Nu naupai i nih chuan i naute tan engkim a tha em tih i ngaihtuah fo mai thei. Scan i neih apiangin i hlauthawng deuh thin. A châng chuan beisei loh takin scan-ah i naute hian piansualna a nei tih a hriat theih. Chutiang huna lungngaihna leh hlauhna i neih chu tawngkam hmanga sawi chhuah a har hle. Amaherawhchu, tunlai hian damdawi lam hi a changkang hle. Nausen pum chhunga a la awm laiin, naute pian hun nghak lovin, surgery tih hmangin buaina chu i siam tha thei tih i hria em? Chu chu ‘Fetal Surgery’ kan tih chu a ni.
A awlsam zawngin, Fetal Surgery hi eng nge ni?
Fetal surgery, a awlsam zawngin, naute chu i nausen pum chhunga a la lo thanglian zel laiin operation tih a ni. Doctor thenkhat chuan prenatal surgery an ti bawk. Naute pian hnua nunna atana hlauhawm emaw, chak lohna nasa tak thlen thei emaw, harsatna lian tham tak chu inrawlh leh enkawl a ni. Beiseina chu naute nunna chhanhim emaw, naute pian hnua nun hrisel leh rahbi thar neih theihna chance tihpun emaw a ni.
Eng dinhmunah nge hetiang surgery hi a tul?
Hetiang surgery hi nau piangsual zawng zawng tan tih a ni lo. Thil pawi tak, special case-ah chauh tih a ni. Hetiang hian han ngaihtuah teh.
- Naute nunna atana hlauhawm nghal a awm chuan: Entîr nân, naute lungah hian tumor lian tak (lung malformation) a lo awm tawh tih han ngaihtuah teh, chu chuan naute thinlung te tak te chu a hmet tlat a ni. Chutiang a nih chuan naute chu a pum chhunga a la awm laiin heart failure-ah a lut thei a, chu chuan nunna a tichhe thei a ni. Chutiang a nih chuan doctor-te chuan nausen pum chhunga a la awm laiin operation an ti thei a ni.
- Nau neih hnua rualbanlote tihtlem: Naute nunna atana hlauhawm nghal lo, mahse a pian hnua chak lohna nasa tak thlen thei dinhmun thenkhat a awm. Entirna tha tak chu Spina bifida hi a ni a, chu chu naute ruhro (spinal cord) a khar tha lo tihna a ni. Hei hian nerve a tichhe thei a, naute chu a pian hnua a kal emaw, a ril leh a bladder control emaw a ti harsa thei a ni. He surgery hi naute pum chhunga a la awm laia tih a nih chuan nerve tihchhiatna a tihziaawm thei a, naute chu a pian hnuah nun tha zawk a pe thei a ni.
A pawimawh ber chu he surgery tih tura thutlukna siam hi uluk takin siam a ni a, nu leh naute hriselna chungchanga thil tam tak ngaihtuah a nih hnuah.
Hetiang surgery hi tuin nge ti thin?
Hei hi eng surgery pawh a ni lo. Doctor specialised tak tak team lian tak a mamawh a ni. Superhero team ang mai a ni. He team-ah hian a tlangpuiin:
- Naupang Surgeon: Hengte hi a changtu ber an ni. Naute pian hnuah, nausen pum chhungah pawh surgery tih theihna tur training bik an dawng tawh a ni.
- Maternal-fetal medicine specialist: Hengte hi naupai laia harsatna awm thei specialist te an ni. Nu leh naute hriselna an enkawl vek a ni.
- Anesthesiologists: Nu leh naute pahnih anesthesia (numbing out consciousness) pek dan tur training bik dawng tawhte.
- Fetal Cardiologists: Naute thinlung hnathawh dan chiang taka en thin.
- Fetal Imaging Specialist: Naute dinhmun chiang taka doctor-te hnena hriat theihna tura ultrasound leh MRI technology hmanraw changkang tak tak hmangtute.
He surgery buaithlak tak hi a hlawhtlin theih nan mi zawng zawng kan thawk ho a ni.
Nausen zai dan tlangpui chu engte nge ni?
Doctor-te chuan he surgery hi tih dan hrang hrang an nei a. A hman dan tur chu naute dinhmun leh nu hriselna te a zirin an rel thin. A hmanraw pawimawh ber berte han thlir ila.
| Surgery tih dan tur | Hrilhfiahna |
|---|---|
| Open Fetal Surgery neih a ni | Hemiah hian nu chu general anesthesia pek a ni. Chumi hnuah chuan Doctor chuan nu pum chu a tan a, nausen pum chu a la chhuak leh thin. Tichuan, nausen pum pawh tlem an tan a, naute chu an enkawl a. Mahse naute chu nausen pum a\angin a chhuak kim lo. Surgery an tih zawh chuan nausen pum leh pum chu uluk takin an inzawm khawm leh thin. Tichuan, naupai chu a rei thei ang bera chhunzawm zel a ni. |
| Fetoscopic Surgery hmanga tih a ni | Hei hi ‘keyhole surgery’ ang mai a ni. Incision lian tak siam ai chuan pum leh nausen pum chhungah khur te tak te tlemte chauh siam a ni. Heng khur atang hian tube te tak te, camera te tak te, fetoscope an tih chu an dah lut a. Camera atanga thlalak atanga a lan dan chuan doctor hian hole dang atanga instrument te tak te dah luh hmangin operation hi a ti thin. Hei hi nu tan chuan a traumatic lo zawk. |
| Nau neih laia surgery tih (EXIT Procedure) 1.1. | Hei hi kalphung bik tak a ni. EXIT tih hi Ex-utero Intrapartum Treatment tihna a ni. Hei hi naute kawngah hian tumor lian tak ang chi a awm a nih chuan emaw, thawkna kawng a inkhar emaw a nih chuan tih thin a ni. Hemiah hian cesarean section (C-section) ang maiin nausen pum chu hawn a ni a, naute lu leh kekawrte chauh lakchhuah a ni. Mahse umbilical cord chu a tan lo. Naute chu placenta nen a la inzawm tlat avangin nu hnen atangin oxygen a dawng thin. Hetih lai hian Doctor ten naute thawkna kawng an buatsaih a, a mah chauha thawk thei turin an siam a ni. Chumi hnuah chauh chuan umbilical cord chu a tan a, naute chu a chhuak vek a ni. |
Heng surgery hmang hian eng dinhmun nge enkawl?
- Spina Bifida/Myelomeningocele: Pianpui atanga lo piang chhuak, ruhro (spinal cord) a chhiatna a ni.
- Congenital Lung Malformations: Tumor emaw, lung chhunga a lo thang dan pangngai lo emaw a awm.
- Congenital Diaphragmatic Hernia (CDH): Pum chhunga taksa peng hrang hrangte chu rilru chhungah a rawn chhuak a.
- Monochorionic Twin Complications: Twin-to-Twin Transfusion Syndrome ang chi natna chi hrang hrang, nausen piang inang, nausen pahnih (twin) te zingah a awm thin.
- Sacrococcygeal Teratoma (SCT): Naute ruhro bul atanga lo chhuak tumor lian tak a ni.
- Congenital High Airway Obstruction Syndrome (CHAOS): Naute pian tirh atanga a thawk kawng a inkharkhip thinna a ni.
- Lower Urinary Tract Obstruction (LUTO): Naute zun kawng a block.
Operation hma leh operation hnuah eng nge thleng?
Surgery neih hmain
I naute hian heng harsatna zinga pakhat a vei tih hmuhchhuah a nih chuan i medical team chuan nang leh i naute hi uluk takin an lo enfiah ang. I naute dinhmun te, a nasat dan te, leh enkawlna kawng hrang hrang awmte chu chiang takin an hrilhfiah ang che. He hun hi nang leh i chhungte tan chuan hun harsa tak a ni. Chuvangin, i medical team te chuan mi zawng zawng tana enkawl dan tur tha ber tur rel turin an pui ang che.
Surgery an neih hnuah
Surgery zawhah chuan ni engemaw zat damdawi inah i awm a ngai dawn a, chu chu surgery chi hrang hrang a zirin a ni. Chumi chhung chuan medical team chuan nang leh i naute chu an enkawl chhunzawm zel ang. A châng chuan, nau neih hmaa nau neih a ngai thei bawk. Tin, hetiang surgery hi tih a nih chuan naute hi planned C-section hmanga nau neih a nih a rinawm ber bawk. Naute a pian hnuah Intensive Care Unit-ah enkawl belh a ngai mai thei.
Eng nge a hlawkna leh a hlauhawmna?
Surgery dang ang bawkin he surgery hian hlawkna leh hlauhawmna a nei vek a ni. Thutlukna siam hmain a pahnih chungchang hi hriat chian a pawimawh hle.
| Hlawkpuina | Risk a awm thei |
|---|---|
| Naute tan hlawkna a awm | |
| He surgery hi naute nunna chhanhim nan an ti fo thin . Spina Bifida ang dinhmunah chuan zai hmasak hian nerve chhiatna a tihziaawm thei a, hei hian naute pian hnua a kal theihna leh a bladder control theihna a pui thei a ni. | |
| Nu leh naute tan hlauhawmna | |
Nu tana hlauhawmna: 1.1.
| Naute tana hlauhawm thei turte:
|
I naute hian piansualna a nei tih i hriat chuan, i rilru a buai a, i lungngai a, i hlauthawng tih i hriat chu thil pangngai a ni. Thu tlûkna siam chu a châng chuan a harsa thei hle. Mahse, nangmah chauh i ni lo tih hre reng ang che. I doctor leh medical team te chu tanpui turin an awm reng a ni. I mamawh zawng zawng an pe thei che a, nang leh i naute tan duhthlanna tha ber siam turin an kaihruai thei bawk che a ni.
Take-Home Thuchah a ni
- Fetal Surgery hi nausen pum chhunga a la awm laiin specialized surgery tih a ni. Hei hi naute nunna chhanhim nan emaw, rualbanlona na tak tak tihziaawm nan emaw tih a ni.
- Hei hi piansualna zawng zawng tana tih tur a ni lo. Thil pawi tak tak, thlan bikteah chauh tih a ni.
- Hei hian medical team specialized tak takte puihna a ngai a ni.
- Thil tih dan lian tak tak a awm a, chung zingah chuan open surgery, keyhole surgery (fetoscopic), leh nau neih laia surgery tih (EXIT) te pawh a tel.
- He surgery hian hlawkna a nei a, mahse nu leh naute tan pawh hlauhawmna a keng tel bawk. Thutlukna i siam hmain doctor nen sawiho hmasa phawt ang che.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh