I vagina-ah hian a chang chuan heaviness, pressure emaw chutiang thil emaw i nei thin em? He harsatna hi rei tak i din a, i khuh emaw, thil rit tak i chawi emaw hian a zual zawk em? Hmeichhe tam tak chu heng thilte hi sawi chhuah hi tlemin an zak emaw, an hlau emaw a ni. Mahse hei hi i harsatna mai a ni lo. Vawiin hian enterocele an tih natna kan sawi dawn a, hmeichhe tam tak a nghawng a, mahse sawi tam a ni lo.
Enterocele chu eng nge ni? A awlsam zawngin i hrethiam ang u.
A awlsam zawngin, enterocele chu kan pum chhunga awm small intestine , chu pelvic area-ah a chhuk a, vagina chunglam wall-ah a nawr lut a ni. Hei hi small bowel prolapse an ti bawk.
Kan in chhawng chunglam chhawng chu a chak lo a nih chuan hetah pawh hian hetiang thil hi a thleng ngei ang tih han ngaihtuah teh. Kan pelvic area-a muscle leh tissue te supporting system a chak loh chuan a chunga organ te chu an tla thla tan thin. Hei hi hmeichhiaah chuan pelvic organ prolapse chi khat a ni thei.
Engvangin nge hetiang hi a lo awm? Eng thilte nge a hlauhawmna tipung?
Kan pelvic cavity hi mesh chak tak ang mai a ni. He mesh hi taksa ruh, connective tissue leh ligament te atanga siam a ni. Hengte hian kan taksa peng hrang hrang, kan nausen pum, zunthlum leh kan intestines te chu a hmunah a vawng tlat a ni. Heng harsatnate hi he support system hi chhan hrang hrang avanga a chak loh, a inzawm khawm emaw, a chhe emaw hian a thleng thin.
Hei hi a chhan berte chu a hnuaia table-ah hian han thlir ila.
| Risk Factor a ni | Engtin nge a nghawng |
|---|---|
| Naupai leh nau neih lai | Nau neih lai hian pelvic floor muscle te hi pressure nasa tak hnuaiah dah a ni a, chu chuan a tichak lo thei hle. |
| Menopause a awm | Kan tar chhoh zel a, a bik takin menopause hnuah hormone estrogen a tlahniam a, chu chuan taksa chakna leh flexibility a ti tlahniam a ni. |
| Hun rei tak chhung khuh | Asthma emaw meizuk ang chi natna avanga khuh reng hian pum hnuai lam pressure a siam fo thin. |
| Constipation a awm fo thin | Bowel movement laiin straining fo hian pelvic floor muscles a tichhe thei a ni. |
| Weights dik lo taka chawi | Lifting fo hian, a bik takin posture dik lo a nih chuan pelvic floor-ah pressure a siam thin. |
| Thau lutuk | Taksa rihna a san chuan chu rit phurtu taksa pengte chu pressure a awm reng a ni. |
| Pelvic surgery tih a ni | He risk hi hysterectomy ang chi operation hnuah pawh a sang thei hle. |
| Genetic natna thenkhat | Ehlers-Danlos syndrome ang chi natna, connective tissue tichak lo. |
Pawimawh tak chu enterocele vei thenkhat chuan taksa peng dang prolapsed an nei thei bawk. Entirnan, cystocele, rectocele emaw, uterine prolapse emaw te hi a ni. Lungngai suh, heng zawng zawng hi i neih vek a ngai lo. Mahse an inzawm thei tih hriat a tha.
Kei pawhin hetiang dinhmun hi ka nei ve em? Eng nge a lan chhuah dan?
Thil mak tak chu hmeichhe thenkhat he natna vei te hian symptoms an nei lo . Mahse symptoms a lo lang a nih chuan hetiang hian a lang thei.
- Pum hnuai lam leh serh hnuai lam a rit emaw, pressure emaw a awm chuan:Vagina chhungah hian ball ang chi thil awm ang maiin a lang thei. Hei hi ding emaw, khuh emaw hian a na zawk thei.
- Vagina chhunga lump awm tih hriat: A chang chuan vagina chhunga lump ang chi thil i hre tak tak thei emaw, i hre thei bawk.
- Thluak chhuah harsa: Ek chu paih chhuah vek loh ang maia hriatna.
- Back pain: He hnungzang natna hi a nih chuan, a bik takin mut atanga a reh chuan he natna nen hian a inzawm thei a ni.
- Urinary incontinence: I khuh, i nuih emaw, i thawk hah emaw hian tum loh takin zun tlemte i leak thei.
- Sex hman laiin harsatna: Sex hman laiin natna emaw pressure emaw i nei thei.
Engtin nge hei hi i hmuh theih, Doctor?
Hetiang harsatna hi i doctor hnena i hrilh hian i doctor-in a tih hmasak ber tur chu uluk taka a enfiah che hi a ni. Hei hian pelvic exam a huam ngei ang . He exam chhung hian doctor chuan khuh emaw, tlem press down emaw turin a ti ang che. Tichuan, a hnuai lam chu a hriat theih phah a, chuvangin a dinhmun chu dik zawkin a hriat theih a ni.
