Nang emaw i hriat mi emaw chuan doctor-in ‘Proctectomy’ tih surgery a sawi khan hlauthawng leh hlauthawng deuh i nei mai thei. Chu chu thil pangngai tak a ni. Surgery ngaihtuahna hi tu nge duh lo ang, a dik em? Mahse heng thilte hi chiang tak leh chiang taka kan hriat chuan hlauhna tul lo chu paih boin rilru thlamuang takin kan hmachhawn thei a ni. Chuvangin vawiin hian he Protectomy surgery chungchang hi thu awlsam takin i sawi dawn nia.
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A awlsam zawngin Protectomy tih hi eng nge ni?
Proctectomy hi surgery hmanga i rectum thenkhat emaw, a zawng zawng emaw lakchhuahna a ni. Tunah chuan rectum hi eng nge ni tih i ngaihtuah mai thei. I intestine lian ber a ni a, inches ruk vel a sei a ni. A bik takin, hnute hnuai lam chiah, bawlhhlawh chhuahna hmun a ni. A then phei chuan a dinhmun a zirin he surgery neih chhung hian rectum pawh lakchhuah a ngai thei bawk.
Engvangin nge hetiang surgery hi i neih a ngai?
Chutiang surgery lian tak tih chhan lian tak tak engemaw zat a awm. Doctor chuan he surgery hi extreme case-ah chauh a rawt ang a, chutih lai chuan duhthlan tur dang a awm lo.
- Rectal cancer: Hei hi proctectomy tih chhan ber leh awm tam ber a ni. He surgery hi cancer cells te lakchhuah a, a darh zel tur tihtawp nan a tul a ni.
- Inflammatory Bowel Disease (IBD): Ulcerative colitis emaw Crohn’s disease emaw i hre tawh mai thei . Chûngte chu damdawi leh enkawlna dang hmanga thunun theih loh khawpa na a nih chuan, an natna leh rilṭâm tihziaawmna tûrin operation neih a ngai mai thei.
- Familial Adenomatous Polyposis (FAP): Hei hi thlahtute atanga lo chhuak a ni. Colon leh rectum-ah hian thinghnah te te (polyps) tam tak a siam a ni. Heng a lo thang lian te hian hun kal zelah cancer an nih theihna chance a sang hle. Chuvangin he surgery hi cancer lo awm lo tura hmalakna atan a tha hle.
He surgery hi lian tak ni mah se, cancer ang chi nunna atana hlauhawm natna laka chhanchhuahna tura a puihna hi a hlu hle.
Operation hmain engtin nge i inbuatsaih thin?
I doctor chuan operation hmain a enfiah vek ang che. I surgery tur ruahmanna i siam hmain i hriselna zawng zawng hriatthiamna tha tak neih a pawimawh.
- Test: Thisen test, ECG test, leh a tul chuan imaging test dangte. Colonoscopy i la tih loh chuan chu pawh chu tihsak i ngai dawn a ni.
- Bowel prep: Hei hi a pawimawh hle.Surgery hma hian intestines chu a hring vek tur a ni a, a fai vek tur a ni. Chumi atan chuan doctor chuan laxative ( laxative ) emaw, enema emaw a pe ang.
- Damdawi: Damdawi eng emaw i ei a nih chuan thisen tihthianghlimna tur ang chi i ei a nih chuan operation hma ni engemaw zat chu ei tawh lo turin an ti ang che. Damdawi i ei zawng zawng chu i doctor hnenah hrilh vek ang che.
- Meizial zuk: Meizial zu mi i nih chuan operation hma kar tlemte chhunga bânsan vek chuan damna kawngah nasa takin a pui ang.
Surgery tih dan leh a chi hrang hrang
Surgery tan hmain anesthesiologist chuan general anesthesia a pe ang che. Chuvangin surgery chhung zawng hian natna engmah hre lovin i muhil ang.
Proctectomy i tih chi chu natna chi hrang hrang, a awmna hmun leh a zau zawngah a innghat a ni. A chi thum a awm a.
| Surgery chi hrang hrang | Hrilhfiahna |
|---|---|
| Abdominoperineal resection (APR) hmanga tihdam theih a ni. | Chutah chuan i rectum zawng zawng, i hnute leh a chhehvel thau (sphincter muscles) te chu a chhuak vek a ni. Anus chu lakchhuah a nih avangin pum vunah hawnna siam a ni a, chu chuan bawlhhlawh a kal tlang thei a ni. Hei hi ostomy an ti a . A hawnna pawn lamah pouch a bun a. He pouch ah hian stool a khawlkhawm thin. He pouch hi ni khatah vawi tam tak tihthianghlim a ngai a ni. He surgery hi cancer hi hnute hnaih lutuk a nih chuan tih a ni. |
| Low hmalam resection (LAR) tih a ni. | Hei hian a theih ang anga hnute leh taksa pengte humhalh tum a huam a ni. Natna nei chauh chu lakchhuah a ni a, a hrisel la awm chu hnute ( anastomosis ) nen a inzawm leh ta a ni. Hei hi a hlawhtlin chuan ostomy bag a ngai lo. Stool chu normal takin i pass thei. |
| Robotic hmanga rectal resection tih a ni | Hei hi tunlai, minimally invasive method a ni a, LAR surgery tih nan hman thin a ni. Surgeon hian robotic technology hmangin surgery hi chiang tak leh chiang takin a ti thin. Hei hian a thatna chu thisen chhuah tlem a, a dam chak zawk a, a dik zawk bawk. |
Surgery hnuah eng nge thleng?
