A chang chuan kan ngaihtuah phak loh hriselna lama harsatna kan hmachhawn a ngai thin. A pangngaia zun theih loh hi chutiang zinga mi a ni. Vawiin hian damdawi lam thil engemaw avanga bladder control tha thei lo a nih chuan solution anga tih special surgery kan sawi dawn a ni. He thu hi hre hlau suh. Hei hi hriat chian a pawimawh hle.
Mitrofanoff surgery hi eng nge ni?
A awlsam zawngin sawi ila, hei hi surgical procedure a ni. I bladder atanga i pum chunglam thlenga tube ang chi channel te tak te siam a ni. I bladder luhna thar siam ang maiin ngaihtuah rawh. Surgeon te hian he channel siam nan hian i taksa peng pakhat appendix an tih chu an hmang thin.
Tichuan, he pum chhunga he kawngkhar te tak te ( stoma tia koh)-ah hian tube bik, catheter an tih chu dahin, chu chuan bladder chu a chhuah tir a ni. Hei hi mi tam tak tan chuan urethra hmanga catheter dah ai chuan a awlsam zawk a, a na lo zawk bawk.
Hei hi hrethiam tur chuan kan urinary system hnathawh dan hi han en hmasa ila.
Kan taksaa zun (urinary system) hi filter system ang mai a ni.
- Pakhatnaah chuan kan kal (kidney) hian thisen a filter a, bawlhhlawh a thliar hrang a, zun a siam chhuak thin.
- He zun hi ureter an tih tube te tak te pahnih hnuaiah a kal a , bladder ah a khawl khawm thin .
- Bladder hi taksa peng pakhat, balloon ang maia inzawm, taksa peng hrang hrang atanga siam a ni. A khat hunah chauh zun a ngai tih kan hre thin.
- Kan zun hian zun chu zunthlum atanga taksa pawn lamah urethra an tih tube hmangin a kal a.
Damdawi lam thil thenkhat avang hian he thil hi a thleng dik lo. Chutih lai chuan Mitrofanoff ang method hi a ngai ta a ni.
Chuti a nih chuan appendix chu eng nge ni?
Appendix hi kut zungtang ang chi tube te tak te, kan intestine lian ber hmun hmasa berah a inzawm a ni. Kan pum hnuai lam dinglamah a awm a.
Doctor-te chuan eng function dang nge a thawh tih an la hre chiang lo. Thenkhat chuan kan intestines-a bacteria tha tak takte a venghim niin an sawi. Mahse a pawimawh ber chu appendix tel lova harsatna awm lova nun hrisel kan neih theih hi a ni. Appendicitis i neih chuan lakchhuah a ngai tih i hre tawh mai thei. Chutiang chu a ni.
Mitrofanoff procedure-ah chuan doctor-te chuan appendix chu la in, zun chhuahna tur kawng thar siam nan an hmang thin. Mi pakhat appendix chu lakchhuah a nih tawh chuan surgeon chuan a small intestine section pakhat hmangin he passageway hi a siam thei a ni.
He surgery hi tute nge mamawh?
He surgery hi naupang leh puitling tan pawh a ngai mai thei. A thlentu dinhmun bulpui ber berte chu han ti chhe ila.
| Mitrofanoff surgery neih a ngai theihna tur dinhmun | |
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| Naupang tan | |
Congenital condition thenkhat hian nervous system a nghawng a, bladder control theih lohna a thlen thin. Hei hi neurogenic bladder an ti a . Condition dang pawh a awm bawk:
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| Puitling tan | |
Puitlingte pawhin chhan hrang hrang avangin he surgery hi an mamawh thei bawk:
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Surgery tih dan leh dam leh hun chhung
Surgery neih hmain
Surgery i tih hmain i ril chu i khar vek a ngai a, chu chuan natna kai theihna a ti tlem thei a ni. Hei hian i doctor thupek dik tak i zawm a ngai dawn a ni. Hei hian chaw nghei leh bowel cleanse tih tihna a ni.
Surgery neih lai hian
He surgery hi general anesthesia hmanga tih a ni. Hei hian engmah i hre lovang, i muhil mai dawn tihna a ni. Surgeon chuan hengte hi a zawm ang:
1. Pum vun chu tan (incision) a, appendix chu large intestine atanga then a ni.
2. Ileostomy tube tawp khat chu bladder nen a inzawm a, a tawp dang chu pum chhunga hawnna te tak te (stoma) siamah a inzawm bawk.
3. Bladder nena inzawmna chu valve ang maia siam a ni a, bladder a khat chuan automatic in a khar thin. Hei hian zun a chhuah loh nan a titawp a ni.
4. Surgery zawhah hian temporary tube (suprapubic tube) an dah a, chu chuan zun a kal theih nan bladder a dam hma loh chuan a kal thei a ni.
5. A tawp berah chuan surgical site chu dissolvable stitches hmangin an khar a.
Operation hnuah
Damdawi inah ni engemaw zat i awm a ngai ang a, kar khat pawh a awm thei bawk. I dam chhung hian a hnuaia mite hi i beisei thei ang:
- Saline (IV fluids) chauh ni engemaw zat pek a ni ang.
- Kar hmasa 4-6 chhung chu a khar loh nan passageway siam thar (Mitrofanoff tunnel) chhungah catheter dah a ni.
- Kar 6 vel hnuah chuan i doctor chuan catheter hmangin nangmah chauhin i bladder i empty dan tur a zirtir ang che.
Hei hian eng hlawkna leh hlauhawmna nge a neih?
He surgery thatna lian ber chu midang puihna tel lovin zun chhuah control theihna leh i bladder empty theihna a ni. Naupang tê tête pawhin mahni chauhin hetiang hi an zir thei a ni.
Mahse, surgery dang ang bawkin risk engemaw zat a awm.
- Reoperation mamawh: Hun kal zelah chuan kawngpui siam chu a tawi thei (stenosis) emaw, a chak lo thei bawk a, siamthat nan operation dang neih leh a ngai thin.
- Mucus siam: Appendix hman nawn leh pawhin mucus a siam chhunzawm zel a. Chuvangin, he kawngpui hi saline ang chi solution hmanga tui pek fo a ngai a ni.
- Hlauhawm dang: Bladder stone, urinary tract infection (UTIs), leh thisen chhuah te a awm thei.
Heng risk te hi hlau suh. I doctor chuan heng zawng zawng hi a hriattir ang che a, a tul angin thurawn a pe ang che.
Engtikah nge doctor nen inbiakna neih a ngaih?
Operation hnua a hnuaia symptoms te hi i neih chuan i doctor hnenah hriattir nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh .
- I bladder i empty vek thei lo a nih chuan.
- Thisen chhuak tam lutuk, hliam na lutuk emaw, hliam na lutuk emaw a awm chuan.
- Nausea leh vomiting a awm reng chuan.
- Natna nasa tak, tuar theih loh a awm chuan.
- Infection chhinchhiahna, stoma atanga tui chhuak rimchhia emaw khawsik emaw.
Take-Home Thuchah a ni
- Mitrofanoff hi surgical procedure a ni a, bladder atanga pum vun panna kawng siam a, chuta tang chuan catheter dahin zun a chhuak thei a ni.
- Hei hi pianpui natna, ruhro hliam, cancer ang chi natna avanga urinary system control hloh tawhte tan a mamawh ber a ni.
- He surgery hnu hian mi tam zawk chuan nun pangngai, active takin an hmang thei a ni. Tui chawi ang chi thiltih pawh khap a ni lo.
- Operation zawhah doctor thupek uluk taka zawm a, a hun taka follow-up appointment neih a pawimawh hle. Thil ngaihtuah tur i neih chuan doctor nen inbia ang che.
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