I period mumal lo pawh i nei tawh em? Ni engemaw zat chhung chu thisen i chhuak nasa hle mai thei. A nih loh leh i period a tawp hnuah thisen tlem i chhuak mai thei bawk. Hetiang harsatna neia doctor i pan khan "Hysteroscopy" neih a ngai tih a hrilh che em? He hming i hriat hian hlauthawng deuhin i inhria mai thei, "Camera chhungah camera dah i tih hian eng nge i sawi tum?" Mahse hei hi a takah chuan kalphung hmasawn tak, awlsam tak leh him tak a ni. Vawiin hian i rinhlelhna leh hlauhna zawng zawng tihbo nan he thu hi kan sawi dawn a ni.
A awlsam zawngin Hysteroscopy hi eng nge ni?
Hysteroscopy hi, a awlsam zawngin, i nausen pum chhunga enfiahna test a ni. Hei hi tube te tak te tak hmanga tih a ni a, pencil aiin a thuk deuh a, a hma lamah light leh camera a awm bawk. He instrument hi hysteroscope kan ti a . I vagina kaltlangin uluk takin dah a ni a, i serh kaltlangin i nausen pum chhungah a lut a ni. Chumi hnuah chuan doctor chuan camera atanga thlalak te chu monitor-ah a hmu thei a, magnified leh chiang takin a hmu thei bawk.
Hei hi chi hnih a awm a, chungte chu:
1. Diagnostic Hysteroscopy: Hei hi nausen pum chhunga harsatna awm leh awm loh enfiah nan tih a ni. Entirnan, thisen chhuah dan pangngai lo awm chhan, nausen pum chhunga tumor awm leh awm loh, thil dang danglam tak tak hriat theihna turin a pui thei a ni. A châng chuan ultrasound scan hnuah a natna hmuhchhuah a nih leh nih loh finfiah hnuah tih a ni.
2. Hysteroscopy for treatment (Operative Hysteroscopy): Hei hi natna hriatchhuahna mai ni lo, a hmuna enkawl theihna hmun a ni. Ngaihtuah teh, enfiah laiin polyp ang chi thil hmuh a nih chuan hysteroscope hmangin surgical instrument te tak te dahin polyp chu lakchhuah theih a ni. Hetiang hian examination leh surgery pahnih hi a ruala tih theih a nih avangin surgery dang neih a ngai tawh lo.
Engtikah nge hysteroscopy hi tih a ngai?
A tam zawkah chuan i gynecologist chuan i uterus-a harsatna an rinhlelh chuan he test hi a rawt ang. Hei hi a thlen theihna tur dinhmun thenkhat chu hetiang hi a ni.
| Buaina/A chhan | Hrilhfiahna |
|---|---|
| Thisen chhuah dan pangngai lo | Thlasik laiin thisen chhuak nasa lutuk, period inkar a spotting leh menopause hnua thisen chhuah chhan zawng rawh. |
| Uterine polyp leh fibroid te a awm | Chungte chu nausen pum chhunga cancer ni lo lo thang lian te an ni. Hysteroscopy hmangin a hmuchhuak thei a, a tul chuan a paih chhuak thei bawk ( Hysteroscopy Polypectomy or Myomectomy ). |
| Uterine adhesions te hi a awm thei | Hei hi Asherman’s Syndrome an ti bawk. Nausen pum bangte chu a inzawm khawm thei a. Hei hian period mumal lo leh nau pai theih lohna a thlen thei a ni. Hetiang kalphung hian heng adhesions te hi zawng chhuakin a paih chhuak thei a ni. |
| Uterine septum atanga chhuak | Hei hi pianpui uterine malformation a ni. Hysteroscopy hmangin hei hi a awm leh awm loh hriat theih a ni. |
| Chhan dang |
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He test hma hian eng nge thleng?
I doctor chuan he test hi a tih hmain uluk takin a enfiah ang che a, i tan a tha em tih a rel ang.
- I medical history kimchang an zawt ang. Damdawi leh vitamin i ei tur eng pawh an zawt ang. Ni engemaw zat thisen tithianghlimtu (anticoagulants) ei kha bansan turin an ti mai thei.
- Physics exam leh pelvic exam neih a ni ang. I naupai leh pai loh enfiah nan test an nei ang.
- A pawimawh ber chu hetiang ti tur hian hun tha ber thlan hi a ni. I period chu a hun tur a nih chuan doctor chuan i period a tawp hnu kar hmasa berah hetiang tih nan ni khat a pe ang che . Hei hi a chhan chu chutih lai chuan nausen pum chhung lam chu a lang chiang ber a ni.
Test neih chhung hian eng nge thleng?
