A châng chuan kum upat rualin, a bik takin kan nu leh pite tan chuan a natna lo awm pakhat chu nausen pum leh zunthlum ang chi taksa peng hrang hrangte hi a tlahniam deuh thin hi a ni. Hei hi kea kal emaw, hna thawh lai emaw pawhin a tithinur thei hle. Damdawi lam hawi chuan hei hi Pelvic Organ Prolapse (POP) kan ti a. Vawiin hian he natna enkawlna atana surgery hlawhtling leh buaithlak lo tak kan sawi dawn a ni. Chu chu Colpocleisis surgery a ni.
A awlsam zawngin, Colpocleisis chu eng nge ni?
Hei hi hrethiam tur chuan pelvic organ prolapse (POP) hi han thlir hmasa ila. Ngaihtuah teh, kan pum hnuai lam (pelvis) hi kan taksa peng pawimawh tak tak, uterus, vagina, bladder, leh rectum te awmna hmun a ni. Heng taksa peng hrang hrangte hi taksa peng leh taksa peng hrang hrang web (web of muscles and tissues) hmangin an chelh tlat a, chu chu pelvic floor an ti a ni. Kan tar chhoh zel a, fa engemaw zat kan neih hnuah pawh heng ruhte hi a chak lo thei hle. Tichuan chu taksa pengte chu a tla thla thei a, a chang chuan vagina atang pawhin a rawn chhuak thei bawk.
Colpocleisis hi surgical procedure a ni a, a prolapsed organ chu taksaah hruai kir lehin vagina bangte chu a chhuak leh tawh loh nan an inzawm khawm a ni. Hei hi POP enkawlna tha tak a ni.
POP tan hian surgery chi hnih a awm a ni lawm ni?
Ni e, surgery hi chi hnih lian tak a awm. Colpocleisis hi heng pahnih zinga pakhat a ni. An pahnih inthlauhna chu eng nge ni tih i lo en ang u.
| Surgery chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| Siamthat dan tur (reconstructive procedures) te | Hei hian pum emaw, serh emaw-ah incision siam a, a hnuai lam taksa peng chu a awmna hmuna dah luh a ni. He surgery hian darkar engemaw zat a daih thei. |
| Obliterative tih dan tur (obliterative procedure) te | Hei hi Colpocleisis a ni . Hemiah hian pum a tan lo. Organ hnuai lam chu a chhungah dah luh a ni a, vagina chu khar a ni. Hei hi a rang hle (darkar khat vel), harsatna pawh a nei tlem hle. |
Colpocleisis surgery chi hrang hrang a awm em?
Ni e, chi hnih a awm a. I doctor chuan eng chi nge i tan a tha tih a rel ang.
- Total Colpocleisis: Hetah hian vagina hmalam leh hnunglam bang chu a inzawm khawm vek a. Vagina chu a tawi a ni.
- Partial/Le Fort colpocleisis: Hei hian vagina tan pawh a huam tel bawk. Mahse, nausen pum atanga tui chhuak tur chuan kawngkhar te tak te pahnih a awm a. Hetiang tih dan hi nausen pum la chhuak lo tan chuan a tha ber.
He surgery hi tute tan nge a inhmeh ber?
Colpocleisis surgery hi mi zawng zawng tan a ni lo. A bik takin chhan engemaw nei tan chuan a tha hle.
- Sex hman beiseina nei tawh lote tan: Hei hi thil pawimawh tak a ni. Surgery an neih zawhah chuan vagina chu a tawi lutuk a, mipat hmeichhiatna hman tur a ni lo. Chuvangin he surgery hi hmeichhia, mipat hmeichhiatna lama nun neih beiseina nei tawh lo tan ngaihtuah a ni. Hei hi surgery neih hmain hriat chian a ngai a ni.
- Surgery lian dang tuar thei lo tan: Hei hi kum upa lam, hriselna lama harsatna dang nei, thinlung natna, zunthlum, emaw darkar tam tak anesthesia tuar thei lo tan chuan duhthlan tur tha tak a ni. Hei hi surgery rang leh stress nei lo zawk a ni.
- Enkawlna dang hmanga control theih loh khawpa taksa peng hrang hrangte tan: A châng chuan pelvic floor exercise (Kegel exercise) emaw vaginal pessaries emaw hian an dinhmun a thunun thei a ni. Mahse, taksa peng hrang hrangte chu vagina atanga chhuak vek tawh a nih chuan operation hi a solution tha ber a ni.
Surgery neih hmain eng nge thleng?
He surgery i neih hma hian doctor chuan uluk takin i hriselna a enfiah ang.
Hriselna endik a ni
- Thisen test eng emaw zat tih a ni.
- Lung lam natna a awm leh awm loh enfiah nan EKG test neih a ni ang.
- I medical history kimchang chuan i damdawi ei dan a hrilh ang che.
- Zun emaw, ek emaw chhuah harsatna a awm leh awm loh zawt rawh.
- I natna lan chhuah dan (i hnute atanga thil lo chhuak ang maiin i hria em, i na em, i thisen a chhuak em, etc.) an zawt ang che.
Pawimawh: If you smoke , i doctor chuan operation hma kar 4-6 tal chu chawlhsan turin a fuih ang che, meizuk hian hliam damna nasa takin a tikhawtlai a ni.
Basic test a ngai mai thei
Colpocleisis surgery hnuah vaginal examination tih theih a nih loh avangin screening hi cervical cancer emaw uterine cancer emaw ang chi risk factors awm leh awm loh enfiah nan an ti thin. Chumi atan chuan, .
- Pap hnawih a ni
- Nausen pum atanga tissue te tak te enfiah (Endometrial biopsy) .
- Transvaginal ultrasound hmanga tih a ni
Test ang chi: A châng chuan, uterine cancer vei theihna a awm chuan, doctor chuan he surgery rual hian hysterectomy tih a rawt thei bawk.
Surgery neih chhung hian eng nge thleng?
Thil ngaihtuah tur a awm lo. He surgery hi darkar khat vel chauh a ni .
1. Natna engmah i hriat loh nan complete anesthesia (i hriatna tichak lo) emaw, regional anesthesia (i vun ti na) emaw pek i ni ang.
2. Surgery neih chhung hian zun chhuah nan catheter dah a ni.
3. Kea thisen zam a awm loh nan special socks (compression stockings) bun thin a ni.
4. Doctor chuan vagina chhunga membrane te tak te chu a la chhuak a, vaginal walls chu dissolvable thread hmangin a stitch khawm thin.
Surgery zawhah chuan vaginal opening chu a te deuh a, vagina chu a tawi deuh bawk a, mahse pawn lam lan danah danglamna a awm lo.
Surgery hnuah eng nge thleng?
I surgery neih zan vek khan i haw thei mai thei a, damdawi inah zan khat i riak a ngai mai thei bawk. In lama khalhtu tur mi rawn hruai rawh. Doctor chuan kar hnih atanga kar li vel hnuah lo kal leh turin a ti ang che.
Recovery chhunga i beisei theih tlangpui chu hengte hi a ni:
- Vaginal bleeding tlem leh natna: Hei hi kar khat chhungin a reh ang. Natna atan doctor-in a pek painkiller i ei thei bawk.
- Yellow discharge: Hei hi ngaihtuah buai suh. Hei hi a chhunga dissolvable thread dah chu a hmin chuan a chhuak thin. Kar 6-8 chhungin a dam vek ang.
- Urinary retention: A tir lamah chuan a harsa deuh mai thei a, mahse zawi zawiin a dinhmun a tha chho zel ang.
- Constipation: I doctor chuan hun engemaw chen chu awlsam zawka bawlhhlawh pass theihna tur damdawi hmang turin a fuih ang che.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
| A thatna te | Risk a awm thei |
|---|---|
| Hlawhtlinna a sang hle (90% - 100%). POP symptoms chu a bo vek. | Eng surgery pawh (thisen chhuak, natna hrik kai, thisen chhuah) avanga hlauhawmna pangngai pawh a tlem hle thei bawk. |
| Surgery hian hun rei lote a daih a, taksa tan a hahthlak lo hle. | Mi thenkhat chuan operation hnuah stress urinary incontinence (SUI) an nei thei a, chutah chuan nuih emaw khuh emaw hian zun tlem an leak thin. |
| POP lo awm leh theihna hi a tlem hle. | I risk hi i kum aiin i hriselna pum pui a innghat a ni. |
A pawimawh ber chu colpocleisis surgery hi tihdanglam theih loh a ni. Chuvangin, a thatna leh that lohna zawng zawng uluk taka hrethiam a, doctor nen in sawiho hnuah thutlukna i siam tur a ni.
Eng chen nge tihdam a ngaih?
A dam kim theih nan kar 6 vel a ngai thei.
- Kar hnih hmasa ber: I chau ang a, i na ang. Chawlh hahdam tam rawh.
- Kar tlemte hnuah: I thil tih pangngai, kea kal leh lirthei khalh te chu i thawk leh thei tawh ang.
- Kar 6 hnuah: Hnathawh tur i tan thei ang.
Hemi hun chhung hian rit phurh emaw, exercise hahthlak tak tak emaw tih loh tur . Surgery neih hmain in lama thil tul mamawh rawn ken leh dahkhawm chu a \angkai hle ang.
Eng dinhmunah nge doctor pan nghal a ngai?
I dam chhungin a hnuaia symptoms te hi i neih chuan infection emaw harsatna dang emaw chhinchhiahna a ni thei. Chuvangin i doctor nen inbia nghal rawh .
- Khawsik
- Pum natna nasa tak
- Zun harsatna
- Vaginal discharge rimchhia tak
- Hliam atanga natna chu a zual zel a nih chuan
- Hliam atanga thisen chhuak tam lutuk emaw, thisen chhuak tawp lo emaw
Colpocleisis hi surgery tha tak a ni a, POP vei tam tak tan chuan hahdamna nasa tak a thlen a, nun a ti awlsam hle. Hemi chungchanga zawhna dang i neih chuan i doctor nen inbiakna neih hreh suh la, i duh ber thutlukna siam rawh.
Take-Home Thuchah a ni
- Colpocleisis hi pelvic organ prolapse (POP) enkawlna atana surgery hlawhtling tak, rang tak leh harsatna tlem lo tak a ni.
- Hei hi hmeichhia sex hman duh tawh lo leh surgery lian tak tuar thei lo tan a tha ber.
- Surgery hnuah vaginal sex i hmang thei dawn lo va, medical test thenkhat, Pap smear ang chi te pawh i nei thei dawn lo. Hei hi hriat lawk a pawimawh.
- Recovery period hi kar 6 vel a ni tlangpui a, hemi chhung hian chawlh hahdam a pawimawh a, thil rit phurh loh a pawimawh.
- Vaukhânna chhinchhiahna, khawsik, natna nasa tak, emaw, hliam aṭanga thisen chhuak tam lutuk emaw i neih chuan doctor pan vat rawh.
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