Tin, thlasik hun mumal lo leh ni engemaw zat thisen chhuak nasa ang chi harsatna i nei bawk em? A nih loh leh menopause hnuah pawh thisen i la chhuak reng em? Hetiang thil avanga hlauhna leh lungkhamna tlem i neih hi thil pangngai a ni. Hetiang hun lai hian doctor i pan a, "Endometrial Biopsy" neih a ngai tih a hrilh che chuan zawhna tam tak i rilruah a lo lang thin a ni lawm ni? "Eng nge ni? A na em? Operation lian tak a ni em?" Hetiang thil tam tak hi rilruah a lo lang thin. Chuvangin vawiin hian he thumal hnuaia thawnthu dik tak, hlauhawm tak tak che kan sawi dawn a ni.
A awlsam zawngin, endometrial biopsy tih hi eng nge ni?
Hei hi i ngaihtuah angin thil lian tak a ni lo. A awlsam zawngin, i nausen pum (medically endometrium kan tih) lining atanga tissue tlemte tak tak lak a, microscope hmanga enfiah a ngai a ni. Thawmhnaw kan lak chhuah ang bawkin doctor chuan nausen pum chhunga cell thenkhat a enfiah thin.
He test hian i natna lan chhuah chhan dik tak a hriat theih nan a pui thei che a ni. Cell pangngai lo, cancer cell awm thei, natna hrik awm thei te pawh a zawng thei bawk. A tha ber chu a tih dan zawng zawng hi minute 15 aia rei lo a ni a, doctor office (outpatient)-ah tih theih a ni. Ni e, natna tlem i nei mai thei, period ang maiin. Mahse chu chu hun eng emaw chen atan a ni.
Eng chhan vang nge doctor chuan he test hi a rawt ang?
I doctor chuan symptom thenkhat chhui chian lehzual nan he test hi a rawt tlangpui ang. Ultrasound scan emaw Pap smear emaw a i thil hmuh chu nemnghet nan pawh tih theih a ni bawk.
Endometrial biopsy tih theihna tur dinhmunte chu hetiang hi a ni:
| Symptom emaw condition emaw a awm | A sawifiahna awlsam tak |
|---|---|
| Thlasik mumal lo | Hei hian ni tam tak thisen chhuah tam lutuk te, thla tam tak chhung period neih loh te, period inkara thisen chhuah te a huam a ni. |
| Menopausal hnua thisen chhuak | I period a tawp vek hnua thisen chhuak i neih leh chuan (menopause) chu ngaihtuah tur a ni ngei ang. |
| Hormone therapy hmanga thisen chhuah | Hormonal damdawi Tamoxifen , cancer enkawlna i ei laiin thisen chhuah dan pangngai lo i neih chuan. |
| Uterine wall a thick deuh | Scan atanga i uterus chhungril (endometrium) chu a tlangpui aia thuk zawk a nih chuan. |
| Pap test report pangngai lo tak a ni | I Pap test-ah i serh chhungah cell pangngai lo a awm a nih chuan. |
Hei hi endometrial cancer hmuhchhuahna atana test dik ber leh tih tlanglawn ber a ni a, a bik takin hmeichhia kum 35 chunglamte chu a ni.
He test hi nau pai harsat tu emaw, naupai lai (uterus) lining-a harsatna awm leh awm loh enfiah nan pawh hman thin a ni. Mahse, naupai i nih chuan he test hi tih theih a ni lo tih hre reng ang che.
Okay, chuti a nih chuan engtin nge hetiang hi i tih ang? I hlau tur em ni?
Hlau reng reng suh. Hetiang thil hi engtin nge step by step-in i sawi dawn nia. Tichuan hei hi i hrethiam zawk ang.
Test hmain inbuatsaih a ngai em?
Inbuatsaih tur tam tak a awm lo. Mahse, heng thilte hi hre reng ang che:
- I damdawi ei zawng zawng (vitamin leh supplement te pawh tel) doctor hnenah hrilh rawh. Test hma ni engemaw zat hnuah damdawi thenkhat (a bik takin thisen tithianghlimtu) ei kha bansan turin an ti mai thei che.
- Allergy i neih chuan min hriattir ngei ang che.
- Natna tihziaawm nan i doctor chuan test hma darkar khat vel khan ibuprofen ang chi natna tidamtu (NSAID) ei turin a rawt thei ang.
- A châng chuan, i tih hma ni hnih hmain serh ti nem thei damdawi an pe thei bawk.
Hemi chungchanga zawhna i neih chuan i doctor hnenah zawt hmasa phawt ang che. I hlauhthawnna hneh turin nasa takin a pui ang che.
Test neih chhung hian eng nge thleng?
Hei hi i doctor office-ah a thleng tlangpui a, anesthesia tel lovin.
1. A hmasa berin i thawmhnaw chu i kawr atanga hnuai lam pan la, puan in khuh turin an ti ang che.
2. Tichuan Pap smear ang maiin exam table-ah chuan i ke chu special stirrup-ah dahin i mu ang.
3. Doctor chuan i vagina chhungah speculum an tih device a thun ang a, i serh i hmuh theih nan a hawng ang. Hei hi Pap smear neih lai pawhin tih a ni.
4. Chumi hnuah chuan serh chu tui bik hmangin an tifai leh thin.
5. A chang chuan hmanraw tenau dang tenaculum an tih hmangin serh hi a hmuna vawn theih a ni. Mi thenkhat chuan he step chhung hian hrehawm an ti nasa ber.
6. A tawp berah chuan doctor chuan cervix kaltlangin uterus chhungah tube te tak te, flexible tak a dah ang a, suction technique hmangin endometrial tissue sample te tak te a la chhuak ang. Hetih lai hian i pum chhungah pulling sensation tlem i nei thei.
7. Tissue sample chu laboratory-ah thawn a ni a, chutah chuan pathologist chuan microscope hmangin a enfiah a, report a ziak thin.
Hetiang zawng zawng hi minute 5 leh 15 inkar chauh a ni .
Test zawhah eng nge beisei tur?
Thil hmanrua an lakchhuah hnuah chuan i inchei dan pangngaiin i inchei thei tawh ang. Hun engemaw chen i chawlh hnuah nangmah chauhin lirtheiin i haw thei tawh ang.
In lama i haw hnuah heng thilte hi enkawl rawh:
Test hnu ni engemaw zat chhung chu pum na engemaw zat leh vaginal bleeding engemaw zat neih hi thil pangngai tak a ni . Ngaihtuah buai suh.
| Thil tih tur (Do's) . | Tih loh tur |
|---|---|
| Thisen chhuah nan sanitary pad hmang thin ang che. | Kar khat tal tampon hmang suh. |
| Pum na i neih chuan natna tidamtu paracetamol emaw ibuprofen emaw ei thin ang che. | I doctor-in a tih hma loh chuan sex hmang suh (a tlangpuiin ni 7). |
| Chawlh tha rawh. | Thil rit phurh, exercise hahthlak tak tak, tui chawi, leh hot tub-a ni engemaw zat inbual loh tur. |
| I doctor thupek ang chiah kha zawm rawh. | Vagina hi douche vek loh tur (hei hi i tih ngai loh tur thil a ni). |
Ni hnih atanga ni thum chhungin i dam vek ang.
Side effect leh risk a awm em?
Damdawi lam thil dang ang bawkin, hlauhawmna tlemte chauh a awm. Mahse hengte hi a tlem hle.
- Kaichhawng.
- Thisen chhuak nasa tak a chhuak.
- Ni engemaw zat chhung chu pum na leh thisen chhuah tlem.
- Uterus emaw cervix emaw perforation emaw tearing emaw ( hei hi a tlem hle ).
Engtikah nge doctor ko nghal tur
Heng symptoms te hi i neih chuan doctor ko nghal mai tur a ni.
- Ni hnih emaw ni thum emaw aia rei pum na tak .
- Ni thum aia rei thisen chhuak a nih chuan emaw, thisen a chhuak nasa lutuk a , darkar hnih danah sanitary pad a hnim thei a nih chuan.
- Khawsik leh khawsik ang chi natna lan chhuah dan.
- Vagina atanga tui rimchhia lo chhuak .
Investigation report hian eng nge a sawi?
Kar khat chhungin report i dawng tlangpui.
- Results a normal a nih chuan: Hei hian i uterine tissue-ah cell pangngai lo hmuh tur a awm lo tihna a ni.
- Results a dik lo a nih chuan: Hei hian cell chi danglam tak hmuhchhuah a ni tihna a ni. Hei hi chhan hrang hrang a awm thei. "A pangngai lo" a nih vang mai mai chuan cancer a ni tihna a ni lo.
Results pangngai lo thlen thei thilte:
- Nausen pum chhunga lo thang te te (uterine polyps emaw fibroids) te.
- Nausen pum chhung bang a natna hrik awm.
- Hormone inthlauhna (hormone inthlauhna) a awm.
- Endometrial cancer a ni.
A châng chuan tissue sample a lian tawk lo a nih chuan a result chu "inconclusive" a ni thei. Chutiang hunah chuan i doctor chuan D&C (Dilation and Curettage) a ti thei a, chu chu tissue lian zawk lak a, enfiah a ngai a ni.A hnuaia mi ang hian tih a tha.
A pawimawh ber chu, i report atanga chhuak chu eng pawh ni se, i doctor nen chiang taka sawiho a, a hnua i tih tur chu i rel tur a ni.
Take-Home Thuchah a ni
- Endometrial Biopsy hi test pawimawh tak, him leh rang tak a ni a, nausen pum thisen chhuak mumal lo ang chi harsatna awm chhan hriat theih a ni.
- Hemi hun chhunga i natna hi rei lo te chhung chauh a ni tlangpui a, i period chhunga pum na ang mai a ni. Hlau suh.
- Test hma leh test zawhah i doctor thupek uluk takin zawm rawh.
- Test result "abnormal" a nih chuan cancer tihna a ni ngai lo. I doctor chuan a hnuaia i tih turte chu a kaihruai ang che.
- Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen takin sawipui rawh. I dikna a ni.
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