I vagina chu a insiam kim lo em ni? Vaginal agenesis chungchang hi han sawi ila.

A châng chuan kan fanu emaw, nangmah ngei pawhin a puitlin hnu pawha thla tin a period ṭan lohna hmunah harsatna i nei thei bawk. A nih loh leh, vaginal discomfort dang a nei thei bawk. Hei hi a chhan pakhat chu ‘vaginal atrophy’ an tih hi a ni thei. Hei hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin, i hriatthiam theih angin sawi ila.

He vaginal agenesis an tih hi eng nge ni?

A awlsam zawngin sawi ila, hei hi nausen hmeichhia chu a pum chhunga a awm laiin a serh (vagina) a lo thang tha tawk lo vang a ni. Damdawi lam hawi chuan hei hi congenital anomaly a ni . Vagina chu a awm lo vek thei a, a then chauh a lo awm thei bawk. Hetiang dinhmun hi pian tirh lamah awm mahse, puitlin thlengin hriat theih a ni lo thei tih hre reng ang che. Hei hi a chhan chu a tam zawkah chuan pawn lam mipat hmeichhiatna chu a pangngai angin a lang a ni.

Mi tam zawk chuan kum tleirawl an tlin hunah chauh he thu hi an hre thei a, chu chu kum 15 vel an nih hnu pawha thla tin an period (thlasik kan tih bawk) an la tan loh lai chauh a ni.

He anovulation an tih natna nen hian a chang chuan reproductive system hmun dangah pawh harsatna a awm thei bawk. Entirnan, nausen seilian na uterus emaw, ovary atanga uterus thlenga artui phurtu fallopian tubes te hi a lo thang tha lo mai thei. Tin, kal emaw, ruhro emaw-ah pawh harsatna a awm thei bawk.

Mahse, ngaihtuahawm tur a awm lo. Hetiang dinhmun hi enkawlna tur a awm. Damdawi hmanrua hmangin vagina hi zawi zawiin a lian thei a ni. A chang chuan operation tenau (`(surgery)`) tih hian vagina siam theih a ni. Dik tak chuan, he dinhmun hian a châng chuan fa neih a ti harsa thei a, chu chu a nghawng chi thlahtute a zirin a ni. Amaherawhchu, inenkawlna a awm chuan hmeichhe tam tak chuan nun hrisel an hmang thei a, sex nun pangngai an nei thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hetiang dinhmun hi a takah chuan a tlem hle . Statistics atanga a lan dan chuan hmeichhia 5,000 zinga pakhat velin a nghawng a ni. Hetiang vaginal prolapse nei hmeichhia hmun thuma ṭhena hmun khat vel pawhin kal (kidney) lama harsatna an nei tih hmuhchhuah a ni. Tin, 12% vel chuan ruh ruh, ruh, emaw ke ruh emaw-ah harsatna an hmu thei bawk.

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Doctor te chuan a chhan dik tak an la hre lo . Nausen pum chhunga nausen a lo thanglian hian a thleng thin. Hmeichhia naupai kar 20 chhungin a reproductive system a lo thang tha lo a nih chuan a thleng tlangpui. Vagina, uterus, fallopian tubes, cervix emaw hmasawnna kawngah thil danglam tak a thlen thei a ni.

Naupai laiin chemical tha lo tak tak nena inzawmna ang chi boruak thilte pawhin hmun a chang thei niin an ngai . Emaw,Genetic cause pawh a awm thei bawk. Vaginal prolapse nena inzawm natna thenkhat chu rochun a ni thei.

Vaginal insufficiency hi natna dang engemaw zat chhinchhiahna a ni a, a awm thei bawk. Chungte chu disorders of sex differentiation (DSD) an ti a. Condition lian ber pahnih chu:

• Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome: Hei hi natna awm lo tak a ni. Reproductive organs-ah thil dik lo a siam thin. MRKH syndrome hi vaginal agenesis nena inzawm natna langsar ber a ni. Hetiang dinhmunah hian vagina leh uterus hi a lo thang tha lo a, a lo thanglian lo bawk. He syndrome chi leh a nasat dan azirin, serh, ruhro leh ke leh ke ruhah pawh thil danglam dang a awm thei bawk. Mi thenkhat chuan hriatna hloh te, thinlung natna te, kal lama harsatna te an nei thei bawk.
• Androgen insensitivity syndrome (AIS): Hei hi thlahtute atanga lo chhuak a ni. Hetiang dinhmunah hian naupang uterus, cervix, fallopian tubes leh vagina thenkhat te chu a lo thang lian lo. A then phei chuan vagina hi a lo thang lo thei lo.

Hetiang natna lan chhuah dan hi engte nge ni?

Hetiang dinhmun hi i hriat tur pawimawh tak tak engemaw zat a awm a:

• Amenorrhea : Hei hian kum 15 a tlin meuh chuan thlasik a intan lo tihna a ni a, hei hi a chhinchhiahna hmasa ber a ni fo. Hetiang hi i fanu chungah a thleng a nih chuan Doctor pan rawh.
• Cryptomenorrhea : Hei hi thla tin thisen chhuak tur nia sawi chu a chhuahna tur awm lovin taksa chhungah a awm khawm a ni. Ngaihtuah teh, thla tin thisen a chhuak thin a, mahse a chhuah theihna tur kawng a awm lo. Tichuan a chhungah a pung khawm a, pum na leh hnungzang na ang chi thil a thlen thei a ni. Hei hi a pawi hle thei a ni.
• Vagina hawnna chu dimple te tak te emaw, hawnna awm lo tak tak emaw pawh a ni thei.
• Sex hman laiin natna . Hei hi vagina a tawi lutuk chuan a thleng thei.

Engtin nge hei hi i hriat chian? Eng test nge tih thin?

A châng chuan, doctor-te chuan nausen lai emaw, naupan lai emaw aṭangin he natna hi an hmuchhuak ṭhin. Mahse, a tam zawkah chuan i tleirawl laiah hmuhchhuah a ni. Mi tam tak chuan kum 15 an tlin meuh chuan thla tin an period tan loh avangin doctor pan an kal hian he natna hi an nei tih an hrechhuak thin.

Vaginal prolapse an tih natna hriat theih nan i doctor (or i fa doctor) chuan hetiang test hi a ti ang:

• A hmasain taksa enfiahna neih a ni. Hei hian vaginal area leh anus vel enfiah tihna a ni.
• Ultrasound scan (`(Ultrasound)`) tih a ni . Hei hian vagina chu a ti tam thei a niPelvic cavity chhunga taksa peng hrang hrang (uterus leh ovaries ang chi) thlalak hmuh tur a awm.
• MRI scan (MRI) pawh tih theih a ni . Hei hian vagina leh reproductive organ dangte thlalak chiang tak, chipchiar tak a siam thei a ni.
• Chu bakah, i doctor chuan chromosomal abnormalities awm leh awm loh enfiah nan thisen test neih a rawt thei bawk. DNA thisen test hian MRKH syndrome ang chi genetic condition i neih leh neih loh a finfiah thei a, a chhan chu a chang chuan vaginal prolapse hi heng genetic condition te nen hian a inzawm thei a ni.

He natna hi enkawl theih a ni em?

Ni e, hei hi enkawlna tur a awm. I doctor emaw, i fa naupang enkawltu emaw nen inbiain engtikah nge enkawl tan hun tha ber tih i rel thei ang. Mi thenkhat chuan an naupan lai atanga enkawl an tan thin. Mi dangte chuan an puitlin hnuah emaw, mipat hmeichhiatna an hman hnuah emaw enkawlna an ṭan a. Hei hi mimal thutlukna a ni.

Vaginal dryness enkawlna lian ber pahnih chu:

1. Vagina self-dilation

Vaginal opening emaw, opening awmna tur hmuna khur te tak te i neih chuan i doctor chuan i vagina zau zawka siam turin dilator hmang turin a hrilh ang che. Hei hian a hawnna chu zawi zawiin tihzauh nan tube te tak te, te tak te hman a ngai a ni. Hei hi ni engemaw zat chhungin zawi zawiin tih a ni ang. Hei hian ni khatah minute 20 vel a daih tlangpui. Dilation lai hian harsatna engemaw zat i nei thei a, mahse a na tur a ni lo. Dilator hi i vun a nem leh a pliable lai, shower zawhah hman a tha ber.

2. Surgery (`(Surgery)`) tih a ni.

A châng chuan, i doctor chuan vagina siam tûrin vaginoplasty tih angin a rawt thei bawk. Doctor chuan i taksa dinhmun leh thil dang a zirin eng method nge i hman dawn tih a rel ang. Doctor-te chuan traction device hmangin vagina awm lohna hmunah vagina an siam thei a, a nih loh leh skin graft (mahni hmui atanga emaw, intestine thenkhat atanga emaw) an hmang thei bawk. Surgery zawhah i doctor chuan insert a dah ang a, chu chuan vagina chu a tha zawnga a awm theih nan a pui ang. He insert hi engtikah nge i lak chhuah theih ang tih chu i doctor nen sawiho rawh.

Heng enkawlnate hnuah hian eng chen nge a dam leh theih?

Surgery i neih tawh chuan i dam chhungin eng nge i beisei tur tih doctor zawt la. Kar khat vel chu khumah i awm tlangpui ang. I doctor chuan dilator (i hnute chhunga dah theih hmanrua) chu thla engemaw zat chhung chu a hmunah dah turin a ti thei bawk. Sex hman lai te, bathroom i kal lai te, shower i tih lai te hian dilator hi i la chhuak thei a ni.

Vaginal insufficiency nei hian sex a hmang thei ang em?

Hei hi mi tam tak tan chuan harsatna tlanglawn tak a ni. Vaginal prolapse enkawl hnuah engtikah nge sex hman a him tih doctor zawt rawh. A tlangpuiin, operation hnu thla khat vel hnuah sex i hmang tan thei. Mahse, dam leh hun chhung hi mi hrang hrangah a inang lo. A tir lamah chuan sex awlsam zawk nan artificial lubrication i hman a ngai mai thei.

Inenkawl zawhah mi tam takin sex nun hlimawm tak an nei thin. I kawppui chuan erectile dysfunction i nei tih emaw, enkawl i nih thu emaw pawh a hre lo mai thei.

Enkawl zawhah fa ka nei thei ang em?

Hei pawh hi zawhna pawimawh tak a ni. Inenkawl zawhah fa i nei thei dawn em tih doctor zawt rawh. I uterus, fallopian tubes leh cervix te chu a lo thanglian tawh a nih chuan fa i la nei thei tho mai thei.

Mahse, uterus i neih loh chuan (a nih loh leh a te lutuk a nih chuan), uterine factor infertility i neih tihna a nih chuan naute chu term thlengin i phur thei lo mai thei. Mahse, beiseina bansan suh. Nangmah ngeiin egg hmangin surrogate motherhood hmangin naute i nei thei mai thei. I doctor chuan fertility specialist hnenah he thu hi sawi belh turin a refer ang che.

Vaginal dryness hi a veng thei em?

Vaginal prolapse hi pianpui atanga lo piang chhuak / piansualna a ni . Chu chu pian tirh laia thil awm, nausen pum chhunga a lo thanlen laia thil thleng a ni tihna a ni. Chuvang chuan ven dan tur a awm lo. Tu sualna avanga thil thleng a ni lo.

Engtin nge ka fa hian he natna hi a vei thei tih ka hriat theih ang?

I chhungkuaa mi pakhatin disorders of sex differentiation (DSD) a neih tawh chuan chhungkaw din hmain doctor nen inbiakna neih hmasak phawt a tha. I naupai hmain genetic counselor i hmu thei bawk a, i fate hnena genetic condition i thlen theih dan tur i zirchiang thei bawk.

Vaginal prolapse ka neih chuan eng nge ka beisei ang?

I thlirna chu thil tam takah a innghat a ni. Eng enkawlna nge i dawn tih leh i reproductive system-a eng hmun nge a nghawng tih hi a pawimawh hle. Mahse, enkawlna nen chuan mi tam zawk chuan sex nun hlimawm tak an nei thin. Mi thenkhat chuan vaginoplasty hnuah vaginal stenosis (vagina narrowing) an nei thei bawk. Chutiang a nih chuan dilator hman chhunzawm emaw, operation dang emaw tih a ngai mai thei.

Engtikah nge Doctor ka hmuh ang?

Heng thilte hi hre reng ang che:

• Nangmah emaw, i fain kum 15 an tlin hmaa thlasik i neih tan loh chuan Doctor pan nghal tur a ni. Evaluation kimchang leh taksa enfiahna neih a pawimawh.
• Tin, i period lova pum na emaw, hnungzang na emaw i neih chuan doctor pan nghal tur a ni.
• Vaginal area-ah thil danglam bik i hmuh chuan doctor pan la, enfiah rawh.

Vaginal dryness chungchangah hian eng nge ka doctor zawh tur?

Hetiang dinhmun hi hrethiam zawk tur chuan i doctor hnenah hetiang zawhna hi i zawt thei ang:

• Eng enkawl dan nge ka tan a tha ber?
• Hetiang natna vei te tanpui thin support group ah min connect thei ang em?
• Engtikah nge enkawl hnuah ka thiltih pangngaiah ka kir leh theih ang?
• Engtikah nge enkawl zawhah sex ka hman theih ang?
• Ka chhungkuaah hian vaginal prolapse nei mi an awm a nih chuan ka fa pawhin he natna hi a vei theihna tur risk engzat nge ni ang?

Nang emaw i fa emaw hian heng symptoms te hi i neih chuan i doctor nen inhawng tak leh rinawm takin inbia ang che. Vaginal insufficiency hian thlasik hun, reproductive health , leh sexual function-ah harsatna a thlen thei a ni. Mahse, enkawlna hian a pui thei a ni. Enkawlna hnua fa neih i duh chuan i duhthlan tur chungchang doctor nen sawiho rawh. Mi tam tak chuan enkawl hnuah sex nun hlimawm tak an nei thin.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Vaginal agenesis hi pianpui natna ni mahse, a hmasa berah chuan nangmah chauhin i hmachhawn lo tih hre reng ang che. Tumah sualna a ni lo.

• Diagnosis dik tak neih a pawimawh hle. Kum 15 i tlin hmaa thlasik i neih tan loh chuan, emaw, pum na nena inzawm, thlasik lama harsatna i neih chuan doctor lam pan nghal rawh.
• Enkawlna hrang hrang a awm. Self-dilation emaw surgery emaw pawh a hlawhtling thei.
• Mi tam tak chuan enkawl hnuah sex nun hlimawm tak an nei thei a.
• I nau neih dan chungchang doctor nen sawiho la, i duhthlan turte zir rawh.
• He zin kawngah hian rilru lam puihna pawh a pawimawh hle. A tul chuan counseling zawng la, support group-te nen inzawm rawh.

"Hlau suh, i tanpui tur doctor leh i hmangaih tak tak an awm. Thu dik leh puihna dik tak i neih chuan he dinhmun hi hlawhtling takin i hmachhawn thei ang."

` Vaginal Agenesis, MRKH Syndrome, AIS, Nau piangsual, Amenorrhea, Naupai hriselna, Hmeichhia te