Vaginal dryness leh natna i tuar em? (Vaginal Atrophy / GSM) Hemi chungchang hi han sawi ila

Hmeichhe tam tak, a bik takin menopause an hnaih emaw, an pass emaw chuan vagina nena inzawm harsatna hrang hrang an nei tan thin. Ngaihtuah teh, vagina chu a vawt a, a hnim reng a, sex hman laiin a na bawk. Mi tam tak chuan heng thilte hi tlang taka sawi chhuah chu zahthlak leh nuam lo tak niin an ngai a. Mahse a nihna takah chuan hei hi hmeichhe tam tak tan chuan a awm fo, a awm fo hle. Chuvangin hei hi tuar tur leh tuar tur a ni lo. Hei hi vawiina kan sawi tum chu a ni.

A awlsam zawngin, vaginal atrophy tih hi eng nge ni?

A awlsam zawngin sawi ila, Vaginal Atrophy hi i vagina lining a vawt a, a hring vek a ni. A chhan ber chu taksaa hormone estrogen a tlahniam vang a ni. Estrogen hi hmeichhe taksa tan hormone pawimawh tak a ni. Vagina chu a hnim, a inzawm khawm a, a hrisel bawk. Kan vun tan moisturizer ang mai a ni.

Menopause a awm chuan taksaa estrogen level chu a pianphungah a tlahniam nasa hle. Vagina lining chu a hring a, a vawt a, awlsam takin a chhe thei bawk.

Tunah chuan doctor-te chuan he natna hi hming thar an hmang ta a ni. Chu chu Genitourinary Syndrome of Menopause (GSM) a ni a, a natna hi a hlawhtling hle. He hming kan hman chhan chu he natna hian vagina chauh ni lovin, urinary system pawh a nghawng vang a ni. Chumi awmzia chu zun kawng infection leh urinary tract infection ang chi thil te pawh he thil nen hian a inzawm tihna a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

I ngaihtuah aiin a tam zawk. Zirna hrang hrangah chuan hmeichhe pahnih zinga pakhat tal chuan menopause neiin heng symptoms hi eng emaw zat a nei ang. Vawi tam tak chu a chhinchhiahna hmasa ber chu vaginal dryness a ni. Sex hman lai hian a langsar zual hle. Chuvangin mahni chauha i inhriat chuan midang tam takin he thil tawn hi an tawng mek tih hre reng ang che.

Hemi chhinchhiahna berte chu engte nge ni?

GSM hian vagina bakah urinary system nena inzawm symptoms a thlen thei a ni. Hengte hi chiang taka hrethiam tur chuan a hnuaia table hi en la.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Kan sawi tawh ang khan a chhan ber chu hormone estrogen tlahniam vang a ni . Menopause hi a chhan ber a ni. Mahse, estrogen tihhniam theihna chhan dang a awm bawk.

• Cancer enkawlna: Cancer dona damdawi thenkhat, radiation emaw chemotherapy emaw hian ovarian function a ti tlahniam thei a, estrogen siamchhuah a ti tlem thei bawk.
• Oophorectomy: Ovaries lakchhuah a nih chuan estrogen siamchhuah a tawp a, menopause symptoms a lo lang nghal a.
• Damdawi thenkhat: He natna hi naupai venna damdawi thenkhat emaw, estrogen dotu damdawi (e.g. Tamoxifen) vang pawh a ni thei.
• Nau hnute pek: Hetih hun chhung hian taksaa estrogen level chu hun eng emaw chen a tlahniam thin.
• Meizial zuk: Hmeichhia meizuk thinte hian estrogen level an nei hniam thei a, chubakah menopause hmaa an awm theihna an hlauhawm bawk.
• Mipat hmeichhiatna hman tlem: Hei hi mak tak angin a lang thei a, mahse a dik a ni. Mipat hmeichhiatna hman fo hian vagina-ah thisen a kal a tipung a ni. Exercise hian kan taksa peng hrang hranga thisen kal a tipung ang bawkin. Hetianga thisen kal tam hian vaginal tissue te chu a ti hrisel a, a ti flexible bawk. Mipat hmeichhiatna hman a reh emaw, a tlahniam emaw chuan he hlawkna hi a bo a, dryness leh atrophy a awm thuai thei bawk.

Hetiang dinhmun avang hian eng harsatna nge awm thei?

Hei hi nunna atana hlauhawm natna a ni lo. Mahse, i nunphung a nghawng thei a ni.nghawng lian tak a nei thei a ni.

