Doctor-in hnute zai chungchang a hrilh tawh che em? Chu thu i hriat chuan tlem a hlauhthawn leh hlauhna i neih chu thil pangngai a ni. Mahse, lungngai suh. Vawiin hian chutiang surgery pakhat, "thymectomy" chungchang kan sawi dawn a ni. Eng nge a nih, engvangin nge a tih, engtin nge a tih, leh operation hnua eng nge thleng tih hi i hrethiam mai ang u.
A hmasa berah chuan Thymectomy hi eng nge ni?
A awlsam zawngin sawi ila, thymectomy chu i thymus gland surgery hmanga lakchhuahna a ni. Thymus gland hi rilru chunglam, thinlung hmalam chiah a awm a ni.
Hei hi gland bik tak a ni. Kan naupan laia kan immune system tihhmasawn kawngah nasa takin a pui a ni. Mahse kan lo upat deuh deuh chuan he gland hi a lo tlem ta hle mai. A chang chuan he gland-a harsatna engemaw zat avang hian doctor-te chuan an paih chhuah a ngai thin. Hei hi surgery tih dan pangngai tak a ni lo.
Eng damdawi lam dinhmun nge he surgery hi a thlen?
Thymus gland lakchhuah chhan lian tak tak engemaw zat a awm. Eng nge an nih i han thlir teh ang.
| Natna dinhmun | A sawifiahna awlsam tak |
|---|---|
| Myasthenia Gravis natna a ni | Hei hi nerve leh muscle te inrawlhna natna a ni. A lan chhuah dan ber chu taksa ruh chak lohna a ni. Heng symptoms te hi thymus gland lakchhuah hian control theih a ni. |
| Thymoma a ni | Hei hi thymus gland-a lo awm tumor a ni. Cancer (thymic carcinoma) a ni thei a, cancer ni lo (benign) a ni thei bawk. Hetiang tumor hi paih chhuah nan he surgery hi tih a ni. |
| Nut chi dang | Tumor chi dang hmuh tur awm lo, neuroendocrine tumor te pawh thymus gland-ah hian a lo awm thei bawk. He surgery hi an tan pawh solution a ni. |
Operation hmain engtin nge i inbuatsaih thin?
Thymectomy tih i tum chuan i doctor chuan uluk takin a enfiah ang che a, i medical history a sawipui ang che. Chu bâkah, test dang engemaw zât tihsak i ni thei bawk.
- Pulmonary function test: I lung hnathawh that dan en rawh.
- EKG (Electrocardiogram): Thinlung hnathawh dan zir rawh.
- Cardiac stress test: Exercise i tih hian i thinlungin a chhan dan en rawh.
- CT scan (Computed Tomography scan) emaw MRI (Magnetic Resonance Imaging): Thymus gland leh a chhehvel taksa peng hrang hrangte chiang taka hmuh theih nan.
- PET scan (Positron Emission Tomography scan): Cancer cell awm leh awm loh enfiah nan.
A pawimawh ber: Damdawi eng emaw i ei a nih chuan (a bik takin Myasthenia Gravis tan) i doctor hnenah operation hmain tihtawp a ngai em tih zawt ngei ang che. A thurawn tel lo chuan damdawi engmah ei loh tur a ni.
Operation hma zan zanlai atang khan ei leh in kha bansan turin an hrilh tlangpui ang che.
Surgery tih dan tur i lo en ang u.
Thymectomy tih dan tlangpui pahnih a awm. Pakhat chu open procedure hmanga tih a ni a, pakhat chu incision te te leh camera hmanga siam a ni. I doctor chuan eng method nge i tan a tha ber tih a rel ang.
| Surgery tih dan tur | Engtin nge a nih |
|---|---|
| Open Surgery (Transsternal Approach) hmanga tih a ni. | Hetah hian rilru chu open heart surgery ang deuhin middle bone (sternum) chu a sei zawnga tan a ni. Tichuan thymus gland leh a chhehvel tissue te chu lakchhuah a ni. A tawpah chuan chest cavity atanga tui chhuahna tur chest tube pakhat emaw pahnih emaw dahin, ruh chu wire hmangin an fix a, vun chu an sew shut a ni. |
| Minimally Invasive Surgery (Minimally Invasive - Robotic emaw VATS emaw) hmanga tih a ni. | Hetiang tih hian rilruah incision lian tak siam a ngai lo. Chu ai chuan a rilru sir lamah incision te te pathum siam a ni a, pakhat chu camera hmanga siam a ni a, pakhat chu instrument bik hmanga siam a ni. Heng hmanrua hmang hian (a châng chuan robot kut hmangin) gland chu lakchhuah a ni a, bag te tak teah dahin, a incision pakhat hmangin an chhuah chhuak a ni. Hetiang tih dan hi a na lo zawk a, dam lehna hun pawh a nei tlem zawk bawk. |
A tlangpuiin he surgery hi darkar hnih atanga darkar li vel a ni thei.
