Mastectomy neih hi, hnute cancer vang emaw, damdawi lam thil dang vang emaw pawh ni se, hmeichhia tu tan pawh rilru na tak leh sensitive tak a ni. I taksa peng pakhat hloh avanga lungngai leh inchhir hi thil pangngai tak a ni. Mahse, tunlai damdawi lam hmasawnna avang hian hetianga hnute lak chhuah tawh chu surgery hmanga siam thar emaw, siam thar emaw theih a ni tih i hria em? Vawiin hian Breast Reconstruction, a nih loh leh hnute siam thatna surgery chungchang hi han sawi ila.
A awlsam zawngin, hnute siam thar lehna chu eng nge ni?
A awlsam zawngin sawi ila, hei hi mastectomy emaw lumpectomy emaw hnua hnute siam danglam tura surgery a ni. A châng chuan operation tam tak neih a ngai thei bawk.
He surgery hi mastectomy ( immediate reconstruction ) tih rual rualin tih theih a ni. A nih loh leh, thla tam tak emaw, kum tam tak hnuah pawh tih theih a ni ( delayed reconstruction ). A chang chuan hnute pahnih hi siam thar leh a ngai thin. A nih loh leh, hnute pakhat chu siam thar lehin, a dang nena inmil tura siam theih a ni bawk. Hei hi mimal thutlukna a ni. Hmeichhe thenkhat chuan he surgery hi an thlang a, thenkhat erawh chuan an thlang lo. Chu thutlukna chu nangmah thu a ni vek.
Hnute siam thar lehna atana hmanraw pawimawh ber berte chu engte nge ni?
Thil tih dan tlangpui pahnih a awm. Pakhat chu mahni taksa peng dang atanga tissue lak a, hnute siam hi a ni. A dang chu artificial implant hman a ni.
1. Mahni taksa tissue hmanga hnute siam thar leh (Flap Reconstruction) .
Hetiang tih danah hian vun, thau leh a chang chuan taksa peng dang - entirnan, i pum hnuai lam, i kekawr, hnungzang, emaw, i hnute atanga lak chhuah a ni a, hnute thar siam nan an hmang thin. Chutianga tissue lak chu `flap` an ti a. Chumi atan chuan surgical technique hrang hrang hman a ni.
| Flap surgery chi hrang hrang | Tissue khawlkhawmna hmun | Point pawimawh tak tak |
|---|---|---|
| DIEP flap a ni | Pum hnuai lam | Vun, thau leh thisen kalna kawngte chauh a paih chhuak thin. Pum ruh hi a chhe lo. |
| TRAM flap a ni | Pum hnuai lam | Hetah hian vun, thau, thisen kalna kawng leh pum ruh thenkhat chu paih chhuah a ni. |
| Latissimus dorsi (LD) chu a zungpui a | Pawn lam a ni | Hnunglam atanga tissue leh muscle thenkhat chu vun hnuai lam thlengin rilru chhungah dahin hnute siam a ni. |
| PAP/TUG flap a ni | Inner thighs a ni | Hnute hi kekawr atanga tissue lak atanga siam a ni. TUG flap ah pawh muscle lak a ni bawk. |
2. Implant hmanga hnute tihpun
Hetiang method ah hian surgeon te chuan saline emaw silicone implants emaw hmangin hnute chu an siam danglam thin. A châng chuan, nangmah ngeiin tissue leh implant te inzawmkhawm pawh hman theih a ni.
Hetiang hmang hian mastectomy zawhah vun hnuaiah hian `Tissue Expander` an tih hmanrua dah theih a ni. Balloon te tak te ang mai a ni. Kar tin doctor chuan saline solution hmangin a khat thin. Tichuan, vun chu a inzawm zauh zauh a, `implant` dahna tur hmun a siam ta a ni. Chumi hnuah chauh chuan permanent `implant` chu dah a ni.
Engtin nge ka duh ber method chu ka thlan ang?
I doctor chuan thil engemaw zat a ngaihtuah hnuah eng method nge i tan a tha ber tih a rel ang.
- I kum, i hriselna zawng zawng, leh i nunphung .
- Eng ang mastectomy nge i neih a, a hnuah tissue engzat nge la awm?
- I cancer enkawlna dang i mamawh leh mamawh loh (e.g. chemotherapy, radiotherapy).
