Doctor-in nangmah emaw, i hnaih ber emaw-in maxillectomy ang chi surgery lian tak chungchang a sawipui hian hlauhna leh mangang lutuk hi thil pangngai tak a ni. Hetiang thumal kan hriat veleh hian kan rilruah zawhna engemaw zat a lo chhuak thin. "Hei hi eng ang thil nge?", "Engvangin nge hetiang hi tih ka mamawh?", "Hemi hnu hian ka nun hi eng ang nge ni ang?" I rilruah zawhna i nei thei bawk. Chuvangin, he thil chungchanga i hlauhthawn leh rinhlelhna tihziaawm nan, he surgery chungchang hi awlsam tak leh friendly takin kan sawi dawn niin kan ngai a.
Maxillectomy hi eng nge ni tak tak?
A awlsam zawngin, maxillectomy chu i upper jaw bone (maxilla) zawng zawng emaw, a then emaw surgery hmanga lak chhuah a ni. Upper jaw ah hian ha chunglam a awm a. Hei hi tihbo mai mai a ni lo. Vawi tam tak chu he surgery hi reconstructive surgery hmanga tihchhuah a ni fo thin a, chu chu a lakchhuahna hmun siam that leh nan, chu chu a hmel tha zawk nan a ni. Chuvangin, hei hi doctor thiam tak tak team-in an tih dan hi a buaithlak hle a, ruahmanna fel tak siam a ni.
Engvangin nge hetiang surgery lian tak neih hi a tul?
Hei hi a chhan ber chu cancer a ni. A bik takin i hmui chunglam cancer a lo awm emaw, hmun danga cancer a lo darh emaw chuan he surgery hi cancer cells te chu a taka paih chhuah nan a pawimawh hle.
Doctor-te’n he surgery hi an rawtna dinhmun lian tak tak engemaw zat a awm a:
- Cancer of the Maxilla: Cancer hi maxilla ruh-ah direct-a lo awm a nih chuan.
- Nasopharyngeal Cancer: Hnar atanga cancer lo chhuak chu upper jaw thlenga darh a nih chuan.
- Oral Cancer: Kan hmui chung lamah cancer a awm.
- Sinonasal Tumors: Hmai chhunga sinus cavities-a lo awm, upper jaw-a darh thei cancer a ni.
Heng cancer chi hrang hrang bakah hian he surgery hi a chang chuan fungal infection na tak tak (invasive fungal sinusitis) te tan pawh tih thin a ni. Hei hi natna khirh tak a ni a, fungi chi hrang hrang kan inhnim hian a darh a, sinus chhunga tissue te chu a tichhe vek a ni.
A pawimawh ber chu he surgery hi a tum ber chu cancer hi paih vek a, i nunna chhanhim a ni.
He surgery hian upper jaw chauh a la chhuak em?
Hei hi mi tam tak tan chuan harsatna a ni. Cancer lian leh te, a darh zau dan azirin, a hnuai lam (upper jaw) bakah a bula tissue emaw organ emaw te pawh lakchhuah a ngai mai thei. Hei hi hlauhawm tak angin a lang thei a, mahse cancer hi paih vek a ngai a ni.
A chhehvel tihbo a ngai mai thei te chu:
- Mit: Cancer hian mit a rawn lut tawh a nih chuan.
- Hard Palate: Kawng chung lam a ni.
- Orbit: Mit awmna ruhkawr (bony cavity) a ni.
- Orbital Floor: Mitmeng chu a hmuna vawng tlattu ruh hnuai lam .
- Mit hnuaia vun sensation pe thei nerve: Hei hian operation hnuah hmui hmunah tingling a siam thei.
- Ha chunglam nena inzawm ha lak chhuah mek te.
- Tear Duct: Mit atanga hnar thlenga mittui phurtu tube.
Heng thilte hi lakchhuah a nih leh nih loh chu i cancer stage-ah a innghat a ni. I doctor chuan heng zawng zawng hi a hrilhfiah ang che.
He surgery chi hrang hrangte hi engte nge ni?
