I duh loh zawnga zun chhuah (involuntary leakage of urine) i nei bawk em? Hei hi Vesicovaginal Fistula case a ni thei!

A chang chuan, "Engvangin nge ka zun hi ka hriat loh pawhin ka leak?" A lungchhiatthlak hle thei a, a bik takin operation hnuah emaw hriselna lama harsatna dang nen emaw? Hei hi buaina zahthlak leh sawi theih loh ni fo mah se, fimkhur a pawimawh hle. Hei hi thil tenawm tak mai ni lovin, enkawl ngai thei dinhmun a ni.

Vesicovaginal Fistula hi eng nge ni?

A awlsam zawngin sawi ila, fistula chu kan taksa peng hnih inkar, a tlangpuiin hmun pahnih inzawm loh tur inkara inhawng emaw, khur emaw a lo awm a ni. Pindan pahnih inthenna bang pakhata khur lo awm nghal ang maiin han ngaihtuah teh. Hetiang fistula hi a lo awm chhan tam tak a awm thei. Entirnan, taksa hmun dangah natna hrik emaw, hliam emaw, inflammation vang emaw a ni thei. Hengte hi taksa peng hrang hrangah a thleng thei a ni.

Vesicovaginal fistula, a tawi zawngin VVF tih hi i bladder (zun inkhawmna bawm) leh i vagina wall inkara inzawmna emaw, inhawng emaw a ni. I bladder leh i vagina inkarah hawnna te tak te a lo awm ang mai a ni. Hei hian i bladder atanga zun chu i vagina kaltlangin a ti chhuak thin. A châng chuan leak te tak te, hnim hring tak a ni thei bawk. Mahse fistula a lian chuan zun a chhuak reng thei bawk .

Hei hi damdawi lama harsatna lian tak mai a ni lo va, a buaithlak hle thei bawk. Zun hi a nuam lo thei a, a zahthlak thei a, a chang chuan a rimchhia thei bawk. Chuvang chuan mi tam takin sawi an hreh hle a, mahse chu ai chuan Doctor hmuh a tha zawk.

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

I ngaihtuah mai thei, "Engvangin nge leiah hian hetiang hi ka chungah a lo thlen?" Hei hi chhan lian tak tak engemaw zat a awm.

• Surgery hnua harsatna: Vesicovaginal fistula hi operation hnua complication angin a awm fo thin a, chu chu bladder emaw vagina emaw-a harsatna awmte enkawl nan a ni. Entirnan, hysterectomy emaw bladder surgery emaw hnuah a awm thei. Operation lai hian tumruh tak a ni lo va, a chang chuan taksa peng pahnih inkarah hliam te tak te a awm a, a dam lo va, fistula-ah a chang thei bawk. I hriat loha puan pakhata mittui tla te tak te, a lian zual zel ang maiin ngaihtuah rawh.

• Gynecological Cancer Conditions: Hetiang dinhmun hi gynecological cancer thenkhat vang pawh a ni thei. Cancer ngei pawh hian chu lai hmuna tissue te chu a tichak lo thei a, fistula a siam thei a, a nih loh leh cancer enkawlna, radiation therapy ang chi chuan he natna hi a thlen thei bawk.Hei hi operation avanga side effect angin a awm thei bawk.

• Nau neih laiin harsatna (a bik takin ram changkang zawkah): Tunah chuan Sri Lanka-ah hian he natna hi a tlem hle nachungin, khawvel hmun thenkhatah chuan, a bik takin nau neih hun rei tak emaw, nau neih laiin harsatna a awm emaw chuan, VVF hi bladder leh vagina inkara pressure vangin a awm thei a, tissue te a tichhe thei a ni. Hei hi ‘Obstructed labor’ tih dinhmun nen a inzawm a ni.

• Urinary tract infection awm fo emaw, na tak emaw: Hei hi a thleng tlem hle. Mahse, persistent, untreated severe urinary tract infection (UTIs) hian a chang chuan bladder wall a tichak lo thei a, fistula a thlen thei bawk. Amaherawhchu hei hi thil awm dan tlangpui a ni lo.

Doctor-te hian engtin nge hei hi an hmuh?

Vawi tam tak chu fistula symptoms hi operation hnu ni engemaw zat hnuah a lang thin. Damlo sawi ber chu, "Doctor, tun hnaiah zun ka leak nasa hle a ni," tih hi a ni.

