Colon surgery (proctocolectomy) nei turin an hrilh che em? Hemi chungchang hi awlsam takin han sawi ila.

I doctor-in colon surgery neih a ngai tih a hrilh che chuan hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni. "Proctocolectomy" tih hming i hriat hian a buaithlak zawkin a lang thei. Mahse, lungngai suh. Hei hi nunna chhanhimna surgery a ni a, tuna i natna lanchhuahna te tihziaawmna hmangin nun tha zawk i neih theih nan a pui thei che a ni. Engkim hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Proctocolectomy hi eng nge ni tak tak?

A awlsam zawngin, proctocolectomy chu i colon leh i rectum tawp ber surgery hmanga lakchhuahna a ni.

Hei hi tlem han sawifiah leh ila. Intestine lian tak hi kan chaw ei dan (digestive system)-a tube sei tak ang maia awm a ni. A ṭhen lian pathum a nei a, chungte chu:

1. Colon: Hei hi a lian ber a ni. Kan ei leh in atanga bawlhhlawh awmte tui a la a, solid form-ah a chantir a, chu chu stool an ti a ni.

2. Rectum: Hei hi rectum atanga colon hnung zuitu tawi tak a ni. Thal hnawhchhuah hmaa hun eng emaw chen dahna hmun a ni.

3. Anus: Taksa atanga bawlhhlawh chhuahna kawngkhar.

Chuvangin, proctocolectomy-ah chuan colon leh rectum pahnih, a nih loh leh a then emaw chu lakchhuah a ni. "Procto" tih hian rectum tihna a ni. "Colectomy" tih hian colon lakchhuah tihna a ni.

Engvangin nge hetiang surgery hi i neih a ngai?

Hetiang surgery lian tak hi tih theih chhan hrang hrang a awm. A chhan ber chu intestine-a natna hian chu taksa peng chu a thawk tha thei lo emaw, chu natna chu nunna atana hlauhawm a nih vang emaw a ni.

Operation hnuah engtin nge i bawlhhlawh i chhuah thin?

Hei hi mi tam takin zawhna lian ber an neih chu a ni. Colon leh rectum lakchhuah a nih chuan stool pass out theihna kawng pangngai chu a bo ta a ni. Chuti a nih chuan engtin nge i inthiar thin? Hei hi a chhanna chu proctocolectomy i neih chi hrang hrangah a innghat a ni. I doctor chuan i damdawi lam dinhmun a zirin a hman dan tur dik ber a ruat ang.

Thil tih dan tlangpui engemaw zat a awm a:

1. Ileostomy tih dan tur

Hei hian i intestine te tak te hnuhnung ber, ileum an tih chu i pum vunah hawnna te tak te (stoma) siam nen a thlunzawm a ni. Chumi hnuah chuan ostomy bag chu opening-ah an dah a, chu chuan stool a khawlkhawm a ni. Hei hi a awm reng thei a , hun eng emaw chen atan pawh a ni thei . Temporary hi i taksa a dam hma chauh a ni. Hei hi a hnuah surgery dang hmangin tihdanglam theih a ni.

2. Ileoanal Pouch (a chhunga pouch siam) .

Hei hi kalphung ngaihnawm tak a ni. Restorative Proctocolectomy an ti bawk. I small intestine (ileum) hmun thenkhat lak a ni a, chuta tang chuan pouch te tak te siam a ni. I taksa peng thar, i taksa peng (rectum) ang bawkin, hun eng emaw chen atana i zun (stool) chelh thei angin ngaihtuah rawh. Tichuan, pouch chu i hnute nen a inzawm leh ta a ni. Hetianga tih zawh hnu hian toilet-ah i kal thei tawh ang a, hun engemaw chen hnuah chuan a pangngaiin i inthiar thei tawh ang. Hei hi a tih dan tlangpui chu J-pouch an ti a.

3. Subtotal Proctocolectomy (a ṭhen khat tal tihtlem) .

Hetah hian intestine lian thenkhat chu a hnutchhiah a ni. Chutianga tih theih a nih chuan intestine a la awm chu anus emaw rectum dang emaw (anastomosis) nen a inzawm leh thei a ni. Mahse, a chang chuan pum chhungah hun eng emaw chen hawn a ngai thei a, connection site a dam hma loh chuan stool bag (colostomy) dah a ngai thei bawk.

Operation hma, operation neih lai leh operation hnua thil thleng

Surgery neih hmain

Emergency surgery a nih loh chuan inbuatsaihna hun i nei ang.

• Kar tlemte hma: I doctor chuan operation chungchang te, a hlauhawmna te, leh i duhthlan turte a hrilhfiah ang che.
• Kar hnih hma: Thisen tihthianghlimna damdawi i ei a nih chuan chawlhsan emaw tihtlem emaw turin an hrilh ang che. Fiber tamna diet ei tur leh tui tam tak in turin an fuih ang che.
• Darkar 24 hmain: I intestines tifai vek turin bowel prep pek i ni ang. Ni khat chhunga tui chauh ei turin an hrilh bawk ang che. Operation hnua natna kai loh nan antibiotics pek i ni thei bawk.

Surgery neih lai hian

Anesthesia hnuaiah mut tir i ni ang a, chuvang chuan engmah i hre lo ang. Surgery hi kawng lian pahnih hmanga tih theih a ni:

• Open Surgery: Traditional method, pum chhunga incision lian tak hmanga tih thin.
• Laparoscopic Surgery: "Keyhole" surgery tia hriat bawk a ni a, hei hi pum chhungah incision tenau tlemte siam a, chuta tang chuan camera leh instrument nalh tak tak dahin tih a ni. Hetiang tih dan hian a dam chak zawk a, natna pawh a ti tlem zawk bawk.

Chumi hnuah chuan surgeon chuan uluk takin intestine natna hmun chu a la chhuak a, a hmaa kan sawi tawh ang khan a tul angin (ileostomy, pouch, emaw re-connection) a ti thin.

Operation hnuah

Damdawi inah kar khat vel i awm a ngai dawn a ni. Hemi chhung hian liquid atanga solid foods ah i inthlak zauh zauh ang. Ostomy (bag) i neih chuan specially trained nurse (WOCN - Wound Ostomy Continence Nurse) chuan a hman dan tur leh i vun thianghlim taka vawn dan tur a zirtir ang che.

Eng harsatna nge awm thei?

Surgery dang ang bawkin, hlauhawm leh harsatna engemaw zat a awm thei a, mahse a tam zawkah chuan hengte hi hun rei lote chhung atan a ni.

Doctor tlawh ngai emergency engte nge ni?

I operation hnua a hnuaia symptoms te hi i neih chuan i doctor ko nghal la , damdawi in Emergency Department (ETU) ah kal nghal rawh.

• Bloating, pum na, nausea, leh constipation (hengte hi intestinal obstruction chhinchhiahna a ni thei).
• Pum natna nasa tak, khawsik, incision atanga pus draining (hengte hi infection chhinchhiahna a ni).