I doctor-in laryngectomy, i voice box lakchhuahna tur surgery neih a ngai tih a hrilh che chuan hlauhna leh mangang tak tak i nei thei a ni. I rilruah zawhna tam tak i nei thei a, chu chu "Engtin nge ka sawi leh ang?" leh "Nakin lawkah ka nunah eng nge thleng ang?" Hei hi thil pangngai tak a ni. Mahse, lungngai suh. Engkim hi awlsam tak leh chiang takin sawi ila.
A awlsam zawngin, laryngectomy tih hi eng nge ni?
Laryngectomy hi surgical procedure a ni a, i larynx (voice box) zawng zawng emaw, a then emaw paih vek a ni.
I larynx chu hmanraw te tak te, junction pawimawh pathum-a thawk angin ngaihtuah rawh. I trachea (windpipe) chungah a awm a ni. I hnar leh ka atanga thawkna kawng lo chhuak chu i lung nen a thlunzawm a ni.
He larynx hian hna pawimawh pathum a nei a, chungte chu:
- Thusawi puitu: I aw siamtu vocal cord te hi hetah hian a awm a.
- Thâwk chhuah ṭanpui: Lung chhunga thawkna kawngte chu a inhawng a.
- Chaw ei pui: A ei hian ei tur chu trachea chhunga luh loh nan a venghim a ni.
Engvangin nge mi pakhatin he surgery hi neih a duh ang?
Doctor-in he surgery hi a rawt theih chhan hrang hrang a awm. I natna nasat dan azirin i larynx thenkhat chauh (Partial Laryngectomy) emaw, larynx pumpui (Total Laryngectomy) emaw chauh lakchhuah an tum mai thei.
A chhan ber chu a hnuaia table hi en la.
| Surgery neih chhan | A sawifiahna awlsam tak |
|---|---|
| Laryngeal cancer a ni | Hei hi a chhan tam ber a ni. Cancer cells te lakchhuah nan larynx hi lakchhuah a ngai a ni. |
| Laryngeal tihchhiat a ni | Accident-a kawngah nasa taka vuak chuan larynx ruh a tikehsawm thei a ni. |
| Chhiatna nasa tak a awm | Accident dang emaw hliam emaw avanga larynx siamthat theih loha a chhiat chuan. |
| Radiation therapy avanga chhiatna (Chondronecrosis) . | Hei hi thil awm lo tak a ni. Cancer natna atana radiation therapy pek hnua larynx cartilage tihchhiat vang a ni thei. |
Surgery neih hmain eng nge thleng?
Okay, operation tih i tum tawh ang u. Chumi hma chuan i doctor in uluk takin a enfiah ang che. I taksa chu operation atan a inpeih tawh em tih enfiah turin test tlemte a kalpui bawk ang.
- Thisen test: A tlangpuiin thisen chhiar kim ang chi thil hi tih a ni.
- Chest X-ray: I lung dinhmun enfiah rawh.
- ECG test (Electrocardiogram): I thinlung hnathawh chu operation tuar thei level-ah a awm em tih enfiah rawh.
Chu bâkah, i doctor chuan specialist dang engemaw zât, Speech-Language Pathologist leh Swallowing Specialist -te hnênah a refer ang che. Heng mite hian operation hnua nunna atana inbuatsaih nan an pui ang che. Chuvangin heng appointment te hi lo thlir ve suh.
Meizial zu mi i nih chuan operation hmaa bânsan turin thurawn leh puihna pek i ni ang. Operation hnua i dam thuai theih nan nutritional advice pek i ni bawk ang.
Surgery tih dan tur
He surgery hi general anesthesia hmanga tih a ni. Chuvangin hrehawmna leh engmah i hre lovang. Surgeon chuan hengte hi a zawm ang:
1. Incision siam: A hmasa berin surgeon chuan uluk takin i kawr vun ah incision a siam thin.
2. Larynx lakchhuah: A dawtah chuan i dinhmun a zirin i larynx thenkhat emaw, a pum emaw chu lakchhuah a ni ang. A châng chuan, i lymph node emaw, i rilru (pharynx) ṭhenkhat emaw pawh lak chhuah a ngai thei bawk.
3. Stoma siam: Hei hi operation hnua inthlak danglamna lian ber a ni. Surgeon chuan i kawr hma lamah hawnna te tak te a siam ang a, chu chu i thlipui (windpipe) nen direct-in a inzawm ang. He hawnna hi stoma an ti a . Operation hnuah he stoma hmang hian i thawk chhuak ang. Hei hi pui turin a tir lamah chuan tube te tak te (`laryngectomy tube`) dah a ni.
4. TEP siam dan:A châng chuan, surgeon chuan i thlipui (trachea) leh i chaw kawng (oesophagus) inkarah khur te tak te a siam ṭhin. Hei hi `Tracheoesophageal Puncture (TEP) an ti a.` Hei hi a hnuah i thusawi pui turin device (`voice prosthesis`) dah theih nan tih a ni. Mahse, hei hi mi zawng zawng tan a inhmeh lo. Hei hi i tan a tha em tih ngaihtuah turin i doctor nen inbia tur a ni.
5. Incision khar: A tawp berah chuan incision chu stitches hmanga khar a ni.
Surgery zawhah chuan kar khat emaw kar hnih emaw chhung damdawi inah i awm tlangpui ang. Hemi chhung hian medical team ten uluk takin an enkawl ang che. Ni hmasa berah chuan feeding tube hmangin i chawm ang. Tube chu tui i ei theih hunah a chhuak ang.
Surgery hnuah engtin nge i sawi thin?
Hei hi mi tam zawk ti hlauhawmtu chu a ni. Ni e, surgery hian i natural voice chu a la bo ang. Mahse chu chu i tawng thei tawh dawn lo tihna erawh a ni lo. Thusawi dan thar i zir thei a, chutiang kawngah chuan i speech therapist chuan a pui thei che a ni.
A hnuaia tarlan te hi a hmanraw pawimawh thenkhat te an ni.
| Inbiakpawhna hmanrua | A hnathawh dan |
|---|---|
| Voice Prosthesis hmanga siam a ni | Surgery neih laiin TEP hole siam a nih chuan he device te tak te hi a chhungah hian an inbuntir thin. Training zawhah chuan i lung atanga boruak chu i rilruah i direct thei ang a, chu vibration hmang chuan thu i siam thei ang. |
| Electrorynx a ni | Hei hi battery hmanga hman theih thil te tak te a ni. I kawngah i dah a, i press chuan a vibration siam atang hian thu i siam thei a ni. Robot ang deuhin a ri a, mahse thusawi tan thuai theihna kawng tha tak a ni. |
| Esophageal Thusawi (Esophageal Thusawi) a ni | Hetiang tih dan hian hmanraw engmah a mamawh lo. Ka chhunga boruak lak luh a, chu chu kawr leh hmuiah vawn a, chu chu thunun theih dan anga thawk chhuah a, thumal siam a ni. Hei hian practice tam tak a mamawh a ni. |
| Thu hmanga inbiakpawhna (nonverbal Communication) a ni | Recovery lai hian mi tinin heng methods te hi kan hman a ngai a ni. Hei hian kut zungtang, hmui hrual, hmel lan dan, kutziak, leh phone emaw computer emawa type te a huam a ni. |
Surgery neih hian eng hlauhawmna leh harsatna nge a neih?
Surgery dang ang bawkin laryngectomy surgery hian hlauhawm leh harsatna engemaw zat a nei thei a ni.
Risk awm tlangpui
- Kaichhawng
- Thisen a chhuak thin
- Lung lam natna
- Thâwk harsa
Surgery-a harsatna awm thei
- Trachea emaw bronchi emaw a chhiat
- Thyroid hnathawh a tlahniam
- Chaw, in tur leh thusawi ei harsa
- Kawr leh kekawrte inthlak danglamna khap
- Thlalak leh vun inkara inzawmna pangngai (fistulas) awm
- Stoma nena inzawm harsatna
Eng chen nge a dam leh theih a, eng nge fimkhur tur?
A tlangpuiin a dam leh theih nan kar hnih atanga kar thum vel a ngai a, mahse tun hun hi mi hrang hrangah a inang lo thei a, chu chu i taksain a dam theih dan leh a zai nasat dan azirin a ni.
Cancer natna avanga operation i neih tawh chuan, cancer lo kir leh tawh lo turin enkawlna dang, radiation therapy emaw chemotherapy emaw i mamawh thei bawk. Tin, hun ruat saah doctor pan a, follow-up neih a pawimawh bawk.
I medical team chuan thawk dan, tawng dan, ei dan leh i stoma enkawl dan tur an zirtir leh ang che. Heng thupekte hi zawm dik hi a dam thuai theih nan a pawimawh hle.
Damdawi lam thurawn lak nghal tur
Operation hnua in lama i haw chuan symptoms a awm chuan report nghal tur a ni.
| Doctor hmuh hun tur | |
|---|---|
| I doctor nen inbiakna neihpui rawh: | |
| - Khawsik i neih chuan | - Incision vel ah hian pus emaw redness emaw a awm chuan |
| Emergency Department (ETU) hnai ber pan nghal rawh: | |
| - I rilru a na a nih chuan | - Thâwk harsatna nasa tak i neih chuan |
Hetiang chauha surgery neih a ngai tih an hrilh che hian i rilru natna (emotions) te hi do suh. I doctor emaw, chhungte emaw, i ṭhian rintlak tak emaw hnenah i rilru put hmang leh hlauhnate chu sawipui rawh. A tul chuan counselor tanpuina zawng rawh. Tin, chutiang bawka thil tawn tawhte nena support group-a tel chu chakna nasa tak a ni ang.
Take-Home Thuchah a ni
- Laryngectomy hi surgery hmanga larynx lakchhuah a ni a, a bik takin cancer tan a ni.
- Surgery zawhah i kawr hmalam a stoma an tih hawnna atang hian i thawk chhuak ang.
- I pianpui aw i hloh pawhin speech therapist puihnain thusawi dan thar i zir thei a ni.
- I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. I rilru put hmang sawi chhuah hlau suh la, i mamawh thlawpna chu hmu rawh.
*I dam lehna kawngah hian medical team inpe tak tak an awm a. An thurawn zawm rawh.
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