Breast reduction surgery, hnute cancer vei theihna tur tihtlem nan hnute pakhat emaw, a pahnih emaw chu a lo pian hmain lakchhuah a ni tih i hre tawh em? Hei hi i tan chuan thil thar leh hlauhawm deuh angin a lang thei a, mahse a takah chuan hmeichhe thenkhat, hnute cancer vei theihna sang tak nei tan chuan i nunna chhanhim thei tur damdawi lam thil pawimawh tak a ni. Hei hi mimal thutlukna a ni. Chuvangin, vawiinah hian he thu hi kan sawi dawn a, chu chu ‘Prophylactic Mastectomy’ tih hi a awlsam zawngin i hrethiam thei ang.
A awlsam zawngin, Prophylactic Mastectomy tih hi eng nge ni?
A hming hi a buaithlak hlein a lang thei a, mahse a concept erawh a awlsam hle. Prophylactic Mastectomy chu hnute hrisel emaw, hnute pahnih emaw, cancer a lo awm hmaa surgery hmanga lakchhuah a ni a, hnute cancer hlauhawmna tihziaawmna tur a ni.
A awlsam zawngin sawi ila, hei hi "preventive mastectomy" a ni. Mi thenkhat chuan ‘preventative mastectomy’ emaw ‘risk-reducing mastectomy’ emaw an ti bawk. Hei hi nakin lawka cancer vei theihna tihziaawmna tura tih a ni a, a awm tawh a nih chuan enkawl ai chuan.
He surgery hi tuin nge ngaihtuah tur? Hei hi mi zawng zawngin kan mamawh em?
Ni lo, a ni lo tak zet. He surgery hi mi zawng zawng tan a tha lo. Average risk nei mi chuan hetiang surgery hi ngaihtuah pawh hi a ngaihtuah tur a ni lo. I doctor chuan hnute cancer vei theihna chance sang tak i nei tih finfiah a nih chauhvin he option hi a rawn rawt ang che.
Okay, chuvangin chu high risk factors te chu eng nge ni tih i en ang u.
- Chhungkaw cancer vei chak tak neih: I chhungte hnai tak (entir nan, i nu, i farnu emaw, i fanu emaw) chuan hnute cancer a vei tawh a nih chuan i hlauhawmna chu nasa takin a pung a ni. Hei hi chu mi chuan kum 50 a tlin hmaa cancer a vei a nih chuan a dik hle a ni .
- Mimal cancer history neih: I hnute pakhatah cancer i nei tawh ang tih han ngaihtuah teh, chu hnute chu enkawlna atan mastectomy i neih a ngai a ni. Chutih lai chuan mi thenkhat chuan hnute hrisel dang pawh lak chhuah an tum a, chu chu nakin lawkah chu lam atanga cancer vei theihna tur tihtlem nan. Mahse, hei hian cancer awm tawh dinhmun emaw, a enkawlna dang pek belh theih tur emaw a nghawng lo.
- Positive Genetic Testing: Kan taksaa gene thenkhat inthlak danglamna emaw, inthlak danglamna emaw hian cancer vei theihna nasa takin a tipung thei a ni. BRCA1 leh BRCA2 te hi chutiang gene lian pahnih an ni. Genetic test-in heng genetic mutations zinga pakhat i nei tih a finfiah chuan hnute cancer vei theihna a sang hle. Chutiang hunah chuan he surgery hi i ngaihtuah mai thei.
- Tun hmaa radiation therapy: Eng thil vang pawha i rilru area-ah radiation therapy i lo nei tawh a, a bik takin kum 10 leh 30 inkar (cancer dang, Hodgkin’s lymphoma ang chi) i neih chuan nakin lawkah hnute cancer i vei theihna a sang thei a ni.
Hei hi thil pawimawh tak a ni. He thutlukna hi nangmah chauhva siam tur a ni lo. I doctor, surgeon leh i chhungte nen uluk takin inbiakna neihpui tur a ni a, thutlukna i siam hmain a thatna leh that lohna zawng zawng i hrethiam tur a ni.
He surgery hian engzat nge a tihziaawm tak tak?
Hei hi zawhna pawimawh ber a ni. Ni e, he surgery hi a himna hi risk sang tak nei tan chuan a sang hle. Zirna hrang hrangah chuan:
- He surgery hian BRCA1 emaw BRCA2 gene mutation nei hmeichhiate hnute cancer vei theihna chu 95% velin a tihtlem thei a, chu chu a hlauhawmna chu a bo vek tawh tihna a ni.
- Hmeichhia chhungkaw history tha tak nei cancer nei te chuan an hlauhawmna chu 90% velin an tihtlem thei a ni .
Hei hi percentage sang tak a ni tak zet a, chuvang chuan high-risk category-a awmte tan chuan duhthlan tur tha tak a ni.
He surgery hi chi hrang hrang a awm em?
Ni e, damlo mamawh, taksa chi leh doctor rawtna a zirin he surgery hi tih dan hrang hrang a awm a. He table atang hian chiang takin i hrethiam ang u.
| Surgery chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| Bilateral Mastectomy tih a ni | Hei hian hnute pahnih chu lakchhuah vek a ngai a ni. Hetiang method hi genetic risk factors nei te hian an thlang fo thin. |
| Contralateral Mastectomy (a lehlamah) tih a ni. | Hei hi mastectomy an ti a, chu chu a hnute pakhata cancer vei chuan a hnute hrisel dang chu chu hnute lak chhuah ruala a hnute hrisel tak chu lakchhuah a nih chuan a ni. |
| Vun tichhe thei Mastectomy tih a ni | Hetah hian hnute leh a chhehvel dum (areola) chu lakchhuah a ni a, chu incision te tak te hmang chuan a chhunga hnute tissue chauh chu lakchhuah a ni. Hnute vun tam zawk chu a hnutchhiah a ni. |
| Nipple-Sparing Mastectomy tih a ni | Hetiang hmang hian a chhunga hnute tissue chauh lakchhuah a ni a, chu chuan hnute leh a chhehvel chu a la awm reng a ni. |
| Mastectomy leh Reconstruction tih a ni | Breast reconstruction surgery hi mastectomy neih rual emaw, a hnu emawa tih a ni. Hei hi silicone implant emaw taksa peng dang (e.g., pum chhung) atanga lak chhuah tissue hmanga tih theih a ni. |
Surgery hma leh operation neih chhung hian eng nge thleng?
I doctor chuan operation hmain a tul zawng zawng a pe ang che. Surgery ni-ah chuan hospital gown-ah dahin i kut ah IV line i connect ang. Hei hian general anesthesia hnuaiah a dah ang che a, chu chu operation chhungin engmah i hre lo ang a, i muhil vek ang tihna a ni.
Tichuan operation room-ah an hruai a, surgeon chuan operation chu a tan ta a ni.
1. Pakhatnaah chuan hnute chungah hmun remchangah incision siam a ni.
2. Tichuan, hnute tissue chu uluk takin vun leh rilru ruh a\angin a then a.
3. Hnute tissue lakchhuah chu a chhuak vek. Breast reconstruction neih i tum a nih chuan chu step chu he hun lai hian tan theih a ni.
4. Surgery zawhah tube engemaw zat drain an tih chu hliam chhunga tui tam lutuk (thisen, tui, etc.) awmkhawm chu paih chhuah nan dah a ni. Hengte hi ni rei lo te chhungin an paih chhuak thin.
5. A tawp berah chuan incision chu an stitch a, bandage hmangin uluk takin an khuh a.
He surgery hi darkar hnih atanga darkar thum vel a ni tlangpui a, mahse a ruala hnute siam thar leh a nih chuan a rei zawk thei.
Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Operation hnuah ni khat vel damdawi inah i awm a ngai dawn a ni. He hun hi i hriselna dinhmun leh reconstructive surgery i neih leh neih loh a zirin a danglam thei.
I dam leh chhung hian medical team chuan i kut leh ke ruh tliak leh tight tihziaawmna turin exercise awlsam tak tak an rawt ang.Zirtir i ni ang. Heng exercise te hian scar tissue siam a ti tlem bawk ang. Damdawi in chhuahsan hmain engkim, in lama hliam enkawl dan tur leh damdawi ei dan tur te chu an hrilhfiah vek ang che.
Dam leh hun chhung:
- Initial healing atan hian kar 3-4 vel a ngai tlangpui .
- Breast reconstruction surgery i neih tawh chuan a dam theih nan kar 8 vel a ngai thei.
- I thil tih pangngai zawng zawng, a bik takin rit phurh ang chi thil i tih leh theih nan thla engemaw zat a la ngai thei.
He surgery hian eng hlauhawmna leh harsatna nge a neih?
Surgery dang ang bawkin he surgery hian risk engemaw zat a nei a ni.
- Thisen chhuak
- Kaichhawng
- Hnute leh hnute chhunga hriatna hloh
Hêng taksa lama hlauhawmna bâkah hian ngaihtuah tûr pawimawh dang a awm a: rilru lam nghawng .
Operation hnuah i taksa chungchangah lungkhamna leh lungngaihna i nei thei. I hnute pakhat emaw, pahnih emaw hloh chu rilru lamah chuan tuar harsa tak a ni thei. Hei hi thil pangngai tak a ni. Heng rilru natnate chauh hi do suh. Hemi chungchang sawipui thei tur leh inrem theihna tura pui theitu rilru lam doctor emaw counselor emaw nena inbiakna neih hi a \angkai hle thei a ni.
Operation hnuah engtikah nge doctor ka hmuh ang?
Operation atanga in haw hnua a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni .
- Khawsik i neih chuan .
- Hliam chu thisen chhuak a nih chuan .
- Kar engemaw zat hnuah a natna a reh loh emaw, a zual zel emaw chuan.
- Hliam vel a sen leh hring a awm chuan.
- Incision chhehvelah lumna i hriat chuan.
Hengte hi hri kai chhinchhiahna a ni thei a, chuvangin report vat a pawimawh hle.
Take-Home Thuchah a ni
- Prophylactic Mastectomy hi mi zawng zawng tan surgery a ni lo. Hnute cancer vei theihna sang tak nei tan chauh tih a ni.
- Mi dik tak chunga tih a nih chuan he surgery hian hnute cancer vei theihna chu 90-95% in a tihniam thei a ni.
- Surgery tih dan hrang hrang a awm a, mastectomy neih rual emaw, hnute siam thar emaw pawh a awm bawk.
- Taksa leh rilru lamah pawh dam nan hun a ngai a ni. I taksa a inthlak danglam zel angin lungngaihna leh lungkhamna i neih hi thil pangngai a ni. Mental health professional hnen atangin tanpuina zawng hreh suh.
- Hei hi i nun nghawng thei tur khawpa lian leh mimal thutlukna a ni. Chuvangin, hemi chungchang hi i doctor nen uluk takin sawi la, a thatna leh that lohna zawng zawng hrethiam la, i tana tha tur thutlukna siam rawh.
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