A chang chuan i taksa thunun thei lo ang maiin i inhria em? A zahthlak leh mualphothlakzia chu ka hrethiam a, a bik takin engtiang pawhin i bei pawha zun tlem i leak palh hian. I underwear a hnim reng a, rimchhia ang maia i inhriat lai hian khawtlang pawh i hmachhawn duh lo. Hei hi hmeichhe tam takin ngawi renga an tuar thin, mahse sawi hreh an ni. Mahse, lungngai suh, nangmah chauh i ni lo. Vawiin hian hetiang thil thleng thei damdawi lam dinhmun kan sawi dawn a, chu chu Vesicovaginal Fistula (VVF) a ni.
Vesicovaginal Fistula (VVF) hi eng nge ni tak tak?
A awlsam zawngin, Vesicovaginal Fistula (VVF) chu i bladder leh vagina inkara inhawng emaw inzawmna dik lo emaw a ni . Ngaihtuah teh, a tlangpuiin kan bladder chhunga zun hi taksa atanga chhuak chu urethra kaltlangin a chhuak thin. Chu chu kawng dik tak a ni.
Mahse he VVF condition hi a lo awm chuan bladder leh vagina inkarah "shortcut" te tak te thar siam ang mai a ni. He khur hi fistula kan tih chu a ni. Chuvangin he khur avang hian bladder chhunga zun thenkhat chu kawng dik takah a kal lo va, chu ai chuan he shortcut thar, vagina kaltlangin a chhuak tan a, chu chu hriat lohvin a chhuak ta zawk a ni. A châng chuan hei hi a hnim deuh thei a, a châng chuan zun luang chhuak reng a ni thei bawk.
Hei hi taksa lama harsatna ni mah se, rilru lama harsatna a thlen hi a tlem lo hle. Mahse thu lawmawm tak chu he natna hi operation hmangin a dam kim thei fo thin. I doctor leh medical team te chuan i mamawh enkawlna leh puihna pe turin an inpeih reng a ni.
Hetiang natna lan chhuah dan tlangpui chu engte nge ni?
VVF vei chuan symptom hrang hrang a nei thei a. Heng symptoms te hi a khur lian leh te leh thil dang a zirin a danglam thei. Heng symptoms zinga pakhat tal i neih chuan a rang thei ang bera doctor pan a pawimawh.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Zun chhuahna (Urinary Incontinence) a awm | Hei hi a symptom ber leh langsar ber a ni. I control thei lo, i vagina atang hian zun a leak chhuak mai thin. |
| Underwear hnim fo thin | Bathroom i kal hnuah pawh i underwear a hnim i hriat chuan hetiang dinhmun chhinchhiahna a ni thei. |
| Vaginal discharge emaw rim emaw danglam tak | Zun hian vaginal environment a tidanglam thei a, chu chuan tui emaw, rimchhia emaw a chhuah thei a ni. |
| Vagina emaw a chhehvel emaw-ah inflammation/itching a awm | Zun nena inhnaih fo hian vagina leh a chhehvel vun (vulva) a sen a, a hring a, a ti na thei bawk. |
| Sex hman laiin natna | Hetiang dinhmun hian mipat hmeichhiatna hman hi thil hrehawm takah a siam thei a ni. |
| Operation hnua a lo awm dan | A tam zawkah chuan he zun chhuahna hi pum surgery (e.g., hysterectomy) atanga kar khat emaw kar hnih emaw atanga tan a nih chuan VVF vang a nih a rinawm ber. |
VVF awm chhante chu engte nge ni?
VVF hi bladder leh vagina inkar tissue a chhiat a, a thih hian a awm thin. He chhiatna hian chutah chuan khur a siam ta a ni. Hetianga chhiatna thlen chhan lian tak tak engemaw zat a awm.
- Pelvic Surgery: Hei hi kan ram ang ramah VVF thlentu ber a ni. A bik takin hysterectomy leh bladder surgery neih lai hian heng tissue te hi tihsual palh avanga tihchhiat theih a ni. Hei hi Doctor sualna a ni lo va, surgery laia complication awm thei a ni.
- Hnathawh tur tihbuai:Nau neih harsa takah, naute piang tlai lutukah chuan naute lu chuan bladder leh vagina inkar tissue chu nasa takin a nawr thei a, chu lai hmuna thisen kal chu a titawp a, tissue chu a thi ta a ni. He khur hi a lo awm thei a, naute pian atanga ni engemaw zat hnuah zun a chhuak tan thei bawk. Sri Lanka-a damdawi in siamṭhat a nih avangin he chhan hi tlahniam deuh mah se, a hlauhawmna hi a la bo vek lo.
- Cancer dinhmun leh enkawl dan: Cervical cancer leh bladder cancer ang chi natna hian VVF a thlen thei bawk. Tin, cancer tan radiation therapy hian tissue a tichak lo thei a, hun kal zelah heng chi hrang hrang khur hi a siam thei bawk.
Hei vang hian harsatna dang a awm thei em?
VVF hi uluk taka enkawl a nih loh chuan hriselna lama harsatna dang a awm thei a ni.
- Infection recurrent: Zun chu vagina-ah a tang reng avangin, urinary tract infection (UTIs) leh vaginal infection te hi a awm fo thei a ni.
- Abscess emaw Infection emaw: Enkawl loh chuan infection chu a na hle a, abscess a siam thei a, chu chuan nunna a tichhe thei a ni.
- Enkawlna hnuah pawh a lo lang leh thin: A chang chuan operation hnuah pawh he fistula hi a lo awm leh theihna chance tlemte a awm thin.
- Psychological leh social problems: Zun tam leh thawk hah lutuk hian inpawh tawn te, event-a tel te, chhungte nena awm dun te chu a ti harsa thei a ni. Hei hian depression leh social isolation a thlen thei a ni.
Hetiang dinhmun hi i stress a nih chuan doctor emaw mental health professional emaw hnenah he thil chungchang hi sawipui hreh suh. A pawimawh hle mai.
Engtin nge doctor hian hei hi a hmuh theih?
Doctor i pan dawn chuan i natna lan chhuah dan te, a hmaa i zai tawh dan te, nau i neih tawh dan te an zawt hmasa ang che. Tichuan physical exam leh pelvic exam an nei ang. Hei hi nemnghet tur leh surgery ruahman tur chuan doctor chuan special test thenkhat tih a rel ang.
| Fiahna | Eng thil nge thleng mai mai |
|---|---|
| Dye Test a ni | Doctor chuan i bladder-ah blue dye a dah ang a, i vagina-ah tampon dah turin a ti ang che. Hun engemaw chen hnuah tampon a rawn sen chuan i bladder atanga i vagina-ah zun a luang lut tihna a ni a, chu chu VVF i nei tihna a ni. |
| Cystoscopy hmanga enfiah a ni | Hetah hian camera dahna tube te tak te chu urethra-ah dahin bladder chhung lam leh fistula hawnna hmun dik tak chu en theih a ni. |
| CT Urogram hmanga enfiah a ni | Hei hi CT scan bik a ni. Taksaah contrast dye inject a ni a, urinary system (kidneys, bladder) detailed image lak a ni. |
| Test dang pawh a awm | A châng chuan MRI scan emaw, speculum exam emaw pawh anesthesia hmangin an ti thei bawk. |
Hei hi eng enkawlna nge ni?
Enkawlna ber leh hlawhtling ber chu operation hi a ni . Surgery hmangin a khur chu khar a ni.
Fistula te tak te tak, lo piang thar chu a chang chuan operation tel lovin a mah chauhin a dam thei a, chu chu Foley catheter chu kar tlemte chhung a hmunah dahin, bladder chu chawlh tir a ni. Mahse, hei hi a tlem hle.
Mi tam tak chuan zai an ngai a. He surgery hi vaginal emaw, pum chhunga incision hmanga (a pum kaltlangin) tih theih a ni . A châng chuan keyhole surgery, laparoscopy ang chi pawh hman theih a ni. I surgeon chuan eng surgery nge i tan a tha ber tih a sawipui ang che.
Operation hnuah chuan urinary catheter chu kar hnih atanga kar thum chhung dah a ngai dawn a ni. Hei hi surgical site chu pressure engmah awm lovin a dam theih nan hun pek a ni. Chumi hnuah chuan doctor chuan fistula chu a dam tha em tih a enfiah hnuah catheter chu a la chhuak ang.
Operation hnuah a dam leh theih nan eng chen nge a duh?
VVF surgery hnuah a dam kim theih nan kar 6 atanga kar 8 vel a ngai a ni .Hemi hun chhung hian doctor thupek uluk taka zawm a pawimawh hle. A tlangpuiin, he hun chhung hian a hnuaia mite hi pumpelh turin kan hrilh ang che:
- Mipat hmeichhiatna hman: Surgery hmun a dam kim hma loh chuan mipat hmeichhiatna hman loh tur a ni.
- Weight lifting: Thil rit phur leh exercise hahthlak tak tak tih loh tur.
- Hnathawh hahthlak tak tak: Taksa hahdamna tur thil engmah tih loh a pawimawh.
Hetianga chawlh hian surgery hliam chu a dam tha ang a, harsatna dang a awm loh nan a pui bawk ang.
Hetiang chi surgery ti fo thin damdawi in tawnhriat ngah tak takah chuan mi 100 zinga 85-95 te chu operation hmasa ber hnuah an dam kim vek a ni. Chumi awmzia chu zun kal chu a tawp vek tihna a ni. Mi thenkhat chuan operation vawi hnihna an mamawh mai thei. Fistula lian tham tak, a awmna hmun leh i hriselna zawng zawngah a innghat a ni.
Take-Home Thuchah a ni
- Vesicovaginal fistula (VVF) hi i bladder leh vagina inkara inhawng pangngai lo tak a ni a, chu chuan control lohvin i vagina kaltlangin zun a chhuah tir thei a ni.
- Hei hi i sualna a ni lo . Hetiang dinhmun hi surgery ang chi hysterectomy emaw nau neih harsat vang emaw a awm thei.
- Hei hi zahpui tur leh tuar tur a ni lo. Hei hi enkawlna tha tak tak a awm a . Enkawlna ber chu operation hmanga khur khar a ni.
- Heng symptoms te hi i neih chuan hlau suh la, doctor pan nghal vat hreh suh . Enkawlna i tan hma poh leh a hlawhtling zawk thin.
- Hetiang dinhmun avanga stress i neih chuan i doctor emaw mental health counselor emaw nen pawh hemi chungchang hi sawipui a pawimawh hle. Nangmah chauh i ni lo.
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