I doctor-in i kal pakhat chu lak chhuah vek a ngai tih a hrilh che chuan hlauhna leh mangang tak tak i nei thei a ni. "Kidney pahnih ka neih a, pakhat chu lakchhuah a nih chuan engtin nge ka chungah a awm ang?" "Hei hi operation lian tak a ni em?" I rilruah zawhna tam tak i nei mai thei. Chu chu thil pangngai tak a ni. Chuvangin vawiin hian he surgery Radical Nephrectomy tih hi han sawi ila, i rilru a zawhna awm zawng zawng chhanna zawng rawh.
Radical Nephrectomy tih hi eng nge ni?
A awlsam zawngin sawi ila, hei hi i kal pakhat tihbo vek theihna tur surgery a ni. Damdawi lam tawngkam chuan "nephro" tih awmzia chu "kidney" tihna a ni. "ectomy" tih awmzia chu "hlihchhuah" tihna a ni. Chuvangin, nephrectomy chu kal (kidney) lakchhuahna a ni.
He operation-ah hian surgeon chuan i kal zawng zawng a la chhuak vek a, chubakah a chhehvel thau awmte chu a la chhuak vek bawk. A chang chuan kal chunglam adrenal gland leh kal chhehvela lymph node te pawh lakchhuah a ngai thei bawk.
Mahse hei hi hre reng ang che: Kal pahnih nei vek mah ila, kal hrisel pakhat nen chuan harsatna awm lovin nun pangngai kan hmang thei a ni. Kidney dang chuan kidney lakchhuah hna chu a la a, a lian deuh a, chak zawkin hna a thawk bawk.
Engvangin nge hetiang surgery hi i neih a ngai?
He surgery an tih chhan ber chu cancer nei kidney tumor lakchhuah nan a ni fo thin. Mahse, i doctor chuan chhan dang engemaw zat avangin he surgery hi a rawt thei a ni.
- Kidney cancer neih: A bik takin cancer a lian tawk emaw, kal pawnah a darh theihna a awm emaw a nih chuan.
- Kidney infection tam: Enkawlna hmanga thunun theih loh natna awm reng avanga kal a chhiat chuan.
- Kidney failure: Kal pakhat chu accident emaw, natna emaw, thil dang vang emawa a rualbanlo vek a nih chuan.
- Kidney Donation: I hmangaih tak hnenah kidney i donate a nih chuan.
Hei hi surgery hman tlanglawn leh tih tlanglawn tak a nih avangin a tul lovah hlau suh.
Surgery atan engtin nge kan inbuatsaih ang?
Hei hi surgery lian tak a nih avangin uluk takin i inbuatsaih hmasa ang.
1. Damdawi lam test: 1.1.I doctor chuan thisen test thenkhat a ti hmasa ang. Hengte hian i baseline kidney function leh i thisen chi hrang hrang a hriat theih nan a pui ang. Hei hian operation hnua i kal la awmte chu engtiang chiahin nge a thawk tha ang tih ngaihtuahna i neih theih nan a pui ang. Thisen pek a ngai a nih chuan emergency a nih pawhin i thisen chi hriat a pawimawh bawk. I hriselna tlangpui, i temperature, pulse rate, leh thisen sang te pawh an enfiah bawk ang.
2. I damdawi ei tur chungchang doctor hriattir: I damdawi ei zawng zawng, doctor-in a pek emaw, over-the-counter pain relievers (NSAIDs ang chi), thisen tithianghlimtu (anticoagulants ang chi), vitamins, Ayurvedic emaw herbal remedies emaw pawh nise, doctor hnenah hriattir a pawimawh hle. Damdawi thenkhat chuan operation laiin thisen chhuah theihna a tipung thei a ni.
3. I allergy chungchang min hrilh rawh: Damdawi thenkhat, latex emaw, i vun tihfai nana hman iodine emaw allergy i neih chuan i sawi ngei ngei tur a ni.
4. Ei leh In: Operation hma darkar engzat nge chaw nghei tur tih leh engtikah nge tui in chawlhsan tur tih chiang takin hriattirna pek i ni ang. Anesthesia i neih laiin i pum chhungah ei tur i neih chuan i luak chhuak thei a, chu chaw chu i lung chhungah a lut thei bawk. Hei hi a hlauhawm hle. Chuvangin thupekte chu dik takin zawm rawh.
He surgery tih dan tur hi engte nge ni?
Radical nephrectomy tih dan tlangpui pathum a awm a. I surgeon chuan i dinhmun a zirin eng method nge i tan a tha ber tih a rel ang.
| Surgery tih dan tur | Hrilhfiahna |
|---|---|
| Open Radical Nephrectomy tih a ni | Hetianga tihnaah hian doctor chuan inci 12 vel sei incision lian tak pakhat a siam a, surgery chu a ti thin. Hetiang method hi kidney cancer a lian em em emaw, a chhehvela lymph node tam tak lakchhuah a ngai a nih chuan hman a ni. |
| Laparoscopic hmanga Radical Nephrectomy tih a ni | Hemiah hian incision lian tak pakhat ai chuan incision tenau engemaw zat siam a ni a, a lian zawng chu centimetre 1 vel a ni. Incision pakhat hmangin camera (laparoscope) nei instrument te tak te dahin, monitor-ah en a, incision dang hmangin instrument tha tak tak dahin kidney lakchhuah a ni. Hei hi tuna hmanraw hman tlanglawn ber a ni. |
| Robotic Radical Nephrectomy hmanga tihchhuah a ni | Hei hi laparoscopic surgery nen a inang a, mahse hetah hian surgical instruments te hi doctor-in a control theih robotic arms hmanga siam a ni. Hei hian surgery chu nalh zawk leh dik zawkin a ti thei a ni. |
Surgery neih chhung hian eng nge thleng?
Operation room-a hruai i nih hnuah anesthesiologist chuan general anesthesia a pe ang che. Chumi awmzia chu natna engmah i hre lo vang a, operation a zawh hma chuan i muhil tha ang tihna a ni.
Chumi hnuah chuan .
- I bladder empty turin urinary catheter pek i ni ang.
- Laparoscopic emaw robotic surgery emaw-ah chuan incision te te tlemte siamin, pum chhungah carbon dioxide gas tlemte dahin taksa peng hrang hrangte inkarah hmun a siam a ni.
- Doctor chuan kal nena inzawm thisen kalna kawngte chu uluk takin a clip a, a tul chuan kal, a chhehvel tissue leh a hmun dangte chu a la chhuak thin.
- Surgery zawhah tube te tak te (surgical drain) dahin a chhunga tui leh thisen tam lutuk chu paih chhuah theih a ni.
- A tawpah chuan incision te chu stitches emaw staples emaw hmangin an khar thin.
Hetiang zawng zawng hi darkar 3 emaw a aia rei emaw a ni thei.
Surgery hnuah eng nge thleng?
Surgery zawh veleh recovery room-ah sawn i ni ang. Medical team chuan i hriatna i neih leh hma leh i dinhmun a nghet hma loh chuan an enkawl tha ang che.
- Pain control: Natna i hriat hian a tul anga damdawi pek i ni.
- Chaw: Ni khat emaw ni hnih emaw chhung chu liquid food chauh pek thin a ni. Tichuan zawi zawiin chaw pangngai chu rawn luhtir leh ang che.
- Kal: Operation hnu ni atang khan tlem tal kal turin fuih i ni ang. Kea kal hian thisen kal a titha a, hliam a tidam thuai bawk. Tin, kea thisen zam leh pneumonia ang chi harsatna awm thei tur ven a pawimawh hle bawk.
- In lama haw: Medical team-in i dam tawh tih an rel hnuah chuan haw phalsak i ni ang. I khalh thei dawn lo a nih avangin i chhungte emaw, i thian emaw chu i bula rawn kal turin hrilh rawh. I haw hnu ni hmasa berah enkawltu tur i neih a pawimawh.
Eng chen nge a dam leh theih ang? Tin, a lo let leh thei em?
I dam kim theih nan hun rei zawng chu i surgery chi hrang hrangah a innghat a ni. Open surgery hian kar 8-12 vel a daih laiin, laparoscopic surgery hnua dam lehna erawh a rang zawk hle. Hun engemaw chen chu thil rit phur leh thil hahthlak tak tak tih loh a ngai mai thei.
Kar 4 vel hnuah hna i thawk leh thei tlangpui. Amaherawhchu, taksa lama harsatna nei hna i neih chuan rei zawk chawlh a ngai mai thei. Hemi chungchang hi i doctor nen sawiho la, thurawn la rawh.
Kidney cancer surgery i neih chuan taksa peng dangah emaw, surgery na hmun hnaihah emaw cancer a lo let leh hi a tlem hle . Hei vang hian operation zawhah follow-up visit neih fo a pawimawh hle.
Doctor hmuh hun tur
Operation zawhah i hliamte enfiah leh stitch te lakchhuahna tur ruahman a ni ang. Cancer natna avanga operation i neih chuan CT scans , thisen leh zun test ang chi test te chu a hun takah i neih a ngai ang a, chu chuan a lo lang leh em tih enfiah a ngai ang.
Tin, a hnuaia symptoms te hi i neih chuan i doctor ko nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| Hliam atanga thisen chhuak tam lutuk | Cut atanga thisen chhuak chhunzawm zel a awm chuan. |
| Hri kai theihna chhinchhiahna | Hliam chu a hring a, a sen a, tui rimchhia tak, zunthlum ang chi tui a chhuak a, a nih loh leh khawsik 37.8 Celsius (100 Fahrenheit) aia sang a nei bawk. |
| Zun chhunga thisen (Hematuria) . | I zun ah thisen a awm chuan. |
| Natna nasa tak a nei | Hliam vel emaw, pum chhunga natna nasa tak, damdawi hmanga pawh thunun theih loh. |
Take-Home Thuchah a ni
- Radical nephrectomy hi surgery lian tak a ni a, kal pakhat chu a paih vek a ni. Kidney cancer tan tih a ni ber.
- Kidney hrisel pakhat i neih chuan chu chu nun pangngai, famkim takin i hmang thei ang. Kidney la awm chu hun kal zelah a chak chho zel ang.
- Surgery hma hian i damdawi ei zawng zawng leh allergy i neih apiang doctor hnenah hrilh hmasak a pawimawh hle.
- Laparoscopic leh robotic surgery hnua dam lehna a rang zawk.
- Operation hnua vaukhânna chhinchhiahna eng emaw i neih chuan khawsik, thisen chhuah tam lutuk, hliam aṭanga hnim hring (pus) i neih chuan doctor rawn la nghal rawh.
- Nun hrisel zawm leh operation hnua medical checkup ruat sa neih hi hun rei tak chhunga i hriselna atan a pawimawh hle.
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