I pum hnuai lam chu a rit reng a, thil engemaw takin a rawn nawr che ang maiin i awm fo thin em? I vagina atang hian ball ang deuh a rawn chhuak ang maiin i hria mai thei em? Urinary incontinence chungchangah harsatna i nei em, chu chu i nuih a, i tap a, i thawk hah laia i zun hloh hi a ni? Hengte hi hmeichhe tam takin ngawi renga an tawrh thin, mahse sawi chhuah an zak deuh thin. Mahse hei hi nangmah chauhin i neih a ni lo. Vawiin hian Pelvic Organ Prolapse tih hming pu, heng natna lanchhuahna thlentu, leh Sacrocolpopexy tih surgery hlawhtling tak chungchang kan sawi dawn a ni.
A awlsam zawngin, pelvic organ prolapse tih hi eng nge ni?
I pum hnuai lam, i uterus, bladder, leh rectum ang chi taksa peng hrang hrangte chu hammock-ah dahin han ngaihtuah teh. He hammock hi pelvic floor muscle kan tih leh a kaihhnawih tissue te atanga siam a ni. Hengte hian heng taksa peng zawng zawng hi a hmunah a vawng tlat a ni.
Mahse, hun kal zelah, a bik takin nau neih hnuah, weight lifting vangin, leh kan upat deuh deuh chuan heng taksa ruh leh tissue te hi a chak lo a, a inzawm khawm tan thin. Tichuan, mesh bed chu a tlahniam ang maiin a chhunga taksa peng hrang hrangte pawh chu hnuai lam hawiin, chu chu vagina lam hawiin an nawr tan ta a ni. Hei hi pelvic organ prolapse kan tih chu a ni. Hei hi enkawlna pakhat chu Sacrocolpopexy tih surgery a ni. Hei hian taksa peng tla tawhte chu a chungah hruai kir leh a, a awmna dik takah surgical mesh bik hmanga tihngheh a huam a ni.
Hetiang hian eng taksa peng nge tihchhiat theih?
He natna hi a natna vei taksa peng hrang hrang a zirin chi hrang hrangah then a ni. Hriatthiam awlsam zawk nan heng chipchiar zawkte hi han thlir ila.
| Thla chhuak chi hrang hrang | A awlsam zawngin, eng nge thleng? |
|---|---|
| Uterine Prolapse a awm thin | Uterus leh cervix hi vagina kaltlangin a chhuk thla a. A châng chuan, vagina aṭangin an chhuak vek thei. |
| Vaginal Prolapse a awm thin | Hysterectomy nei tawhah chuan vagina chunglam chu hnuai lam hawiin a tla thla thin. |
| Bladder tlakchhiatna (Cystocele) . | Bladder chu vagina hmalam bang-ah a nawr a. |
| Rectocele a ni | Rectum chu vagina hnunglam wall-ah a nawr a. |
| Intestine te tak te (Enterocele) atanga chhuak (Prolapse) . | Small intestine hian vagina chunglam lamah a nawr chho a, a tla thla a. |
Nang pawhin heng symptoms te hi i nei em tih en rawh...
Hengte hi Pelvic Organ Prolapse natna lan chhuah dan tlangpui thenkhat chu an ni:
- Vagina atanga lump emaw ball emaw ang chi thil lo chhuak lo lang emaw, hriatna emaw.
- Lower abdominal pain, chu chu a rit lutuk, pressure emaw, pelvis-a thil a innghah emaw tihna a ni.
- Nuih emaw, khuh emaw, thil rit tak chawi emaw hian zun tlemte chu a takin a leak thin .
- Efecation harsat. A chang chuan stool chu a chhuak kim lo ang maiin a lang.
- Vagina chhunga tampon ang chi thil dah harsa.
- Mipat hmeichhiatna hman laia natna.
Heng symptoms pakhat emaw a aia tam emaw i neih chuan mualpho lovin doctor nena inbiakna neih a pawimawh a, a chhan chu hei hi enkawlna tha tak tak a awm a ni.
Engvangin nge hetiang hi a lo awm? A chhan berte chu engte nge ni?
Pelvic floor muscle chak lohna chhan lian tak tak engemaw zat a awm.
- Vaginal childbirth: Heng taksa peng hrang hrangte hi a chhe thei hle a, a bik takin nau tam tak hrinah te, nau piang rit sang tak kan neih lai te, nau neih harsat lai te hian a chhe thei hle.
- Abdominal surgery: A bik takin hysterectomy ang chi thil te.
- Kum upa lam: Kan tar chhoh zel chuan taksa ruh (muscles) te hi a pianphungah a chak lo chho zel a.
- Thil rit phurh fo: Hnathawh lai emaw, inchhung hna thawh lai emawa tui bucket leh gas cylinder ang chi thil rit phur fo.
