Hepatectomy chungchang hi han sawi mai ila, chu chu liver thenkhat lakchhuahna surgery a ni.

"Liver surgery" tih thumal i hriat hian tlem a nau leh hlauthawng deuh hi thil pangngai a ni. A chhan chu thin (liver) hi kan taksa peng pawimawh leh lian ber pakhat a nih vang a ni. Mahse natna thenkhat tan chuan, a bik takin cancer ang chi natna khirh tak tan chuan, thin natna hmun lakchhuah hi i nunna chhanhimna tur solution tha ber a ni. Chuvangin vawiin hian he ‘hepatectomy’, a nih loh leh liver thenkhat lakchhuahna surgery chungchang hi i rinhlelhna zawng zawng tifai thei tur awlsam leh chiang takin i sawi dawn nia.

Engvangin nge hetiang surgery hi i neih a ngai?

Okay, a hmasa berin eng dinhmunah nge doctor ten he surgery hi tih an tum tih hi han en ila. A chhan lian tak pahnih a awm. Pakhat chu thin natna enkawlna atan a ni. A dang chu mi hrisel takin an thin (liver) thenkhat chu damlo hnena a pek (Living Donor Liver Transplantation) a ni.

Liver natna tan chuan

He surgery hi liver-a tumor lo awm tawhte paih chhuah nan an ti fo thin. Heng tumor te hi cancer, cancer hmaa awm, emaw benign emaw pawh a ni thei. Liver cancer hi chi hnih a awm a.

1. Primary: Hei hian cancer hi thin (liver) atanga intan tihna a ni.

2. Secondary: Chumi awmzia chu cancer hi taksa hmun dangah (entir nan, colon) atanga intan a, thin (liver)-ah a darh tawh tihna a ni.

He surgery hmanga enkawl cancer chi hrang hrangte chu:

• Hepatocellular carcinoma - Hei hi cancer chi khat, liver atanga intan ber a ni.
• Cholangiocarcinoma - Hei hi cancer a ni bawk a, liver atanga intan a ni.
• Metastatic colorectal cancer - Colon cancer chu liver-ah a darh zel.

He surgery hi cancer tan chauh ni lovin, damdawi dang dang tan pawh tih a ni:

• Liver chhunga bile ducts (intrahepatic ducts)-a gallstone awm.
• Tumor tlanglawn tak tak adenoma ang chi te.
• Liver cyst a awm thin.

Mi hrisel chuan an thin (liver) thenkhat a pe thin

Hei hi thil ropui tak a ni. Mi pakhat liver a chhiat vek tawh a, liver transplant a mamawh chuan mi hrisel chuan chu damlo hnenah chuan an liver thenkhat chu a pe thei a ni. Hetiang thilpek chi hrang hrangah hian a petu thin (liver) thenkhat chu surgery hmangin lakchhuah a ni. Mak tak mai chu donor-a liver la awm leh transplanted patient-a liver thar pahnih hi a lo thang lian leh a, liver tling takah a chang leh ta a ni.

He surgery hi engtiang chiahin nge a pawi? Risk a awm em?

Ni e, liver thenkhat lakchhuahna tur surgery hi technically chuan surgery harsa tak leh harsa tak a ni.Chutiang chuan ngaih a ni. A chhan ber chu thisen kalna kawng tam tak a awm vang a ni. Chuvangin, zai lai hian thisen chhuah tam lutuk a awm thei a ni. Chuvangin, heng surgery titu surgeon-te hian thisen kalna kawng tichhe lo tur leh thisen chhuahna control turin training bik an neih a ngai a ni.

Mahse hei hi a awm a ni:

• Minor Resection: Liver chanve aia tlem lakchhuah a nih chuan a hlauhawmna a tlem hle. Chutiang surgery chu laparoscopy emaw robotic surgery emaw ang chi minimally invasive technique hmangin tih theih a ni tawh a ni .
• Major Resection: Liver chanve aia tam lak chhuah a ngai a nih chuan a harsa deuh a, a hlauhawm zawk bawk.

Surgery neih hmain eng nge thleng?

He surgery i tih hma hian medical team chuan thil engemaw zat uluk takin an ngaihtuah ang. Chumi hnuah chauh chuan he surgery hi i tan enkawlna dik tak a ni em tih an rel ang.

Doctor-te ngaihtuah thilte chu:

• Chutiang surgery lian tak tuar thei tur khawpin i taksa hriselna a nghet em?
• Tumor emaw, liver natna hmun emaw chu surgery hmangin lakchhuah theih a ni em?
• Cancer a nih chuan thin (liver) tih loh chu taksa peng dangah a darh tawh em?

A châng chuan cancer natna hi a lian a nih chuan, operation hmaa radiation therapy emaw chemotherapy emaw ang chi enkawlna pein, chu chu a tihtlem theih a ni.

Tin, doctor-te chuan partial liver transplant emaw, whole liver transplant emaw i neih a ngai tih an rel a ngai bawk. Chûng thilte chuan chu thutlukna chu a nghawng dâwn a ni:

• Eng chen nge tumor hi a darh tawh?
• I thin dang zawng zawng hi engtiang chiahin nge a hrisel?
• Operation hnua liver part la awm chu taksa hnathawhna atan a tawk em?

Operation hmaa test neih thin a ni

Heng zawng zawng hi chiang taka hriat theih nan i doctor chuan test engemaw zat a ti ang a, chungte chu:

• Imaging test: CT scan emaw MRI scan emaw hmanga enfiah a ni.
• Liver function test: Hengte hi thisen test dan pangngai a ni.
• Liver biopsy: Liver atanga thil te tak te tak te enfiah nan lak.

