I period a irregular hle em? Ni eng emaw zat a zawnin thisen a chhuak nasa em? A nih loh leh thisen chhuah chu i chawlhsan vek a, chutah chuan thisen tlem te tein i chhuak leh ta em? Hetiang thil a thlen hian hlauhna tlem a awm hi thil pangngai a ni. A tam zawkah chuan heng symptoms te hi nausen pum chhunga thanna te te avanga lo awm a ni. Damdawi lam hawi chuan hengte hi ``Uterine Polyps'' kan ti a. Chuvangin vawiinah hian he thu hi han sawi ila. Lungngai suh, a tam zawkah chuan hei hi cancer a ni lo.
A awlsam zawngin, uterine polyp hi eng nge ni?
Uterine polyps, emaw ``Uterine Polyps`` tih hi i nausen chhungril bang, naute naupai hnua a lo seilian na ``Endometrium``-a tissue lo thanglian zel a ni. Kan vunah a chang chuan a innghat tisa te te ang mai an ni.
Heng fibroid te hi uterine cavity chhungah an thang lian a, uterine wall-ah hian a hnah te tak te emaw, a bul zau deuh emaw hmangin an inzawm a ni. An pianzia chu round emaw oval emaw pawh an ni thei. Sesame chi te tak te ang maia lian atanga golf ball lian leh te pawh an lian thei. Mi thenkhat chuan fibroid pakhat chauh an nei a, thenkhat erawh chuan engemaw zat an nei thei thung.
A pawimawh ber chu heng uterine fibroid tam zawk hi cancer (benign) an ni lo. Mahse, a chang chuan period mumal lo a thlen thei a, i nau neih theihna a tichhe thei bawk.
Tute nge hengte hi vei theihna hlauhawm zawk?
Hemi kawngah hian kum hi a pawimawh hle. Hmeichhia kum 40 leh 50 inkar, emaw, menopause (perimenopause) hun vel emaw hian heng lumps hi an nei tam ber. Menopause (postmenopause) hnuah pawh an lo thang lian thei bawk. Mahse, kum 20 hnuai lam tan chuan an tlem hle.
Tin, a hnuaia natna te hi i neih chuan `(Uterine Polyps)` vei theihna chance tlem i nei bawk.
| Risk factor a ni | A sawifiahna awlsam tak |
|---|---|
| Thau lutuk | I taksa rih zawng hi i san zawng a nih tur aia tam a nih chuan (BMI hi 30 aia tam a ni). |
| Thisen sang (Hypertension) 1.1. | Pressure i neih chuan. |
| Damdawi Tamoxifen a ni | Hei hi hnute cancer enkawlna atana hman thin damdawi a ni. He damdawi hi mi zawng zawngin an ei thei vek lo a, mahse a hlauhawmna a sang hle. |
| Hormone hmanga enkawl a ni | A bik takin hormone therapy i ei a nih chuan hormone estrogen dose sang tak a awm a nih chuan. |
| Genetic dinhmun (genetic) a awm | Lynch syndrome emaw Cowden syndrome ang chi genetic condition rare tak tak nei te pawh an hlauhawm hle. |
Heng mizia te hi i nei em?
A tam zawkah chuan `(Uterine Polyps)` chhinchhiahna ber chu thisen chhuak pangngai lo a ni. Chu chu eng nge a awmzia? Ngaihtuah teh, i period chu kum engemaw zat a tawp tawh a, mahse rang takin a tlahniam leh ta a ni. A nih loh leh i period i neih ni bakah hian a inkar ah thisen tlem i nei bawk. Hengte hi a lan chhuah dan berte an ni.
Heng symptoms te hi eng nge ni tih i lo en ang u.
- Inrelbawlna (irregular menstruation): Chumi awmzia chu thlasik ni leh thisen hloh zat chungchangah hian pattern bik a awm lo tihna a ni. Thla thenkhatah chuan ni 20 a ni thei a, thenkhat erawh chu ni 40 a ni thei bawk.
- Heavy bleeding: Thlasik laiin a tlangpui aia nasa zawka thisen chhuak.
- Period inkara thisen chhuak: Spotting chu period inkara thisen tlem lo awm hi a ni.
- Infertility: Naupai harsatna emaw, naupai chu full term thlenga vawn reng emaw.
- Postmenopausal bleeding: Menstruation a tawp vek hnua red, pink, brown spotting emaw light bleeding emaw.
- Mipat hmeichhiatna hman zawha thisen chhuak.
A chang chuan heng lumps te hi symptom awm lovin a awm thei bawk. Doctor chuan chhan dang avanga ultrasound scan ang chi thil a tih hian a hmu mai mai a ni.
He meatball hian natna a thlen em?
A tlangpuiin, hrehawmna nasa tak a awm lo. Mahse, a lump hi a lian deuh a nih chuan a chang chuan a na deuh thei a, pum hnuai lam emaw, hnungzang emawa period awm ang chi hi a ni.Natna i nei thei a, mahse natna hi a lan chhuah dan tlangpui a ni lo.
Engvangin nge he sa hi a lo thang?
Hei hi a chhan dik tak hriat a la ni lo a, mahse zirchiangtute chuan hormone level, a bik takin hormone estrogen hian hmun a chang niin an ngai.
A awlsam zawngin hetiang hian a thawk a ni. Thla tin i thlasik lai hian hormone estrogen hian nausen pum (endometrium) lining a ti thim thin. Hei hian nausen nau pai theihna tur boruak a buatsaih a ni. A châng chuan he thickening hi a tam lutuk chuan chutiang hmunah chuan tissue a lo awm khawm thei a, heng ang chi lumps a siam thei bawk. A hmaa kan sawi tawh risk factors te kha i hre reng em? Chutiang thil tam tak (thau lutuk, hormone therapy) chuan taksaah estrogen level a tisang a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Thisen chhuah mumal loh chungchangah doctor i pan chuan zawhna tlem a zawt ang che. I thlasik hun, eng chen nge a daih, eng chen nge a awm, eng damdawi nge i ei, fa neih i tum leh neih loh ang chi thil te.
Tichuan, gynecological examination neih a ni ang. Chutih rual chuan heng lumps te hi a awm leh awm loh finfiah nan test eng emaw zat neih belh leh a rawt bawk ang.
| Fiahna | Eng thil nge thleng? |
|---|---|
| Transvaginal ultrasound hmanga tih a ni | Hei hi scan a ni a, vagina kaltlangin instrument te tak te dah luh a ni. Hei hian nausen pum chhung chu chiang takin a hmu thei a ni. |
| Sonohysterography hmanga tih a ni | A chunga scan kan tih lai hian saline ang chi tui chu tube te tak te hmangin nausen pum chhungah an inject a. Hei hian nausen pum chu a tizau deuh a, chu chuan scan-ah chuan a chhunga tissue awmte chu chiang zawkin a lang thei a ni. |
| Hysteroscopy hmanga enfiah a ni | Hetah hian tube te tak te, sei tak, camera dahna chu vagina kaltlangin nausen pum chhungah an lut a, chu chuan doctor chuan nausen pum chhung lam chu screen-ah direct-in a en thei a ni. |
| Endometrial biopsy / Curettage hmanga tih a ni | Hei hian nausen pum chhung bang atanga tissue te tak te la chhuakin lab-ah thawnin cell pangngai lo, a bik takin cancer cell te enfiah a huam a ni. "Nausen pum tihfai" kan tih thin nen a inang hle. |
Hei hi eng enkawlna nge ni?
Enkawl dan tur chu thil tam tak ngaihtuah a ni a, chu chu i natna lan chhuah dan te, kum i neih dan te, fa neih i duh leh duh loh te, cancer i vei theihna tur te hi a ni.
1. Fimkhur taka nghah: Menopause i la thleng lo a, symptom i nei lo a, a lump pawh a tlem hle a nih chuan i doctor chuan engmah enkawl lova rei lo te nghah a rawt mai thei. Lump te te thenkhat chu anmahni chauhin an bo thei bawk.
2. Damdawi: Hormone-balancing damdawi `Progestins` emaw `Gonadotropin-releasing hormone agonists` te hian symptoms control nan a pui thei a ni. Mahse, hei hi hun eng emaw chen atana chinfelna a ni. Damdawi ei khap a nih veleh symptoms a lo lang leh thei.
3. Surgery hmanga lakchhuah: 1.1 .
- Hysteroscopy: Hei hi hman tlanglawn ber a ni. Hysteroscopy an tih lai hian tube chhungah hian instrument bik an kalpui a, polyp chu an tan a, an la chhuak thin. Hei hi a thatna chu doctor in polyp chu chiang takin a hmu thei a, dik takin a paih thei bawk.
- Tissue lakchhuah te enfiah: Hetianga tissue lakchhuah apiang hi cancer cell awm leh awm loh enfiah turin lab-ah thawn a ni. Hei hi a pawimawh hle.
Lump zawng zawng hi lak chhuah a ngai lo. Removal hi a tlangpuiin postmenopausal i nih emaw, thisen chhuak nasa tak i neih emaw, nau pai harsat emaw, i doctor-in cancer hlauhawma i ngaih chuan chauh a ni.
Zawhna tlemte mi tam takin an neih
Heng hnah tisa tak takte hi paih chhuah hi a hrehawm em?
Surgery hmain anesthesia pek i ni ang a, chu chuan a hmun chu a ti na thei ang. Chuvang chuan hrehawmna i nei vak lovang. Tlemte chuan pulling emaw pressure emaw i nei thei.
Hengte hi cancer vei an nih theih dan engzat nge ni?
Hei hi mi zawng zawng hlauh ber a ni. Mahse hre reng ang che, uterine polyp zinga za zela tlemte chauh, 5% vel chauh hi cancer-ah an chang thin.Postmenopausal emaw thisen chhuak mumal lo emaw i nih chuan a hlauhawmna a sang deuh hlek a ni. Chuvangin tissue lakchhuah apiang chu test a ni.
Hengte hi ven dan tur a awm em?
Vanduaithlak takin hengte hi a thlen lohna tur kawng chiang tak a awm lo. Mahse i rihna leh thisen sang control-na hmangin i risk chu eng emaw chen chu i tihtlem thei a ni. A pawimawh ber chu gynecological check-up neih fo hi a ni . Tichuan hetiang thil hi a tir lamah chuan hriat theih a ni.
Doctor i hmuh ngei ngei tur hunah
A hnuaia symptoms te hi i neih chuan ngaihthah suh la, a rang thei ang bera Doctor thiam tak pan rawh.
- I period a tawp vek hnuah (menopause hnuah) vagina atanga spotting emaw thisen chhuak emaw i neih chuan.
- I thlasik laiin thisen i chhuah chuan.
- I period laiin thisen chhuak nasa tak i neih emaw, i thlasik hun a mumal lo hle emaw a nih chuan.
Hetiang thisen chhuahna pangngai lo i tawn hian hlauhthawn hi thil pangngai a ni. Mahse a tam zawkah chuan a chhan chu cancer ni lovin, hetiang lump hi a ni. Mahse hriat chian nan damdawi lam thurawn lak a pawimawh a, a tul chuan him taka lakchhuah a pawimawh bawk.
Take-Home Thuchah a ni
- Uterine polyps hi a awm fo a, a tam zawkah chuan cancer ni lo, uterus chhung lam bang-a lo awm thin a ni.
- A lan chhuah dan ber chu thisen chhuak mumal lo a ni. Hei hi fimkhur hle ang che, a bik takin menopause hnua thisen chhuak i nih chuan.
- Tissue zawng zawng hi lak chhuah vek a ngai lo. Enkawlna chu i natna lan chhuah dan leh i risk factors atanga teh a ni.
- Thisen chhuak pangngai lo i neih chuan hlauthawng suh la, in lamah awm rawh. Diagnosis dik tak leh thurawn tur doctor pan ngei ngei tur a ni.
- Enkawlna te hi a hlawk hle a, a him hle bawk. Vawikhat lakchhuah a nih chuan symptoms chu a reh vek tawh mai.
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