Doctor in hernia i nei tih a hrilh che em ? Chutiang a nih chuan, chu mi atan chuan operation i neih a ngai tih a hrilh che a ni mai thei a, chutih hunah chuan "mesh" (net ang chi thil) chu i pum chhunga chak lohna chu tichak turin a dah dawn tih a hrilh che a ni mai thei. Mi thenkhat chuan "mesh" tih thumal an hriat hian an hlau deuh a, "Hei hian ka taksa chhungah eng nge a dah dawn?" Chu chu a awm fo mai. Chuvangin vawiinah hian he thil chungchanga zawhna zawng zawng chhanna zawng ila, eng nge ni, engvangin nge hman a nih, a thatna leh that lohna te chu eng nge ni. Engkim hi awlsam takin sawi ila.
A awlsam zawngin, surgical mesh chu eng nge ni?
Surgical mesh hi netting nghet tak chi khat a ni. Kan taksaa tissue chak lo emaw, chhia emaw tihchak nan a hmang a, a bik takin pum chhung emaw, kawr chhungah emaw a tichak a ni. Puan hlui, chhe tawh tak hnuaia puan chak zawk siam ang maiin han ngaihtuah teh.
He mesh hi surgeon chuan i taksaa incision hmangin a dah lut thin. Tichuan, i taksa a dam chhoh zel chuan nangmah ngei pawhin i tissue chu mesh chhungah a lo thang lian a, chu chu a inzawm khawm ta a ni. Bang bula thing zungte chuan bang chu a inzawm khawm a, a tichak ang mai a ni a, concrete tihchakna atana hman wire mesh ang mai a ni bawk. Hei hian taksa chak lo zawk chu chakna nasa tak a pe a ni.
Chûngte chu a châng chuan:
- Abdominal mesh a awm
- Hernia mesh a ni
Engvangin nge he mesh hi hman?
Hernia enkawlna atan hian surgical mesh hman a ni fo thin. Hernia chu kan taksa chhunga organ emaw tissue emaw pakhatin muscle wall-a hmun chak lo tak a rawn nawr chhuahna a ni. Hetiang hian han ngaihtuah teh: tire-a khur te tak te a awm chuan tube chu bubble ang maiin a chhuak thin a ni lawm ni? Chutiang thil chu a ni.
Surgeon-te chuan a chak lohna lai chu khar maiin an stitch thei a ni. Mahse, hun kal zelah, nitin thiltih pressure avangin , stitches te chu a lo chhuak leh ang a, hernia chu hmun khatah a lo lang leh mai thei bawk.
Hei vang hian surgeon te hian mesh an hmang thin. Mesh an dah chuan taksa chak lo zawk chuan chakna a nei belh zel a ni. Chuvangin hernia lo awm leh theihna hi nasa takin a tlahniam a ni.
He mesh hi eng ang thil nge siam a nih?
Surgical mesh hi chi hrang hrang a awm a. An siamna thil a zirin chi hnihah then theih a ni a, chungte chu synthetic leh biologic te an ni. Chungte chu woven emaw knitted emaw angin a awm thei.
Heng chi hrang hrangte hi a hnuaia table atang hian chiang zawkin i hrethiam ang u.
| Mesh chi hrang hrang | Hrilhfiahna |
|---|---|
| A rilru a buai em em a, a rilru a hah em em bawk a | Chungte chu hman tam ber an ni. Entirnan, thil pakhat (Polypropylene) tih hmanga siam an ni. Chungte chu taksaah a awm reng a, a hmin lo. Chakna nghet tak an pe a ni. |
| A rilru a buai em em a, a rilru a hah em em bawk a | Hetiang implant chi hi a dissolve a, hun kal zelah taksain a hip lut thin. A hmin deuh deuh chuan a hmunah tissue thar, chak zawk a lo thang lian thin. Chungte chu taksaah a awm reng lo. |
| Biological Mesh (Biologic) hmanga siam a ni. | Hengte hi ran (vawk emaw bawng emaw) tissue atanga siam a ni. Mahse, chu tissue chhunga cell te chu a chhuak vek a, collagen framework chauh a awm ta a ni. Hei pawh hi hun kal zelah taksain a hip lut thin. |
| Composite Mesh a ni | Hengte hi a chunga kan sawi tak chi khat emaw a aia tam emaw inzawmkhawma siam mesh chi khat a ni. |
I surgeon chuan eng mesh chi nge i tan a tha ber tih a rel ang. A chi hrang hrangte thatna leh that lohna a hrilhfiah ang che.
Engtin nge operation neih chhung hian taksa chhungah hei hi i dah thin?
Hei hi hernia surgery i neih chi hrang hrangah a innghat a ni. A tlangpuiin, surgeon chuan hengte hi a zawm ang:
1. Cut hman dan:Traditional open surgery-ah hian inches tlemtea incision vawi khat hman a ni. Laparoscopic surgery emaw robotic surgery emaw ah chuan incision tenau zawk engemaw zat hman a ni .
2. Hernia repair: Herniated tissue emaw organ emaw chu a hmunah dah lehin, muscle chak lo zawka khur chu stitches hmangin khar a ni.
3. Mesh dah: A dawtah chuan, suture an siamna hmun chu tichak lehzual turin mesh chu muscle layer hnuaiah emaw, a chungah emaw, a inkarah emaw dah a ni.
