I rilru natna leh ei tur i rilruah a rawn lut fo thin tih pawh i nei em? Hei hi gastritis ti ila, hei hi a chang chuan natna khirh zawk a ni thei. Ni engemaw zat damdawi ei hnua buaina chu a reh a, mahse a lo lang leh a nih chuan hei hi chinfelna nghet a awm lo em tih pawh i ngaihtuah mai thei. Chutiang mite tan chuan tunlaia enkawl dan TIF an tih hi tunlaia kan sawi tak hi a pawimawh a ni.
A awlsam zawngin, he TIF hi eng nge ni?
TIF hi "Transoral Incisionless Fundoplication" tih tawifel a ni. Hei hi hrethiam tur chuan thumal hi han then ila.
- Transoral: Hei hi "kawng hmanga" tihna a ni. Chumi awmzia chu enkawlna chu i hmui hmanga instruments dah luh hmanga tih a ni tihna a ni.
- Incisionless: Hei hi "incision awm lo" tihna a ni. Ni e, chu chu i hre chiang khawp mai! He enkawlna hian i pum chhungah incision engmah a nei lo. Chuvangin major surgery chungchangah hian ngaihtuah buai a ngai lo.
- Fundoplication: Hei hi a tih tak tak chu a ni. I pum chunglam (`fundus` an tih) chu la la, i chaw kawng hnuai lam chu khuh la, tlem tal tikhauh rawh.
A awlsam zawngin sawi ila, TIF hi non-invasive procedure a ni a, ka chhunga camera (endoscope) dah hmangin i pum chunglam leh i chaw kawng inkar valve chu a tichak a ni.
TIF enkawlna hian engtin nge GERD hi a tihdam theih?
Hei hi hrethiam tur chuan thinlung natna kan neih chhan hi han en hmasa ila. Kan esophagus (food pipe) leh kan pum inzawmna hmunah hian ring of muscle a awm a, chu chu valve ang maiin a thawk a ni. Kan ei hian a inhawng a, chaw chu pum chhungah a kal tir a, chutah chuan a khar leh ta a ni. Hei hian acidic stomach acid chu esophagus-ah a rawn chho leh thei lo.
Mahse, GERD (Gastroesophageal Reflux Disease) i neih chuan chu chu kan sawi tum chu a ni, valve ang maia thawk tha ruhte chu a chak lo hle. Chuvangin stomach acid hi a lo chhuak awlsam hle. Hei hi kang duhna i hriat chu a ni a, i rilruah a thlum na tak a ni.
Mi thenkhat chuan hiatal hernia an tih pawh an nei thei bawk . Hei hi kan pum chunglam hian kan rilru leh kan pum inthenna bang lian tak, diaphragm-a khur te tak te a rawn nawr luh hian a ni. TIF enkawlna hian he valve chak lo tak hi a tikhauh thei a, hiatal hernia te te pawh a siam tha thei bawk.
He TIF enkawlna hi tute tan nge a tha ber?
TIF hi mi zawng zawng tan a ni lo. A bik takin:
- GERD na tak atanga na tak emaw hiatal hernia te tak te nei tan.
- Surgery lian tham tih hlau emaw, tih theih loh emaw tan.
- Dam chhung zawnga gastritis damdawi ei loh duh tan.
GERD enkawlna hman tlanglawn ber chu damdawi chi khat proton pump inhibitors (PPIs) an tih hi a ni. Mahse, mi thenkhat chuan hun kal zelah heng damdawi te hi an tuar thei lo mai thei. Mi dangte chuan hun rei tak chhûnga lak an duh lo mai thei. Chutiang mite tan chuan TIF hi operation leh hun rei tak damdawi ei ai chuan a tha zawk a ni.
TIF enkawl hmain eng nge tih tur?
He enkawlna hi i ngaihven a nih chuan i doctor nen i sawi hmasa tur a ni . Gastroenterologist emaw general surgeon emaw pawhin hetiang hi a ti thei. Ani chuan a enfiah ang che a, hei hi i tan a dik tak tak em tih a rel ang. Test engemaw zat tihsak a ngai dawn a ni.
| Test awm thei te | A awlsam zawngin, eng nge thleng? |
|---|---|
| Esophagram (Esophagram) a ni | Liquid i ei lai hian video X-ray (`fluoroscopy`) hmangin chaw kawng (esophagus) hnathawh dan enfiah a ni. |
| Upper Endoscopy hmanga enfiah a ni | Kawngkhar kaltlangin camera dahin chaw kawng chhung leh pum chhunga dinhmun chu direct-in an enfiah thin. |
| Esophageal pH test a ni | Endoscopy neih chhung hian i chaw kawng chhungah sensor te tak te dahin nitin i chaw kawng chhunga acid lut zat a teh thin. |
| Esophageal manometry hmanga chaw kawng (esophageal manometry) a ni | Esophagus chhunga muscle te pressure leh function te hi hnar atanga tube te tak te (nasogastric tube) dah hmangin an teh thin. |
Mahse hre reng ang che, hiatal hernia lian tak, ei harsa, erosive esophagitis na tak, emaw, i esophagus lining tihdanglam vek tawh (Barrett’s esophagus) dinhmun i neih chuan TIF enkawlna hi i tan a tha lo mai thei.
