Zun hi i taksa peng pangngai, kan ngaihtuah vak loh thil a ni lawm ni? Kidney atanga siam zun hi tube pahnih kal tlangin bladder-ah a khawlkhawm a, chutah chuan a tul hunah a chhuak thin. Mahse, eng emaw chhan vanga i bladder chu a thawk tawh lo a nih chuan, a nih loh leh lak chhuah a ngai a nih chuan eng nge thleng ang tih han ngaihtuah teh? Taksa atanga zun chhuah dan tur a awm lo. Vawiin hian hetiang dinhmunah hian surgery bik, chhanchhuahna atana lo kal tur chungchang kan sawi dawn a ni.
A awlsam zawngin ureterostomy tih hi eng nge ni?
A awlsam zawngin sawi ila,
ureterostomy hi surgical procedure a ni a, i kidney atanga i bladder thlenga zun phurtu tube pahnih (`ureters` an tih) chu i bladder atanga lakchhuah a ni a, chu ai chuan i vun emaw i pum chhunga kawngkhar te tak te nen inzawm tir a ni. He hawnna thar hi
stoma an ti a . Hetiang hi a ni. Tui pipe pahnih tui dahna nena inzawm chu han mitthla teh. Tunah chuan tank chu a chhe tawh. Engtin nge kan tih ang? Tank chu kan la chhuak a, tui pipe pahnih chu kan rawn hruai chhuak nghal a. Hetah pawh hian chutiang bawk chu a thleng thin. Bladder (tui dahna) chu kan bypass a, chu `stoma` kaltlangin zun pipe (`ureters`) chu taksa atangin direct-in kan chhuah tir thin. Tichuan, zun chu kal atang hian a lo chhuak nghal a, he `stoma` hmang hian taksa atangin a chhuak ta a ni. He zun hi lakkhawm nan hian plastic bag bik, pouch an tih chu stoma vel ah dah a ni. I zun pangngai angin pouch chu i empty a ngai dawn a ni. Naupang tê tê tan chuan he zun hi diaper-ah pawh a khawlkhawm theih bawk.
He surgery hian taksa atanga zun him taka kal theihna tur kawng a siam a, chu chu bladder a thawk tha lo a nih pawhin. Hei hi thil tih dan nghet tak a ni fo thin.
He surgery hi tute nge mamawh?
I bladder-in a tlangpuiin a zun a chhuah theih loh chuan i doctor chuan he surgery hi a rawt thei ang. Hei hi chhan hrang hrang a awm thei.
| Chhan | A sawifiahna awlsam tak |
|---|
| Bladder lakchhuah a ni | Cancer emaw damdawi lam thil dang emaw avanga bladder lakchhuah vek a ngai. |
| Bladder tihchhiat a ni | Accident emaw thil dang emaw avanga bladder a chhiat a, chu chuan hnathawh a tichhe thei a ni. |
| Pian atanga lo chhuak dinhmun | Nau piang laia awm thin natna thenkhat, Spina Bifida te hian bladder chu a thawk tha lo thei a ni. |
| Spinal cord hliam a awm | Spinal cord chhiatna avanga bladder function control theih lohna. |
Surgery hmain eng nge i tih thin?
He surgery hi i tih hma hian doctor chuan i taksa dinhmun dik tak hriat theih nan test eng emaw zat a ti ang.
- Kidney function test: I kal (kidney) a thawk tha em tih enfiah thin ang che.
- Thisen test : Taksa hriselna tlangpui hriat chian.
- Imaging test: X-ray emaw ultrasound scan ang chi test hian kal leh zun kawng thlalak a la a.
- Retrograde Pyelogram: Hetah hian tui (dye) bik chu zunthlum chhungah dahin X-ray lak a ni.
- CT scan: Hei hian taksa cross-sectional image a la thei a, thlalak chiang zawk a pe thei bawk.
- MRI : Hei hian kal leh zun kawng thlalak chiang tak tak a siam thei bawk.
Tin, doctor emaw nurse emaw chuan operation hmain stoma dahna tur hmun tha ber tur a hriat theih nan a bia ang che. A tlangpuiin
i hmuh awlsamna hmunah dah a ni a, i thawmhnaw-ah a inkhung lo vang (e.g., belt), vun hring hring pawh a awm lo .
Engtin nge surgery hi a awm a, he system hian engtin nge hna a thawh?
Operation chhung hian surgeon chuan i urethra pakhat emaw pahnih emaw chu i bladder atang hian a then ang a, `stoma` siam thar nen a thlunzawm ang. Tunah chuan zun chu bladder-ah a lut tawh dawn lo. Tunah chuan he system thar hian engtin nge hna a thawh tih kan en ang. `Stoma`, chu chu a inhawng tihna a ni a, kan zun (urethra)-a awm ang hian zun chhuak tur titawp thei thau (`sphincter`) a nei lo. Chuvangin
Zun hi thunun theih a ni lo. Kidney atang hian drop khat hnu drop khatin a luang chhuak chhunzawm zel a. Hei hi zun lakkhawm dan a ni: 1. Stoma chungah pouch an dah a: He `pouching` system hian hmun hnih a nei a. Pakhat chu `barrier` a ni. A dang chu `collecting pouch` a ni. A châng chuan heng pahnih hi a inzawm khawmna a awm ṭhin. 2. `Barrier`: Hei hi square ang maia siam a ni a, a laiah hian `stoma` nena inmil tur khur a awm. Adhesive bik hmangin vunah a glue a ni. Chuvangin zun a leak chhuak lo. 3. `Pouch`: He bag hi `barrier` nen a inzawm a. Tunah chuan kidney atanga zun lo chhuak chu he bag ah hian direct in a la khawm ta a ni. A tlangpuiin bag chu hmun thuma ṭhena hmun khat emaw, a chanve emaw a khat chuan a hring vek a ngai ṭhin. Pouch hnuai lama valve te tak te hawn in pouch lakchhuah ngai lovin toilet chhungah i zun i empty thei. Zanah chuan he valve-ah hian tube i connect thei a, zun chu pouch lian zawkah i dah khawm thei bawk. He pouch hi i thawmhnaw hnuaiah thup a nih avangin hmuh theih a ni lo. Stoma leh pouch hi engtin nge kan enkawl ang?
