Ni tam tak chhung chu pum na leh lungawi lohna i nei tawh em? I doctor chuan Crohn natna ang chi inflammatory bowel disease (IBD) i nei tih a hrilh che a ni mai thei. Hetiang dinhmun hi rei tak i neih chuan i intestine chhunga hmun thenkhat chu zawi zawiin a zim tan thin. Tui pipe a laiah a tlakbuak ang mai a ni. Chuvangin, heng hmun zau zawkte tihzauh nan hian he special surgery hi `Strictureplasty` kan ti a ni. Vawiin hian thumal awlsam takin engkim kan sawi dawn a ni.
Strictureplasty hi eng nge ni tak tak?
A awlsam zawngin, strictureplasty hi i intestine chhunga hmun tawi emaw, block emaw (stricture an tih) tizau thei surgery a ni. Hei hi chronic inflammation vang a ni tlangpui a, chu chu inflammatory bowel diseases (IBD) Crohn’s disease leh Ulcerative Colitis te vang a ni. He inflammation hian intestinal walls ah scarring a siam a, chu chuan a ti thim a, a ti tawi bawk.
Heng stricture chi hrang hrangte hi a tam ber chu:
- Small intestine hnuai lam (ileum) .
- Small intestine leh large intestine (`ileocecal valve`) inzawmkhawmtu valve chungchang.
Mahse, he natna hi colon, rectum leh anus-ah te pawh a awm thei bawk. He surgery hian a tum ber chu intestine hmun zau tak chu zau zawka ei leh in kalphung pangngai siam leh a ni a, intestine hmun engmah lakchhuah loh a ni .
Engvangin nge he surgery hi i mamawh?
Hetianga i intestine peng pakhat a zim chuan ei tur chu a tlahniam tha thei lo. Hei hian symptoms nuam lo tak tak leh hrehawm tak tak engemaw zat a thlen thei a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Pum natna nasa tak leh ke ruh tliak | Hetiang natna hi a awm chhan chu intestines te hian blockage kaltlangin ei tur an pass tum laiin an contract a ni. |
| Pumpui na leh puak chhuak | Chaw leh boruak a tlak ṭhat theih loh vang leh hmun khatah a tang tlat avangin pum a lo hring thin. |
| Nausea leh luak chhuak | Blockage a nasat chuan ei tur a tlahniam thei lo a, a lo chho leh thei bawk. |
| Ek khal | Digestion process slow vangin efecation a harsa thin. |
| Chaw ei chakna hloh leh taksa rihna tlahniam | Natna leh lungawi lohna avang hian ei duhna a bo a, taksain nutrients a hip lut tha thei lo. |
| Chauhna leh thisen tlakchhamna | Vawi tam tak chu heng hmun zau takah hian ulcer a lo awm thin. Heng ulcer te hi thisen zawi zawiin an chhuak a, hun kal zelah thisen tlakchhamna (anemia) a thlen thin. He dinhmun hi operation hnuah a reh ta a ni. |
A pawimawh ber: Hetiang narrowing hi a lo pung zel a nih chuan intestine chu a block vek thei (intestinal obstruction). Hei hi thil hlauhawm tak leh nunna atana hlauhawm tak a ni. Chuvangin symptoms i neih chuan doctor pan nghal a pawimawh.
He surgery hi tute tan nge a inhmeh ber leh a inhmeh lo ber?
Strictureplasty surgery hi mi zawng zawng tan a ni lo. I doctor chuan i dinhmun a zirin thutlukna tha ber a siam ang.
| Surgery atana tha tak takte | Surgery neih a tha lo lai case te |
|---|---|
| Intestine section sei takah hmun hrang hrangah narrowing engemaw zat a awm chuan. | Intestine section tawi takah narrowing engemaw zat a awm chuan hnaih rawh. |
| Tun hmaa bowel resection i lo tih tawh chuan. | A hmun zau takah hliam, inflammation, fistula emaw, a lo thang dan pangngai lo emaw a awm chuan. |
| Short bowel syndrome i neih chuan. | Narrowing hi a hmaa surgical site (anastomosis) bulah a awm a ni. |
| Narrowing chauh a awm chuan, a narrowing area-ah inflammation leh injury awm lovin. | Perforated bowel i neih chuan. |
| Crohn natna lanchhuahna i neih fo chuan. | Ei leh in lama harsatna nasa tak i tuar a nih chuan. |
Operation hmain engtin nge i inbuatsaih thin?
Hei hi surgery ruahman a nih avangin i doctor chuan test eng emaw zat a ti hmasa ang.
- Imaging Tests: CT scan emaw Magnetic Resonance Enterography (MRE) ang chi test hmangin i intestine-a narrowing awmte chu khawiah nge a awm tih leh eng chen nge a sei tih hriat chian a ni ang.
- Thisen Test: I ei leh in (nutritional status) enfiah nan thisen test a ni ang. Ei leh in lama harsatna i neih chuan operation hma ni engemaw zat chu vein (`IV`) hmangin nutritional supplement pek i ni thei bawk. Hei hian operation hnuah i dam chak zawk ang.
- Stoma (Ostomy bag): A then phei chuan operation hnuah chuan pum vun chunglam chu hun eng emaw chen atan hawnna (`stoma`) siam a ngai thei a, chu chu bawlhhlawh a kal theih nan a ni a, chutah chuan bag (`ostomy bag`) dah a ngai thei bawk. Hemi chungchangah hian lungngai suh. Hei hi a tul a nih chuan i doctor chuan operation hmain uluk takin a hrilhfiah ang che.
