‘Thymus Gland’ tih hi i hre ngai em? A ni lo mai thei. Kan rilru chhunga gland te tak te, a bik takin thinlung hmaa awm a ni. A nihna takah chuan kan naupan lai hian kan immune system tan a pawimawh hle. Mahse a chang chuan he gland te tak te hian hriselna lama harsatna lian tak a thlen thei a ni. Chu chu doctor-te’n ‘Thymectomy’ tih surgery neih an rawt lai a ni. Chuvangin vawiin hian he thu hi kan sawi dawn a, chu chu thymus gland lakchhuahna surgery chungchang hi a ni a, thumal awlsam takin kan sawi dawn a ni.
A awlsam zawngin, thymectomy tih hi eng nge ni?
Thymectomy hi surgical procedure a ni a, i thymus gland leh a chhehvela tumor lo awm thei zawng zawng te chu paih chhuah a ni. Surgery tih dan pangngai tak a ni lo. United States-a zirchianna pakhatah chuan heng surgery zinga 7,000 vel chu kum 13 chhunga tih a ni tih hmuhchhuah a ni. Chu chu kum khatah surgery 1,000 vel a ni. Chuvangin hei hi eng emaw chen chu specialized surgery a ni tih i ngaihtuah thei ang.
Thymectomy hi eng condition atan nge tih a nih?
He surgery hi thymus gland nena inzawm harsatna engemaw zat enkawlna atana tih a ni ber. Eng nge an nih i han thlir teh ang.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Myasthenia Gravis natna a ni | Hei hi autoimmune natna a ni. A awlsam zawngin sawi ila, taksa ngeia immune system hian taksa chhunga nerve leh muscle inzawmna chu a bei a. Hei hian symptoms a thlen a, chu chu taksa ruh chak lohna, mitmeng tlak, leh tawng leh ei harsa te a ni. Thymus gland lakchhuah hian he natna hi nasa takin a control thei a ni. |
| Thymoma a ni | Hei hi cancer natna chi khat, thymus gland-a lo awm thin a ni. Hengte hi thymus-a cancer chi hrang hrang lo thang lian tak takte an ni fo thin. Enkawlna ber chu operation hmanga tumor nen gland lakchhuah hi a ni. |
| Neuroendocrine tumor a awm thin | Hei hi tumor chi dang, thymus gland-a lo awm thei a ni. |
| Tumor tha lo tak tak a awm | A châng chuan, cancer ni lo, emaw, benign emaw, thymus gland-ah hian tumor a lo awm thei bawk. Hengte pawh hi he surgery neih chhung hian lakchhuah a ni bawk. |
Operation hmain engtin nge i inbuatsaih thin?
Thymectomy hmain i doctor chuan i medical history kimchang a la ang a, uluk takin a enfiah ang che. Chu bakah, a hnuaia test te hi an ti thei bawk:
- Pulmonary function test: Hei hian i lung hnathawh that dan a enfiah thin.
- Electrocardiogram (EKG): Hei hian i thinlung electrical activity a test thin.
- Cardiac stress test: Exercise neih laiin thinlung hnathawh dan tehna test a ni.
- CT scan (Computed Tomography - CT scan): Hei hian taksa chhung lam chipchiar takin 3D image a siam thei a. Hei hian thymus gland lian tham leh awmna hmun dik taka hriat theih nan a pui thei a ni.
- MRI Scan (Magnetic Resonance Imaging - MRI): Hei hi taksa chhunga tissue awmte chipchiar taka thlalak lakna dang a ni.
- PET scan (Positron Emission Tomography - PET scan): He test hi taksaa cell te hnathawh dan hriat nan a pawimawh a, a bik takin cancer cell a awm chuan a pawimawh hle.
A pawimawh ber: I doctor hnenah operation i neih hmain i ei tur damdawi, vitamin leh supplement zawng zawng i hrilh vek tur a ni. Doctor thurawn tel lo chuan damdawi engmah ei khap suh. Vawi tam tak chu operation hma zan zanlai atang khan ei leh in kha bansan turin an ti ang che.
Operation hnua thawk harsatna awm lo turin, a bik takin myasthenia gravis i neih chuan operation hmain intravenous immunoglobulin emaw plasma exchange therapy emaw pek i ni thei.
Surgery tih dan tur i zir dawn teh ang.
Thymectomy surgery hi kawng lian pahnih hmanga tih theih a ni. Pakhat chu traditional method a ni a, chu chu rilru hawn a ni a, pakhat chu camera leh robotics hmanga incision tenau tlemte chauh hmanga tih a ni. I surgeon chuan eng method nge i tan a tha ber tih a rel ang.
1. Transsternal lam hawia hmalakna
Hei hi open heart surgery ang a ni.
- Step 1: Kan rilru (sternum) lai takah ruh zawng zawng emaw, a then emaw tan chuan rilru chu hawn a ni. Hei hi damdawi lam chuan sternotomy an ti a.
- Step 2: Thymus gland leh a chhehvela tissue nghawng zawng zawng chu a hawnna atang hian lakchhuah vek a ni.
- Step 3: Operation zawhah chest tube pakhat emaw pahnih emaw chu chest-ah dahin a chhunga tui leh thisen awm thei zawng zawng chu a chhuak thei a ni.
- Step 4: A tawp berah chuan wire hmangin chest bone chu reattached lehin vun chu sewn up a ni.
2. Robotic-assisted emaw VATS (incision te tak te hmanga insiam dan) .
Hei hi minimally invasive procedure a ni. VATS tih hi Video-Assisted Thoracic Surgery tihna a ni.
- Step 1: A rilru sir khatah khur te te pathum vel siam a ni. Chumi zinga pakhat kaltlangin camera dah a ni.
- Step 2: Robot kut emaw, instrument sei tak emaw hmangin, camera thlalak hmanga kaihhruaiin, thymus gland (leh tumor eng pawh, a awm chuan) chu uluk takin a chhehvel tissue atanga then hran a ni.
- Step 3: A tul chuan chutiang bawka incision chu rilru sir lehlamah siam a ni a, chu chuan gland chu lakchhuah vek a ni.
- Step 4: Tissue lakchhuah zawng zawng chu a rilru chhungah bag bik ah dahin, a siam chhuah khur te tak te atang chuan lakchhuah a ni.
- Step 5: Tube pakhat emaw pahnih emaw dahin tui chu a chhuah tir thin.
- Step 6: Operation hnua natna tihziaawm nan chest wall-a nerve awmte block turin damdawi pek i ni ang.
- Step 7: A tawp berah chuan instruments te chu lakchhuah a ni a, a zung te te chu sewn up a ni.
He surgery hi darkar hnih atanga darkar li inkar a ni thei tlangpui a, chu chu surgery buaithlak leh hman dan a zirin a ni.
Surgery hnuah eng nge thleng?
Operation zawhah i hriatna i neih leh hma loh chuan recovery room-ah dah i ni ang. Operating room-a thawkna tube dah chu lakchhuah a ni ang. A tirah chuan oxygen, thisenah tui, leh natna tidamtu i mamawh ang. Operation neih ni vek hian regular ward-ah sawn i ni tlangpui ang.
He surgery hian eng hlawkna leh hlawhtlinna rate nge a neih?
He surgery result hi a tha tak zet a, a bik takin myasthenia gravis vei te leh incision te te hmanga operation neih ngai te tan chuan a tha hle.
| Advantage category a ni | Benefits dawn a ni |
|---|---|
| Myasthenia Gravis vei tan a thatna | |
| Damdawi ina dah te | Natna avanga damdawi ina awm zat tlahniam. |
| Ruihhlo hman dan | Prednisone ang damdawi hman ngai tihtlem. |
| Natna | Muscle chak lohna a tlahniam. |
| Dam leh vek | Mi thenkhat phei chuan remission an nei thei a, chutah chuan an symptom te chu a bo vek a, damdawi ei lovin an nung thei bawk. |
| Minimally Invasive Surgery hman thatna | |
| Damdawi ina hun hman dan | Damdawi ina awm rei zawk. |
| Natna leh harsatna awm thei | Natna, thisen chhuah leh harsatna dang awm theihna a tlem. |
| Dam leh thuai | Thil tih dan pangngaia rang taka kir leh theihna. |
Myasthenia gravis natna avanga he surgery nei tam zawk chuan kum khat chhungin result tha tak an hmu thin . 70% vel chuan symptoms tlahniam leh damdawi mamawhna an nei tlem hle. 30% leh 40% inkar chuan symptoms resolution kimchang an nei thei.
