Lung natna pawh i nei fo em? I rilruah emaw, i rilruah emaw thil a inkhung ang maiin i hria em? I ei tur chu i rilruah a rawn lang leh ta niin i hria em? Mi tam tak chuan hei hi "gastritis" an ti thin. He natna hi damdawi lam chuan Gastroesophageal Reflux Disease, a tawi zawngin (GERD) tia hriat a ni. Damdawi ei leh ei leh in thunun chung pawhin he harsatna hi i paih chhuak thei lo em ni? Tichuan hei hi i tan thil pawimawh tak a ni thei ang. Hemi chinfelna hlawhtling tak, surgery tih hi han thlir ila.
He Nissen Fundoplication surgery hi eng nge ni?
A awlsam zawngin sawi ila, hei hi severe gastroesophageal reflux disease (GERD) enkawlna atana surgery tih a ni.
Hetiang hian han ngaihtuah teh. Kan ei hian chaw chu chaw kawng (esophagus) hnuaiah a tla thla a, kan pum chhungah a lut thin. Esophagus leh stomach inkarah hian valve pakhat sphincter an tih chu kawngkhar ang maia thawk a ni. Kan ei hian he valve hi a inhawng a, chaw chu pum chhungah a kal lut ta a ni. Tichuan nghet takin a khar ta a ni. Chutiang chuan chaw kawng chhunga acid khauh tak takte chu chaw kawng chhunga a rawn chho leh loh nan a ti a ni.
Mahse GERD vei tan chuan he valve hian hna a thawk tha lo. A loose tawh hle mai. Chuvangin chaw kawng chhunga acid chu awlsam takin a lo chhuak a, chu chu chaw kawng chhungah a lut tihna a ni. Chuvangin i rilruah heartburn leh sour taste ang chi symptoms i nei thin.
Nissen Fundoplication-a thil thleng chu hetiang hi a ni. Surgeon chuan pum chunglam (fundus) chu a la a, chaw kawng hnuai lam chu a khuh a. Thil loose takah band dah ang mai a ni. He wrapping hian loose valve chu a tichak leh ta a ni. Tichuan pum acid chu pum chhungah a awm reng a, a lo chhuak lo.
Doctor-te chuan enkawlna dang, damdawi ang chi-in GERD a thunun theih loh chuan he surgery hi an rawt tlangpui.
He surgery hi chi hrang hrang a awm em?
Ni e, he surgery hi chi hrang hrang lian tak tak a awm a, chu chu chaw kawng chhunga pum chhunga tissue awm zat a zirin a ni. I surgeon chuan i dinhmun atan eng method nge tha ber tih a hrilhfiah ang che.
| Surgery chi hrang hrang | A awlsam zawngin sawifiah a ni |
|---|---|
| Nissen 360 degree-a khuh a ni | Hei hi wrap method kimchang tak a ni. Pum chunglam chu chaw kawng hnuai lam chu a khuh vek (360 degree) a ni. |
| Toupee 270 degree vel a ni | Hetah hian pum chunglam chu chaw kawng hnunglam (270 degrees) chauh a ni. A chhehvel zawng zawngah a inkhuh vek lo. |
| Hma lam natna 180 degree wrap | Hetiang hmang hian chaw kawng thenkhat chu chaw kawng hmalam chu a chanve (180 degree) velin an khuh a, diaphragm nen an inzawm tir thin. |
Surgery hmain eng nge ka tih ngai?
Surgery neih tura thutlukna i siam hnuah i doctor chuan test eng emaw zat a ti ang. Chûngte chu i chaw kawng a zim em tih te, a hnathawh dân te, leh hiatal hernia an tih natna i neih leh neih loh enfiah nâna tih a ni. Hiatal hernia chu pum chhunga hmun thenkhat chu diaphragm kaltlangin rilru chhungah a nawr chhoh thin hernia a ni. Hei hian GERD symptoms a ti na zual thei a ni. Hetiang dinhmun hi i neih chuan surgeon chuan surgery neih rualin a siam tha ang.
Hengte hi test tih dan tlangpui chu a ni:
- Upper Endoscopy: Camera dahna tube chu ka chhungah dahin chaw kawng chhung leh pum chhung enfiah a ni.
- Esophageal Manometry test: Esophagus chhunga muscle te hi engtiang chiahin nge an inzawm tih tehna, chu chu an hnathawh that dan tehna a ni.
- pH Monitoring Test: Darkar 24 vel chhunga i chaw kawng chhunga acid awm zat tehna test a ni.
- Gastrointestinal (GI) X-rays: Tui bik (barium) i in hnuah chaw kawng leh pum chhunga X-ray thlalak lak a ni. Esophagus leh stomach pianzia leh hnathawh dan an enfiah thin.
Tin, operation hma zan zanlai hnuah engmah ei leh in lo turin hriattir i ni bawk ang. Heng thupekte hi dik taka zawm a pawimawh hle.
Engtin nge surgery hi tih a nih?
