Imajin if pɔrsin gɛt kansa na in mɔt, ɔr gɛt siriɔs infɛkshɔn na di ɔda jaw bon... sɔmtɛm dɛn kin gɛt fɔ pul di pat we sik ɔltogɛda wit ɔpreshɔn. So, insay dis atikul tide, wi go tɔk bɔt wan rili impɔtant ɔpreshɔn we dɛn kin du pan dis kayn tin. Pan ɔl we dis na tɔpik we kɔmplikt smɔl, lɛ wi tɔk bɔt am simpul wan.
Wetin na mandibulɛktɔmi?
Fɔ tɔk am simpul wan, mandibulectomy na we yu ɔspitul fɔ pul pat ɔ ɔl yu lכw jawbon/mandibul. Bɔku tɛm, dɔktɔ dɛn kin du dis ɔpreshɔn fɔ pul wan tumbu we gɛt kansa ɔ ɔda pat we gɛt sik na di jaw. Dɛn kin kɔl dis bak mandibular resection .
Wetin na di men kayn ɔpreshɔn we dɛn kin du?
Dɛn kin sheb dis ɔpreshɔn to tu men kayn dɛn. Lɛ wi si wetin dɛn bi.
| Di kayn ɔpreshɔn we dɛn kin du | Na jɔs diskripshɔn |
|---|---|
| Patɛl Mandibulɛktɔmi (Marginal Mandibulɛktɔmi) . | Dis min se yu fɔ pul smɔl pat nɔmɔ pan yu ɔnda jaw. Bɔku tɛm, dis kin mek dɛn nɔ nid fɔ du ɔpreshɔn fɔ mek dɛn bil bak. |
| Segmɛntal Mandibulɛktɔmi | insay dis prosidur, dεn kin pul wan big pat pan di lכw jaw. So, dɛn fɔ mek di jaw bak. fכ du dis, di sכja dεm de tek bon, bכdi vεsεl dεm, εn tisu frכm כda pat na yu bכdi (e.g., leg, sכlda) fכ mek di jaw bak. Dɛn kin kɔl dis tin bak fri-flap rikostrɔkshɔn . |
Usay yu kin gɛt di bon fɔ bil yu jaw bak?
insay segmental mandibulectomy, wi se di bon fragmεnt dεm we nid fכ bil bak di jaw dεn tek am frכm כda pat dεm na di bכdi. Di we dɛn we dɛn kin yuz fɔ dis na:
- Lɔwa leg
- Sholda blad we yu kin yuz
- Wesbon
Sɔntɛnde, dɛn kin yuz mɛtal plet ɔ ivin bon frɔm pɔsin we gi am fɔ dis.
Udat nid fɔ du dis ɔpreshɔn?
Bɔku tin dɛn de we yu dɔktɔ kin tɛl yu fɔ du dis kayn ɔpreshɔn.
- If yu gɛt kansa na yu mɔt .
- We yu gɛt kansa na di midul pat na yu trot (oropharyngeal cancer) .
- We bad bad infεkshכn de na di jaw bon (osteomyelitis) .
- We sɔm mɛrɛsin dɛn (bisphosphonate therapy) kin mek di bon dɛn we de na di jaw lɔs bad bad wan (osteonecrosis of the jaw) .
- We wan rili siriɔs injuri de na di ɔnda jaw.
De tin wae impɔtant pas ɔl na dat yu mɛdikal tim go disayd us tritmɛnt go fayn fɔ yu pan dis kayn tin. So, i rili impɔtant fɔ tɔk to dɛn opin wan ɛn sɔlv yu kwɛstyɔn ɛn tin dɛn we de mɔna yu.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo yu du dis kayn ɔpreshɔn, yu mɛdikal tim go du bɔku tɛst dɛn, lɛk CT skan, fɔ no di saiz ɛn kɔndishɔn fɔ di tɔŋ we de na yu jaw fayn fayn wan.
If yu nid fɔ gɛt ɔpreshɔn fɔ mek yu jaw bak, dɛn kin du ɔda tɛst dɛn fɔ chɛk di wɛlbɔdi we di blɔd vesel dɛn gɛt na di say we dɛn gi yu di blɔd.
Dɔn bak, yu dɔktɔ go advays yu fɔ avɔyd dɛn tin ya bifo yu du di ɔpreshɔn, bikɔs dɛn tin ya kin mek yu blɔd bɔku we yu de du di ɔpreshɔn ɛn i kin mek yu wund nɔ wɛl afta yu du di ɔpreshɔn.
- Rum
- Di mɛrɛsin dɛn we de mek pɔsin fil pen lɛk aspirin ɛn ibuprofen
- Fɔ smok
- Sɔm ɛbul sɔpɔtmɛnt dɛn
Wetin kin apin we dɛn de du di ɔpreshɔn?
Mandibulɛktɔmi na ɔpreshɔn we dɛn kin du fɔ lɔng tɛm ɛn we kin tek sɔm awa. Dɛn kin du am we yu de slip ɔnda jenɛral anestezi .
Na Marginal Mandibulɛktɔmi...
1. Di dɔktɔ we de du di ɔpreshɔn go mek wan say na di insay pat na yu chɛst.
2. dεn de pul di kansa pat pan di lכw jaw εn di tisu we de rawnd am.
3. Dɛn kin siŋ di say dɛn we dɛn kɔt bak klos.
Na Segmɛnt Mandibulɛktɔmi...
Dis na wan tin we rili kɔmpleks.
1. Fɔs, dɛn kin pul di jaw kansa ɛn di tisu we de rawnd am.
2. Dɛn kin sɛn di pat dɛn we dɛn pul fɔ mek dɛn tek bayɔpsi fɔ chɛk if kansa sɛl dɛn stil de.
3. Dɛn kin chɛk am bak fɔ si if di kansa dɔn skata to di limf no dɛm.
4. Dɔn, dɛn kin tek wan pat pan di bon, tisu, ɛn skin frɔm say we dɛn dɔn disayd (lɛk di leg, di sholda, ɛn ɔda tin dɛn).
5. Dɛn shep di bon we dɛn pul fɔ fit di pat we dɛn pul na di jaw.
6. di bכdi vεsεl dεm (atεri dεm εn vein dεm) frכm di εria we dεn avεst de kכnekt to di bכdi vεsul dεm na di ed εn nεk. Dɛn kin tek tɛm du dis.
7. Fɔ dɔn, dɛn kin fiks di nyu jaw wit plet ɛn skru, ɛn dɛn kin sutura di say dɛn we dɛn kɔt fɔ lɔk.
Afta dɛn dɔn du di ɔpreshɔn, yu kin nid sɔm pan dɛn tin ya bak:
- Arch bar dεm εn rכba bεnd dεm insay di mכt fכ mek di tit dεm εn di jaw dεm alaynt.
- Wan tracheostomy tube fɔ ɛp yu fɔ blo.
- fidin tyub na tכb we dεn pas frכm di nos to di bεlε fכ gi di rayt it.
Wetin kin apin afta di ɔpreshɔn?
Dipen pan di kayn ɔpreshɔn we yu bin gɛt, yu kin nid fɔ de na ɔspitul fɔ tu dez to tu wiks. Afta yu go na os, yu fɔ fala wetin yu dɔktɔ tɛl yu bɔt aw fɔ kip di say dɛn we yu kɔt klin ɛn it . Fɔs, yu kin nid fɔ it pan likwid it ɔ tru wan tyub fɔ it. Tɔk bak to yu dɔktɔ bɔt aw fɔ kɔntrol yu pen.
We yu de wɛl, yu kin nid fɔ gɛt tritmɛnt fɔ tɔk ɛn fɔ trit yu bɔdi. If yu bin gɛt kansa, dɛn kin tɛl yu bak fɔ tek redyushɔn ɔ kemotɛrapi fɔ kil ɛni kansa sɛl we lɛf.
Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ kwik kwik wan?
I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni sayn we de wɔn yu afta yu dɔn go na os afta dɛn dɔn du yu ɔpreshɔn. Yu fɔ de wach fɔ dɛn sik ya:
| Ficha fɔ pe atɛnshɔn to |
|---|
| Fiva we pas 100.5 Farenheit (38.05 Sɛlshiɔs) |
| Di ed we de at bad bad wan |
| Bɔrku pen wae nɔr de stɔp pan ɔl wae yu de tek mɛrɛsin wae de mek yu fil pen |
| I nɔ izi fɔ blo (dyspnea) . |
| Sivɛri swɛlin (angioedema) na di say we dɛn du di ɔpreshɔn ɔ ɔdasay |
| Nɔs ɔ vɔmit |
| Wan tin we tan lɛk we pɔsin kin gɛt rɔsh na di skin |
If yu si ɛnitin lɛk dis, tɛl yu dɔktɔ wantɛm wantɛm. If ɛnitin apin, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- Mandibulectomy na big ɔpreshɔn we dɛn kin yuz fɔ siriɔs sik dɛn lɛk kansa na yu mɔt ɛn siriɔs infɛkshɔn.
- insay dis, dεn kin pul sכm כ big pat pan di jaw, εn sכmtεm dεn kin bil di jaw bak bay we dεn de yuz bon we dεn tek frכm כdasay na di bכdi.
- Di we aw pɔsin kin wɛl kin tek tɛm ɛn i nid fɔ gɛt sɔpɔt frɔm wan mɛdikal tim, we gɛt dɔktɔ dɛn ɛn di wan dɛn we de mɛn pipul dɛn we de tɔk.
- I rili impɔtant fɔ fala ɔl di instrɔkshɔn dɛn we yu dɔktɔ gi yu bifo ɛn afta dɛn du di ɔpreshɔn.
- If yu notis ɛni sayn we de wɔn yu afta yu dɔn du di ɔpreshɔn, nɔ de te ɛn go to dɔktɔ wantɛm wantɛm.
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