Nang pawhin zun harsatna tlem i nei em? Zun hi a chak lo hle a, a slow em? Nge a drip em? I zun zawh hnuah pawh zun a la awm angin i inhriat fo thin em? Heng symptoms te hi i neih chuan a chhan chu i urethra block emaw, narrowing emaw vang a ni thei. Hei hi damdawi lamah chuan `(Urethral Stricture)` tia hriat a ni. Chuvangin vawiin hian he harsatna chinfelna hlawhtling ber leh nghet ber tur kan sawi dawn a ni. Chu chu `Urethroplasty` an tih surgery chu a ni.
A awlsam zawngin, Urethroplasty hi eng nge ni?
Hei hi hrethiam tur chuan kan urinary system hnathawh dan hi han thlir hmasa ila. Kan taksaah zun hi kal (kidney)-ah a lo chhuak thin. Tichuan, chu zun chu urinary bladder-ah a khawlkhawm ta a ni. Bladder a khat chuan zun a ngai tih kan hria. Tichuan, zun atanga taksa pawn lam thlenga zun phurtu tube a awm a. Chu tube chu urethra an ti a . Mipaah pawh he urethra hmang hian sperm hi taksa atangin a chhuak thin.
Tunah chuan he urethra hi eng emaw chhan vanga a block emaw, a tawi emaw a nih chuan eng nge thleng ang tih han ngaihtuah teh? Tui pipe chhunga bawlhhlawh a tlakbuak ang bawkin tui luang a harsa a, zun pawh awlsam takin a chhuak thei lo. Urethra block emaw, narrowed emaw chu siam that leh siamthat nan surgery an tih chu Urethroplasty an ti a.
Hetiang tihnaah hian surgeon chuan urethra tikhawlotu scar tissue chu a cut chhuak a, tube chhunga hmun hrisel pahnih chu a thlunzawm leh a ni. A chang chuan blockage a rei lutuk chuan taksa peng dang atanga lak chhuah tissue piece pakhat hmangin chu part chu siam thar leh thin a ni. Tui pipe hlui pakhat lakchhuah a, a thara thlak ang mai a ni.
Engvangin nge he surgery hi a tul?
Urethroplasty tih chhan lian tak tak engemaw zat a awm. Eng nge an nih i han thlir teh ang.
- Urethral stricture: Hei hi a chhan tam ber a ni. Urethra chhunga hliam awm hian natna hrik vang emaw, accident vang emaw, a hmaa zai a nih vang emaw, thil dang vang emaw a ti tawi thei a ni. Hetiang dinhmun hi hmeichhia aiin mipaah a tam zawk .
- Congenital conditions: Naupang thenkhat chu an piang a, urethra-ah harsatna engemaw zat an nei a. Epispadias leh hypospadias te hi chutiang dinhmun pahnih a ni. Hengte hi naupan laiah surgery hmanga siamthat theih ni mahse, a hnuah chuan surgery an neihna hmunah blockage an nei thei a ni.
- Reconstructive Surgery dang: He surgery hi a chang chuan genital area-a reconstructive surgery dang nei tawh tan chuan a ngai thei a ni.
Urethroplasty hi surgery lian tak a ni em?
Hei hi i urethra siamthat ngai zat ah a innghat tak zet a ni. Blockage a tlem chuan a cut chhuak a, urethra tawp pahnih inzawmkhawm tura surgery neih hian hun a duh rei lo hle. Mahse a blockage chu a rei a nih chuan taksa peng dang atanga tissue (graft) chi khat chu urethra siamthat nan hman theih a ni. Tichuan surgery chu a buaithlak deuh a, a rei zawk bawk.
Khawi atanga nge he tissue hi i hmuh?
Hemi atan hian surgeon-te’n tissue an lakna hmun engemaw zat a awm.
- I hmui chhung atang chuan: Ni e, i hre dik. He tissue hi i hmui (buccal mucosa) emaw i hmui chhung lam emaw atanga lak chhuah a ni tlangpui. Hei hi hmanraw hlawhtling tak a ni.
- I serh hmun atang: Mipa i nih chuan i zang atanga vun thenkhat lak theih a ni. Reconstructive surgery a nih chuan i vagina emaw labia emaw atanga vun thenkhat lak theih a ni.
- Rectal: Surgery atana anesthesia i pek lai hian rectum chhung lam atanga tissue piece pakhat chu rectum kaltlangin lakchhuah theih a ni.
Hei hi hlau suh. Heng zawng zawng hi natna engmah i hriat loh nan complete anesthesia hnuaiah tih a ni.
Surgery neih hmain eng nge thleng?
Urethroplasty surgery neih tura thutlukna i siam hnuah, i doctor chuan i urethra-a blockage awmna hmun dik tak leh eng chen nge a nih tih chiang taka hriat theih nan test eng emaw zat a ti hmasa ang.
| Fiahna | A awlsam zawngin, . |
|---|---|
| Retrograde Urethrogram hmanga tihchhuah a ni | Hei hi X-ray test a ni. I urethra kaltlangin liquid bik pakhat a kalpui a, X-ray image lak a ni. Hei hian blockage chu chiang takin a hmu thei a ni. |
| Cystoscopy hmanga enfiah a ni | Camera te tak te nei tube te tak te chu urethra hnuaiah an pass a, tube chhunga dinhmun chu direct-in an enfiah thin. |
Heng test pahnih hi a rang a, a na lo bawk. Chumi hnuah chuan doctor chuan operation chu a schedule ang. Surgery neih hma ni engemaw zatah chuan eng damdawi nge i ei tur tih te, eng nge i ei tur tih te, eng chen nge chaw nghei tur tih te a hrilh ang che.
A châng chuan, operation hmain Suprapubic Catheter i mamawh thei bawk.I doctor chuan pakhat a rawn rawt mai thei. Hei hian i pum hnuai lam atanga i bladder chhungah direct-a tube dah a, tui chhuah tir a huam a ni. Hei hian urethra chu "chawlhna" a pe a ni. Chumi hnuah chuan scar tissue chu chiang takin a lang a, chu chuan operation neih laiin lakchhuah vek a awlsam phah a ni.
Surgery neih chhung hian eng nge thleng?
I surgery ni chuan operation room-ah hruai i ni ang. Chutah chuan anesthesiologist chuan general anesthesia a pe ang che . Chumi awmzia chu surgery a zawh hma loh chuan muthilh thuk takah i awm dawn tihna a ni. Engmah i hre lovang.
Chumi hnuah surgeon chuan vunah incision a siam a, chu chuan urethra a lut ta a ni. He incision hi penis hnuai lam, scrotum-ah emaw, a tam zawk chu scrotum leh anus inkar (the perineum)-ah emaw tih a ni tlangpui.
A dawtah chuan a block emaw, a hliam emaw chu hriatchhuah a ni a, a sei zawng leh a awmna hmun a zirin chu hmun chu cut chhuakin lakchhuah emaw, siam thar emaw a ni. Blockage a rei chuan graft hmangin a hmaa kan sawi tawh ang khan ka atanga, mipat hmeichhiatna emaw, rectum atanga siam thar leh a ni.
Siamthat zawh hnuah zun kawng a dam hma loh chuan zun chhuahna tur catheter dah a ni. Chumi hnuah chuan incision chu khar a ni a, suture a ni. Heng sutures te hi taksa chhunga hmin thei thread chi khat atanga siam a ni tlangpui. Chuvangin stitch te chu lakchhuah tir turin i lo kir leh a ngai tawh lo.
Surgery hnuah eng nge thleng?
Surgery zawhah anesthesia atanga i harh hma loh chuan recovery room-ah hruai i ni ang. Urethroplasty hi ni khat emaw ni hnih emaw damdawi ina awm a ni tlangpui a, i haw thei bawk. A chang chuan chu ni vek chuan i haw thei bawk. Amaherawhchu, nangmah ngeiin i khalh thei lova, tu emaw chuan in lamah a khalh a ngai dawn a ni.
In lama i haw hunah heng thilte hi i keng tel a ngai dawn a ni:
- Urinary catheter hmanga zun chhuahna (Urinary catheter) a ni
- Natna tihdamna damdawi
- Infection laka invenna atan antibiotics hman a ni
- Bladder spasm laka invenna damdawi pek theih a ni.
- Kawng atanga tissue lak a nih chuan hliam thianghlim nan mouthwash bik hman a ni ang.
I operation hnu kar hnih atanga kar thum vel hnuah doctor i pan leh a ngai dawn a ni. Chutih hunah chuan X-ray dang i la leh mai thei a, a siamthat dan enfiah rawh. Hei hian catheter lakchhuah a, i bladder chu solution bik hmanga khat a, i zun laiin X-ray thlalak lak a huam a ni. Heng thlalakte hian i damna hmasawnna hriat theihna turin a pui ang.
Urethroplasty surgery hi khawvel pumah urethral stricture enkawlna tha ber leh hlawhtling ber nia hriat a ni.
He surgery hian eng hlawkna, hlauhawmna leh harsatna te chu engte nge ni?
Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.
A thatna te
He surgery a thatna lian ber chu a hlawhtlinna rate sang tak a ni . Research atanga a lan dan chuan he surgery hlawhtlinna hi 80% aia tam a ni . A then phei chuan blockage awm dan azirin hlawhtlinna rate chu 90% aia tam a ni thei . Chumi awmzia chu mi 10-in zai an neih chuan mi 8 emaw 9 emaw chuan an dam kim vek dawn tihna a ni.
Risk leh Complication awm thei te
Anesthesia chungchangah hian thil awmze nei tak tak a awm a, eng surgery pawha infection awm theihna a awm bawk. Chu bakah, he surgery-ah hian risk bik thenkhat a awm bawk. Chu chu ngun zawkin han thlir ila.
| Risk/Complication awm thei | Hrilhfiahna |
|---|---|
| Catheter nena inzawm harsatna | Catheter bulah hian zun leak emaw catheter blockage emaw a awm thei. Hetiang a nih chuan damdawi lam thurawn lak nghal tur a ni. |
| Infection awm thei te | Infection hi incision na hmunah emaw, urinary tract-ah emaw a lo awm thei. Hei hi antibiotics hmanga enkawl theih a ni. |
| Surgery a hlawhchham | A tlem hle a, operation hnuah urethra chu a block leh thei a, operation dang emaw, enkawlna dang emaw a ngai a ni. |
| Nerve Hliam a awm | Operation laiin i dinhmun hian i ke, kut leh kut zungtang nerve te chu hun engemaw chen a tichhe thei a (a tlem hle). |
| Na | Hun rei tak chhung natna hi operation an tihna hmun (scrotum emaw perineum emaw)-a nerve chhiat vang a ni thei. |
| Zun emaw semen emaw a leak | Surgery an tihna hmunah hian zun emaw semen emaw a awm khawm thei a, penis atang hian a leak chhuak thei bawk. |
| Erectile Dysfunction a awm a, a rilru a buai em em bawk | Hei hi a thleng thei a, mahse a tlangpuiin hun eng emaw chen atan a ni a, thla 18 emaw a aia rei lo chhungin a reh thei. |
Eng chen nge a dam leh theih ang? Engtikah nge hna ka thawh leh theih ang?
Hei hi mi tam takin harsatna an neih a ni. Recovery period chungchangah hian hriat tur tlemte a awm.
- Catheter a awm lai hian: Hetih hun chhung hian (kar 2-3 vel) lirthei khalh emaw, hun rei tak thut emaw i pumpelh tur a ni . Tin, i ke zau taka zau (stairs chhoh ang chi) hmanga squatting emaw thil tih emaw pawh pumpelh bawk ang che . Amaherawhchu, pangngai taka kal leh inchhung hna rit tak tak tih erawh a pawi lo.
- Kawng natna: I hmuiah tissue cut i neih chuan lungngai suh. Kawng natna hi a dam rang hle. Kar 3 vel hnuah chuan tissue thar a lo thang lian ang a, chu hmun chu a khuh ang.
- Hnathawh lama kir leh: Catheter lakchhuah hnuah hnaah i kir leh thei tawh ang. Hei hian kar 2-3 vel chawlh i lak a ngai dawn tihna a ni. Taksa lam hawi hna i neih chuan a rei deuh mai thei.
- Sexual activity: Hei hi a pawimawh hle. Operation hnu kar 6 chhung chu mipat hmeichhiatna hman emaw masturbation emaw i pumpelh vek tur a ni . Hei hi hliam a dam tha theih nan a pawimawh hle.
Engtikah nge Doctor i hmuh a ngaih?
Zun harsatna i neih a, zun kawng (UTI) i neih fo chuan, emaw, doctor-in i zun kawng a block tih a hrilh che a nih chuan doctor pan ngei ngei tur a ni a, hei hi i sawipui ngei tur a ni.
Urethroplasty surgery i neih tawh a, a hnuaia warning signs te hi i neih chuan , i doctor i biak nghal tur a ni.
- Khawsik i neih chuan .
- Surgical incision chu a inhawng angin a lang a nih chuan .
- I underwear-ah thisen chhuak rit tak a awm a nih chuan.
- Cut atanga pus ang chi tui lo chhuak a awm chuan.
- Beisei loh takinNatna nasa tak a awm chuan .
- I catheter a block a , zun a chhuak lo a nih chuan.
Hetiang thil hi rinhlelhna i neih chuan ngaihthah suh. I doctor emaw damdawi in emaw call nghal la, thurawn la rawh.
Take-Home Thuchah a ni
- Urethroplasty hi urethral stricture enkawlna atana surgery hlawhtling tak a ni.
- He surgery hlawhtlinna hi 80%-90% vel a ni.
- Operation hnuah kar 2-3 vel catheter dah a ngai dawn a ni.
- Damdawi lam thurawn dik tak zawm la, a bik takin mipat hmeichhiatna hman loh tur leh tihkhawtlai loh nan, dam leh hun chhung hian zawm tur a ni.
- Warning signs, khawsik, natna nasa tak, emaw, incision atanga pus lo chhuak i neih chuan doctor hnenah hriattir nghal rawh.
- I hriselna chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen takin inbiakna nei rawh.
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