I period a mumal lo em ni? Endometrial Hyperplasia chungchang hi i zir dawn teh ang!

I thlasik hun chu a mumal lo hle em? Ni engemaw zat chu a rit hle a, a chang chuan ni eng emaw zat a tlai a, a nih loh leh i period a tawp hnuah thisen tla i hmu leh em? Hmeichhe tam tak tan chuan heng thilte hi thil pangngai angin lang mah se, a chang chuan hei hi ngaihven ngai dinhmun chhinchhiahna a ni thei. Chu chu tunlaia kan sawi tum, ‘Endometrial Hyperplasia’ tih hi a ni.

A awlsam zawngin Endometrial Hyperplasia chu eng nge ni?

A awlsam khawp mai. I nausen pum chhunga lining, damdawi lam chuan endometrium kan tih chu a nih tur aia thuk zawk a ni a, chu chu Endometrial Hyperplasia an ti a ni.

Ngaihtuah teh, thla tin thlasik laiin he endometrial lining hi i taksa atanga lo chhuak a ni. Tin, naute a pai chuan chu naute chu he lining chhungah hian him takin a thang lian thin. Chuvangin hetiang dinhmunah hian thil thleng chu a nih tur aia thim zawk a ni. Hmeichhe thenkhat tan chuan he natna hi control a nih loh chuan endometrial cancer -ah pawh a lo chang thei a ni . Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Hei hi chi hrang hrang a awm em? Cancer vei theihna hi mi zawng zawng tan a inang vek em?

Ni e, hei hi chi hnih lian tak a awm. Doctor-te chuan uterine lining thickened-a cell chi hrang hrang a zirin an thliar hrang thin. A chi thenkhat chu cancer thlentu an tam zawk a, thenkhat erawh chuan an nei tlem zawk thung.

Hetiang natna lan chhuah dan hi engte nge ni?

Hei hi a lan chhuah dan ber leh langsar ber chu thisen chhuah dan pangngai lo a ni.

• Inrelbawlna (irregular menstruation): Menstrual cycle inkara hmuh emaw thisen chhuak emaw.
• Thlai hun rei lote: Ni 21 aia rei lovah thlasik hun a awm.
• Heavy bleeding: Thlasik laiin a pangngai aia tam thisen chhuak.
• Postmenopausal bleeding: Menopause a tawp vek hnua vaginal bleeding a awm. Hei hi engtikah mah ngaihthah tur a ni lo.
• Thlasik awm loh: Mi thenkhat chuan an period an nei lo thei lo.

Mi tam tak chuan menopause an hnaih chuan heng symptoms te hi an ngaihsak lo. Mahse, a chhan dik tak hriat tumin doctor nen inbiakna neih a tha ber.

Engvangin nge hetiang hi a lo awm? A chhan ber chu eng nge ni?

A awlsam zawngin sawi ila, a chhan ber chu kan taksaa hormone pahnih estrogen leh progesterone te inthlauhna vang a ni. Chu chu taksaa estrogen level chu a tul aia tam a pung a, chutiang zat progesterone chu a bo ta tihna a ni.

Ngaihtuah teh, hormone estrogen hian uterine lining a ti thim a. Hormone progesterone hian chu lining thickened chu naupai atan a buatsaih thin. Naupai a nih loh chuan progesterone level a tlahniam a, chutih lai chuan uterine lining chu a chhuak a, thlasik angin a chhuak ta a ni.

Chuvangin, progesterone a tlem chuan uterine lining hian signal a shed lo. Chu ai chuan estrogen nghawng hnuaiah a thim chhunzawm zel zawk. Chu chu hetah hian thil thleng a ni.

Hemi atan hian tute nge hlauhawmna sang zawk nei thei ang?

Hetiang dinhmun hi hmeichhia kum eng pawhah awm thei mahse, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni.

• Kum: Kum 35 hnuai lam tan chuan a tlem hle. Hmeichhia menopause (perimenopause) hnaih tawh leh menopause (menopause) paltlang tawhte chu an hlauhawm zawk.
• Naupai ngai lo.
• Thau lutuk: Taksa thau a pun chuan estrogen siamchhuah pawh a pung bawk.
• PCOS dinhmun: Polycystic Ovary Syndrome (PCOS) vei te hian hormone inthlauhna an nei thin.
• Zunthlum.
• Cancer enkawlna thenkhat:Damdawi Tamoxifen ang chi, hnute cancer atana hman thin.
• Hormone therapy: Hmeichhia chu an nausen (uterus) lakchhuah loh leh estrogen hormone chauh enkawlna atan an ei thin.
• Chhungkaw chanchin: I chhungkuaa tu emaw chuan uterine, ovarian, emaw colon cancer emaw a nei tawh a nih chuan.
• Meizial zuk.

Engtin nge doctor hian hei hi a hmuh theih?

Thisen chhuahna danglam tak i neih chuan i doctor chuan a chhan hriat tumin test eng emaw zat a nei thei a ni.

1. Transvaginal Ultrasound: Hei hi vagina kaltlangin instrument te tak te dahin nausen pum (uterus) thlalak chiang tak tak lak a ni. Hei hian uterine wall thickness dik takin a teh thei a ni.

2. Endometrial Biopsy: Hei hi test pawimawh ber a ni. Uterine wall atanga tissue te tak te tak te chu lakchhuah a ni a, microscope hmangin an enfiah thin. Hlauh tur a awm lo, hei hian cell awm dan dik tak a en a, atypia nge cancer cell a awm leh awm loh a nemnghet a ni.

3. Hysteroscopy: Tube te tak te, eng tak, camera awmna chu serh chhungah dahin nausen pum chhung lam direct-a en theih a ni. Hetih lai hian biopsy pawh lak theih a ni.

Treatment atan eng nge i tih?

Hei hi enkawl dan tur chu eng hypoplasia nge i neih, i kum leh fa tam zawk neih i duh leh neih lohah a innghat a ni.

• Progestin hormone therapy: Hei hi mi tam zawk tan chuan enkawlna ber a ni. Progestin hi kan sawi tawh ang khan hormone progesterone atanga siam chhuah a ni. Estrogen-in a nghawng a tihtlem bakah uterine lining thickened chu a chhuah tir thei a ni.
• Pills ei zo tawh
• Nausen pum chhunga hmanraw (IUD) .
• Injection (e.g. Depo-Provera®) hmanga tihdam theih a ni.
• Vaginal cream chi hrang hrang

• Hysterectomy: Hei hi hmeichhia hyperplasia vei, atypia , cancer vei theihna sang tak nei, fa neih duh tawh lo tan a tha tlangpui. He surgery hian uterus a paih chhuak a, chu chuan symptoms a ti reh vek thei a, cancer hlauhawmna a ti tlem thei bawk.

Doctor i hmuh hunah eng dinhmun nge awm?

A hnuaia symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.