Kan hmel hi kan nihna a ni. Kan nui a, kan lungngaihna kan sawi chhuak a, kan inbia a, kan hmel hian heng zawng zawngah hian min pui thin. Mi pakhat chu accident na tak, kangmei, a nih loh leh damdawi lam thil dang avânga a hmai nasa taka chhia a nih chuan han ngaihtuah teh? Plastic surgery pangngai pawhin a siam that theih loh khawpa chhiatna a nasat hunah chuan chu mi nun chu eng chen nge a danglam ang? Chutiang hunah chuan ‘face transplant’ kan sawi thin a, chu chu medical science-a solution hmasawn tak leh buaithlak tak a ni. Hei hi hriat fo a ni lo va, chuvang chuan kan fimkhur a ngai a ni.
A awlsam zawngin, hmai thlak (face transplant) tih hi eng nge ni?
Face transplant chu surgical procedure a ni a, a hmai tissue, a pum emaw, a then emaw chu donor thi tawh hnen atanga lak a, hmai chhiatna nasa tak nei mi pakhatah dah a ni. Hei hi operation pangngai ang a ni lo. Vascularized Composite Allograft (VCA) tih a ni. Chumi awmzia chu engkim a huam vek tihna a ni a, vun, ruh, nerve, leh thisen kalna kawngte pawh a huam tel tihna a ni.
Hei hi a tlem hle a, research-based surgery a ni. Tin, hmel donate tur mi hmuh a har hle bawk. Chuvangin, he surgery atana i tlin theih nan hian dan khauh tak tak i zawm a ngai a ni. Surgery hnuah pawh i dam chhung zawngin damdawi lam enkawlna bik, taksa enkawlna leh damdawi i dawng a ngai a ni.
Hetiang surgery atan hian tu nge tling tak tak?
Hei hi mi zawng zawng tih theih surgery a ni lo. Hemi dawng thei tur chuan a hnuaia point tarlan te hi zawm a ngai a ni. Hei hi table chiang takah ka entir ang.
| Qualification tlin tur a ni | Hrilhfiahna |
|---|---|
| Facial deformity na tak a awm | Plastic pangngai emaw reconstructive surgery hmanga siamthat theih loh chhiatna nasa tak (e.g. hnar, mitmeng, hmui hloh) a awm tur a ni. |
| Kum | Kum 18 leh 60 inkar a ni tur a ni. |
| Hriselna dinhmun | Naupai loh tur a ni a, operation hnu kum khat tal naupai loh i duh tur a ni. |
| Natna awm tawhte | HIV leh Hepatitis ang chi natna khirh tak tak a awm tur a ni lo. Cancer emaw rilru lam natna emaw history a awm tur a ni lo . |
| Thiltih dan | Meizial zuk phal a ni lo. |
| Damdawi hmuh theihna | I dam chhung zawngin taksa leh rilru lamah immunosuppressive damdawi i ei thei tur a ni. |
Dik tak chuan mi chu a hmel tihchangtlun nan chauh ni lovin hetiang hian operation a nei thin. A tum ber chu nunna hnathawh bulpui ber ber, thawk, thusawi, leh chewing te siam that leh a ni.
Surgery neih hmain eng nge thleng? Hei hi process lian tak a ni!
Hetiang surgery atana thlan i nih hma hian test uluk tak tak i neih a ngai dawn a ni. Hei hi hmun thumah then theih a ni.
1. Taksa hnathawh dan enfiah (Physiology) .
I doctor chuan i hmai leh taksa hnathawh dan a enfiah ang. I hmai nerve leh muscle te hi a hrisel tawk a ngai a, chu chuan transplanted tissue thar atana nerve mamawh chu a tipung thei a ni. I taksa pawhin he surgery rei tak leh i dam chhung zawnga i ei tur damdawi te hi a tuar thiam a ngai bawk.
2. Taksa enfiah
Hei hian i hriselna zawng zawng, chhungkaw damdawi lam chanchin, i damdawi ei te, thinlung hnathawh dan te, thisen test te, X-ray te, leh CT scan te enfiah a huam a ni . A pawimawh ber chu CT scan images hmangin i luruh 3D printed model siam a ni. Hei hian surgeon-te chu surgery chu chiang takin a ruahman thei a ni.
3. Rilru lama inpeih tawhna test
Hei hi a pawimawh hle. Psychiatrist leh social worker ten nang leh i chhungte an biak ang che. A chhan chu he surgery avanga rilru hahna hi a nasa hle a ni. Mipui ngaihvenna te, media ngaihvenna te, hmel thar kan hman thiam theih nan hun a mamawh te, heng zawng zawng hi harsatna lian tak a ni.
Hmêl i neih theih nân mi dang a thih a ngai tih han ngaihtuah teh. He ngaihtuahna nen hian nun a awlsam lo. Mahse, thilpek petu chhungte chuan an hmangaih tak thihna hian mi dang nun thar a pe tih hi an thlamuan fo thin.
Heng test zawng zawng i pass zawh chuan face transplant atan waiting list-ah dah i ni ang. Mahse donor tling tak hmuh chu thil awlsam a ni lo. Thla tam tak i nghah a ngai mai thei, kum tam tak pawh i nghah a ngai mai thei.
Surgery neih chhung hian eng nge thleng?
Matching donor hmuh a nih chuan a rang thei ang bera damdawi inah i lo kal a ngai dawn a ni. Surgery hian darkar 36 thleng a awh thei a, darkar 10 emaw 15 emaw chauh ni lovin.
1. Donor hnen atanga hmai lakchhuah: A hmasa berin medical team te chuan fimkhur takin a petu thi tawh atang hian hmai tissue (vun, thau, thau, nerve, thisen kalna kawng) te an la chhuak thin.
2. I inbuatsaih dan: Anesthetized i ni ang a, i hmai chu surgery atan an inbuatsaih ang.
3. Vascular grafting: Hei hi surgery-a thil pawimawh leh buaithlak ber a ni. Needle leh thread te tak te hmangin i thisen kalna kawngte chu petu hmaiah thisen kalna kawngte nen a inzawm a ni. Hei hian hmai thlaktu chu thisen kalna a dawng thei a, tissue chu a dam khawchhuak thei a ni.
4. Nerve leh muscle inzawmkhawm: Thisen kal dan a lo awm tawh chuan nerve inzawmkhawm a ni. Hei hian khawih, lumna, leh natna ang chi sensation min pe a ni. Tichuan taksa ruhte chu a inzawm khawm a, hei hian kan nuih a, kan tawng a, kan mit kan chhing thei a ni.
5. Finishing: A tawp berah chuan ruh te chu a tul chuan screw te te leh plate te hmangin an fix a, vun leh soft tissue te chu suture an ni.
Surgery hian eng hlawkna leh hlauhawmna nasa tak nge a neih?
Surgery lian dang ang bawkin he surgery hian hlawkna a nei bakah hlauhawmna lian tak a nei bawk.
| Lampang | Hrilhfiahna |
|---|---|
| A thatna te | |
| Nunphung dinhmun | Thâwk lak, ei, thusawi, rim hriat, ei leh hmêl lan dân siam ang chi hna bulpui siam ṭhat leh hian nunphung nasa takin a tichangtlung a ni. |
| Risk a awm thei | |
| Surgery neih theihna tur hlauhawmna | Anesthesia complication, thisen chhuah tam lutuk, thisen zam, natna hrik, thihna thlengin a awm thei. |
| Transplant hnawl a ni | I taksa immune system chuan transplanted face chu "foreign" tiin a hre thei a, a bei tan mai thei. Hei hi a hlauhawm hle mai. Hei hi ven nan chuan i dam chhung zawng immunosuppressive damdawi i ei a ngai dawn a ni. |
| Infection awm thei te | Immunosuppressive drugs hian taksain natna a do theihna a ti tlem a, chuvangin infection tenau te pawh hi a hlauhawm hle thei a ni. |
Surgery hnuah donor ang chiah hian ka lang ang em?
Hei hi mi tam takin an zawh thin a ni. No. Donor ang chiah chiah i ni lovang. Hei hi a chhan chu vun leh soft tissue transplant chu a danglam lo va, mahse i luruh hnuaia ruh structure chu a awm reng a ni. Chuvangin nangmah ngeiin i hmel danglam bik i nei ang. Mahse, i hmai tharah hian spot, birthmark, etc. i nei thei.
Take-Home Thuchah a ni
- Face transplant hi surgery a awm lo hle a, a buaithlak hle a, a hlauhawmna pawh a sang hle. Facial deformities na tak, enkawlna dang hmanga siamthat theih loh tan chauh tih a ni.
- Chumi atana thlan dan chu a khauh hle a, donor tling tak hmuh tur chuan kum tam tak a ngai thei a ni.
- Operation hnuah chuan transplant hnawl a nih loh nan i dam chhung zawng immunosuppressive damdawi i ei a ngai dawn a, hei hian natna kai theihna a ti sang hle.
- Hei hi cosmetic surgery mai ni lovin, nun tidanglam thei a ni a, thawk leh ei leh in ang chi hnathawh bulpui te chu a siam tha leh a ni.
- He zinkawngah hian rilru hriselna chak tak leh chhungkaw puihna a pawimawh hle. Thutlukna siam hmain doctor nen uluk taka sawiho vek a pawimawh hle.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment