Kidney stone hi mi tam takin an nei a, a chang chuan tuar theih loh khawpin natna a thlen thin. Tui tam tak in leh doctor-in a pek damdawi ei hnuah lung te te chu zun chhungah a kal tlang fo thin. Mahse lung thenkhat chu a lian hle. Vawiin hian kawng dang hmanga lakchhuah theih loh huna doctor-te’n an rawt surgery bik leh hlawhtling tak chungchang kan sawi dawn a ni.
A awlsam zawngin PCNL chu eng nge ni?
PCNL hming kimchang chu Percutaneous Nephrolithotomy a ni . A hming hi a buaithlak deuhin a lang thei a, mahse a awmzia chu a awlsam hle.
- "Percutaneous" tih awmzia chu "vun kaltlangin" tihna a ni.
- "Nephrolithotomy" tih awmzia chu "kidney atanga lung surgery hmanga lakchhuah" tihna a ni.
A awlsam zawngin PCNL hi i hnungzangah incision te tak te tak siamin kidney atanga lung lian tak lakchhuahna a ni. Lung lian tak tak, enkawlna dang, damdawi, shock wave lithotripsy emaw, tih dan dang emaw hmanga enkawl hlawhtling lote paih chhuahna atan hman a ni ber.
PCNL hi surgery lian tak a ni em?
Ni e, PCNL hi surgery lian takah ngaih a ni. Mahse, lungngai suh. Traditional open surgery ang a ni lo. Open surgery-ah hian incision lian zawk a awm a, chu chu a dam rei zawk a, a na zawk tihna a ni.
Mahse PCNL hi "minimally invasive" surgery a ni. Chumi awmzia chu, incision tenau tak hmanga tih a nih avangin i taksaah nghawng a nei tlem zawk a, harsatna a awm tlem zawk a, i dam thuai thei tihna a ni. Mahse surgery lian tak a nih avangin damdawi in pakhata specialist doctor team-in an ti thin.
He surgery hi tuin nge mamawh tak tak?
A tam zawkah chuan kidney stone hi zun nen a pass out thin. Chutiang a nih loh chuan doctor chuan enkawlna awlsam dang a refer ang che. PCNL surgery hi a hnuaia mi ang hian tih tur a ni.
- Kidney lung hi a lian hle a nih chuan: Hetiang tih dan hi a tlangpuiin centimetre 2 aia lian lung paih nan a tha ber.
- Enkawlna dang a hlawhchham chuan: Lung chu shock wave lithotripsy emaw laser ureteroscopy emaw hmanga lakchhuah theih a nih loh chuan, chu chu camera chu urethra hnuai lamah pass a, laser hmanga lung chu lakchhuah a ni.
- Lung chu hmun buaithlak takah a awm a nih chuan: Lung chu kal chhunga hmun lakchhuah harsa takah a awm a nih chuan.
He surgery hi i mamawh leh mamawh loh tur ngaihtuah turin i urologist chu a tha ber ang. I CT scan leh test dangte chu a enfiah ang a, i tana ṭha ber tur enkawlna a rawt ang.
Surgery tih dan step by step in i zir ang u.
Hetiang surgery chi hi i tih hmaa i hriat chian chuan thlamuanna ropui tak a ni ang. Hetiang kalphung hi engtin nge a thawh tih hi han thlir ila.
1. Surgery hmain eng nge ka tih ang?
Surgery neih hma ni engemaw zat hnuah doctor i pan a ngai dawn a ni. Sawtah:
- I hriselna dinhmun enfiah a ni: thisen sang leh heart rate ang chi thil te chu teh a ni.
- I damdawi ei turte fimkhur rawh: I damdawi ei zawng zawng, vitamin leh herbal remedies te pawh i doctor hnenah i hrilh tur a ni. Thisen tithianghlimtu (e.g., aspirin) i ei a nih chuan operation hmain i ei tawh loh a ngai mai thei. Mahse doctor zawt hmasa lovin damdawi engmah ei kha bansan ngai suh.
- I allergy chungchang min hrilh teh: Damdawi, ei leh in emaw, plaster ang chi emaw allergy i neih chuan min hriattir ngei ang che.
- Chaw nghei: Surgery hma zan zanlai hnuah engmah ei leh in loh turin thurawn i pe ang. Damdawi pawimawh eng pawh i ei a ngai a nih chuan tui in tlemte chauhvin i ei thei.
- Tests: Kidney lung awmna leh a lian zawng dik tak hriat nan `CT (computed tomography) scan`, `Ultrasound scan`, emaw `X-ray` emaw tih tir i ni thei.
2. Surgery neih chhung hian eng nge thleng?
Surgery hi specialist doctor team, anesthesiologist leh nursing staff te chuan an ti a ni.
- Anesthesia: A hmasa berin general anesthesia hnuaiah dah i ni ang. Chuvangin operation neih chhung hian natna engmah i hre lo vang a, i muhil vek tawh ang.
- Position: Surgery hi khumah i pum chungah (prone position) muin an ti fo thin. Hei hian hnunglam atanga kal (kidney) awlsam zawka luh theihna a siam a ni.
- Incision te tak te: Specialist chuan i hnungzang, i kal awmna hmunah hian incision te tak te, centimeter 1 vel a siam ang.
- Instrument insertion: Incision hmang hian kidney chhungah protective tube (sheath) dah a ni. Tichuan, chu tube kaltlangin camera te tak te (nephroscope) dahin, kal chhunga lung awm chu screen-ah an en a.
- Lung lakchhuah: Lung chu a te a nih chuan hmanrua ang bawka lak chhuah a ni. Lung chu a lian a nih chuan laser beam emaw, vibrating device bik ``lithotripter`` emaw hmangin lung chu a te tein an then a, chu chu an paih chhuak thin.
- Tube dah luh: Lung chu lak chhuah vek a nih hnuah tube te tak te (drainage tube) emaw ureteral stent emaw chu bladder-ah dah theih a ni a, chu chuan kal atanga zun leh thisen a chhuak thei a ni. Hei hian hliam a tidam thei a ni.
- Suturing: A tawp berah chuan hnungzang a incision te tak te siam chu stitches hmangin an khar thin.
Hetiang zawng zawng hi a tlangpuiinDarkar hnih atanga darkar li vel a ni thei.
3. Operation hnuah eng nge thleng?
Surgery zawh hnuah anesthesiologist chuan anesthesia pek a chawlhsan ang. Minute tlemte chhungin zawi zawiin i hriatna i nei leh ang.
- Recovery Room: Recovery room-ah hruai hmasa phawt ang che, chutah chuan i hriselna uluk taka enfiah a ni ang.
- Pain Management: I hriatna i neih leh hnuah natna engemaw zat i nei thei. Hemi kawngah hian nursing staff te chuan painkiller an pe ang che.
- Damdawi ina awm: A tlangpuiin ni khat vel damdawi inah i awm a ngai dawn a ni. Chumi chhung chuan doctor ten i dam leh dan an enfiah ang.
- Zun-a thisen: Zai hnu kar khat emaw kar hnih emaw chhung chu i zun-ah thisen tlem a awm hi thil pangngai a ni. Ngaihtuah buai suh.
PCNL surgery hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi zawng zawng ang bawkin he damdawi hian hlawkna leh hlauhawmna tenau tak a nei a ni.
A thatna te: 1.1.
- Thil dang hmanga tihbo theih loh kidney lung lian tak takte chu a pum pui deuhthaw tihbo theihna.
- Hei hi surgery a ni a, hlawhtlinna rate sang tak 75% - 98% inkar a ni.
- Incision hi open surgery aiin a te zawk a, chuvangin hliam hi a dam rang zawk.
- Damdawi ina hun hman a tlem.
Risk awm thei: 1.1.
Hengte hi thil thleng tlem hle mah se, fimkhur a pawimawh hle.
- Anesthesia nena inzawm hlauhawmna.
- Surgery hmuna natna hrik awm.
- Thisen chhuah tam lutuk.
- Thisen zam siam `(hematoma)`.
- A then chuan kal (kidney) a tichhia.
- A châng chuan lung pum pui chu lak chhuah theih a ni lo.
- Urinary tract infection na tak (Sepsis) a awm thei.
I doctor chuan heng hlauhawmnate hi chipchiar zawkin a hrilhfiah ang che. Hengte hi thil thleng tlemte chauh a ni tih hre reng ang che.
Eng chen nge a dam leh theih ang? In lamah eng fimkhurna nge tih tur?
A tlangpuiin a dam kim theih nan kar hnih atanga kar li vel a ngai thin. Hemi hun chhung hian i taksa tan chawlh hahdam a pawimawh hle.
- Thil rit phur loh tur: Kar hnih chhung chu bawnghnute liter khat (kg 4 vel) rit aia rit phur suh .
- Exercise: Exercise hahthlak tak tak lakah hian rei lo te chu inthiarfihlim rawh.
- Hnathawh leh tur: Office hna i neih chuan kar khat vel hnuah hna i thawk leh thei a ni. Amaherawhchu, i hna hian taksa chakna a mamawh a nih chuan chawlhkar hnih tal chawlh la a tha ber.
Doctor hmuh vat a ngai!
Operation hnua symptom danglam tak tak i neih chuan ngaihthah suh. A hnuaia symptoms te hi i neih chuan doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
| Feature ngaihven tur a ni | Description leh tih tur |
|---|---|
| Thisen chhuak nasa tak a chhuak | Surgery hmuna thisen chhuak chhunzawm zel emaw, bandage chu thisenin a hnim vek emaw a nih chuan. |
| Thisen thick emaw thisen zam emaw zun chhungah a awm | Zun chu pink aiin dark red a nih chuan emaw, tomato sauce ang maia thisen zam a awm chuan. |
| Khawsik leh khawsik | I taksa lumna chu 100 Fahrenheit (38 Celsius) aia sang a nih a, i khur a nih chuan hei hi natna kai chhinchhiahna a ni thei. |
| Tuar theih loh khawpa hrehawmna | Painkiller hmang pawha thunun theih loh natna pung zel i neih chuan. |
Operation hnu kar li atanga kar ruk hnuah doctor hmu leh ngei ang che, checkup turin.
Take-Home Thuchah a ni
- PCNL hi surgery hlawhtling tak leh him tak a ni a, kidney lung lian tak tak, enkawlna dang hmanga lak chhuah theih loh te chu a paih chhuak thei a ni.
- Hei hi surgery lian tak ni mahse, incision te tak te hmanga tih a nih avangin i dam thuai thei a ni.
- Surgery hmain doctor thupek uluk takin zawm thin ang che. Damdawi i ei zawng zawng chu hrilh rawh.
- Surgery zawhah chawlh hahdam a pawimawh hle. Hun engemaw chen chu thil rit phur leh thil hahthlak tak tak tih loh tur a ni.
- Khawsik, thisen chhuak nasa, tuar theih loh ang chi natna danglam tak i neih chuan damdawi lam thurawn zawng nghal rawh.
- Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. I ngaihtuahna zawng zawng chu chiang takin a chhang ang.
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