Kawng natna atana ACDF surgery chungchang zawng zawng (Anterior Cervical Discectomy & Fusion)

A châng chuan i kawr aṭanga i kut thlenga natna nasa tak i nei ṭhin em, a nih loh leh i kut zungtangte chu a hring chhuak ṭhin em? I kal lai pawhin tlem chuan i nghet lo deuh pawh a ni mai thei. Heng thilte hi a chhan chu cervical spine-a nerve pinched vang a ni thei. Chuvangin, vawiin hian he natna hi surgery hlawhtling tak tak kan sawi dawn a ni. Hei hi ACDF surgery an ti a.

ACDF surgery hi eng nge ni tak tak?

A awlsam zawngin ACDF hi "Anterior Cervical Discectomy and Fusion" tih acronym a ni. Hei hi Sinhala tawngin i hrethiam ang u.

• Anterior Cervical tih awmzia chu ‘kawng hma lam atanga’ tihna a ni. Chumi awmzia chu he surgery hi kawr sir atanga tih a ni tihna a ni.
• Discectomy tih awmzia chu ‘disc lakchhuah’ tihna a ni. Hei hi ruh pahnih inkar kan ruhro (spine) jelly ang chi a ni. A bulge chhuak thei a, nerve pakhat a press thei bawk.
• Fusion tih awmzia chu ‘fusion’ tihna a ni. Chu chu disc lakchhuahna hmunah ruh (bone graft) dah a, a chung leh a hnuai lam vertebrae pahnih chu fuse-in ruh chak tak pakhat siam a ni.

Chuvangin, a thupui ber chu i kawr hmalam kal tlangin, buaina nei disc chu la chhuakin, chu vertebrae pahnih chu fuse khawm rawh. Hei hi i kawr chhunga i spinal nerve emaw spinal cord emaw compression awm apiang tihziaawmna tur a ni.

He surgery hi tute tan nge tih a rawt?

Hei hi surgery lian tak a nih avangin doctor-te chuan enkawlna dang zawng zawng a hlawhchham hnuah chauh an ti thin. A hnuaia symptoms te hi i neih a, standard treatment hmanga a tha lo a nih chuan i doctor chuan he surgery hi a ngaihtuah thei ang.

Chutiang thilte chuan a puih loh chuan surgery hi ngaihtuah a ni. Surgery a ngai leh ngai loh chungchanga thutlukna hnuhnung ber chu i spine specialist-in a siam thin.

Operation hmain engtin nge i inbuatsaih thin?

Surgery hmaa inbuatsaih ngai tlemte a awm.

• Doctor nena inhmuhkhawm: Surgery neih hmain i surgeon nen in inhmuh a ngai ang. A enfiah ang che a, i hriselna leh i damdawi ei tur eng pawh a zawt ang che.
• Test tul: Neck X-ray emaw MRI scan emaw i la neih loh chuan order an ni ang. Chûngte chuan buaina awmna hmun dik tak leh a nasat dân hriat theih nân a ṭanpui ang.
• Thiltih \ha lo bânsan: Meizial i zuk chuan zai hma thla khat tal chu i chawlhsan vek tur a ni. Meizial zuk hian ruh damna nasa takin a tikhawtlai a ni. Zu in bansan turin an ti bawk ang che.
• Blood thinners: Thisen tithianghlimtu i ei dawn a nih chuan i surgery hma ni engemaw zat chhung chu i ei tawh loh a ngai dawn a, i doctor-in a tih angin. Doctor thurawn tel lo chuan damdawi engmah ei khap suh.
• In lama hruai tur che: Operation hnua in lama hruai tur che tur ruahmanna siam lawk a pawimawh hle.

Engtin nge surgery hi tih a nih?

Okay, tunah chuan surgery neih chhung hian eng nge thleng tih kan en ang. Ngaihtuah buai suh, general anesthesia hnuaiah i awm dawn avangin natna engmah i hre lo ang. I muhil tha hle ang.

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3. Disc Removal: A dawtah chuan nerve-a press buai mek disc leh a chhehvela ruh spur duh loh lo awmte chu paih vek a ni.

4. Fusion: Tunah chuan a pawimawh ber a lo thleng ta. Disc lakchhuahna hmunah hian bone graft emaw titanium cage te tak te, bone powder-a khat emaw dah a ni. Hei hian a chung leh a hnuai lam vertebrae pahnih chu hun kal zelah a inzawm khawm a, ruh chak tak pakhat a siam a ni. Arm tliak fuse ang maiin.

5. Fixation: Heng ruhte hi a inrem fel hma loh chuan a che thei lo tur chuan thir plate te tak te leh screw hmangin an fix fo thin.

6. Incision khar: A tawp berah chuan chu lam a thil tih tawh zawng zawng chu a hmunah dah leh a, incision chu khar a, sewn a ni.

He surgery pumpui hi darkar 1-2 vel a ni tlangpui.

Surgery hnuah eng nge thleng? Engtin nge dam leh hun chu?

Surgery zawhah observation unit-ah hruai i ni ang. I hriatna i neih leh hma loh chuan i dinhmun chu uluk takin an enfiah ang. A tam zawkah chuan damdawi inah zan khat chauh i awm a ngai dawn a ni.

Damna kawngah heng thilte hi a pawimawh a ni:

• Painkillers: Doctor chuan a natna tan ni hmasa berah painkiller a pe ang.
• Chawlh: Kar hmasa lamah chuan chawlh hahdamna tam tak i nei tur a ni. Thil rit phurh leh i kawng ti na thei thil tih hi i bansan vek tur a ni.
• Neck Brace: A chang chuan, i kawr thlawp turin brace bik bun turin an ti thei che a ni. Doctor-in a rawt chhung chu i ha tur a ni.
• Physical therapy: Operation atanga kar 4-6 hnuah physiotherapist enkawlna hnuaiah exercise tih tir i ni ang a, chu chuan i kawng ruhte a tichak ang.

Ruh hi a dam kim theih nan leh a chak theih nan thla 6 atanga thla 12 vel a ngai thei. Mahse zawi zawiin i thiltih pangngaiah i kir leh thei a ni. I hnathawh dan azirin kar 3-6 chhungin hna i thawk leh thei a, i doctor remtihna nen.

He surgery hi a hlauhawmna a awm em?

Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Mahse, hengte hi a tlem hle. Hlawhtlinna rate hi 85%-95% vel a ni. Harsatna awm thei thenkhat chu hetiang hi a ni.