Nangmah emaw, i chhungte zinga tu emaw chuan doctor-in orchiectomy chungchang a hrilh tawh pawh a ni thei. Hetiang thil i hriat hian hlauhna tlem, lungkham, leh zawhna tam tak neih hi thil pangngai tak a ni. "Engvangin nge hetiang hian i tih?", "Hei hnu hian eng nge thleng ang?" I ngaihtuah mai thei. Mahse hei hi kan ngaihtuah angin a hlauhawm lo. Vawiin hian he surgery ‘Orchiectomy’ tih, a awmzia chu testicles lakchhuahna tur a ni a, awlsam takin i hriatthiam theih nan kan sawi dawn a ni.
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A awlsam zawngin Orchiectomy tih hi eng nge ni?
Orchiectomy chu testicles pakhat emaw pahnih emaw surgery hmanga lakchhuah a ni . I hriat angin, testicles hi mipa zang hnuaia vun (scrotum) pouch pakhata awm, taksa peng te tak te pahnih a ni. Hna pawimawh pahnih an nei a. Pakhat chu sperm siam chhuah a ni a , pakhat chu mipa hormone testosterone siam chhuah a ni . He surgery hi damdawi inah tih a ni tlangpui a, mahse a tam zawkah chuan outpatient procedure a ni a, chu ni vek chuan in lamah i haw thei a ni.
Engvangin nge he surgery hi tih a nih? A chhan berte chu engte nge ni?
Doctor-te’n he surgery hi an tih chhan lian tak tak engemaw zat a awm. Anmahni hi han en teh ang u.
1. Cancer natna enkawlna atan
- Testicular Cancer: Hei hi a chhan ber a ni. Testicular cancer rinhlelhna a awm chuan, he surgery hi tih a ni a, chu chu chiang taka hriatchhuah leh enkawl a ni . Surgery laia tissue lakchhuah chu laboratory (pathologist)-ah thawn a ni a, cancer cell a awm leh awm loh finfiah a ni.
- Prostate Cancer leh Mipa hnute Cancer: Mak i ti mai thei, mahse heng cancer chi hnih hi he surgery hmang hian enkawl a ni. A chhan chu mipa hormone (androgens) testosterone ang chi te hian cancer cell thenkhat a tipung thin. Heng hormone te hi cancer cell thenkhat tan chuan ‘chaw’ angin han ngaihtuah teh. Testicles kan lakchhuah hian taksaa heng hormone awm zat hi a tlahniam a. Tichuan cancer cell-te chu ‘chaw’ an hloh a, an lo tlem tan a, an darh zel tawh lo.
2. Testicles chhia te paih chhuah nan
Cricket khelh laiin ball-in a rawn deng a, bike accident i tawk a, a nih loh leh i testicle-ah hliam na tak i nei ang tih han ngaihtuah teh. Doctor-te’n an siam that theih loh chuan a chhe lai chu an la chhuak a, a chhehvel tissue chu an sew up a ngai a ni. Tin, a chang chuan testicle twist (testicular torsion) hnuah a thisen supply chu tihtawp a nih a, testicle a chhiat chuan lakchhuah a ngai thin.
Engtin nge surgery hi tih a nih?
He surgery hi general anesthesia hmanga tih a ni a, chu chu i muhil a, engmah i hre lo tihna a ni. Chuvangin, zai lai hian natna engmah i nei lovang. Doctor chuan vunah hian incision te tak te a siam ang a, surgery a ti ang. Surgical technique hi incision siamna hmun a zirin a danglam deuh ang.
| Surgery chi hrang hrang | Description mai mai a ni |
|---|---|
| Unilateral Orchiectomy tih a ni | Testicle pakhat chauh lakchhuah. |
| Bilateral Orchiectomy tih a ni | Testcle pahnih lakchhuah. |
| Radical Inguinal Orchiectomy hmanga tihchhuah a ni | Cancer darh zel tur ven nan testicle nen spermatic cord lakchhuah hi a pawimawh hle. |
Mi thenkhatin operation an neih hnua an hmel lan danah an lungawi lo deuh a nih chuan prosthetic testicle an dah thei a ni. Hei hi a chhungah saline mai a ni. Hei hi nangmah ah a innghat vek a ni. Surgery zawhah doctor chuan incision chu khar turin a stitch ang. Surgery pumpui hi minute 30 atanga 60 chauh a ni tlangpui .
Operation hnua dam leh huna ngaihven tur thil
Surgery i neih zawh chuan in lama i haw hmain recovery room-ah rei vak lo i awm a ngai dawn a ni. In lam pana lirthei khalh hi a tha lo a, chuvangin mi pakhatin in lama lirthei khalh tir che a pawimawh. A dam kim theih nan kar engemaw zat a la ngai dawn a ni. Hemi hun chhung hian heng thilte hi uluk takin enkawl ang che.
- Taksa tihchak loh: Ni hmasa berah chuan hahdam takin hmang rawh. Kar tlemte chhung chu thil rit phurh, tlan, leh sex hman ang chi thil tih loh i duh mai thei. Hengte hi tih tan leh hun tha ber chu i doctor hnenah zawt rawh.
- Hliam chu thianghlim leh vawt takin dah la:A hmun chu fai leh vawt takah dah tur a ni. I doctor-in a hrilh angin enkawl rawh. Darkar 48 hmasa berah chuan special support garment ha turin an ti mai thei che a, hei hian swelling tihtlem a pui thei ang.
- Nage enkawl: Operation hnua natna, hrehawmna leh rilru natna engemaw zat neih hi thil pangngai a ni. Ice pack minute 20 vel hnawih hian natna a tidam thei. I doctor nen natna damdawi chungchang sawipui rawh.
- Tui tam in tur leh fibrous foods ei tur: Hetih hun chhung hian toilet-a kal laiin strain a tha lo. Chuvangin chaw ei kham loh nan tui tam tak in la, fibrous foods, thlai leh thei chi hrang hrang ei tur a ni.
He surgery hian eng hlawkna leh side effect nge a neih theih?
Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna tenau a nei bawk.
A thatna chu hei hi cancer vei tan chuan nunna chhanhimna a ni. Hormone-dependent cancer control nana hmanraw tangkai tak a ni bawk.
Risk leh side effect chungchang sawi dawn chuan eng surgery-ah pawh thisen chhuah leh infection hi a awm fo thin. Mahse, he surgery-ah hian side effects bik a awm a, a bik takin testicles pahnih lakchhuah a nih chuan (Bilateral Orchiectomy) . Hei hi taksaa testosterone level a tlahniam thut vang a ni. Hei hian hetiang hi a thlen thei a ni:
- Sex drive a hniam hle
- Chau lutuk tih hriat (Fatigue) .
- Hot flash a rawn chhuak ta
- Muscle mass tlahniam
- Ruh natna (Osteoporosis) a awm
- Erectile dysfunction a awm thin
- Lungngaihna
A pawimawh ber: Testicles pahnih hi lakchhuah a nih chuan sperm production a bo dawn a ni. Chumi awmzia chu chu mi chuan fa a nei thei dawn lo tihna a ni (infertility) . Hemi hi operation hmaa doctor nen sawiho a, hriatthiam a pawimawh hle.
Tin, hetiang surgery hnua nangmah, i hmel lan dan leh i sexuality chungchangah lungkham leh lungngaihna i neih hi thil pangngai tak a ni. Heng rilru put hmangte hi i doctor emaw, i rintlak emaw hnenah sawipui a pawimawh hle.
Heng symptoms te hi i neih chuan doctor ko nghal rawh!
Surgery atanga in haw hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh. A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
- Khawsik emaw tuar theih loh natna emaw .
- Chaw ei harsat.
- Hliam awmna hmunah emaw, scrotum-ah emaw deep red emaw purple spot (hematoma) a lo lang thei.
- Hliam atanga thisen emaw, hnim emaw a luang chhuak a nih chuan.
- Scrotum ah chuanA rilru a buai hle.
Take-Home Thuchah a ni
- Orchiectomy hi surgical procedure a ni a, testicles pakhat emaw pahnih emaw lakchhuah a ni. Hei hi hlauh tur a ni lo.
- Hei hi cancer natna enkawlna atan leh testicles chhia nasa tak tihbo nan hman a ni ber.
- Surgery hnuah natna leh hliam hi a pangngai a ni. Doctor thupek dik takin zawm rawh.
- Testicles pahnih lakchhuah hian hormone level tlahniam vangin side effect a nei thei a ni. Hemi chungchang hi i doctor nen inbia la, a tul anga enkawlna dawng rawh.
- Operation hnua natna danglam tak tak (khawsik, natna nasa lutuk, hliam atanga zun chhuak) awm apiang chu doctor hnenah hriattir nghal rawh.
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