Thluak chhunga pressure sang tak avanga emergency surgery tih i hre tawh em? Nangmah emaw, i thianpa emaw lu hliam avanga damdawi ina dah nghal a ngaih lai khan doctor-te’n he thu hi an sawi i hre tawh mai thei. Hei hi damdawi lam hming chu Ventriculostomy a ni. A hming hi a buaithlak deuh nachungin, he thila thil thleng hi awlsam tak leh hlim takin i sawi dawn nia.
Ventriculostomy hi eng nge ni tak tak?
A awlsam zawngin Ventriculostomy hi surgical procedure a ni a, thluak atanga tui tam lutuk chu paih chhuakin thluaka pressure tihziaawmna a ni. Kan thluak hi thil hlu tak, chhe thei tak angin ngaihtuah rawh. A nihna takah chuan he thluak hlu tak hi humhim turin a chhehvelah hian tuiin a khuh a. Damdawi lam hawi chuan hei hi
Cerebrospinal Fluid (CSF) kan ti a ni. He CSF fluid hian kan thluak leh kan ruhro chu cushion ang maiin a hual vel a, venhimna a pe a ni. Mahse, a chang chuan accident (e.g., lu hliam), thluaka thisen chhuah vang emaw, genetic factors vang emaw hian he CSF fluid hi a tam lutuk a lo chhuak tan a, a nih loh leh hmun khatah a awm khawm a, a kal dan pangngaia kal lovin hmun khatah a awm khawm thin. Chutiang a nih chuan luruh chhunga thluak chuan a press tan ta a ni. Hei hi
intracranial pressure tihpun kan tih chu a ni .
Hetianga thluaka pressure sang hi a hlauhawm hle. Enkawl vat loh chuan nunna atana hlauhawm hial a ni thei. Ventriculostomy hi surgery pawimawh tak a ni a, chutiang emergency-ah chuan thluaka pressure tihziaawmna tur leh nunna chhanhimna tur surgery pawimawh tak a ni.
Ventriculostomy surgery hi eng condition atan nge tih a nih?
A tlangpuiin he surgery hi thluaka pressure tipung thei dinhmun eng pawh enkawlna atan an ti thin. He surgery hi a tulna hmunpui ber berte hi han thlir ila.
| Dinhmun | A sawifiahna awlsam tak |
|---|
| Hydrocephalus natna a ni | Thluak chhunga CSF fluid awmkhawm dan pangngai lo. Hei hi nausen naupangte zingah a tam ber. |
| Lung chhunga thisen chhuak (Intracranial Hemorrhage) a awm | Thluak emaw a chhehvela thisen chhuak. Hei hi thisen sang vang emaw, accident vang emaw a ni thei. |
| Intracranial pressure a sang chho zel | A chunga kan sawi tawh zawng zawng emaw, thil dang emaw, thluaka tumor ang chi emaw avanga thluaka pressure sang. |
| Thluak Hliam Natna (Traumatic Brain Injury) a awm | Car accident emaw tlu emaw avanga thluak chhiatna, chu chuan a hring chhuak a, CSF fluid a khawlkhawm thin. |
He surgery hi chi hnih lian tak a awm a.
Ventriculostomy tih dan tlangpui pahnih a awm a. I doctor chuan i dinhmun a zirin i tana tha ber tur a thlang ang.
1. Pawn lam atanga ventricular Drain (EVD) .
Hetianga tihnaah hian surgeon chuan luruh chhungah khur te tak te tak a siam a, thluak chhunga ventricle, CSF-a khat,
catheter , tube te tak te, flexible tak chu a dah lut a ni. Tube tawp dang chu taksa atanga lakchhuah niin, bag bik hmangin system nen an inzawm a ni. Hei hian CSF tam lutuk chu bag chhungah a khawlkhawm a, thluaka pressure a ti tlem a ni. Hei hi hun eng emaw chen atana chinfelna a ni tlangpui.
2. Endoscopic Third Ventriculostomy (ETV) hmanga tih a ni ang.
Hei hi kalphung danglam deuh a ni. Hetah hian surgeon chuan incision te tak te a siam a,
endoscope , tube te tak te, a hma lama camera leh light awmna chu thluak chhungah a dah lut a. Tichuan, thluak ventricle pathumna hnuai lamah khur te tak te siam a ni. He hole hian CSF fluid tang chu a chhuak thei a, a chhehvel tissue-ah a lut thei bawk. Hei hian fluid chu natural takin a chhuah tir thei a ni.
Surgery neih hmain eng nge thleng?
Hei hi emergency surgery a nih fo avangin inbuatsaihna hun i nei tam lo. Emergency Department (ETU)-a i admit hunah doctor-te chuan rang takin i dinhmun an zirchiang ang a, operation tih leh tih loh tur an rel ang. Mahse, operation neih hmain medical team chuan surgery leh a hlauhawmna te chu nangmah emaw i enkawltu emaw hnenah an hrilhfiah ang che a, consent form sign turin an ti ang che. Operation hmain a hnuaia mite hi tih tir i ni thei bawk:
- Damdawi thenkhat (a bik takin antibiotics ) doctor-in a pek angin ei thin ang che.
- Blood thinners i ei a nih chuan hun eng emaw chen ei kha bansan turin an ti ang che.
- Surgery neihna atana a tul angin test dang engemaw zat ( thisen test leh CT scan ang chi) tih belh theih a ni bawk.
Zawhna i neih chuan Doctor hnenah zawh hreh suh. Hetiang hun lai hian hlauhna inhriat hi thil pangngai tak a ni.
Surgery neih chhung hian eng nge thleng?
Surgery tan hmain anesthesiologist chuan anesthesia a pe ang che.
General anesthesia pek i ni thei a, chu chuan i muhil vek thei. A nih loh leh,
local anesthesia pek i ni thei a, chu chuan i lu-a operation tihna hmun chauh a ti hlim thei a ni. Amaherawhchu, engmah hrehawm i nei lovang. Tichuan, surgery team chuan surgery an tihna hmun atang hian sam tlemte chauh an la chhuak ang. Hei hian i hmel lan danah danglamna lian tham a thlen dawn lo. Surgery-a step hrang hrangte chu a awlsam hle:
- Surgical drill bik hmangin luruh chhungah hian khur te tak te tak tak siam a ni.
- Chu khur atang chuan catheter emaw endoscope emaw chu uluk takin thluak chhungah an lut thin.
- Ventricle, CSF fluid-a khat chamber-ah a kal a, thluak tissue a tichhe lo.
- Tui tam lutuk a chhuah theih nan hawnna siam a ni.
- Hna thawh zawh chuan hmanrua te chu lakchhuah a ni a, lu vun leh vun incision-a khur siam chu stitches emaw staple emaw hmangin an khar a ni.
Hetiang zawng zawng hi darkar khat vel a ni tlangpui.
Operation hnuah eng nge thleng? Tin, risk awm thei te pawh
Surgery zawhah intensive care unit (ICU) emaw specialized ward emaw-ah sawn i ni ang a, anesthesia-in a nghawng a reh hma loh chuan uluk takin enkawl i ni ang. I harh chuan i groggy deuh ang a, i chau deuh ang. Medical team te chuan zawhna an zawt ang che a, i ke leh ke te chet tir turin an ti ang che a, i thluak hnathawh dan pangngai a nih leh nih loh an enfiah ang. Damdawi inah ni engemaw zat i awm leh a ngai dawn a ni. In i haw hnuah surgery hliam enkawl dan tur leh i hriselna tur zirtirna pek i ni ang.
Surgery zawng zawng ang bawkin, hlauhawmna engemaw zat a awm a, mahse doctor-te chuan heng hlauhawmnate hi tih tlem tumin theihtawp an chhuah a ni.
| Risk awm thei | A sawifiahna awlsam tak |
|---|
| Thisen chhuak | Surgery hmun emaw thluak chhungah emaw thisen chhuak. |
| Kaichhawng | Thluak membrane-a hliam emaw, infection emaw (e.g. Ventriculitis) . |
| Catheter dah dik loh a ni | CSF fluid hi a chhuak tha lo a, a chhan chu inserted tube chu hmun dik takah a awm loh vang a ni. |
| CSF leak a awm | Hliam atanga CSF fluid a luang chhuak. |
| CSF fluid chhuah tam lutuk | A châng chuan, a tul aia tam tui lak chhuah a nih avangin harsatna dang a awm ṭhin. |
Doctor pan vat a ngaih hunah
In lama i haw hnuah a hnuaia symptoms te hi i neih chuan
i doctor ko nghal la , a nih loh leh damdawi in hnai ber
Emergency Department (ETU) ah kal rawh.
- Khawsik.
- Surgery hliam atanga thisen emaw yellow pus -like fluid lo chhuak.
- Hliam a hring chhuak.
- Tuar theih loh lu na emaw, na emaw.
- Buaina, hriatna tlahniam emaw, hriatrengna hloh emaw.
Take-Home Thuchah a ni
- Ventriculostomy hi nunna chhanhimna surgery pawimawh tak a ni a , thluaka pressure sang tak a awm chuan tih thin a ni .
- Hei hi accident emaw, natna emaw avanga tih nghal ngai thil a ni fo thin.
- Surgery zawng zawng ang bawkin, hlauhawmna a awm a, mahse doctor-te chuan a tih tlem theih nan a tul zawng zawng an ti vek a ni.
- Operation hnua a dam kim theih nan kar engemaw zat a la ngai thei a, doctor thupek zawm a pawimawh hle.
- Nangmah emaw, i enkawltu emaw hian surgery chungchangah zawhna i neih chuan i doctor zawh hi hlau ngai suh. I healthcare team te chuan an thlawp reng che a ni.
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