Hmeichhia tan mastectomy, cancer vanga hnute lakchhuahna surgery neih a harsat zia kan hria. Taksa bakah rilru tan pawh phurrit lian tak a ni. Chu zin hnuah chuan hnute siam thar leh a ngai mai thei. Hei hi hmanraw hrang hrang a awm a. Vawiin hian special surgery kan sawi dawn a, chu chuan i taksa peng hrang hrang hmangin natural look a pe a ni.
Chuti a nih chuan, DIEP Flap surgery hi eng nge ni?
A awlsam zawngin DIEP Flap hi surgical procedure a ni a, i tissue hmanga hnute siam thar lehna a ni. External implant ai chuan i taksa peng pakhat chauh hman a ni.
DIEP tih hming hi ‘Deep Inferior Epigastric Perforator’ tih atanga lak a ni. Hei hian kan pum hnuai lama thisen kalna (artery) hming a kawk a ni. Surgery neih chhunga thil thlengte chu hetiang hi a ni:
I surgeon chuan i pum hnuai lam atang hian vun, thau leh thisen kalna kawng thenkhat a la ang a, a bik takin i pubic bone chunglam atang hian a la ang a, chu chu ‘tummy tuck’ an ti a ni. Mahse taksa ruh engmah lakchhuah a ni lo . Hei hi he surgery thatna lian ber pakhat a ni.
Tichuan, he tissue hi rilru chhungah rawn hruaiin hnute angin an siam a. A pawimawh ber chu a thleng leh thin. Microscope tha tak hmanga tih ``Microsurgery`` hmang hian chaw kawng atanga lak chhuah tissue chhunga thisen kalna kawng te tak te te chu rilru chhunga thisen kalna kawng te nen an inzawm a ni. Hei hian hnute siam thar chu thisen tha tak a pe a, i taksa peng pakhat ang maiin a thang lian thin.
Mahni tissue i hman avangin a result chu a natural hle. Pawn lam implant avanga harsatna awm thei thenkhat pawh a pumpelh bawk.
Engtikah nge he surgery hi tih a nih? Hemi atan hian tu nge tling lo?
He surgery hi tih theihna tur case pahnih a awm.
1. Immediate Reconstruction: He DIEP Flap surgery hi i mastectomy neih rualin tih theih a ni. Tichuan vawi hnih surgery i paltlang a ngai tawh lo. Mi thenkhat chuan an dam nghal thei a, nun pangngaiah an kir leh thuai thei niin an ngai.
2. Delayed Reconstruction: I hnute la chhuak tawh a, hun danga siam thar leh tur i ngaihtuah a nih chuan DIEP Flap surgery hi a la tha hle.
A pawimawh ber chu hemi chungchanga thutlukna tha ber siam turin doctor nen inbiakna neih hi a ni.
Mahse he surgery hi mi zawng zawng tan a ni lo. He surgery atan hian eng case nge tling lo tih chu a hnuaia table hi han en ila.
| Inrem lohna chhan | A sawifiahna awlsam tak |
|---|---|
| Pum chhunga tissue tling lo | I thau lutuk a nih chuan, emaw, a hmain liposuction ang chi operation hmanga i pum thau lakchhuah tawh chuan i pum chhungah hnute siam thei tur tissue i nei tlem hle mai thei. |
| Tun hmain flap surgery a lo nei tawh bawk | Abdominal tissue hmanga hnute dang siam thar leh tawh a nih chuan operation dang neih lehna tur tissue a la awm tawk lo mai thei. |
| Tun hmaa pum surgery thenkhat | He surgery hi C-section emaw hysterectomy emaw i neih tawh chuan tih theih a ni thei. Mahse, i ek chhuah dan tidanglam thei surgery i neih tawh chuan a theih loh mai thei, chu chu colostomy ang chi hi a ni. |
| Pum hnuai lam thisen kalna kawngah harsatna a awm | A châng chuan zai tûra thisen kalna mamawh chu a tê lutuk thei a, a hmun chu zai tûrin a rem lo thei bawk. |
Surgery hma leh operation neih chhung hian eng nge thleng?
I surgery hun tur a ruahman zawh chuan i doctor chuan thupek thenkhat a pe ang che, chungte chu:
- Lab test thenkhat ti rawh: Surgery atan i hrisel tawk em tih hriat nan thisen test ang chi thil ti turin an ti mai thei che.
- Meizial zu kha bansan vek rawh: Zuk leh hmuam (cigarette, beedis) i hman chuan anesthesia a nghawng thei a, damna a tikhawtlai thei bawk.
- Damdawi thenkhat ei kha bansan rawh:I damdawi ei zawng zawng (vitamin leh supplement te pawh tel) i doctor hnenah i hrilh ngei ang.
Operation ni chuan intravenous (IV) anesthetic pek i ni ang . Chutah chuan muthilh tir i ni ang. Surgery neih chhung hian natna leh engmah i hre lovang.
Surgery neih chhung hian doctor chuan i pum hnuai lam bikini line-ah incision a siamsak thin. Chuta tang chuan vun, thau leh thisen kalna kawng flap pakhat chu uluk takin an la chhuak thin. Tichuan, a hmaa hnute surgery atanga hliam awm chu incision dang siam a ni a, chu chu pum atanga tissue chu rawn luhtir a, hnute ang maia siam a ni. Tichuan, a hmaa kan sawi tawh ``microsurgery'' hmangin thisen kalna kawngte chu an inzawm khawm ta a ni.
A tawp berah chuan hnute leh pum chhunga incision-ah hian tube (drain) te tak te tak tak engemaw zat dah a ni. Chungte chu kar engemaw zat a hmunah dah a ngai a ni. Hengte hi surgery na hmun atanga tui tam lutuk lakchhuahna atan te, swelling tihtlem nan te, damna ti chak nan te hman thin a ni. Chumi hnuah chuan incision te chu stitches emaw staple emaw hmangin an khar leh thin.
Hei hi darkar tlemte chhunga tih theih leh in lama haw theih tur surgery tenau tak a ni lo tih hre reng ang che. Surgery buaithlak tak a ni a, hnute pakhat siam thar leh nan darkar 6-8 vel a ngai a, hnute pahnih siam thar leh tur chuan darkar 10-14 vel a ngai bawk.
Operation hnuah ni hnih atanga ni thum chhung damdawi inah i awm a ngai dawn a ni. A dam kim theih nan kar 6 vel a ngai dawn a ni.
Risk leh complication a awm lo em ni?
Surgery dang ang bawkin he surgery hian risk engemaw zat a nei a ni.
Entirnan, hnute siam thara thisen supply a tawp emaw, a tlem emaw chuan flap a thih theihna chance tlemte a awm (flap failure). Hei hi a tlem hle. Hmun tenau a thi a nih chuan Doctorin a cut chhuak thei a, a la chhuak thei bawk. Mahse hmun zau tak a thih chuan flap pumpui thlak a ngai dawn a ni.
Hun dangah chuan hmun thenkhatah thisen kal a tlahniam a, chu hmunah chuan scar tissue a lo awm thei a, chu chu lump ang maiin a lang thei bawk. Chungte chu hun kal zelah a bo mai thei.
Tin, taksa ruhte a chak lo a, pum atanga tissue lakna hmunah hian hernia a lo awm theihna chance tlemte a awm bawk. Hernia a lo awm tak tak a nih chuan siamthat nan operation dang neih leh a ngai tlangpui.
Operation hnua heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
- Thisen chhuah dan pangngai lo
- Cut atanga pus ang chi thil a lo chhuah chuan (infection chhinchhiahna) .
- Tuar theih loh khawpa natna nasa tak
- Thâwk harsa
- Khawsik
Hetiang a nih chuan doctor hnenah hriattir nghal tur a ni. Emergency a nih chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
Recovery period chhung leh in lamah engtin nge ka in enkawl ang?
Surgery hnuah kar engemaw zat i nghah a ngai dawn a ni.Compression bra bik ha turin an ti ang che . I pum chhungah special compression wrap vuah turin an ti bawk ang che. Chûngte chuan natna a tihziaawm ang a, swelling a control ang a, damna kawngah a pui bawk ang.
Heng thilte hi operation hnua thil pangngai a ni:
- Bruising a awm
- Natna leh Natna
- Vung
- Incisions-ah tightness a awm
- Pum emaw, rilruah emaw a bengchheng: He natna hi kum khat thleng a awm thei.
Heng thil tam tak hi kar tlemte chhungin a reh mai dawn a, mahse, i natna tibuaitu symptom i neih chuan i doctor nen inbiak pawh hlau suh.
Surgery zawhah i bikini line-ah hliam i nei ang. Hei hi thla 12-18 vel hnuah nasa takin a bo ang. I hnuteah pawh hliam i nei ang. I duh chuan he surgery atanga i dam kim hnuah i hnute siam thar lehna tur surgery dang i nei thei bawk.
Take-Home Thuchah a ni
- DIEP Flap hi hnute lakchhuah hnua mahni pum chhunga tissue (vun leh thau) hmanga hnute siam thar lehna tur surgery a ni.
- Hetiang hmanga result kan hmuh hi natural-looking tak a ni a, pawn lam implant-a risk awm thei pawh a tlem hle.
- Hei hi surgery buaithlak tak a ni a, darkar tam tak a daih a ni. Tin, a dam theih nan kar 6 vel a ngai bawk.
- He surgery hi mi zawng zawng tan a tha lo. I taksa chi leh a hmaa i surgery tawh danah a innghat.
- He surgery thatna leh that lohna te, i tan a tha em tih te chu i surgeon nen zalen takin sawi rawh.
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