Mandibulectomy: Hei hi kan hriat chian tur em ni?

Miin hmui cancer a vei a nih chuan, emaw, a hnuai lam ruh natna nasa tak a neih chuan han ngaihtuah teh... a chang chuan a natna hmun chu operation hmanga lak chhuah vek a ngai thin. Chuvangin, vawiinah hian he thuziak ah hian hetiang dinhmunah hian surgery pawimawh tak tak tih tur kan sawi dawn a ni. Hei hi thupui buaithlak deuh mahse, a awlsam thei ang bera sawi ila.

Mandibulectomy tih hi eng nge ni?

A awlsam zawngin, mandibulectomy chu i lower jawbone/manible thenkhat emaw, a zawng zawng emaw surgery hmanga lakchhuahna a ni. Doctor-te chuan he surgery hi cancer tumor emaw, jaw natna dang emaw lakchhuah nan an ti tlangpui. Hei hi mandibular resection an ti bawk .

He surgery chi hrang hrangte hi engte nge ni?

He surgery hi chi hnih ah then theih a ni. Eng nge an nih i en ang u.

I hmui siam thar lehna tur ruh chu khawi atanga i hmuh nge?

Segmental mandibulectomy-ah chuan ruh chi hrang hrang, jaw siam thar lehna atana mamawh chu taksa peng dang atanga lak chhuah a ni kan ti. Chumi atana hmanraw hman tlanglawn ber berte chu:

• Ke hnuai lam
• Shoulder blade a ni
• Bawp

A then phei chuan he thil atan hian metal plate emaw, donor atanga ruh emaw pawh hman theih a ni.

He surgery hi tute nge mamawh?

I doctor-in hetiang surgery hi a rawt theihna tur dinhmun engemaw zat a awm.

• Oral cancer i neih chuan .
• I rilru chhungril lam cancer i neih chuan (oropharyngeal cancer) .
• Jaw bone-a natna nasa tak a awm chuan (osteomyelitis) .
• Damdawi thenkhat (bisphosphonate therapy) hian jaw-ah osteonecrosis na tak a thlen thei.
• A hnuai lam hliam na tak a awm chuan.

Surgery neih hmain eng nge thleng?

Hetiang surgery i tih hma hian i medical team te chuan test engemaw zat an nei ang a, CT scan pawh an ti ang a, chu chuan i hmui chhunga tumor lian leh te chu a dinhmun a zir chiang zawk ang.

Jaw reconstruction surgery i mamawh chuan thisen petu hmuna thisen kalna kawng hriselna enfiah turin test dang pawh tih belh theih a ni.

Tin, i doctor chuan operation hmain a hnuaia thilte hi pumpelh turin a fuih bawk ang che, hengte hian operation laiin thisen chhuah a tipung thei a, a hnua hliam damna a tikhawtlai thei bawk.

• Zu
• Natna tidamtu aspirin leh ibuprofen te
• Meizial zuk
• Herbal supplement thenkhat

Surgery neih chhung hian eng nge thleng?

Mandibulectomy hi surgery rei tak, darkar engemaw zat awh a ni. General anesthesia hmanga i mut laiin tih thin a ni .

Marginal Mandibulectomy-ah chuan...

1. Surgeon chuan i hmui chhungah incision a siam ang.

2. Kan hmui hnuai lam cancer awmna leh a chhehvel tissue te chu lakchhuah a ni.

3. Incision te chu sewn back closed a ni.

Segmental Mandibulectomy ah chuan...

Hei hi thil kalphung buaithlak zawk a ni.

1. A hmasa berin jaw cancer leh a chhehvel tissue te chu lakchhuah a ni.

2. A part lakchhuah te chu biopsy nei turin an thawn a, cancer cell a la awm leh awm loh enfiah a ni.

3. Tin, cancer chu lymph node-ah a darh tawh em tih enfiah a ni bawk.

4. Tichuan, ruh, tissue leh vun chi khat chu hmun ruat lawk (ke, ke, etc. ang chi) atanga lak chhuah a ni.

5. Ruh lakchhuah chu jaw atanga lakchhuahna hmun nena inmil turin siam a ni.

6. A lakkhawmna hmun atanga thisen kalna kawng (arteries leh veins) te chu lu leh kawr chhunga thisen kalna kawngte nen an inzawm a. Hei hi uluk takin tih a ni.

7. A tawp berah chuan jaw thar chu plate leh screw hmangin an fix a, a incisions te chu sutured closed an ni.

Operation hnuah pawh heng thil thenkhat hi i mamawh thei bawk:

• Ha leh hmui a inmil theih nan ka chhungah arch bar leh rubber band dah a ni.
• Thâwk chhuahna tur tracheostomy tube.
• Feeding tube chu hnar atanga pum thlenga ei tur dik tak pekna tur tube a ni.

Surgery hnuah eng nge thleng?

I surgery chi hrang hrang a zirin ni hnih atanga kar hnih chhung damdawi inah i awm a ngai mai thei. In i haw hnuah i doctor-in i incisions te fai taka vawn leh ei tur chungchanga a thupek chu i zawm tur a ni . A tirah chuan liquid diet emaw, feeding tube kaltlangin emaw ei a ngai mai thei. I natna enkawl dan tur i doctor nen pawh sawiho bawk ang che.

Damna kawngah hian speech therapy leh physical therapy i mamawh mai thei. Cancer i neih chuan cancer cell la awm zawng zawng tihhlum nan radiation therapy emaw chemotherapy emaw pawh a tha thei bawk.

Damdawi lam pan vat ngai symptoms te chu engte nge ni?

Surgery atanga in haw hnua vaukhânna chhinchhiahna i neih chuan doctor thurawn lak nghal a pawimawh hle. A hnuaia symptoms te hi fimkhur hle ang che:

Hetiang thil i hmuh chuan doctor hnenah hriattir nghal rawh. Emergency a awm chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.