I doctor-in ‘Thoracoscopy’ ti turin a ti che em? A hming i hriat khan hlauhna tlem i nei a ni mai thei. "Hei hi engnge?" "Operation lian tak a ni em?" "A har tak tak em?" Hetiang zawhna tam tak hi rilruah a lo lang tawh mai thei. Mahse a takah chuan i ngaihtuah angin a hlauhawm lo. A hman tlanglawn hle a, a him tawk lo hle a, a awlsam hle bawk. Chuvangin vawiinah hian a awlsam em em, a chungchanga zawhna leh hlauhthawnna i neih zawng zawngte tihbo theihna tur zawngin i sawi dawn nia.
A awlsam zawngin Thoracoscopy hi eng nge ni?
Ngaihtuah teh, doctor chuan i rilru chhungah thil dik lo a awm tih a ringhlel a, chu chu lung awmna hmunah a ni. Mahse X-ray emaw CT scan emaw pawhin eng nge a nih chiang takin a la hre thei lo. Hetiang hun lai hian in chhungah lutin i en thei a nih chuan engtiang chiahin nge a nuam ang? Chu chu he Thoracoscopy an tih procedure hi hman a ni.
A awlsam zawngin, hei hian rilru vunah hian incision te tak te tak siam a, chuta tang chuan camera te tak te dah luh a huam a ni. He camera hi thoracoscope an ti a . Pencil ang vela lian tube te tak te a ni. Camera a nei a, a tawp lamah light a awm bawk. He camera hi i dah chuan doctor chuan i lung, i lung chhehvel hmun (chu chu damdawi lam hawia pleural space kan ti thin), diaphragm, leh a chhunga thil awm zawng zawng, rilru bang ang chi te chu TV screen lian takah (monitor) chiang takin a hmu thei a ni.
Hetiang tih hi Video-Assisted Thoracoscopic Surgery (VATS) tih surgery procedure pakhat angin tih a ni fo thin. Chumi awmzia chu surgeon chuan i taksa chu a en lo va, chu TV screen lian takah chuan thlalakte chu a en zawk a, surgery chu nalh takin a ti a, instrument te te hmangin a ti zawk a ni. Hei hi technology hmasawn tak a ni.
Hei hi test atan nge tih a ni em?
He zawhna chhanna chu a takah chuan, "I ti thei vek a ni," tih hi a ni. Hetianga i tih chhan a zirin a danglam thei.
- Diagnostic Thoracoscopy: A châng chuan doctor chuan a chhunga thil awmte chu en mai mai a duh ṭhin. A nih loh leh, rinhlelh awmna hmun atanga tissue te tak te tak te chu enfiah turin an la duh mai thei bawk. Hei hi biopsy kan ti a . Detective lutin evidence zawng ang mai a ni. Hei hi a chang chuan Pleuroscopy an ti bawk .
- Enkawlna atan (Therapeutic Thoracoscopy): A chang chuan, harsatna awm chhan dik tak hriat a ni. Tichuan, chu harsatna chu enkawl nan he procedure hi hman a ni. Chu chu surgery pakhat anga tih a ni tihna a ni.
Engtikah nge thoracoscopy hi tih a ngai?
Doctor-in hetiang tih hi a rawt theih chhan hrang hrang a awm. A bulpui berte chu:
- Chest X-ray, CT scan, leh ultrasound scan ang chi test-a hmuh theih loh information zawng rawh.
- Chest wall (pleura) chhung lam layer thenkhat chu la chhuak rawh.
- Lung hmun chhia te chu paih chhuak rawh (hei hi `lung volume reduction surgery` an ti).
- Lung chhunga air pocket awmte chu la chhuak rawh.
- Lungah cancer a awm chuan a cancer awmna hmun (lung resection) chu paih chhuak tur a ni.
- Lung vel a tui tam lutuk lo awm tawh chu paih chhuakin, tui a lo awm leh tawh loh nan damdawi hmang la (hei hi `pleurodesis` an ti).
He surgery hi a ngai mai thei a, a bik takin lung cancer emaw mesothelioma (lungs lining cancer) ang chi natna nei tan chuan. Tin, rilru chhunga thymus gland emaw esophagus emaw cancer enkawlna atan pawh hman a ni.
Thoracoscopy leh Thoracotomy hi eng nge an danglamna?
Thoracotomy tih hi i hre tawh ngei ang . An pahnih hian chest surgery ni mahse, an pahnih hian danglamna lian tak a nei. Thoracoscopy hi "keyhole atanga thlir" ang mai a ni. Thoracotomy hi "kawngkhar hawn" ang mai a ni.
A awlsam zawngin, thoracoscopy chu incision tenau hmanga tih a ni. Thoracotomy chu a rilru hawn a, incision lian tak siama surgery tih a ni.
Hetiang hian heng method pahnih inthlauhna hi han thlir ila.
| Nihphung | Thoracoscopy (a hliam tenau) . | Thoracotomy (incision lian tak) 1.1. |
|---|---|---|
| Incision lian tham tak | Cut te tak te 2-3 chauh, inch khat aia tlem lo. | Cut lian tak, inches engemaw zat sei, chu chu ruh inkar ah dah a ni. |
| Na | Operation hnua natna hi a tlem hle. | Surgery hnuah a na lutuk. |
| Damna hun | I dam thuai ang a, damdawi inah hun i hmang tlem ang. | A dam leh theih nan hun a duh rei zawk. Damdawi inah rei zawk i awm a ngai a ni. |
| Harsatna awm thei | Complication awm theihna a tlem hle. | Complication awm theihna hi a sang hle. |
A châng chuan thoracoscopy an tan hnuah, heng incision te tak te hmang hian surgeon chuan him taka tihfel theih a ni lo tih a hriat chuan, incision lian zawk nei thoracotomy-ah an inthlak thei bawk. Hei hi i himna atan tih a ni.
Operation hmain engtin nge i inbuatsaih thin?
Hei hi surgery lian tak ni lo mah se, inbuatsaihna engemaw chen a ngai a ni.
- I doctor nen inbia: I doctor hnenah damdawi, vitamin leh herbal remedies i ei zawng zawngte hrilh rawh. A bîk takin thisen tithianghlimtu ( aspirin, clopidogrel, a nih loh leh warfarin ang chi ) i ei a nih chuan, i operation hma ni engemaw zât i ei tawh loh a ngai em tih zawt rawh.
- Chaw nghei: Operation ni-ah chuan tih hma darkar engemaw zat (a tlangpuiin darkar 6-8) chhung engmah ei leh in loh tur thu i hrilh ang. Hei hi anesthesia pek laiin pum chhunga thil awmte chu thlipui chhunga a chhoh loh nan a ni.
Surgery tih dan tur step khat hnu step khatin
I operation ni-ah chuan operation room-a i beisei tur hriatna chuan i lungkhamna a tiziaawm thei a ni. Surgery hi darkar chanve atanga darkar engemaw zat thleng a ni thei a, chu chu a chhunga thil tih dan azirin a ni.
1. Anesthesia: A hmasa berin general anesthesia hnuaiah dah i ni ang. Chumi awmzia chu operation neih chhungin engmah i hre lo ang a, i muhil vek tawh ang. Damdawi hi i kut chhunga dah tube te tak te (IV cannula) hmanga pek tur a ni.
2. Ventilator nena inzawm: I mut hnuah i kawr kaltlangin tube pakhat chu i thlipui chhungah dahin thawkna khawl (`ventilator`) nen inzawm tir a ni. He machine hian surgery a zawh hma loh chuan i tan thawk a la ang. Heng zawng zawng hi i hre lovang.
3. Cut te te siam:A dawtah chuan surgeon chuan i rilruah, i ruh inkar ah, inch chanve aia tam lo, incision te te pahnih emaw pathum emaw a siam ang.
4. Camera leh instruments dah luh: Incision pakhat hmangin a hmaa kan sawi tawh camera (the `thoracoscope`) chu dah luh a ni. Incision dang hmangin operation atana hmanraw tha tak tak, sei tak tak te chu an dah lut thin.
5. Enfiah emaw, enkawl dan emaw: Tunah chuan doctor chuan TV screen a en a, uluk takin a rilru chhung lam chu a enfiah a. Biopsy lak a ngai a nih chuan lak a ni a, lak chhuah tur a awm chuan lakchhuah a ni a, a tul anga enkawl a ni bawk.
6. Bungraw lakchhuah: Hna thawh zawh hnuah camera leh hmanraw dang zawng zawng lakchhuah vek a ni.
7. Chest Tube Insertion: A dawtah chuan plastic tube (`chest tube`) chu incision pakhat hmangin chest cavity chhungah dah a ni. Hei hi operation hnua boruak emaw tui emaw lo awm tawh zawng zawng paih chhuah nan an ti thin. Hei hi ni khat emaw ni hnih emaw chhung chu a hmunah dah a ngai dawn a ni.
8. Incisions Stitching: A tawp berah chuan incisions te siam te chu stitches hmangin an khar thin.
9. Anesthesia atanga harh: Tunah chuan anesthesiologist chuan zawi zawiin a kaitho ang che. Mahni chauha thawk i thawh theih hunah chuan i rilru chhunga tube awm kha a chhuak ang.
Operation hnuah eng nge beisei tur?
Surgery zawh hnuah ward-ah sawn i ni ang.
- Mutthilh: Anesthetics-in nghawng a neih avangin hun engemaw chen chu mutthilh leh nunna nei loin i inhria ang.
- Thâwk na: Thâwkna tube dah a nih avângin, kawchhûngah natna tlem a awm thei a, ni khat emaw ni hnih emaw chhûng chu aw a danglam thei bawk.
- Natna: Incision hmunah hian natna engemaw zat i nei ang. Hemi atana pui turin painkiller pek i ni ang.
- Chest Tube: Chest tube hi ni khat emaw ni hnih emaw chhung chu a hmunah a awm ang. A chhuah hma loh chuan damdawi inah i awm a ngai dawn a ni.
- Chest X-ray: Chest X-ray tih leh a ni ang a, chu chu lungin hna a thawk tha em tih hriat a ni ang.
- Chaw: A tir lamah chuan i beng leh i hmui a ti na thei. I rilru natna a reh hma chuan ei leh in phal a ni lo vang.
Kar hnih vel hnuah nitin hna i thawk leh thei tlangpui. A dam kim theih nan kar li atanga kar ruk vel a ngai thei.
Hei hi risk a awm em?
Damdawi lam thil tih dan dang ang bawkin, a hlauhawmna tlemte chauh a awm. Mahse, kalphung him tak a ni. Thihna hi a hniam hle a, 0.3% a ni. Harsatna awm thei pawh a tlem hle.
Harsatna awm thei (Risks) .
- To luang chhuak tur.
- Cut emaw lung infection emaw a awm thei.
- Khawsik.
- Incision bulah emaw, lung space-ah emaw boruak a awm khawm.
- Lung a tlakbuak.
- Lung vel a fluid awmkhawm.
Hetiang thil a lo thlen chuan i doctor leh damdawi ina thawktute chu enkawl turin an inpeih reng a ni. Chuvangin ngaihtuah buai suh.
In i haw hnuah engtik hunah nge Doctor i hmuh ang?
Damdawi in atanga i haw hnua harsatna i neih chuan damdawi lam thurawn lak nghal a pawimawh hle. A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
| Ngaihtuah vat ngai symptoms te | |
|---|---|
| 🔴 Thâwk harsa | Thâwk harsa i tih emaw, i rilru a tight emaw a nih chuan. |
| 🔴 Khawsik | Taksa lumna a san chuan. |
| 🔴 A rilru a na hle | I rilru natna nasa tak i neih chuan, chu chu incisions natna nen a danglam a ni. |
| 🔴 A hring thar | I rilru, i kawng emaw, i hmai emaw-ah hliam thar i neih chuan. |
Heng mizia te hi ngaihven a pawimawh hle.
Take-Home Thuchah a ni
- Thoracoscopy hi damdawi lam kalphung hmasawn tak a ni a, rilru chhung lam chu incision tenau tak tak hmanga en leh enkawl nan hman a ni.
- Hei hi thoracotomy aiin a hlawk zawk hle a, chutah chuan rilru hawn a ngai a ni. A na lo zawk a, a dam rang zawk a, harsatna a nei tlem zawk bawk.
- I doctor thupek dik taka zawm a pawimawh hle a, operation hma leh operation hnuah pawh a pawimawh hle.
- Hemi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbia la, chinfel rawh. Nangmah ah engmah dah suh.
- In lama i haw hnua vaukhânna chhinchhiahna lo awm theite chu hre reng ang che. Harsatna i neih chuan doctor thurawn la nghal rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh