Nausen pum chhunga harsatna awm vangin naute a nei thei lo em ni? (Uterine Factor Infertility) chungchang hi han sawi ila.

Fa neih tumna chu tihlawhtling tura kan beih hian a chang chuan beisei loh harsatna kan hmachhawn a ngai thin. I doctor khan harsatna chu nausen pum chhungah a awm tih a hrilh che pawh a ni mai thei? Hetiang thil i hriat hian lungngaihna leh mangang lutuk hi thil pangngai tak a ni. Mahse, lungngai suh. Hei hi dik takin i hrethiam ang u, a chhan chu awareness hi he zinkawngah hian a hmasa ber a ni.

Uterine Factor Infertility hi eng nge ni?

A awlsam zawngin, hei hi miin nau a pai theih loh lai a ni. A chhan chu an nausen pum chu an pian tirh atanga a awm loh vang emaw, awm pawh ni se, a thawk tha lo vang emaw a ni. Nausen chu nu pum chhungah, chu chu nausen pum chhungah a piang a, a thang lian tih kan hre vek. Chuvangin he nausen pum chhungah hian harsatna a awm chuan naupai hi a nghawng nghal vek a ni.

Hetiang dinhmun hi chi hrang hrang lian tak tak a awm.

He dinhmun hi chi hnih ah then theih a ni: a lo awm dan azirin.

Hei hi eng chhan nge ni? Thuk zawkin han thlir ila.

Hetiang thil a thlen chhan hi chipchiar deuhin han sawi ila.

Nausen pum nei lo piang

Hei hi pianpui natna hmuh tur awm lo tak a ni. Damdawi lamah chuan `(Mayer-Rokitansky-Küster-Hauser syndrome - MRKH)` tih a ni. Hetiang natna vei hian a pian tirh atanga a sei lo emaw, a te lutuk emaw a vagina leh uterus a nei a. Mahse mak tak maiin ovary te hi a hrisel fo thin.. Ovary te hi a thawk tha em avangin hormone te hi a pangngaiin a chhuak a, chuvangin thlasik hun nena inzawm mood swing ang chi thil a awm thei a ni. Mahse, nausen pum a awm loh avangin thlasik thisen chhuak a awm lo. Hetiang dinhmun hi kum naupan lai atanga hriat chhuah a ni tlangpui a, chu chu kum 15-16 inkar atanga thlasik a la tan loh lai a ni.

Hysterectomy tih a ni

Hei hi a chhan lian tak chu dam chhung hun eng emaw chen chu nausen pum chu operation hmanga lakchhuah a ngai dawn a ni. Chutiang surgery neih chhan hi eng emaw zat a awm thei.

• Thisen chhuak nasa tak (thisen chhuak): A châng chuan C-section emaw, operation dang emawa tihtâwp theih loh thisen chhuahna nasa tak a awm chuan nunna chhanhim nân a hnuhnung ber atan nausen pum chu lak chhuah a ngai mai thei. Hei hi a tlem hle.
• Uterine cancer: Nausen pum hi cancer cells taksa peng danga an darh loh nan an la chhuak thin.
• Thil pawi dang: Pum natna nasa tak leh endometriosis, uterine fibroids, adenomyosis ang chi natna avanga thisen chhuak nasa tak chu enkawlna dang hmanga control theih a nih loh chuan doctor-te chuan hahdamna atan nausen pum chu lakchhuah an rawt a ni.
• Nausen pum chhunga hliam (Scarring of the uterus): Infection thenkhat, radiation therapy emaw, nausen pum tihfai nan surgery (Dilation and Curettage - D&C) te hian nausen pum chhungah hliam tissue a siam thei a, adhesions a siam thei bawk. Hetiang dinhmun hi Asherman’s syndrome an ti a. He scarring hian nausen chu uterine wall-ah implant a ti harsa hle.

Engtin nge he dinhmun hi kan hriat theih ang?

I doctor chuan he natna hi a hriat theih nan step engemaw zat a zawm ang.

• Medical history: A hmasa berin i thlasik hun chhung te, a hmaa i zai tawhna te, leh damdawi lam thil dang i neih dan te zawh a ni ang.
• Taksa enfiahna: Pum chhung lam chu enfiah a ni.
• Scans: Ultrasound scan hian a pianzia, a lian leh te, leh nausen pum a awm leh awm loh pawh chiang takin a hmu thei. A châng chuan MRI scan hmangin finfiah belh theih a ni bawk.

Hei hi eng enkawlna leh duhthlan tur nge ni?

Hun rei tak chhung chu nausen pum nei lo tan fa neih theihna tur kawng awmchhun chu adoption emaw gestational surrogacy emaw a ni.

Mahse tun hnaiah, damdawi lam science hmasawnna avângin beiseina thar a lo chhuak ta a ni: uterus transplantation .

Hei hi khawvel ram tam takah chuan thil tih dan pangngai a la ni lo a, mahse a hlawhtlingna hmun eng emaw zat a awm tawh bawk.

Engtin nge uterus transplant hi a awm theih?

Hei hi operation buaithlak tak a ni bawk a, liver emaw kidney emaw ang chi organ transplant ang chi a ni.

• Uterus transplantation: Nausen hrisel tak chu mi nung (e.g., chhungte hnai tak, nu emaw, unaunu emaw) emaw, mi thi (brain-dead donor) emaw atanga thlak a ni.
• Embryo buatsaih dan: Nausen pum a sawn hma hian IVF technology hmangin a dawngtu hmeichhe artui leh a kawppui sperm hmangin embryo siam a ni a, chu chu a vawt (frozen) a ni.
• Implantation: Surgery zawhah taksa chu nausen pum thar nen a insiamrem tawh chuan a hmaa embryo buatsaih tawhte chu pakhat hnu pakhatin nausen pum chhungah dah a ni.
• Temporary transplant: Hei hi organ transplant dang angin dam chhunga tih tur a ni lo. A tlangpuiin fa pakhat emaw pahnih emaw an pian hnuah nausen thar (transplanted uterus) chu surgery hmangin an la chhuak thin.
• Engvangin nge lakchhuah leh a nih?: Taksain taksa peng thar a hnawl loh nan dam chhung damdawi (immunosuppressants) i ei a ngai a ni. Heng damdawi te hian side effect a nei a. Chuvangin, fa neih tumna chu tihhlawhtlin a nih hnuah, heng damdawi ei chhunzawm zel theihna tur tihtlem nan hetiang hian nausen thar (transplanted uterus) chu lakchhuah a ni.

Hetiang dinhmun hi ven theih a ni em?

He pianpui natna hi ven theih a ni lo, naute chu a pum chhunga a la awm laiin a thleng thin a ni. Naupai laiin scan hmangin hriat lawk theih a ni lo.

Mahse dam chhung hian kan dinhmun (acquired conditions) chungchangah hian eng emaw chen kan fimkhur thei a ni. Entirnan, uterine fibroids ang chi natna avanga hysterectomy i tih hmain i hmalam hun atana i duhthusam chungchang i doctor nen zalen taka inbiakna neih a pawimawh . Tichuan, nausen pum lak chhuah ngai lo enkawlna dang a awm leh awm loh kan sawiho thei ang.

Mahse, a châng chuan hysterectomy hi nunna chhanhim thei emergency surgery a ni tih hre reng ang che. Chutiang dinhmunah chuan thil dang ngaihtuah hun a awm lo mai thei.