Hmeichhia tu pawh doctor-in mastectomy a neih a ngai dawn tih a hrilh hian a mangang hle a, chu chu hnute cancer vangin a hnute chu lakchhuah vek a ngai dawn tihna a ni. Thil sensitive tak a ni. A bulpui ber chu cancer tihdam hi ni mah se, mi tam tak chuan an zai hnua an taksa pianhmang danglam chu an ngaihtuah nasa hle bawk. Mahse, damdawi lam thiamna a lo thang chho zel a, tunah chuan he surgery hnua a lan chhuah hlauhna tihziaawm thei tur hmanraw thar a lo awm ta a ni. Chutiang surgery bik pakhat chu ‘Skin-Sparing Mastectomy’ an ti a. Vawiin hian he thu hi han sawi mai ila.
A hmasa berah chuan Mastectomy hi eng nge ni?
A awlsam zawngin sawi ila, mastectomy chu hnute cancer enkawlna atan hnute pum pui surgery hmanga lakchhuah hi a ni. Mastectomy hi chi hrang hrang a awm a. I doctor chuan i tana tha ber tur a thlang ang.
| Mastectomy chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| Total (Simple) Mastectomy tih a ni | A hnute tissue leh chest muscle covering te chu paih chhuah a ni. |
| Radical Mastectomy siam danglam a ni | Armpit area-a hnute, rilru bang leh lymph node te chu lakchhuah a ni. |
| Vun tichhe thei Mastectomy tih a ni | Vawiin kan sawi tum dan hian hnute vun a tam thei ang ber humhalh hi a ni. |
| Nipple-Sparing Mastectomy tih a ni | Hei hi vun tichhe thei thil a ni bawk. Nipple leh a chhehvel rawng hrang hrang (areola) pawh a awm lo. |
Skin-Sparing Mastectomy thatna lian ber chu a hnua hnute siam thar leh a nih chuan taksa peng dang atanga vun lak a ngai tawh lo. Entirnan, pum emaw hnungzang emaw atanga vun lak chu hnute vun aiin a rawng, a thuk leh a hring a danglam thei. Mahse, he method hian hnute vun chu a tichhe vek a, chuvang chuan reconstruction hnuah pawh natural look tak tak a awm thei a ni.
Eng dinhmunah nge mastectomy tih a ngai?
Special case engemaw zat a awm a, doctor-te chuan a hnute chu a hring (lumpctomy) chauh lak chhuah ai chuan a hnute zawng zawng lak chhuah a rawt a ni.
- Cancer nei calcium deposit (microcalcifications) chu hnute chhung zawngah a darh tawh a nih chuan.
- Hnute chhunga hmun hrang hrang pahnih emaw a aia tam emaw-ah cancer natna hrik a awm chuan.
- Naupai laiin cancer i vei a, radiation therapy hian nausen piang lai a nghawng thei tih i hlau a nih chuan.
- Tun hmain i hnute area-ah radiation treatment i lo dawng tawh a, i hnute khatah cancer a lo lang leh a nih chuan.
- Connective tissue natna lupus emaw scleroderma emaw i neih a, radiation therapy avanga side effects chu tuar theih loh tur anga i hriat chuan.
- Cancer nei lump chu a lian hle a nih chuan, lump chauh lakchhuah (lumpectomy) hian a lan dan mawi tak siam turin tissue hrisel a awm tawk lo mai thei.
- Gene mutation i neih chuan hnute cancer vei theihna a tipung a ni.
- Lump chauh lakchhuah (lumpectomy) pawh nise, surgery kil lamah cancer cell a la awm tih an sawi.
Hetiang vun tichhe thei surgery hi tuin emaw an ti thei ang em?
Mi tam takin he vun tichhe thei mastectomy hi an nei thei a, mahse mi zawng zawng tan a tha lo. A bik takin, operation hnua hnute siam thar leh nghal a nih loh chuan hetiang hi a tha lo hle. Chutiang a nih loh chuan vun la awm chu a lo hring thei a, a hring thei bawk.
Tin, he method hi i cancer cells te chu vun hnaih lutuk emaw, cancer chu vunah a darh tawh emaw a nih chuan a tha lo . Entirnan, he surgery hi hnute cancer chi khat ‘inflammatory breast cancer’ an tih nei tan chuan a tha lo hle. I surgeon leh oncologist te hi he thutlukna siamtu tha ber an ni.
Hetiang method hmang hian cancer a lo let leh theihna a awm em?