Maxillectomy surgery chi hrang hrang tih hi tumor lian leh te a zirin a inang lo. A chi hrang hrang hi han thlir ila.
| Surgery chi hrang hrang | A awlsam zawngin sawifiah a ni |
|---|---|
| Medial Maxillectomy tih a ni | Hei hian hnar bula upper jaw thenkhat leh a kaihhnawih ha te lakchhuah a huam a ni. Hei hi hnar chhunga tumor te te tan tih a ni fo. Hei hi hnar sir lama incision te tak te hmangin emaw, hnar kawngkhar atanga tube te tak te (endoscope) dah hmangin emaw tih theih a ni. Hei hian a tlangpuiin reconstructive surgery lian tham a mamawh lo. |
| Infrastructure hmanga Maxillectomy tih a ni | Hetiang tih danah hian a chunglam hmui hnuai lam, ha leh hmui te chu lakchhuah a ni. Hei hian hmui chung lamah khur a siam a. He khur hi khar nan hian taksa peng dang atanga tissue flap lakchhuah a ni a, chu chu thlak a ni. Chutiang a nih loh chuan a khur chu khar nan hian prosthetic bik hman a ni. |
| Suprastructure Maxillectomy hmanga tihchhuah a ni | Hei hian upper jaw chunglam chu lakchhuah a huam a ni. Ha, orbital floor, orbit, mit, mittui tlakna kawng leh a chhehvel nerve te lakchhuah a huam thei bawk. A part lakchhuah te siamthat nan hian major reconstructive surgery neih a ngai a ni. Mit chu lakchhuah a nih chuan mit siamna (prosthetic eye) dahin a lan dan chu a siam ṭha leh thei a, mahse mit hmuhna a siam ṭha leh dawn lo tih hriat reng a pawimawh . |
| Subtotal (Partial) atanga lak chhuah a ni | Hetah hian a chunga kan sawi tawh ang chi pakhat hmangin upper jaw thenkhat chauh lakchhuah a ni. |
| Maxillectomy zawng zawng tihchhuah a ni | Hei hi surgery neihna hmun zau ber a ni. Hmai sir khata upper jaw zawng zawng chu lakchhuah a ni a, chubakah palate leh orbital floor te pawh a chhuak bawk. Hei hian reconstructive surgery zau tak leh prosthetic devices te a mamawh a ni. |
He surgery hi tih belh tur a awm em?
Ni e, a châng chuan maxillectomy chauh pawh a tawk lo thei. I dinhmun azirin, a rualin emaw, he surgery hnuah emaw hian tih tur dang engemaw zat tih a ngai mai thei.
- Feeding Tube Placement: Operation hnu rei vak lo chhung chu a pangngaia ei leh in a harsat avangin hnar kaltlangin emaw, pum chhungah direct-in emaw dahin, a tul ang ang ei tur pek a ni.
- Dacryocystorhinostomy: Mittui chhuahna tur surgery a ni a, mit atanga mittui luang chhuak tur kawng thar siam a ni.
- Neck Dissection: Cancer hian kawng chhunga lymph node-ah a darh tawh nia rinhlelhna a awm chuan lakchhuah a, enfiah thin a ni.
- Tracheostomy: Doctor-te chuan operation hnua hmai a hring chuan thawk harsatna a thlen dawn nia an ngaih chuan, i kawr hmalam thlipui (windpipe)-ah direct-in tube an dah lut thei a, chu chuan rei lo te chhung chu thawk turin a pui thei che a ni.
- Reconstructive Surgery: Heng surgery te hi a theih ang anga hmai hmel leh hnathawh dan siam that nan an ti thin.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery lian dang ang bawkin he surgery hian hlawkna leh hlauhawmna a nei a ni.
| Main advantage a ni | Risk leh complication awm thei te |
|---|---|
Nunna chhanhim. He surgery hian a thatna lian ber leh awmchhun chu natna darh zel tur a veng a, taksa atanga cancer tissue lakchhuahna hmangin damchhuahna chance tha zawk a pe a ni. |
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Operation hnua dam leh hun chhung hi engtin nge a awm?
Hei hi zinkawng thui tak a ni. Taksa leh rilru lamah pawh i inbuatsaih a ngai a ni. Damna kalphung hi hmun hrang hrangah then theih a ni.
