Doctor-in i nausen piang lai hian piansualna a nei tih a hrilh che chuan nu pakhatin a natna leh hlauhna a neih chu sawifiah theih loh a ni. Mahse tunlai damdawi lama hmasawnna a awm tak avangin a chinfel dan tur beisei awm tak tak a awm ta a ni. Chumi zinga pakhat chu nausen surgery a ni. Hei hi thupui buaithlak tak ni mah se, awlsam tak leh i hriatthiam theih tur angin i sawi ang u.
A awlsam zawngin, fetal surgery tih hi eng nge ni?
Fetal surgery chu i naute chu i pum chhunga a la seilian laia surgery tih a ni. Hei hi `in-utero surgery` an ti \hin. Motor-in a engine lama harsatna nei ang maiin han ngaihtuah teh, mahse car atanga lak chhuah ai chuan a chhunga a la awm laiin an siam tha leh thin. Hemiah hian naute chu a pum chhunga a la awm laiin surgeon-te chuan an enkawl thin.
Hei hian tum lian pahnih a nei a. Pakhat chu naute nunna tichhe thei thil siam that a, naute nunna chhanhim hi a ni. A dang chu nau piang hnua chak lohna lian tham lo thleng thei te tih tlem a , naute chu nun tha tak neih theihna hun remchang pek a ni .
Engvangin nge he surgery hi i neih a ngaih?
Nausen piangsual thenkhat hian nausen pum chhunga a la awm laiin nghawng na tak a nei thei a ni.
Entîr nân, naute lungah hian tumor lian tak a lo awm tawh ang tih han ngaihtuah teh. A lo seilian chhoh zel chuan naute thinlung te tak te chu a na tan ta a. Chutiang a lo thlen chuan thinlung a chak lo ang a, nausen pawh a thi mai thei.
Thil dang pawh a awm a, chu chu nunna atana hlauhawm nghal ni lo mah se, nau piang hnuah pawh dam chhung zawnga chak lohna a thlen thei a ni. Entirnan, spina bifida, ruh natna (spinal defect) hi a ni. Hei hi naute pian hnuah enkawl a ni tlangpui. Mahse, he surgery hi naute pum chhunga a la awm laia tih a nih chuan nervous system tihchhiatna chu nasa takin a tlahniam thei a ni. Chumi awmzia chu naute chu a pian hnuah a mah chauhin a kal thei dawn a, thil a ti thei dawn tihna a ni.
A pawimawh ber chu he surgery hi piansualna zawng zawng tan tih a ni lo. Nu leh naute dinhmun uluk taka an enfiah hnua specialist doctor team-in an rel a ni.
Engtin nge heng surgery te hi an tih thin? A hmanraw pawimawh ber berte chu engte nge ni?
Nausen surgery tih dan tlangpui pathum a awm a. Doctor-te chuan naute dinhmun leh i hriselna a zirin heng zinga pakhat hi an thlang thin.
| Surgery tih dan tur | A tih dan awlsam tak | Hun hman fo thin |
|---|---|---|
| Open Surgery neih a ni | Hemiah hian anesthesia pek che a ni a, i pum chu cesarean section ang maiin an tan a, i nausen pum chu lakchhuah a ni. Tichuan, i nausen pum pawh an tan a, naute chu a chhunga a la awm laiin an zai a ni. Tichuan, nausen pum leh pum chu an khar leh a, chu chuan naute chu a lo thang zel thei ta a ni. | Spina Bifida ang chi dinhmun khirh tak tak tan. |
| Fetoscopic Surgery hmanga tih a ni | Hei hi "keyhole" surgery a ni. Surgery hi pum leh nausen pum chhungah khur te tak te siamin, camera (fetoscope) leh hmanraw nalh tak tak te dahin an ti thin. Incision te hi a te hle. | Twin-to-Twin Transfusion Syndrome leh Congenital Diaphragmatic Hernia ang chi natna, twins inkara thleng thin. |
| Nau neih laiin operation tih (EXIT Procedure) 1.1. | Hei hi kalphung bik a ni. Cesarean section ang bawkin nausen pum chu hawn a ni a, naute hmun thenkhat, a lu leh a kekawrte chu lakchhuah vek lovin a chhuak a ni. Umbilical cord chu placenta-ah a la inzawm reng laiin naute chu enkawlna tul apiang (e.g., thawkna kawng tihfai nan) pek a ni a, chutah chauh chuan umbilical cord chu a tan a, naute chu a inthen vek a ni. | I kawr chhunga tumor lian tak avanga thawk harsatna i neih lai hian. |
Heng surgery hmang hian eng dinhmun nge enkawl?
Hengte hi a tlem hle a, mahse natna khirh tak tak a ni. Entirna thenkhat chu:
- Monochorionic twin lama harsatna awm thei
- Spina Bifida (`Spina Bifida` emaw `myelomeningocele` emaw) a awm thei.
- Congenital lung malformations a awm thin
- Pianpui atanga lo chhuak diaphragmatic hernia
- Sacrococcygeal teratoma (thil ruh hnuai ber a awm) .
- Urinary tract hnuai lam a tikhawlo
He zin chhung hian eng thil nge thleng? Operation hma leh operation hnuah
I naute hian heng piansualna zinga pakhat a nei tih hmuhchhuah a nih chuan hun sensitive tak a ni. Medical team chuan nang leh i naute chu uluk takin an lo enkawl ang che.
Operation hmain: 1.1.
- Diagnosis: Pakhatnaah chuan specialist-te chuan scan leh test dang hmangin naute dinhmun dik tak leh a nasat zia hriat chian a ni.
- Consultation: Chumi hnuah chuan medical team chuan nang leh i chhungte hnenah i duhthlan tur te, operation i neih chuan eng nge thleng dawn tih te, i tih loh chuan eng nge thleng dawn tih te, leh a hlauhawmna leh a hlawkna zawng zawng te an sawipui ang. Chu chuan thu tlûkna siam tûrin a ṭanpui ang che.
- Inbuatsaihna: Surgery neih i tum a nih chuan a tul zawng zawng i siam vek ang.
Operation hnuah: 1.1.
- Damdawi ina awm: Surgery neih dan azirin damdawi inah ni engemaw zat awm a ngai mai thei. Doctor leh nurse ten nang leh i naute chu an enkawl chhunzawm zel ang.
- Nau piang hma: A chang chuan he surgery hian naute chu a pian hun hmain a piang thei (`preterm labor`). Doctor ten damdawi an pe a, a titawp thei a, mahse a hlawhtling reng reng lo.
- Cesarean section: Nausen zai a nih chuan nausen chu cesarean section (`C-section`) hmanga nau neih a ngai ngei ang, a chhan chu nausen pum chhungah incision a awm vang a ni.
- Naute enkawlna bik: Naute pian hnuah naute thenkhat chu neonatal intensive care unit (NICU)-ah enkawl an ngai mai thei.
Eng nge a hlawkna leh a hlauhawmna?
Hei hi thutlukna lian tak a nih avangin a lam leh lam hi hriatthiamna tha tak neih a ngai a ni.
A hlawkna ber chu naute nunna a chhanhim thei a, nakin lawkah rualbanlo a nih theihna pawh nasa takin a tihtlem thei bawk. A bik takin `Spina Bifida` ang dinhmunah chuan zai hmasak hian naute chu a kal theihna a tipung a ni.
Mahse, risk a awm bawk . Chungte chuan nu leh naute pawh a nghawng thei a ni.
| Nu tan risk a awm | Naute tana hlauhawm thei tur |
|---|---|
| Anesthesia avanga side effects awm thei. | Hun hmaa nau neih. |
| Operation laiin thisen chhuah tam lutuk. | Nausen hnute (placental abruption) a awm. |
| Uterine cervix tihthianghlim emaw, hawn emaw. | Nausen pum chhunga amniotic fluid infection (a tlem hle). |
| Tuna naupai leh nakin lawka naupai tur chuan cesarean section a ngai thei. | Chorioamniotic membrane inthen darh a ni. |
Hetiang naupai buaithlak tak nen hian lungkhamna leh lungkhamna chu a nasa thei hle. Thu tlûkna siam chu nang leh i chhûngte tân a harsa thei hle. Nang leh i naute tan pawh result tha ber i duh a ni. I doctor te pawhin chutiang bawk chu an duh a ni. Chuvangin, i doctor hnenah zawhna i neih apiang zawh hreh suh. I mamawh zawng zawng an pe ang che a, thutlukna siamnaah pawh an thlawp ang che.
Take-Home Thuchah a ni
- Fetal Surgery hi surgical procedure hmasawn tak a ni a, naute chu nausen pum chhunga a la awm laiin piansualna chiang tak tak engemaw zat a enkawl a ni.
- Hei hi naute nunna chhanhim nan emaw, pian hnua rualbanlona lian tham lo thleng thei tur tih tlem nan emaw tih a ni.
- Hei hi thil buaithlak tak a ni a, nu leh naute tan pawh hlauhawmna lian tak a awm.
- Hei hi thutlukna sensitive tak leh siam harsa tak a ni. I rilrua i neih zawng zawng, i hlauhthawn zawng zawng, i rinhlelhna leh i zawhnate chu i doctor nen sawiho rawh.
- Chutiang dinhmunah chuan specialist kaihhnawih leh chutiang surgery ti thin damdawi in atanga thurawn lak a pawimawh hle.
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