Doctor-in i hmai hmun thenkhatah major surgery neih a ngai tih a hrilh che chuan hlauhna leh mangang lutuk hi thil pangngai a ni. Chutiang hunah chuan zawhna tam tak rilruah a lo lang thin. "Hei hi eng ang surgery nge ni? Ka chungah eng nge thleng ang? Ka hmel hi a danglam dawn em?" Hetiang thil ngaihtuah hi thil awmdan pangngai a ni. Chuvangin vawiin hian surgery kan sawi dawn a, chu pawh chu a buaithlak deuh a, mahse a chang chuan nunna chhanhimna atana pawimawh tak a ni. Chu chu maxillectomy a ni.
A awlsam zawngin, maxillectomy tih hi eng nge ni?
Maxillectomy chu i hmui chunglam (maxilla) zawng zawng emaw, a then emaw surgery hmanga lak chhuah a ni. Hetiang hian han ngaihtuah teh: maxilla chu i hmui chunglam chungah, i hnar sir lehlamah leh i ha chunglam chawlhna hmuna i hmui chhunga thutna hmun a ni. He surgery zawhah hian reconstructive surgery neih a ngai fo thin a, chu chu a lakchhuahna hmun chu siam that leh theih a ni.
Engvangin nge hetiang surgery hi neih a ngai?
A tam zawkah chuan he surgery neih chhan ber chu cancer vang a ni. He surgery hi i taksa peng hrang hrangah cancer a lo awm emaw, a darh emaw a nih chuan a tha hle.
- Cancer a awm a .
- Nasopharyngeal cancer a ni.
- I ka chung atanga cancer lo awm chu oral cancer an ti a.
- Sinonasal tumor a awm thin.
Tin, he surgery hi a chang chuan fungal infection na tak (invasive fungal sinusitis) avang hian a ngai thei bawk . Hei hi fungi chi hrang hrang kan inhnim hian infection na tak leh sinus cavities-a tissue tihchhiat vang a ni.
Upper jaw chauh hi lakchhuah a ni fo em?
No. Cancer chu a bul hnaia tissue-ah a darh tawh a nih chuan chu tissue thenkhat chu lakchhuah a ngai mai thei. Chutiang a nih chuan a hnuaia mi zawng zawng emaw, a then emaw chu paih vek theih a ni:
- Mit
- Palate khauh tak
- Mit hnuaia vun sensation pe thei nerve
- Mit vel ruh (Orbit/eye socket) .
- Orbital hnuai lam a ni
- Ha chunglam ha la awmte chu lakchhuah mek a ni
- Tear duct a ni
He thutlukna hi specialist team-in an siam a, cancer lian leh te, a darh dan te, leh thil dang tam tak, MRI leh CT scan ang chi test te uluk takin an zirchiang a ni. I doctor chuan a chipchiar zawng zawng a hrilhfiah vek ang che.
Maxillectomy surgery chi hrang hrangte chu engte nge ni?
Surgery chi hrang hrang hi tumor lian tham leh awmna hmunah a innghat a ni. I hriatthiam awlsam zawk nan heng chi hrang hrangte hi table pakhatah han en ila.
| Surgery chi hrang hrang | Eng nge tih mai mai a ni |
|---|---|
| Medial Maxillectomy tih a ni | Hnar bula ha chunglam leh a kaihhnawih ha te lakchhuah. Hnar chhunga cancer awmte tan tih a ni fo a, a chang chuan hnar kawngkhar atanga endoscope dah hmanga tih thin a ni. |
| Infrastructure hmanga Maxillectomy tih a ni | Upper jaw hnuai lam, ha leh upper palate lakchhuah. Hei hian upper palate-ah khur a siam a. Taksa peng dang atanga tissue lak emaw, prosthetic bik emaw chu khar nan a ngai a ni. |
| Suprastructure Maxillectomy hmanga tihchhuah a ni | Upper jaw chunglam atanga lak chhuah. Hei hian mit, mit vel ruh leh mittui tlakna kawng te ang chi hmun thenkhat lakchhuah a huam thei. Major reconstructive surgery neih a ngai a ni. Mit siam (prosthetic eye) hian hmel lan dan a siam tha thei a, mahse mit a siam tha thei lo. |
| Subtotal (Partial) atanga lak chhuah a ni | A chunga kan sawi tawh ang chi pakhat hmanga upper jaw thenkhat chauh lakchhuah. |
| Maxillectomy zawng zawng tihchhuah a ni | Upper jaw zawng zawng, upper palate, leh hmai sir khata mit hnuaia bony support zawng zawng lakchhuah. Reconstructive surgery zau tak leh prosthetic devices hman a ngai. |
He surgery hmang hian eng thil dang nge mamawh belh?
He surgery neih chhung emaw, a hnuah emaw thil dang i hmachhawn a ngai mai thei.
- Feeding tube dah dan: Hei hi ei tur tha tak pek nan a tul a, a chhan chu ka atanga ei tur lak a harsat vang a ni.
- Dacryocystorhinostomy: He surgery hi mittui tlakna kawng (tear duct) lakchhuah a nih chuan mit atanga mittui chhuak (watering) control nan an ti thin.
- Neck dissection: Cancer chu neck chhunga lymph node-ah a darh tawh nia rinhlelhna a awm chuan an paih chhuak thin.
- Thâwk lakna tur tracheostomy: Operation hnua i hmai a hring hian i thawkna kawng a nghawng nia ngaih a nih chuan i kawr hma lamah khur te tak te siam a ni thei a, hun eng emaw chen thawk turin tube dah theih a ni bawk.
- Reconstructive surgery: Hmai hmun lakchhuah tawhte siam that leh nan hengte hi a pawimawh hle.
Surgery hian eng hlawkna leh hlauhawmna nge a neih?
A thatna ber chu cancer tissue a paih chhuak a , damchhuah theihna a tipung bawk .
Mahse, surgery lian dang ang bawkin risk leh complication awm thei a awm.
- Thisen chhuak leh hliam (Hematoma).
- Thisen a chhuak thin.
- Mitmeng hnuai lam sagging.
- Beng leh beng inzawmkhawmtu Eustachian tube hnathawh danah harsatna a awm.
- Kaichhawng.
- Nerve chhiatna avanga hmuiah natna.
- Mit tui pek fo (Epiphora).
I medical team chuan heng hlauhawmnate hi an zirtir ang che.
Recovery time chungchanga hriat tur awmte
Recovery chu i surgery chi hrang hrangah a innghat a ni.
Damdawi ina a awm lai hian
Initial recovery period chhung hian hetiang hian i beisei thei ang:
- Kar hnih thleng damdawi inah i awm a ngai mai thei , a bik takin major reconstructive surgery i neih chuan.
- Natna tur damdawi pek i ni ang a, thisen zam tur ven nan leh natna hrik kai loh nan damdawi pek i ni ang.
- Tracheostomy hmangin supplementary oxygen pek a ni ang.
- Supplemental nutrition chu feeding tube hmangin pek a ni ang.
Damdawi in atanga a lo haw hnuah
- I dam hma chuan hna hahthlak tak tak pumpelh rawh .
- Surgery hliam a dam hma loh chuan tui leh chaw nêm chauh ei thin ang che.
- Ei leh in lum ei loh tur , i hmui hmun thenkhat chu a rilru a buai thei a ni.
Dam lehna hian thla tam tak a daih thei a, a bik takin thusawi leh ei leh in thiamna neih leh theih nan. Dawhtheihna hi a pawimawh ber a ni.
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
I dam chhungin a hnuaia symptoms te hi i neih chuan doctor rawn nghal tur a ni.
- A hring chu a pangngai lo taka a pun chuan .
- Thâwk harsa i tih chuan .
- Fever (hei hi infection chhinchhiahna a ni thei).
- Painkiller ei hnu pawha thunun theih loh natna a awm chuan.
I dam leh huna puitu tur specialist te
Hei hi mahni chauha kal tur zinkawng a ni lo. I tanpui tur hian mithiam team an awm a.
- Dietitians: Ei harsa lai pawhin i mamawh ei leh in tur i hmuh theih dan tur thurawn pe rawh.
- Medical emaw radiation oncologist: Cancer enkawlna dang, chemotherapy leh radiation therapy te chu inremna siam.
- Prosthodontists: Ha artificial bik leh hmanrua hmanga ei theihna i neih leh theih nan an pui che a ni.
- Speech therapist: Thusawi, ei leh in leh ei leh in zir turin an pui che a ni.
Take-Home Thuchah a ni
- Maxillectomy hi surgery lian tak ni mahse, nunna chhanhimna a ni fo.
- Recovery hi hun leh dawhtheihna mamawh a ni. Thusawi leh ei tûrin i inzir thar a ngai mai thei.
- I hmel chu a danglam thei a, mahse a tam zawk chu reconstructive surgery leh prosthetic device hmangin a lo awm leh thei a ni.
- He zinkawng zawh tura pui turin doctor, speech therapist leh dietitian team lian tak an awm a.
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
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