Nu emaw, pa emaw tu pawhin an fanu tê tê tê tê tê tê tê tê tê tê tê tê têa thisen zam khat emaw pahnih emaw an hmuh thut chuan an lungngai hle ang a ni lawm ni? Hetiang thil i hmuh hian hlauhna i neih hi thil pangngai tak a ni a, a bik takin naupang chu a la naupang hle a ni. Mahse hei hi hlauh tur a ni reng reng lo. A châng chuan hei hi tunlaia kan sawi tak dinhmun avang hian a lo awm thei a, chu chu a tlem deuh a, mahse hlauhawm lo tak, Urethral Prolapse an tih hi a ni. Chuvangin vawiin hian he thu hi chiang takin sawi ila.
Urethral Prolapse hi eng nge ni?
A awlsam zawngin, hei hi urethra, kan taksa pawn lama zun phurtu tube, lining te tak te a rawn chhuah lai a ni. Hmeichhiaah chuan urethra hi vagina chunglam deuhah a awm a. Chuvangin he tube chhung lam lining a rawn chhuah chuan zun chhuahna kawngkhar atanga pink donut tlem lo chhuak ang mai a ni.
Hei hi thil awm lo tak a ni. Hmeichhe naupang 5,000 zinga 1 velin a nghawng a ni. Nunna atana hlauhawm tak a ni lo va , cancer pawh a ni lo . Chuvangin ngaihtuah buai suh. Hetiang dinhmun hi hmeichhe naupang kum tling lo leh hmeichhe naupai tawhte zingah a tam ber a ni.
Engvangin nge naupang chungah hetiang hian a thlen? A chhan engte nge ni?
Hei hi a chhan pakhat, chiang tak a la awm lo. Mahse, doctor-te chuan a thlen theihna tur risk factor eng emaw zat a awm niin an ngai. Heng zawng zawng hian pum chhunga pressure a tisang nghal vek a ni.
Ngaihtuah teh, hetiang thil hian intra-abdominal pressure a tisang thei a ni:
- Chronic cough: Naupangin a khuh chhunzawm zel chuan.
- Constipation: Stool pass harsa i neih chuan chutih laia i straining vang a ni.
- Urinary Tract Infection (UTI): Urinary tract infection i neih fo chuan.
- Weight gain: Thau lutuk hi a chhan pawh a ni thei.
- Trauma: Chu hmunah chuan thil a thleng a nih chuan, chu chu hard blow emaw, tlu emaw ang chi hi a ni.
Thil pawimawh dang pakhat chu, hmeichhe naupangte hian puitlin hma hian an taksaah hormone ‘Oestrogen’ an nei tlem hle. Hei hian urethra chhehvela tissue te chu a tichak lo thei a ni. Hetiang chak lohna hian membrane chu hetiang hian a rawn chhuak thei bawk.
Eng nge a lan chhuah dan? Engtin nge i hriat chian?
Ngaihtuah teh, hetiang natna vei naupang 10% vel hian symptom an nei lo mai thei. Thil dang zawnga doctor hnena an kal hian accident-a hmuhchhuah a ni mai thei. Mahse, symptoms a lo lang tak tak a nih chuan eng nge a nih i en ang u.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Underwear-ah thisen a chhuak | Hei hi a lan chhuah dan tlangpui a ni. Underwear-a thisen tla te tak te angin a lang thei. Hei hi nu leh pa tam tak tibuaitu chu a ni. |
| Zun laiin natna | Naupang thenkhat chuan an zun hian natna emaw, kang emaw an nei thin. Doctor-te chuan hei hi dysuria an ti a. |
| Zun harsatna | A chang chuan, i bladder (urinary retention) kha khar vek a harsa thei. |
| Local sensitivity a awm bawk | Chu hmun chu zun leh silfai hnuah a na deuh thei. |
| Tissue chhuak chhuak chu a hring chhuak | Hetiang dinhmun hi rei tak a awm reng chuan a chhuak tissue chu a hring thei a, a na thei a, a na thei bawk. |
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
Hetiang thil i hmuh hian i fate chu doctor, a bik takin naupang enkawltu hnenah hruai hi a ni .
A tam zawkah chuan doctor chuan naupang enfiah (clinical diagnosis) hmangin he natna hi a hre thei a ni. Hei hi urethra atanga pink emaw purple emaw glandular tissue chhuak hmuh a nih chuan rinhlelh theih a ni.
Mahse, hei hi thil awm lo deuh a nih avangin, a châng chuan doctor chuan hei hi natna dang a nih leh nih loh finfiah nân test tlemte dang neih belh leh a rawt thei bawk.
- Pelvic Ultrasound Scan: I pum ultrasound scan tir turin an ti mai thei.
- Voiding Cystourethrogram (VCUG): Hei hi X-ray test bik a ni a, naupang bladder leh urethra chiang taka hmuh theih a ni.
Hei hi a tlem avangin a chang chuan ‘vaginal bleeding’ tia ngaih sual theih a ni. Chuvang chuan diagnosis dik tak neih theih nan doctor pan a pawimawh hle.
Hei hi eng enkawlna nge ni? Surgery ka mamawh em?
Hei hi hlauhawm tak angin lang mah se, a tam zawkah chuan hei hi enkawlna awlsam tak a awm a ni. Surgery neih a ngai lo. Enkawl dan tur chu naupang natna lan chhuah dan nasat dan a zirin a innghat a ni.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Estrogen cream hmanga siam a ni | Hei hi enkawlna hmasa ber a ni. He cream hi doctor-in a sawi angin a hmunah hnawih tur a ni. Hei hian chu hmuna tissue te chu a tichak ang a, a chhuak chu a chhungah a lut leh thei ang. |
| Sitz inbualna hmun a ni | Sitz bath chu tui lum basin-ah minute 15-20 vel hnim a ni. Hei hi a hmun fai nan leh natna leh inflammation tihziaawmna tha tak a ni. |
| Vaseline hmanga hnawih | Vaseline ang chi thil hnawih hian chu hmuna sensitivity leh inflammation chu a tihziaawm thei a ni. |
| Antibiotics damdawi a ni | Hetiang dinhmun hi zun kawng infection ang chi thil avanga lo awm a nih chuan i doctor chuan a enkawl nan antibiotics a pe thei ang. |
| Surgery neih ngai case te | |
| Inzai | Enkawlna dangin a puih loh chuan, a chhuak tissue chu a hring a, dark purple/blue a, a na a nih chuan doctor chuan operation a rawt thei ang. Hei hian a lo chhuak tissue chu lakchhuah a, a lo kir leh loh nan a inzawm khawm a ngai a ni. Hei hi operation awlsam tak a ni tlangpui. |
A tam zawkah chuan he natna hi kar hnih vel estrogen cream leh sitz bath hman hnuah a reh vek dawn a, chuvangin lungkham tur a awm lo.
Take-Home Thuchah a ni
- Hmeichhe naupangte zingah chuan Urethral prolapse hi a awm lo hle a, mahse nunna atana hlauhawm lo a ni.
- A lan chhuahna ber chu naupang kawr hnuai lama thisen zam a lo lang hi a ni.
- Hetiang thil i hmuh chuan hlauthawng suh, a rang thei ang bera naupang enkawltu doctor pan rawh. Eng treatment pawh i tih duh zawng zawngah kal ngai suh la, i chhehvela miten an tih ang che chu ti ngai suh.
- Vawi tam tak chu enkawlna awlsam tak (cream, sitz bath) hmangin kar tlemte chhungin he natna hi a tidam vek thei a ni.
- Surgery hi a ngai lo hle a, hlawhtling taka tih theih a ni.
- Dam vat tur chuan doctor thupek dik taka zawm a pawimawh hle.
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