Nangmah emaw i hriat mi emaw hnenah i doctor-in i groin-a lump awm chu paih chhuah nan operation i neih a ngai tih a hrilh tawh em? A hming i hriat khan i hlauthawng deuh a ni mai thei. Mahse, lungngai suh, hei hi cancer enkawlna kawnga hmalakna pawimawh tak a ni thei. Vawiin hian he surgery ‘Inguinal Lymph Node Dissection’ tih hi kan sawi dawn a, chu chu i groin-a lumps tihbo mai mai a ni.
A hmasain he misual te tak te hian eng nge a sawi tih hi han en ila.
Okay, a awlsam zawngin sawi ila, lymph node te hi kan taksa zawng zawnga awm, bean ang chi thil te tak te an ni. Kan taksa invenna system, immune system -a tel an ni . Kan taksa lymphatic system kal tlanga tui pakhatin heng node-te a paltlang hian filter ang maiin a thawk a ni. Heng node te hian thil tha lo tak tak, germ leh cancer cell te chu an trap thin.
Chuvangin inguinal lymph nodes te hi groin area a node te an ni a, chutah chuan i ke te chu i pum hnuai lam nen an inhmu a ni. Node 10 vel a awm a, chungte chu a chunglam, vun hnuai lam chauh a ni. Heng node atanga fluid tihfai chu node thuk zawk engemaw zatah a kal thin. Chuta tang chuan taksa peng dangah a kal a.
Engvangin nge he operation hi neih a ngai?
Hei hi hriatthiam a pawimawh hle. He vascular system hi cancer cell-te’n hmun khat atanga hmun danga an kalna kawng lian tak a ni. Chumi awmzia chu cancer cells te hian heng vessels kaltlangin taksa peng hrang hrangah an kal thei tihna a ni.
Kan taksa hmun dangah cancer a lo awm chuan, chu cancer cell-te chu a hnaih ber tissue-ah an kal hmasa ber tih han ngaihtuah teh. Entirnan, mipat hmeichhiatna (penis, vaginal opening), rectum, leh ke vun ang chi hmuna cancer lo awm hian a hmasa berah chuan groin chhunga tissue-ah te darh a tum thin.
Doctor-te chuan cancer hnaih ber lymph node hmasa ber, sentinel lymph node an tih aṭangin sample tlemte an la hmasa a, an test hmasa a (a `sentinel lymph node biopsy`). Checkpoint ang mai a ni. He node hmasa berah hian cancer cell a awm lo a nih chuan a hnuaia node-ah pawh hian cancer cell a awm lo a rinawm.
Mahse, test-naah chuan node-ah cancer cell a awm tih a chiang a nih chuan, surgery hmangin node-te chu a chhuak vek a ni. Hei hi `inguinal lymph node dissection` kan tih chu a ni.
Hei hian cancer a darh zel tur chu a titawp thei a ni. Tin, cancer hi i lymph node-ah a darh tawh em tih hriat hian i doctor-in i tan eng damdawi nge a tha ber tih a rel thei bawk ang.
He surgery hian eng thil tum berte nge ni?
He operation hi tih chhan lian tak tak engemaw zat a awm. Chiang takin i hrethiam ang u.
| Chhan | A awlsam zawngin sawifiah a ni |
|---|---|
| Cancer a darh leh darh loh enfiah | Taksa hmun danga cancer chu groin area-ah a darh tawh tih enfiah rawh. |
| Cancer cells te paih chhuah | Cancer cell awmna emaw, awm thei emaw lump zawng zawng chu paih vek la, cancer darh zel tur chu titawp rawh. |
| Nakin lawka risk tihtlem | Nakin lawkah chu hmuna cancer lo awm leh theihna tur tihtlem. |
| Enkawl dan tur ruahmanna siam | Thu dawn a\angin nakin lawka enkawlna (e.g. chemotherapy, radiotherapy) i tan eng nge \ha ber tih chu rel rawh. |
Operation hmain engtin nge i inbuatsaih thin?
I doctor chuan hei hi chipchiar takin a hrilhfiah ang che. A tlangpuiin operation hma hian, .
- Damdawi thenkhat (a bik takin thisen tithianghlimtu) ei kha hun engemaw chen bansan turin an ti mai thei che.
- Operation hma darkar tlemte chhung chu engmah ei leh in lo turin an hrilh ang che.
- Damdawi inah ni engzat nge i awm a ngai dawn tih leh i haw hnua i rilru put hmang tur chu hrilh lawk i ni ang.
A pawimawh ber chu Doctor thupek dik taka zawm hi a ni.
Engtin nge operation hi an tih thin?
Heng step te hi a tlangpuiin a thleng thin.
1. Pakhatnaah chuan anesthesiologist-in anesthetize ang che. Hei hian i muhil vek dawn tihna a ni. Operation neih chhung hian engmah i hre lo vang a, a hnuah pawh hriatrengna i nei tawh lo vang.
2. Chumi hnuah surgeon chuan groin vunah hian incision te tak te a siam a, uluk takin test tur testicles leh a chhehvela thau thenkhat te chu a la chhuak thin.
3. Operation zawhah , chu hmuna tui tam lutuk (thisen, tui, etc.) awm thei zawng zawng paih chhuah nan tube te tak te (drain) dah a ni.
