Mipa thenkhat tan chuan zun hi thil hrehawm tak leh nuam lo tak a ni thei. Zun chu a tlakbuak ang maiin a luang a, drip khat hnu drip khatin a luang... a chang chuan a block vek thei bawk. Hei hi a chhan ber chu urethra block vang a ni thei a, chu chu a narrowing tihna a ni. Damdawi lam hawi chuan hei hi ' Urethral Stricture ' kan ti thin. Chuvangin, vawiinah hian enkawlna dang a hlawhtlin loh laiin doctor-te’n an rawt tur special surgery kan sawi dawn a ni.
Perineal Urethrostomy tih hi eng nge ni?
A awlsam zawngin sawi ila, Perineal Urethrostomy hi mipa surgery tih a ni. Chu chu zun kalna tur kawngkhar thar, a nih loh leh kawngpui thar siam a ni. He hawnna thar hi i scrotum leh i hnute inkar vun hmunah siam a ni. Chu hmun chu ‘perineum’ kan ti a.
A tlangpuiin, kan bladder-a zun awmkhawm chu urethra an tih tube hnuaiah a kal a, penis tip-ah a chhuak ang tih han ngaihtuah teh. Mahse, natna hrik ṭhenkhat, hliam , emaw, a hmaa operation neih tawh avângin, he zunthlum hi a hliam thei a, a zim thei a, a inkharkhip thei bawk. Chu chu zun luang chhuak chu a block vek emaw, a then emaw a block hun a ni. He surgery hian zun chhuahna kawng thar, nghet tak a siam a, chu chu zun kawng a block em em a, penis kaltlangin zun a kal thei lo.
Engvangin nge hetiang surgery hi i neih a ngai?
He surgery hi urethral stricture enkawlna dang a hlawhchham chuan ngaihtuah a ni fo thin. Chu chu, urethra chu penis tip hmanga zun chhuah theihna tura reposition theih loh hunah a ni. He surgery zawh hian perineum chhunga kawngkhar thar hmangin zun a chhuak a, chuvangin zun laiin i thut a ngai dawn a ni.
Hei hi kum upa lam, reconstructive surgery lian tak neih duh lo tan pawh duhthlanna tha tak a ni thei bawk. He surgery hi a hnuaia dinhmun hrang hrangah hian ngaihtuah a ni.
| Surgery ngai thei dinhmun | A sawifiahna awlsam tak |
|---|---|
| Urethral strictures complex/recurrent tak tak a awm thin | Urethra a block reng a, enkawlna dang a chhan loh te. |
| Squamous cell carcinoma a awm a, chu chu mipa hring a ni | Penis-a cancer thenkhat awm vang a ni. |
| Surgery hmanga mipa zang lakchhuah (Penectomy) . | Cancer emaw thil dang vang emawa penis chu a chhuah vek chuan. |
| Urethrectomy tih a ni | Urethra zawng zawng emaw, a then emaw surgery hmanga lak chhuah a nih chuan. |
| Hypospadias a awm bawk | Hei hi congenital condition a ni a, urethral opening chu tip ni lovin penis hnuai lamah a awm a ni. |
| Urethroplasty a hlawhchham | Tun hmaa urethra siamthatna atana surgery an neih tawhte a hlawhtlin loh lai khan. |
| Fournier-a gangrene a ni | Penis leh scrotum-a natna nasa tak a awm hnuah. |
He surgery atan hian tute nge tling lo?
Mahse mi zawng zawng hian he surgery hi an nei thei lo. A then phei chuan a buaithlak deuh thei bawk. Heng zinga pakhat tal i neih chuan i doctor nen he thu hi thuk takin i sawipui tur a ni:
- Morbidly obese i nih chuan .
- Tun hmain perineum area ah operation i lo nei tawh a nih chuan .
- Prostate cancer natna hi radiation hmanga enkawl a niI la tawh a nih chuan.
Zawhna tlangpui i neih theih ṭhenkhat
Operation hnuah penis atang hian semen a chhuak em?
Hei hi mi tam takin harsatna an neih a ni. Ni lo, he surgery hnu hian semen hi penis atang hian a chhuak lo va, opening siam thar atang hian a chhuak zawk thin.