- Tun hmaa surgery i neih tawh te. Entirnan, pum surgery i neih tawh chuan i pum atanga flap lak a harsa mai thei.
- I beisei leh i duh ang lookEng ang nge a nih. Hemi chungchang hi doctor nen inhawng tak leh chiang taka sawi dun a pawimawh hle.
Surgery hma, operation neih chhung leh operation zawhah eng nge thleng?
Operation hmain: I surgeon chuan a enfiah vek ang che, i hnute tehna leh thlalak a la ang. Damdawi i ei apiang leh i hriselna dinhmun i hriattir a ngai ang. Operation hmaa damdawi thenkhat ei tawh loh turin an ti thei bawk.
Surgery neih chhung hian: He surgery hi damdawi inah tih a ni. Anesthesia hnuaiah muttir i ni ang a, chuvangin natna engmah i nei lovang. Surgeon chuan i hnute chu i duh angin (flap emaw implant emaw) hmangin a siam thar leh ang. Surgery zawhah chuan vun hnuaiah tube (drain) dahin a chhunga tui leh thisen awm tawh zawng zawng chu paih chhuah theih a ni. Ni reilote hnuah lakchhuah a ni ang.
Operation hnuah: Damdawi inah ni engemaw zat i awm a ngai ang a, kar khat pawh a awm thei. Natna thunun nan damdawi pek i ni ang. I hnute a hring tihziaawmna tur leh i hnute thlawp turin special bra (surgical bra) ha turin an ti ang che. In i haw hnua i in enkawl dan tur zirtirna pek i ni ang.
He surgery hian eng hlauhawmna leh harsatna nge a neih?
Surgery dang ang bawkin, hlauhawmna tlangpui a awm a, chu chu natna hrik leh thisen chhuah te hi a ni. Chu bâkah, a hnuaia mite hi a thleng thei bawk:
- Thisen zam : Hetiang hlauhawmna hi flap surgery thenkhat hnuah a sang hle.
- Hnute pahnih pianzia emaw, a lian zawng emaw inthlak danglamna: Pakhat chu a dang aiin a nghet zawkin a inhria thei.
- Scarring: Surgery neih apiangin hliam a awm reng. Chungte chu hun kal zelah a bo vek thin.
- Fat Necrosis: Flap surgery neih laiin tissue lakchhuah atanga thisen supply a tlem chuan chu tissue chu a thi thei a ni.
- Implant nena inzawm harsatna: Implant chu a hrual thei a, a leak thei a, a rupture thei bawk.
- Donor site-a natna emaw chak lohna emaw: Pum, hnungzang emaw, kekawrte emaw ang chi hmunah natna emaw, rilru hahna emaw i nei thei.
Hnute siam thar chu khawih pawhin a sensitive lo fo thin. Hun kal zelah vun hian hriatna engemaw chen a nei leh thei a, mahse a hma angin a nem tawh dawn lo.
Damdawi lam thurawn lak nghal tur
Heng symptoms te hi i neih chuan doctor hmu nghal la , damdawi in Emergency Department (ETU) ah kal nghal rawh .
- Infection chhinchhiahna, khawsik ang chi te.
- Natna nasa tak, damdawi ei pawhin a reh lo.
- Surgery hliam atanga thisen chhuah emaw, zun emaw.
- Hnute emaw hliam chhehvel emaw vun rawng inthlak danglam.
Take-Home Thuchah a ni
- Mastectomy hnua hnute siam thar leh hi i duhthlan tur a ni. I neih leh neih loh thutlukna chu i mimal duh danah a innghat vek a ni.
- Chumi atan chuan hmanraw hrang hrang a awm a, chu chu mahni taksa tissue hman emaw, artificial implant hman emaw a ni.
- I surgeon nen chuan i tana tha ber tur method chungchang, a thatna leh that lohna chungchang chu zalen tak leh rinawm takin sawi la, i beisei dan pawh chiang takin sawi rawh.
- He surgery hi mastectomy hnua rilru lama harsatna lo awm thinte hneh leh mahni inrintawkna siam tharna kawngah a pui hle thei a ni.
- Operation hnua a dam kim theih nan hun engemaw chen a ngai a ni. Doctor thupek dik taka zawm a pawimawh hle.
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