A chang chuan intestinal surgery lian tak kan neih a ngai thin a ni lawm ni? Chutiang surgery hnuah chuan pum vun chung lamah hawnna te tak te, `(stoma)` an tih chu a lo awm tih i hre tawh mai thei. He thu i hriat hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Vawiin hian thil pakhat, a buaithlak deuh bawk a, mahse a pawimawh em em mai kan sawi dawn a ni. Chu chu `Mucous Fistula` chu eng nge ni a, engvangin nge a mamawh tih hi a ni.
Mucous Fistula hi eng nge ni?
A awlsam zawngin, mucous fistula chu i rilru chhung hmun khat, hun eng emaw chen atana lak chhuah chu i pum vun nena surgery hmanga inzawm tir atanga hawnna te tak te a ni.
Ngaihtuah teh, kan intestine hi tube mai a ni lo. Anmahni invenna tur leh thil awlsam taka kal theihna tura pui turin mucus an tih secretion an siam chhuak fo thin. Tunah chuan, damdawi lam thil vangin intestine peng pakhat chu lakchhuah a ni tawh emaw, chawlh a mamawh avangin taksa dang atanga inthen a ni tawh emaw tih hi han ngaihtuah teh ang. Tichuan, chu intestine part inactive chuan chu mucus chu a siam chhunzawm zel a ni.
Chuvangin, heng secretions te hian kalna tur an neih loh chuan intestine-ah an pung khawm a, natna, hrehawmna leh infection a thlen thei a ni. Mucous fistula hian a tih chu chutiang secretion te chu awlsam leh him taka taksa atanga chhuah theihna tur kawng a siam a ni.
A tlangpuiin hetiang surgery neih chhung hian opening (stomas) pahnih i nei ang.
1. The main stoma (Colostomy or Ileostomy): Hetah hian chaw ei tawh leh bawlhhlawh a chhuak thin. Hemi ah hian bag pakhat a inbun a.
2. Mucous fistula: Hei hi a dang aiin a te zawk. Kan sawi tawh mucous secretions te hi he mi atang hian a chhuak a ni.
Engvangin nge mucous fistula hi kan mamawh?
Hei hi bowel surgery dang nen tih dun a ni tlangpui. Inflammatory bowel diseases (IBD) nei tan a tul ber mai thei. A chhan dang engemaw zat a awm bawk.
| Condition/A chhan | A sawifiahna awlsam tak |
|---|---|
| Crohn natna leh Ulcerative colitis te a ni | Chung natna te chu hun rei tak chhung intestines inflammation thlentu an ni. He surgery hi intestine chhia chu a dam theih nan hun pek a ni. |
| Colorectal cancer a ni | Hetiang method hi cancer tumor lakchhuah hnua intestine thenkhat a inzawm leh hma loh chuan hun eng emaw chen hman a ni. |
| Diverticulosis natna a ni | Intestinal wall atanga lo chhuak sac ang chi te te infection. |
| Intestinal obstruction emaw accident emaw a awm thei | Hetiang hmanrua hi accident-a intestine hmun thenkhat a block emaw a tihchhiat emaw a dam hma loh chuan hman thin a ni. |
Engvangin nge naute te te hian hetiang hi an mamawh?
A châng chuan naute piang tharte pawhin he surgery hi an neih a ngai ṭhin.
- Imperforate anus: Naute thenkhat chu anus chhungah hawnna awm lovin an piang thin. Chumi awmzia chu bawlhhlawh kalna tur kawng a awm lo tihna a ni. Temporary colostomy siamin bawlhhlawh a kal theih nan siam a ni a, naute chu a chak tawk a, corrective surgery a neih theih nan mucous fistula siam a ni bawk.
- Intestinal atresias: Naute thenkhat chu an intestines ah blockage emaw disconnection emaw an nei thin. Hengte hi operation vawi khata siamthat theih loh chuan temporary mucous fistula a ngai mai thei.
He surgery leh a kaihhnawih kalphung hi engtin nge a kal?
Hei hi a tlangpuiin colorectal surgeon, intestine lian emaw, small intestine emaw surgery lama tui takin a ti thin.
Surgery neih hmain
I doctor chuan operation hmaa i tih tur chu chiang takin a hrilhfiah ang che. Hengte hi i tih tur a ni tlangpui:
- Surgery (fasting) hma darkar eng emaw zat ei leh in loh tur .
- Damdawi thenkhat (a bik takin thisen zam tihziaawmna) doctor-in a tih angin rei lo te chhung chu bansan rawh.
- Meizial i zu a nih chuan operation hma kar tlemte tal chu bânsan a pawimawh hle. Meizial zuk hian operation hnua harsatna awm theihna a tipung a, hliam damna a tikhawtlai bawk.
