I naute hian he natna hmuh tur awm lo tak hi a nei em? (Cloacal Malformation) I sawi dawn nia!

Nu emaw, pa emawin nausen piang thar an en huna an hlimna chu sawifiah theih loh a ni. Mahse, a châng chuan chu hlimna rual chuan hlauhna leh manganna nasa tak i neih hun a awm ṭhin. Chu chu doctor rawn kal a, i fain pianpui harsatna a neih thu a hrilh che chuan i rilru put hmang chu a ni. Cloacal Malformation hi chutiang natna hlauhawm tak a ni a, mahse nu leh pate tithinur thei tak a ni. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

A awlsam zawngin Cloacal Malformation chu eng nge ni?

Hei hi thil awm lo tak a ni a, hmeichhe naupang chauh a nghawng a, pian tirh atanga hmuhchhuah a ni. A tlangpuiin hmeichhe naupang perineum hian kawngkhar pathum a nei tur a ni: urethra, vagina leh anus.

Mahse, Cloacal Malformation nei naupang chuan heng opening pathumte hi a nei vek lo. Chu ai chuan, hawnna pakhat chauh a awm . He natna hi natna pawl pakhat, anorectal malformation an tih zingah a tel a ni.

Ngaihtuah teh, naute chu a pum chhunga a lo seilian lai hian naute intestinal tract, genital tract leh urinary tract te chu unit pakhat angin an inzawm khawm vek a ni. Hei hi "cloaca" kan ti a. Naute a lo seilian chhoh zel chuan he unit pakhat hi zawi zawiin hmun thumah a inthen a, kawngkhar hrang hrang pathum a siam a ni.

Hetiang dinhmun enkawlna chu operation pakhat chauh ni lovin opening hrang hrang pathum siam a ni. He surgery hi naupang dam kum khatna chhungin tih a ni tlangpui.

Hetiang dinhmun hi chi hrang hrang a awm em?

Ni e, he dinhmun hi naupang tinah hian danglamna tlemte nen hmuh theih a ni. Mahse naupang zawng zawngte tana thil awm dan chu pathum ni lovin hawnna pakhat an nei hi a ni. He hawnna hi a hmaa kan sawi tawh "common channel" nen hian a chhungril lamah a inzawm tlat a ni. He common channel sei zawng hian natna nasat dan leh naupangin eng enkawlna nge a mamawh tih a hril a ni. He channel hi khawi hmunah pawh centimetre 1 atanga 10 thleng a sei thei a ni.

Hei hi tlem han sawifiah leh ila.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi thil awm lo tak a ni a, nau piang thar 25,000 atanga 50,000 zinga pakhat vel ah a thleng thin.

Hei hi eng symptoms nge ni?

A zia ber leh langsar ber chu pian tirh lamah hawnna pathum ni lovin pakhat chauh hmuh theih a ni.

Tin, heng naupangte hian hriselna lama harsatna dang an nei thei bawk.

• Clitoris hi mipa penis angin a awm a.
• Anal area-a thil awm dan pangngai lo.
• Vagina, uterus emaw cervix-ah hmun khat aia tam.
• Kidney, ureter, emaw urinary system-a harsatna dang (urological problems).
• Lung emaw ruhro emaw lama harsatna nei.
• Chaw ei leh in lama harsatna dang (Gastrointestinal problems).

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Doctor-te chuan hei hi chhan chiang tak an la hmu lo. Random occurrence, a nih loh leh chhan bik nei lo thil thleng anga ngaih a ni.

Engtin nge he dinhmun hi kan hriat theih ang?

He dinhmun hi kawng hnih in hriat theih a ni.

1. Naute pian hma (naupai lai) .

A châng chuan, naupai kar 20 vêlah anomaly scan emaw ultrasound emaw hmangin hei hi hriat theih a ni. Hei hi naute serh (vagina) a hring a, tuiin a khat angin kan hmu tlangpui. Hei hi finfiah a ngai a nih chuan naupai laiin MRI scan theih a ni.

2. Naute a pian hnuah

Hei hi naute pian hnuah naupang enkawltu doctor-in naute a enfiah hian a hriat chhuah fo thin. He dinhmun hi pathum ni lovin hawnna pakhat a awm chuan hriat theih a ni. Naute pum pawh a hring thei bawk. Chumi hnuah doctor chuan taksa chhunga thil thleng dik tak hriat theih nan test eng emaw zat a ti ang.

• Ultrasound examination: Naute kal (kidney), bladder leh ruhro te enfiah thin ang che.
• X-ray test: I fa zun kawng hnathawh dan hriat nan X-ray technology bik, fluoroscopy ang chi hmang la.
• Echocardiogram: Thinlung lama harsatna awm leh awm loh enfiahna test a ni.

Engtin nge enkawl a nih? Surgery chungchang i zir dawn teh ang

Hetiang dinhmun enkawlna awmchhun chu operation a ni. Surgery tum ber chu hawnna pakhat ni lovin hawnna hrang hrang pathum siam a ni a, chu chuan naupang chu a pangngaiin a zun leh a chhuah theih nan leh heng thilte hi a thunun thei a ni.