Operation zawhah chuan i dinhmun a zirin ni engemaw zat, kar khat pawh damdawi inah i awm a ngai dawn a ni.
- Pain management: I natna tihreh nan damdawi i dawng chhunzawm zel ang.
- Tubes: Zun chhuahna tur catheter dah theih a ni a, tube dang (drain) dahin surgery hmuna tui awmkhawm chu paih chhuah theih a ni bawk. Hengte hi hun eng emaw chen atan a ni.
- Chaw: A tir lamah chuan i ei thei lo mai thei. I digestive system a lo that chhoh zel chuan liquids pek hmasak i ni ang a, chutah chuan zawi zawiin soft diet i hmang leh ang.
- Physical therapy: Physical therapist chuan chakna i neih leh theih nan leh i kal theih nan a pui thei che a ni.
In i haw hmain i medical team chuan i hliam enkawl dan tur te, natna damdawi ei dan tur te, ei tur eng nge i ei tur tih te, leh i zawm tur thupek eng emaw zat an hrilhfiah ang.
Surgery neih hian eng hlauhawmna leh harsatna nge a neih?
Surgery lian dang ang bawkin proctectomy surgery hian hlauhawm leh harsatna engemaw zat a nei thei a, chu chu hriat a pawimawh hle.
| Complication chi hrang hrang | Hrilhfiahna |
|---|---|
| Hun rei lote chhunga harsatna awm thei | |
| Kaichhawng | Infection hi incision site emaw, pum chhungah emaw a awm thei. |
| Thisen chhuak | Operation lai emaw, operation hnu emawa thisen i chhuah tam lutuk chuan thisen pek a ngai mai thei. |
| Thisen a chhuak thin | Surgery zawhah keah thisen zam a lo awm thei a, hei hi ding tam zawk vang a ni. Lung ( pulmonary embolism ) thlenga an kal chuan an hlauhawm hle. |
| Connection ah leakage a awm | Intestinal reconnection (anastomosis) awmna hmunah leak a awm chuan operation tih leh a ngai dawn a ni. |
| Hun rei tak chhunga harsatna awm thei | |
| Mipat hmeichhiatna lama harsatna nei | Surgery hian sexual function-a inrawlh nerve te a tichhe thei a, chu chuan mipaah erectile dysfunction a thlen thei a, mipa leh hmeichhiaah anorgasmia a thlen thei bawk. |
| Bowel movement inthlak danglamna | Bathroom-a kal duhna i nei fo thei a, bathroom-a kal duhna i nei nghal mai thei a, i rilru chhungril thunun harsa i nei thei bawk. |
| Ostomy nena inzawm harsatna a awm | Ostomy bag chhehvelah hian vun lama harsatna, leak, hernia ang chi dinhmun a awm thei. |
Engtikah nge doctor nen inbiakna neih a ngaih?
In i thlen veleh warning sign thenkhat hriat a pawimawh. Chung zinga pakhat tal i hriat chuan doctor ko nghal rawh.
- I khawsik 38 degree Celsius (100.4 Fahrenheit) aia sang i neih chuan.
- Natna a zual zel emaw, natna tidamtu damdawi hmanga tihdam loh emaw a nih chuan.
- Incision site chu a sen, a hring, emaw, pus ang chi tui a chhuak a nih chuan.
- Thisen chhuah tam lutuk a awm chuan.
- Zun harsatna i neih emaw, zun a chhuak lo tak tak emaw chuan.
- Nausea leh luak chhuak reng reng.
- Thâwk harsa.
- Ostomy bag hnathawh dan (color, size) inthlak danglam i hmuh chuan.
Take-Home Thuchah a ni
- Proctectomy hi surgery lian tak a ni a, mahse cancer ang chi natna laka i nunna chhanhim thei tur emaw, damdawi lam dinhmun khirh tak atanga hahdamna pe thei tur emaw a tul tak a ni.
- Hlawhtling taka chhuah theih nan operation hma chiaha doctor thupek zawm a pawimawh hle.
- Dam nan hun a duh a ni. Chumi chhûng chuan dawhthei takin awm la, damdawi lam thurâwn zawm la, i chhûngte ṭanpuina nei bawk ang che.
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen taka inbiakna neih hi i dikna a ni.
- Tunlai surgical technology hmang hian heng surgery result hi a hlawhtling hle a ni. Chuvangin, hei hi rilru tha tak pu chungin hmachhawn rawh.
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