Mi pakhat chu accident na tak, kangmei, a nih loh leh natna khirh tak eng emaw avanga a hmel a tichhe vek niin han ngaihtuah teh. Hnar, mitmeng leh hmui ang chi thil pawimawh tak tak pawh a bo tawh mai thei. Hetiang dinhmun hi plastic surgery pangngai hmangin a lo awm leh thei tawh lo. Hetiang dinhmun khirh takah hian tunlai damdawi lama surgery buaithlak leh hmasawn ber, ‘face transplantation’ chu zawhna a lo lang ta a ni.
A awlsam zawngin, hmai thlak (face transplant) tih hi eng nge ni?
Face transplant chu surgical procedure a ni a, donor thi tawh atanga facial tissue hmanga damlo hmai zawng zawng emaw, a then emaw thlak a ni. Hei hi operation pangngai a ni lo. Damdawi lamah chuan hei hi vascularized composite allograft (VCA) kan ti a. Chumi awmzia chu vun chauh ni lovin a hnuaia taksa ruh, ruh, nerve leh thisen kalna kawngte pawh a inzawm khawm tihna a ni.
Hei hi surgery a awm lo hle a, a buaithlak hle. Tin, hmai pe tur pawh hi an tlem hle bawk. Chuvangin, he surgery chi hrang hranga i tlin theih nan hian criteria khauh tak tak i tlin a ngai a ni. Surgery i neih zawh chuan i dam chhung zawngin damdawi lam enkawlna bik, taksa enkawlna leh damdawi i dawng a ngai dawn a ni.
Hetiang surgery atan hian tute nge tling?
Hei hi mi zawng zawng tih theih surgery a ni lo. Hemi atana tling tur chuan a hnuaia thil tulte hi zawm a ngai a ni.
| Zir thlen chin | Hrilhfiahna |
|---|---|
| Facial deformity na tak a awm | Facial deformity emaw hliam na tak, plastic emaw reconstructive surgery pangngai hmanga enkawl theih loh. Hei hian hnar, mitmeng leh hmui hloh ang chi dinhmun a huam fo thin. |
| Kum | Kum 18 leh 60 inkar ni tur a ni. |
| Naupai lai | Naupai lo leh operation hnu kum khat tal sawn duh lo. |
| Infection awm tawh te | HIV emaw hepatitis emaw ang chi natna lian tham a awm lo . |
| Meizial zuk | Meizial zu lo nih chu tih ngei ngei tur a ni. |
| Natna dang | Cancer leh rilru lam natna nei tawh lo . |
| Damdawi hmuh theihna | Taksa leh rilru lama i dam chhung zawnga immunosuppressive damdawi ei thei nih. |
Engvangin nge mi tu emaw chuan chutiang surgery lian tak chu a pan ang?
Face transplant neih hi mimal thutlukna a ni hle. Risk lian tak tak a keng tel a ni. Operation i neih hnu kum khat vel chu intensive rehabilitation program-ah i tel a ngai ang. I dam chhung zawngin medical checkup neih reng a ngai bawk ang.
He surgery nei turte beiseina ber chu an hmai a piansualna nasa tak awm chu solution hmuh a ni. He deformity avanga harsatna dang awmte pawh chinfelna a ni thei bawk. Entir nan:
- Thâwk harsa
- Thusawi harsa
- Chew leh ei harsa
He surgery hian heng hnathawh te hi a siam that leh theih nan a pui bawk.
Surgery neih hmain eng nge thleng? Inbuatsaihna a tam em?
Ni e, operation chungchanga thutlukna i siam hmain test hrang hrang zau tak leh uluk tak i neih a ngai a ni. Hei hi hmun thumah then theih a ni.
1. Taksa lam thil
I doctor chuan i taksa leh i hmai hnathawh dan uluk takin a enfiah ang. I hmai ruh leh nerve te chu a hrisel tawk tur a ni a, chu chuan tissue thar transplant tur chu a pui thei ang. I taksa pawhin he surgery lian tak hi a tuar thei tur a ni a, dam chhung zawnga immunosuppressant damdawi a ei thei tur a ni a, intensive rehabilitation program-ah pawh a tel thei tur a ni.
2. Taksa hriselna endik (Physical) .
Hei hian i hriselna zawng zawng enfiah a huam a ni. Hei hian i chhungkaw history-a damdawi lam dinhmun te, damdawi i ei mek te, i thinlung leh taksa peng dangte dinhmun te, thisen test te, X-ray te, leh computed tomography (CT) scan te a huam a ni Tunlai technology hmang hian i luruh 3D printed model siamin surgery tih dan tur dik tak ruahman theih pawh a ni.
3. Rilru lam inbuatsaihna
Psychiatrist leh social worker te chuan he zinkawng chhunga nang leh i thlawptu te rilru lama harsatna i tawh theih dan tur an sawipui ang che. Entirnan, operation hnua social attention leh media attention pawh ni thei tur atana rilru lama inbuatsaih te, hmel thar neih thiam te, leh damna kawngah harsatna awm thei te.
Engtin nge donor kan zawn theih ang?
