Nangmah emaw, i hriat emaw chuan damdawi lam dinhmun avang hian an bladder chu surgery hmanga lakchhuah a ngai a ni mai thei. Tichuan, zawhna lian tak chu ka rilruah a lo lang ta a, chu chu taksaa zun lo awm chu engtin nge kan chhuah theih ang? Awle, tunlai solution pakhat chu ‘Indiana Pouch’ hi a ni. Hei hi thupui buaithlak deuh mahse, awlsam takin, i hriatthiam theih angin i sawi dawn nia.
A awlsam zawngin, he Indiana Pouch hi eng nge ni?
Indiana pouch hi i taksa chhunga tuikhuah te tak te, surgery hmanga siam a ni a, chu chu i taksa atanga zun dahkhawmna leh lakchhuahna atan hman a ni. I bladder angin ngaihtuah la, chu chu zun khawlkhawm leh dahkhawmna bawm te tak te ang mai a ni. Eng thil vang pawha i bladder lakchhuah a nih chuan (he surgery hi cystectomy an ti a), a aiah ‘urine pouch’ thar siam a ngai a ni.
He Indiana pouch hi i taksa peng hrang hrang atanga siam a ni. Chu chu i ril peng pakhat atanga siam a ni tihna a ni. Hemi chungchanga thil danglam tak chu, zun (bladder) lakchhuah hnua surgery dang thenkhat tih ang lo takin, he pouch chhungah hian zun hi khawlkhawmin dah theih a ni. Bladder-a thil thleng ang chiah chiah.
Tichuan, ni khatah vawi engemaw zat, i pum chhunga kawngkhar te tak te (hei hi `stoma` kan ti) atang hian tube te tak te (catheter) i dah thei a, chu chuan zun khawlkhawm chu a chhuah tir thei a ni. Vawikhat zun a bo tawh chuan , tube chu i la chhuak thei ang.
A pawimawh ber chu he method hi mi zawng zawng tan a tha lo. I medical team chuan hetiang hi i tih theih leh theih loh hriat nan thil engemaw zat an ngaihtuah ang.
He surgery hi eng condition chi hrang hrang atan nge tih a nih?
Bladder hi lakchhuah a nih tlangpui chhan lian tak tak engemaw zat a awm. A hnuaia mi ang hian Indiana pouch hman a tha:
- Bladder cancer: Hei hi zai chhan ber a ni.
- Bladder muscle dysfunction: A chang chuan radiation therapy emaw thluak leh spinal cord (neurogenic bladder) a nerve tihchhiat vangin bladder muscle te hi a inzawm tha thei lo va, zun a chhuak thei lo bawk.
- Congenital bladder deformities (Bladder exstrophy): Naupang thenkhat chu an pian tirh atangin bladder lama harsatna engemaw zat neiin an piang thei.
- Interstitial cystitis/bladder pain syndrome: Natna tuar theih loh nena inzawm natna.
- Damdawi lam harsatna dang avanga bladder a chhiat chuan.
Operation hmain engtin nge i inbuatsaih thin?
He surgery hma hian i doctor chuan uluk takin a bia ang che. Indiana Pouch kalphung leh duhthlan tur dang awmte chu a hrilhfiah ang che. I hriselna tlangpui, thisen sang, etc. a enfiah ang.
Hetih lai hian doctor hnenah i hrilh ngei tur thil tlemte a awm a:
- Damdawi i ei zawng zawng chu i doctor hnenah hrilh rawh. Hei hian damdawi prescription, over-the-counter damdawi, herbal supplement, leh vitamin te a huam a ni. Damdawi thenkhat (Aspirin leh thisen tithianghlimtu ang chi) hian operation laiin thisen a tipung thei a ni. Doctor zawt hmasa lovin damdawi engmah ei khap suh.
- Allergy i neih apiang min hrilh teh. Chu chu allergy atanga damdawi, ei tur thenkhat, latex, etc. thlengin engkim tihna a ni.
- Doctor chuan operation hma zan zanlai hnuah engmah ei leh in loh turin a fuih a. Chu thupekte chu dik takin i zawm tur a ni. Damdawi pawimawh tak i ei ngei ngei tur a nih chuan tui in tlemte chauhvin i ei thei mai thei. Chumi chungchang pawh i doctor zawt rawh.
Surgery tih dan tur
Hei hi surgery lian tak a ni a, darkar 6 leh darkar 8 inkar a ni. Urologist, anesthesiologist leh nursing staff te a huam a ni.
1. Anesthesia: A hmasa berin anesthesiologist chuan a muthilh vek ang che (`general anesthesia`). Chuvangin operation neih chhung hian natna engmah i nei lovang.
2. Bladder lakchhuah: A dawtah chuan surgeon chuan i bladder pumpui a la chhuak ang. Hei hi `open surgery` angin tih theih a ni a, chu chu i pum chhungah incision rei tak siam a ni a, `laparoscopic emaw robotic surgery` angin emaw, incision tenau tlemte chauh siam a ni thei bawk.
