Kidney stone hi tuna kan rama mi tam takin an hmachhawn mek hriselna lama harsatna a ni. A chang chuan heng lungte hi a te hle a, chuvangin damdawi ei leh tui in tam tak in taksa atanga lakchhuah theih a ni. Mahse a chang chuan, heng lungte hi a lian deuh thei. Chutiang khawpa lian an lo nih chuan anmahni chauhin an chhuak lo va, enkawlna awlsam dang hmanga paih pawh an harsa hle. Chutiang hunah chuan vawiin hian doctor-te rawtna special surgery chungchang kan sawi dawn a ni. Hei hi ‘Percutaneous Nephrolithotomy’ emaw, a tawi zawngin PCNL emaw an ti a.
PCNL surgery tih hi eng nge ni? A awlsam zawngin i hrethiam ang u
A hming hi a buaithlak deuhin a lang thei a, mahse a takah chuan a kalphung chu a awlsam khawp mai. "Percutaneous" tih awmzia chu "vun kaltlangin ." "Nephrolithotomy" tih awmzia chu "kidney atanga lung lakchhuah" tihna a ni. Chuvangin, a awlsam zawngin sawi ila, PCNL hi surgery a ni a, vunah hian incision te tak te tak tak siamin, chuta tang chuan instrument pakhat dahin kidney atanga lung lian tak lakchhuah a ni.
Hei hi surgery chi khat "minimally invasive" an tih a ni. Chu chu, a hma ang bawka pum chhungah incision lian tak siam ai chuan, he surgery hi incision te tak te hmanga tih a ni. "Keyhole surgery" tih ang mai a ni.
Mahse hei hi incision te tak te hmanga tih ni mahse, thil awlsam tak a ni lo. PCNL hi surgery lian takah ngaih a ni . Mahse a thatna chu hmanraw hlui aiin harsatna a nei tlem zawk a, a dam thuai thei bawk.
He surgery hi tuin nge mamawh tak tak?
He surgery hi kidney stone nei zawng zawng tan tih a ni lo. A tlangpuiin doctor chuan a hnuaia thil thlengah hian he surgery hi a rawt ang:
- I kal lung hi a lian hle a nih chuan (entir nan, centimetre 2 aia lian).
- Lung chu enkawlna dang, shock wave lithotripsy emaw laser ureteroscopy emaw hmanga lak chhuah theih a nih loh chuan,
- Kidney lung hian chhiatna a thlen emaw, natna nasa tak a thlen emaw a nih chuan.
He surgery hlawhtlinna hi 75% atanga 98% vel a ni. Chumi awmzia chu a tam zawkah chuan hlawhtling taka zawh theih a ni tihna a ni.
Engtin nge surgery hi tih a nih?
He surgery hi doctor pakhatin a ti a, natna leh zun kawng surgery lama tui tak a ni. Urologist kan ti a . Surgery hi engtin nge step khat hnu step khatin kan en ang.
1. Anesthesia: A hmasa berin general anesthesia hnuaiah anesthesiologist-in a dah ang che. Hei hian natna engmah i hre lo vang a, i muhil vek dawn tihna a ni.
2. Cut tur: 1.1.A dawtah chuan specialist chuan i hnungzang emaw, i hnungzang emaw, i kal awmna hmunah chuan incision te tak te (cm 1 vel) a siam ang.
3. Tube insertion: Incision kaltlangin kidney chhungah protective tube (sheath) dah a ni.
4. Lung zawn dan: Tichuan, chu tube kaltlangin camera dahna hmanrua (nephroscope) te tak te tak te chu dahin kal chhunga lung chu an zawng chhuak thin.
5. Lung lakchhuah: Lung a te a nih chuan direct-a lak chhuah a ni. Lung hi a lian a nih chuan laser beam emaw, sound wave device bik (lithotripter) hmangin a te tein an then thin.
6. Damna tura pui turin: Lung hi lakchhuah a nih hnuah a chhungah hian tube te tak te (a `drainage tube`) emaw ureteral stent emaw dah a ni a, chu chuan zun a luang tha thei ang a, a hliam chu a dam thuai ang. A tawpah chuan vunah incision chu stitches hmangin an khar a.
A tlangpuiin he thil tih zawng zawng hi darkar hnih atanga darkar li vel a ni.
Operation hma leh operation hnua hriat tur thil
Operation hma leh operation hnuah pawh i lam atanga inbuatsaihna engemaw zat a awm a ngai a ni. Chu chu han thlir ila.
| Huntha | I tih tur chu |
|---|---|
| Surgery neih hmain |
|
| Operation hnuah |
He surgery hi a hlauhawmna a awm em?
Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Hengte hi a tlem hle a, mahse fimkhur a pawimawh hle.
- Anesthesia nena inzawm hlauhawmna.
- Surgery hmuna natna hrik awm.
- Thisen chhuak tam lutuk emaw thisen zam (hematoma).
- A then chuan kal (kidney) a tichhia.
- Urinary tract infection na tak (sepsis ang chi) a awm thei.
- A tlem berah chuan lung chu paih vek theih a ni lo.
Heng risk te hi ngaihtuah buai suh. I doctor chuan heng zawng zawng hi a enkawl theih tur angin surgery chu a ruahman ang.
Damdawi lam thurawn lak nghal tur
Operation hnua in i thlen chuan i taksa kha uluk takin ngaihven rawh. Thil danglam bik i hriat chuan doctor i ko nghal tur a ni. A bik takin heng symptoms te hi hre reng ang che:
- Cut chu thisen a chhuak tam a nih chuan.
- I zun nen tomato sauce ang chi thisen thick clots i pass a nih chuan.
- Zun chu a sen dum emaw, a sen dum emaw a nih chuan.
- 38 Celsius (100 Fahrenheit) aia sang i khawsik chuan .
- I lum leh khur i hriat chuan.
- Natna a zual zel a nih chuan.
Hetiang symptom na tak tak i neih chuan damdawi in Emergency Treatment Unit (ETU) ah kal hreh suh.
Take-Home Thuchah a ni
- PCNL hi surgery hlawhtling tak leh him tak a ni a, kal lung lian tak tak lakchhuah nan hman a ni.
- Hei hi surgery lian tak ni mahse, a incision hi a tlem hle a, chuvangin a dam hun chhung hi a rei lo hle.
- Dam vat tur chuan zai hma leh operation hnua doctor thupek uluk taka zawm a pawimawh hle.
- Surgery chungchanga zawhna i neih chuan doctor zawh hreh suh.
- Dam leh laiin natna lan chhuah dan danglam tak a awm chuan doctor thurawn la nghal rawh.
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