Nang pawhin zun harsatna tlem i nei em? Urethra hi a chak lo va, a inzawm khawm tih a hriat em? A chang chuan i zun hnuah pawh i bladder i khar kim lo ang maiin i inhria em? Hei hi i urethra block vang pawh a ni thei. Hei hi tun hnaia accident i tawh a, a bik takin pelvic area tichhe thei emaw, prostate cancer enkawl i nih chuan a dik hle. Chuvangin vawiin hian he thila chinfelna tha tak, special surgery kan sawi dawn a ni. Chu chu Posterior Urethral Reconstruction surgery tih a ni.
A awlsam zawngin, Posterior Urethral Reconstruction chu eng nge ni?
Hei hi hrethiam tur chuan heng kan taksa peng hrang hrangte hi tlem han zir hmasa ila. Urethra hi kan bladder atanga zun leh semen taksa atanga chhuaktu tube a ni tih i hria. He urethra hian hmun engemaw zat a nei bawk.
Posterior Urethra tih hian urethra hnunglam, taksa chhunga awm chu a kawk a ni. A dik tak chuan, urethra hmun te tak te, inches khat emaw, inches hnih emaw vel a sei, bladder hnuai lam atanga prostate gland kal tlang leh pelvic floor muscle kal tlanga kal chu kan sawina a ni.
Chuvangin, Posterior Urethral Reconstruction chu eng emaw vanga urethra hnunglam, a chhiat, a block emaw, a tawi emaw tawh chu siam that lehna tur surgery a ni.
Eng dinhmunah nge he surgery hi a tul?
Hetianga operation an tih chhan ber chu urethra a tawi emaw, a block emaw vang a ni fo thin (Urethral Stricture) . Tui pipe chhungah bawlhhlawh a lo pungkhawm a, tui luang chhuak a tihtlem ang bawkin, zun kawng chhungah scar tissue a lo awm a, a zim chuan zun chhuah a harsa thin. A châng chuan zunthlum chu a zim hle thei a, a nih loh leh a tawp vek thei bawk.
Hetianga urethra a block chhan lian tak tak engemaw zat a awm.
| Chhan | Sawifiahna leh entirnan |
|---|---|
| Hliam na tak tak, pelvic fracture ang chi te | Pelvic area (hip bone) a hliam na tak chuan urethra a tichhe thei a ni. Entir nan:
|
| Prostate Cancer enkawl dan tur | Hetiang dinhmun hi prostate cancer enkawlna thenkhat hnuah pawh a awm thei bawk. Chu chu:
|
Surgery hmain eng test nge tih thin?
Doctor-in he surgery hi tih a tum hma hian test engemaw zat an nei ang a, i urethra chu engtiang chiahin nge a block tih leh a chhiat nasat zia chu an hre chiang ang.
- Retrograde Urethrogram: Urethra-ah tui bik inject a, X-ray image lak a ni.
- Voiding Cystourethrogram: Tube pakhat chu bladder-ah dahin, tuiin a khat a, i zun laiin X-ray lak a ni.
- Cystoscopy: Tube te tak te tak, camera vuah chu urethra hnuaiah pass in a chhung lam enfiah a ni.
- MRI Scan: A chang chuan he hmun hi chiang zawka hriat theih nan MRI scan pawh tih theih a ni.
A pawimawh ber chu accident hnuah doctor-te chuan hliamte chu a nghet lehzual hun an nghak hmasa thin. Chumi chhung chuan pum vun kaltlangin tube te tak te chu bladder chhungah dahin zun a chhuak thin. Suprapubic catheter an ti a .
Surgery atan engtin nge kan inbuatsaih ang?
Operation hmaa i himna tur doctor thupek zawm a pawimawh hle.
| Eng nge tih tur | Engvangin nge chu chu? |
|---|---|
| Allergy i neih apiang min hrilh teh. | Surgery neih chhunga damdawi pekte avanga allergy nei lo tur. |
| I damdawi ei zawng zawng (vitamin leh Ayurvedic damdawi te pawh tel) doctor hnenah hrilh rawh. | Damdawi thenkhat chuan surgery a nghawng thei a ni. |
| Thisen tihthianghlimna damdawi i ei a nih chuan doctor-in a tih angin rei lo te chhung chu i ei tawh lo ang. | Surgery neih laiin a tul lo taka thisen chhuah kha titawp rawh. |
| Surgery hma darkar 8-12 chhungin ei leh in kha bansan rawh. | I rilru a buai laiin i pum chhungah ei tur i neih chuan, emaw, i luak chhuak a nih chuan i thlipui chhungah a lut thei a ni. Chu chu a hlauhawm khawp mai. Chuvang chuan chutianga an tih chu a ni. |
Infection i neih loh nan operation hma ni atang khan antibiotic pek i ni thei bawk.
Engtin nge surgery hi tih a nih?
A hmasain, anesthesiologist chuan general anesthesia hnuaiah a dah ang che . Hei hian mut thuk takah i awm dawn tihna a ni. Surgery a zawh hma chuan natna leh engmah i hre lovang.
Chumi hnuah chuan urologist chuan operation chu a tan ta a ni. Accident hnua blockage awm tan chuan Anastomotic Urethroplasty hi hman tlanglawn ber a ni.
Ngaihtuah teh, hei hi thil thleng chu a ni:
1. Pakhatnaah chuan i scrotum leh anus (perineum) inkar hmunah hian incision te tak te siam a ni.
2. Tichuan, urethra-a scarred tissue tang chu a kim vek a, lakchhuah a ni.
3. A tawp berah chuan urethra hrisel la awm tawp pahnih chu an rawn hruai khawm leh a, nalh takin an siam khawm leh a.
Ngaihtuah teh, a châng chuan a hliam chu lak chhuah a nih chuan, a hrisel la awm pahnih inkâra inthlauhna chu a zau deuh thei a ni. Chutiang hunah chuan Doctor ten thil mak tak mai an ti thin. I hmui emaw, i hmui emaw chhung (buccal mucosa) chhung atang hian tissue te tak te an ‘borrow’ a, chu hmun chu an luah khat a, urethra chu an siam thar leh thin.
He surgery hi darkar thum atanga darkar ruk inkar a ni tlangpui .
Surgery hnuah eng nge thleng?
Surgery an tih zawh chuan incision chu an stitch up ang a, an tifai ang a, bandaged an ni ang. Tin, Foley catheter chu i penis kaltlangin i bladder-ah dahin zun a chhuah theih nan a pui bawk ang. Hei hi zun kawng a dam hma loh chuan zun a kal tha thei tur a ni. Lungngai suh, hei hi hun eng emaw chen atan a ni.
Hliam bulah hian surgical drain te tak te dah theih a ni a, chu chuan a dam theih nan a pui thei a ni. Hei hi damdawi in chhuahsan hmain lakchhuah a ni tlangpui.
Mut tirtu damdawiin a nghawng chu a reh deuh deuh chuan zawi zawiin i hriatna i nei leh ang. A tir lamah chuan i rilru a hah deuh ang. I hriatna i neih leh chuan natna thunun turin natna tidamtu damdawi pek i ni ang.
Doctor ten i dinhmun a tha tih an rel hnu chuan in lamah i haw thei tawh ang. Mahse, damdawi inah ni khat emaw vel i awm a ngai mai thei.
Thla engemaw zat chhung chu doctor nen follow-up appointment pek i ni ang. Chutih lai chuan X-ray leh cystoscopy ang chi test te pawh tih nawn lehin hliam chu a dam tha em tih hriat theih a ni.
Foley catheter hi kar 3-4 chhung a awm ang a, i zun chu a kal tlang ang. A lak chhuah hnuah chuan a block hma ang bawkin awlsam takin i zun theih tur a ni.
