Hartmann-a Procedure chu eng nge ni? A chanchin awlsam takin i zir ang u.

I rilruah natna khirh tak, blockage, a nih loh leh cancer i neih a, operation lian tak i mamawh a nih chuan engtin nge ni ang? A châng chuan, doctor-te chuan nunna chhanhimna operation an tih thuai a ngai ṭhîn. Chutiang thila hman dan bik pakhat chu Hartmann’s Procedure an ti a. A hming hi a hlauhawm deuhin a lang thei a, mahse thil thleng tak tak, engvangin nge tih leh operation hnua thil thleng tih hi chiang tak leh awlsam takin sawi ila.

A awlsam zawngin, he Hartmann procedure hi eng nge ni?

Hartmann procedure chu kan intestine lian (colon) surgery tih a ni. A bik takin kan intestine lian tak natna hmun, a bik takin bawlhhlawh chhuahna hmun hnuhnung ber, sigmoid colon, leh a chang chuan rectum chunglam chu tan chhuah leh lakchhuah a ni.

Tunah chuan intestine natna nei chu lakchhuah hnuah, a hrisel la awm pahnih chu inzawm leh a ngai tih han ngaihtuah teh. Mahse, natna khirh tak, natna hrik emaw, harsatna dang emaw a awm chuan a ruala a hmun pahnih inzawm leh chu a hlauhawm hle . Chutianga tih chuan hri kai chu a darh leh thei a, chu chu harsatna lian tak a ni thei.

Chuvang chuan doctor-te chuan intestine peng pahnih la awmte chu dam turin hun an pe a ni.

1. Anus (rectal stump) nena inzawm intestine tawp chu hun eng emaw chen sewn closed a ni.

2. Intestine lian tak tawp hrisel tak, a chung bera awm chu pum chhunga inhawng (stoma) te tak te, abdominal wall-a siamah a inbun a.

Hetah hian he pum chhunga he hawnna thar hmang hian bawlhhlawh chu a chhuak thin. Hei hi colostomy an ti a . He stool hi khawn khawm tur hian chu hawnna pawnah chuan bag bik (colostomy bag) an dah a.

Hei hi inthlak danglamna lian tak angin a lang thei a, mahse hei hi hun eng emaw chen atana chinfelna a ni fo tih hre reng ang che . Bowel a dam tha tawh (thla 6-12 vel) chuan operation dang tih leh theih a ni a, chu chu bowel hmun pahnih block tawhte chu inzawm lehin, colostomy chu khar a ni.

Engvangin nge he surgery hi i mamawh?

Hartmann procedure tih a nih chhan lian tak tak engemaw zat a awm. Intestine thenkhat lakchhuah leh colostomy dah chhan hrang hrang a awm.

Engvangin nge intestine thenkhat chu lakchhuah a nih?

• Obstruction: Intestine hmun khatah blockage a awm a, chu chuan stool a che thei lo.
• Perforation: Intestinal wall-ah khur a lo awm a, stool chu abdominal cavity-ah a luang lut a nih chuan hei hian abdominal cavity zawng zawngah infection (peritonitis) a darh thei a ni.
• Infection emaw natna emaw thunun theih loh: Infection thenkhat (e.g., complicated diverticulitis) emaw cancer ang chi natnaah chuan a darh zel loh nan a natna hmun chu lakchhuah a ngai thei.

Engvangin nge colostomy hi dah a nih?

A chunga kan sawi tawh ang khan emergency-a zai a nih chuan damlo taksa a chak lo a, hri kai theihna a sang hle. Chutiang dinhmunah chuan intestine peng hnih (anastomosis) inzawmkhawm hi a hlauhawm hle. Chuvangin Doctor-te thil tum hmasa ber chu damlo nunna chhanhim hi a ni. Colostomy hian intestine chu a dam theih nan hun a pe a, chutah chuan a pangngai zawka awm leh turin a remchan zawk, risky lo zawk, reoperation a phalsak bawk.

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Surgery tih dan leh a kalphung

He surgery hi kawng lian pahnih hmanga tih theih a ni:

1. Open Surgery: Surgery hi pum chhunga incision lian tak hmanga pum chhung hawn a ni. Hetiang method hi emergency leh complex case-ah hman a ni ber.

2. Laparoscopic Surgery: Surgery hi pum chhunga incision tenau engemaw zat hmanga tih a ni a, camera leh instrument bik hmanga tih a ni. Dam chak zawk mah se, he method hi damlo zawng zawng tan a tha lo.

Surgery neih hmain

Surgery atana inbuatsaih mek i nih chuan darkar 6-12 chhung chaw nghei tura tih i ni ang. I intestines tihfai nan special liquid (bowel preparation) pek i ni thei bawk. Damdawi inah i dah hnuah i kut vein pakhatah saline cannula dahin tui leh damdawi pek i ni ang.

Surgery neih lai hian

Surgery hi general anesthesia hmanga tih a ni. Surgeon chuan intestine natna hmun chu a la chhuak a, rectum tawp chu a khar a, a tawp dang chu pum chhungah a dah bawk.Stoma chu a hawnna hmunah a inzawm tlat a ni. A tawpah chuan colostomy bag chu an bun a, surgical wound chu suture an ni. Hetiang zawng zawng hi darkar hnih atanga darkar li vel a ni thei.

Operation hnuah

Surgery zawhah recovery room-ah hruai hmasain i dinhmun a nghet tawh chuan ward-ah sawn i ni ang. Damdawi inah ni 7-10 vel i awm a ngai ang.

• A tir lamah chuan natna tidamtu, antibiotics, leh tui te chu saline hmangin pek a ni ang.
• Intestine hnathawh leh theih nan ni engemaw zat a la ngai thei.
• Pakhatnaah chuan liquid food pek an ni a, zawi zawiin solid foods-ah an dah lut thin.
• Nurse bik training nei chuan nang leh i chhungte chu colostomy bag tihfai leh thlak dan te, stoma enkawl dan tur (stoma care) te a zirtir ang che.

A hlauhawmna leh a nghawng tha lo awm thei te chu engte nge ni?

Surgery dang ang bawkin, hlauhawmna engemaw zat a awm a, mahse, a him tawk lo anga ngaih a ni.

• A hlauhawm thei: hliam natna, lung natna (pneumonia), chhungril thisen chhuak, intestinal leakage, a chhehvel taksa peng tihchhiat, hernia siam.
• Side effect awm thei te:
• Temporary ileus: Operation hnua intestine hnathawh tan leh theih nan hun engemaw chen a ngai thin.
• Anal discharge: Bowel movement nei lo mah la, a chang chuan mucus ang chi tui a chhuak thei a, chu chu a hnute kawng la awm atang hian a chhuak thei bawk. Hei hi thil pangngai a ni.
• Sexual dysfunction: A tam lo hle a, operation hian sexual function-a inrawlh nerve te a tichhe thei a ni. Hemi chungchangah hian ngaihtuahna i neih chuan i doctor nen inbia ang che.

Dam leh dam lehna

A dam kim theih nan hun engemaw chen a ngai a ni.

• Kar 4-6: Natna damdawi hman tlem la, ei leh in pangngaiah kir leh la, exercise light tak chu tan leh rawh.
• Thla 3-6 chhung: Colostomy bag hmanga nun hman thiam, taksa lama dam kim tawh anga inhriat.

Colostomy hi tihdanglam theih a ni em? (Reversal) tih a ni.

Hei hi mi tam tak tan chuan harsatna lian ber a ni. Ni e, a tam zawkah chuan a let leh thei.

I surgery hmasa ber atanga thla 6-12 vel hnuah i surgeon chuan i hriselna a enfiah leh ang. I hrisel a, i ril a dam tha a, operation dang i tuar thei a nih chuan reversal surgery neih i thlang mai thei .

Mahse, cancer hi taksa pum puiah a darh tawh a nih chuan, systemic disease na tak a awm a nih chuan, emaw, damlo chu a chak lo hle a nih chuan doctor chuan operation vawi hnihna neih a rawt lo mai thei. Heng zawng zawng hi i doctor nen inhawng takin i sawi thei ang.