Laryngectomy hi hlau suh, i sawi dawn nia!

I doctor-in i "voice box" emaw, i larynx emaw chu surgery hmanga lak chhuah a ngai tih a hrilh che hian hlauhna leh mangang lutuk hi thil pangngai a ni. I rilruah zawhna tam tak i nei thei a, chu chu "Ka aw hi eng nge thleng ang?" leh "Ka tawng thei tawh dawn lo em ni?" Mahse, lungngai suh. Hei hi operation lian tak ni mahse, operation hnuah pawh i nung tha thei a, kawng tharin i tawng thei tho bawk. He Laryngectomy surgery chungchang hi awlsam tak leh chiang takin han sawi ila.

A awlsam zawngin Laryngectomy tih hi eng nge ni?

Laryngectomy hi surgery hmanga i larynx thenkhat emaw, a zawng zawng emaw lak chhuah a ni. Mi thenkhat chuan i "voice box" an ti bawk. I larynx hi i trachea chungah chiah a awm a. I hmui, hnar leh i lung inzawmna hmun a ni. Larynx hi thawk lakna, ei leh in leh thusawi atan a pawimawh hle.

Tunah chuan, "Engvangin nge hei hi paih chhuah?" I doctor chuan he surgery chi hi i larynx nasa taka a chhiat emaw, damdawi lam harsatna a neih emaw chauhvin a rawt ang.

A chhan lian ber pahnih a awm a, chungte chu:

• Laryngeal cancer: He surgery hi larynx cancer vei te tan tih a ni ber.
• Irreversible damage: Accident na tak emaw, thil dang emaw avanga larynx chhiatna nasa tak, tihdanglam theih loh vang a ni.

A chang chuan larynx thenkhat chauh lakchhuah a ni. Chu chu partial laryngectomy kan ti a. A chang chuan larynx pumpui chu lakchhuah a ngai thin. Chu chu total laryngectomy kan ti a.

Mahse, chanchin lawmawm a awm. Heng surgery te hi tun hma aiin tunah chuan a tlem tawh hle. Hei hi a chhan chu mi tam takin meizuk an bansan a, cancer enkawl dan thar an lo siam chhuak a, chu chu larynx la chhuak lova enkawl a ni.

Surgery hma hian eng nge kan tih ang?

Operation hmain i doctor chuan uluk takin a enfiah ang che a, test dang engemaw zat pawh a order thei bawk.

• Chest X-ray: I lung dinhmun enfiah rawh.
• ECG test: Heart rate hi engtin nge a awm tih en rawh.
• Thisen test: Taksa hriselna tlangpui enfiah thin.

Hei bakah hian specialist engemawzat i hmuh a ngai dawn bawk. Entirnan, speech-language pathologist (SLP) leh swallowing therapist te. Operation hnua nun i insiamrem theih nan leh thusawi zir leh turin an pui ang che. I surgery hmain heng appointment te hi siam hmasak a pawimawh hle.

Meizial i zuk chuan i medical team chuan i zuk bânsan turin an pui ang che. Operation hnua i ei leh in tur ruahmanna siam tura pui turin dietitian nen inbiakna hun i nei bawk ang.

I operation ni hmain i medical team chuan thupek chiang tak an pe ang che. Surgery neih hma ni engemaw zat hnuah thisen tithianghlimtu damdawi ei kha bansan turin an hrilh fo ang che. Tin, a hma zan khan ei leh in kha bansan turin an hrilh bawk ang che.

Surgery neih chhung hian eng nge thleng?

Surgery chhung zawng hian anesthesia hnuaiah i awm ang a, chu chu engmah i hre lo ang a, i muhil ang tihna a ni. Surgeon chuan hengte hi a zawm ang:

1. Incision siam: A hmasa berin i kawr hma lamah incision te tak te siam a ni.

2. Larynx lakchhuah: Chumi hnuah chuan i larynx (voice box) chu lakchhuah a ni ang. Chu chuan a zawng zawng emaw, a ṭhen emaw, aw hrui te pawh tiamin, lak chhuah a huam thei a ni. Tin, a bul hnaia lymph node emaw, rilru tissue thenkhat emaw lakchhuah a ni thei bawk.

3. Stoma siam: Hei hi a pawimawh ber a ni. I larynx lakchhuah a nih chuan i hnar hmangin i thawk thin angin i thawk thei tawh lo. Chuvangin, i kawr chhungah hian thawk dan thar siam turin hawnna (hole) te tak te siam a ni . Hei hi Stoma an ti a . He stoma chhungah hian tube te tak te an dah a.

4. Voice Prosthesis (a tul chuan chauh): Hei hi mi thenkhat tan pawh tih a ni. Thlipui leh chaw kawng inkarah khur te tak te siam a ni a, chutah chuan thu sawina atana pui turin hmanraw te tak te dah a ni.

5. Incision khar: A tawp berah chuan kawr chunga incision siam chu felfai takin stitches hmangin an khar a.

Operation hnuah eng nge beisei tur?

Surgery zawhah chuan kar khat emaw kar hnih emaw vel damdawi inah i awm a ngai dawn a ni. Ni hmasa berah chuan feeding tube hmangin chaw pek i ni ang . Medical team te chuan him taka i ei theih tih an hriat chian hnuah chuan ka ei turin an pui ang che.

Surgery eng pawhah hian risk a awm thei. He surgery neih chhunga harsatna awm thei thenkhat chu:

• A chhehvel taksa peng hrang hrang, trachea emaw larynx emaw tihchhiat.
• Fistulas, chu chu ril leh vun inkar a inhawng pangngai lo tak a ni.
• Kawr emaw, kekawrte emawa incheina tlem.
• Thyroid hnathawh a tlahniam.
• Stoma nena inzawm harsatna (e.g. infection, vun natna) leh enkawl harsatna te.
• A tir lamah chuan ei leh in, ei leh in leh thusawi harsa.

Mi tam zawk chuan he surgery atanga an dam kim theih nan kar hnih atanga kar thum vel an hmang a, mahse hei hi i taksa dinhmun leh surgery neih dan azirin a danglam thei a ni.

Operation hnuah engtin nge i inbiak leh thin?

Hei hi mi zawng zawng tana harsatna lian ber a ni. I larynx leh vocal cords te an lakchhuah chuan i aw i hloh thin. Mahse, chu chu i tawng leh thei tawh lo tihna erawh a ni lo. In inbiak leh thei ngei ang. Tih dan thar i zir a ngai chauh a ni. He zinkawngah hian i speech therapist (SLP) chu i thlawp ber ang.

Thusawi theihna tura hmanraw pawimawh tak tak leh hmanraw pawimawh thenkhat chu hetiang hi a ni:

Engtikah nge doctor nen inbiakna neih a ngaih?

Operation hnua in i thlen chuan i dinhmun hi ngaihven rawh. Heng symptoms te hi i neih chuan doctor ko nghal rawh :

• Khawsik
• Suture awmna hmun atanga pus chhuak
• Infection chhinchhiahna dang (sen, hring, natna nasa tak) .

Mahse, i rilru natna emaw, thawk harsatna nasa tak i neih chuan , emergency a ni. 1990 (Suvaseriya) Ambulance Service ah call nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah a rang thei ang bera kal rawh.

Laryngectomy neih hi thil awlsam a ni lo. I hlauthawng a, i thinrim a, beiseina i nei lo hial pawh a ni thei. Heng rilru put hmangte hi vawng tlat suh, i doctor leh chhungte nen sawiho rawh. An pui thei che a ni. Tin, counselor hnen atanga tanpuina dil leh nangmah ang bawka thil tawn tawhte nena support group-a tel hi tanpuina ropui tak a ni thei bawk. He dinhmun hi i hriat tam poh leh hmachhawn turin i inrintawkna leh huaisen zawkin i awm ang.