Doctor chuan nangmah emaw i hriat mi emaw hnenah bowel operation neih a ngai tih a hrilh em? Chutianga a sawi lai khan ‘anastomosis’ tih tawngkam hi a hmang em? He thu i hriat hian, "Hei hi eng nge ni, hei hi natna thar a ni em?" Mahse, hlauh tur a ni tak tak lo. Surgeon ten an tih fo thin surgical procedure pangngai tak a ni. Chuvangin vawiinah hian awlsam takin, zawhna leh hlauhna i neih apiang a tichiang thei ang bera sawi ila.
Anastomosis tih hi eng nge ni tak tak?
A awlsam zawngin sawi ila, anastomosis chu kawngpui pahnih inzawmkhawmna a ni. Lui pahnih inzawmkhawm leh lui pakhat anga luang chhuak chu han mitthla teh. Chutiang thil chu. A nih loh leh kan in chhunga tui rawn thlentu main pipe atang hian kan inah pipe hran a inzawm a ni lawm ni? Chu chu chutiang connection chu a ni.
Hei hi kan taksaah hian pianphung anga thil thleng a ni. Entirnan, kan taksa chhunga thisen kalna kawngte hi an inzawm khawm a, network ang maiin an inzar pharh a ni. Tin, kan chaw ei dan (digestive system) kan lak chuan chaw kawng (esophagus) chu pum nen a inzawm a, pum chu ril te te nen a inzawm a, ril te chu ril lian nen a inzawm bawk. Chungte chu natural anastomosis an ti a.
Mahse, damdawi lamah chuan he thumal hi taksa peng pahnih surgical connection sawina atan kan hmang tlangpui. Surgeon te hian heng connection te hi an siam reng a ngai a ni. A chhan i lo en ang u.
Engvangin nge operation neih laiin hetiang connection hi siam a nih?
Hei hi chhan lian tak pahnih a awm thei.
1. Section chhia lak chhuah leh inzawm leh: I intestine thenkhat chu cancer emaw, infection na tak emaw, damdawi lam thil dang emaw vangin a chhiat tawh angin han ngaihtuah teh. Tichuan, surgeon chuan chu section chhia chu a cut chhuak a, a paih chhuak a ngai a ni. Tichuan, intestine hrisel la awm tawp pahnih chu inzawm leh a ngai ta a ni. Chutiang a nih loh chuan ei tur pipe chu a tikeh ang. Chu chu anastomosis kan tih chu a ni.
2. Blockage bypass theihna tur kawng thar siam (Bypass): A chang chuan taksa chhunga thisen kalna kawng chu a chhung lam atangin a block thei. Entirna tha ber chu thinlunga thisen petu thisen kalna kawng chu cholesterol dahkhawmnain a block a nih hi a ni. Heta tih tur chu blockage bypass theihna tur kawng thar siam a ni. Chutiang ti tur chuan taksa peng dang atanga thisen kalna hrisel tak lak chhuah chu lak a ni a, blockage chung leh hnuaiah inzawmkhawmin kawng thar (bypass) siam a ni. Heng inzawmna thar pahnih hi anastomosis an ti a.
A awlsam zawngin, hei hi kawngpui chhe lai hmun chhe tawh chu lak chhuah a, siam thar leh emaw, kawngpuiah lirthei tlan dan kaltlanga flyover thar siam emaw ang a ni.
Anastomosis atana surgery neih tam ber berte chu engte nge ni?
Hetiang tih dan hi surgery chi hrang hrangah hman a ni. Entirna hman tlanglawn tak tak thenkhat han thlir ila.
Bowel Resection Surgery tih a ni
Hei hi anastomosis chi khat a ni ber. Hei hi cancer, natna khirh tak (diverticulitis ang chi), emaw hliam avanga colon emaw small intestine emaw section pakhat lak chhuah a ngaih hun a ni. Chumi hnuah chuan a hrisel la awmte chu an inzawm leh ta a ni. Entirnan, ileocolonic anastomosis chu small intestine (ileum) tawp ber chu intestine lian la awm nen a inzawm tihna a ni.
Bypass Surgery neih a ni
- Coronary Artery Bypass Surgery: Ka sawi tawh ang khan thinlung chhunga thisen kalna kawng pakhat a inkhar chuan ke atanga thisen kalna kawng hrisel tak emaw, rilru chhunga lak emaw hmangin a khar chu bypass theihna tur kawng thar siam a ni.
- Gastric Bypass Surgery: Kan taksa rihna tihtlem nan kan taksa peng te tak te chu lakchhuah a, small intestine hnuai lam nen direct-a inzawm tir a ni. Hei hian food pipe a ti tawi a, ei tur lakluh a tikhawtlai bawk.
Kidney dialysis neih theihna tur access siam
Kidney failure nei damlote chuan an thisen tihfai nan hemodialysis an neih a ngai a ni. Hei hian thisen la chhuak reng tur leh taksaa kir leh turin vein lian tak, chak tak a mamawh a ni. Chutianga tih theih nan chuan surgeon chuan kut chhunga thisen kalna kawng leh thisen kalna kawng (vein) chu a thlunzawm a, thisen kalna kawng chak tak (Arteriovenous Fistula) a siam a ni. Hei hi anastomosis chi khat a ni bawk.
Organ Transplantation tih a ni
Organ, thin, kal, a nih loh leh thinlung ang chi chu an thlak dawn chuan chu taksa peng thar chu taksa kalphung (systems) nen a inzawm tlat a ngai a ni. Chumi awmzia chu organ-a thisen kal leh kir lehtu thisen kalna kawngte, chubakah a kaihhnawih kawng dang (e.g., liver transplant-a bile duct) te chu taksa peng hrang hrang nena inzawm a ngai tihna a ni. Heng inzawmna tin hi anastomosis an ti a.
Heng connection methods te hi engte nge ni?
Surgeon-te hian heng vessels te hi an thlunzawm dan tlangpui pathum a awm a. I report-ah heng thute hi i neih chuan tunah chuan i hrethiam thei tawh ang.
| Anastomosis chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| A tawp atanga a tawp thleng | Hei hi pipe chhe tawh pahnih direct-a inzawmkhawm ang a ni. Pipe pahnih tawp inhawngte chu an inzawm khawm a, pipe kal zel tur siam a ni. Hei hi intestine inzawmkhawmna atana hman tlanglawn ber a ni. |
| Side-to-side a ni | Hetah hian pipe pahnih tawp chu khar a ni a, pipe pahnih chu parallel-a dah a ni a, a sir lehlamah hawn hmangin an inzawm khawm a ni. Kawngpui pahnih a kal pelh chuan an inkarah kawngpui sir (side road) dah a nih ang bawkin. |
| A tawp atanga a sir thlengin | Tube pakhat open end chu tube dang sir nen a inzawm a, chu chu pipe thar main water pipe nena inzawm ang mai a ni. Hetiang method hi bypass surgery-ah hman a ni tlangpui. |
Anastomosis surgery neih hian eng hlauhawmna nge a neih?
Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Mahse, hengte enkawl dan tur hian surgeon te hi an inzir tha hle tih hre reng ang che.
Surgery eng pawha hlauhawm tlangpui:
- Thisen chhuak
- Thisen a chhuak thin
- Kaichhawng
- A bul hnaia taksa peng hrang hrangte chhiatna
Anastomosis-a harsatna awm thei bikte:
Hengte hi a bik takin kan hriat chian a ngai a ni. Hengte hi a thlen theihna a tlem hle a, mahse hriat a pawimawh hle.
1. Anastomotic Stricture hmanga thil tih dan: 1.1 .
A awlsam zawngin sawi ila, inzawmna tihtlem (narrowing of the connection) a ni. Operation hnuah hliam a dam deuh deuh chuan connection site-ah scar tissue a lo awm thin. A châng chuan he scar tissue hi a lianin a kalna kawng a ti tawi thei bawk. Hei hi stenosis an ti a . Intestines a inzawm chuan hei hian ei tur kalna a tibuai thei a ni. Bladder surgery hnua urethra inzawm a nih chuan zun chhuah a harsat phah thei a ni. Mahse thu lawmawm tak chu he natna hi operation dang neih ngai lovin tihdam theih a ni fo a, chu chu a hmun zau takah (dilation) balloon ang chi hmanrua dah a ni.
2. Anastomotic Leak atanga chhuak: 1.1.
Hei hi connection point-a leak a ni. Tui pipe pahnih inzawmna atanga tui chhuak ang mai a ni. Heta thil thleng chu pipe inzawmkhawm pahnih chu a seal tha lo va, a chhunga thil awm (entir nan, chaw leh intestines-a bacteria) te chu a leak chhuak a ni. Intestines chhunga thil awmte chu pum chhungah a luang lut a nih chuan natna khirh tak (peritonitis) a thlen thei a ni.Hei hi dinhmun pawi tak a ni. Chuvang chuan doctor leh nurse te hian natna lan chhuah dan te, khawsik, pum na na tak, zai zawh hnua rilru hahna te hi an ngaihven hle a ni. Hetiang leak hi a awm chuan siamthat nan operation dang neih leh a ngai fo thin.
A pawimawh ber chu operation hnua symptom danglam tak tak i neih (na na tak, khawsik, luak chhuak) i doctor emaw hospital staff emaw hnenah report nghal tur a ni. A hmaa hmuhchhuah a nih chuan heng harsatnate hi hlawhtling takin enkawl theih a ni.
Anastomosis tih loh hun a awm em?
Awle. A then phei chuan surgeon chuan tube pahnih chu vawi khatah inzawm lo turin thutlukna a siam thin. A chhan ber chu intestinal tissue a hrisel loh vang a ni.
Infection na tak a awm avangin intestine thenkhat chu lakchhuah a ni tih han ngaihtuah teh. Tichuan intestine peng dang zawng zawng chu a lo hring a, a chak lo thei bawk. Chutiang tissue chak lo pahnih chu an inzawm khawm chuan a dam tha ai chuan a leak a rinawm zawk.
Chutiang hunah chuan doctor-te chuan temporary ostomy . Chumi awmzia chu intestine chunglam tawp chu pum vun chung lamah an rawn hruai a, chu chuan bawlhhlawh chhuahna tur kawngkhar a siam tihna a ni. A chhungah hian ostomy bag an bun a, chu chuan stool a khawlkhawm thin. Intestine hnuai lam tawp chu rei lo te chhung khar a, pum chhungah dah a ni.
Thla engemaw zat hnuah taksa a dam tha tawh a, natna hrik a awm tawh chuan a vawi hnihna atan intestine peng hnih (anastomosis) inzawmkhawmna tur surgery neih leh a ni . Tichuan pum chhunga hawnna siam chu a khar ta a ni. Tichuan, riltam pangngai i nei leh thei tawh ang.
Take-Home Thuchah a ni
- Anastomosis chu taksa peng pahnih (intestines emaw thisen kalna kawng emaw) inzawmkhawmna surgery hmanga tih a ni. Hei hi natna thar hlauh tur a ni lo.
- He connection hi section chhia tihbo emaw, kawngpui thar siam emaw, daltu paltlang emaw a pawimawh hle.
- Anastomosis surgery tam zawk hi chu harsatna awm lovin a hlawhtling hle. Hemi atan hian surgeon te hi an training tha hle.
- Connection site-a leakage emaw stricture emaw ang chi complication a awm thei a, mahse a tlem hle. A hmaa hmuhchhuah a nih chuan hlawhtling taka enkawl theih an ni.
- Operation hnua thil danglam tak i hriat (na na tak, khawsik) chu doctor hnenah hrilh nghal rawh. Chu chu i tih theih pawimawh ber a ni.
- Hemi chungchanga zawhna dang i neih chuan i surgeon hnenah zawt hreh suh. Engkim a hrilhfiah ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh