I vagina-ah hian mak tak maiin heaviness emaw pressure emaw i nei em? Enterocele a ni thei!

I vagina-ah hian a chang chuan a rit, a khat emaw, pressure emaw i nei thin em? He lungawi lohna hi a pung em, a bik takin i ding a, i nuih a, i khuh hian? Chutiang a nih chuan hei hi i tân a pawimawh mai thei. Vawiin hian hmeichhia zingah hian eng emaw chen awm thin, mahse mi tam takin an hre lo tih kan sawi dawn a ni. Chu chu enterocele a ni a, a awlsam zawngin, intestine te tak te (prolapsed small intestine) a ni.

Enterocele chu eng nge ni?

A awlsam zawngin, enterocele chu kan rilru natna (small intestine) thenkhat chu pelvic area, chu chu vagina chunglam (upper part of the vagina)-ah a nawr lut tihna a ni. Ngaihtuah teh, kan pum chhunga taksa peng hrang hrangte hi a awmna tur dik takah a awm tur a ni. Chuvangin he intestine te hi a awmna tur hmun atang hian tlem a lo chhuk a, vagina bang chu a nawr ta a ni. Hei hi Small Bowel Prolapse an ti bawk . Hei hi hmeichhe reproductive system-a awm thei pelvic organ prolapse chi khat a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan Sri Lanka ramah hian hmeichhia pelvic organ prolapse lama harsatna nei an awm a. Khawvel atanga data thenkhat atanga a lan dan chuan hmeichhia za zela tlemte (3% - 6%) vel chuan he natna hi an nei thei a ni. Hei hi menopause hnua hmeichhiate zingah a tam hle , chu chu thla tin naupai tawh lo hmeichhiate zingah a ni. Tin, report thenkhat chuan hmeichhe var leh Hispanic zingah a tam zawk niin an sawi bawk. Mahse, tu pawhin hetiang dinhmun hi an tawng thei a ni.

Engvangin nge enterocele hi a lo awm?

Awle, tunah chuan hetiang thil hi engvangin nge a lo awm tih hi han en ila. Kan pelvic floor hi taksa ruh, connective tissue leh ligament te atanga siam a ni. Hengte hian kan taksa peng hrang hrang, kan nausen pum, kan intestines, leh vagina te chu a hmunah a vawng tlat a ni. Heng taksa peng hrang hrangte hi net ang maiin an thlawp a ni.

Chuvangin, heng ruh leh tissue te hi an chak lo a, an inzawm khawm a, a chang chuan an inthen a nih chuan chu lifting chu a thleng dik lo. Chutah chuan heng harsatnate hi a lo chhuak ta a ni.

Kan intestine te hi kan digestive system-a thil pawimawh tak a ni. A tlangpuiin he small intestine hi pum hnuai lam leh upper pelvis-ah a awm a, a chunga kan sawi tak muscle leh ligament-te hian a hmunah an vawng tlat a ni. Mahse heng tissue te hi an chak loh chuan small intestine chu a tlahniam zauh zauh a, vagina leh rectum inkar gap-ah a tla thla ta a ni. Hei hi vagina chunglam wall-a pressure siam a nih hian a ni.

Thil dang chu he enterocele an tih hi a mah chauhin a awm thei a, a nih loh leh pelvic organ dang prolapse nen pawh a awm dun thei bawk. Chu chu:

• Bladder prolapse (Bladder prolapse emaw Cystocele emaw) .
• Rectal prolapse emaw Rectocele (rectum hernia, vagina hnunglam bang chhunga rawn chhuak) .
• Urethra prolapse emaw Urethrocele emaw a awm thei
• Nausen pum (uterine prolapse) a awm
• Vaginal prolapse a awm thin

Tute nge hetiang hi vei theihna hlauhawm zawk?

Tunah chuan tute nge hetiang dinhmun hi tawng thei ber tih i lo en ang u.

A pawimawh ber pakhat chu menopause hi a ni . Menopause lai leh a hnuah kan taksa hian estrogen a siam tlem zawk. He hormone hian pelvic floor muscle te chu a tichak thei a ni. Chuvangin estrogen level a tlahniam chuan heng muscle te hi a chak lo thei a ni. Zirna hrang hrangah chuan pelvic floor disorder nei hmeichhia hmun thuma ṭhena hmun khat aia tam chu kum 60 leh 79 inkar an ni a, a chanve vel chu kum 80 chunglam an ni.

