Nausen pian hnuah pawh nausen pum chhung hmun thenkhat chu a awm reng thei em? (Nau neih atanga thil siam chhuah (Retained Products of Conception))

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.

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.

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.

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.

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 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.