- Pum hnuai lam pressure fo thin:Hetiang dinhmun hi khuh rei tak, thawk hah, leh chaw ei tam lutuk vang pawh a ni thei.
- Genetic causes: Mi thenkhat chu connective tissue chak lo tak neia piang an ni a, chu chuan risk sang zawkah a dah a ni.
Okay, chuti a nih chuan engtin nge he Sacrocolpopexy surgery hmang hian hei hi i siam that theih ang?
He harsatna hi Sacrocolpopexy hi surgical procedure hmasawn tak leh hlawhtling tak a ni. A awlsam hle mai.
Surgeon chuan i pum chhungah incision te te engemaw zat a siam a, camera (laparoscope) hmangin he surgery hi a ti thin. Hei hi laparoscopic surgery an ti a . A chang chuan hei atan hian robotic technology pawh an hmang thin.
Hetiang tihnaah hian i vagina, bladder emaw rectum chunglam, a tlak tawhah surgical mesh bik dah a ni. Chumi hnuah chuan mesh tawp dang chu i ruhro hnuai ber, sacrum-ah a inzawm leh a. He mesh hian bridge ang maiin hna a thawk a, i taksa peng hnuai lam zawng zawng chu a hruai kir leh vek a, an awmna tur dik takah a ti nghet vek a ni.
A châng chuan i medical history leh i duhzawng a zirin he surgery neih rual hian hysterectomy pawh tih theih a ni. Hei hian uterine cancer hlauhawmna a ti bo vek a ni.
Operation hmain engtin nge i inbuatsaih thin?
Hospital chuan operation hmain instruction set khat a pe ang che. Anmahni zawm dik a pawimawh hle.
- Operation hma zan zanlai hnuah ei leh in loh vek turin an ti ang che.
- Meizial zu mi i nih chuan zai hma zan zanlai hnuah meizuk i chawlhsan tur a ni.
- Damdawi thenkhat i ei (e.g. thisen tithianghlimtu) te hian ni engemaw zat ei khap a ngai mai thei. Hemi chungchang hi i doctor nen sawiho rawh.
- Operation hma darkar engemaw zat thlengin tui, tea thlum loh, coffee emaw ang chi tui in phalsak i ni thei.
Surgery tih dan tur step khat hnu step khatin
Surgery chu hlau suh. A lo thlen dân hriatna chuan i hlauhthawnna hneh tûrin a ṭanpui ang che.
1. A hmasa berin general anesthesia hnuaiah dah i ni ang . Chuvangin natna engmah i hre lo ang a, i muhil tha hle ang.
2. Surgeon chuan i pum chhungah hian incision te te 4 emaw 5 emaw, centimetre khat vel a zau, a siam ang.
3. Chumi hnuah chuan pum chu carbon dioxide gas hmangin a inflated leh thin. Hei hi a chhungah surgery neihna tur hmun siam nan leh taksa peng hrang hrangte chiang taka hmuh theih nan tih a ni.
4. Heng incision te te hmang hian camera (laparoscope) leh surgical instrument te dah a ni.
5. Monitor-a camera atanga thlalak a en lai hian doctor chuan a chunga kan sawi tak mesh chu vagina leh sacrum chung lamah a dah a, chu chuan organ chu a chawi sang a.
6. Bladder emaw rectum emaw a prolapsed a nih chuan he hun lai hian siamthat a ni bawk ang.
7. Surgery zawhah camera te tak te dahin bladder a chhiat leh chhiat loh enfiah thin a ni.
8. A tawp berah chuan hmanraw zawng zawng chu lakchhuah vek a ni a, pum chhunga gas awm chu lakchhuah a ni a, a incision te te chu khar a ni.
He surgery hi darkar 2 leh darkar 4 inkar a ni tlangpui .
Operation hnuah eng nge thleng? Recovery lai hian eng nge beisei tur
Surgery zawhah recovery room-ah hruai i ni ang. Anesthesia atanga i harh chuan i muhil deuh emaw, i groggy deuh emaw a ni thei. Hei hi thil pangngai a ni.
A dawtah chuan voiding trial i nei ang a, nangmah chauhin i zun theih leh theih loh i en ang. Operation hmain catheter i dah tawh mai thei. He test chhung hian lakchhuah a ni ang a, nangmah chauhin i bladder i empty thei em tih test i ni ang. I theih loh chuan ni engemaw zat chhung in lama hman tur catheter kengin in lamah thawn let theih che a ni. Chu chu lungngai suh.
A dam kim theih nan kar 6 atanga kar 8 vel a ngai a ni. Hemi hun chhung hian i nunphungah inthlak danglamna engemaw zat i siam a ngai dawn a ni.
| Surgery hnuah eng nge beisei tur | Dam thuai turin hengte hi ti rawh |
|---|---|
| Natna: Ni hmasa berah chuan hliam leh pum na engemaw zat a awm thei. Doctor-in a pek painkillers chu a hun takah ei thin ang che. | Chawlh hahdam tam rawh: Ni hnih khat tal chu puitu tur i neih a tha ber. |
| Gastric distension: Operation laia pum chhunga gas awm hian ni 2-3 chhung pum na leh a hring thei. | Kal: In chhunga zawi zawia kal hian thinlung natna a tiziaawm a, thisen zam a veng bawk. |
| Vaginal discharge: Kar 6 vel chhung chu thisen tlem emaw, white/yellow discharge emaw i nei thei. Hei hi thil pangngai a ni. | Fluids leh ei tur: Tui tam tak in tur a ni. Ni hmasa berah chuan crackers leh chicken soup ang chi ei tur light ei thin ang che. Chaw thau tak tak ei loh tur. |
| Constipation: Natna tidamtu damdawi hian constipation a thlen thei. I doctor hnenah stool softener ei chungchang zawt rawh. | Thâwk lak dan: Incentive spirometer an tih hmanrua pek i nih chuan darkar khatah vawi khat thawk thûk takin thawk la. |
I dam hma chuan heng thilte hi ti suh! (Thil pumpelh tur)
Recovery period hlawhtling tak i neih theih nan heng instruction te hi i zawm tur a ni.
- Surgery hnu darkar 48 chhung tuiah inbual loh tur . Chumi hnuah chuan shower i la thei tawh ang.
- Kar 4-6 chhung tuiah (swimming, bathtub-a thut) awm loh tur .
- Kar 4-6 chhung chu thil rit phurh, nawr, leh chhuah loh tur. Kg 2-3 aia rit (e.g. tui bucket, shopping bag, naupang tê, ran vulh) chu chawi suh.
- Hemi chhung hian vacuum cleaner hmang lo la, kawngkhar rit tak tak nawr loh tur a ni.
- Kar 6 tal sex hman loh tur. Tin, tampon leh duching hman loh tur a ni.
- I doctor-in a pek natna tidamtu chak tak i ei a nih chuan lirthei khalh loh tur .
He surgery hi engtiang chiahin nge a hlawhtlin? Risk a awm em?
Sacrocolpopexy hi surgical procedure a ni a, hlawhtlinna rate chu 90% vel a ni . Chumi awmzia chu result a tha hle tihna a ni.
Surgery zawng zawng ang bawkin risk engemaw zat a awm. Mahse, kalphung him takah ngaih a ni. I doctor chuan heng hlauhawmnate hi i tih hmain a sawipui ang che.
Risk awm thei zingah hian:
- A chhehvela taksa peng hrang hrang, bladder leh intestines tihchhiatna.
- Thisen chhuak nasa tak a chhuak.
- Thisen a chhuak thin.
- Kaichhawng.
- Mesh hman nena inzawm harsatna (e.g., vaginal tissue kaltlangin mesh a erosion).
- Zun emaw, ek chhuah emaw harsatna.
- Sex hman laiin natna.
Heng risk te hi a tlem hle a, mahse hriat chian a pawimawh hle.
Heng symptoms te hi i neih chuan doctor pan nghal rawh!
Operation hnua in lama i awm laiin heng symptoms zinga pakhat tal i neih chuan doctor ko la, damdawi inah kal nghal rawh.
- 38 Celsius (100.4 Fahrenheit) aia sang khawsik emaw, khawsik emaw.
- A hliamte chu a sen a, a hring emaw, a rimchhia a nih chuan .
- Thunun theih loh khawpa luak chhuak emaw luak chhuak emaw .
- Darkar khatah sanitary pad pakhat aia tam soak thei vaginal bleeding nasa takA awm chuan.
- Vaginal discharge rimchhia i neih chuan .
- Damdawi hmang pawha thunun theih loh natna nasa tak i neih chuan.
- Ke na leh a hring.
- Zun rimchhia, rawng dum, zun laiin kang natna nei.
Take-Home Thuchah a ni
- Pelvic organ prolapse hi hmeichhe tam tak natna a ni a, mahse hlawhtling taka enkawl theih a ni. Zak suh.
- Sacrocolpopexy hi surgery hlawhtling tak leh him tak a ni a, i nunphung nasa takin a tichangtlung thei a ni.
- Operation hnua a dam kim theih nan hun a duh a ni. Doctor thupek dik taka zawm hi a dam thuai theih nan a pawimawh hle.
- Hetiang dinhmun hi a lo awm leh tawh loh nan hian thil rit phurh loh a pawimawh hle a, taksa rihna control a pawimawh hle a, constipation ven a pawimawh hle bawk.
- He thuziaka tarlan ang hian symptoms i neih chuan i doctor nen inbiain i tana enkawlna tha ber tur chu sawi hreh suh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh