Partial Nephrectomy chungchang hi a awlsam zawngin i zir dawn nia!

I doctor chuan i kal (kidney) thenkhat lakchhuah nan operation i neih a ngai tih a hrilh che em? Chutiang thil i hriat chuan hlauthawng leh hlauthawng deuha inhriat hi thil pangngai a ni. "Ka kidney hi engtin nge a awm ang? Tun hma ang khan ka nung thei ang em?" Zawhna tam tak ka rilruah a lo lang ngei ang. Mahse hei hi eng nge a nih, engvangin nge tih a nih tih leh engtin nge tih a nih tih chiang taka i hriat hunah chuan chu hlauhna chu i rilruah a tam zawkin a bo vek ang. Chuvangin vawiin hian he surgery ‘Partial Nephrectomy’ tih hi, awlsam takin, i hriatthiam theih dan tur angin han sawi ila.

A awlsam zawngin, Partial Nephrectomy tih hi eng nge ni?

Partial Nephrectomy hi surgery a ni a, i kal natna, chhia, cancer nei chauh a paih chhuak a, a hrisel la awm chu a humhim bawk. Hei hian kal (kidney) pumpui a paih chhuak lo. Thei ro chhe lam chauh tan a, a tha lam kalsan ang mai a ni.

Kan surgeon-te thil tum ber chu i kal tissue hrisel tak tak chu taksaah a tam thei ang ber dah chhuah hi a ni. A chhan chu, in hriat angin, kan taksa chhunga filter lian ber pahnih chu kal (kidney) hi a ni. Kidney hian taksa chhunga bawlhhlawh awmte chu a filter a, a then hrang a, zun angin a paih chhuak thin. Chuvangin kal (kidney) hi nunna atan a pawimawh hle. Kidney pahnih hi a thawk tha thei a nih chuan kan hriselna zawng zawng atan a pawimawh hle.

He surgery tih dan tlangpui te chu engte nge ni?

He surgery hi tih dan tlangpui pathum a awm a. I doctor chuan i dinhmun, i kal chhia hmun lian tham tak leh a awmna hmun a zirin eng method nge i tana tha ber tih a rel ang.

Hei hi surgery na tak a ni em? Tuin nge hetiang hi tih duh ang?

Ni e, Partial Nephrectomy hi operation lian tak a ni . A chhan chu taksa chhunga peng pakhat, kal (kidney) enkawl leh siam\hat lehna a huam vang a ni. Mahse a hmaa kan sawi tawh robotics ang chi technique avang hian tunah chuan he surgery hi a hma aiin a him zawk hle a, a dam leh hun pawh a tawi zawk bawk. I surgeon chuan eng method nge i tan a tha ber tih leh a chhan chipchiar takin a hrilhfiah ang che.

Hetiang surgery hi tih a tha tlangpui a, hei hi thil engemaw zat a awm a:

• Kidney cancer: He surgery hi kal chhunga cancer natna awmte paih chhuahna atana tih a ni tlangpui.
• Infection: Infection na tak tak thenkhat avanga kal hmun thenkhat a chhiat chuan chu hmun chu lakchhuah a ngai mai thei.
• Kidney lung atanga chhiatna: Kal lung lian tak tak avanga kal a tihchhiat chuan.
• Hliam: Accident avanga kal a hliam a nih chuan.
• Piansualna: Pian tirh khan kal (kidney defect) a awm a nih chuan.
• Thisen sang: He surgery hi a chang chuan kal a thisen petu thisen kalna kawng a harsatna avanga thisen sang control nan an ti thin.

Surgery neih hmain eng nge thleng?

I surgery hun tur i ruahman zawh chuan doctor i pan a ngai dawn a ni. I hriselna tlangpui chu enfiah a ni ang. Thisen sang, pulse, leh temperature ang chi thil te chu teh a ni ang.

Tin , mawhphurhna pawimawh tak i nei bawk .

• I damdawi ei zawng zawng chu i doctor hnenah hrilh rawh . Hei hian prescription damdawi chauh ni lovin, over-the-counter medications (OTC), vitamins, traditional medicines, leh Ayurvedic damdawi thlengin a huam a ni. Hei hi aspirin emaw thisen tithianghlimtu emaw i ei a nih chuan a pawimawh hle a, heng damdawi te hian operation laiin thisen chhuah theihna a tipung thei a ni.
• Allergy i neih apiang min hrilh teh. Hei hian damdawi thenkhat, vun tifaitu iodine, latex, emaw ei tur chi hrang hrang allergy te a huam a ni.
• I doctor chuan i operation hma ni khatah ei leh in tur chungchangah thupek bik engemaw zat a pe ang che. A tlangpuiin, i operation hma zan zanlai hnuah engmah ei leh in loh a tha ber . Damdawi pawimawh eng emaw i ei a ngai a nih chuan tui in tlemte chauhvin i ei theih leh theih loh doctor zawt rawh.

Surgery neih chhung hian eng nge thleng?

He surgery hi specialist doctor leh nurse team ten an ti thin a ni. A tlangpuiin he team-ah hian urologist, anesthesiologist leh nurse te an tel thin.

