‘Curent-in a hal’ tih hlau suh! Electrosurgery chungchang i zir dawn teh ang.

Operation neih laiin mi pakhatin, “Curent chuan thisen a titawp ” a tih i hre tawh em? A nih loh leh, doctor-in chu hmuna hmanraw te tak te, mole emaw, tumor emaw ang chi thil a paih chhuah lai i hmu tawh em? Hetiang enkawlna dan, a hming i hriat chuan hlauhawm deuhin a ri a, medical science-ah chuan `Electrosurgery` an ti a. He hming hi thil lian tak angin lang mah se, a takah chuan khawvel hmun hrang hranga surgery- a hmanraw hman lar tak leh him taka hman a ni. Chuvangin, vawiin hian chiang tak leh awlsam takin i sawi dawn nia.

A awlsam zawngin Electrosurgery hi eng nge ni?

Electrosurgery hi surgical procedure a ni a, high-frequency electric current hmanga tissue cut emaw, tissue duh loh tihchhiat emaw, thisen chhuah tihtawp (coagulation) emaw a ni. Hetah hian ``Electrosurgical Unit (ESU)`` an tih machine atanga electric siam chu doctor-in a hman thin pen ang chi hmanrua te tak te (electrode) ah thawn a ni. He hmanrua atanga electric lo chhuak chu tihfai na hmun lam a nih chuan electric chu tissue chhunga a kal tlang chuan lumna a lo chhuak thin.

Chutianga lumna lo chhuak chuan chu tissue duh lohte chu a tichhia a ni. Mahse he chhiatna hian min puitu chu a ni. Hetiang hmang hian vunah duh loh zawnga lo thang lian leh hnim hring (warts) te chu kan paih chhuak thei a ni. Operation laia thisen kalna kawng te te, a tan te khar nan leh thisen chhuah tihtawp nan hman a ni bawk. A chang chuan stand-alone treatment anga tih a ni a, a chang chuan treatment dang nena inkawp anga tih a ni bawk.

Electrosurgery chi hrang hrang lian ber berte chu engte nge ni?

Hetiang hmanrua hi mamawh hrang hrang nena inmil tura duan chi hrang hrang a awm. Eng nge an nih i en ang u.

Electrocautery hi thil danglam tak a ni em?

Ni e, ` electrocautery` tih hi a danglam deuh deuh a ni. Electrosurgery-ah chuan electric chu taksa tissue-ah direct-in a kal a. Mahse electrocautery -ah chuan electric chu instrument tip atang chauhvin a kal thin. Chuvangin instrument tip chu a lum ta a ni. Tichuan, chu tip lum chuan tissue chu a khawih chuan, direct heat chuan tissue chu a tichhia emaw, thisen chhuah chu a titawp emaw a ni. A awlsam zawngin, pakhatah chuan electric chu tissue kaltlangin a kal a, a dang pakhatah chuan hmanraw lum (heated instrument) hman a ni.

He method hi eng condition chi hrang hrang atan nge hman a nih?

Electrosurgery hi damdawi lam thil tam takah hman a ni.

• Dermatology: Dermatologist te hian he technique hi an hmang fo thin. Benign lesions te chu warts leh skin tags te tihbo nan a tangkai hle a ni . Skin cancer chi hrang hrang enkawlna atan pawh hman a ni . Entirnan, ED&C (Electrodessication & Curettage) procedure-ah chuan doctor chuan cancer natna chu a hrual hmasa a, chutah chuan electrosurgery hmangin cancer cell la awm zawng zawng chu a tichhia a ni
• Surgery dang: Hei hi surgery dang, a bik takin endoscopy (taksa chhung lam en tura camera hmanga enfiahna), tissue duh loh (e.g., tumor te) lakchhuahna emaw, thisen chhuahna control nan emaw a pawimawh hle

Enkawl lai hian eng nge thleng?

A hmasain, enkawl mek lai chu rilru ti na thei tûr damdawi i pe ang a, a nih loh leh anesthetized vek i ni thei bawk . A hnua thil thleng tur chu `monopolar` emaw `bipolar` emaw i neih danah a innghat.

Monopolar Electrosurgery hmanga tih a ni

Hei hi hmanraw hman tam ber a ni. “Mono” tih awmzia chu “pakhat” tihna a ni. Hetah hian electrode tip pakhat chauh i taksaah hnawih a ni.

1. ESU machine atanga electric chu active electrode (doctor kuta pen ang chi hmanrua) ah a lo thleng thin.

2. He electric hian i taksa tissue te a paltlang a, chu hmun chu a ti lum thin.

3. Chumi hnuah chuan electric chu taksa chhungah a kal a, “grounding pad” (dispersive electrode)-ah a kal a, chu chu i kawrfual emaw hmun dangah emaw a inzawm a ni.