He surgery hi kawng lian pahnih hmanga tih theih a ni. General anesthesia pek i ni ang a, chuvangin surgery neih chhungin engmah i hre lo ang, i muhil ang.
| Surgery tih dan tur | Engtin nge kan tih ang |
|---|---|
| Open Surgery neih a ni | Pum chhungah vawi khat incision siam a ni. Hei hmang hian surgeon chuan a pum chunglam chu chaw kawng (esophagus)-ah a khuh a. Chumi hnuah chuan incision chu stitch emaw staple emaw hmangin an khar leh thin. |
| Laparoscopic Surgery hmanga tih a ni | Hei hi "keyhole surgery" an ti bawk. Pum chhungah hian incision te te pali atanga paruk vel siam a ni. Laparoscope , tube te tak te, camera dahna chu a incision pakhatah chuan dah a ni. Camera atanga thlalak te chu monitor-ah an en a, surgery tih nan incision dang hmangin surgical instrument tenau te an dah lut bawk. Chumi hnuah chuan incision te chu stitches hmangin an khar leh thin. Hetiang tih dan hi a tam zawk a, a chhan chu hliam a hnutchhiah tlem vang a ni a, a na lo zawk a, a dam chak zawk bawk. |
He surgery hi darkar khat atanga darkar thum vel a ni tlangpui.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Hlawkpuina
He surgery hian a thatna lian ber chu GERD symptom na tak tak, enkawlna dangin an thunun theih loh atanga chhanchhuahna a pe a ni. Tin , Barrett’s esophagus vei theihna a ti tlem bawk a, hei hi GERD vanga hun kal zelah a lo awm thei a ni. Barrett’s esophagus hi precancerous condition a ni a, esophagus cancer a thlen thei a ni.
Risk (Buaina) 1.1.
Surgery dang ang bawkin natna kai theihna a awm. Mahse a hlauhawm ber chu hun engemaw chen hnua symptoms lo kir leh theihna hi a ni. Zirna thenkhatah chuan he surgery nei zinga 10% vel chuan operation dang neih leh a ngai mai thei.
Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Surgery zawhah ni khat emaw ni eng emaw zat damdawi inah i awm a ngai dawn a ni.
- Open surgery i neih chuan i pum chhunga tui awm zawng zawng paih chhuah nan i hnar atang hian temporary nasogastric tube i dah thei a ni.
- I taksaah tui a tlakchham loh nan saline (IV fluids) pek i ni ang.
- I intestines-in hna a thawh dan pangngaia a thawh leh hma loh chuan (i.e., gas emaw stool emaw i pass hma loh chuan) saline hmangin nutrition pek a ni ang.
Recovery Hun a ni
Operation hnu ni hmasa berah chawlh hahdam a pawimawh hle. Chumi hnuah chuan zawi zawiin i thiltih pangngai chu i thawk leh thei tawh ang. Amaherawhchu exercise rit tak i nih chuan i doctor chuan kar tlemte chhung exercise light chauh ti turin a fuih ang che.
Naupang he surgery nei tawh chu ni engemaw zat hnuah sikul a kal leh thei a, mahse kar thum tal tlan, zuang, emaw infiamna hahthlak tak tak te chu a pumpelh tur a ni.
Ei leh in
Operation hnu ni engemaw zat chhungin i rilru natna engemaw zat i nei thei. Chuvangin, ni 7-10 hmasa berah chuan tui leh chaw nêm i ei a ngai dawn a ni .
- Protein shake leh smoothie ang chi liquid hmangin tan la rawh.
- Tichuan, yogurt, scrambled egg, pasta, leh rice ang chi bland foods-ah i kal thei ang.
- Hemi hun chhung hian chaw tui tak, hriak nei, leh ei harsa tak takte atanga inthiarfihlim a pawimawh hle.
Heng symptoms te hi i neih chuan doctor pan nghal tur a ni.
Operation hnua in lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
- Cut chu beisei aia thisen a chhuak a nih chuan.
- Infection chhinchhiahna i hmuh chuan :
- Incision chhehvelah hian a hring lutuk a nih chuan.
- Khawsik i neih chuan.
- Incision vel ah redness a awm chuan.
- Incision chhehvel vun chu khawih pawhin a lum tih a hriat chuan.
- Surgery hmaa i GERD symptoms lo awm tawh kha a lo thleng leh tawh ang tih i hriat chuan .
Damdawi ei tawh, i ei leh in control tawh, engkim ti tawh mahse he rilru hahna leh acid reflux problem hi i la tuar reng a nih chuan Nissen Fundoplication surgery hi i tan solution tha tak a ni mai thei. Hei hian i nunah thlamuanna nasa tak a thlen thei a ni. Hemi chungchang hrechiang duh tan, leh hei hi i tan a tha em tih hriat duh chuan i doctor nen inbia ngei ang che.
Take-Home Thuchah a ni
- Nissen Fundoplication hi GERD (acid reflux) na tak, damdawi hmanga control theih loh surgery tih a ni.
- He surgery-ah hian pum chhung ngeia a then hmangin chaw kawng leh chaw kawng inkar valve loose chu tihchak a ni.
- He surgery hi open emaw laparoscopic emaw hmanga tih theih a ni. Laparoscopic method hi a tam zawk.
- Operation hnu kar hnih hmasa berah chuan liquid leh soft diet i hman thiam a ngai dawn a ni.
- He surgery hi i tan a tha em tih hriat theihna tha ber chu i doctor nen sawiho hi a ni.











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