- I doctor-in a pek special drink (bowel prep) in hmangin i intestines kha khar la, tifai vek rawh.
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 a hnuaia mite hi a ti ang:
1. Pum vun chunglam chu intestine hmun kaihhnawih thleng turin incision siam a ni.
2. Intestine natna nei emaw, chawlh ngai lai emaw chu then hran a ni.
3. Intestine functional part tawp khat chu pum chhunga main opening siam (stoma) nen a inzawm a. Hei hi ileostomy emaw colostomy emaw an ti a.
4. Kawngkhar te tak te dang siam a ni a, chu chu intestine rualbanlo lam tawp khatah an inzawm khawm a. Hei hi mucous fistula a ni .
5. Tichuan main incision chu sewn a ni.
6. A hawnna pahnihah hian bag bik (ostomy bag) dah a ni.
Hlawkna, hlauhawmna leh dam leh hun chhung
Surgery dang ang bawkin he surgery hian hlawkna leh hlauhawmna a nei vek a ni.
| Hlawkpuina | Risk awm thei te |
|---|---|
| Colon tha lo takah mucus a awm loh nan leh him taka chhuah tir rawh. | A hawnna chhehvel vunah natna hrik emaw hliam emaw a awm. |
| Mucus buildup avanga natna, hrehawmna leh natna hrik kai venna. | Stoma hi vun atanga retract (retraction) emaw protrude (prolapse) emaw a ni thei. |
| Intestine chhia chu a dam theihna tura a mamawh chawlhna pek. | Hernia a awm a, a hawnna vel a ni. |
| Rectum atanga thisen emaw mucus emaw chhuak (Diversion proctitis). |
Recovery hun chhung
Operation hnuah kar khat vel damdawi inah i awm ang. Hemi chhung hian nursing staff te chuan i stomas leh pouche te tihfai leh thlak dan te, a chhehvel vun enkawl dan te an zirtir ang che. A tirah chuan stomas te hi a lian deuh a, a dum deuh a, a hnim deuhin a lang thei a, mahse hun kal zelah chuan a lo tlem ang a, a flat ang.
A tir lamah chuan mucous fistula atanga mucus tam lutuk a awm thin .A lo chhuak thei. Chuvangin chutiang atan pawh chuan bag te tak te i bun a ngai a ni. Mahse hun kal zelah he discharge hi a tlahniam nasa hle ang. A châng chuan gauze pangngai hmanga khuh theih khawpin a tlahniam ang.
Hei hi a awm reng em?
Mi tam takin an hlauh ber pakhat chu hei hi dam chhung zawnga dinhmun a ni dawn tih hi a ni. Thu lawmawm tak chu a tam zawkah chuan hei hi hun eng emaw chen atan a ni. Hei hi intestine a natna hmun chu chawlh hahdamna tur leh dam theihna hun pek nan an ti thin. He damna hian kar tam tak, thla tam tak, kum tam tak pawh a daih thei. I doctor chuan chutianga tih a tum chuan surgery hmangin intestine part chu an thlunzawm leh thei a, bowel movement pangngai i neih theih nan a phalsak che a ni.
Engtikah nge doctor ko nghal tur
In i haw hnuah heng symptoms te hi i neih chuan doctor i ko nghal tur a ni . A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
- Thluak chhungah thisen a awm chuan.
- Thisen chhuah tam lutuk leh danglam taka i chhuah chuan.
- Nausen leh luak chhuak fo i neih chuan.
- Infection chhinchhiahna i neih chuan, khawsik, khawsik, khur leh khur te hi a ni.
- Zun emaw, ek chhuah emaw harsatna i neih chuan (main stoma atanga).
Stoma nena nun hi a tir lamah chuan a harsa thei hle. Mahse, enkawl dan i zir tawh chuan nun pangngai tak i hmang thei tawh ang. Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor hnenah inhawng takin sawi rawh.
Take-Home Thuchah a ni
- Mucous fistula hi venhimna kawngkhar a ni a, chu chuan intestinal surgery hnuah taksa atanga mucus lo chhuak chu a chhuah tir thei a ni.
- Hei hi surgery lian dang (colostomy emaw ileostomy emaw) nen inzawmin tih a ni tlangpui.
- A tam zawkah chuan hei hi hun eng emaw chen atana chinfelna a ni. Bowel a dam tawh chuan surgery hmangin a normal leh thei tawh ang.
- I stoma leh a chhehvel vun enkawl that a pawimawh hle. Hemi chungchangah hian damdawi in hian thurawn a pe ang che.
- Thisen chhuak nasa, khawsik, emaw, luak chhuak emaw ang chi natna danglam tak i neih chuan i doctor hnenah zawh nghal rawh.
- Hemi chungchanga i ngaihtuahna emaw zawhna emaw i neih chuan i doctor nen sawiho rawh. Anni chuan an pui thei ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh