I vun atanga mole te tak te emaw, tumor emaw lak chhuah tumin doctor i pan chuan, hmanrua te tak te hmanga a ‘scrape’ lai i hmu tawh mai thei. Chutih lai chuan meikhu tlem leh kang rim i hre mai thei. Mi tam tak chuan hei hi laser hmanga enkawlna niin an ngai. Mahse a takah chuan electric hmanga enkawlna bik a ni. Hei hi electrosurgery kan ti a. A hming hi a hlauhawm deuhin a lang thei a, mahse hei hi damdawi lama hmanraw him leh hmasawn tak a ni. Vawiin hian awlsam takin kan sawi dawn a ni.
A awlsam zawngin, electrosurgery chu eng nge ni?
Electrosurgery chu surgery tih nan controlled electrical current hman mai a ni. Thil pawimawh pathum a tihlawhtling thei a, chungte chu:
1. Cutting: Hetiang method hi tissue cut nan hman a ni a, surgical knife ang bawkin.
2. Tissue tichhe thei: Vunah duh loh zawnga thang lian, mole ang chi tihchhiat nan hman a ni.
3. Thisen chhuah tihtawp (stopping bleeding): Hei hi thisen kalna kawng khar atanga thisen chhuak chu ‘sealing’ hmanga thisen chhuah tihtawp nghal nan hman a ni.
Hemi atan hian khawl bik Electrosurgical Unit (ESU) tih a awm a. He machine atanga electric lo chhuak hi doctor-in a hman thin electrode an tih device te tak te nen an inzawm a ni. He electrode hi i enkawlna hmun (entir nan, i armpit) bulah dah a nih chuan electric atanga lumna nasa tak lo chhuak chuan tissue sawi tur chu a tichhia emaw, a tikehsawm emaw a ni.
Ngaihtuah teh, hei hian chhiatna a thlen hi a takah chuan chhiatna tihdamna a ni. Chu chu thil tul lo a paih chhuak a, thisen chhuah a titawp a, taksa a dam theih nan a pui tihna a ni.
He enkawl dan hrang hrangte hi engte nge ni?
He electrosurgery method hi kawng khat chauha tih a ni lo. A tul dan azirin hmanraw hrang hrang hman a ni. Hengte hi hriatthiam awlsam zawk nan hetiang hian han thlir ila.
| Method hming | Engtin nge siam a nih a, eng atan nge hman a nih? |
|---|---|
| Electrofulguration hmanga tihchak a ni | Hetah hian electrode hi vun chungah direct-in dah tur a ni .No. Vun atanga millimeter tlemtea sangah dahin electric spark a siam thin. Hei hian vun chunglam layer chauh a thlak danglam thin. |
| Electrodessication hmanga tihthianghlim a ni | Hetah hian electrode chu enkawl mekna hmunah direct-in dah a ni. Electric chuan tissue chhungah a kal a, a ‘dry’ chhuak ta a ni. Hetiang method hi warts tihbo nan an hmang fo thin. |
| Electrocoagulation tih a ni | Hei hian tissue thuk zawkah chhiatna engemaw zat a thlen thei a ni. Thisen zam a tichak a, thisen chhuah a titawp a ni ber. |
| Electrosection hmanga tih a ni | Hei hian tissue cutting dik tak a siam thei a ni. Butter chi khat, chemte lum hmanga tan ang maia awlsam a ni thei a, thisen chhuah tlem ber pawh a ni thei. |
Electrocautery hi a danglam em?
Ni e, a danglamna tlem a awm. Mi tam tak chuan an pahnih hi an ti buai hle. A chunga kan sawi ang hian kan taksa peng hrang hrangah electric a kal tlang a. Mahse electrocautery-ah chuan electric hmangin electrode tip chauh a lum thin. Tichuan, a tip lum tak chu tissue-ah hnawih a, tissue chu a tichhia a ni. Hetah hian electric chu taksaah a kal pel lo.
Electrosurgery hi eng condition atan nge hman a nih?
