I pum hnuai lam pawh na reng reng i nei em? Hei hi Pelvic Congestion Syndrome (PCS) a ni thei!

Thla tam tak chhung chu i pum hnuai lam natna nasa tak, pulling tak i nei tawh em? Thil pangngaiah i ngai mai thei a, a nih loh leh thlasik lai mai maiah i ngai mai thei bawk. Mahse, a chang chuan i ngaihven zawk tur thil a ni. Chu chu vawiin a kan sawi tur condition chi khat, Pelvic Congestion Syndrome (PCS) an tih chu a ni.

Pelvic Congestion Syndrome (PCS) hi eng nge ni?

A awlsam zawngin sawi ila, Pelvic Congestion Syndrome (PCS) hi i pum hnuai lam, a nih loh leh i pelvis-a thisen kal dan lama harsatna avanga natna rei tak a ni. "Chronic" tih hian thla 6 aia rei natna, i period emaw naupai emaw nena inzawm tlat lo tihna a ni.

Ngaihtuah teh, hetiang dinhmunah hian i ovary leh pelvis-a vein te hian hna a thawk tha lo. Heng vein te hi a lian (dilate) mai a, a chang chuan a inher a, chutah chuan thisen a khat a, a inzawm khawm ta a ni. Traffic jam ang maiin. Thisen chu hmun khata a tlakbuak chuan, chu chu ‘pool’ a nih chuan natna i nei tan thin.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

He `PCS` natna hi hmeichhia kum 20 leh 45 inkar, fa pakhat aia tam nei tawhte zingah hmuh a ni tlangpui . Chu bakah, a nghawng thei risk factor dang engemaw zat a awm bawk:

• Varicose veins i neih chuan.
• I chhungkuaa tu emaw chuan varicose veins an nei a nih chuan.
• Polycystic Ovarian Syndrome (PCOS) i vei a nih chuan.

Mahse, hmeichhia menopause paltlang tawhte chuan Pelvic Congestion Syndrome an vei a rinawm loh hle.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hmeichhia 40% velin gynecologist an tlawh thin hian an pum hnuai lam natna rei tak an nei fo thin. Heng hmeichhia zinga 30% vel hian pelvic congestion syndrome an nei nia chhut a ni. Chumi awmzia chu thil thleng tlangpui ni lo mah se, mi thenkhat tan chuan chhan hriat loha pum hnuai lam natna thlentu a ni thei tihna a ni.

Pelvic Congestion Syndrome natna lan chhuah dan chu engte nge ni?

PCS avanga pum hnuai lam natna hi a inang lo thei hle. Mi ṭhenkhat tân chuan natna dull, achy, a nih loh leh natna rit tak a ni thei . A natna hi a nasat leh a nasat lutuk hi a tlem hle.

A tam zawkah chuan he natna hi veilam lamah chauh hriat a ni. Mahse a dinglam emaw, a sir lehlamah emaw pawh a hriat theih bawk. Mi tam tak tan chuan he natna hi naupai lai emaw, nau neih hnuah emaw a intan thin. He natna hi a hnua naupai a nih chuan a zual thei hle.

PCS nena inzawm natna hi hetiang hun lai hian a na zual thei a ni:

• Ni a tawp hunah.
• I period tan hma lawk a ni a, chu ni tlemte chhung chuan.
• Mipat hmeichhiatna hman lai leh inpawl hnuah (he dinhmun hi `dyspareunia` an ti bawk).
• Rei tak i ding emaw, i thut emaw hian a thleng thin (mahse i mut chuan a tlahniam deuh).

Symptoms tlemte dang:

• Varicose veins hi i pelvis, buttocks, thighs, vulva, leh vagina ah te hmuh tur a awm a.
• Diarrhea leh constipation (irritable bowel syndrome tia hriat bawk) inthlak danglam fo thin.
• Nuih, khuh, emaw, bladder-a pressure pe thei thil tih laiin duh loh zawnga zun hloh (hei hi `stress incontinence` an ti).
• Zun laiin natna (hei hi `dysuria` an ti).

Eng thilin nge Pelvic Congestion Syndrome hi a thlen?

