I doctor chuan nangmah emaw, i hnaih ber emaw hian bladder cancer a nei tih a ring em? A nih loh leh, a nemnghet a, ‘TURBT’ tih surgery neih a ngai tih an hrilh che em? He hming i hriat hian i hlauthawng deuh mai thei. Mahse a takah chuan bladder cancer enkawlna tlanglawn tak leh him tak a ni. Chuvangin, lungngai suh. He TURBT surgery hi eng nge a nih, engtin nge an tih tih leh engtin nge kan hmachhawn dan tur chu awlsam leh chiang takin i sawi dawn nia.
A awlsam zawngin TURBT chu eng nge ni?
TURBT awmzia kimchang chu Transurethral Resection of Bladder Tumor tih hi a ni . Hming sei tak a ni lawm ni? Mahse a awlsam khawp mai. Vawi khata thil pahnih tih theihna procedure a ni. Chu chu bladder cancer a hmuchhuak thei a, chubakah cancer chu a paih chhuak thei a, a enkawl thei bawk.
Ngaihtuah teh, doctor hian i taksaah engmah incision siam lovin he surgery hi a ti a ni. Engtin nge chu chu a lo thlen?
Tube sei tak, te tak te, flexible tak, resectoscope an tih an hmang thin. He instrument hi i urethra, i bladder atanga i taksa thlenga zun phurtu tube-ah dah a ni. He instrument tawp lamah hian camera te tak te, light leh loop te tak te a awm a, chu chu cancer chu tan leh paih theih a ni. Doctor chuan he camera atanga thlalak te chu operation room-a monitor-ah a en laiin uluk takin cancer chu a paih chhuak thin.
Hetiang hmanrua hian vunah hian hliam a siam loh avangin taksa tichhe thei a tlem hle. Chuvangin minimally invasive procedure an ti a ni.
He surgery atang hian doctor chuan thu pawimawh tak tak a hmuchhuak thei a ni.
- Eng ang cancer nge ni?
- Cancer hi eng grade nge ni? (Risk hniam nge high-risk?)
- Engtiang chiahin nge cancer hi bladder wall (stage)-ah a darh tawh.
A châng chuan, he surgery vawi khat hmang hian cancer tumor pumpui chu paih chhuah theih a ni.
Surgery hma leh operation neih chhung hian eng nge thleng?
Hei hi outpatient procedure a ni tlangpui. Chumi awmzia chu mi tam zawk chu zing lamah damdawi inah dah an ni a, chu zan vek chuan zai zawhah an haw thei tihna a ni.
Hei hi operation hmaa inbuatsaih dan tur a ni:
I doctor nen in inhmu ang a, i surgery hma kar khat vel khan video call i nei ang. Anni hian anesthesia chi hrang hrang i pek tur chu an rel ang. Zun sample pe turin an ti thei bawk.
Surgery hmain i doctor emaw hospital staff emaw chuan i zawm ngei ngei tur thupek thenkhat an pe ang che. Heng thupekte hi dik taka zawm a pawimawh hle.
| Thurawn | A pawimawhzia leh sawifiahna |
|---|---|
| Chaw leh tui | Surgery hma darkar 8 chhung chu engmah ei loh tur a ni. Operation hma ni khatah zanlai hnuah tui in loh tur. |
| Damdawi chi hrang hrang | Thisen tithianghlimtu (Aspirin, ibuprofen, naproxen ang chi) i ei a nih chuan doctor hnenah hrilh rawh. Operation hma kar khat vel vel khan ei tawh loh turin an hrilh ang che. Damdawi dang i ei a nih chuan i doctor nen pawh sawipui rawh. |
| Mi pakhat tanpui tur | Operation zawhah mi pakhatin in lama a hruai che theih nan ruahmanna siam hmasa phawt ang che. Anesthesia avang hian i khalh thei dawn lo. |
| Faina | Damdawi in kal hmain shower tha tak la rawh. Mahse chu ni chuan lotion, perfume, deodorant engmah hmang suh. |
Surgery neih chhung hian...
I anesthetized hnuah surgery hi tan a ni ang. A tam zawkah chuan muthilh tir i ni ang (general anesthesia). A châng chuan, i kawr aṭanga a hnuai lam thlengin i rilru a buai ang (spinal anesthesia). Mahse, engmah hrehawmna i nei lo vang .
A dawt leh tur chu:
1. Doctor chuan resectoscope chu uluk takin i urethra kaltlangin i bladder chhungah a dah lut ang.
2. Camera atanga thlalak an en chuan cancer tumor awmna hmunte an hmuchhuak a.
3. A dawtah chuan device-a loop hmangin nut te chu cut la, la chhuak rawh.
4. Tumor lakchhuahna hmun atanga thisen chhuak a awm chuan thisen kalna kawng chu hal a ni ang a, thisen chhuah chu tihtawp a ni ang.
5. A tawp berah chuan zun leh thisen chhuak tur leh thisen zam a awm loh nan catheter dah theih a ni.
Surgery hi minute 15 leh 90 inkar a ni tlangpui , chu chu tumor lian leh te, a zat leh awmna hmun a zirin a ni.
Operation hnuah eng nge beisei tur?
Surgery zawhah darkar engemaw zat damdawi inah i awm a ngai dawn a ni. Zan riah pawh i mamawh mai thei.
Dam lehna leh a lan chhuah dan
- Natna: Operation hnu ni engemaw zat atanga kar hnih chhung zun i chhuah chuan kang tlem emaw, na emaw i nei thei. Hei hi thil pangngai a ni.
- Zun rawng: I zun chu i zun (bladder) chhunga thisen awm reng avangin pink a ni thei. Hei hian hlauthawng suh. A pangngai a ni.
- Catheter: I doctor-in catheter a dah a nih chuan i zun thisen chhuah a chawlhsan veleh lakchhuah a ni ang. Damdawi inah lakchhuah a ni thei a, ni engemaw zat chu in lama dah a ngai mai thei bawk.
- A lan chhuah dan dang: Ni 48 hmasa berah zun hmanhmawh leh zun tam hi a awm fo.
Heng symptoms te tihtlem leh dam thuai theihna tha ber chu nitin tui tam tak in hi a ni .
A pawimawh ber: Operation hnu kar engemaw zat chhung chu thil rit tak tak chawi emaw, thil hahthlak tak tak tih emaw loh tur a ni . Hei hian naupang, ran vulh leh bungrua phurh te a huam a ni. I doctor pawhin hun engemaw chen chu mipat hmeichhiatna hman loh turin a fuih ang che.
Bladder hi kar 2 atanga kar 4 chhungin a dam tlangpui. Chumi hnuah pawh i zun-ah natna, kang, thisen i la nei a nih chuan i doctor hnenah hriattir ngei ang che.
Enkawlna dang a ngai dawn em ni?
A chang chuan TURBT hian tumor pumpui chu a paih chhuak thei thin. Mahse, i doctor chuan cancer cell la awm zawng zawng tihhlum nan leh cancer lo kir leh theihna tur a tihziaawm theih nan chemotherapy a rawt thei ang.
Cancer hi bladder-ah chauh a awm chuan enkawlna chu `intravesical chemotherapy` an ti a. Chumi awmzia chu liquid chemotherapy damdawi chu bladder chhungah dahin, rei vak lo dahin, chu chu lakchhuah leh a ni tihna a ni. Hei hi a chang chuan TURBT surgery nen hian tih theih a ni.
He surgery hi a hlauhawmna a awm em?
TURBT hi a him hle a , a hlawhtling hle bawk . Complication awm theihna hi 10% aia tlem a ni. Mahse, thil thleng tlemte chauh a awm a, chungte chu:
- Thunun theih loh thisen chhuak: Hei hi a tlem hle. A lo thleng a nih chuan thisen chhuah tihtawp nan operation dang i mamawh mai thei.
- Bladder perforation: Operation lai hian instrument chu bladder wall-ah a lo lut thei a, chu chuan khur te tak te a siam thei a ni. Hei pawh hi a tlem hle a, enkawl theih a ni.
- Hri kai theihna: 1.1.Surgery hnuah urinary tract infection neih theihna chance tlemte a awm. Hei hi damdawi hmanga awlsam taka enkawl theih a ni.
Cancer atanga dam lehna kalphung chu eng nge ni?
Hei hi mi tam takin zawhna an neih a ni. TURBT hi mi zawng zawng deuhthaw tih thin ni mahse, cancer dam vek theihna chance chu cancer stage a zirin a innghat a ni. Doctor-te chuan "kum nga chhunga damchhuah zat" chungchang an sawi tlangpui. Chumi awmzia chu cancer stage engemaw zat nei mi 100 zingah kum 5 hnuah pawh engzat nge la dam tih a ni. Hei hian kum 5 hnuah an thi dawn tihna a ni lo. Hei hi statistic mai a ni.
| Cancer Stage a ni | Kum nga chhunga damchhuah zat |
|---|---|
| Stage 0 (cancer chu a chunglam chauh a ni) . | 97% a ni. |
| Stage I-II (bladder chhunga darh) 1.1. | 72% a ni. |
| Stage III (a chhehvel tissue-a darh) 1.1. | 40% a ni. |
| Stage IV (organs hla tak takah a darh) 1.1. | 9% a ni. |
Heng statistics te hian hlauthawng suh. Cancer hmuhchhuah hma chuan dam theihna chance a sang zawk . Chuvang chuan symptoms a lan veleh doctor thurawn lak a pawimawh hle.
Take-Home Thuchah a ni
- TURBT hi a him a, minimally invasive surgery a ni a, bladder cancer hriatchhuah leh enkawlna atana hman thin a ni.
- Surgery neih chhung hian natna a awm lo. A hnua a hring leh a natna lo awm thin chu kar 2-4 chhungin a reh tlangpui.
- Operation hnua i zun chu pink a nih hi thil pangngai tak a ni. Lungngai suh. Mahse tui tam tak in rawh.
- I doctor thupek dik takin zawm la, a bik takin hna rit tak tak pumpelh dan tur leh i damdawi ei chungchangah.
- Operation hnuah pawh cancer a lo let leh tawh loh nan enkawlna dang (chemotherapy ang chi) a ngai mai thei.
- Zawhna emaw, hlauhna emaw i neih apiang chu zak suh la, i doctor nen inhawng takin inbia ang che.
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