I pelvic organs te chu a tlahniam niin i hria em? Pelvic Organ Prolapse (POP) chungchang hi han sawi ila!

A chang chuan i vagina atanga thil lo chhuak ang maia rit, pressure, emaw i nei thin em? A nih loh leh i zun emaw, i zun emaw hian danglamna i hmu em? Hengte hi ngaihthah mai mai theih thil a ni lo. Vawiin hian hmeichhe tam tak tuar thei dinhmun kan sawi dawn a, mahse a chang chuan an mualpho avangin an thup thin. Hei hi Pelvic Organ Prolapse (POP) an ti a.

Pelvic Organ Prolapse (POP) hi eng nge ni? A awlsam zawngin i hrethiam ang u!

Awle, hei hi eng nge a nih i en ang u. Pelvic Organ Prolapse chu, a awlsam zawngin, i pelvic cavity chhunga taksa peng hrang hrangte, chu chu (Vagina) , (Uterus) , (Bladder) , (Rectum) (anus ang chi taksa peng) te chu an awmna pangngai atanga tihhniam a ni. Ngaihtuah teh, i pum hnuai lam heng taksa peng hrang hrangte hi net ang maiin an vawn sang a ni. He net hi Pelvic Floor kan tih hi a ni . Muscle, ligament leh tissue te atanga siam a ni. He Pelvic Floor hi cradle ang mai a ni a, a hnuai lam atanga heng organ te hi a vawn chhoh tir thin.

Tunah chuan eng emaw chhan vanga pelvic floor- a taksa ruhte chu a chak lo a nih chuan mesh chu a lo chhuak tawh ang mai a ni a, chu chu a chelh tlattu taksa pengte chu a hmunah an awm thei lo ang. Chutah chuan heng taksa peng hrang hrangte hi a tlahniam tan a, a nih loh leh vagina chu a sir lamah a tla thla tan a ni. Hetiang dinhmun hi nau neih hnu emaw, kum upat deuh deuh emaw avanga lo awm thei a ni.

POP vei na lo tak takah chuan organ chu a prolapsed deuh chauh thei. Mahse a na zawkah chuan chu organ chu vagina atang chuan a chhuak vek thei a, tumor ang maiin a chhuak thei bawk. Hetiang natna vei te hian an vagina atanga a khat, pressure, emaw thil lo chhuak emaw an sawi fo thin. I natna lan chhuah dan dik tak leh i natna nasat dan hian eng POP chi nge i neih tih a hril ang.

A tha ber chu, hei hi enkawl dan tur a awm. Surgery ni lo enkawlna bakah surgery hmanga enkawlna a awm bawk. I doctor chuan i dinhmun a zirchiang ang a, i tan eng enkawlna tur nge tha ber tih a sawipui ang che.

POP chi hrang hrangte chu engte nge ni?

POP i neih chi chu i pelvic floor- a khawiah nge chak lohna a awm tih a innghat a, chu chak lohna chuan eng organ nge a nghawng tih a innghat bawk. A chi hrang hrang thenkhat han thlir ila:

• Anterior vaginal wall prolapse (Dropped Bladder / Cystocele): Hei hi i vagina chunglam pelvic floor muscle te a chak lo va, i bladder chu a tla thla a, i vagina chhungah a rawn chhuak a ni. Hei hi cystocele an ti a . Hei hi mi tam zawkin POP chi khat an hmuh tam ber a ni.
• Urethrocele: Hei hi pelvic floor muscles (urethra) chak lohna vang a ni.Pakhat (urethra) tihhniam a ni. Vawi tam tak chu bladder tihhniam a nih chuan a rualin urethra pawh tihhniam theih a ni.
• Posterior vaginal wall prolapse (Rectocele): Hetah hian vagina leh rectum inkar pelvic floor muscle chak lohna avangin rectum chu vagina hnunglam wall lam hawiin a rawn chhuak a
• Enterocele: Pelvic cavity chhunga muscle te a chak loh chuan i intestine te chu hnunglam bang emaw, vagina chunglam emaw ah a rawn chhuak thei a.
• Uterine prolapse (Dropped Uterus): Pelvic floor a chak loh chuan uterus chu vagina chhungah a tla thla thei a ni.
• Vaginal vault prolapse: Hei hi hmeichhia hysterectomy nei tawhte zingah a tam hle. Pelvic floor muscle te a chak loh chuan vagina chunglam ( vaginal vault an tih) chu vagina chhungah a tla thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm? Hei hi zahpui tur thil a ni em?

Dik tak chuan statistics atanga a lan dan chuan hmeichhia 3% atanga 11% inkar chuan he natna hi an tawk dawn a ni. Hmeichhia pelvic floor disorder (POP telin) nei zinga 37% vel chu kum 60 leh 79 inkar an ni a, a chanve aia tam chu kum 80 chunglam an ni.(Hriat tur: he sentence-a "a chanve aia tam" hi Tamil tawng a ni. "Majority" emaw "a chanve aia tam" emaw a ni tur a ni. Chu chu ka siam tha ang.) ... a chanve aia tam chu kum 80 chunglam an ni.

Mahse mi engzat nge a nghawng tih chiang taka sawi a har a, a chhan chu mi tam takin he thil hi enkawlna an zawng lo. Mi tam tak chuan an mipat hmeichhiatna lama harsatna an neihte sawi chhuah an zak emaw, an zak emaw avangin enkawlna an zawng lo. Mahse i hriat tur pawimawh ber chu nangmah chauh i ni lo tih hi a ni. Mi tam tak chuan heng POP chi hrang hrangte hi an tawng thin.

POP natna lan chhuahna chu engte nge ni?

A lan chhuah dan tlangpui chu vagina atanga thil lo chhuak, ball ang chi emaw, a chhunga thil lo awm emaw hriatna a ni. Tin, natna lan chhuah dan dang pawh a awm thei bawk a, chungte chu:

• Vagina chhunga a khat, a rit emaw, pressure emaw a awm tih hriatna.
• Pum hnuai lam emaw, pelvic area-ah a khat, pressure emaw, natna emaw hriatna.
• Mipat hmeichhiatna hman laiin natna emaw, nuam lo emaw hriatna (Dyspareunia) .
• I zun leh ek chhuah dan a inthlak danglam.

I hmuh tur symptoms chu prolapse awmna hmunah a innghat ang. Heng symptoms te hi i doctor hnenah chiang taka i sawi theih chuan i pelvic floor chak lohna hmun chu an hre chiang zawk ang.

Mi tam tak chuan an natna lan chhuah dan chu zun emaw, ek chhuah emaw an harsat hunah emaw, sex hman a nasat hunah emaw chauh doctor hnenah an hrilh thin. Heng side effects te hi POPs ah hian a awm fo thin. Heng symptoms te hi:

• I khuh emaw, i nuih emaw, exercise i tih hian zun tlem i leak palh thei.(Stress Incontinence) .
• Zun chhuah ngai nia hriat fo, emaw, zun (bladder) a khat tih hriatna.
• Constipation, emaw, rilru hahna control theih lohna emaw.

Engvangin nge POP hi a lo awm? A chhante chu engte nge ni?

I pelvic floor a chak loh chhan tam tak a awm thei. A tam zawkah chuan i pelvic floor -a muscle, ligament leh tissue te a inzawm khawm lutuk hian hetiang hi a thleng thin. Tin, hman tlakchham vanga taksa ruhte hnathawh that loh vang pawh a thleng thei bawk.

A hnuaia thil eng pawh hian POP vei theihna a tipung thei a ni:

