"Brain surgery" tih thumal kan hriat hian kan taksa chu a hlim lo hle mai, a dik em? Kan rilruah thil pawi tak leh hlauhawm tak angin a rawn lang nghal a. Chutianga ngaihtuah chu a dik a ni, a chhan chu a takah chuan kan taksa pum pui thununtu main center-a operation a nih vang a ni. Mahse tunlai damdawi lam hmasawnna avang hian thluak surgery hi a hma aiin a him zawkin a hlawhtling zawk hle a ni. Chuvangin, he thil chungchanga hlauhna leh rinhlelhna tihbo nan thluak surgery hi eng nge a nih tak tak tih hi sawi mai ila.
A awlsam zawngin, he thluak surgery hi eng nge ni?
Brain surgery hi i thluak chhung emaw, a chhehvel emawa thil awm dan pangngai lo emaw, harsatna emaw a awm chuan enkawlna a ni. I hriat angin thluak hi kan taksa thununtu ber a ni. Kan tawng a, kan ngaihtuah a, kan kal a, kan hre reng a, thil dang zawng zawng hi thluak hian a thunun vek a ni. Chuvangin he surgery hian a tum ber chu thluaka harsatna awm chu enkawl a ni a, a chunga kan sawi tak process pawimawh tak takte hi tichhe lovin.
Hetiang surgery hi tih theih chhan hrang hrang a awm. Entirnan, thluaka tumor lakchhuah nan emaw, epilepsy ang chi natna atana thluak hmun thenkhat lakchhuah nan emaw, thisen zam emaw thil dang avanga thluak chhunga pressure sang tihziaawm nan emaw tih a ni. Brain surgery hi thluaka thisen kalna kawng dik lo (aneurysms) ang chi natna enkawlna atan pawh hman a ni.
Heng surgery te hian hlauhawmna engemaw zat a nei a, chuvang chuan operation zawhah damdawi inah dah i ni ang a, medical team te chuan i dam leh dan chu uluk takin an enfiah ang.
Heng surgery te hi tuin nge ti thin?
Brain surgery hi neurosurgeon ten an ti thin a . Amah hi a bik taka training nei doctor leh nurse team lian takin an pui a ni. Surgery neih chhunga natna i neih loh nan anesthesiologist pawh a awm a, a tul ang ang anesthetics pe turin a awm bawk.
Brain surgery chi hrang hrangte chu engte nge ni?
Brain surgery hi chi hrang hrang a awm a. Mi zawng zawng hi a inang vek lo. Doctor-te chuan i dinhmun a zirin surgery chi hrang hrang dik ber tur an ruat ang. Surgery chi hrang hrang hman tlanglawn tak tak thenkhat han thlir ila.
| Surgery chi hrang hrang | A awlsam zawngin, hei hi eng nge thleng? |
|---|---|
| Biopsy tih a ni | Tissue emaw fluid sample te tak te tak te chu thluak atang hian lakchhuah a ni a, test a ni. Hei hi thluaka tumor pakhat chu cancer a nih leh nih loh hriat nan tih a ni ber. A châng chuan, he sample hi luruh hawng lovin, needle ang chi hmanrua te tak te hmangin lak theih a ni. |
| Craniotomy tih a ni | Hei hi ‘open brain surgery’ kan tih tlangpui chu a ni. Hetah hian surgeon chuan thluaka luh theihna turin luruh hmun tlemte chu rei lo te chhung a la chhuak thin. Tichuan, a tul anga enkawlna (tumor emaw thisen zam emaw lakchhuah ang chi) an ti a, luruh lakchhuah chu an inzawm leh thin. |
| Craniectomy tih a ni | Hei hi a chunga kan sawi tawh dan nen hian a inang hle. Mahse, hetah hian luruh atanga lak chhuah chu a inzawm leh nghal lo. Hei hi a chhan chu operation hnua thluak a lo hring chhuah theih avangin pressure a san loh nan a ni. A hnuah chuan luruh hmun chu surgery hran hmangin an inzawm leh ta a ni. |
| Thluak thuk tak tihchak (DBS) . | Parkinson natna ang chi thluak lam natna enkawlna. Chutah chuan thluak chhung thuk takah electrode an dah lut thin. Taksa pawn lama hmanraw te tak te chuan heng electrode hmang hian electrical signal a thawn a, chu chuan a dinhmun a control a ni. |
| Endovascular Surgery tih a ni | Tunlai hmanraw pakhat, luruh hawn loh. Hetah hian groin area-ah hian incision te tak te tak tak an siam a, chuta tang chuan catheter an tih tube te tak te tak mai chu thisen kalna kawngah an dah lut a ni. He tube hi thisen kalna kawng zawhin thluak lamah a kal a, thisen zamte chu paih chhuah emaw, thisen kalna kawng siamthat emaw a ni. |
| Neuroendoscopy hmanga enfiah a ni | Hei pawh hi minimally invasive procedure a ni bawk. Luruh chu tan ai chuan camera dahna tube te tak te, endoscope an tih chu hnar emaw, hmui emaw kaltlangin thluak lamah an kal a. Chumi hnuah chuan surgical instrument te chu tube kaltlangin an pass a, tumor lakchhuah ang chi thil an ti thin. |
Eng ang dinhmun nge thluak surgery hmanga enkawl?
