Endoscopy i nei tawh em? I doctor chuan he test hi i pum ulcer emaw, natna dang emaw i neih leh neih loh a tihsak che a ni mai thei. He test hi i tih hian a chang chuan doctor chuan i pum emaw, i rilru chhunga hliam te tak te atanga thisen chhuak emaw, a lo thang lian te te (polyps) lo awm emaw a hmu thin. Tun hma chuan hei hi surgery tenau te a ngai dawn a, mahse tunlai technology hmasawn tak nen chuan heng thilte hi incision pawh siam lovin enkawl dan tur a awm ta. Chu chu tunlaia kan sawi tur enkawlna hmasawn tak pakhat a ni. Argon Plasma Coagulation, a tawi zawngin APC tih a ni.
A awlsam zawngin APC (Argon Plasma Coagulation) tih hi eng nge ni?
Okay, he hming hi a buaithlak deuhin a lang thei a, mahse he thila thil thleng hi a awlsam hle. Kan taksa chhunga tube-a khur te tak te (digestive tract ang chi) chu thisen chhuak niin han ngaihtuah teh. Hetianga APC an tih danah hian doctor chuan endoscope tube (scope) kaltlangin tube te tak te dang a thawn leh a, chuta tang chuan gas bik ‘Argon’ an inject a ni. Tichuan, electric current te tak te hmangin gas chu a kang ta a ni. Chumi avanga lumna sang tak lo chhuak chuan thisen chhuahna hmun chu a kang a, thisen chhuahna chu a titawp a ni. Tin, duh loh zawng thil te te (polyps) a awm chuan he method hian a tichhe vek thei bawk.
Hei hi taksa chhunga buaina chinfel ang mai a ni a, taksa chhungah cut lovin, pawn lam atanga nalh takin. Chumi awmzia chu major surgery kal a ngai tawh lo tihna a ni. Chu chu damdawi lama ‘minimally invasive’ kan tih chu a ni.
He enkawlna hi gastroenterologist emaw pulmonologist emaw ten an ti thin.
Eng dinhmunah nge he enkawlna hi a tul?
APC therapy hi chhan hrang hrang avangin hman a ni. Eng nge a tih ber tih hi han thlir ila.
| Condition enkawl mek a ni | A sawifiahna awlsam tak |
|---|---|
| Taksa chhunga thisen chhuah tihtawp | Pum leh ril a hliam avanga thisen chhuak, rectal bleeding, emaw ‘watermelon stomach’ (Gastric Antral Vascular Ectasia Syndrome) an tih natna enkawlna atan hman a ni. |
| Tissue/tumor duh loh tak tak lakchhuah | Hetiang tih dan hi intestine-a cancer thlen thei tissue te te (polyps) emaw tissue te paih chhuah nan hman a ni. Surgery lian tham nei thei lo mi pakhat cancer tumor tihtlem nan pawh hman theih a ni. |
| Barrett-a Esophagus enkawl dan | Hei hi long-term gastritis (GERD) avanga chaw kawng cell-a inthlak danglamna thlentu a ni. APC hmang hian heng cell danglam te hi cancer-a an chan hmain an paih chhuak thin. |
| Weight loss surgery hnua taksa rihna tihpun | Weight loss surgery thenkhat hnuah chuan a pum a innghahna hmun chu hun kal zelah a inzawm khawm thei a, a lian thei bawk. Tichuan a rihna chu a lo let leh ang. APC treatment hmangin chu stretched area chu tighten leh shrink leh thin a ni. |
| Lung leh thawk lama harsatna nei | Hetiang method hi bronchoscopy nen pawh hman a ni a, thawkna kawnga tumor te tak te emaw thisen chhuahna hmun emaw enkawl nan hman a ni bawk. |
Engtin nge he enkawlna hian hna a thawh?
He enkawlna hma hian inbuatsaihna tlem a awm a ngai a ni. I tih duh danah a innghat.
- Upper Endoscopy: Hei hi ka chhunga tube dahin pum leh chaw kawng enfiah a ni.
- Colonoscopy: Hei hi rectum kaltlangin tube dahin intestine lian tak enfiah a ni.
- Bronchoscopy: Hei hi hnar emaw, hmui emaw kaltlangin tube dahin lung lam en a ni.
Hemi hma hian i doctor chuan darkar engemaw zat ei leh in loh turin a ti ang che . Colonoscopy hmang hian i colon tihthianghlimna tura pui turin bowel preparation pek i ni ang. Tin, thisen tihthianghlimna damdawi aspirin ang chi i ei a nih chuan ni engemaw zat ei tawh loh turin an ti mai thei bawk.
Enkawl lai hian...
1. I rilru hahdam nan leh natna engmah i hriat loh nan anesthesia pek i ni ang. Hei hian i kut chhunga vein pakhatah tube te tak te (IV line) dah a, chuta tang chuan damdawi pek che a huam a ni.
2. Chumi hnuah chuan treatment bed-ah mut tir i ni ang.
3. Doctor chuan a remchan dan angin taksa chhungah camera dahin tube (scope) te tak te, flexible tak (scope) a dah lut a (kawng, hnar, emaw hnute hmangin).
4. Electric current in i taksa a tihchhiat loh nan flat pad (grounding pad) i taksaah (a tlangpuiin i kekawr ipte) a buntir thin.
5. A dawtah chuan APC device awmna catheter chu scope kaltlangin hmun remchang takah an kalpui leh a.
6. Argon gas kan inject hmasa a, chumi hnuah electric current hmangin a kang leh thin. Tichuan targeted tissue chu a hal ta a ni.
7. Doctor chuan a tul angin device chu a sawn a, gas leh electrical current awm zat a control a, enkawlna chu a ti zo thin.
8. Hna thawh zawh chuan scope, catheter, leh grounding pad te chu lakchhuah a ni.
Hetiang zawng zawng hi minute 15 atanga darkar khat vel a ni tlangpui .
Enkawl hnuah eng nge thleng? Side effect a awm em?
Enkawlna i neih zawh chuan recovery room-ah hun engemaw chen dah i ni ang a, anesthesia-in a nghawng a reh hnuah in lamah thawn haw i ni ang. Thil hrehawmna tenau engemaw zat a awm thei bawk.
- I pum a khat ang maia inhriatna.
- Gas passing leh chuta chhuak chu pum na deuh a ni.
- Tlem a chau a, a lu a hah deuh bawk.
Hengte hi a tlangpuiin thil pangngai a ni. Thil ngaihtuah tur a awm lo. Heng hrehawmnate hi darkar tlemte hnuah a bo vek ang. Anesthesia pek i nih dawn avangin enkawl chhungin natna i nei lovang.
APC hi kalphung him tak a ni. Complication a awm tlem hle. Mahse, damdawi lam thil tih dan dang ang bawkin, hlauhawmna tenau tak tak a awm. Thisen chhuah, anesthesia lama harsatna, chaw kawng (esophagus) tawi (stenosis), tissue rupture te hi a awm tlem hle. Chuvangin heng procedure te hi doctor tawnhriat ngah takin tihsak a pawimawh hle.
Damdawi lam pan vat ngai symptoms
In lama i haw hnuah a hnuaia symptoms te hi i hmuh chuan damdawi in pan nghal tur a ni a, a bik takin Emergency Department (ETU) ah i kal nghal tur a ni. Hengte hi thil pawi tak chhinchhiahna a ni thei a, chuvangin hmalak vat a pawimawh.
| Vaukhânna chhinchhiahna fimkhur tûr! | |
|---|---|
| 🔴 tih a ni | Pum natna nasa tak , gas pass hnuah pawh a reh lo. |
| 🔴 tih a ni | A rilru a na . |
| 🔴 tih a ni | Thâwk lak harsat . |
| 🔴 tih a ni | Thisen chhuak (red emaw coffee grounds ang chi). |
| 🔴 tih a ni | Rectal bleeding (thisenah thisen sen emaw dum dum emaw). |
| 🔴 tih a ni | Khawsik emaw, khawsik emaw. |
| 🔴 tih a ni | Chaw ei harsa emaw, rilru natna tihpun emaw. |
In i haw hnuah Doctor thupek dik takin zawm rawh.
- Anesthetic damdawi hian nghawng a neih avangin chu ni chuan lirthei khalh suh la, machine rit tak tak pawh hmang suh.
- In lama hruai tur che rawn hruai rawh. In i thlen hnu darkar engemaw zat mi pakhatin a awmpui che chuan a tha ber.
- Zu in loh tur.
- Doctor chuan eng nge i ei theih ang tih leh engtikah nge a pangngaia i ei tan theih ang tih a hrilh ang che.
Take-Home Thuchah a ni
- Argon Plasma Coagulation (APC) hi damdawi hmasawn tak, non-invasive treatment a ni a, taksa chhunga thisen chhuak tihtawp nan leh tissue duh loh zawng zawng paih chhuah nan hman a ni.
- Hei hi anesthesia hmanga tih a nih avangin natna engmah i nei lovang.
- Enkawl zawhah chuan natna tenau te, puak leh gas te i nei thei a, mahse hengte hi a bo thuai tlangpui.
- Inenkawl zawha in lama i haw chuan doctor thupek dik takin zawm tur a ni.
- Vaukhânna chhinchhiahna eng emaw zat, pum na tak, rilru na, thawk harsa, thisen luak ang chi i neih chuan damdawi in Emergency Department (ETU)-ah kal nghal rawh.
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