Nang emaw, i chhungte zinga tu emaw, i pa emaw pawh ni se, zun kawng (urinary system) zai a ngai tawh em? A bik takin prostate gland surgery neih a ni. Chutiang operation hnuah chuan doctor-in, "Tunah ni engemaw zat chu i bladder i sil a ngai tawh" a tih khan i lungngai deuh mai thei. "I bladder sil" tih hian eng nge a awmzia? A hrehawm em? Engvangin nge tih a nih? Chu zawhna zawng zawng chu vawiinah hian he thuziak-ah hian kan chhâng vek ang. Hlauh a ngai lo, hei hi tih dan tlangpui a ni a, a tam zawkah chuan tih thin a ni.
Continuous Bladder Irrigation (CBI) hi eng nge ni?
A awlsam zawngin, hei hian i bladder tihfai chhunzawm zel nan sterile liquid bik hman a huam a ni. Chutih rual chuan, chutiang karah chuan i zun leh thil dang i bladder-a lo awm khawmte pawh chu a chhuak vek bawk. Hei hi damdawi inah ni engemaw zat chhung tih a ni tlangpui.
Urinary system hnathawh ber chu kan thisen atanga bawlhhlawh awmte filter a, zun anga paih chhuah hi a ni. He system-ah hian bladder hi balloon ang chi organ a ni. Hun rei lote chhunga zun a khawlkhawmna hmun a ni.
Engvangin nge hetiang thil hi i tih a ngaih?
Hei hi a chhan ber leh a tlangpui ber chu urinary system surgery hnua bladder chhunga thisen zam lo awm tur venna leh paih chhuah a ni.
Prostate (Transurethral Resection of the Prostate emaw TURP emaw) lakchhuah nan operation i nei tawh ang tih han ngaihtuah teh. Chutiang surgery hnuah chuan bladder chhungah thisen zam, tissue fragment, etc. a lo awm theihna chance a sang hle. Operation hnuah zun hi tube hmangin an chhuak fo thin a, chu chu catheter an ti a ni. A chunga kan sawi tak thisen zamte hi he urethra-ah hian a tang thei a ni.
Urethra a block chuan zun chu a chhuahsan ai chuan bladder chhungah a pool thei a ni. Hei hian natna nasa tak a thlen thei a, natna hrik a thlen thei a, kal a tichhe thei bawk.
CBI kalphung chu chu thisen zam leh a chi hrang hrangte chu silfai vek a, zun kawng chu a thianghlim reng a ni.
Chumi piah lamah chuan CBI hi chhan dang engemaw zat avangin hman a ni a:
- Damdawi hi bladder-ah direct-in pe thin ang che.
- Bladder stone chi thenkhat chu a tithianghlim ang.
- Infection emaw inflammation emaw avanga hliam leh sensitive tawh bladder wall chu tihreh la, tidam rawh.
Engtin nge hetiang kalphung hi a lo awm?
Hetiang kalphung hi a buaithlak deuhin lang mahse, a kalphung mumal takin a thleng thin.
A hmasa berin catheter chu dah la.
CBI i tan hmain catheter bik i dah hmasak phawt a ngai dawn a ni. Hei hi urethral catheter pangngai ang a ni lo. Port pathum (three-way catheter) a nei a . Surgery avanga catheter i dah tawh chuan thlak a ngai mai thei a, he special catheter hi i dah a ngai mai thei. Port pathumte hian hna an thawk awlsam hle a:
1. Saline solution injecting: Saline solution hi port pakhat hmangin bladder chhungah inject a ni.
2. Zun leh tui chhuah: Port dang kaltlangin bladder chhunga tui (zun leh saline inzawmkhawm) chu bag pakhatah an inzawm a, chu chuan pawnah tui chu a khawl khawm a ni.
3. Catheter vawn: Port pathumna chu catheter chhunga balloon te tak te tuiin an inflated a, chu chu bladder chhungah che lovin a nghet tlat a ni.
Process kalpui dan
Hetiang tih dan hi nurse emaw urologist emaw hmanga tih a ni tlangpui. I khum bula stand-ah saline solution bag hnih i dah a. Bag pakhat a zawh chuan a dang chu i hmang thei ang.
