Kana chiremba wako akakuudza kuti unofanira kubviswa chikamu chezasi cheshaya yako, unogona kunzwa kutya kukuru uye kuvhunduka. Paunonzwa nezvekuvhiyiwa uku kunonzi 'mandibulectomy', unogona kunge uine mibvunzo yakawanda mupfungwa dzako. Zvakajairika kuva nemibvunzo yakaita sekuti, "Chiso changu chichachinja here?", "Ndichakwanisa kutaura ndodyazve here?" Asi usazvidya moyo. Muchinyorwa chino, tichataura nezvekuvhiyiwa uku, kuti kwakaitwa sei, kuti kunoitika sei, uye zvekutarisira mushure mekuvhiyiwa nenzira iri nyore uye inonzwisisika.
Zvichitaurwa zviri nyore, chii chinonzi mandibulectomy?
Zvichitaurwa zviri nyore, kubviswa kwemapfupa emudumbu (mandibulectomy) kuvhiyiwa kwechikamu cheshaya yako yepazasi kana kuti pfupa rese repazasi (manible). Izvi dzimwe nguva zvinonzi 'kubviswa kwemapfupa emudumbu'.
Vanachiremba vanowanzo sarudza kuita rudzi urwu rwekuvhiya kana paine bundu rekenza papfupa reshaya, kana paine hutachiona hwakakomba, kana kuti pfupa reshaya rakakuvara nekuda kwechimwe chirwere. Chinangwa chikuru ndechekubvisa zvachose chikamu chine chirwere uye kudzivirira kuti chirwere chisapararire zvakanyanya.
Ndedzipi mhando huru dzekuvhiyiwa uku?
Kuvhiyiwa kweMandibulectomy kunogona kukamurwa kuita mhando mbiri huru. Zvinoenderana nekuti pfupa reshaya rabviswa zvakadii. Ngatitarisei kuti mhando mbiri idzodzo ndedzipi.
| Rudzi rweKuvhiya | Tsananguro Pfupi |
|---|---|
| Kuvhiyiwa kweMandibulectomy (Kuvhiyiwa kweMarginal Mandibulectomy) | Izvi zvinosanganisira kubvisa chikamu chidiki chepfupa reshaya. Funga nezvazvo sekubvisa chikamu chidiki chemucheto wepamusoro wepfupa reshaya. Muchiitiko ichi, chimiro chekutanga nesimba repfupa reshaya zvinochengetwa, saka kazhinji, kuvhiyiwa kukuru kwekuvakazve hakudiwi. |
| Kuvhiyiwa kweMandibulectomy yechikamu | Izvi zvinosanganisira chikamu chikuru chepfupa reshaya., kureva kuti, chikamu chose chinobviswa. Muzviitiko zvakadaro, pfupa reshaya rinorasikirwa nechimiro charo uye mashandiro aro, saka chikamu chitsva chinofanira kugadzirwa uye kubatanidzwa kuti chitsive chikamu chakabviswa. Izvi zvinonzi kuvhiyiwa kwekuvakazve. |
Munowana kupi mapfupa ekuvakazve?
Mukuvhiyiwa kwechikamu chemuviri, vanachiremba vanotora mapfupa, nyama, ganda, uye mitsipa yeropa (tsinga netsinga) kubva kune imwe nhengo yemuviri wako kuti vagadzire shaya yako. Izvi zvinonzi "free-flap reconstruction." Funga nezvazvo sekutora jira worinamira kuti ugadzire chikamu chakabvaruka chembatya yako.
Nzvimbo dzinowanzotorwa mapfupa nenyama dzemuviri nekuda kweizvi ndeidzi:
- Gumbo rezasi: Kazhinji, chikamu chepfupa re fibula chinotorwa.
- Chipande chepfudzi: Mune zvimwe zviitiko, chikamu chepfudzi chinogona kubviswa.
- Hudyu: Chikamu chepfupa rehudyu chinogonawo kutorwa pachinangwa ichi.
Dzimwe nguva, maplate esimbi kana mapfupa akagadzirwa nemumwe munhu anogona kushandiswa. Chikwata chenyu chekurapa chichakutsanangurirai izvi.
Muzviitiko zvipi apo kuvhiyiwa uku kunodiwa?
Chiremba anosarudza kuvhiyiwa kwerudzi urwu nekuda kwezvikonzero zvakasiyana-siyana. Pakati pazvo, zvikonzero zvikuru ndeizvi.
- Gomarara remuromo: Kana gomarara rinobuda mumuromo, parurimi, pamazino, kana padama, rapararira kusvika pashaya.
- Kenza yemudumbu: Kana kenza inotanga pakati pehuro ikapararira kusvika papfupa reshaya.
