Transanal Endoscopic Microsurgery (TEMS) hmanga tih a ni.

Doctor chuan i rectum-ah hian tumor te tak te, polyp i nei tih a hrilh che em? Chu thu i hriat chuan zawhna hlauhawm tak tak i rilruah a lo lang a, "Aw, ka pum ka tan a ngai dawn em ni, eng chen nge damdawi inah ka awm a ngai dawn, eng chen nge a na ang?" Mahse, hlau suh. Tunlai hian damdawi lam hi a changkang hle. Chutiang tumor chu pum chhungah engmah incision siam lovin a paih chhuak thei a, chu chu rectum kaltlangin instrument te te dahin a paih chhuak thei a ni. Chu chu vawiina kan sawi tum chu a ni.

TEMS hi eng nge ni tak tak?

A awlsam zawngin, Transanal Endoscopic Microsurgery (TEMS) hi i hnute kaltlangin surgical instrument tenau tak tak leh camera dahin, chu chu bawlhhlawh chhuahna hmun kaltlangin, rectum-a tumor, polyp, etc. te paih chhuah a ni a, chu chu intestine lian ber hnuai ber a ni.

Ngaihtuah teh, tun hma chuan hetiang tumor hi rectum chhungah chauh awm chu paih chhuah tur chuan i pum chu i tan a, operation lian tak i tih a ngai ang. A dam theih nan hun rei tak a ngai ang a, a na hle ang a, damdawi inah ni eng emaw zat i awm a ngai dawn a ni.

Mahse he TEMS method hmang hian surgeon chuan anus kaltlangin a kal nghal thei a, pum chhungah engmah incision siam lovin tumor chu a thleng thei a, uluk takin a la chhuak thei bawk. Hei hian natna i nei tlem zawk tihna a ni a, i dam leh hun pawh a tawi zawk tihna a ni.

TEMS leh TAMIS hi eng nge an danglamna?

TAMIS ang bawkin TEMS pawh i hre tawh mai thei. An pahnih hian anus hmanga surgery tih chi hrang hrang an ni. Mahse, danglamna tlemte a awm. Eng nge an nih i en ang u.

I surgeon chuan eng method nge i tan a tha ber tih a rel ang. Tumor awmna hmun, a lian leh te leh thil dang dangah a innghat a ni.

He surgery atan hian tute nge tling?

TEMS surgery hi mi zawng zawng tan a ni lo a, mahse a hnuaia thil thlengah hian duhthlan tur tha tak a ni thei:

• Hriselna lama harsatna dang (entir nan, thinlung natna, zunthlum) avanga pum tan chhuah ngai surgery lian tak tuar harsate tan.
• Rectal cancer natna hmasa ber tan chuan.
• Cancer ni lo (benign) tumor emaw polyp emaw nei tan, a bik takin thalai tan.
• Surgery lian tak hnua harsatna lo thleng thei tur pumpelh duh tan.

Eng natna nge TEMS surgery hmanga enkawl?

He surgery hi rectum-a tumor lo awmte paih chhuah nan an ti fo thin. Eng nge an nih i han thlir teh ang.

Operation hmain engtin nge i inbuatsaih thin?

Chumi atana inbuatsaih chu colonoscopy atana inbuatsaihna nen a inang a ni. A pawimawh ber chu i colon tihfai vek hi a ni. Hei hian surgeon chuan i rectum chhung chu chiang takin a hmu thei ang.

I doctor chuan heng thupekte hi a pe fo ang che:

• Operation hma ni khatah solid foods ei loh tur.
• Operation hma darkar 12-24 chhungin tui (clear soup, tea, tui) chauh in tur a ni.
• Zanlai pelh hnuah engmah ei leh in loh tur a ni a, zai ni hian ei leh in loh tur a ni.
• I intestines tihfai nan special liquid (laxative) in tur pek i ni ang. I in hnuah bathroom-ah i kal fo a ngai dawn a, chuvangin chutih chhung chuan in lama awm reng turin ruahmanna siam rawh.
• Pawimawh tak: Damdawi dang i ei apiang, a bik takin thisen tithianghlimtu te chu i doctor hnenah hrilh ngei ang che . Operation hma ni engemaw zat chu ei tawh lo turin an ti mai thei che.

Engtin nge surgery hi tih a nih?

Hlauh tur a awm lo. Surgery tan hmain general anesthesia pek i ni ang. Chumi awmzia chu i muhil vek tawh ang a, engmah i hre lo ang. Surgery neih chhunga thil thleng tur thenkhat chu hetiang hi a ni:

1. Surgeon chuan i rectum kaltlangin instrument bik (rectoscope) a dah lut a.

2. Tichuan, rectum chhung lam en theih nan boruak tlem te te chu a chhungah luah khatin inflated a ni.

3. Tunah chuan chu hmanrua hmang chuan camera te tak te tak leh surgical instruments te chu an dah lut a, monitor-a an en laiin tumor emaw polyp emaw chu lakchhuah a ni a, chubakah a chhehvela tissue hrisel tlemte pawh a awm bawk.

4. Tumor lakchhuahna hmun chu dissolvable stitches emaw metal clip te te hmangin an khar thin. Chungte chu taksain a hip lut emaw, stool-ah a pass out emaw a ni.

He surgery hian eng nge a thatna?

TEMS surgery thatna lian ber chu pum chhunga hliam awm lovin rectum chunglam thlengin a thleng thei a ni. Tun hma chuan chutiang hmun thleng tur chuan operation lian tham tak neih a ngai thin. Chutiang surgery lian tak tak chuan hun rei tak chhunga nghawng tha lo tak tak, zun harsatna, mipat hmeichhiatna lama harsatna, leh permanent stool bag (colostomy) bun ngai te a thlen thei a ni.

• Thisen chhuah hi a tlem hle.
• Infection leh intestinal blockage ang chi complication awm theihna a tlem hle.
• Damdawi ina awm hi a rei lo (a tlangpuiin ni khat emaw ni hnih emaw).
• Rei lo teah i dam leh ang a, thil tih dan pangngaiah i kir leh thei tawh ang.

Risk emaw complication emaw a awm em?

Surgery dang ang bawkin, hlauhawmna engemaw zat a awm. Mahse, tummy tuck nena khaikhin chuan a hlauhawmna a hniam zawk hle. Harsatna tenau lo awm thei te chu:

• Thisen chhuak
• Infection neih a ni
• Rectal emaw pum chhunga natna
• Zun harsatna (Urinary retention) .
• Ek chhuah a ngai nghal tih hriat (Fecal urgency) .

Hetiang thil hi a lo thleng a nih chuan i doctor chuan a tul anga enkawlna a pe ang.

Eng chen nge tihdam a ngaih?

Hei hi he surgery chungchanga thil ropui dang a ni.

• I surgery ni vek khan i tho thei a, i kal thei bawk .
• In i haw hnuah ni khat emaw ni hnih emaw vel hnuah i thiltih pangngai chu i thawk leh thei ang .

Operation hnu kar engemaw zat chhung chu i bawlhhlawh chu a lo hring deuh thei. Hei hi thil pangngai a ni. I bowel function a normal leh hma loh chuan i ei leh in lama inthlak danglamna siam turin nutritionist emaw dietitian emaw i pan a ngai mai thei.

Doctor pan nghal tur dinhmunte

Operation hnua in lama i haw chuan harsatna awm apiang hriat vat a pawimawh. A hnuaia symptoms te hi i neih chuan doctor ko nghal emaw, damdawi in Emergency Department (ETU)-ah enkawl turin kal rawh.

Hei hi rectal cancer surgery awmchhun a ni em?

Hei hi mi tam tak tan chuan harsatna a ni.

If the cancer is in a very early stage , chu chu tumor a te a, hmun dangah a darh lo tihna a ni a, TEMS surgery hmanga tumor lak chhuah vek a nih hnuah enkawlna dang a ngai tawh lo mai thei.

Mahse, a then phei chuan surgery bakah hian chemotherapy emaw radiation therapy emaw ang chi enkawlna dang a ngai thei bawk. Hei hi i enkawltu doctor leh oncologist te thawhhona tha ber a ni.

Tumor i nei tih i hriat chuan hlauhna i neih hi thil pangngai a ni. Mahse tunlai thiamna changkang tak tak hmang hian pum tan lova, natna tlem zawk leh dam chak zawka tih theih surgery a awm tih hre reng ang che. TEMS hi chutiang enkawlna kawng him leh tangkai tak pakhat chu a ni.