Thla tin i period chhungin thisen chhuak nasa tak i nei bawk em? Menorrhagia chungchang hi han sawi ila!

Hmeichhe tam tak tan chuan thlasik hun hi thil nuam tak a ni lo. Mi thenkhat chuan thla khat chhunga heng ni tlemte hi pum na, chak lohna, leh mood swing ang chi thil te nen hian an paltlang harsa hle. Mahse, a tlangpui aia tam i thisen chhuak a nih chuan, ni engemaw zat a zawnin thisen i chhuak a nih chuan, emaw, thisen zam lian tak tak i paltlang a nih chuan, chu chu damdawi lam natna , Menorrhagia tih a ni thei. Hei hian i nitin nun pawh a tibuai thei a ni. Chuvangin, vawiinah hian he thu hi chipchiar deuhin han sawi ila.

Menorrhagia hi eng nge ni? Nang pawhin heng symptoms te hi i nei ve em?

A awlsam zawngin sawi ila, menorrhagia chu thlasik laiin a tlangpui aia nasa zawk emaw, ni engemaw zat chhung thisen chhuak chhunzawm zel emaw a ni. Hetiang natna hi i nei nia i rinhlelh chuan heng symptoms te hi ngaihtuah la:

• I period hi ni sarih aia rei a daih em ?
• A chang chuan thisen a chhuak nasa lutuk a , darkar khatah vawi khat tal pad emaw tampon emaw thlak a ngai thin em ?
• Thisen chhuah tihtawp nan vawi khatah pad pahnih hman a ngai em?
• I mut lai pawhin i pad thlak tur chuan zanah i tho a ngai em?
• Ni khatah vawi tam tak thisen zam, pawisa fai emaw a aia lian emaw i pass em?
• I period chhung hian i thil tih pangngai i tih theih loh khawpin i rilru a hah em ?

Mi tam tak chuan an period neih hi an duh lo. Mahse (menorrhagia) i neih chuan lungngaihna leh hrehawm tak a ni thei. Hnathawh leh sikul kal theih loh te, pad tam tak hman te leh in lama awm te hi a lungchhiatthlak tak zet a ni.

Heng symptoms te hi i neih chuan doctor pan nghal rawh . I symptoms te chu a enfiah thei a, i thisen chhuahna nasa tak chhan chu a hre thei bawk. Tichuan, enkawlna dik tak an pe thei ta a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan, thlasik laiin thisen chhuak nasa tak hi i ngaihtuah angin thil mak a ni lo . Hmeichhia thlasik nei zinga 27% leh 54% inkar a nghawng a ni. Hei hian nangmah chauh i ni lo tihna a ni.

Engtin nge thisen i hloh nasa lutuk tih i hriat theih ang?

Thisen chhuak nasa lutuk hian symptom engemaw zat a awm. An chanchin tlem kan sawi tawh a. Phên dangin sawi ila:

• Ni sarih aia rei thlasik hun.
• Tangka pakhat aia lian thisen zam pakhat aia tam a kal tlang thin. He thisen hi a sen, pink, brown, a nih loh leh rust-colored pawh a ni thei.
• Darkar hnih vel thisen chhuak, darkar khatah pad emaw tampon emaw pakhat aia tam hnim.
• Zan lama thawh a ngai a, mut duh lai pawhin pad thlak a ngai.
• Thisen chhuah hlauvin pad pahnih hman dun.
• A tlangpuiin thlasik laiin thisen tablespoon 2-3 vel a bo thin. Mahse, thisen tablespoon 5 aia tam a bo chuan (hei hi teh harsa tak a ni a, mahse chutiang chu a ni an ti tlangpui), chu pawh chu thisen chhuahna nasa tak a ni.
• Pum natna nasa tak emaw, thlasik laia natna (menstrual cramps) nei.
• Thisen chhuah tam lutuk hian chak lohna, hahna, leh thawk hahna a thlen thei . Hei hian thisen tlakchhamna a thlen thei a ni .

Engtin nge Menorrhagia i vei tih chiang taka i hriat theih ang? Thil awmdan pangngaiah chuan eng ang nge ni tur?

Menstrual bleeding nasa tak hian i nunphung a tichhe thei a ni . Mi tam tak chuan thlasik hi thil nuam lo leh buaithlak tak a nih a ngai niin an ngai. An chhungte’n thlasik natna nasa tak an tuar a, chu chu enkawlna an zawng lo tih an hmu a, chutiang bawka khawsak chu an lo thiam tawh a ni mai thei. Mahse thlasik hian i nitin hnathawh a chawlhsan emaw, hrehawmna a tuar emaw a ngai lo.

A tlangpuiin, thlasik laiin hetiang hi a thleng thin:

• Pad pangngai emaw tampon emaw chu thlak ngai lovin darkar thum atanga darkar li chhung i hmang thei tur a ni.
• Pad emaw tampon emaw pakhat chauh i hmang thei tur a ni. Pahnih i dah khawm a ngai lo tur a ni.
• Zan lama i mut dawnin overnight pad i hmang thei tur a ni.
• In atanga i chhuah dawnin pad leh thawmhnaw dang i ken a ngai lo.
• Hnathawh tur i kal thei tur a ni a, i chhuak thei tur a ni a, daltu awm lovin i nun pangngaiin i hmang thei tur a ni.

I period hian i nun a tibuai a nih chuan doctor pan hun tha ber a ni.

Engvangin nge thisen chhuah a tam em em? A chhante chu engte nge ni?

Menorrhagia hian chhan tam tak a nei thei. Hormone lama harsatna vang te, damdawi lam harsatna thenkhat vang te, damdawi thenkhat i ei vang te pawh a ni thei.

Hormone inthlauhna a awm

Thla tin i thlasik hun chhung hi i taksa atanga hormone siam chhuah, estrogen leh progesterone te hian a thunun a ni. Heng hormone te hian i period chhunga thisen i chhuah zat a hril bawk. Heng hormone te hi a inthlauhna tichhe thei dinhmun a awm chuan thisen chhuah tam lutuk i nei thei. Entir nan:

• Anovulation: Ovary atanga egg chhuah loh.
• Thyroid natna a ni.
• A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a.

Tin, thau lutuk hian hormone siamchhuahna a nghawng thei bawk a, thisen chhuah tam lutuk a thlen thei bawk. I taksa rih zawng tur dik tak chu i doctor nen sawiho la, he natna hi a nghawng em tih en rawh.

I nausen pum chhunga cancer ni lo lo thang lian

Uterus-a benign tumor thenkhat lo awm leh uterine cells a lo than dan pangngai lo dinhmunah pawh thisen chhuah tam lutuk a awm thei bawk.

• Polyps: Hei hi uterus (endometrium) emaw cervix emaw lining-a lo piang chhuak te te an ni.
• Fibroids: Hei hi cancer ni lo, nausen pum ruh (muscles)-a lo piang chhuak a ni. Hmeichhia tam takin an nei a, mahse symptom an nei lo mai thei.
• Adenomyosis: Hei hi nausen chhungril lining atanga tissue lo chhuak chu nausen muscle layer-ah a lo thang lian a ni.

Infection awm thei te

Infection thenkhat, sexually transmitted infection (STI) te pawhin thisen chhuah nasa tak a thlen thei bawk.

• Trichomoniasis natna a ni
• Gonorrhea a awm
• Chlamydia natna (Chlamydia) a awm
• Chronic endometritis - hun rei tak chhunga nausen pum chhunga natna hrik awm.

Naupai laia harsatna awm thei

Thisen chhuak nasa tak hi naupai laiin harsatna engemaw zat awm thei tur hriattirna a ni thei bawk.

• Nau pai chhuah.
• Ectopic pregnancy: Embryo pakhat chu nausen pum pawnah a insiam a.
• Cesarean section (C-section niche) hnua hliam natna avanga harsatna awm.

Damdawi lam thil dang

Menorrhagia hi natna dang engemaw zat chhinchhiahna a ni a, thisen chhuah natna pawh a tel. Damdawi lama harsatna tlanglawn tak tak, thisen chhuah tam lutuk theihna thenkhat chu:

• Von Willebrand natna - thisen zam natna a ni.
• Liver natna.
• Kal natna.
• Pelvic inflammatory natna (PID) a awm thei.
• Leukemia emaw platelet natna emaw a awm thei.