Engtin nge surgery hi tih a nih?
Strictureplasty hi operation lian tak a ni a, general anesthesia hmanga tih thin a ni. Damdawi inah ni engemaw zat i awm a ngai dawn a ni. Surgery tan hmain general anesthesia pek i ni ang a, chuvangin natna engmah i nei lovang a, surgery i hriatrengna pawh i nei lovang.
Operation an neih chhung hian surgeon chuan intestine a tawi zawng zawngah incision a siam a, a sew hawng thin. Tube blocked chu a sei zawnga tan a, a incision tawp pahnih chu then a, a inzawm khawm angin ngaihtuah rawh. Intestine a zau chuan ei tur chu awlsam zawkin a kal tlang leh thei a ni. Stricture tam tak i neih chuan operation khatah i enkawl vek thei fo.
Strictureplasty hi a narrowing sei zawng a zirin chi hrang hrang a awm a:
Heineke-Mikulicz-a te chu a strictureplasty a ni
Hei hi hmanraw hman tlanglawn ber a ni. Centimeter 10 (inches 4 vel) aia tawi narrowing atan tih a ni.
Finney emaw Jaboulay emaw Strictureplasty hmanga tih a ni
Hengte hi centimetre 10-20 (inches 8 vel) inkar narrowing atan an hmang thin. He surgery-ah hian intestine chu ‘U’ angin an fold a.
Michelassi Strictureplasty hmanga tih a ni
Hei hi stricture centimetre 20 aia sei tan chuan tih dan bik a ni. Hetiang tih danah hian intestine a zim tawh chu pahnih ah an hrual a, a sir pahnih chu an inzawm khawm a, incision sei tak an siam a, a pahnih chu an sew khawm a ni.
Operation hnuah a dam leh theih nan eng chen nge a duh?
Hei hi surgery lian tak a nih avangin a dam leh theih nan hun engemaw chen a la ngai dawn a ni. Kar khat vel damdawi inah i awm a ngai mai thei . Harsatna a awm chuan rei zawk i awm a ngai mai thei.
- Natna: Operation hnu ni engemaw zat chhungin pum na engemaw zat i nei thei. Hemi atan hian doctor chuan painkiller a pe ang che.
- A tihkhawtlai: Kar tlemte chhung chu rit phurh emaw, lirthei khalh emaw ang chi thil i ti thei dawn lo.
- Infection lakah fimkhur rawh: Surgery hnua infection lo awm tur hi i fimkhur hle tur a ni. Surgery na hmuna natna nasa tak, khawsik, sen emaw, hliam emaw, hliam atanga tui chhuak danglam tak i neih chuan doctor hnenah i hriattir nghal tur a ni
- Diet: I dinhmun a zirin i doctor emaw nutritionist emaw chuan special diet (`GI soft diet`) a rawt thei ang.
- IBD Enkawl dan: Hriat tur pawimawh tak chu he surgery hian narrowing chauh a tizau tih hi a ni. IBD hnuaia awm (Crohn’s ang chi) chu a tidam lo. Chuvangin i dinhmun atan damdawi dang i ei chhunzawm zel a ngai dawn a ni.
`Strictureplasty` leh `Bowel Resection` hi eng nge an danglamna?
Hei hi mi tam takin an zawh thin a ni. Heng surgery pahnih hi a danglamna lian tak a ni.
| Mihring ziarang | Strictureplasty (a zau zawka siam) . | Bowel Resection tih a ni |
|---|---|---|
| Eng nge tih tur | Intestine a narrowed part chu a zau ta a ni . | Intestine a zim deuh chu an tan a , a bak pahnih chu an inzawm khawm a ni. |
| Main advantage a ni | Intestine sei zawng zawng chu a humhim a, `Short Bowel Syndrome` (nutrition absorption problems) vei theihna a ti tlem a ni . | Hmun khata harsatna lo thleng leh theihna chu tlem a tlahniam thei a ni. |
| Nakin lawka risk awm thei tur | Nakin lawkah surgery neih a ngai leh theihna chance a sang hle. | Nakin lawkah re-surgery a ngai dawn tih a tlem hle. |
Doctor-te chuan strictureplasty hi an ti hmasa fo thin a, a chhan chu intestine sei zawng humhalh hi nutrition atan a pawimawh hle a ni.
Take-Home Thuchah a ni
- Strictureplasty hi Crohn’s ang natna avanga intestine hmun tawi te zau zawka tihzauh nan surgery a ni. Intestine hmun thenkhat tan chhuah a ngai lo.
- He surgery hian pum na leh pum na ang chi symptoms te a ti bo thei a, intestine block vek theihna hlauhawm tak a ti tlem thei bawk.
- He surgery hi mi zawng zawng tan a tha lo. I doctor chuan i dinhmun a zirin enkawlna dik ber a ruat ang.
- Hei hi surgery lian tak a nih avangin a dam theih nan hun a duh a ni. Infection leh thisen chhuah ang chi hlauhawm a awm.
- He surgery hian a narrowing chauh a tidam ang. Natna hnuaia awm (IBD) hi enkawl chhunzawm zel a ngai a ni.
- Hemi chungchanga zawhna i neih chuan i doctor nen inbiakna neih hlau suh la, engkim tihfel vek rawh.
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