I ei emaw, i in emaw hian i rilruah emaw, i rilruah emaw lump i nei em? A chang chuan i chaw ei tur a tlahniam lo ang maia i hriat avangin ei i hlau thin em? Hei hi Achalasia tih hming pu dinhmun tlemte vang pawh a ni thei. Hetiang dinhmun nena nun hi thil awlsam a ni lo. Chaw ei hi a harsa a, ei leh in tha lo chuan ei leh in lama harsatna pawh a thlen thei a ni. Chuvangin vawiin hian Heller Myotomy tih surgery kan sawi dawn a, chu chu hei hi enkawlna atana tih a ni.
Heller Myotomy surgery hi eng nge ni?
A awlsam zawngin, Heller Myotomy hi Achalasia enkawlna atana incision surgery tenau tak a ni. Achalasia hi thil awm lo tak a ni a, kan chaw kawng, a nih loh leh ei tur pipe a nghawng a ni. Hei hi chaw kawng atanga chaw kawng atanga chaw leh tui thawn chhuahna kalphung a thawk tha lo lai a ni.
"Myotomy" tih thumal hian taksa ruh (muscle) tihtlak tihna a ni. Heller Myotomy-ah chuan surgeon chuan i chaw kawng hnuai lama ruh ring pakhat, Lower Esophageal Sphincter (LES) tih chu a tikehsawm a. LES hi i esophagus hnuai lam leh i pum chunglam inkar a thu thin muscle thuk tak a ni. Valve ang mai a ni.
Achalasia i neih chuan LES muscle hi a inhawng tha lo a, a khar tha lo bawk. Hei hian chaw kawng (esophagus) atanga chaw kawng (esophagus) atanga chaw kawng a kal luh loh nan a veng a ni. Heller Myotomy surgery hian LES muscle chu a ti relax a, a hawng a, a thawk a ni.
He surgery hi tih dan dang fundoplication tih nen hian tih a ni fo thin . Hei hian surgeon chuan i pum section pakhat a la a, i esophagus-ah a khuh a ngai a ni. Hei hian stomach acid i esophagus (reflux)-ah a rawn chho leh theihna a ti tlem a ni.
A pawimawh ber chu Heller Myotomy surgery hi Achalasia damdawi tling tak a ni lo. Hun rei tak chhunga hahdamna a pe a, mahse, hun kal zelah he surgery hi tih nawn leh a ngai mai thei.
Operation hmain engtin nge i inbuatsaih thin?
Surgery atana i tling tih chian nan i doctor chuan operation hmain test eng emaw zat a ti ang. Entirnan, thisen test te, chest X-ray te, ECG te.
Surgery hma hian anesthesiologist anesthetize tur che chuan a bia ang che. Zawhna an zawt ang che:
- Anesthesia i lo nei tawh em a, engtin nge i tawn?
- Eng herb, damdawi, vitamin nge i hman?
- Zuk leh hmuam, zu leh ruihhlo dang i hmang em?
Surgery atana inbuatsaih nan thil tlemte i tih tur a awm. Chungte chu i doctor nen sawiho a, nemnghet tur a ni.
| Eng nge tih tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Nicotine hman tawh loh (eng chi pawh, cigarette leh e-cigarette te pawh tel) . | Nicotine hian i thisen kal dan a nghawng a, chu chuan operation hnua hliam damna a tikhawlo thei a ni. |
| Chaw nghei. | I doctor chuan operation hma darkar 6 emaw a aia rei emaw engmah ei lo turin a hrilh thei che a ni. I tih hmain tui thianghlim (tui ang chi) chu hun engemaw chen i in thei mai thei. Mahse he thu hi i doctor zawt ngei ang che. |
| Damdawi ina awm tura ruahmanna siam. | Hei hi surgery lian tak a nih avangin operation hnu ni khat tal damdawi inah i awm a ngai dawn a ni. Tin, mi pakhatin in lama hruai tur che leh darkar 24 hmasa ber i bula awm theihna tur ruahmanna siam bawk ang che. |
| Dam lehna tur ruahmanna siam. | Operation hnuah doctor chuan natna tidamtu damdawi a pe thei a ni. Anmahni i hruai hma chuan i khalh thei dawn lo va, chuvangin chutiang hna thawk tur chuan i tanpuitu tur zawng rawh. |
Engtin nge surgery hi tih a nih?
Tunah chuan surgery chhunga thil thleng hi han en ila. A tam zawkah chuan hei hi laparoscopic hmanga tih a ni . Chu chu telescope hmanga tih a ni. Hetah hian surgeon chuan i esophagus chhung en turin camera bun in instrument te tak te a hmang a, surgery tih nan instrument te tak te tak tak a hmang bawk.
- A hmasa berin anesthesiologist chuan i kut vein pakhatah IV line (tube saline pe thei ang chi) a dah ang a, i mut theihna tur damdawi a pe ang che. Surgery neih chhung hian engmah i hre lovang.
- A dawtah chuan surgeon chuan i pum (tummy) ah hian incision tenau tak tak 5 vel a siam ang.
- Tichuan, i pum chhung chu carbon dioxide gas in a khat ta a ni. Hei hi surgical instruments te sawn awlsam zawk nan leh esophagus leh pum chunglam chiang taka hmuh theih nan tih a ni.
- Tunah chuan doctor chuan chu incision atang chuan camera leh surgical instrument te te a dah lut ta a ni .
- Heng hmanrua hmang hian chaw kawng hnuai lama muscle layer chu a sei zawngin an tan a, LES chu hawn a ni.
- Tichuan, fundoplication an tih procedure chu an ti leh a. Hei hian chaw kawng chung lam a\anga a \hen lak a, chaw kawng (esophagus)-a khuh a huam a ni. Hei hian stomach acid lo chhuak tur a titawp a ni.
- A tawpah chuan camera leh hmanrua te chu an la chhuak a, chu incision te te chu an stitch up ta a ni.
He surgery zawng zawng hi darkar hnih vel a ni tlangpui.
Surgery hnuah eng nge thleng?
Operation hnua thil tawn hi mi hrang hrangah a inang lo deuh thei. Mahse a tlangpuiin damdawi inah zan khat i awm ang. Hemi chhung hian IV line hmangin tui leh ei leh in tur pek i ni ang. Chumi hnuah chuan recovery period a intan leh thin.
A pawimawh ber chu operation hnuah i esophagus a lo hring thei tih hi a ni. He hliam hi a tlahniam vek theih nan thla hnih vel a ngai thei. Chuvangin i ei leh in i thlak zauh zauh a ngai dawn a ni.
I medical team chuan hei hi an hrilhfiah ang che, mahse diet plan pangngai chu hetiang hi a ni.
| Hun | Chaw ei tur a awm |
|---|---|
| Ni khatna leh ni hnihna | Liquid thianghlim tak tak. Entirnan: vawk/bawnghnute hmin (diluted), jelly, ice pack, tui. |
| Ni thumna atanga ni sarih ni thlengin | Bawnghnute atanga siam chaw. Entirnan: ice cream, strained cream soup, Cream of Wheat emaw Cream of Rice ang chi porridge te. |
| Ni riatna atanga kar hnih chhung checkup thlengin | Chaw nêm tak tak. I doctor chuan engtikah nge solid foods i dah tan theih tih a hrilh ang che. |
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Hlawkpuina
Achalasia vei tam tak chuan non-surgical treatment dang a hlawhchham chuan Heller Myotomy an hmang thin. Hetiang tih dan a thatna ber chu achalasia symptoms te chu operation hnuah a bo vek a ni.
Tun hnaia zirchianna an neihah chuan he enkawlna dawng tawh zinga 87% leh 92% inkar hian an natna lan chhuah dan chu a bo tawh tih hmuhchhuah a ni. Mahse, kan sawi tawh ang khan hei hian achalasia hi a tidam kim lo. Surgery hnu kum 5-10 hnuah symptoms hi a lo lang leh thei bawk.
Risk a awm thei
Surgery lian dang ang bawkin Heller Myotomy hian hlauhawmna a nei a ni. Risk tlangpui chu thisen chhuah tam lutuk leh infection te a ni. Chu bakah, harsatna bik lo awm thei te chu:
- Barrett-a chaw kawng (esophagus) a ni
- Esophageal infection awm thei te
- GERD (gastroesophageal reflux natna) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
- Esophageal rupture a awm
Doctor hmuh hun tur
Operation hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- Surgery hmun chu a sen a, a hring a nih chuan.
- Surgical wound atanga pus lo chhuak a nih chuan.
- Liquid pawh i ei thei lo a nih chuan.
- Doctor-in a pek painkillers hian a natna a ti reh lo a nih chuan.
Heller Myotomy leh POEM surgery inkara danglamna
POEM tih procedure pawh i hre tawh mai thei. POEM hi Peroral Endoscopic Myotomy tih tawi a ni a . Heller Myotomy ang bawkin hei hi Achalasia natna enkawlna a ni bawk.
An pahnih danglamna chu POEM surgery-ah hian i pum chhungah incision siam a ni lo. Chu ai chuan i doctor chuan i hmuiah endoscope (tube camera attached) a dah lut a, i esophagus hnuaiah a dah lut zawk a ni. Chumi hnuah chuan LES muscle chu a chhung atangin an tan a. Heller Myotomy ah chuan pawn lam atanga i pum chhunga incision te te hmangin tih thin a ni.
Take-Home Thuchah a ni
- Heller Myotomy hi achalasia enkawlna atana surgery tih a ni a, chu chu ei leh in harsatna thlentu a ni.
- Hei hi laparoscopically-in pum chhunga incision te te hmangin an ti tlangpui a, chutah chuan lower esophageal sphincter chu a relaxed a ni.
- He surgery hian hun rei tak chhung chu natna lan chhuah dan a tidam thei a, mahse Achalasia damdawi tling tak a ni lo.
- Operation hnua dam leh hunah chuan kar engemaw zat chhung chu ei leh in bik i zawm a ngai dawn a ni.
- I doctor-in a pek ang chiaha operation hma leh operation hnua a pek ang chiah zawm a pawimawh hle.
- Surgery neihna hmuna vaukhânna chhinchhiahna, swelling, pus, emaw liquids ei theih lohna emaw i neih chuan doctor pan nghal rawh.
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