Urogynecologist chu tu nge ni? Hêng hmeichhiate harsatna bikte hi han sawi ila!

‘Urogynecologist’ tih hi i hre ngai em? He hming hi i tan chuan a thar deuh pawh a ni mai thei. Mahse hengte hi hmeichhiate hriselna lama harsatna pawimawh ber ber, leh a chang chuan sensitive tak tak thenkhat enkawltu specialist an ni. Vawiin hian tu nge an nih, eng nge an tih, engtikah nge i hmuh duh mai thei tih kan sawi dawn a ni. Ngaihtuah buai suh, thumal awlsam takin kan sawifiah vek ang.

He urogynecologist hi tu nge ni?

A awlsam zawngin sawi ila, urogynecologist chu hmeichhiate pelvic floor lama harsatna awm thei doctor a ni. Tunah chuan pelvic floor hi eng nge ni tih i ngaihtuah mai thei, a dik em? I taksa pum hnuai lam, i bra hnuaiah, taksa ruh leh connective tissue network nghet tak emaw, floor chi khat emaw a awm tih han ngaihtuah teh. Chu chu pelvic floor kan tih chu a ni.

He pelvic floor hi a pawimawh hle. A chhan chu i nausen pum, i vagina ang chi reproductive organs , leh i bladder ang chi urinary organs te a vawng tlat a, heng pelvic floor muscles te hian an thlawp a ni. Thil chi hrang hrang dahna bawm chak tak ang maiin heng taksa peng hrang hrangte hi a inrem theih nan an pui thin. Chuvangin, heng pelvic floor muscle te hi an chak lo emaw, an hliam emaw a nih chuan, chu taksa peng hrang hrangte hnathawh danah harsatna an siam thei a ni. Chutih lai chuan urogynecologist hmuh a ngai a ni.

Urologist, gynecologist leh urogynecologist te hi eng nge an danglamna?

Heng hming pathumte hi i hriat chuan i buai deuh mai thei, a dik em? "An inang vek a ni lawm ni?" Heng specialist pakhat zel hian eng nge an tih tih hi han thlir ila. Tichuan a danglamna chu i hrethiam mai ang.

• Urologist: Heng doctor-te hian urinary system natna an enkawl ber a ni . Chu chu, taksa peng hrang hrang, bladder, kidney, ureter, leh urethra-a harsatna awm tihna a ni. Hmeichhia leh mipa zun kawng natna an enkawl a ni. Urologist te hian mipa reproductive system natna (e.g., prostate problems) te pawh an enkawl bawk.

• Gynecologist: Gynecologist, a nih loh leh kan tih fo angin gynecologist chuan hmeichhe reproductive system natna a enkawl thin . Chu chu nausen pum, ovary leh vagina-a harsatna (e.g., thlasik hun mumal lo, uterine fibroids) tihna a ni. Tin, hnute hriselna lam pawh an ngaih pawimawh ber a ni. Hmeichhe zun kawng lama harsatna awlsam tak tak thenkhat chu an enkawl fo thin.

• Urogynecologist: Tunah en teh, he hming hian ‘uro’ (urinary system nena inzawm) leh ‘gynecological’ (hmeichhe reproductive system nena inzawm) tih thumal pahnih a nei vek a ni lawm ni? Chumi awmzia chu heng specialist te hian urologist leh gynecologist field pahnih hmun thenkhat nena inzawm condition te an enkawl tihna a ni. A dik tak chuan, .Anni hi pelvic floor chak lo emaw, chhiat emaw avanga lo awm condition-ah an specialise a, ``Pelvic Floor Disorders`` tia hriat a ni.Gynecologist ang bawkin hmeichhe reproductive system nena inzawm pelvic floor disorder an enkawl a, urologist ang bawkin bladder emaw urinary tract emaw nena inzawm harsatna, a bik takin pelvic floor nena inzawm te an enkawl bawk.

Ngaihtuah teh, a châng chuan heng doctor pahnih pathumte hian i harsatna chu an enkawl thei a ni.

Kum tam tak chhung chu urology leh gynecology hi medical field ni tawh mah se, urogynecology hi kum 2011 khan specialty hran anga pawm a ni a, chutiang chuan urogynecology, a nih loh leh a bik takin Female Pelvic Medicine and Reconstructive Surgery (FPMRS) tia hriat lar chuan kum 2013 atang khan doctor-te hnenah certification a pe tan a ni.

