Doctor-in nangmah emaw, i hriat mi emaw hnenah "chest surgery" neih a ngai tih a hrilh hian, tlem chuan hlauhna i neih hi thil pangngai a ni. "Major surgery that will remove the chest" tih ngaihtuahna hi ka rilruah a lo lang thin. Mahse tunlai hian medical science hian hma a sawn nasa hle. Chuvangin tunah chuan rilru natna tam tak enkawlna tur "keyhole surgery" tih dan a awm ta a, chu chu chutiang khawpa incision lian tham siam lovin khur te tak te hmanga tih a ni. Chu chu VATS kan tih chu a ni.
VATS hi eng nge ni tak tak?
VATS hi Video-Assisted Thoracic Surgery tihna a ni. A awlsam zawngin sawi ila, video camera hmanga rilru chhunga surgery tih a ni. "Thoracic" tih hian kan kawr leh kan pum inkar kan rilru hmun a kawk a ni. He hmun hi kan thinlung, lung, leh chaw kawng (esophagus) ang chi taksa peng pawimawh tam tak awmna hmun a ni.
Ngaihtuah teh... He surgery-ah hian i rilruah incision lian tak siam ai chuan doctor chuan i ruh pahnih inkarah incision te tak te tak a siam a, chuta tang chuan camera te tak te (hei hi thoracoscope kan ti thin ) hmangin tube te tak te a dah lut a ni. He camera atanga thlalak te hi screen lian (monitor) ah a lang thin. Tichuan, incision tenau pakhat emaw pahnih emaw siam belh a ni a, chuta tang chuan surgery atana hmanraw nalh tak tak mamawh chu dah luh a ni. Tunah chuan doctor chuan chu screen-a thlalak awmte chu a en thei tawh a, a rilru chhunga harsatna awm chu chiang takin a enkawl thei tawh ang.
Hei hi minimal invasive surgery a ni. Hei hian taksa chhiatna, hliam leh natna te hi traditional surgery aiin a tlem zawk tihna a ni.
Eng dinhmunah nge VATS surgery hi a tul?
VATS hi lung cancer leh metastatic cancer hriatchhuah leh enkawlna atan hman a ni ber a, mahse natna dang tam takah pawh hman a ni.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Lung Cancer a ni | Cancer natna (biopsy) hriatchhuah emaw, paih chhuah emaw. |
| Esophagus emaw thymus gland emaw cancer a awm | Heng taksa peng hrang hranga cancer awmte enkawl nan. |
| Pleural Effusion a awm thin | Lung vel a tui a awm chuan a chhan zawng la, tui chu paih chhuak rawh. |
| Lung natna chi hrang hrang COPD ang chi te | Lung natna khirh takah chuan, lung peng chhia te paih chhuah nan. |
| Hyperhidrosis natna (Hyperhidrosis) a awm | Thaw tam lutuk enkawlna atan. |
| Myasthenia Gravis natna a ni | He natna a thymus gland tihbo nan hian taksa ruh tichak lo a ni. |
VATS surgery chi hrang hrang
- VATS lung resection: Hei hian lung natna hmun pakhat lakchhuah a ni. A hnah te tak te (`wedge resection`), a lobe pum (`lobectomy`), a nih loh leh lung pum (`pneumonectomy`) te pawh lakchhuah theih a ni.
- Esophagectomy: Chaw kawng natna hmun pakhat lakchhuah.
- Thymectomy: Thymus gland natna nei chu paih chhuah a ni.
- Decortication: Lung vel a natna hrik awm emaw, scar tissue emaw paih chhuah.
Operation hmain engtin nge ka inbuatsaih ang?
Hei hi a pawimawh hle. I doctor thupek chu dik takin i zawm tur a ni .
- Surgery hma darkar engemaw zat chaw nghei (ei leh in loh) turin an ti ang che.
- Damdawi thenkhat, vitamin thenkhat, leh herbal product thenkhat ei kha rei lo te chhung bansan turin an ti thei che a ni.
- Meizial zu mi i nih chuan i chawlhsan a ngai ngei ang .
- Chu bâkah, operation hmain test engemaw zât tih a ni thei bawk a, chungte chu:
- Thisen test - entirnan, thisen chhiar kim (CBC).
- Thinlung hnathawh dan enfiahna test - ``(EKG)`` ang chi.
- Imaging test, chest X-ray, CT scan, emaw PET scan te pawh a awm thei.
- Pulmonary function testing neih a ni.
- Test te chu `Upper Endoscopy` tih ang chi te hi a ni.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Eng surgery pawh hian hlawkna leh hlauhawmna a nei a, mahse VATS surgery hian traditional open surgery (`thoracotomy`) aiin hlawkna a nei tam zawk a, hlauhawmna a nei tlem zawk bawk.
| Hlawkpuina | Risk a awm thei |
|---|---|
| Damdawi ina hun hman a tlem. | Thinlung thawk mumal lo (Arrhythmias). |
| Surgery hnuah natna leh hliam a tlem zawk. | Thisen zam emaw, stroke emaw. |
| Thluak lam chu rang takin a pangngaiin a lo kir leh thin. | Pneumothorax natna (Pneumothorax) a ni. |
| Hri kai theihna a tlem hle. | Internal bleeding emaw infection emaw a awm thei. |
| Thil tih pangngaiah i kir leh thuai thei. | Thâwk lama harsatna nei, pneumonia ang chi. |
Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Surgery zawhah ni khat emaw ni hnih emaw chhung damdawi inah i awm ang. Hemi chhung hian:
- I natna control nan damdawi pek i ni ang .
- Thâwk thûk taka exercise leh kea kal chu fuih rawh. Hei hian harsatna awm theihna a ti tlem ang.
- Surgery laia chest tube i dah kha i haw hmain lakchhuah a ni ang.
Recovery hun chhung hi i surgery chi hrang hrangah a innghat a ni. A dam kim theih nan kar hnih vel a ngai thei. A châng chuan kar riat thleng pawh a la ngai thei . In lama i haw hnuah doctor thupek ngun taka zawm a pawimawh hle.
- A tul angin cut-ah dressing thlak thin ang che.
- Thil rit phurh hi pumpelh rawh.
- A hun ruat thlenga lirthei khalh leh hnathawhna hmuna kal loh tur.
- Damdawi hi Doctor-in a sawi ang chiah chiah ei tur a ni.
- Ni khatah vawi thum tal kea kal la, i keah thisen zam a awm loh nan.
Doctor ko nghal ngai symptoms te chu engte nge ni?
In i haw hnua heng symptoms zinga pakhat tal i neih chuan doctor hnenah hriattir nghal tur a ni .
- A rilru a na hle
- Thâwk harsa
- Incision chu a sen a, a hring emaw, a sen chhuak emaw a ni.
- Khawsik
Cancer vei tih hriat chhuah hi tu tan pawh hun harsa tak a ni. Hetiang hun lai hian enkawlna atanga chhanchhuahna eng pawh hi thil lian tak a ni. VATS hi tunlai hmanraw tha tak a ni a, a na lo zawk a, open surgery aiin a dam chak zawk bawk. I doctor chuan hei hi i tan a tha em tih a hrilhfiah ang che. Zawhna i neih chuan i doctor hnenah zawt mai rawh.
Take-Home Thuchah a ni
- VATS hi "keyhole surgery" technique a ni a, rilru natna enkawlna atana hman thin a ni.
- Incision lian tak tak a awm loh avangin natna, hliam leh damdawi ina hun hman a tlem zawk.
- Hetiang hmanrua hi rilru natna chi hrang hrang enkawlna atan hman a ni a, lung cancer pawh a tel.
- Dam vat tur chuan zai hma leh operation hnua doctor thupek uluk taka zawm a pawimawh hle.
- Surgery hnua symptom danglam bik (ril na, thawk harsa) i neih chuan doctor thurawn la nghal rawh.
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