I doctor-in a enfiah che a, "I pum hnuai lamah mass i nei" a tih chuan hlauhna leh lungkhamna nasa tak i neih chu thil pangngai a ni. "Mass" tih thumal kan hriat hian kan rilruin thil hlauhawm tak a ngaihtuah nghal a. Mahse, lungngai suh. Hetianga hmuhchhuah mass tam zawk, "adnexal mass" an tih hi cancer a ni lo. Chuvangin he thu hi a awlsam leh dik takin i sawi dawn nia.
He Adnexal Mass hi eng nge ni tak tak?
A awlsam zawngin sawi ila, ``adnexal mass'' chu i nausen pum bulah, chu chu a inzawmkhawmna taksa peng hrang hranga lo thang lian emaw, tumor emaw a ni. Doctor-te chuan he hming hi i pelvic region-a tumor chi hrang hrang lo awmte sawina atan an hmang thin.
"Adnexa" tih thumal hi "attached parts" tihna a ni. Chutiang a nih chuan, ovary, fallopian tube, leh heng taksa pengte thlawptu connective tissue te a kawk a ni . Chuvangin, heng hmuna tumor lo awm apiang hi "adnexal mass" an ti a ni.
Heng lump thenkhat hi tuiin a khat thei tih hre reng ang che (heng cyst kan ti a), thenkhat erawh chu solid an ni thei thung. A pawimawh ber chu heng ``Adnexal Masses`` tam zawk hi cancer (benign) an ni lo. Tin.
Hetiang natna lan chhuah dan hi engte nge ni?
Mi zawng zawng hian symptoms an nei vek lo. A châng chuan chhan dang vanga scan an tih laiin accident-in an hmuchhuak ṭhin. Mahse symptoms a awm tak tak a nih chuan symptoms hi tumor awmna hmun leh a chhan a zirin a danglam thei.
A hnuaia table hi en la, eng symptoms nge hmuh tam ber tih hi en la.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Pelvic natna a awm | Dull ache reng reng emaw, rang tak, na tak emaw pawh a ni thei. |
| Zun harsatna | Zun harsatna i nei thei a, zun tam a ngai thei bawk. |
| Thlasik mumal lo | Thla tin thlasik hun hi a mumal lo thei a, a hma angin a awm lo thei bawk. |
| Bloating (bloating) a awm | Pum hring (bloated) tih hriatna, pum chhunga gas khat ang maia awm. |
| Ek khal | A hma ang bawkin bawlhhlawh paih harsa. |
| Sex hman laiin natna | I pasal nena sex hman laia natna hriat. |
Adnexal mass siam chhan hi engte nge ni?
Heng tumor te hi gynecological leh non-gynecological cause pahnih avang hian a lo awm thei a ni. Mahse, a tam zawkah chuan reproductive system nena inzawm thil vangin an lo piang chhuak thin .
Hmeichhia (Gynecologic Causes) a awm
Hengte hi a chhan tam ber a ni.
- Ovarian Cysts: Fluid-a khat cyst, ovary chunglama lo awm. Hengte hi a tam hle. A tam zawkah chuan natna nei lo an ni a, symptom engmah an nei lo.
- Noncancerous ovarian tumors: Ovary chhunga cell te hi a lo thang lian lo va, solid tumor an siam thin. Hengte hi benign an ni a, hmun dangah an darh tlangpui lo.
- Ectopic Pregnancy: Egg fertilized chu uterus-ah ni lovin hmun dangah, fallopian tube-ah a insiam a. Hei hi dinhmun hlauhawm tak a ni. Internal bleeding leh natna nasa tak a thlen thei a ni. Enkawl loh chuan nu tan pawh nunna atana hlauhawm a ni thei.
- Corpus Luteum Cyst: Ovulation laiin cyst hlauhawm lo, natna nei lo, a lo awm thin. Hengte hi ovulation hnuah anmahniin an bo vek a ni.
- PCOS (Polycystic Ovary Syndrome): Hei hi hormone condition a ni a, ovary-ah hian cyst te tak te tam tak a lo awm thei a ni.
- Endometriomas: Hengte hi endometriosis an tih natna nen a inzawm a ni. Hei hi ovary-ah hian thlasik thisenin a khat fluid-filled cysts a lo awm thin a ni.
- Hydrosalpinx: Fallopian tube chu tuiin a khat a, sac ang maia siam a ni. A tlangpuiin symptomatic ni mahse, a chang chuan pum hnuai lam na emaw, nau pai harsa emaw a thlen thei bawk.
- Ovarian Cancer: Ovary-a tumor lo awm chu malignant a nih chuan a lo thang lian thei a, taksa hmun dangah a darh thei a ni. Mahse, adnexal mass za zela tlemte chauh hi cancer an ni tih hre reng ang che.
Nongynecologic avanga thil thleng
Chungte chu chaw ei emaw, zun (urinary system) hmun thenkhat atanga lo chhuak a ni tlangpui. Uterus, ovaries, fallopian tube nen pawh inzawmna an nei lo.
- Colon, bladder leh appendix-a tumor awm.
- A tlem berah chuan heng tumor chi hrang hrangte hi cancer dang, hnute cancer emaw, colon cancer emaw, pelvic area-a a darh (metastasize) hian a lo awm thei bawk.
Adnexal mass hi a hlauhawm thei ang em?
Adnexal mass tam zawk hi chu a hlauhawm lo. Mahse, mass thenkhat chuan harsatna lian tak a thlen thei a ni. Ectopic pregnancy, cancerous mass, ruptured adnexal masses, leh ovary emaw fallopian tube twisting (adnexal torsion) te hi emergency medical attention mamawhna a ni.
``Adnexal Mass'' i neih a, i pum hnuai lam natna nasa tak, luak chhuak emaw, luak chhuak emaw, khawsik te pawh i neih chuan emergency chhinchhiahna a ni thei. Chutiang hunah chuan doctor pan nghal emaw, damdawi in Emergency Department (ETU)-ah emaw kal nghal tur a ni.
Lump i neih vang mai mai chuan cancer a ni tihna a ni lo. Lump tam zawk hi cancer ni lo (benign) a ni. Mahse, hmeichhiaah menopause hnua adnexal mass lo awm chuan cancer (malignant) a nih theihna a sang deuh hlek a ni.
Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?
A tlangpuiin doctor chuan pelvic exam laiin lump i nei tih a ringhlel thin. Chumi hnuah chuan uluk zawka en turin ultrasound scan an order ang. A châng chuan, lump-a cancer cell awm leh awm loh enfiah nân biopsy emaw, surgery emaw a ngai thei bawk.
Chu bakah, naupai test, thisen test, leh a tul chuan CT scan emaw MRI scan emaw ang chi test te pawh ectopic pregnancy a awm loh nan tih theih a ni bawk.
Enkawlna chu thil tam takah a innghat a, chung zingah chuan tumor awm chhan, a lian leh te, leh i natna lan chhuah dan te pawh a tel. Enkawl dan chi thum a awm a.
| Enkawl dan tur | Engtikah nge hetiang hi tih a nih ang? |
|---|---|
| Enkawlna tel lo chuan | Tumor chu a te a, a na lo va, doctor chuan cancer a ni lo tih a rin tlat chuan enkawl loh a rawt mai thei. |
| Close monitoring neih a ni | Tumor lo awm chhan dik tak a chiang lo a nih chuan, emaw, tumor lian tham tak emaw, a symptoms emaw chungchangah ngaihtuahna a awm a nih chuan, doctor chuan a inthlak danglamna enfiah turin scan a nei fo ang. |
| Inzai | Tumor hi cancer nia rinhlelh a nih chuan, a lian (a tlangpuiin centimetre 6-10 aia tam) a nih chuan, natna nasa tak a thlen che a nih chuan, emaw, ectopic pregnancy a nih chuan surgery hmanga lakchhuah a ni ang. |
I doctor zawh tur thil
``(Adnexal Mass)`` i nei tih i hriat veleh zawhna i neih apiang chu i doctor hnenah zawt rawh. Entir nan:
- Surgery ka mamawh dawn em?
- He tumor hi engzat nge i check thin?
- Hei hi cancer a nih theihna chance tlemte a awm em?
- Eng symptom nge a lo awm chuan ka report nghal tur?
"Tumor" tih thumal i hriat hian hlauhna i neih chu thil pangngai a nih laiin, i doctor nena inbiakna leh thu dik tak i hmuh hma loh chuan hlauthawng lo turin bei rawh. Chûng thil tam zâwk chu a hlauhawm lo tih hre reng la, ṭhenkhat chu anmahni chauhin an dam ṭha leh ṭhin.
Take-Home Thuchah a ni
- ``Adnexal Mass`` chu nausen pum huap taksa peng hrang hranga tumor lo awm a ni. Chung zinga a tam zawk chu cancer vei an ni lo.
- "Tumor" tih thumal i hriat vang mai maiin hlauthawng suh. Diagnosis dik tak i hmuh hma loh chuan thlamuang takin awm rawh.
- Mi thenkhat chuan symptom engmah an nei lo mai thei. Symptoms a awm tak tak chuan an pum hnuai lam na leh zun harsatna an nei thei bawk.
- Enkawlna chu tumor awm chhan, a lian leh te, leh i natna lan chhuah danah a innghat a ni. Vawi tam tak chu enfiahna hi a tawk.
- I doctor thupek zawm la, ni ruat saah checkup turin kal rawh.
- Pum natna nasa tak, khawsik, luak chhuak, luak chhuak ang chi symptoms i neih chuan emergency a nih theih avangin doctor rawn la nghal rawh.
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