Heng taksa lama harsatnate hian rilru lamah pawh a nghawng thei che a ni. Sex ngaihven lohna leh mahni inrintawkna hloh ang chi thil i tawng thei. Heng rilru put hmang zawng zawng hi a pangngai hle. A pawimawh ber chu i doctor nen hemi chungchang hi sawipui a, tanpuina dil hi a ni.

Engtin nge doctor hian hei hi a hriat chian?

Doctor chuan he natna hi i natna lan chhuah dan ngaihthlak a, taksa enfiahna (pelvic exam) a tih hian a hre thei tlangpui. He exam chhung hian doctor chuan i vagina leh cervix a enfiah ang. Hetiang chhinchhiahna hi i hmu mai thei:

• Vagina tawi emaw, tawi emaw
• A vawt, a sen, leh a hring deuh bawk
• Tissue te elasticity tlahniam
• Vagina chhungah rawng dum (pale color) a awm
• Vaginal opening bulah hian scratch emaw crack te te

A châng chuan, doctor chuan damdawi lam thil dang a awm loh leh awm loh enfiah nân test ṭhenkhat a ti thei bawk:

• Pap test: Cervical cell-a thil dik lo awm leh awm loh enfiah thin.
• Urine sample: Zun kawng infection a awm leh awm loh enfiah thin ang che .
• Ultrasound scan: Nausen pum leh ovary te enfiah thin ang che.
• Vaginal pH tehna.

Enkawlnate chu engte nge ni?

Hei hi enkawlna hrang hrang a awm a. I natna lan chhuah dan leh a nasat dan azirin i doctor chuan eng damdawi nge i tana tha ber tih a rel ang.

Hormone hmanga enkawl dan tur

Hengte hi he natna enkawlna atana hmanraw tangkai ber berte an ni.

• Topical Estrogen: Hei hian estrogen dose tlemte chu vagina chhungah direct-a dah a ni. Hei hian vagina chhunga tissue te chauhvin estrogen an dawng thei tih a tichiang a ni. Chuvangin taksa pumpuiah estrogen level a sang lo hle. Hei hi chi thum a awm a:
• A cream (Vaginal estrogen cream) a ni a, a rilru a buai em em bawk a.Special applicator hmangin vagina chhungah hnawih a ni.
• Vaginal tablet: Vagina chhungah applicator hmanga dah a ni.
• Vaginal ring: Doctor-in vagina chhunga a dah luh ring flexible tak a ni. Thla 3 chhungin estrogen a tichhuak zauh zauh thin.

• Systemic Hormone Replacement Therapy (HRT): Vaginal dryness bakah hian menopause symptom na tak dang (hot flashes ang chi) i neih chuan i doctor chuan he enkawlna hi a rawt thei ang. Pill, patch emaw gel emaw angin a awm thin. I taksa pum puiah estrogen a pe a ni.

Hormone hmanga enkawlna ni lo

Hmeichhe thenkhat chuan hormone therapy an ei thei lo (entir nan, cancer vei tawhte). Hmeichhia emaw hormone therapy duh lo tan chuan heng alternative te hi hman theih a ni.

Hetiang dinhmun hi a zual zel loh nan ven theih a ni em?

Estrogen tlahniam hi tar chakna atanga lo piang a nih avangin he natna hi pumpelh vek theih a ni lo. Mahse, a nasatzia thunun theihna tur thil i tih theih a awm.

• Thil tithinur thei lo: Vaginal area-ah hian sahbawn rimtui, shampoo, detergent leh rimtui hman loh tur. Chungte chuan vagina vun nalh tak chu a ti na zual thei a ni.
• Douche suh: Vagina chhung hi tui emaw, tui dang emaw hmanga sil loh tur. Hei hian vagina-a natural, protective bacteria a tichhia a, natna kai theihna a tipung bawk.
• Mipat hmeichhiatna hman mumal: Kan sawi tawh ang khan, mipat hmeichhiatna hman mumal (kawppui nei emaw nei lo emaw) hian hmeichhe serh chhunga thisen kal a tipung a, tissue hrisel a awm theih nan a pui a ni.

Engtikah nge doctor i hmuh ang?

Menopausal i nih loh pawhin, vaginal dryness, na, itching, burning, danglam taka thisen chhuah emaw discharge emaw, zun lama harsatna i neih chuan doctor pan ngei ngei tur a ni.

Damdawi dawr atanga moisturizer i lei a, kar engemaw zat i hman a, mahse danglamna a awm lo a nih chuan chu pawh chu doctor hnena hrilh chhan tha tak a ni.