I doctor-in nangmah emaw, i hriat mi emaw hnenah i bawlhhlawh paih chhuah nan i pum chhungah bag dah a ngai tih a hrilh hian, tlem a mangang leh hlauhthawn hi thil pangngai a ni. "He surgery hi eng nge ni?", "Hei hi a awm reng em?", "Nun pangngai ka hmang thei dawn lo em ni?" I rilruah zawhna tam tak i nei mai thei. Lungngai suh. He surgery, ‘Fecal Diversion’ tia koh hi i hriatthiam theih tur khawpa awlsam takin sawi ila.
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He ‘Fecal Diversion’ surgery hi eng nge ni?
‘Fecal Diversion’ tih hi a awlsam zawngin, taksa (rectum) atanga bawlhhlawh chhuahna kawng (natural path) chu hun eng emaw chen emaw, a awm reng emaw a inthlak danglam a, chu chu pum vun kaltlangin a chhuak a ni. Chutianga pum vunah artificial opening siam chu stoma an ti a .
He stoma hi intestine hmun thenkhat hmanga siam a ni.
- I rilru natna (small intestine) chu vun nena inzawm tir a, stoma i siam chuan ileostomy an ti a ni.
- I colon chu vun nen a inzawm chuan colostomy an ti a.
Tunah chuan engvangin nge hetiang hi tih a nih tih i ngaihtuah mai thei. Doctor-te chuan he surgery hi chhan hrang hrang avangin an rawt tlangpui:
- Infection complex emaw, rectum emaw anus nena inzawm harsatna emaw tihziaawm.
- Colon cancer enkawlna atan .
- Insum theih lohna .
Ngaihtuah teh, kan rectum hian ring ang maia thau (sphincter muscle) a nei a, chu chuan bawlhhlawh kal dan a thunun a ni. Chuvang chuan kan duh hunah kan hold in thei a, stool kan pass thei bawk. Mahse stoma siam hian chutiang controlling muscle chu a nei lo. Chuvang chuan stool kal dan kan thunun thei lo. Chuvangin stool chhuak chu khawlkhawm turin stoma nena inzawm bag bik ( ostomy collecting device) kan bun a ngai a ni.
He stoma hi hun eng emaw chen atan emaw a awm reng thei bawk . I damdawi lam dinhmun a zirin a ni. Entirnan, intestinal bleedingAnus section pakhat chu tan a, lakchhuah a nih hnuah a bak pahnih chu inzawm leh a nih hnuah anastomosis a dam hma loh chuan chawlhna pe turin temporary stoma siam a ni. Chu hmun chu a dam leh chuan surgery dang tih lehin stoma chu lakchhuah a ni a, stool kalna tur kawng pangngai siam a ni. Mahse, anus leh rectum lakchhuah vek a nih chuan stoma chu a awm reng tur a ni.
Engtin nge he surgery hi laparoscopic hmanga tih a nih?
Laparoscopy hi kan hriat vek angin "keyhole surgery " chi khat a ni. Hemiah hian incision lian tak siam ai chuan pum chhungah khur te tak te tlemte chauh siam a ni.
Laparoscope , tube te tak te, hmalam a camera leh light awmna chu a incision pakhat hmangin pum chhungah dah a ni. Camera atanga thlalak te chu operation room chhunga screen lian (monitor) ah a lang a. Doctor chuan screen a en a, incision tenau dang hmanga dah luh instrument bik hmangin surgery a ti thin.
Hetiang tih dan thatna chu incision lian tak a awm loh avangin natna a tlem a, a dam rang zawk a, damdawi inah ni a tlem zawk bawk.
Engtin nge stoma hi siam a nih?
Stoma hi chi hnih a awm a. An siam dan pawh a danglam deuh hlek a.
| Stoma chi khat a ni | A siam dan awlsam tak |
|---|---|
| Stoma tawp rawh | Hei hian intestine tawp (a te emaw, lian emaw) chu pum chhunga vun chung lamah direct-a hruai a, vunah inzawm tir a, a inzawm khawm a ni. Hetah hian intestine tawp chu hawnna angin a lo chhuak thin. |
| Loop Stoma a ni | Hei hi temporary stoma siamna atana hmanraw hman thin a ni fo thin. Chutah chuan vun chung lamah intestine loop an rawn keng a, a sir lamah chuan incision te tak te an siam a. Hei hian hawnna pahnih ang maia lang a siam a ni. He loop hi pum chhunga a kal leh loh nan, operation hnu ni engemaw zat chu a hnuaiah plastic rod te tak te dah a ni. Chumi hnuah a chhuak leh thin. |
Operation hnuah eng nge thleng? Recovery period chungchang i zir chiang ang u
Hetiang operation i tih zawh hian damdawi inah ni hnih emaw ni thum emaw i awm a ngai tlangpui . Surgery zawh veleh i stoma chungah bag dah a ni ang. I digestive system hnathawh tan leh theih nan ni khat emaw ni hnih emaw a ngai dawn a ni. Chumi hnuah chauh chuan stoma atang hian stool a chhuak tan ang.
Damdawi ina i awm chhung hian stoma enkawlna lama a bik taka training nei nurse chuan i bag thlak dan tur leh i stoma chhehvel vun thianghlim taka vawn dan tur a entir ang che. A tirah chuan heng thil tih dan tur an kawhhmuh ang che, tichuan nangmah ngeiin tih dan tur an zirtir ang che. Chuvangin in i thlen hunah chuan heng thilte hi nangmah chauhin i ti thei tawh ang.
Hei hi thil thar a nih avangin, taksa leh rilru lamah pawh inthlak danglamna nasa tak i nei ang. A châng chuan i rit hle thei a, i lungawi lo hle bawk. Hei hi thil pangngai tak a ni. Nangmah chauh i ni lo tih hre reng ang che. I nurse, i doctor leh i chhungte chu tanpui turin an awm reng a ni. I lungngaihna engtik lai pawhin anmahni nen inbia ang che.
A tir lamah chuan a harsa mai thei, mahse hun kal zelah he inthlak danglamna thar hi i thiam tawh ang. Khawvel hmun hrang hrangah hian mi maktaduai tam takin hna pangngaia thawk, khawtlang nunah tel ve , hlim taka khawsa an awm a. Chuvang chuan chak taka awm reng hi a pawimawh em em a ni.
Take-Home Thuchah a ni
- ‘Fecal Diversion’ hi surgical procedure a ni a, stool kalna kawng chu pum chhunga vun chung lamah a hruai lut a ni. Opening siam chu stoma an ti a .
- He surgery hi laparoscopically (keyhole) hmanga tih a nih avangin natna a tlem a, a dam thuai bawk.
- Stoma hi control theih a nih loh avangin stool lakkhawm nan engtik lai pawhin bag bik ( ostomy bag ) bun a ngai a ni.
- Stoma hi hun eng emaw chen atan emaw, a awm reng emaw pawh a ni thei. I damdawi lam dinhmun a zirin a ni. Hemi chungchang hi doctor zawt rawh.
- Operation hnuah taksa leh rilru lama inthlak danglamna i tawng ang. Hei hi thil pangngai a ni. Ṭanpuina dil hreh ngai suh la, i chhungte leh damdawi lam thawktute nen pawh inbiakna nei suh.
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