Nephroscopy chungchang zawng zawng, kal enkawlna awlsam tak

Kidney-a lung awmte paih chhuahna tur operation lian tak neih a ngai tih pawh i hlau em? Tun hmaa incision lian tham tih ngai ang chi surgery lian tak tak neih ngai ai chuan tunah chuan incision te tak te atanga camera dah hmangin kidney lung te chu i paih thei tawh tih i hria em? Chu chu tunlai enkawlna hmanraw ‘Nephroscopy’ kan tih chu a ni. Vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni.

Nephroscopy tih hi eng nge ni?

A awlsam zawngin sawi ila, hei hi i kal chhung lam enfiahna leh natna thenkhat enkawlna atana hman thin a ni. Tun hma angin cutting a ngai lo.

Hei hi hmanraw bik, te tak te, nephroscope an tih hmanga tih a ni. Tube sei tak a ni a, pencil aiin a thuk deuh hlek a ni. I hnungzang vunah hian incision tenau tak tak siam a ni a, he tube hi kal chhungah dah a ni. He tube chhungah hian light, camera (telescope ang chi), leh surgery tihna hmun silfai nan irrigation system a awm a. Doctor chuan he camera atanga thlalak te chu screen lian takah a en a, enkawlna chu a ti thin.

Kidney lung pakhat i lak chhuah a ngai ang tih han ngaihtuah teh. He nephroscope hmang hian ultrasound emaw laser light hmangin lung chu i tichhia thei a ni. A tihchhiat hnuah chuan he tube hmang hian a chi hrang hrangte chu an chhuah chhuak thin. Hei hi a thatna lian ber chu i tih thin angin open surgery lian tak i tih a ngai lo. Chuvangin i dam chak zawk thei ang.

Nephroscopy hmanna tur engte nge ni?

Hetiang enkawlna hi thil engemaw zat atan hman a ni ber. Eng nge an nih i en ang u.

He surgery atan hian engtin nge ka inbuatsaih ang?

Hetiang enkawlna i neih hma hian thil engemaw zat i inbuatsaih tur a awm.

• Test: I zun ah natna hrik a awm leh awm loh enfiah nan zun test neih a ni ang. Infection a awm chuan antibiotics i ei a ngai dawn a ni.
• Damdawi chungchang: Thisen tithianghlimtu aspirin emaw warfarin (Coumadin®) emaw i ei a nih chuan i doctor hnenah i hrilh ngei ang. Operation hma kar khat vel khan heng damdawi te hi ei tawh loh turin a fuih ang che.
• Chaw leh In: A tlangpuiin operation hma darkar 8 chhung chu engmah i ei thei lo va, i in thei lo bawk.
• Damdawi lam thurawn: A pawimawh ber chu i doctor nen heng zawng zawng chungchang sawipui a, a thupek dik taka zawm hi a ni.

Engtin nge surgery hi tih a nih?

Okay, tunah chuan he enkawlna atana step hrang hrangte chu i en ang u.

A hmasain, i doctor chuan scan i neih tawh zawng zawng (CT scan emaw urogram emaw ang chi) chu uluk takin a enfiah ang a, i surgery tur chu a ruahman ang. General anesthesia pek i ni ang a, chuvangin natna engmah i nei lovang, i muhil ang maiin.

Chumi hnuah chuan i pum chu hnuai lam hawiin operation table-ah dah i ni ang. A hmasa berin i urethra kaltlangin tube te tak te (catheter) chu i kal chhungah dah a ni ang. Tube chhungah hian special dye pass a ni ang a, X-ray lak a ni ang a, i kal chhung chu chiang takin a hmu ang.

Tichuan ruahmanna angin i hnungzang vun kaltlangin kal (kidney) chhungah needle an dah lut a. A hmun chu tlem a zau zawka siam a ni a, tube (sheath) dah a ni bawk. Hei hi dime khat vel zeta lian incision te tak te hmanga tih a ni. Tunah chuan he tube hmang hian nephroscope leh surgery hmanrua dangte chu kal chhungah direct-in a lut thei ta a ni.

Tunah chuan doctor chuan camera hmangin a en a, kidney lung pakhat a tikehsawm a, a nih loh leh a tibuaitu a nih chuan a la chhuak a, nephroscope hmangin a chi hrang hrangte chu a la chhuak ta a ni.

A tawp berah chuan kidney atanga bladder (ureter) thlenga kal tube chhungah hian ureteral stent an tih thil pakhat dah a ni. Hei hi plastic tube hollow tak, inches 10-12 vel a sei a ni. Hei hian zun a luang awlsam zawk a, kal a dam chak zawk bawk. Kar khat vel hnuah doctor i hmuh chuan stent hi lakchhuah a ni tlangpui.

In lama i haw hnua i enkawl ngaite chu engte nge ni?

Surgery zawhah recovery room-ah hruai i ni ang. Engkim a tha tih finfiah a nih hnuah chuan a tuk zingah i haw thei tlangpui ang. In lama i haw hnuah heng thilte hi a bik takin enkawl rawh.

• Khawsik i nei a, khawsik leh khur i nei a, doctor-in natna tidamtu damdawiin a thunun theih loh natna nasa tak i neih chuan doctor ko nghal rawh.
• Surgery zawhah i zun-ah thisen tlem a awm hi thil pangngai a ni. Mahse...

• I doctor-in a thurawn dang a pek loh chuan, kar hnih atanga kar li chhung chu rit phurh emaw, exercise hahthlak tak tak emaw tih loh tur a ni.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Hei hi a thatna lian ber chu a him em em a, operation lian tham (traditional surgery) a ngai lo. Chuvang chuan dam hun a tawi a, hri kai theihna pawh a tlem bawk.

Mahse, surgery dang ang bawkin, hlauhawmna tenau engemaw zat a awm thei.

• Operation lai emaw, operation hnu emawa thisen chhuak (chutiang hunah chuan thisen pek a ngai mai thei).
• Lung chhunga fluid awmkhawm.
• Sepsis ang chi natna khirh tak a ni.
• Zun kawng natna.
• Kidney emaw urinary tract emaw a chhiat.

Heng risk te hi a tlem hle. I doctor chuan operation hmain heng zawng zawng hi uluk takin a hrilhfiah ang che, chuvangin ngaihtuahawm tur a awm lo.