Chu bâkah, doctor chuan a ṭûl chuan test dang engemaw zât a rawt thei bawk.
- Imaging test: Pelvic floor muscle leh organs dinhmun chiang taka hmuh theih nan MRI , ultrasound , emaw CT scan emaw neih tir i ni thei.
- Cystoscopy: He test hi camera nei tube te tak te hmangin bladder chhung lam an enfiah a, a awmna hmun an hmu thin.
- Urodynamic testing: Specialized test hrang hrang, bladder hnathawh leh zun lama harsatna awm chhan zawng chhuak thin.
Hei hi eng enkawlna nge ni? Mi zawng zawng hian operation kan mamawh em?
Mi tam takin an hlauh ber pakhat chu operation an mamawh dawn em tih hi a ni. Thu lawmawm tak chu mi zawng zawngin zai a ngai dawn lo tih hi a ni. Enkawlna chu i kum, hriselna leh i natna lan chhuah nasat danah a innghat a ni. Mi tam tak, symptomatic nei lote chuan enkawlna engmah an mamawh lo ang.
| Enkawl dan tlangpui | |
|---|---|
| Nonsurgical Treatment te pawh a awm bawk | |
| Pessary a ni | Hei hi rubber emaw silicone emaw hmanga siam hmanraw te tak te, vagina chhunga dah luh a ni. A kut leh ke hnuai lam tanpui theihna tura duan a ni. A lakchhuah theih leh thlak theih tura duan a ni. Hei hi surgery nghak mek emaw, surgery neih duh lo tan chuan solution tha tak a ni. |
| Pelvic floor exercise te hi a tha hle | Hengte hi Kegel exercise an ti a . I pelvic floor chhunga muscle te chu an tichak a ni. Physics therapist hnen atangin dik taka tih dan tur i zir thei ang. A châng chuan biofeedback ang chi technique hmangin i tih dik leh dik loh hriat theih a ni. |
| Surgery hmanga enkawl a ni | |
| Repair surgery tih a ni | Thil tih dan dang a hlawhchham emaw, a natna a nasat emaw chauhvin doctor chuan operation neih a ngaihtuah ang. He surgery hian a prolapsed bowel chu a hmunah sawn leh a, tissue chhe tawh emaw, a chhe tawh emaw chu siamthat a ni. A tam zawkah chuan hengte hi minimally invasive surgery, vagina hmanga tih thin a ni. |
Hei hi pumpelh turin eng nge kan tih theih ang?
He harsatna lo thlen theihna tur tihtlem nan hian thil awlsam tlemte kan tih theih a awm.
- Fiber tamna ei tur ei: Thlai, thei, legumes, leh whole grains ang chi thil ei la, tui tam tak in la, chaw ei kham loh nan.
- I chawi dawnin fimkhur rawh: Thil rit tak i chawi a nih chuan mi tu emaw hnenah tanpuina dil rawh. I khup ben chungin chawi la, i hnungzang ben lovin.
- I taksa rihna hrisel tak vawng reng rawh: Thau lutuk hian pelvic floor-ah a tul lo taka pressure a siam thin.
- Khuh enkawlna la rawh: Khuh reng reng i neih chuan a chhan dik tak zawng turin doctor pan la, enkawl rawh.
- Meizial zuk loh tur: Meizial hian khuh a thlen mai bakah taksa peng hrang hrang hriselna a ti tlem bawk.
Engtikah nge Doctor hmuh a tha ber ang?
A pawimawh ber chu he harsatna chungchang hi doctor hnenah sawipui a ni a, zak leh hlauhna nei lovin. Hei hi thil pangngai a ni a, enkawl theih a ni.
A hnuaia symptoms te hi i neih chuan doctor pan nghal rawh:
- I zun i control theih loh chuan.
- Zun ah thisen a awm chuan.
- Zun laiin natna i neih emaw, zun tam a ngai emaw a nih chuan.
- Constipation na tak i neih emaw, ek chhuah harsatna i neih chuan.
Hetiang harsatna chungchang hi doctor nena inbiak hian zawhna i neih zawng zawng zawt rawh. Zawhna zawt la, "Engvangin nge hetiang hi ka neih?", "Eng nge ka tan enkawlna tha ber?", "Thil dang ka fimkhur tur a awm em?" i dinhmun hriatthiamna tha zawk neih theih nan.
Take-Home Thuchah a ni
- Enterocele hi pelvic floor muscle chak lohna avanga small intestine chu vagina chhungah a tla thla thin a ni.
- Hei hi natna khirh tak hlauh tur a ni lo. Hmeichhe tam tak chuan symptom an nei lo mai thei.
- A tam zawkah chuan, enkawlna awlsam, surgery ni lo (pessary, Kegel exercise) hian natna lan chhuahna chu a titawp thei a ni.
- I pum hnuai lam na, pressure, emaw, hrehawmna dang emaw i neih chuan, chu chu i doctor hnenah sawi zak leh hlau suh. Thurawn i zawn hma chuan a chinfelna chu a awlsam zawk ang.
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