He technology hi damdawi lam chi hrang hrangah hman a ni.
- Vun natna tan: Hei hi dermatologist ten an hman tam ber a ni. Skin growth tha lo, warts, leh skin tags te tihbo nan a tangkai hle .
- Skin cancer tan: Hetiang method hi vun cancer chi thenkhat, basal cell carcinoma leh squamous cell carcinoma te enkawlna atan pawh hman a ni. Hei hian cancer layer chu hmanraw hrual (curettage) hmanga scraping hmasak a ngai a, chutah chuan electrosurgery hmanga cancer cell la awm zawng zawng tihchhiat a ngai a ni.
- Surgery dang: Hetiang method hi endoscopy (camera hmanga taksa chhung lam en) ang chi surgery-ah te hman a ni a, taksa chhunga tumor te te leh polyp te paih chhuah nan leh thisen chhuah tihtawp nan hman a ni.
Enkawlna neih chhung hian eng nge thleng tak tak?
Pakhatnaah chuan a hmun chu a numb theih nan anesthesia pek i ni a , chutiang chuan natna i nei lo. A hnua thil thleng tur chu hman danah a innghat a ni. Thil tih dan tlangpui pahnih a awm.
Monopolar hmanga tih a ni
Hei hi hmanraw hman tam ber a ni. "Mono" tih awmzia chu "pakhat" tihna a ni. Hei hian electrode tip pakhat chauh i taksaah a hnawih tihna a ni.
- ESU machine atanga electric chu active electrode ah a lo thleng thin.
- He electrode hi enkawlna hmuna khawih a nih chuan i taksa tissue hrang hrangah electric a kal a.
- Chumi hnuah chuan electric chu passive electrode (dispersive electrode)-ah a kal a, chu chu taksa peng dangah a inzawm a ni. Hei hi "leilung plate" ang mai a ni. Hei hi i thigh-a i stick thin pad a ni thei.
- A tawpah chuan chu inactive electrode atanga electric chu ESU machine-ah a kal leh a, circuit chu a zo ta a ni.
Bipolar hmanga tih dan
"Bi" tih awmzia chu "pahnih" tihna a ni. Hetah hian electrode tip pahnih i taksaah hnawih a ni. Forceps ang chi hmanrua angin ngaihtuah rawh. Electric chu a sir khat atangin a lut a, a sir lehlamah a chhuak bawk.
- ESU machine atanga electric chu hnathawhna electrode ah a lo thleng thin.
- Electric chu tissue chhungah a kal a, chu hole vek a sir lehlama electrode-ah a kal a ni.
- Electric hian taksa chhungah hla tak a kal lo va, needle tawp pahnih inkarah a kal mai a, chuta tang chuan ESU machine-ah a kir leh mai a ni. Hei hi surgery nalh tak tak atan hman a ni.
He enkawl dan hian eng nge a thatna?
Hetiang method hian surgical knife pangngai hmanga tan aiin thatna engemaw zat a nei a ni.
- A chhehvel tissue-ah chhiatna a tlem hle a, target area chauh enkawl theih a ni.
- Scarring hi a tlem hle .
- Tissue chu rang takin a tichhia (ablate) thei.
- Thisen chhuah hi a reh nghal thei. Hei hi a thatna lian ber pakhat a ni.
Hetiang method hi vun cancer tan hman a nih chuan a damna rate sang tak a awm a, 90% - 95% a ni.
Hei hian risk a nei em?
