‘Ureteral stent’ nei turin an hrilh che em? (Ureteral Stent) - Ngaihtuah buai suh, he thu hi sawi ila!

I doctor-in ureteral stent i mamawh thu a hrilh che chuan i hlauthawng deuh mai thei. Mi tam zawkin stent kan ngaihtuah hian thinlunga dah stent kan ngaihtuah thin. Mahse hei hi thil danglam tak a ni. I kal (kidney system) a thawk tha thei tur khawpa hmanraw te tak te a ni. Chuvangin hlauh a ngai lo. Vawiin hian he thu hi i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.

A awlsam zawngin, ureteral stent chu eng nge ni?

Kan taksaa kal (kidney) pahnih hi tui filter pahnih angin han ngaihtuah teh. Heng filter te hian tube te tak te pahnih an nei a, chu chuan heng filter pahnih hmanga tihfai zun (pee) chu bladder thlengin a phur a ni. Heng tube pahnih hi ‘ureters’ emaw urinary tract emaw kan tih hi a ni.

Ureteral stent chu silicone emaw polyurethane emaw hmanga siam tube te tak te, flexible tak a ni. Ureter, zun phur tube chhungah dah a ni a, chu chu a inhawng leh a inkhar loh nan a pui thin. Tui pipe block atanga tube te tak te dah a, kawng tifai tura puih ang mai a ni.

He stent hi inches 10-15 vel a sei a ni. A tawp khat chu kal chhungah a awm a, a tawp dang chu bladder chhungah a awm reng theih nan siam a ni. Hei hi ‘Double-J stent’ an ti bawk.

Engvangin nge he stent hi kan dah a ngaih?

A chhan ber chu eng emaw vanga ureter a block (ureteral obstruction) vang a ni. Chutiang a nih chuan zun chu kal atanga zun (bladder) ah a luang lo. Hei hian kal (kidney) a tichhia a, natna hrik a thlen thei bawk. Stent hian a blockage chu bypass in, zun kalna tur kawng a siam a ni.

He stent dah chhan ber chu a hnuaia table hi en la.

Stent dah hi surgery lian tak a ni em? Engtin nge ka inbuatsaih ang?

Ni lo, hei hi operation lian tak a ni lo tlangpui . Hei hi minimal invasive operation a ni. Chu chu natural opening hmanga tih a ni tihna a ni a, incision lian tak siam lovin. A tam zawkah chuan chu ni vek chuan i haw thei bawk. Mahse, anesthesia hnuaia i awm avangin in lama hruai tur che i mamawh dawn a ni.

Surgery neih hmain doctor chuan a hnuaia mite hi a hrilh ang che:

• I medical history kimchang leh allergy i neih te min hrilh teh.
• I damdawi ei zawng zawng (vitamin te pawh tel) i doctor hnenah hrilh rawh . Damdawi thenkhat chuan thisen chhuah a tipung thei.
• Kidney function endik nan thisen test (eGFR) tih tur an ti.
• Surgery hma darkar 8 vel chhung chu engmah ei leh in lo turin an ti ang che. Damdawi pawimawh tak tak a awm chuan tui in rualin ei phalsak i ni ang.

Stent dahna process hi engtin nge a thawh?

Hei hi urologist-in a ti tlangpui. General anesthesia pek i ni ang a, chuvangin engmah i hre lo ang a, i muhil ang.

I mut hnuah doctor chuan hengte hi a zawm ang:

1. A hmasa berin scan (fluoroscopy emaw kidney ultrasound) hmangin blockage awmna hmun dik tak chu zawn chhuah a ni.

2. Tichuan, hmanrua te tak te, sei tak, camera vuah (`cystoscope`) chu i zunthlum kaltlangin i zunthlum chhungah an lut a.

3. He `cystoscope` hmang hian wire ang chi (`guidewire`) te zawk pawh chu urethra blocked chhungah a lut a.

4. Chu guidewire zawh chuan stent chu hmun dik takah dah a ni.

5. Stent a awm tawh chuan guidewire leh cystoscope chu uluk takin an la chhuak thin. Stent chu taksa chhungah a awm reng a ni.

Stent dah hnuah eng nge thleng? Eng nge beisei tur?

Surgery zawhah i harh hunah i rilru a hah deuh ang. Natna thunun nan damdawi pek i ni ang. Doctor chuan tui tam tak in turin a hrilh ang che . Hei hian i kal leh i bladder te chu a ti flush chhuak thei ang.

Heng thilte hi ni hmasa berah chuan thil pangngai tak a ni:

• Zun-ah thisen tlem (hematuria): Hei hi a tlahniam zauh zauh ang.
• Zun chhuah laiin hrehawmna tlem emaw, kang emaw: Hei pawh hi ni engemaw zat hnuah a reh mai ang.
• Zun tam ngai: Hei hi stent hian bladder a tichak avangin a thleng thei.
• Zun chhuah laiin kal awmna hmunah (a hnungzang hnuai lam sir lehlamah) natna tlem te hriat: Hei hi mi thenkhatah pawh a thleng thei bawk.

Heng harsatnate hi stent awmna hmuna a awm chhung chuan a awm reng thei. Mahse, tuar theih loh khawpa natna emaw, thisen chhuah tam lutuk emaw i neih chuan i doctor hnenah hriattir nghal rawh.

Stent hi eng chen nge a awm a ngai?

I dinhmun a zirin a ni. A tam zawkah chuan hengte hi hun eng emaw chen atan a ni . Ni engemaw zat atanga kar tlemte chhung chu a hmunah dah theih a ni. I dinhmun a ṭhat chuan i doctor chuan a la chhuak ang.

Mahse, mi thenkhat (entir nan, tumor-in an thisen kalna kawng a tikhawlo) te chuan stent hi a hmunah rei tak an dah a ngai a ni. Chutiang miteah chuan stent hlui chu la chhuakin thla 3-6 danah a thar dahin hri kai loh nan.

Engtin nge stent hi i lakchhuah ang? A hrehawm em?

Stent lakchhuah hi a awlsam hle.

• Thread hmanga stent: Hun rei lote chhunga stent thenkhatah chuan thread hmuh theih a awm a, chu chu doctor chuan stent lakchhuah nan a hrual thin.
• Threadless stent: Hengte hi an dah luh angin cystoscope hmangin an paih chhuak thin. A hmunah hian numbing gel an hnawih a, chuvang chuan natna i nei tam lo ang. Tlemte chuan i hrehawm lo mai thei.

A chhuah hnuah ni khat emaw ni hnih emaw chhung chu kang emaw, nuam lo emaw tlem a awm thei. Hei hi thil pangngai a ni.

A hlawkna leh harsatna awm thei te chu engte nge ni?

Damdawi lam thil tih dan dang ang bawkin hlawkna bakah chhiatna/harsatna tenau te pawh a awm bawk.

Engtin nge stent avanga natna hi tihziaawm theih ang?

Heng hrehawmnate hi natna tidamtu damdawi hmanga control theih a ni tlangpui. Mahse, doctor zawt lovin natna tidamtu (`NSAIDs` ang chi) engmah ei loh tur a ni. A chang chuan i doctor chuan he natna tihziaawmna tur hian damdawi bik `tamsulosin` ang chi a pe thei bawk.

Heng symptoms te hi i neih chuan doctor pan nghal rawh!

Stent i dah laiin a hnuaia thil awmte hi i tawn chuan doctor ko nghal la , damdawi in Emergency Department (ETU)-ah kal nghal rawh.

• Khawsik sang emaw, khawsik emaw (infection chhinchhiahna a ni thei).
• Tuar theih loh, kal lai, pum hnuai lam emaw, zun lai emawa natna nasa tak .
• Thisen sen dum emaw, zun chhunga thisen zam emaw .
• Zun theih lohna emaw, zun chhuah tlem emaw.
• Zun dum dum, rimchhia .
• Nausea leh luak chhuak .