I nausen pum chhunga cancer lo awm

Menorrhagia hi cancer hmaa awm, endometrial hyperplasia an tih vang pawh a ni thei bawk. Tin, i reproductive system tichhe thei cancer dangte pawhin thisen nasa tak a chhuah thei bawk.

• Uterine cancer a ni.
• Cervical cancer a ni.

Damdawi thenkhat

Damdawi thenkhat chuan thlasik thisen na tak a thlen thei bawk.

• Thisen tithianghlimtu leh aspirin.
• Hormone thlak danglamna damdawi.
• Tamoxifen (hnute cancer damdawi hman) a ni.
• Nausen pum chhunga hmanrua (IUD) te.
• Naupai venna atana hman tur implant.
• Naupai venna damdawi leh injection (e.g., NuvaRing®, Depo-Provera®, Implanon®) te.

A hun taka i birth control device lakchhuah loh chuan uterine bleeding pangngai lo a thlen thei bawk. IUD emaw implant emaw lakchhuah hun tur dik tak hriat a pawimawh.

Tute nge menorrhagia vei theihna chance sang zawk?

Tu pawhin menorrhagia an vei thei. Mahse, menopause hnaih tawhteah chuan a tam zawk . Hormonal imbalances i neih emaw, i thau lutuk (body mass index (BMI) 30 aia sang) i nih chuan period na tak i neih theihna a sang zawk.

Thlasik thisen chhuak nasa lutuk hian eng harsatna nge a thlen theih?

Thisen chhuah tam lutuk, .A hlauhawm thei hle a, a bik takin thisen i hloh tawk a, thisen tlakchhamna (anemia symptoms) i lan tan phah a nih chuan. Anemia hi enkawl loh chuan nunna atana hlauhawm tak a ni thei.

Tin, natna thenkhat, cancer ang chi, period na tak thlentu te hian a tir lamah damdawi lam pan a ngai thei bawk. I thlasik thisen chhuahna avanga hlauhawm awm thei zawng zawng chu i doctor nen sawiho rawh.

Engtin nge doctor-te hian menorrhagia hi an hriat theih?

Menorrhagia i neih leh neih loh hriat nan i doctor chuan i medical history leh menstrual cycle chungchang zawhna tlemte a zawt ang che a, chubakah physical exam leh pelvic exam a ti bawk ang.

Doctor chuan hetiang hi a zawt thei a ni:

• Kum engzat nge i period hmasa ber?
• Ni engzat nge thlasik hun a daih?
• Chumi ni engzat nge thisen chhuak nasa tak i neih?
• I chhungkuaah hian period nasat tawhna history nei an awm em?
• I naupai chanchin leh tuna i naupai ven dan tur chu eng nge ni?
• Tunah hian eng damdawi nge (over-the-counter (OTC) damdawi te pawh tel) i ei?

I nunphung pawh sawi turin inpeih rawh. Doctor chuan vawi khatah pad pahnih i hmang em tih te, i period vangin hna i thawk lo em tih te, nitin nunah khapna i neih leh neih loh emaw hriat a duh ang.

Eng test nge tih thin?

Doctor ten menorrhagia an hriat dan tlangpui chu pelvic ultrasound hi a ni. I kum leh i natna lan chhuah nasat dan azirin test dang pawh tih theih a ni.

• Thisen test: Thisen tlakchhamna, thisen zam harsatna, leh thyroid natna te enfiah thin ang che.
• Transvaginal ultrasound: Pelvic cavity chhunga taksa peng leh tissue awm dan en.
• Magnetic resonance imaging (MRI): Ultrasound hian information a pe tawk lo a nih chuan nausen pum chhunga thil awm dan pangngai lo zawng turin an hmang thin.
• Pap smear: Cervix cells te cancer natna a awm leh awm loh a enfiah thin.
• Cervical culture: Infection a awm leh awm loh enfiah nan.
• Endometrial biopsy: Nausen pum chhunga cancer cell emaw thil dang danglam emaw a awm leh awm loh enfiah thin.

Thisen chhuah chhan hriat theihna tura pui thei tur kawng dang:

• Sonohysterogram (saline-infusion sonography): Nausen pum chhunga lining-a harsatna awm leh awm loh enfiah nan. Hei hian nausen pum chu saline-a khat a, a chhung lam en a huam a ni.
• Hysteroscopy: Nausen pum chhunga polyps, fibroids emaw tissue dang pangngai lo awm leh awm loh enfiah nan. Hetiang tih hian vagina, cervix leh uterus te a enfiah thei a ni. Thisen chhuahna thlentu thil, fibroid leh polyps te pawh a paih chhuak thei bawk.

Menorrhagia enkawlna tha ber berte chu engte nge ni?

Enkawlna chu thisen chhuah chhan, thisen chhuah nasat dan, i hriselna, kum leh damdawi lam history-ah a innghat a ni.

A châng chuan, menorrhagia hi enkawl lohvin a ṭha chho ṭhin. Hei hi hormone inthlak danglamna tenau emaw, taksa rihna tihpun (menorrhagia hi taksa rihna hrisel i thlen veleh a reh tlangpui) ang chi dinhmun vang pawh a ni thei.

I hriselna lama harsatna i neih dan leh enkawlna atanga i beisei tur doctor nen sawiho rawh. Chumi hnuah chuan tih tur ṭha ber chu a rawt thei ang.

Damdawi chi hrang hrang

Doctor-te chuan zai hmain damdawi an pe tlangpui.

• Iron supplement: Iron level kha siam that leh rawh.
• Nonsteroidal anti-inflammatory drugs (NSAIDs): Ibuprofen emaw aspirin emaw ang chi thil hian natna tihziaawmna leh thisen chhuah tihtlem nan a pui thei a ni.
• Birth control: Pill, vaginal ring, patch, leh IUD te hian thlasik hun a tidanglam thei a, thisen chhuah a ti tlem thei bawk.
• Hormone replacement therapy (HRT): Hei hian taksaa estrogen leh progesterone level a balance thei a, thlasik thisen chhuah a ti tlem thei bawk. Hei hi perimenopause laiin thisen chhuak nasa tak tan chuan a tha viau nain, hlauhawmna a nei a, chuvangin i doctor nen sawiho rawh.
• Gonadotropin-releasing hormone (GnRH) agonists leh antagonists: Hengte hian thisen chhuahna chu rei lo te chhung atan a titawp thei a, a ti tlem thei bawk.
• Desmopressin nasal spray (Stimate®): Von Willebrand natna nena inzawm thisen chhuahna tihtawp a pui a, thisen zam a pui bawk.
• Antifibrinolytic damdawi: Tranexamic acid ang chi thil hian thisen zam a tichhia a, thisen chhuah tam lutuk a veng bawk.

Surgery leh tih dan dangte

Damdawi hian natna lan chhuahna a tiziaawm lo a nih chuan i doctor chuan zai a rawt thei ang. Thisen chhuah chhanah a innghat.

• Hysteroscopy: Hei hian period rit tak tak a hriat theih a, a enkawl thei bawk. Doctor chuan nausen pum chhung chu a en theih nan tube te tak te, eng tak a hmang a. Tichuan, surgical instrument hmangin thisen chhuahna tur thil eng pawh, polyp ang chi chu paih chhuah a ni.
• Dilation and curettage (D&C): Nausen pum pawn lam layer lakchhuah dan a ni. He tissue hi lab-ah thawnin thisen chhuah chhan hriat theih a ni.
• Myomectomy: Nausen pum chhunga fibroid awmte paih chhuah nan surgery a ni.
• Uterine artery embolization (UAE): Fibroid leh tumor-a thisen supply khap thei thil a ni.
• Endometrial ablation tih hi a awm lo.Nausen pum chhunga lining zawng zawng emaw, a then emaw tihchhiat theihna procedure.
• Hysterectomy: Nausen pum (uterus) lakchhuahna tur surgery a ni. Hemi hnu hian period i nei tawh lovang a, nau i pai lo bawk ang.

I thisen chhuahna chhan chu i doctor chuan a enkawl dan tha ber a rawn rawt ang che. Enkawlna chu damdawi hmanga tan a ni thei a, chutah chuan tih tur tenau leh operation thlengin a kal thei bawk. I doctor nen inbia la, i tana tha ber tur thlang rawh.

Menorrhagia enkawl loh chuan eng nge thleng?

Thisen chhuah tam lutuk hian thisen tlakchhamna a thlen thei a, chu chu a pawi hle thei bawk. Menorrhagia nei nia i inhriat chuan doctor pan a, enkawl a pawimawh.

Condition (Menorrhagia) hi a dam thei ang em?

Ni e, a chang chuan menorrhagia hi enkawl lohvin a reh thei. Mahse hei hi i tan a ni em tih doctor nen inbiakna neih a tha ber. Menorrhagia hi hun rei lote chhung atan a ni thei a, damdawi lam inrawlhna tel lovin a dam thei bawk. Mahse, vawi tam tak chu i period nasat chhantu underlying condition a awm thin . Chu natna chu enkawl a nih hma chuan i period rit lutuk atang chuan hahdamna i hmu lo mai thei.

Menstrual bleeding nasa tak hi ven theih a ni em?

Period nasat chhan zawng zawng hi ven theih a ni lo a, mahse doctor nena inbiakna leh enkawl dan tur chuan i nunphung tibuai lovin i thisen chhuahna chu a enkawl thei a ni.

Hetiang dinhmun nena nun chungchangah hian eng nge sawi tur i neih? (Prognosis) tih a ni.

Enkawl loh chuan period rit tak takte hian i nun a tibuai thei a ni. Tin, period nasat lutuk hian thisen tlakchham (anemia) a thlen thei a, chu chuan chau leh chak lohna a thlen thei bawk. Enkawl loh chuan hriselna lama harsatna dang pawh a awm thei bawk. Enkawlna dik leh damdawi lam puihna i neih chuan i hriselna tichhe lovin period rit tak takte chu i thunun thei a ni.

Thisen chhuah tam lutuk i rinhlelh chuan engtikah nge doctor i hmuh ang?

I period nasa lutuk, thisen tlakchhamna symptom i neih chuan, i period hian i nunphung a nghawng a nih chuan doctor i pan tur a ni. Calendar emaw app emaw-a i period chhinchhiahna hian i period chu a tlangpui aia rit zawk leh ni engemaw zat a daih leh awm loh hriat theih nan a pui thei che a ni. Heng note te hi doctor hnenah entir rawh.

Pad pahnih vawi khatah i hman a ngai tih i hriat veleh i doctor nen appointment siam nghal rawh, emaw, i period chhunga i thil hlimawm tak tak i hloh tih i hriat veleh i doctor nen appointment siam nghal rawh.

Emergency Treatment Unit (ETU) ah kal a ngai em ?

Heavy period hi a tlangpuiin nunna atana hlauhawm a ni lo. Amaherawhchu thisen i chhuah tam chuan a hlauhawm thei hle. Darkar hnih atanga darkar thum chhung zet thisen chhuak a nih chuan, darkar khatah pad emaw tampon emaw pahnih aia tam i hnim a nih chuan doctor pan emaw, emergency treatment lak emaw a ngai tihna a ni.

Heavy period hi a awm fo thin nachungin, a avanga lungawi lohna hi i tuar a ngai lo. I thisen chhuah thunun hian i rilru leh taksa hriselna a tibuai a nih chuan i doctor nen inbia ang che. I period lai pawhin hahdamna pe thei tur leh i duh ang nun i hman theihna tur enkawlna zawng turin a pui thei che a ni.

Take-Home Thuchah hnuhnung ber

• Thlai thisen chhuak nasa (menorrhagia) hi natna khirh tak a ni thei a, chuvangin zak leh hlau suh, mahse doctor thurawn zawng zawk rawh.
• I period pangngai nen a danglamna symptom i neih a, i rilru hahna i neih chuan (e.g., darkar tin pad thlak, thisen chhuak nasa tak, emaw ni 7 aia rei period i neih chuan) ngaihthah suh.
• Hetiang dinhmunah hian thisen tlakchhamna hi harsatna lian tak a ni a, chuvangin chak lohna, hahna, leh thawk harsa tih ang chi thilte hi fimkhur hle ang che.
• He natna hi a chhan zawng chhuakin enkawlna dik tak dawngin a thunun tha thei a ni.
• Nangmah chauh i ni lo, chutiang harsatna tawk mi tam tak an awm. Chuvangin tanpuina dil hreh suh. I hriselna hi a pawimawh ber!

` Menorrhagia, thlasik laia thisen chhuak nasa, thlasik, hmeichhe hriselna, nausen pum, hormone, thisen tlakchhamna