Thymoma cancer surgery hian he cancer hi a tidam vek thei fo thin.
Operation avanga hlauhawm awm thei te chu engte nge ni?
Surgery dang ang bawkin thymectomy hian hlauhawm leh harsatna engemaw zat a keng tel thei a, mahse hengte hi a tlem hle.
- Thinlung, nerve emaw, a bul hnaia thisen kalna kawng emaw tihchhiat.
- Thisen chhuak nasa tak a chhuak.
- Pneumothorax: Lung pakhat a tlakbuak.
- Pneumonia: Chuap natna a ni.
- Hemothorax: Chhung bang leh lung inkara thisen lakkhawm.
- Chylothorax: Chest wall leh lung inkara tui awmkhawm.
- A tlem hle a, operation avanga stress hian myasthenia gravis symptoms ( myasthenic crisis ) a ti na zual thei.
Recovery leh hmalam pan zel tur chuan eng nge beisei tur tih te
Recovery hun hi open surgery emaw minimally invasive surgery emaw i neih leh neih lohah a innghat a ni. Mi tam zawk chuan zan khat tal damdawi inah an awm a ngai dawn a ni. Surgery atanga natna hi kar hnih vel hnuah a reh tlangpui. I doctor-in a pek che natna tidamtu (painkillers) kha i ei tur a ni.
Operation hnuah i neurologist chuan a lo enkawl chhunzawm zel ang che. I natna lan chhuah dan azirin ani hian i myasthenia gravis damdawi hi eng chen nge i ei tur tih leh a dose tihtlem dan tur a rel ang.
Thymoma cancer tan chuan a hmalam hun chu cancer stage-ah a innghat a ni.
- Stage I: Dam leh vek theihna chance 95% aia tam a awm.
- Stage II: Dam theihna chance 75% atanga 80% vel a awm. Radiation therapy a ngai mai thei.
- Stage III: Dam theihna chance 25% atanga 40% vel a awm. Radiation leh chemotherapy pahnih hi a ngai mai thei.
Engtikah nge doctor ka hmuh leh ang?
Operation hnua in lama i haw hnuah a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni .
- Thâwk harsa.
- A rilru sir khatah natna nasa tak a awm.
- Thâwk rang tak.
- Thinlung thawk chak tak.
- Khawsik.
- Khuh.
- Surgery hliam atanga thisen chhuak.
- Myasthenia gravis symptoms a lo lang leh thin.
Tu pawhin operation chungchang an hriat hian hlauhna tlem an neih hi thil pangngai a ni. Mahse, surgeon-te hian heng thilte hi an ti fo thin tih hre reng ang che. An tum ber chu a tha ber tur pek che hi a ni. Chuvangin, i surgery emaw, i procedure emaw chungchanga zawhna i neih chuan i doctor hnenah zawt mai rawh. I rilru a ti hahdam ang.
Take-Home Thuchah a ni
- Thymectomy tih hi kan rilru chhunga thymus gland awm chu surgery hmanga lakchhuah a ni.
- He surgery hi Myasthenia Gravis leh Thymoma ang chi natna enkawlna atan an ti ber a ni.
- Surgery hi open emaw minimally invasive emaw pawhin tih theih a ni . Minimally invasive method hmang hian a dam chak zawk a, natna leh harsatna a awm tlem zawk bawk.
- Mi hrang hrangah leh surgery kalphung a zirin dam leh hun leh result a inang lo thei bawk.
- Operation hnua symptom danglam tak tak i neih chuan doctor hnenah hriattir nghal rawh.
- I surgery chungchanga zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen sawiho rawh.
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