Dik tak chuan zirchiangtute chuan Pelvic Congestion Syndrome awm chhan dik tak hi an la hre chiang lo. Mahse, i ovarian veins leh i pelvis veins-a thisen kal danah harsatna a awm tih a chiang.

Hei hi a thleng tlangpui a ni: Thisen chu i pelvic cavity chhunga veins atang chuan chunglam hawiin, i thinlung lam pan chuan ovarian veins kaltlangin a luang chhuak thin. Heng vein chhungah hian kawngkhar ang chi thil te tak te, valve an tih chu a awm a. Chungte chuan thisen hnunglam panna tur chu a titawp a ni. He thisen hnunglam hawi hi `reflux` an ti a.

Mahse `PCS` veiah chuan heng vein te hi a dilated a, valve te hian hna a thawk tha lo. Tichuan thisen chu hnunglam hawiin a luang tan ta a. Vein te chu thisenin a khat a, a inzawm khawm ta a ni. Chutah chuan thisen chu pelvic veins-ah a inzawm khawm a, natna a thlen thin. He natna hi thisen tam zawk awm theihna tura thisen kalna kawng (veins) an inzawm khawm vang emaw, thisen kalna (veins) deformed te hian a bul hnaia nerve te an nawr vang emaw pawh a ni thei.

`PCS`-ah hian veins structure a inthlak chhan hrang hrang a awm a:

• Naupai: Theory pakhat chu hei hi naupai laia thisen kalna kawng inthlak danglamna nen a inzawm tih a ni. Naute chu nausen pum chhunga a lo seilian chuan thisen kalna kawngte chu an lian tham pangngai aia 50% velin a lian a, chu chuan naute mamawh thisen pek belh chu a tuar thei a ni. Heng inthlak danglamna te hian thisen kalna kawng bang te chu hun rei tak chhung a tichhe thei a ni. Chumi hnuah chuan naute pian hnuah pawh thisen kalna kawng (veins) chu a zau thei hle.
• Estrogen: Postmenopausal hmeichhiate hian pelvic congestion syndrome an vei tlem avangin estrogen hian hmun a chang thei niin an ngai. Menopause hnuah estrogen level a tlahniam thin. Estrogen hian thisen kalna kawng bang a nghawng a, chu chuan i thisen kalna kawngte chu PCS thlentu chak lohna a thlen awlsam zawk a ni.

A tam zawkah chuan `PCS` hi thil inzawmkhawm hrang hrang engemaw zat atanga lo chhuak a ni.

Engtin nge Pelvic Congestion Syndrome (PCS) hi hmuhchhuah a nih?

Doctor i hmuh hunah i medical history leh symptoms te a zawt hmasa ang che. Tichuan taksa enfiahna an nei ang a, chutah chuan pelvic exam pawh a tel thei ang. Doctor chuan i ovary, cervix leh uterus te chu a enfiah ang a, khawi atanga natna lo chhuak nge tih chiang takin a hre ang.

Imaging test hian pum hnuai lam natna awm reng thei dinhmun dang chu a paih chhuak thei a, PCS-a inrawlh thei nerve-a thil dik lo awm thei zawng zawng a zawng thei bawk. Heng test hrang hrangte hi:

