Pum chhunga tumor awmte paih chhuah nan incision lian tak i mamawh em? Endoscopic Submucosal Dissection chungchang hi han sawi ila

I doctor chuan i chaw ei kawngah, chu chu i pum emaw, i chaw kawng emaw-ah tissue pangngai lo, tumor, polyp te tak te i nei tih a hrilh che em? Chu thu kan hriat chuan kan rilrua hlauhna lo lang chu, "Aw, tunah hian operation lian tak ka tih a ngai dawn em?" Mahse tunlai medical science hmasawn tak nen chuan engkim tan incision lian tak tak siam thei surgery tih a ngai tawh lo. Chuvangin taksa tichhe tlem ber leh dam thuai thei enkawlna kawng mak tak kan sawi dawn a ni.

A awlsam zawngin Endoscopic Submucosal Dissection 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. Endoscopic Submucosal Dissection , a tawi zawngin ESD tih hi non-invasive procedure a ni a, chu chuan i gastrointestinal tract chhunga tissue pangngai lo, cancer lo ni thei cell lumps emaw, tumor te tak te te chu a paih chhuak thin.

Hei hi gastroenterologist-in a tih niin han ngaihtuah teh. Tube sei tak, flexible tak a hmang a, a tawp lamah camera a awm bawk. Hei hi endoscope kan ti a.

• Buaina chu i upper digestive system (entir nan, esophagus, stomach)-ah a awm a nih chuan he endoscope hi i hmui kaltlangin dah a ni.
• Buaina chu i intestinal tract hnuai lam (large intestine, rectum)-ah a awm a nih chuan, chu chu hnute kaltlangin a lut a ni.

Hei hi surgical instrument te tak te hmanga tih a ni a, chu chu tube chhungah dah a ni a, camera kaihhruaina hnuaiah uluk taka tissue pangngai lo chu cut chhuakin lakchhuah nan hman a ni . A tha ber chu, heng zawng zawng hi taksa chhungah a thleng vek a ni. Pawn lam incision a awm loh avangin i dam chak thei a, natna i nei tlem thei a, hliam i nei lo bawk.

ESD hi eng damdawi lam dinhmun atan nge hman a nih?

He ESD treatment hi precancerous emaw early-stage cancers digestive system-a awmte tihbo nan hman a ni tlangpui. Eng nge an nih i han thlir teh ang.

ESD leh EMR hi eng nge an danglamna?

Chutiang bawka tih dan dang, Endoscopic Mucosal Resection (EMR) tih chu i hre tawh mai thei. Procedure pahnih hi invasive lo zawk a nih laiin, danglamna tlem a awm.

Kan chaw ei (digestive system) wall hi layer engemaw zat atanga siam a ni. A chhungril ber chu mucosa an ti a.

• EMR method: Hei hian a bik takin tumor chhungril ber, mucosa an tih chauh a awm te chu a paih chhuak thin. Hei hian tumor hnuaiah tui inject a, chawi a, metal loop ang chi thil hmanga tan a huam a ni.
• ESD method: Hei hi EMR aiin a hmasawn deuh deuh a ni. Mucosa chhunga tumor awmte chu a paih chhuak thei a, chubakah a hnuai chiaha layer- a darh tawh tumor te pawh a paih chhuak thei bawk. Chumi ṭhatna lian ber chu, tissue pangngai lo chu eng ang pawhin lian mah se, a ṭhen khatah lak chhuah theih a ni . Tichuan laboratory-ah thawn a, cancer chu paih vek a nih leh nih loh dik taka finfiah chu a awlsam hle.

He enkawlna hma hian engtin nge ka inbuatsaih ang?

He enkawlna hma hian i doctor chuan thupek chiang tak a pe ang che. Anmahni zawm dik a pawimawh hle.

• Upper gastrointestinal tract: (esophagus, stomach)-a enkawlna i neih chuan enkawl hma darkar engemaw zat chhung chu ei leh in i pumpelh vek a ngai ang. Chumi awmzia chu i pum chu a ruak a ngai tihna a ni.
• I lower gastrointestinal tract: (large intestine) enkawlna i neih chuan "bowel prep" neih tir i ni ang. Hei hian i intestine lian tak chu tui bik ( laxative ) in a, a khar vek a ngai a ni. Hei hian doctor chuan endoscope hmangin a chhung lam chu chiang takin a hmu thei a ni.

Enkawl lai hian eng nge thleng?

He enkawlna chhung hian engmah hrehawmna leh hrehawmna i nei lovang. Hei hi anesthetized i nih dawn vang a ni. I mutthilh vek mai thei (General Anesthesia), a nih loh leh mutthilh leh hahdamna tur anesthesia chi khat pek i ni thei bawk (Monitored Anesthesia Care).

Enkawl lai hian i doctor chuan hengte hi a zawm ang:

1. Endoscope hi ka emaw rectum emaw kaltlangin dah a ni.

2. Camera hmangin endoscope chu tissue pangngai lo awmna hmunah thawn a ni.

3. Endoscope atanga device passed hmangin tumor lakchhuah tur vel chu mark siam a ni.

4. A dawtah chuan tumor hnuaia membrane chhungah tui bik an inject leh a. Hei hian tumor hnuaiah cushion a siam a, a chhehvela tissue hrisel tak atang chuan a chawi sang a ni. Hei hian then hran leh cut chhuah a awlsam phah hle.

5. A tawp berah chuan hmanraw bik, high-frequency electrical knife hmangin, tumor chu uluk takin marked line-ah chuan tan a, lakchhuah a ni.

The entire procedure can usually between one and three hours , chu chu tissue lakchhuahna hmun lian leh te a zirin a ni.

Enkawl hnuah eng nge thleng?

Enkawl zawh hnuah tissue lakchhuah chu laboratory-ah thawn a ni a, chutah chuan pathologist chuan cancer cell a awm em tih leh lakchhuah vek a nih leh nih loh a enfiah thin.

Enkawl hnu rei vak lovah recovery room-ah hruai i ni ang. Anesthesia-in a nghawng chu a reh vek tawh chuan chu ni vek chuan in lamah i haw thei tawh mai thei a, a nih loh leh damdawi inah zan khat i awm a ngai mai thei bawk. You should definitely be accompanied home by someone , anesthesia nghawng chu a bo vek theih nan darkar 24 thleng a la ngai thei a ni.

Side effect leh risk a awm em?

Damdawi dang ang bawkin, side effect tenau tak tak a awm a, hlauhawm pawh a tlem hle.

Side effect tenau tak tak awm thei

Chungte chu ni khat emaw ni hnih emaw chhungin an bo vek tlangpui.

• Pum chhung a khat
• Pum a na
• Gas leh a natna a thlen thin
• Nausea emaw, luak chhuak emaw
• Thlarau na (endoscope chu ka atanga dah a nih chuan) .

I ek chhungah thisen tlem lutuk awm chu thil pangngai a ni thei a, mahse darkar 24 chhungin a tawp tur a ni.

Harsatna awm lo tak tak

Hengte hi a thlen theihna chance a hniam hle a, mahse hriat chian a pawimawh hle.

• Thisen chhuak: Tissue lakchhuahna hmun atanga thisen chhuak.
• Gastrointestinal perforation: Endoscope emaw instrument emaw hmanga chaw kawng bang perforation.
• Scarring: A bik takin chaw kawng enkawlnaah hian dam laia hliam awm hian chaw kawng a ti tawi (esophageal strictures) a thlen thei.

Hetiang hmanrua hi eng nge a thatna?

ESD method hian open surgery nena khaikhin chuan thatna tam tak a nei a.

• Natna tlem: Incision a awm loh avangin na a tlem hle.
• Recovery rang: Nun pangngaiah i kir leh thei a, hna i thawk thuai thei bawk.
• Hliam a awm lo: Taksa pawn lamah hliam a lang lo.
• Complication tlem zawk: Open surgery aiin complication awm theihna a hniam zawk.
• Organ preservation: Hetiang hmang hian major surgery neih chhunga tih tur, pum emaw, intestine emaw thenkhat lakchhuah ang chi thilte chu a pumpelh thei a ni.

Engtikah nge Doctor i hmuh nghal tur?

Enkawlna i zawh hnua i haw hunah, vaukhânna chhinchhiahna i neih chuan, i doctor ko emaw, damdawi in hnai ber Emergency Department (ETU) pan emaw, tihkhawtlai loh a pawimawh hle

Eng chen nge tihdam a ngaih?

Mi tam zawk chuan ni nga vel hnuah hna an thawk leh thei a ni. Mahse, hna hahthlak tak tak, thil rit phurh ang chi i thawh chuan i doctor chuan rei vak lo chawlh hahdam turin a fuih thei che a ni. Enkawlna an neih hnu kar khat vel chhung chu bowel habits-ah hian inthlak danglamna tlem a awm thei.

Kar hnih vel hnuah doctor i hmu leh ang. Chutih hunah chuan lab report result chu an hrilhfiah ang che a, enkawlna dang mamawh leh mamawh loh chu an rel ang.

ESD hi enkawlna hlawhtling tak a ni. Zirna thenkhatah chuan he enkawlna dawng tawhte zingah hian hmun khata tumor lo lang leh theihna hi 1% vel a ni tih hmuhchhuah a ni.