Hetiang tih hian mastectomy pangngai aiin vun a chhanhim tam zawk avangin, "Wow, chu chuan cancer lo kir leh theihna a tipung ang em?" Chu chu hlauhthawnawm tak a ni. Mahse, zirchianna tam takah chuan skin-sparing mastectomy hian cancer lo kir leh theihna a tipung lo tih hmuhchhuah a ni.
Dik tak chuan zirchianna pakhat chuan he approach hian cancer lo awm leh theihna a ti tlem tih a tarlang. Hmeichhe 435 mastectomy nei te zirchiannaah chuan vun tichhe thei mastectomy nei zinga 4.8% chauhvin cancer vei chu he hmunah hian an lo kir leh a ni. Mahse, hmanlai approach hmangtu zinga 9.5% chuan cancer an nei leh ta a ni.
Chuvangin hei hi mi dik tan chuan a him em em a ni.
He surgery hnuah hian engtin nge hnute siam thar lehna hi tih a nih?
Skin-sparing mastectomy hnua hnute siam thar lehna tur kawng pawimawh tak tak engemaw zat a awm. Hei hi plastic surgeon-in a ti thin.
| In sak thar dan tur | Eng nge hman a nih | Thil hriat tur |
|---|---|---|
| TRAM flap siam thar lehna tur | Belly button hnuai lama thau, thau leh vun te. | Hnute hi anmahni tissue avang hian naturally soft niin an hria. A hmaa pum surgery nei tawh emaw, pum chhunga tissue tam nei lo tan pawh a tha lo. |
| DIEP flap siam thar lehna | Pum hnuai lam vun leh thau te. | Hei hian taksa ruh hman a huam lo. TRAM flap aiin surgery buaithlak zawk leh hun rei tak daih a ni. |
| Latissimus muscle flap siam thar lehna | A hnungzang a latissimus muscle leh implant a awm bawk. | Back muscle-a tissue awm zat a tlem avangin hnute chu a mamawh volume pek nan graft hman a ni. Hnute hliam te tak te pawh nise, a hnungzang ah hian hliam sei tak a awm reng a ni. |
Operation hnuah eng nge beisei tur?
Skin-Sparing Mastectomy hnua dam leh hun chhung hi mastectomy pangngai nen a inang a ni. I beisei theih turte chu hetiang hi a ni:
- Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Breast reconstruction pawh a ruala tih a nih chuan damdawi ina awm rei deuh pawh a ni thei.
- Surgery hnua tui chhuahna tur i armpit emaw i hnute area-ah surgical drain dah i ni thei. Heng drain te hi ni khatah vawi eng emaw zat drain a ngai dawn a ni. Clinic i tlawh hmasak ber thlengin an awm reng ang a, chu chu kar khat emaw kar hnih emaw vel a ni ang.
- I taksa (sponge bath) chu a stitches leh tubes te a chhuah hma loh chuan i sil thei chauh a ni.
- Surgery atanga dam nan hun a duh a ni. Chuvangin kar hmasa lamah chuan chawlh hahdam tam rawh . Chhungte leh ṭhiante hnen aṭangin ṭanpuina la la, inchhung hnathawhnaah te, naupangte enkawlnaah te, leh thil lei tur phurhnaah te tanpuina la rawh. Chutah chuan zahthlak a awm lo.
- I medical team chuan exercise thenkhat an pe ang che a, hei hian kut leh ke a tihkhauh loh nan a pui ang che. Hlawhchham lovin ti rawh . Mahse, i drain a chhuah hma loh chuan exercise thenkhat ti lo turin an hrilh mai thei che.
- I operation na hmun kha bra i bun hmain tihdam hmasak phawt tur a ni. I doctor hnenah eng chen nge i nghah tur tih zawt rawh .
Take-Home Thuchah a ni
- Skin-Sparing Mastectomy hi surgical procedure hmasawn tak a ni a, hnute cancer surgery hnuah hnute vun ngei pawh hmangin natural appearance a pe zawk a ni.
- Hetiang method hian cancer lo kir leh theihna a tipung lo . Zirna thenkhatah chuan a hlauhawmna pawh a tihziaawm thei niin an sawi.
- Hetiang hmanrua hi cancer hi vun hnaih takah a darh tawh emaw, hnute siam thar leh nghal loh emaw a nih chuan a tha lo.
- He procedure hi i tan a tha em tih leh reconstruction tih dan tur chungchangah i surgeon nen zalen takin sawiho rawh . I zawhna zawng zawng chu a ngaithla ang a, i ngaihtuahna eng pawh a sawi chhuak ang.
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