- Kutapukirwa neMapfupa (Osteomyelitis): Kana uine hutachiona hwakakomba hwebhakitiriya hwakapararira kusvika pashaya uye husiri kupindura kurapwa.
- Osteonecrosis yeshaya: Kana pfupa reshaya rikafa nekuda kwekushandisa mimwe mishonga (kunyanya bisphosphonates) kana kurapwa nemwaranzi.
- Njodzi dzakakomba: Kana pfupa reshaya rakatyoka kuita zvidimbu mutsaona yakakomba uye rakakuvara zvakanyanya zvekuti harigone kugadziriswa neimwe nzira.
Chinhu chinonyanya kukosha ndechekuti unzwisise kuti kuvhiyiwa uku kunoitwa kana chikamu chine chirwere chichifanira kubviswa, icho chisingagoni kurapwa nedzimwe nzira dzekurapa.
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Pane nguva yekugadzirira usati wavhiyiwa, apo timu yezvekurapa inowana kunzwisisa kwakazara kwemamiriro ako ezvinhu.
- Miedzo: CT scan kuti unyatsoona saizi nekupararira kwebundu kana nzvimbo yakakuvara mushaya yako.Miedzo yakaita seiyi inoitwa. Kana kuvhiyiwa kwekuvakazve kuri kuitwa, bvunzo dzakakosha dzinoitwawo kuti dzitarise hutano hwetsinga dzeropa panzvimbo yekupa ropa.
- Kusangana nechikwata chevanachiremba: Kuvhiyiwa uku kunoitwa nechikwata chevanachiremba vane hunyanzvi hwakasiyana-siyana. Chikwata ichi chinogona kusanganisira chiremba wemusoro nemutsipa, chiremba wekuvakazve, uye chiremba wemuromo. Vachakurukura nezvekuvhiyiwa uku newe zvakadzama.
- Zvinhu zvekurega: Uchakurudzirwa kudzivirira zvinhu zvinogona kuwedzera kubuda ropa kana kukanganisa kupora panguva yekuvhiyiwa.
- Doro
- Mishonga inonyaradza marwadzo yakaita seaspirin neibuprofen
- Kusvuta (fodya) - Izvi zvinokanganisa zvikuru kupora kwemuviri.
- Mimwe mishonga yeAyurvedic kana yemishonga yemishonga
Zvakakosha: Iva nechokwadi chekuudza chiremba wako nezvemishonga yauri kutora parizvino, kunyangwe mavhitamini.
Chii chinoitika panguva yekuvhiyiwa?
Uku kuvhiyiwa kwakaoma kunotora maawa akati wandei. Asi hapana chekunetseka nacho. Uchave uri pasi peanesthesia panguva yese yekurapwa, saka uchava wakarara zvakanaka.
Mukurapa kweMarginal Mandibulectomy...
1. Chiremba achacheka dama rako.
2. Bundu kana chikamu chepfupa reshaya chinobviswa, pamwe chete nenyama shoma ine hutano yakakomberedza.
3. Maburi anochekwa akavharwa uye anosungirirwa.
MuSegmental Mandibulectomy...
Iyi inyaya yakareba. Mapoka maviri ekuvhiya anogona kushanda panguva imwe chete. Rimwe boka parinoita oparesheni yehudyu, rimwe boka rinogadzirira nzvimbo yekupa rubatsiro.
1. Kutanga, pfupa reshaya rine chirwere rinobviswa pamwe chete nenyama yakapoteredza.
2. Zvikamu zvakabviswa zvinotumirwa kurabhoritari kuti zviongororwe kana masero egomarara aripo kana kuti akapararira.
3. Inotariswawo kuti kenza yapararira here kusvika kuma lymph nodes ari mumutsipa.
4. Rimwe boka rekuvhiya rinotora zvikamu zvemapfupa, ganda, uye tsinga dzeropa zvinodiwa kubva panzvimbo yakaiswa mapfupa (semuenzaniso, gumbo).
5. Pfupa rakabviswa rakaumbwa kuti rienderane nechikamu chakabviswa pashaya.
6. Kuti ropa riendeswe kumatishu akatorwa, tsinga idzodzo dzeropa dzakabatana zvinyoro nyoro netsinga dzeropa dziri mumutsipa wako.
7. Chikamu chitsva cheshaya chakabatanidzwa pashaya uchishandisa mapuratifomu esimbi nemasikuruu, uye maburi acho anovharwa uye anosungirirwa.
Zvimwe zvekuita nekuvhiyiwa
Mushure mekuvhiyiwa, ungangoda kurapwa kwakawedzerwa kuti mazino ako neshaya zvirambe zviri panzvimbo chaiyo uye kuti kufema kuve nyore.
- Mabhandi eArch nerabha: Izvi zvinoiswa mumuromo kuti mazino neshaya zvigare zvakanaka.
- Tracheostomy:Mumazuva mashoma ekutanga mushure mekuvhiyiwa, chubhu inoiswa pamberi pemutsipa mupaipi yemhepo (trachea) kuti kufema kuve nyore nekuti pahuro pachazvimba. Izvi ndezvenguva pfupi.
- Chubhu yekudyisa: Sezvo zvakaoma kudya nemuromo, chubhu inopinzwa nemhino mudumbu kuti ipe chikafu chinovaka muviri chinodiwa uye ichipa chikafu chemvura.
Chii chinoitika mushure mekuvhiyiwa?
Nguva yekupora inoda kushivirira zvishoma.
- Kugara muchipatara: Zvichienderana nerudzi rwekuvhiyiwa kwaunoita, ungangoda kugara muchipatara kwemazuva maviri kusvika kumavhiki maviri. Kuvhiyiwa kwechikamu kunowanzoda kugara kwenguva refu.
- Paunodzokera kumba: Kana wadzokera kumba, zvakakosha kuti uteedzere mirayiridzo yawakapihwa nachiremba wako nemazvo. Uchadzidziswa kuti ungachengetedza sei mavanga ako akachena uye kuti ungadya sei. Ungangove uchiri nechubhu yekudyisa kana wadzokera kumba, kana kuti ungangoudzwa kuti udye chikafu chemvura chete. Inwa mishonga yekurwadziwa yaunopiwa nenguva.
- Mamwe marapirwo: Paunenge uchipora, ungangoda rubatsiro kubva kune nyanzvi yekutaura uye nyanzvi yezvemuviri kuti ikubatsire kudzidza kumedza nekutaura zvakare. Kana wakavhiyiwa kenza, chiremba wako anogonawo kukurudzira kurapwa nemwaranzi kana chemotherapy kuuraya chero masero ekenza asara.
Zvinotora nguva yakareba sei kuti munhu apore zvizere?
Zvakaoma kutaura nguva chaiyo yeizvi. Zvinosiyana kubva pamunhu kuenda kune mumwe uye zvichienderana nerudzi rwekuvhiyiwa kwacho.
- Kupora mushure mekuvhiyiwa kwechikamu chemudumbu kunokurumidza.
- Kupora mushure mekuvhiyiwa kwechikamu chemudumbu uye kugadziriswa kwemuviri kunogona kutora mwedzi yakati wandei. Zvinotora nguva kudzidzazve kumedza, kudya, uye kutaura.
- Zvinogona kutora mavhiki akati wandei kuti udzokere kubasa. Ungangoda kumirira kwenguva yakareba kuti utange mabasa anorema akadai sekurovedza muviri. Chikwata chako chekurapa chichakupa purogiramu inoshanda kwauri.
Ndezvipi zviratidzo zvinoda kushanyirwa kwachiremba nekukurumidza?
Kana ukaona chimwe chezviratidzo izvi uri kumba mushure mekuvhiyiwa, tsvaga rubatsiro rwechiremba nekukasika. Kana zvichidikanwa, enda kuchipatara cheEmergency Department (ETU).
| Chiratidzo | Tsananguro |
|---|---|
| Kupindwa nechando | Kupisa kwemuviri kuri pamusoro pe100.5 Fahrenheit (38.05 Celsius). |
| Kurwadziwa kwakanyanya | Kurwadziwa kwakanyanya kusingaderedzi kunyangwe nemishonga inoderedza marwadzo. |
| Kuoma kufema | Kushaya mweya kana kuoma kufema (dyspnea). Izvi zvinokonzeresa emergency. |
| Kuzvimba | Kuzvimba kusingajairika kwechiso, mutsipa, kana kutenderedza ronda (angioedema). |
| Zvimwe zvinhu | Musoro wakakomba, kuwedzera kwemavanga akakomberedza ronda, kuda kurutsa kana kurutsa, mapundu eganda. |
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweMandibulectomy hachisi chinhu chekutya, ivhiyi inoponesa hupenyu iyo inokosha pahutano hwako.
- Rudzi rwekuvhiyiwa kwaunoda runoenderana nemamiriro ako ezvinhu. Taura pachena nechikwata chako chekurapa nezvazvo.
- Nguva yekupora inogona kutora nguva yakareba, uye mwoyo murefu, ushingi, uye rutsigiro rwemhuri zvakakosha zvikuru.
- Tevedzera mirairo yachiremba nokungwarira mushure mekuvhiyiwa, kunyanya maererano nekudya uye kutarisira maronda.
- Kana muine kusava nechokwadi, mibvunzo, kana zviratidzo zvekunyevera, fonerai chiremba wenyu nekukasika.
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