Thluak zai (brain surgery) tih hi a chhan hrang hrang a awm thei. Chung zinga ṭhenkhat chu:
- Thluak Tumors a awm
- Thluak ah Thisen a awm
- Brain Aneurysms a awm thin
- Epilepsy natna a ni
- Traumatic Brain Injuries leh Luruh Tliak te
- Thluak chhunga thisen chhuak (Hemorrhages) .
- Thluak chhunga tui awmkhawm (Hydrocephalus) .
- Thai
- Parkinson natna a ni
Engtin nge operation atan i inbuatsaih thin?
Brain surgery hi ruahmanna fel tak a ni a, i medical team te chuan chutiang tur chuan an buatsaih tha hle ang che.
Operation hmaa test neih thin a ni
Operation hmain i doctor chuan taksa enfiahna a nei ang a, thisen test eng emaw zat a nei ang a, i hriselna a tha em tih a chiang ang. Chu bakah, i thluak thlalak chiang tak, chipchiar tak tak hmuh theih nan a hnuaia mi ang chi test te pawh an ti ang:
- MRI (Magnetic Resonance Imaging) hmanga tihchhuah a ni
- CT (Computed Tomography) hmanga tih a ni
- PET (Positron Emission Tomography) hmanga tihchhuah a ni
- Angiography - thisen kalna kawng enfiah nan
Heng scan atanga thlalak te hian surgeon chu enkawl ngai hmun dik tak chu dik takin a hriat theih nan a pui a ni.
Nangmah lam a\angin inbuatsaihna i siam a ngai a ni.
I surgeon chuan operation hmain a hnuaia mite hi a hriattir ang che:
- I hriselna tihdanglam: Meizial zu mi i nih chuan i operation hma kar tlemte tal chu meizuk kha i bansan vek tur a ni . Meizial zuk hian operation neih laiin harsatna a thlen theihna a tipung a, hliam damna a tikhawtlai bawk.
- Damdawi enkawl dan: Operation hma ni engemaw zat hnuah damdawi thenkhat (a bik takin thisen tithianghlimtu ) ei kha i chawlhsan a ngai mai thei. I doctor chuan thluak natna, natna hrik, emaw, seizure emaw ven nan damdawi thar ei tan a rawt thei bawk.
- Surgery Hriatthiamna: I surgeon chuan a tih dan tur, a side effect awm thei te, leh operation hnua i beisei tur te a hrilhfiah ang che. Chutih laia zawhna emaw, ngaihtuahna emaw i neih chuan zawt rawh.
Surgery neih chhung hian eng nge thleng?
Hei hi i surgery chi hrang hrang a zirin a danglam ang. Entirnan, ‘open brain surgery’ (`Craniotomy`) tih dan tur step by step-in han thlir ila.
1. Pakhatnaah chuan anesthesiologist chuan general anesthesia hnuaiah a dah ang che. Hei hian engmah i hre lovang, i muhil mai dawn tihna a ni.
2. Surgery neihna hmun vel sam te chu la chhuakin a hmun chu uluk takin silfai thin a ni.
3. Surgeon chuan lu vunah incision a siam thin.
4. Tichuan, lu vun hmun tlemte chu uluk takin surgical instrument bik (`surgical drill`) hmangin an la chhuak thin.
5. Tunah chuan thluak a lut tawh a, a tul anga enkawlna (e.g., tumor lakchhuah, thisen zam lakchhuah) chu tih a ni ta.
6. Treatment an tih zawh hnuah lu ruh atanga lak chhuah chu a awmna tur hmunah an dah leh a, plate te tak te leh screw bik hmangin an dah leh thin.
7. A tawp berah chuan vunah incision siam chu stitches hmangin an khar thin.
Pawimawh: Surgery zawng zawngah hian luruh hawn a ngai lo. `Neuroendoscopy` ang chi procedure-ah chuan `Endovascular` surgery-ah hian hnar kaltlangin emaw, groin kaltlangin thisen kalna kawngah emaw, thluak chu hliam lian tham siam lovin enkawl theih a ni.
Surgery neih chhung hian ka harh dawn em ni?
Hei hi mi tam takin harsatna an neih a ni. A then phei chuan, a ni, operation laiin i muhil thei bawk.
Surgery tam zawk hi chu fully anesthetized laiin tih thin a ni. Mahse, thluaka tumor chi hrang hrang leh epilepsy surgery-ah chuan harh a ngai a ni. Ngaihtuah buai suh, i lu chu anesthetic hmangin a numb dawn a, chuvang chuan engmah i hre lo ang.
Surgeon chuan thluak hnathawh pawimawh (thusawi leh chetna ang chi) a chhiat loh nan 100% a tih theih nan a ti thin. Surgery neih chhung hian doctor-te chuan inbiakna neihpui tur te, thlalak hriat theihna tur te, kut emaw ke emaw chet tir turin an ti ang che. Heng thilte hi i tih hian surgeon chuan chutiang thila inrawlh thluak peng hrang hrangte chu tichhe lovin surgery chu a ti thei a ni.
Surgery hnuah eng nge thleng? Eng nge a hlauhawmna?
Operation i neih zawh chuan damdawi inah ni engemaw zat enfiah turin i awm ang. Open surgery hnuah ni 10 vel i awm thei. Ni khat emaw ni hnih emaw chhung chu intensive care unit (ICU)-ah dah i ni thei bawk.
Operation hnua chau, na leh lu na te hi thil pangngai a ni. Hemi atana pui turin medical team chuan painkillers an pe ang che. Operation hnuah hun engemaw chen damdawi pek i ni bawk ang.
Complication leh side effect awm thei te
Surgery dang ang bawkin thluak surgery hian hlauhawmna engemaw zat a nei a.
| Risk chi hrang hrang | Eng nge a tel? |
|---|---|
| Surgery nena inzawm hlauhawm tlangpui | Thisen chhuah, natna hrik kai, anesthesia avanga harsatna awm thei, lu na. |
| Operation hnua hun eng emaw chen atana side effect lo awm thei | Thusawi harsa, thluak na, rilru buai, luak chhuak, kal leh balance lama harsatna nei. |
| Hun rei tak chhunga risk awm thei | Nungchang inthlak danglamna, hriatrengna hloh, tawng thiam lohna, kut leh ke chak lohna, leh thluak chhiatna engemaw zat. |
Pawimawh tak chu, tunlai, minimally invasive surgical technique hmangin heng hlauhawmnate hi nasa takin tihziaawm a ni. I doctor chuan i dinhmun atana hlauhawm bikte chu chiang takin a sawi ang.
Eng chen nge tihdam a ngaih?
Hei pawh hi surgery chi hrang hrang a zirin a danglam thei bawk. Minimally invasive surgery hmangin kar tlemte chhungin i dam leh thei ang. Open surgery hmang hian a dam kim theih nan kar 6 atanga thla engemaw zat chhung a ngai thei.
Mi thenkhat chuan operation hnuah rehabilitation an mamawh a, chu chu speech therapy leh physiotherapy ang chi thil hmanga taksa hnathawh dan pangngai siam that lehna tura tanpui tihna a ni.
Doctor hmuh hun tur
Operation hnuah pawh harsatna engemaw zat neih hi thil pangngai a ni. Mahse, i hriat chian tur symptom thenkhat a awm. Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh:
- Zun chhuah dan control harsat emaw, control theih lohna emaw.
- Thil danglam tak mutthilh emaw, harh harsa emaw.
- Khawsik, luak chhuak emaw, luak chhuak emaw.
- Lu na nasa tak emaw, kawngkhar na tak emaw.
- Rilru lama buaina nasa tak, nungchang inthlak danglamna lian tak.
- Hmuh harsa, hriat harsa, tawng harsa.
- Kut, ke emaw, hmai emawa rilru natna emaw, hriatna hloh emaw.
- Thil hriatna hloh.
Hengte hi emergency a ni! Damdawi in Emergency Unit (ETU) ah kal nghal rawh!
- Thâwk harsa
- Seizure (convulsion) neih hi .
- Stroke symptoms (hmai sir khata tlak, kut pakhata natna, tawng harsa) .
Take-Home Thuchah a ni
- Tunlai hian thluak surgery hi a changkang em em a, a him em em bawk a, chuvangin a tul lovah hlau suh.
- Surgery chi hrang hrang a awm a. Surgery zawng zawngah hian luruh hawn a ngai lo. Doctor-te chuan i dinhmun atana hmanraw him ber leh remchang ber an thlang ang.
- Operation hma leh operation hnua doctor thupek uluk taka zawm a pawimawh hle. I ngaihtuahna emaw hlauhthawnna emaw i neih chuan i doctor hnenah inhawng takin sawi rawh.
- Thluak surgery hi nunna chhanhim nan leh nunphung tihchangtlun nan tih a ni. Chuvangin, natna khirh tak tak tan chuan enkawlna pawimawh tak a ni.
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