Nangmah emaw, i hriat mi emaw chuan i zun kawng, prostate operation ang chi operation neih a ngai tawh em? Chutiang surgery hnuah chuan doctor-te’n bladder hi tui pek chhunzawm zel a nih thu an sawi i hre tawh mai thei. Chu thu hriat chu a hlauhawm deuh thei. "He irrigation hi eng nge ni? Engvangin nge tih a nih?" Chuvangin vawiin hian a chanchin zawng zawng hi awlsam takin, kan thianpa nen kan inbia ang maiin i zir vek ang u.
A awlsam zawngin sawi ila, Continuous Bladder Irrigation (CBI) hi eng nge ni?
A awlsam khawp mai. I bladder chu balloon ang maia lian organ te tak te angin ngaihtuah rawh. He bladder-ah hian kan tui in leh kan ei leh in atanga bawlhhlawh kan thliar hrang a, zun angin kan dahkhawm thin. Continuous Bladder Irrigation (CBI) hi bladder chhungah sterile liquid inject chhunzawm zel a, a bik takin operation hnuah a tifai a, chu chu zun hmangin a chhuah chhuak thin.
Hei hi tui hnim hring hring bottle khat silfai a, a sir khatah tui thianghlim theh chhunzawm zel a, a sir lehlamah tui hnim hring chu pump chhuah ang mai a ni. Hetiang kalphung hi damdawi inah ni engemaw zat an ti thin.
Engvangin nge hetiang hian i bladder i sil a ngai?
Hei hi a chhan ber chu zun kawng surgery a ni. A bik takin bladder surgery emaw prostate surgery emaw (entir nan, transurethral resection of the prostate - TURP ) hnuah thisen zam leh operation laiin tissue te te lakchhuah te chu bladder chhungah a awm khawm thei a ni.
I sink drain chu bawlhhlawhin a khuh a nih chuan eng nge thleng ang tih han ngaihtuah teh? Tui chu a chhuak tha lo ang, a dik em? Chutiang chu a ni. Heng thisen zam leh tissue fragment te hian zun kawng a tikhawlo thei a, taksa atanga zun a chhuah loh nan a veng thei a ni. Operation zawhah zun hi catheter hmangin an chhuah fo thin. Chuvangin, heng thisen zamte hi catheter chhungah hian a tlakbuak theihna chance a awm.
Urinary tract a block chuan natna nasa tak a thlen thei a, infection a thlen thei a, kal pawh a tichhe thei bawk.
Chuvangin, CBI method hmangin, heng thisen zam leh thil duh loh zawng zawngte hi paih chhuah nan hian bladder chhung chu an silfai chhunzawm zel a ni. Hei hian zun kal dan pangngai chu a vawng reng thei a ni.
Hemi chhan ber bakah hian doctor-te chuan chhan dang engemaw zat avangin he hmanrua hi an hmang thin.
| Hman dan dang | Hrilhfiahna |
|---|---|
| Damdawi pe turin | A chang chuan damdawi chu direct-a bladder-a pek a ngaih hunah chuan he irrigation solution hmang hian damdawi chu bladder-ah a thlen thei bawk. |
| Urinary stone awmte tihthianghlim nan | Hetiang method hian bladder lung te tak te chi thenkhat chu bladder chhungah tui bik inject in a enkawl thin. |
| Inflammation tihziaawmna atan | Hetiang method hi infection emaw thil dang emaw avanga bladder wall a inflamed a nih chuan a natna tihziaawmna atan pawh hman a ni. |
Engtin nge he enkawlna hian hna a thawh? Step khat hnu step khatin han thlir ila.
Hetiang kalphung hriat hian i hlauhthawn loh nan a pui ang.
Enkawl hma hian eng nge thleng thin?
He CBI treatment tih tur hian special catheter tube (three-way catheter) dah hmasak a ngai a ni. Surgery hnuah he tube hi i dah tawh ang.
Hei hi urethra pangngai ang a ni lo. Hemi pawnah hian hna hrang hrang thawk thei port pathum a awm a.
| Lawngchawlhna | Hna a thawh thin chu |
|---|---|
| Washing up liquid atan chuan | Hetiang kawng hmang hian sterile solution chu bladder chhungah an lut thin. |
| Zun chhuahna atan | Zun leh toilet solution inzawmkhawm hian taksa a chhuahsan a, he kawng hmang hian zun bag chhungah a lut a ni. |
| Balloon atan chuan | Hetiang hmang hian catheter chu bladder chhungah a hmunah dahin, a tawp lamah balloon ang chi te tak te chu inflate nan hman a ni. |
Enkawl lai hian eng nge thleng?
He enkawlna hi nurse emaw urologist emaw hmanga tih a ni tlangpui.
I khum bula stand te tak te pakhatah chuan sterile saline- a khat bag pahnih i hmu ang. Catheter tawp khat chu heng saline bag pakhatah hian a inzawm a ni. A tawp dang chu bag pakhat nen an inzawm a, chu chuan zun chhuak chu a khawlkhawm a ni.
Hemi kalpui chhung zawng hian damdawi lam thawktute chuan heng thilte hi ngun takin an lo thlir reng dawn a ni:
- Zun rawng: A tirah chuan zun a sen hle thei a, thisen zam a awm thei bawk. Hun a kal zel chuan pink a ni tur a ni a, a tawpah chuan a chiang tur a ni.
- Irrigation fluid speed: Thisen kal zat a zirin irrigation fluid chu bladder chhunga a kal chakna a sang emaw a tlahniam emaw a ni.
- Urine output: Hei hian zun leh tui chhuah zat a teh a ni.
- Zun bag khar: Zun bag hi a khat apiangin a hlip vek thin.
- Saline bag thlak dan: Saline bag pakhat a tlakchham chuan a dang chu a inzawm khawm a ni.
Hetih lai hian catheter atang hian harsatna engemaw zat i nei mai thei. I bladder a khat ang maiin i inhria thei a, zun tam zawk i mamawh angin i inhria thei bawk. Hetih lai hian catheter tube hi lak chhuah tum ngai suh. Natna i neih emaw, tube atanga tui chhuak i hmuh emaw chuan nurse hnenah hriattir nghal rawh.
Enkawl hnuah eng nge thleng?
Ni khat emaw ni hnih emaw chhung i zun a thianghlim emaw, a pink deuh emaw chuan i doctor chuan CBI enkawlna chu tihtawp a rel ang. Chumi hnuah saline bag leh urine bag chu a la chhuak ang a, uluk takin catheter tube chu a la chhuak ang.
A pawimawh ber chu CBI enkawlna atanga dam leh turin hun i mamawh dawn a, a tir lama i surgery atang khan ni lovin. Chuvang chuan doctor thupek chu uluk takin i zawm tur a ni.
Hei hi a hlauhawmna a awm em? (Risks leh Complications) 1.1.
CBI hi a tlangpuiin kalphung him tak a ni . Mahse, damdawi lam thil tih dan dang ang bawkin, harsatna awm lo tak tak, a awm thei a ni.
- Catheter blockage: Catheter hi thisen zam ang chi thilin a block thei. Chutiang a nih chuan nurse emaw doctor emaw chuan a tifai ang a, catheter thar a dah ang.
- Urinary tract infection (UTI): Eng anga fai pawh nise, a chang chuan natna hrik lut a, natna thlen theihna chance tlemte a awm.
- Paraphimosis: Serhtan loh mipa hmai vun hnunglam hawia hmalam pan leh theih lohna dinhmun. Hei hi a tlem hle.
- Bladder perforation: Hei hi thil thleng tlem tak a ni. Catheter dah lai emaw, enkawl lai emaw hian bladder wall a chhe thei a ni.
Heng thil thleng theihna chance hi a tlem hle tih hre reng ang che. Hei hi medical staff te chuan an lo thlir reng thin.
Engtik hunah nge doctor ka hmuh ang?
Damdawi in atanga i haw hnuah symptom thenkhat i fimkhur a pawimawh hle. A hnuaia symptoms te hi i neih chuan doctor ko nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
| Symptoms fimkhur tur |
|---|
| Zun chhungah thisen a awm. |
| Zun laiin kang emaw, na lutuk emaw. |
| Urinary incontinence, zun a ngai a nih pawhin. |
| Pum hnuai lam natna nasa tak. |
Take-Home Thuchah a ni
- Continuous Bladder Irrigation (CBI) hi hlauh tur a awm lo. Surgery hnua thisen zam hlauhawm tak venna atana damdawi tha tak leh him tak a ni.
- He enkawlna chhung hian hrehawmna engemaw chen i nei thei a, mahse rei lo te chhung atan a ni. Hei hi i dam thuai theih nan a pawimawh hle.
- Hetiang a nih lai hian zun rawng hi a sen atanga tan a, zawi zawiin a fiah hi thil pangngai a ni.
- Damdawi in atanga i haw hnuah zun i chhuah dawnin thil dik lo eng emaw a awm chuan fimkhur hle ang che. Harsatna i neih chuan doctor hnenah hriattir nghal tur a ni.
- Hemi chungchanga zawhna i neih chuan i doctor emaw nurse emaw zawh hreh ngai suh.
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