Nau i pai a ni thei a, nau pai pawh i nei thei bawk. Mahse, chu thil thleng hnua i taksa a lo dam leh theih nan hun engemaw chen a ngai a ni. Hetih hun chhung hian thisen chhuah engemaw zat a awm hi thil pangngai a ni. Mahse, a chang chuan he dinhmun hi a tlangpui aia tam a kal thei a ni. Chutianga a awm chhan pakhat chu tunlaia kan sawi tum dinhmun hi a ni.
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Hei hian retained parts of the uterus (RPOC) tan eng nge a awmzia tak?
A awlsam zawngin, Retained Products of Conception (RPOC) chu naupai tawp hnua nausen emaw, nausen emaw atanga tissue i uterus chhunga awm reng hi a ni. Hei hi a thlen theih dan kawng hrang hrang a awm a:
- Nau neih pangngai hnuah
- Cesarean section (C-section) neih hnuah .
- Nau a pai hnuah
- Nau pai hnuah
A la awm tam zawk hi nausen chhunga awm a ni a, mahse a chang chuan nausen hmun thenkhat pawh a awm thei bawk.
A pawimawh ber chu hei hi hmeichhe tam tak tuar thei dinhmun a ni lo. Chuvangin he thu hi chhiarin a tul lovah hlau suh. A pawimawh ber chu fimkhur hi a ni.
Engtin nge he natna hi i nei tih i hriat theih ang?
Naupai hnuah i taksa hian inthlak danglamna tam tak a paltlang thin. Thisen chhuah leh vaginal discharge thenkhat chu thil pangngai a ni. Mahse, thisen chhuak nasa tak emaw, thisen zam lian tak tak emaw i neih chuan damdawi lam pan a ngai tih chhinchhiahna a ni thei.
RPOC chhinchhiahna ber leh langsar ber chu thisen chhuak nasa emaw chhuak mumal lo emaw a ni . Chu bakah, heng symptoms te hi a awm thei bawk.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Khawsik | Taksaah natna hrik a awm tih chhinchhiahna a ni thei. |
| Pum hnuai lam natna | Pelvic pain chu pelvic cavity-a natna emaw, nuam lo emaw a ni. |
| Uterine lian leh na | Doctor-in a en chuan nausen pum chu a pangngai aia lian a ni thei a, khawih chuan a na thei bawk. |
| Menstrual cycle a lo kir leh lo | Naute i hnute i pek loh chuan i period chu a intan leh tur a ni tlangpui. A nih loh chuan i ngaihven a ngai a ni. |
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Check Availability →Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?
Naupai hnua uterine tissue awm reng chhan dik tak hi hriat chian a harsa hle. Mahse, thil ṭhenkhat chuan he natna hi a tipung thei a ni.
- Hetiang dinhmun hi i lo nei tawh a nih chuan: A hmaa delivery-a RPOC i neih tawh chuan i neih leh theihna a sang zawk.
- Placental problems: Placenta Accreta'' an tih dinhmunah chuan placenta chu uterine wall-ah thuk takin a inzawm a, placenta chu a inthen kim lo thei a, a chhuak thei bawk.
- Kum: Naupai lai hian kum 35 aia upa i nih chuan a hlauhawmna a sang deuh hlek a ni.
- Instrumental childbirth: He hlauhawmna hi naute chu Forceps'' emaw Vacuum'' ang chi instrument hmanga nau neih a nih chuan a pung thei a ni.
- Second trimester miscarriage: Naupai atanga kar 13 leh kar 26 inkarah nau neih, nau pai emaw, naupai tawp emaw a awm chuan.
- Surgery hmasa: C-section emaw dilation and curettage (D&C) emaw i neih tawh chuan nausen pum chhunga hliam awm hian nausen hnute (placental abruption)-ah harsatna a thlen thei a ni.
- Nausen pum pianzia dik lo: Hmeichhe thenkhat chu nausen pianphung danglam tak neia piang an ni thei. Chutiang hunah chuan he hlauhawmna hi a awm bawk.
Heng a then te hi lakchhuah a nih loh chuan eng nge thleng ang?
Nausen pum chhunga a la awmte chu a awm reng chuan harsatna engemaw zat a thlen thei a, a then chu a na hle thei bawk.
- Anemia: Thisen chhuah tam lutuk hian taksaa thisen awm zat a ti tlem thei a, chu chuan hahdamna leh mualphona a thlen thei a ni.
