I vaginal opening-ah hian hetiang hian inthlak danglamna i nei em? Vulvar Intraepithelial Neoplasia (VIN) chungchang hi i zir dawn teh ang!

I vulva, i pawn lam genital area vel vun-ah thil mak tak, itchy emaw, lump thar emaw i hmuh chuan tlem a lungkham hi thil pangngai a ni. A châng chuan heng thilte hi chutiang chuan a pawi lo mai thei. Mahse, hmeichhe tin tan chuan tunlaia kan sawi tur dinhmun, Vulvar Intraepithelial Neoplasia, a tawi zawngin (VIN) tia koh hi kan hriat chian a pawimawh hle. A chhan chu hei hi cancer a ni lo, mahse cancer hmahruaitu a ni thei.

(VIN) hian eng nge a awmzia tak? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, VIN chu i vulva vunah cell thenkhat chu a pangngai lo taka a inthlak a, chu chu a pangngai lo tihna a ni. VIN hi cancer a ni lo tih hre reng ang che. Mahse, heng atypical cells te hi enkawl loh chuan a tawpah chuan vulvar cancer ah an lo chang thei a ni.

Kawngpuiah khur te tak te ang maiin han ngaihtuah teh. Chutianga a awm reng chuan a lianin a lian thei a, car pawhin a tlan pelh thei lo a ni lawm ni? Chutiang chu he mi nen hian a ni. Mahse a tha ber chu, he (VIN) natna hi a hmaa hriatchhuah a nih a, uluk taka enkawl a nih chuan cancer a nih loh nan a pumpelh vek thei a ni. Chuvang chuan hei hi hriat chian a pawimawh hle.

Phên dangin sawi ila, mi ṭhenkhat chuan (Vulvar Dysplasia) an ti bawk. A hming dang chu (Squamous Intraepithelial Lesion) emaw (SIL) emaw a ni.

VIN chi hrang hrang lian ber berte chu engte nge ni?

VIN hi cancer-ah a chantir thei chi hnih a awm a.

1. Usual type VIN (uVIN): Hei hi VIN chi khat hman tlanglawn ber a ni. Kum sawmli vel hmeichhiaah a tam ber. Hei hi a chhan ber chu high-risk (high-risk) (Human Papillomavirus) emaw (HPV) infection emaw a ni tih hriat a ni. "High-risk" tih hian he virus hian cell pangngai chu cancer cell-ah a chantir thei tihna a ni. Hei (uVIN) hi (High-Grade Squamous Epithelial Lesions) emaw (HSIL) emaw an ti bawk.

2. Differentiated VIN (dVIN): Hetiang chi hi (VIN) damlo za zela tlemte chauh hmuh tur a ni a, 5% vel . Hmeichhia kum 60 chunglam ah a tam ber a, vun natna (Inflammatory skin condition) (Lichen Sclerosus) an tih nen a inzawm a ni.

Heng chi hnih bakah hian i vagina vunah hian cell pangngai lo Low-Grade Squamous Epithelial Lesions (LSIL) an tih te pawh i nei thei bawk. Hengte hi HPV chi hrang hrang (low-risk HPV types) (genital warts thlentu chi) nen a inzawm a ni. Mahse, heng (LSIL) cell te hi cancer an ni tlem hle. A tam zawkah chuan enkawl ngai lovin an kal bo thin.

(VIN) a awm chuan eng symptoms nge a neih?

VIN vei zawng zawng hian symptoms an nei vek dawn lo. Chumi awmzia chu a dinhmun chu chhinchhiahna awm lovin a awm thei tihna a ni. Mahse, symptoms a awm tak tak a nih chuan:

• Vaginal opening a itching (vulvitis): Hei hi a lan chhuah tam ber a ni. A châng chuan a itching chu tuar theih loh a ni thei.
• Vaginal opening-a kang, hliam emaw, tingling emaw a awm.
• Vun inthlak danglamna: Bumps thar, vun rawng danglam (white, red, pink, gray, brown, or black spots).
• Mipat hmeichhiatna hman laia natna.

Pawimawh: Heng symptoms te hi i neih vang mai mai chuan VIN i nei tihna a ni lo. Thil dang, awlsam zawk avanga lo awm thei an ni bawk. Mahse, hetiang thil hi a awm reng a nih chuan doctor pan a, enfiah tir hi a tha ber ngei ang.

(VIN) status hi engtin nge a awm?

(VIN) hi a hmel a danglam thei. En tur ber chu i vaginal opening vel vun inthlak danglamna hi a ni. Chungte chu hetiang hi a ni thei:

• Vun chunga bumps emaw flat spot lo lang thar emaw, vun chunglam atanga lo chhuak.
• Vun hmun thenkhat chu var, sen, pink, gray, brown, emaw black emaw angin a lang .
• Heng inthlak danglamna te hi hmun khatah emaw, vaginal opening chhehvel hmun engemaw zatah emaw hmuh tur a awm thei.

(VIN) awm chhante chu engte nge ni?