• Ultrasound: Vawi tam tak chu i doctor-in a order hmasak ber chu ultrasound a ni. Hei hian vein dilation a awm leh awm loh a enfiah thei. I natna thlentu tur thil danglam dang a awm leh awm loh hriat theih nan a pui thei bawk. Ultrasound-a Doppler feature hian i thisen kalna kawng a enfiah thei bawk.
• MRI emaw CT scan: MRI (Magnetic Resonance Imaging) emaw CT (Computed Tomography) scan emaw hian ultrasound-in a hmuh loh theih tur vein chipchiar takin a tarlang thei a ni. Ultrasound aiin ovaries leh pelvic cavity-a twisted veins leh vein dilation te chu chiang zawkin an lantir thei a ni. Tin, pelvic cavity-ah hian hun rei tak chhunga natna dang, endometriosis ang chite thlen thei tur thil danglam lo a awm leh awm loh an lantir thei bawk.
• Pelvic venography: Hei hi PCS hriat theihna atana gold standard anga ngaih a ni. Mahse, test buaithlak tak a nih avangin imaging test dangin thutlukna a siam theih loh hunah tih a ni tlangpui. A châng chuan i doctor chuan i thisen zam operation hmain he test hi a hmang thei bawk. Pelvic venography-ah chuan i doctor chuan i kawr emaw, i kawr emaw vein-ah catheter an tih tube te tak te a dah lut thin. Chumi hnuah chuan X-ray hmangin i dinglam leh veilam fallopian tube-ah tube chu a kaihruai a ni. Chumi hnuah chuan vein chhungah hian safe dye an inject leh thin. X-ray-ah chuan veins te chu chiang takin a lang. He venography hian veins awmna hmun, khawiah nge a zau, khawiah nge a twisted, thisen a luang dan leh khawiah nge thisen a inzawm khawm tih te a tarlang thei a ni.
• Laparoscopy: Laparoscopy hmangin vein lian tham a awm leh awm loh enfiah theih a ni. Mahse, PCS nena inzawm thisen kal dan lama harsatna awmte hriatchhuahna kawngah test dang angin a \angkai lo mai thei. I doctor chuan laparoscopy a ti thei bawk a, chu chuan i pum hnuai lam natna thlen thei thil dang, PCS te pawh a awm lo. Hei hian i pum chhungah incision te te engemaw zat siam a, chuta tang chuan camera dahin i reproductive system organs te enfiah a ngai a ni.

Thil pawimawh tak chu:Pelvic congestion syndrome hriatchhuah hi a harsa thei hle a, pelvic pain nei lo tam tak chuan vei te ang bawkin vascular change an nei ve tho a ni. Imaging study-ah chuan chronic pelvic pain nei leh nei lote pawhin vascular changes leh reflux an nei thei tih hmuhchhuah a ni.

I imaging test-ah i thisen kalna kawng (veins) a zau tih hmuhchhuah a nih pawhin, hun rei tak i natna i neih loh chuan enkawlna i mamawh lo mai thei.

Pelvic Congestion Syndrome hi a tlangpuiin pum hnuai lam natna thlen thei dang zawng zawng chu paih chhuah a nih hnuah a ni.

Pelvic Congestion Syndrome (PCS) hi tihdam theih a ni em? A veng thei ang em?

Pelvic Congestion Syndrome hi damdawi a awm lo a , mahse i natna lan chhuah dan tur leh natna tihziaawmna tur damdawi leh enkawlna a awm a ni.

Tin, he `Pelvic Congestion Syndrome` hi ven dan tur a awm lo .

Pelvic Congestion Syndrome hi eng enkawlna nge ni?

Doctor chi hrang hrang enkawl turin i hmu mai thei. Entirnan, gynecologist, gastroenterology (GI) specialist, pain specialist leh physical therapist te. I doctor emaw, medical team emaw chuan operation i rawt hmain i symptoms control nan damdawi i rawt thei ang.

Damdawi chi hrang hrang

Hormone estrogen siam chhuahna tihtlemtu damdawi hian Pelvic Congestion Syndrome nena inzawm natna a tihziaawm thei a ni. Chung zingah chuan:

• ``Medroxyprogesterone acetate (Depo-Provera®) hmanga siam a ni a, a man pawh a tlawm hle.
• ``Etonogestrel dahna (Implanon®)'' tih hi a ni.
• `GnRH agonists` (e.g. Goserelin) te hi a awm lo.

Damdawi lam kalphung

Damdawi ei hian i natna lan chhuahna a tiziaawm lo a nih chuan i doctor chuan heng enkawlna zinga pakhat hi a rawt thei ang:

• Ovarian vein embolization emaw sclerotherapy: Hetiang tih hian thisen back up tirtu veins te chu block a, thisen a pool tir thin. A hmasa berin doctor chuan harsatna awmna ovarian vein leh pelvic vein-ah catheter a dah lut a. Tichuan, catheter kaltlangin chemicals an inject a, chu chuan veins te chu a ti na emaw, a ti na emaw a, a ti tlem a ni. Heng vein-ah hian thir coil te te, special glue emaw foam emaw te pawh dahin thisen hnunglam (reflux) a kal loh nan an dah bawk.
• Laparoscopy: Doctor chuan laparoscopic procedure hmangin thisen hnunglam a luang lo tur ven nan veins te chu a khih thei a.
• Bilateral salpingo-oophorectomy hmanga tihchhuah a ni.Fa i neih zawh tawh a nih chuan, emaw, fa neih i duh loh chuan i doctor chuan i pelvic organs (uterus, fallopian tubes, leh ovaries) te chu lakchhuah a tum mai thei. Mahse, he surgery hi PCS tan chuan tih a ni tlem hle.

