Vagotomy tih surgery hi i hria em? (Vagotomy) - Hemi chungchang hi awlsam takin han sawi ila!

Gastritis, rei tak dam lo, chu chu pum ulcer (Peptic Ulcer Disease) te pawh i nei em? Damdawi ei hnuah pawh a chang chuan heng ulcer te hi dam lovin a awm chhunzawm zel thin. Chutiang khawpa natna khirh takah chuan vawiin hian doctor-te rawtna special surgery chungchang kan sawi dawn a ni. Hei hi Vagotomy an ti a. He hming hi i hre lo mai thei. Mahse hei hi enkawl dan pawimawh tak a ni. Eng nge a nih awlsam takin i en ang u.

A awlsam zawngin, Vagotomy chu eng nge ni?

I thluak leh i pum chhunga chaw ei dan inkara thu hriatna phurtu ‘telephone wire’ bik a awm tih han ngaihtuah teh. Damdawi lamah chuan hei hi Vagus Nerve kan ti a. He nerve hian i pum chu "secrete acid now" tih signal petu a ni. Kan ei hian he Vagus nerve hian thluak atanga thuchah a thawn a, chu chaw ei tur atana acid mamawh chu a siam chhuak thin.

Tunah chuan mi thenkhat pum hian acid a siam tam lutuk a. Hei hian pum chhunga lining a tichhia thei a , ulcer a tidam lo thei bawk . Vagotomy tih hian vagus nerve atanga thluak atanga pum chhunga thuchah thawn chhuaktu, acid siam chhuahna hmun chu a tikehsawm a ni. Telephone wire cut hian message chu a titawp ang bawkin, he nerve hi cut hian pum chhunga signal chu a tihtlem a, acid siam chhuah a ni. Hei hian pum chhunga acid siamchhuahna a control a, ulcer a tidam a, ulcer thar lo awm tur a titawp bawk.

Vagotomy surgery chi hrang hrangte chu engte nge ni?

Vagus nerve hi thing hnah atanga intan leh zung chhuak ang mai a ni. Vagotomy surgery hi he nerve cut na hmun a zirin chi hnih ah then theih a ni. An pahnih hian nghawng a neih dan chu a inang lo deuh hlek a ni.

Tichuan eng case-ah nge he surgery hi tih a nih?

A tlangpuiin pumpui ulcer hi damdawi hmanga enkawl theih a ni. Mahse, natna khirh tak tak thenkhat erawh a awm. Chutih lai chuan vagotomy ngaihtuah a ngai a ni.

• Thisen chhuak Ulcer: Pum ulcer chu thisen a chhuak chhunzawm zel a, endoscopy ang chi hmanga control theih a nih loh chuan ulcer siamthat nan operation neih a ngai mai thei. Ulcer a lo awm belh zel loh nan vagotomy pawh tih theih a ni bawk.
• Perforated Ulcers: Hei hi emergency a ni. Ulcer hi a thuk tawk a, a bangah khur a awm thei a nih chuan , pum chhunga acid leh ei tur chu pum chhungah a luang lut thei a, chu chuan natna khirh tak a thlen thei a ni Chutiang hunah chuan a khur chu a rang thei ang bera khar turin operation neih a ngai a ni. Vagotomy pawh tih theih a ni. Chutiang hunah chuan Emergency Department (ETU) ah admit nghal i ni ang.
• Gastric Outlet Obstruction: Hun rei tak hliam avanga hliam tuar tissue hian chaw ei tur chu pum atanga small intestine a kalna tur a tikhawlo thei a ni. Hei hian chaw ei tur chu pum chhungah a tlakbuak thei a , riltam a thlen thei bawk . He thil tihkhawtlai hi paih chhuah nan hian operation neih laiin vagotomy pawh tih theih a ni bawk.

Surgery dang pawh vagotomy nen an ti bawk

Vagotomy hi stand-alone surgery a ni lo fo thin. Hliam avanga harsatna awmte siamthat nan surgery dang nen tih dun a ni.

1. Vagotomy leh Gastrectomy tih a ni

A nasat deuhah chuan pum chhunga section pakhat lakchhuah a ngai mai thei. Hei hi gastrectomy an ti a. A tam zawkah chuan pum hnuai lam hi lakchhuah a ni. He part hian hormone gastrin an tih chu a siam chhuak thin. He hormone hian acid siam chhuahnaah a pui bawk. Chuvangin pum chhunga section pakhat lakchhuah a nih chuan vagotomy pawh tih a ni a, chu chu hliam nawn leh loh nan a ni.

2. Pyloroplasty hmanga Vagotomy tih a ni

A hmaa kan sawi tawh Truncal Vagotomy surgery hi kan tih chuan he pyloroplasty surgery hi a rualin kan tih a ngai tak zet a ni. Pum tawp lamah hian muscular valve ang chi, pylorus an tih chu a awm a. Hei hi kawngkhar inhawng leh khar ang mai a ni a, chu chuan chaw ei tur chu small intestine chhungah a lut thei a ni. Truncal vagotomy-a vagus nerve main trunk chu an tan chuan he gate hawn leh khartu signal te chu a bo vek a ni. Tichuan chaw chu pum chhungah a tang ta a ni. Chu gate chu a inhawng reng theih nan pyloroplasty surgery an ti thin. Tichuan chaw chu awlsam takin small intestine-ah a kal lut ta a ni.

Operation hma leh operation neih chhung hian eng nge thleng?

Surgery neih hma hian i hriselna dinhmun tha taka vawn reng nan a tul anga enkawlna pek i ni ang. Entirnan, luak vanga tui a tlakchham chuan saline pek i ni ang a, thisen chhuah avanga thisen hloh a nih chuan thisen pek i ni ang. Tin . Surgery hi anesthesia hmanga tih a ni a, chu chu i muhil vek tawh tihna a ni.

Surgery tih dan kawng hnih a awm a, chungte chu:

• Open Surgery: Traditional method, pum chhunga incision lian tak hmanga tih thin.
• Laparoscopic Surgery: Hei hi ‘keyhole surgery’ tia hriat a ni bawk. Chu chu pum chhunga hliam tenau tlemte chauh siam a, camera leh hmanraw nalh tak tak dahna a ni. Hei hian dam hun a ti tlem a, hliam tenau zawk a siam bawk.

Surgeon chuan eng method nge i tan a tha ber tih a rel ang.

Operation hnuah eng nge thleng? Risk leh side effect awm thei te

Surgery neih dan azirin damdawi inah ni engemaw zat awm a ngai mai thei. I kal leh theih hunah leh mahni inrintawkna neia i function leh hunah in lamah thawn haw i ni ang. A dam kim theih nan kar engemaw zat a ngai thei. Liquid diet hmangin i tan ang a, zawi zawiin chaw pangngaiah i insiamrem ang.

Surgery dang ang bawkin he surgery hian risk engemaw zat a nei a ni.

Heng side effects te hi mi zawng zawngah a awm lo. Tin, i doctor chuan a tam zawk enkawl dan tur damdawi leh thurawn a pe ang che. A pawimawh ber chu he surgery hlawkna ber chu hun rei tak chhunga pum chhunga natna awm tawh, tihdam loh chu a tidam vek thei hi a ni.