Operation i nei tawh em? A nih loh leh i hriat mi pakhatin ni engemaw zat hnuah, "Aw, ka stitches te chu a inhawng deuh tawh" a tih i hre tawh em? A nihna takah chuan a hlauhawm deuh. Mahse hei hi dik taka i hriatthiam chuan a tul lo taka hlauhthawn a ngai lo. Vawiin hian operation hnua hliam stitched "reopening" an tih chungchang kan sawi dawn a ni.
He hliam dehiscence hian eng nge a awmzia? (Hliam Dehiscence) 1.1.
A awlsam zawngin, hliam dehiscence chu i surgery laiin surgeon-in a incision a siam chu a dam tha lo va, a hnuah a inhawng leh a ni. Dress-a zipper dah a, a laiah a inhawng leh ang mai a ni. Hei hi Doctor-te chuan `(Hliam tihbuai)` emaw `(Hliam inthen)` emaw an ti \hin.
Hei hi a hlauhawm deuhin a lang mai thei, a dik em? "Oh my, engvangin nge hetiang thil hi a lo awm?" "Ka dam thuai dawn em ni?" I ngaihtuah mai thei. Mahse, lungngai suh. Heng hliamte hi chhan hrang hrang avangin a inhawng thei a ni. Stress vang te, infection vang te, damdawi lam harsatna dang i neih vang te pawh a ni thei. Mahse a tha ber chu, damna kawngah i kal leh theihna tura puitu tur enkawlna a awm a ni.
Hliam dehiscence level hrang hrang a awm em? (Partial leh Complete Dehiscence) tih a ni.
Ni e, he hliam hi kawng hnih zinga pakhatin a inhawng thei a ni:
- Partial wound dehiscence: Hei hi hliam hmun tlemte chauh a inhawng leh hun a ni . A chang chuan kan vun chunglam (epidermis) leh a hnuai lam (dermis) inkarah hian inthenna a awm thei bawk. Thread pakhat emaw pahnih emaw, a hrualna hmuna a inthen ang maiin han ngaihtuah teh.
- Complete wound dehiscence: Hei hi surgical incision zawng zawng a inhawng leh hun a ni. Chumi awmzia chu a incision sei zawng zawng chu a inhawng thei a, a nih loh leh vun leh ruh layer zawng zawngah a inhawng thei tihna a ni.
Engtiang pawhin hetiang hi lo thleng se, i hmuh veleh a hlauthawng deuh hi thil pangngai a ni. Mahse a pawimawh ber chu hlauhthawn loh hi a ni.
Hliam dam hnaih tawhah eng symptom nge i neih?
Hliam a dam tan chuan hetiang hi i hre thei emaw, i hmu thei bawk:
- Hliam atanga thisen chhuak .
- A stitching chu a chhe tawh niin a lang .
- Khawsik (fever) nei .
- Hliam awmna hmunah natna hriat.
- Incision vel chu a hring chhuak .
- Surgery na hmuna vun chu a sen emaw a dum emaw a ni .
- Stitch awmna hmuna thil pakhatin a hrual emaw, a hrual emaw tih hriatna.
Heng symptoms te hi hliam dam chhung hian engtik lai pawhin a lang thei a ni.
Hliam dam dan hi tlem han hrethiam ila? (Hliam tihdamna phase hrang hrang) .
Hliam tihdam hi thil buaithlak tak leh hun rei tak daih a ni. A bul tanna kan hmu tlangpui lo. Doctor-te chuan hengte hi hliam damna phase an ti a. A awlsam zawngin sawi ila, hetiang hian an thleng thin:
1. Thisen chhuak control (Hemostasis): Hei hi kan taksain hliam (cut pawh nise) a chhan hmasak ber a ni. Taksa hian rang takin thisen a tihtlem a, hliam chungah thisen a siam a. Hei hian ni hnih vel a awh a ni.
2. Inflammation: Hei hi thisen zam a lo awm a, hliam a khar hnuah a thleng thin. Kan thisen kalna kawngte chu a lian chho zel a. Hei hian hliam atanga thil duh loh, bacteria ang chi te lakchhuah a awlsam phah a ni.
3. Proliferation: Hei hi taksain tissue thar siam turin cell thar a siam chhuah hi a ni. He tissue thar hi granulation tissue an ti bawk. Hliam i en chuan hliam te te, pink ang maiin a lang thei. He stage hi kar 1-3 vel a ni.
4. Maturation: Hei hi a tawp ber a ni. Tissue siam thar chu a chak zawk a, a elastic zawk bawk. Hliam chu a dam chhunzawm zel a. Hei hian kar tlemte atanga kum khat chhung a daih thei.
Chuvangin hliam dam hi zan khat thil thuah a thleng lo tih i hrethiam a ni. Hun i pek a ngai a ni.
Engvangin nge hliam hi hetiang hian a inhawng? A chhan engte nge ni?
A tam zawkah chuan operation hnua hliam a inhawng chhan ber chu infection vang a ni. Surgery kan tih hian vunah incision kan siam thin. Infection hi chu incision hmanga taksa chhunga bacteria luh chuan a awm thin. Hei hi operation lai te, damdawi ina i awm lai te, in lama i dam lai pawhin a thleng thei a ni.
A châng chuan, operation hnua harsatna dang, luak chhuak fo, na tak emaw, khuh emaw pawh hian rilru natna a thlen thei a, hei hian hliam chungah pressure a siam belh a ni.
Hliam dam theihna tur risk factors te chu engte nge ni?
Damdawi lam dinhmun thenkhat leh damdawi lam enkawlna hian hliam dam theihna a tipung thei a ni. Entirnan, i thisen tibuaitu emaw, thisen kal dan tibuaitu emaw thil eng pawh hian hliam damna a tikhawtlai thei a ni.
Natna thenkhat chuan a hlauhawmna a tipung thei:
- Anemia: Hei hi taksain thisen sen hrisel, oxygen tamna a neih tlem vang a ni. Kan taksa hian hliam dam nan oxygen a mamawh a. Thisen sen (red blood cells) a tlem chuan chu thil kalphung chu a tlahniam thin.
- COPD (Chronic Obstructive Pulmonary Disease): Hetiang dinhmun hian thisen a oxygen awm zat a nghawng thei a, hliam damna a tikhawtlai thei bawk.
- Diabetes: Zunthlum vei te hian thisen sugar level an nei sang a. Hetianga sugar level sang hian hliam tihdamna atana puitu thisen var (white blood cells) a nghawng thei a ni.
- Hypoproteinemia awm zat: 1.1.Chu chu thisenah protein a tlahniam tihna a ni. Kan taksa hian protein hi tissue leh vun siam leh siamthat nan a hmang thin. Thisen a protein a tlahniam chuan taksa tan tissue thar siam leh hliam tihdam a harsa thin.
- Thau lutuk: Zirchianna atanga a lan dan chuan thau lutuk hian taksaah chemical a tidanglam thei a, chu chuan hliam damna a nghawng thei a ni.
Surgery i neih hmain medical team chuan heng risk factors zinga eng pawh hi an enkawl ang. Mahse, a chang chuan accident avanga emergency surgery neih a ngai a nih chuan enkawl lawk theih a ni lo mai thei.
Damdawi lam enkawlna thenkhat chuan a hlauhawmna a tipung thei bawk:
- Radiation therapy: Cancer tan radiation therapy hmangin scar tissue a lo awm thei a. He scar tissue hi incision-ah a awm chuan damna a nghawng thei a ni.
- Corticosteroids: Damdawi chi khat Corticosteroids an tih hi rei tak i ei a ngai a nih chuan i taksa tan tissue thar leh thisen kalna kawng thar siam a harsat phah thei a ni.
Hliam tihchhiat avanga harsatna awm thei te chu engte nge ni?
Complication na ber awm thei chu ``Evisceration'' a ni.Chu chu surgical incision atanga internal organs lo chhuak te hi a ni.
This is a very rare occurrence , leh pum chhunga operation hnuah chauh a thleng thin. Evisceration hi damdawi lam emergency a ni. Hetiang hi i chungah a lo thleng a nih chuan zai nghal a ngai dawn a ni.
Engtin nge doctor-te hian he natna hi dik taka an hriat theih?
Doctor-in a tih hmasak ber tur chu i incision chu uluk taka enfiah a ni. An incision atanga tui sample an la a, lab-ah an thawn thei a, chu chu eng chi nge bacteria awm tih chiang takin an hre thei a ni. A then phei chuan CT scan pawh tih theih a ni.
Hliam a inhawng a nih chuan engtin nge tih ang? Eng nge a enkawl dan? (Tihdamna)
Hliam inhawng tawh enkawlna chu i dinhmun azirin a inang lo thei. A tlangpuiin a hnuaia mite hi a huam tel a ni:
- Antibiotics: Bacteria infection a awm chuan thisenah antibiotics pek theih a ni.
- Negative pressure wound therapy: Hei hian hliam chungah bandage bik dahin pump te tak te nen inzawm tir a ni. He pump hian hliam atanga tui tam lutuk chu a suck chhuak thin. Hei hian hliam chu a dam thuai thei a ni.
- Surgery: I surgeon chuan tissue chhia, natna hrik, emaw thi tawh zawng zawng paih chhuah nan operation dang a tih leh a ngai mai thei. Tichuan, a hrual thar a dah thei a, a nih loh leh hliam chu mesh te tak te ang chi thil hmangin a khar mai thei bawk.
Hetiang hliam hi a mah chauhin a dam dawn em ni?
I dinhmunah a innghat. A hawnna tlemte chauh a awm a, a ke ruh tliak tlemte chauh a awm a nih chuan doctor chuan hliam chu hrual leh lovin khuh la, natna hrik laka inven nan khuh reng turin a rawt mai thei. Tichuan hliam chu a mah chauhin a dam thei ang. Mahse doctor thupek zawm reng a pawimawh.
Hetiang hliam hi a dam theih nan eng chen nge a mamawh?
Hliam a dam theih nan hun a duh a ni. I dinhmun azirin a hun hman dan chu a inang lo ang. A tlangpuiin hliam te tak te inhawng chu a dam theih nan kar tlemte a ngai thei. Mahse, cut lian tak chu a inhawng leh a, operation dang neih belh a ngai a nih chuan a dam theih nan thla tam tak a ngai thei a ni. Dawhthei taka awm a, doctor thupek uluk taka zawm a pawimawh.
Operation hnua hliam a inhawng loh nan eng nge kan tih theih ang?
Engkim hi kan thunun thei lo a, mahse hliam kan tuar theihna tur tihziaawmna tur thil tlemte a awm a, chungte chu:
- Chaw ei \ha: Chakna kan neih theih nan calorie kan mamawh a. Tissue siam leh siamthat nan protein, vitamin leh mineral kan mamawh a ni. Operation hma leh operation hnua ei leh in inthlau tak ei hian hliam a tidam rang thei a ni.
- Meizial i zuk chuan bansan rawh: Meizial zuk hian i taksaa carbon monoxide level a tisang a. Hei hian tissue-a oxygen supply a tihtlem bakah hliam damna a tikhawtlai bawk. Chuvangin, a rang thei ang bera zuk leh hmuam bansan a tha ber.
- I hliam enkawl dan tur ngaihtuah rawh: I medical team chuan i hliam enkawl dan tur an hrilhfiah ang. Damdawi lam thil thenkhatah chuan hliam inhawng a awm theihna a tipung thei a ni. Ni khatah vawi hnih i hliam enfiah turin an ti thei bawk.
- Hahdam takin la rawh: Operation hnuah i taksain a dam theih nan chawlh a mamawh a ni. Thil rit tak tak chawi hian stitch a ti chhe thei. I medical team chuan eng activity nge i tih loh tur tih an hrilh ang che. Chu thupêkte chu ngun takin zawm rawh.
Doctor hmuh hun tha ber berte chu engte nge ni?
Operation hnua i incision a inhawng chuan i surgeon chu ko nghal rawh. A hawnna te tak te emaw, stitch chhe emaw chauh pawh ni se, i doctor hriat tur a ni. I man hma chuan harsatna lian tak a nih hmain enkawl theih a ni.
Eng ang surgery nge he natna hi a awm tlangpui?
Hetiang dinhmun hi engtik lai pawhin surgical incision siam a nih pawhin a awm thei a, mahse pum surgery leh heart surgery hnuah a lang tam ber.
Operation hnuah chuan dam thuai leh in lama haw chu i nghakhlel mai thei. Mahse hetiang hliam inhawng hi i beisei ngai loh thil a ni a, kan hlim lutuk pawh a ni lo. "Engvangin nge hetiang hi ka chungah a lo thlen?" "Hei hian engtin nge ka dam lehna a nghawng ang?" Mahse i medical team chuan heng zawng zawng hi an hrilhfiah vek ang che. Tin, damna kawngah i kal leh theih nan a tul angin enkawlna an pe bawk ang che. Chuvangin lungngai suh.
A tawp berah chuan hriat reng tur pawimawh ber chu! (In lama hruai tur thuchah)
- Hliam dehiscence hi operation hnua thleng thei a ni.
- Hei hi chhan hrang hrang a awm thei a, a bulpui ber chu hri kai vang a ni.
- Hliam atanga thisen chhuak, ke ruh tliak, khawsik emaw, natna emaw ang chi symptoms i neih chuan doctor hnenah hrilh nghal rawh.
- Hemi atan hian enkawlna a awm a, chuvangin hlau suh.
- He hlauhawmna hi ei leh in tha, zuk loh, hliam enkawl that leh damdawi lam thurawn zawm te hian tihziaawm theih a ni.
- Ringhlelna i neih chuan i doctor zawt hreh ngai suh, thil tenawm lam pawh nise. I hriselna hi a pawimawh ber!
Dam leh thuai turin duhsakna kan hlan e!
` Hliam dehiscence, Post-surgical hliam, Suture rupture, Hliam dehiscence Sinhala, Hliam dam, Operation hliam, Hliam infection











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh