A châng chuan doctor-in nangmah emaw, i chhûngkaw zînga mi emaw-in i rilru zai a ngai tih a hrilh hian "thoracotomy" tih thumal pawh an sawi thei bawk. He thu i hriat hian tlem a hlauthawng leh hlauthawng deuh hi thil pangngai a ni. "Eng surgery nge a nih?", "A hlauhawm em?", "A na lutuk dawn em ni?" tih hi rilruah zawhna lo lang vek a ni. Chuvangin vawiin hian he thoracotomy surgery hi eng nge a nih tak tak, eng chhan nge tih a nih tih leh a chungchanga hriat tur zawng zawng kan sawi dawn nia.
Thoracotomy hi eng nge ni tak tak?
A awlsam zawngin, thoracotomy chu surgeon-in i rilru chhunga taksa peng hrang hrangte hmuh emaw, enkawl emaw tura a ruh pahnih inkar a cut a ni. Lehkhabu cover hawn ang maiin ngaihtuah la, a phek te chu a en theih nan, surgeon chuan a rilru chhunga taksa peng hrang hrangte thlen theih nan a rilru a hawn a ngai a ni.
Hetianga rilru hawn a nih chuan taksa peng lian ber berte chu:
- Chuap
- Thinlung leh a kaihhnawih thisen kalna kawng lian tak tak (entir nan, aorta) .
- Chaw ei kawng (Esophagus) a ni
- Trachea a ni
A chang chuan he method hmang hian ruh hmalam thlengin an thleng thin. He incision hi a tlangpuiin rilru veilam emaw dinglam emaw ah an siam thin. Hei hi enkawl mek organ lam a innghat a ni. Incision hi a rilru atanga tan a ni a, a hnunglam thlengin armpit hnuaiah a tla thla a ni. Incision lian leh te hi surgery tih tur chi hrang hrang a zirin a inang lo. A châng chuan, surgeon chuan a ruh a tihchhiat emaw, a lak chhuah emaw a ngai thei bawk. Hei hi ‘open surgery’ an ti bawk.
Engvangin nge thoracotomy kan tih a ngai?
Thoracotomy tih theih chhan hrang hrang a awm. A chang chuan natna hriat theih nan tissue sample (biopsy) lak nan an ti thin. A châng dangah chuan natna enkawlna atân an ti ṭhin. He surgery neih chhan berte hi han thlir ila.
| Surgery neih chhan | A sawifiahna awlsam tak |
|---|---|
| Biopsy a ni | Lung natna rinhlelhna a awm chuan tissue sample lak theih a ni a, chu chu chiang taka hriat theih a ni. |
| Lung Cancer a ni | Lung emaw lung hmun thenkhata cancer natna awmte paih chhuah nan. |
| Lung leh thisen zam natna | Thinlung lama harsatna thenkhat emaw, thinlung nena inzawm thisen kalna kawng lian tak tak enkawl nan. |
| Lung a tlakbuak | Lung tlakchhiatna enkawl nan, damdawi lam chuan pneumothorax tia hriat a ni. |
| Lung/thinlung chhehvela tui awmkhawm | Pleural effusion emaw cardiac tamponade emaw enkawl nan , a bik takin infection avanga lo awm a nih chuan. |
| Chaw kawng natna (Esophageal Diseses) te | Cancer emaw, chaw kawng natna dang emaw enkawl nan. |
Surgery neih hmain eng nge thleng?
Hei hi operation lian tak a nih avangin general anesthesia hnuaiah i awm a ngai dawn a ni. Chuvangin he anesthesia chi hi tuar thei tur khawpa hrisel i nih a ngai a ni. Medical team chuan operation hmain engtikah nge ei leh in tihtawp tur tih an hrilh ang che.
A pawimawh hle: I damdawi, vitamin emaw, supplement emaw i ei zawng zawng, over-the-counter-a i lei theihte pawh i doctor hnenah i hrilh vek a pawimawh hle. Damdawi thenkhat, a bik takin thisen tithianghlimtu te hian operation hma ni engemaw zat chhung chu i ei tawh loh a ngai mai thei. Heng thupekte hi uluk takin zawm rawh.
Emergency surgery a nih loh chuan doctor-te chuan meizuk bânsan turin an hrilh ngei ang che . Damna kawngah nasa takin a pui a ni.
Surgery neih chhung hian eng nge thleng?
Surgery neih chhung hian medical team te chuan a sir khatah an hawitir ang che a, i kut pakhat chu i lu chungah dahin hmun nuam takah an dah ang che.
He surgery neih chhunga anesthesiologist titu tur che hi chest surgery lama specialist a ni. I thawk chu a control ang a, chutiang chuan lung pakhat chauh a thawk ang (single lung ventilation) . Chumi awmzia chu operation sir lama lung chu hun eng emaw chen off a nih avangin lung dang atang chauh thawk phalsak i ni tihna a ni. Hei hian surgeon tan chuan operation tih a awlsam phah hle.
Chumi hnuah surgeon chuan ruh pahnih inkarah incision a siam a, special instruments (retractors) hmangin incision chu a tizau a, internal organs te chu a enfiah emaw, a tul anga enkawlna a ti emaw a ni.
Surgery zawh a, incision khar a nih hnuah chest tube dahin a chhunga tui leh boruak awm zawng zawng chu paih chhuah a ni. Hei hi tube ang mai a ni.
Operation hnuah eng nge thleng a, a dam leh theih nan eng chen nge a ngaih?
Surgery zawhah chuan kar khat vel damdawi inah i awm a ngai dawn a ni. Chest tube chu ni engemaw zat a awm ang. Hemi chhung hian medical team te chuan i natna control nan damdawi an pe ang che.
Damna kawngah pawh i thawhhlawkzia hi a pawimawh hle .
- Medical team chuan khuh leh thawk thûk turin an fuih ang che .
- Thâwk lakna atana hmanraw ‘incentive spirometer’ an tih hman an rawt a ni.
- Ṭanpuina nen tlem tal kal turin a ngen a.
Heng thilte hi a tir lamah chuan harsa deuh mah se, lung natna (pneumonia ang chi) laka inven nan a pawimawh hle.
Damdawi in atanga i haw hnuah thla hnih vel a ngai thei a, a dam kim theih nan leh thil tih dan pangngai i thawk leh thei a ni. I doctor hnenah engtikah nge i tih leh theih ang, rit phurh leh infiamna te zawt rawh.
He surgery hian eng hlauhawmna nge a neih?
Surgery dang ang bawkin Thoracotomy surgery hian risk engemaw zat a keng tel a ni. Ngaihtuah buai suh, medical team chuan heng hlauhawmnate hi tih tlem tumin theihtawp an chhuah ang.
- Surgery nena inzawm hlauhawm tlangpui: anesthesia lama harsatna, natna hrik kai, thisen chhuah leh natna.
- A hnua harsatna awm thei te:
- Pneumonia: Chuap natna a ni.
- Atelectasis: Lung hmun thenkhat a tlakchhiat emaw, a tlakbuak emaw.
- Post-thoracotomy pain syndrome: Operation hnu thla tam tak chhung natna awm thei.
Engtikah nge Doctor i hmuh leh duh?
Damdawi in chhuahsan hnuah clinic-a i kir leh tur ni te hriattir i ni ang. Mahse, a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni .
- Khawsik i neih chuan.
- Cut chu thisen a chhuak leh a nih chuan emaw, i khuh laiin thisen a chhuak emaw a nih chuan.
- Thâwk harsa i neih chuan.
- Incision site-ah hian zu a chhuak a, a hring, a sen, a rawng a danglam a nih chuan.
- Damdawi ei hnu pawha natna i thunun theih loh chuan.
Emergency i neih chuan thawk harsatna nasa tak emaw thisen chhuak nasa tak emaw i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh .
Take-Home Thuchah a ni
- Thoracotomy hi surgery lian tak, rilru chhunga taksa peng hrang hrangte enkawlna atana tih a ni. Hlauhawm tih hi thil pangngai ni mah se, thil tul leh nunna chhanhimtu a ni thei. (Sentence hmasa khan Tamil phrase a nei tihsual a ni. Thupek angin Sinhala tawng thianghlim takah siamthat a ni.) Mahse, nunna chhanhimtu leh thil tul tak a ni thei.
- Operation hmain doctor thupek chu uluk takin zawm la, a bik takin meizuk bânsan leh a damdawi ei mekte hriattirna chungchangah.
- Post-surgery pain management leh deep breathing exercise hi dam thuai nan leh pneumonia ang chi complication laka inven nan a pawimawh hle.
- Recovery period chhung hian harsatna emaw, symptom hlauhawm emaw a awm chuan doctor hnenah hriattir nghal tur a ni.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh