I doctor chuan i Pap test-ah hian thil dik lo a awm a ti em? A nih loh leh a chang chuan i serh atanga thisen te te te a chhuak thin em? Heng thilte hian tlem a ti hlauthawng thei a, a ti lungngai deuh bawk. Mahse, lungngai suh. A tam zawkah chuan heng thilte hi a pawi lo hle. Heng thil thlenga doctor-te’n enkawlna awlsam tak pakhat chu ‘cryosurgery’ an ti a ni. A hming hi thil lian tak angin lang mahse, a takah chuan a awlsam khawp mai. A dik tak chuan, chu chu cell pangngai lote tihchhiat nân vur ang chi, khaw lum nasa tak hman a ngai a ni. Hemi chungchang hi chiang tak leh awlsam takin sawi ila.
A awlsam zawngin, cryosurgery chu eng nge ni?
Okay, hei hi entirnan awlsam tak hmangin i hrethiam ang u. I kut ah hian wart te tak te i nei ang tih han ngaihtuah teh. A châng chuan doctor-te chuan tui lum tak tak hmangin a hruihrual chu an paih chhuak ṭhin. Khawsik hian wart chhunga cell awmte chu a that thin. Chutiang bawk chu cervix tan cryosurgery-ah pawh a thleng thin.
Heta thil thleng hi doctor chuan chemical lum tak tak, liquid nitrogen ang chi hmangin i serh chunglama cell pangngai lo awmte chu ‘freeze’ emaw freeze emaw a ni. Khaw lum lutuk hian cell te chu a thi ta a ni. Tichuan, kan taksa natural healing process chuan chu lai hmunah chuan cell thar, hrisel tak takte chu a lo thang lian thei ta a ni. He enkawlna hi cryotherapy an ti bawk.
Tun hma chuan he method hi cervix atanga cell pangngai lo paih chhuah nan a lar hle a. Mahse tunah chuan Sri Lanka leh khawvel hmun tam takah chuan LEEP (Loop Electrosurgical Excision Procedure) ang chi hmanraw thar zawk, tangkai zawk an hmang ta a ni. Mahse, thil bik thenkhatah chuan damdawi in thenkhatah chuan he cryosurgery treatment hi an la ti reng a ni.
He enkawlna hi tute nge mamawh?
Doctor-in he enkawlna hi i tan a rawt theihna tur dinhmun engemaw zat a awm. Eng nge an nih i han thlir teh ang.
- Cervix-a cell pangngai lo: I Pap test-naah i serh cell-te chu a dik lo tih a hriat chuan, emaw, cancer (cervical dysplasia)-a lo awm theihna a sang hle a nih chuan, chutiang cell-te chu paih chhuah nan he tih dan hi a tha thei ang.
- Cervicitis: A châng chuan serh hi a kai thei a, a hring thei a, a sen thei bawk. Hetiang hmanraw hi damdawi ei loh thenkhatah hman a ni.
- Genital Warts: He enkawlna hmang hian HPV virus vanga serh chunglama warts lo awm thin te pawh paih chhuah theih a ni bawk.
- Sawifiah loha cervical bleeding: A chang chuan, cervix chunglama thisen kalna kawng te tak te avang hian thisen tlem a chhuak thei bawk. Hetiang enkawlna pawh hi tih a nih chang a awm.
Enkawl hma hian eng nge thleng thin?
Hei hi surgery lian tak a ni lo. Damdawi inah i awm a ngai tawh lovang. Doctor room (OPD)-ah tih theih a ni. I hriat reng laiin tih a ni. General anesthesia hman a ngai lo.
- Numbness: A chang chuan doctor chuan local anesthesia tlemte chu serh chhungah a inject thei bawk. Mahse a tam zawkah chuan chu chu a ngai lo a ni, a chhan chu cervix hian nerve sensation a nei tlem hle.
- Thlamuang: I hlauthawng em em a, i lungkham hle a nih chuan i rilru hahdam nan damdawi tlemte pek i ni thei.
- Mimal inbuatsaihna: I doctor chuan sex hman loh tur leh enkawl hma darkar 24 atanga darkar 48 chhung chu i vagina chhungah engmah dah lo turin a hrilh ang che.
Enkawl lai hian eng nge thleng? Step khat hnu step khatin
The entire process takes less than 10 minutes , chuvangin ngaihtuah buai a ngai lo. Pap smear lak ang maiin a lang.
1. Position: A hmasa berin khumah, a tlangpuiin gynecological examination atana hman thin, i ke chu a sir lamah phar chhuakin mu turin an ti ang che.
2. Speculum dah luh: A dawtah chuan Pap smear i tih huna i hman thin instrument kha i hre reng em? Chutiang bawka hmanraw (speculum) chu vagina chhungah dahin, zawi zawiin vaginal walls chu a inthen a, chutiang chuan cervix chu chiang takin a lang thei a ni.
3. Cryoprobe: A dawtah chuan doctor chuan thir hmanrua sei tak, te tak te, pencil ang maia siam (cryoprobe an tih) chu vagina chhungah a thun lut a. He instrument chhungah hian tui lum tak a luang a, chu chuan instrument tip chu ice ang maiin a vawt tir a ni.
4. Cells freezing: Tunah chuan doctor chuan ice-cold instrument tip chu i cervix-a cell pangngai lo awmna hmunah chiah a dah a, chutah chuan second engemaw zat emaw minute engemaw zat emaw a vawng tlat a ni. He khaw lum lutuk (-20 to -50 degree Celsius ang chi) hian cell te chu a vawt tir thin.
5. Thaw leh repeat: Tichuan device chu la chhuakin a hmun chu thaw deuh turin dah rawh. A tul chuan chutiang bawk chuan cell te chu freeze leh rawh. Chu chu a ni.
A tam zawkah chuan hei hi a hrehawm lo. I pum hnuai lam ah hian period na ang maiin i hrehawm lo deuh mai thei. Mahse, hrehawmna engmah i nei tur a ni lo. Mi thenkhat chuan an enkawl hnuah an lu a hah deuh mai thei.
Enkawlna hnuah eng nge beisei tur?
Enkawlna a zawh veleh in lamah i haw nghal thei bawk. Damdawi ina awm reng a ngai lo.
- Tui chhuak: Enkawlna i neih zawh chuan i hnute atanga tui, a chang chuan thisen chhuak, kar engemaw zat chhung chu i chhuak tan thei a ni . Hei hi thil pangngai tak a nih avangin lungngai suh.Hei hi a chhan chu frozen cells te hi an thi a, an thaw a, taksa atanga an chhuah vang a ni. Hei atan hian sanitary pads i hmang thei bawk. Eng thil vang pawhin tampon hi hmang suh .
- Natna: Pum natna tenau i neih chuan paracetamol ang chi general painkiller i ei thei.
- Thil tih loh tur: I serh a dam vek hma chuan sex hman loh tur a ni a, chu chu kar 2-3 vel a ni ang . Tin, i vagina chhungah engmah (e.g. tampons, douches) dah loh tur a ni. Hei hian hri kai venna kawngah a pui thei a ni.
- Follow-up: Hei hi a pawimawh tak zet a ni . Doctor chuan lo haw turin ni khat a pe ang che. Chutih hunah chuan cell pangngai lo chu a bo vek tawh em tih leh serh chu a dam tha em tih a enfiah ang. Chutih hunah chuan Pap test dang emaw, a tul chuan biopsy emaw i nei thei bawk.
He enkawlna hian eng nge a thatna leh a that lohna?
Damdawi dang ang bawkin he cryosurgery hmanga enkawlna hian a thatna leh a that lohna a nei vek a ni. Anni hi ngun zawkin han thlir ila.
| A thatna te | A that lohna te |
|---|---|
| Surgery ni lo: Taksa tan a awm loh avangin natna, thisen chhuah leh harsatna awm theihna a tlem hle. | Cell test theih loh: Cell te chu a chhiat tawh avangin a lakchhuah chu lab-ah cancer cell a awm leh awm loh en turin a thawn thei lo. |
| Rang leh awlsam: Minute 10 vel a ngai a, a zawh theih. Damdawi inah awm reng a ngai lo. | A dik lo zawk: Thil tih dan dang (LEEP ang chi) angin a dik lo. A châng chuan cell pangngai lo pawh a awm lo thei bawk. |
| Low cost: Surgery dang nena khaikhin chuan a man a tlem hle. | Thuk zawka kal thei lo:Cervix chunglam cell-ah chauh a thawk tha hle. Hetiang method hian cell te chu cervix chhung thuk takah an lut tawh a nih chuan a thawk thei dawn lo. |
| Nau neih theihnaah nghawng a nei lo: He enkawlna hian a tlangpuiin nakin lawka naupai theihna a nghawng lo. | Thil pawi tak tan pawh a tha lo: Hetiang hmanrua hi cancer-a inthlak hlauhawmna sang tak nei cell (e.g. CIN 3) te paih chhuahna atan a tha lo. |
He enkawlna hi engtiang chiahin nge a hlawhtlin?
He enkawlna hi 90% velin a hlawk . Chumi awmzia chu mi 100 enkawl tawh zinga 90-ah chuan cell pangngai lo chu a lo let leh tawh dawn lo tihna a ni. Mahse, mi tlemte chauhvin cell pangngai lo an nei leh thei a ni. Chutiang a nih chuan enkawlna dang, LEEP ang chi chu an pan a ngai dawn a ni.
Engtik lai nge doctor nen inbiakna neih a ngai?
Enkawlna hnua harsatna engemaw zat leh tui chhuak hi thil pangngai ni mah se, a lan chhuah dan thenkhat chu natna kai emaw, harsatna dang emaw a ni thei. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh. A nih loh leh hospital emergency department (ETU) hnai ber pan rawh.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| 🌡️ Khawsik | Taksa lumna 100.4 Fahrenheit (38 Celsius) aia sang a nih chuan. |
| 🩸 Thisen chhuak nasa | Thla khata i period pangngai aia tam thisen i chhuah chuan. |
| 😖 Pum natna nasa tak | Paracetamol ei hnuah pawh a reh lo, pum hnuai lam natna tuar theih loh. |
| 👃 Discharge rimchhia | Vaginal discharge hian rimchhia a neih chuan (hei hi infection chhinchhiahna a ni). |
Thutawp atan chuan cervical cryosurgery hi hmanraw hlui tak a ni a, mahse enkawlna awlsam, him leh tangkai tak a la ni reng a, a then phei chuan an la hmang reng a ni. I doctor-in he damdawi hi a rawn rawt a nih chuan tih hlau suh. He thuziaka thu awmte hi hre reng la, zawhna i neih chuan i doctor nen zalen takin sawipui rawh. Nang leh i doctor te hi in hriselna chungchangah thutlukna siam dun thin in ni.
Take-Home Thuchah a ni
- Cryosurgery hi enkawlna awlsam tak a ni a, khawsik nasa tak hmanga serh chhunga cell pangngai lo awmte tihchhiat a ni.
- Hei hi surgery lian tak a ni lo. Minute 10 vel a ni. Damdawi ina awm reng a ngai lo.
- A enkawl dan pawh a hrehawm vak lo. I rilru a hah deuh mai thei a, chu chu thlasik laiin i rilru a na ang tho a ni.
- Treatment hnu kar engemaw zat chhung chu i vagina atanga tui chhuak hi thil pangngai tak a ni . Ngaihtuah buai suh.
- Mipat hmeichhiatna hman loh tur leh tampon hman loh tur a ni a, a dam vek hma loh chuan (kar 2-3 chhung).
- Doctor -in follow-up appointment a peknaah kal ngei ngei tur a ni. A pawimawh hle mai.
- Khawsik sang tak, thisen chhuak nasa tak, tuar theih loh khawpa natna i neih emaw, tui chhuak rimchhia emaw i neih chuan doctor hnenah hriattir nghal rawh.
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