Mitrofanoff Procedure hi eng nge ni? A awlsam zawngin sawi ila.

A chang chuan kan ngaihtuah phak loh hriselna lama harsatna kan hmachhawn a ngai thin. A bik takin bladder lama harsatna a awm chuan a pangngaia zun theih loh hi a harsa hle. Chutiang dinhmun nena nun chu naupang leh puitling tan pawh harsatna lian tak a ni. Chutiang mite tanpui tur chuan vawiinah hian an nun awlsam zawk nan surgery bik tih kan sawi dawn a ni. Hei hi Mitrofanoff Procedure an ti a. A hming hi a mak deuh viau nachungin, a hlawkna hi a hlu em em a ni.

A awlsam zawngin, he Mitrofanoff surgery hi eng nge ni?

Mitrofanoff surgery hi surgical procedure a ni a, chu chuan pum chhungah kawngkhar te tak te ( stoma an tih) a siam a, chu chuan bladder atanga zun a chhuak thei a ni. Hei hi thil danglam tak a ni a, a chhan chu surgeon te hian i taksa peng pakhat hmangin he hawnna hi an siam thin. Chu chu i appendix chu a ni .

I scrotum hmangin i bladder atanga i pum thlengin tube ang maia kawng te tak te i siam ang tih han ngaihtuah teh. Tichuan, i zun i mamawh hunah chuan he kawngkhar (stoma) hmang hian catheter , flexible tube, i dah thei a, chu chuan i bladder chu a khar thei a ni.

Hetiang kalphung hi kum 1976 khan professor pakhat Paul Mitrofanoff-a’n a lo hmang tan a ni. Chuvang chuan a hming a pu ta a ni. `Appendicovesicostomy` an ti bawk.

Heng kan taksa peng hrang hrangte hi tlem han hrethiam hmasa ila.

He surgery hi chiang taka hriatthiam theih nan kan taksa urinary system leh ureter hnathawh dan tlem tal ngaihtuah chuan a \angkai hle.

• Bladder: Hei hi muscular sac a ni a, balloon ang mai a ni. Kan kal (kidney)-in thisen a filter atanga a siam zun hi tube te tak te (ureter) pahnih hmangin a luang a, he bladder-ah hian a awm khawm thin. A khat tawh chuan zun a ngai tih kan hria. Tichuan, zun chu urethra kaltlangin taksa atangin a chhuak ta a ni.
• Appendix: Hei hi kan chaw ei dan (digestive system) a tel a ni. Tube te tak te a ni a, i pum dinglam hnuai lam a awm a, i intestine lian ber hmun hmasa berah a inzawm a ni. Doctor-te chuan eng function dang nge a neih tih an la hre lo. Mahse, chutiang tel lo chuan nun hrisel kan hmang thei a ni. Mi tam tak chuan appendicitis an neih hian surgery hmangin an paih chhuak thin. Chuvangin, hmanraw tangkai dang atana dah pawhin harsatna a awm lo.

Appendix i neih loh chuan, a hmaa surgery i neih tawhnaah lakchhuah a ni tihna a nih chuan engtin nge i tih ang? Chumi atan pawh chuan solution a awm. Chutiang a nih chuan surgeon chuan i small intestine atanga appendix chu a la chhuak ang.Tlemte an la a, he kawng hi an siam a ni. Monti emaw Monti-Yang method emaw an ti a.

Mitrofanoff operation neih lai hian eng nge thleng tak tak?

Hei hian i pum chhunga khur (stoma) atanga catheter dahin nangmah ngeiin i bladder i empty thei a ni. Hei hi self-catheterization an ti a.

Nitin, hun bituk (a tlangpuiin darkar 3-4 danah) ah a hnuaia mi ang hian i tih a ngai ang:

1. Flexible tube (catheter) chu pum chhunga hawnna (stoma) kaltlangin dahin, bladder panna kawng siam zawhah kaihhruai a ni.

2. Zun zawng zawng chu toilet-ah emaw, pipe bula container-ah emaw paih vek tur a ni.

3. Bladder a khar vek tawh chuan catheter chu lakchhuah a ni. Chumi hnuah chuan a hawnna (stoma) chu a khar nghal vek a ni. Chuta tang chuan zun a chhuak lo.

Hetiang hmanrua hi mi tam tak tan chuan urethra pangngai hmanga catheter dah ai chuan a awlsam zawk a, a hrehawm lo zawk a, a nuam zawk bawk.

He surgery hi tute nge mamawh?

Naupang leh puitling tan pawh Mitrofanoff surgery neih a ngai mai thei. An pahnih hian a hranin kan en ang.

Engvangin nge naupang chu Mitrofanoff surgery a mamawh?

Naupang thenkhat chu an nervous system-ah chak lohna engemaw zat neiin an piang thin. Hei hian an bladder muscle te chu an thunun thei lo a ni. Hei hi neurogenic bladder an ti a . Tin, naupang pianpui urinary system abnormalities nei te pawhin he surgery hi an mamawh thei bawk.

Naupangte’n he operation an mamawh chhan tlangpui chu:

• Spina Bifida: Pian tirh atanga awm thin ruhro chak lohna.
• Bladder exstrophy emaw cloacal exstrophy: Pian tirh atanga pum chhunga bang siam kim loh avanga pawn lam atanga chhuak.
• Cerebral Palsy: Thluak chhiat avanga taksa chetna leh thau control tichhe thei natna a ni.
• Sacral agenesis: Pianpui atanga ruh hnuai lam awm lohna.
• Spinal cord hliam a awm.

Engvangin nge puitling chuan Mitrofanoff surgery a mamawh?

Puitlingte pawhin chhan hrang hrang avangin an bladder an thunun thei lo thei bawk.

• Cancer natna: Bladder cancer, prostate cancer, colorectal cancer ang chi natna.
• Zun control theih lohna: Zun insum theih lohna nasa tak.
• Bladder a inflammation (Cystitis) a awm thin.
• Nervous system natna: Neurogenic bladder hi multiple sclerosis emaw Parkinson’s disease emaw ang chi natna avanga lo awm a ni.
• Spinal cord hliam, paralysis, emaw spinal tumor emaw a awm thei.
• Thai.

Surgery hma, operation neih chhung leh operation zawhah eng nge thleng?

Hetiang surgery lian tak chungchang sawi hian hlauhna tlem a neih hi thil pangngai a ni. Mahse, chûng thilte chu engtin nge a lo awm tih chiang taka hriat chuan chu hlauhna chu a tihziaawm thei a ni.

Procedure hmain

Operation laiin natna kai theihna tur tihtlem nan i ril chu a theih ang anga khar tur a ni. Hei hian i doctor thupek dik taka zawm a ngai a ni. Chûng zîngah chuan:

• Operation hma ni khata chaw nghei.
• Intestines tihfai vek nan special drink in (bowel cleanse).

Procedure neih chhung hian

He surgery hi general anesthesia hmanga tih a ni . Chumi awmzia chu operation neih chhungin engmah i hre lo ang a, i muhil vek tawh ang.

Surgeon chuan hengte hi a zawm a ni:

1. I pum chhungah incision siam a ni ang.

2. Appendix chu intestine lian atanga inthen a ni.

3. A tawp khat chu bladder-a incision te tak te siamah a inzawm a, a tawp dang chu pum vunah khur te tak te (stoma) siam nen a inzawm bawk.

4. Ureter leh bladder inzawmkhawmna hmunah valve -like structure siam a ni a, chu chuan zun hnunglam a luang lo. He valve hi bladder a khat chuan a khar a, a khar a, chu chuan a siam chhuahna kawngpuiah zun a chhuah loh nan a veng a ni.

5. I bladder a dam hma loh chuan zun i pass theih nan temporary tube (suprapubic tube) chu i bladder chhungah direct-in dah a ni. Hei hian i taksa pawn lama bag pakhatah zun a khawlkhawm thin.

6. A chang chuan kal atanga zun (ureter) thlenga zun phurtu tube-ah hian tube te te (ureteral stent) dah theih a ni. Hei hi mi zawng zawng tan a tul lo.

7. A tawp berah chuan surgery atana hman main incision chu dissolvable stitches hmangin khar a ni.

Procedure zawhah

Surgery zawhah chuan kar khat vel damdawi inah i awm a ngai dawn a ni. Hemi chhung hian:

• Ni eng emaw zat chu ei phal a ni lovang. Chu ai chuan i intestines te dam theihna hun pek nan IV fluids pek i ni ang.
• Ni khat emaw ni hnih emaw chhung chu khumah i muhil a ngai dawn a ni. I roll over thei ang a, i ke i che thei ang a, mahse tho leh thut phal a ni lovang.
• In i haw hunah chuan a khar loh nan catheter leh temporary `suprapubic` tube chu passageway siam thar (Mitrofanoff tunnel) chhungah dah a ni ang. He catheter hi kar 4 vel a hmunah dah a ngai dawn a ni.
• Chu `ureteral stent` te chu dah a nih chuan kar 6-8 vel chhunga lakchhuah nan procedure tenau dang tih a ngai dawn a ni.
• Self-catheterization zirtir i nih ni chuan doctor chuan office chhunga temporary tube pahnih hi a la chhuak vek ang. Hei hian operation dang a ngai lo.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi lam thil dang ang bawkin, a hlawkna bakah hlauhawmna engemaw zat a awm bawk.

Surgery hnua dam leh nun

Operation hnu kar hmasa lamah chuan:

• Zun-a thisen tlem (hematuria) a awm.
• Bladder muscles na tak tak (bladder spasms) a inzawm khawm.

Hengte tan hian i doctor chuan natna tidamtu leh taksa ruh tihziaawmna tur a pe ang che.

Kar 6 vel hnuah chuan nangmah ngeiin catheter i dah dan tur (self-catheterization) i zir theih nan i doctor i pan a ngai dawn a ni.

Mahse, i zun kawng hnathawh dan hi i ngaihven reng tur a ni. Kum tin a hnuaia test te hi i tih tir tur a ni:

• Thisen test a, thisen a electrolytes awm zat leh kal hnathawh dan enfiah thin.
• Cystoscopy (bladder chhung lam enfiahna).
• Ultrasound hmanga kal leh zunthlum (bladder) te enfiah a ni.
• X-ray hmanga kal, bladder leh urethra te enfiah a ni.

Doctor hmuh nghal hun tur

Heng symptoms te hi i neih chuan doctor i ko nghal tur a ni :

• Bladder chu a hring vek thei lo.
• Thisen chhuah tam lutuk, hliam emaw, hliam emaw.
• Nausea leh luak chhuak.
• Natna nasa tak a nei.
• Infection chhinchhiahna, tui rimchhia emaw khawsik emaw ang chi.

Mitrofanoff leh Urostomy hi eng nge an danglamna?

Heng pahnih hmang hian pum chhunga khur atanga zun kaltir a ni. Mahse, urostomy -ah chuan bladder bypass tur leh kidney atanga zun direct-a chhuah theihna tur kawng siam a ni. Urostomy nei thenkhat chuan engtik lai pawhin zun khawlna bag an bun a ngai thin. Hei hian an zun kal dan an thunun thei lo tihna a ni. Mahse, Mitrofanoff hmang hian zalenna i nei tam zawk a, a chhan chu i mamawh hunah chauh catheter hmangin i bladder i empty thei a ni.

He surgery hi a awm reng em?

Hei hi tihdanglam theih a ni. Chu chu tunnel chu surgery hmanga lakchhuah theih a ni tihna a ni. Mahse, appendix hi taksa peng pawimawh tak a nih loh avangin intestine nen a inzawm leh lo. Mitrofanoff lakchhuah hnuah chuan urethra kaltlangin a pangngaiin i zun a ngai mai thei a, a nih loh leh i bladder empty turin catheter i dah a ngai mai thei a, a nih loh leh urostomy i tih a ngai mai thei bawk. Hei hi doctor nen in sawiho tur a ni.