Kan chaw ei tur (digestive system) hian thilmak a ti a, chu chuan kan ei tur chu a dik taka a ei theih nan leh a hip lut thei a ni. Mahse, han ngaihtuah teh, he zinkawngah hian khawi emaw laiah, kawngpui khar ang maia daltu a awm a nih chuan eng nge thleng ang? Chaw ei hian hma a sawn thei lo. Chutiang hunah chuan operation bik chu Gastrojejunostomy an ti a, chu chu chu daltu chu paltlang a, ei tur kal tlang theihna tur kawng thar siam nan hman a ni. Doctor-in he thu hi a hrilh che a ni thei a, a nih loh leh i hre tawh a, hriat duhna i nei tawh mai thei bawk. Hemi chungchang hi awlsam takin, i hriatthiam theih angin i sawi ang u.
A awlsam zawngin Gastrojejunostomy surgery hi eng nge ni?
Gastrojejunostomy hi surgical procedure a ni a, chu chuan i pum leh i small intestine lai tak, jejunum an tih chu inzawmna thar a siam a ni. Phên dangin sawi ila, chaw chu pum atanga chaw chu duodenum chhunga lut lovin, a lai tak, duodenum an tih, a lai takah a kal tir thei a ni. He inzawmna thar hi damdawi lam tawng chuan anastomosis an ti a.
Kawngpuiah khur lian tak laih a, lirthei kal theih lohna tura siam chu han mitthla teh. Tichuan, khur lehlamah kawngpui thar kan titawp a, lirthei te chu kan thawn chhuak ta a ni lawm ni? Chu chu he surgery hian a ti a ni.
Mahse thil pakhat hriat reng tur a awm. Thil dang pakhat pawh a awm a, chu chu a chang chuan chutiang bawka an sawi thin. Chu chu feeding tube a ni a, chu chu small intestine-a thun a, ei tur harsa tak takte chawmna tur tube a ni. Tin, pum chhungah a kal a, jejunum chhungah a lut bawk a, chuvangin gastrojejunostomy tube an ti a ni. Mahse chu chu major surgery kan sawi chu a ni lo. Chu chu kalphung hran a ni.
Engvangin nge hetiang surgery hi kan mamawh?
He surgery an tih chhan ber chu pum atanga ei tur kalna kawngah emaw, small intestine hmun hmasa berah emaw inkharkhip a awm vang a ni. He daltu hian ei tur chu hmalam pan turin a veng a ni. Chutiang dinhmun chu engemaw zat a awm.
| Dinhmun | Hrilhfiahna A awlsam |
|---|---|
| Gastric Outlet tihkhawtlai (GOO) 1.1. | Pylorus, chaw ei tur chu small intestine-a a luhna kawngkhar hnuai lama hawnna chu eng emaw chhan vangin a inkharkhip thin. |
| Duodenal Obstruction a awm | Obstruction hi pum chhungah ni lovin, a hnua small intestine (duodenum) hmun hmasa berah a awm a ni. |
| Pum emaw Duodenal emaw Cancer a awm thei | Cancer natna avanga chaw kawngkhar (esophagus) a inkharkhip emaw, tumor lakchhuahna atana surgery neihnaah emaw a awm. |
| Peptic Ulcer natna a ni | Hliam dam loh avanga thisen chhuak, chaw ei kawng tikhawlo thei hliam hliam te ang chi harsatna te. |
Chu bâkah, a châng chuan nakin lawka harsatna awm thei tûr ven nân he surgery hi an ti bawk .
- Small intestine-a trauma: Small intestine hmun hmasa ber chu nasa taka chhiat a nih chuan, accident ang chiah hian, he bypass hi ei tur a dam hma loh chuan a kal pelh loh nan tih a ni. Chutiang a nih loh chuan hliam atang hian khur pangngai lo (fistula) a lo awm thei a, a bul hnaia taksa peng hrang hrang, pancreas ang chi te chu a tichhe thei a ni.
- Pancreatic Cancer: Pancreatic cancer hi small intestine bulah a awm a, surgery hmanga lakchhuah theih a nih loh chuan nakin lawkah a lo thang lian thei a, food pipe a block thei bawk. Chutiang a nih hma chuan doctor-te chuan fimkhur nan he surgery hi tih an rel mai thei.
Surgery neih hmain eng nge thleng? Engtin nge inbuatsaihna chu?
Medical team chuan operation hmain a hrisel thei ang bera awm tir che an tum ang. Ngaihtuah teh, chaw kawngkhar (esophagus) block nei mi pakhatin chaw a ei thei lo va, a luak chhuak reng bawk. Hei hian dehydration leh malnutrition a thlen thei a ni . Chuvangin heng thilte hi surgery hmain siamthat a ngai a ni.
I medical team te hian hetiang hi an ti thei ang:
- Saline (IV fluids): Fluid retention leh electrolyte imbalance siamthat nan saline hi vein-ah dah a ni.
- IV nutrition: Ka ei theih loh avangin ei tur tul chu vein-ah direct-in pek a ni.
- Thisen pek: Thisen tlakchhamna i neih chuan thisen pek a ngai mai thei.
- Antibiotics: Operation hnua hri kai loh nan antibiotics pek hmasak thin a ni.
- Gastric decompression tih hi a awm lo.Hnar kaltlangin tube pakhat chu pum chhungah dah a ni a, a chhunga thil thenkhat chu lakchhuah a ni a, pressure tihhniam nan. Hei hian anesthesia pek hunah himna a tipung a ni.
Surgery neih chhung hian eng nge thleng?
He surgery hi tih dan hrang hrang awm mahse, hengte hi a tlangpuiin step hrang hrang a awm thin.
1. Anesthesia: A hmasa berin i muthilh kim vek (general anesthesia). Engmah i hre lovang.
2. Gastric emptying: Tube hi hnar emaw, ka chhung emaw hmangin kan thun a, chu chuan pum chhunga thil awmte chu paih chhuakin, pressure tihhniam a ni.
3. Pum chhunga lut: Surgeon chu pum chhungah a lut a. Hei hi kawng hnih in tih theih a ni. Pakhat chu open surgery , chu chu pum chhungah incision te tak te siam a ni. A dang chu laparoscopic surgery a ni a, chu chu pum chhungah hliam tenau tlemte siamin camera leh instrument te tak te dah a ni. Hei hi "keyhole surgery" an ti bawk.
4. Buaina awmna hmun hriat chian: Pum emaw, intestine te tak te chhunga obstruction awmna hmun dik tak chu hmuhchhuah a ni.
5. Small intestine buatsaih: Small intestine hmasa ber (duodenum) tawp atanga centimetre 10 vel a hlaah a lai lam (jejunum) atang hian loop siam a ni.
6. Connection thar siam: Small intestine section siam chu obstruction atanga centimetre 5 tal a sangah pum nen inzawm a ni. Hei hi a hmaa kan sawi tawh ‘bypass’ kawng thar a ni.
7. Inspection: Anastomosis siam thar chu a inzawm tha em tih leh leakage a awm loh nan kawng hrang hrang hmangin enfiah thin a ni.
8. Surgery zawh: Engkim a tha vek chuan incision/hole siam te kha khar a ni ang a, surgery chu tihfel a ni ang.
A tlangpuiin, he surgery hi darkar hnih aṭanga darkar li vel a ni thei .
Surgery hnuah eng nge thleng?
Surgery zawhah damdawi inah dah i ni ang. Chaw pangngai ei tan nghal theih a ni lo. Ni hmasa berah chuan i rilru a na deuh mai thei. A chang chuan operation hnuah i intestines chu "lazy" (paralytic ileus) deuhin a lo awm thin. Chumi awmzia chu an function a slow deuh tihna a ni.
A tirah chuan vein hmangin saline leh nutrition pek i ni thei. Tichuan, clear liquid diet hmangin i tan thei ang , zawi zawiin soft diet-ah i kal ang a, chutah chuan zawi zawiin in lama i haw hmain ei tur pangngai i rawn luhtir thei ang. Mi thenkhat chuan an pum chhunga connection thar awm chu an insiamrem theih nan kar tlemte a ngai mai thei. Hetih lai hian tube kaltlangin emaw, thisen kaltlangin emaw pek chhunzawm zel a ngai mai thei.
He surgery avanga hlauhawm leh harsatna awm thei te chu engte nge ni?
Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Hengte hi mi zawng zawngin kan tawng vek dawn lo a, mahse hriat chian a tha.
| Risk chi hrang hrang | Hrilhfiahna |
|---|---|
| Surgery eng pawha risk awm tlangpui |
|
| He surgery atana risk bikte | Anastomotic leak: Hei hi thil awm lo tak a ni. Connection siam thar chu a seal tha lo va, pum emaw, intestinal emaw chhunga thil awmte chu abdominal cavity-ah a leak lut thin. Hei hian natna khirh tak tak a thlen thei a ni. He natna hi thisenah a lut a nih chuan nunna atana hlauhawm (sepsis) a ni thei. |
Operation hnua side effect lo awm thei te
Surgery hi hlawhtling mahse hun kal zelah side effect thenkhat a awm thei. Chung zinga a tam zawk chu thunun theih a ni.
| Side Effect a awm thei | Eng thil nge thleng? |
|---|---|
| Dumping Syndrome a awm a ni | Chaw ei chu rang tak leh rang takin pum atang hian small intestine ah a "dump" thin. Hei hian symptoms a thlen a, chu chu nausea, bloating, pum na, chaw ei zawha thawk hah te a ni. Hei hi taksain a insiamrem chuan hun engemaw chen hnuah a reh tlangpui. |
| Marginal Ulcer a awm a | A tlangpuiin stomach acid hi pum chhungah leh small intestine peng hmasa berah a awm thin. Chu hmunte chu tuar thei tura siam a ni. Mahse he bypass avang hian stomach acids te hi small intestine (jejunum) lai takah a lut nghal a ni. Chu part chuan acids te chu a tuar thei lo. Chuvangin, chutah chuan ulcer a lo awm thei a ni. |
| Bile Reflux a ni | A tlangpuiin chaw ei tichaktu thil, bile ang chi te chu pum chhungah a luang lut leh thei lo. Mahse he inzawmna thar avang hian chu thilte chu pum chhungah a luang lut leh thei ta a ni. Hei hian pum chhung bang a ti na thei a ni. |
Engtin nge dam leh hun chu?
A tlangpuiin a dam kim theih nan kar ruk vel a ngai a, mahse hei hi i surgery chi hrang hrang (open emaw laparoscopic emaw) leh i taksa dinhmun a zirin a danglam thei.
I medical team chuan i incisions enkawl dan tur te, natna enkawl dan tur te, leh in lama i haw hnua i hnathawh pangngai i thawh leh theih hun tur te an hrilh ang che. I operation hnu kar engemaw zat hnuah inhmuh leh hun tur an pe bawk ang che.
Operation hnu thla engemaw zat chhung chu ei leh in bik i zawm a ngai mai thei a, a bik takin ei tur sugar tamna ei loh tur leh vitamin supplement ei loh tur a ni.
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
In lama i haw hnua a hnuaia chhinchhiahnate hi i neih chuan i doctor emaw, i enkawlna damdawi inah emaw hriattir nghal rawh .
- Incision chhehvelah hian a sen, a na, a hring emaw, a lum emaw i hriat chuan (hengte hi natna kai chhinchhiahna a ni).
- Khawsik 100° Fahrenheit (38° Celsius) aia sang i neih chuan.
- Natna chu thunun harsa a nih chuan.
- Chaw ei harsatna emaw, ei tur tihhniam emaw i neih chuan.
- Persistent diarrhea i neih chuan .
- I vun emaw i mit var emaw chu a sen a nih chuan .
Take-Home Thuchah a ni
- Gastrojejunostomy hi surgery a ni a, chu chuan pum atanga chaw kawng (esophagus) thlenga ‘bypass’ kawng thar a siam a ni.
- Hei hi chaw ei kawng tikhawtlai, cancer, emaw, pum chhunga natna khirh tak tak te enkawlna atan an ti ber a ni.
- Operation hmain taksa dinhmun tha ber tura i awm theih nan a tul anga enkawlna pek i ni ang.
- A dam leh theih nan hun a duh a, a bik takin ei leh in thlak danglam thiam hi a ngai a ni.
- Side effect thenkhat chu operation hnuah a awm thei a, mahse a tam zawk chu enkawl theih a ni.
- I doctor thupek ang chiah kha zawm rawh. Risk symptoms i neih chuan doctor advice la nghal rawh.
- Hei hi i nunah inthlak danglamna lian tak a nih avangin he zinkawngah hian i medical team hnen atanga i mamawh tanpuina leh thurawn zawng zawng lak hreh suh.
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