Doctor chuan i ovary-ah cyst i nei tih leh chu chu lakchhuah nan operation i mamawh thu a hrilh che em? Chu thu i hriat chuan tlem a hlauhthawn leh hlauhna i neih chu thil pangngai a ni. "He surgery hi eng nge ni?", "A na lutuk dawn em ni?", "Eng chen nge a dam dawn?", "Nau ka nei leh thei tawh dawn lo em ni?" Zawhna maktaduai khat zet chu ka rilruah a lo lang ngei ang. Lungngai suh. Nangmah chauh i ni lo. Vawiin hian he surgery `Ovarian Cystectomy` tih hi kan sawi dawn a, chu chu ovary-a cyst awmte paih chhuahna surgery a ni a, awlsam takin i hriatthiam theih ang.
A hmasain, ovarian cyst chu eng nge ni?
A awlsam zawngin, ovarian cyst chu i ovary-a lo awm, tuiin a khat sac te tak te a ni. I vunah a hring (blister) ang maiin ngaihtuah rawh. Hengte hi hmeichhe tam zawkin an neih tlangpui a ni. A tam zawkah chuan thla engemaw zat chhungin anmahni chauhin an kal bo a, harsatna leh damdawi ei ngai lovin an kal bo thin.
Mahse a chang chuan heng cyst te hi a awm reng thei a, a lian thei a, a na thei bawk. Chutah chuan doctor chuan operation hmanga cyst chu lakchhuah a tum ta a ni. He surgery hi `Ovarian Cystectomy` an ti a.
He surgery tih dan tur hi engte nge ni?
Ovarian cyst tihbo nan hian surgery chi hnih a awm a. I doctor chuan i dinhmun a zirin eng method nge i tana tha ber tih a rel ang.
1. Laparoscopic Ovarian Cystectomy: Hei hi tunlaia tih dan tlanglawn ber a ni. Mi thenkhat chuan "key-hole surgery" an ti bawk. Heta thil thleng chu i pum chhungah hian incision te tak te tak tak siam a ni a, chutah chuan camera vuah tube te tak te (`laparoscope`) i pum chhungah a lut a ni. Chu camera hmang chuan doctor chuan i pum chhunga thil awm zawng zawng, i ovary leh uterus telin, TV screen lian tak ang maiin a hmu thei a ni. Tichuan, i pum chhungah incision tenau pahnih dang siam belh a ni a, operation atana hmanraw te tak te te chu a chhungah dah a ni a , chu cyst chu uluk takin an tan chhuak a, an la chhuak bawk.
2. Open Cystectomy / Laparotomy: Hei hi hnam dan anga tih a ni. Hetah hian pum hnuai lam ah incision lian deuh deuh an siam a, pum chu hawn a, cyst chu lakchhuah a ni. Doctor chuan he method hi special case tlemte ah a thlang thin. Entir nan:
- Tumor a lian hle a nih chuan.
- Tumor chu cancer a ni thei tih rinhlelhna tlemte pawh a awm chuan.
Doctor-te chuan laparoscopic surgery tih an tum tlangpui a, a chhan chu incision tenau zawk, natna tlem zawk leh rang taka dam leh in lama haw theihna a nih vang a ni. Mahse, a châng chuan i himna leh i dam leh vek theih nân, open surgery hi a ṭha ber mai thei.
Hetah hian heng hmanraw pahnih inthlauhna hi a chiang zawk hle.
| Nihphung | Laparoscopic hmanga operation tih a ni | Open surgery (Laparotomy) hmanga tih a ni. |
|---|---|---|
| Zai | Cut te te 2-3, centimetre 1 vel a sei | Pum hnuai lam kaltlangin incision sei tak pakhat |
| Na | A hniam deuh hlek | A tam lutuk |
| Damdawi in chhunga hun hman | Ni khat emaw ni hnih emaw chhungin i haw thei tlangpui. | Ni engemaw zat ka nghah a ngai. |
| Damna hun | Kar 1-3 chhungin hnathawh pangngaiah i kir leh thei ang. | Kar 6-8 emaw a aia rei emaw a daih |
| Ser | Hmuh harsa tak tak, bawlhhlawh te te tlemte. | A hliam lian tak, chiang taka hmuh theih chu a awm ta a ni. |
Engvangin nge heng ovarian cyst te hi an lo awm?
Hei hi a chhan pakhat chiah hriat a harsa khawp mai. Thil engemaw zat a awm thei.
- Hormone hnathawh dan inthlak danglamna: A bik takin hormone nena inzawm PCOS (Polycystic Ovary Syndrome) ang chi natna vang a ni.
- Ovulation atanga chhuak:A châng chuan, ovulation kal lai hian heng cyst chi hrang hrangte hi a lo awm thei bawk. Nau pai theihna tura hormone damdawi thenkhat hman thin vang pawh a ni thei bawk.
- Endometriosis: Hei hi nausen chhungril lama line siamtu tissue chu nausen pum pawnah, ovary-ah te a lo thang lian a ni. Hei hian cyst a siam thei bawk.
- Pelvic Inflammatory Disease: Reproductive system-a natna khirh tak a ni.
- Cancer natna: Mahse, hei hi a tlem hle. Ovarian cyst 100 zinga 95 vel chu cancer an ni lo.
Eng dinhmunah nge operation tih a ngai?
Sawi tawh ang khan tumor zawng zawng hi lak chhuah vek a ngai lo. Mahse, i doctor chuan a hnuaia thil awmte avang hian operation hi a tha hle tih a rel thei ang:
- Tumor hi a lian a nih chuan: A tlangpuiin tumor inches 2.5 - 3 (6-7 cm) aia lian chu paih chhuah a tha.
- Natna i neih chuan: Pum hnuai lam emaw, hnungzang na fo emaw, na tak tak hi he tumor vang hian a awm thei.
- Tumor chu cancer a ni thei tih rinhlelhna a awm chuan: Chutiang rinhlelhna chu scan leh thisen test atanga lo chhuak a nih chuan tumor chu lakchhuah a ni ang a, chu chu finfiah leh enkawl a ni ang.
Operation hmain engtin nge i inbuatsaih thin?
I doctor chuan operation ni hmain i mamawh tur instruction zawng zawng a pe ang che. Anmahni zawm dik a pawimawh hle.
- Ei leh In: Surgery hma darkar engzat nge ei leh in i chawlhsan tur tih chiang takin zawt rawh.
- Damdawi: Natna dang (e.g. zunthlum, thisen sang) tan damdawi i ei a nih chuan, chu damdawi chu operation ni-ah i ei tur nge i ei loh tur tih doctor zawt rawh.
- Zawhna zawt rawh: Zawhna i neih apiang chu doctor hnenah zawt la, eng ang pawhin tlem pawh ni se. Zawh hlau suh.
- Mi tanpui tur: Inchhung hna thawhpui tur leh operation hnu ni engemaw zat enkawltu tur che neih hi a awlsam zawk hle.
Surgery neih chhung hian eng nge thleng?
He thil hi i ngaihtuah lutuk a ngai lo. A chhan chu general anesthesia hnuaiah i awm dawn a, surgery chhung zawng hian sound sleep up i ni dawn a ni . Engmah i hre lovang.
Doctor chuan i mut hnuah surgery a tan ang.
- Laparoscopic surgery-ah: Camera chu incision te tak te hmangin an dah a, chutah chuan carbon dioxide gas tlemte hmangin pum chu an inflated a. Hei hian doctor chuan pum chhung chu chiang takin a hmu thei a, surgery a ti thei bawk. Tichuan, incision dang hmangin instruments te chu dahin tumor chu lakchhuah a ni. A châng chuan, tumor aṭanga a tê tê chu biopsy nei turin an thawn a, cancer a awm leh awm loh enfiah a ni. Procedure an tih zawh chuan gas chu lakchhuah a ni a, a incision te te chu dissolvable suture chi khat hmangin an khar a ni.
- Open surgery-ah: Incision lian tak siam a ni a, ovary-a tumor awm chu uluk takin lakchhuah a ni a, vun chu layer engemaw zatah sewn leh a ni.
Surgery hnuah eng nge thleng ang?
Surgery zawhah recovery room-ah hruai i ni ang. I harh chuan natna emaw, nuam lo emaw engemaw chen i nei thei. Nurse te chuan painkiller an pe ang che. I heart rate leh thisen sang chu a enfiah ang.
- Laparoscopic surgery i neih chuan darkar tlemte hnuah i haw thei ang, chu chu zan vek emaw, a tuk zingah emaw pawh nise.
- Open surgery i neih chuan ni hnih atanga ni thum emaw a aia rei emaw chhung damdawi inah i awm a ngai dawn a ni.
Doctor chuan in lama i haw hnua i zawm tur thupek set khat a pe ang che.
- Engtik atang khan nge i inbual theih ang?
- Engtin nge hliam hi a thianghlim tur?
- Eng chen nge rit phurh leh hna hahthlak tak tak thawh hi ka chawlhsan ang?
- Engtikah nge doctor rawn hmuh leh tur?
- Natna atan eng damdawi nge ka ei ang?
- Eng chen nge sex hman loh tur?
Heng zawng zawng hi dik taka zawm hi dam thuai nan a pawimawh hle.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
A thatna te: 1.1.
A hlawkna ber chu natna, rilru hahna thlentu, leh nakin lawka hlauhawm tak pawh ni thei tur tumor chu lakchhuah a ni. Ovarian cyst avanga harsatna lian tham pahnih a awm thei a, chungte chu:
- Ruptured Ovarian Cyst: Chu cyst chu a rupture nghal a nih chuan natna nasa tak, tuar theih loh a thlen thei a ni.
- Ovarian Torsion: Tumor rit lutuk hian ovary chu hrui ang maiin a tikehsawm thei a ni. Chutiang a nih chuan ovary-a thisen kalna chu a titawp thei a, chu chuan a thawk thei lo vek thei a ni. Hei pawh hi emergency a ni.
Surgery hian hetiang thil lakah hian a venghim thei a ni.
Risk awm thei: 1.1.
Surgery dang ang bawkin hlauhawmna tenau tak tak a awm a, mahse hengte hi a tlem hle.
- Hliam natna.
- Surgery neih laiin thisen a chhuak.
- Anaesthesia avanga allergy nei.
- Ke ah thisen a chhuak thin.
- Tumor lakchhuah hnuah a lo thang leh thin.
- A tlem hle a, ovary emaw fallopian tube emaw a tichhia.
- A chang chuan tumor chauh lakchhuah theih loh chuan ovary pumpui lakchhuah a ngai mai thei (`Oophorectomy`).
I doctor chuan heng zawng zawng hi a hrilhfiah ang che. Meizial zuk, zunthlum, thau lutuk ang chi natna i neih chuan harsatna i neih theihna a sang deuh hlek a ni.
Mi zawng zawngin zawhna pawimawh ber chu: Operation hnuah naute ka nei thei ang em?
Ni e, a ti thei ngei ang.He surgery hian a tum ber chu i ovary te humhalh a, tumor chauh lakchhuah hi a ni. Chuvangin, he surgery hian i fertility a nghawng lo tlangpui.
Mahse i ovarian cyst thlentu dinhmun (endometriosis emaw PCOS emaw ang chi) hian fa neih theihna chu eng emaw chen a nghawng thei tih hriat reng a pawimawh. Chuvangin, nakin lawka fa neih i beisei a nih chuan zai hmaa i doctor nen zalen taka inbiakna neih a pawimawh hle. Thurawn tha ber ber a pe ang che.
Operation hnua heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh.
I operation hnua a hnuaia symptoms te hi i neih chuan hlau suh la, doctor ko nghal rawh. A nih loh leh damdawi in Emergency Department (ETU) ah kal rawh.
- Hliam a sen a, a hring a, a hring chhuak a nih chuan.
- Khawsik sang tak i neih a, chak lo nia i hriat chuan.
- I pum hnuai lam natna tuar theih loh i neih chuan.
- Zun laiin kang emaw, na emaw a awm chuan.
- Vaginal bleeding tam lutuk a awm chuan.
- I ke a hring a, a na a nih chuan.
Take-Home Thuchah a ni
- Ovarian cyst hi hmeichhiaah a tam hle. A tam zawkah chuan an hlauhawm lo va, anmahni chauhin an kal bo thin.
- Tumor chu a lian a, a na a, a cancer nia rinhlelh a nih chauhvin operation tih a ngai a ni.
- Laparoscopic surgery hi a rang, awlsam leh hrehawm lo tak a ni a, incision te te hmanga tih a ni.
- He surgery hian fa neih theihna a tichhe lo tlangpui.
- Hlauhna emaw rinhlelhna emaw i neih apiang chu i doctor nen tlang taka sawiho chu i dikna a ni.
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