doctor chuan i zun chhuah lohna chhan bulpui enkawlna atan damdawi a pe thei ang. Entir nan:

• Prostate lian zawk tan: Damdawi alpha-blockers leh 5-alpha reductase inhibitors te hian prostate gland a ti tlem emaw, a chhehvel thau te a ti hahdam emaw a ni.
• Infection tan: Antibiotics hi infection, urinary retention thlentu enkawl nan pek thin a ni.

Inzai

A chhan azirin zun retention enkawl nan operation neih a ngai mai thei. I doctor chuan a hnuaia thil awmte hi operation neih a rawt thei ang:

• Enlarged prostate: Hei hi enkawl nan hian surgery chi hrang hrang a awm a. Entirnan, prostate transurethral resection (TURP), prostatic urethral lift, emaw holmium laser enucleation of the prostate (HoLEP) te hi a ni. Heng zawng zawng (leh a dangte) hian blockage thlentu blockage chu a paih chhuak thei a ni.
• Urethral stricture: Doctor chuan catheter emaw balloon emaw hmangin scar tissue chu a ti tawi thei a, chu chu a hawng thei a ni. Thil dang chu urethroplasty tih surgery tih a ni a, chu chu zun kawng hawn leh siamthat a ni.
• Cystocele emaw Rectocele emaw: I natna lan chhuah dan chu i zung emaw, i zung (rectum emaw) atanga lo chhuak emaw, lo chhuak emaw a nih chuan, i doctor chuan pessary (bladder chu a vawn tlat theihna hmanrua) emaw, operation emaw hmangin taksa peng hrang hrangte chu a hmuna sawn leh turin a rawt thei ang. Pelvic organ prolapse chi hrang hrang tan surgery neih theih a ni.
• Urinary tract stones: I doctor chuan cystolitholapaxy tih hmangin bladder emaw urethra-a lung awmte chu a ti chhe thei a, a paih chhuak thei bawk.

Doctor chuan less invasive method leh treatment te a enchhin hmasa ang. Mahse, hengte hian a puih loh chuan invasive zawka hman dan tur ngaihtuah theih a ni a, chungte chu:

• Prostate gland chu a chhuak vek (Prostatectomy).
• Spinal Cord tihchakna (spinal cord) tihchakna.
• Bladder surgery neih a ni.
• Urinary siam thar leh tihdanglam.

Nonsurgical Treatment te pawh a awm bawk

A châng chuan, non-surgical methods hmang hian symptoms a\angin a reh thei bawk. Entirnan:

• Kegel exercise emaw pelvic floor muscle therapy emaw hmangin:Kegel exercise leh physical therapy hian pelvic floor muscle a tichak a.
• Vaginal Pessary: ​​Ring ang chi, bladder a tlak chuan a thlawpna atana hman thin.
• Urinary control: Urinary retention control theih a ni a, i zun a ngaih hun control leh tui in hun tur ruahman la.

Urinary retention hi ven theih a ni em?

Hei hi ven kim theih a nih loh laiin, a hlauhawmna tihziaawmna tur thil i tih theih a awm a:

• Zun ngai i hriat veleh toilet-ah kal nghal rawh. I zun chu vawn lut suh.
• I zun dan kha ngaihven rawh. Thil danglam i hmuh chuan doctor hnenah hrilh rawh.
• Ei leh in inthlau tak ei la, taksa rihna hrisel tak vawng reng la, tui tam tak in rawh.

Urinary retention nei mahse i zun theih em?

Ni e, mi thenkhat chuan tlem an zun thei. Urinary retention tih awmzia chu i zun theih loh tihna a ni a, i zun laiin i bladder a hring vek lo tihna a ni. A châng chuan, zun (bladder) chu zun a khat a, a luang chhuak a, chuvang chuan zun ṭhenkhat chu a leak thei a ni.

Urinary retention ka neih chuan eng nge ka beisei ang?

Urinary retention nei nia hriat i nih chuan i doctor-in a enkawl dan tur dik taka zawm a pawimawh. I natna lan chhuah dan a ṭhat leh ṭhat loh enfiah turin follow-up test nei rawh. Mi tam tak tan chuan enkawlna dik chuan natna lan chhuah dan a tiziaawm ang.

Engtikah nge Doctor ka hmuh ang?

Heng zinga pakhat tal i neih chuan doctor pan rawh:

• Zun tam a ngai nia i hriat chuan, a bik takin i zun zawh hnu lawkah.
• Zun chhuah tan harsatna i neih chuan, emaw, i zun chhuah a chak lo emaw, a tawp emaw a nih chuan.
• I pum hnuai lam, mipat hmeichhiatna hmun emaw, hnungzang hnuai lam emaw na i neih chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Urinary retention i neih chuan zawhna neih hi thil pangngai a ni. I doctor hnenah hetiang thil hi i zawt thei ang:

• Ka natna lan chhuah chhan hi eng nge ni i tih?
• Test dang neih belh i rawt em?
• Eng ang enkawlna nge i rawt?
• Engtin nge ka symptoms te hi ka enkawl tha ber ang?
• Ka zun retention hi a dam vek dawn em ni?

Chhungte, ṭhiante, leh doctor-te hnena i zun control chungchanga harsatna awmte sawipui chu a hrehawm thei hle. Mahse, nangmah chauh i ni lo. Urinary retention hi a awm fo a, enkawl theih a ni. I zun danah inthlak danglamna i hmu a nih chuan, emaw, i zun theih loh tak tak chuan Doctor pan rawh. I natna lan chhuah dan tur enkawltu tur enkawlna engemaw zat a awm.

Take-Home Thuchah hnuhnung ber

Urinary retention hi a chang chuan a ti thinrim deuh thei a, emergency-ah pawh a na thei hle. A pawimawh ber chu a natna lan chhuah dan hriat chian a, damdawi lam thurawn lak vat hi a ni.

• Emergency symptoms: Zun theih lohna emaw, pum hnuai lam natna emaw ang chi symptoms rang tak i neih chuan damdawi inah kal nghal rawh
• Zun tan harsatna, zun chhuah chak lo, zun a ngai fo thin ang chi natna lanchhuahna awm reng i neih chuan zak suh la, doctor pan la, checkup la.
• A chhan tam tak a awm thei: Prostate lama harsatna, damdawi, nerve lama harsatna, infection, etc. A chhan dik tak zawn chhuah chauhvin enkawlna dik tak pek theih a ni.
• Enkawlna a awm: A chhan azirin he natna hi damdawi emaw, operation emaw, nunphung thlak danglam emaw hmanga enkawl theih a ni.
• Ngaihthah suh: Enkawl loh chuan kal chhiatna leh natna hrik kai ang chi harsatna a awm thei.

Chuvangin, hetiang harsatna i neih chuan Doctor biak pawh hlau suh. Enkawlna rang tak hmangin hahdamna i hmu thei.