I zun fo a ngai em ? A nih loh leh i beisei loh laiin i thawmhnaw i hnim thin? A châng chuan, bladder control leh chu hmuna natna ang chi thil avang chuan i rilru a hah hle thei. Chutiang harsatna thlentu chu bladder te tak te emaw, a chhunga pressure sang emaw a ni thei. Chutiang hunah chuan tunlaia doctor-te’n an rawt surgery bik chungchang kan sawi a ni.
Augmentation Cystoplasty tih hi eng nge ni?
A awlsam zawngin sawi ila, hei hi kan taksaa zun khawlkhawmtu i bladder tihzauh nan surgery a ni. Tui balloon te tak teah tissue tlem tal dah belh a, a lian zawka siam ang maiin han ngaihtuah teh. He surgery-ah hian surgeon chuan nangmah ngeiin i intestine te tak te emaw, large intestine emaw a la a, chu chu i bladder tihzauh nan a hmang thin. Hei hi `(Augmentation Cystoplasty)` an ti a.
Engvangin nge hetiang surgery hi i neih a ngai?
Damdawi lam thil thenkhatah chuan bladder hnathawh a tichhe thei. Entirnan, ruhro hliam, pianpui nerve natna , emaw, multiple sclerosis ang chi natna te hian bladder lama harsatna a thlen thei a ni.
Hetiang surgery hi a tul theih chhan lian ber ber thenkhat chu hetiang hi a ni:
- Leakage: I hriat loh pawha zun tlemte hloh.
- Bladder spasticity : Hei hian a awmzia chu bladder muscle te chu duh loh zawng leh tense a nih avangin zun chhuah duhna nasa tak, thunun theih loha zun chhuah, emaw bladder chhung emaw a chhehvela natna a thlen tihna a ni.
- Bladder capacity tihtlem: A hma angin zun tam tak a vawn theih loh. Tlemte a lo pungkhawm veleh zun chhuah a ngai.
- Bladder-a pressure sang: Hei hi a hlauhawm deuh a ni. Bladder hi a zau tha tawk lo a, chu chuan a chhunga pressure a ti sang hle. Hetiang pressure sang hian zun chu kal hnunglam hawiin a luang lut thei a , chu chuan kal natna a thlen thei a, hun kal zelah kal pawh a tichhe thei bawk.
Vawi tam tak chu, hun rei tak chhunga catheter dah tawhte ( self-catheterization) .) vang hian doctor-te chuan he surgery hi an rawt a ni.
Surgery neih hmain eng nge thleng?
Surgery neih tura thutlukna i siam hmain i doctor chuan uluk takin a enfiah ang che. He surgery hi i tan a tha em tih hriat chian nan test engemaw zat a ti thei bawk.
| Fiahna | A awlsam zawngin... |
|---|---|
| Taksa enfiahna | Doctor chuan i taksa chu general examination a ti ang. |
| Thisen test a ni | I kal hnathawh dan leh hriselna zawng zawng zir rawh. |
| X-ray hmanga tih a ni | Urinary system thlalak lak. |
| Cystoscopy hmanga enfiah a ni | Urethra kaltlangin camera nei tube te tak te dahin bladder chhung lam an enfiah thin. |
| Urodynamic testing tih a ni | Bladder hian zun a vawn that dan leh pressure eng ang nge a nih tih enfiahna special test hrang hrang. |
Hetih lai hian damdawi i ei tur eng pawh i doctor hnenah i hrilh ngei ang, chutah chuan damdawi, damdawi lei theih loh, vitamin, leh hmanlai damdawi te pawh a tel. Damdawi thenkhat, aspirin ang chi te hian operation laiin thisen chhuah a tipung thei a ni.
Surgery tih dan tur hi han sawi ila.
He surgery hi darkar hnih atanga darkar ruk vel a ni. Doctor chuan i pum chhungah incision a siam thei (open surgery), a nih loh leh robotic surgery (Hei hi robotic surgery hmanga incision te te tlemte hmanga tih a ni .
A awlsam zawngin, hei hi a thleng thin:
1. A hmasa berin bladder chunglam chu kan tan a.
2. Tichuan, i intestine te emaw, large intestine emaw atanga a remchan dan angin i tan a, then hran a ni.
3. He intestine piece hi a laiah a inzawm khawm a, a flat surface a siam a.
4. A tawp berah chuan he intestine piece hi a hmaa an cut chhuah tawh bladder hawnna chhungah dahin mawi takin an sewn up a.
I harh chuan i pum leh i bladder-ah tube pahnih pathum i nei ang. Ngaihtuah buai suh, hengte hi zun chhuahna tur leh i bladder a dam hma loh chuan a chhung lam tihfai nan an awm a ni.
Operation hnuah eng nge beisei tur?
Operation hnuah ni nga atanga ni sarih vel damdawi inah i awm a ngai dawn a ni. Ni hmasa berah chuan ei leh in phal a ni lovang. Hei hi a chhan chu intestinal surgery hnuah chuan intestines chu hun engemaw chen chu inactive a nih vang a ni. Hei hi ‘ileus’ an ti a. Hemi chhung hian hnar hmangin tube dahin, pum chhunga tui awm zawng zawng chu paih chhuah theih a ni. Intestine-in hna a thawh leh chuan liquid foods (e.g. soup water) pek hmasak i ni ang a, zawi zawiin ei tur pangngaiah i inhmeh tir ang.
Hetah hian thil pawimawh tak chu: I bladder thara intestine piece inzawm chuan a pianphungah mucus an tih thil a siam chhuak thin. He mucus hi i zun nen a inhmeh hle. Chuvangin, he mucus hi nitin i dam chhung zawng saline water hmangin i irrigate a ngai dawn a ni .
Chutianga tih dik loh chuan he mucus hi a lo pungkhawm thei a, bladder stones , urinary tract infections (UTIs) , leh urethra pawh a block thei bawk. Damdawi ina i awm chhung hian nurse leh doctor ten hetiang tih dan tur an zirtir ang che.
Kar thum vel hnuah chuan bladder chu a dam tha em tih leh a leak lo em tih enfiah a ni ang. Engkim a tha a nih chuan doctor chuan tube chu a la chhuak ang a, tube dah dan tur leh mahni in zun dan tur (self-catheterization) a zirtir ang che.
Eng nge a hlawkna leh a hlauhawmna?
Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.
| A thatna te | Risk/Complication awm thei te |
|---|---|
| Bladder a lian deuh deuh chuan a capacity a sang chho zel bawk. | Anesthesia nena inzawm hlauhawmna. |
| Bladder pressure a tihniam bakah kal (kidney) tihchhiat a veng bawk. | Mucus hi uluk taka paih chhuah a nih loh chuan zunthlum leh natna hrik a thlen thei a ni. |
| Zun chhuah tam dan a tlahniam (tum ber chu darkar 4 tal a vawn theih hi a ni). | Taksa chemistry leh vitamin level inthlak danglamna (dam chhung zawnga enfiah a ngai). |
| Urinary incontinence a bo a, nunphung a tha chho bawk. | Incision-a natna hrik awm, thisen chhuak, hring chhuak. |
| Scarring, hernia lo awm thin. |
Eng chen nge tihdam a ngaih?
Kar ruk vel hnuah chuan 90% velin i dam leh ang. Mahse a dam kim theih nan thla thum vel a ngai thei. Hetih lai hian rit phurh te, tlan te, infiamna te, leh sex hman te kha i bansan tur a ni . A chhan chu pum chhungah pressure a awm chuan hernia ang chi condition a awm thei a ni.
Doctor thupek dik taka zawm a pawimawh. Kar ruk vel hnuah hna emaw, sikul emaw-ah i kir leh thei tur a ni a, mahse chu chu i hnathawh dan leh i dam thuai danah a innghat a ni.
Engtikah nge Doctor ka hmuh ang?
I doctor chuan ni engemaw zat a pe ang che, mahse a hnuaia symptoms te hi i neih chuan i doctor chu i ko nghal tur a ni .
- Cut atanga thisen chhuak tam lutuk.
- Khawsik (38°C Celsius aia sang emaw 100°F Fahrenheit aia sang emaw).
- Infection, natna, emaw, incision na hmuna vun tam zawk.
- Natna nasa tak i neih emaw, natna dang danglam tak i neih chuan.
Take-Home Thuchah a ni
- Augmentation Cystoplasty hi surgery a ni a, chu chuan bladder a ti lian a, a chunga pressure a tihziaawm a, kal a venghim bawk.
- He surgery hnua i tih tur chuA pawimawh ber chu dam chhung zawng nitin bladder-a mucus awmkhawm chu silfai a, paih chhuah hi a ni.
- Mi tam tak chuan an dam chhungin self-catheterize an mamawh a ni.
- A dam kim theih nan hun a duh a, chuvangin doctor thupek dik takin zawm rawh.
- Zawhna, hlauhthawnna, rinhlelhna i neih apiang chu i doctor nen zalen takin sawipui rawh.











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