Chaw ei lai hian i rilruah lump a awm tih hriat hi thil pangngai a ni. Mahse ei tur i ei harsat reng a, i rilruah a tlakbuak ang maia i hriat chuan hei hi thil pangngai a ni lo. Hei hi i chaw kawng (esophagus) chhunga thau (muscles) lama harsatna vang pawh a ni thei. Vawiin hian hetiang case enkawlna bik leh tangkai tak tak chungchang kan sawi dawn a ni.
POEM chu eng nge ni?
POEM tih hming i hriat chuan mak i ti mai thei. Oral Endoscopic Myotomy tihna a ni a . A awlsam zawngin han sawifiah teh ang.
- Peroral: tih awmzia chu "kawng hmanga" tihna a ni.
- Endoscopic: tih hian camera hmanga thuam, endoscope an tih, flexible tak hmanga thil tih tihna a ni.
- Myotomy: Damdawi lama "muscle cutting" tihna a ni.
A awlsam zawngin sawi ila, POEM hi i hmuiah endoscope dahin, i vunah engmah hliam siam lovin, i chaw kawng chhunga ruh tight tak takte chu tan leh tihreh a ngai a ni. Surgery ang mai a ni a, mahse i taksa pawn lamah incision a awm loh avangin dam leh hun chhung chu a tawi zawk hle.
He enkawlna hi tute nge mamawh?
He enkawlna hi achalasia ang chi esophageal motility disorder nei tan hman a ni ber . Hetiang dinhmunah hian chaw kawng hnuai lam ruhte chu a relax tha lo hle. Tichuan, chaw i ei chuan chaw chu chaw ei kawngah a chhuk ai chuan chaw kawng (esophagus)-ah a tang ta zawk a ni. Hei hian ei harsatna a thlen thei a, rilru a na thei a, ei tur chu rilruah a rawn chho leh thei bawk. POEM treatment hian chu ruh tight tak takte chu a ti hahdam a, ei tur chu engmah tibuaitu awm lovin pum chhunga kal theihna tur kawng a siam a ni.
POEM enkawl hmain engtin nge i inbuatsaih thin?
He enkawl hma hian inbuatsaihna engemaw zat i neih a ngai a ni. Mahse, lungngai suh. I doctor chuan engkim chungchangah thupek chiang tak a pe ang che. A pawimawh ber chu chu thupekte chu dik taka zawm hi a ni.
Hengte hi i tih fo thinte chu a ni:
- Enkawl hma ni hnih chhung chu liquid diet chiang tak chauh i ei a ngai dawn a ni.
- Enkawl hma darkar 12 chhungin ei leh in i chawlhsan vek tur a ni.
Heng thupekte hi zawm dik tak hi enkawlna hlawhtlinna atan a pawimawh hle tih hre reng ang che.
Enkawl lai hian eng nge thleng?
Hetiang tih hian darkar khat atanga darkar thum vel a awh thin. Hemi chhung hian general anesthesia pek i ni dawn a, chuvangin i muhil vek tawh ang. Chuvangin, hrehawmna engmah i nei lovang. A enkawl dan tur chu step by step in han thlir ila.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Endoscope dah luh | Doctor chuan i kâ aṭangin endoscope a dah ang a, i chaw kawng hnuai lamah a dah ang. A chunga camera awm hian i esophagus chhung lam chu i hmu thei a ni. |
| 2. Mucous membrane-ah cut hnawih | Esophagus lining, mucosa chu a te tein an tan a. |
| 3. Tunnel siam | Chu incision hmang chuan endoscope chu dah a ni a, tunnel ang maia kawngpuiah chuan submucosa, muscle layer chunga tissue layer pakhatah a kal a ni. |
| 4. Taksa thau (Myotomy) . | Chhuk chuan harsatna awmna hmun, chu chu chaw kawng hnuai lam leh pum chunglam ruh tight tak takte chu endoscope-a chemte te tak te inbun hmangin an tan a, an thlahthlam a ni. |
| 5. Incision kha khar | A tawpah chuan mucosa-a incision siam chu clip te te tlemte hmangin an khar a. Tichuan endoscope chu lakchhuah a ni. |
Enkawl hnuah eng nge thleng a, a dam leh theih nan eng chen nge a duh?
Enkawl zawhah ni khat vel damdawi inah i awm a ngai dawn a ni. Hei hi harsatna a awm leh awm loh enfiahna tur a ni ang. I dam leh hun chhung chu a tuk zingah a intan ang.
- Fiahna:Barium X-ray hmangin taksa ruhte chu a relax kim em tih leh ei tur kalna tur kawng a chiang em tih an enfiah thin.
- Chaw: Ni hnih atanga ni thum chhung chu liquid foods i ei a ngai ang. Chumi hnuah chuan kar khat emaw kar hnih emaw chhung chu chaw nêm, fiber tlem tak ei i thiam tur a ni.
- Hnathawh lama kir leh: Ni sarih vel hnuah hna i thawk leh thei. Mahse, hna rit tak tak phur emaw, hna hahthlak tak tak emaw i tih chuan i doctor hnenah hnathawhna hmuna kîr lehna ni ṭha ber zawt la a ṭha ber.
- Follow-up: I doctor chuan enkawl atanga ni 10 hnuah lo haw leh turin a ti ang che a, thla 3 hnuah lo haw leh turin a ti ang che. Thla 3 chhung test (esophagram) neih chhung hian i ei hnuah i esophagus a empty tha em tih an enfiah bawk ang.
Doctor hmuh nghal hun tur
POEM enkawlna atanga harsatna lo thleng hi a tlem hle . Amaherawhchu, enkawl hnua a hnuaia symptoms te hi i hmuh chuan doctor i pan nghal tur a ni.
| Vaukhânna chhinchhiahna |
|---|
| - A rilru a na hle |
| - Thisen chhuak khuh |
| - Khawsik (38.3°C Celsius / 101°F Fahrenheit aia sang) |
| - Chauh lutuk, muhil |
| - Thianghlim dum emaw sen emaw |
| - Kawngkhar natna nasa tak a nei |
Heng symptoms te hi i neih chuan tihkhawtlai suh. A rang thei ang bera Doctor hmu rawh. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
Take-Home Thuchah a ni
- POEM hi ei leh in lama harsatna, achalasia ang chi enkawlna tha tak, tunlai tak a ni.
- Hei hi ka chhunga endoscope dah hmanga tih a nih avangin taksa pawn lamah incision siam a ni lo.
- Zirchianna atanga a lan dan chuan he enkawlna hian mi 100 zinga 95 velin ei harsatna chu hlawhtling takin a ti bo a ni.
- Dam hun chhung hi rei lo hle mah se, enkawl hnua ei leh in leh thiltih chungchanga doctor thupek zawm dik a pawimawh hle.
- Enkawlna hnua vaukhânna chhinchhiahna a lo lang a nih chuan doctor hnenah hriattir nghal rawh.
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