Chu bakah chuan pelvic floor muscle tichak lo thei leh enterocele thlen thei chhan dang a awm bawk:

• Naupai leh nau neih: Nausen pum chhunga phurh leh nau neih hian pelvic muscle-ah pressure nasa tak a siam a. Hetiang hlauhawmna hi a bik takin nau neih harsa lai te, naute lian tak tak te, emaw, hmanrua (forceps, vacuum) hmanga nau neih lai te hian a tipung thei a ni.
• Persistent cough: Entirnan, mi pakhatin a khuh chhunzawm zel a, chu chu natna ang chi, asthma, bronchitis, meizuk vang pawh ni se, pelvic muscle-te chu pressure a siam reng a ni. Hei hian taksa ruh a tichak lo thei bawk.
• Connective tissue disorders: Entirnan, Ehlers-Danlos syndrome ang chi genetic condition nei te pawh hi an taksa connective tissue chu a pangngai aia chak lo zawk a nih avangin an hlauhawm hle.
• Constipation: Constipation i neih reng chuan bathroom i kal dawnin i strain a ngai mai thei. Hei hian pelvic floor-ah pressure tul lo tak a siam bawk.
• Weight lifting: He risk hi weight lift fo thin tan chuan a sang zawk a, a bik takin weight lift dik lo tan chuan a sang zawk. Hemi chungchangah hian inchhung hna i thawh hunah leh hnathawhna hmunah i fimkhur a ngai a ni.
• Obesity: Taksa rihna a san chuan pelvic floor muscle-a load a sang chho zel a. Hei hian hun rei tak chhungin taksa ruhte a tichak lo thei bawk.
• Pelvic surgery: Operation hnuah, hysterectomy ang chi, pelvic floor-a supporting structures te chu a châng chuan a chak lo thei a ni.
• Pelvic area-a radiation therapy: Cancer ang chi natna tan pelvic area-a radiation therapy hmanga enkawlna hian tissue te a tichhe thei a, a tichak lo thei bawk.

Enterocele natna lan chhuah dan chu engte nge ni?

Hmeichhe thenkhat chuan symptom engmah an nei lo thei. Chu chu enterocele nei mahse an hre lo mai thei tihna a ni. Mahse, symptoms a lan tak tak chuan a hnuaia mite hi an tawng thei a ni:

• Vagina chhung atanga ball ang chi thil lo tla ang maia hriatna (Bulge inside the vagina): Nangmah ngei pawhin i man mai thei.
• Bowel movement tihfel harsa: Thin chhuah harsat ang maiin a awm thei a, a nih loh leh i pass kim lo ang maiin a awm thei bawk. Mi thenkhat chuan an zun chhuah theihna turin kut zungtang an hman a ngai mai thei.
• Pelvic area-a pressure, heaviness, aching, emaw fullness: He harsatna hi a pung thei a, a bik takin sex hman lai te, exercise lak lai te, hun rei tak ding lai te, khuh lai te hian.
• Urinary incontinence: I khuh, i nuih, i thawk hah emaw, thil rit tak i chawi emaw hian tum loh takin zun tlemte i leak thei.
• Pum hnuai lam leh hnungzang na: He natna hi i mut hian a reh deuh niin a lang thei.

Ngaihtuah teh, nilengin i thawhrim hnuah, tlai lamah, i vagina-ah rit tak i nei a, chhungril atanga thil lo chhuak ang maiin i hria. I thut emaw, i mut emaw hian tlem a nuam deuh. Hetiang thil tawn i neih chuan fimkhur rawh.

Engtin nge enterocele hi i hriat theih ang?

Heng symptoms te hi i neih chuan Doctor pan a tha ber. Heng natnate enkawltu hi gynecologist a ni tlangpui.

I doctor-in a enfiah hunah chuan pelvic exam an ti ang che. Doctor chuan zungbun (small intestine) in vagina chhunga a nawr avanga lo awm a ni tih a hre thei. Doctor chuan khuh emaw, press down emaw turin a ti thei che a ni. Chumi hnuah chuan lump chu hmuh theih leh hriat theih a ni. Rectal examination pawh an ti thei bawk.

Chu bakah, a hnuaia test pakhat emaw a aia tam emaw pawh tih theih a ni bawk:

• Cystoscopy: Hetah hian camera (cystoscope) nei tube te tak te chu urethra kaltlangin dahin bladder, a awmna leh a awmna hmun te enfiah a ni.
• Imaging test: MRI, ultrasound scan emaw CT scan emaw hmangin pelvic floor muscle te chu enfiah a, eng organ nge prolapsed tih chiang taka hriat theih a ni.
• Urodynamic testing: Heng test te hian bladder hnathawh dan leh zun chhuahna lama harsatna thlentu chu a hriat theih nan a pui thin.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu enterocele damdawi a awm tih hi a ni. Surgery ni lo leh surgical treatment pawh a awm vek. I doctor chuan i kum, i hriselna zawng zawng leh i natna lan chhuah dan a zirin i tan enkawlna tha ber a ruat ang.

Enkawl dan tlangpui pathum a awm a, chungte chu:

1. Pessary dah luh: Hei hi rubber (latex) emaw plastic (silicone) emaw atanga siam, serh chhunga thun theih a ni. Pelvic floor muscle te thlawpin hna a thawk thin. Vagina hnuai lam tanpuitu angin a thawk a ni. Surgery nghah laia hman theih a ni a, a nih loh leh surgery nei thei lo tan pawh hman chhunzawm theih a ni. Mahse, enterocele chu a ti bo lo va, a symptoms chauh a control thung. I doctor chuan a dah dan tur a entir ang che, a paih dan tur leh a vawn fai dan tur a kawhhmuh ang che.

