Tin, zun tam a ngai tih pawh i hria em? I zun kawng chu a tight a, a empty tha lo niin i hria em? A nih loh leh zanah vawi tam tak zun chhuah tumin i harh thin? Hengte hi prostate gland lian zawk chhinchhiahna a ni thei a, hei hi mipa kum upat deuh deuha awm thin a ni. Damdawi lam hawi chuan hei hi BPH an ti a, chu chu cancer ni lo prostate gland tihpun tihna a ni. Hetiang natna avanga harsatna awm thin hi TURP surgery hmanga enkawlna tha tak a ni. A hming hi a buaithlak deuh a, mahse i ngaihtuah angin a hlauhawm lo. Vawiin hian he thu hi chipchiar takin kan sawi dawn a, Sinhala tawng awlsam takin i hriatthiam theih ang.
TURP surgery hi eng nge ni tak tak?
A awlsam zawngin sawi ila, TURP (Transurethral Resection of the Prostate) tih hi i prostate gland hmun lian zawk surgery hmanga lakchhuahna a ni.
Ngaihtuah teh, prostate hi walnut ang maia lian gland a ni a, mipa chauhvin an nei a ni. I bladder hnuaiah, i urethra vel ah a awm a. Donut pakhat, a chhunga tube kal tlang ang mai a ni. I upat deuh deuh chuan he gland hi a lian chho tan thin. A lian deuh deuh chuan urethra chu a block tan ta a ni. Chutah chuan zun chungchangah harsatna a lo chhuak thin.
TURP surgery thatna lian ber chu i taksaah hian cut a ngai lo . Doctor chuan i urethra-ah hian hmanraw te tak te tak, camera hmanga thuam a dah a, electric current emaw laser emaw hmangin i prostate-a tissue tam lutuk, tangkhang zawng zawng chu a titawp vek a ni.
Engvangin nge he TURP surgery hi ka tih a ngai?
He surgery hi BPH (Benign Prostatic Hyperplasia) tih hming pu condition tan tih a ni ber. Hei hian ‘cancer lova prostate gland tihpun’ tihna a ni. Hei hi cancer a nih loh avangin hlau suh. Mipa tam takin an upat deuh deuha an neih thin natna tlanglawn tak a ni. Hei vang hian symptoms awm thei te chu hetiang hi a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Sudden mamawhna chu zun chhuah a ni | Zun vat vat a ngai niin ka hria a, insum a har khawp mai. |
| Zun chhuah fo thin | Darkar hnih danah ang bawkin i zun fo a ngai a ni. |
| Zan lama zun (Nocturia) . | Ka mut chhungin vawi eng emaw zat zun turin ka tho a ngai. |
| Zun chhuahna (Urinary Retention) a awm | Zun hnuah pawh bladder chu a hring vek lo ang maiin a lang. |
| Zun kawng chak lohna | Zun chu zawi zawiin a intan a, a chanveah a tawp a, a intan leh a, a nih loh leh a tla thlain a chhuak leh thin. |
| Kidney a chhiat phah | Hei hi natna khirh takah pawh a thleng thei. Zun a luang that loh avangin pressure a lo pung a, kal (kidney) a tichhe thei a ni. |
Surgery hma leh operation neih chhung hian eng nge thleng?
Surgery hmaa inbuatsaihna
TURP hi anesthesia hmanga tih a ni a, chu chu natna i hriat loh nan a ni. Hei hi general anesthesia a ni thei a, chu chuan i muhil vek thei a, spinal anesthesia a ni thei a, chu chuan i taksa hnuai lam chauh a ti na thei bawk. I doctor leh anesthesiologist chuan eng method nge i tana tha ber tih an hrilhfiah ang che.
Anesthesia atana inbuatsaih nan operation hma darkar tlemteah ei leh in kha bansan turin an hrilh ang che. Damdawi, vitamin leh a bik takin thisen tithianghlimtu i ei zawng zawngte chu i doctor hnenah hrilh vek a pawimawh. Surgery hmaa heng zinga pakhat tal ei kha i chawlhsan a ngai a nih chuan a fuih bawk ang che.
Surgery neih lai hian
He surgery hi minute 90 aia rei lo a ni tlangpui. Anesthesia hnuaia i awm avangin natna engmah i nei lovang.
1. Doctor chuan urethra dungah hian hmanraw te tak te tak, camera attached ‘Rectoscope’ an tih chu a dah lut a.
2. Chu camera hmang chuan prostate gland chu enfiah a ni a, tissue tam lutuk chu cut in laser emaw electric current emaw hmangin lakchhuah a ni.
3. Tichuan tui bik hmangin tissue cut te chu bladder chhungah an nawr lut a.
4. A tawpah chuan chu tissue chi hrang hrang chu bladder atang chuan an la chhuak vek a.
5. Rectoscope chu lakchhuah a ni a, surgery tih zawh a ni.
Surgery hnuah eng nge thleng a, eng hlawkna nge a neih?
Surgery hnuah recovery area-ah hruai i ni ang. Ṭhenkhat chu ni khat emaw ni hnih emaw chhung damdawi inah an awm ang a, ṭhenkhat erawh chu ni khatah an haw thei thung. Damdawi ina i awm chhung hian i zun kawng (urethra)-ah catheter an tih tube dah a ni ang a, chu chuan i zun chhuah theih nan a pui ang. He catheter hi in lama i haw hmain lakchhuah a ni tlangpui.
TURP surgery thatna lian ber chu result rang tak a ni . Mi tam tak chuan ni engemaw zat chhungin danglamna lian tak an nei tan a, an zun lama harsatna an tawhte chu an hahdamna a ni.
Hei hi zun lama harsatna nasa tak nei, damdawi hmanga thunun theih loh tan chuan a tangkai hle.
He surgery hi a hlauhawmna leh a dam leh hun tur
Surgery dang ang bawkin TURP hian hlauhawmna tenau engemaw zat a nei thei a, mahse hengte hi mi zawng zawngah a thleng vek lo.
- Erectile Dysfunction: Mipat hmeichhiatna lama harsatna a awm thei.
- Retrograde ejaculation: Hei hi mipat hmeichhiatna hman laiin sperm a chhuak lo va, chu ai chuan bladder chhungah a lut zawk a ni. Hei hian taksa a tichhe lova, mahse naupangte tan nau pai a harsat phah thei a ni.
- Urinary incontinence: A chang chuan, i khuh emaw, i nuih emaw hian zun tlemte a leak thei. Hei hi hun eng emaw chen atan a ni tlangpui.
- Zun kawng natna (UTIs) te.
- Zun (Hematuria) ah thisen a awm thin.
Operation hmain heng hlauhawmnate hi i doctor nen sawiho la, zawhna i neih apiang zawt rawh.
A tlangpuiin a dam kim theih nan kar li atanga kar ruk vel a ngai thin. During this time , i doctor-in phalna a pek che hma chuan rit phurh, exercise nasa tak tih, emaw, mipat hmeichhiatna hman loh tur. Taksa lama harsatna nei lo hna i neih chuan kar hnih atanga kar thum chhungin hna i thawk leh thei mai thei. Mahse, hei pawh hi doctor rawn tur a ni.
Doctor hmuh nghal hun tur
Pawimawh: Operation hnua heng symptoms zinga pakhat tal i neih chuan doctor ko nghal rawh. A tul chuan damdawi in Emergency Department (ETU) ah kal nghal tur a ni.
- Khawsik.
- Zun lama harsatna thar, zun insum theih lohna leh zun tam lutuk te.
- Zun sen dum emaw thisen zam awmna emaw.
- Zun theih lohna tak tak.
Thutawp atan chuan TURP hi BPH enkawlna tha tak leh him tak a ni. Mahse, a chinfelna awmchhun a ni lo. Tunah chuan he natna hi enkawlna thar, non-surgical, leh minimally invasive treatment a awm ta. I doctor chuan damdawi a pe hmasa mai thei. Hengte hian hna a thawk lo a nih chuan TURP ang chi surgical procedure-ah refer i ni thei bawk. I hriselna chanchin leh i duh dan a zirin, i doctor nen pawh i tan enkawlna tha ber tur chu i rel tur a ni.
Take-Home Thuchah a ni
- TURP hi kum upa lam nena inzawm prostate enlargement (BPH) avanga zun lama harsatna nei tan surgery hlawhtling tak a ni.
- He surgery hi urethra kaltlangin tih a ni a, taksa pawnah incision engmah siam lovin.
- Mi tam tak chuan operation an neih atanga ni engemaw zat chhunga an zun hian hahdamna nasa tak an nei thin.
- A dam kim theih nan kar 4-6 vel a ngai a, chutih chhung chuan damdawi lam thurawn zawm a pawimawh hle.
- Operation hnua khawsik, thisen chhuak nasa, zun theih lohna ang chi symptoms i neih chuan doctor thurawn la nghal rawh.
- I doctor nen eng enkawl dan nge i tan a tha ber tih sawiho rawh.
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