He surgery hian zun control a hloh dawn em ni?
Hlauhna lian tak dang chu insum thei lo i ni ang tih hi a ni. Chutiang chu a thleng dawn lo. He opening chungah hian i zun control tu muscle te chu i nei tha hle. Chuvangin i zun i control thei a ni.
He surgery hian incontinence a thlen dawn lo. Chu chu lungngai suh. I doctor chuan hei hi chipchiar zawkin a hrilhfiah ang che.
Surgery atan engtin nge kan inbuatsaih ang?
Surgery neih hmain i doctor chuan zun sample pe turin a ti ang che. Infection laka inven nan antibiotics a pe tan ang che. I urethra dinhmun enfiah nan X-ray i lak a ngai thei bawk.
A pawimawh ber chu i natna dang leh i damdawi ei tur te doctor hnenah hriattir hi a ni.
| Heng thilte hi i doctor hnenah hrilh ngei ang che. | |
|---|---|
| Taksa chhunga thil dah luh | Stent, ruh thlak, pacemaker, heart valve te ang chi thil te. |
| Infection awm thei te | MRSA ang chi infection i neih tawh chuan. |
| Thisen tithianghlimtu | Damdawi warfarin, aspirin, clopidogrel, rivaroxaban, emaw dabigatran te i ei a nih chuan. |
Surgery tih dan leh a hnua thil thleng
Hei hi damdawi inah tih a ni a, general anesthesia hnuaiah tih a ni . Chumi awmzia chu operation neih chhungin i muhil vek tihna a ni. Chuvangin engmah i hre lo. Surgery hi darkar khat atanga darkar hnih vel a ni tlangpui.
Operation hnuah i bladder-ah tube dah a ni ang a, chu chuan zun a chhuah theih nan a pui ang. Foley catheter kan ti a . He catheter hi a hmunah hian kar hnih atanga kar thum vel a awm tlangpui. Hemi chhung hian natna hrik laka inven nan natna tidamtu leh antibiotics pek i ni ang.
Damdawi in chhuahsan hmain doctor leh nursing staff te chuan in lama in enkawl dan tur te, i catheter enkawl dan tur te, i damdawi ei dan tur te, engtikah nge clinic-a i kir leh tur tih te an hrilhfiah ang che.
Thla 8-12 vel hnuah chuan cystourethroscopy an tih, camera hmanga test an nei a, chu chu urethra a hrisel em tih leh a block leh tawh em tih enfiah a ni.
Eng harsatna nge awm thei?
He surgery hlawhtlinna hi a sang hle ("excellent" tia report a ni). Tin, complication pawh a tlem hle bawk. Mahse, thil engemaw a thlen palh hlauh chuan an hriat reng a pawimawh.
Harsatna a awm chuan a lan chhuah dan chu: zun a tlem, zun hnua zun a awm reng, emaw, zun kawng infection emaw a ni thei. Harsatna dang awm thei chu:
- Cut atanga thisen chhuak
- Vung
- Khawsik
- Zun kawng natna
- Stricture a lo awm leh leh thin
- Lung leh thisen kalna lama harsatna a awm
Heng symptoms zinga pakhat tal i neih chuan, entirnan, hliam na tak avanga thisen chhuak tam lutuk emaw, khawsik sang lutuk emaw i neih chuan i doctor hnenah hriattir nghal la emaw, damdawi in hnai ber Emergency Department (ETU) ah kal emaw rawh.
Take-Home Thuchah a ni
- Perineal Urethrostomy hi enkawlna dang hlawhchhamna hmuna urethral stricture na tak takte tan surgery hlawhtling tak a ni.
- He surgery zawh hian zun chhuah nan i thut a ngai dawn a ni . Tin, hawnna siam thar atang hian semen a chhuak ang.
- He surgery hian i zun control theihna a hloh dawn lo (incontinence).
- Harsatna awm theihna hi a tlem hle a, mahse natna lan chhuah dan danglam (thisen chhuak nasa, khawsik) i neih chuan doctor hnenah hriattir nghal rawh.
- Doctor thupek (damdawi ei, clinic kal) zawh chiah zawm hi dam thuai nan a pawimawh hle.
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