Operation hnua internal ‘leak’ a awm em? (Anastomotic Leak) A chungchang hi awlsam takin i zir ang u!

Operation lian tak hnuah , taksa chhungah harsatna kan ngaihtuah ngai lo a lo awm thei tih i ngaihtuah ngai em? Tui pipe pahnih i dah khawm a, a chang chuan ruh atanga tui tlem a chhuak ang bawkin, kan taksa chhunga thisen kalna kawng pahnih chu operation hmanga inzawmkhawm a nih pawhin chutiang bawk chu a thleng thei a ni. Damdawi lamah chuan hei hi anastomotic leak kan ti a. Hei hi thil pawi tak a nih theih avangin nang leh i hmangaih tak takte tan chuan hriat a pawimawh hle.

Anastomotic leak chu eng nge ni tak tak?

A awlsam zawngin sawi ila, anastomosis chu taksa tube pahnih tawp lam inzawmkhawmna surgical procedure a ni. I intestine thenkhat i lak chhuah a ngai ang tih han ngaihtuah teh. Tichuan, intestine cut pahnih chu i inzawm leh a ngai a ni. Chu inzawmna chu anastomosis an ti a.

Tunah chuan, he anastomotic leak hi connection a seal tha lo a, chu tube chhunga thil awm chu a leak chhuak a ni. Hei hi a hlauhawm thei a, a chhan chu kan taksa tube chhunga thil awmte hmun danga kal chu a tha lo. Entirnan, i chaw ei kawngah hian bacteria a awm a. Hengte hi i pum chhunga hmun dangah a thlen chuan natna hrik a thlen thei a ni.

Intestinal surgery hnua leak a awm chuan eng nge thleng ?

Bowel resection hi anastomosis tih dan tlangpui a ni a, anastomotic leak a awm thei bawk. Bowel chhunga thil awmte chu pum chhungah a luang lut a nih chuan pum chhunga lining (peritoneum) chu natna hrik a kai thei a, a hring thei bawk. Hei hi peritonitis an ti a . He natna hi pum chhunga taksa peng dang leh thisenah a darh thei bawk. A nasat chuan nunna atana hlauhawm tak, sepsis tih chu a thlen thei a ni. Sepsis hi taksain natna hrik a neih chuan a overreaction a ni. Hei hian shock , organ failure, a nih loh leh thihna thlengin a thlen thei a ni.

Kan kitchen bawlhhlawh bawm chhunga thil awmte chu living room-ah a luang lut a nih chuan eng nge thleng ang tih han ngaihtuah teh. Kan rilru chhunga thil awmte hi kan pum chhungah luang lut ta se chutiang bawk chu a thleng ang. Chuvang chuan hei hi a hlauhawm em em a ni.

Thil dang pakhat chu pum chhunga leak lut thei chu i zun kawng a ni. Entirnan, kal thlak emaw, prostatectomy emaw tih lai hian anastomosis neih a ngai mai thei. Hei hi a leak chuan pum chhungah zun a khawlkhawm thei a ni. Hei hi urinoma an ti a . Tin, pum chhung pawnah natna kai leh sepsis a awm theihna a awm bawk. Entirnan, i ei tur pipe-a tel i chaw kawng (esophagus)-ah anastomotic leak i neih chuan i rilru chhunga natna hrik a thlen thei a ni.

Engtikah nge anastomotic leak hi a awm thin?

A chang chuan he leak hi operation neih laiin a awm thei bawk. Mahse, chutih lai chuan surgeon-te chuan an check leh thin. A tam zawkah chuan hei hi damna kal zelah a thleng thin. Leak tam zawk hi operation hnu kar hmasa chhungin a lang thin , mahse thenkhat chu tihkhawtlai theih a ni. Hei hi doctor-te chuan operation an neih hnuah kar eng emaw zat an enfiah ang. Leak tenau te te hian an nghawng a lantir nan hun rei zawk a la ngai thei. Ni 30 hnua leak lo awm (`(Delayed Anastomotic Leak)`) hi a tlem hle.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Anastomotic leak hi anastomosis surgery 5% vel ah a awm nia sawi a ni. Chung zinga 75% chu colectomy surgery nena inzawm an ni. Hetiang hlauhawmna hi a bik takin colon tawp lam, rectum emaw sigmoid colon-a surgery tihnaah a sang hle. Hei hi a chhan chu a hmun hi a tawi a, a bik takin mipaah ​​chuan operation a harsat vang a ni.

Tute nge anastomotic leak nei tam ber?

Dik tak chuan anastomosis nei tawh apiangin he harsatna hi an nei thei a ni. Mahse, hetiang thil thleng theihna tipungtu risk factor thenkhat a awm.

Risk factors te chu:

• Meizial zuk.
• Ei leh in tha lo emaw thisen tlakchhamna emaw.
• Immunosuppressant hman dan.
• Tumor level hniam tak tak nei.
• Radiation therapy a neih tawh avangin.
• Taksaah ``Sepsis`` emaw ``Septic Shock`` emaw tih natna nei tawh.
• Operation laiin thisen pek tawh (`(Intraoperative Blood Transfusion)`).
• Thau lutuk emaw, zunthlum (`(Diabetes Mellitus)`) nei.
• Emergency surgery tih a ni.
• Surgery hian hun a duh rei lutuk.
• Rectal Anastomosis tih a ni.
• Pian tirh atanga mipa nih (`(Assigned Male Sex)`).

Eng thilin nge he leak hi a thlen?

Anastomosis leak hi hliam damna a hlawhchham vang a ni tlangpui . A chhan pakhat chiah hriat a harsa a, mahse thil engemaw zatin a pui thei a ni. Entir nan:

• Surgical site-a tension lutuk: Hei hi surgeon-te chuan leak awm lohna tura tih loh an tum ber a ni. He connection hi movement laiin pulled emaw tightened emaw a ni thei. He risk hi surgery hmun a tawi emaw, a thlen harsa emaw a nih chuan a nasa zawk a ni.
• Taksa kawr chhunga hri kai hmasa: Hri kai hmasa a awm chuan tissue a ti hring thei a, a ti na thei bawk. Hun rei tak chhunga inflammation hian collagen a tihhniam thei bawk . Surgeon-te chuan antiseptic solution hmangin an silfai ang a, antibiotics an pe ang.Antibiotics hmanga infection control tum pawh nise, operation tih laiin tissue chu a la chak lo thei tho.
• Connecting vessel-a thisen kal tlem (`(Ischemia)`): `(Ischemia)` hi a hmaa awm tawh a ni thei a, operation chhanna atan pawh a awm thei bawk.
• Immunity chak lo: Hriselna lama harsatna thenkhat, meizuk, ei leh in tha lo, emaw `(Immunosuppressants)` hman hian immune system a tichak lo thei a ni. Radiation therapy hian tissue a tichhia a, immune system a tichak lo bawk. Hei hi `(Anastomosis)` surgery nei tam tak hi cancer vei an nih vang pawh a ni.

Anastomotic leak a awm hian eng symptoms nge a neih?

Hetiang dinhmunah hian a lan chhuah hmasak ber leh langsar ber chu:

• Pum Na (`(A pum na)`) .
• Khawsik (`(Khawsik)`) .
• Pum a hring (Peritonitis vang pawh a ni thei).
• Operation hnua paralytic ileus (intestinal dysfunction) awm reng .

A dinhmun a nasat deuh chuan heng ang symptoms hi a awm thei bawk:

• Lungphun chak tak (Tachycardia) .
• Delirium (`(Delirium)`) tih a ni .
• Sepsis `(Sepsis)` tih a ni .
• Shock a ni .

Engtin nge hei hi i hriat chian tak?

Operation hnua doctor i pan hunah i dinhmun uluk takin a enfiah ang. I vital signs (i pulse, thawk chakna, temperature, leh thisen sang ang chi), thisen test, leh bowel function te chu enfiah fo a ni ang. Infection chhinchhiahna i neih emaw, colon surgery hnua i rilru a thawk tha lo emaw a nih chuan i doctor chuan anastomotic leak a ringhlel mai thei. Hei hi finfiah nan hian imaging test (scan ang chi) an hmang ang – a tlangpuiin CT scan , chu chu contrast dye hmanga siam a ni.

Engtin nge enkawl a nih?

Hetiang leak i vei nia hriat i nih chuan infection control nan antibiotics hmanga enkawl i ni ang. Chumi hnuah chuan enkawlna chu leak lian tham leh i dinhmun nasat danah a innghat ang. Hei hian a huam thei ang:

• Drainage: Taksa hian natna hrik avanga tui leh/ emaw, a hring (swelling) lo awm tawh chu a chhuah tir a ngai a ni. A theih chuan doctor chuan hei hi percutaneous-in a ti ang – chu chu vunah khur te tak te atanga hollow needle dah hmangin a ti ang.
• Bowel Rest: Leak chu intestine-ah a awm a nih chuan enkawl laiin ka ei emaw in emaw i chawlhsan a ngai dawn a ni. I doctor chuan thisenah tui a pe thei che a ni.pek a ni ang a, a \ul chuan thisen zam (intravenous nutrition) pek a ni ang.
• Repeat Surgery: Surgeon chuan anastomosis chu enfiah leh a ngai mai thei a, operation dang a tih leh a ngai mai thei. A theih chuan, laparoscopy ang chi, minimally invasive procedure an hmang ang. Hei hian incision te tak te hmanga camera dahin pum chhunga awmte enfiah a ngai a ni. Tin, hmanraw te tak te hmangin abscess chu an paih chhuak thei bawk a, a khur chu antiseptic solution hmangin an silfai thei bawk. Hei hian hna a thawk lo a nih chuan leak thleng tur chuan abdominal cavity chu hawn leh a ngai mai thei. Anastomosis hi tihchak a ngai thei a, a nih loh leh hmun dangah tissue hrisel tak neia thar siam a ngai thei bawk. A châng chuan, taksa chu anastomosis tih leh hmain a dam theih nân hun tam zâwk pêk a ngai ṭhin. Bowel surgery neih lai hian surgeon chuan bowel thenkhat chu ostomy (anastomosis bypass a, damna hun tam zawk pe thei opening thar)-ah hun eng emaw chen a divert a ngai mai thei.

Eng chen nge tihdam a ngaih?

Anastomotic leak hian damdawi inah kar li emaw a aia rei emaw a awm thei a ni.

Heng leak te hi ven theih a ni lo em ni?

Anastomotic leak lo awm chhan hi thil tam tak a awm a, chung zinga tam tak chu tihdanglam theih a ni lo. Entîr nân, damlo hrisêlna te, zai a harsatzia te, leh a dam laia thil dang thlengte. Mahse, surgeon-te chuan operation an tih laiin leak a awm leh awm loh an enfiah thei a ni.

Screening neih a ni

Anastomosis hnua leak awm leh awm loh enfiahna atana test tih thinte chu:

• Air Test: Taksa kawngkhar chu saline solution-in a khat a, taksa tube chhungah boruak a lut a. Solution chhungah bubble hmuh theih a nih chuan connection-ah leak a awm a ni. A tlangpuiin heng leak te hi connection chu reattaching emaw suturing emaw hmanga siamthat thin a ni.
• Fluid Test: Disinfectant solution chu body tube-ah inject a, leak awm leh awm loh enfiah a ni.
• Contrast Test: Intestinal surgery a nih chuan surgeon chuan CT scan leh contrast dye hmangin leak a awm leh awm loh a en thei. Contrast dye hi hnute kaltlangin anastomosis-ah an kal a, leakage a awm leh awm loh an en thin.

Surgery neih lai a heng test te hian leak zawng zawng a veng thei lo a, mahse an zat a tihtlem thei a, leak repeat risk sang zawkte chu a hriat theih bawk.

Stoma venna (`(Stoma venna)`) .

Bowel surgery neih lai hian surgeon-te chuan a dam chhungin stool chu intestines aṭangin an divert thei a, chu chuan leaky gut-in a nghawng ṭha lo ber chu a veng thei a ni. Chu chu temporary colostomy emaw ileostomy emaw siamin an ti thin.Pakhat siam a ni a, intestine chhunga thil awmte chu connection point atanga lakchhuah a ni a, bag chhungah dah a ni. Hei hian anastomotic leak a veng lo nain, leak a awm chuan intestine chhunga thil awmte chu abdominal cavity-ah a lut thei lo.

