Accident vangin i pelvic bone a tliak a, bike atanga i tlak vang pawh a ni mai thei. A nih loh leh prostate cancer enkawl i ni tawh bawk. Chutiang hunah chuan a chang chuan mipa zunthlum (urethra) chu a chhe thei a, a zim thei bawk. Zun a harsat hunah chuan a block laia natna leh lungawi lohna lo awm thei chu sawifiah theih a ni lo. Vawiin hian hetiang huna mamawh surgery pawimawh tak leh bik tak kan sawi dawn a ni.
A awlsam zawngin, Posterior Urethral Reconstruction chu eng nge ni?
Okay, hei hi awlsam takin sawifiah ila. I bladder-a zun khawlkhawm chu i penis atang hian urethra an tih tube hmangin a chhuak thin. Tui dahna atanga pipe rawn chhuak ang mai a ni.
He urethra hian part a nei bawk. A tawi zawng, inches khat atanga inches hnih vel a sei, bladder nena inzawm a, prostate gland kal tlanga kal chu ‘Posterior Urethra’ an ti a. Hei hi zunthlum bul tanna a ni.
Posterior Urethral Reconstruction hi surgical procedure a ni a, posterior urethra a chhiat, a tawi emaw, a tawi (urethral stricture) hnuah a integrity a siam tha leh thin . Chumi awmzia chu a chhe lai chu siamthat a ni a, zun kal dan chu tihbuai lohvin a awm leh tihna a ni.
Engvangin nge he surgery hi a tul?
Hetiang surgery neih chhan lian tak pahnih a awm.
1. Accidental injuries: A bik takin accident lian tham tak tak, pelvic bone tihchhiatna. Kan ramah hian motor chetsual vang te, hmun sang atanga tlak vang te, leh crush injuries vang te hian hetiang hliam hi a awm fo thin. Chutiang accident-ah chuan he zun kawng hi a chhe thei a, a tikehsawm thei a, a hliam thei bawk. Hun a kal zel a, heng hliamte hian zun kawng (urethra) a ti zim a, zun theih lohna a siam thei a ni.
.
Chutianga urethra a zim chuan zun kal chu a tlahniam thei a, zun chu a tlem te tein a chhuak thei a, a block vek pawh a ni thei. Hei hi dinhmun hrehawm tak leh hlauhawm tak a ni.
Engtin nge doctor hian he surgery hi i mamawh leh mamawh loh a rel ang?
Heng symptoms te hi i neih chuan i doctor-in a tih hmasak ber tur chu test tlemte run la, i dinhmun dik tak chu finfiah a ni ang. Chutiang ti tur chuan a hnuaia test pakhat emaw a aia tam emaw an ti thei ang:
- Retrograde Urethrogram: Hei hian liquid bik (contrast dye) leh X-ray hmangin urethra chhunga blockage awm chu khawiah nge a awm tih leh eng chen nge a awm tih hriat theih a ni.A dik taka enkawl turin.
- Voiding Cystourethrogram: Hei hian contrast dye hmangin bladder atanga zun a chhuah dan a en bawk. Hei hian blockage awm zat hriat theih nan a pui thei a ni.
- Cystoscopy: Hetah hian camera hmanga siam tube (scope) te tak te chu urethra hnuai lamah an pass a, chu chuan urethra leh bladder chhung lam chu direct-in an enfiah thin.
- MRI (Magnetic Resonance Imaging) Scan: Thil bik thenkhatah chuan thu thuk zawk hriat a ngai a nih chuan MRI scan tih theih a ni.
A pawimawh ber chu he natna hi accident avanga lo awm a nih chuan i taksaa hliam na tak dangte a dam hma chu doctor-te chuan an nghak ang. Chumi chhung chuan pum atanga zun chhuahna tur tube direct-in bladder-ah dah theih a ni. Suprapubic Catheter kan ti a .
Operation hmain engtin nge i inbuatsaih ang?
Surgery hmain inbuatsaih a ngai bawk. Heng step dik tak zawm hi surgery hlawhtlinna atan a pawimawh hle.
| Eng atan nge inbuatsaih tur | Eng nge tih tur |
|---|---|
| Thisen tithianghlimtu | Hetiang damdawi chi hrang hrang i ei a nih chuan i medical team te nen inbia la, an thurawn angin operation hma ni engemaw zat chhung chu rei lo te chhung atan i ei tawh loh tur a ni. |
| Surgery hmaa ei leh in tur | Zanlai pelh hnuah engmah ei leh in loh tur a ni a, zai ni hian ei leh in loh tur a ni. |
| Zing damdawi ei tur | Doctor chuan a pawmpui damdawi chu zing lamah tui in in chauh a phalsak che a ni. |
| Antibiotics damdawi a ni | Infection laka inven nan doctor chuan operation hma ni khat atanga tan turin antibiotics a pe thei a ni. |
Engtin nge surgery hi a awm tak tak?
He surgery hi general anesthesia hmanga tih a ni a, chu chu engmah i hre lovang, i muhil dawn tihna a ni.
Surgeon te hman tlanglawn ber chu Anastomotic Urethroplasty an ti a . Hei hi kalphung awlsam tak a ni.
Urethra hliam, hliam emaw, a zim emaw chu an tan a, an la chhuak a, a tawp hrisel pahnih chu an inzawm khawm leh a ni. Pipe chhe tawh tak chu la chhuakin, a tha pahnih la awm chu inzawm leh ang mai a ni.
Mahse, scar tissue lakchhuah hnuah, a tawp hrisel la awm pahnih inkar gap chu a lian lutuk a, chu chuan sew khawm a harsat phah niin han ngaihtuah teh. Chutiang a lo thlen chuan engtin nge i tih ang?
Chutiang hunah chuan surgeon chuan i taksa peng dang atanga tissue te tak te a la a, chu chu a hmun ruak luah khat nan a hmang thin. A tam zawkah chuan hei hi i hmui chhunga tissue (buccal mucosa) a ni. I hmui chhung atanga a te tak te lak hi a hrehawm vak lo. I hmuiah hliam i neih chuan a na deuh ang mai a ni. Tin, i ka chhunga hliam te chu a dam thuai thin a, a tlangpuiin kar khat chhungin a dam thin.
Operation hnuah eng nge thleng a, eng nge a hlauhawmna?
Surgery zawhah darkar 24 vel damdawi inah enkawl i ni ang. Catheter te tak te, nem tak chu i penis kaltlangin i bladder-ah i stitches a dam thlengin i dah ang a, chu chuan kar 3-4 vel a awh ang. Hei hi a nuam lo deuh a, mahse a siamthatna tur a dam tha tur chuan a pawimawh hle. Kar 3-4 hnuah X-ray lak a ni ang a, repair a dam tawh em tih enfiah a ni ang a, catheter chu lakchhuah a ni ang.
Surgery dang ang bawkin he surgery hian risk tenau tak tak a nei a.
- Thisen chhuak
- Infection awm thei te
- Stricture a lo awm leh thin
Urinary incontinence hi a hlauhawm a, operation tih a nih chuan a tlem hle. Mahse, cancer enkawl hnua operation tih a nih chuan a hlauhawmna chu a sang deuh thei a ni.
Thil pawimawh dang chu erectile dysfunction (ED) . Mipa thenkhat chuan he surgery hma hian, pelvic fracture emaw cancer enkawl hnuah pawh hetiang dinhmun hi an nei tawh mai thei. He surgery hian ED a tidam dawn lo. Nakinah chuan enkawlna dang a ngai mai thei. Hemi chungchang hi i doctor nen inhawng takin sawi rawh.
Surgery hlawhtlinna leh dam lehna
Hei hi chanchin tha ber a ni. He surgery hi hlawhtlinna rate sang tak a ni.Surgery a ni a, a bik takin surgeon tawnhriat ngah takin a tih chuan result tha tak a nei a ni.
- Accident-a hliam tuar surgery hlawhtlinna rate chu 92% - 97% inkar a ni.
- Cancer enkawl hnua operation hlawhtlinna chu 70% - 85% inkar a ni .
Nun pangngaiah kir leh ila...
- Driving: Painkiller i hman loh chuan leh catheter tube lakchhuah hnuah pawh lirthei khalh tan theih a ni.
- Hnathawh lama kir leh: Mi tam zawk chu catheter lakchhuah hnuah hnathawhna hmunah an kir leh a, mahse kar 6-8 chhung chauh light duty hnathawh a tha .
- Exercise: Operation hnuah kea kal hi a tha a, mahse thil hahthlak tak tak, rit chawi emaw golf khelh emaw ang chi chu kar 6-8 chhung chu pumpelh rawh .
- Sexual activity: Operation atanga kar 8 hnuah sexual activity i tan leh thei.
Take-Home Thuchah a ni
- Posterior Urethral Reconstruction hi mipa pelvic injury emaw prostate cancer enkawlna avanga urethra tihtlem emaw tan specialized surgery tih a ni.
- He surgery hian a tum ber chu urethra section chhia siamthat leh zun kal dan pangngaia siam leh a ni.
- Hei hi surgery a nih avangin hlawhtlinna rate sang tak a nei tlangpui a, chuvangin hlauh a ngai lo.
- Operation hma leh operation zawhah doctor thupek uluk taka zawm a pawimawh hle a, a bik takin catheter leh activity restrictions chungchangah.
- I doctor nen hian harsatna i tawh zawng zawng, zun chhuah loh emaw, mipat hmeichhiatna lama harsatna emaw te chu tlang taka leh rinawm taka inbiakna neih hreh ngai suh. Thu leh hla dik leh puihna dawn hi damna kawngah a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh