I doctor-in nangmah emaw, i hnaih ber emaw hnenah "Esophagectomy" tih operation neih a ngai tih a hrilh hian hlauhna leh hlauthawng deuh i neih hi thil pangngai a ni. Zawhna tam tak i nei mai thei, "He operation hi eng nge ni? Engvangin nge tih a nih? Chumi hnuah eng nge thleng ang?" Mahse, lungngai suh. Sinhala tawng awlsam takin i hriatthiam theih tur zawng zawng kan sawi dawn a, friendly tak a ni. He thuziak i chhiar zawh hunah chuan he thu hi i hrethiam tawh ang.
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A awlsam zawngin Esophagectomy tih hi eng nge ni?
Esophagectomy hi surgery hmanga i esophagus thenkhat emaw, a zawng zawng emaw lak chhuah a ni. Esophagus chu kawr atanga chaw ei leh in tur phurtu tube a ni. Tui pipe ang mai a ni.
Tunah chuan, "Engvangin nge hei hi tihbo a nih?" A chhan ber chu chaw kawng cancer vang a ni . Doctor-te chuan he surgery hi Barrett’s esophagus ang chi condition i neih chuan cancer vei theihna a tipung a, emaw, i esophagus a thawk tha lo a, ei harsa i tih pawhin an rawt bawk.
Surgery neih lai hian surgeon chuan i chaw kawng chhia chu a paih chhuak thin. Cancer a nih chuan a bul hnaia lymph node thenkhat pawh la chhuakin test turin an thawn bawk. Tichuan, a bak zawng chu inzawm lehin i ei tur pipe chu a lo awm leh ta a ni. Chumi awmzia chu pum chu tlem a han hrual a, i chaw kawng dang nen a inzawm tihna a ni. Hetiang hian i ei tur pipe chu siam that a ni a, chutiang chuan a pangngaiin i ei leh thei ta a ni.
He surgery tih dan hrang hrangte hi engte nge ni?
Esophagectomy tih dan zawng zawngah hian chaw kawng (esophagus) lakchhuah vek ni mah se, i surgeon-in a hman dan chu i tumor emaw chhiatna emaw awmna hmun leh i hriselna zawng zawng a zirin a danglam thei a ni.
A tlangpuiin kawng hnih a awm a:
- Open Surgery: Hetah hian vunah hian chaw kawng (esophagus) thleng turin vunah hian incision sei tak vawi khat siam a ni.
- Minimally Invasive Surgery: Hei hi "laparoscopic surgery" kan tih chu a ni. Incision lian tak pakhat ai chuan inch khat vel zeta sei incision te tak te engemaw zat hmangin operation tih a ni a, chuta tang chuan camera leh instrument te dah a ni. Pum chhung peng hrang hrang luh theihna tur surgery hi Laparoscopic surgery an ti a, rilru chhungril lam lut tur surgery hi Thoracoscopic surgery an ti bawk.
Hengte hmang hian surgery chi hrang hrang a awm a. A hnuaia table-ah hian an chanchin kimchang zawkin tarlan a ni.
| Surgery hman dan tur | Incision awmna hmunte |
|---|---|
| Transhiatal Esophagectomy tih a ni | Kawng leh pum (belly) ah . |
| Ivor Lewis Esophagectomy tih a ni | A rilru leh pum dinglamah |
| McKeown chuan Esophagectomy a ti a | Kawr, rilru leh pum chhungah |
| Thoracoabdominal Esophagectomy tih a ni | Pakhat chu a rilru atanga a pum thlengin a sei a, pakhat chu a kawngah a tan bawk |
I doctor nen inbia la, eng method nge i tan a tha ber tih leh engvangin nge a tha ber tih zawng rawh. Hei hian surgery leh recovery hun tur hriatthiamna tha zawk a pe ang che.
Engtin nge hetiang surgery lian tak atan hian kan inbuatsaih?
Esophagectomy hi surgery lian tak a ni a, a dam leh theih nan hun engemaw chen a ngai a ni. Chuvangin, zai hmaa inbuatsaihna tha tak neih a pawimawh hle.
- Test hrang hrang: Surgery ruahman nan i doctor chuan i rilru leh i pum CT scan, Endoscopic ultrasound (EUS), emaw PET scan te ang chi test a ti ang.
- Enkawlna hmasa ber neih: Cancer i vei chuan operation hmain chemotherapy leh/ emaw radiation therapy i neih a ngai mai thei. Mi thenkhat chuan heng enkawlna te hi a hmaa an dawn hian result tha zawk an hmu thin.
- I taksa chu operation atana buatsaih: Zunthlum emaw thisen sang emaw ang chi natna i neih chuan operation hmain i control hmasak phawt a ngai a ni. Meizial i zuk chuan i bânsan ngei ngei tur a ni. Meizial zuk hian damna a tikhawtlai nasa hle.
- Dam leh hun atâna inbuatsaih: Operation hnuah i ei leh in dân a danglam dâwn avângin, dietitian hnênah thurâwn i la thei a ni . Operation hnua lung harsatna awm lo tura i thawkna thau tichak tura exercise neih dan tur pawh speech-language pathologist (SLP) hnen atangin i zir thei bawk.
- Damdawi ina awm tura inbuatsaihna:Damdawi inah kar khat emaw kar hnih emaw i awm dawn avangin i mamawh thawmhnaw te, damdawi te, leh lehkhabu leh pillow ang chi thil te, thlamuanna thlentu tur chein buatsaih rawh.
- In i thlen hnuah: Damdawi in atanga lo haw tur ruahmanna siam rawh. In lama puitu tur i neih a pawimawh bawk. I mamawh thilte awlsam taka i hmuh theih nan i in chu ruahman rawh.
Surgery neih chhung hian eng nge thleng?
Surgery hma hian anesthesia pek i ni ang a, chutiang chuan natna engmah i hriat loh nan. Chumi awmzia chu i muhil vek tawh dawn tihna a ni. Surgery zawhah i hnungzang chhungah epidural tube dahin i natna control turin i dah thei bawk.
Surgeon chuan a tih dan angin incision a siam a, chaw kawng natna hmun chu a la chhuak thin. A chang chuan pum chhung hmun tlemte pawh lakchhuah theih a ni bawk. Tichuan, pum emaw, small intestine emaw chu chest area-ah luhtir a, esophagus dang zawng zawng nen an thlunzawm a ni.
Operation hnuah i pum emaw, small intestine emaw chhungah feeding tube dahin i ei theih thlengin nutrition a pe ang. I hnar kaltlangin nasogastric tube dah a ni bawk ang a, hei hian i pum atanga boruak tam lutuk chu a paih chhuak ang a, i dam leh theih nan a pui bawk ang. I rilru atanga tui chhuahna tur chest drain dah theih a ni bawk. Heng zawng zawng hi i dam thuai theih nan tih a ni. Surgery hi darkar 3 leh darkar 6 inkar a ni tlangpui.
Surgery hnuah eng nge thleng ang?
Operation i neih zawh chuan intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung an awm ang. Feeding tube-ah i tan ang. Natna thunun nan damdawi pek i ni ang. Damdawi inah kar hnih vel i awm a ngai mai thei.
Damdawi ina a awm lai hian, .
- Compression stockings ha turin leh thisen zam lo turin kal turin an hrilh ang che .
- I lung a thianghlim theih nan thawk lakna exercise i tih a ngai a ni.
- Feeding tube leh hliam fai dan tur zirtir i ni ang.
A side effect leh risk te chu engte nge ni?
Eng surgery pawh hian side effect engemaw zat a nei thei a, a hlauhawmna hriat a pawimawh hle.
| Side effect awm fo thin | Risk hriat tur awm |
|---|---|
| Chau lutuk | Lung lama harsatna, a bik takin pneumonia |
| Chaw chakna | Anastomotic leak a awm |
| Chaw ei laiin natna | Lung natna (Atrial fibrillation) . |
| Gas leh bloating ang chi hrehawmna | Thusawi emaw ei harsat (Dysphagia) . |
| Nausea leh luak chhuak | Hliam atanga thisen chhuak, natna hrik, thisen zam |
Heng symptoms tam zawk hi i dam chhoh zel chuan a reh ang a, mahse ngaihtuahna i neih chuan doctor rawn nghal tur a ni.
Engtikah nge doctor ka biak ang emaw, damdawi inah ka kal ang?
Recovery period chhung hian harsatna thenkhat a awm thei. A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni.
- Natna emaw, khawsik emaw a pun chuan
- Incision chhehvel chu a sen a, a lum tih a hriat chuan
- Taksa a chak lo a nih chuan
- Thâwk harsa i neih emaw, i rilru a na emaw a nih chuan
- A pum a lo hring emaw, a bawlhhlawh a dum emaw a nih chuan
- I rilru a na a nih chuan
- I khuh chhunzawm zel a nih chuan
- Mit emaw vun emaw var a rawn sen chuan (Jaundice) .
- I ei harsa emaw, i taksa rihna tihtlem chhunzawm zel emaw a nih chuan
Ngaihtuah nghal rawh! A hnuaia thil hi a lo thlen chuan Emergency Department (ETU) hnai ber pan nghal la , 1990 ah call rawh.
* I ei thei lo emaw, i thawk thei lo emaw a nih chuan.
* Thisen i luak a nih chuan.
* Natna nasa tak i neih chuan, a bik takin rilru natna i neih chuan.
Take-Home Thuchah a ni
- Esophagectomy hi damdawi lam thil engemaw zat atana tih thin, nunna chhanhim thei surgery pawimawh tak a ni.
- Meizial zuk bânsan a, zai hmaa zunthlum ang chi natna te thunun a, rah ṭha a chhuah theih a ni.
- Recovery period hi a rei thei a, chuvangin dawhthei la, doctor thupek zawm rawh.
- Surgery hnuah i nunphung, a bik takin i ei leh in dan chu a danglam dawn a ni. Ni khatah vawi tam tak chaw te te ei thin ang che.
- Vaukhânna chhinchhiahnate chu fimkhur rawh. Thil ngaihtuah tur i neih chuan damdawi lam thurawn lak hi tihkhawtlai suh.
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