ជម្ងឺនោមទាស់ស្រួយស្រាវនៃបុរស តើហេតុអ្វីបុរសភាគច្រើនកើតជម្ងឺនេះ?

បានធ្វើបច្ចុប្បន្នភាពចុងក្រោយ៖ ខែ​ឧសភា 18, 2026

• ហ្វេសប៊ុក
• Instagram
• ប្លក, រូបភាព
• តេឡេក្រាម
• កម្មវិធី WhatsApp
• LinkedIn
• សំបុត្រ

One of a Urologic emergency condition that we are going to discuss today is an acute urinary retention. The condition is most prevalent and common in male patient rather than the female. So the topic wills mainly focusing on the acute urinary retention in male patients. Typically, it happens in older gentleman who over 60 years and they were the most often group that realized and faced the condition of symptom. The following risks factors below shall have considered while the patients suffering from it;

កត្តាហានិភ័យនៃការរក្សាទឹកនោម

1. Benign Prostatic Hyperplasia (BPH) - កត្តាហានិភ័យទូទៅបំផុតដែលសុភាពបុរសវ័យចំណាស់មិនអាចជៀសវាង ឬមិនអើពើបាន។ វាគឺជាការរីកធំនៃក្រពេញប្រូស្តាត។ ជាធម្មតា វាចាប់ផ្តើមបន្តិចម្តងៗនៃលំហូរទឹកនោមមិនល្អចំពោះបុរសដែលមានអាយុលើសពី 50 ឆ្នាំ។ ការព្យាបាលត្រឹមត្រូវពី Urologist គឺអាចកាត់បន្ថយហានិភ័យនៃការនោមទាស់នាពេលអនាគត។
2. Urethral stricture – Having history of urethral infection, STDs or Endoscopic urological procedure might induce a urethral scarring process which will makes urethral lumen narrowing and finally obstructed.

3. Urethral stone – A rare condition which is occurred by urinary tract stone occluded inside the urethral lumen and that would need an emergency evacuation.

4. ការឆ្លងមេរោគ - ការ ឆ្លងមេរោគប្លោកនោម ការឆ្លងមេរោគលើ ក្រពេញប្រូស្តាត ឬការឆ្លងមេរោគលើបង្ហួរនោមអាចធ្វើឱ្យមានការរលាកធ្ងន់ធ្ងរនៅក្នុងតំបន់ទាំងនេះ ហើយជាលទ្ធផល ការនោមស្រួចអាចនៅតែមាន។

5. Medications – Certain medications can interfere with bladder function. When the causative drug is stopped, acute urinary retention typically resolves.

6. Constipation – Stool compacted in the rectum can compress the urethra and obstruct urinary flow, making constipation a surprisingly common and easily correctable cause of urinary retention.

7. Limited ambulation – The bladder is controlled by the brain, which typically allows voiding in a quiet, standing position. Patients confined to bed often struggle to urinate and can improve simply by being encouraged to walk and stand.

8. Neurological causes – A complicated condition that should be needed more carefully assessment by Urologist.
9. Bladder dysfunction – Another rare bladder condition which cannot contract well and end up with full bladder.

An urgent management which we had always performed is the bladder decompression with urethral catheter or suprapubic tube insertion to release a large amount of the urines from the bladder before it becomes rupture. Then the certain treatment will be depended and done by a well-trained Urologist. Patient must be educated about plan of the treatment and the possibility causes of the retention. A few complications after draining a large volume of urine, such as hematuria, should be explained to the patient in advance to prevent unnecessary alarm.

សំណួរណាមួយអ្នកអាចមានអារម្មណ៍សេរីដើម្បីពិភាក្សាជាមួយ ខ្ញុំ.

If you or a loved one has experienced acute urinary retention or suspect BPH with worsening urinary symptoms, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. កក់ការពិគ្រោះយោបល់.

Frequently Asked Questions about Acute Urinary Retention in Men

ការបដិសេធ៖ ខ្លឹមសារនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត Soarawee Weerasopone ដែលជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ វាត្រូវបានបម្រុងទុកសម្រាប់គោលបំណងអប់រំតែប៉ុណ្ណោះ ហើយមិនមែនជាដំបូន្មានផ្នែកវេជ្ជសាស្ត្រទេ។ តែងតែពិគ្រោះជាមួយអ្នកជំនាញថែទាំសុខភាពដែលមានសមត្ថភាពមុនពេលចាប់ផ្តើមការព្យាបាលណាមួយឡើយ។.