Urogynecologist ni tur chuan eng ang zirna nge i mamawh?

Hetiang specialist nih hi thil awlsam a ni lo. Medical school a zir zawh hnuah urogynecologist ni tura training doctor chuan gynecology emaw urology emaw-ah residency training a zo tur a ni. Training program thenkhatah chuan a pahnih lama training neih theihna hun remchang a awm bawk. Chumi hnuah chuan Female Pelvic Medicine and Reconstructive Surgery (FPMRS) tih specialty-ah fellowship training an zo tur a ni.

He fellowship training an neih zawh hian board-certified urogynecologist ni turin exam an pass a ngai bawk.

A awlsam zawngin, medical school i zir zawh hnuah urogynecologist ni tur chuan kum sarih vel zir leh training i neih a ngai a ni. Chuvangin he kawngah hian hriatna tam tak nei mi an ni.

Urogynecologist hian eng nge a tih tak tak?

Urogynecologist te hian pelvic floor disorder te chu an hmuchhuak a . Heng pelvic floor disorder te hian hmeichhia leh mipa a nghawng thei a, mahse urogynecologist te hian hmeichhiate tana thil tawn bik nena inzawm dinhmun an enkawl ber a ni. Entirnan, naupai, nau neih leh menopause te hi pelvic floor disorder neih theihna tur risk factor zawng zawng a ni.

Urogynecologist-te’n an enkawl pelvic floor disorder tlanglawn thenkhat chu hetiang hi a ni:

• Urinary Incontinence: Hei hi zun kal dan control theih lohna a ni . Hei hi enkawl dan kawng hrang hrang a awm a:
• Stress Incontinence: Intra-abdominal pressure a san chuan zun a hloh a, chu chu khuh, thawk hah, nuih ri nasa tak, thil rit tak chawi lai te hi a ni.
• `Urge Incontinence` tih hi a ni.Urge chu zun chhuah ngai nghal, chak tak a ni. A châng chuan, toilet-ah pawh i tlan hmain i zun thei bawk. Kal a ngai nia i hriat veleh a thleng nghal mai thin.
• Overactive Bladder: Zun chhuah fo (darkar khatah vawi khat pawh ni thei), zun chhuah vat a ngai. Zan lamah vawi tam tak i tho a ngai mai thei.

• Pelvic Organ Prolapse (POP): Hei hi pelvic organ pakhat emaw a aia tam emaw a awm dan pangngai atanga chhuah a, pelvic floor a thlawp tha loh laiin vagina chhunga luh a ni. Hei hi bang chim leh furniture tlak chhuah dan nen a inang hle . Organ prolapse thei te chu bladder (cystocele), uterus (uterine prolapse), rectum thenkhat (rectocele), leh vagina chunglam (vaginal vault prolapse) te an ni. Hetiang dinhmun hi bladder lama harsatna nen pawh a inzawm thei bawk. Mi thenkhat chuan vagina atanga thil lo chhuak ang maiin an inhria mai thei.

• Fecal Incontinence: Pelvic floor muscles a chak loh chuan i bowel movement control i hloh thei a, tum loh takin stool engemaw zat i leak thei bawk. Hei hi bowel movement lai emaw, liquid stool tlemte emaw pawh a ni thei. Hei hi Fecal Incontinence an ti a.

• Pelvic Floor Dysfunction: Hetiang dinhmun hi zun leh bawlhhlawh paihna control tu pelvic floor muscle te inrem thiam loh vang a ni. Chumi awmzia chu taksa ruhte chu a tight tur hunah a tight a, a hrual tur hunah a tight tihna a ni. Hei hian zun emaw, ek chhuah emaw a ti harsa thei (entir nan, zun i tum pawhin i pass thei lo). Tin, sex hman laiin vaginal na leh natna a thlen thei bawk.

• Vaginal Fistulas: Hei hi vagina leh bladder emaw rectum inkarah kawng dik lo a lo awm a, chu chu hliam (e.g., nau neih lai, operation lai) emaw, damdawi lam thil dang vang emaw a ni. Hei hian zun emaw ek emaw chu vagina chhungah a luang lut thei a ni.