Through this tube , saline solution chu i bladder chhungah drop khat hnu drop khatin a luang lut thin . Chutih rual chuan zun leh he solution mixture hi tube dang atang chuan a chhuak a, a sir lamah bag pakhatah a awm khawm a ni.
| Hetih lai hian nursing staff te hian eng nge an enfiah? | |
|---|---|
| Eng nge enfiah a nih | Hrilhfiahna |
| Zun rawng rawng | Zun, a tir lama sen dum (thisen ang) chu zawi zawiin light pink-ah a chang tur a ni a, a tawpah chuan tui ang maiin a fiah tur a ni. A rawng hian enkawlna a hlawhtlin leh hlawhtlin loh a hril a ni. |
| Liquid flow rate a ni | Thisen zam a tam chuan saline rate a tisang a ni. Zun a thianghlim chuan a rate a tlahniam thin. Hei hi nursing staff ten an control a ni. |
| Zun chhuak zat | Liquid chhuak zat chu a lut zat nen a inang em tih kan teh a, hei hi pipe chhunga blockage a awm leh awm loh hriat a pawimawh hle. |
| Thisen zam leh a chi hrang hrang | Tui chhuak chu thisen zam emaw, thil dang emaw a awm leh awm loh enfiah fo ang che. |
Hetih lai hian engtin nge i awm?
Catheter awmna hmunah chuan tlem a nuam lo deuh tih hi thil pangngai a ni. Mi thenkhat chuan an bladder a khat ang emaw, zun tam ngai angin an inhria thei bawk. Hei hi thil pangngai a nih avangin lungngai suh.
A pawimawh ber chu, catheter chu chhuah tir tum ngai suh. Natna tuar theih loh i neih chuan, emaw, catheter awmna hmun atanga tui chhuak i hmuh chuan i nurse emaw doctor emaw hnenah hriattir nghal rawh.
Hei hian risk emaw complication emaw a nei em?
Hei hi a tam zawkah chuan a him hle a, hmanraw hman zawng zawng hi sterile a nih avangin. Mahse, harsatna awm lo tak tak a awm thei.
- Catheter blockage: Thisen zam chu tube chhungah a tang thei. Chumi hnuah chuan doctor emaw nurse emaw chuan a tifai ang a, a thar a dah ang.
- Urinary Tract Infection (UTI): Hei hi sterile procedure ni mahse, a tlem hle a, bacteria chu a chhungah lut a, infection a thlen thei.
- Paraphimosis: Serhtan loh mipa hmai vun chu a zang hnung lamah a tang thei a. Hei pawh hi a tlem hle.
- Bladder perforation: Hei hi a awm lo hle a, harsatna lian tak a ni.
Engtikah nge damdawi lam thurawn ka lak ang?
CBI a zawh hnu chuan catheter chu an la chhuak a, in lamah i haw leh a, i enkawl tur thil engemaw zat a awm.
I doctor chuan i operation hnua i fimkhur tur leh engtikah nge doctor i hmuh leh tur tih chiang takin a hrilh ang che. Anmahni zawm dik a pawimawh hle.
In i thlen hnuah, i zun laiin heng symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh:
- Zun ah thisen a awm chuan.
- Zun laiin kang emaw, natna nasa tak emaw i neih chuan.
- I zun theih loh anga i inhriat emaw, i zun tlem lutuk chauh emaw a nih chuan.
- I pum hnuai lam natna nasa tak i neih chuan.
- Khawsik i neih chuan .
Heng symptoms te hi i neih chuan doctor ko nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
Take-Home Thuchah a ni
- Continuous Bladder Irrigation (CBI) hi zun kawng surgery hnua thisen zam a awm loh nan bladder silfai dan him tak a ni.
- Hei hi ni engemaw zat, damdawi inah tih a ni. Chumi atan chuan three-way catheter bik hman a ni.
- Hei hi a tir lamah zun a sen thlengin tih a ni a, mahse zawi zawiin pink a lo ni a, a tawpah chuan a thianghlim ta a ni. Hei hian enkawlna hlawhtlinna a tilang chiang hle.
- Hetih lai hian tlem a nuam lo deuh a, a khat tawk tih hriat hi thil pangngai a ni. Mahse tuar theih loh khawpa natna i neih chuan i nurse emaw doctor emaw hnenah hrilh nghal rawh.
- In haw hnua i zun ah thisen a awm a, i kang a, i na emaw, i khawsik emaw a nih chuan Doctor pan ngei ngei tur a ni.
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