ជំងឺប្លាកែតមានសកម្មភាពច្រើន (OAB): ហេតុអ្វីបានជាអ្នកតែងតែរត់ទៅបន្ទប់ទឹក

បានធ្វើបច្ចុប្បន្នភាពចុងក្រោយ៖ ខែ​សីហា 15, 2026

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A steady stream of patients arrive at my office having had urinary frequency for years. They have been round several clinics and hospitals, spent a good deal of money, and still have no diagnosis. If that sounds familiar, there is a name for it — រោគសញ្ញាប្លោកនោមហួសកម្រិត — and it is a great deal more common than most people realise.

The reason it goes undiagnosed for so long is built into its definition: OAB is what remains once infection and structural problems have been excluded. There is nothing to see on a scan and nothing to grow on a culture, so if nobody thinks of it by name, the search simply continues.

What overactive bladder actually is

The International Continence Society defines OAB as urinary urgency, with or without incontinence, usually with increased frequency by day and night, and no proven infection or other obvious cause. Urgency is the key word — not simply going often, but the sudden compelling need that is hard to defer.

Patients describe it less clinically. What they tell me about is the fear of leaking, and the way it reorganises daily life around where the toilets are. Around 12% of the general population report OAB symptoms, rising to 20% of women aged 70 and over.

How the diagnosis is made

A full history and physical examination, a frequency-volume chart kept over three days, and urinalysis to exclude infection or stones. The chart does more work than patients expect: it turns “I go all the time” into a record of how often, how much, and when — which is what distinguishes a genuinely overactive bladder from simply drinking a great deal of tea or coffee.

Where the picture is unclear, or where symptoms have not responded to treatment as expected, a urodynamic study measures how the bladder actually behaves as it fills and empties. Dr. Soarawee performs urodynamic studies at Bangkok Hospital Headquarters, so this can be arranged without a separate referral.

Treatment, step by step

1. Lifestyle and bladder training — adjusting how much and when you drink, cutting caffeine and other bladder irritants, stopping smoking, pelvic floor exercises, and gradually stretching the interval between visits to the toilet. This is unglamorous and it is also where most of the improvement comes from.
2. ការប្រើថ្នាំគ្រាប់ — anticholinergic agents or beta-3 agonists, the mainstay of medical treatment. If the first drug only partly helps, the dose can be adjusted or a different agent tried; a disappointing response to one tablet is not the end of the road.
3. Procedures — for the minority who do not respond adequately, bladder botulinum toxin injection and sacral neuromodulation are the established options. Neither is performed at Bangkok Hospital Headquarters; if your case reaches that point, a referral to a centre that provides them can be arranged.

Two expectations worth setting at the start. OAB is usually managed rather than cured, so the goal is a bladder that no longer runs your day rather than one that behaves perfectly. And the improvement comes from doing the dull things consistently — patients who keep up the bladder training alongside the medication do markedly better than those who rely on the tablet alone.

What I most want patients to take away is that this is not something you have to live with silently. It is not life-threatening, which is precisely why it goes unmentioned for years — but it is a quality-of-life problem with real treatment behind it.

ប្រសិនបើអ្នកនោមញឹកញាប់ដោយគ្មានមូលហេតុច្បាស់លាស់ ឬសង្ស័យថាប្លោកនោមធ្វើការហួសកម្រិត លោកវេជ្ជបណ្ឌិត Soarawee Weerasopone ផ្តល់ជូនការពិគ្រោះយោបល់ជំនាញនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។. កក់ការពិគ្រោះយោបល់. ការណាត់ជួបនៅមន្ទីរពេទ្យ Samitivej Sriracha អាចត្រូវបានរៀបចំដោយទូរស័ព្ទទៅផ្នែកជំងឺប្រព័ន្ធទឹកនោមតាមរយៈលេខ 088-022-1445.

សំណួរដែលសួរជាញឹកញាប់អំពីប្លោកនោមសកម្មខ្លាំងពេក (OAB)

ការបដិសេធ៖ ខ្លឹមសារនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត Soarawee Weerasopone ដែលជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ វាត្រូវបានបម្រុងទុកសម្រាប់គោលបំណងអប់រំតែប៉ុណ្ណោះ ហើយមិនមែនជាដំបូន្មានផ្នែកវេជ្ជសាស្ត្រទេ។ មិនមានដំបូន្មានផ្នែកវេជ្ជសាស្ត្រ ការធ្វើរោគវិនិច្ឆ័យ ឬវេជ្ជបញ្ជាត្រូវបានផ្តល់ជូនតាមរយៈបណ្តាញផ្ញើសារផ្ទាល់ខ្លួនទេ។ តែងតែពិគ្រោះជាមួយអ្នកជំនាញថែទាំសុខភាពដែលមានសមត្ថភាព មុនពេលចាប់ផ្តើមការព្យាបាលណាមួយឡើយ។.