Taksa peng pakhat surgery hmanga lakchhuah (Amputation): Hemi chungchang hi han sawi ila

Taksa peng pakhat, kut, ke, a nih loh leh kut zungtang ang chi, surgery hmanga lak chhuah a ngai tih ngaihtuah hian a hlauhawm thei hle. Ngaihtuah thiam a har khawp mai. Mahse a chang chuan, mi nunna chhanhim tur emaw, hri kai na tak a darh loh nan emaw, he thutlukna harsa tak hi i siam a ngai thin. Hei hi thupui sensitive tak a nih avangin chipchiar tak leh awlsam takin sawi ila.

‘Amputation’ tih hi eng nge ni?

A awlsam zawngin, amputation chu taksa peng pakhat, a bik takin kut, ke, kut emaw, ke emaw surgery hmanga lakchhuahna a ni. A châng chuan accident na tak a thlen hnuah taksa peng pakhat a bo a, chu surgery hi tihfai leh him taka siam ṭhat a ngai bawk.

Part lakchhuah tam berte chu:

• Kut emaw, kut pakhat emaw
• Kutphah
• A kut zungtang
• Ke emaw, ke thenkhat emaw
• A ke pakhat
• A ke ruh a ni

Heng bakah hian, a tlem hle nachungin, hei hian hmai hmun thenkhat (beng, hnar, lei), hnute (mastectomy), testicles emaw, penis emaw lakchhuah te pawh a huam thei bawk.

Engvangin nge hetiang taksa peng hi lak chhuah?

Ngaihtuah teh, thing hnah pakhat a thi a, a ro chuan a hnah dang leh thing pum pui a tichhe thei a ni. Chuvang chuan chu branch chu kan tan a, kan paih chhuak ta a ni. Chutiang chu a ni. Natna khirh tak emaw, accident na tak emaw avanga taksa peng chhia chu a lo awm leh thei lo a nih chuan , taksa chhunga dah chu a hlauhawm hle.

Chutiang a nih chhan hrang hrang a awm a:

• Tissue Thihna: Hmun pakhata thisen kal chu tihtawp a nih chuan tissue a thi tan thin. He tissue thi hian natna hrik taksa pum puiah a darh tir thei a, nunna atana hlauhawm a ni thei bawk.
• Thunun theih loh hri kai: Infection thenkhat chu eng ang pawhin enkawl ni mahse control theih a ni lo. Hriselna hmun danga hri kai a darh loh nan chuan a kai lai chu paih chhuah a ngai a ni.
• Hnathawh hloh: Chu lai hmuna nerve te a chhiat chuan hriatna hloh leh che tha thei lo a awm ang. Sensation hloh a awm chuan hliam chu hriat lohvin a awm thei a, a natna chu a zual thei bawk.

Taksa peng pakhat lakchhuah chhan berte chu engte nge ni?

A hnuaia tarlan te hi damdawi lam dinhmun pawimawh tak tak leh chutiang thutlukna siam chhan berte chu a ni.

Operation hmain eng nge thleng thin?

Surgery hi accident vang a nih loh chuan surgery hmaa inbuatsaihna tur step engemaw zat a awm.

Tehna

I medical team chuan i dinhmun emaw, accident awm dan emaw uluk takin an zirchiang ang. A châng chuan, chu taksa peng chu chhanchhuah tum nân surgery hmanraw changkang tak tak hman a ni thei bawk. Hei hi limb salvage surgery an ti a .Chutiang thil awm thei a nih chuan doctor chuan a thatna leh that lohna a sawipui ang che. Mahse naute chhanchhuah theih a nih loh chuan he assessment hmang hian surgery ruahmanna siam a ni ang.

Counselling pek a ni

Hei hi surgery mai a ni lo. Hei hi dam chhung zawnga rilru leh taksa lama zinkawng a ni. Chuvangin i medical team-ah hian surgeon chauh ni lovin, specialist dangte pawh an tel dawn a ni. Therapist hrang hrangte nen in inhmu ang a, operation atan an buatsaih ang che a, a hnua i dam leh dan tur ruahmanna i siam ang. Prosthetic limb i duh chuan prosthetist nen inhmuhkhawmin i duhthlan tur i sawiho thei ang.

Surgery neih chhung hian eng nge thleng?

Surgery neih chhung hian surgeon chuan tissue natna leh chhia zawng zawng a paih vek a. Tin , tissue hrisel tam thei ang ber chhanchhuah a tum bawk. Tin, nerve leh thisen kalna kawng chhia te pawh siam that a ngai mai thei bawk. Ruh tawp lam chu trim emaw smooth emaw a ni. Chumi hnuah chuan ruh la awm chu ruh-ah an inzawm khawm a, an inzawm khawm leh a ni. Hei hian hmun a tichak a ni.

