Mite chu an pum chhungah pouch ang chi te tak te, an inzawm tih i hmu tawh emaw, i hre tawh emaw pawh a ni thei. Hei hi i hmuh hian mi tam tak chuan, "Hei hi eng nge ni?" Hei hi intestinal surgery chi khat nen a inzawm tlangpui. Vawiin hian chutiang surgery pakhat chungchang kan sawi dawn a ni. Mucous Fistula an tih natna a ni. A hming hi a buaithlak deuhin a lang thei a, mahse lungngai suh. A awlsam leh chiang takin i vawng ang u.
A awlsam zawngin, Mucous Fistula hi eng nge ni?
Kan intestine hmun thenkhat chu natna avanga surgery hmanga lakchhuah emaw, chawlh hahdamna tur atana hnathawh atanga rei lo te chhung lakchhuah emaw a ngai ang tih han ngaihtuah teh. Tichuan, surgeon chuan chu intestine hmun chu connection atang chuan a titawp ta a ni.
Tunah chuan hetiang hian han ngaihtuah teh. Kan intestine hi tube mai a ni lo. An chhungril atang hian secretion an siam chhuak fo thin. Hei hi mucus kan ti a . Kan ka chhunga hmui awm ang bawkin, he mucus ang chi tui hian intestines chhungril lining a venghim a, an inhnim tawn loh nan a pui a, ei tur ei loh atanga chhiatna a veng bawk.
Chuvangin, intestine thenkhat an tan chuan chu intestine thenkhat chuan mucus a chhuah chhunzawm zel a ni. Heng secretions te hian kalna tur an neih loh chuan severed intestine chhungah an pung khawm thei a, natna leh infection ang chi harsatna lian tak tak a thlen thei a ni.
Chu harsatna laka inven nân doctor-te chuan mucous fistula .
A awlsam zawngin sawi ila, intestine severed tawp chu abdomen vunah siam opening te tak te (stoma) nen surgery hmanga thlunzawm a ni. Tichuan, intestine-a mucus lo chhuak chu anus kaltlangin a chhuak ai chuan stoma siam thar chu taksa atangin a chhuak ta a ni. Hei hian extra drain ang maiin hna a thawk a ni.
Engvangin nge mi pakhatin hetiang operation hi a mamawh ang?
He surgery hi surgery lian dang nen inzawmin tih a ni tlangpui. A tam zawkah chuan hei hi intestinal condition thenkhat tan chuan a tul thin. Chu chu eng nge ni tih i han thlir teh ang.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Inflammatory Bowel Diseases (IBD) te hi a awm thei lo. | He category-ah hian Crohn natna leh ulcerative colitis te a tel ber a ni.Ulcerative Colitis hi natna a ni a, hun rei tak chhung chu intestines-ah inflammation leh ulcers a thlen thin. |
| Colorectal Cancer a ni a, a natna hi a ni | Colon cancer a awm chuan he surgery hi colon cancer awmna hmun lakchhuah hnuah a ngai mai thei. |
| Diverticulosis natna a ni | Colon bang chhungah pouch ang chi te te a rawn lang chhuak. Hengte hian natna an kai chuan natna nasa tak a thlen thei a ni. |
| Intestines-a hliam emaw hliam emaw a awm | Accident emaw, thil dang emaw avanga intestine a chhiat chuan, a chhia chu a dam hma loh chuan chawlhna pe turin tih a ni. |
| Bowel Obstruction a awm | Eng emaw chhan vanga intestine a block vek chuan blockage enkawl lai hian he surgery hi a ngai mai thei. |
| Chhungkaw Adenomatous Polyposis a awm | Hei hi thlahtute atanga lo piang a ni a, colon chhungah hian thil te te (polyps) za tam tak a lo awm a, chu chu cancer-ah a chang thei a ni. |
Nausen te te pawhin hei hi an mamawh em?
Ni e, a chang chuan naute piang tharte pawhin he surgery hi an neih a ngai thin. Hei hi piansualna pahnih vang a ni ber.
1. Imperforate anus: Nausen thenkhat chu hnute nei lovin an piang a. Chuvangin, an tan stool pass dan tur siam a ngai a ni. Chumi atan chuan temporary colostomy leh mucous fistula siam a ni. Naute chu a upa deuh a, a chak deuh tawh chuan hei hi a hnute chu siamthatna (corrective surgery) hmanga siamthat a nih hma loh chuan hman thin a ni.
2. Intestinal atresias: Nausen thenkhat chu an intestines hmun thenkhat block emaw disconnected emaw neiin an piang thin. Hei hi operation vawi khata tihfel theih a nih loh chuan temporary mucous fistula neih a ngai mai thei.
Engtin nge he surgery hi tih a nih?
Ka sawi tawh ang khan mucous fistula hi a mah chauha siam a ni lo. A tlangpuiin surgery dang colostomy emaw ileostomy emaw an tih nen a inzawm a ni . Chu pahnih chu eng nge an nih i han thlir teh ang.
- End colostomy: Hetiang tih danah hian surgeon chuan i intestine lian (colon) tawp khat chu i pum vunah hawnna (stoma) siam nen a thlunzawm a. He stoma atang hian stool a chhuak thin.
- End ileostomy: Hei hi i small intestine (ileum) tawp lam chu i pum vunah hawnna siam nen a inzawm tihna a ni. He stoma atang hian stool a chhuak thin.
Chuvangin, end colostomy emaw hetiang end ileostomy emaw i neih hian i pum chhungah stoma pahnih i nei a ni. Pakhat chu bawlhhlawh chhuak tur a ni a, pakhat chu mucus fistula stoma a ni a, chu chu intestine section inzawm lo atanga mucus lo chhuak chu chhuah tir tura siam a ni.
Stoma chhuah theihna tur stoma hi a lian deuh tlangpui. Mucous fistula hi a te zawk hle.
Stoma i en chuan kan hmui chhung lam ang mai a ni a, pink leh moist a ni. Nerve a neih loh avangin khawih pawhin a hrehawm lo.
Operation hnuah stoma pahnih pawn lamah ostomy pouch dah a ni. A tirah chuan mucous fistula hian secretion tam tak a siam thei bawk a, chuvangin pouch te tak te a mamawh bawk. Mahse, hun a kal zel a, a chhuah zat chu a tlahniam zel a ni. Chutih hunah chuan pouch chu pouch ni lovin gauze hmanga khuh reng theih a ni mai thei.
Operation hmain engtin nge ka inbuatsaih ang?
Hei hi surgery lian tak a nih avangin i inbuatsaih lawk a ngai a ni. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che. Hengte hi tih tur i tih tlangpui tur chu a ni:
- Chaw nghei: Operation hma darkar engemaw zat chhung chu ei leh in i inthiarfihlim vek a ngai ang.
- Damdawi hman tawh loh dan: I doctor chuan operation hmain damdawi thenkhat (a bik takin thisen tithianghlimtu) ei kha rei lo te chhung chawlhsan turin a fuih thei che a ni.
- Meizial zuk bânsan: Hei hi a pawimawh hle. Meizial zu mi i nih chuan i operation hma kar tlemte tal chu i chawlhsan tur a ni. Meizial zuk hian operation hnua harsatna awm theihna a tipung a, hliam damna a tikhawtlai bawk.
- Bowel cleansing: Doctor chuan operation hmain i intestines a tifai vek theih nan special liquid (bowel prep) in tur a pe ang che.
Hei hi a awm reng em? Chatuan atan a daih dawn em ni?
He zawhna hi mi tam takin an hriat chuan a ti hlauthawng thin. Mahse chanchin lawmawm tak chu, a tam zawkah chuan hei hi thil awm reng tur a ni lo.
Mi tam tak tan chuan mucous fistula leh a kaihhnawih colostomy/ileostomy hi hun eng emaw chen atan siam a ni.Hetah hian tum ber chu intestines inflamed leh chhia te chu chawlh hahdam leh dam theihna hun pek hi a ni.
He damna hian kar tam tak, thla tam tak, kum khat pawh a daih thei. I ril a dam vek tawh chuan i surgeon chuan i ril a hliam tawhte chu a inzawm leh theih nan operation dang a ti leh thei ang. Chumi hnuah chuan normal bowel movement i nei leh thei tawh ang.
Hei hian eng hlauhawmna leh harsatna nge a neih?
Surgery dang ang bawkin risk leh complication awm thei a awm a, mahse mi zawng zawngin hengte hi an tawng vek dawn lo.
| Harsatna awm thei te | |
|---|---|
| Kaichhawng | Surgery hliam emaw stoma emaw vel ah hian natna hrik a awm thei. |
| Hernia a ni | Stoma chhehvela abdominal muscle te chu a chak lo va, chu chuan intestine thenkhat chu vun hnuaiah a rawn chhuak chhuak thin. |
| Stoma nena inzawm harsatna | Stoma hi vun level hnuaiah a pil lut thei (retraction), a chhuak hla lutuk (prolapse), a hawnna a ti tawi thei (stricture). |
| Vun lama harsatna nei | Stoma-a bag inbun emaw, a atanga tui chhuak emaw hian vun a ti na thei a, a sen thei a, a ti na thei bawk. |
| Diversion Proctitis tih hi a ni | Stool a che loh avangin rectum-ah inflammation a awm thei a ni. Hei hian thisen emaw thisen zam emaw a paltlang thei a ni. |
| Tissue thihna (Necrosis) . | A tlem hle a, thisen supply tlahniam vangin stoma chhunga tissue te hi a thi thei a ni. |
Doctor koh hun engtik lai nge i mamawh?
Operation hnua in i thlen chuan warning sign thenkhat i fimkhur tur a ni. Chûng zînga pakhat tal i hriat chuan i doctor chu i biak hmasak phawt a ngai a ni .
- Khawsik i neih emaw, i khawsik emaw i neih chuan (hengte hi natna kai chhinchhiahna a ni thei).
- Nausea leh vomiting a awm reng chuan.
- Stoma atanga thisen chhuak tam lutuk emaw, bawlhhlawh nen emaw a awm chuan.
- I ek chhuah emaw, zun emaw harsatna i neih chuan.
- Stoma rawng a inthlak chuan (entir nan, dark purple emaw black emaw a nih chuan).
Take-Home Thuchah a ni
- Mucous fistula hi intestinal surgery hnua intestine disconnected portion atanga mucus lakchhuahna hmanraw him tak a ni.
- Hei hi inflammatory bowel disease (IBD), cancer, emaw intestinal trauma ang chi dinhmunah tih a ni tlangpui.
- Hei hi hun eng emaw chen atan a ni fo. Bowel a dam hnuah chuan bowel peng hrang hrangte chu surgery hmangin a inzawm leh thei a ni.
- I pum chhunga stoma pakhat emaw pahnih emaw i neih chuan a tir lamah chuan thil mak deuhin i hria a, mahse damdawi inah chuan uluk taka enkawl dan tur zirtir i ni ang.
- Hemi chungchangah hian zawhna, ngaihtuahna, rinhlelhna i neih chuan i doctor nen zalen taka inbiakna neih hi hlau ngai suh. I tanpui turin an inpeih reng a ni.
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