I bladder-a harsatna i neih avanga i zun that theih lohna dinhmun han ngaihtuah teh, cancer vang emaw, accident vang emaw, pianpui natna avang emaw pawh a ni thei. Chutiang hunah chuan i taksa atanga zun lak chhuah dan dang i mamawh a ni. A nih loh leh i kal (kidney) pawh a chhe thei bawk . Chutiang thila doctor-te’n solution an rawt pakhat chu ureterostomy an tih surgery hi a ni . Hemi hming hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin sawi ila.
Ureterostomy tih hi eng nge ni?
A awlsam zawngin sawi ila, hei hi surgical procedure a ni a, i kidney atanga i bladder thlenga zun phurtu tubes (ureters an tih) te chu la chhuakin i pum vunah kawngkhar te tak te nen inzawm tir a ni. He hawnna hi damdawi lam chuan stoma an ti a .
Ngaihtuah teh, tui pipe system hmun khat a block chuan, a block chu bypass turin pipe thar kan dah a, tui chu kan chhuah tir a ni. He surgery hnuah hian i zun chu bladder-ah a kal lo va, chu stoma kaltlangin kidney atang chuan taksa atangin direct-in a chhuak thin. Zun chhuak chu lakkhawm nan chuan stoma-a bag (pouch) bik dah a ni. He bag hi a khat tawh chuan kan empty thei a ni.
He surgery hi a tlangpuiin permanent solution angin an ti thin. A chang chuan ureter pakhat chauh a inzawm thei a, a pahnih hian a inzawm thei bawk.
Engvangin nge hetiang surgery hi i neih a ngai?
Doctor-in he surgery hi i tan a rawt theih chhan hrang hrang a awm. A chhan ber chu i bladder a thawk tha lo vang a ni.
- Bladder lakchhuah a nih chuan: A chang chuan bladder cancer ang chi damdawi lam thil avang hian lakchhuah vek a ngai mai thei.
- Bladder a chhiat hunah: Accident emaw, damdawi lam thil dang emaw avanga bladder a chhiat a, a thawk tha lo a nih chuan.
- Congenital Anomalies: Pianpui natna thenkhat, spina bifida te hian bladder dysfunction a thlen thei.
- Spinal Cord Injury: Spinal cord injury hian bladder control tu nerve te a nghawng thei a, zun a harsat phah a ni.
Hetiang thil avang hian zun taksaah a tang a hlauhawm hle. Zun tam tak a thlen thei a ni.Urinary Tract Infections ( UTIs ) a awm thei a, a tawpah chuan kal (kidney failure) a thlen thei a ni. Chuvangin he surgery hian chu risk chu a tihziaawm thei a ni.
Surgery hmain eng test nge tih thin?
He surgery an tih hma hian doctor ten i taksa dinhmun an hriat chian theih nan test eng emaw zat an ti ang.
| Test Hming | A awlsam zawngin, a chhungah eng nge i hmuh? |
|---|---|
| Kidney function test a ni | I kal (kidney) te hnathawh that dan en rawh. |
| Thisen test a ni | Taksa hriselna tlangpui leh hri kai a awm leh awm loh enfiah thin ang che. |
| Imaging test (X-ray, Ultrasound) hmanga enfiah a ni. | Kidney, ureters, leh bladder te pianzia leh awmna hmun hmuh theiha hriatthiamna nei rawh. |
| Retrograde pyelogram tih a ni | Urethra kaltlangin special liquid (dye) dahin X-ray an la a, urinary system-ah harsatna a awm em tih an enfiah thin. |
| C. T. Scan (CT scan) hmanga tih a ni. | Thlalak chiang zawk hmuh theih nan ruang cross-sectional photograph an la thin. |
| M. R. I. (MRI) a ni. | Kidney leh urinary tract thlalak chipchiar tak tak hmuh a ni. |
Tin, operation hma hian doctor emaw, specially trained nurse emaw chuan a bia ang che a, stoma siamna tur hmun tha ber tur a rel ang. I hmuh awlsam theihna tur leh i thawmhnaw (e.g., belt)-a i tlu lo tur hmun a ni tur a ni .
Operation hnua nun leh stoma enkawl
Operation hnuah chuan nun dan thar i insiamrem a ngai dawn a, mahse i ngaihtuah angin a harsa lo.
Stoma leh bag hnathawh dan
Stoma hi taksa ruh a ni lo. Chuvangin, zun a control thei lo . Zun chu a rawn chhuak chhunzawm zel a.
- Pouching System: Hei hian hmun hnih a nei a. Pakhat chu vunah a innghahna (barrier) hi a ni. A dang chu zun khawlkhawmna pouch a ni. A châng chuan, unit-te chu an pahnih hian an rawn keng tel ṭhin.
- Barrier: Hei hi square sticker a ni a, a laiah stoma nena inmil tur hole a awm. Hemi chunga special gum hian zun a chhuah loh nan a pui a, vunah a nghet tlat bawk.
- Urine pouch: Hei hi vun patch-ah a inbun a. Urine hian direct in he ah hian a khawl khawm thin.
A tlangpuiin, bag chu hmun thuma ṭhena hmun khat emaw, a chanve emaw a khat hunah a hring tur a ni . Bag chu la chhuak lovin a hnuai lamah valve i hawng thei a, zun chu toilet-ah i paih lut thei bawk. Zanah chuan he valve-ah hian tube i dah thei a, zun chu bag lian zawkah i dah khawm thei bawk. Heng bag te hi taksaah a in fit tha em avangin thawmhnaw pangngai i hak chuan a lang lo.
Stoma leh a chhehvel vun enkawl
Stoma leh a chhehvel vun hi fai leh vawt taka vawn reng a pawimawh hle .
- Nitin stoma leh a chhehvel vun chu sahbawn leh tui nem tak hmangin silfai thin ang che.
- Sahbawn a bo thlengin tuiin silfai ang che.
- Tichuan, a vawt tha hle ang. Moisture neih hi a tha lo.
Pouch leh barrier hi ni 5-7 danah thlak a ngai thin . Heng zawng zawng tih dan tur hi damdawi inah a zirtir ang che.
Engtikah nge doctor nen inbiakna neih a ngaih?
I stoma leh a chhehvel vun te hi ngaihven fo ang che. Thil danglam i hmuh chuan i doctor hnenah hriattir nghal rawh.
| Features ngaihven tur a awm | Hrilhfiahna |
|---|---|
| Vun lama harsatna nei | |
| A sen emaw, a hliam emaw | Stoma chhehvel vun a sen, a hring emaw, a tui chhuak emaw a nih chuan. |
| Skin rash emaw hliam emaw a awm | Vun a vawt, a chhe emaw, a hring emaw a nih chuan. |
| Infection a awm tih chhinchhiahna | |
| Zun inthlak danglamna | Zun dum emaw, zun chhunga thisen awm emaw, rimchhia emaw. |
| Thil dang pawh a awm | Back na, khawsik, luak chhuak leh/ emaw luak chhuak, ei duh lohna. |
Take-Home Thuchah a ni
- Ureterostomy hi surgical procedure a ni a, chu chu bladder a thawk tha lo a, taksa atanga zun chhuah chhuahna atana hman thin a ni.
- Hei hian vunah siam hawnna (stoma) hmangin kal atanga zun chu direct-in a chhuak thei a, bag bik ah a khawl khawm thei a ni.
- Infection leh vun lama harsatna awm lo turin stoma leh a chhehvel vun thianghlim taka vawn a pawimawh hle.
- Harsatna eng emaw, khawsik, zun inthlak danglam, vun sen emaw i hriat chuan doctor hnenah hriattir nghal rawh.
- He surgery hian i nunah danglamna lian tak ni mahse, i kal (kidney) chhiatna nasa tak a veng ang a, nun hrisel tak i neih theih nan a pui ang che.
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