• Vaginal delivery: Hei hi POP thlentu ber a ni. Vaginal delivery tam tak, twins emaw triplets emaw, naute lian tak neih (Fetal Macrosomia) , leh forceps emaw vacuum ang chi instrument hmanga nau neih te hi pelvic floor muscles tichak lo thei zawng zawng a ni. Nau neih laiin chu hmun chu eng angin nge pressure a awm tih han ngaihtuah teh.
• Kum upa lam: Kan tar chhoh zel chuan kan taksa ruhte hian chakna a hloh zel a. A chhan pakhat chu hormone estrogen tlahniam vang a ni . Menopause i paltlang hian i taksa hian estrogen a siam tlem zawk . Hei hian i pelvic floor thlawptu connective tissue chu a tichak lo thei a ni .
• Overweight/Obesity: Zirna hrang hrangah chuan mi thau lutuk, chu chu thau lutuk te hian taksa rihna hrisel tak tak te aiin POP an vei tam zawk tih hmuhchhuah a ni.
• Abdominal cavity-a hun rei tak pressure: Pelvic floor muscle-te pressure chhunzawm zel chuan a tichak lo thei. Thil hrang hrang, constipation rei tak , khuh rei tak , leh thil rit phur fo hian POP vei theihna a tipung a ni.
• Chhungkaw chanchin: POP hian genetic influence a nei em tih zirchianna chu kalpui mek a ni a, mahse pelvic floor chak lo i rochun tawh mai thei
• Connective tissue natna: Ehlers-Danlos syndrome , Marfan syndrome , emaw Joint Hypermobility Syndrome ang chi natna nei te chu POP vei an hlauhawm hle.

POP avanga harsatna awm thei te chu engte nge ni?

Pelvic Organ Prolapse hi a nuam lo hle a, i nunphung a tichhe thei a ni. I bladder leh bowels control hloh bakah hian POP avanga harsatna dang lo awm thei te chu hetiang hi a ni:

• Infection: Prolapse avanga i zun tha thei lo a nih chuan i zun chu i urethra emaw kidney emaw ah a back up thei a ni. Hei hian Urinary Tract Infection (UTI) a thlen thei a ni.(urinary tract infection) emaw kal infection emaw a awm thei.
• Kidney Damage: A nasat chuan hun rei tak chhung natna hrik kai leh zun kal dan a tikhawlo thei a, hei hian kal a tichhe thei a ni.
• Emotional Distress: POP hian i nitin nun a tibuai thei a, i rilru hriselna a nghawng thei bawk. Chumi chungchâng sawi chu i zak mai thei a, chu chuan lungkhamna a thlen belh thei a ni.

Engtin nge doctor hian POP hi a hriat theih ang?

Doctor i hmuh chuan i natna lan chhuah dan an zawt hmasa ang a, chutah chuan pelvic exam an ti ang . He exam chhung hian doctor chuan khuh turin a ti thei che a, i rilru hahdam lai leh i rilru hah laia prolapse i neih zat an enfiah thei bawk. I mut lai emaw, i ding lai emaw pawhin an enfiah thei che a ni. A tam zawkah chuan pelvic exam hian POP i neih leh neih loh hriat theih nan a pui thei a ni.

Tin, a hnuaia test te hi tih theih a ni bawk.

• Pelvic floor function tests: Heng test te hian i doctor chuan i pelvic floor-a muscle leh ligament te chu engtiang chiahin nge a chak tih a hmu thei a ni. Hei hian chetna thenkhat tih te, taksa ruh tihkhauh leh tih hahdam te, etc. a huam thei.
• Bladder function test: Heng test te hian POP nena inzawm zun lama harsatna awm leh awm loh enfiah nan a pui thei a ni. Hei hian cystoscopy , tih test a huam thei a, chutah chuan doctor chuan i bladder leh urethra chhung chu a en a ni. I bladder leh urethra hian engtiang chiahin nge zun a chelh tha tih leh engtiang chiahin nge a chhuah tih hriat nan urodynamics test an ti thei bawk.
• Imaging procedures: Heng test te hian i pelvic cavity chhungah a en thei a. I doctor chuan i prolapse nasat dan dik tak hriat nan pelvic floor ultrasound emaw MRI emaw a ti thei ang. Mahse, heng imaging test te hi thil buaithlak zawkah chauh hman a ni tlangpui.

POP stage hrang hrang a awm em?

Ni e, POP hi classified dan a awm. A hmingah chuan Pelvic Organ Prolapse Quantification (POP-Q) system tih a ni. I pelvic organs te chu i hymen (i vagina hawnna line tu membrane) nena khaikhin chuan eng chen nge an tlahniam tih a zirin a stage thin.

