Cesarean section hnuah hetiang thil hi i hre tawh em? (Isthmosele / Cesarean hmanga hliam natna) .

I hria em, C-section chungchang kan sawi hian a hnua harsatna awm thei te hi kan sawi fo lo. Chutiang bawkin mi thenkhat chuan C-section hnuah harsatna tenau an nei thei a, chu chu uterine incision a dam tha lo a nih chuan. Hei hi doctor ten Isthmosele emaw Cesarean Scar Defect emaw an tih chu a ni. Ngaihtuah buai suh, hetiang hi mi zawng zawngah a thleng lo a, mahse hei hi hriat chian a pawimawh hle a, a bik takin C-section i neih tawh emaw, nakin lawka tih i tum emaw a nih chuan.

Chuti a nih chuan, he isthmosele hi eng nge ni?

A awlsam zawngin, isthmus chu i uterus wall-a cesarean section i neihna pocket te tak te emaw, depression emaw a ni. A dik tak chuan nausen pum chhunga lining-ah a awm thin. He ‘uterine niche’ hi cesarean section-a incision siam chu a dam kim loh chuan a thleng thin. Hei hian a chang chuan naupai harsatna (nau pai theih lohna), nakin lawka naupai laiin harsatna a thlen thei a, harsatna dang tam tak a thlen thei bawk.

Tute nge isthmus defect (Cesarean Scar Defect) vei theihna chance sang zawk?

Hetiang dinhmun hi cesarean section nei apiangah awm thei mahse, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni. Tute nge an nih hi han thlir ila:

• Naupai hma emaw, naupai lai emawa thau lutuk /thau lutuk i nih chuan .
• Hliam damna tibuaitu damdawi lam harsatna i neih chuan.
• Cesarean section hi emergency decision angin an ti a, nau neih hnu rei takah (unplanned c-section late in the labor process).
• Diabetes mellitus i neih emaw, naupai laiin zunthlum i vei a nih chuan (gestational diabetes).
• Caesarean section tam tak i neih tawh chuan .
• Zuk leh hmuam dang i in emaw i hman emaw chuan .

Chung zinga pakhat emaw, a aia tam emaw chu i tan a hman chuan tlem fimkhur a tha. Mahse, heng risk factors te nen pawh hian mi zawng zawngin an nei vek dawn lo tih hre reng ang che.

He isthmus condition hi engtiang chiahin nge a awm?

Research report-a a lan dan chuan hmeichhia cesarean vawi khat tal nei tawh zinga 24% leh 70% inkar chuan he natna hi an nei thin. Khawvel pumah cesarean section a pun zel avangin tunah chuan he natna hi a hluar chho zel a ni. Entirnan, United States-a naute piang zinga 30% vel chu cesarean section hmanga nau neih an ni. Chuvangin he dinhmun hi hriat chian a pawimawh hle.

Engvangin nge he cesarean scar defect (Isthmocele) hi a lo awm?

Ngaihtuah teh, cesarean section an tih lai hian incision pahnih siam a ni. Pakhat chu pum chhungah, pakhat chu nausen pum chhungah. Nausen pum chhunga incision chu a dam tha lo a nih chuan, .Okay, a nih loh leh hmun khata cut tam tak i siam chuan chu hmuna tissue chu a hring thei mai thei bawk. Chutah chuan i sawi ang khan bawm ang maia hmun a lo awm a, chu chu tui leh thisenin a khat tan ta a ni.

A châng chuan, cesarean section-a incision awmna hmun pawh hian hei hi a nghawng thei bawk. Nausen pum chhungah incision hi a hniam lutuk a nih chuan hliam lian tak a awm theihna a sang zawk. A tlangpuiin, he lower incision chi hi nau neih hnu rei takah cesarean section tih a nih hian tih a ni. Tin, uterine incision khar hunah pahnih hmang lovin suture layer pakhat chauh hman a nih chuan isthmus siam theihna a sang thei niin an sawi bawk.

Cesarean scar hian nau pai theih lohna a thlen thei em?

Ni e, a châng chuan he cesarean scar hian nau pai theih lohna a thlen thei . Mahse thu lawmawm tak chu enkawl dan dik a nih chuan mi tam tak chuan naupai hrisel tak tak an nei leh thei a ni. Isthmus symptoms nei ang maia i inhriat chuan, emaw, kum khat chhung (a nih loh leh kum 35 aia upa i nih chuan thla ruk chhung) nau pai i tum a, nau i pai thei lo a nih chuan i doctor hmu la, sawipui ngei ang che.

He isthmus condition hi eng symptoms nge ni?

Mi zawng zawng hian symptoms an nei vek lo mai thei a, mahse mi thenkhat chuan:

• Thlasik dan pangngai lo .
• Thlasik natna (Dysmenorrhea).
• Inpawl laia natna (Dyspareunia).
• Pelvic natna a awm .
• Menstrual cycle hnih inkar a vagina emaw uterus atanga thisen chhuak .
• Vaginal discharge pangngai lo .

Heng symptoms pakhat emaw a aia tam emaw i neih chhunzawm chuan doctor nen inbiakna neih a tha ber.

Isthmus cyst avanga harsatna awm thei te chu engte nge ni?

He natna hi enkawl tha a nih loh chuan harsatna engemaw zat a awm thei a ni. Chung zingah chuan:

• Gynecological procedure neih laiin harsatna a thlen theihna a sang .
• Placenta accreta ( uterine wall-a thuk lutuka inzawm khawm ).
• Placenta previa a awm.
• Scar pregnancy - Hei hi ectopic pregnancy chi khat a ni bawk a, chutah chuan fertilized egg chu nausen pum chhunga scar pakhatah a insiam a ni.
• Secondary infertility - Hei hian a hmaa naupai hlawhtling tak hnua naupai leh theih lohna a kawk a ni.
• Uterine dehiscence ( uterine scar awmna hmuna uterus tearing emaw tearring emaw ).

Heng harsatnate hi hriat a hlauhawm thei hle. Mahse, mi zawng zawng chungah a thleng lo tih hre reng ang che. A hmaa hriatchhuah leh enkawl hian heng hlauhawmnate hi nasa takin a tihziaawm thei a ni.

Engtin nge he isthmus condition hi i hriat theih ang?

Isthmus chu hriat chian rawhSpecialized imaging exam hi a hlawk ber a ni. Heng test te hi tih hun tha ber chu i thlasik hun a tawp hnu lawkah a ni. Hei hi a chhan chu chutih lai chuan niche chu thisenin a khat thei a, exam-ah hmuh a awlsam phah thei a ni.

I doctor chuan hetiang test hi a rawt thei ang:

• Hysteroscopy: Hei hi doctor chuan i vagina kaltlangin tube te tak te, eng tak a dah lut a, i serh chhung leh nausen chhung chu a enfiah thin. Hei hian hliam, tissue pangngai lo emaw, harsatna dang emaw a awm leh awm loh a enfiah thei a ni.
• Saline infusion sonohysterography: Hei hian transvaginal ultrasound pangngai aiin a chipchiar zawk a ni. Hetah hian doctor chuan i nausen pum chu saline (sterilized salt water) in a khat a, ultrasound a ti thin. ‘Sac’ chu tuiin a khat chhoh zel chuan a lian leh te, a bang thuk zawng ang chi thil te chu thlalak atang hian chiang takin a lang thei a ni.
• Transvaginal ultrasound: Hei hian ultrasound probe chu vagina kaltlangin dahin, nausen pum chhunga hliam leh ‘niche’ awm chu zawn a ni. Scar thickness pawh a teh thei bawk.

Engtin nge cesarean section hmanga hliam hi enkawl a nih?

Isthmus cysts hi enkawlna hrang hrang a awm a. I doctor chuan i dinhmun, i natna lan chhuah nasat dan leh fa neih leh i duh leh duh loh a zirin eng damdawi nge i tana tha ber tih a rel ang.

• Oral contraceptives: Hengte hi naupai venna damdawi a ni. Hormone dose hniam tak tak an pe chhuak thin. Heng hormone te hian i thlasik hun a tidanglam thei a, thlasik thisen chhuahna a ti tlem thei bawk. A chang chuan he enkawlna hian ‘niche’ lian tham tak chu a ti tlem thei hle a, zai a ngai lo.
• Hysteroscopic resection (HR): Hysteroscopy an tih lai hian doctor chuan nausen pum atanga scar tissue a la chhuak thei a. Thisen leh tui a chhuah theih nan ‘niche’ sir lam pawh a hawng thei bawk. Hei hian pum chhungah incision engmah a ngai lo.
• Laparoscopic repair: Hetiang tih danah hian doctor chuan i pum chhungah incision te te pakhat emaw a aia tam emaw a siam a, chuta tang chuan tube te tak te, lighted tube (laparoscope) hmangin i uterus chhung chu a en thei a ni. Chumi hnuah chuan ‘niche’ vel a scar tissue leh excess tissue te chu lakchhuah a ni. Hei hi cesarean section scars tan chuan minimally invasive surgery a ni. Hei hian i dam thuai thei a, natna pawh a ti tlem thei bawk.
• Hysterectomy tih a ni:Hei hian uterus pumpui lakchhuah tihna a ni. Hei hi isthmus symptoms na tak tak nei leh fa neih leh duh lo tan tih a ni tlangpui. Laparoscopic hysterectomy pawh i nei thei mai thei. Hei hi minimally invasive procedure a ni bawk a, chu chu incision lian tak tak siam lovin i dam thuai thei a, natna pawh i nei tlem thei tihna a ni.

Engtin nge isthmuses lo awm tur hi kan ven theih ang?

Dik tak chuan isthmus venna tur awmchhun chu cesarean section neih loh hi a ni. Mahse chutiang chu mi zawng zawngin an ti thei lo. Naupai i nih a, cesarean section i tum a nih chuan i doctor nen cesarean scar (isthmus) i neih theihna tur chungchang sawipui rawh. I risk tihziaawmna tur chu a hnuaia mi ang hian i ti thei ang:

• Naupai hma leh naupai laiin taksa rihna hrisel tak vawng reng tur a ni .
• Diabetes control dan tur .
• Meizial zu leh zuk leh hmuam thil dang hman loh .

Cesarean section scars nei te hriselna dinhmun hi eng nge ni?

Thu lawmawm tak chu cesarean section scar (isthmus) hi enkawl theih a ni. Mi tam zawk chuan enkawl hnuah nau an pai leh thei a, chuvangin beiseina bansan suh.

Engtikah nge Doctor ka hmuh ang?

Naupai laiin isthmus i neih chuan nausen pum (uterus) a chhe thei a ni . Hei hi medical emergency a ni a . Hei hi uterine scar a inthen a, uterus a phelh chuan a thleng thin. Hei hian nang leh i naute tan hriselna atana hlauhawmna nasa tak a thlen thei a ni.

Pelvic pain nasa tak i neih chuan, i cesarean scar awmna hmuna natna i neih chuan, emaw, vaginal bleeding nasa tak i neih chuan , hengte hi uterine rupture chhinchhiahna a ni thei. Hetiang a nih chuan damdawi lam thurawn zawng nghal rawh.

Isthmus chu i nausen pum bang chhunga pocket te tak te, a nih loh leh ‘niche’ a lo awm a ni. Cesarean section incision a dam tha loh vang a ni. Hei hian vaginal bleeding pangngai lo, pelvic pain, leh thlasik lama harsatna a thlen thei a ni. Nau pai theih lohna emaw, nakin lawka naupai tur chungchangah harsatna a thlen thei bawk. Enkawlna hman tlanglawn ber chu minimally invasive surgery hmanga extra scar tissue lakchhuah a, ‘niche’ siam hi a ni. Mi tam zawk chuan enkawl hnuah naupai hrisel tak an nei thei a ni.

Thil pawimawh ber (Take-Home Message) hre reng ang che .

• Isthmosele chu ‘pouch’ te tak te, cesarean section hnua uterine incision a dam tha lo a lo awm thin a ni.
• Mi zawng zawng hian hetiang hi nei lo mah se, mi thenkhat chuan nakin lawka naupai laiin nau pai theih lohna te, thlasik lama harsatna te, harsatna te an tawk thei a ni.
• Thisen chhuak danglam emaw, pelvic pain emaw ang chi symptom i neih chuan doctor pan tur a ni.
• He natna hi hriatchhuah leh enkawl theih a ni . A tam zawkah chuan naupai hlawhtling hi enkawl hnuah a awm thei a ni.
• Cesarean section i neih tawh chuan hei hi hriat a pawimawh hle. Hlauh tur a awm lo, hemi chungchang hi doctor nen inbia fo ang che.

Hemi chungchanga zawhna dang i neih chuan i gynecologist zawt hreh suh. An pui ang che.

` Isthmocele, Cesarean Scar Defect, C-section, uterus, hmeichhe hriselna, nau pai theih lohna, cesarean section