4. A tawpah chuan chu grounding pad atanga electric chu ESU machine-ah a kal leh a, circuit chu a zo ta a ni.

Bipolar Electrosurgery hmanga tih a ni

“Bi” tih awmzia chu “pahnih” tihna a ni. Hetah hian electrode tip pahnih i taksaah hnawih a ni. Doctor chuan forceps ang chi hmanga enkawl tissue chu a chelh niin han ngaihtuah teh.

1. Electric chu electrode sir khat atanga tissue chhungah a lut (active electrode).

2. Chu electric chu tissue chhungah hian hla vak lo tak a kal a, chutah chuan electrode sir lehlamah (return electrode) a kal a.

3. Chuta tang chuan electric chu ESU machine-ah a kal leh a, circuit chu a zo ta a ni.

Hetiang hmanrua hi eng nge a thatna?

Electrosurgery hi scalpel hmanga tan mai mai aiin thatna engemaw zat a nei a ni.

• Targeted treatment: A chhehvel tissue hrisel tak takte chu a chhiatna a tlem hle.
• Reduced scarring: Tissue lakchhuah avanga scarring awm zat a tlahniam.
• Speed: Tissue tihchhiat (ablation) hi rang taka tih theih a ni.
• Thisen chhuah tihtawp : Thisen chhuah hi tihtawp thuai theih a ni a, surgery-a hun hman a tlem phah.

Side effect emaw risk emaw a awm em?

Hei hi doctor tawnhriat ngah takin a tih chuan a him hle. Mahse, damdawi lam thil tih dan dang ang bawkin, hlauhawmna engemaw zat a awm a ni. Mahse, doctor-te chuan heng hlauhawmnate hi tihziaawmna turin fimkhur zawng zawng an nei a ni.

• Kang: Electric current chakna a sang lutuk nia a lan chuan kang a awm thei. Chu chu ven nân doctor-te chuan chakna hniam ber aṭangin an ṭan fo .
• Electric shock: Grounding pad a connect tha lo a nih chuan electric shock i nei thei. Mahse, hetiang thil hi a thlen theihna chance a tlem hle a, enkawl hmain engkim uluk taka enfiah vek a nih avangin.
• Infection: Infection hi hmanraw hman tur dik taka sterilized a nih loh chuan a awm thei. Tin, tissue hal a nih atanga meikhu chhuak hmangin natna hrik a darh thei bawk. Hemi avang hian doctor-te chuan hmanrua sterilized chauh an hmang a, heng enkawlnate hi meikhu ventilation system awmna room-ah an ti thin.
• Thisen chhuak: 1.1.A chang chuan tissue chhiat hian beisei aia tam thisen a chhuah thei a, mahse doctor chuan ESU machine-a settings thlak danglamin a control thei a ni.
• Vun rawng danglam: Electrosurgery chi thenkhat hnuah chuan vun chu a enkawlna hmunah a var (hypopigmentation) a ni thei. I doctor chuan enkawlna atanga hetiang hlauhawmna a awm leh awm loh a hrilhfiah hmasa ang che.
• Implanted device-a harsatna: A hmaa kan sawi tawh ang khan a bik takin Monopolar method hian electronic device, pacemaker leh defibrillator te hnathawh a tibuai thei a ni. Chutiang hmanrua i neih chuan operation hmain i doctor hnenah i hriattir ngei ang. Tichuan i tan kawng him ber an thlang ang.

Eng chen nge a dam theih ang?

Hei hi enkawlna chi hrang hrangah a innghat a ni.

• Vun chunglam layer-a mole emaw tumor emaw ang chi thil hi lakchhuah a nih chuan hliam chu a dam theih nan kar khat vel a ngai ang.
• Hliam thuk zawk a nih chuan kar hnih atanga kar li emaw a aia rei emaw a daih thei.

Doctor chuan i dinhmun a zirin i dam leh hun tur a hrilhfiah ang che.

Engtikah nge Doctor i hmuh a ngaih?

Enkawl zawhah i hliam chu thisen a chhuak a, minute 20 chhung pressure chhunzawm zel hnuah pawh a tawp lo a nih chuan doctor ko nghal rawh. Thisen chhuah a nasat chuan damdawi in hnai ber Emergency Department (ETU) ah kal tur a ni.

Tin, hliam chu a hring ang maia a lan a, a na nasa hle a, emaw, beisei angin a dam lo nia i hriat chuan doctor nena inbiakna neih chu tihkhawtlai suh.