He scale hi zero atanga pali thlengin a kal a:

• Stage Zero: Hei hian i taksa peng hrang hrangte chu engti kawng mahin a che lo tihna a ni.
• Stage One: Prolapse hi a na lo hle. Penis hi i hymen atanga centimeter 1 tal a sang a ni .
• Stage hnihna: He stage-ah hian prolapse hi a moderate a ni. Organ hi hymen atanga centimetre 1 aia hla lo a ni (i.e., hymen chu a ni(a chung atanga a hnuai thlengin 1 cm).
• Stage Pathumna: Hetiang stage-ah hian prolapse hi a na hle. Organ hi hymen hnuaiah centimeter 1 aia sang a ni a, mahse prolapse chu vagina atangin a chhuak kim lo.
• Stage Palina: Hei hian i prolapse vek tihna a ni. Prolapse tluantling hi a na ber chi a ni. Chutiang a nih chuan prolapsed organ chu vagina atang hian a rawn chhuak vek tawh a ni.

Ngaihtuah teh, a rualin taksa peng hrang hrangah POP stage hrang hrang i nei thei. Entirnan, stage thum bladder prolapse leh stage one uterine prolapse i nei thei bawk.

POP enkawlna tur engte nge ni?

Treatment plan i dawn tur chu prolapse nasat dan te, khawiah nge a awm tih te, leh i symptoms te hian eng chen nge a nghawng che tih ah a innghat ang. Nonsurgical leh surgical treatment pawh a awm vek. Entirnan, prolapse hi a na lo va, a tibuai lutuk lo che a nih chuan enkawlna i mamawh lo mai thei. I doctor chuan heng enkawlna kawng zawng zawng hi a sawipui ang che a, i tan eng ber nge tha ber tih ngaihtuah turin a pui ang che.

Nonsurgical Treatment te pawh a awm bawk

Surgery ni lo enkawlna hian i natna lan chhuah dan control leh i nunphung tihchangtlunna tura puih hi a ngaih pawimawh ber a ni. I dinhmun nasat dan azirin heng enkawlna result hi a awm reng thei lo mai thei. Mahse, mi tam tak chuan non-surgical options an duh zawk emaw, he method hi an tan a tha ber tih an rel emaw a ni.

POP enkawlna non-surgical treatment-ah chuan:

• Vaginal Pessary: ​​Hei hi silicone hmanga siam, lakchhuah theih a ni. Doctor chuan i vagina-ah a dah thei a, a hmunah a lowered organ awmna hmunah a vawng thei bawk. Chu organ tan chuan support tlemte ang mai a ni.
• Pelvic floor exercise (Kegel exercises): Hengte hi i pelvic floor tichaktu exercise te an ni . I doctor chuan pelvic floor specialist ( Urogynecologist ) hnenah a refer thei che a, ani chuan mimal takin i taksa chakna chu a test thei a, chu ruhte tichak turin exercise bik a pe thei bawk. Heng (Kegel exercise) te hi dik taka tih a pawimawh hle.

Surgery hmanga enkawl dan tur

Standard treatment hmanga i symptoms a ṭhat loh chuan, emaw, i doctor-in surgery hian i nunphung a ti ṭha ang tih a ngaihtuah a nih chuan, surgery hi duhthlan tur a ni thei. Mahse , i doctor nen operation tih hian a hlauhawmna leh a thatna te sawiho a pawimawh.

POP dinhmun siamthatna tur hian surgeon-in a thlan theih dan hrang hrang a awm. Surgery chi hnih a awm a, chungte chu Obliterative surgery leh Reconstructive surgery te an ni.(Reconstructive surgery tih a ni).

Obliterative surgery- ah chuan i vagina hawnna chu tihtlem a ngai a. Hei hian penis a rawn chhuah loh nan a titawp ang. Mahse, hei hian vagina kaltlanga sex hman theihna a hloh phah thei a ni.

• Colpocleisis hi obliterative surgery a ni a, a natna hi a tha lo hle. Vagina a ti tawi. Taksa atanga taksa peng eng pawh lo chhuak tur a veng a ni. Hei hi taksa chakna i neih loh chuan reconstructive surgery i tih theih loh chuan, leh vagina hmanga sex hman i duh tawh loh chuan a tha hle.

Reconstructive surgery- ah hian i pelvic floor hmun chak lo zawkte siamthat a, taksa peng hrang hrangte chu an dinhmun pangngaia dah leh a ngai a ni.

• Sacrocolpopexy hi uterine prolapse leh vaginal vault prolapse enkawlna atana hman tur surgical procedure a ni a . I vagina chu i hnungzang hnuai lam ligament nena inzawm tir turin mesh (mesh chi khat) hman a ni. Hei hi laparoscopically (keyhole surgery) hmangin i pum chhunga incision te te tlemte hmanga tih a ni fo thin.
• Uterine prolapse enkawlna atan pawh sacrohysteropexy an tih procedure an hmang bawk. I doctor chuan i serh leh i vagina-ah surgical mesh a bun ang a, chutah chuan i hnungzang hnuai lam a bun ang. Hei hian nausen pum chu a awmna hmunah a hruai chho ang.
• Colporrhaphy hi anterior leh/or posterior vaginal wall prolapse enkawlna atana surgery hmanga tih a ni. He procedure hi i vagina kaltlangin tih a ni. Doctor chuan i vaginal walls chu dissolvable stitches hmangin a tichak ang a, chu chuan i bladder leh rectum tan support tha zawk a pe ang.
• Uterosacral emaw sacrospinous ligament fixation hi i tissue hmanga uterus prolapsed emaw vaginal vault emaw enkawl nan hman a ni Hetiang tih dan hi vagina ( colporrhaphy ang chi) kaltlangin tih a ni bawk. Hetiang procedure-ah hian doctor chuan i vagina chunglam chu i pelvic cavity-a ligament emaw muscle emaw-ah dissolvable sutures hmangin a dah a. Hetiang surgery hi a chang chuan native tissue repair an ti bawk .

Engtikah nge operation tih a ngai?

POP enkawl nan hian eng stage bik nge surgery neih a ngai tih a awm lo. I natna lan chhuah danin i nun a nghawng dan leh fa tam zawk neih i tum leh neih loh ang chi thilah a innghat a ni. Mahse, a tlangpuiin stage thum emaw pali emaw prolapse i neih chuan operation a ngai zawk.

A pawimawh ber chu i doctor nen enkawl dan tur zawng zawng sawipui hi a ni. Surgery a rawt dawn em tih emaw, non-surgical options i enchhin hmasa tur em tih emaw chu ngaihtuahna tha tak nei rawh.

POP enkawlna hian a dam vek em? A tihhniam tawh chu dah leh theih a ni em?

Ni e, he dinhmun hi enkawlna hmangin a lo let leh thei a ni. POP natna na lo tak takah chuan i taksa peng hrang hrangte chu a awmna tur dik takah an vawn theih nan i taksa ruhte chu i tichak thei a ni. Reconstructive surgery hian i pelvic walls-a chak lohnate chu a tichak a, chu chuan i taksa pengte chu a awmna tur hmunah a kir leh thin.

A nasat zawkah chuan taksa peng chhuak chu i nawr lut leh a ngai mai thei a, a bik takin i rilru a buai emaw, i zun emaw chuan. Mahse, hei hi hun rei lote chhunga chinfelna chauh a ni. I pelvic organ prolapse hi hetiang taka na a nih chuan doctor pan ngei ngei tur a ni.

POP a lo awm loh nan eng nge kan tih theih ang?

Kan thunun theih loh thil tam tak, POP lo piang chhuak thei tur hi a awm a. Mahse, hriselna lama tih dan thenkhat i hman chuan he hlauhawmna hi i tihziaawm thei a ni.

• Nitin pelvic floor exercise (Kegel exercises) ti thin ang che: I pelvic floor- a muscle control neih hian i taksa peng hrang hrangte tanpui chak tak a pe a ni.
• I taksa rihna hrisel tak vawng reng rawh: I taksa rihna hrisel chu i tan eng nge a nih tih i doctor nen sawiho rawh.
• Constipation ven: Hun rei tak constipation hian i pelvic floor muscle-ah a tul lovah harsatna a siam thei a ni. Fiber tamna diet ei leh tui tam tak in hian constipation a veng thei a ni.
• Meizial zu suh: Meizial in hian khuh rei tak a thlen thei. Hei hian i pum chhungah a tul lovah pressure a siam thei a, i pelvic floor muscle-ah pawh strain a siam thei bawk.
• I chawi lai hian i pelvic floor humhim rawh: Thil rit i chawi dawnin tanpuina dil rawh. Mahni chauha i chawi lai hian i hip leh khup ben a, i hnungzang chu a dinglam thei ang bera dahin squat rawh. Lifting laiin i torso chu twist suh. Taksa dinhmun dik taka dah hian i hnungzang hnuai lam hliam a veng thei a , i pelvic floor a humhim thei bawk .

POP condition nena kan nun hian eng nge beisei tur?

I thlirna chu thil engemaw zatah a innghat a ni. Chung zingah chuan tumor hi khawiah nge a awm, engtiang chiahin nge a nasat tih, i symptoms te, eng treatment option nge i neih tih te a ni. Enkawlna atanga i beisei tur chu ngun takin ngaihtuah rawh. I doctor hnenah enkawlna kawng tinreng thatna leh that lohna chungchang sawipui rawh. Enkawlnain nun nuam zawk i neih theih dan tur sawiho rawh.

Hriat tur awm chhun chu Pelvic Organ Prolapse hi enkawl theih a ni a, he harsatna nen hian i nunpui a ngai lo. I doctor hnenah tanpuina dil la, i duhthlan turte chu an sawipui ang che. Pelvic Organ Prolapse vei tam zawk chuan enkawlna hmangin an natna lan chhuah danah hahdamna an hmu thin.

Engtik hunah nge doctor ka hmuh ang?

Pelvic floor prolapse symptom i neih chuan doctor pan rawh . A lan chhuah dan chu:

• I pelvic area-ah pressure emaw fullness emaw i hriat chuan.
• Sex hman laiin i rilru a hahdam loh chuan.
• Vagina atanga thil lo chhuak ang maia a awm chuan.
• I ril i control theih loh emaw, constipated i nih chuan.
• Zun i leak (hriat loh pawhin), emaw, zun tam ngai nia i hriat chuan.

Pelvic organ prolapse hi nunna atana hlauhawm a ni lo a, mahse nunna atana i pawm tur thil a ni lo. I nun tha ber i hman theih lohna tur leh i duhzawng thil tih theih lohna tur symptoms a siam thei a ni. Nangmah chauh i ni lo tih hria la, pelvic floor dysfunction hi hmeichhiaah a tam hle. Pelvic floor chak lo i rinhlelh chuan doctor nen inbiakna neih pawh zak suh. Anni chuan enkawlna, damdawi hmanrua, leh nunphung tihdanglam thlengin an rawt thei a, chu chuan a tlakbuakna chu a siam ṭha thei a, i nunphung a ti ṭha thei bawk.

A tawp berah chuan ka hrilh a ngai che u (Take-Home Message) .

Chuvangin, Pelvic Organ Prolapse (POP) hi hmeichhiate natna thlen thei leh a nuam lo deuh thei a nih laiin, a enkawlna tha tak tak a awm tih hi i hre reng tur a ni.

• Zak suh: Heng symptoms te hi i neih chuan zak lo la, zak suh la, zak suh la, zak suh la, chu chu doctor hnenah sawipui suh. Hei hi mi tam tak chunga thil thleng a ni.
• A chhan hriat: POP lo awm chhan (nau neih, tar, taksa rihna tihpun ang chi) hriat a pawimawh.
• Invenna a pawimawh: Kegel exercise tih te , taksa rihna hrisel tak neih te, leh chaw ei kham loh te hian he natna hi a tihziaawm thei a ni.
• Enkawlna tur a awm: Enkawlna chi hrang hrang a awm a, non-surgical treatment (pessary, exercise) atanga surgery thlengin i dinhmun a zirin a awm.
• Damdawi lam thurawn zawng rawh: Eng enkawlna nge i tana tha ber tih hriat duh chuan doctor pan ngei ngei tur a ni a, thurawn pawh la ngei ang che.

I taksa kha enkawl tha rawh. Inthlâk danglamna emaw, lungawi lohna emaw i neih chuan ngaihthah lova damdawi lam thurâwn la chu a finthlâk a ni.

` Pelvic organ prolapse, POP, hmeichhe hriselna, uterine prolapse, bladder prolapse, pelvic floor exercise, Kegel exercise tih te