- Infection: Nausen pum chhung hmun la awmte avanga natna hrik a awm thei. Heng natna hrik te hi enkawl tha a nih loh chuan nau neihna system a tichhe thei a, sepsis tih ang chi natna hlauhawm takah pawh a lo chang thei bawk.
- Chronic lower abdominal pain: Pum hnuai lam natna a awm fo thei.
- Asherman-a natna: 1.1.Hei hi thil awm lo tak a ni. Nausen pum chhunga scar tissue (adhesions) siamna a ni. Hei hian nakin lawka naupai leh thlasik lama harsatna a thlen thei a ni.
Engtin nge doctor-te hian he natna hi an hriat theih?
RPOC i neih leh neih loh chu a symptoms en mai mai hian hriat a harsa hle. Heng symptoms te hi nau neih hnua awm thei dinhmun dang nen a inang thei a ni. Chuvangin i doctor chuan test tlemte a kalpui thei a, chu chuan a natna chu a nemnghet thei a ni.
| Test chi hrang hrang | Eng thil nge thleng? |
|---|---|
| Thisen leh tissue test a ni |
|
| Scan a ni |
|
Hei hi eng enkawlna nge ni?
RPOC hi a dik tih finfiah a nih chuan a la awmte chu paih chhuah nan treatment tih a ni. Enkawl dan tlangpui pahnih a awm a.
1. Damdawi: Misoprostol hi damdawi ei tur emaw, serh chhunga thun emaw a ni. He damdawi hian nausen pum (uterus) a tikhawlo a, a chhunga tissue awmte chu a hnawtchhuak a ni.
2. D&C (Dilation and Curettage): Hei hi surgery tenau tak a ni. Hetah hian serh (cervix) hawn a ni a, hmanraw bik hmangin nausen pum chhunga tissue zawng zawng chu an scrape chhuak vek a ni.
Heng enkawlna pahnihte hi a hlawk hle. I doctor chuan i dinhmun leh tissue la awm zat ngaihtuah chungin eng enkawlna nge i tan a tha ber tih a rel ang.
Heng enkawlnate hian hlauhawmna a nei em?
Damdawi lam thil dang ang bawkin, hlauhawmna tlemte chauh a awm. Thisen chhuak nasa emaw, natna hrik kai theihna chance a tlem hle. D&C neih chhung hian uterine perforation a awm hi a tlem hle. Mahse, hei hi a mah chauhin a reh tlangpui.
Engtikah nge damdawi lam thurawn i lak nghal ang?
Nau neih, nau pai emaw, naupai tihtawp hnua a hnuaia symptoms te hi i neih chuan damdawi in Emergency Department (ETU)-ah kal nghal la , doctor pan nghal rawh.
- Thâwk harsa
- Thisen chhuak nasa tak (darkar khatah sanitary napkin pakhat aia tam hnim) .
- Khawsik sang tak a nei
- Nausea leh luak chhuak
- Tuar theih loh khawpa hnuai lam natna nasa tak
Naute i neih hnuah emaw, nau pai hnuah emaw, taksa leh rilru lamah pawh chawlh hahdam leh damna hun i mamawh a ni. Enkawlna dang i neih a ngai tih an hrilh che chuan lungngaihna leh beidawnna i neih hi thil pangngai a ni. Mahse, he natna hi enkawl loha dah chuan hun rei tak chhung harsatna a thlen thei tih hre reng ang che. Chuvangin i Doctor nen inbiak pawh hlau suh. I rilru put hmang leh lungkhamnate zalen taka sawi chuan i rilru a hahdam ang.
Take-Home Thuchah a ni
- Naupai tawp hnua retained uterine tissue (RPOC) hi a awm thei a, mahse a awm lo.
- A lan chhuahna ber chu nau neih/nau pai hnua thisen chhuak rit leh mumal lo a ni. A lan chhuah dan dangte chu khawsik leh pum hnuai lam natna te a ni.
- Heng symptoms te hi i neih chuan ngaihthah suh la , i doctor hnenah hrilh nghal rawh .
- He natna hi damdawi emaw, D&C an tih surgery tenau emaw hmangin hlawhtling takin enkawl theih a ni.
- Inenkawlna mumal tak an dawn hnuah hmeichhe tam zawk chuan nakin lawkah harsatna awm lovin nau an pai leh thei a, fa hrisel tak tak an hring thei bawk.
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