Mi thenkhat chuan pum ulcer, chu chu gastric ulcer an nei a, eng damdawi pawh ei emaw, eng ang pawhin an ei leh in thunun emaw pawh ni se, a dam ngai lovang tih i ngaihtuah mai thei. Chutiang natna khirh tak tak, natna chhunzawm zel, thisen chhuak, leh a chang chuan pum chhunga perforation thlenga awmte pawh an awm. Chutiang mite tan chuan enkawlna dang zawng zawng a hlawhchham tawh chuan vawiinah hian doctor-te’n an rawt surgery bik chungchang kan sawi dawn a ni. Vagotomy an ti a.
A awlsam zawngin, vagotomy tih hi eng nge ni?
Hetiang hian han ngaihtuah teh: Vagus nerve hi kan thluak leh chaw ei kawng inkar telephone line lian tak ang mai a ni a, chutah chuan intestines pawh a tel a ni. He nerve hi kan pum chhungah "secrete acid now" tih signal thawntu a ni. Kan ei lai hian he acid hi mamawh ni mahse, a chang chuan he acid pung hi pumpui natna thlentu ber a ni.
Vagotomy chu telephone line-a a hmun, vagus nerve, chu chu tumruh taka tan a ni a, chu chuan chaw kawng chu acid siam turin signal a thawn a, chu chuan chu signal chu a titawp ta a ni. Hei hian stomach acid siamchhuahna nasa takin a ti tlem a ni. Hei hi peptic ulcer natna na tak nei tan chuan a radical deuh a, mahse a hlawk hle.
Vagus nerve tihtawp a nih chuan eng nge thleng? - A chi hnih a awm a
Vagus nerve hi thing ang mai a ni. Main trunk a nei a, chuta tang chuan branch hrang hrang a branch off thin. He nerve hi khawi hmuna cut nge tih a zirin surgery hian a nghawng a inang lo. A chi hnih a awm a.
| Surgery chi hrang hrang | Eng thil nge thleng tih leh a nghawng dan |
|---|---|
| Truncal Vagotomy hmanga tih a ni | Hei hian vagus nerve "main trunk" tihtlak a huam a ni. Hei hian pum chhunga acid siam chhuah a ti tlem a, mahse he nerve atanga signal dawngtu taksa peng dang, liver, gallbladder, pancreas leh intestines te hnathawh pawh a nghawng thei bawk. Hei hian chaw ei kawngah harsatna a thlen thei a ni. |
| Vagotomy hi a thlang thiam hle | Hei hi hmanraw bik tak a ni. Hetah hian nerve trunk pumpui chu a cut lo. Pum chhunga acid siamtu cell (parietal cells)-a signal kengtu nerve branch te tak te chauh thlan chhuah a ni a, a cut chhuak thin. Hei hian taksa peng dang a nghawng lo. Mahse, hei hi surgeon tan chuan operation tih harsa deuh a ni a, technical lama hriatna tam zawk a ngai a ni. |
Eng dinhmunah nge he surgery hi tih a tha?
Pum natna tam zawk hi damdawi hmanga enkawl theih a ni. Mahse, thil buaithlak leh na tak, a hnuaia mi ang chiah hian, ulcer lo awm leh tur venna atan he surgery hi tih a tha thei ang:
- Bleeding Ulcers: Thil dang hmanga thisen chhuah hi control theih a nih loh chuan ulcer tihdam nan operation neih a ngai mai thei.
- Perforated Ulcers: Ulcer hian pum bangah khur a siam a nih chuan emergency surgery hmanga khar a ngai a ni. Chutiang a nih loh chuan natna hrik chu pum chhungah lutin natna khirh tak a thlen thei a ni. Chutiang a nih chuan ETU (Emergency Treatment Unit) -ah hruai nghal tur a ni.
- Gastric Outlet Obstructions: 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 . Chutiang a nih chuan scar tissue chu surgery hmanga lakchhuah a ngai a ni.
Pawimawh tak chu vagotomy hi a tlangpuiin tih mai mai a ni lo. A chunga kan sawi tak harsatna pakhat siamthat nan operation dang nen tih dun a ni fo thin.
Operation dang chu vagotomy nen a ruala tih a ni
1. Gastrectomy hmang hian: Hei hian pum chhung hmun thenkhat lakchhuah a ni. Hei hi hliam na tak a awm emaw, a hliamte chu cancer a nih theih rinhlelhna a awm emaw chuan tih thin a ni. Pum hnuai lam hi lakchhuah a nih chuan acid siamna atana puitu hormone gastrin siamchhuahna pawh a tlahniam bawk. Mahse chu chauh chu a tawk lo a nih avangin vagotomy pawh a rualin an ti bawk a, chu chuan a hliamte chu a lo awm leh tawh loh nan.
2. Pyloroplasty hmang hian: Truncal Vagotomy i nei a nih chuan, chu chu main nerve trunk cut tihna a ni a, he pyloroplasty surgery pawh hi i neih a ngai ngei ang. A chhan chu, vagus nerve a tan chuan pylorus chu hawn leh khar tura hrilhtu signal chu a bo vek a ni. Tichuan chaw chu a lo inkhung ta a ni. Pyloroplasty surgery chu chu gate chu hawn reng turin an ti a, chutiang chuan ei tur chu awlsam takin a kal tlang thei a ni.
Surgery hma leh operation neih chhung hian eng nge thleng?
I dinhmun azirin, i hriselna neih leh theih nan operation hmain enkawlna thenkhat pek a ni thei bawk. Entirnan, luak vanga tui a tlakchham chuan IV fluid pek theih a ni a, thisen chhuak hliam i neih chuan thisen pek theih a ni bawk. Operation hmain antibiotics pek thin a ni. He surgery hi general anesthesia hmanga tih a ni.
Surgery hi open surgery tiin tih theih a ni a, chu chuan pum chu a tan a, a nih loh leh laparoscopic surgery , camera leh instrument te chu incision tenau engemaw zat hmanga dah a ni. Hei hi i surgeon-in a rel ang.
Operation hnuah eng nge thleng? Hlawkna leh hlauhawmna
He surgery thatna ber chu hun rei tak chhunga hliam na tak tuar tawh leh damdawi hmanga tihdam loh lo awm lehna chu a titawp vek mai thei a ni.
Mahse, surgery dang ang bawkin, he surgery hian risk leh side effect engemaw zat a nei a ni .
| Risk/side effect chi hrang hrang | Hrilhfiahna |
|---|---|
| Surgery neih chhunga risk awm thei | A chhehvel taksa peng hrang hrang, thisen kalna kawng emaw, nerve emaw tihchhiat, natna hrik, thisen chhuah, thisen zam. |
| Kawthalo | Hei hi a awm fo thin a, a bik takin truncal vagotomy hnuah a awm fo thin. Gallbladder hnathawh tlahniam vang a ni. Hun eng emaw chen atan a ni tlangpui. |
| Dumping Syndrome a awm a ni | Hei hi pyloroplasty surgery vang a ni. Chaw chu pum chhungah awm reng lovin intestine-ah a kal nghal vat a, chu chuan rilru hahna, pum na lo, leh ril\am a thlen thei a ni. Hei hi i ei leh in thlak danglamin control theih a ni. |
| Gallstones a awm | Truncal vagotomy hnuah gallbladder function tlahniam hian bile a pung thei a, lung a siam thei bawk. |
Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Chaw pangngai i ei theih nan kar tlemte a la ngai thei. Liquid foods atang hian i tan ang a, zawi zawiin solid foods ah i kal ang.
Take-Home Thuchah a ni
- Vagotomy hi surgical procedure a ni a, damdawi hmanga enkawl loh, pum ulcer na tak (peptic ulcers) tan chuan a tawp ber atan tih a ni.
- A tum ber chu chaw chhunga acid siamtu nerve signal te tihtawp a, acid siam chhuah tihtlem a ni.
- He surgery hi chi hnih (truncated leh highly selective) a awm a, an side effect leh effect pawh a inang lo.
- Hei hi surgery dang (gastrectomy, pyloroplasty) nena inzawmin ulcer-a harsatna awmte enkawlna atan an ti fo thin.
- Nangmah emaw i hriat mi emaw chu hetiang surgery hi tihsak tura rawtna i neih chuan i doctor hnenah a thatna, a hlauhawmna leh a side effect chungchang sawipui la, i zawhna zawng zawng zawt vek rawh.
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