I aw chu hnar angin a ri em? Pharyngoplasty chungchang hi han sawi ila!

I thusawi lai hian midangte hriatthiam harsa an tih angin i inhriat fo thin em? I aw chu hnar leh chiang lo takin a ri em? A nih loh leh nangmah emaw, i chhungte tu emaw hian mut laiin bengchheng emaw, thawk hah emaw (sleep apnea) harsatna i nei em? Vawiin hian hetiang dinhmun chinfelna tur special surgery kan sawi dawn a ni.

A awlsam zawngin Pharyngoplasty tih hi eng nge ni?

Pharyngoplasty hi surgical procedure a ni a, soft palate leh pharynx pianzia leh hnathawh dan a thlak danglam thin. Ngaihtuah teh, he surgery hi i thusawi laiin i hnar atanga boruak chhuak tur tihtawp nan tih a ni ber. Doctor-te chuan he natna hi velopharyngeal insufficiency (VPI) tiin an sawi a. I VPI hian i aw chu hnar (hypernasality) a siam a, midangte tan i thusawi hriatthiam a harsat chuan i doctor chuan he surgery hi a rawt thei ang. Chu bâkah, surgery chi danglam tak chu sleep apnea , puitlingte mut laiin thawk an chawlhsan theihna tûr enkawlna atân pawh hman a ni bawk.

Tute nge pharyngoplasty surgery mamawh?

He surgery hi naupang piang, cleft palate nei tan a ngai ber a ni. Hei hi Cleft Palate kan ti a ni. Hetiang dinhmun hi kan ramah pawh hmuh tur a awm a ni. Cleft palate siamthatna tura operation an neih hnuah pawh naupang thenkhat hmun thuma ṭhena hmun khat (1/3) velin VPI an nei thei a, chu chu an hnar aṭangin an aw a chhuak tihna a ni. Chu chu Pharyngoplasty surgery neih a ngai hun a ni. Chu bakah chuan naupang leh puitling tan hian chhan dang engemaw zat avangin he surgery hi an mamawh thei bawk.

• Cerebral palsy ang chi natna te .
• Genetic condition hrang hrang Down syndrome leh DiGeorge syndrome te .
• Thlarau leh hnar cancer avanga radiation therapy dawng.
• Adenoidectomy emaw tonsillectomy emaw tih hnuah .
• Thai .
• Thluak emaw luruh emawa tumor awm.

Pharyngoplasty surgery chi hrang hrangte chu engte nge ni?

He surgery hi chi hrang hrang lian tak tak a awm a. Harsatna i neih danah a innghat. Eng nge an nih i en ang u.

Surgery neih chhung hian eng nge thleng?

Pharyngoplasty surgery zawng zawng hi general anesthesia hmanga tih vek a ni . Chumi awmzia chu nangmah emaw i fa emaw chuan operation neih chhungin engmah i hre lo vang a, i muhil vek tawh ang. Surgery hi darkar hnih vel a ni tlangpui. Surgery chi hrang hrang a zirin procedure hi a danglam deuh hlek a ni.

Lateral Pharyngoplasty tih a ni

Hei hi sleep apnea tan tih a ni. Hetah hian hmui chung leh kawr sir lehlama tissue awm chu lakchhuah a ni a, boruak kawng zau zawka siam turin dah leh a ni. I tonsils te hi lakchhuah a la nih loh chuan he surgery neih rual hian lakchhuah theih a ni.

Pharyngeal flap a ni

Hei hi VPI tan tih a ni. Hetah hian kawr hnunglam atanga tissue flap pakhat lakchhuah a ni a, hmui chung lamah an sewn thin. Heng stitch te hi hun kal zelah a bo vek ang. He flap of tissue hian hmui chung leh kawr inkar gap chu a khar a ni. Mahse, hnar hmanga thawk chhuah theihna turin flap sir lehlamah hawnna te tak te pahnih (lateral ports) dah a ni.

Sphincter Pharyngoplasty tih a ni

Hei hi VPI tan surgery chi dang a ni. Chutah chuan tonsils hnunglam atangin tissue pahnih lakchhuah a ni a, kawr hnunglam zawng zawngah an inzawm khawm a ni. Hei hian upper palate hnung lama gap chu a ti tawi bawk a, thusawi laiin hnar chhungah boruak a luang lut thei lo. Hei hian hnar hmanga thawk chhuahna tur port a hnutchhiah a ni.

Operation hnuah eng nge i beisei theih ang?

Operation hnuah ni khat atanga ni thum chhung damdawi inah i awm tlangpui ang. Nang emaw i fa emaw chuan a hnuaia mite hi i tawng thei ang:

• Kawng emaw hnar atanga thisen chhuak tlem.
• Hnar hnar (hnar congestion) a awm.
• Hlo leh kawng na. Hei hian a ei harsa deuh thei a ni.

Mahse, a tlem hle (mi 20 zinga 1 vel) chuan nasopharyngeal airway dah a ngai mai thei a, chu chuan a hring a tlahniam hma loh chuan thawk turin a pui thei ang.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

A thatna ber chu:

• Thâwk a tha zawk.
• Aw chiang tak.
• Sleep apnea symptoms tihziaawmna.

Risk leh complication: A chang chuan VPI (voice box) hi operation hnuah pawh a awm reng thei. Tin, VPI surgery nei thenkhat chuan snoring thar leh sleep apnea an nei thei bawk. Mahse, a tam zawkah chuan he bengchheng hi hun kal zelah a reh ang. I doctor chuan operation hnu thla ruk hnuah sleep study (polysomnography) a order thei a, chu chu sleep apnea a awm leh awm loh enfiah a ni. VPI a awm reng emaw, sleep apnea a lo awm emaw chuan i doctor chuan operation tenau dang a ti leh thei bawk. Hei hian i rilru chhunga port awmte chu lian emaw, te zawk emaw siam a huam a ni.

Eng chen nge tihdam a ngaih?

Dam leh hun chhung hi mi hrang hrangah a inang lo. Mahse, nang emaw, i fa emaw chuan chawlh hahdam nân sikul emaw, hnathawh emaw aṭangin kar khat vêl chawlh i la a ngai mai thei. I dam chhungin doctor thupek uluk taka zawm a pawimawh hle. Heng thupekte hian:

• Mut emaw, mut emaw pawhin i lu chu chawi sang la.
• Kar khat atanga kar thum chhung chu liquid food emaw soft food diet emaw chauh ei thin ang che.
• Hun engemaw chen chu thil rit phur leh thil hahthlak tak tak tih loh tur a ni.
• Infection laka inven nan antibiotics hi a pek ang chiah chiah ei thin ang che.
• Painkillers dik takin hmang ang che.
• Speech therapy-ah te tel ve rawh.
• Ice cubes chu suck on la, a rilru a buai em em bawk.

Doctor hmuh hun tur

Nangmah emaw i fa emaw hian a hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan , i doctor pan nghal rawh.

• Dehydration emaw ei duh lohna emaw.
• Infection chhinchhiahna, khawsik, emaw hnar/ka atanga tui rimchhia lo chhuak.
• Mut lama harsatna, a bik takin sleep apnea ang chi dinhmun.

Pharyngoplasty Sinhala, hnar aw, VPI, mut theih lohna, cleft palate, cleft palate, throat surgery tih te a ni