I doctor-in operation zawhah ‘stoma’, i pum chhunga pouch i hman a ngai dawn tih a hrilh che chuan hlauhna leh lungkhamna nasa tak i nei thei. "Tunah engtin nge ka chhuah ang?", "He thil hi midangin an hrethiam ang em?", "Tun hma ang khan ka awm thei dawn lo em ni?" Zawhna tam tak i rilruah a lo thleng thei a. A pangngai hle mai. Mahse a takah chuan i ngaihtuah angin a hlauhawm lo. Vawiin hian stoma chu eng nge a nih tih te, a enkawl dan tur te, a nun pangngaia nun dan tur te chauh sawi ila.
A awlsam zawngin stoma tih hi eng nge ni?
Kan taksa atanga bawlhhlawh (feces) chhuahna kawng pangngai, anus chu damdawi lam dinhmun emaw accident emaw avanga thlen theih loh a lo ni ta tih han ngaihtuah teh. Tichuan taksa atanga bawlhhlawh paih chhuah dan tur dang kan zawn a ngai a ni.
A awlsam zawngin, stoma chu surgeon-in i pum (belly) wall-a a siam chhuah hawnna te tak te a ni.
He surgery hi colostomy an ti a . Hei hian i colon hmun hrisel tak chu lak a ni a, i pum chhunga hawnna pakhat nen a inzawm tir a ni. Tichuan, hnute kawng, bawlhhlawh emaw, bawlhhlawh emaw hmanga chhuak lovin, he stoma hawnna hmang hian chhuak rawh. He hawnna chungah hian bawlhhlawh paihna tur bag (pouch) bik kan dah a.
Engvangin nge mi pakhatin stoma a mamawh?
Mi pakhatin colostomy leh stoma a neih theih chhan hrang hrang a awm. Hei hi damlo nunna chhanhim nan emaw, an nunphung tihsan nan emaw tih a ni.
A chhan lian ber ber thenkhat chu hetiang hi a ni:
- Intestinal obstruction emaw rupture: Eng emaw vanga intestine a block emaw rupture emaw a nih chuan bawlhhlawh hian kalna tur a nei lo.
- Cancer: Cancer vangin colon emaw rectum thenkhat lakchhuah a ngai a nih chuan.
- Crohn’s disease emaw ulcerative colitis: Hengte hi intestine-a inflammatory condition na tak tak a ni. A chang chuan, intestine hmun chhia te chu lakchhuah a ngai thin.
- Nausen piangsual: Nausen thenkhat chu an intestinal problem engemaw zat neiin an piang thei.
- Colon-a hliam na tak: Colon a chhiat chuan, accident ang chi.
- 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.
Pawimawh tak chu stoma zawng zawng hi a awm reng vek lo . A châng chuan doctor-te chuan temporary stomas an siam ang a, chu chuan bowel hmun chhia chu a dam theih nan hun an pe ang.A stoma dah a ni. Kar engemaw zat emaw, thla engemaw zat emaw a awmna hmuna a awm hnu leh a rilru a dam hnuah operation dang hmangin lakchhuah a ni a, ril nen a inzawm leh a ni. Mahse, a chhungril hmun zau tak chu lakchhuah a nih chuan stoma chu a awm reng a ngai mai thei.
Engtin nge stoma leh bag hi uluk taka enkawl ang?
Surgery zawhah ni engemaw zat damdawi inah i awm ang. In i haw hmain doctor emaw nurse emaw chuan bag thlak dan tur leh stoma chhehvel vun fai dan tur a entir ang che. A tir lamah chuan mak deuhin hre mah se, rei vak lo hnuah chuan hei hi i nitin nunphungah a tel ve tawh ang.
| Step hrang hrang | Eng nge tih tur |
|---|---|
| 1. Bag thlak hun. | Bag chu hmun thuma ṭhena hmun khat (1/3) a khat chuan thlak rawh. A khat vek hma chu nghak suh. Hei hian bag chu a rit lutuk avanga a lo chhuah theihna a tipung ang a, bawlhhlawh chu i vunah a lut thei bawk ang. |
| 2. Bag hlui paih chhuah | Kut pakhatin vun chu i press down lai hian kut dang hmangin bag chhunga a sticky lai chu zawi zawiin la chhuak rawh. Hman lutuk ngai suh, hei hian vun a tichhe thei a ni. |
| 3. Bawlhhlawh paih | Bag chhunga bawlhhlawh awmte chu toilet-ah paih la, bag chu paih bo rawh. Bag hman nawn theih a nih chuan silfai la, uluk takin silfai rawh. |
| 4. Vun tifai | Stoma chhehvel vun chu puan fai emaw tuiin a hnim hring emaw hmangin zawi zawiin phihfai ang che. Sahbawn i hman chuan sahbawn nem tak, rimtui lo hmang la. Tichuan uluk takin vawt turin dah rawh. |
| 5. Bag thar chu attaching | Bag thar hawnna chu stoma nena inmil chiah turin tan la. A hawnna a lian lutuk chuan bawlhhlawh chu vunah a lut thei a, vun a ti na thei bawk. Tichuan, vunah nghet takin secure rawh. |
Harsatna awm thei leh a chinfel dan tur
Stoma nena nun hian harsatna tenau engemaw zat a thlen thei. An chanchin hriatna chuan lungngai lovin i hmachhawn thei a ni.
- Vun sen emaw, vun na emaw: Hei hi harsatna awm fo a ni. Hei hi vunah bawlhhlawh a luh vang a ni thei. A solution tha ber chu vun thianghlim leh vawt reng reng hi a ni. I doctor hnenah vun venghimtu special cream (barrier cream) chungchang zawt la.
- Stoma rawng leh lian leh te inthlak danglam: Operation hnu ni hmasa berah chuan stoma chu a sen dum ang a, a hring ang. Hun a kal zel a, a hring chu a tlahniam ang a, a lian zawng a tlahniam ang. A rawng chu pink emaw red emaw a ni reng ang. Hei hi thil pangngai a ni. Size a inthlak danglam chuan bag hawnna chu chutiang size nena inmil turin trim tur a ni tih hre reng ang che.
- Gas: I intestines-a gas awm hi thil pangngai a nih avangin bag chu a chang chuan gas a khat thei a ni. Gas thlentu ei tur, cabbage, cauliflower, bean, leh lentils te chu tihtlem rawh. Bag pawh gas chhuahna tur vent te tak te nei a awm bawk.
- Tui bawlhhlawh: A chang chuan i ek hi a tui hle thei (diarrhea ang chi). Hei hian i taksain tui leh chi tam tak a hloh avangin dehydration a thlen thei a ni. Chuvangin tui, tui, leh orange tui tam tak in rawh. Hengte hian electrolyte i hloh tawh, sodium leh potassium te chu a thlak danglam thei ang.
- Stoma atanga thisen chhuak: Stoma i tihfai hian thisen tlemte a chhuak hi thil pangngai a ni. Mahse, thisen chhuah a reh loh chuan, emaw, bag chhunga thisen i hmuh chuan , doctor hnenah hrilh nghal rawh.
- Prolapse: Hei hi thil awm lo tak a ni. Hei hi intestine thenkhat chu stoma hmanga a chhuah chhuah hian a ni. Hetiang thil i hmuh chuan hlauthawng suh la, i doctor hmu rawh. A siamthat theih nan operation tenau i neih a ngai mai thei.
Doctor hmuh nghal hun tur
A hnuaia symptoms te hi i neih chuan ngaihthah suh la, doctor pan nghal rawh.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| 🔴 tih a ni | Stoma chhehvel vun a sen, a na, a inflamed emaw, tui a lo chhuak emaw a nih chuan. |
| 🔴 tih a ni | I khawsik 101 degree Fahrenheit (38.3 Celsius) aia sang i neih chuan. |
| 🔴 tih a ni | Nausen, luak chhuak, pum na na tak, chaw ei kham na tak emaw, riltam emaw i neih chuan. |
| 🔴 tih a ni | Dehydration symptoms i neih chuan: entirnan, chak lohna nasa tak, taksa ruh hring, leh zun chhuah tam leh tam loh. |
| 🔴 tih a ni | Stoma atanga thisen chhuak chhunzawm zel emaw, bag chhunga thisen i hmuh emaw chuan. |
Stoma nei nun pangngai... a theih tak tak em?
Hei hi mi zawng zawng rilrua zawhna lian ber a ni. A chhanna chu, "Ni e, a theih ngei ang!"
Tunlai stoma bag te hi a te hle a, a flat hle bawk. Chuvangin thawmhnaw hnuaiah an awm tih tumahin an hre lovang. Tin, heng bag te hi a rim a chhuah loh nan an siam bawk. Chuvang chuan rim i ngaihtuah a ngai lo.
I stoma leh bag hi phurrit angin ngaihtuah suh la, i tanpuitu leh zalenna pe theitu hmanrua pahnih angin ngaihtuah zawk rawh. Zalen taka chhuak turin an pui che a, i duhzawng thil ti turin an pui che a, chutiang taka toilet kal ngai lovin inpawh tawn turin an pui bawk che a ni.
Hnathawh lamah i kal thei a, exercise i la thei a, i inbual thei bawk a, tui i la thei bawk a, nun pangngai i nei thei bawk. Hemi chungchangah hian a tir lamah i mualpho emaw, i lungawi lo emaw a nih chuan i doctor nen sawiho rawh. Damdawi in thenkhatah chuan hemi atan hian specially trained nurse (ostomal therapist) an nei bawk. Chutiang bawka thil tawn tawhte inkhawmna support group pawh a awm bawk. Chutiang hmuna zawm chuan rilru chakna nasa tak a pe thei che a ni.
Take-Home Thuchah a ni
- Stoma hi i nun chhanhim emaw, awlsam zawka siam emaw atana damdawi lama thil tul a ni a, zah tur thil a ni lo.
- Stoma leh a chhehvel vun fai leh vawt taka vawn reng hi harsatna tam tak laka invenna tha ber a ni.
- Stoma nen hian nun pangngai tak, active takin i nung thei a ni.
- Harsatna tenau tak takah rinhlelhna emaw, lungkhamna emaw i neih chuan i doctor nen inbiakna neih hi hlau ngai suh.
- I chhungte, i thiante, leh a tul chuan support group atanga i rilru chakna i hmuh hian he zinkawngah hian a pui hle ang che.
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