Rectal cancer vangin APR surgery neih a ngai em? Hlau suh, a chipchiar zawkin sawi ila (Abdominoperineal Resection)

I doctor chuan nangmah emaw, i hriat mi emaw hnenah rectal cancer avanga operation neih a ngai tih a hrilh tawh em? Hetiang hunah hian hlauthawng leh lungkhamna nei hi thil pangngai a ni. A bik takin ‘APR’ ang chi surgery lian tak a nih i hriat chuan. Mahse, lungngai suh. Heng surgery chi hrang hrang chungchanga hriat chian tak neih hian i hlauhthawnna nasa takin a tihziaawm thei a ni. Vawiin hian APR chu eng nge a nih tih te, a inbuatsaih dan tur te, operation hnua beisei tur te kan sawi dawn a ni.

A awlsam zawngin, he APR surgery hi eng nge ni?

Abdominoperineal Resection, APR tia hriat bawk hi surgery lian tak a ni a, a bik takin lower rectum cancer enkawlna atana tih a ni. Surgery buaithlak deuh a ni.

Ngaihtuah teh, kan chaw ei kawng hnuhnung ber chu hnute leh hnungzang (anus and rectum) hi a ni. Cancer awmna hmun azirin, cancer cells te chu paih vek tur chuan a chhehvel pawh lakchhuah a ngai mai thei. A dik tak chuan, he APR procedure chhung hian i surgeon chuan thil pawimawh tlemte a ti ang:

• I hnute , bawlhhlawh chhuahna kawngkhar chu a chhuak vek a, a hmun chu a sewn up a ni.
• I rectum , i intestine lian ber ber chu a chhuak ta a ni.
• I colon hmun thenkhat pawh a chhuak ang.

Tunah chuan, "Chuti a nih chuan engtin nge ka inthiar ang?" Ni e, chu chu he surgery-a danglamna lian ber chu a ni. Anus chu lakchhuah a nih avangin taksa atanga bawlhhlawh chhuahna tur kawng thar siam a ngai a ni. Chuvang chuan permanent colostomy an ti thin.

A awlsam zawngin i colon hmun la awm chu lak a ni a, a tawp chu i pum vun chunglam nen a inzawm a ni. He hawnna hi ‘stoma’ an ti a. Tichuan, he stoma-ah hian bag bik (ostomy bag) an dah a. Chumi hnuah chuan i stool chu he bag chhungah hian a lut nghal vek a ni. Hei hi a tir lamah chuan thil thar a ni mai thei, mahse hun kal zelah i thiam tawh ang. Hemi kawngah hian pui turin nursing staff bik an awm a.

Operation hmain engtin nge kan inbuatsaih thin?

APR hi surgery lian tak a nih avangin inbuatsaih a pawimawh hle. I medical team chuan engkim an hrilhfiah ang che. A hnuaia tarlan te hi he inbuatsaihna hun chhunga thil thleng thei thenkhat tarlan a ni.

Surgery neih chhung hian eng nge thleng?

General anesthesia hnuaia i awm avangin operation neih chhung hian engmah i hre lovang. I muhil tha hle ang. Surgeon team hian darkar engemaw zat chhungin he surgery hi an ti ang.

He surgery hi kawng hnih in tih theih a ni tlangpui:

1. Open Surgery: Traditional method chu pum chhunga incision sei tak vawi khat hmanga tih a ni.

2. Laparoscopic/Robotic Surgery: Hetiang tih dan hi pum chhunga incision te te tlemte hmanga tih a ni a, camera leh instrument bik hmanga tih a ni. Hetiang tih dan hian damna hun a tawi zawk a, a na lo zawk bawk.

Surgery an tih lai hian surgeon chuan cancer awmna rectum, anus leh colon thenkhat chu a la chhuak thin. Chutih rual chuan a chhehvela lymph node te pawh an paih chhuak bawk. Hei hi a chhan chu heng lymph node te hi cancer cell in darh theihna hmun a nih vang a ni. Tichuan, a hmaa kan sawi tawh ang khan stoma chu pum chhungah siam a ni a, a hmaa hnute awmna vun chu sewn up leh closed a ni.

Operation hnua harsatna awm thei te chu engte nge ni?

APR hi surgery lian tak a nih avangin, surgery lian dang ang bawkin, a hlauhawmna engemaw zat a awm a ni. Mahse lungngai suh, medical team hian heng risk te hi tih tlem tumin theihtawp an chhuah mek a ni. Harsatna awm thei te hriat a pawimawh.

• Thisen chhuah: Surgery na hmun atang hian thisen a chhuak thei.
• Infection: Infection hi cut emaw taksa chhungah emaw a awm thei.
• Thisen zam: Thisen zam hi keah a lo awm thei a, lungah a kal thei bawk. Chutiang a nih loh nan operation zawhah rang taka kal turin an fuih a ni.
• A chhehvel taksa peng chhiatna: Surgery area chhehvela taksa peng hrang hrang, bladder ang chi te tihchhiat theihna chance tlemte a awm.
• Anesthesia kaihhnawih harsatna: Harsatna lian tak tak, Pneumonia, heart attack, leh stroke te hi a tlem hle a, mahse fimkhur a tha.

A châng chuan, hun rei tak chhûnga harsatna awm thei, hun kal zelah a awm ṭhin. Entirnan, stoma chhehvelah hernia a lo awm thei. Tin, hnute (anus) lakchhuahna hmunah hian perineal hernia a awm thei bawk.

Damdawi inah operation hnuah eng nge thleng?

Surgery zawhah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Hemi chhung hian medical team te chuan i dam lehna tur chu uluk takin an enkawl ang.

• Tube leh tube: I zun chhuahna tur catheter dah a ni ang. I pum chhungah drain dah a ni bawk ang a, chu chuan operation na hmuna tui awm zawng zawng chu a chhuah tir ang. Hengte hi ni rei lote hnuah paih chhuah a ni ang.
• Natna tihdamna damdawi: 1.1.Natna thunun nan a tul angin damdawi pek i ni ang.
• Chaw: Operation hnuah tui in tur pek hmasak i ni ang. A tuk zingah soup leh yogurt ang chi ei tur nem tak tak i ei tan thei bawk.
• Kal: Khum atanga tho vat leh kal kual hi damna kawngah a pawimawh hle. Thisen zam ang chi thil a veng thei a ni.
• Ostomy training: Hei hi damdawi ina i dawn tur training pawimawh ber a ni. Ostomy nurse chu a lo kal ang a, i stoma thar enkawl dan tur, pouch thlak dan tur leh i vun thianghlim taka vawn dan tur a zirtir ang che. I hriatthiam hma loh chuan zawh nawn leh hlau suh. Hetih lai hian chhungkaw member pakhat chu i zawm turin hrilh rawh. Chutiang chuan in lama i haw hunah puitu tur i nei ang.

Chaw nêm i ei theih hunah, in lama damdawi hmanga natna i thunun theih hunah, leh nangmah chauha i ostomy enkawl thei tura inrintawkna i neih hunah in lama haw phalsak i ni ang.

In lama haw hnua dam leh hun chhung chu engtin nge a awm?

In lama i haw hnuah a dam kim theih nan hun engemaw chen a la ngai dawn a ni. Hemi chhung hian i taksa thu hi ngaithla la. I chau a nih chuan chawlh hahdam rawh.

Hnathawh tur i nih chuan i hliamte a dam dan leh i hnathawh dan azirin hna thawk leh turin kar engemaw zat emaw thla khat emaw a la ngai thei.

Engtikah nge doctor koh tur

I dam chhungin harsatna i neih chuan i doctor emaw, i surgery na hospital emaw chu ko nghal rawh. A hnuaia symptoms te hi report ngei ngei tur a ni:

• Pum natna nasa tak, natna tidamtu damdawi hmang pawha thunun theih loh .
• Khawsik. Khawsik chu 38.6 degree Celsius (101.5 Fahrenheit) aia sang a ni.
• Luak leh luak chhuak a awm reng chuan.
• Constipation emaw riltam emaw.
• Incision hmunte chu a sen, a hring emaw, a na emaw a nih chuan .
• I ostomy ah hian harsatna emaw harsatna emaw i neih chuan .

APR surgery hi nun tidanglam thei tak a ni. A hman thiam theih nan hun a la ngai dawn a ni. I doctor, chhungte, leh i ṭhiante hnenah i ngaihtuahna, hlauhthawnna leh i rilru put hmangte sawipui rawh. He zinkawng hi nangmah chauhin i paltlang a ngai lo.