I doctor-in abdominoperineal resection, emaw APR emaw tih a ngai tih a hrilh che chuan hlauhna leh lungkhamna nasa tak i nei mai thei. I rilruah zawhna tam tak i nei thei a, chungte chu "Hei hi eng ang surgery nge ni?", "A na lutuk ang em?", "Surgery hnuah ka nun hi eng ang nge ni ang?" A pangngai hle mai. Chuvangin vawiin hian he APR surgery hi eng nge a nih, engtin nge kan inbuatsaih ang tih leh surgery zawh hnua thil thlengte hi han sawi ila. Chûng thilte chiang taka hriat chuan i hlauhthawnna chu nasa takin a tihziaawm ang.
Abdominoperineal Resection (APR) surgery hi eng nge ni tak tak?
A awlsam zawngin, hei hian i hnute, i hnungzang, leh i intestine lian (sigmoid colon) hnuai lam chu operation hmanga lak chhuah a huam a ni . He surgery an tih chhan ber chu cancer, rectum-a hniam tak tak, hnute hnaih tak takte vang a ni.
A tam zawkah chuan he operation hma hian cancer control nan radiation leh/ emaw chemotherapy round engemaw zat i nei tawh mai thei. Treatment-te chuan cancer cells a tihtlem hnuah chuan surgeon chuan he surgery hmang hian a hmun zawng zawng chu a la chhuak vek ang.
Engtin nge operation atan ka inbuatsaih ang?
Hemi atana inbuatsaih turin i doctor chuan uluk takin a kaihruai ang che. I medical history kimchang a zawt ang che. Tuna i damdawi, vitamin emaw, supplement emaw i ei mekte chu i doctor hnenah hrilh ngei ang che.
Tin, sleep apnea i neih chuan min hrilh tur a ni. Chumi atan CPAP machine i hman chuan operation ni-ah damdawi inah rawn hruai thin ang che.
Surgery hma kar tlemteah meizuk leh zu in hi bansan vek a pawimawh hle. Heng tih dante hian hliam damna a tikhawtlai thei a, lung lama harsatna telin harsatna lian tham a thlen theihna a tipung thei bawk. Hemi chungchangah hian i doctor hnenah rinawm takin sawi la, a tul chuan heng tih dante hi bansan turin tanpuina dil hreh suh.
Engtin nge surgery hi an tih thin?
He surgery hi damdawi inah tih a ni a, general anesthesia hnuaiah tih a ni. Chumi awmzia chu operation neih chhungin engmah i hre lo ang a, i muhil vek tawh ang. Surgery hi step lian engemaw zatah tih a ni.
1. Intestine hmun thenkhat lakchhuah tura inbuatsaih
A hmasa berin, surgeon chuan pum chhungah incision tenau engemaw zat a siam (laparoscopy), colon section hrang hranga thisen petu thisen kalna kawng lian ber berte chu a hriatchhuah a, a titawp a, chu chu lakchhuah tur a ni. Tichuan, colon hnuai lam (sigmoid colon) leh rectum chu a chhehvel tissue atang hian a chhuak ta a ni. A dawtah chuan lak chhuah tur section chu colon hrisel la awm chu a then a ni.
2. Anus atanga lakchhuah
A dawtah chuan surgeon chuan perineal region-ah incision dang a siam leh a, anus chu a la chhuak leh a. Hei hian anus, rectum leh colon zawng zawng a paih chhuak vek a ni. Chumi hnuah chuan hnute chunga vun chu an sewn shut leh thin.
3. Colostomy siam chhuah
Tunah chuan, "Engtin nge anus leh rectum lakchhuah hnuah stool a pass out ang?" Chuvangin permanent colostomy siam a ni.
A awlsam zawngin, hei hian i colon chunglam hmun hrisel tak chu i pum vun chung lamah hruai luh a, pawn lam hawia hawn thar siam a huam a ni. He hawnna thar hi ‘stoma’ an ti a ni. A tlangpuiin pink opening a ni a, inches 1 leh 1 1⁄2 inkar a lian a ni.
Tunah chuan i taksa bawlhhlawh, chu chu bawlhhlawh leh boruak hi he stoma atang hian a lo chhuak ta a ni. Hemi chungah hian bag bik (ostomy pouch) i bun a ngai a ni. He bag hian bawlhhlawh a khawlkhawm thin. Anus i neih loh avangin bawlhhlawh kal dan tur control theihna i nei tawh lo. Chuvangin he bag hi engtik lai pawhin i bun a ngai a ni.
Operation hnua dam leh hun chhung hi engtin nge a awm?
Surgery zawhah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Operation zawh veleh i stoma chungah ostomy bag dah nghal a ni ang. Mahse, i chaw ei leh in (digestive system) a thawk leh theih nan ni engemaw zat a la ngai dawn a ni. Chuvangin a tir lamah chuan liquids in tur i pe ang. I rilru a thawh tan chuan zawi zawiin solid foods i inhriat tir ang.
Damdawi ina i awm chhung hian doctor leh nurse te chuan i stoma enkawl dan tur te, i bag thlak dan tur te, i vun fai dan tur te an zirtir ang che. Chuvangin in lama i haw hunah ngaihtuah tur a awm lo. A pawimawh ber chu an thupek dik taka zawm hi a ni.
He surgery hi laparoscopically hmanga tih hian eng nge a thatna?
He surgery hi keyhole emaw laparoscopic method hmanga tih hian traditional open surgery aiin a thatna engemaw zat a nei a ni.
- Incision te hi a te lutuk: Incision lian tak pakhat ai chuan incision te te tlemte chauh hman a ni.
- Natna tihtlem: Operation hnua natna hriat hi a tlem hle.
- Thisen chhuah tlem: Surgery neih laiin taksa atanga thisen a bo tlem zawk.
- Harsatna awm theihna a tlahniam:Hliam natna ang chi thil awm theihna chance a tlem zawk.
- Dam chak zawk: Damdawi ina awm chhung hi a rei zawk a, nun pangngaiah i kir leh thuai thei bawk.
He surgery avanga harsatna awm thei te chu engte nge ni?
Surgery dang ang bawkin hlauhawmna tenau tak tak a awm a, mahse hengte hi hmuh tur a awm lo.
- Perineal hernia hi hnute lakchhuah hnua vun hnunglam atanga lak chhuah a nih chuan a awm thei. A tul chuan hei hi surgery dang hmangin siamthat theih a ni.
- Thisen chhuah tam lutuk.
- Incisions nena inzawm harsatna (hliam festering, non-healing).
- Hliam a dam chuan vunah khur te tak te a awm (perineal sinus).
Hetiang thil a thlen chuan doctor-te chuan a nasat dan azirin antibiotics pek emaw, a tul chuan operation tenau emaw tih ang chi enkawlna hmangin an enkawl thin.
He surgery atanga a dam kim theih nan kar thum atanga kar ruk vel a ngai tlangpui. Mahse, he hun hi i hriselna zawng zawng ang chi thil a zirin a danglam thei. Engtikah nge hna i thawh leh theih ang tih doctor zawt rawh.
| Heng symptoms te hi a lo awm chuan doctor ko nghal tur a ni. | |
|---|---|
| Symptom a ni | Hrilhfiahna |
| Pum natna nasa tak | Natna pangngai aia tam, tuar theih loh. |
| Nausea leh luak chhuak | Nausea leh luak chhuak reng reng. |
| Cutting paths inthlak danglamna | A sen, a hring, a na lutuk, a nih loh leh incision atanga pus lo chhuak. |
| Ostomy bag chhungah bawlhhlawh a lut lo | Ni thum chhung chu ostomy bag chhungah bawlhhlawh emaw boruak emaw a lut tur a ni lo. |
| Khawsik | Khawsik 100.5° F (38° C) aia sang. |
| Zun harsatna | Zun a harsat emaw, a na emaw. |
Hetiang surgery lian tak neih a ngai dawna lungkham leh lungkham hi thil pangngai tak a ni. Chuvangin, zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor hnenah inhawng takin sawi rawh. Tin, chutiang surgery nei tawh, tuna dam leh mekte nen support group-ah i tel thei a nih chuan an thil tawn atang hian rilru chakna leh huaisenna nasa tak i nei ang.
Take-Home Thuchah a ni
- APR surgery hi surgical procedure a ni a, anus, rectum leh colon thenkhat te chu lakchhuah a ni. Rectum hnuai lam cancer tan tih a ni ber.
- He surgery zawh hian pum chhungah hian zun kalna tur kawngkhar nghet tak, stoma an tih chu siam a ni.
- Laparoscopic surgery hi a na lo zawk a, incision tenau zawk a nei a, a dam rang thei bawk.
- Doctor thupek (a bik takin meizuk, zu bânsan, leh ei leh in) te chu zai hma leh operation hnua dik taka zawm a pawimawh hle.
- Operation hnua symptom danglam tak tak lo awm chu hlau suh la, doctor hnenah hriattir nghal rawh.
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