Pelvic Congestion Syndrome (PCS) hi nunna atana hlauhawm tak a ni em? Eng nge i beisei theih ang?

Pelvic Congestion Syndrome hi nunna atana hlauhawm tak a ni lo . Amaherawhchu, i natna nasat dan azirin a nasat em avangin i nitin nun a tibuai a, i thil hlimawm tak takte i tih theih loh phah thei a ni. Chuvangin i pum hnuai lam natna hian i nunphung a nghawng a nih chuan doctor pan a pawimawh.

Pelvic congestion syndrome hi standard treatment awm lo mah se, natna tihziaawmna tura intervention result chu a tha hle . Entirnan, ovarian vein embolization nei zinga 75% chuan natna tihziaawmna an nei thin. Chutiang hunah chuan natna hi za zela tlemte chauh, 5% velin a lo lang leh thin.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• Diagnosis emaw treatment emaw ka hmuh theih nan specialist engzat nge ka hmuh a ngai ang?
• Symptoms tihtlem nan eng damdawi nge i rawt?
• Engtikah nge ka natna lan chhuahna tihchangtlunna tura pui turin damdawi lam thil tih a rawt ang?
• Eng ang damdawi hmanga enkawl nge i rawt?
• Chu damdawi lam kalphung nena inzawm hlauhawmna awm thei chu engte nge ni?

I pum hnuai lam natna chhan dik tak hriat theih nan hun engemaw chen a ngai mai thei. Dik tak chuan pelvic pain thlen thei condition tam tak a awm a. I `PCS` dinhmun hriat chian nan hian test vawi engemaw zat neih a ngai thei a, specialist engemaw zat nen pawh thawh dun a ngai thei bawk. Thu lawmawm tak chu a tam zawkah chuan damdawi hmanga symptoms control theih a ni. Damdawi hian hna a thawk lo a nih pawhin i doctor chuan a pui thei tur damdawi lam enkawlna a rawt thei che a ni. Chuvangin, inenkawlna zawng leh chhawmdawlna hmuh hi tihkhawtlai suh.

Take-Home Thuchah hnuhnung ber

Chuvangin, `Pelvic Congestion Syndrome` hi i ngaihtuah angin a na lo va, nunna atana hlauhawm a ni lo. Amaherawhchu, hun rei tak chhung hrehawmna a thlen thin hi i nitin nun leh i hlimna daltu lian tak a ni thei.

• Thla tam tak chhung chu natna mak tak tak, rit tak tak, emaw, i pum hnuai lam i inhnukdawk tawh a nih chuan, a pawimawh ber chu ngaihthah mai mai lovin damdawi lam thurawn lak hi a ni.
• A chhan hriat nan hun engemaw chen a la ngai thei a, test eng emaw zat neih a ngai thei bawk. Mahse diagnosis dik tak i hmuh chuan enkawlna hmangin hahdamna i hmu thei ang.
• Nangmah chauh i ni lo tih hre reng ang che. Hmeichhe tam tak chuan heng dinhmunte hi an tawk nasa hle. Damdawi lam kaihhruaina leh puihna dik tak nen chuan he natna hi i enkawl thei a, i nung tha thei bawk.

Chuvangin, i taksa thu hi ngaithla rawh. Thil danglam emaw, thil danglam emaw i hriat chuan ngaihven rawh. Chumi hnuah chauh chuan kan hrisel thei ang a, kan hlim thei ang.

` Pelvic Congestion Syndrome, pum hnuai lam na, varicose veins, pelvic na, hmeichhe hriselna, gynecology, thisen kal dan, PCS