Surgery hmanga hlawkna leh hlauhawmna
He surgery atanga hlawkna awm thei te
He surgery hian Myasthenia Gravis vei tan chuan hahdamna nasa tak a pe thei a ni.
- He natna vanga damdawi ina awm zat hi an tlem chho zel a ni.
- Natna damdawi i ei thin (e.g. Prednisone) te hi tihtlem theih a ni.
- Taksa chak lohna a tlahniam a.
- Mi thenkhat chuan symptoms atanga hahdamna famkim an nei a, damdawi tel lovin an ti thei bawk.
Surgery hi minimally invasive-a tih a nih chuan damdawi ina awm a tlem a, thisen a tla tlem a, natna a tlem a, i nun pangngaiah i kir leh thuai thei bawk.
Myasthenia gravis vanga thymectomy nei zinga 70% vel chuan an natna lan chhuah dan a tlahniam a, damdawi an mamawh bawk. 30% leh 40% inkar chuan symptoms resolution kimchang an nei thin.
Risk awm thei (Complications) 1.1.
Surgery dang ang bawkin, hlauhawmna engemaw zat a awm a, mahse hengte hi mi zawng zawngah a thleng lo.
- Thinlung, nerve emaw, a bul hnaia thisen kalna kawng emaw tihchhiat.
- Thisen chhuak.
- Pneumothorax natna (Pneumothorax) a ni.
- Hri kai, pneumonia ang chi te.
- Myasthenic crisis hi operation avanga stress vangin emergency awm lo tak a ni.
Eng chen nge a dam theih a, eng nge fimkhur tur?
Recovery hun chhung hi open surgery i neih leh minimally invasive surgery i neih leh neih lohah a innghat a ni. Mahse, damdawi inah ni khat tal i awm a ngai dawn a ni. Operation hnuah natna control turin damdawi pek i ni ang a, a tlangpuiin kar hnih vel hnuah a bo vek ang.
Hnathawh leh hun tur chu i hnathawh danah a innghat a ni. Desk hna i neih chuan rang takin hna i thawk leh thei a ni. Mahse, hna rit tak tak chawi emaw, rei tak ding emaw ngai hna i neih chuan, i dam leh theih nan rei vak lo i mamawh mai thei.
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
Operation hnua in lama i haw chuan a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni:
- Thâwk harsa.
- A rilru sir khatah a na.
- Thâwk lak chakna a tisang.
- Heart rate a sang chho zel.
- Khawsik.
- Khuh.
- Surgical incision atanga thisen chhuah emaw, tui chhuak emaw.
- Myasthenia Gravis symptoms hi a lo lang leh thin.
A tawp berah chuan operation i neih laiin hlauhna i neih hi thil pangngai a ni. Mahse, surgeon-te chuan hetiang hian an ti fo tih hre reng ang che. Anni hian result tha ber pek che an tum reng a ni. Chuvangin i doctor hnenah zawhna leh ngaihtuahna i neih apiang zawt hreh suh.
Take-Home Thuchah a ni
- Thymectomy tih hi thymus gland surgery hmanga lakchhuahna a ni. Myasthenia Gravis leh Thymoma ang chi natna enkawlna atan an ti ber a ni.
- Surgery tih dan tlangpui pahnih (open leh minimally invasive) a awm. I doctor nen eng method nge i tan a tha ber tih sawipui rawh.
- He surgery hian Myasthenia Gravis vei tan a hlawkpui hle a, mahse a result hmuh nan hun engemaw chen a la ngai mai thei.
- Operation hnua dam lehna hi enkawl theih a ni a, damdawi lam thupek zawm a pawimawh hle.
- Operation hnua vaukhânna chhinchhiahna lo awm thei te chu hre reng la, i hriat chuan doctor hnenah hriattir nghal rawh.











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