Electrosurgery hi doctor tawnhriat ngah takin a tih chuan a him hle . Mahse, damdawi lam thil tih dan dang ang bawkin, hlauhawmna tenau tak tak a awm. Doctor ten an venna atana an tih dan hi han thlir ila.
| Tum chhin | Doctor ten a ven nan eng nge an tih? |
|---|---|
| Kangmei chhuak | Electric current chakna a san lutuk chuan kangmei a awm thei. Doctor-te chuan power mamawh tlem ber atanga tan a, setting dik tak hmangin hei hi an veng fo thin. |
| Electric shock a ni | He risk hi electric ground tha lo a nih chuan a awm thin. Hemi chungchangah hian medical team te hian an fimkhur hle a, hmanrua te chu dik taka dah a nih leh nih loh an enfiah thin. |
| Infection awm thei te | Hriselna atana hmanraw (unsterilized equipment) hmangin natna hrik hi a darh thei a ni. Tin, enkawl laia meikhu chhuak hian natna hrik a darh thei bawk. Hemi avang hian doctor-te chuan hmanrua sterilized an hmang fo a, heng enkawlnate hi meikhu chhuahna room-ah an ti thin. |
| Vun rawng a danglam (Hypopigmentation) . | Enkawlna thuk tak tak thenkhat hnuah chuan chu lai hmuna vun chu a chhehvel vun aiin a hring deuh mai thei. Risk a awm chuan i doctor chuan enkawl hmain hei hi a hriattir ang che. |
| Taksa chhunga hmanrua dah te chunga nghawng a neih dan | Pacemaker leh defibrillator ang chi implanted device nei te chu he electric hian a nghawng thei a ni. Chutiang hmanrua i neih chuan i doctor hnenah i hrilh ngei ang . Chumi hnuah chuan himna atana fimkhurna tul tak tak a la ang. |
Eng chen nge a dam theih ang? Engtikah nge Doctor ka hmuh ang?
Dam hun chhung hi enkawlna thuk danah a innghat a ni.
- Vun atanga hnah te tak te emaw, hnim ang chi emaw hi lakchhuah a nih chuan hliam chu a dam theih nan kar khat vel a ngai ang .I kal thei ang.
- Hliam thuk zawk a nih chuan kar hnih atanga kar li emaw a aia rei emaw a ni thei.
Doctor chuan i dinhmun a zirin i dam leh hun tur a hrilhfiah ang che.
Doctor i biak hun tur chu:
Vun enkawlna hnuah, hliam chu minute 20 chhung pressure i pe a, thisen a chhuak lo a nih chuan , i doctor i ko ngei tur a ni. Tin, hliam chu natna hrik (a sen, a hring, a hring) a lan a, beisei angin a dam lo a nih chuan damdawi lam pan nghal tur a ni.
Hei hi laser surgery nen a inang em?
No. Hengte hi technology hrang hrang pahnih an ni.
- Electrosurgery ah hian electric chakna hman a ni .
- Laser surgery ah hian light energy hman a ni .
Chûng hmanraw pahnihte chuan tissue a tikehsawm thei a, a tichhe thei a, thisen chhuah pawh a titawp thei a, mahse an hnathawh dân chu a inang lo.
A tawpah chuan electrosurgery hi lumna tihdam theihna hmanga natna chi hrang hrang enkawl dan him leh tangkai tak a ni. I tumor lakchhuah lai hian hei hi i hmu thei mai thei. He technique hi hman a nih chhan pawh i hre lo mai thei, a chhan chu procedure lian tak, endoscopy ang chi, anesthesia hnuaia i awm vang a ni. Amaherawhchu, he enkawlna chhung hian i him theih nan doctor ten taima takin an thawk tih hre reng ang che.
Take-Home Thuchah a ni
- Electrosurgery hi controlled electric hmanga enkawlna a ni. Hei hi laser hmanga enkawlna a ni lo.
- Thil chi hrang hrang atan hman a ni a, vun tag te tak te lakchhuah atanga operation lian tham neih laia thisen chhuah tihtawp thlengin hman a ni.
- Doctor trained, tawnhriat ngah takin a tih chuan hei hi enkawl dan him tak a ni.
- I taksaah hian hmanrua, pacemaker ang chi i dah a nih chuan enkawl hmain doctor hnenah hrilh hmasa phawt ang che.
- Inenkawl hnua thisen chhuak tam lutuk, natna kai chhinchhiahna emaw, dam rei lutuk emaw i neih chuan doctor hnenah hriattir nghal rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh