Nangmah emaw i hriat mi emaw chuan an colon hmun thenkhat lakchhuah nan operation an neih chuan tlem a hlauthawng leh hriat duhna i neih chu thil pangngai a ni. A bik takin terminology a buaithlak deuh chuan. Chutiang surgery pakhat chu laparoscopic proctosigmoidectomy an ti a. A hming hi hlauhawm takin a ri thei a, mahse a awmzia awlsam tak chu han sawi ila. Thian hriatna nei tak pakhatin a hrilhfiah che hi han mitthla teh.
Engvangin nge he surgery hi tih a nih? Hei hi eng chhan nge ni?
A awlsam zawngin, he surgery hian i colon leh rectum natna hmun chu cut chhuakin lakchhuah a ngai a ni. A bik takin, i colon S-shaped part, sigmoid colon , leh a hnuaia i rectum chunglam chu.
Doctor-te chuan he surgery hi damdawi lam harsatna thenkhat enkawlna atan an rawt ber a ni. Chu chu eng nge ni tih i en ang u.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Colon leh rectal cancer te a awm thei | Heng intestine hmun hrang hrangah hian cancer cell a darh tawh a nih chuan he surgery hi a natna hmun chu paih vek turin tih a ni. |
| Cancer nei lo a lo thang lian | A chang chuan heng hmunah hian polyp ang chi, cancer nei lo mahse harsatna thlen thei thil a lo awm thei bawk. Hetiang method hmang hian an paih chhuak bawk. |
| Diverticulitis natna khirh tak a ni | Hei hi intestinal wall-a pocket te te a lo awm a, chu chu natna hrik a awm a, a fester a, a chang chuan a puak chhuak thin. Chutiang dinhmun khirh takah chuan a chhe lai chu lak chhuah a ngai a ni. |
‘Laparoscopic’ tih thumal hian eng nge a awmzia?
He surgery chungchanga thil danglam bik chu hetiang hi a ni. ‘Laparoscopic’ tih hi ‘ keyhole surgery ’ tihna a ni a, kan hriat vek angin. A hma ang bawkin i pum chhungah hian incision rei tak siam ai chuan, surgeon chuan i pum chhungah incision tenau tak tak (millimeter 5-10 vel) tlemte a siam a, chu khur atang chuan surgery chu a ti thin.
Hei hian hmanraw te tak te, tube ang chi, laparoscope an tih, camera te tak te dahna hman a huam a ni. Hei hi pum chhunga dah a nih chuan surgeon chuan pum chhunga taksa peng hrang hrangte chu monitor-ah chiang takin a hmu thei a, surgery chu chiang takin a ti thei a ni. Hetiang tih dan thatna chu a na lo zawk a, a dam thuai a, hliam lian tak a hnutchhiah lo.
Ngaihtuah teh, kawngkhar lian tak hawn a, in chhunga luh ai chuan, thil thleng chu chabi khur atanga thlir a, hmanraw te te hmanga in chhunga hna thawh ang mai a ni.
Surgery-a hmalakna lian ber pangate chu engte nge ni?
He surgery hi a tlangpuiin step lian panga a awm thin. Thumal awlsam takin pakhat hnu pakhatin i hrethiam ang u.
1. Laparoscope leh hmanrua te dah luh
Pakhatnaah chuan general anesthesia pek i ni ang , chuvangin operation neih chhungin engmah i hre lo ang, i muhil vek ang. Tichuan, surgeon chuan i navel (belly button) bulah centimetre khat velin incision te tak te a siam ang a, chuta tang chuan laparoscopic camera chu i pum chhungah a dah ang. Tunah chuan i pum chhung chu a hmu thei ta. Tichuan, operation atana hmanraw nalh dangte dah luh nân incision tenau panga emaw paruk emaw vel a siam belh leh ang.
2. Intestine natna hmun zalen
Tunah chuan sigmoid colon natna nei leh rectum thenkhat chu kan tan chhuah a ngai ta. Mahse chumi hma chuan chu part chu tissue dang atanga kan chhuah zalen a ngai a ni.
Kan intestines hi abdominal wall nen mesentery an tih membrane hmangin a inzawm a ni . He membrane chhungah hian thisen kalna kawng (arteries) lian ber ber, chu intestine hmuna thisen pe chhuaktu te chu an awm a. Surgeon chuan heng thisen kalna kawngte hi uluk takin a tan a, a clip a, a khar (thisen chhuah tihtawp nan). Tichuan, intestine natna nei chu he mesentery atang hian a chhuak ta a ni. A tawp berah chuan intestine a natna hmun chu a natna nei nen chuan lakchhuah a ni.
A chang chuan rectum pumpui lak chhuah a ngai a nih chuan Total Proctosigmoidectomy an ti thin.
3. Bowel reconnection atana inbuatsaih
Natna lai chu lakchhuah a nih hnuah chuan intestine hmun hrisel dang pahnih chu inzawm leh a ngai a ni. Chumi awmzia chu a chung lama colon tawp hrisel tak chu a hnuai lama rectum la awm tawp hrisel tak nen inzawm a ngai tihna a ni.
Chutianga tih theih nan chuan surgeon chuan mesentery atang hian intestine hrisel tak chu tlem a chhuah tir a, chutiang chuan awlsam zawkin a hnuai lam a hrual thei a ni. Rectum dang zawng zawng pawh a chhuah tir bawk. An pahnih hian a thlunzawm thei a ni. Cancer a nih chuan a bak zawng chu silfai a ni a, cancer cell darh zel tur tihtlem nan solution bik hmangin tihfai a ni .
4. Taksa atanga intestine natna nei te lakchhuah
‘Keyhole’ incision te hi a te em em avangin, chuta tang chuan intestine lian tak cut part chu a chhuak thei lo. Chumi atan chuan kalphung bik hman a ni. Surgeon chuan original incision pakhat chu a lian deuh a , chuta tang chuan pum chhungah bag bik a dah lut a ni. Tichuan, intestine cut part chu bag chhungah dahin uluk takin bag chu an la chhuak thin.
5. Intestine tawp pahnih inzawm leh (Anastomosis) .
Hei hi surgery hnuhnung ber leh pawimawh ber a ni. Intestine tawp hrisel pahnih inzawmkhawmna hi damdawi lam tawng chuan anastomosis an ti a.
Chumi atan chuan surgeon chuan anus kaltlangin stapling device bik a dah lut thin. He device hian staple ring a kap a, intestine tawp pahnih chu a glue khawm a ni. Chumi hnuah surgeon chuan connection point-ah leak awm leh awm loh a enfiah a , pum chhung chu uluk takin a silfai chhuak thin.
A chang chuan ‘drain’, tube te tak te chu operation hnu ni engemaw zat chhung dah theih a ni a, chu chuan a chhunga tui awm zawng zawng chu a chhuah theih nan a pui thei a ni. A tawp berah chuan incision zawng zawng chu stitches emaw special tape emaw hmangin an khar vek a ni.
Operation hnua dam leh hun chhung hi engtin nge a awm?
Surgery hnua dam leh hun chhung hi surgery hlawhtlinna ang bawkin a pawimawh a ni.
- Thil rit phurh loh tur: Operation hnu kar 6 chhung chu rit phurh leh i pum ti na thei exercise (sit-up ang chi) tih kha i titawp vek tur a ni.
- Kea kal hi a ropui hle: In i thlen hnuah zawi zawiin i activity level tisang rawh. Hemi hun chhung hian kea kal hi exercise tha ber a ni. Kea kal hian chakna a pe che a, thisen kal dan a ti tha a, thisen zam a veng bawk a, i lung a hrisel theih nan a pui bawk.
- Chaw leh In: In lama i haw hunah ei tur tam zawk i ei thei. Amaherawhchu, thei leh thlai raw ei hi hun engemaw chen chu i pumpelh tur a ni. Operation hnua doctor i hmuh hma loh chuan “soft” diet zawm a tha ber (post-surgical check-up). He ei leh in avanga constipation i neih chuan doctor ko nghal la, thurawn la rawh.
- Exercise dang: Operation hmaa exercise i tih lai khan i rilru a hahdam a, i doctor-in, "Okay, start now" a tih hunah exercise i tan leh thei ang.
A pawimawh ber chu i taksa thu ngaihthlak hi a ni. I chau nia i hriat chuan chawlh hahdam rawh. Zawhna i neih chuan i rilruah dah suh la, i doctor nen inbia ang che.
Take-Home Thuchah a ni
- Laparoscopic proctosigmoidectomy hi ‘keyhole’ surgery hmanga tih a ni a, chu chuan colon natna hmun thenkhat chu a paih chhuak thin. Incision lian tak pakhat ai chuan khur tenau tlemte chauh hman a ni.
- He surgery hi colon cancer, non-cancerous tumor, leh complicated diverticulitis ang chi natna enkawlna atana tih a ni ber.
- ‘Key hole’ tih dan hian natna a ti tlem a, damdawi ina awm rei zawk, a dam chak zawk a, a hliam a ti tlem bawk.
- Operation hnu kar 6 chhung chu rit phurh loh a pawimawh a, exercise light tak tak, kea kal ang chi tih a pawimawh bawk.
- Diet emaw thil dang emaw chungchanga zawhna i neih chuan guess suh.I surgeon emaw doctor emaw hnen atangin thurawn zawng fo ang che.
Laparoscopy, keyhole surgery, colon surgery , rectal cancer, sigmoid colon, proctosigmoidectomy sinhala, laparoscopy sinhala te pawh a awm bawk
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