Naute i nei chauh em ni? A nih loh leh nau pai ang chi thil lungchhiatthlak tak i tawng em? Chutiang thil thleng hnuah chuan taksa chu a dam leh theih nan hun engemaw chen a mamawh a ni. Chuvangin, ni engemaw zat chu vaginal bleeding engemaw zat leh natna tlemte neih hi thil pangngai a ni. Mahse, he thisen chhuahna hi a tlangpui aia a rit zawk a nih chuan, thisen zam lian tak tak i pass a nih chuan, emaw, ni engemaw zat hnuah pawh hmasawnna a awm lo a nih chuan, bânsan mai mai chu a ṭha lo. Tuna kan sawi tur "retained uterine tissue" tih dinhmun avang pawh a ni thei.
A awlsam zawngin, eng nge retained part of the uterus (RPOC)?
Hei hi a hming i hriat chuan a buaithlak deuhin a lang thei a, mahse a awlsam hle.
Naupai hun a tawp hnuah, chu chu naute pian hnuah emaw, nau pai hnuah emaw, nau pai hnuah emaw, chu naupai hun nena inzawm tissue parts chu nausen pum chhungah a awm a, chu chu damdawi lamah chuan `(Retained Products of Conception - RPOC)` kan tih chu a ni. Ngaihtuah teh, naupai lai hian naute nen hian nausen pum chhungah thil pawimawh dang, placenta an tih chu a lo thang lian thin a ni lawm ni? Naute hian he placenta hmang hian a mamawh ei leh in leh oxygen a hmu thin. Naute a pian hnuah he placenta hian nausen pum a chhuahsan vek tur a ni a, a chhuak tur a ni. Mahse a châng chuan he nausen (placenta) hmun te te, embryo emaw nausen emaw tissue peng emaw, naupai hun nena inzawm tissue peng dang emaw te hi a chhuak kim lo thei a, nausen pum chhungah a tang reng thei bawk. Chuvang chuan he condition hi kan ti a ni.
Chuti a nih chuan hei hi "Retained Placenta" nen a inang em?
Ni lo, an danglam deuh. Nau neih atanga minute 30-60 chhunga nausen pum pum pui a chhuah loh chuan "Retained Placenta" kan ti thin. Chutiang a nih chuan,
placenta pum pui kan sawi a ni . Mahse `(RPOC)` hi tlem a zau zawk condition a ni. Hetah hian nausen pum pum pui ni lovin,
nausen hnute tlemte, nausen taksa peng pakhat emaw, nausen pum chhunga awm thei thil dang emaw a ni . A awlsam zawngin `(Retained Placenta)` hi `(RPOC)` chi khat anga ngaih theih a ni.
Hetiang natna lan chhuah dan hi engte nge ni? Engtin nge i hriat chian?
Naute i neih hnuah i taksa hian inthlak danglamna tam tak a paltlang thin avangin, a chang chuan heng symptoms te hi thil pangngai zawk anga ngaihsual a awlsam thin. Mahse hei hi hriat chian a pawimawh.
Nausen neih hnu emaw, nau pai hnu emaw, kar engemaw zat thisen chhuah tlem hi thil pangngai a ni tih hre reng ang che. Mahse zawi zawiin a tlahniam tur a ni. A nih loh chuan ngaihven tur thil a ni.
A lan chhuah dan ber leh langsar ber chu
vaginal bleeding pangngai lo emaw, thisen chhuak tam lutuk emaw a ni. Hei hi han sawifiah leh ila:
- Thisen chhuak nasa : Darkar hnih danah pad pakhat hnim vek thei khawpa thisen i chhuah chuan.
- Thisen zam lian tak tak passing: Thisen zam pangngai aia lian zawk i pass chuan.
- Intermittent bleeding : Ni engemaw zat thisen chhuah a reh a, chutah rang taka thisen chhuak nasa tak a lo chhuak leh a nih chuan.
- Discharge rimchhia: Vaginal discharge hian rimchhia a neih chuan infection chhinchhiahna a ni thei.
He symptom lian ber bakah hian symptom dang engemaw zat hmuh tur a awm bawk.
| Symptom a ni | Hrilhfiahna |
|---|
| Khawsik leh khawsik | Nausen pum chhung hmun la awmte avanga natna hrik a awm chuan khawsik a awm thei. |
| Pum hnuai lam natna | A pum hnuai lam natna na tak, na reng reng emaw, na tak emaw ang maiin a lang thei. |
| Nausen pum lian leh sensitive tak | Enfiah lai hian doctor chuan nausen pum chu beisei aia lian leh khawih a hrehawm tih a hmu thei a. |
| Thla tin thlasik neih leh theih loh | Naute i hnute i pek loh chuan i period chu kar 6-8 chhungin a tan leh tur a ni tlangpui. A nih loh chuan chu pawh chu he dinhmun chhinchhiahna a ni thei bawk. |
Engvangin nge hetiang hi a lo awm? Hei hi a chhan bik a awm em?
