I doctor chuan nangmah emaw i hriat mi emaw hnenah "Nephroureterectomy" tih surgery neih a ngai tih a hrilh tawh em? Chu hming i hriat chuan i hlauthawng deuh a, eng nge a nih i hre thei lo a ni lawm ni? A tam hle mai. Hetiang tawngkam kan hriat hian zawhna tam tak kan nei thin. Chuvangin vawiin hian he surgery chungchang hi han sawi ila, awlsam takin, i hriatthiam theih tur angin, i thianpa nena inbiakna ang maiin.
A hmasa berah chuan Nephroureterectomy hi eng nge ni?
Okay, hei hi thumal sei tak, mak deuh mai a ni lawm ni? I tichhia ang u? Tichuan hriatthiam a awlsam tawh hle.
- Nephro- (nephros): Hei hi Greek tawng "nephros" atanga lo chhuak a ni. A awmzia awlsam ber chu "kidney" emaw, kal nena inzawm thil emaw a ni.
- Ureter: Hei hi kan "ureter" a ni. A dik tak chuan kidney atanga zun lo chhuak chu bladder thlenga phurtu thin tube te tak te hi a ni.
- -ectomy (-ektomi): Hei hi Grik tawng a ni bawk. A awmzia chu "cut out" tihna a ni. Chu chu operation hmanga lakchhuah tihna a ni.
Tunah chuan, a awmzia zawng zawng hi i en ang u. Nephroureterectomy hi surgery hmanga kal leh ureter pumpui lakchhuahna a ni. He surgery neih chhung hian thil dang pakhat chu lakchhuah a ni. Chu chu ureter leh bladder inzawmna tissue te tak te chu a ni. Bladder cuff an ti a .
A awlsam zawngin sawi ila, he surgery hian i taksa peng pathum a paih chhuak a:
1. Kal pakhat
2. Chu kal (kidney) nena inzawm urinary tract zawng zawng
3. Bladder cuff, urethra leh bladder inhmuhkhawmna tissue te tak te
Engvangin nge hetiang surgery hi i neih a ngai?
A tam zawkah chuan doctor chuan transitional cell cancer, urothelial cancer tia hriat bawk i neih chuan he surgery hi a rawt ang che.
He cancer hi kan zun kawng chhunga line siamtu tissue-ah a lo awm thin. Chu chu kal (kidney), ureters, leh bladder-ah te a lo thang lian thei tihna a ni. A bik takin he cancer hi urinary system chunglam, chu chu kidney emaw ureters-ah a lo awm a nih chuan cancer cells te hi bladder chhungah a darh thlak theihna chance a sang hle.
Chu hlauhawmna chu tihtawp vek tur chuan cancer nei kidney, a nena inzawm ureter pumpui leh bladder tlemte chu vawi khatah lakchhuah vek a ni. Buaina chu paih hmasak ang mai a ni.
Hei hi "radical" surgery a ni.Chutiang chuan enkawl a ni. Radical surgery-ah hian cancer chauh ni lovin, a chhehvela tissue emaw, taksa peng emaw, cancer darh nia ngaihte pawh paih chhuah a ni. Entirnan, cancer hi a bul hnaia lymph node-ah a darh tawh a nih chuan doctor chuan lymph node te chu kidney leh ureter te nen a la chhuak ang. Hei hi metastasis an ti a .
Surgery hmain engtin nge ka inbuatsaih ang?
Okay, tunah chuan doctor in he surgery hi neih a ngai tih a hrilh che ang u. Chuti a nih chuan eng nge i tih ang? Ngaihtuah buai suh, medical team ten engkim an hrilhfiah vek ang che. Mahse, nang pawhin heng thilte hi i hriat a pawimawh hle.
Surgery hma hian doctor i hmuh a ngai dawn a ni. I hriselna chanchin kimchang a la ang a, i san zawng, i rih zawng, i thisen sang leh i temperature a enfiah ang a, i hrisel tawk em tih a enfiah ang a, operation neih theihna tur a ni.
Thil pawimawh tak tak hriat tur leh doctor hnena hrilh tur a awm .
| I hriattir tur chu | Engvangin nge a pawimawh? |
|---|---|
| Damdawi i ei zawng zawng min hrilh teh. | Hei hian damdawi prescription, over-the-counter pain reliever, vitamin, leh herbal supplement thlengin a huam a ni. Damdawi thenkhat, aspirin ang chi te hian thisen chhuah theihna a tipung thei a ni. Chuvangin damdawi engmah ei tan emaw, chawlhsan emaw suh la, i doctor hnenah zawt hmasa lovin. |
| Allergy i neih apiang min hrilh teh. | Damdawi, vun tifai thei iodine, ei tur, latex ang chi allergy an ni thei. Hei hi a pawimawh hle. |
| Ei leh in chungchanga thupek zawm rawh. | Operation hma darkar 24 chhung chu clear liquid diet chauh ei turin an ti ang che. Operation hma darkar 8 tal engmah ei leh in loh tur a ni. Damdawi pawimawh eng emaw i ei a ngai a nih chuan tui in rualin ei thin ang che. I himna atan heng thupekte hi dik taka zawm a pawimawh hle. |
He surgery tih dan tur hi engte nge ni?
He surgery hi tih dan pahnih a awm ber.
1. Open surgery (Open nephroureterectomy) tih a ni ang.
2. Robotic hmanga laparoscopic nephroureterectomy tih a ni
Open Surgery neih a ni
Hei hi hmanlai kalphung a ni. Hetah hian surgeon chuan i pum chhungah incision lian tak pakhat emaw pahnih emaw a siam thin. He incision hi inches 8-12 vel a sei thei a ni. A châng chuan rib pawh lak chhuah a ngai thei bawk. Hetiang hmanrua hi cancer a lian hle emaw, a chhungril thuk takah a darh tawh emaw chuan hman theih a ni.
Robotic hmanga Laparoscopic Surgery hmanga tih a ni
Hei hi tunlai hian minimally invasive method hman tlanglawn ber a ni. Hetah hian thil thleng chu a awm:
Doctor chuan i pum hnuai lam ah hian incision te te 3 emaw 5 emaw, inch chanve vel zeta sei a siam ang. Tichuan, incision pakhat kaltlangin camera dahna tube te tak te ( laparoscope ) dah a ni ang. He camera atanga magnified images te chu computer screen-a en laiin surgery hi tih a ni.
Surgery hmanrua te chu incision tenau dang hmangin an dah lut thin. Heng instrument te hi surgical robot hmanga enkawl a ni . Mahse, lungngai suh, robot hian a mah chauhin engmah a ti lo. Surgeon hi console pakhatah a thu a, robot chu a control vek a ni. Hetiang hmang hian taksa peng thuk ber pawh hi chiang takin, tihsual awm lovin a thleng thei a ni. Doctor kut chu a nalh leh chiang zual zel ang mai a ni.
Surgery neih ni hian eng nge thleng?
Anesthesiologist a rawn kal hmasa ang a, general anesthesia a pe ang che. Hei hian surgery a zawh hma chu i muhil vek dawn tihna a ni. Engmah hrehawmna i nei lovang a, engmah i hre reng lovang. Tichuan i pum chu carbon dioxide gas hmangin a inflated ang a, chu chuan surgeon hnathawhna tur hmun a siam ang.
Tichuan surgeon chuan incision a siam a, operation chu a tan ta a ni.
- Open surgery-ah chuan incision lian tak tak siamin a natna taksa peng hrang hrangte chu lakchhuah a ni.
- Laparoscopic method ah hian incision te te siam a, laparoscope leh robotic equipment hmangin kidney leh ureter te lakchhuah a ni.
A tawpah chuan surgeon chuan incision te chu stitches hmangin a khar a. A chang chuan drainage tube hmangin incision atanga thisen leh tui lakchhuah a ni.Silicone tube te tak te "" tih chu i dah thei bawk.
I rilrua zawhna lo lang chu, kal pakhat lak chhuah a nih chuan eng nge thleng? Mi hrisel chuan kal (kidney) pakhat chauh hmangin harsatna awm lovin nun pangngaiin a hmang thei a ni. Kidney dang chuan a luah a, hna pahnih hi a thawk vek a ni.
He surgery hi darkar hnih atanga darkar li vel a ni tlangpui.
Operation hnuah eng nge beisei tur?
Surgery a zawh chuan anesthesiologist chuan anesthesia a pe tawh lo ang che. Zawi zawiin i harh tan ang. Tichuan recovery room ah hruai i ni ang . Chutah chuan medical staff ten uluk takin i hriselna an enfiah ang.
- Natna: Natna i hriat chuan a damdawi pek che a ni.
- Nausea: Mi thenkhat chuan anesthesia vangin nausea an nei thin. Chutiang a nih chuan chutiang atan pawh chuan damdawi pek a ni.
- Chaw: Ni khatna emaw ni hnih emaw velah chuan liquid food an pe thin. Chumi hnuah chuan zawi zawiin chaw pangngaiah an inhmelhriattir ta a ni.
- Kal: Operation hnu ni atang khan khum atanga tho la, tlem tal kal kual turin an ti ang che. Hei hi a pawimawh hle. Kea kal hian kea thisen zam a ti tlem a, pneumonia ang chi natna a veng bawk.
I dinhmun chu a nghet tih hriat a nih hnuah chuan in lama haw phalsak i ni ang. In lama i haw hunah chhungte emaw, ṭhian emaw i zui ngei tur a ni. Ni hmasa berah enkawltu tur i neih pawh a tha hle.
Robotic surgery hmanga tih thatna leh hlauhawmna tlangpui
Heng pahnih hi a hranin han thlir ila.
| Robotic surgery thatna (open surgery nena khaikhin chuan) . | |
|---|---|
| Lo dam vat rawh | Damdawi inah hun tlem zawk |
| Operation hnuah natna a tlem zawk | Painkiller mamawh tlem zawk |
| I dam thuai rawh se. | Thil tih dan pangngaiah i kir leh thei a, hna i thawk thuai thei bawk. |
| Incision te hi a te lutuk. | Scarring a tlem zawk |
Surgery dang ang bawkin he surgery hian risk engemaw zat a nei a ni.
- Anesthesia nena inzawm hlauhawmna
- Hliam damna lama harsatna a awm
- Thisen pek a ngai mai thei
- Bacteria natna hrik kai
- Thisen zam (hematoma) .
- Incisions (seroma) bulah fluid khawlkhawm .
Heng risk te hi hlau suh. I medical team chuan an ven theih nan theihtawp an chhuah ang a, an lo awm a nih chuan an enkawl ang.
In ka haw hnuah eng nge ka ngaihven tur ?
Mi hrang hrangah dam leh hun a inang lo a, mahse a tlangpuiin kar ruk vel chawlh hahdam tur a ni.
- Driving: Operation hnuah kar hnih tal lirthei khalh loh tur.
- Thil rit phurh: Kg 9-10 (tui litre 10 vel rit) aia rit phur suh. Run ang chi exercise hahthlak tak tak ti suh. Hengte hian stitches te a tichhe thei a, hernia ang chi condition a thlen thei bawk.
- Kal: Kea kal hi a tha hle. Damna kawngah a pui hle.
- Hnathawh lama kir leh: I hna hian taksa a tibuai lutuk lo a nih chuan kar li vel hnuah hna i thawk leh thei tur a ni. Mahse, i hnaah hian thil rit phurh emaw, hna hahthlâk tak emaw a tel a nih chuan, rei vak lo hman chu a ṭha ber mai thei.
Doctor hmuh leh a ngai em? Eng dinhmunte nge i biak vat a ngai?
Ni e, a dik ngei ang. Doctor chuan lo haw turin ni khat a pe ang che. Chumi ni chuan i incision leh stitches te chu a check ang. Stitch a hmin lo a awm chuan kar khat emaw kar hnih emaw chhungin a cut chhuak ang a, lakchhuah a ni ang. Drain a awm chuan an paih chhuak bawk ang.
Tin, surgery hian cancer chu a paih chhuak vek tih enfiah a ni bawk ang. Cancer hi a darh tawh emaw, a nasat zawk chi a nih chuan i doctor chuan i enkawl dan tur (e.g. chemotherapy) a hrilhfiah ang che.
Heng symptoms te hi i neih chuan tihkhawtlai suh la, doctor ko nghal la, damdawi in Emergency Department (ETU) ah kal rawh.
- Cut atanga thisen chhuak tam lutuk
- Cut atang hian a rawng danglam, rimchhia tak, pus ang maia tui a rawn chhuak thin
- Khawsik (38 degree Celsius aia sang / 100 degree Fahrenheit) .
- Stitches a rawn inthen ta
- A natna chu a zual zel a.
Hetiang thil i hmuh chuan in lamah awm reng suh. Damdawi lam thurawn zawng nghal rawh.
A tawp berah chuan hetianga operation neih hma hian hlauhna, lungkhamna leh rinhlelhna neih hi thil pangngai a ni. Zawhna hrang hrang "Surgery a kal sual a nih chuan engtin nge ni ang?", "Cancer hi taksa peng dangah a darh dawn em?", "A dam leh chu a harsa dawn em?" rilruah a lo lang mai thei.
Chutiang ngaihtuahna neih chu thil pangngai a ni. Mahse chutih rual chuan he surgery atanga hlawkna i hmuh tur hi ngaihtuah bawk ang che. I nunna a chhanhim thei a, i nunphung a tichangtlung thei bawk. I ngaihtuahna leh hlauhthawnna zawng zawng chu i doctor leh medical team te nen sawiho rawh. Anni hi tanpui turin an awm a, he zinkawngah hian nangmah chauhvin an kalsan lo che a ni.
Take-Home Thuchah a ni
- Nephroureterectomy hi urothelial cancer, urinary system chunglam atanga lo awm tan surgery tih a ni ber.
- He surgery hian kidney natna, ureter pumpui leh bladder hmun tlemte chu a la chhuak a ni.
- Robot technology hmanga laparoscopic method hi a tlangpuiin a na lo zawk a, a dam chak zawk bawk.
- Surgery hma leh operation hnua doctor thupek dik taka zawm a pawimawh hle.
- Operation hnua natna danglam tak tak, khawsik, thisen chhuah tam lutuk, hliam atanga zun chhuak emaw i neih chuan doctor hnenah hriattir nghal rawh.
- Mi hrisel chuan kal pakhat chauh hmangin nun pangngai a hmang thei a.
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