A chang chuan hmeichhiate hian an vagina chhungah lump te tak te an nei thin. Hei hian tlem a ti na thei a, kea kal emaw, ṭhut emaw pawhin hrehawmna a thlen thei bawk. Mi thenkhatin vawi khat an dawng a, a bo laiin thenkhat erawh chuan an lo nei leh fo thin. Hetiang hi i tawng tawh a nih chuan Bartholin’s cyst a ni thei. Chuvangin vawiinah hian surgery tenau tak ‘Marsupialization’ tih hi han sawi ila, chu chu heng cyst lo lang leh thin te enkawlna tha tak a ni.
A hmasain, Bartholin-a cyst chu eng nge ni?
A awlsam zawngin kan vagina hawnna sir lehlamah, vun hnuaiah hian ruh ang maia lian gland te tak te pahnih a awm a. Hengte hi Bartholin glands kan tih te hi an ni . Heng glands te hnathawh ber chu secretion tihchhuah a ni a, chu chuan vagina chu a hnim a, a lubricated reng bawk.
Ngaihtuah teh, eng emaw chhan vanga he gland atanga secretion chhuak tube te tak te hi a block a nih chuan eng nge thleng ang? Tichuan a secretion chu a chhuak thei lo va, gland chhungah a awm khawm a, zawi zawiin a lo hring chhuak a, lump te tak te a siam ta a ni. Hei hi Bartholin’s cyst kan ti a. He lump chhungah hian infection a lo awm chuan abscess-ah a chang thei a, natna nasa tak leh khawsik a thlen thei bawk.
Chuti a nih chuan he surgery hi eng nge Marsupialization an tih?
A tam zawkah chuan Bartholin’s cyst te te hian enkawlna bik a mamawh lo. Sitz bath ang chi thil hmanga enkawl theih an ni. Mahse a chang chuan heng cyst te hi a lo awm fo thin a, a na hle a, a nih loh leh enkawlna dang hmangin a dam lo. Chutih lai chuan doctor-te chuan Marsupialization surgery an rawt a ni.
A awlsam zawngin, he surgery hian tumor chu a lo thang leh thei tawh lo.
Hei hi a ni:
1. Doctor chuan tumor-ah hian incision te tak te a siam thin.
2. Chu incision hmang chuan tumor chhunga secretion zawng zawng chu lakchhuah vek a ni.
3. Tichuan, incision kilte chu an fold chhuak a, a chhehvel vunah an dah a, dissolvable suture chi khat hmangin an sewn thin.
Chumi hnua thil thleng chu chutah chuan pouch te tak te, a inhawng reng reng chu a lo piang ta a ni. Chumi awmzia chu Bartholin gland atanga tui chhuak chu a chhungah a inkhung leh tawh lo va, a luang chhuak nghal zawk tihna a ni. Hei hian cyst lo awm leh theihna chance nasa takin a ti tlem a ni.
Hei hi engtin nge enkawlna dang nen a danglam?
A tlangpuiin, doctor chuan he surgery hi a tih hmain, damdawi dang, Word catheter ang chi hi a lo enchhin thei a ni. Hei hian cyst chhungah tube te tak te dahin ni engemaw zat a hmunah dahin a tui chu a chhuak thei a ni. He surgery aiin a awlsam zawk. Mahse, chu mi hnuah chuan cyst te chu a lo let leh zel a nih chuan Marsupialization surgery hi a tha ber dawttu a ni.
A tlem berah chuan heng enkawlna zawng zawng hi a hlawhchham chuan Bartholin gland pumpui chu operation hmanga lak chhuah (excision) a ngai mai thei. Mahse, thil buaithlak deuh a nih avangin a tawp ber atan tih a ni tlangpui.
Surgery tih dan leh a dam leh hun chhung
He surgery hi minute 10-15 chhungin tihfel theih a ni tlangpui. Chumi ni vek chuan i haw thei fo.
Surgery neih chhung hian:
- Natna engmah i neih loh nan anesthesia pek i ni ang. Hei hian a hmun chauh tiharh (local anesthesia) , emaw, mut tir vek (general anesthesia) emaw a huam thei bawk.