Hlawkna, hlawhtlinna leh hlauhawmna
Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna tenau thenkhat a nei bawk.
| Pawl then | Hrilhfiahna |
|---|---|
| Hlawkpuina | Urinary retention avanga lungawi lohna chu a bo tawh a, na leh strain awm lovin i zun thei bawk. Urinary tract infection (UTI) vei tam lutuk hi a tlahniam a ni. Kidney hriselna atan pawh a tha hle a, bladder hi a empty tha hle a ni. |
| Hlawhtlinna Rate | He surgery hi a hlawhtling hle a ni . Zirna hrang hrangah chuan pelvic injury hnua surgery neih hi 92% atanga 97% velin a hlawhtling tih hmuhchhuah a ni. Prostate cancer enkawl hnuah hlawhtlinna rate chu 70% atanga 85% vel a ni . |
| Side Effects & Risks awm thei te |
Urinary incontinence risk hi a tlem hle a, mahse cancer enkawl hnuah chuan a sang deuh hlek a ni. Erectile dysfunction (ED) hi a tir lama hliam emaw, cancer enkawlna emaw avanga lo awm thei a ni fo. He surgery hian a natna hi a tidam dawn lo va, enkawl hran a ngai thei bawk. |
Recovery hun leh thil hriat tur
Operation hnua dam leh tura i inpekna pawh a pawimawh hle.
Na
Mi tam tak chuan natna engemaw zat an nei thei a, mahse doctor-in natna tidamtu damdawi a pek hmangin a thunun tha thei hle.
Thiltihte
- Catheter lakchhuah hma chu lirthei khalh leh thut rei loh tur (kar 3-4).
- Kea kal leh stairs chhoh hi harsatna a awm lo.
- Kg 9 (20 lbs) aia rit chu chawi suh.
- Thla khat emaw thla hnih emaw chhung tlan, squatting, ke tihzauh exercise, leh hip area (golf ang chi) rotate ngai sport te chu pumpelh rawh.
Mipat hmeichhiatna hman dan
Kar 8 tal sex emaw masturbation emaw tih loh vek tur a ni .
Hnathawh/sikul lama kir leh
Office-a thawk i nih chuan kar khat emaw kar hnih emaw hnuah i thawk tan thei ang. Mahse taksa lama harsatna nei hna i neih chuan kar 6-8 tal i nghah a ngai dawn a ni.
Doctor nena inhmuhna hun remchang eng pawh
Operation hnua in lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Risk symptoms - doctor hnenah hriattir nghal rawh! | |
|---|---|
| - Zun theih lohna. | - Operation hnu kar khatah pawh zun-ah thisen emaw thisen zam emaw a awm. |
| - Catheter atanga zun chhuak chu a slow hle. | - Hliam atanga pus ang chi tui lo chhuak. |
| - Infection chhinchhiahna, khawsik, khawsik, leh lu na. | - Natna tihpun emaw, damdawi ei chung pawha reh lo emaw. |
| - Surgical area a hring chhuak. | |
Accident emaw cancer emaw ang chi thil hi hmachhawn a harsa khawp mai. Urethral stricture ang chi harsatna dang a lo thlen chuan lungkhamna nasa tak neih hi thil pangngai a ni. Mahse thu lawmawm tak chu Posterior Urethral Reconstruction hi a hlawhtling hle a ni. He surgery hmang hian harsatna awm lovin i zun leh thei tawh ang.
Take-Home Thuchah a ni
- Posterior Urethral Reconstruction hi urethra hnunglam atanga strictures awm te tan surgery hlawhtling tak a ni.
- Hetiang dinhmun hi accident na tak emaw, prostate cancer enkawlna emaw hnuah a thleng tam ber.
- Surgery chungchangah hlauhna leh lungkhamna neih hi thil pangngai a ni a, mahse a tum ber chu i nunphung tihchangtlun hi a ni.
- Recovery period chhung hian doctor thupek dik taka zawm a pawimawh a, a dam thuai theih nan.
- Zun harsatna emaw, symptom dang emaw i neih chuan doctor nena inbiakna neih chu tihkhawtlai ngai suh.











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