Operation hnuah i doctor emaw nurse emaw chuan i stoma, a chhehvel vun leh pouch te fai dan tur a zirtir ang che. Pouch thlak dan tur pawh an zirtir bawk ang che. I stoma chu engtik lai pawha thianghlim leh vawt taka vawn reng a pawimawh hle . Nitin a hnuaia mite hi i ti tur a ni:- Stoma leh a chhehvel vun chu sahbawn leh tui nem tak hmangin silfai ang che.
- Sahbawn a bo thlengin tuiin silfai ang che.
- Tichuan uluk takin vawt turin dah rawh.
Pouch pawh a hun takah thlak a ngai bawk. A tlangpuiin, pouch hlui chu lakchhuah vek a ngai a, ni 5 atanga ni 7 hnuah a thar dah a ngai thin . Surgery neih hian eng hlauhawmna leh harsatna nge a neih?
Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Hengte hi operation i neih hmain i doctor nen sawiho hmasa phawt ang che.- Kaichhawng.
- Thisen chhuak .
- Hernia a ni.
- Redness , swelling, emaw stoma chhehvel allergy dang emaw a awm thei.
- Surgery atanga beisei ang result hmuh theih loh.
- Scar tissue siam chhuah.
Engtikah nge doctor nen inbiakna neih a ngaih?
I stoma leh a chhehvel vun te hi i ngaihven reng tur a ni. Thil danglam i hmuh chuan doctor hnenah hrilh nghal rawh. Stoma chhehvel vun a inthlak danglam: Infection chhinchhiahna
| Features ngaihven tur a awm | Hrilhfiahna |
|---|
| Vun sen emaw, vun rawng emaw | Stoma chhehvel vun chu a sen a, eczema ang maia lang a nih chuan. |
| Skin rash emaw crusting emaw a awm thei | Vun a vawt, a chhe emaw, a hliam emaw a nih chuan. |
| Vun natna (Vin lesions) a awm | Pouch leh stoma inkarah zun a leak vangin vun natna a awm thei. |
| Zun inthlak danglamna | Zun dum, zun chhunga thisen, mucus tam lutuk emaw, rimchhia emaw. |
| Symptom dang a awm bawk | Back na, khawsik, luak chhuak leh/ emaw luak chhuak, ei duh lohna. |
Urostomy, Nephrostomy leh Ureterostomy te hi a inang em?
No. Heng pathumte hi zun chhuah dan tidanglam thei surgery ni mahse, an danglam vek a ni.- Urostomy: Hei hi hming tlanglawn tak a ni. Ureterostomy pawh hi urostomy chi khat a ni. Mahse, urostomy tih dan dang a awm bawk. Entirnan, small intestine atanga piece pakhat lak a, urethra thar siam.
- Nephrostomy: Hei hi kidney-ah direct-a tube (catheter) dah a ni a, chu chuan taksa pawn lam zun chu bag-ah a khawlkhawm a ni. Hei hi ureter block nei tan tih a ni tlangpui. Hei hi hun eng emaw chen atan a ni fo.
Ureterostomy hi tih dan danglam tak a ni a, chutah chuan urethra chu vun nen direct-in a inzawm a ni. Surgery hnua nunah insiamrem chu tlem a harsa thei hle. Midang ang bawka zun pangngaia i zun theih loh avangin i lungawi lo mai thei. Mahse, i doctor nen inhawng takin sawi rawh. I mamawh emotional support a pe thei che a, i tanpui theitu mi te nen pawh a inzawm tir thei che a ni. Nangmah chauh i ni lo tih hre reng ang che. Hetiang surgery nei tawh mi dang tam tak an awm bawk. Tin, he surgery hi nun tha zawk, rei zawk i neih theihna tura puitu tur angin ngaihtuah bawk ang che. Take-Home Thuchah a ni
- Ureterostomy hi surgical procedure a ni a, bladder bypass a, ureter chu kidney atanga vun chhunga opening (stoma) ah thlunzawm a, zun a chhuah tir thin.
- Hei hi cancer vang emaw, accident vang emaw, nau piangsual vang emawa bladder operation theih loh hunah a tul fo thin .
- Zun lakkhawm nan taksa pawn lamah pouch an bun a, chu chu a hlip a, a hun takah thlak a ngai a ni.
- Stoma leh a chhehvel vun hi fai leh vawt taka vawn reng a pawimawh hle**.
- Vun sen, hliam, zun inthlak danglam, khawsik ang chi natna danglam bik i hmuh chuan doctor hnenah hriattir nghal rawh.
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