Rectal surgery i hlau em? Thil thar, non-invasive method (TEMS) i zir dawn teh ang!

I doctor-in i rectum-ah tumor i nei tih a hrilh che a, chu chu i intestine lian hnuai lam a ni. "Aw, i pum hi ka tan a ngai dawn a, ni engemaw zat damdawi inah ka awm a ngai dawn a, a na hle dawn a ni," tiin i ngaihtuah mai thei a ni lawm ni? Mahse, lungngai suh. Tunlai hian technology a lo changkang hle a. Vawiin hian Transanal Endoscopic Microsurgery (TEMS) , special surgical procedure, i pum chhunga incision siam lovin hetiang tumor te hi a paih chhuak a, i rectum kaltlanga instrument te te dah luh hmangin a paih chhuak thei a ni.

A awlsam zawngin TEMS chu eng nge ni?

TEMS hi minimally invasive surgical procedure a ni a, i rectum atanga tumor leh cancer te te paih chhuah nan hman thin a ni. Tun hma chuan i rectum atanga tumor lakchhuah tur chuan abdominal surgery lian tak a ngai thin. He TEMS procedure-ah hian surgeon chuan i hnute kaltlangin instrument bik a dah lut a, camera te tak te leh surgical instrument hmangin tumor chu a la chhuak thin.

The biggest advantage of this is that there are no incisions on the outside of the body , i natna a tlem zawk ang a, i dam thuai ang a, i surgery lian hnuah aiin harsatna i nei tlem zawk ang.

TEM leh TAMIS hi eng nge an danglamna?

TAMIS chungchang pawh i hre tawh mai thei. Heng hmanraw pahnih hi a inang deuh hlek a, mahse a danglamna tlem a awm.

• TEMS (Transanal Endoscopic Microsurgery): Hei hian tube ang maia sei tak, thuk tak ``Rectoscope'' an tih chu a hmang a, camera leh hmanraw dangte chu he tube hmang hian an kal tlang thin.
• TAMIS (Transanal Minimally Invasive Surgery): Hei hian port te tak te, zungbun, flexible, gel ang chi a hmang a. Anus kaltlangin dahin, laparoscopic surgery atana hman thin hmanrua ang chiah hmangin tumor chu lakchhuah a ni.

Doctor chuan i dinhmun a zirchiang ang a, tumor awmna hmun a zirin i duh ber tur method a thlang ang.

TEMS surgery hi tute tan nge a tha ber?

He surgery hi mi zawng zawng tan a ni lo a, mahse a then phei chuan duhthlan tur tha tak a ni.

• Hriselna lama harsatna dang (e.g. thinlung natna, zunthlum) avanga operation lian tham tuar harsate tan.
• Early stage rectal cancer nei tan chuan.
• Cancer nei lo (benign) tumor nei thalai tan.
• Surgery lian tham tih loh duh tan chuan doctor-in a remti a nih chuan.

Mahse, i ruhro awmna hmun hian instrument chu tumor a thlen harsat a nih chuan, emaw, i rectum a tawi (stenosis) a nih chuan, hetiang tih hi a theih loh mai thei. Hei hi i surgeon-in a ruat vek a ni.

TEMS surgery hmanga enkawl dinhmun

He surgery hi rectum-a tumor awmte paih chhuah nan an ti fo thin. A hnuaia natna hrang hrangte enkawlna atan hman a ni.

Operation hmain engtin nge i inbuatsaih thin?

Chumi atana inbuatsaih chu colonoscopy atana inbuatsaihna nen a inang a ni. A pawimawh ber chu i intestines tihfai vek hi a ni . Hei hian doctor chuan i rectum chhung chu chiang takin a hmu thei ang. Chumi atan chuan i doctor chuan laxative bik a pe ang che.

A tlangpuiin hetiang hian thupek i dawng ang:

• Operation hma ni khatah solid foods ei loh tur .
• Surgery hma darkar 12-24 chhungin tui thianghlim (tui, tui chi, Jeevani) chauh in tur a ni.
• Surgery ni-ah zanlai a\angin eng thil pawh ei leh in loh tur .
• Thisen tithianghlimtu ang chi i ei a nih chuan i doctor hnenah hrilh la, a thurawn angin ni engemaw zat hmain ei kha bansan rawh.

Surgery neih chhung hian eng nge thleng?

He procedure chhung hian engmah i hre lo ang a, a chhan chu surgery hi general anesthesia hmanga tih a ni ang a, chu chu i muhil vek tawh tihna a ni. Surgery neih chhunga thil thlengte chu hetiang hi a ni:

1. Surgeon chuan instrument ``Rectoscope`` chu anal opening kaltlangin rectum chhungah a dah lut a.

2. Rectum chu gas hmanga inflated tlem a ni a, chu chuan tumor chhehvel chu a hmu thei zawk ang.

3. Rectoscope hmangin camera leh surgical instrument nalh tak tak dahin tumor emaw polyp emaw, a chhehvela tissue hrisel thenkhat nen chuan an tan chhuak a, an la chhuak thin.

4. Chumi hnuah chuan incision chu dissolvable stitches emaw, metal clip te te emaw hmangin an khar leh thin.

Surgery hnuah eng ang nge a nih?

Operation hnuah pawh harsatna engemaw zat i nei thei. Darkar 24 hmasa berah chuan:

• I bladder-a zun chhuahna tur tube (`catheter`) dah.
• Taksa chu a mamawh tui chu saline infusion (`IV line`) hmangin i kut chhunga vein pakhatah pe rawh.
• Antibiotics (IV antibiotics) saline kaltlangin darkar 24 vel pek thin a, natna kai loh nan.

Operation atanga ni khat vel hnuah ei leh in i tan thei bawk. Damdawi inah ni khat emaw ni hnih emaw i awm hnuah i haw thei tlangpui ang .

Hetiang hmanrua hi eng nge a thatna?

TEMS method hian laparotomy aiin thatna tam tak a nei a. Surgery lian tak tak neih hian a châng chuan zun control lama harsatna, mipat hmeichhiatna lama harsatna, leh colostomy nghet tak neih a ngai hial a ni thei. TEMS method hian heng risk tam tak hi a ti tlem a ni.

Hei hi risk a awm lo em ni?

Surgery dang ang bawkin risk tlemte a awm a, mahse tummy tuck aiin risk a hniam zawk hle.

• Thisen chhuak
• Infection neih a ni
• Rectal emaw pum chhunga natna
• Zun harsatna (`Urinary retention`) .
• Sudden chhuah a ngai (`Fecal urgency`) .

Hetiang thil hi a lo thleng a nih chuan doctor-te chu enkawl turin an inpeih reng a ni.

Heng symptoms te hi i neih chuan doctor pan nghal tur a ni.

In haw hnuah a hnuaia symptoms te hi i neih chuan doctor ko nghal la , damdawi in Emergency Department (ETU) ah kal nghal bawk ang che.

• Thisen chhuah tam lutuk
• Khawsik emaw, khawsik emaw
• Zun harsatna
• Pum emaw, rectal emaw natna tuar theih loh

Cancer a nih chuan hei chauh hi a enkawlna a ni em?

Rectal cancer hi a tir lamah hmuhchhuah a nih a, TEMS surgery hmanga tumor chu paih vek a nih chuan enkawlna dang a ngai lo mai thei. Mahse, mi thenkhat tan chuan tumor awm dan azirin i doctor chuan he surgery bakah hian chemotherapy emaw radiation therapy emaw a rawt thei bawk. Hei hi i dinhmun enfiah hnuah a chiang vek ang.