Nang emaw, i hriat leh i hmangaih tu emaw chuan hetiang surgery chungchang hi doctor-in a hrilh che khan hlauhna tlem leh i thinlungah phurrit rit tak i nei ngei ang, a dik em? "Laparoscopic Abdominoperineal Resection" tih hming lian tak i hriat hian i hlauthawng hi thil pangngai a ni. Mahse, hlau suh. Vawiin hian he surgery hi eng ang surgery nge a nih, engvangin nge tih a nih a, surgery hnua thil thlengte chu awlsam takin i hriatthiam theih angin kan sawi dawn a ni.
A awlsam zawngin, he surgery hi eng nge ni?
Hei hi surgeon-in surgery a tih a ni. I hnute, i hnungzang leh i intestine lian hnuai lam (sigmoid colon) te chu lakchhuah a ni. He surgery hi i pum chhunga khur te tak te engemaw zat hmanga tih a ni a, incision lian tak hmanga tih a ni lo. Hetiang tih dan hi laparoscopy emaw "keyhole surgery" emaw an ti a.
He surgery hi cancer hi rectum thuk takah emaw, anus bulah emaw a awm chuan tih a tha tlangpui. He surgery hi cancer hi stool kalna tur control tu sphincter muscles hnaih takah a awm a nih chuan a tul hle a, he surgery hi chu muscles te nen chuan cancer cells te pawh lakchhuah vek nan a ngai a ni.
A pawimawh ber chu kan taksa atanga cancer awm zawng zawng paih chhuah vek hi a ni. He surgery hian chutiang chu a ti a ni.
He surgery-ah hian i taksa atanga bawlhhlawh (feces) chhuah theihna tur kawngkhar thar siam a ni. Hei hi stoma an ti a . He stoma hi i pum vunah a awm a. Chumi hmang chuan intestine lian tak chu a inzawm khawm ta a ni. Doctor-te chuan he tih dan hi "colostomy" an ti bawk.
Stoma tih hi eng nge ni? Ka hlau tur em ni?
Ni miah lo. Stoma hi i nunna chhanhimna surgery-a thil pawimawh tak a ni. Hetiang hian han ngaihtuah teh, kan hnute ang bawkin hei hi bawlhhlawh chhuahna kawng thar a ni.
Mahse, danglamna pakhat a awm. Stoma hian kan hnute chhunga awm ang chi, bawlhhlawh kalna tur control tu sphincter muscles a nei lo. Chuvangin kan duh hunah stool kalna hi kan thunun thei lo. Hemi avang hian bawlhhlawh chhuak tur khawlkhawm nan bag (pouch) bik kan bun a ngai a ni.
A tir lamah chuan hetiang thil hi hman thiam hi a mak deuh mai thei. Mahse hun kal zelah i nunah thil pangngai a lo ni tawh ang. Chutianga pui turin nangmah tanpui turin nursing staff te chu he thila training bik nei an awm a ni. Engkim an zirtir ang che.
Surgery tih dan tur step khat hnu step khatin
Chutiang surgery lian tak ngaihtuah hian hlauthawng tih hi thil pangngai a ni. Mahse a tih dan i hriatthiam chuan i hlauhthawnna chu nasa takin a tlahniam ang.
| Surgery neih dan tur Stage | Eng Nge Thleng Tawh |
|---|---|
| 1. Anesthesia hmanga tihdam theih | Pakhatnaah chuan fully anesthetized i ni ang. Chumi awmzia chu surgery a zawh hma chuan engmah i hre lovang a, i muhil vek tawh dawn tihna a ni. |
| 2. Laparoscopy tih tan | I mut lai hian surgeon chuan i pum bulah incision te tak te (inch 1/2 vel) a siam a, chuta tang chuan camera ang chi instrument te tak te (laparoscope) a dah lut a. He camera hian i pum chhung lam a hmu thei a ni. Tichuan, i pum chhungah khur te tak te 4 emaw 5 vel siamin surgery tihna atana hmanraw mamawh te chu dah luh a ni. |
| 3. Bowel removal atana inbuatsaih | Colon chhuah tur hmuna thisen petu thisen kalna kawng lian ber berte chu an tan a, an khar a ni. Tichuan, colon atanga lak chhuah tur (sigmoid colon) chu a chhehvel tissue atang hian a chhuak a, large intestine la awm atang chuan a inthen ta a ni. Rectum pawh chutiang bawk chuan a chhehvel tissue atang chuan a chhuak ve bawk. |
| 4. Anus atanga lakchhuah | Bowel segments te a chhuah hnuah surgical team member dang pakhat chuan i ke inkar (perineal region) ah surgery a nei ang a, anus, rectum leh colon natna hmun chu a la chhuak vek ang. |
| 5. Stoma siam chhuah | Cancer tissue chu a lakchhuah hnuah surgeon chuan a hmaa siam chhuah khur te tak te hmangin stoma a siam a. Hei hi pum veilam a siam a ni tlangpui. Colon tawp la awm chu khur atang hian an chhuah a, vun nen an inzawm a, an sewn shut a ni. |
| 6. Surgery tih zawh | A tawpah chuan pum chhung (ril chhung) chu uluk takin silfai a ni a, a chhunga tui duh loh awm thei zawng zawng paih chhuah nan drainage tube te tak te dah a ni. Hei hian hliam chu a dam thuai thei a ni. Tichuan, pum chhunga incision dangte chu an sewn up thin. |
Recovery chhung hian eng nge beisei tur?
Surgery zawhah ni engemaw zat damdawi inah i awm a ngai dawn a, a tlangpuiin kar khat vel i awm a ngai dawn a ni. Hemi chhung hian doctor leh nursing staff ten uluk takin an enkawl ang che.
Damdawi inah hian eng thil nge thleng?
Operation hnua i harh chuan i stoma-ah bawlhhlawh khawlkhawmna tur pouch a dah ang. I digestive system, a nih loh leh i intestines te hian hna an thawk leh theih nan ni engemaw zat a la ngai dawn a ni. Vawikhat a tih chuan a tir lamah chuan tui in tur i pe ang . Zawi zawiin i dam chhoh zêl chuan, chaw solid pangngai ei tûrin i kal thei a ni .
I stoma enkawl dan zir
Hei hi a pawimawh ber a ni. Damdawi ina i awm chhung hian stoma enkawlna lama a bik taka training nei nurse (Enterostomal Therapist emaw ET nurse) chuan a pui ang che.
- I stoma bag thlak dan tur an entir ang che.
- Stoma chhehvel vun thianghlim leh hrisel taka vawn dan kan zirtir ang che.
- In lama i haw hunah chuan heng thilte hi nangmah chauhin i tih dan tur i practice ang.
Permanent colostomy hmanga nun hi inthlak danglamna lian tak a ni. I thiam theih nan hun engemaw chen pe rawh. Engmah ngaihtuah buai suh. Zawhna i neih apiang zawt tur leh tanpuina dawng tur chuan i ET nurse hi a tha ber a ni.
Engtik lai pawha ngaihtuahna emaw zawhna emaw i neih chuan i doctor emaw ET nurse emaw biak pawh hlau suh . I tanpui turin an awm reng a ni.
Take-Home Thuchah a ni
- He surgery (Laparoscopic Abdominoperineal Resection) hi surgery lian tak a ni a, rectal cancer tan nunna chhanhim thei a ni.
- Hei hi "keyhole" method (Laparoscopy) hmanga tih a nih avangin incision lian tak tak a awm lo va, chuvangin a dam leh hun pawh a rang hle.
- Surgery hnuah chuan i pum chhungah (stoma) hawnna nghet tak, bawlhhlawh chhuah theihna tur leh bawlhhlawh khawlkhawmna tur bag (pouch) i hman a ngai dawn a ni.
- Stoma enkawl dan zir hi a tir lamah chuan harsa tak ni thei mah se, a bik taka zirtir nursing staff te puihnain awlsam takin tih theih a ni.
- Hei hi taksa leh rilru lamah pawh inthlak danglamna lian tak a ni. Chuvângin, i doctor-te, nurse-te, leh i chhûngte ṭanpui tûra awmte hnênah chuan inhawng tak leh rinawm takin awm rawh. Nangmah chauh i ni lo.
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