Mediastinoscopy: He surgery hi a awlsam zawngin rilru cancer zawng turin i zir dawn ang (Mediastinoscopy)

I doctor chuan mediastinoscopy neih a ngai tih a hrilh che em? Chu hming i hriat chuan i hlauthawng deuh a ni ngei ang, a dik em? ‘Hei hi eng nge ni? Operation lian tak a ni em? A pawi dawn em ni?' A pangngai hle mai. Thumal thar i hriat hian, leh surgery an tih pawhin tlem chuan i hlauthawng tih hi thil mak a ni lo. Chuvangin vawiin hian he mediastinoscopy hi eng nge a nih, engvangin nge tih a nih, engtin nge an tih tih leh a hnua thil thlengte hi i hriatthiam theih tur angin i sawi ang u.

A awlsam zawngin Mediastinoscopy tih hi eng nge ni?

Okay, hei hi han ti chhe hmasa ila. Mediastinoscopy hi surgical procedure a ni a, i doctor chuan i rilru chhung lam, a bik takin i lung inkar hmun (chu chu damdawi lama mediastinum kan tih chu a ni) chu ngun zawkin a enfiah thei a ni.

Ngaihtuah teh, kan rilru chhunga lung pahnih inkar he hmun hi a pawimawh hle. A chhan chu kan thinlung, trachea, leh esophagus ang chi taksa peng pawimawh tak tak tam tak hetah hian a awm a ni. Chuvangin he method hi he hmunah hian thil danglam tak a awm em tih kan en duh hunah kan hmang thin a, chu chu tumor emaw lymph node lian zawk emaw a ni.

Hemi atan hian hmanraw bik mediastinoscope an tih chu hman a ni. Tube te tak te, camera leh light inbun ang mai a ni. He hmanrua hmang hian doctor-te chuan rilru chhunga thil awmte chu chiang takin an hmu thei a ni. An hmu thei mai ni lovin, chutah chuan lymph node emaw tumor dang emaw atanga tissue sample la in enfiah turin an thawn thei bawk (hei hi biopsy kan ti a ni).

Mediastinoscopy leh Mediastinotomy hi eng nge an danglamna?

Mediastinotomy tih thumal pawh i hre mai thei. An pahnih hian rilru mediastinum area en turin an ti a ni. Mahse a danglamna tlem a awm.

• Mediastinoscopy: Hei hi a kawngah hian incision te tak te (inch khat vel) siam a, chuta tang chuan scope dah a ni. Incision hi a te a, chuvang chuan a dam nghal vat thin.
• Mediastinotomy: Hei hi rilruah incision lian deuh deuh siam a, a chhung lam hawia en a ni. Hetiang hmang hian doctor chuan a chhung lam chu a hmu tam zawk a, mahse a incision chu a lian zawk avangin dam hun a rei zawk.

Engvangin nge he test hi tih i duh?

Doctor-in he test hi a order theih chhan hrang hrang a awm. A chhan ber chu:

• Cancer vei rinhlelhna chu nemnghet rawh:X-ray emaw CT scan emaw hmanga i rilruah thil danglam tak i hmuh chuan tissue pakhat i la a, cancer a nih leh nih loh chiang taka i enfiah a ngai a ni. Chumi atan chuan he method hi a pawimawh hle.
• Cancer stage ruat rawh: Mi pakhatin lung cancer, thymus gland cancer, emaw esophageal cancer emaw a vei tih hmuhchhuah a nih tawh chuan he test hi eng chen nge a darh tawh tih hriat nan tih a ni. A bik takin, cancer hi a bul hnaia lymph node-ah a darh tawh em tih hriat nan a pui hle. Hetiang hian cancer stage an hriat chian a, enkawl dan tha ber thlan a ni.
• Natna dang hriatchhuah: Cancer chauh ni lovin, he test hi a châng chuan lung chhunga natna hrik awmte zawn nân hman a ni a, natna dang , lymphoma, sarcoidosis, emaw mesothelioma

Hetiang surgery neih duh lo mi an awm em?

Ni e, he surgery hi mi zawng zawng tan a tha lo. A then phei chuan risky tak a ni thei bawk. A bik takin mi tan chuan:

• Operable tumor lian lutuk surgery hmanga lakchhuah theih loh nei tan.
• Mediastinoscopy nei tawh tan (a chhan chu a hmaa incision atanga scar tissue hian a vawi hnihna atana tih harsa leh risky tak a siam thei a ni).
• Chest area-a radiation therapy nei tawhte tan (surgery hi a buaithlak thei a, a chhan chu chu lai hmuna tissue chu radiation vangin a danglam vang a ni).

I doctor chuan a enfiah ang che a, hemi chungchangah hian thutlukna tha ber a siam ang che.

Operation hmain engtin nge i inbuatsaih thin?

Hei hi surgery a nih avangin i doctor chuan inbuatsaih dan tur a hrilh hmasa ang che. Chu thupekte chu dik taka zawm a pawimawh hle.

Engtin nge surgery hi an tih thin?

Okay, tunah chuan operation room chhunga thil thleng hi han en ila. Lungngai suh, heng zawng zawng hi general anesthesia hnuaiah a thleng a, chu chu engmah i hriat loh nan i mut tir tihna a ni.

1. Anesthesia: A hmasa berin i kut vein pakhatah IV dahin i muthilh kim theihna tur damdawi pek i ni.

2. Breathing tube: I hriat lohvin i kawr hnuai lamah thawkna tube dahin machine (ventilator) hmangin thawk phalsak i ni.

3. Small incision: Incision te tak te hi i kawr hnuai lam inch khat vel, i hnute ruh chunglam chiaha siam a ni.

4. Instrument dah: Chu incision hmang chuan surgeon chuan mediastinoscope an tih instrument a dah lut a.

5. Examination leh sampling: Doctor chuan a dah lut a, enfiah tur hmunte chu camera hmangin a en thin. Lymph node emaw tissue rinhlelh awm tak tak a awm chuan, chu instrument khatah chuan scissor ang chi hmanraw te tak te hmangin sample (biopsy) lak a ni.

6. Device lakchhuah a, sewing up: Hna thawh zawh hnuah device chu la chhuakin, a incision te tak te chu dissolvable thread emaw regular thread emaw hmangin sew up rawh.

7. Anesthesia atanga harhchhuah: A tawpah chuan i harh leh ang a, thawkna kawngkhar chu a la chhuak ang.

This entire process usually takes about an hour , mahse a châng chuan a rei deuh thei bawk.

Operation hnuah eng nge thleng? Engtin nge dam leh hun chu?

Anesthesia atanga i harh hnuah pawh darkar tlemte chhung chu i groggy deuh ang. A tam zawkah chuan hei hi outpatient procedure a ni a, damdawi ina awm reng a ngai lo tihna a ni.

• In lama haw: Mahse, anesthesia pek i nih tawh avangin , i khalh thei dawn lo. In lama hruai tur che chhungte emaw, ṭhian emaw i mamawh ang.
• Harsatna hrang hrang: 1.1.Thâwkna kawng (breathing tube) dah a nih avangin i rilru leh i hmuiah tingling sensation i nei thei a, a na leh a tuk atan i khuh thei bawk. Chu chu lungngai suh. Incision site pawh ni engemaw zat chhung chu a na deuh ang. Chumi atan chuan doctor chuan painkiller a pe ang che.
• Test: A chang chuan operation hnuah i lung X-ray i la thei a, chu chu i lungah harsatna a awm lo tih finfiah theih a ni.

Mediastinoscopy hian eng hlauhawmna nge a neih?

Surgery dang ang bawkin, hlauhawmna tenau tak tak a awm bawk. Hengte hi a thlen theihna hi a tlem hle nachungin, hriat a pawimawh hle.

He surgery avanga thihna hlauhawmna hi a tlem hle hle (0.09% vel) a ni. Chuvangin a tul lovah ngaihtuah buai suh.

Eng chen nge result lo thleng tur?

Biopsy hi laboratory-ah test turin thawn a ni ang a, report a thlen theih nan ni engemaw zat a la ngai mai thei. Report a lo thlen veleh i doctor chuan a hrilhfiah ang che a, a hnuaia hmalakna tur leh enkawl dan tur a sawiho ang che.

Engtik hunah nge Doctor ka hmuh ang?

In i haw hnuah natna leh natna tenau engemaw zat i neih hi thil pangngai a ni. Mahse, a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni . A nih loh leh i damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.

• A rilru a na hle
• Khawsik sang tak a ni
• Thâwk harsa
• Incision site chu a sen hle a, a hring a, chuta tang chuan pus ang chi discharge a chhuak a nih chuan

Hetiang thil hi ngaihthah suh.