Damdawi in chhunga hun hman
Surgery neih dan azirin, damdawi inah kar khat atanga kar hnih emaw a aia rei emaw i awm a ngai mai thei . He hun hi major reconstructive surgery i neih chuan a rei zawk mai thei. Hemi chhung hian:
- Natna thunun nan leh hri kai laka invenna atan damdawi pek thin a ni.
- Oxygen hi thawk tanpui nan pek theih a ni (tracheostomy hmanga dah a nih chuan).
- Nutrition hi feeding tube hmanga liquid food pek a ni.
In lama haw hnua enkawl tur thil
Damdawi in atanga i haw hnuah pawh fimkhur hle a ngai a ni.
- I doctor-in a tih hma loh chuan thil hahthlak tak takte chu pumpelh vek rawh.
- A hliamte a dam hma loh chuan tui leh chaw nêm chauh ei rawh.
- Ei leh in lum ei loh tur a ni a, a chhan chu ka chhung hmun thenkhat chu lumna lakah a sensitive thei a, chu chuan ka a kang thei a ni.
Eng chen nge a dam kim theih nan?
Hei hian thla tam tak a daih thei. I thusawi leh ei thiamna chu a pangngaia a lo awm leh theih nan hun a duh ang. I dam leh hun tur chu i surgery chi hrang hrangah a innghat ang.
- Medial maxillectomy hi minimally invasive surgery a nih avangin dam lehna a rang hle.
- Infrastructure, Suprastructure, leh Total maxillectomy te hi surgery buaithlak tak a nih avangin damdawi ina awm leh in lama dam hun chhung hi a rei thei hle.
Engtikah nge doctor i biak ang?
I dam chhoh chhungin natna lanchhuahna hlauhawm tak tak i neih chuan i doctor emaw, i enkawlna damdawi in emaw hnenah i hriattir nghal tur a ni. A bik takin heng symptoms te hi fimkhur hle ang che.
* Thil danglam tak a awm chuan .
* Thâwk harsa i tih chuan .
* Khawsik i neih chuan (hei hi infection chhinchhiahna a ni thei).
* Natna nasa tak, natna tidamtu damdawi pek hmanga thunun theih loh i neih chuan.
Hetiang dinhmunah hian tlai suh.
Ka dam hnuah ka nunah eng nghawng nge a neih ang?
Mi tam zawk chu he surgery atang hian hlawhtling takin an dam leh thin. Incisions te chu a dam tha hle. Mahse, upper jaw leh a chhehvel te lakchhuah hian nunna kawngah inthlak danglamna engemaw zat a thlen a ni. Tûn hmaa thil awlsam tak tak, ei leh in, thusawi, leh ei leh in te chu a harsa thei hle.
Mahse, lungngai suh. Chung harsatnate hneh thei tur mi tam tak an awm a.
- Speech Therapists: Thusawi, ei leh in leh ei dan zir thar leh turin a pui che a ni.
- Dietitians: Taksain a mamawh ei tur a hmuh theih nan tanpui, ei harsa lai pawhin.
- Prosthodontist: Anni hian ha lem bik an siamsak thei che a, chaw ei theihna i neih leh theih nan an pui thei bawk.
- Oncologists: Cancer enkawlna dang, chemotherapy emaw, radiation therapy emaw, operation hnua mamawh thei turte chu inremna siam rawh.
I dam lehna hnuhnung ber chu cancer chi leh a nasat danah a innghat a ni. Mahse damdawi lam enkawlna mumal leh mahni thawhrimna hmangin mi tam tak chuan heng harsatnate hi hnehin nun pangngaiah an kir leh thei ta a ni.
Take-Home Thuchah a ni
- Maxillectomy hi lu leh kawng cancer tan chuan surgery pawimawh tak, nunna chhanhim thei tur a ni.
- He surgery hnua dam leh hun chhung hi a rei thei hle. Ei leh in leh thusawi hi a nghawng thei a ni.
- Medical team lian tak, doctor te, speech therapist te, leh nutritionist te pawhin tanpui turin an awm a. An thlawpna dawng rawh.
- I dam chhungin natna lan chhuah dan hlauhawm (khawsik, natna nasa tak, thawk harsa) i neih chuan doctor hnenah report nghal tur a ni.
- He zinkawng hi harsa viau mah se, \anpuina dik leh rilru \ha tak nen chuan nun \ha tak i hmang leh thei ang.











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