2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Pelvic floor exercise: Hengte hi Kegels an ti bawk. Heng exercise te hian pelvic floor muscle te a tichak a. I doctor chuan physical therapist hnenah a refer thei che a ni. Pelvic floor lama harsatna nei enkawlna lama tui tak physical therapist an awm bawk. Heng exercise te hi tih dan tur an zirtir ang che. Tin, biofeedback ang chi technique te pawh an hmang thei a, chu chuan taksa ruh te hriatchhuah leh exercise i neih theih nan a pui thei bawk.

3. Surgery: Thil tih dan dangin hna a thawk lo a nih chuan, a nih loh leh natna a na zawk a nih chuan zai a ngai mai thei. Surgery-ah chuan small intestine chu a hmunah dah leh a, tissue chhe tawh chu siamthat a ni. A tam zawkah chuan he surgery hi vagina kaltlangin tih a ni a, incision lian tak siam lovin, minimally invasive procedure angin tih a ni. A châng chuan pum kaltlangin a ti thei bawk. I doctor chuan i tana tha ber tur surgical procedure a hrilhfiah ang che.

Enterocele hi ven theih a ni em?

A ven theih vek loh laiin, kan risk tihziaawmna tur thil kan tih theih a awm. Heng thilte hian enterocele chauh ni lovin, pelvic floor lama harsatna dangte pawh a veng thei a ni:

• Fiber tamna diet ei la, tui tam tak in rawh: Hei hian constipation a veng thei a ni. Hei hian straining a ti tlem ang. I eitur ah hian greens, thlai, thei leh whole grains te telh bawk ang che.
• Thil rit i chawi dawnin tanpuina la la, rit chawi dik rawh: I chauhva i phur theih loh thil rit phur suh. Thil rit i chawi a nih chuan i hnungzang chu dinglam hawiin i khup ben rawh.
• I taksa rihna hrisel tak thlen emaw, vawng reng emaw: Hemi atana hlauhawm ber chu thau lutuk hi a ni.
• Khuh awm reng enkawl: Khuh i neih chuan a chhan zawng la, enkawl rawh.
• Meizial i zuk chuan bansan rawh: Meizial in hian khuh a thlen mai bakah tissue te pawh a tichhe thei a ni.

Enterocele vei tan chuan eng prognosis nge ni? (Prognosis) tih a ni.

A tam zawkah chuan non-surgical treatment hmangin symptoms te hi a control tha thei hle. Hmeichhe thenkhat chuan symptom an neih loh chuan enkawlna engmah an mamawh lo mai thei. Enterocele atanga harsatna khirh tak tak lo thleng hi a awm lo va, chuvangin a tul lo taka lungkham a ngai lo. A pawimawh ber chu symptoms i neih chuan doctor advice lak hi a ni.

Engtikah nge Doctor i hmuh ang?

Heng symptoms te hi i neih chuan doctor pan ngei ang:

• Bladder control chungchangah harsatna a awm.
• Thisen chu zunah a awm.
• Zun natna emaw, zun tam emaw.
• Constipation na tak emaw, rilru hahna neih harsat emaw.
• I vagina-ah rit, pressure, emaw lump danglam tak i neih chuan.

Heng thilte hi ngaihthah suh. Enkawl hmasak hian natna a zual zel loh nan a veng thei a ni.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin i rilrua thil awm zawng zawng zawt hreh suh. Entirnan, hetiang thil hi i zawt thei ang:

• Engvangin nge he enterocele hi ka lo neih?
• Eng enkawl dan nge ka tan a tha ber?
• Hemi avang hian harsatna dang ka neih theihna tur hlauhawm ka ni em?
• Eng complication nge ka ngaihtuah tur?
• Enkawlna hnuah ka nunphungah eng inthlak danglamna nge ka neih?

Hetiang zawhna zawh a, i dinhmun hriatthiamna tha zawk neih hi a pawimawh hle.

Thuhmahruai angin hre reng ang che (Take-Home Message) .

Enterocele, a nih loh leh small intestine prolapse hi postmenopausal hmeichhia leh fa pakhat aia tam nei tawhte zingah a awm tam ber a ni. Mahse, mi tam tak chuan symptom an nei lo ang a, enkawl an ngai lo mai thei.

Mahse, vaginal heaviness, pressure, stool pass harsa tih ang chi symptoms i neih chuan doctor nen inbiakna neih a tha ber. Vawi tam tak chu pessary hmangin emaw, Kegels ang chi pelvic floor exercise emaw hmangin symptoms te chu control theih a ni. Surgery neih a ngai lo.

A pawimawh ber chu hei hi i harsatna mai a ni lo tih hriatthiam a, tanpuina dil pawh hlau suh. I doctor chuan a pui ang che.

` Enterocele, small bowel prolapse, pelvic organ prolapse, vagina, hmeichhe hriselna, menopause, Kegel exercise te