I doctor-in cancer i vei thu a hrilh che khan RPLND surgery chungchang a hrilh che em? Tlem chuan hlauthawng leh a hming hian a tibuaitu deuhin i inhria a ni mai thei. Mahse, lungngai suh. Hei hi a takah chuan i taksaa cancer cell darh zel tur tihtawp nan surgery pawimawh tak a ni. Chuvangin awlsam takin, i hriatthiam theih tur angin i sawi ang u.
RPLND surgery hi eng nge ni?
A awlsam zawngin sawi ila, RPLND (Retroperitoneal Lymph Node Dissection) hi i taksa hmun bik atanga lymph node te lakchhuahna surgery a ni. He hmun hi ‘retroperitoneal’ area an ti a.
Hetiang hian han ngaihtuah teh: i taksa peng lian tak takte hnung lama i pum chhunga hmun ruak, i thin leh i intestines ang chi. Chu hmun chu retroperitoneal region kan tih chu a ni.
Tunah chuan heng lymph node te hi eng nge an nih kan en ang. Hengte hi a takah chuan kan taksa immune system hrisel taka awmtirtu organ te tak te tak te an ni. Kan taksa sentinel ang mai an ni. Kan taksa pumpuiah za tam tak an darh zauh zauh a.
Chuvangin, i surgeon (surgical oncologist) chuan he surgery neih chhunga lymph node te a lakchhuah hnuah pathologist hnenah enfiah turin an thawn thin. Chutah chuan microscope hmangin lymph node te chu an en a, cancer cell a awm em tih an en a. Doctor-te chuan he surgery hi ‘retroperitoneal lymphadenectomy’ an ti \hin.
Engvangin nge he RPLND surgery hi ka neih a ngai?
I doctor hian he surgery hi a rawt theih chhan hrang hrang a awm. He surgery thatna hi han thlir ila.
| A chhan ber | A awlsam zawngin... |
|---|---|
| Cancer awmna stage chu ruat rawh | Lymph node lakchhuah leh enfiah hian taksaah cancer hi eng chen nge a darh tih chiang takin a hriat theih a ni. Hei hi cancer stage tehna an ti a. |
| Cancer darh zel hi titawp rawh | Cancer cells te chu lymph node ah an lut a nih chuan lymph vessels kaltlangin taksa peng dangah an kal thei a ni. Hei hi metastasis an ti a. Chuvangin, heng lymph node te hi lakchhuah hian a darh zel tur chu a titawp thei a ni. |
| Cancer lo kir leh theihna tur tihtlem | Cancer cell awmna lymph node te paih chhuah hian nakin lawka cancer lo awm leh theihna chu nasa takin a tihziaawm thei a ni. |
| Cancer a lo let leh chuan enkawlna atan | A châng chuan, enkawl hnua cancer a lo let leh chuan, he surgery hi cancer cell awmna lymph node-te paih chhuah nan an ti ṭhin. |
A bik takin, RPLND hi a chang chuan testicular cancer staging leh treatment pahnih atan an ti thin . Cancer chi dang, kal cancer, hmeichhe reproductive system cancer thenkhat, leh sarcomas chi thenkhat tan pawh tih a ni.
Engtin nge doctor ten RPLND ka mamawh tih an hriat theih ang?
I imaging test-ah i pum hnung lama lymph node te chu a lo hring tih a hriat chuan i doctor chuan he surgery chungchang hi a hrilh mai thei che a ni. Heng scan chi hrang hrangte hi:
- CT scan a ni
- MRI scan a ni
- PET hmanga scan a ni
I doctor chuan cancer enkawlna kawng dangah he surgery hi a rawt thei ang. I doctor hi he surgery i mamawh chhan sawifiahtu tha ber a ni. I dinhmun chu a hre ber a ni. Chuvangin zawhna i neih apiang zawt hreh suh.
He RPLND surgery hi engtin nge an tih?
Surgery tan hmain fully anesthetized i ni tawh ang. Hei hian i muhil vek dawn tihna a ni. Chuvangin engmah hrehawmna i nei lovang.
Chumi hnuah surgeon chuan i pum chhungah incision a siam a, cancer hnaih ber lymph node te chu uluk takin a la chhuak thin.
He surgery hian a tum ber chu cancer cell awm thei lymph node zawng zawng paih chhuah a, cancer darh zel tur tihtawp vek a ni. He thil tum tihhlawhtlin nan hian a chang chuan lymph node bakah thil dang pawh lakchhuah a ngai mai thei.
- Taksa hmun dang atanga lymph node dang engemaw zat.
- Organ dang, kal (kidney) ang chi.
- Chu hmuna tumor emaw tissue dang emaw.
Tunah chuan damdawi in thenkhatah chuan he surgery hi laparoscopic surgery angin an ti a, chu chu incision tenau tlemte hmanga tih a ni a, robotic surgery hmanga tih a ni bawk. I doctor chuan eng method nge i tan a tha tih a hrilhfiah ang che.
He RPLND surgery hi darkar thum atanga darkar sawm vel a ni thei .
Operation hnuah eng nge beisei tur?
Operation hnuah ni li atanga ni sarih vel damdawi inah i awm a ngai dawn a ni. Surgery zawhah natna engemaw zat neih hi thil pangngai a ni. Chumi atan chuan i doctor chuan painkiller tul tak tak a pe ang che. Chuvangin a natna chu ngaihtuah buai suh.
He surgery hian eng hlauhawmna nge a neih?
Surgery lian dang ang bawkin RPLND surgery hian hlauhawmna engemaw zat a nei a ni. I doctor chuan heng zawng zawng hi a hrilhfiah lawk ang che.
| Tum chhin | Hrilhfiahna |
|---|---|
| Thisen kalna kawng a chhiat | Doctor hian taksa thisen kalna kawng lian ber ber hnaih takah surgery hi a ti mek a ni. Chuvangin, a tlem berah chuan heng thisen kalna kawngte hi a chhe thei a, thisen chhuah belh a awm thei bawk. |
| Nau neih theihna a nghawng | Operation hnuah pawh ejaculation problem a awm thei. Hei hi a chhan chu ejaculation control tu nerve te hi surgery an tihna hmunah an kal tlang vang a ni. A tam zawkah chuan surgeon te hian heng nerve te hi chhiatna lakah an venghim thin. Mahse, a chang chuan anejaculation an tih hi a awm thei bawk. |
| Lymphatic fluid awmkhawm (Lymphocele) 1.1. | Lymph node lakchhuahna hmun awmsaah hian lymph fluid a awm khawm thei a ni. He extra fluid hi lakchhuah nan hian i doctor chuan i pum chhungah tube (drain) te tak te a dah thei ang. |
| Harsatna dang a awm bawk | Surgery dang ang bawkin natna kai theihna a tlem a, thawk harsatna, taksa peng dang tihchhiat, pum hnuai lam na, leh chaw ei kham a awm thei. |
Operation hnua report-ah hian eng nge awm?
I doctor chuan i lymph nodes a enfiah hnua pathology report i dawn chu a hrilhfiah ang che.
A chhungah hian "positive" emaw "negative" emaw tih thumal i hmang thei.
- Positive result a awm chuan lymph node-ah cancer cell a awm tihna a ni a, chu chu lakchhuah a ni.
- Negative result chuan cancer cell a awm lo tihna a ni.
Hei bakah hian report-ah hian lymph node lakchhuah zawng zawng zinga engzat nge cancer cell awm tih a tarlang bawk. Pawh,
- Cancer chi hrang hrang.
- Cancer cell te hi cell pangngai (grade) atanga an danglam dan.
- Cancer cell te inthen darh chakna (mitotic rate).
Report-ah hian thu pawimawh dang a awm thei a, chungte chu:
Results kan hmuh hnuah eng nge thleng leh ang?
I report result a zirin i medical team chuan eng nge i tih tur tih an rel ang. Hetiang hi a ni mai thei:
- Enkawlna engmah awm lovin enfiah / enkawl
- Chemotherapy hmanga enkawl a ni
- Radiation hmanga enkawlna a ni
Engtik hunah nge doctor ka biak ang?
In i thlen veleh i dam lehna tur chu nasa taka i enkawl a ngai a ni. A bik takin i surgery hliam a dam danah fimkhur rawh. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Warning signs - doctor hriattir nghal rawh | |
|---|---|
| Nausea emaw, luak chhuak emaw | I pum chhungah tui tlemte pawh i dah theih loh khawpa i luak a nih chuan. |
| Pum hnuai lam natna | I pum hnuai lam i khawih hian tightness, natna nasa tak emaw, na emaw i hriat chuan. |
| Flatulence emaw bowel movement emaw a awm lo | Thli i pass thei lo emaw, i bawlhhlawh i chhuah thei lo emaw a nih chuan. |
| Hliam atang hian pus a chhuak | Surgical incision atanga pus ang chi tui chhuak a awm chuan. |
| Natna nasa tak a nei | Natna nasa tak, natna tidamtu damdawi hmanga pawh thunun theih loh i neih chuan. |
Eng surgery pawh hi a hlauhawm hle a, a bik takin cancer a awm chuan a hlauhawm hle. Mahse, RPLND hi nunna chhanhimna a ni tih hre reng ang che, doctor-te hnenah i hriselna chungchangah thu pawimawh tak tak a pe a, cancer darh zel tur pawh a titawp thei a ni.
Chutiang operation lian tak neih chungchangah rinhlelhna emaw hlauhna emaw i la nei a nih chuan specialist dang ngaihdan pahnihna lak chu thil dik lo a ni lo. Doctor dang nena inbiak hian rilru hahdamna nasa tak a pe ang che a, surgery hmachhawn tura i mamawh rilru chakna a pe ang che.
He surgery hi i nunah step lian tak a ni. Mahse, i nunna a chhanhim thei a ni. I medical team te chu i tanpui turin an awm reng a ni. Chuvangin zawhna emaw, hlauhna emaw i neih apiang chu sawipui rawh.
Take-Home Thuchah a ni
- RPLND hi surgery lian tak a ni a, pum chhung peng hnung lama lymph node awmte chu a paih chhuak thin a ni.
- Hei hi a bik takin cancer a darh tawh em tih hriat nan te, a darh zel loh nan te, cancer a lo let leh tawh loh nan te tih a ni.
- Surgery dang ang bawkin hlauhawmna a awm a, chu chu thisen chhuah leh nau neih theihnaah nghawng a nei thei a ni. Hengte hi i doctor chuan a hriattir ang che.
- Operation hnua a dam leh theih nan hun a duh a ni. Infection chhinchhiahna (khawsik, hliam atanga zun, natna nasa tak) hriat a pawimawh hle.
- I hlauhthawnna leh i ngaihtuahnate chu i medical team hnenah inhawng takin sawi rawh. A tul chuan ngaihdan pahnihna lak hreh ngai suh.
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