I prostate gland a lian a, zun a harsat em? HoLEP laser surgery chungchang i zir dawn teh ang! (Holmium Laser hmanga Prostate-a awm - HoLEP)

Mipa an lo upat deuh deuh chuan zun a harsa deuh deuh thin , a dik em? Urethra a chak lo a, zun a ngai fo a, a nih loh leh tih zawh theih loh ang maiin a lang. A chhan ber chu prostate gland a lian deuh vang a ni. Hetiang dinhmun hi BPH ( Benign Prostatic Hyperplasia ) kan ti a. Chuvangin vawiin hian hei hi enkawlna thar ber ber, hlawhtling ber leh him ber kan sawi dawn a ni.

A awlsam zawngin, HoLEP surgery hi eng nge ni?

HoLEP (‘ho-lep’ tia lam tur) hi laser hmanga tih dan bik a ni a, prostate lian vanga zun inkharkhip (urinary obstructions) enkawl a ni. I prostate chu tui pipe vel rubber band angin ngaihtuah rawh. I tar deuh deuh chuan gland chu a lo hring a, a lian a, chu tui pipe (i urethra) chu pressure a siam a ni. Hei hian zun a ti harsa thin.

HoLEP surgery-ah hian camera te tak te hmangin urethra-ah laser beam dahin, incision engmah awm lovin, prostate-a zun kalna tikhawlotu tissue tam lutuk chu uluk taka paih chhuah a ni. Since there is no incision in the skin , a dam leh hun chhung hi a rei lo hle.

BPH natna lan chhuah dan tlangpui chu engte nge ni?

Heng symptoms te hi i nei em tih hi han en teh. Chung zinga pakhat emaw a aia tam emaw i neih chuan doctor nena inbiakna neih a pawimawh hle.

Surgery neih hmain eng nge thleng?

I doctor-in HoLEP surgery atan i tling tih a hriat chuan operation hmain test eng emaw zat i neih a ngai dawn a ni. Hengte hi i dinhmun dik taka tehna atana tih a ni.

• Medical consultation: Doctor chuan i medical history a zawt ang a, i prostate a enfiah ang.
• Thisen leh zun test: Thisen test pangngai bakah hian PSA (Prostate-Specific Antigen) test pawh tih theih a ni.
• Urinary flow tests: I zun chhuahna speed leh volume tehna test a ni.
• Scans : Ultrasound emaw CT scan emaw hmangin prostate gland lian leh te dik takin a hriat theih.
• Cystoscopy: Tube te tak te, camera te tak te nen urethra kaltlangin prostate leh bladder chhung lam an enfiah thin.
• Urodynamics test: I bladder hnathawh dan enfiahna test bik a ni.

Thisen tihthianghlimna damdawi thenkhat (e.g., Aspirin, Clopidogrel) ei kha operation hma ni 10 vel khan chawlhsan turin an ti ang che. Tin, zai hma zan zanlai hnua ei leh in loh tur a ni bawk. I doctor chuan heng zawng zawng hi chiang takin a hrilhfiah ang che.

HoLEP surgery hi engtin nge an tih thin?

Hei hian hlauthawng suh. Engmah i hre lovang. Surgery pumpui hi general anesthesia hmanga tih a ni a, chu chu i muhil vek tihna a ni. A nih loh leh i kawr hnuai lam chauh ti na thei spinal anesthetic hmangin i ti thei bawk.

1. Anesthetized i nih hnuah doctor chuan i zunthlum hnuaiah hian hmanraw te tak te `resectoscope` an tih chu a dah lut ang. Hei hian camera a nei a, chutiang chuan prostate gland chu chiang takin a lang thei a ni.

2. A dawtah chuan laser beam chu device kaltlangin a thawn a, chu chuan prostate gland-a zun kalna tikhawlotu tissue dang chu na takin a tikehsawm a ni. Chutih rual chuan thisen phurtu thisen kalna kawngte pawh he laser hmang hian an seal bawk.

3. Tichuan laser chu lakchhuah a ni a, hmanrua dang `morcellator` an tih chu dah a ni a, chu chuan tissue piece cut zawng zawng chu a hip chhuak vek a, taksa atangin a paih chhuak vek a ni.

4. Pawimawh tak: Hetianga tissue lakchhuah hi laboratory test (`biopsy`) nei turin an thawn ang a, thil danglam, cancer cell ang chi a awm leh awm loh enfiah a ni ang.

5. A tawp berah chuan instrument zawng zawng lakchhuah vek a ni a, urinary catheter dah a ni.

He surgery hi darkar 1 leh darkar 3 inkar a ni tlangpui.

Surgery hnuah eng nge thleng? Recovery period hi engtin nge a awm?

A tam zawkah chuan surgery neih zan vek hian in lamah i haw thei. A châng chuan, damdawi inah ni khat i awm a ngai mai thei.

• Catheter: Operation hnua dah catheter chu a tuk zingah lakchhuah a ni tlangpui. Catheter lakchhuah a nih veleh i zun that theih chuan in lamah i haw thei tawh ang. A tir lamah chuan kang engemaw zat, natna leh zun chhuah fo hi thil pangngai a ni.
• I zun chhunga thisen: Kar engemaw zat chhung chu i zun chu thisen tlem nen pink a nih hi thil pangngai tak a ni . Ngaihtuah buai suh. Tui i in tam poh leh i zun a thianghlim zawk ang.
• Control: A tirah chuan zun control a harsa mai thei. Chumi awmzia chu i nuih emaw, i khuh emaw hian zun tlem a leak thei tihna a ni. Doctor sawi angin `Kegel exercises` (a pum hnuai lam ruh tikhauh thei exercise) tih hian nasa takin a pui thei a ni. He dinhmun hi kar tlemte chhungin a lo tha vek tawh mai thei.
• Chawlh hahdam: Operation hnu ni khatah kea kal leh lirthei khalh theih a ni. Mahse, thil hahthlak tak tak, thil rit phurh emaw, kar hnih chhung tlan emaw chu pumpelh rawh . Kar ruk chhung chu bicycle emaw motor emaw khalh loh tur a ni .

HoLEP surgery a thatna, a side effect leh a hlauhawmna te

Surgery dang nena khaikhin chuan HoLEP hian thatna tam tak a nei a. Mahse, surgery zawng zawng ang bawkin risk leh side effect tenau tak tak a awm.

Doctor hmuh nghal hun tur

Operation hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal emaw, i damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.

• I zun chu tomato sauce ang maia sen dum a nih a, thisen zam a awm chuan.
• Khawsik (38 Celsius aia sang / 101 Fahrenheit) a ni.
• Damdawi ei hnu pawha reh lo na tak i neih chuan.
• I zun theih loh chuan.