I bladder chu la chhuakin a thar siam tir thei ang em? Neobladder surgery (Neobladder Reconstruction) chungchang hi han sawi ila

A châng chuan cancer vang emaw, damdawi lam harsatna dang emaw avângin mi chu a zung (bladder) pum pui chu lak chhuah a ngai ṭhin. Mi tam tak chuan, "Tunah engtin nge ka zun ang?" Mahse hlau suh, medical science hmasawnna avang hian hei hi chinfelna tha tak a awm ta. Chu chu i intestine peng pakhat hmangin taksa chhungah bladder thar tak a siam tihna a ni. Vawiin hian he surgery mak tak mai hi kan sawi dawn a, chu chu Neobladder surgery an ti a ni.

‘Neobladder’ surgery tih hi eng nge ni?

A awlsam zawngin, hei hi i bladder natna nei, thawk tha lo thlaktu tur bladder thar siamna tur surgery a ni. Hei hian doctor-te chuan i original bladder chu operation hmangin an la chhuak hmasa thin. Hei hi cystectomy an ti a . Tichuan, i intestine te tak te te chu an la a , chu chu hmangin bladder thar (neobladder) ball ang maia siam an siam a ni.

He bladder thar hi i bladder hlui nen hmun khatah dah a ni. Chuvang chuan a chang chuan ‘orthotopic’ neobladder an ti thin. 'Orthotopic' tih awmzia chu "hmun khatah" tihna a ni. Hei hi neobladder reconstruction kan tih chu a ni a, chu chuan zun dahkhawmna leh chhuahna tur system thar a siam a ni.

Mahse he surgery hi mi zawng zawng tan a ni lo. Doctor-te chuan he thil atan hian i tling em tih chu thil engemaw zat atanga thlirin an rel ang a, chu chu i kal leh thin hrisel dan leh bladder cancer i neih leh neih loh te hi a ni.

Eng dinhmunah nge he surgery hi a tul?

Doctor chuan i bladder hriselna emaw, hnathawh dan emaw tichhe thei thil chi hrang hrang atan he surgery hi a rawt thei a ni. Eng nge an nih i han thlir teh ang.

Operation hmain engtin nge i inbuatsaih thin?

Surgery hma hian urologist nen in inhmu ang. Surgery ṭhatna leh ṭhat lohna te, duhthlan tur dangte pawh a sawifiah ang a, i damdawi lam chanchin a enfiah ang a, i hriselna zawng zawng tehna atan taksa enfiahna a nei ang.

Chu bâkah, hêng thilte chungchâng zawhna i dawng ang:

• Damdawi i ei dan: Damdawi i ei tur eng pawh (prescription leh over-the-counter-ah te) i doctor hnenah i hrilh tur a ni. Pain relievers (NSAIDs) thenkhat leh thisen tithianghlimtu (anticoagulants) te hian operation laiin thisen chhuah theihna a tipung thei a ni. Mahse, i doctor zawt hmasa lovin damdawi engmah ei kha bansan suh.
• I Allergy: Damdawi, vun tifaitu (iodine ang chi), latex emaw, ei tur emaw allergy i neih apiang min hrilh ngei ang che.
• Ei leh In: Zanlai pelh hnua zai hma zanah engmah ei leh in lo turin thurawn pek i ni ang. Damdawi pawimawh i neih chuan tui in rualin i ei thei bawk.

Surgery tih dan tur step khat hnu step khatin

Hei hi surgery lian tak a ni a, darkar hnih atanga darkar ruk vel a ni. Hemi chhunga thil thlengte hi step by step-in han thlir ila.

Surgery hnuah eng nge thleng? Eng chen nge a dam leh theih ang?

Surgery zawhah ni engemaw zat damdawi inah i awm a ngai dawn a ni. I hriatna i neih leh hnuah i chau deuh ang. Damdawi inah chuan medical team te chuan i natna control nan leh i hriselna enfiah turin damdawi an pe ang che.

Recovery chhung hian hetiang hian zirtir i ni ang:

• Pelvic floor exercise (Kegel exercise): Hei hi a pawimawh hle. Heng exercise te hian i bladder control tu muscle te chu a tichak a ni. Chuvangin hei hian zun insum theih lohna venna kawngah nasa takin a pui a ni.
• Self-catheterization: Mi zawng zawng hian an mamawh vek lo a, mahse mi 15% vel chuan a tir lamah an bladder chu a hring vek theih nan he method hi an hmang a ngai dawn a ni. Ngaihtuah buai suh, tih dan dik tak kan rawn entir ang che.

A dam kim theih nan thla engemaw zat a ngai thei. I bladder thar i hman thiam theih nan, i empty dan zir tur leh i taksa ruh tichak turin hun a duh a ni. Heng zawng zawngah hian i doctor leh nursing staff te chuan an pui ang che.

Neobladder hian eng nge a thatna leh a that lohna?

Mahse engkim ang bawkin hei hian hlauhawmna leh chhiatna engemaw zat a nei a ni.

• Bladder control: A tir lamah chuan i bladder control harsa tak a ni thei a, a bik takin zan lamah. Mahse, hun kal zelah, a bik takin Kegel exercise hmang hian mi 90% vel chuan nitin control tha tak an nei ang.
• Zun chhunga mucus: Bladder thar hi intestine section atanga siam a nih avangin mucus ang chi secretion a siam chhuak thin. Chuvangin hri kai loh nan a chang chuan catheter dah a, bladder tui pek a ngai thin.
• Risk dang: Thisen chhuah, thisen zam, bacteria infection, urinary tract infection (UTIs), urinary retention, etc. A tlem berah chuan electrolyte imbalances a awm thei.

Neobladder hmang hian nun pangngaia nun theih a ni em?

Ni e, a dik tak zet! Neobladder vei tam zawk chuan an hnathawh dan pangngai leh hna pangngai an thawk chhunzawm thei a ni.

A tirah chuan darkar hnih danah vel i zun a ngai dawn a ni. Mahse hun kal zelah i bladder thar a inzawm khawm a, a chak chhoh zel chuan darkar 4-6 vel i zun chu i vawng thei tawh ang. Kar tlemte hnuah chuan hna rit tak tak thawkin hnathawhna hmunah i kal thei tawh ang. Chaw ei khapna bik a awm lo va, khapna awm lovin i zin thei bawk.

Doctor hmuh duh hun lai

Heng symptoms te hi i neih chuan doctor ko nghal tur a ni. A natna lanchhuahna a nasat chuan damdawi in hnai ber Emergency Department (ETU)-ah kal tur a ni.

• Infection chhinchhiahna , khawsik, khawsik, leh zun chhum te.
• Catheter chauh dah luh a harsa hle .
• Zun chhunga thisen (hematuria) .
• Pum chhungah emaw, ruh leh hip inkarah emaw natna nasa tak a awm .