Kidney leh ureter surgical removal i ti em? Hemi chungchang hi awlsam takin han sawi ila (Nephroureterectomy)

I doctor-in nangmah emaw i hriat mi emaw hnenah ‘nephroureterectomy’ tih surgery neih a ngai tih a hrilh hian a hming i hriat veleh i hlauthawng leh hlauthawng deuh mai thei. Thumal lian tak, buaithlak tak a ni. Dik tak chuan tu pawhin he hming hi an hriat hian tlem an hlau thei hle. Mahse, hlau suh. Vawiin hian he thu hi a awlsam zawngin, i thianpa nen in inbia ang maiin sawi ila. Eng nge a nih, engvanga tih nge a nih, engtin nge a lo awm tih kan sawi dawn a ni.

Nephroureterectomy tih hi eng nge ni?

Hei hi thumal sei deuh a ni a, chuvangin i thenfai hmasa ang u, i hrethiam ang u.

• Nephro-: Hei hi Grik tawng atanga lo chhuak a ni. A awmzia chu "kidney" tihna a ni.
• Ureter: Hei hi kan kal atanga zun lo chhuak chu bladder thlenga phurtu tube a ni.
• Ectomy (-ectomy): Hei hi "surgery hmanga lakchhuah" tihna a ni.

A awlsam zawngin sawi ila, nephroureterectomy hi surgery hmanga i taksa peng engemaw zat lakchhuahna a ni. Hengte hi a part lakchhuah te chu a ni:

• Kidney pakhat a tling vek.
• Chu kidney nen chuan ureter pumpui chu a inzawm vek a.
• Urethra leh bladder inzawmna tissue te tak te chu bladder cuff an ti a.

Engvangin nge hetiang surgery hi i neih a ngai?

I zun kawng chunglam, chu chu i kal emaw, i zunthlum emaw (urothelial cancer emaw transitional cell cancer)-a cancer i neih chuan doctor chuan he surgery hi a rawt fo ang. Hei hi "radical" surgery anga ngaih a ni tlangpui .

"Radical" operation tih hi eng nge ni? Doctor chuan cancer chauh ni lovin, a chhehvela tissue emaw, taksa peng emaw, cancer a darh theihna hmun zawng zawng pawh a paih chhuak tihna a ni. Entirnan, cancer chu a bul hnaia lymph node-ah a darh tawh a nih chuan, chu lymph node-te nen chuan kidney leh ureter pawh lakchhuah theih a ni. Hei hian a tum ber chu taksa atanga cancer chu paih vek a, a lo let leh theihna tur tihtlem a ni.

Operation hmaa engtin nge kan inbuatsaih ang?

Surgery neih hmain i doctor nen in inhmu ang. I damdawi lam chanchin a sawipui ang a, i san zawng, i rih zawng leh i thisen sang chu a enfiah ang a, zai tur i inpeih tawh em tih a enfiah ang. Hei hi i tan hun pawimawh tak a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.

I doctor hnenah i hrilh ngei tur thil tlemte a awm a:

• Damdawi i ei zawng zawng:Doctor-in damdawi a pek chungchang sawi a pawimawh a, chubakah over-the-counter (OTC) damdawi, vitamin, hnam damdawi, Ayurvedic damdawi te pawh sawi a pawimawh. A bik takin thisen tithianghlimtu aspirin ang chi chungchang sawi a pawimawh hle.
• Allergy: Damdawi thenkhat, vun tifaitu iodine, ei tur emaw, latex emaw allergy i neih chuan doctor hnenah hrilh ngei ang che .

I doctor chuan operation hma ni khatah ei leh in tur a pe bawk ang che. Operation hma darkar 24 chhung chu tui thianghlim chauh ei turin an ti tlangpui ang che a, operation hma darkar 8 vel chhung chu engmah ei leh in lo turin an hrilh bawk ang che. I himna atan heng thupekte hi dik taka zawm a pawimawh hle.

He surgery tih dan tlangpui te chu engte nge ni?

Nephroureterectomy tih dan tlangpui pahnih a awm a. An pahnih inthlauhna hi han thlir ila.

Surgery hnuah eng nge thleng?

Surgery hi darkar hnih atanga darkar li vel a ni tlangpui. Chumi hnuah chuan recovery room-ah hruai i ni ang. Doctor leh nurse ten i hriatna i neih leh hma loh chuan an enkawl tha ang che.

• Natna: Operation hnua natna engemaw zat hriat hi thil pangngai a ni. Hemi atana pui turin painkiller pek i ni ang.
• Nausea: Mi thenkhat chuan anesthesia vangin nausea an nei thei. Chumi atan pawh damdawi a awm.
• Chaw: Ni khat emaw ni hnih emaw chhung chu tui tui (liquid food) pek thin a ni. Tichuan, zawi zawiin chaw pangngai chu rawn luhtir ang che.
• Kal: Operation hnu ni a\angin kea kal turin fuih i ni ang. Harsa viau mah se, hei hi a pawimawh hle. Kea kal hian kea thisen zam leh pneumonia a veng thei a ni.

Ni reilote hnuah i haw thei tlangpui ang a, mahse in lama hruai tur che chhungte emaw, thian emaw i neih a ngai dawn a ni.

In lama haw hnua dam leh hun chhung chu engtin nge a awm?

In i haw hnuah chuan chawlh hahdamna tam tak i neih a ngai a ni. I dam kim theih nân hun i pe tûr a ni a, chu chu a tlangpuiin kar ruk vêl a ni .

• Driving: Kar hnih tal lirthei khalh loh tur.
• Heavy lifting: Thil hahthlak tak tak, pound 20 aia tam (kilogram 9 vel) chawi emaw, kar 6 vel tlan emaw tih loh tur. Hengte hian stitches te a tichhe thei a, hernias ang chi condition a thlen thei bawk.
• Kea kal: Kea kal hi exercise lakna tha tak a ni.

I taksa chu midang aiin a dam chak dan a danglam thei. Chuvangin, i taksa thu hi ngaithla rawh. A harsat chuan chawlh hahdam rawh.

Engtikah nge Doctor i hmuh nghal tur?

Follow-up appointment pek i ni ang a, chu chu doctor hmuh leh hun tur a ni. Chutiang date-ah chuan kal ngei ang che. Tichuan, stitches te chu check a ni ang a, a tul chuan cut leh remove a ni ang. Mahse, a hnuaia symptoms te hi a lo lang a nih chuan doctor ko nghal emaw, damdawi in Emergency Treatment Unit (ETU)-ah emaw kal nghal rawh.

Operation hmaa hlauhna, lungkhamna leh rinhlelhna neih hi thil pangngai a ni. "Surgery hi a hlawhtling ang em?", "Cancer hi taksa peng dangah a darh tawh a nih chuan engtin nge ni ang?", "A dam leh chu a harsa dawn em?", etc. Heng rilru natnate hi vawng tlat suh. Chumi chungchang chu i doctor leh chhungte nen sawiho rawh. He surgery chungchang hi i hriat tam poh leh i hlauhthawn loh phah ang.