4. Incision khar: A tawp berah chuan taksa pawn lama incision emaw incision siam te chu stitches hmanga khar a ni.
He mesh hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin hlawkna leh hlauhawmna pawh a tlem hle. Mahse, a tam zâwk chuan, enkawlna hlâwkna chu a hlauhawmna aiin a tam zâwk tih hre reng ang che.
Main advantage a ni
Hei hi a thatna lian ber chu hernia lo awm leh theihna chance a tlem hle. Mesh tel lovin i sew up mai mai chuan a thleng leh thei. Mahse mesh i dah chuan buaina chinfelna nghet tak ang mai a ni. Tin, hei hi enkawl dan him leh tangkai tak a ni bawk.
Risk awm thei te
Hetiang hlauhawmna a thlen theihna hi a hniam hle , mahse hriat a pawimawh hle.
- Infection : Surgery dang ang bawkin, incision chu a infect thei a ni .
- Hernia recurrence: A tlem hle a, non-absorbable mesh chu a rupture emaw a lo inher emaw a, chu chuan muscle te chu a ti inthen leh thei a ni.
- A chhehvel taksa peng chhiatna: A tlem hle a, mesh hi taksa peng hrang hrang, intestines emaw bladder emaw-ah a innghat thei a, chhiatna engemaw zat a thlen thei.
- Mesh hi tissue nen a inzawm lo: A chang chuan, mesh hi beisei angin taksa tissue nen a inzawm lo thei a, a chak zawk bawk.
Heng hlauhawmna bakah hian eng surgery pawha hlauhawmna awm fo thin engemaw zat a awm bawk.
- Anesthesia nena inzawm harsatna.
- Thisen chhuah tam lutuk.
- Surgery an tihna hmuna nerve pakhat tihchhiat avanga hun rei tak chhunga natna emaw, natna emaw.
A pawimawh ber chu surgeon chuan hernia chu mesh hmanga siamthat a tum a, a chhan chu chutianga tih loh chuan a hlauhawmna a sang zawk hle. Entirnan, hernia enkawl loh chuan bowel obstruction emaw bowel strangulation emaw a thlen thei a, chu chuan intestines a tichhe thei a ni. Hetiang a nih chuan emergency leh nunna atana hlauhawm tak a ni.
Operation zawhah ka dam thuai theih nan eng nge ka tih ang?
Operation hnuah i dam kim hma loh chuan fimkhur tur engemaw zat i neih a ngai dawn a ni. I hernia awm dan leh i surgery chi hrang hrang a zirin dam leh hun chhung hi a inang lo ang. Kar khat vel hnuah chuan thil pangngaiah i kir leh thei tlangpui ang.
Heng thilte hian dam thuai turin a pui ang che:
- Toilet-a kal dawnin rilru hahna (straining) pumpelh rawh: Constipation i neih loh nan fimkhur rawh.
- Tui leh tui in tam: Hei hian chaw ei kham a veng ang a, taksa a thawk tha thei ang.
- Doctor-in a tih ang chiah khan natna tidamtu damdawi hi hmang rawh: Natna chu thunun theih a nih hnuah chuan i kal leh che vel a awlsam tawh ang.
- Nitin tlem tal kea kal: Operation hnu ni a\anga a tlem thei ang bera kal chuan thisen kal a ti \ha ang a, hliam chu a dam thuai ang.
- Thil rit phurh loh tur: Doctor-in a tih hma loh chuan thla engemaw zat chhung chu rit phurh emaw, exercise hahthlak tak tak emaw tih loh tur a ni.
Engtikah nge doctor ka biak ang?
Operation atanga i haw hnua a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni . A châng chuan i damdawi in hnai ber Emergency Department (ETU) pan a ngai mai thei.
| Symptom a ni | Thil fimkhur tur |
|---|---|
| Natna nasa tak a nei | Natna nasa tak, natna tidamtu damdawi hmang pawha thunun theih loh leh tuar theih loh. |
| Infection a awm tih chhinchhiahna | Fever, incision vel vun sen, purple, brown emaw black emaw, vun hring lutuk, leh incision atanga yellow pus ang chi tui chhuak. |
| Intestinal lama harsatna a awm | Symptoms awm reng, constipation na tak, diarrhea, bloating, leh influlence lutuk te. |
Hernia surgery ngaihtuah hian tlem a hlauthawng leh lungkham deuh hi thil pangngai a ni. Mahse, surgical mesh hi damdawi hmanraw tangkai tak leh hman lar tak a ni a, hernia lo awm leh tur venna a ni. I surgeon chuan i dinhmun chinfelna tha ber a pe ang che. Chuvangin zawhna i neih apiang i doctor nen sawiho hlau suh.
Take-Home Thuchah a ni
- Surgical mesh hi mesh ang chi a ni a, hernia ang chi dinhmunah chuan taksa chak lo zawkte tihchakna atan hman a ni.
- Mesh hman hian hernia lo awm leh theihna a ti tlem thei hle.
- Mesh hi chi hrang hrang a awm a. Ṭhenkhat chu a awm reng a, ṭhenkhat erawh chu hun kal zelah an inthiarfihlim thung. I doctor chuan eng chi nge i tan a tha tih a rel ang.
- Operation hnua dam thuai theih nan doctor thupek dik tak zawm la (rit phurh loh, tui tam tak in, kea kal).
- Operation hnua natna danglam bik i hmuh chuan, natna nasa lutuk, khawsik emaw, hliam atanga zun chhuak emaw i hmuh chuan doctor hnenah hriattir nghal rawh.
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