I doctor-in Pap smear result a danglam deuh tih a hrilh che hian hlauhna leh hlauhna tlem a awm hi thil pangngai a ni. Tichuan, LEEP procedure neih a ngai tih a hrilh che chuan chu hlauhna chu a nasa lehzual thei a ni. "Hei hian eng nge a tih dawn?" Mahse, LEEP chu eng nge ni tak tak? A hlauhawm em? Fiah takin, i hriatthiam theih tur zawngin, i thianpa biak ang maiin sawi ila.
A awlsam zawngin LEEP chu eng nge ni?
A awlsam zawngin sawi ila, LEEP (Loop Electrosurgical Excision Procedure) hi minimally invasive procedure a ni a, i serh chunglam atanga cell pangngai lo layer khat chu a paih chhuak thin. Thlai vun zawi zawia tihfai ang bawkin, he cell pangngai lo layer hi electric hmanga wire loop te tak te hmangin lakchhuah a ni.
Tunah chuan, "Engvangin nge heng cell te hi lakchhuah an nih?" I Pap smear emaw colposcopy emaw hmanga i serh chhungah cell dik lo a awm tih a hriat chuan i doctor chuan he LEEP tih dan hi a rawt thei ang. Hetiang cell dinhmun danglam tak hi cervical dysplasia an ti a .
A pawimawh ber chu he `(Cervical Dysplasia)` hi cancer a ni lo. Mahse, rei tak enkawl loh chuan heng cell zinga za zela tlemte chu serh cancer-ah a chang thei a ni. Chuvangin LEEP enkawlna hi cancer a lo awm hmaa a awm theihna tur tihbo nan hmanraw pawimawh tak leh tangkai tak a ni . Cervical polyp thenkhat leh genital warts tihbo nan pawh hman a ni.
Engtin nge enkawl hmain i inbuatsaih thin?
Hetiang tih hma hian i doctor chuan engkim a felfai em tih a enfiah ang. Entirnan, pelvic inflammatory disease (PID) emaw cervicitis emaw i neih chuan LEEP tih hmain hengte hi enkawl a ngai dawn a ni.
I naupai leh pai loh endik i ni thei bawk. Naupai i nih chuan i doctor chuan he enkawlna i tih theihna tur hun remchang ber a thlang ang. A tlangpuiin hei hi period i neih loh ni-ah tih thin a ni.
Damdawi hmaa doctor thupek dik taka zawm a pawimawh hle.
- Enkawl hma darkar 24 chhung chu sex hman loh tur leh vaginal cream eng pawh hman loh tur a ni.
- Enkawl zawha hman tur sanitary pad rawn keng rawh.
- Thisen zam lohna damdawi (aspirin ang chi) i ei a nih chuan i doctor hnenah i hrilh ngei ang a, a thurawn pawh i la tur a ni.
- I doctor-in a rawt chuan enkawl hma minute 30 velin natna tidamtu (Panadol ang chi) ei thin ang che.
- Inchei dawnin thawmhnaw nuam leh hlim lo, awlsam taka lakchhuah theih tur ha la.
LEEP enkawl chhung hian eng nge thleng?
Hei hi doctor office-ah emaw, damdawi ina outpatient department-ah emaw tih theih a ni tlangpui. Enkawlna zawng zawng hi minute 10 atanga 20 vel chauh a ni. Hetih hun chhung hian i harh a, mahse i hrehawm vak lovang.
1. Inbuatsaihna: A hmasa berin, hmeichhe lam enfiahna pangngai ang bawkin, i ke chu stirrup-ah dahin, exam table-ah mu turin an ti ang che. Tichuan, i kekawr ipteah grounding pad dah a ni ang. Hei hian enkawl laia electric hman tur lakah a venghim ang che. Tichuan, doctor chuan speculum an tih device a dah lut ang a, i serh chu chiang taka hmuh theih turin i vagina chu tlem a tizau ang.
2. Cell pangngai lo hriatchhuah: A dawtah chuan cell pangngai lo langsar zawk nan serh chhungah tui bik (acetic acid emaw iodine solution) hnawih a ni. Vagina bulah hian magnified camera ang maia hmanraw colposcope an tih chu dahin an enfiah thin. Hei hi taksa pawn lama dahna hmanrua a ni.
3. Cervical Dilation: Hei hi mi tam takin an hlauhthawn ber a ni. Mahse hlauh tur a awm lo. Doctor chuan i serh chhungah numbing injection (`(Lidocaine)` with `(Epinephrine)`) chu needle nalh tak hmangin a inject ang Ha i hrual chuan i hmuiah tingling sensation ang maiin a lang ang a, needle te tak te dah ang maiin a awm ang a, chutah chuan second engemaw zat chhung chu kang deuhin i hre ang Injection-a `(Epinephrine)` hian i thinlung a ti na deuh thei a, i lu a ti na deuh thei bawk . Minute tlemte hnuah a bo vek dawn a, chuvangin lungngai suh.
4. Tissue lakchhuah dan pangngai lo: Cervix a lo hring vek hnuah doctor chuan electric wire loop hmangin tissue pangngai lo chu a cut chhuak ang. Hemi hun chhung hian i ding reng a pawimawh . Tlemte tingling sensation i nei thei a, mahse natna erawh a ni lo. A châng chuan hei hi a vawi hnihna atan tih theih a ni a, chu chuan serh hnuai lam cell awm zawng zawng chu paih chhuah a ni. Tissue sample hi cancer cell awm leh awm loh endik turin lab-ah thawn a ni ang.
5. Thisen chhuah tihtawp: A tawp berah chuan damdawi chi hrang hrang (Monsel’s paste) hnawih a ni a, chu chu thisen chhuah tihtawp nan leh natna kai loh nan a ni.
Enkawlna hnuah eng nge beisei tur?
Enkawlna a zawh hnuah chawlh hahdam hnuah i dam kim thlengin (minute 30-60 vel) haw tir leh ang che. Hemi chhung hian zawhna i neih chuan doctor i zawt thei ang. In lama i haw hnuah thil engemaw i zawm tur a awm a, chubakah i dam leh huna i taksaah inthlak danglamna a awm bawk.
| I tawn tur chu | I tih tur leh tih loh tur |
|---|---|
| Cramping a awm Tlemte chuan thlasik lai ang bawkin ni engemaw zat chhung chu natna tlem i nei thei. | Doctor-in a tih angin natna tidamtu (e.g. Panadol) ei thin ang che. |
| Vaginal atanga chhuak Greenish-yellow emaw brownish-black discharge, a chang chuan rimtui lo tak tak pawh kar 1-3 chhung a awm thei. Hei hi a chhan chu damdawi paste hnawih hnuhnung ber chu a lo hmin a, a lo chhuak ta a ni. | Sanitary pads hmang la. Tampons emaw, eng thil pawh vagina chhunga dah luh chu eng thil vang pawhin hmang suh. |
| Thiltih leh exercise hrang hrang I taksa hi a dam theih nan hun i pek a ngai a ni. | Darkar 48 hmasa berah chuan thil hahthlak tak tak tih loh tur. Kar khat tal exercise lak loh tur. |
| Mipat hmeichhiatna hman dan Cervix hi a dam kim vek tur a ni. | Kar 4 tal chu mipat hmeichhiatna hman loh vek tur a ni . |
| Inbual | A hma angin shower i la thei a, mahse doctor-in a tih hma loh chuan tuiah (sink, bathtub, tuifinriat/luiah) luh loh tur a ni. |
Cervix hi a lo thang leh ang em?
Awle. Tissue lakchhuah chu cell thar, hrisel takin a thlak a, serh chu a pangngaiin a awm leh ta a ni. Hei hian kar 4-6 vel a awh thin.
Doctor hmuh nghal hun tur
A hnuaia symptoms te hi i neih chuan infection chhinchhiahna a ni thei. Chuvangin i doctor ko la emaw, damdawi inah kal nghal rawh.
- Menstrual flow pangngai aia thisen chhuak nasa (darkar khatah pad pakhat aia tam hnim) .
- Thisen zam lian tak tak pass
- Vaginal discharge rim nam tak, nitin a na zual zel
- Khawsik
- Tuar theih loh khawpa natna nasa tak
Results a rawn luh hnuah eng nge thleng?
LEEP hi diagnostic leh therapeutic procedure a ni. A tam zawkah chuan cell pangngai lote chu vawi khat lakchhuah a nih chuan a natna chu a dam vek a ni.
Mahse, a châng chuan report-ah chuan tissue lak chhuah margin-ah cell pangngai lo a awm tih a lan chuan, cell la awm zawng zawng paih chhuah nan LEEP treatment dang tih a ngai thei bawk.
Thil dang hriat reng tur chu, serh chhunga heng cell pangngai lo awm chhan ber chu HPV (Human Papillomavirus) tih virus a ni. LEEP enkawlna hian virus avanga cell pangngai lo chauh a paih chhuak a, virus ngei pawh a paih chhuak lo . Chuvangin, enkawl hnuah pawh doctor-in a sawi angin Pap smear neih fo a pawimawh.
Take-Home Thuchah a ni
- LEEP hi enkawlna him tak, rang tak leh tangkai tak a ni a, serh cancer a lo awm hmaa cell pangngai lo, serh cancer thlen thei te chu a paih chhuak thin.
- Hei hi cervix numbing hmanga tih a ni a, chuvang chuan na lutuk i hre lo ang. Numbing injection pek a nih hian i hrehawm lo deuh mai thei.
- Enkawl hnu kar engemaw zat chhung chu pum hnuai lam na leh vaginal discharge a awm hi thil pangngai a ni.
- I doctor thupekte chu zawm chiang la, a bik takin mipat hmeichhiatna hman loh leh exercise lak loh chungchangte chu zawm rawh.
- Thisen chhuah tam lutuk, khawsik, natna nasa tak ang chi symptom i neih chuan doctor pan nghal rawh.
- He enkawlna chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan doctor nen sawiho tur a ni. I dikna a ni.
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