I doctor-in i Pap smear result-ah thil danglam tak a awm tih a hrilh che khan i hlauthawng leh hlauthawng deuh mai thei. Tichuan, doctor chuan LEEP tih hming pu procedure i tih a ngai tih a hrilh che a ni mai thei. Chuvangin, he hming hi i hriat veleh, "Aw, hei hian eng nge a tih dawn?" Hlau suh. Vawiin hian he LEEP kalphung hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
LEEP chu eng nge ni tak tak?
A awlsam zawngin sawi ila, LEEP hi surgical procedure tenau tak a ni a, i serh chunglam atanga cell pangngai lo strip pakhat chu a paih chhuak thin . LEEP tih hi Loop Electrosurgical Excision Procedure tihna a ni a . Tlem han ti chhe deuh ila.
- Loop: wire loop te tak te tihna a ni.
- Electrosurgical: Hei hian he wire loop hmang hian electric current fiah lo tak a thawn tihna a ni.
- Excision Procedure: Thil pakhat tan leh lakchhuah dan.
Tunah hian i hrethiam em? LEEP hi wire loop te tak te hmanga electric hmanga cell pangngai lo awmna hmun chu a cut chhuak a, a paih chhuak thin.
Chumi hnuah tissue lakchhuah chu lab-ah cancer cell emaw precancerous cell emaw enfiah turin an thawn a ni. He cancer hmaa natna hi cervical dysplasia an ti a . Cancer a ni lo. Mahse , enkawl loh chuan hun kal zelah cervical cancer-ah a chang thei a ni . Chuvang chuan doctor-te chuan heng cell pangngai lote hi paih hmasak an rawt a ni.
I doctor chuan Pap smear emaw colposcopy emaw hnuah LEEP a rawt tlangpui ang. Cervical polyps leh genital warts ang chi natna enkawlna atan pawh hman a ni.
LEEP atan engtin nge i inbuatsaih thin?
Hetiang enkawlna i neih hma hian thil engemaw tak i hriat chian a ngai a ni. Hemi chungchangah hian doctor chuan thupek chiang tak a pe ang che.
A hmasain, doctor chuan he enkawlna hi i neih theih lohna tur damdawi lam harsatna i neih leh neih loh a enfiah ang. Entir nan:
- Pelvic Inflammatory Disease (PID) ang chi natna i neih chuan.
- Cervicitis ang chi condition i neih chuan.
Heng hunah hian LEEP tih a ni lo. I rai leh pai loh endik i ni thei bawk. Naupai i nih chuan i doctor chuan LEEP tih hun tha ber a ruat ang. Enkawlna hi i period loh ni khat atan ruahman a ni ang .
Enkawl hmaa i inbuatsaih theih dan tur chu a hnuaia table hi han en ila.
| Eng atan nge inbuatsaih tur | Sawifiahna leh hriat reng tur thilte |
|---|---|
| Sex leh cream te | Enkawl hma darkar 24 chhung chu mipat hmeichhiatna hman loh tur a ni. Tin, vagina chhunga cream dah luh engmah hmang suh. |
| Sanitary pads te pawh a awm bawk | Enkawl zawhah chuan vaginal discharge engemaw zat i nei thei. Hei atan hian hman tur pad rawn keng rawh. |
| Thisen tithianghlimtu | Thisen tihthianghlimna damdawi aspirin ang chi i ei a nih chuan i doctor hnenah hrilh ngei ang che. Ni engemaw zat chu damdawi ei tawh loh turin a ti mai thei che a ni. |
| Natna tihdamna damdawi | I doctor chuan enkawlna hma minute 30 vel hnuah natna tidamtu (e.g., Ibuprofen, Panadol) ei turin a rawt thei ang. Hei hian enkawlna hun chhunga hrehawmna tihziaawmna turin a pui ang. |
| Thawmhnaw | Thawmhnaw loose-fitting, hlih awlsam tak ha rawh. Damdawi inah i hak tur gown hran pek i ni ang. |
Enkawl lai hian eng nge thleng?
He enkawlna hi minute 10-20 vel a ni. I gynecologist office-ah emaw, damdawi inah emaw, outpatient department-ah emaw tih theih a ni. Hemi hun chhung hian i harh chhuak thin. Natna engmah i nei lovang, hrehawmna tlemte chauh lo chu.
