I pum chhungah bag i bun a, chu chuan i bawlhhlawh emaw, i zun emaw a chhuah theih nan i surgery tih i hre tawh em? I thian pakhatin pakhat a tihsak tawh pawh a ni mai thei. Hei hi damdawi lam tawng chuan ostomy an ti a. A tir lamah chuan hlauhawm leh mak deuh angin lang mah se, a takah chuan nunna chhanhim thei tur leh nun pangngaia nun leh theihna tur kawng hawnsak thei tur damdawi lam thil pawimawh tak a ni. Vawiin hian he thu hi a awlsam leh dik takin kan sawi dawn a ni.
Ostomy surgery hi eng nge ni tak tak?
A awlsam zawngin, ostomy hi surgical procedure a ni a, i pum (belly) ah hawnna thar siamin vun chhungah bawlhhlawh emaw zun emaw a kal thei a ni. Hetiang tih dan hian damdawi lam thil avanga bawlhhlawh emaw zun emaw i pass theih loh hunah i taksa atanga bawlhhlawh paih chhuah nan a pui thin.
Surgery zawhah i pum chhunga khur atanga i intestine hmun te tak te chu lakchhuah a ni tih i hmu ang. Hei hi stoma an ti a. A rawng chu pinkish-red a ni. I hmui lining ang mai a ni. A tha ber chu nerve endings a neih loh avangin natna engmah i hre lovang. I surgeon chuan he stoma atanga bawlhhlawh lakkhawmna atana special pouch hman dan tur a zirtir ang che.
Hetiang surgery chi hrang hrang hming atan hian Ostomy tih hi a ni a, colostomy hi chi khat bik a ni.
Ostomy Bag hi engtin nge kan hman ang?
He ostomy bag (pouch emaw appliance emaw an ti bawk) hian stoma atanga chhuak bawlhhlawh emaw zun emaw a khawlkhawm thin. He bag hian vunah a inzawm tlat barrier bik a nei a. Hei hian i vun chu bawlhhlawh lakah a venghim a ni. He bag hi dik taka dah a pawimawh hle a, leak a awm loh nan. Chutiang a nih loh chuan vun natna a awm thei.
I doctor emaw, specially trained nurse emaw chuan he bag hman dan tur a entir ang che. Chûngte chu chi hnih a awm a:
- One-piece system: Hetah hian bag leh vunah inzawm barrier chu pakhatah a awm vek a.
- Two-piece system: Hetah hian flange leh bag hi a hranin a lo thleng a. Flange chu vunah a inbun hnuah bag chu a inzawm a, lakchhuah theih a ni.
Bag chu engtin nge kan empty ang
Bag chu hmun thuma ṭhena hmun khat vel a khat hunah a hring tur a ni. Hei hi khawi hmunah pawh ni khatah vawi hnih atanga vawi ruk vel tih a ngai mai thei.
1. Toilet-ah thu rawh. A hmasa berin toilet bawm chungah tissue paper pakhat dah la. Hei hian bawlhhlawh a tlak hunah tui a tlak loh nan a titawp ang.
2. Thawmhnaw chu bag atanga hla takah dah tur a ni.
3. Bag hnuai lama clip emaw plug emaw chu la chhuak rawh.
4. Bag hnuai lam chu hrual la, bawlhhlawh chu toilet-ah paih rawh.
5. Bag hnuai lam kil chu tissue hmangin uluk takin phihfai ang che.
6. Clip chu uluk takin reattach leh rawh.
7. Sahbawn hmangin i kut te uluk takin silfai ang che.
Bag thlak kim dan tur
Hei hi bag hrui hring nen a danglam. A tlangpuiin ni 3-4 danah bag leh barrier pahnih hi thlak vek tur a ni a, chu chu kar khatah vawi hnih vel tihna a ni.
- Kut fai takin sil la, i mamawh zawng zawng (bag thar, scissors, puan thianghlim) khawlkhawm rawh.
- Bag hlui i lakchhuah hmain a chhunga bawlhhlawh awmte chu toilet-ah paih hmasa phawt ang che.
- Tichuan, bag chu la chhuakin, plastic bag-ah dah la, bawlhhlawh bawm chhungah paih rawh.
- Tunah chuan stoma chhehvel vun chu tui lum leh sahbawn rimtui lo hmangin silfai rawh. Sahbawn hi rimtui leh cream nen hmang suh. Chungte chuan barrier thar chu vunah a nghet tawk lo thei a ni.
- Vun chu uluk takin silfai la, puan fai emaw paper towel emaw hmangin pat dry rawh.
- Barrier thar chu i stoma lian leh te angin tan la, vunah nghet takin fit la, bag thar chu attach rawh.
Hemi chungchangah hian harsatna i neih chuan, a barrier chu a nghet lo a nih chuan, emaw, vun na emaw, vun natna emaw i neih chuan doctor ko nghal tur a ni.
Tu nge ostomy mamawh?
Doctor-te chuan damdawi lam natna khirh tak tak chi hrang hrang enkawlna atan ostomy surgery hi an rawt a ni. Chûngte chu a châng chuan rei lo tê chauh a ni thei a, a châng chuan a awm reng thei bawk.
Temporary ostomy neih a ngai theihna tur dinhmun:
- Intestinal infection na tak tak a awm.
- Inflammatory bowel natna a ni .
- Intestine-ah hliam na tak a awm.
- Intestinal tihkhawtlai a ni.
Permanent ostomy neih a ngai theihna tur dinhmun:
- Thunun theih loh khawpa rilru hahna (incontinence).
- Nau piangsualna chu intestine emaw bladder emaw a ni.
- Colon, rectum emaw bladder emaw cancer a awm.
- Rectum emaw anus emaw hmun thenkhat surgery hmanga lakchhuah a nih chuan.
Ostomy surgery chi hrang hrang lian ber ber
Bowel movement-a puitu chi hnih a awm a, zun chhuahna atana puitu pakhat a awm bawk.
| Surgery chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Ileostomy tih a ni | Hetah hian small intestine (ileum) a tawp ber chu abdominal wall kaltlangin an rawn chhuah chhuak a, stoma an siam a ni. Stool chu a pass out a, intestine lian tak chu a bypass ta a ni. |
| Colostomy tih a ni | Colon thenkhat lakchhuah a nih chuan a la awm chu abdominal wall-ah a inzawm a, stoma a siam a ni. |
| Urostomy tih a ni | Kidney atanga bladder thlenga zun phurtu tube te hi pum chhunga stoma siam nen an inzawm a ni. Hei hi bladder lakchhuah a nih chuan tih a ni. |
J-pouch hmanga operation tih a ni
Traditional ostomy tih loh chu duhthlan tur dang a awm bawk. J-pouch hi taksa chhungah pouch siamin bawlhhlawh khawlkhawmna a ni. Hei hian small intestine tawp lam chu anus nena inzawm tir a huam a ni. Hei hian permanent stoma i mamawh lo tihna a ni a, a hma ang bawkin anus kaltlangin stool a pass thei bawk.
Harsatna awm thei leh engtikah nge doctor hmuh tur?
Surgery dang ang bawkin risk leh complication awm thei a awm bawk. Chuvangin hengte hi i doctor nen sawiho hmasa phawt ang che. Harsatna awm thei thenkhat chu:
- Skin problems: redness , itching , leh stoma chhehvel vun natna.
- Blockage: Chaw chi hrang hrang chu intestine-ah a tlakbuak.
- Hernia: Stoma chhehvela pum bang chak lohna.
- Nutritional deficiencies: Taksain tui, vitamin leh mineral a lakluh tlem.
- Narrowing of the stoma (Stricture): Bawlhhlawh pass harsa.
A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Damdawi lam thurawn zawng nghal rawh! | |
|---|---|
| 🔴 tih a ni | Pum natna darkar 2-3 chhung a awm. |
| 🔴 tih a ni | Nausen emaw luak chhuak fo thin. |
| 🔴 tih a ni | Darkar 4-6 chhung chu bag chhungah bawlhhlawh engmah a awm tur a ni lo. |
| 🔴 tih a ni | Stoma atanga thisen chhuak tam lutuk emaw, stoma chhehvela vun natna emaw. |
| 🔴 tih a ni | Stoma atanga rimchhia lo chhuak (hei hi infection chhinchhiahna a ni thei). |
A chunga kan tarlan te hi emergency a nih theih avangin a tul chuan damdawi in hnai ber Emergency Department (ETU) pan hreh suh.
Engtin nge ostomy bag hmanga nun pangngai kan hman theih ang?
Taksa hnathawh dan hrang hrang tih thiam nan hun engemaw chen a ngai a ni. Mahse ostomy bag hmang hian nun pangngai tak i hmang thei a ni. Hnathawh tur te, infiamna te, tui chawi te, zin te, nupui pasal neih te, fa neih te chu a dang lo.
A tirah chuan i taksa leh mi dangte hmuh dan che chu i lungkham hle mai thei. Chu chu thil pangngai a ni. I thawmhnaw chungah bag chu a lang lo a, mi tam zawk chuan i nei tih pawh an hre lo.
Sex nun dan
I taksa leh rilru a inpeih hunah operation hnua sex hman i ngaihtuah tih chhinchhiahna tha tak a ni. Hemi chungchang hi i kawppui nen inhawng takin sawi rawh .
- Sex hman hmain bag kha hlip la, uluk takin tifai la, seal chu a la tha em tih enfiah hmasa phawt ang che.
- Bag chu hmuh theih loh turin thawmhnaw bik emaw pouch cover emaw i hmang thei bawk.
- Bag-a pressure awm lo position-ah enchhin rawh.
- I hlauhthawn te, rinhlelhna te, leh i ngaihtuahna te i kawppui nena sawi dun hian in inlaichinna a tichak bawk ang.
He inthlâk danglamna hi i tuar chhuak a nih chuan i doctor, chhûngte, leh i ṭhiante nên inbia ang che. Tin, thil tawn inang nei tawhte inkhawmna hmuna support group-a tel hi chakna nasa tak a ni thei bawk.
Take-Home Thuchah a ni
- Ostomy hi surgical procedure pawimawh tak a ni a, nunna chhanhim thei a ni a, damdawi lam dinhmun khirh tak takah pawh miten nun tha zawk an neih theih nan a pui thei bawk. Hlauh tur thil a ni lo.
- I stoma leh a chhehvel vun te hi fai leh thianghlim taka vawn reng a pawimawh hle. I doctor emaw nurse emaw hnen atangin thurawn dik tak la rawh.
- Ostomy bag hmang hian nun pangngai leh active takin i nung thei a, chutah chuan hnathawh te, infiamna te, leh hobby te pawh a tel .
- I stoma emaw hriselnaah emaw danglamna danglam tak i hmuh chuan, emaw, ngaihtuahna i neih chuan, hreh lovin i doctor nen inbia ang che.
Ostomy, stoma, colostomy, ileostomy, urostomy, ostomy bag, operation tih te pawh a awm thei
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