- Tichuan, operation room-ah chuan doctor chuan tumor chu a cut chhuak a, a drain a, a sir lam chu a sew up a, a hmaa kan sawi tawh ang khan.
- Hetih lai hian doctor chuan lump wall-ah hian rinhlelh awm cell, cancer cell ang chi a awm leh awm loh a enfiah bawk ang. A awm chuan a tlem berah biopsy atan thawn a ni ang . Mahse lungngai suh, heng lumps-ah hian cancer hi a tlem hle a, hmeichhia kum 40 chunglam tih loh chu .
Operation hnua dam lehna:
Hliam hi a dam kim theih nan kar hnih atanga kar li vel a ngai thei. Hetih hun chhung hian eng nge i hriat theih ang tih leh eng nge i tih tur tih hi han thlir ila.
| Hun bituk | Eng nge beisei tur leh tih tur |
|---|---|
| Ni 1-2 hmasa ber | Hliam awmna hmunah hian natna leh hrehawmna engemaw zat i nei ang. Doctor-in a tih angin painkiller a pekte chu hmang rawh. A natna chu a reh zauh zauh ang. |
| Ni 3-5 chhung hmasa ber | Doctor chuan tui lum basin-ah minute 10-15 chhung ni khatah vawi khat emaw vawi hnih emaw sitz bath neih a rawt a ni. Hei hian hliam chu a thianghlim reng ang a, a dam thuai ang. |
| Kar 2 vel chhung | Spotting emaw thisen chhuak emaw a awm thei. Hei atan hian sanitary pad emaw panty liner emaw hmang la. Tlem chuan i chau deuh mai thei a, chuvangin chawlh hahdam tam rawh. |
Dam leh huna pumpelh tur thil
Hliam a dam kim hma loh chuan heng thilte hi pumpelh a pawimawh hle a, chu chu kar 4 tal tihna a ni .
- Sex hman dan.
- Vagina chhunga tampon dah luh.
- Hliam awmna hmunah hian sahbawn rimtui tak tak, lotion emaw powder emaw hnawih loh tur a ni. Chungte chuan hliam chu a tichhe thei a ni.
- Underwear leh pants tight hak loh tur. Underwear hlim lo, cotton ha tur.
Doctor hmuh hun tur
Surgery zawhah i doctor chuan follow-up appointment a pe ang che. Chu appointment-ah chuan kal ngei ang che. Tin, a hnuaia symptoms te hi i neih chuan doctor pan nghal tur a ni. Hospital-a Emergency Department (ETU)-ah i kal a ngai mai thei.
- Khawsik i neih chuan.
- Panty liner hmanga control theih loh thisen chhuak tam lutuk i neih chuan.
- Hliam atanga natna chu nitin a tlahniam ai chuan a zual zel a nih chuan.
- Vaginal discharge pangngai lo, yellow, green, emaw rimchhia emaw i neih chuan.
He surgery hi hun rei tak chhunga i lo tibuai tawh Bartholin’s cysts te chu a tawp thlenga tihbo nan a tangkai hle. Hei hi surgery dang ang bawkin surgery tenau tak ni mah se, i doctor thupek dik tak zawm hi a dam thuai theih nan a pawimawh hle.
Take-Home Thuchah a ni
- Bartholin’s cyst hi natna tlanglawn tak a ni a, a chang chuan na tak a ni a, vagina-ah a awm thin.
- Heng cyst te hi a lo awm fo emaw, enkawlna dang a hlawhchham a nih chuan Marsupialization hi solution hlawhtling tak leh awm reng tur a ni thei.
- He surgery hian tumor chu a lo awm leh tawh loh nan permanent opening a siam a ni.
- A dam kim theih nan kar 2-4 vel a ngai a, chutih chhung chuan doctor thupek (a bik takin mipat hmeichhiatna hman loh leh faina) zawm a pawimawh hle.
- Khawsik, thisen chhuak nasa tak, tuar theih loh khawpa natna, emaw, tui chhuah dan danglam tak i hmuh chuan damdawi lam thurawn zawng nghal rawh.
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