Doctor-in colon surgery, colectomy tih a ngai tih a hrilh che hian hlauthawng leh hlauthawng deuh i neih hi thil pangngai a ni. "Surgery" tih thumal kan hriat hian kan hlauthawng deuh vek a. Mahse, eng nge a nih, engvanga tih nge a nih, engtin nge a tih tih chiang taka i hriat chuan i hlauhthawnna chu a reh mai ang. Chuvangin vawiinah hian awlsam takin, i hriatthiam theih dan tur angin sawi ila.
Colectomy tih hi eng nge ni?
A awlsam zawngin, colectomy chu i intestine lian (colon) thenkhat emaw, a pum emaw surgery hmanga lakchhuahna a ni. Kan chaw ei kawngah hian intestine lian tak hi a pawimawh hle a. Damdawi lam thil avanga he part hi a chhiat chuan a thawk tha tawh lo. Chutih lai chuan doctor-te chuan he surgery hi tih an tum ta a ni.
He surgery hi a tlangpuiin a hnuaia thil awm danah hian tih a tha:
- Colon cancer: Colon chhunga cancer cell awmna hmun chu paih chhuak rawh.
- Diverticulitis: Hei hi intestine lian bang-ah pouch te te a lo awm a, chu chu natna hrik leh inflamed a nih thinna a ni.
- Gastrointestinal bleeding: Intestines atanga thisen chhuak thunun theih loh i neih chuan.
- Large bowel obstruction: Eng emaw chhan vanga intestine a block vek chuan.
- Inflammatory bowel disease na tak: Crohn’s disease emaw ulcerative colitis ang chi natna a nasat chuan.
A châng chuan, nakin lawkah inherited genetic conditions (entir nan, Lynch syndrome) avanga cancer vei theihna a sang hle a nih chuan, chu chu chu hlauhawmna tihtlem nan preventive colectomy angin tih theih a ni bawk.
He surgery hi chi hrang hrang a awm em?
Ni e, he surgery hi intestine part lakchhuah dan azirin chi hrang hrangah then a ni. Hei hi i damdawi lam dinhmun a zirin enkawltu surgeon-in a rel thin.
| Surgery chi hrang hrang | A awlsam zawngin, eng nge thleng? |
|---|---|
| Total Colectomy tih a ni | I colon pumpui chu a chhuak vek ang. |
| Colectomy thenkhat tih a ni | Colon natna hmun chauh lakchhuah a ni. Hei hi chi dang pawh a awm bawk. |
| Hemicolectomy tih a ni | Intestine lian tak sir khat, dinglam emaw veilam emaw chu lakchhuah a ni. |
| Proctocolectomy tih a ni | Intestine lian leh rectum pahnih hi lakchhuah a ni. |
| Sigmoid Colectomy hmanga tihchhuah a ni | Intestine lian ber a tawp ber, sigmoid colon, rectum nena inzawm chu lakchhuah a ni. |
Operation hmain engtin nge i inbuatsaih thin?
Hei hi surgery lian tak a nih avangin inbuatsaih a pawimawh hle.
A hmasain i surgeon chuan a bia ang che a, i surgery chi hrang hrang, engtin nge tih tur (incision lian tak hmanga tih emaw, camera hmanga tih emaw) a hrilhfiah ang che. Tichuan, i taksain surgery chu a tuar thei em tih test engemaw zat an ti ang.
- Thisen test a ni
- Colonoscopy hmanga enfiah a ni
- Thinlung hnathawh dan enfiahna EKG (Electrocardiogram) test a ni
- Imaging test, CT scan emaw MRI scan emaw ang chi te
Hei bakah hian medical team te pawhin operation hma ni engemaw zat i zawm tur thilte an hriattir bawk ang che. Chung zingah chuan:
- Damdawi in atanga in lama hruai haw turin mi pakhatin ruahmanna siam rawh: Operation hnuah pawh nangmah ngeiin i khalh thei dawn lo.
- Liquid diet tan: Operation hmain ni engemaw zat chhung chu soup leh thei tui ang chi liquid chauh in turin an ti ang che.
- Bowel prep: Operation hma ni khatah chuan i bowels a empty vek theih nan special liquid in tur i pe ang. Hei hi a nuam lo deuh a, mahse surgery hlawhtlinna atan chuan a pawimawh hle .
- Chaw nghei: Zanlai atanga zai ni-ah engmah ei leh in theih a ni lo.
Surgery neih chhung leh operation zawhah eng nge thleng?
Surgery neih chhung hian anesthetized vek i ni ang a, chuvangin engmah i hre lo ang. Surgeon chuan i pum chhungah incision sei tak vawi khat (Open Colectomy) emaw, camera hmangin incision tenau engemaw zat (Laparoscopic Colectomy) emaw a siam ang. I colon natna hmun chu an la chhuak ang a, hmun hrisel pahnih chu an inzawm leh ang. Hei hi anastomosis an ti a .
Mahse, a chang chuan a hrisel pahnih hi inzawmkhawm theih a ni lo. Entirnan, a hmun dang pahnih inkar a inthlauhna a lian lutuk a nih chuan, emaw, natna hrik a awm avangin inzawm nghal theih a nih loh chuan, surgeon chuan ostomy siam a rel thei a ni.
Ostomy tih hi eng nge ni?
Ostomy tih hian intestine tawp hrisel tak chu pum chhunga vun chung lamah hruaiin, bawlhhlawh kal tlang theihna tur kawngkhar thar (stoma) siam a ni. Chumi hnuah chuan stool chu chu opening-a dah bik bag (ostomy bag)-ah an dah khawm a ni.
Hei hi i nunah inthlak danglamna lian tak a ni tih kan hria. Mahse hei hi enkawl tur chuan thurawn leh training i mamawh zawng zawng i dawng vek ang a, damdawi inah nun pangngai tak i la nei tho ang. Chuvangin hlau suh.
Surgery hnuah ni engemaw zat emaw, kar khat emaw chhung damdawi inah i awm a ngai dawn a ni. Ni hmasa berah chuan tui leh ei tur nem tak tak i ei tlem ang. I dam leh chuan ei leh in pangngaiah i kir leh thei a ni. In lama i haw hnuah a dam kim theih nan kar 6 vel a ngai thei. Mahse, mi tam zawk chuan kar hnih chhungin an thil tih dan pangngai tam zawkah an kir leh thei a ni.
Engtikah nge doctor nen in inbia ang?
Operation hnua in lama i haw huna vaukhânna chhinchhiahna lo awm thei chu hriat a pawimawh hle. A hnuaia symptoms te hi i neih chuan doctor emaw surgeon emaw hnenah hrilh nghal rawh.
| Warning feature a ni | Hrilhfiahna |
|---|---|
| Khawsik sang tak a nei | Taksa lumna sang, chak lohna hriatna. |
| Incision na hmuna natna kai chhinchhiahna | Incision vel a sen, a hring, natna nasa tak, emaw, a hring hring emaw. |
| Zawi zawiin pum na a tipung | Pum natna a tlahniam ai chuan zawi zawiin a pung a nih chuan. |
| Efecation harsat | Ni engemaw zat chhung chu ril leh ril a tam lo. |
Colectomy hi nun tidanglam thei thil a ni thei. I natna lan chhuah dan a tiziaawm thei a, i cancer a tidam thei a, cancer natna nen rei zawk dam turin a pui thei bawk. Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. I tanpui turin an inpeih reng a ni.
Take-Home Thuchah a ni
- Colectomy tih hi intestine lian tak a chhiat surgery hmanga lakchhuahna a ni.
- He surgery hi damdawi lam harsatna lian tak tak cancer leh diverticulitis te tan tih a ni.
- Operation hmain damdawi lam instruction zawm a pawimawh hle a, chutah chuan bowel cleansing pawh a tel.
- Stool pass tur chuan ostomy bag i mamawh mai thei a, mahse chu chu i nunpui theihna tura i mamawh support zawng zawng i dawng vek ang.
- Dam nan hun a mamawh a, chuvangin nangmah leh nangmah i chungah ngilnei la, dam nan hun hmang rawh.
- Surgery hnua vaukhânna chhinchhiahna, khawsik emaw, natna nasa tak emaw i neih chuan doctor rawn nghal rawh.
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