4. Chumi hnuah chuan incision chu stitches hmangin an khar leh thin .
5. Tube pawn lam tawp lamah bag pakhat an dah a, chu chuan tui chu a khawlkhawm a ni . Hei hi ni engemaw zat emaw, kar engemaw zat emaw chhung chu a hmunah dah theih a ni.
6. Tissue leh cell lakchhuah te chu pathologist , i.e., lab ah cancer cell awm leh awm loh enfiah turin an thawn thin.
Tunah chuan damdawi in thenkhatah chuan robotic technology (`robotic surgery`) hmangin he operation hi an ti mek a ni. Chumi atanga harsatna lo chhuak chu a tlem hle.
Operation hnuah eng nge thleng? Eng chen nge a dam leh theih ang?
Ni hnih atanga ni li vel damdawi inah i awm ang. Tlem a rei zawk pawh a ni mai thei. Doctor-in a tih veleh kea kal tan nghal mai tur a ni . Hei hian thisen zam ang chi thil a veng thei a ni.
Tube atanga tui chhuak a tlem chuan doctor chuan a la chhuak ang. A dam kim theih nan kar engemaw zat a ngai thei. Chumi chhung chuan kar 4 atanga kar 6 vel a ni a, lirthei khalh emaw, rit phurh emaw ang chi thil hi i pumpelh tur a ni. I doctor chuan i tih theih leh tih theih loh chu chiang takin a hrilh ang che.
Hei hian eng nge a hlauhawmna leh a nghawng tha lo?
Surgery dang ang bawkin, hlauhawmna engemaw zat a awm. Hengte hi harsatna leh side effects awm tam ber an ni.
| Risk/side effect a awm thei | Hei hian eng nge a awmzia? |
|---|---|
| Kaichhawng | Incision chhehvela natna hrik awm avanga natna kai. |
| Fluid a punkhawm leh a hring chhuak | Incision hmunah hian fluid a pungkhawm a, a hring chhuak thin. |
| Ke ruh a hring (Lymphedema) . | Stitch te lakchhuah hian veins-a tui luang chhuak a tibuai thei a, keah a hring chhuak thei a ni. Hei hi hun rei tak chhung a ni thei. |
| Thisen zam (DVT) . | Thisen zam, a bik takin ke ruh (veins)-ah. |
| Hliam dam rei lutuk | Incision hi a dam theih nan a hma aia rei a la ngai a ni. |
| Thigh a hring chhuak | Operation an tih lai hian chu lai hmuna nerve thenkhat chu a chhe thei a, chu chuan kawr chunglam chu a ti tingling thei a ni. Hei hi a awm reng fo thin. |
Lab report atang hian eng nge kan zir theih ang?
Lab-a swab thawn test atanga report lo chhuak hi a pawimawh hle. Hetiang thil hi a pholang thei a ni.
- Tissue lakchhuahah hian cancer cell a awm leh awm loh. Cancer cells a awm chuan "positive" emaw "negative" emaw an ti thin.
- Cancer hi eng chi nge ni ?
- A grade chu cancer natna a ni . Hei hian cancer cell te chu cell hrisel pangngai nen an inang emaw, an danglam emaw tihna a ni.
- Cell inthen darh zat (mitotic rate) hi engzat nge ni?
- Margins te chu . Tissue lakchhuahna kil khatah cancer cell a awm leh awm loh. A sir lamah cancer cell a awm chuan `positive margin` an ti a, chutiang a nih loh chuan `negative` emaw `clear margin` emaw an ti a ni.
He report lo thleng tur hian ni engemaw zat emaw, kar khat emaw a la ngai thei. A lo thlen veleh i doctor chuan a chhunga thil awmte leh a hnua tih tur awmte chu a hrilhfiah ang.
Engtikah nge doctor ka hmuh nghal ang?
Operation hnua in lama i haw hunah heng symptoms te hi i neih chuan i doctor i ko nghal tur a ni . Hengte hi hri kai chhinchhiahna a ni thei.
- Khawsik i neih chuan
- Damna kawng hrehawmna a zual zel a nih chuan
- Incision chu a sen a, a hring a, pus ang chi tui a lo chhuak a nih chuan
Hetiang hunah hian tihkhawtlai suh. Damdawi lam thurawn lak nghal a pawimawh hle.
Take-Home Thuchah a ni
- Groin-a lump awm chu lakchhuah nan operation an nei a, cancer a darh tawh em tih leh cancer a darh belh zel loh nan an ti thin.
- He surgery atanga thu hriatte hian i doctor-in i tana enkawlna tha ber tur ruahmanna siam turin nasa takin a pui ang.
- A dam theih nan kar engemaw zat a la ngai dawn a, chuvangin chawlh hahdam tam rawh. Hmanhmawh suh.
- I dam leh huna tih tur tha leh tha lo chungchangah doctor thupek uluk takin zawm rawh.
- Infection chhinchhiahna, khawsik, natna nasa tak, incision sen emaw, pus emaw i hmuh chuan doctor hnenah hriattir nghal rawh.
- Hemi chungchanga zawhna, hlauhthawnna leh rinhlelhna i neih apiang doctor hnenah sawipui hlau suh.
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