I bladder chu eng emaw chhan vangin lakchhuah a ngai a, a nih loh leh a thawk tha lo ang tih han ngaihtuah teh. Tichuan engtin nge taksaa zun lo chhuak chu a lo chhuah? Nang pawhin he harsatna hi i nei ve ngei ang. Chu chu doctor-te’n ‘urinary diversion surgery’ emaw, Urinary Diversion emaw an tih lam an hawi hun a ni. Hei hi thupui buaithlak tak angin lang mah se, vawiinah hian awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.
A hmasain kan zun (urinary system) hnathawh dan hi han en ila.
Hei hi hrethiam tur chuan kan taksaa zun siam leh chhuah dan pangngai kan hriatthiam hmasak a ngai a ni. A awlsam khawp mai.
- Kidney: Hengte hi tui filter pahnih ang a ni. Kan thisen an filter a, bawlhhlawh duh loh leh tui tam lutuk an paih chhuak a, "urine" an siam bawk.
- Ureters: Kal atanga zun lo chhuak chu tube pahnih hmangin bladder-ah a kal a. Heng tube pahnih hi ureter an ti a.
- Bladder: Hei hi balloon te tak te ang a ni. Zun khawlkhawm leh dahkhawmna bag a ni.
- Urethra: Bladder a khat chuan he tube hmang hian zun a chhuak thin.
He thil kalphung zawng zawng hi thluak leh bladder inkara neural connection hmanga thunun a ni. Bladder a khat chuan thluak lamah signal a thawn a. Chumi hnuah thluak chuan bladder chu contract turin a hrilh a, urinary tract chhunga muscle te chu relax turin a hrilh bawk.
Engvangin nge mi pakhatin hetiang operation hi a mamawh ang?
He surgery hi bladder a thawk tha lo emaw, lakchhuah a ngai emaw chauhvin a ngai thin. Hei hi chhan hrang hrang a awm thei.
- Bladder cancer a ni .
- Cancer natna atana radiation therapy hmanga bladder tihchhiat.
- Chronic bladder infection awm fo leh dam lo.
- Urinary system-ah trauma na tak a awm .
- Nau piangsualna, spina bifida ang chi.
- Nervous system natna hrang hrang, Multiple Sclerosis (MS) .
- Incontinence nasa tak emaw, bladder-a natna tuar theih loh emaw.
A pawimawh ber chu zun hian taksa atanga a chhuah a ngai a ni. A lo awm lo a nih chuan chu zun chu a back up thei a, kidney-ah pressure a siam thei a, chu chuan kidney failure ang chi natna khirh tak a thlen thei a ni. He surgery hian a tum ber chu chu chhiatna chu ven hi a ni.
Heng surgery chi hrang hrangte hi engte nge ni?
A awlsam zawngin, surgeon-te chuan i intestine section tlemte hmangin zun chhuahna kawng thar an siam a ni. Hei hi kawng lian pahnih hmanga tih a ni. A hmanraw pahnih hi hriatthiam awlsam deuhin han thlir ila.
| Surgery chi hrang hrang | Thil thleng chu a awlsam hle. |
|---|---|
| Insum theih lohna (Incontinent Diversion) tih | Surgeon chuan pum vunah hawnna (stoma) a siam a. Urethra hi intestine piece pakhat nen inzawm a ni a, he opening ah hian fixed a ni. He kawngkhar atang hian zun a luang chhuak chhunzawm zel a, pawn lam bag (ostomy bag) ah a inbun lut a ni. He bag hi a hlip fo a ngai a ni. Hei hi urostomy an ti bawk . |
| Continent lam hawia inthlak danglamna | Hetah hian intestine thenkhat hmangin taksa chhungah zun khawlkhawmna pouch siam a ni. Hei hi kawng hnih in tih theih a ni. Bladder thar (neobladder) siam a ni a, chu chu urethra nena inzawm a ni a, a nih loh leh pouch siam a ni a, chu chu catheter hmanga pum chhunga hawnna te tak te (stoma) hmanga chhuah theih a ni. |
Insum theih lohna hmanrua: Ileal Conduit
Hei hi hmanraw hman tlanglawn ber a ni. Hetah hian zun kal dan chu i thunun thei lo. Bag chhungah chuan automatic in a khawl khawm thin.
- A thatna te: 1.1.
- Surgery hi tih dan dang aiin a awlsam zawk.
- Self-catheterize a ngai lo.
- A that lohna: 1.1.
- Mi thenkhat chuan zun khawlkhawmna bag bun hian rilru lamah harsatna an nei thei.
- Bag chu a leak thei a, rim a nam thei bawk.
Control hmanga zun chhuah dan
1. Indiana Pouch a ni
Hetiang hian taksa chhungah hian intestine atanga siam pouch dah a ni. Chumi nen chuan zun kawng (urinary tract) hi a inzawm tlat a ni. He pouch nena inzawm, intestine hmun tlemte chu pum chhunga hawnna te tak te (stoma) siamah an rawn hruai a. Hei atang hian zun hi a mah chauhin a chhuak lo. Darkar li danah he hawnna atang hian tube te tak te (catheter) chu kut hmangin i dah a ngai a, chu chuan pouch chhunga zun chu a chhuah tir thin.
- A thatna te: 1.1.
- Taksa chhungah zun a awm avangin pawn lam bag a ngai tawh lo.
- Bag a awm loh avangin leak emaw odor emaw a awm tlem zawk.
- Stoma hi plaster hmangin khar theih a ni.
- A that lohna: 1.1.
- Surgery hian hun rei tak a daih a ni.
- Tube i dah a ngai a, i bladder chu a hun takah i empty a ngai a, darkar li danah vel a ni.
- A chang chuan a hawnna chu a block thei a, scar tissue a lo awm thei a, pouch chhungah lung a lo awm thei a, infection a awm thei bawk.
- Pawimawh tak: Eng emaw chhan vanga tube chu a luh theih loh a, bag chu a hring thei lo a nih chuan a puak thei. Hei hi medical emergency a ni. Chutiang a nih chuan damdawi in Emergency Department (ETU) ah i kal nghal tur a ni.
2. Bladder thar siam (Neobladder) .
Hei hi zun kawng pangngai hnaih ber a ni. Hetah hian intestine atanga siam bladder thar chu i original urethra nen a inzawm a ni. Chuvangin pawn lam hawnna (stoma) a awm lo. Zun i mamawh hunah chuan chutiang tur chuan i pum ruhte i contract a ngai a ni.
- A thatna te: 1.1.
- Zun chhuah dan hi a pangngai nen a inang hle.
- Pawn lam hawnna (stoma) enkawl tur a awm lo.
- A that lohna: 1.1.
- Surgery hian hun rei tak a daih a ni.
- Operation hnuah thla ruk vel chhung chu incontinence engemaw zat i nei thei. Mi thenkhat chuan zan lamah he natna hi an nei thei a ni.
- Mi thenkhat chuan an bladder thar chu an khar vek thei lo. Tin, an zun chhuah chhuahna tur chuan urethra kaltlangin tube dah a ngai thei bawk a, chu chu hun eng emaw chen emaw, a awm reng emaw pawh nise.
Operation hnua dam leh hun chhung hi engtin nge a awm?
Hetiang surgery hnua a dam kim theih nan leh chakna a neih leh theih nan thla khat emaw thla hnih emaw a ngai thei. System thar hi hman thiam theih nan hun engemaw chen a ngai bawk. Chu chu i dawhtheih a ngai a ni.
- Hnathawh: Thla khat emaw thla hnih emaw chhungin hna i thawk leh thei tlangpui.
- Hnathawh tur: I dam tawh chuan exercise leh sports lamah i kir leh thei tawh ang. Mahse, contact sports emaw, tui chawi emaw i tih hmain doctor rawn hmasa phawt ang che.
- Diet: Doctor chuan operation hnu thla hmasa berah chaw nêm, ei awlsam tak tak ei turin a fuih a.
- Khualzin: Khualzin khapna a awm lo. Mahse, a tul chuan thil dang (ostomy bag, catheter) keng tel tur a ni.
He surgery hian taksa leh rilru lamah a nghawng thei che a ni . He dinhmun thar nen hian i sex life leh i kawppui nena in inzawmna chungchangah lungkham leh lungkhamna i neih hi thil pangngai a ni. Hemi chungchang hi doctor nen zalen taka sawipui a pawimawh hle.
Engtik hunah nge Doctor ka hmuh ang?
Urinary tract infection symptoms i neih chuan doctor pan nghal rawh.
- Khawsik
- Khua a vawt vangin a khur
- Nausea emaw, luak chhuak emaw
- Hnunglam emaw pum na emaw
- Zun hian rawng a thlak (darkening) emaw, rim a nam nasa hle
Tin, i stoma chhehvel vun a sen, a hring, zun emaw zun emaw a leak emaw, catheter dah harsat emaw a nih chuan doctor hnenah hriattir nghal rawh.
Take-Home Thuchah a ni
- Urinary Diversion surgery hi i bladder a thawk tha lo a nih chuan i kal chhiatna tihtawp nan tih thin a ni.
- Surgery chi hnih a awm a, chungte chu pawn lam bag-a zun lakkhawm dan (incontinent) leh taksa chhunga siam bag-a zun lakkhawm dan (continent) te an ni.
- I doctor chuan i hriselna dinhmun a zirin i tana tha ber tur chu a ruat ang. Chumi chungchâng chu ngun takin sawipui rawh.
- Surgery hnua system thar hman thiam theih nan hun a duh dawn a ni. Dawhthei takin awm rawh. Emotional lama i rilru a hah chuan doctor thurawn leh puihna zawng rawh.
- I khawsik, i khawsik, i zun a inthlak emaw, i stoma lama harsatna i neih chuan i doctor hnenah hrilh nghal rawh .
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