I kal (kidney) ureter a block em? He Pyeloplasty surgery chungchang hi han sawi ila!

Kan taksa system hian engtiang chiahin nge kan hriat loh pawhin a thawk tha em tih i ngaihtuah fo mai thei. Mahse, kidney aṭanga zun siamtu fine tube, bladder thlenga chhuk chu khawi emaw laiah a inkharkhip a nih chuan eng nge thleng ang tih han ngaihtuah teh? Chu chu blockage chi khat a ni a, chu chuan kal na leh a hring chhuak fo thin. Hei hi enkawlna pakhat chu ‘Pyeloplasty’ tih surgery a ni. Ngaihtuah buai suh, engkim hi awlsam leh chiang takin kan sawi dawn a ni.

A awlsam zawngin Pyeloplasty hi eng nge ni?

Hei hi hrethiam tur chuan kan urinary system hnathawh dan hi han thlir hmasa ila. Kan taksa chhunga kal (kidney) pahnih atanga zun siam chhuah a ni. Chutianga zun lo chhuak chu kal chhungah funnel ang maiin a awm khawm a. Hei hi `(Renal Pelvis)` kan ti a. Tichuan, he zun hi tube te tak teah a tla thla a, bladder-ah a inzawm khawm ta a ni. He tube hi `(Ureter)` tih a ni.

Tunah chuan kidney funnel (`Renal Pelvis`) leh a atanga intan tube (`Ureter`) inzawmna hmunah, chu chu `(Ureteropelvic Junction - UPJ)` ah blockage emaw obstruction emaw a awm tih han ngaihtuah teh. Chuti a nih chuan eng nge thleng? Zun chu a tla thla thei lo va, kal chhungah a khat tan ta a ni. Tui pipe a laiah a tlakbuak ang bawkin tui chu hnunglam hawiin a khat a ni. Hei hian kal (kidney) a ti na a , chu chu doctor-te chuan `(Hydronephrosis)` an ti a ni. Tin , hnungzang na a awm thei a, zun kawng natna a awm fo thei a, hun kal zelah kal pawh a chhe thei bawk .

He surgery hi tuin nge mamawh tak tak?

Hetiang dinhmun, ``UPJ'' obstruction an tih hi a chang chuan pianpui a ni. A vaiin naupang 1,500 zinga pakhat vel chu he natna nei hian an piang a ni. Mahse, a tam zawkah chuan naupang thla 18 a tlin meuh chuan a mah chauhin a reh ta a ni. A awm reng chuan, kal a hring chhunzawm zel emaw, natna a vei emaw ang chi, doctor-te chuan operation neih an rawt thei a ni.

Tin, naupang kum upa zawk, puitling naupang leh puitlingah pawh he natna hi a hnuah a lo awm thei bawk. I doctor-in ultrasound emaw CT scan emaw-a i kal a hring (Hydronephrosis) a hmuh chuan a chhan chu UPJ-a blockage vang niin an ring mai thei. He surgery hi a ngai mai thei bawk.

Engtin nge he surgery hi tih a nih? Incision lian tak i siam em?

No. Tunlai technology hmasawn tak nen chuan hei hi incision tenau tak tak hmanga tih a ni fo thin . Mahse, hmanraw hrang hrang a awm. Eng nge an nih i en ang u.

Operation hmain eng nge i tih tur?

I doctor chuan i surgery atana inbuatsaihna tur thupek a pe ang che a, chu chu zawm dik a pawimawh hle.

• Chaw nghei: Surgery hma darkar 8 vel ei leh in loh turin an ti ang che.
• Damdawi: Damdawi dang i ei a nih chuan i doctor hnenah i ei tawh loh tur nge, tui in nen i ei theih em tih zawt la. Damdawi eng emaw zat ei kha doctor thurawn tel lo chuan chawlhsan suh.
• I tanpuitu tur: I operation hnuah ni khat emaw ni hnih emaw chhung chu damdawi inah i awm a ngai dawn a ni. In lama zuitu tur mi pakhatin ruahmanna siam lawk rawh.

Operation hnuah eng nge i beisei theih ang?

A tlangpuiin damdawi inah ni khat emaw ni hnih emaw i awm a ngai dawn a ni. Hemi chhung hian:

• Surgery hnuah pawh a pangngaiin i ei leh in thei.
• Tlem i kal kual thei a, tlem i che thei bawk. Mahse chawlh hahdam a pawimawh, Doctor sawi angin.
• Infection laka inven nan antibiotics pek thin a ni.
• Foley catheter pawh dah theih a ni. In lama i haw hunah lakchhuah a ni ang.
• Surgery hian urethra a ti hring thei a, chu chuan natna engemaw zat leh bladder spasm a thlen thei bawk. Chumi atan chuan doctor chuan natna tidamtu mamawh a pe ang.

Stent dah hi eng nge a awmzia?

Vawi tam tak chu he surgery neih chhung hian ureter inzawm thar chhungah hian plastic tube te tak te tak te dahin a dam thlengin hawn reng a ni. Hei hi `(Stent) an ti a, hei hi hun eng emaw chen atana dah a ni. He `(Stent)` hi kar tlemte hnuah kal a dam hnuah lakchhuah a ni.

Eng nge a hlawkna leh a hlauhawmna?

Surgery dang ang bawkin, a hlawkna leh hlauhawmna a awm bawk. I doctor chuan hengte hi chipchiar takin a hrilhfiah ang che.

Recovery hun leh in lama enkawl dan tur

Kar khat emaw kar hnih emaw chhungin i rilru a hahdam tan tlangpui thin . Stent lakchhuah a nih hma chuan zun laiin natna engemaw zat i nei thei a, i zun chhungah thisen tlem i nei thei bawk. Hei hi thil pangngai a ni. Kar thum atanga kar li vel hnuah i hnathawh dan pangngaiah i kir leh thei tawh ang .

In lamah heng thilte hi enkawl rawh:

• Tui tam tak in thin ang che. Ni khatah tui litre 2-3 tal in a tha hle.
• Damdawi (painkillers, antibiotics) doctor-in a pekte chu a hun takah ei tur a ni.
• I doctor-in a tih angin incision atanga bandage chu la chhuak rawh. Fai leh vawt takin vawng reng ang che.
• Sink-a inbual loh tur. Infection a thlen thei a ni. Shower lak pawh a pawi lo.
• Kar li atanga kar ruk chhung chu rit phurh emaw, hna hahthlak tak tak emaw tih loh tur.

Engtikah nge Doctor i hmuh nghal tur?

• Nausea emaw luak chhuak reng reng .
• Infection chhinchhiahna te chu khawsik , incision vel a sen, a hring, leh pus drainage te hi a ni.
• Damdawi hmang pawha thunun theih loh natna nasa tak .
• Zun chu a sen dum a, thisen chhuak nasa tak a awm a, clots a awm chuan .
• I rilru na emaw thawk harsatna emaw i neih chuan , damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.

He surgery hi 95% aia tam a hlawhtling a, mi sawm zinga 9 tihna a ni. Chuvangin he thil hi ngaihtuah buai a ngai lo. Mahse, doctor-in nangmah emaw, i fa emaw hian he surgery hi i mamawh tih a sawi chuan, chu mi chungchânga zawhna, hlauhthawnna, rinhlelhna i neih apiang chu sawipui rawh. Chutiang chuan hriatthiamna tha zawk leh rilru thlamuanna i nei ang.