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A awlsam zawngin, pelvic organ prolapse tih hi eng nge ni?
Kan pelvis-a taksa peng pawimawh tak tak, uterus, bladder, leh rectum te chu mesh atanga siam hammock-ah dahin han ngaihtuah teh. He hammock hi kan pelvic floor muscles a ni. Heng taksa ruh leh ruh (ligament) te hian heng taksa peng zawng zawng hi a hmunah an vawng tlat a ni. Mahse, eng emaw chhan vangin heng ruhte hi an chak lo emaw, an inzawm khawm emaw chuan hammock chu a tlahniam a, a chhunga taksa peng hrang hrangte pawh a tlahniam tan a, chu chu vagina lam hawiin a ni. Chu chu pelvic organ prolapse kan tih chu a ni. Hei hi chi hrang hrang a awm a, chu chu organ tihhniam mek a zirin a ni.- Uterine prolapse: Nausen pum leh serh chu vagina chhungah a chhuk thla a . A chang chuan vagina pawnah pawh hmuh theih an ni.
- Vaginal prolapse: Naupai lai (hysterectomy) nei tawhah chuan vagina chunglam chu a tla thla thin .
- Cystocele : Vagina chhunga bladder atanga chhuak.
- Rectocele: Rectum atanga vagina chhunga rawn chhuak.
- Enterocele : Intestine te tak te chu vaginal wall chhungah a rawn chhuak.
Hetiang dinhmun hi eng chhan nge ni?
Vawi tam tak chu he natna hi chhan pakhat aia tam a awm thei. A chhan ber chu:- Nau neih dan pangngai : A bik takin naute rit tak neih emaw, nau neih harsa emaw chuan pelvic floor muscle a tichhe thei a ni.
- Tar : Kum upat deuh deuh hian taksa ruh hi a pianphungah a chak lo thin.
- Pelvic surgery: Hetiang dinhmun hi a hmaa surgery neih tawh vang pawh a ni thei.
- Weight lifting fo thin : 1.1.Thil rit phurh emaw exercise emaw.
- Pum chhunga pressure sang: thil avang hian rei tak khuh, constipation avanga straining fo , etc.
- Genetic causes: Mi thenkhat chu pelvic muscle leh connective tissue chak lo tak neia piang an ni thei.
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A hnuaia table-ah hian he natna vei tam takin an tawn tlangpui thenkhat tarlan a ni.| Symptom a ni | Engtin nge a awm/a lan dan |
|---|---|
| Vaginal atanga chhuak | Vagina atanga ball emaw lump emaw ang chi thil lo chhuak hriat emaw hmuh emaw. |
| Pum hnuai lam a rit lutuk | Pum hnuai lam emaw, hnungzang emaw-ah pressure, rit, emaw, pulling emaw hriat reng. |
| Zun lama harsatna nei | Urinary incontinence tih chu khuh, nuih leh thawk hah laia duh loh vanga zun hloh hi a ni. Efecation harsat pawh a awm thei bawk. |
| Mipat hmeichhiatna lama harsatna a awm | Sex hman laiin natna emaw, nuam lo emaw hriat. |
A pawimawh ber chu heng symptoms te hi i neih chuan doctor nena inbiakna zak lo leh hlau lo tur a ni. Hengte hi enkawlna tha tak tak a awm a.
Chuti a nih chuan, he surgery hi eng nge Sacrocolpopexy an tih?