A châng chuan, prosthesis bik atana inbuatsaih nân, operation neih laiin thil dang i tih a ngai mai thei. Entir nan:

• Target Muscle Reinnervation: Hei hi technique ngaihnawm tak a ni. A bik takin kut tan tawhte tan a pawimawh hle. Surgeon chuan i kut tan tawh che vel control tu nerve te chu i rilru emaw i kephah emawa ‘target muscle’ dang nen a thlunzawm leh thin. Chumi hnuah chuan chu ruh chu i activate thei a, i duh angin kut lem chu i control thei bawk.
• Osseointegration: Hei hi i prosthesis chu ruh nen direct-a inzawm tihna a ni. Surgeon chuan ruh chhungah hian metal anchor a dah a. Prosthesis chu a chungah direct-in a inzawm thei a ni. Hei hian prosthesis chu lakchhuah leh dah leh a awlsam hle.
• Rotationplasty: Hei hi surgery tih hi a tlem hle. Hetah hian ke chunglam thenkhat chu lakchhuah a ni a, ke hnuai hrisel tak chu ke chunglam angin an inzawm leh a ni. Mahse, rotated a ni. Hei hian i ke ruh (ankle joint) chu khup ang maiin a che tir thin. Hei hian khup chunglam prosthesis hmang lovin khup hnuai lam prosthesis hman theihna a siam a ni.

Operation hnuah eng nge thleng?

Surgery hnuah ni engemaw zat emaw, kar engemaw zat emaw damdawi inah i awm a ngai dawn a ni. A tul angin oxygen, saline (IV), leh natna damdawi pek i ni ang. Urinary catheter pawh i dah tel thei bawk. Ni engemaw zat hnuah physical therapist a rawn kal ang a, exercise tenau te a ti tan ang che a, chu chuan stiffness tihziaawmna atan a pui ang che.

Chumi hnuah chuan in lamah emaw, specialised rehabilitation center-ah emaw i rehabilitation process chu i chhunzawm zel a ngai dawn a ni. Hemi hun chhung hian specialist hrang hrangin i taksa danglam tawh nen nun dan zir turin an pui ang che.

I rehabilitation program-ah hian:

• Physical Therapy: Tissue a nghet lo tur chuan i che reng a ngai a ni. Tin, i taksa hi kawng thara hman dan leh taksa ruh hrang hranga innghah dan i zir a ngai bawk.
• Occupational Therapy: Occupational therapist hian nitin hna (inchhung hna, hnathawh) chu i taksa thar nena inmil tur zawnga tih dan tur a zir theih nan a pui thin.
• Psychotherapy: Hei hi a pawimawh hle. Taksa peng pakhat hloh hi rilru lama harsatna lian tak a ni. A kaihhnawih rilru natna (lungngaihna, thinrimna, hlauhna) hrang hrangte hmachhawn tur leh i ngaihtuahna siamrem tura pui turin professional tanpuina zawn a pawimawh hle.
• Prosthetic leg fit leh training: Prosthetic leg hman i tum a nih chuan fitting process chu hliam a dam hnuah a intan ang. Tichuan thla engemaw zat hman turin training i neih a ngai dawn a ni.

Eng chen nge a dam theih ang? Engtin nge a natna chu?

Dam leh hun chhung hi mi hrang hrangah a inang lo. A tlangpuiin, surgery-a hliamte chu a dam theih nan leh a hring (swelling) a tlahniam theih nan thla hnih atanga thla thum vel a ngai thin. Chumi hnuah chauh chuan kut leh ke lem (prosthetic limb) dah theih a ni. Physical therapy hi operation hnuah a rang thei ang bera tan a ni a, thla ruk tal chhunzawm tur a ni.

Natna chungchang sawi ila, surgery neih chhung hian natna engmah i hre lovang. Chumi hnuah chuan damdawi inah natna tidam thei damdawi chak tak tak pek i ni ang. Mahse, hun rei tak chhung chu natna chi dang a awm thei.

• Residual Limb Pain: Limb lakchhuah tawh stump-ah natna a awm thei. He nerve natna hi operation laia nerve tihchhiat vang a ni thei. Prosthesis avanga vun lama harsatna a awm thei bawk. Hemi chungchang hi i doctor emaw prosthetics specialist emaw nen inbia ang che.
• Phantom Limb Pain: Mi tam tak chuan an ke ruh tan tawh chu a la awm reng a, natna thlentu ang maiin an inhria. Hei hi a hluar hle. Hei hi a chhan chu nerve severed te hian thluak ah signal an la thawn reng vang a ni. Hei hi thil pangngai a ni a, chuvangin he thu hi i doctor nen inbia ang che.
• Psychological Pain: Taksa peng pakhat hloh avanga rilru hahna, lungngaihna leh trauma te hi a nasa hle. Hei hian depression emaw post-traumatic stress disorder (PTSD) ang chi dinhmun a thlen thei a ni. He rilru natna hi hmachhawn tur hian professional tanpuina zawn a pawimawh hle.

Engtikah nge i medical team te hi i biak tur?

I dam chhung hian harsatna emaw, lungawi lohna emaw i neih chuan i medical team te biak nghal tur a ni. I tanpui turin an lo kal a ni.

Taksa peng pakhat lak chhuah hi nangmah emaw, i doctor emaw pawhin awlsam taka ngaihtuah tur thutlukna a ni lo. Mahse, accident emaw, natna emaw chuan i nunna a tichhe a nih chuan, chu ṭhen chu i hrisêlna pum pui atân i hlan a ngai mai thei. A awlsam lo hle a, mahse he surgery hian nunna atana hlauhawm dinhmun a\angin a chhuah zalen thei che a ni. Taksa leh rilru lama insiamrem turin hun a duh ang. Mahse, puihna leh insiamthatna dik tak i neih chuan i kal theihna, zalenna leh nun hmangaihna i nei leh thei a ni.