I nu emaw, i pi emaw hian "prolapsed uterus" emaw "low uterus" emaw ang chi thu a sawi i hre tawh em? A chang chuan hei hi a nasat deuh chuan vagina atanga taksa peng pakhat a rawn chhuak ang maiin a lang thin. Hei hi hmeichhe tam tak tan chuan dinhmun nuam lo leh zahthlak tak a ni. Chuvangin, hei hi enkawl nan hian special surgery Colpocleisis an tih chu an ti thin. Vawiin hian hemi chungchang te, a thatna leh that lohna te, engkim mai hi a awlsam zawngin kan sawi dawn a ni.
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A hmasain Pelvic Organ Prolapse tih hi eng nge ni?
A awlsam zawngin, kan pelvic cavity chhunga taksa peng hrang hrang, uterus, bladder, leh rectum te hi taksa ruh leh tissue inzawmkhawmin a hmunah a vawng tlat a ni. Chungte chu pelvic floor muscle kan ti a. Hun a kal zel a, a bik takin kan lo upa tawh a, fa engemaw zat kan neih tawh avangin heng ruhte hi a chak lo zauh zauh a.
Bag rit tak, hun kal zelah a hlui a, a inzawm khawm ang maiin han ngaihtuah teh. Heng taksa pengte hi an chak loh chuan taksa peng hrang hrangte chu a tlahniam emaw, a tla emaw tan thin. Hei hi pelvic organ prolapse (POP) kan tih chu a ni. A châng chuan a nasat chuan taksa peng hrang hrangte chu vagina aṭangin a tla chhuak tak tak thei a ni.
Chuti a nih chuan he surgery hi eng nge Colpocleisis an tih?
Hetiang natna hi nausen pum enkawl nan hian surgery chi hnih a awm a. Colpocleisis hi chutiang zinga mi a ni. An pahnih inthlauhna hi han thlir ila.
| Thiltih dan chi hrang hrang | Eng thil nge thleng mai mai? |
|---|---|
| Siamthat dan tur (Reconstructive Procedures) te | Hei hian pum emaw, hnute emaw-ah incision siam a, prolapsed organ chu reattaching leh a huam a ni. Hei hi surgery lian tak a ni a, darkar engemaw zat a daih thei. |
| Obliterative Procedures - e.g. Colpocleisis natna a ni | Hei hian pum tan a huam lo. Vagina kaltlangin a kal nghal a, vaginal walls chu a inzawm khawm a ni.. Chu chu vagina chu a khar tihna a ni. Tichuan, a hnuai lam taksa peng chu a chho leh a, a chhungah a awm reng a, a chhuk leh thei tawh lo. Hei hi a dang aiin a awlsam zawk a, darkar khat pawh a tling lo. |
Colpocleisis hi surgery awlsam tak leh hlawhtling tak a ni a, a bul berah chuan vagina hi a khar a ni.
Colpocleisis surgery chi hnih
Colposcopy surgery hi chi hnih lian tak a awm a.
1. Total Colpocleisis: Hemiah hian serh hmalam leh hnunglam bang chu a inzawm khawm vek a. Vagina chu a khar vek tawh mai.
2. Partial/Le Fort Colpocleisis: Hei hian vagina a ti tawi a, a khar bawk. Mahse, nausen pum atanga thil chhuak (entir nan, thlasik thisen) chhuak turin kawngkhar te te pahnih a hnutchhiah a ni. Chuvangin he method hi a uterus lakchhuah loh tan chuan a tha ber .
He surgery hi tute tan nge tih a rawt?
Hei hi mi zawng zawng tan surgery a ni lo. I doctor chuan a rawt hmain thil engemaw zat a ngaihtuah hmasa ang. He surgery hi a tha fo thin:
- For those who have no hope of having vaginal sex in the future , a chhan chu operation hnuah vagina hi a tawi lutuk dawn a, chutiang chu tih theih a ni lo vang.
- Hriselna lama harsatna dang (e.g. thinlung natna) nei, major reconstructive surgery tuar thei lote tan. He surgery hi a awlsam zawk a, risk tlem zawk a keng tel bawk.
- Kegel exercise ang chi enkawlna awlsam tak hmanga control theih loh khawpa nausen uterine prolapse nei tan chuan.
- Hei hi hmeichhe kum upa zawk tan chuan solution tha tak a ni a, kum 80 leh 90 vel an ni fo thin .
Surgery neih hmain eng nge thleng?
He surgery hi tih i tum a nih chuan doctor chuan uluk takin a enfiah hmasa ang che.
A pawimawh ber: I doctor chuan he surgery chungchang hi tlang takin a sawipui ang che, a bik takin operation hnua i sex life-a nghawng a neih dan tur te, nakin lawka i tih theih loh tur test eng pawh chungchang te. Heng zawng zawng hi i pawm a pawimawh hle.
Operation hmain heng thilte hi i ti thei ang:
- Hriselna endikna: Thisen test, thinlung hnathawh dan enfiahna atana EKG, damdawi i ei chungchang zawhna, etc.
- Test hmasa ber: Operation hnuah vaginal examination tih theih a nih loh avangin Pap smear, endometrial biopsy, leh transvaginal ultrasound te chu tih hmain tih theih a ni.
- Meizial i zuk chuan:Operation hma kar 4-6 tal meizuk khap turin an ti ang che, meizuk hian hliam damna a tikhawtlai thei a ni.
Surgery hnuah eng nge thleng?
Operation i neih zawh chuan chu ni vek chuan i haw thei mai thei a, damdawi inah zan khat riah a ngai mai thei bawk. Ni hmasa berah hian a hnuaia mite hi i beisei thei ang:
- Vaginal bleeding leh pain: Hei hi kar khat chhungin a reh ang. Natna atan doctor-in a pek painkiller i ei thei bawk.
- Yellow discharge: Ngaihtuah buai suh. Hei hi i chhunga dissolvable stitch te a inthiar chhuah chuan a thleng thin. Hei hian kar 6-8 chhungin a dam vek ang.
- Zun harsatna: A tir lamah chuan a harsa deuh thei. Ni engemaw zat chu catheter i vuah a ngai mai thei. Mahse hei hi hun kal zelah a tha chho zel dawn a ni.
- Constipation: Hun engemaw chen chu laxatives i hman a ngai mai thei.
Dam leh hun: A dam kim theih nan leh thil tih dan pangngaia a kir leh theih nan kar 6 vel a ngai thei. Hemi chhung hian rit phurh emaw, exercise hahthlak tak tak emaw tih loh tur a ni.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Midang ang bawkin he mi hian a thatna leh a that lohna a nei vek a ni.
| A thatna te | Risk/Complication awm thei te |
|---|---|
| Hlawhtlinna a sang hle (90% - 100% inkar) a awm. Symptoms a bo vek. | Eng surgery pawha hlauhawm tlangpui (thisen chhuak, natna hrik, thisen chhuah). |
| Surgery hian hun a duh tlem zawk (darkar khat vel). | Operation hnuah stress urinary incontinence (SUI) vei theihna chance a tlem hle. |
| Recovery hun hi a rei lo hle. Damdawi inah rei tak awm a ngai tawh lo. | Hei hi tihdanglam theih loh surgery a ni. |
| A lo lang leh theihna chance a tlem hle. |
Pawimawh: Vaginal intercourse theih tawh lo mah se, pawn lam stimulation (clitoral stimulation) hmanga orgasm theihna chu a la awm thei tho . Chuvangin sex nun hrisel tak neih theihna hun remchang a la awm.
Doctor hmuh hun tur
Operation atanga in haw hnua heng symptoms te hi i neih chuan i doctor i ko nghal tur a ni .
- Khawsik.
- Pum natna nasa tak.
- Zun harsatna a tipung.
- Vaginal discharge rimchhia tak.
- Incision atanga natna chu a zual zel a nih chuan.
- Cut chu thisen a chhuak nasa emaw, thisen a reh loh chuan emaw.
Take-Home Thuchah a ni
- Colpocleisis hi hmeichhe kum upa zawkte prolapsed uterus (POP) tan surgery hlawhtling tak leh him tak a ni.
- He surgery hnuah hian vaginal sex i hmang thei dawn lo a, chuvangin he thutlukna i siam hmain i doctor nen inbia la, uluk takin ngaihtuah hmasa phawt ang che.
- He surgery hi a awlsam zawk a, a rang zawk a, surgery lian dang aiin a dam rei zawk bawk.
- Nangmah emaw, i chhungkuaa tu emaw hian hetiang dinhmun hi i nei a nih chuan hlau lo la, zak suh. He surgery hi i tan a tha em tih leh a thatna leh that lohna te chu i gynecologist nen zalen takin sawiho rawh.
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