I vagina-ah rit tak, thil lo tla thla emaw, ball te tak te ang maia hriatna emaw i nei fo thin em? Hmeichhe thenkhat chuan hetiang hi an tawng thei a, a bik takin fa an neih hnuah emaw, an upat deuh deuhin emaw an tawng thei. Hetiang dinhmun hian nitin hna thawh a ti harsa thei hle. Chuvangin vawiin hian he thil hi chinfelna tha tak ni thei tur surgery chungchang hi han sawi ila.
Colporrhaphy hi eng nge ni? A awlsam zawngin i hrethiam ang u.
Colporrhaphy hi i vagina bang a chak lohna siamthat nan surgical procedure a ni. Pelvic Organ Prolapse (POP) tih natna enkawlna a ni. Hetiang hian han ngaihtuah teh: kan pelvis chhunga taksa peng hrang hrang, bladder leh rectum te hi vagina bang chhunga muscle leh tissue te hian an hmunah an vawng tlat a ni. Room inthenna bang ang mai a ni.
Tunah chuan heng bangte hi kum upat deuha an chak loh chuan, nau neih vang emaw, thil rit phurh avanga an chak loh chuan taksa peng hrang hrangte chu vagina chhungah an chhuk emaw, an tlahniam emaw tan thin. Chu chu `Pelvic Organ Prolapse (POP)` kan tih chu a ni.
Chuvangin, colporrhaphy surgery-in a tih chu chu taksa ruh leh tissue chak lote chu a tichak a , taksa peng lo chhuk tawhte chu an awmna hmasa berah a hruai kir leh a ni.
Colporrhaphy surgery hi chi hnih a awm a, chungte chu:
He surgery hi a bik takin hmun hnih ah then a ni. A châng chuan i doctor chuan a mamawh dân azirin heng hmun pakhat emaw, a pahnih emaw hi tih dun a tum thei a ni.
| Surgery chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Hma lam (anterior Colporrhaphy) a awm (Cystocele siamthat) . | Hei hi i vagina hmalam bang a chak loh chuan tih thin a ni. He bang hnung lamah hian bladder a awm a. Wall a chak loh chuan bladder chu a lo chhuk a, vagina chhungah a nawr lut a. He surgery hian chu hmalam bang chu tichak leh turin hna a thawk a ni. |
| Hnung lam Colporrhaphy a awm (Rectocele siamthat) . | Hei hi i vagina hnunglam wall hmanga tih a ni.A chak loh hunah. He bang hnung lamah hian hnute (anus) a awm a. Wall a chak loh chuan hnute chu a lo tla thla a, vagina chhungah a rawn nawr lut ta a ni. He surgery hian chu back wall chu a tichak a ni. |
Hei hi surgery lian tak a ni em?
Ni e, colporrhaphy hi surgery lian takah ngaih a ni . Mahse advantage a nei a ni. A tam zawkah chuan he surgery hi vagina kaltlangin an ti thin. Chu chu pum chu cut open a ngai lo tihna a ni. Chuvangin, complication a nei tlem zawk a, pum surgery aiin a dam chak thei bawk.
Engvangin nge he enkawlna hi i mamawh mai thei?
POP avanga symptoms te hi i nitin nun tibuaitu lian tak a nih chuan he surgery hi i ngaihtuah tur a ni.
- Urinary incontinence chu khuh, nuih emaw, thil rit tak tak chawi lai emawa duh loh vanga zun hloh hi a ni .
- Efecation harsat.
- Mipat hmeichhiatna hman laia natna.
Chûng thilte chuan nun hlim taka nun a tiharsa thei a ni. Colporrhaphy surgery hian heng chak lohnate hi a hneh thei a, a natna lan chhuah dan a tibo thei a, nun nuam tak i hmang leh thei bawk.
A pawimawh ber chu heng ang harsatna chi hrang hrang nen hian nangmah chauhin i tuar a ngai lo. Hemi atan hian enkawlna tha tak tak a awm.
He surgery hi tute tan nge a inhmeh?
He surgery hi mi zawng zawng tan a tha lo. He surgery atana candidate tha tak i nih leh nih loh chu thil engemaw zatah a innghat a ni.
- Enkawlna dangin hna a thawh loh chuan: Hetiang natna hi non-surgical treatment a awm. Pelvic muscle tichaktu exercise (Kegels), vaginal devices (pessaries), leh hormone therapy te hi enchhin hmasak a ni. Hengte hian i natna lan chhuah dan a tiziaawm lo a nih chuan operation tih hi ngaihtuah leh tur a ni.
- I symptoms a nasat chuan: POP vei thenkhat chuan harsatna an nei tam lo. Chutiang mite tan chuan operation risk chu a hlu lo. Mahse i nitin nun tibuaitu lian tak a nih chuan operation hi a solution tha ber a ni mai thei.
- Fa tam zawk neih i tum loh chuan: He surgery hnua fa dang i neih chuan naupai leh nau neih lai pressure hian a siam thatna hmunte chu a tichak lo leh thei a ni. Chuvangin, Doctor-te chuan chhungkua a kim tawh nia i hriat chuan he surgery hi neih a tha zawk tih an rawt tlangpui.
Surgery hma leh operation neih chhung hian eng nge thleng?
Surgery neih hmain
I doctor chuan operation hmain heng thilte hi a ti ang:
- I natna lan chhuah dan leh i damdawi lam chanchin sawiho rawh: Eng harsatna nge i neih tih chiang taka i hriat chuan doctor tan chuan operation neih laiin khawiah nge siamthat tur tih chiang takin a rel a awlsam zawk.
- Taksa enfiahna a ti thin:Bimanual pelvic exam hmangin hmun chak lo awm leh awm loh leh prolapse awm zat dik tak enfiah a ni.
- A tul chuan test order a ni ang: A tam zawkah chuan test dang tih belh a ngai lo. Mahse, a châng chuan MRI scan ang chi thil tihsak che a ni thei a, chu chuan taksa ruhte dinhmun a zir chiang thei ang.
- Infection laka invenna damdawi: Operation ni-a ei tur antibiotic pek i ni thei bawk.
- Postmenopausal i nih chuan: I vagina-a hnawih tur hormone estrogen awmna cream pek i ni thei. Hei hian vaginal walls-a tissue chu a ti thim ang a, surgery pawh a ti awlsam ang.
Surgery neih lai hian
Surgery neih chhung hian natna engmah i hre lovang.
1. Anesthesia: ``General anesthesia``, mutthilh tir theitu emaw, ``regional anesthesia``, pum hnuai lam chauh ti na thei emaw hman a ni.
2. Inbuatsaihna: Surgery nuam tak siam turin khum bikah muttir i ni ang. I zun chhuahna tur tube (catheter) dah a ni ang.
3. Surgery: Doctor chuan speculum hmangin vagina a enfiah ang. Chumi hnuah chuan vaginal wall-ah incision te tak te tak a siam ang a, chu chuan taksa ruh leh tissue chak lo zawng zawng a hriat theih ang.
4. Siamthat: A dawtah chuan tissue chak tak takte chu an rawn hruai khawm a, a hmunte chu dissolvable sutures hmangin an tichak leh thin.
5. Suturing: A tawp berah chuan vaginal wall-a incision siam chu dissolvable stitches hmangin an khar thin.
He surgery hi khawi hmunah pawh minute 30 atanga darkar khat emaw a aia rei emaw vel a ni thei tlangpui , siamthat nasat dan azirin.
Surgery hnuah leh recovery period hnuah
Surgery an neih hnuah
Surgery neih dan azirin chu ni vek chuan in lamah i haw thei a, damdawi inah zan khat i riak thei bawk.
- Operation hnuah thisen chhuak eng pawh chu a hip lut theih nan vagina chhungah pack dah theih a ni. Darkar 24 vel hnuah lakchhuah a ni ang.
- Catheter hi ni khat atanga ni hnih chhungin lakchhuah a ni tlangpui.
- Bowel movement laiin straining awm lo turin stool softener hi rei lo te ei thin tur a ni.
- Operation hnu ni engemaw zat chhung chu thisen chhuak vaginal discharge i nei thei a, kar engemaw zat chhung chu creamy discharge i nei thei bawk. Hei hi a chhunga stitches te a dissolve avangin thil pangngai a ni.
- Kar 4-6 chhung chu vaginal pain engemaw zat a awm thei.
Dam leh hunah heng thilte hi enkawl la
A dam kim theih nan thla 3 vel a ngai thei. Hemi chhung hian i doctor chuan heng thupekte hi a pe ang che:
- Kilo 2-3 aia rit phurh loh tur.
- Exercise hahthlak tak tak (squatting, weight lifting) tih loh tur.
- Ek chhuah dawnin na takin strain suh.
- Kar 6-8 chhung chu mipat hmeichhiatna hman loh tur.
- Bathtub atanga chhuak leh shower lak loh tur.
- Tampons emaw douche emaw hman loh tur.
A tlangpuiin kar 3-4 chhungin i hna a hah lutuk loh chuan kein i kal thei ang a, i lirthei i khalh thei ang a, hnathawhna hmunah i kir leh thei bawk ang.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
A thatna te: 1.1.
- POP symptoms a tiziaawm.
- Pum a tan loh avangin i dam thuai thei a ni.
- I dam hnuah chuan i sex nun pangngai chu i chhunzawm leh thei tawh ang.
Risk awm thei: 1.1.
Surgery dang ang bawkin risk engemaw zat a awm a, mahse a tlem hle.
- Ek khal
- Thisen chhuah tam lutuk
- Sex hman laiin natna
- Hliam natna
- Zun kawng natna (UTIs) .
Hemi chungchang hi i doctor nen zalen takin sawi la, zawhna i neih chuan zawt rawh.
Take-Home Thuchah a ni
- Vaginal prolapse (POP) avanga harsatna awm chu nangmah chauhin i tuar a ngai lo. Chumi atan chuan Colporrhaphy hi damdawi tha tak a ni.
- Mi zawng zawng hian he surgery hi an mamawh nghal vek dawn lo. Non-surgical treatment te hi enchhin hmasak a pawimawh.
- Surgery tih i tum chuan i doctor nen a thatna te, a chhiatna te, leh a hlauhawmna te uluk takin sawipui rawh.
- Surgery hnua thupek pek dik tak zawm hi rang leh hlawhtling taka dam lehna atan a pawimawh hle.
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