He thu i hriat hian hlau suh, a kalphung zawng zawng hi i hrehawm lo tih hriat lohvin a thleng vek ang.
1. Inbuatsaihna: Damdawi in kawr ha in inthlengin examination table-ah i mu ang. I ke chu special support-ah dah a ni ang.
2. Anesthesia: A tam zawkah chuan hei hi general anesthesia hnuaiah tih a ni a, engmah i hre lo ang tihna a ni. Test tenau thenkhatah chuan pum hnuai lam chauh a numbed thei (regional anesthesia). I doctor chuan hei hi a hrilhfiah lawk ang che.
3. Examination: Doctor chuan a vagina a enfiah hmasa ang. Tichuan, cervix chu tlem a hawn (dilated) ang a, hysteroscope chu dah theih a ni ang.
4. Hysteroscope dah luh: A dawtah chuan instrument chu uluk takin nausen pum chhungah dah a ni.
5. Nausen pum tihfai: Nausen pum chhungah tui (liquid solution), saline ang chi chu an inject a, chu chuan nausen chu a hring deuh a, a lang thei ang. Hei hian a chhunga thisen emaw, mucus emaw awm thei chu a paih chhuak a, doctor chuan nausen pum bang leh fallopian tube hawnna te chu chiang takin a hmu thei a ni.
6. Enkawlna (a tul chuan): Eng emaw, tumor emaw adhesion emaw a awm chuan, chu chu device kal tlanga hmanraw te tak te hmangin lakchhuah a ni.
Hetiang zawng zawng hi minute 5 atanga darkar khat vel thleng a ni thei a, chu chu test mai mai emaw, enkawlna i tih ve bawk emaw a zirin a ni.
Test zawhah eng nge beisei tur?
Hei hi a tlangpuiin surgery lian tak a ni lo. Mi tam zawk chu tlai khatah an haw thei. Damdawi inah zan riah a ngai hi a tlem hle.
Test zawhah darkar engemaw zat recovery room-ah dahin, ward-ah an thawn leh ang.
- I pum hnuai lam (thlasik lai ang chi) a cramping engemaw zat awm a, ni engemaw zat thisen chhuak tlem a awm hi thil pangngai a ni. Ngaihtuah buai suh.
- I doctor-in a sawi angin, kar hnih vel chu sex hman loh tur a ni a, tampon hman loh tur a ni a, tui lum taka inbual loh tur a ni .
Side effect a awm em? Engtikah nge Doctor ka hmuh nghal ang?
Hysteroscopy hi a him em em a ni. Side effect hi 1% aia tlem loah a awm thin. Mahse, damdawi lam thil dang ang bawkin, thil thleng thei tlemte chauh hriat a tha. Entirnan, natna hrik, thisen chhuah tam lutuk, leh anesthesia avanga thil thleng te.
Mahse, heng symptoms te hi i neih chuan doctor ko nghal tur a ni a, a nih loh leh i damdawi in hnai ber Emergency Department (ETU) ah i kal tur a ni:
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| 🌡️ | Khawsik sang tak a nei |
| 🩸 a ni | Vaginal bleeding nasa tak (darkar khatah pad pakhat aia tam hnim) . |
| 😖 | Tuar theih loh khawpa natna nasa tak |
| 👃 tih a ni | Vagina atanga tui rimchhia lo chhuak |
Hysteroscopy leh D&C hi thil inang an ni em?
Ni lo, hei hi mi tam takin an buaipui thin a ni. D&C `(Dilation and Curettage)` procedure ah chuan nausen pum bang te chu scrape in tissue sample lak a ni. In that case , doctor chuan a chhung chu a hmu thei lo va, tissue chu guessing hmangin a la a ni. Mahse Hysteroscopy -ah chuan camera hmangin nausen pum chhung chu chiang takin a hmu thei a, harsatna awmna hmun dik tak chu hriat theih a ni a, chu hmun chauh chu nalh takin a la chhuak thei bawk. Chuvangin Hysteroscopy hi a dik em em a, a dik em em bawk.
Take-Home Thuchah a ni
- Hysteroscopy hi i nausen pum chhung enfiah leh enkawl nan hmanraw him leh hmasawn tak a ni. Hlau suh.
- Hei hian a chhan zawng chhuakin, hmeichhe lam harsatna tam tak, thisen chhuah mumal lo, cyst, leh nau pai harsat te pawh a tidam thei a ni.
- Hei hi test leh surgery nen a ruala tih theih a ni a, damdawi ina vawi hnih lo kal ngai lo turin a chhanhim thei che a ni.
- Test zawhah i dam thuai thei a, mahse doctor thupek dik takin zawm rawh.
- Zawhna leh ngaihtuahna i neih chuan doctor nen sawipui hreh suh.
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