I doctor chuan gallstones tihbo nan operation neih a rawt em? Chutiang a nih chuan operation neih chhung hian ‘Intraoperative Cholangiogram’ tih a ni ang tih an hrilh che a ni mai thei. A hming hi a buaithlak deuhin a lang thei a, i hlauthawng deuh pawh a ni thei. Mahse hei hi a takah chuan i himna atana tih test pawimawh tak a ni. Eng nge a nih, engvanga tih nge a nih, eng hlawkna nge a pek theih che tih hi han thlir ila.
Intraoperative Cholangiogram tih hi eng nge ni?
A awlsam zawngin, Intraoperative Cholangiogram hi X-ray test bik a ni a, i gallbladder lakchhuahna surgery ( cholecystectomy ) neih laiin tih thin a ni. Surgeon hnenah i taksa chhunga bile duct awmte ‘road map’ chiang tak a pe a ni.
Kan gallbladder leh liver atanga bile siam chu tube te tak te system hmangin small intestine ah a kal a. He system of tubes hi bile duct an ti a. He X-ray hmang hian surgeon chuan he system of tubes hi engtin nge a inrem tih te, an inzawm dan te, leh tube chhungah hian gallstone emaw blockage dang emaw a awm leh awm loh chiang takin a hmu thei a ni.
A tum ber chu surgeon-in i gallbladder chu him takin a lakchhuah theih nan a pui a ni , bile ducts tichhe lovin.
Engvangin nge doctor ten he test hi an tih?
Gallbladder lakchhuahna surgery-a he test hi tih hian hlawkna engemaw zat a nei a ni. Medical team tan pawh tanpuina ropui tak a ni.
| Test neih chhan | A sawifiahna awlsam tak |
|---|---|
| Lung thup hriatchhuah | A chang chuan lung te te hi bile duct-ah a tang thei a, chu chuan a tir lamah chuan symptom a nei lo mai thei a, mahse a hnuah harsatna a thlen thei bawk. He test hian lung thup a hmuchhuak thei a, a theih chuan operation laiin a paih chhuak thei bawk. |
| Bile ducts chhiatna hriatchhuah | He test hian operation neih laiin bile duct chhiatna eng pawh a hriat theih nan a pui a, chutih rual chuan siamthat theih a ni bawk. |
| Bile ducts anatomy enkawl | Mi tin taksa chhunga taksa peng hrang hrang inrem dan hi a inang lo thei hle. Gallbladder atanga cystic duct leh liver atanga common bile duct inzawm dan hi mi hrang hrangah a inang lo thei. He "map" hi en hian surgeon chuan operation chu him zawkin a ti thei a ni. |
He test hi tih chhan bik a awm em?
Surgeon thenkhat chuan gallbladder lakchhuahna surgery (routine cholangiography) an neih apiangin he test hi an ti thin. Mahse, mi dangte chuan chhan bik (selective cholangiography) a awm phawt chuan an ti thin. A hnuaia condition pakhat emaw a aia tam emaw i neih chuan i doctor chuan he test hi tih a tum mai thei.
- I liver function test ah thil dik lo i neih chuan .
- Pancreatic enzymes level a san chuan.
- Pancreatitis i nei emaw tun hnaia i vei tawh emaw a nih chuan .
- Jaundice i neih chuan .
- Tun hnaia bile duct-a blockage i neih chuan, lung ang chi.
- ERCP (endoscopic retrograde cholangiopancreatography) test hmanga bile duct-a blockage awmte hmuh emaw tihbo emaw i nih chuan, mahse bile ducts hmuh kim theih loh emaw, blockage awmte chu paih chhuah theih a nih loh chuan.
Engtin nge hetiang kalphung hi a lo awm?
Hetiang zawng zawng hi anesthesia hnuaiah a thleng a, i muthilh tir a, chuvang chuan engmah i hre lo ang. Chuvangin hei hi hlauh tur a awm lo.
Surgery hmaa i tih tur thilte
Chumi atana inbuatsaih chu gallbladder lakchhuahna atana inbuatsaihna nen a inang chiah a ni. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che.
- Surgery hma darkar engemaw zat chaw nghei (ei leh in loh) turin an ti ang che.
- Damdawi i ei zawng zawng chu i doctor hnenah i hriattir tur a ni. Damdawi thenkhat chu tihtawp emaw, operation hmain a dose siam danglam emaw a ngai mai thei. Doctor thurawn tel lo chuan damdawi engmah ei kha bansan ngai suh.
- Surgery zawhah mi pakhatin in lama hruai turin ruahmanna siam rawh.
Surgery neih chhunga thil thleng
1. Anesthesiologist chuan anesthesia a pe ang che a, a muthilh vek ang che.
2. Surgeon chuan operation atan incision te tak te emaw, incision engemaw zat emaw a pum chhungah a siam thin.
3. Tichuan, Tube (catheter) nalh tak tak chu cystic duct chhungah an dah lut a.
4. He tube hmang hian tui bik contrast dye an tih chu bile duct system-ah an inject a. He tui hian X-ray-ah bile duct system chu a ti chiang hle a, a var bawk.
5. Tunah chuan X-ray machine hmangin surgeon chuan he system of tube kal tlanga tui kal chu monitor hmangin a en a.
6. Hetih lai hian lung eng emaw i hmuh chuan a theih chuan paih nghal tum ang che.
7. He X-ray "map" hmang hian gallbladder chu him takin lakchhuah a ni a, surgery tih zawh a ni a, a incision te chu khar a ni.
Surgery an neih hnuah
Surgery zawhah ward-ah enfiahna hnuaiah dah i ni ang. A tlangpuiin zan khatah emaw, a tuk zingah emaw i haw thei ang.
He test hian eng hlauhawmna leh hlawkna nge a neih?
Damdawi lam thil dang ang bawkin, hlauhawmna tlemte chauh a awm a, mahse a hlawkna erawh a tam hle.
| A thatna te | Risk a awm thei |
|---|---|
| - Bile ducts te hi chiang taka hmuh theih a nih avangin operation neih laiin a tihchhiat theihna chu nasa takin a tlahniam a ni. | - Contrast dye (hei hi a tlem hle) avanga allergy awm thei. |
| - Lung te tak te, a hmaa hmuh theih lohte chu hriatchhuah theih a ni a, nakin lawka harsatna awm thei tur ven theih a ni. | - Bile ducts tihchhiat (mahse he test neih chhan chu hei hi ven a ni). |
| - Thil chhia a awm chuan hriatchhuah leh siamthat nghal theih. | - Hri kai, Thisen chhuah, Pancreatitis. |
A pawimawh ber chu heng hlauhawmna lo awm theihna chance hi a tlem hle a, chutiang dinhmun eng pawh hmachhawn turin i surgical team te chu an inzirtir tha hle a ni.
Engtikah nge doctor ka biak ang?
Operation hnua in lama i haw chuan heng symptoms te hi fimkhur hle ang che. Heng zinga pakhat tal i neih chuan i doctor nen inbia nghal tur a ni . A tul chuan damdawi in hnai ber Emergency Department (ETU) ah pawh i kal thei bawk.
- Beisei loh emaw tuar theih loh khawpa natna nasa tak i neih chuan .
- Surgical incision chu a sen a, a hring a, a lum a nih chuan , a nih loh leh chuta tang chuan zun emaw thisen emaw a chhuak a nih chuan.
- Khawsik i neih chuan .
Hetiang thil hi rinhlelhna tlemte pawh i neih chuan i doctor zawt hreh ngai suh. I himna hi a pawimawh ber a ni.
Take-Home Thuchah a ni
- Intraoperative cholangiogram hi gallbladder lakchhuahna surgery neih chhunga i himna tihpun nan X-ray test bik a ni.
- Hei hian surgeon chu i bile duct system chiang taka a hmuh theih nan a pui a, tichhe lovin surgery chu a ti thei a, lung thup te pawh a paih chhuak thei bawk.
- He test chhung hian anesthesia pek i nih avangin natna i nei lovang.
- Hemi chungchangah hian zawhna, hlauhna, rinhlelhna i neih chuan operation hmain i doctor nen inhawng takin sawi rawh.
- Operation hnua vaukhânna chhinchhiahna (khawsik, natna nasa tak, incision-a natna kai chhinchhiahna) lo awm thei te chu hre reng la, heng zinga pakhat tal i hriat chuan doctor lam pan nghal rawh.
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