Bladder enlargement surgery (Augmentation Cystoplasty) chungchang hi a awlsam zawngin i zir ang u.

Zun chhuah duhna i nei reng em? A nih loh leh zun tlemte pawh i control thei lo va, i thawmhnaw chungah a leak hun i nei em? Mi thenkhat tan chuan hei hi an nitin nunah daltu lian tak a ni thei. Damdawi lam thil engemaw avanga bladder a thawk tha lo a nih chuan hei hian hetiang harsatna hi a thlen thei a ni. Chuvangin, hetiang hun lai hian doctor-te’n an rawt solution pakhat chu bladder enlargement surgery hi a ni. Chu chu vawiina kan sawi tum chu a ni.

He bladder tihpunna surgery (Augmentation Cystoplasty) hi eng nge ni?

A awlsam zawngin, i bladder hi sac ang chi organ a ni a, hun engemaw chen chu zun a vawng thei a ni. He surgery hian i bladder chu a ti lian deuh a ni. Chu chu a theihna a tipung tihna a ni.

Tui bottle i neih chu a te a, chuvangin i fill up fo a ngai niin han ngaihtuah teh. Chu bottle-ah chuan a hnah dang kan bun a, a lian zawka kan siam chuan vawi khatah tui tam tak kan dah lut thei ang em? Awle, chutiang chu he surgery hi a ni.

Doctor te chuan he procedure atan hian i taksa peng pakhat an hmang thin. A dik zawka sawi chuan nangmah ngeiin i intestine te emaw, large intestine emaw atanga tlem te te an la a, i bladder-ah an dah a, chu chu an ti lian a ni. Small intestine hman a nih chuan ``ileocystoplasty'' an ti a, intestine lian hman a nih chuan ``sigmoid emaw ceco-cystoplasty'' an ti bawk. Mahse hei hi i tan chuan a pawimawh lutuk lo. A pawimawh ber chu hei hian i bladder a ti lian a, zun tam zawk a vawng thei bawk.

Engvangin nge hetiang surgery hi neih a ngai?

Mi zawng zawng hian he surgery hi an mamawh vek lo. Damdawi lam thil bik avanga bladder hnathawh that lohna nei tan chuan a tha fo thin. Entir nan:

• Spinal cord injuries: Accident avanga spinal cord a chhiat chuan bladder control tu nerve te a nghawng thei a ni.
• Congenital neurological disorders: Nausen thenkhat chu an pian tirh lamah an ruhro emaw, an nervous system emaw-ah harsatna engemaw zat neiin an piang a.
• Damdawi lam thil dang: ``Multiple Sclerosis'' ang chi natna hian bladder hnathawh a tidanglam thei bawk.

Heng avangte hian bladder-ah harsatna hrang hrang a thlen thei a ni. Eng nge an nih i en ang u.

A tam zawkah chuan he surgery hi self-catheterization hmang rei tawhte chungah an ti thin. Hei hi urethra kaltlangin thin tube (catheter) dahin bladder a empty thin a ni. Hetiang method hian harsatna a chinfel loh chuan i doctor chuan he surgery chungchang hi a hnuaia mi ang hian a hrilh ang che.

Surgery neih hmain eng nge thleng?

Hei hi surgery lian tak a nih avangin vawi khatah tih theih a ni lo. Hemi atan hian i tling em tih doctor chuan uluk takin a enfiah ang che. Hetiang hian test eng emaw zat a ti dawn a ni.

• Taksa exam: I hriselna tlangpui enfiah a ni.
• Thisen test: Kal hnathawh dan leh natna hrik a awm leh awm loh enfiah thin.
• X-ray: Urinary system thlalak la rawh.
• Cystoscopy: Camera te tak te nei tube chu urethra kaltlangin dahin bladder chhung lam en turin test a ni.
• Urodynamic testing: Bladder hnathawh dan leh a fill leh empty huna pressure a pek dan tehna special test a ni.

Surgery neih chhung hian eng nge thleng?

Surgery hi general anesthesia (muthilh) hmanga tih a nih avangin engmah i hre lo ang. Surgeon hian he surgery hi kawng hnih in a ti thei a, chungte chu: pum chhunga incision sei tak vawi khat (open surgery) hmangin emaw, robotic surgery hmanga incision tenau engemaw zat hmangin emaw a ti thei a ni.

Eng pawh nise, a bulpui ber chu hetiang hi a ni:

1. A hmasa berin, surgeon chuan bladder chunglam chu a tikehsawm a .

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3. Intestine then hran chu a laiah a fold thla a, flat "patch" a siam a.

4. A tawp berah chuan he intestine piece hi a hmaa bladder hawn tawhah dahin, an pahnih chu an inzawm khawm a, an sewn khawm a ni .

Hetianga tih zawh hian bladder chu a hma aia lianin a lian tawh ang. Operation hnua i harh chuan i pum leh i bladder atang hian tube pahnih pathum a rawn chhuak tih i hmu ang. Hengte hi zun a chhuah that theih nan leh zun siam thar a dam hma loh chuan zun (bladder) a silfai theih nan dah a ni. Lungngai suh, hengte hi hun eng emaw chen atan a ni.

