Bladder lakchhuah hnua nun... Indiana Pouch chungchang hi han sawi ila

Damdawi lam thil engemaw, cancer pawh a nih avangin i bladder pumpui chu operation hmanga lak chhuah a ngai tih han ngaihtuah teh. Chutiang a lo thlen chuan, ‘Aw ka Pathian, tunah engtin nge ka zun ang?’ tih ngaihtuahin i awm mai thei. Zawhna hlauhawm tak a ni. Mahse, lungngai suh. Chumi atan chuan tunlai damdawiah hian solution ropui tak tak a awm nual. Vawiin hian chutiang solution bik pakhat chu kan sawi dawn a ni. ‘Indiana Pouch’ tih a ni.

A awlsam zawngin, he Indiana Pouch hi eng nge ni?

Indiana Pouch hi i taksa chhunga pouch te tak te, zun khawlkhawm leh chhuah tir thin a ni. Phên dangin sawi ila, i bladder thlaktu artificial bladder a ni. I urinary bladder hi taksa peng te tak te, zun khawlkhawm leh dahkhawmtu a ni. Eng thil vang pawha lakchhuah a nih chuan Indiana Pouch hian a luah ta a ni.

Hei hian i bladder (a `cystectomy`) chu surgery hmanga lakchhuah a, a aiah he pouch hi siam a ngai a ni. He method chungchanga thil danglam tak chu zun dan dang thenkhat angin zun a leak reng lo tih hi a ni. I bladder hlui ang bawkin he pouch hian zun a khawlkhawm bawk. I mamawh hunah chuan i pum chhunga hawnna te tak te (`stoma`) siam hmangin tube (a `catheter`) i dah thei a, chu chuan zun khawlkhawm chu a chhuah tir thei a ni. Pouch chu a hring tawh chuan tube chu i la chhuak thei ang.

Eng dinhmunah nge he surgery hi a tul?

Doctor chuan a hnuaia thil thlengah hian i bladder lakchhuah a, Indiana Pouch siam a rawt fo ang:

• Bladder cancer: He surgery hi bladder cancer enkawlna atana tih a ni tlangpui.
• 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.
• Pianpui natna: Pianpui natna tlemte, `Bladder exstrophy` ang chiah hian.
• Damdawi lam natna khirh tak dang: Bladder na tak tak, interstitial cystitis ang chi, enkawlna dang dawng lo dinhmunah.

He pouch hi eng atanga siam nge ni?

Hei hi eng atanga siam nge tih i ngaihtuah mai thei. Mak ti suh, he pouch hi i taksa peng pakhat hmanga siam a ni. Chu chu i intestine lian tak a\anga a \hen khat tihna a ni.Hei hi he urinary bag siamtu chu a ni. Tin, urethra dahna kawngkhar te tak te (`stoma`) chu i small intestine hmun thenkhat atanga siam a ni bawk .

Operation hmain engtin nge i inbuatsaih thin?

He surgery hma hian i doctor nen vawi tam tak i inhmuh a ngai dawn a ni. Ani chuan a kalphung tur leh i duhthlan tur dangte chu a hrilhfiah ang che. I hriselna tlangpui a enfiah ang a, a tih dan tur a sawiho ang a, zawhna i neih apiang a chhang ang.

• I damdawi ei zawng zawng chu i doctor hnenah hrilh rawh: Damdawi i ei emaw, over-the-counter emaw i ei emaw, i damdawi ei zawng zawng chu i doctor hnenah i hrilh vek tur a ni. I doctor hnenah herbal emaw Ayurvedic product emaw i ei lai pawh i hrilh duh thei bawk. Aspirin, natna tidamtu leh thisen tithianghlimtu ang chi thilte hian thisen chhuah theihna a tipung thei a ni. Doctor zawt hmasa lovin damdawi engmah ei khap suh.
• I allergy chungchang min hrilh rawh: Allergy i neih apiang min hrilh rawh. Hei hian damdawi, vun tifai thei iodine, latex, leh ei tur allergy te a huam a ni.
• Ei leh in chungchanga thupek: Operation hma zan zanlai hnuah engmah ei leh in loh turin thupek i ni ang. Damdawi eng emaw i ei a ngai a nih chuan tui in nen ei turin an hrilh ang che. Heng thupekte hi dik taka zawm a pawimawh hle.

Surgery tih dan tur i zir dawn teh ang.

Hei hi surgery buaithlak deuh a nih avangin specialist team-in an ti thin. He team-ah hian urologist, anesthesiologist leh nursing staff te an tel tlangpui.

Pakhatnaah chuan anesthesiologist chuan general anesthesia hnuaiah a dah ang che. Chumi awmzia chu natna engmah i hriat loh nan muthilh thuk takah dah i ni ang. Tichuan, specialist chuan i bladder chu a la chhuak ang. Hei hi `open surgery` angin tih theih a ni a, chu chu i pum chhungah incision sei tak siam a ni a, `laparoscopic` emaw `robotic surgery` angin emaw, incision tenau engemaw zat siam a ni thei bawk.

I bladder i lakchhuah hnuah i doctor chuan i bowel hmun thenkhat chu a la ang a, chu chu ball ang maia urinary pouch thar siam nan a hmang ang. Tichuan, i kal atanga ureter pahnih chu he pouch thar nen hian a inzawm ang. Tunah chuan i kal atanga zun chu he pouch ah hian a luang lut nghal ang. I bowel hmun hnih, a cut tawhte pawh an inzawm leh ang. Hei hian i chaw ei dan a titawp lo ang .

He surgery zawng zawng hi darkar 6 leh darkar 8 inkar a ni tlangpui.

Indiana Pouch hi engtin nge kan hman ang leh kan enkawl ang?

Hei hi i nunphung thara pawimawh ber a ni. A tir lamah chuan a mak deuh mai thei, mahse rei vak lo hnuah chuan i thiam tawh ang.

Pouch atanga zun catheterize dan dik tak

1. A hmasa berin sahbawn hmangin i kut uluk takin silfai ang che.

2. I stoma (opening) vel plaster emaw gauze emaw chu la chhuak rawh.

3. Stoma chhehvela tui leh mucus awm zawng zawng chu paper towel fai hmangin phihfai vek ang che.

4. Catheter i pek kha lubricating jelly tha tak hnawih la. I doctor-in a rawt type emaw VaselineTM ang chi emaw i hmang thei bawk.

5. Tunah chuan zawi zawiin tube chu stoma chhungah dah la. A châng chuan a tight deuhin a lang thei. Chutiang a nih chuan thawk la la, i taksa ruhte chu tlem han ti hahdam la, tube chu tlem la chhuak la, angle danglam takah dah leh tum ang che.

6. Tube hi pouch chhunga dah a nih veleh zun a chhuak tan ang. Zun chu toilet emaw container emaw-ah dah khawm rawh. Pouch chu a hring vek hma chu nghak rawh.

7. Zun a luang tawh loh chuan tube chu zawi zawiin la chhuak rawh . I lak chhuah thuai chuan zun engemaw zat a luang chhuak thei.

8. Tube hman tawh chu paih chhuak rawh.

9. Stoma vel silfai la, gauze emaw bandage thar emaw hnawih la, natna kai loh nan.

10. I kut chu uluk takin sil leh rawh.

Mi tam zawk chuan ni khatah vawi 6 vel an zun a ngai thin. Tui ang chi tui tam tak i in chuan i zun tam a ngai dawn a ni. Zanah pawh zun tur chuan i tho a ngai mai thei.

Indiana Pouch hi engtin nge i tui pek thin?

Stoma hi intestine hmun thenkhat atanga siam a nih avangin a pianphungah mucus a siam chhuak thin. He mucus hi a lo pun chuan tube a block thei a, infection a thlen thei a, kidney stone a siam thei bawk. Chuvangin ni khatah vawi khat emaw vawi hnih emaw saline solution hmangin pouch chu i silfai a ngai a ni. Damdawi in hian hetiang tih dan tur a kawhhmuh ang che.

Hetiang hmanrua hi eng nge a thatna leh a hlauhawmna?

Damdawi lam thil dang ang bawkin he thil hian hlawkna leh hlauhawmna a nei vek a ni.

Dam leh hun tur leh damdawi lam thurawn lak hun tur

He surgery hnu hian i dam kim theih nan leh i nunphung thar nena insiamrem theih nan thla engemaw zat a ngai thei. Chumi chhung chuan i medical team chuan i mamawh zawng zawng an pe ang che. Kar engemaw zat hnuah chuan hnathawhnaah i kir leh thei tawh ang a, hna light tak i thawk thei tawh ang.

Indiana Pouch leh Neobladder hi a inang em?

No. An pahnih hian bladder thlakna tur an ni a, mahse an thawk dan a inang lo. Neobladder hi i urethra-ah direct-in a inzawm a, chuvangin operation hmaa i zun dan pangngai angin i zun thei ang. Mahse Indiana Pouch hmang hian i pum chhunga stoma hmangin tube hmangin zun i chhuah a ngai a ni.