Ostomy hian bawlhhlawh kalna tur kawngkhar thar, thil siam chhuah a siam a, chu chu stoma . Hei hian intestines chu a tidam thei a, stool kaltlanga harsatna awm lovin a tidam thei a ni. A châng chuan, surgeon-te chuan hun eng emaw chen atan, venna atana hman theih ostomy an siam ṭhin. Anastomotic leak vei theihna sang tak nei tan chuan invenna atan temporary ostomy neih a tha.

Anastomotic leak nei tawhte tan chuan eng nge an hmalam hun?

Leak hmuhchhuah te chu siamthat theih a ni tlangpui. Amaherawhchu, natna kai thunun nan leh sepsis laka inven nan a hmaa hriatchhuah leh enkawl hi a pawimawh hle. A tlangpuiin anastomotic leak nei te hian nakin lawkah hriselna lama harsatna leh thihna an thlen theihna a sang zawk. Heng outcomes te hi eng chen nge anastomotic leak ngei avanga lo awm tih hriat a la ni lo va, leak hi general health problem symptom a ni em tih pawh hriat a la ni lo.

Engtikah nge ka doctor ka hmuh ang?

Anastomosis atanga i dam leh dawn a nih chuan doctor nen inbiakpawhna nei la, beisei loh takin i natna lan chhuah dan report rawh. Hri kai chhinchhiahna i neih chuan damdawi lam pan nghal rawh. Entir nan:

• Khawsik.
• Pum a na.
• Inflammation (a sen, a hring).

Anastomosis surgery neih hmain ka doctor hnenah eng zawhna nge ka zawh tur?

Anastomosis i neih a, anastomotic leak i ngaihtuah chuan i doctor hnenah i personal risk factors te, eng preventive measures nge an tih theih te, eng intervention nge an recommend che tih te i zawt thei ang. Entir nan:

• Ka surgery hi anastomotic leak hlauhawmna sang tak a ni em?
• Keimahni mimal pawhin risk lian zawkah ka awm em?
• Engtin nge `(Anastomotic Leak)` hi i control theih ang?
• Surgery neih laiin leak a awm leh awm loh i check thin em?
• Engtin nge operation hnuah leak awm leh awm loh ka check ang?
• Operation hnua leak ka neih chuan eng nge thleng ang?

Anastomosis neih a ngai a nih chuan nunna chhanhimna tur a ni mai thei. Hetiang hunah hian surgery atanga nunna atana hlauhawm complication ngaihtuah pawh a harsa hle. Doctor-te hlauh ang bawkin anastomotic leak hi a awm thei reng a ni. Mahse a pumpuiah chuan a risk a tlem hle. Tin, awareness leh early intervention hmangin case tam tak chu enkawl theih a ni bawk.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

• Anastomotic leak chu operation hnua tube inzawm pahnih atanga thil awmte a leak tihna a ni.
• Hei hi khawi hmunah pawh a thleng thei a, chu chu intestine emaw urinary tract emaw ah pawh a thleng thei.
• Khawsik, pum na emaw, pum na emaw ang chi symptom i neih chuan doctor pan nghal rawh.
• He hlauhawmna hi meizuk, zunthlum, leh ei leh in tha lo ang chi thilte hian a tipung thei a ni.
• A hmaa hriatchhuah a, enkawl a nih chuan tihdam theih a ni fo. Mahse, enkawl loh chuan a hlauhawm thei hle.
• Surgery i neih chuan i doctor nen zalen takin sawipui rawh. I hlauhawmna te, chutiang venna atana tih tur te, leh leak a awm chuan eng nge tih tur tih te chiang takin sawi rawh. Awareness hi defense tha ber a ni!

` Anastomotic Leak, Surgery lama harsatna awm thei, Bowel Surgery, Peritonitis, Sepsis, Postoperative Care, Surgery avanga hlauhawmna