A hmasain, anesthesiologist chuan general anesthesia hnuaiah a dah ang che . Hei hian i muhil vek dawn tihna a ni. Natna engmah i hre lo vang a, operation neih chhung hian i hre lo ang. I hriat loh hnuah i zun chhuah nan tube te tak te (urinary catheter) i dah ang.

Chumi hnua thil thleng tur chu i surgical procedure i thlan dan azirin a danglam ang.

Open surgery-ah chuan (Open partial nephrectomy) tih a ni.

Doctor chuan i sir, i ruh leh i hip inkar ah incision lian tak a siam ang a, chu chuan i kal a pholang ang. Tichuan, kal (kidney) atanga thisen rawn lut leh chhuak thin thisen kalna kawngte chu clamp hmangin rei lo te chhung atan an inkharkhip thin. Chumi hnuah chuan kidney chu ice-in a khuh leh thin. Hei hi kal (kidney) lumna tihhniam nan leh thisen kal a tihtawp chuan tissue tihchhiat tlem nan tih a ni. Chumi hnuah a natna lai chu lakchhuah a ni a, kal (kidney) chu siam that leh a ni.

Robotic surgery (Robotic partial nephrectomy) tih lai hian .

Hetah hian doctor chuan i pum chhungah hian incision tenau tak tak tlemte a siam thin. Tichuan, chu khur atang chuan camera leh robotic instrument te chu an dah lut ta a ni. Tichuan, i pum chhung chu carbon dioxide gas tlem nen a khat ta a ni. Hei hian pum chhungah hmun a siam a, doctor tan chuan kal (kidney) a hmuh that leh surgery tih a awlsam phah hle. Tichuan, robot kut hmangin thisen chhuah chu tihtawp a ni a, a natna hmun chu lakchhuah a ni a, kal (kidney) chu siam that a ni.

Surgery tawp lamah chuan incision te chu stitches emaw staples emaw hmangin an khar thin. A châng chuan, hliam chhunga thisen emaw, tui emaw awm zawng zawng chhuah chhuah nân silicone drainage tube te te dah theih a ni. Hengte hi ni engemaw zat hnuah lakchhuah a ni. Surgery pumpui hi darkar 3-4 vel a ni tlangpui .

Surgery hnuah eng nge thleng?

Surgery zawhah recovery room-ah hruai i ni ang. Anesthesia-in a nghawng chu a reh deuh deuh chuan zawi zawiin i hriatna i nei leh ang. Mahse, a tir lamah chuan rilru hah deuh leh mut a hah deuh hi thil pangngai a ni.

I harh hnuah nurse-te chuan natna damdawi an pe ang che. Robotic surgery hi open surgery aiin a hrehawm lo zawk a, mahse a natna control nan damdawi i la mamawh dawn a ni. Anesthesia hian natna a thlen thei a ni. Chutiang a nih chuan chutiang atan pawh chuan damdawi pek i ni ang.

• Diet: Operation hnuah ni khat emaw ni hnih emaw chhung chu liquid diet chauh pek i ni ang. Hei hian i taksa chu a dam leh theih nan hun a pe ang. Chumi hnuah chuan zawi zawiin chaw pangngai i ei thei tawh ang.
• Kal: Operation hnu ni atang khan nurse-te chuan khum atanga tho la, tlem tal kal kual turin an fuih ang che . Hei hi a pawimawh hle. Kea kal hian thisen kal a titha a, hliam a tidam thuai a, kea thisen zam leh pneumonia ang chi harsatna a veng bawk.
• Hospital-a awm: Robot surgery i neih chuan ni 1-2 chhung damdawi inah i awm tlangpui ang . Open surgery i neih chuan ni 3-4 vel i awm ang .

Doctor ten i dam tawh tih an rel hnu chuan i haw thei tawh ang. Mahse, nangmah chauhin motor i khalh thei lo. Chhungte emaw, thian emaw lo kal tura rawn hruai che i mamawh ang. I haw hnu ni engemaw zat chhung enkawltu tur i neih pawh a tha hle.

Eng chen nge a dam leh theih ang? Engtikah nge hna ka thawh leh theih ang?

I dam leh hun chhung chu i surgery chi hrang hrang leh i hriselna tlangpui a zirin a inang lo ang.

• Open surgery hnua hnathawh pangngai tan leh theih nan kar 8-12 vel a ngai a ni .
• Robotic surgery hnua dam lehna hi a rang hle a, damlote chu kar 4-6 chhungin an dinhmun pangngaiah an lo kir leh thin .

I hna chu office-based a nih a, taksa lama harsatna lian tham a neih loh chuan kar 4 chhungin hna i thawk leh thei mai thei. Amaherawhchu, i hna chu taksa lama harsatna a nih a, thil rit tak tak chawi a ngai a nih chuan in lama awm a, rei zawk chawlh hahdam a tha ber. Hemi chungchang hi i doctor nen sawiho la, chiang takin thutlukna siam rawh.

Operation hnuah eng symptom nge i fimkhur tur?

In i haw hnuah doctor-in a hrilh ni-ah clinic-ah i kal ngei ngei tur a ni. I hliam leh i stitch te an check ang. Non-dissolving stitches i neih chuan kar khat emaw kar hnih emaw vel chhungin an cut ang a, an la chhuak ang.

Tin, a hnuaia symptoms te hi i neih chuan doctor i ko nghal tur a ni.