Nu ni tur i nih angin i pum chhunga i naute chetna zawng zawng, scan-a i hmuh zawng zawng hi a hlu a ni. Mahse, a chang chuan doctor-in scan a en a, "Naute hian harsatna tlem a nei niin a lang," a tih hian i hlauhthawnna leh lungkhamna chu thuin sawi chhuah a harsa thin. Mahse, lungngai suh. Tunlai hian damdawi lam hi a changkang hle. Nausen khawvela a lo luh hma, chu chu i pum chhungah, piansualna leh damdawi lam harsatna thenkhat chu enkawl theih a ni. Chu damdawi lam kalphung mak tak chu "Fetal Surgery" kan tih chu a ni. Hemi chungchang hi awlsam takin han sawi ila.
Fetal Surgery tih hi eng nge ni?
A awlsam zawngin, fetal surgery tih hi i naute chu a pum chhunga a la awm laiin operation tih a ni. Mi thenkhat chuan `in-utero surgery` emaw `prenatal surgery` emaw an ti bawk.
Ngaihtuah teh, naute hian piansualna a neih chuan, chu piansualna chu a pum chhunga a lo seilian chhoh zel chuan a zual zauh zauh thei a ni. Mahse he method hmang hian specialist team chuan naute pian hmain a chhiatna chu an enkawl thei a, a nghawng chu an ti tlem thei a ni. A chang chuan hei hi naute nunna chhanhim nan leh a hmalam hun atana a hriselna tihchangtlun nan a tul thin. A na lo zawkah chuan doctor-te chuan hei hi "fetal intervention" an ti bawk.
Naute dinhmun a zirin heng surgery te hi kar 16 atang pawhin tih theih a ni tlangpui. Mahse, naupai kar 22 leh kar 26 inkarah hian surgery buaithlak zawk an ti fo thin.
Engvangin nge hetiang surgery hi i neih a ngai?
Hei hian a tum ber chu naute hrisel taka a thanlen theih nan a ni. Nau piangsual thenkhat chu nunna atana hlauhawm tak a ni thei. Mi dangte chuan nunna atana hlauhawm lo mah se, naute chu a pian hnuah rualbanlohna engemaw zat a nei thei a ni.
A tlangpuiin heng natna chi hrang hrangte hi naute pian hnuah enkawl a ni. Mahse, naute chu nausen pum chhunga a la awm laiin enkawl a nih chuan a result a tha zawk hle tihna dinhmun thenkhat a awm. A hmaa enkawl hian naute taksa peng hrang hrang chhiatna a ti tlem thei a, hun rei tak chhung chu hrisel taka an awm theih nan a pui thei bawk.
Hei hi field specialized tak a ni. Chutiang surgery tih thutlukna chu doctor-te’n duhthlan tur dang a awm lo tih leh naute hmalam hun atan a pawimawh tak zet tih an rin tlat chuan tih a ni.
Eng ang specialist team nge heng surgery te hi an tih thin?
Hei hi mi pakhat tih a ni ngai lo. Training sang tak nei, multi-disciplinary specialist team a ngai a ni. Team-ah hian a tlangpuiin:
- Nu leh Nausen Damdawi lama mithiam (maternal-fetal medicine specialists): Nu leh naute hriselna bik enkawltu doctor.
- Naupang surgeon: Nausen surgery lama tui doctor te.
- Nu leh naupang anesthesiologist: An zai lai hian nu leh naute chu uluk takin anesthesia an pe thin .
- Fetal Cardiologists : Naute thinlunga harsatna awmte enfiahtu specialist.
- Fetal imaging specialist: Naute dinhmun chiang tak tak, state-of-the-art scanning machine hmanga enfiah thinte.
- Naute mamawh ang zela surgeon dangte.
Heng surgery hmanga enkawl dan ber berte chu engte nge ni?
Nausen surgery hmanga enkawl theih tur condition engemaw zat a awm . A hnuaia table-ah hian a then leh a sawifiahna awlsam tak tarlan a ni.
| Dinhmun | A sawifiahna awlsam tak |
|---|---|
| Spina Bifida a awm | Naute ruhro leh ruhro chu khar tha lovin a inhawng reng a ni. |
| Twin-to-twin thisen pekna natna (TTTS) 1.1. | Twins inkara placental blood supply inang lo. Nausen pakhatin thisen a dawng tam zawk a, pakhat zawkin a dawng tlem zawk bawk. |
| Congenital Diaphragmatic Hernia (CDH) atanga lo chhuak a ni. | Diaphragm chhunga khur, rilru leh pum inthenna, chu chuan pum chhunga taksa peng hrang hrangte chu rilru chhungah a rawn chhuak chhuak thin. |
| A rilru a buai em em a, a rilru a hah em em bawk a. Sacrococcygeal Teratoma (SCT) . | Naute ruhro hnuai ber (buttocks area-a) lo awm tumor. |
| Urinary Tract hnuai lam tihkhawtlai (LUTO) . | Naute zun kawng a inkharkhip chuan a zun (bladder) a ti lian thei a, kal (kidney) a tichhia thei bawk. |
Surgery tih dan tur chu engte nge ni?
Nang leh i naute hriselna a zirin i surgeon chuan a hman dan tur dik ber a thlang ang. Thil tih dan tlangpui pathum a awm.
1. Fetoscopic Surgery hmanga tih a ni
Hei hi "keyhole surgery" ang mai a ni. Doctor chuan i nausen pum chhunga incision te tak te tak hmangin camera te tak te (fetoscope) leh surgical instrument te a dah lut a. Hei hian hliam a awm tlem a, a dam hun pawh a ti tawi bawk.
2. Open Surgery neih a ni
Hemi ah hian general anesthesia pek i ni ang. Tichuan, surgeon chuan i pum leh nausen chu a tikehsawm ang a, naute awmna hmunah a kal ang. Pawimawh tak chu naute chu operation neih chhungin nausen pum chhungah a awm reng ang. Surgery zawhah chuan nausen pum leh pum chu uluk taka khar leh a ni ang a, naupai chu a pangngai angin a chhunzawm leh ang.
3. Nau neih laiin surgery tih (EXIT Procedures) .
Hei hi kalphung bik tak a ni. Surgery hi cesarean section neih laiin tih a ni. Anesthesia pek i ni a, i uterus chu a relaxed ta a ni. Tichuan, uterus chu hawn a ni a, naute chu a chhuak kim lo va, a then a la chhuak a ni. Umbilical cord an tan hmain naute thawkna kawng a inkhar a nih chuan siamthat a ni a, a nih loh leh tumor lian tak ang chi hi lakchhuah a ni. Naute a stable hnuah chauh umbilical cord chu a cut a, naute chu a piang kim vek a ni.
Hetiang surgery hi eng nge a hlauhawm?
Surgery dang ang bawkin nausen surgery hian risk engemaw zat a keng tel a ni. Heng hlauhawmnate hian nu leh naute pawh a nghawng thei a ni. An chanchin inhawng leh hriat chian a pawimawh.
| Surgery neih theihna tur hlauhawmna | |
|---|---|
| Nu tan risk a awm | |
| • . | He naute leh nakin lawka fate hi cesarean section hmanga nau neih a ngai dawn a ni. |
| • . | Thisen chhuah tam lutuk avanga thisen pek a ngai thin. |
| • . | Uterine scar hi a hring thei a, a inhawng leh thei bawk a, hei hian nakin lawka naupai theihna tur a tichhe thei a ni. |
| Naute tana hlauhawm thei tur | |
| • . | Placental abruption hian naute mamawh ei tur a neih loh nan a veng thei a ni. |
| • . | Operation avanga nau neih hma (preterm labor) hlauhawmna. |
| • . | Chorioamnionitis (amniotic fluid atanga infection) (hei hi a tlem hle). |
Chutiang surgery chungchanga thutlukna siam chu a buaithlak hle. Nu leh naute hriselna ngaihtuah ngun a ngai a ni. Thutlukna siam apiang chu i medical team nen uluk taka sawiho a pawimawh.
Take-Home Thuchah a ni
- Fetal surgery hi a specialized surgery a ni a, nausen pian hmaa piangsualte enkawl a ni.
- A tum ber chu naute nunna chhanhim leh hun rei tak chhunga an hriselna tihchangtlun a ni.
- Hei hi Doctor pakhat chauhin tih a ni lo va, field hrang hranga medical specialist training sang tak nei team-in an ti a ni.
- Surgery tih dan hrang hrang (keyhole, open, leh nau neih laiin) a awm a, a hman dan tur dik ber chu doctor-te’n an ruat a ni.
- Surgery zawng zawng ang bawkin nu leh naute tan pawh hlauhawmna a awm. Chuvangin thutlukna zawng zawng hi i doctor leh medical team te nen uluk taka sawiho tur a ni.











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