A tlangpuiin, he surgery hi darkar hnih leh darkar ruk inkar a ni thei .

Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?

Surgery hnua recovery period pawh hi a pawimawh hle. Hemi hun chhung hian in inpekna a ngai a ni.

Damdawi in chhunga hun hman

A tlangpuiin ni nga atanga ni sarih vel damdawi inah i awm a ngai thin .

• Ei leh in: Ni hmasa berah ei leh in phal a ni lovang. Hei hi a chhan chu hetiang surgery hnuah hian bowels hian hun engemaw chen hna a thawk tawh lo va, "sluggish" a ni ta a ni. Hei hi ``ileus'' kan ti a. Hei hi thil pangngai a ni. I pum chhunga tui awmte chhuah chhuah nan i hnar kaltlangin tube i dah a ngai thei bawk. I rilru a thawh leh chuan a tir lamah liquid foods (soup ang chi) pek i ni ang a, chutah chuan zawi zawiin ei tur pangngaiah i inhmeh tir leh ang.
• Tube: Damdawi ina i awm chhung hian i pum chhungah tube engemaw zat i nei ang. I bladder atanga zun chhuah nan tube pahnih tal dah a ni. Nursing staff te hian heng tube te hi enkawl dan tur an zirtir ang che, a bik takin i bladder-a mucus awmkhawm chu rinse out dan tur (irrigation) an zirtir ang che.

In lama haw hnua hun rei tak enkawl

• Mucus Irrigation: He mucus hi a lo punkhawm chuan zun kawng a tikhawlo thei a, zunthlum a siam thei a, natna hrik a thlen thei bawk. Chuvangin, i dam chhung zawng zing tin i bladder chhung chu solution bik hmangin i silfai a ngai dawn a ni. Damdawi inah hetiang tih dan tur zirtir i ni ang.
• Tests: Operation i neih atanga kar thum vel hnuah i bladder thar atanga zun a chhuah loh nan imaging test i nei ang. Engkim a dam tha a nih chuan i doctor chuan i tubes te chu a la chhuak ang.
• Self-Catheterization: Tube i lakchhuah hnuah nangmah ngeiin self-catheterization i tan a ngai ang. Lungngai suh! Medical team chuan awlsam taka nangmah chauha i tih theih hma loh chuan tih dan tur an zirtir ang che.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.

Eng nge a thatna?

He surgery hi a hlawhtling a nih chuan i nunah hahdamna nasa tak a thlen thei a ni.

• Bladder a lian deuh deuh chuan a chhunga pressure chu a tlahniam .
• Hei hian kal chhiatna a titawp emaw a ti tlem emaw a ni .
• Vawi khatah zun tam zawk i vawn theih avangin chutiang chuan zun i chhuah fo a ngai tawh lo vang .
• A tlangpuiin, darkar li tal zun lovin i kal thei .
• I zun control theihna hian vantlang hmuna i chhuah hunah inrintawkna nasa tak a pe che a ni.

Risk leh complication awm thei te

Kan sawi tawh ang khan mucus removal hi tih dik loh chuan harsatna lian tak a thlen thei a ni. Chu bakah, surgery-ah ngei pawh hian hlauhawmna engemaw zat a awm bawk.

Eng chen nge a dam kim theih nan?

Hei hi hun engemaw chen a la ngai a ni.

• After about six weeks , i beisei theih chu a tam zawk chu i normal leh tawh ang. Chu chu 90% velin i tha zawk tihna a ni.
• Mahse, operation hmaa a level ang chiaha a dam kim theih nan thla thum vel a ngai thei.
• Hetih lai hian i pum chhunga pressure tirtu thil eng pawh, thil rit phurh te, tlan te, infiamna te, leh sex hman te hi i pumpelh vek tur a ni .
• Kar ruk vel hnuah hna emaw, sikul emaw-ah i kir leh thei a, chu chu i hnathawh dan leh i dam chak dan azirin a ni.

Engtik laiin nge doctor ko nghal vat a ngai?

In lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor i ko nghal tur a ni a, a nih loh leh i damdawi in hnai ber Emergency Department (ETU) ah i kal tur a ni.

• Cut chhehvelah thisen chhuak tam lutuk a awm chuan.
• Khawsik chu 100 degree F (38 C) aia sang a nih chuan.
• Hliam hmun chu a sen, a hring, a na emaw, a hring (ozing pus) a nih chuan (infection chhinchhiahna).
• Urethral catheter i dah theih loh emaw, a tlakbuak nia i hriat emaw chuan.

I doctor chuan clinic appointment a schedule reng ang che. A tirah chuan hliam enfiah turin rawn lut turin a ti ang che a, a hliam chu a tan ang a, a tube te chu a la chhuak ang. Chumi hnuah chuan kum khatah vawi khat vel i kal dinhmun enfiah tur leh thisen test tir tur leh i tube prescription renew turin a rawn lut ang che.

He surgery hi nun tidanglam thei thutlukna a ni. Chuvangin i doctor hnenah i ngaihtuahna leh hlauh zawng zawng chu inhawng tak leh rinawm takin sawi rawh. Hei hian he zinkawng hi i zawh theih nan a pui ang che.