I kal (kidney) thenkhat lakchhuah a ngai em? (Partial Nephrectomy) - Hlau suh, he thu hi han sawi ila.

I doctor chuan kidney tumor, infection, harsatna dang vangin kidney transplant neih a ngai tih a hrilh che em? Hetiang thil i hriat hian hlauhna leh lungkhamna tlem a awm chu thil pangngai a ni. Mahse, lungngai suh. Tunlai damdawi lam thiamna changkang takah hian hetiang surgery hi hlawhtling takin tih theih a ni. Vawiin hian he ‘Partial Nephrectomy’ an tih, a nih loh leh kal thenkhat lakchhuahna surgery chungchang hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

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

Partial Nephrectomy hi surgery a ni a, i kal pakhata natna nei, chhia, cancer nei chauh chu operation hmangin lakchhuah a ni a, a hrisel la awm chu a lo awm leh ta a ni.

Ngaihtuah teh, kan taksaah hian kal (kidney) hi a filter ber a ni. Heng kidney pahnih hian taksa atanga bawlhhlawh awmte chu a filter chhuak a, kan hriselna a vawng tha a ni. Chuvangin he surgery hian a tum ber chu natna hmun chauh lakchhuah a ni a, kal pum pui lakchhuah loh a, kal tissue hrisel tam thei ang ber chhanchhuah a ni. Kidney hnathawh hi kan nun atan a pawimawh em avangin a peng hriselte venhim a pawimawh hle.

Engvangin nge hetiang surgery hi i neih a ngai?

I doctor chuan he surgery hi natna hrang hrang engemaw zat atan a rawt thei ang. A chhan ber chu:

• Kidney Cancer: Hetiang hmanraw hi cancer natna chi hrang hrang te, a bik takin kal a lo awm te tihbo nan an hmang fo thin.
• Recurrent Infections: Infection na tak, kal hmun khata awm, damdawi hmanga enkawl theih loh.
• Kidney stone avanga chhiatna: Kidney hmun thenkhat a thawk tha lo emaw, kidney lung avanga a chhiat emaw a nih chuan.
• Hliam: Accident avanga kal hmun thenkhat a chhiat chuan.
• Birth Defects: Pian tirh laia kal hmun thenkhatah chhiatna a awm chuan.
• Thisen sang: He surgery hi a chang chuan kal-a thisen petu thisen kalna kawng hrang hranga harsatna awm avanga thisen sang control nan a ngai mai thei.

Surgery tih dan tlangpui te chu engte nge ni?

He surgery hi tih dan tlangpui pahnih a awm a. I dinhmun azirin i doctor chuan i tana tha ber tur a ruat ang.

Surgery neih hmain eng nge thleng?

I surgery hun tur i ruahman zawh chuan doctor nen in inhmuh a ngai dawn a ni. Sawtah,

• I hriselna zawng zawng chu enfiah a ni ang. Thisen sang leh pulse ang chi thil te chu teh a ni ang.
• Damdawi (prescribed leh over-the-counter), vitamin leh herbal supplement i ei zawng zawngte chu doctor hnenah hrilh vek a pawimawh. Thisen tithianghlimtu, aspirin ang chi hi operation hmain tihtawp a ngai mai thei. Amaherawhchu, doctor nen inbia hmasa lovin damdawi engmah ei kha bansan ngai suh.
• Allergy i neih apiang (damdawi, vun tifai, latex, ei tur) chungchang hriattir rawh.
• Surgery hma zan zanlai hnuah engmah ei leh in lo turin hriattir i ni ang. Damdawi pawimawh eng pawh i ei a ngai a nih chuan tui in rualin i ei thei mai thei. Chu chu Doctor pawhin a hrilh ang che.

Surgery neih chhung hian eng nge thleng?

Hei hi team thawhrimna a ni. He team-ah hian kidney surgeon (Urologist), anesthesiologist leh nursing staff te an tel tlangpui.

Pakhatnaah chuan anesthesiologist chuan general anesthesia hnuaiah a dah ang che. Hei hian surgery neih chhungin natna engmah i nei lovang tihna a ni a, i muhil mai dawn tihna a ni. Tichuan, urinary catheter an dah ang.

A dawtah chuan a thlan dan angin surgery chu tih a ni.

• Open surgery-ah: Doctor chuan incision lian tak a siam a, kidney-a thisen kal leh hawna thisen kalna kawngte chu clip hmangin rei lo te chhung a khar a. Tichuan, kal (kidney) chungah vur (ice) dahin, kal (kidney) lumna tihhniam nan an hmang thin. Hei hi thisen kal a tihtawp laiin kal 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: Camera leh instrument te chu incision te te hmangin an dah a, pum chhung chu carbon dioxide gas in a khat a ni. Hei hian pum chhungah hmun a siam a, doctor chuan awlsam takin kal (kidney) a thleng thei a ni. Tichuan, robotic arm hmangin a natna hmun chu nalh takin an la chhuak a, kal (kidney) chu an siam tha leh thin.

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

Surgery hnuah eng nge thleng? Tin, a dam leh theih nan eng chen nge a ngaih?

Surgery zawhah recovery room-ah hruai i ni ang. I conscious ang a, mahse tlem chuan i sluggish ang. Natna thunun nan damdawi pek i ni ang. Anesthesia avang hian i rilru a na thei a, chutiang atan pawh chuan damdawi pek a ni ang.

• Chaw: Ni khat emaw ni hnih emaw chhung chauh liquid food pek i ni ang. Tichuan zawi zawiin chaw pangngaiah i inhmelhriattir ang.
• Kal: Mak tak maiin, operation hnu ni khatah khum atanga tho chhuakin kal kual turin i fuih ang. Kea kal hian damna a ti chak thei a, thisen kal a ti tha a, thisen zam a veng thei a, pneumonia ang chi harsatna a veng thei bawk.
• Hospitalization: Robot surgery hnuah ni 1-2 chhung damdawi inah i awm a ngai tlangpui ang . Open surgery hnuah ni 3-4 vel i awm a ngai ang .
• Recovery time: Robotic surgery hnu kar 4-6 chhungin hnathawh pangngaiah i kir leh thei. Open surgery hnuah kar 8-12 vel a ni thei. I hna chu taksa lama harsatna a nih chuan, harh leh theih nan hun rei vak lo hman chu a finthlak hle ang.

Engtikah nge doctor i biak nghal tur?

In i haw hnuah i scheduled appointment-ah i doctor i hmuh a ngai dawn a ni. Mahse, a hnuaia symptoms te hi i neih chuan doctor ko nghal la, damdawi in hnai ber Emergency Department (ETU) pan rawh.