Heng thute hi i la hre ngai lo mai thei. ‘Pelvic Exenteration’ hi a buaithlak hle a, surgery lian tak a ni a, doctor-te chuan cancer dotu nunah a tawp ber atan an rawt a, chutih lai chuan enkawlna dang zawng zawng a hlawhchham tawh a ni. Hei hi eng surgery pawh a ni lo. Hei hi nunna chhanhimtu beiseina a ni thei. Chuvangin hetiang thutlukna pawimawh tak siam hma hian he thil hi hriat chian a pawimawh hle.
A awlsam zawngin Pelvic Exenteration chu eng nge ni?
Ngaihtuah teh, hei hi kan pelvic area chhunga taksa peng hrang hranga cancer a darh a, lakchhuah dan dang a awm loh laia surgery lian ber a ni. Thil thleng chu cancer leh taksa peng hrang hrang, a darh theihna tur te chu operation hmangin an paih chhuak vek a ni.
He surgery hi hmeichhiaah tih tam ber ni mah se, a then phei chuan mipa pawhin he surgery hi an tih a ngai a ni.
Doctor-te chuan hetiang surgery lian tham hi an hmang tlangpui a, chu chu enkawlna dang zawng zawng, chemotherapy leh radiation te hian cancer hi a thunun thei lo a nih chuan a ni. He surgery hian cancer avanga natna awm chu a tiziaawm thei a, a chang chuan cancer pawh a tidam vek thei bawk. Mahse, harsatna lian tham a thlen theihna a sang zawk a, a dam rei zawk bawk. Chuvangin, thutlukna i siam hmain i doctor nen a hlauhawmna, a hlawkna leh a dam leh theihna tur chungchang sawi hmasak a pawimawh.
He surgery hi chi hrang hrang lian ber ber a awm em?
Ni e, he surgery hi cancer a darh dan azirin chi thum ah then a ni. Heng chi hrang hrangah hian hmeichhe chi thlahtu taksa peng hrang hrangte chu paih chhuah a ngai a ni. Chu chu:
- Uterus: Naute lo thanlenna hmun.
- Cervix: Nausen pum luhna kawngkhar.
- Ovaries: Egg siamna hmun.
- Fallopian tubes: Nausen pum chhunga rulhut phur thei tube.
- Vagina chu.
Heng chi pawimawh pathumte hi chiang taka hrethiam turin hetiang hian han thlir ila.
| Surgery chi hrang hrang | Main organs te chu lakchhuah a ni |
|---|---|
| Anterior Pelvic Exenteration (Hma lam surgery) tih a ni. | Chu bakah chuan reproductive system-a taksa peng zawng zawngte pawh a telBladder lakchhuah a ni. |
| Posterior Pelvic Exenteration ( hnungzang zai) 1.1. | Reproductive system-a taksa peng zawng zawng bakah intestine lian (rectum) thenkhat lakchhuah. |
| Total Pelvic Exenteration (zai zawng zawng) 1.1. | Reproductive system, urinary system, leh lower digestive system (bladder, rectum, colon thenkhat) atanga taksa peng zawng zawng lakchhuah. |
Engvangin nge hetiang surgery lian tak hi i tih?
Doctor-te hian duhthlan tur dang an neih loh laiin he thutlukna lian tak hi an siam thin. He surgery hi gynecological cancer lo awm leh tawh emaw, enkawlna dang hmanga tihdam theih loh emaw tan tih a ni ber. Entir nan:
- Cervical cancer a ni
- Uterine cancer a ni
- Vaginal cancer a ni
- Vulvar cancer a ni
He surgery hi mipaah pawh recurrent urethral cancer ang chi natna atan an ti a, chutah chuan an taksa peng hrang hrang, an bladder, rectum, leh prostate gland te chu lakchhuah a ni.
Surgery hma leh operation neih chhung hian eng nge thleng?
Surgery atana inbuatsaihna
Hetiang surgery lian tak neih hma hian i doctor chuan uluk takin a enfiah ang che. MRI leh CT scan ang chi test an nei ang a, cancer hi eng chen nge a darh tih chiang takin an enfiah ang. Chumi ang chuan surgery pawh ruahman a ni ang. Tin, damdawi thenkhat, thisen tithianghlimtu te pawh zai hmain tihtawp tura tih a ni bawk ang. Operation hma zanah pawh ei leh in i chawlhsan a ngai dawn bawk. Heng zawng zawng hi doctor-in a tih ang chiah hian zawm tur a ni.
Surgery tih dan tur
Surgery chhung zawng hian general anesthesia pek i ni ang a, chuvangin natna engmah i nei lovang. He surgery hi darkar 10-12 emaw a aia rei emaw pawh a ni thei.
A pawimawh ber chu i bladder leh i colon hmun thenkhat hi lakchhuah a nih chuan i taksa atanga bawlhhlawh (zun leh ek) paih chhuah dan thar i zawn a ngai dawn a ni.
- Zun chhuah dan: Surgeon chuan i intestine thenkhat hmangin bladder thar ang chi thil a siam thei. A nih loh leh, i kal atanga chhuak tube te chu i pum vunah hawnna te tak te nen direct in an inzawm a ni. Hei hi urostomy an ti a.Tichuan zun chu bag pakhatah an khawl khawm a, chu chu chu hawnna nen chuan an inzawm khawm a ni.
- To pass stool: Intestine lian thenkhat, rectum ang chi te chu lakchhuah a nih chuan intestine hmun dang chu pum vunah hawnna siamah a inzawm a ni. Hei hi colostomy an ti a . Hetah hian bag pawh connect theih a ni a, stool lakkhawm theih a ni bawk.
A tir lamah chuan heng hmanrua te hi hman thiam harsa viau mah se, hun kal zelah chuan a pangngaiin i nung thei a ni.
Surgery hnuah eng nge thleng? Engtin nge dam leh hun chu?
Hei hi hun harsa ber a ni. Damdawi inah kar engemaw zat i awm a ngai mai thei. Natna thunun nan damdawi pek i nih lai hian i hriselna chu doctor leh nurse ten an enkawl reng a ni.
Operation hnua i incisions te enkawl dan tur leh i colostomy/urostomy bag siam thar te tihfai dan tur zirtir i ni ang.
Dam hun chhung hian thla engemaw zat a daih thei.
- Kar engemaw zat chhung chu taksa lam thil engmah i ti thei lo.
- Surgery neih dan azirin kar 6-8 vel chu i thut tha thei lo mai thei. I ding thei a, a sir lamah i hawi thei a, i kut phar chungin i mu thei bawk.
- A tir lamah chuan puitu tur i neih a pawimawh hle.
- Taksa atanga taksa peng tam tak lakchhuah a nih avangin pumpui thlawpna a tlahniam a, mi thenkhat tan thla tam tak emaw kum tam tak emaw pawh ding taka thut a harsat phah a ni. Physical therapy exercise hian pum ruh a tichak thei a ni.
He surgery zawh hnu hian taksa leh rilru a dam theih nan hun a mamawh a ni. Chuvang chuan chhungte leh thiante puihna neih a pawimawh hle a, a tul chuan psychological counseling lak a pawimawh hle. Surgery ang chi nei tawhte nena support group-a tel ve pawh hi chakna nasa tak a ni.
Doctor pan nghal ngai symptoms te chu engte nge ni?
Operation hnuah regular follow-up appointment pek i ni ang. Mahse, a hnuaia symptoms te hi i neih chuan , doctor thurawn zawng nghal rawh.
- Pum chhung atanga thisen chhuak emaw, a hring lutuk emaw.
- Khawsik, sen, leh incisions hnaihah a hring (hengte hi natna kai chhinchhiahna a ni).
- Pum natna nasa tak.
- Zun emaw, ek chhuah emaw harsatna.
- Nausea leh luak chhuak reng reng.
- Ek khal.
Take-Home Thuchah a ni
- Pelvic Exenteration hi cancer enkawlna atana hman tur surgery buaithlak tak leh risky tak a ni a, a hnuhnung ber anga ngaih a ni.
- He surgery hian reproductive organs te, chubakah bladder leh/ emaw intestine thenkhat te lakchhuah a, bawlhhlawh kal tlang theihna turin pum chhungah permanent opening (stoma) siam a ni.
- Recovery period hi a rei hle a, thla tam tak chhung chu taksa leh rilru lamah harsatna a thlen thei bawk. Chhungkaw tanpuina leh professional tanpuina a pawimawh hle.
- He surgery chungchanga thutlukna i siam hmain i doctor nen a hlauhawmna leh a hlawkna nasa tak chungchang hi zau tak leh chiang taka sawiho a pawimawh hle.
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