Colostomy Surgery: Bag nena nun dan zir

Nangmah emaw, i hriat mi emaw hnenah doctor-in colostomy chungchang a hrilh tawh em? A chanchin i hriat veleh hlauhna leh hlauthawng deuha inhriat hi thil pangngai tak a ni. "Bag neih hi eng nge a awmzia?", "Ka nihna hluiah ka kir leh thei dawn em ni?", etc. I ngaihtuah mai thei. Mahse, lungngai suh. I ngaihtuah angin a hlauhawm lo. Vawiin hian i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.

A awlsam zawngin, colostomy tih hi eng nge ni?

Colostomy hi surgical procedure a ni a, i taksain stool a pass dan a thlak danglam thin. A tlangpuiin kan bawlhhlawh hi hnute kaltlangin a chhuak thin. Mahse natna emaw accident emaw avanga kan colon hmun thenkhat a chhiat chuan chu hmun chu chawlhna pek emaw, a tawp thlenga lakchhuah emaw a ngai mai thei a, bawlhhlawh chhuahna tur kawng thar siam a ngai mai thei bawk.

Hetianga tihnaah hian surgeon chuan i pum chhunga kawngkhar te tak te, a nih loh leh khur te chu vun laka inhmeh takin a siam a. Hei hi stoma kan ti a . Tichuan, i intestine lian (colon) thenkhat chu la in he stoma nen hian an inzawm tir a.

Mi thenkhat chuan he colostomy hi hun eng emaw chen, thla engemaw zat chauh an nei thin. Mahse mi thenkhat chuan an dam chhung zawngin an nunpui a ngai a ni. Hei hi i damdawi lam dinhmunah a innghat vek a ni. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.

Colostomy chi hrang hrang a awm em?

Ni e, colostomy chi hrang hrang a awm. Chungte chu intestine lian (colon) hmun eng ber nge abdominal wall nena inzawm tih a zirin an thliar hrang a ni. A chi hrang hrang hi han thlir ila.

I doctor leh surgeon chuan eng chi nge i tan a tha ber tih an rel ang.

Engvangin nge mi pakhatin colostomy a tih a ngai ang?

Colostomy tih theih chhan tam tak a awm thei. Ṭhenkhat chu hun eng emaw chen atan a ni a, ṭhenkhat erawh chu a awm reng thung.

Hun eng emaw chen atana colostomy tih a ngaih hunah:

• Diverticulitis: Intestine lianah natna hrik emaw, inflammation emaw a awm.
• IBD (Inflammatory Bowel Disease): Intestine tichhe thei dinhmun, Crohn natna ang chi.
• Intestine-a hliam: Accident avanga intestine a chhiat.
• Intestinal obstruction: Intestinal chhung hmun khata bawlhhlawh kalna kawng a block.
• Anal fistula: Anus leh vun inkar a tube pangngai lo tak a ni.
• Bowel surgery thenkhat: Bowel section thenkhat lakchhuah hnuah, a hmun dang chu a inzawm khawm hmain a dam theih nan hun pek a ni.

Colostomy nghet tak neih a ngaih hunah:

• Tihdam theih loh bawlhhlawh control theih lohna (Fecal Incontinence).
• Colorectal Cancer natna hmasawn tak a ni.
• Rectum leh anus chu surgery hmanga lakchhuah vek a nih chuan.

Operation hmain engtin nge i inbuatsaih thin?

Hei hi surgery lian tak a nih avangin inbuatsaih hmasak tur thil tlemte a awm.

• I doctor nena inbiakna: I surgery hmain i surgeon chuan a tih dan tur te, a hlauhawmna te, leh operation hnua i nun a inthlak dan tur te a sawipui ang che. Pain management pawh an sawiho thei bawk.
• Test hrang hrang:Thisen test leh EKG ang chi thil an ti ang a, operation atan i tling em tih an enfiah ang.
• I stoma dahna tur hmun tur hriat dan: Wound Ostomy Continence Nurse (WOCN) chuan i stoma leh pouch hman dan tur a zirtir tlangpui ang che. I stoma atana hmun nuam ber, i thawmhnaw leh nitin hnathawhna tibuai lo tur hmun thlan nan an pui bawk ang che.
• Operation ni-ah: Surgery hma darkar 6 chhung ei loh tur a ni. Tin, operation hma darkar 2 chhung tui ang chi tui in i chawlhsan tur a ni. I doctor chuan i intestines tihfai nan bowel prep ei turin a rawt mai thei.

Operation hnuah eng nge thleng? Tin, harsatna awm thei te pawh

Surgery zawhah ni 3 atanga ni 7 chhung damdawi inah i awm ang. Hemi chhung hian zawi zawiin chaw pangngai i ei tan ang. Nursing staff te pawhin i stoma enkawl dan tur leh i bag thlak dan tur i hriat tur zawng zawng an zirtir ang che.

Engtikah nge doctor koh tur

• Constipation emaw diarrhea emaw awm reng.
• Nausea emaw, luak chhuak emaw.
• Thisen chhuak chu stool ah a awm.
• Stoma rawng emaw, a lian zawng emaw a inthlak danglam thin.
• Stoma atanga rimchhia lo chhuak emaw, a block emaw.
• Khawsik emaw, pum na tak emaw.

Heng symptoms te hi i neih chuan doctor i ko nghal tur a ni . Emergency a awm chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.

Bag nen nun hi engtin nge a awm?

Hei hi mi tam tak tan chuan harsatna lian ber a ni.

• Toilet kal dan a danglam dan: Operation hnuah stoma atang hian bawlhhlawh a chhuak ang. Anus i la neih chuan a chang chuan mucus tlemte i nei thei bawk. Hei hi thil pangngai a ni. Stool thar chu stoma atang chuan a lo chhuak ang. A pawimawh ber chu, rectum ang lo takin stoma hian stool titawp thei tur muscle a nei lo. Chuvangin, bawlhhlawh kal dan chu i thunun thei lo. A thleng nghal mai thin.

• Bag i keng reng a ngai em?

Mi tam tak chuan bag an bun fo thin. Tunlai hian bag te hi a te lutuk a, thawmhnaw chungah pawh hmuh theih loh khawpin a thim hle. Chuvangin i duh ang thawmhnaw i ha thei. Sigmoid colostomy nei thenkhat chuan engtikah nge an rilru a buai dawn tih an sawi thei. Chutiang hunah chuan bag chauh an hmang mai thei.

• Hun eng emaw chen atana colostomy tih chu tihdanglam theih a ni em?

Awle. I colostomy hi hun eng emaw chen atana hman a nih chuan i hriselna a ṭhat hunah a pianzia ang chiaha siam ṭha leh turin operation dang i nei thei bawk. Hei hi engtikah nge tih tur tih i doctor chuan a rel ang. Thla engemaw zat emaw, kum khat emaw pawh a la ngai thei.