Opaleshoni ya Maxillectomy: Kodi tikambirane izi mosavuta?

Dokotala akamalankhula nanu kapena munthu wina wapafupi nanu za opaleshoni yaikulu monga opaleshoni ya maxillectomy, n’zachibadwa kumva mantha ambiri komanso kudabwa. Tikangomva mawu ngati amenewa, timadzifunsa mafunso angapo. "Kodi ichi ndi chinthu chanji?", "N’chifukwa chiyani ndiyenera kuchita izi?", "Kodi moyo wanga udzakhala bwanji pambuyo pa izi?" Mwinanso mungakhale ndi mafunso m’maganizo mwanu. Ndicho chifukwa chake, kuti tichepetse mantha anu ndi kukayikira kwanu pa izi, tinaganiza zolankhula za opaleshoniyi m’njira yosavuta komanso yochezeka.

Kodi opaleshoni ya maxillectomy ndi chiyani kwenikweni?

Mwachidule, opaleshoni ya maxillectomy ndi opaleshoni yochotsa fupa lonse la nsagwada yanu yapamwamba (maxilla). Nsagwada yapamwamba imakhala ndi mano apamwamba. Izi sizimangochotsa mano osavuta. Nthawi zambiri, opaleshoniyi imaphatikizidwa ndi opaleshoni yokonzanso gawo lomwe lachotsedwa, kutanthauza kuti, kukonza mawonekedwe. Chifukwa chake, iyi ndi njira yovuta kwambiri komanso yokonzedwa bwino yomwe imachitidwa ndi gulu la madokotala aluso.

N’chifukwa chiyani ndikofunikira kuchita opaleshoni yaikulu chonchi?

Chifukwa chachikulu cha izi ndi khansa. Makamaka ngati khansa yayamba ku nsagwada yanu yapamwamba kapena ngati khansa yochokera kwina yafalikira kudera lino, opaleshoniyi ndi yofunika kwambiri kuti ichotse maselo a khansa kwathunthu.

Pali zochitika zingapo zazikulu zomwe madokotala amalangiza opaleshoni iyi:

• Khansa ya Maxilla: Ngati khansa imayamba mwachindunji mu fupa la maxilla.
• Khansa ya m'mphuno: Ngati khansa yomwe imayambira m'mphuno ifalikira ku nsagwada yapamwamba.
• Khansa ya mkamwa: Khansa yomwe imapezeka pamwamba pa pakamwa.
• Ziphuphu za Sinonasal: Khansa zomwe zimakula m'maenje a sinus mkati mwa nkhope ndikufalikira mpaka ku nsagwada yapamwamba.

Kuwonjezera pa mitundu iyi ya khansa, opaleshoniyi nthawi zina imachitika pakakhala matenda oopsa a bowa (invasive fungal sinusitis) . Iyi ndi matenda oopsa omwe amapezeka pamene mitundu ina ya bowa imapumidwa, yomwe imafalikira ndikuwononga minofu mkati mwa sinuses.

Kodi opaleshoniyi imachotsa nsagwada yapamwamba yokha?

Vutoli ndi la anthu ambiri. Kutengera ndi kukula kwa khansa komanso momwe yafalikira, kungakhale kofunikira kuchotsa minofu kapena ziwalo zapafupi kuwonjezera pa nsagwada yapamwamba. Izi zingamveke zoopsa, koma ndikofunikira kuchotsa khansa yonse.

Madera ozungulira omwe angafunike kuchotsedwa ndi awa:

• Diso: Ngati khansa yalowa m'diso.
• Mkamwa Wolimba: Mbali ya pamwamba pa pakamwa.
• Mzere: Mphepete mwa mafupa momwe diso lili.
• Pansi pa Mzere: Pansi pa mafupa lomwe limasunga diso pamalo ake .
• Mitsempha yomwe imapereka mphamvu pakhungu pansi pa diso: Izi zingayambitse kumva kuwawa m'dera la tsaya pambuyo pa opaleshoni.
• Mano okhudzana ndi nsagwada yapamwamba omwe akuchotsedwa.
• Mpope Wotulutsa Misozi: Chitoliro chomwe chimatenga misozi kuchokera m'maso kupita kumphuno.

Kaya zinthuzi zachotsedwa kapena ayi zimadalira gawo la khansa yanu. Dokotala wanu adzakufotokozerani zonsezi.

Kodi mitundu ikuluikulu ya opaleshoni iyi ndi iti?

Mtundu wa opaleshoni ya maxillectomy yomwe imachitika imasiyana malinga ndi kukula ndi malo a chotupacho. Tiyeni tiwone mitundu ikuluikulu.

Kodi pali zina zowonjezera zoti muchite ndi opaleshoniyi?

Inde, nthawi zina opaleshoni ya maxillectomy yokha singakhale yokwanira. Kutengera ndi vuto lanu, mungafunike kuchita njira zina zingapo nthawi imodzi kapena pambuyo pa opaleshoniyi.

• Kuika Chubu Chodyetsera: Popeza n'kovuta kudya kapena kumwa mwachizolowezi pakamwa kwa kanthawi pambuyo pa opaleshoni, chubu chimayikidwa kudzera m'mphuno kapena mwachindunji m'mimba kuti chipereke zakudya zofunika.
• Dacryocystorhinostomy: Opaleshoni yochotsa njira yotulutsira misozi, kupanga njira yatsopano yotulutsira misozi m'maso.
• Kudula Khosi: Ngati pali kukayikira kulikonse kuti khansa yafalikira ku ma lymph nodes m'khosi, amachotsedwa ndikuwunika.
• Tracheostomy: Ngati madokotala akuganiza kuti kutupa pankhope kungayambitse kupuma movutikira mutachita opaleshoni, akhoza kuyika chubu mwachindunji mu payipi ya mphepo kutsogolo kwa khosi kuti ikuthandizeni kupuma kwakanthawi.
• Opaleshoni Yokonzanso: Opaleshoni imeneyi imachitika kuti ibwezeretse mawonekedwe ndi ntchito ya nkhope momwe zingathere.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga opaleshoni iliyonse yaikulu, opaleshoni iyi ili ndi ubwino ndi zoopsa zake.

Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?

Ulendowu ndi wautali. Muyenera kukonzekera mwakuthupi komanso m'maganizo. Njira yochiritsira ikhoza kugawidwa m'magawo angapo.

Nthawi yomwe ndinali kuchipatala

Kutengera mtundu wa opaleshoniyi, mungafunike kukhala m'chipatala kwa sabata imodzi mpaka milungu iwiri kapena kuposerapo . Nthawiyi ingakhale yayitali ngati mudachitidwa opaleshoni yayikulu yokonzanso thupi. Panthawiyi:

• Mankhwala amaperekedwa kuti achepetse ululu komanso kupewa matenda.
• Mpweya ungaperekedwe kuti uthandize kupuma (kudzera mu tracheostomy ngati munthuyo waikidwa kale).
• Zakudya zimaperekedwa popereka chakudya chamadzimadzi kudzera mu chubu chodyetsera.

Zinthu zofunika kuzisamalira mutabwerera kunyumba

Muyenerabe kusamala kwambiri mukabwerera kunyumba kuchokera kuchipatala.

• Pewani kuchita zinthu zolemetsa mpaka dokotala atakuuzani kuti muchite zimenezo.
• Idyani zakumwa ndi zakudya zofewa zokha mpaka mabalawo atachira.
• Pewani zakudya ndi zakumwa zotentha chifukwa mbali zina za pakamwa zimatha kukhala ndi vuto la kutentha, zomwe zimatha kutentha pakamwa.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire bwino?

Izi zitha kutenga miyezi ingapo. Zitenga nthawi kuti luso lanu lolankhula ndi kumeza libwerere mwakale. Nthawi yochira idzadalira mtundu wa opaleshoni yomwe mudachitidwa.

• Popeza opaleshoni ya maxillectomy yapakati ndi opaleshoni yochepa kwambiri, kuchira kumachitika mwachangu.
• Zomangamanga, Suprastructure, ndi Total maxillectomy ndi opaleshoni yovuta kwambiri, kotero kukhala m'chipatala ndi nthawi yochira kunyumba kungakhale nthawi yayitali kwambiri.

Kodi muyenera kulankhula ndi dokotala liti?

Ngati mukupeza zizindikiro zoopsa panthawi yomwe mukuchira, muyenera kudziwitsa dokotala wanu kapena chipatala chomwe mudalandira chithandizo nthawi yomweyo. Dziwani bwino zizindikirozi.

Mu mkhalidwe ngati uwu, musachedwe.

Kodi zidzakhudza bwanji moyo wanga ndikachira?

Anthu ambiri amachira bwino atachitidwa opaleshoniyi. Mabalawo amachira bwino. Komabe, kuchotsa nsagwada yapamwamba ndi malo ozungulira kumabweretsa kusintha kwina m'moyo. Zinthu zomwe kale zinali zosavuta, monga kudya, kulankhula, ndi kumeza, zingakhale zovuta.

Koma musadandaule. Pali anthu ambiri omwe angakuthandizeni kuthana ndi mavutowa.

• Akatswiri Othandiza Kulankhula: Amakuthandizani kuphunziranso kulankhula, kumeza, ndi kudya.
• Akatswiri a Zakudya: Kuthandiza thupi kupeza zakudya zomwe limafunikira, ngakhale pamene kuli kovuta kudya.
• Madokotala a mano opangidwa ndi mphuno: Angakupangireni mano opangidwa ndi mphuno apadera ndikukuthandizani kuti muyambenso kutafuna chakudya.
• Madokotala a khansa: Konzani njira zina zothandizira khansa, monga chemotherapy kapena radiation therapy, zomwe zingafunike pambuyo pa opaleshoni.

Kuchira kwanu komaliza kumadalira mtundu wa khansa ndi kuopsa kwake. Koma ndi chithandizo choyenera chamankhwala komanso khama lanu, anthu ambiri akwanitsa kuthana ndi mavutowa ndikubwerera ku moyo wabwinobwino.