Tunah chuan i hrethiam tawh mai thei, a dik em? Hengte hi thil nuam lo tak tak, mahse nuam lo tak tak a ni. Mahse, hei hi enkawl dan tur a awm tih hre reng ang che.

Heng natnate hi urogynecologist-te hian eng enkawlna nge an pek?

Urogynecologist-in i dinhmun a hriat chian hnuah, i tan enkawlna dik tak an rawn pe ang che. Mi zawng zawng tan enkawlna pakhat chauh a awm lo. Enkawlna chu thil tam takah a innghat a, chung zingah chuan i dinhmun leh a nasat dan te, i kum te, leh i hriselna tlangpui te pawh a tel a ni. An enkawl dan thenkhat chu hetiang hi a ni:

• Damdawi pek dan: I bladder control na tur (e.g., overactive bladder tan) emaw, bowel movement tihregulate na tur (e.g., constipation atan) emaw damdawi pek i ni thei bawk.
• Thil hmanrua dahna: 1.1.Entirnan, ``POP'' emaw pelvic organ prolapse emaw i neih chuan ``pessary'' tih device i dah thei a ni. Hei hi ring ang chi emaw, silicone, rubber emaw plastic emaw atanga siam, vagina chhunga dah luh a ni. Pelvic organs te chu a hmunah a vawng tlat thin. Hei hi non-surgical treatment a ni.
• Surgery: A chang chuan, a bik takin enkawlna dangin hna a thawh loh emaw, a natna a nasat emaw chuan operation neih a ngai mai thei. Hei hian reconstructive surgery a huam a, chu chuan pelvic organs te chu an dinhmun pangngaiah a hruai kir leh thin. Surgery hian zun control lama harsatna (stress incontinence atana sling ang chi) pawh a pui thei bawk. Heng surgery-te hian nangmah ngeiin i tissue leh ligament i hmang thei a, a nih loh leh pelvic floor muscle chak lo emaw, chhia emaw tichak turin thil ( mesh ang chi) i dah thei bawk.
• Pelvic floor tichaktu exercise: Kegel exercise tih hi i hre tawh ngei ang . Urogynecologist chuan a tih dan tur dik tak a kawhhmuh ang che. Kegel exercise hian i pelvic floor muscle a tichak a. Weights chawi leh muscle siam ang mai a ni. A châng chuan physical therapist nen pawh biofeedback tih technique hmangin an thawk dun thei bawk . Biofeedback hian i pelvic floor muscle te a tihkhauh leh a relax lai hriat chian zawk nan a pui thin. Hetiang hriatna hmang hian heng taksa ruh leh zun leh ek control tu thiltih te hi i thunun thei zawk ang.
• Nunphung tihdanglamna \angkai tak rawtna: I natna lan chhuahna thlentu nitin nunphungte hriatchhuah leh tihdanglam turin a pui ang che. Hei hian i ei leh in dan thlak danglam (e.g., caffeine tihtlem, eitur rimtui tihtlem), i taksa rihna tihtlem tura puih, zu in loh, chawlh hahdamna hmanrua dah belh, emaw, zun i "hold" theih hun chhung zawi zawiin tihpun nan toilet-a zin hun tur ruahman (bladder training) te pawh a huam thei.

Engvangin nge urogynecologist ka hmuh ang? / Engtik lai nge?

Heng symptoms te hi i neih chuan urogynecologist pan i ngaihtuah mai thei:

• I zun emaw bawlhhlawh emaw i leak palh a nih chuan .
• A tlangpui aia tam zun chhuah a ngai nia i hriat chuan .
• Toilet i kal hmaa zun chhuah a ngai nia i hriat chuan , a hun taka toilet thleng harsatna i nei tihna a ni.
• I vagina emaw pelvic area-ah (a chhunga thil awm ang chi) a khat, a rit emaw, pressure emaw i hriat chuan.
• Nangmah ta a niI vagina atanga thil lo tla emaw, tla emaw i hriat chuan, emaw, chutiang thil chu i hriat tak tak a nih chuan.

Pawimawh: Heng thute sawi hi zak suh. Hengte hi hmeichhe tam takin an tawn theih tur dinhmun a ni a, chutiang tan chuan enkawlna tha tak tak a awm bawk. Nangmah chauhin i tuar a ngai lo.

