I doctor chuan i ril, i pum, a nih loh leh i chaw kawng (esophagus)-ah tissue lian tham lo tlemte i nei tih emaw, cancer bul tanna i nei tih emaw a hrilh che em? Hetiang thil i hriat hian hlauthawng leh mangang lutuk hi thil pangngai tak a ni. Mahse, lungngai suh. Tunlai hian damdawi lamah hian hmanraw awlsam tak, tunlai tak tak a awm a, tun hma ang khan pum huap ang chi operation lian tham tak tak a ngai lo. Chutiang chuan i dam thuai theihna tur method bik kan sawi a ni.
Endoscopic Mucosal Resection tih hi eng nge ni?
A hming hi a buaithlak deuh niin a lang a, mahse a takah chuan a kalphung chu a awlsam khawp mai. A awlsam zawngin, i chaw ei kawng chhunga tissue pangngai lo, lump te te, polyp emaw cancer hmasa ber emaw te chu i pum chhungah incision siam lovin a paih chhuak thin.
Ngaihtuah teh, i pum chhungah hian incision emaw scar emaw a awm tawh lo. Hei hi gastroenterologist-in a ti thin. Tube sei tak, flexible tak, endoscope an tih tawp lamah camera te tak te a hmang a. Tissue pangngai lo chu i chaw kawng emaw, i pum emaw-ah a awm chuan, chu tube chu i hmui kaltlangin a lut a ni. Chutiang a nih loh chuan i intestine hnuai lam, large intestine-ah a awm chuan i hnute kaltlangin a lut a ni.
Hetiang hmanraw thatna lian ber chu taksa pawnah incision siam a nih loh avangin natna i nei tlem hle ang a, i dam leh hun pawh operation pangngai aiin a rei zawk dawn a ni.
He method hi eng condition chi hrang hrang atan nge hman a nih?
He enkawlna hi precancerous cells emaw tissue pangngai lo nakin lawka cancer lo ni thei tur lakchhuah nan hman a ni ber . A bik takin digestive tract lining te tak te mucosa-a tumor lo awm tan a tangkai hle.
Hetiang hman dan tlangpui thenkhat chu hetiang hi a ni:
- Barrett’s esophagus: Hetiang dinhmunah hian esophagus chhunga cell te chu a danglamin a inthlak danglam a, cancer vei theihna a tipung a ni.
- Colorectal cancer: Cancer natna hrik te tak te, a tir atanga hmuhchhuah.
- Esophageal cancer: Cancer hmasa ber a ni.
- Small intestine cancer: A bik takin duodenum-a awm cancer.
- Stomach cancer: Pum chunglam atanga lo awm tumor te tak te.
Enkawl hma leh enkawl hnua hriat tur
Hetianga enkawl hma leh enkawl hnua i thawhhlawkzia pawh a pawimawh hle.
Enkawl hmaa inbuatsaihna
Chumi atana inbuatsaih dan tur chu i doctor chuan chiang takin a hrilh ang che.
- Digestive tract chunglam (food pipe, stomach): Enkawlna (fasting) hma darkar tlemte chhung chu ei leh in loh vek turin an ti ang che.
- Digestive tract hnuai lam (intestine lian) a awm chuan: Bowel prep neih a ngai mai thei. Hei hian i ril a tifai vek theih nan i doctor-in a pek tur damdawi tui in a huam a ni. Hei hi doctor-in endoscope hmanga a chhung lam chiang taka a hmuh theih hun a ni.
Enkawl lai hian
I rilru hahna leh natna i neih loh nan anesthesia pek i ni ang. I mut tir thei (general anesthesia) , a nih loh leh a hnuah engmah i hriatreng loh nan mut tir i ni thei bawk (conscious sedation) . Doctor chuan endoscope chu a dah lut ang a, camera hmangin a hmun chu a en ang a, a kal tlanga hmanraw te tak te tak tak hmangin tissue pangngai lo chu a la chhuak ang. Procedure pumpui hi minute 30 atanga 60 chauh a ni tlangpui .
Enkawl hnuah
Enkawlna i neih zawh chuan anesthesia avanga a nghawng a reh hma loh chuan recovery room-ah dah i ni ang. A pawimawh ber chu, in lama hruai tur che i mamawh dawn a ni. Anesthesia-in a nghawng chu a bo vek theih nan darkar 24 thleng a ngai thei a, chuvang chuan mahni chauha lirthei khalh emaw, in lama haw emaw phalsak i ni lo vang.
A hlawkna leh a side effect awm thei te chu engte nge ni?
Damdawi enkawlna dang ang bawkin, a hlawkna bakah a hlauhawmna pawh a awm thei a, a tlem berah chuan a awm thei bawk. A pahnih hi han thlir ila.
| Hlawkna ber ber | Side effect leh risk awm thei te |
|---|---|
| Recovery rang tak (ni khat vel hnuah hna i thawk leh thei) | Hun eng emaw chen atana nuam lo tak tak, bloating, cramping, etc. |
| Operation pangngai aiin a natna hi a tlem zawk hle. | Gas, nausea, ril na (endoscope chu ka atanga dah a nih chuan). |
| Taksa pawn lamah surgical scars a awm lo. | Rare: Enkawlna hmun atanga thisen chhuak. |
| Open surgery aiin harsatna a thlen theihna a hniam zawk. | A tlem hle: Gastrointestinal perforation. |
| Cancer cell te hi taksa peng dangah an darh (metastasize) hmain lakchhuah theih a ni. | A tlem hle: Esophageal strictures. |
Engtikah nge doctor pan vat vat a ngaih?
Inenkawl zawh hnua i taksa enkawl a pawimawh hle. A hnuaia symptoms te hi i neih chuan tihkhawtlai suh la, doctor ko nghal la , damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- I ek chhungah thisen i awm chuan (black or dark red) .
- I rilru natna nasa tak i neih chuan
- I luak chhuak emaw, i muhil emaw a nih chuan
- Khawsik emaw, khawsik emaw i neih chuan
- Thâwk harsa (dyspnea) i neih chuan .
'Cancer' tih thumal i hriat hian hlauhna i neih hi thil awmdan pangngai a ni. Mahse tunlai damdawi lam kalphung Endoscopic Mucosal Resection te avang hian tunah chuan operation lian tham tak tak avanga harsatna awm lovin tumor te te leh cancer hmaa lo thang te chu i paih chhuak thei ta a ni. Hei hi surgery lian tak a ni lo. Chuvangin i dam thuai thei a, natna nei lovin i nun pangngaiah i kir leh thei a, i nun pangngaiah i kir leh thuai thei bawk. Chutiang bawka natna i neih chuan i doctor nen he enkawlna kawng hi sawipui rawh.
Take-Home Thuchah a ni
- Endoscopic Mucosal Resection hi taksa pawn lama incision siam lovin chaw ei kawng atanga tissue pangngai lo lakchhuahna hmanraw awlsam leh him tak a ni.
- Hei hi cancer natna bul tan tirh atanga cancer lo ni thei, lump te te leh cell te paih chhuahna atan hman a ni ber.
- Surgery pangngai nena khaikhin chuan a na a tlem hle a, a dam chak zawk a, taksaah hliam a awm lo.
- Damdawi hmaa doctor thupek (e.g. chaw nghei, ril silfai) dik taka zawm a pawimawh hle.
- I rilru natna, i ek thisen, emaw, enkawl hnua khawsik ang chi natna khirh tak tak i neih chuan damdawi lam thurawn zawng nghal rawh.
- He enkawlna dan hi i tan a tha em tih i gastroenterologist nen sawiho rawh.
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