Lu leh kawng cancer vangin radiation treatment i dawng tawh em? I ruhte a nghawng em? (Osteoradionecrosis - ORN) chungchang hi i zir dawn nia!

Lu emaw, kawr emaw cancer avanga radiation therapy i neih hnuah i hmui emaw, i hmui emaw chhungah natna, hliam, emaw, hliam emaw i nei tawh em? Osteoradionecrosis tih hming pu natna chungchang i hriat a hun tawh mai thei. Ngaihtuah buai suh, chipchiar tak leh awlsam takin kan sawi dawn a ni.

Osteoradionecrosis (ORN) hi eng nge ni?

A awlsam zawngin sawi ila, osteoradionecrosis (ORN) chu ruh cell te radiation avanga thihna a ni. Cancer, a bik takin lu leh kawng cancer, radiation therapy hmanga side effect anga lo awm thei dinhmun a ni. Cancer cell tihhlumna atana hman radiation hian a chang chuan ruh cell hrisel tak takte pawh a tichhe thei tih hre reng ang che. Radiation therapy an dawn hnu thla emaw kum tam tak emaw pawh a awm thei.

Hetiang dinhmun hian a tlangpuiin lower jaw bone (mandibular osteoradionecrosis) a nghawng thin. Mahse, ruh eng pawh radiation tawk tawhah a awm thei a, chu chu upper jaw bone (maxillary osteoradionecrosis) emaw, ruh hmalam (vertebral osteoradionecrosis) emaw a ni thei. A tlem hle a, he natna hian luruh pawh a nghawng thei a, mahse a na zawk deuh thei.

Radiation therapy leh ruh hriselna - engvangin nge hetiang hi a awm?

Tunah chuan hetiang thil hi engvanga lo awm nge tih i lo en ang u. Radiation hian ruh thlenga thisen petu thisen kalna kawng nalh tak takte chu a tichhia a ni. Kan taksa peng dang ang bawkin ruhte hian hrisel taka awm tur leh a chhiat chuan a dam thuai theih nan thisen tha tak a mamawh a ni.

Ngaihtuah teh, thing chu tui tel lovin a lo hring ang bawkin, ruh pakhatin thisen a hmuh tlem chuan a nunna pawh a hloh ang a, a thi tan ang.

He thisen supply hi tihbuai a nih chuan eng nge thleng thin?

• Ruh leh a chhehvel tissue te hi awlsam takin natna hrik kai theih a ni.
• A dam tha thei lo.
• Zawi zawiin a thi tan ta.

Kan jaw area hi hei hi a hlauhawm zual hle. Hei hi a chhan chu lu leh kawr cancer te tan radiation therapy an tih hian jawbone thleng radiation a thlen loh nan ven a harsat vang a ni. Tin, he `(ORN)` hi kan ka chhunga awm bacteria te hian a tipung zual sauh bawk.

Kawng chhunga radiation chhiatna hian thil a thlen thei a:

• Bone exposure (ruh chu gums kaltlangin a lang tihna a ni).
• A chang chuan a hmuiah natna leh a hring chhuak thin .
• Hliam dam lo nei .

Hetiang dinhmun hi engtiang chiahin nge a awm?

American Head & Neck Cancer Society chhinchhiah dan chuan lu leh kawng cancer vei zinga 4% leh 8% inkarah osteoradionecrosis a awm thei a ni.

Osteoradionecrosis (ORN) natna lan chhuahna chu engte nge ni?

Tunah chuan hetiang dinhmunah hian eng symptom nge i neih theih tih i lo en ang u. Chung zinga pakhat emaw, a aia tam emaw i neih chuan damdawi lam thurawn lak a tha ber.

• Hmuh, kawr, emaw, hmui pawn lama natna emaw, ulcer emaw a awm .
• Na.
• Vung.
• Infection (pus ang chi).
• Ha inzawm tha lo (malocclusion).
• A tingling emaw tickling emaw tih hriatna.
• Kawng chhung atanga ruh chi hrang hrang rawn chhuak.
• A châng chuan, hmui hnuaiah chuan vun a chhe a, ruh a chhuak (hei hi ``fistula`' an ti bawk).
• Jawbone a tliak.
• Kawng inhawng tha thei lo tura jaw muscles tightness (trismus).

Engvangin nge osteoradionecrosis (ORN) hi a lo awm?

A chhan ber chu lu leh kawng a radiation therapy a ni. Hetiang dinhmun hi a bik takin radiation dose 60 Gray (Gy) unit aia tam dawng tawhte zingah a awm fo thin. (Gy hi radiation tehna unit a ni).

Osteoradionecrosis `(ORN)` Risk Factors - Tute nge vei tam zawk?

Mi thenkhat chu midang aiin he natna hi vei an hlauhawm zawk. Hêng thudikte hi i tân a inmil em tih en rawh:

• Oral hygiene \ha lo (ha sil \ha lo, i hmui faina enkawl loh).
• Ha lama harsatna (cavities leh gum disease ang chi) te chu radiation hmanga enkawlna tan hmaa uluk taka enkawl a nih loh chuan.
• Radiation therapy hnua hmui ro (xerostomia) i neih chuan.
• Radiation hmanga enkawl hnua accident emaw, hliam emaw a awm chuan, a bik takin kum khatna chhungin.
• Ha pakhat chu a hmaa irradiated tawhna hmun atanga lak chhuah a nih chuan.

He osteoradionecrosis natna hi lu leh kawr cancer avanga radiation hmanga enkawlna an dawn hnu kum tam tak hnuah pawh a awm thei tih hre reng ang che.

Engtin nge hei hi hriat chhuah a nih?

Osteoradionecrosis (ORN) hi radiation therapy hnu kum engemaw zat hnuah a awm tlangpui. I doctor-in hei hi a rinhlelh chuan i lu leh i kawr chu uluk takin a enfiah ang. Tin, radiation therapy pe tu che radiation oncologist pawh a biak ang a, radiation i dawn zawng zawng dose zawng zawng a hre chhuak ang.

Eng test nge natna hriat theihna tura puitu?

Diagnosis finfiah nan i doctor chuan test te chu hetiang hi a rawt thei ang:

• Ha X-ray neih a ni.
• A hmui chu CT scan (CT - computed tomography scan) a ni.
• Biopsy hmangin cancer a lo lang leh leh tawh loh enfiah theih a ni.

Hei hi eng enkawlna nge ni?

Osteoradionecrosis (ORN) enkawlna chu i natna zau zawng leh a nasat danah a innghat a ni. A pawimawh ber chu a rang thei ang bera enkawl tan hi a ni.Enkawl i tan hma poh leh i dam theihna chance a sang zawk. Hei hi surgical leh non-surgical treatment a awm vek a.

Surgery hmanga enkawl dan tur

He natna hi surgery engemaw zat tih a ni a:

• Surgical debridement: Hei hi surgeon-in ruh leh tissue thi emaw, hri kai emaw a lakchhuahna a ni a, hmun chhe tak tihfai ang mai a ni.
• Free flap reconstruction surgery: Hei hi a buaithlak deuh deuh a ni. I taksa peng dang (entir nan, ke emaw, kut emaw) atanga thisen kalna kawng, tissue, leh ruh chi khat pawh la chhuakin, chu chu i hmui chhia laiah dah a ni.
• ALTFL (Anterolateral Thigh Fascia Lata Rescue Flap): Hei hi free flap chi khat a ni bawk. Hetianga tih danah hian kawr hnunglam atanga connective tissue (fascia) strip lakchhuah a ni a, transplant a ni. He tissue hi vascularized sang tak a nih avangin a chhiatna hmun hian oxygen leh nutrients a dawng thei a ni. Tun hnaia zirchianna hrang hrangah chuan he method hi ORN vei tan chuan a hlawk hle tih hmuhchhuah a ni.
• Complete bone grafting: He traditional surgical procedure hi ruh thi tam tak a awm chuan hman thin a ni a, a bik takin a hnuai lam jaw-ah te hman thin a ni. Hetianga tihnaah hian ruh chhia chu lakchhuah vek a ni a, a hmunah ruh awmna free flap grafted a ni. Hei hi kalphung hlawhtling tak ni mahse, operation lian tak a ni. Damdawi ina awm rei zawk leh dam rei zawkna a thlen thei bawk. Chuvangin doctor ten he natna hi a hma thei ang bera hriatchhuah leh enkawl an tum thin.

Nonsurgical hmanga enkawl dan tur

Surgery ni lo enkawlna pawh a awm bawk:

• Antibiotics: Ruh emaw a chhehvel tissue-ah natna hrik a awm chuan i doctor chuan antibiotics a pe ang.
• PENTOCLO: Hei hi damdawi engemaw zat inzawmkhawm a ni a, chungte chu pentoxifylline, tocopherol (vitamin E), leh clodronate te an ni. Pentoxifylline hian ruh chhe tawhah thisen kalna a tipung a, a thawk a ni. Tocopherol (vitamin E) hian immune system a tichak a, thisen zam a veng bawk. Clodronate hian ruh hloh belh zel tur ven nan a pui thin. A chang chuan pentoxifylline leh tocopherol te hi clodronate tel lovin pek thin a ni (hei hi PENTO an ti a).
• Hyperbaric oxygen therapy (Hyperbaric oxygen - HBO - enkawlna): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Doctor thenkhat chuan he enkawlna hi taksa dam chakna atan an hmang thin. Hetah hian chamber bik ah dahin oxygen thianghlim thawk turin an siam che a ni. Chamber chhunga oxygen level hi boruak pangngai aiin a let thum velin a sang zawk a ni. A tum ber chu thisenah oxygen tling tawk dah belh a, tissue chhia siamthat a ni. Mahse, he ``Hyperbaric oxygen`` enkawlna chungchangah hian damdawi lam pawl zingah ngaihdan hrang hrang a awm. Center ṭhenkhatah chuan standard treatment anga hman ni mah se, a hlawhtlinna finfiah thei tur controlled study a la awm lo.

Osteoradionecrosis (ORN) hi ven theih a ni em?

Hetiang dinhmun hi ven theih a ni lo mai thei a, mahse i lu emaw i kawng emawa radiation hmanga enkawlna i tan hmain i doctor chuan he hlauhawmna tihziaawm dan tur a sawipui ang che.

Radiation treatment i tan hmain a hnuaia mi ang hian i ti tur a ni:

• Ha enkawltu tlawh la , i hmui uluk takin tifai la, checkup kimchang tak nei rawh .
• Ha enkawlna eng pawh (filling, ha lakchhuah ang chi) tihsak rawh.
• Nitin fluoride hmanga enkawl tan thin ang che .

Radiation treatment neih chhung leh enkawl zawhah heng thilte hi i ti tur a ni:

• Oral hygiene tha tak vawng reng rawh (nitin ha vawi hnih silfai la, ha inkar ah silfai thin ang che).
• Chaw leh in tur sugary te tihtlem .
• I ha enkawltu hnenah checkup neih fo la , i hmui tifai bawk ang che.
• Ha lama harsatna thar i neih chuan enkawl vat rawh .
• Nitin fluoride hmanga enkawl chhunzawm zel tur a ni .

Osteoradionecrosis (ORN) hi engtiang chiahin nge a darh?

A tam zawkah chuan osteoradionecrosis (ORN) hi a lo awm zauh zauh thin. I natna lan chhuah nan kum engemaw zat a la ngai thei.

Osteoradionecrosis (ORN) hi tihdam theih a ni em?

Surgeon-te chuan ruh thi chu tinung leh thei lo mah se, enkawlna dik tak chuan osteoradionecrosis (ORN) natna zual zel chu a titawp thei a ni. Enkawlna hi tan hmasak a nih chuan 96%-ah chuan tihtawp theih a ni an ti .

Chuvangin, osteoradionecrosis (ORN) i neih chuan enkawlna hmasa ber tan hi i hlawhtlinna chance tha ber a ni. I surgery chu a tawi zawk mai thei a, i dam thuai thei bawk. I enkawl hma (ORN) chuan a tha zawk.

Osteoradionecrosis (ORN) a awm theih dan tur

Osteoradionecrosis (ORN) hi enkawl theih tak a ni. Enkawlna chi hrang hrang mamawh chu ruh chhia awmna hmun, ruh thihna zau zawng leh a hmaa enkawlna i lo enchhin tawh danah a innghat a ni.

A tlangpuiin ruh chhiatna hmun a tlem chuan operation lian tham nei lovin a dam leh theihna chance a sang zawk. ORN vei thenkhat chu enkawlna tenau te pawhin an chhang lo thei a, ruh natna (osteomyelitis) emaw ruh tliak emaw thlengin a kal thei bawk. Chutiang hunah chuan surgeon-te chuan major (free flap) surgery an tih a ngai mai thei.

Engtikah nge Doctor ka hmuh ang?

Tun hmain i lu emaw, i kawr emaw-ah radiation therapy i lo nei tawh a, natna, hliam, hliam emaw, hliam emaw ang chi symptom i neih tan chuan doctor pan nghal rawh. Osteoradionecrosis (ORN) i vei tih an nemnghet thei a, enkawlna tul apiang chu rang takin an tan thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

Nangmah emaw, i hmangaih tak emaw chu osteoradionecrosis (ORN) vei nia hriat i nih chuan heng zawhnate hi i inzawt thei ang:

• He bone necrosis hi eng chen nge a darh tawh?
• Eng enkawlna kawng nge ka neih?
• Surgery ka mamawh dawn em?
• Ka thlirna (curability) chu eng nge ni?

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

Osteoradionecrosis (ORN) hi radiation therapy hmanga lu leh kawng a nghawng na tak a ni. Symptoms a lan theih nan kum tam tak a ngai thei. ORN hi "dam" kim theih ni lo mah se, enkawlna hmanga enkawl theih a ni. A rah chhuah chu ruh chhia awmna hmun, ruh thihna zau zawng leh a nasat danah a innghat a ni.

Natna, hring, ruh inzawmna emaw, osteoradionecrosis symptom dang emaw i neih chuan doctor pan nghal rawh. Enkawlna dik tak an rawt thei a, i dinhmun enkawl dan tur pawh an pui thei bawk. Oral hygiene tha neih leh ha enkawltu hmuh fo hi he natna hi ven leh hriat hmasak nan a pawimawh hle.

` Osteoradionecrosis, ORN, radiation therapy side effects, jaw ruh natna, cancer enkawlna, ruh thihna, hmui hriselna