Tin, urinary incontinence leh pelvic organ prolapse hi mi tam tak tan chuan mimal thil a ni hle bawk. Chuvangin, nangmah ang bawka hmeichhe taksa kalphung ngaihtuah thiam leh i dinhmun hrethiam thei doctor hmuh chu thlamuanna nasa tak a ni thei. Tichuan, Doctor hmuh chhan eng pawh ni se, waiting room-a i nghah lai hian hlauhna leh lungawi lohna i nei lo ang.

A vawi khatna atana urogynecologist hmu tura i kal chuan eng nge thleng?

I thil tawn hi urogynecologist i hmuh chhan a zirin a danglam deuh thei a, mahse a tam zawkah chuan hengte hi a thleng thin:

• Urogynecologist chuan i medical history kimchang a sawipui ang che . Hei hian natna hmasa te, operation i neih tawh te, damdawi i ei te, leh i chhungkuaa tu pawhin hetiang harsatna hi an nei tawh em tih te a kawk a ni.
• I symptoms chungchang chipchiar takin an zawt ang che . Hei hian engtikah nge an tan tih te, eng chen nge an awm tawh tih te, engtikah nge an natna a zual zel tih te, leh i nun an nghawng dan te (e.g., i zin chhuah theihna tibuaitu emaw, khawtlang thila i tel theihna emaw a tibuai em tih te) tihna a ni.
• Physics exam an nei dawn a ni . Hei hi pelvic exam nen a inang tlangpui. I pelvic floor-a taksa peng leh tissue te, an dinhmun leh an chakna te ngun taka en an duh ang. I vagina entir emaw, test emaw ti turin an ti thei bawk.

Heng test-te hian an hmuhchhuah dan a\angin enkawlna an rawn rawt ang che a, a nih loh leh natna hriat theihna tur test dang eng nge mamawh tih an hrilh ang che (e.g., zun test, `urodynamic studies` ang chi test bik).

Ka urogynecologist hnenah eng zawhna nge ka zawh tur?

Doctor nen in inhmuh hunah zawhna i neih apiang zawh hlau suh. I hriatthiam loh thil a awm chuan zawt nawn leh rawh. Zawhna i zawh theih ṭhenkhat chu hetiang hi a ni:

• Ka pelvic floor lama harsatna awm chhan ber chu eng nge ni?
• Ka pelvic floor ah hian engzat nge chhiatna a awm?
• Eng enkawlna nge min rawn rawt? An thatna leh that lohna chu engte nge ni?
• Enkawl hnuah ka pelvic floor-ah hian chakna engzat nge ka neih leh ang? Engtiang chiahin nge ka dam thuai ka beisei ang?
• Ka pelvic floor function vawng reng tur leh heng harsatnate hi a lo awm leh tawh loh nan nitin nunah eng inthlak danglamna nge ka siam theih ang?
• Heng enkawlna bakah hian exercise ang chi ka tih theih tur a awm em?

Take-home message hnuhnung ber a ni

Taksa hnathawh bulpui, zun leh bawlhhlawh paih ang chi control tu muscle te hi kan ngaihtuah vak lo a ni lawm ni? I tih ngai loh angin zun i leak a, emaw, i vagina-ah i hriat loh taka fullness i hriat hian, a ti lungngai tak zet a, a ti mualpho thei a, socially isolated a ni thei bawk.

Mahse urogynecologist te hian hei hi an hrethiam hle. I pelvic floor lama harsatna awmte hriatchhuahna leh i tanpui thei tur enkawlna tha ber berte hriatchhuahna kawngah an thiam hle. I thusawi an ngaithla ang a, i tana solution tha ber zawng an tum ang. Hetiang thil tawn tawh tam tak nen pawh an thawk dun tawh a ni. Heng harsatna i neih chuan i chhungkaw doctor hnenah urogynecologist hnena referral dil la, a nih loh leh nangmah ngeiin appointment i siam thei bawk.

Heng thilte hi thup a, hrehawm tawrh a ngai lo tih hre reng la, a pawimawh ber chu tanpuina lak hi a ni. Nangmah chauh i ni lo!

` Urogynecology, Pelvic Floor, Urinary Control, Pelvic Organ Prolapse, Hmeichhe hriselna, POP, Incontinence