A chhan pakhat chiah hriat chian a harsa fo thin. Mahse, doctor-te chuan he natna vei theihna tipungtu thil engemaw zat an hmuchhuak a ni.
Risk factor ber chu naupai hmaa he natna (RPOC) hi i lo neih tawh chuan, .Naupai hnua a lo awm leh theihna chance pawh a sang hle. Chu bakah, a hnuaia thil awmte hian a hlauhawmna a tipung thei bawk.
| Risk factor a ni | Hrilhfiahna awlsam tak |
|---|
| Placenta Accreta tih chu a ni | Hei hi placenta chu uterine wall-ah direct-a inzawm tihna a ni. Tichuan, naute a pian hnuah chuan a chhuak awlsam lo. Parts te chu a awm reng theihna chance a sang hle. |
| Kum 35 chunglam a nih avangin | Naupai lai hian nu chu kum 35 chunglam a nih chuan a hlauhawmna a sang deuh hlek a ni. |
| Assisted Delivery a ni | Naute lakchhuah nan forceps emaw vacuum emaw ang chi instrument hman a ngai a nih chuan. |
| Naupai thla thum hnihna (kar 13-26) chhunga nau pai emaw, nau piang thi emaw . | Hetih lai hian nausen (placenta) chu a chhuak kim lo va, a then pawh a awm reng theihna chance a sang hle. |
| Nau neihnaah Hmasawnna Hlawhchhamna | Nau neih a kal zel chuan nausen pum chu a chau thei a, nausen (placenta) chhuah vek theihna tura a tul ang ang (contractions) a nei lo thei bawk. |
| Tun hmaa uterine surgery neih tawh a ni | A hmaa cesarean section (C-section) emaw D&C emaw i neih tawh chuan nausen pum chhunga scar tissue hian nausen chu a inzawm thuk thei a ni. |
| Uterus pianzia mumal lo tak neih | Hmeichhe thenkhat uteruse hi an pian a\angin a pianzia a inang lo deuh a, chuti chung pawh chuan a peng thenkhat chu a awm reng thei a ni. |
Heng a then te hi lakchhuah a nih loh chuan eng nge thleng ang? Harsatna lian tak a awm dawn em ni?
Awle. Hetiang dinhmun hi enkawl loh a nih chuan a chang chuan harsatna lian tak a thlen thei a ni. Chuvang chuan heng symptoms te hi fimkhur turin kan ti a ni.
- Anemia : Thisen chhuah tam lutuk hian taksaa thisen awm zat a ti tlem thei a, chu chuan hahna leh luak chhuak ang chi symptoms a thlen thei a ni .
- Infection: Nausen pum chhunga tissue la awm hi bacteria te tan hmun tha tak a ni . He natna hi fallopian tube leh ovaries -ah a darh thei a, nakin lawka fa i neih theihna tur a nghawng thei a ni. A châng chuan, he natna hi taksa pum puiah a darh thei a, sepsis ang chi nunna atana hlauhawm tak tak a thlen thei bawk.
- Chronic Pelvic Pain: I pum hnuai lam natna hi rei tak i nei thei.
- Asherman’s Syndrome: Hei hi natna awm lo tak a ni. Nausen pum chhunga natna hrik emaw, enkawlna emaw (a bik takin D&C) chuan nausen bangte chu a inzawm khawm thei a ni. Hei hian period mumal lo, nau pai, leh nakin lawka nau pai harsatna a thlen thei a ni.
Engtin nge doctor-te hian he natna hi an hriat theih?
Symptoms chauh atanga thlirin he natna hi i nei tih 100% a chiang a harsa hle. Heng symptoms te hi damdawi lam thil dangah pawh hmuh tur a awm bawk. Chuvangin, i doctor hian test eng emaw zat a ti thei a, hei hi finfiah theih a ni.
| Test dan tur | Chuta tang chuan eng nge i zir? |
|---|
| Transvaginal Ultrasound Scan hmanga tih a ni | He scan hian vagina kaltlangin probe te tak te dah a ni a, nausen pum chhung bang chu a thim em tih emaw, tissue lumps a awm em tih emaw chiang takin a hmu thei a ni. |
| Color Doppler Ultrasound hmanga tih a ni | Hei pawh hi scan chi khat a ni. Nausen pum chhunga tissue la awmte hian thisen supply a la nei em tih a hmu thei. Thisen supply a awm chuan placenta chhunga awm a nih a rinawm ber. |
| HCG thisen test (Mihring Chorionic Gonadotropin Test) hmanga enfiah a ni. | HCG hi naupai laiin nausen (placenta) atanga hormone siam chhuah a ni. Naupai tawp atanga kar engemaw zat hnuah pawh thisenah he hormone level hi a la sang a nih chuan nausen pum chhung hmun thenkhat chu nausen pum chhungah a la awm thei tih a tilang a ni. |
| Hysteroscopy hmanga enfiah a ni | Hetah hian camera dahna tube te tak te chu vagina kaltlangin nausen pum chhungah an lut a, a chhung lam chu screen-ah direct-in an en a ni. Hei hian eng part nge la awm tih chiang takin a hmu thei a ni. |
Hei hi eng enkawlna nge ni?
Hetiang dinhmun hi a dik tih finfiah a nih chuan a la awmte chu lakchhuah a ngai a ni. Hei hi enkawlna kawng hrang hrang pahnih a awm. I doctor chuan i dinhmun, i natna lan chhuah nasat dan leh tissue la awm zat a zirin i tana enkawlna tha ber a ruat ang. 1.
Damdawi lam enkawlna:- Misoprostol: Hei hi damdawi, pill anga ei emaw, serh chhunga dah emaw a ni. Nausen pum (uterus) a tikhawlo (dilate) thin. Nausen pum (uterus) a inzawm chuan a chhunga thil awm zawng zawng chu a nawr chhuak thin.
2.
Surgery hmanga enkawl dan:- Dilation and Curettage (D&C): Hei hi surgery tenau tak a ni. Sinhala tawng chuan "nausen pum silfai" kan ti bawk. Hetah hian serh chu tlem an hawng a, hmanraw bik (a tam zawkah chuan suction tube) an dah a, nausen pum bang a thil awm la awm zawng zawng chu an tifai a, an paih chhuak thin. Hei hi anesthesia hmanga tih a ni tlangpui.
Heng enkawlnate hian hlauhawmna a nei em?
Damdawi lam thil dang ang bawkin, heng tih danah hian hlauhawmna tlemte chauh a awm. Thisen chhuak nasa leh hri kai ang chi thil hi a pahnih hian a thleng thei a, mahse a chance erawh a tlem hle. D&C hi a tlem hle.
Uterine perforation a awm thei a, mahse a mah chauhin a dam fo thin. A pawimawh ber chu i doctor nen heng enkawlna te leh an thatna leh that lohna te hi zalen taka sawipui hi a ni. Tichuan, thu tlûkna dik tak i siam thei ang.
Eng emergency-ah nge doctor hmuh a ngai?
I naupai tawp hnuah a hnuaia symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal la, doctor hnenah hriattir nghal rawh.- Thâwk harsa
- Vaginal bleeding nasa tak (darkar khatah pad pakhat aia tam wetting) .
- Khawsik sang tak a nei
- Nausea leh luak chhuak
- Tuar theih loh, pum hnuai lam natna nasa tak
Chutiang dinhmunah chuan in lamah nghak suh. A him ber chu damdawi lam thurawn lak nghal hi a ni. Chutiang dinhmun hmachhawn chu a harsa thei hle tih ka hria a, rilru lamah pawh a harsa thei hle. Nausen neih hlimna i tawn duh hunah emaw, nau pai nasat lutuk tihbo i tum lai emaw chuan, enkawlna dang i neih a ngai dawn tih an hrilh che chuan phurrit lian tak i neih chu thil pangngai tak a ni. Mahse, hei hi enkawlna hmanga tihdam vek theih natna a ni tih hre reng ang che. Hmeichhia tam tak chuan he enkawlna hnu hian harsatna nei lovin nau an pai leh thei a, fa hrisel tak tak an nei thei bawk. I doctor, i pasal leh i chhungte nen in zawhna te, i hlauhthawnna te, leh i rilru put hmang te chu zalen takin sawipui rawh. I tan thlamuanna ropui tak a ni ang. Take-Home Thuchah a ni
- Naupai tawp hnua uterine tissue la awm (nau neih, nau pai) chu residual uterine tissue (RPOC) an ti a.
- A lan chhuah dan ber chu thisen chhuak nasa, khawsik, leh pum hnuai lam natna te hi a ni .
- Nau neih emaw, nau pai emaw hnua thisen chhuah a tlahniam zauh zauh lo va, a pung emaw, a intan leh emaw a nih chuan doctor pan nghal tur a ni.
- Hetiang dinhmun hi enkawl loh a nih chuan thisen tlakchhamna leh natna khirh tak tak a thlen thei a ni.
- Hei hi ultrasound scan leh thisen test hmanga hriat theih a ni a, damdawi emaw, surgery tenau (D&C) emaw hmangin a dam kim thei bawk.
- Enkawlna mumal tak an dawn hnuah nakin lawkah naupai hrisel takah nghawng a nei lo tlangpui.
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