A awlsam zawngin sawi ila, Sacrocolpopexy hi pelvic organs te chu a awmna tur dik takah hruai kir leh a, a hmuna vawn rengna surgery a ni. Hemi ah hian surgeon chuan surgical mesh bik a hmang thin. He mesh hian bridge angin hna a thawk a, prolapsed vagina chunglam chu i ruh hnuai ber (sacrum) nen a thlunzawm a ni. Hei hian taksa peng hrang hrang (prolapsed organs) te chu a thlawp tha hle a, a chungah leh a hmunah a hruai lut a ni. A tam zawkah chuan he surgery hi laparoscopic hmanga tih a ni . Chu chu, pum chhungah incision lian tak siam ai chuan khur te tak te tak tak 4-5 vel siamin, chuta tang chuan camera leh instrument nalh tak tak te dah a ni. Hei hian dam hun a ti tlem a, natna a ti tlem bawk. A chang chuan hei atan hian robotic technology pawh an hmang thin. A then phei chuan i doctor chuan he surgery neih rual hian nausen pum (hysterectomy) pawh lakchhuah a rawt thei bawk. I hriselna chanchin, cancer hlauhawmna leh i duh danah a innghat.Operation hnua dam leh huna ngaihtuah tur thil
Operation hnua rang leh hlawhtling taka dam theihna tur chuan doctor thupek dik taka zawm a pawimawh hle . A tlangpuiin a dam kim theih nan kar 6 atanga kar 8 vel a ngai thin.| 👍 Eng nge tih tur | 👎 Tih loh tur (kar 6 tal) . |
|---|---|
| Chawlh tha rawh. | Kg 2-3 aia rit phurh. (e.g. tui bottle, naupang te te, shopping bag) . |
| Doctor-in a pek painkillers chu a hun takah ei tur a ni. | Thil rit tak tak nawr, chhuah, vacuum. |
| Tui leh tui a tam thei ang ber in thin ang che. Constipation hi pumpelh rawh. | Sex hman emaw, vagina chhunga thil eng emaw dah (tampon ang chi). |
| Thisen zam a awm loh nan in chhungah kal kual fo thin ang che. | Swimming pool leh bathtub atanga chhuah. |
| Cut te chu fai leh vawt takin dah rawh. | Painkillers ei laiin lirthei khalh. |
He surgery hi eng hlawhtlinna leh hlauhawmna nge ni?
He surgery hi enkawlna hlawhtling tak a ni . Hlawhtlinna rate hi 90% vel a ni. Chumi awmzia chu mi 10-in zai an neih chuan mi 9-in result tha tak an hmu dawn tihna a ni. Mahse, surgery dang ang bawkin Sacrocolpopexy surgery hian risk engemaw zat a nei thei a ni. An hriat lawk a pawimawh.- A chhehvela taksa peng hrang hrang, bladder leh intestines tihchhiatna.
- Thisen chhuah tam lutuk.
- Kaichhawng.
- Thisen a chhuak thin.
- Mesh hman chungchanga harsatna (e.g., vaginal wall atanga mesh lo chhuak).
- Operation hnuah pawh natna hi a awm reng a ni.
Damdawi lam thurawn lak nghal tur
Surgery atanga in lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.- 38 degree Celsius (100.4 Fahrenheit) aia sang emaw, khawsik emaw.
- Natna nasa tak , natna tidamtu damdawi hmang pawha thunun theih loh.
- Surgery-a incision-te chu a sen a, a hring a, a nih loh leh tui rimchhia a chhuak .
- Vaginal bleeding darkar khata pad pakhat aia tam soak thei khawpa rit .
- Vaginal discharge leh rimchhia .
- Darkar tam tak zun theih lohna emaw, zun tlem lutuk emaw.
- Nausea emaw, luak chhuak emaw.
- Ke na leh a hring.
Take-Home Thuchah a ni
- Hmeichhia zingah hian Pelvic organ prolapse hi a awm fo a, enkawl theih a ni. Zak leh hlau suh.
- Sacrocolpopexy hi surgery hlawhtling tak leh him tak a ni a, he natna hi siamthat nan hman a ni.
- I enkawl dan zawng zawng te, a thatna te, a chhiatna te, leh a hlauhawmna te chu i doctor nen zalen takin sawi la, i tana tha ber tur thutlukna siam rawh.
- Surgery hnua dam thuai theih nan doctor thupek uluk taka zawm a pawimawh. A bik takin thil rit phurh loh a pawimawh hle.
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