3. Indiana Pouch siam dan: Bladder a lakchhuah hnuah doctor chuan i intestine lian leh small intestine thenkhat a cut chhuak ang a, bladder (pouch) thar chu ball ang maia siamin a sew ang.
4. Connection: A dawtah chuan kidney (`ureters`) atanga zun phurtu tube pahnih chu he pouch thar nen hian an inzawm leh a. Pum chhungah hian hawnna te tak te (`stoma`) siam a ni a, chu chuan vun chungah a chhuak thei a ni. Intestine cut section te chu a inzawm leh a, chuvang chuan i digestive process chu a titawp lo.
5. Incisions suturing: A tawp berah chuan operation laia incision siamte chu stitches hmangin an khar thin.
Surgery i neih zawh chuan recovery room-ah hun rei lote chhung an hruai ang che. Vawikhat i hriatna i neih leh chuan i natna thunun nan damdawi pek i ni ang. Damdawi inah ni engemaw zat i awm a ngai dawn a ni. Hemi chhung hian nursing staff te chuan Indiana pouch thar enkawl dan leh tihfai dan tur an zirtir ang che.
Indiana Pouch-a Catheterize leh Irrigate dan
Hei hi nitin i tih tur pawimawh ber a ni. A tir lamah chuan a harsa deuhin a lang thei a, mahse ni engemaw zat kan tih hnuah chuan a pangngai hle tawh ang.
| Indawtdan | A tih dan (simple) . |
|---|---|
| Catheter hmanga tihchhuah a ni |
Ni khatah vawi 6 vel tih tur a ni tlangpui. Tui i in tam chuan i tih fo a ngai mai thei. |
| Pouch chu silfai (Irrigation) . | Stoma hi intestine hmun thenkhat atanga siam a nih avangin mucus ang chi thil a siam chhuak fo thin. He mucus hi paih chhuah nan pouch chu silfai a ni. Hei hian infection leh lung siamna a veng bawk.
A tlangpuiin hetiang hian ni khatah vawi khat emaw vawi hnih emaw silfai hi a tawk. |
Hetiang hmanrua hi eng nge a thatna leh a that lohna?
Damdawi lam thil tih dan dang ang bawkin he thil hian a thatna te, a that lohna te leh a hlauhawmna te a nei a ni.
| Hlawkpuina | A that lohna & A hlauhawmna |
|---|---|
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Dam leh hun tur leh doctor hmuh hun tur
He surgery atanga a dam kim theih nan thla engemaw zat a ngai thei. I taksain a inthlak danglamna a insiamrem theih nan hun a mamawh bawk ang. Mahse i medical team chuan hei hi an pui ang che. Hnathawh emaw, sikul emaw-ah i kir leh thei tur a ni a, kar tlemte chhungin hna light tak i thawk thei tur a ni.
Mahse, heng symptoms te hi i neih chuan doctor pan nghal rawh:
- Hri kai chhinchhiahna: khawsik, khawsik, zun dum.
- Catheter dah emaw, pouch sil emaw a harsat chuan .
- Zun chhungah thisen a awm chuan (hematuria) .
- I pum emaw, i ruh leh i hip inkar hmunah emaw natna nasa tak i neih chuan.
Point tlemte a belhchhah bawk
Engvangin nge hei hi ‘Indiana’ pouch an tih?
He surgical technique hi kum 1980 chho vela United States-a Indiana University-a doctor pawl pakhatin an siam hmasa ber a ni. Chuvang chuan a hming a pu ta a ni.
Hei hi Neobladder nen a inang em?
An inang viau nachungin an inang lo. Neobladder hi i bowel hmun hrang hrang atanga siam a ni. Mahse i urethra nen a inzawm tlat thung. Chuvangin zun chu operation hmaa a luang chhuak ang bawkin a chhuak chhuak thin. Mahse Indiana pouch hmang hian i pum chhunga stoma kaltlangin catheter dahin zun a chhuak thin.
Indiana Pouch surgery hnuah i nun a danglam nasa hle ang. Thil tih dan thar i thiam a ngai dawn a ni. Mahse heng inthlak danglamna te nen hian nun nuam zawk leh tha zawka nun theihna hun remchang i nei dawn a ni. Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
Take-Home Thuchah a ni
- Indiana Pouch hi zun dahna hmanrua a ni a, i zun (bladder) lakchhuah hnua i taksa chhungril hmun thenkhat atanga siam a ni.
- Catheter i dah a ngai dawn a, ni khatah vawi eng emaw zat i empty a ngai dawn a ni.
- He pouch hi natna kai loh nan saline solution hmanga tui pek fo a pawimawh hle.
- Hei hi nun tidanglamna lian tak ni mah se, taksa pawn lama bag tel lova zun control dan tha tak a ni.
- Harsatna, khawsik leh natna ang chi symptoms a awm chuan doctor hnenah hriattir nghal tur a ni.
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