Fungidzira kana mumwe munhu akabatwa nekenza yemuromo, kana hutachiona hwakakomba mupfupa repazasi peshaya... dzimwe nguva chikamu chine chirwere chinofanira kubviswa zvachose nekuvhiyiwa. Saka, munyaya ino nhasi, tichataura nezvekuvhiyiwa kwakakosha kunoitwa mumamiriro ezvinhu akadaro. Kunyangwe iyi iri nyaya yakaoma zvishoma, ngatitaurei nezvayo zviri nyore sezvinobvira.
Chii chinonzi mandibulectomy?
Zvichitaurwa zviri nyore, mandibulectomy kuvhiyiwa kubviswa kwechikamu cheshaya yako yepazasi/mandible yese. Vanachiremba vanowanzoita kuvhiyiwa uku kubvisa bundu rekenza kana chimwe chikamu cheshaya chine chirwere. Izvi zvinonziwo kubviswa kwehumambo .
Ndedzipi mhando huru dzekuvhiyiwa uku?
Kuvhiyiwa uku kunogona kukamurwa kuita mhando mbiri huru. Ngationei kuti ndedzipi.
| Rudzi rwekuvhiyiwa | Tsananguro iri nyore |
|---|---|
| Kuvhiyiwa kweMandibulectomy (Kuvhiyiwa kweMarginal Mandibulectomy) | Izvi zvinosanganisira kubvisa chikamu chidiki cheshaya yako yepazasi. Izvi zvinowanzobvisa chikonzero chekuvhiyiwa kwemuviri. |
| Kuvhiyiwa kweMandibulectomy yechikamu | Mukuita uku, chikamu chikuru chezasi cheshaya chinobviswa. Nokudaro, shaya inofanira kugadziriswa patsva. Kuti vaite izvi, vanachiremba vanotora mapfupa, mitsipa yeropa, uye nyama kubva kune imwe nhengo yemuviri wako (semuenzaniso, gumbo, fudzi) kuti vagadzire shaya. Maitiro aya anonziwo free-flap reconstruction . |
Unowanepi pfupa rekuvakazve shaya yako?
Mukuvhiyiwa kwemapfupa emusana, tinoti zvidimbu zvemapfupa zvinodiwa pakuvakazve shaya zvinotorwa kubva kune dzimwe nhengo dzemuviri. Nzira dzinonyanya kushandiswa pakuita izvi ndedzinotevera:
- Gumbo rezasi
- Chipande chepfudzi
- Hudyu
Mune zvimwe zviitiko, ndiro dzesimbi kana kunyange pfupa kubva kune anopa zvinogona kushandiswa pachinangwa ichi.
Ndiani anoda kuvhiyiwa uku?
Pane mamiriro akati wandei apo chiremba wako angakurudzira rudzi urwu rwekuvhiyiwa.
- Kana uine kenza yemuromo .
- Kana uine kenza pakati pehuro (kenza yemudumbu) .
- Kana paine chirwere chakakomba chepfupa reshaya (osteomyelitis) .
- Kana mimwe mishonga (bisphosphonate therapy) ikakonzera kurasikirwa kwakanyanya kwemapfupa mushaya (osteonecrosis yeshaya) .
- Kana paine kukuvara kukuru kweshaya yepazasi.
Chinhu chinonyanya kukosha ndechekuti timu yako yezvekurapa ndiyo ichasarudza kuti ndeipi nzira yekurapa yakakunakira iwe mumamiriro ezvinhu aya. Saka, zvakakosha kutaura navo pachena uye kugadzirisa mibvunzo yako nematambudziko ako.
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Vasati vaita rudzi urwu rwekuvhiya, timu yenyu yezvekurapa ichaita bvunzo dzakasiyana-siyana, kusanganisira CT scan, kuti vaone zviri nani kukura uye mamiriro egomarara riri mushaya yako.
Kana uchida kuvhiyiwa kwekugadzirisa shaya, mimwe miedzo inogona kuitwa kuti utarise hutano hwetsinga dzeropa panzvimbo yekupa ropa.
Uyewo, chiremba wako achakukurudzira kuti usaite zvinhu zvinotevera usati wavhiyiwa, sezvo izvi zvinogona kuwedzera kubuda ropa panguva yekuvhiyiwa uye kunonoka kupora kweronda mushure mekuvhiyiwa.
- Doro
- Mishonga inonyaradza marwadzo yakaita seaspirin neibuprofen
- Kusvuta
- Zvimwe zvinovaka muviri zvemishonga
Chii chinoitika panguva yekuvhiyiwa?
Kuvhiyiwa kwe mandibulectomy kuvhiyiwa kwenguva refu kunotora maawa akati wandei. Kunoitwa iwe wakarara pasi peanesthesia .
Mukurapa kweMarginal Mandibulectomy...
1. Chiremba achacheka dama rako.
2. Chikamu chegomarara chepazasi peshaya nenyama yakachipoteredza zvinobviswa.
3. Machekwa acho anosonerwa kumashure akavharwa.
MuSegmental Mandibulectomy...
Iyi inzira yakaoma zvikuru.
1. Kutanga, kenza yeshaya nenyama yakaipoteredza zvinobviswa.
2. Zvikamu zvakabviswa zvinotumirwa kunoongororwa kuti zvionekwe kana kuchine masero ekenza.
3. Inotariswawo kuti kenza yapararira here kusvika kuma lymph nodes.
4. Zvadaro, chidimbu chepfupa, nyama, neganda zvinotorwa kubva panzvimbo yakatarwa (senge gumbo, fudzi, nezvimwewo).
5. Pfupa rakabviswa rakaumbwa kuti rikwane chikamu cheshaya chakabviswa.
6. Mitsipa yeropa (tsinga netsinga) kubva panzvimbo yakachekwa yakabatana netsinga dzeropa dziri mumusoro nemutsipa. Izvi zvinoitwa nokungwarira kukuru.
7. Pakupedzisira, shaya itsva inogadziriswa nemaplates nemasikuruu, uye maburi anosungirirwa akavharwa.
Mushure mekuvhiyiwa, ungangodawo zvimwe zvezvinhu izvi:
- Mabhandi emadziro nemabhandi erabha mukati memuromo kuti mazino neshaya zvirambe zvakagadzikana.
- Chubhu ye tracheostomy yekukubatsira kufema.
- Chubhu yekudyisa ichubhu inopfuudzwa kubva mumhino kuenda mudumbu kuti ipe chikafu chakakodzera.
Chii chinoitika mushure mekuvhiyiwa?
Zvichienderana nerudzi rwekuvhiyiwa kwawakaitwa, ungangoda kugara muchipatara kwemazuva maviri kusvika kumavhiki maviri. Mushure mekudzokera kumba, unofanira kutevedzera mirairo yachiremba wako pamusoro pekuchengetedza mavanga ako akachena uye kudya . Pakutanga, ungangoda kudya uchidya zvine mvura kana kuburikidza nechubhu yekudyisa. Taurawo nachiremba wako nezvekuti ungagadzirisa sei marwadzo ako.
Munguva yekupora, ungangoda kurapwa nekutaura uye kurapwa nemuviri. Kana wakambova nekenza, kurapwa nemwaranzi kana chemotherapy zvinogonawo kukurudzirwa kuuraya chero masero ekenza asara.
Ndezvipi zviratidzo zvinoda kurapwa nekukurumidza?
Zvakakosha kutsvaga rubatsiro rwechiremba nekukasika kana ukaona zviratidzo zvekunyevera mushure mekuvhiyiwa kumba. Ngwarira zviratidzo zvinotevera:
| Chinhu chekuteerera |
|---|
| Fivha inopfuura 100.5 Fahrenheit (38.05 Celsius) |
| Musoro wakakomba |
| Kurwadziwa kwakanyanya kusingaderere kunyangwe uchinwa mishonga inonyaradza marwadzo |
| Kuoma kufema (dyspnea) |
| Kuzvimba kwakanyanya (angioedema) panzvimbo yekuvhiyiwa kana kune imwe nzvimbo |
| Kusvotwa kana kurutsa |
| Chirwere chakaita semapundu paganda |
Kana ukaona chimwe chinhu chakadai, zivisa chiremba wako nekukasika. Kana paine emergency, enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweMandibulectomy kuvhiyiwa kukuru kunoshandiswa pakurapa zvirwere zvakakomba zvakaita sekenza yemuromo uye hutachiona hwakakomba.
- Muizvi, chikamu chidiki kana chikuru cheshaya chinobviswa, uye dzimwe nguva shaya inovakwazve uchishandisa pfupa rakatorwa kune imwe nzvimbo mumuviri.
- Kuporeswa kunotora nguva uye kunoda rutsigiro rwechikwata chevanachiremba, kusanganisira vanachiremba nevanorapa kutaura.
- Zvakakosha kutevedzera mirairo yese yaunopihwa nachiremba usati wavhiyiwa uye mushure mekuvhiyiwa.
- Kana ukaona zviratidzo zvekunyevera mushure mekuvhiyiwa, usanonoka uye tsvaga rubatsiro rwechiremba nekukasika.
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