Mithiamte chuan hei hi a chhan pakhat mah an la sawi chiang lo.

Amaherawhchu, mi tam tak (VIN) vei hmuhchhuah te hi high-risk (HPV) virus kai an ni. (HPV) hi mipat hmeichhiatna hmanga kai theih natna (STI) a ni. Vun leh vun inzawmna hmangin a darh thin. Chumi awmzia chu he hri hi mipat hmeichhiatna hmang chauh ni lovin, mipat hmeichhiatna dang chi hrang hrang hmangin a darh thei tihna a ni. He (HPV) infection hian vei theihna (VIN) a tipung a ni.

HPV infection nei lo VIN vei te hian vun natna Lichen Sclerosus an tih chu an nei tlangpui. Hetiang dinhmun hian vaginal opening vel vun a inflammation leh scaly patches a thlen thin.

HPV chi hrang hrang nge VIN thlentu ber?

VIN nena inzawm HPV chi hrang hrang risk sang ber berte chu HPV chi 16, 18, leh 33 te an ni a, VIN vei hmuhchhuah tam zawk hi HPV-16 vei an ni.

Eng thil dang nge natna vei theihna (VIN) tipung?

VIN lo awm chhan hi risk factor engemaw zat a awm a:

• Immune system chak lo: Entirnan, HIV infection i neih emaw, i immune system titawp thei damdawi i ei emaw a nih chuan.
• Vaginal opening-a vun natna emaw, inflammation emaw rei tak awm.
• Meizial zuk: Meizial zu thinte hi VIN vei an tam zawk.

(VIN) avanga harsatna awm thei te chu engte nge ni?

VIN hlauhawmna lian ber chu enkawl loh chuan cancer-ah a chang thei a ni. Hei hi cancer a nih hun chhung hi VIN chi hrang hrang a zirin a inang lo.

• (uVIN) (chu chu (HPV) nena inzawm (VIN) type) cancer-a a lo chan theih nan kum ruk atanga kum sarih vel a ngai tlangpui.
• (dVIN) hi cancer a lo ni tlangpuiKum hnih atanga kum thum vel a ni.

Mahse, a hmaa enkawl a nih chuan heng precancerous cells te hi cancer cell an nih loh nan a veng thei a ni.

Engtin nge (VIN) i nei tih chiang taka i hriat theih ang? (Diagnosis) tih a ni.

I doctor chuan taksa enfiahna a nei hmasa ang a, i natna lan chhuah dan a zawt ang a, i vulva-ah hian rinhlelh awm tak tak lump emaw spot emaw a awm leh awm loh a enfiah ang. I doctor chuan colposcopy tih test pawh a ti thei bawk . Hei hian i vulva emaw, i vagina emaw vel vun enfiah nan colposcope an tih, lighted, magnifying instrument hman a huam a ni.

Mahse, VIN i nei em tih chiang taka hriat theihna awmchhun chu biopsy neih hi a ni. Hei hian doctor chuan rinhlelhna hmun atanga vun te tak te a la a, lab-ah precancerous cells awm leh awm loh enfiah turin a thawn a ni. He test hi pathologist ten an ti thin.

(VIN) enkawlna tur engte nge ni?

Enkawlna tum ber chu cancer hmaa cell pangngai lo, tihchhiat emaw tihchhiat emaw hi a ni. Doctor-te pawhin vaginal opening-ah hian a theih ang anga sensation leh function humhalh an tum bawk.

Enkawl dan hrang hrang a awm a:

• Surgery: Doctor chuan vun hmun rinhlelh awm chu a tan chhuak thei a, a paih chhuak thei bawk. Hei hian a tlangpuiin cell pangngai lo awmna hmun leh a chhehvela vun hrisel tak tak awmna hmun chu lakchhuah a ngai thin. Hei hian cell pangngai lo awm reng theihna a ti tlem ang.
• Laser ablation: Surgery ang chi hmanrua nalh tak hmanga tan ai chuan hei hian laser beam lum hmangin cell pangngai lo awmna tissue chu a tichhia a ni. Surgery ang bawkin vun hrisel margin tlemte chu lakchhuah a ni.
• Topical cream: I doctor chuan Imiquimod ang chi cream a pe thei ang. Hei hi cell pangngai lo awmna vunah direct-in hnawih a ni. Hei hian cell te chu a that ang.
• Skinning vulvectomy: Hei hi thil tih dan tur awm lo tak a ni. Cell pangngai lo chu vulva chhehvel vun hmun zau takah a darh tawh a nih chuan vun chunglam zawng zawng chu lak chhuah a ngai mai thei.

(VIN) hian a mah chauhin a tidam thei em?

(VIN) hi a mah chauhin a tha thei. Mahse chu chu a tlem hle. A tam zawkah chuan cell te hi precancerous stage-ah an awm reng emaw, cancer-ah an chang emaw a ni.

Hei hi thil pawi tak a nih avangin engmah risk lak a tha lo. I doctor chuan enkawlna a rawt ngei ang. Hei hian cancer vei theihna a tihziaawm thei a ni.

(VIN) i neih chuan eng nge i beisei theih ang?

Enkawlna nen chuan i prognosis a tha hle. Vulvar cancer i vei ngai lovang tih a chiang ber.

Mahse, vawi khat (VIN) siam a nih chuan, aA lo lang leh theihna chance tlem a awm. He risk hi meizuk i nih chuan a sang zawk a ni.

I doctor chuan precancerous cell thar awm leh awm loh a enfiah reng ang che. I doctor chuan meizuk bânsan turin a pui bawk ang che, hei hian VIN lo awm leh theihna a ti tlem thei a ni.

(VIN) siam hi a veng thei ang em?

Hei hi 100% veng tur a awm lo. Mahse VIN i vei theihna tur tihtlem dan tha ber chu HPV vaccine lak hi a ni. He vaccine hian HPV chi hrang hrang hlauhawm tak, serh cancer emaw, vagina hawnna cancer emaw thlen thei lakah a venghim che a ni.

Heng thilte hi i ti thei bawk ang:

• Sex him zawk hmang rawh: Mipat hmeichhiatna hmanpui tur tihtlem leh condom ang chi barrier method hman hian HPV infection hi a veng vek thei lo a, mahse a hlauhawmna a tihziaawm thei a ni.
• Lichen sclerosus enkawlna dawng rawh: Lichen sclerosus natna lan chhuah dan (a var, a sang, a hring, emaw, a na emaw) i hriat veleh doctor pan la, a natna hriat chhuah la, enkawl vat rawh. Symptoms control hian VIN vei theihna a ti tlem thei a, chu chuan cell a tichhe thei a ni.
• Pap smears neih fo rawh: Gynecologist tlawh fo hian tissue rinhlelh awm chu a hmain a hmuchhuak thei a, chutih hunah chuan enkawl theih a ni. Doctor-te pawhin Pap smear an tih hian HPV chi hrang hrang hlauhawm tak tak an test fo bawk.

Engtin nge ka in enkawl ang?

Inenkawlna (follow-up visits) hnua doctor i hmuh hun tur chungchangah i doctor thupek zawm rawh. Mi tam zawk chuan enkawl an nih hnuah kum nga thleng kum khatah vawi hnih vel doctor an pan a ngai dawn a ni. (VIN) natna lanchhuahna a awm loh chuan kum khatah vawi khat chauh tlawh a ngai mai thei.

I doctor chuan i natna hmuhchhuah leh enkawlna i dawn dan a zirin thurawn a pe ang che.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang zawhna hi i zawt thei ang:

• Eng ang VIN nge ka neih?
• Eng enkawlna nge i rawt?
• Enkawlna atang hian eng side effect nge beisei theih ang?
• (VIN) siam thar a nih chuan eng inthlak danglamna nge i hriat theih ang?
• Eng chen nge medical checkup turin ka lo kal ngai?

Vun tissue rinhlelh awm tak i neih tih i hriat chuan hlauhna i neih hi thil pangngai a ni – cancer ni lo pawh nise. Mahse, precancerous cells hi cancer cell an ni ngai lo tih hre reng ang che. Cancer an ni reng reng lo. Mahse, chu cell te tihchhiat nan leh cancer vei theihna tur tihtlem nan enkawlna lak a tha ber. (VIN) i nei tih hriat hian i doctor chuan cancer hmaa inthlak danglamna chu a hmain a hmuchhuak tihna a ni.Chu chu. Enkawlna leh damdawi lam checkup neih fo chuan vaginal cancer nei lovin nun hrisel tak i hmang thei ang.

In lama hruai tur hriat reng tur pawimawh ber berte

Okay, chuvangin kan sawi tawh thenkhat kha han hriat nawn tir leh ila:

• (VIN) hi precancerous condition a ni a, vaginal opening vunah a lo awm thin .** Cancer a ni lo va, cancer a ni thei.
• Hei hi HPV infection emaw vun natna Lichen Sclerosus an tih vang emaw a ni fo.
• A lan chhuah dan chu a hring, a kang, vun rawng a danglam, a nih loh leh vaginal opening-a lumps a awm thei. A châng chuan, symptoms a awm lo thei bawk.
• A hmaa hriatchhuah leh enkawl hi a pawimawh hle a, hei hian cancer lo awm tur a veng thei a ni.
• Enkawlna kawng hrang hrang a awm a, i doctor chuan i duh ber a thlang ang.
• HPV vaccine lak hian VIN vei theihna a ti tlem a ni.
• Meizial i zuk chuan bânsan hian VIN vei leh theihna a ti tlem thei bawk.
• Lungngai suh. (VIN) hi a hmaa hmuhchhuah a nih chuan tihdam theih vek a ni. Doctor nen inbia la, a tul angin hma la rawh.

Hemi chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

` VIN, Vulvar Intraepithelial Neoplasia, Vaginal Fissure, HPV, Vun Cancer, Hmeichhe hriselna, Lichen Sclerosus