Lobectomy chungchang hi kan hriat vek tur em ni?

Nangmah emaw, i hriat mi emaw chu doctor-in lung lama harsatna a neih avangin operation neih a ngai tih a hrilh tawh em? Hetiang hun lai hian hlauhna tlem, thil hriat duhna leh zawhna tam tak neih hi thil pangngai tak a ni. "Hei hi operation lian tak a ni em? A na em? Chumi hnuah eng nge thleng?" Chuvangin vawiin hian lung surgery lian tak ‘lobectomy’ tih chu awlsam leh friendly takin kan sawi dawn a ni. Eng nge a nih, engvangin nge tih a nih tih leh a chungchang i hriat tur eng nge ni tih i lo en ang u.

A awlsam zawngin lobectomy tih hi eng nge ni?

A awlsam zawngin sawi ila, lobectomy chu i lung hmun (lobe) pakhat surgery hmanga lakchhuahna a ni. Kan lung hi lobe, a nih loh leh lobe engemaw zat atanga siam a ni. Lung dinglam hian lobe pathum a nei a, veilam lung hian lobe pahnih a nei bawk. He surgery hian lung natna hmun chauh a paih chhuak a, chutih rualin lung hmun hrisel la awmte chu a humhim thung.

He surgery hi lung cancer hmasa ber (non-small cell lung cancer) enkawlna atan an ti fo thin. Tin, a châng chuan doctor chuan a lobe pum pui ni lovin a lobe hmun tlemte chauh lak chhuah a rel thei bawk. Hei hi segmentectomy an ti a.

Lung cancer bakah hian he surgery hi chhan dang engemaw zat avangin tih theih a ni.

Engtin nge he surgery hi tih a nih?

Tun hma ang lo takin tunlai hian he surgery hi rilru hawng lovin an ti fo thin a, incision tenau tak tak hmangin an ti thin. Hei hi ‘minimally invasive methods’ kan ti a ni. Thil tih dan tlangpui pahnih a awm.

1. VATS (Video-a tanpuina hmanga Thoracoscopic Surgery): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hei hian i ruh chhungah incision tenau tak tak engemaw zat siam a, pakhat kaltlangin video camera te tak te leh incision dang hmangin surgical instrument te chu i rilruah dah a ni. Surgeon chuan screen lian takah i lung thlalak chiang tak a en laiin surgery chu a ti thin. Hetiang hmang hian ruh engmah tihchhiat emaw, sawn emaw a ngai lo.

2. RATS (Robot-Assisted Thoracoscopic Surgery): Hei hi VATS nen a inang a, mahse hetah hian surgeon chuan robotic arm engemaw zat hmangin hmanrua a control a.

Mahse, thil buaithlak ṭhenkhatah chuan doctor-te chuan an rilruah incision lian zawk siamin, ruhte chu tlem a inṭhen a, an zai a ngai mai thei. Hetiang tih dan hi thoracotomy an ti a .

Operation hmain engtin nge i inbuatsaih thin?

Hetiang surgery lian tak neih hma hian i hriselna dinhmun dik taka tehna atan test eng emaw zat an ti thin.

• Taksa enfiahna kimchang.
• Imaging test te chu chest X-ray, CT scan, emaw PET scan te hi a ni.
• Pulmonary function test hmangin thawk harsatna a awm leh awm loh enfiah thin.
• Lung tissue emaw lymph node te te tak te enfiah (biopsy) atana lak.
• Thisen test a ni.
• Thinlung hnathawh dan enfiah nan `(ECG)` leh `(echocardiogram)` ang chi test te.

Lung cancer i neih chuan taksa peng dangah a darh tawh em tih hriat (staging) hi enkawl dan tur ruahmanna siam nan a pawimawh hle. Tin, thinlung natna i neih tawh chuan operation hmain cardiologist i pan a ngai dawn bawk. Anesthesiologist chuan operation neih lai leh operation hnua natna enkawl dan tur a sawifiah ang.

Doctor chuan operation hma zan khan engtik laiin nge ei leh in i chawlhsan tur tih a hriattir lawk ang che.

Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?

Surgery zawhah i harh leh ang a, recovery unit-ah an thawn ang. Hetah hian i natna thunun nan damdawi pek i ni ang. I hriatna a kim tawh chuan thawkna tube chu lakchhuah a ni ang. Mi tam takin hei hi an hre reng lo.

• Chumi hnuah chuan general ward-ah emaw, a chang chuan intensive care unit (ICU)-ah emaw sawn i ni ang.
• I rilruah chest drain pakhat emaw pahnih emaw dah a ni ang a, chu chuan operation na hmun atanga tui leh boruak tam lutuk chu a paih chhuak ang. An atanga tui chhuak zat a tlahniam chuan doctor chuan tube te chu a la chhuak ang.
• Medical staff te chuan khuh fo turin an fuih ang che , deep breathing exercise pawh an ti ang . Hei hi i lungte a dam leh theih nan a pawimawh hle.
• Blood thinners leh compression devices te hi khumah i mut laiin keah thisen zam a awm loh nan hman a ni.
• Operation hnu ni khata kal tura tanpui che hi damna kawngah pawh a pawimawh hle.

VATS emaw RATS ang chi technique hmanga operation i neih chuan ni hnih emaw ni thum emaw chauh damdawi inah i awm a ngai ang . Recovery pawh a rang zawk. Open chest surgery i neih chuan ni thum atanga ni li chhung damdawi inah i awm a ngai ang . In lama i haw hunah chuan kar khat vel hman theih turin natna tidamtu damdawi chak tak tak pek i ni ang. In lamah mahni hna thawk thei mah la, tanpuina dilna i bula awm chu a tha.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

He surgery hian a thatna lian ber chu lung cancer natna vei tan chuan tihdam kim theihna chance tha ber a pe a ni . Chu chu beiseina ropui tak a ni. Tin, surgery zawng zawng ang bawkin risk engemaw zat a awm bawk.

Engtikah nge Doctor i hmuh leh duh?

In i haw hnuah, natna kai chhinchhiahna, khawsik, khawsik, leh hah lutuk , i neih chuan i doctor i ko nghal tur a ni.

I doctor chuan i operation hnu kar 1 atanga kar 3 chhungin follow-up visit a ruahman ang. I rilru X-ray a la ang a, i hliamte chu a enfiah ang a, i hmasawnna a sawipui ang. I cancer stage a zirin oncologist hnenah refer i ni thei . Kum nga chhungin i dinhmun chu CT scan hmangin a hun takah enfiah a ni ang.