Hetiang enkawlna hi a tlangpuiin stage engemaw zatah a thleng thin.

A hmasa ber: Naute a pian veleh

Hei hi naute pian atanga darkar 48 chhungin tih thin a ni. Hetah hian a tum ber chu naute hriselna tihngheh leh taksa atanga bawlhhlawh leh zun chhuahna kawng siam a ni.

• Colostomy: Hetiang tih danah hian surgeon chuan naupang intestine lian tak thenkhat chu a pum chhunga vun chung lamah a rawn hruai a, hawnna a siam thin. Chumi hnuah chuan stool chu a hawnna atang chuan a chhuak a, a chhunga bag bik dahkhawmah a khawl khawm ta a ni. Hei hi naupangin operation lian tak a neih hma loh chuan hun eng emaw chen atana tih tur a ni.
• Catheterization: Naupang zun chhuah pui turin catheter dah a ni a, a chhan chu bladder a hring emaw a block emaw vang a ni.
• Vaginal drainage: Nausen vaginal drainage a hring a, tui a awm khawm chuan surgery hmangin a chhuak thei bawk.

Stage hnihna: Major Reconstructive Surgery tih a ni

He surgery lian tak hi thla 6 leh thla 12 inkar, naupang hriselna a nghet lai hian tih a ni. Hei hi system pathum inzawmkhawmte chu inthen a, hawnna hrang hrang pathum (anus, vagina, leh urethra) siamna hmun a ni.

• Common fallopian tube hi a tawi (cm 4 aia tlem) a nih chuan he surgery hi a awlsam hle.
• Common duct a sei chuan surgery chu a buaithlak deuh deuh thin.

Chutiang surgery atan chuan naupang surgeon leh naupang urologist, he lam hawia hriatna leh tawnhriat bik nei te hi an pawimawh hle.

Stage Pathumna: Colostomy tihdanglam

Naupang chu main surgery atanga a dam kim hnuah chuan original colostomy chu tihdanglam a ni. Chu chu, pum chhunga hawnna siam chu khar a ni a, ek chu hnute siam thar atang chuan a pangngaiin a kal theih nan a phalsak tihna a ni.

Ka fa hian eng ang hmalam hun nge a neih ang?

Hei hi nu leh pa zawng zawng rilrua zawhna lian ber a ni. A tlangpuiin result a tha hle.

• Naupang common duct tawi, a complex lo zawk tihna a ni a, 90% zetin zun chhuah dan pangngai leh bowel control theihna chance 90% an nei a ni.
• Naupang common duct sei tak, i.e., complex condition nei te pawhin zun leh bawlhhlawh paih danah thuneihna tha tak an neih theihna chance 70% an nei a ni.

Naupang tam zawk hi chu a pangngaiin an ek chhuak thei a ni. Amaherawhchu, naupang thenkhat chuan zun insum theih lohna an nei thei a, chu chu duh loh vanga zun tlakchhamna a ni. Naupang thenkhat chuan ni khatah vawi tam tak catheter hmangin an bladder an tihthianghlim a ngai mai thei.

Sex nun leh naupai chungchang

Hetiang natna nei naupangte hian an lo puitlin hunah sex nun hlimawm tak an nei thei a ni. Naupai hi a pangngai aia harsa zawk mah se, fa neih theih loh tihna erawh a ni lo. Nakin lawka fa i beisei a nih chuan hemi chungchangah hian doctor thurawn i la thei ang. Nau neih dawnin C-section neih a tha fo thin.

Nu leh pa angin eng nge ka tih theih ang?

He zinkawng hi naupang leh nang tan pawh a harsa hle.

• I fa tana thurawn pe rawh: I fa healthcare team te nen inbiakna neih fo thin ang che. I ngaihtuahna emaw hlauhna emaw i neih chuan anmahni hnenah hrilh rawh.
• Schedued clinic leh test te chu tlawh loh tur: Surgery hnuah naupang system te a thawk tha em tih enfiah chhunzawm zel a ngai a ni.
• Symptoms fimkhur rawh: I fate a lo seilian chhoh zel chuan zun emaw, bowel control-na lama harsatna i hmuh chuan i doctor hnenah hrilh nghal rawh.

I doctor zawh tur zawhna thenkhat:

• Engtin nge he surgery hi tih a nih? Kum engzat nge tih a nih?
• Ka fa hian hrehawm a ti ang em? Tunah hian a na em?
• Operation hnua dam leh hunah eng nge ka beisei ang?
• Naupang chu a lo puitlin chuan operation tam zawk a mamawh dawn em?
• Nakin lawkah ka rectum, urethra, emaw vagina emaw-ah harsatna ka nei dawn em?
• Ka fanu hian nakin lawkah him takin fa a nei thei dawn em ni?

Hetiang thil i zir hian thinlung a na tih hi thil pangngai tak a ni. Mahse, tunlai hian medical science hi a hmasawn hle tih hre reng ang che. Surgery hian he dinhmun hi hlawhtling takin a siam tha thei a, i fa chu nun pangngaiin a hmang thei a ni. I doctor leh healthcare team te hian he zinkawngah hian nang leh i fate tanpuitu tha tak an ni ang.