Doctor hnena i kal hian a tih hmasak ber chu i thusawi tur ngun taka ngaithla a, chumi hmun chu uluk taka taksa enfiahna neih a ni. Chu chu, vagina kaltlangin an en a, hetiang hawnna awm leh awm loh an enfiah tihna a ni.

Chumi hnuah chuan test thenkhat ti turin an ti mai thei che a, chu chuan i natna chu a finfiah lehzual ang a, fistula awm dan dik tak leh a awmna hmun dik tak hriat theih nan an ti mai thei bawk.

• Dye bik hmanga test: A chang chuan, tube chu bladder-ah dahin, chutah chuan coloured liquid (dye) an paltlang a, chu dye chu vagina atanga a chhuak em tih an enfiah thin. A awm chuan fistula a awm tihna a ni.
• X-ray emaw CT Scan: I pelvis X-ray emaw CT scan (Computed Tomography scan) emaw la turin an ti thei che a ni. CT scan-ah chuan contrast an tih dye bik chu vein emaw, bladder-ah emaw inject a ni thei. Hei hian problem tissue leh fistula awmna hmun dik tak a tarlang ang.
• Cystoscopy: Doctor chuan camera hmanga thuam tube te tak te (cystoscope an tih) chu urethra kaltlangin bladder chhungah a dah lut thei a, a chhung lam a hmu thei a, chu chu fistula awmna hmun leh a lian leh te te a ni.

Heng test te zawhah hian doctor chuan eng condition nge i neih tih leh eng nge tih tur tih chiang takin a hrilh thei che a ni.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu he natna hi enkawlna tha tak tak Vesicovaginal Fistula an tih hi a ni. He fistula siamthat theihna awmchhun chu a duh loh zawnga hawnna khar nan operation neih hi a ni. Damdawi dang hmang ringawt pawha tihdam theih a ni lo.

A châng chuan, fistula thlentu harsatna bulpui siam ṭhat nân operation dang neih belh a ngai a, chu chu bladder tihchhiatna ang chi hi a ni.

Surgery chu a hlawhtling em?

A tam zawkah chuan vesicovaginal fistula siamthatna tur surgery hi a hlawhtling hle. Amaherawhchu, cancer ang chi natna avanga fistula vei tan chuan a result chu midangte angin a tha lo mai thei. Cancer chi hrang hrang leh enkawlna a dawn danah a innghat a ni.

Operation hnuah chuan hliam a dam chhung hian kar engemaw zat chhung chu catheter dah a ngai dawn a ni . Hei hi tube te tak te a ni a, i bladder atanga zun a chhuak thin. Hei hian i bladder atanga zun a luang chhuak thei a, incision thara pressure emaw, hrehawmna emaw siam lovin, hliam chu a dam thuai thei bawk. Tlem a nuam lo deuh a, mahse a dam thuai theih nan a pawimawh hle. I doctor chuan eng chen nge a hmuna i dah tur tih a hrilh ang che.

A pawimawh ber chu heng symptoms te hi i neih chuan zak leh hlau suh la, a rang thei ang bera doctor thiam tak pan rawh. Tichuan harsatna chu rang taka hriatchhuah theih a ni a, a tul anga enkawl tan theih a ni bawk.

A tawp berah chuan ka hrilh a ngai a ni... (Take-Home Message)

Hengte hi kan hriat reng tur thenkhat chu:

• Vesicovaginal fistula hi bladder leh vagina inzawmna pangngai lo a ni a, chu chuan vagina kaltlangin zun a tichhuak thei a ni.
• Hei hi a chhan ber chu pelvic surgery hnua harsatna awm vang a ni. Cancer natna leh radiation therapy te pawh hi a chhan a ni thei bawk.
• I duh loh zawnga zun chhuah, tui luang fo, leh rimchhia ang chi symptom i neih chuan doctor pan ngei ngei tur a ni.
• He natna hi operation hmangin a dam kim thei a, chuvangin lungngai suh.
• A dam thuai theih nan doctor thupek dik taka zawm a pawimawh hle.

He thu hi in tan a tangkai ngei ka beisei. I hriselna enkawl hi i mawhphurhna a ni tih hre reng ang che.

` Vesicovaginal Fistula, Urinary Tract, Vagina, Bladder, Hmeichhe hriselna, Surgery, Fistula, VVF, Zun kawng