A châng chuan, doctor-in damdawi lam thil avânga i intestines hmun ṭhenkhat chu lak chhuah a ngai tih a hrilh che hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai a ni. "Ka intestine piece pakhat an lakchhuah hnuah normal takin ka nung thei dawn em ni?" "Chaw chu a hmin dawn lo em ni?" Hetiang zawhna hi i rilruah i nei nual ngei ang. Chuvangin, vawiin hian he 'small bowel resection' emaw `(Small Bowel Resection)` surgery chungchang hi thu awlsam takin kan sawi dawn a ni.
A awlsam zawngin, he surgery-ah hian i intestine te tak te chhia emaw, natna nei emaw chu surgery hmanga lak chhuah a ni. Kan intestine te hi a sei hle a, a inzawm khawm a, mak tak mai a ni a, a tlangpuiin feet 20 leh 30 inkar a sei a ni. Kan ei leh in atanga kan taksain nutrient tam zawk a lakluhna hmun a ni. Chuvangin he intestine sei tak atanga a then te te hi lakchhuah ni mahse kan taksa hian a insiamrem thei tlangpui a, bowel chu a thawk tha thei reng a ni.
Engvangin nge hetiang surgery hi neih a ngai?
Small intestine a\anga a \hen chu lakchhuah theih a nih chhan tam tak a awm. Doctor-te chuan he surgery hi damdawi emaw, ei leh in bik emaw hmanga control a nih loh hunah an rawt tlangpui. Mahse, nunna atana hlauhawm, intestinal obstruction ang chi dinhmunah chuan operation neih nghal a ngai mai thei . Hetiang surgery neih chhan ber thenkhat chu hetiang hi a ni.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Thil thleng danglam tak tak | Small intestine-a cancer ni lo lo thanglian ang chi dinhmun, tumor, polyp, emaw small intestine cancer ang chi te. |
| Pian tirh atanga harsatna awm | Meckel’s diverticulum emaw malrotation of the intestine ang chi dinhmun, pian tirh atanga awm thin. |
| Hun rei tak chhunga hri kai theihna | Crohn natna ang chi dinhmun hian intestine bang a ti thim a, a ti tawi (stricture). |
| Strangulated hernia a awm bawk | Hernia chhunga intestine section pakhat a tang chuan chu hmuna thisen kal chu a tawp a, tissue thihna a awm thei bawk. |
| Intestinal tihkhawtlai a ni | Small bowel obstruction hi eng emaw chhan vanga intestine a block vek thinna a ni. Hei hi emergency surgery neih ngai natna a ni. |
| Accident a awm thin | Accident emaw hliam emaw avanga intestine chhiatna, entirnan, perforation. |
Surgery tih dan tur chu engte nge ni?
He surgery hi kawng pawimawh pathum hmanga tih theih a ni. Heng zinga pakhat thlan dan hi i dinhmun leh surgeon-in a rawt danah a innghat a ni.
1. Laparoscopic surgery: Hei hian pum chhungah incision lian tak siam a ngai lo. Chu ai chuan incision tenau tak tak tlemte siamin, chuta tang chuan camera leh surgical instruments te dah a ni. Hetiang tih dan thatna chu a dam thuai a, a na lo zawk bawk.
2. Robotic surgery: Hei hi laparoscopic surgery nen a inang a, mahse hetah hian surgeon chuan robotic machine kut chu a control a, surgery chu chiang zawk leh awlsam zawkin a ti thei a ni
3. Open surgery: Hei hi hmanlai tih dan a ni. Hetah hian pum chhungah incision lian tak siamin intestines te chu an lut thei a ni. Hetiang hmanrua hi hmanraw dang pahnih a rem loh hunah hman a ni.
Surgery neih chhung hian eng nge thleng?
Hemi chungchangah hian ngaihtuahna engemaw tal i neih a pawimawh.
Pakhatnaah chuan fully anesthetized i ni ang a, chuvangin operation chhungin engmah i hre lo ang.
Chumi hnuah chuan surgeon chuan a hmaa kan sawi tawh zinga pakhat hmangin intestine chhia chu a thlen theih nan incision a siam a. Tichuan, section chu a sir lehlamah instrument bik (clamps) hmangin an vawn a, a chhe lai chu an tan chhuak a, an la chhuak thin.
A dawt leh tur chu a pawimawh ber a ni.
- Anastomosis hman dan: 1.1.A tam zawkah chuan, chu section lak chhuah hnua intestine section hrisel pahnih la awmte chu an inzawm khawm a, an inzawm khawm leh thin. Hei hi special stitches emaw staples hmanga tih a ni. Hetiang kalphung hi anastomosis an ti a.
- Ileostomy: Mahse, a chang chuan intestine peng dang pahnih inzawmkhawm theih a ni lo. Entirnan, a hmun pahnih inkar hlat lutuk a nih chuan, a nih loh leh infection in a inzawm leh nghal loh chuan doctor chuan thil dang a ti ang. Chutiang a nih chuan opening (stoma) siam a ni a, chu chuan small intestine tawp lam chu pum vunah a rawn lang thei a ni. He kawngkhar atang hian bawlhhlawh chu a chhuak a, vunah inzawm bag bik (ostomy bag) ah a inkhawm thin. Hei hi ileostomy an ti a. Hei hi hun eng emaw chen atan emaw, chatuan atan emaw pawh a ni thei.
Surgery hnuah eng nge thleng? Eng chen nge a dam leh theih ang?
Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni.
- Ei leh in: A tir lamah chuan intestines hian chawlh hahdam a mamawh avangin ei tur chu ka atanga pek a ni lo. Chu ai chuan nutrition chu tube (tube feeding) hmanga pek a ni. Naupang chu a dam zauh zauh a, doctor-in a tih angin tui leh ei tur nem tak takte chu ka atanga ei tan theih a ni.
- Kal: Damdawi ina i awm laiin, chutiang bawkin in haw hnuah pawh, thisen zam lo turin khum atanga tho a, tlem tal kal kual a pawimawh hle .
- Recovery time: Thla engemaw zat a la ngai thei a, a dam kim theih nan, mahse mi tam zawk chuan kar tlemte chhungin nitin hnathawhnaah an kir leh thei a ni.
He surgery hian eng nge a hlauhawmna leh a side effects?
Surgery dang ang bawkin risk engemaw zat a awm a, chu chu hriat chian a pawimawh hle.
| Risk / Side Effect a awm thei | Hrilhfiahna |
|---|---|
| Anastomotic leak a awm | Suture/staples atanga leakage awm. Hei hi thil hlauhawm tak leh nunna atana hlauhawm tak a ni. |
| Kawthalo | Taksain dinhmun thar a insiamrem avangin operation hnu kar engemaw zat chhung chu ril\am a awm thei. |
| Inguinal hernia a awm thin | Surgery neih laiin incision siam hmanga intestine hmun thenkhat chu nawr chhuah a ni. |
| Risk dang pawh a awm thei | Infection, thisen zam, thisen tlakchhamna rei tak, leh a bul hnaia taksa peng hrang hrang liver emaw pancreas emaw tihchhiat te. |
Heng symptoms te hi i neih chuan doctor pan nghal rawh!
Operation hnua in lama i haw chuan i taksa hi i enkawl tha hle a ngai a ni. A hnuaia symptoms te hi i neih chuan doctor ko la, damdawi inah kal nghal rawh .
- Ni engemaw zat chhung chu ek chhuah harsa emaw, ril a chhuah loh emaw.
- Chaw emaw, tui emaw chu ka hmanga tihhniam theih loh khawpa nausea leh luak chhuak.
- Surgical incision atanga pus emaw thisen chhuak emaw.
- Damdawi ei hnu pawha reh ngai lo natna nasa tak.
- Infection chhinchhiahna, khawsik, sen leh incision chhehvel lumna te.
Heng symptoms te nen hian harsatna i tawk a nih chuan hun khawhral suh la, damdawi in hnai ber Emergency Department (ETU) -ah kal nghal mai tur a ni tih hre reng ang che.
Take-Home Thuchah a ni
- `Small Bowel Resection` tih hi kan taksa peng natna nei emaw, chhia emaw surgery hmanga lakchhuahna a ni. Hei hi hlau suh.
- Kan intestine te hi a sei em avangin taksa peng te tak te hi lakchhuah pawh nise a thawk dan pangngaiin a thawk thei fo thin.
- Surgery atanga a dam kim theih nan hun engemaw chen a ngai a ni. Chumi chhung chuan doctor thupek chu uluk takin zawm tur a ni.
- Operation hnua hlauhawm chhinchhiahna (khawsik, natna nasa tak, luak chhuak, incision atanga pus lo chhuak) te hriat reng tur a ni. Chung zinga pakhat tal i hriat chuan doctor thurawn la nghal rawh.
- Hemi chungchanga zawhna dang i neih chuan i doctor nen sawiho theih a ni.
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