Surgery tih dan tlangpui te chu engte nge ni?

Hepatectomy surgery hi kawng pawimawh pathum hmanga tih theih a ni. I surgeon chuan i dinhmun nena inmil ber method chu a ruat ang.

Liver part lakchhuah chu eng nge thleng? A lo thang leh dawn em ni?

Awle! Hei hi liver chungchanga thil mak ber a ni. Liver hian a siam that leh siam thar theihna mak tak a nei a.

Ngaihtuah teh, thin hrisel hmun thuma ṭhena hmun hnih chu lak chhuah ni mah se, a hrisel la awm chu a inṭhen leh thei a, a lo ṭhang lian thei a, kar engemaw zat emaw, thla engemaw zat emaw chhungin a lian leh tâwp angin a lo ṭhang lian leh thei a ni. Sakeibaknei hmul chu a phel chuan a lo thang leh ang bawkin. Mahse he a lo thang leh chak dan hi thil engemaw zat ah a innghat a ni.

• Tun hmaa chemotherapy i lo dawng tawh a nih chuan.
• Liver-ah thau (fatty liver) a awm chuan.
• Liver natna rei tak, cirrhosis ang chi i neih chuan.

Chutiang dinhmunah chuan liver regeneration rate chu a hniam deuh thei a ni.

Surgery neihna tur step hrang hrangte chu engte nge ni?

Surgery technique leh tissue lak chhuah zat a zirin danglamna tlemte awm mahse, surgery hi a tlangpuiin hetiang hian a kal thin:

1. Anesthesia: Surgery hmain muthilh kim vek (general anesthesia) i ni ang.

2. Incision siam dan: Open surgery-ah chuan pum chhungah incision rei tak siam a ni. Laparoscopy-ah chuan incision tenau engemaw zat siam a ni.

3. Liver buatsaih dan: Surgeon chuan liver lakchhuah tur hmun dik tak chu a hrechhuak ang. Surgery neih chhung hian intra-operative ultrasound hman theih a ni. A chhuahna tur hmun chu gallbladder hnaih a nih chuan gallbladder pawh lakchhuah a ngai mai thei.

4. Liver resection: Doctor chuan uluk takin liver tissue a then hrang a, thisen kalna kawng leh bile duct te a hriat chian a, clip emaw stapler emaw hmangin a seal thin. Thisen chhuahna control nan hian hmanraw bik hman a ni.

5. Segment lakchhuah: Liver segment inthen chu taksa atanga lakchhuah a ni. Laparoscopic method-ah chuan he segment hi lakchhuah nan hian inches 2-5 vel incision dang a ngai thei bawk.

A tlangpuiin, he surgery hi darkar hnih leh darkar ruk inkar a ni thei .

Surgery hnuah eng nge thleng? Damdawi inah chuan

Surgery zawhah anesthesia atanga i harh thlengin special unit (post-anesthesia unit)-ah dah hmasain, chutah chuan regular ward-ah sawn i ni ang. Surgery chu a buaithlak hle a nih chuan intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung i awm a ngai mai thei.

A tir lamah chuan i taksaah tube engemaw zat i dah lut ang. Chungte chuan tui a chhuah tir ang a, i pum tan hahdamna a pe ang a, ei leh in a pe bawk ang. Medical team chuan i thisen sang, sugar level leh thisen chhuah te chu an enfiah reng ang.

I dinhmun a lo nghet tawh chuan ni engemaw zat emaw, kar khat emaw chhung chu damdawi inah i awm leh mai thei. Hemi chhung hian:

• Zawi zawiin liquid foods atanga tanin solid foods an ei tan ang.
• Khum atangin a tho ang a, a kal tan ang.
• Pipe dah tawhte chu zawi zawiin lakchhuah a ni ang.
• Natna thunun nan damdawi mamawh pek i ni ang.

Damdawi in atanga ka haw chuan kar hnih vel hnuah doctor hmu leh turin date min pe a.

Surgery avanga hlauhawm leh harsatna awm thei

Surgery lian dang ang bawkin risk leh complication awm thei a awm a, chu chu hriat a pawimawh hle.

In lama haw hnua dam leh theih nan eng chen nge a duh?

In lama a dam kim theih nan kar li atanga kar riat vel a ngai thei. Hemi chhung hian hna atanga chawlh i lak a ngai dawn a ni.

• Heavy lifting leh exercise hahthlak tak tak hi pumpelh vek rawh.
• Nitin hnathawh pangngai zawng zawng thawh leh theih nan kar 12 vel a ngai thei.
• Laparoscopic emaw robotic surgery emaw tih ni ta se, a dam hun chu a rang deuh mai thei.

Dam chakna tur chuan protein tamna ei leh exercise light (kea kal ang chi) tih a pawimawh hle . Ni khatah minute 30 tal kea kal tum la, i chau nia i hriat chuan chawlh hahdam rawh.

Heng symptoms te hi i neih chuan doctor pan nghal tur a ni.

In lama i haw hnua natna lan chhuah dan danglam tak i neih chuan i doctor hnenah hriattir nghal rawh.

• Hliam atanga thisen emaw, hnim hring emaw ang chi fluid.
• Fever awm reng.
• Luak chhuak emaw, luak chhuak emaw.
• Ni thum aia rei constipation.
• Pum a hring chhuak.
• Mit leh vun sen (Jaundice).