1. Inbuatsaihna
Pelvic exam pangngai ang maiin a intan thin. Exam table-ah i ke chu stirrup-ah dahin mu turin an ti ang che. LEEP hian electric a hmang a, chuvangin i thigh-ah grounding pad dah a ni ang a, chu chu i humhim ang. Tichuan, doctor chuan i vagina tizau turin speculum an tih device a dah lut ang a, i cervix chu chiang taka hmuh theih turin a enfiah ang.
2. Cell pangngai lo hmuh theiha siam
A dawtah chuan acetic acid ang chi tui chu serh chhungah hnawih a ni a, chu chuan cell pangngai lo eng pawh hmuh a awlsam phah a ni. Tichuan, vagina bulah hian colposcope an tih hmanrua an dah a. Hei hian serh (cervix) a ti lian a ni. Magnifying glass ang mai a ni. He device hi taksa chhungah dah a ni lo.
3. Cervical tihzauh (cervical dilation) a ni
Tunah chuan doctor chuan i serh chu a numb ang. Hei hi numbing damdawi, lidocaine ang chi injection tlemte pek hmanga tih a ni. Hei hian ha lak chhuah hmaa i hmuiah injection i pek ang chiah kha a ti na ang a, a kang ang. He damdawi-a epinephrine hian i thinlung a ti na deuh thei a, i lu a ti na thei bawk. Mahse, lungngai suh, minute tlemte hnuah a bo vek ang.
4. Tissue pangngai lo tak tak lakchhuah
Cervix a tihzauh hnuah doctor chuan electric nena inzawm wire loop hmangin uluk takin tissue pangngai lo chu a tikehsawm ang. Hetih hun chhung hian i che lo tak tak a pawimawh hle. A châng chuan loop dang hmangin serh chunglam aṭanga cell awmte chu paih chhuah theih a ni bawk. Hemi chhung hian lumna emaw, vibration tlem emaw i nei thei.
5. Thisen chhuah tawh loh tur
A tawp berah chuan thisen chhuah tihtawp nan leh thisen chhuah belh zel tur ven nan doctor chuan hliam chungah special paste (Monsel’s paste) a hnawih thin.
Procedure chhung zawnga natna i hriat chuan doctor emaw nurse emaw hnenah hrilh hreh ngai suh.
Hei hian eng hlawkna leh hlauhawmna nge a neih?
LEEP hi a him hle a ni . Complication a awm tlem hle. A thatna lian dang chu full anesthesia tel lovin tih theih a ni.
Surgery dang ang bawkin natna kai leh thisen chhuah theihna a tlem hle. Tin, LEEP enkawl hnuah cervix hi a chak lo deuh thei a, chuvangin nakin lawkah naupai i nih chuan nau neih hmaa nau neih theihna a tlem hle bawk. Hemi chungchangah hian ngaihtuahna emaw zawhna emaw i neih chuan enkawl hmain doctor nen inbia ang che.
Mahse heng risk te hi a takah chuan a hlawkna nen khaikhin chuan a tlem hle. Hetah hian hlawkna lian ber leh pawimawh ber chu serh cancer thlen thei cell te a paih chhuak a, cancer lakah a venghim che a ni.
Enkawl hnuah eng nge thleng?
Enkawlna a zawh hnu chuan in lamah i haw thei tawh ang. Minute 30-60 chhung chawlh tir i ni mai thei. Chutih hunah chuan doctor leh nurse-te chuan in lama i zawm tur thupekte an hrilhfiah ang. Chutih laia zawhna i neih apiang zawt rawh.
I dam chhung hian a hnuaia mi hi i beisei thei ang.
| Eng nge beisei tur | Hrilhfiahna |
|---|---|
| Pum natna (Cramping) . | Ni hmasa berah chuan pum na lo na lo tak i nei thei a, chu chu thlasik laiin i natna ang chiah a ni. Hei hi doctor-in a pek painkiller ei hian a control theih a ni. |
| Vaginal atanga chhuak/spotting | Vaginal discharge hi kar 1 atanga kar 3 chhung a awm thei. A tirah chuan a chhuak chu greenish-yellow a ni thei a, rimtui lo deuh a awm thei bawk. A hnuah chuan brownish-black discharge a lo lang thei bawk. Hei hi thil pangngai tak a ni . Hei atan hian pads hmang rawh. Tampons hmang suh. |
| Remchan lohna | Vagina emaw, pum chhungah emaw natna emaw, nuam lo emaw i nei thei. Cervical area-ah tingling sensation i nei thei a, chu chu pinched nerve ang chi a ni. Hei hi ni engemaw zat hnuah a bo tawh ang. |
| Thla tin thlasik hun hman thin | He enkawlna hian thla tin i thlasik hun chhung ah nghawng lian tham a nei dawn lo. A pangngai angin a la chhunzawm zel dawn a ni. |
Dam leh huna pumpelh tur thil
Cervix hi a dam kim theih nan kar 4-6 vel a ngai a ni. Hemi chhung hian thil engemaw i pumpelh tur a ni.
- Exercise leh Hnathawh Hahthlak: Enkawl hnu darkar 48 chhung chu hna hahthlak tak tak pumpelh tur a ni. Kar khat tal exercise lak loh tur. Kar khat hnua exercise i tan a, thisen chhuak (i period ni lo) i neih chuan exercise kha bansan la, i taksa chu dam leh turin hun engemaw chen pe leh rawh.
- Mipat hmeichhiatna hman: Kar 4 tal mipat hmeichhiatna hman loh tur . Tin, vagina chhungah engmah dah suh, tampon emaw sex toys emaw te pawh dah tel suh.
- Inbual: Inbual fo pawh a pawi lo. Mahse, doctor-in phalna a pek che hma chuan bathtub emaw swimming pool-ah emaw inbual loh tur a ni.
LEEP result kan hmuh hnuah eng nge thleng?
Kan sawi tawh ang khan LEEP hi diagnostic leh therapeutic procedure a ni vek a. A tam zawkah chuan cell strip pangngai lo tak chu lakchhuah chuan buaina chu a chinfel sak ang.
Mahse a chang chuan cell pangngai lo te chu lakchhuah vek a nih loh chuan LEEP dang a ngai thei bawk. Tin, Human Papillomavirus (HPV) strain risk sang tak i neih chuan nakin lawkah cell pangngai lo lo awm leh theihna chance tlemte a awm bawk.
A pawimawh ber chu LEEP hian HPV virus avanga cell pangngai lo (abnormal cells) a paih chhuak a ni. Amaherawhchu, HPV virus ngei pawh taksa a\angin a paih chhuak lo.
Chuvangin, enkawl zawh hnuah pawh Doctor-in a rawt angin hun ruat saah Pap test leh HPV test neih a pawimawh hle.
Engtikah nge Doctor i hmuh a ngaih?
A hnuaia symptoms te hi i neih chuan doctor ko la, damdawi inah kal nghal rawh . Hengte hi hri kai chhinchhiahna a ni thei.
- Thisen chhuak nasa (thla khata i period pangngai aia tam) .
- Thisen a chhuak thin
- Vaginal discharge atanga rim nam tak
- Khawsik
- Pum natna nasa tak
LEEP chungchang i hriat hian hlauhna i neih hi thil pangngai a ni. Mahse, hei hi hre reng ang che, hei hi natna lian tham awm lovin tih a ni a, a chhan chu i serh (cervix) a hrual (numbed) vang a ni. Nakin lawka cancer vei theihna hi heng minute 10-20 chhunga a rilru hahna aiin a tam zawk daih. He procedure chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan doctor nen inbiakna neih hreh suh.
Take-Home Thuchah a ni
- LEEP hi damdawi him leh tangkai tak a ni a, cell pangngai lo, cervical cancer-a lo chang thei te chu a paih chhuak thin.
- Hei hi serh (cervix) tihzauh (dilating) hmanga tih a nih avangin a natna leh a nuam lo hi a tlem hle.
- Enkawl hnu kar engemaw zat chhung chu vaginal discharge leh mild stomach cramps neih hi thil pangngai a ni. Chu chu lungngai suh.
- I dam chhungin i doctor thupekte uluk takin zawm la, a bik takin mipat hmeichhiatna hman loh leh exercise lak loh chungchangah.
- Thisen chhuah tam lutuk, khawsik emaw, natna nasa tak emaw ang chi vaukhânna chhinchhiahna i neih chuan doctor rawn la nghal rawh.
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