Cholecystostomy tih hi eng nge ni? Gallbladder chhunga tube dah chungchang mai mai

I gallbladder-a natna khirh tak, inflammation, a nih loh leh gallstone awm avanga tuar theih loh natna chu i ngaihtuah thei em? A châng chuan chutiang hunah chuan damlo dinhmun chu a nasat lutuk a, gallbladder chu a chhuah vek theih nân operation pawh tih theih a ni lo. Chutiang hunah chuan doctor-te’n damlo nunna chhanhimna atana an hman, natna tihziaawmna tur leh natna kai tihtlem nan an hman thin, enkawlna kawng bik, invasive lo zawk chungchang kan sawi dawn a ni.

Cholecystostomy tih hi eng nge ni?

A awlsam zawngin sawi ila, cholecystostomy hi damdawi lam thil tenau tak a ni a, i gallbladder-ah khur te tak te siamin chuta tang chuan tube (catheter) dah a ni. A hming ang bawkin "cholecyst-" tih awmzia chu gallbladder tihna a ni a, "-ostomy" tih hian surgery hmanga siam hawnna a kawk bawk. Gallbladder hi sac ang chi organ te tak te, bile khawlkhawmtu a ni a, chu chu kan chaw ei leh in tur atana mamawh a ni.

Hetiang tih dan hi "percutaneous cholecystostomy" an ti fo thin. "Percutaneous" tih hian vun hmanga thil tih tihna a ni. Chumi awmzia chu doctor chuan i pum vun atang hian khur te tak te a siam a, he tube hi gallbladder ah a dah lut tihna a ni.

Engvangin nge hetiang enkawlna hi a tul?

He enkawlna hi acute cholecystitis an tih dinhmunah chuan a ngai fo thin. Hei hi gallstone ang chi thilin bile duct a block a, bile a inzawm khawm a, bacteria a kai chuan a thleng thin. Hei hian gallbladder a ti na a, a na hle bawk.

A tlangpuiin he natna enkawlna tha ber chu gallbladder (cholecystectomy) tihbo vek tura operation tih hi a ni. Amaherawhchu, damloin natna khirh tak dang, lung lam natna, zunthlum, kal natna, a nih loh leh a upa hle a nih chuan chutih lai chuan zai lian tham a tuar thei lo mai thei. Chutiang hunah chuan major surgery ai chuan he enkawlna Cholecystostomy an tih hi damlo dinhmun tihngheh nan an ti thin.

Cholecystostomy leh Cholecystectomy hi eng nge an danglamna?

Heng hming pahnih hi a inang deuh mai thei a, chuvang chuan i buai mai thei. Mahse hengte hi enkawlna hrang hrang pahnih a ni. An pahnih inthlauhna hi chiang takin i hrethiam ang u.

Engtin nge he enkawlna hi tih a nih?

Hei hi Interventional Radiologist ten an ti tlangpui thin . Chu chu, specialist, ultrasound leh CT scan ang chi imaging technology hmanga taksa chhunga taksa peng hrang hrangte en a, enkawlna tih theihna tur incision te te chiang tak tak siam thin specialist tihna a ni.

Enkawl hmaa inbuatsaihna

• Doctor chuan he enkawlna hian a hlauhawmna leh a hlawkna a hrilhfiah ang che a, i hriatpuina (informed consent) a la ang.
• Darkar engemaw zat ei leh in loh turin kan in hriattir a ni.
• Thisen test a , thisen a hrual theih dan enfiah thin a ni. A tul chuan enkawlna pek thin a ni.
• I kut chhunga vein pakhatah IV line dah a ni ang a, chu chuan antibiotics, saline, leh a tul chuan sedation a pe ang che.

Enkawlna hun chhunga thil thleng

1. I heart rate leh thisen sang hi enfiah reng a ni.

2. Pum tube dahna tur hmun chu silfai la, .Painkiller ka ei a.

3. Ultrasound emaw CT scan hmangin tube dahna tur kawng tha ber leh him ber (he kawng hi liver (transhepatic) emaw abdominal wall (transperitoneal) kaltlangin emaw a ni thei).

4. Tichuan X-ray kaihhruaina hnuaiah tube chu gallbladder chhungah needle nalh tak tak leh guidewire hmangin an dah lut a.

5. Tube chu a hmuna a awm hnu chuan vunah suture hmangin an nghet a , a tawp dang chu drainage bag-ah an connect bawk.

Hetiang zawng zawng hi minute 30 atanga darkar khat inkar a ni tlangpui.

Treatment hnuah engtin nge tube hi i enkawl ang?

Hei hi a pawimawh ber a ni. He drain tube hi i taksaah kar 4 atanga kar 6 chhung a awm tlangpui thin . In lama i haw hunah i enkawl ṭhat a ngai dawn a ni.

• Hliam enkawl: Tube-a dressing hi nitin thlak tur a ni. A hmun chu fai leh vawt takah dah tur a ni. Inbual dawnin tui tlak lohna plastic cover vuah tur a ni.
• Tube flushing: Tube chhunga bile a tlak loh nan ni khatah vawi khat vel sterile saline hmangin tube hi i silfai a ngai a ni. I doctor emaw nurse emaw chuan hetiang tih dan tur a kawhhmuh ang che.
• Bag emptying: Tui khawlkhawmna bag chu a khat veleh empty nghal tur a ni. I doctor chuan nitin tui i khawlkhawm zat chu chhinchhiah reng turin a hrilh thei bawk che. Fluid chu a pung nghal emaw, a chhuak tawh lo emaw a nih chuan chu chu chhinchhiahna pawimawh tak a ni.

Tube lakchhuah hma hian X-ray test bik cholangiogram an tih chu tunah chuan gallbladder-a bile flow chu a normal tawh em tih leh khawiah mah blockage a awm tawh em tih enfiah thin a ni. Engkim a tha tih finfiah a nih hnuah chauh tube chu lakchhuah a ni.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Plus side-ah chuan hei hi enkawlna him leh tangkai tak a ni. Acute cholecystitis control-na kawngah hlawhtlinna rate chu 95% vel a ni. Surgery lian tak tuar thei lo damlo tan chuan risk tlem tak nen dam thuai theihna a pe thei a ni.

Risk leh complication hi a tlem hle a, mahse kan hriat chian a ngai.

Engtikah nge doctor ka biak ang?

I dam chhungin a hnuaia symptoms te hi i neih chuan i doctor emaw, i enkawlna damdawi in emaw hnenah hriattir nghal rawh.

• Khawsik: Khawsik 38.3 Celsius (101 Fahrenheit) aia sang a ni.
• Natna: Pum chhungah emaw, tube dahna hmunah emaw natna nasa tak, sawifiah theih loh.
• Infection chhinchhiahna: tube vel vun a sen, a hring emaw, a rimchhia emaw a chhuak.
• Tube harsatna: tube flush theih loh, vun atanga tube chhuak, tube atanga bile leak chhuak.
• Fluid volume inthlak danglam: Bag chhunga tui dah zat tihpun emaw, tihtawp vek emaw.

Chutiang dinhmunah chuan damdawi lam thurawn lak vat a pawimawh hle.