Enkawl lai hian eng nge thleng?
He enkawlna hi general anesthesia hmanga tih a ni a, chu chu i muhil vek tihna a ni. Chuvangin engmah i hre lo.
Doctor chuan i hmuiah endoscope, camera leh TIF device a thun lut a. Screen-a thlalakte a en lai hian doctor chuan uluk takin a pum chunglam chu chaw kawng (esophagus) velin a fold a, clip te emaw, stitches (`fasteners`) te hmangin a hmunah a vawng tlat a ni. Hei hi hmun chak lo tak tihchak ang mai a ni a, kawr kawrfual kawr ang mai a ni.
Procedure zawng zawng hi minute 45 atanga 60 vel a ni . Enkawl zawhah enkawl i ni ang a, a tlangpuiin chu ni vek chuan haw phalsak i ni ang a, a nih loh leh damdawi inah zan khat riah turin an ti mai thei bawk.
Enkawl hnuah... natna leh dam leh hun
I harh hunah chuan saline solution hmangin natna damdawi an pe ang che. Mi tam zawk chuan ni khat emaw ni hnih emaw chhung awm thei khawpa natna tlemte chauh an nei. Kawng na leh rilru na na lo tak a awm fo thin.
Recovery period chungchangah chuan ni engemaw zat chhungin hna pangngai i thawk leh thei ang. Mahse, chaw kawng chhung lam chu a dam kim theih nan kar hnih atanga kar ruk vel a ngai dawn a ni. Hemi chhung hian i ei leh in i thlak danglam a ngai dawn a ni.
- A tir lamah chuan: tui thianghlim (e.g. soup tui, orange tui) .
- A dawt leh: Tui thick leh ei tur chi hrang hrang hrual
- Kar tlemte hnuah: Chaw ei pangngai i hmang thiam thei ang.
Hetih lai hian thla khat vel chhung chu thil rit phurh leh exercise hahthlak tak tak te tih loh a pawimawh hle .
Hei hian risk a nei em?
Damdawi lam thil dang ang bawkin TIF hian risk tlemte chauh a keng tel thei a ni. Mahse, hengte hi a thlen theihna a tlem hle.
| Harsatna awm thei (a tlem hle) . | |
|---|---|
| Esophagus emaw pum chhunga chhiatna | Thisen chhuah emaw, perforation emaw. |
| Infection awm thei te | Thil awmdan hrang hrang, rilru natna (mediastinitis). |
| Symptoms a lo lang leh thin | Hun kal zelah symptoms a lo lang leh a nih chuan enkawlna dang i thlak a ngai mai thei. |
TIF leh traditional surgery (Nissen Fundoplication) te hi eng nge an danglamna?
GERD natna atana classic surgery hi Nissen fundoplication an ti a . A danglamna ber chu doctor hian pum chhunga incision hmangin pum chhungah a lut a ni. A châng chuan, laparoscopically-in tih a ni a, incision tenau engemaw zat hmangin.
A danglamna dang chu Nissen procedure hian chaw kawng chu chaw kawng (esophagus)-ah a khuh nghet zawk a ni. Hei hian GERD na tak tan a hlawk hle. Mahse, mi thenkhat tan chuan he tightness hian side effects a thlen thei a, chu chu ei harsa leh boruak pass harsa (belching) te hi a ni.
Hetiang hi hun rei tak chhunga side effect awm thei hi TIF enkawlnaah hian a tlem hle. Buaina tlemte chinfelna tlemte a pe a ni. Chuvangin, a hlauhawmna leh surgery hun rei tak awm lovin harsatna chinfelna tha tak a pe thei a ni.
TIF enkawlna hi a la thar hle a, mahse result hmasa berah chuan kum 5 hnuah hlawhtlinna rate chu 80% vel a ni . Hlawhtlinna tih awmzia chu damlote chuan hun rei tak chhunga remission an hmu a, damdawi hman an tihtlem emaw, an chawlhsan vek emaw tihna a ni.
Take-Home Thuchah a ni
- TIF hi tunlai, non-invasive treatment a ni a, persistent GERD leh small hiatal hernias te tan a ni.
- Hei hi ka chhunga dah camera hmanga tih a ni. Chuvangin, major surgery neihnaah hian risk leh pain a awm lo.
- Hei hi GERD natna vei, dam chhung zawng damdawi ei duh lo emaw, operation lian tham nei duh lo tan chuan duhthlan tur tha tak a ni.
- Enkawlna i neih hmain i doctor nen inbiakna neih hmasa phawt la, hei hi i tan a tha em tih i hriat chian hmasak phawt ang che.
- Recovery period hi a rei lo hle a, mahse doctor thupek zawm a, i dam kim hma loh chuan chawlh hahdam a pawimawh.
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