Chaw i ei lai hian i chawl tih i hria em? A nih loh leh i luak chhuak fo em? Chutianga a awm chhan pakhat chu i pum tawp lama muscular valve-a harsatna vang emaw, a dik zawk chuan, chaw ei tur chu i pum atanga small intestine-a kalna hmun a nih vang a ni thei. He valve hi ‘pylorus’ kan ti a. He gate hi a inhawng tha lo a nih chuan ei tur a awm reng thin. Pyloroplasty hi chutiang hunah chuan a puitu tur surgery a ni. Vawiin hian he thu hi han sawi mai ila.
A awlsam zawngin, Pyloroplasty hi eng nge ni?
I pum chu bag angin ngaihtuah rawh. Kan ei tur chu he bag-ah hian dahkhawmin, kan ei a, chumi hnuah chuan small intestine-ah kan kal leh thin. He stomach bag tawp lamah hian gate ang maia thawk muscular ring a awm a. A hming chu pylorus an ti a . He gate hi a tul hunah a inhawng a, chu chuan chaw ei tawh chu small intestine-ah a kal thei a, chutah chuan a khar leh thin.
Chuvangin, eng emaw chhan vanga he hawnna hi a inkharkhip a, a zim a, a inhawng tha lo a nih chuan chaw chu pum atang hian a kal chhuak thei lo. Chutih lai chuan he opening pylorus an tih hi surgical procedure kan ti a, chu chu a siam thar leh zau zawk nan hman a ni. A chang chuan he part hi surgery dang avanga chhiat a nih chuan he surgery pawh hi siamthat nan an ti thin.
Eng dinhmunah nge pyloroplasty surgery neih a ngai?
I pylorus a thawk tha lo a, chu chu gastric emptying a tlai tihna a nih chuan he surgery hi a \angkai thei ang. Pyloroplasty hi a hnuaia thil awm danah hian ngaihtuah a ni ber.
1. Pum natna (Peptic Ulcer Disease) .
Pum natna na tak tak thenkhat chu zai a ngai thin. Entirnan, ulcer thisen chhuak reng emaw, damdawi hmanga dam lo emaw i neih chuan, i doctor chuan i pum chhunga acid siam chhuah tihtlem nan vagotomy tih dan tur a rawt thei ang. Hei hian pum chhunga kal nerve thenkhat cut a huam a ni.
Mahse hetah hian thil tlemte a awm. He vagotomy surgery hian stomach acid tihtlem mahse, pylorus hawn leh khar tura signal pe thin nerve te pawh hi a thawk lo thei bawk. Tichuan gate chu a inhawng lo. Chuvangin, vagotomy surgery i tih chuan pyloroplasty surgery pawh i ti a, gate chu a nghetin a zau deuh a ni.
Chu bâkah, a châng chuan ulcer chu a lo hring emaw, scar tissue emaw a lo awm thei a, pylorus kal tlanga kalna chu a tikhawlo vek thei bawk. Chutiang emergency-ah chuan he surgery hi a ngai bawk.
2. Chaw lam natna (Gastroparesis) a awm
Hei hi pum ruh, pylorus telin hnathawh that loh lai a ni. Pum ruhte chu a then a paralyze tawh ang mai a ni. Hei hian chaw ei a tikhawtlai nasa hle a, chaw ei tur chu pum atanga a chhuah tir thin. Hei hi a nasat chuan natna leh luak chhuak reng reng a thlen thei a, ei theih lohvin a awm thei a ni. Enkawlna dang a hlawhtlin loh chuan i doctor chuan pylorus chu pyloroplasty surgery hmanga hawn a rawt thei ang.
3. Pyloric Stenosis a awm thin
Hetiang dinhmun hi naute piang thar zingah hmuh tur a tam ber . Hetiang dinhmunah hian naute pylorus bang chu a thim a, a tawi a, ei tur kalna tur kawng a tikhawlo thin. Chuvang chuan naute chuan a in hnute chu a la chhuak thei lo va, a luak nawn fo thin. Chutiang naute tan chuan an taksaa ei tur dik tak luhtir an duh chuan he surgery hi tih ngei ngei tur a ni.
Engtin nge he surgery hi tih a nih a, a tih dante chu engte nge ni?
He surgery hi kawng hnih in tih theih a ni. Pakhat chu open surgery a ni a, chu chu pum chu tan a ni. A dang chu laparoscopic surgery a ni a, chu chu pum chhungah hliam tenau tlemte siam a, camera leh hmanraw nalh tak tak hmanga tih a ni. Engti kawng pawhin general anesthesia hnuaiah i awm dawn a, chuvangin engmah i hre lovang.
Pyloroplasty surgery hi hmanraw pawimawh tak tak a awm a. Doctor chuan damlo dinhmun a zirin a hmanraw tha ber a thlang thin.
| Surgery tih dan tur | Description mai mai a ni |
|---|---|
| Heineke-Mikulicz-a te chuan Pyloroplasty an ti a | Hei hi hmanraw hman tlanglawn ber a ni. Surgeon chuan pylorus chu a sei zawngin a tan a, chutah chuan crosswise in a stitch khawm leh a. Hei hian a hawnna a tizau a, taksa ruh chu a ti hahdam bawk. |
| Pyloromyotomy (Ramstedt Pyloroplasty) hmanga tih a ni. | Hetiang hmanrua hi nausen piang tharte tan hman a ni ber. Hetah hian pylorus pawn lam ruh layer chauh a cut a, a chhung lam lining (mucosa) nalh tak chu a awm ta a ni. Hei hian inner lining chu pawn lamah a bulge tir a, a chhunga space a tipung a ni. |
| Pyloric Dilation tih a ni | Hei hi surgery tih a ni lo. Endoscopy nen a inang a, chutah chuan ka chhungah tube an dah a, pylorus chu hmanraw bik hmangin an tizau a ni. |
| Jaboulay/Finney Pyloroplasty tih a ni | Hengte hi kalphung pangngai tak a ni lo. Pylorus-ah hian inflammation nasa tak emaw, scarring emaw a awm chuan hman thin a ni. Hei hian pylorus bypass a, pum leh small intestine inkara inzawmna thar siam (gastroduodenostomy) a huam a ni. |
Surgery hnuah eng nge thleng?
Surgery zawhah laparoscopic procedure i neih chuan chu ni vek chuan i haw thei mai thei. Open surgery i neih chuan ni engemaw zat damdawi inah i awm a ngai dawn a, a chhan chu a incision a lian hle a ni. Ni hmasa berah chuan solid food pek i ni lovang. I hnar chhunga tube dah hmangin emaw, vein-a saline pek hmangin emaw nutrition pek i ni ang.
Surgery avanga harsatna awm thei te chu engte nge ni?
Surgery dang ang bawkin, hlauhawmna engemaw zat a awm a, mahse hengte hi a thlen theihna a tlem hle.
- Thisen chhuak
- Infection awm thei te
- Thisen a chhuak
- A chhehvela taksa peng hrang hrangte chhiatna
Heng general risk bakah hian pyloroplasty surgery-a complication bik engemaw zat a awm bawk.
1. Dumping Syndrome a awm thei
Hei hi he surgery hnua side effect awm tam ber a ni. Surgery i neih chhan buaina nen chuan a kalh chiah a ni. Chu chu, pum atanga ei tur chu small intestine-ah a kal chak zawk tihna a ni. Hei hi hun eng emaw chen atan a ni tlangpui.
Dumping syndrome symptoms hi stage hnih ah a awm thei. Chaw ei hnu rei vak lovah chuan pum na, luak chhuak, leh luak chhuak i nei thei. Darkar tlemte hnuah i thisen sugar level chu a tlahniam nghal a, chu chuan chak lohna, luak chhuak, thawk hah, leh thinlung na chak tak ang chi natna a thlen thin.
Hei hi a tir lamah chuan a buaithlak deuh thei a, mahse ei leh in thlak danglam leh a tul chuan doctor-in damdawi a pek hmangin control theih a ni.
2. Bile reflux a awm thin
Pyloric valve tihdanglam a nih chuan a khar tha lo va, chu chuan small intestine chhunga thil awmte, a bik takin bile , chu pum chhungah a luang lut leh thei a ni. Bile hi pum chhunga lining ti na thei a ni. Chutianga a awm chhunzawm chuan gastritis .
Recovery process leh hlawhtlinna
Mi tam zawk, a bikin laparoscopic surgery nei tawhte chu an dam thuai thin. Kar tlemte chhungin an thil tih dan pangngai leh ei leh in danah an kir leh thei a ni. Dumping syndrome symptoms i neih chuan i ei leh in hi a bo hma loh chuan (thla engemaw zat pawh a ni thei) i fimkhur tur a ni.
Pyloroplasty hi gastroparesis leh gastric obstruction enkawlna tha tak a ni a, hlawhtlinna rate chu 90% thleng a ni.
A tawpah chuan pylorus-a blockage tlemte chuan i digestive system zawng zawng a tibuai thei a ni. Hei hi non-surgical treatment a awm a, mahse chutiang chuan a hlawhtling lo a nih chuan surgery hi solution tha tak leh him tak a ni thei.
Take-Home Thuchah a ni
- Pyloroplasty hi surgical procedure a ni a, chu chuan pum hawnna (pylorus) a tizau a, ei tur chu awlsam zawkin small intestine chhungah a kal thei a, a tlakbuak lo.
- He surgery hi nau piang tharte pum chhunga ulcer na tak, gastroparesis, leh pyloric stenosis nei te tan tih a ni ber.
- Hei hi open surgery emaw laparoscopic (keyhole) surgery emaw angin tih theih a ni. I doctor chuan eng method nge i tan a tha ber tih a rel ang.
- Surgery hnua side effect langsar ber chu dumping syndrome a ni a, chu chu chaw ei hian pum atanga a chhuah thuai thuai vang a ni. Mahse, hei hi a tlangpuiin hun eng emaw chen atan a ni a, i ei leh in thlak danglamin i thunun thei a ni.
- Eng surgery pawh tih hmain i doctor nen a thatna leh that lohna zawng zawng sawiho a, thutlukna siam a pawimawh hle.
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