Heng test zawng zawng hnuah hian doctor-te chuan he operation atan hian i tling tih an rel a nih chuan face donation atan list-ah dah i ni ang. Hei hi kan driver licence kan hmuh huna kan sign thin organ donation document nen a danglam hle. Hmel thawh tur chuan mitthi chhungte hnen atangin phalna bik i lak a ngai a ni.
Hmêl hi kan nihna, kan rilru put hmang lantîrtu thil a ni. Chuvangin hetiang transplant hian hmel a neih theih nan mi pakhat a thih a ngai tih hi a nghaktu tan chuan rilru lamah a harsa thei hle. Mahse a petu chhungte tan chuan an hmangaih thihnain midang a pui dawn tih hriat hi thlamuanna ropui tak a ni.
Donor leh damlo inkarah hian match engemaw zat a awm tur a ni.
| Matching Factor a ni | Hrilhfiahna |
|---|---|
| Thisen chi hrang hrang | Thisen chi matching hi tih ngei ngei tur a ni. |
| Tissue chi hrang hrang | Hei hi taksain a hnawl theihna tur a tihziaawm nan a pawimawh hle. |
| Hmeichhia/mipa nihna | Vawi tam tak chu mipa leh hmeichhia inkara match siam a ni. |
| Vun rawng leh nature | Skin tone leh texture inang thei ang bera neih a pawimawh. |
| Kum leh hmel size | Kum inang leh hmai lian leh te inang lo nih. |
Heng tehfung khauh tak takte avang hian, thawhlawm pe thei tur tling tak i hmuh theih nan thla tam tak, kum tam tak pawh i nghah a ngai mai thei.
Surgery neih chhung hian eng nge thleng?
Vawikhat matching donor i hmuh chuan damdawi inah i lo kal nghal a ngai dawn a ni. Donor hi a thi tawh emaw, thluak thi tawh emaw a ni fo thin.
Surgery neih chhung hian medical team chuan uluk takin a petu hmai atanga tissue (vun, thau, thau, nerve, thisen kalna kawng, cartilage) te chu an la chhuak hmasa thin. Chumi hnuah solution bik-ah dahin, a lum a, a vawng reng a ni.
Fully anesthetized i ni ang a, i muhil ang a, chuvang chuan natna engmah i hre lo ang. Vawikhat i mut tawh chuan doctor te chuan i vun leh tissue chhia te chu an la chhuak ang. Surgery-a thil pawimawh leh buaithlak ber chu i thisen kalna kawngte chu hmai thara thisen kalna kawngte nen surgical instrument tha tak tak hmanga thlunzawm hi a ni. Hei hi vascularization an ti a . Hei hi uluk taka tih a nih chuan tissue thar hian thisen supply a nei ang a, a nung reng ang.
Thisen kal dan a tha em tih an enfiah hnuah doctor-te chuan nerve leh muscle te chu an thlunzawm leh thin. Nerve te a inzawm chuan hmai hian sensation (touch, heat, cold, pain) a dawng thin. Muscle te a inzawm chuan hmai a che thei (nui, mitmeng, mit a chhing). A tawpah chuan vun leh soft tissue te chu an inzawm khawm a.
He surgery zawng zawng hi hun rei tak a ni thei a, darkar 10 atanga darkar 36 thleng a ni thei .
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery lian dang ang bawkin he surgery hian hlawkna leh hlauhawmna a nei vek a ni.
| A thatna te | Risk & Complication awm thei te |
|---|---|
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Eng chen nge tihdam a ngaih?
Damdawi in atanga i haw hnuah thla thum tal enkawlna mumal, taksa enkawlna leh damdawi in enfiahna nei turin damdawi inah i kir leh a ngai dawn a ni.
- Hmai hring hi thla hnih atanga thla thum chhungin a tlahniam tlangpui .
- Thla ruk vel hnuah chuan hmaiah hriatna chu a lo let leh tan ta a ni.
- Kum khat vel hnuah chuan hmai hnathawh tam zawk chu a pangngaiin a awm leh thin.
Donor ang chiah hian ka lang dawn em ni?
No. Donor ang chiah chiah i ni lovang. Hei hi i hmai hnuaia luruh ruh awm dan hi i tan a danglam bik vang a ni. Mahse, i hmai tharah hian donor vun-a thil ṭhenkhat, hmul, pian chhinchhiahna, a nih loh leh hliam te chu a lang thei a ni.
Take-Home Thuchah a ni
- Face transplant hi hmêl natna nasa tak enkawlna atana operation buaithlak tak leh hmuh tur awm lo tak a ni.
- Hemi atan hian taksa leh rilru lamah i fit em tih hriat nan test rei tak leh uluk tak tak i neih a ngai a ni.
- Donor tling tak hmuh theih nan thla tam tak emaw, kum tam tak emaw a ngai thei.
- Operation i neih zawh chuan i taksain hmel thar a hnawl loh nan i dam chhung zawng immunosuppressive drugs i ei a ngai dawn a, chu chuan natna dang i vei theihna a tipung thei a ni.
- Recovery process hi a rei hle a, intensive physical therapy, inpekna leh chhungkaw tanpuina chak tak a ngai a ni.
- Nangmah emaw, i hriat tu emaw chuan hetiang dinhmun hi i hmachhawn a nih chuan, i doctor nen thil zawng zawng chu zau tak leh chiang taka sawiho chu a pawimawh hle a ni .
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