I naute hian urethra leh vagina a nei em? (Urogenital Sinus) Hemi chungchang hi han sawi ila!

Nu emaw pa emaw chuan naute piang thar an en a, an taksaah inthlak danglamna tenau engemaw zat an hmuh hian engzat nge a ngaihtuah? A châng chuan thil awm lo tak tak pawh hian kan naute hi a nghawng thei a, min ti lungngai hle bawk. Vawiin hian kan sawi dawn a, hriat tur awm lo, mahse hriat a pawimawh em em dinhmun kan sawi dawn a ni. Hei hi (Urogenital Sinus) kan ti a.

Hei hi eng nge ni (Urogenital Sinus)? A awlsam zawngin i hrethiam ang u?

A awlsam zawngin sawi ila, Urogenital Sinus hi hmeichhe zun leh chi thlah danah pianpui chhiatna a ni. Tunah chuan, en teh, a tlangpuiin naute hmeichhia chuan bawlhhlawh chhuahna tur kawng pathum a nei a: pakhat chu rectum a ni a, chutah chuan bawlhhlawh a chhuak a, pakhat chu urethral opening a ni a, chutah chuan zun a chhuak a, a pathumna chu vagina a ni Mahse, naute Urogenital Sinus nei chuan hawnna pahnih a nei a. Pakhat chu rectum a ni a, chutah chuan bawlhhlawh a chhuak a, pakhat chu urethra leh vagina pahnih tan pawha hawnna tlangpui a ni. Chumi awmzia chu zun a chhuak a, hmun khat atang hian vagina nen a inzawm tihna a ni.

Hetiang (Urogenital Sinus) dinhmun hi nausen pian tirh lamah a awm thin. Ngaihtuah teh, nausen stage-a hun rei vak lo chhung chu system pathum – intestinal tract (rectum), genital tract (vagina), leh urinary tract (urinary bladder) te hi cavity leh opening pakhatah an inzawm vek a ni. Hei hi ( Cloaca ) kan ti a. Nausen chu a lo seilian chhoh zel chuan heng system pathumte hi an inthen a, kawngkhar hrang hrang pathum (vagina, urethra , leh anus) an siam a. Mahse, a châng chuan, eng emaw chhan vangin, zun kawng leh reproductive system – a bik takin urethra leh vagina – chu a inthen ṭha lo va, hawnna pakhat chauh a awm chhunzawm zel a ni. Chu hawnna tlangpui chu (Urogenital Sinus) an ti a. Mi thenkhat chuan hei hi (Persistent Urogenital Sinus - PUGS) an ti bawk.

Urogenital Sinus hi eng thilin nge a thlen tlangpui?

A lo thanglian dan pangngaiah chuan he hmun (Urogenital Sinus an tih) hi a hnuah chuan urethra leh vagina hawnna chhehvel vun (vulvar vestibule) a lo ni ang. Urethra hi i taksa atanga zun chhuahna tube a ni. Vagina hawnna vel vun (vulvar vestibule) chu labia chhunga vun, urethra leh vagina hawnna inkar vun a ni.

Taksaah hian Urogenital Sinus hi khawiah nge a awm?

Hei (Urogenital Sinus) hi urethra leh vagina nen a inzawm tlat a ni.

Urogenital Sinus chi hrang hrang a awm em?

Ni e, Urogenital Sinus hi chi hnih a awm a. Hei hi hriatchhuah hi enkawlna ruahmanna atan a pawimawh hle.

1. Low-joined / Low confluence: Hetiang chi ah hian urethra leh vagina te hi taksa pawn lam hawnna hnaih takah, chu chu a hnuai lamah a inzawm tlat a ni. Chuvangin he thu tlanglawn tak hi a tawi hle a ni. Chutiang a nih chuan urethra leh vagina hi a lian leh a awmnaah chuan a pangngai nen a inang hle. Hei hi a nasat loh deuh a ni.

2. High-joined / High confluence: Hetiang a nih chuan urethra leh vagina chu taksa pawn lam hawnna atanga hla takah , chu chu a chung lamah a inzawm a ni. Tichuan he common passage hi a sei hle a ni. Hetiang chi high confluence hi a pawi ber a ni. A chhan chu, hei nen hian harsatna dang a awm thei a ni. Entirnan, taksaah hian a tlangpui aia hmalam zawkah hnute hi a awm thei a.

Hetiang (Urogenital Sinus) natna hi engtiang chiahin nge a tlem?

Urogenital Sinus hi a awm lo hle a ni . A tlangpuiin nau piang thar 10,000 zinga 0.6 vel a nghawng a ni.

Urogenital Sinus natna lan chhuah dan chu engte nge ni?

Urogenital Sinusitis symptoms hi a natna nasat dan azirin a danglam thei. A lan chhuah dan langsar zawk thenkhat chu:

• Feces chhuahna tur outlet pakhat chauh neih leh vagina leh urethra pahnih tan pawha common outlet dang pakhat neih.
• Zun tam lutuk avanga vagina a hring. Hei hi (Hydrocolpos) an ti bawk.
• Vagina hi a pangngai lo takin a khar thei bawk.
• A châng chuan vagina a awm lo thei bawk.
• Uterus, ovaries, fallopian tubes te hi a lo thang tha lo hle.

Urogenital Sinus hi engte nge ni?

Dik tak chuan damdawi lam mithiamte pawhin Urogenital Sinus awm chhan chiang tak chu hriat harsa an ti hle.

A then phei chuan hei hi Congenital Adrenal Hyperplasia (CAH) tih natna nen a inzawm thei bawk. CAH hi genetic diseases group pakhat a ni. CAH i neih chuan i adrenal gland pakhat emaw pahnih emaw hian hormone siamna atana enzyme mamawh an siam chhuak lo. Hei hian sex organs te chu a pangngai lo takin a tipung thei a ni. CAH hian tu pawh a nghawng thei a, mahse hmeichhe naupangte hian sex organ pangngai lo an nei tam zawk.

Virilization an tih hian urogenital sinusitis a thlen thei bawk. Virilization chu mipa naupangin a taksaah mipa sex hormone (androgens) a tam lutuk hi a ni. Androgens hi taksa puitlinna tura puitu a ni a, aw thuk zawk, taksa sam, leh taksa ruh thanna te pawh a nghawng bawk.

Engtin nge Urogenital Sinus natna hi hriat theih?

(Urogenital Sinus) hi natna enkawl dan tur hriat chian nan a pawimawh hle . Hei hian i fate serh chauh ni lovin, an thanlenna leh an thanlenna zawng zawng pawh a nghawng thei a ni.

A châng chuan, naute chu naute pum chhunga a la awm laiin ultrasound hmangin doctor-te chuan he natna (Urogenital Sinus) hi an hmu thei a ni. Mahse, a tam zawkah chuan naute pian hnua taksa enfiahna hmasa ber doctor-te chuan an hmu chhuak thin. Chumi hnuah chuan naute hriselna zawng zawng leh genetic lama harsatna awmte hriat belh tumin thisen test an nei thei a ni.

Doctor chuan a natna hriat chian nan emaw, Urogenital Sinus zau zawng hriat belh nan emaw test dang neih belh turin a ti thei bawk. Chûng zîngah chuan:

• Ultrasound: Hei hian high-frequency sound wave hmangin taksa chhunga taksa peng hrang hrangte video emaw thlalak emaw a la thin. Hei hian i naute kal (kidney), bladder, vagina, leh rectum-ah harsatna a lantir thei a ni. I naute hian a zun (hydrocolpos) a awm leh awm loh pawh a hre thei bawk.
• Retrograde genitogram: Hei hi imaging test chi khat a ni bawk. He test-ah hian doctor chuan urethra/vagina-ah dye bik a inject a, X-ray a la thin. He dye hian tissue leh organ te lian leh te, a pianzia leh a awmna hmun chu chiang takin a hriat theih a ni.
• Magnetic Resonance Imaging (MRI) Test: MRI hian magnet, radio wave leh computer hmangin taksa thlalak chiang tak a la a. Hei hian Urogenital Sinus thlalak chipchiar tak tak a pe thei a ni. MRI hmangin naupang pelvis leh spine-ah harsatna a awm leh awm loh enfiah theih a ni bawk.
• Endoscopy: Endoscopy-ah hian tube (endoscope) te tak te, sei tak, a tawp khatah light leh camera dah a ni. He endoscope hi common urethra/vagina ah dahin a chhunga anatomy en a ni.

Urogenital Sinus hi engtin nge kan enkawl ang?

Urogenital Sinus condition enkawl dan awmchhun chu i naute vagina leh urethra thliar hrang tura operation neih hi a ni. A châng chuan, a bik takin naupang virilized (Congenital Adrenal Hyperplasia (CAH) vang) leh Disordered Sexual Development (DSD) vei nia hriatteah chuan surgery tih chungchangah ngaihdan hrang hrang a awm thei. Chuvangin, operation i neih hmain i fa enkawltu medical team te nen chipchiar takin i sawipui tur a ni. He team-ah hian a tlangpuiin:

• Urinary system leh reproductive system natna hrang hranga specialist doctor ((Urologist)).
• Endocrinologist chu endocrine system nena inzawm natna hrang hranga specialist doctor a ni. I endocrine system hi hormone siamtu leh chhuaktu a ni.

Naute kum khatna chhungin surgery hi tih thin a ni tlangpui . He surgery hi urologist-in a ti thin.

Low-joined (Urogenital Sinus) condition tan chuan (Urologist) chuan (Flap vaginoplasty) tih surgery a ti tam ber ang. Chutah chuan taksa pawn lam hawnna hrang hrang pahnih an siam a – pakhat chu vagina atan, pakhat chu urethra atan.

Joined sang (Urogenital Sinus) natna tan chuan (Urologist) chuan (Pull-through vaginoplasty) tih surgery a ti tlangpui. Hei hi surgery buaithlak deuh a ni. Hetah hian (Urologist) chuan vagina chu common opening atanga a then a, a hranpa a siam a, chu common opening chu a khar ta a ni. Tichuan, common opening awmna hmun atang chuan zun a luang chhuak chhunzawm zel a.

High-joined (Urogenital Sinus) thenkhatah chuan (Urologist) chuan (Flap vaginoplasty) nen (Urogenital mobilization) tih procedure a ti thei bawk. (Urogenital mobilization) chhung hian:

• Rectum chu a inthen a.
• Urethra leh vagina chu an inthen a, an mobilize khawm a, perineum-ah an hruai lut a ni.
• Rectum hi anal sphincter nen a inzawm a ni.
• Tichuan (flap vaginoplasty) an ti leh thin.

Naupang thenkhat chu Clitoroplasty leh/ emaw Labiaplasty tih surgery an neih a ngai thei bawk. Clitoroplasty hian tissue chu a siam danglam a, clitoris pangngai siam a ni. Surgeon hian naupang chu a lo puitlin hunah sex nun hrisel tak a neih theih nan nerve tam thei ang ber humhalh a tum thin. Labiaplasty hian labia, vagina vel hmui awmte chu a siam danglam a ni.

Urogenital Sinus enkawl hnuah naute a dam leh theih nan eng chen nge a mamawh?

I fa chu (Urogenital Sinus) surgery hnuah ni engemaw zat damdawi inah a awm a ngai dawn a ni. Kar khat chhungin a natna chu a reh tan tur a ni a, thla khat chhungin naupang chu a dam kim vek tur a ni. Mahse, i fa (Urogenital Sinus) natna nasat dan azirin i fa doctor chuan hei hi chiang zawkin a hriattir ang che.

Urogenital Sinus hi a veng thei ang em?

I chhungkuaa mi tu emaw chuan Congenital Adrenal Hyperplasia (CAH) tih natna a nei a, naupai emaw, nau pai tum emaw i nih chuan i doctor nen inbiakna neih a pawimawh hle. Urogenital Sinus a awm loh nan hormone hi nau neih hmain pek theih a ni.

Ka fa hian Urogenital Sinus a neih chuan eng nge ka beisei ang?

I fate result chu a urogenital sinus lian leh teah a innghat a ni. Surgery tum ber chu i fa chu a taksa peng hrang hrangte hnathawh dan pangngai leh a lan dan pangngai pek a ni. Naupang surgery nei tam zawk hi an dam hnuah an zun pangngaiin an zun thei a ni.

Naute a lo puitlin chuan a vagina chu a zim (vaginal stenosis) a, a tawi thei bawk. Hei hian vaginal sexual intercourse-ah harsatna a thlen thei a ni.

Naupang Urogenital Sinus condition nei chuan naupai a dal lo. Mahse, surgery chu a zau hle a nih chuan nau neih laiin cesarean section (C-section) neih a tha ber mai thei. I doctor chuan he thu hi i fa nen hun remchang takah a sawipui ang.

Engtin nge ka fa ka enkawl ang?

I fa enkawl dan tha ber ber doctor ten an hrilh ang che. (Urogenital Sinus) nasat dan leh surgery result hian engtin nge i enkawl chhunzawm zel dawn tih a hril ang.

Engtikah nge Doctor ka hmuh ang?

Operation hnuah i fa hian an taksa chu a dam tha em tih leh beisei angin a thawk tha em tih enfiah nan follow-up appointment neih fo a ngai dawn a ni. Heng appointment zawng zawngah hian tel vek ngei ang che.

Natna lan chhuahna thar, zun insum theih lohna ang chi i hmuh chuan i fa naupang enkawltu emaw, zun lam doctor emaw nen inbia ang che.

Ka fa doctor hnenah eng zawhna nge ka zawh ang?

Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Ka fa hian eng ang Urogenital Sinus nge a neih?
• Eng surgery nge i rawt?
• Kum engzat nge operation neih a tha?
• Ka fa hi a na dawn em ni, a hrehawm tawh em?
• Naupang chu a lo puitlin chuan operation tam zawk a mamawh dawn em?
• I fa chu a lo puitlin chuan an urethra emaw vagina emaw-ah harsatna a neih i beisei em?
• Hei hian ka fa thlasik hun chhung a nghawng dawn em?
• Hei hian ka nau pai theihna a nghawng dawn em ni?
• Ka fa hian him takin nau a pai thei dawn em ni?

Pawimawh: Zawhna i neih apiang, eng ang pawhin tlem pawh ni se, i doctor zawh hreh ngai suh. Engkim chiang taka hriat theihna i nei.

Urogenital Disorder hi a tlangpuiin eng nge ni?

Urogenital Disorder chu i zun leh i chi thlah dan tichhe thei natna eng pawh a ni. Entirna dangte chu:

• Tumor tha lo tak tak a awm.
• Hernia a ni.
• Mipat hmeichhiatna hmanga kai theih natna (STIs).
• Cancer chi hrang hrang, bladder cancer, ovarian cancer, emaw uterine cancer te hi a ni.
• Interstitial cystitis/bladder natna natna (IC/BPS) a awm thei.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

I fain Urogenital Sinus a nei tih i hriat chuan mangang leh hlauhna i neih hi thil pangngai a ni. Mahse hre reng ang che, he natna hi i fa zunthlum leh a hnute inthen nan operation hmanga enkawl theih a ni. Chumi awmzia chu i fa chu hahdam takin a zun theih tur a ni.A lo upat deuh deuh chuan a period pawh a nei tur a ni. Mahse, a chang chuan a lo upat deuh deuh chuan vaginal intercourse-ah hian harsatna engemaw zat a nei thei.

A pawimawh ber chu, heng thilte chauh hi i hmachhawn a ngai lo. I fa doctor nen inbia ang che. I zawhna zawng zawng an chhang thei a, i hlauhthawnna a tiziaawm thei a, i fa enkawlna leh enkawlna tha ber i neih theih nan an pui thei bawk che a ni.

` Urogenital sinus, PUGS, pianpui chhiatna, zun kawng, nau neih dan, surgery, naupang hriselna