I ke ruh ah natna i nei rei tawh em? I kal emaw, stairs i chhoh emaw hian pinching emaw, numbness emaw i nei mai thei em? A nih loh leh i ding mai mai lai pawhin i ke ruh chhung lam natna i tuar em? Damdawi ei leh physical therapy neih lai pawhin he dinhmun hi a ṭha chho lo em ni? Tichuan i doctor chuan ‘Ankle Arthroscopy’ tih surgery chungchang a hrilh che a ni mai thei. He hming i hriat hian tlem a ti hlauthawng mai thei che. I ngaihtuah tawh mai thei, "Surgery dang?" Mahse, lungngai suh. Vawiin hian engkim hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
Ankle Arthroscopy tih hi eng nge ni?
A awlsam zawngin sawi ila, hei hi keyhole atanga en ang maia tih surgery a ni. Chuvangin "keyhole surgery" an ti bawk. I ke ruh chu a hma ang bawka incision lian tak siam a, hawn ai chuan, he procedure hmang hian i doctor chuan i ke ruh vunah hian incision tenau tak tak (a tlangpuiin inch chanve aia tlem lo) tlemte chauh a siam a ni.
Tichuan, chu incision te tak te hmang chuan hmanraw bik an dah lut ta a ni. Arthroscope an ti a ni . Tube te tak te a ni a, camera te tak te tak leh light a inbun a ni. He camera atanga thlalak te hi screen lian takah (monitor) a lang a, chuvangin doctor chuan i ke ruh chhunga thil awm zawng zawng, ruh, cartilage leh ligament te pawh chiang takin a hmu thei a ni.
Buaina awmna hmun dik tak hriat chian a nih chuan, ruh chhunga chhiatna awmte siam ṭhat nân, incision tenau dang hmangin surgical instrument te te an dah a ni. Incision lian tak a nih loh avangin hei hi operation stressful lo zawk a ni.
He surgery hi tute nge mamawh?
A tlangpuiin damloin ke ruh na a neih chuan doctor chuan operation turin a refer nghal ngai lo. Surgery ni lo enkawlna, natna tidamtu, steroid injection, leh physical therapy te hi hman hmasak ber a ni.
Mahse, heng zawng zawng hian i natna leh i rilru hahna atanga chhanchhuahna tling a pe lo a nih chuan, buaina chu ruh chhung ngeiah a awm vang a ni thei. Chutih hunah chuan i doctor chuan ankle arthroscopy a ngaihtuah ang. I ke ruh chu a nghet lo lutuk a, i kal thei lo a nih chuan, emaw, i ke ruh i roll fo a nih chuan, he surgery hi solution tha tak a ni thei.
Eng natna nge Ankle Arthroscopy hmanga enkawl theih ang?
He keyhole surgery hian ke ruh harsatna tam tak a chinfel sak thei a ni. He surgery hmanga enkawl natna ber berte hi han thlir ila.
| Damdawi lam dinhmun | A awlsam zawngin sawifiah a ni |
|---|---|
| Ankle instability a awm lo | A châng chuan ke ruh a deformity emaw, ligament a chak loh vang emaw chuan i kal laiin ke ruh chu "a nghing" emaw, "control hloh" emaw ang maiin a lang ṭhin. He surgery hian a chhan zawngin a siam tha thei a ni. |
| Impingement a awm | Ankle vel tissue te chu rei tak pressure an neih chuan an lo hring chhuak a, an na tan thin. Hei hian ke ruh a ti nghet a, a ben leh a ding dik thei lo. He surgery hian a tikhauhtu hmunte chu a paih chhuak thei a ni. |
| Ruh/cartilage fragment chhe tawh leh scar tissue te lakchhuah | Accident hnuah ruh leh ruh te te te chu ruh chhungah a lo lut thei a. Hei hian natna nasa tak a thlen thei a ni. Tin, hliam a dam huna lo awm thin scar tissue duh loh vangin ruh chu a tang thei bawk. He surgery hian heng duh loh zawng te hi a paih chhuak a, ruh chu a tifai thin. |
| Ligaments a chhe tawh | Ligament hi kan ruhte inzawmkhawmtu rubber band ang a ni. Chûngte chu accident emaw, tlu emaw avânga a hrual a nih chuan ke ruh chu a thawk ṭha lo ang. He surgery hian ligament chhe tawhte chu a siam tha thei a ni. |
Operation hmain engtin nge i inbuatsaih ang?
Surgery hlawhtling tur chuan inbuatsaih lawk a ngai a ni. Doctor thupek dik taka zawm a pawimawh hle.
| Eng nge tih/tawp tur | Engvangin nge chu chu? (Chhan) |
|---|---|
| Thisen tithianghlimtu | I damdawi ei zawng zawng (vitamin leh supplement te pawh tel) doctor hnenah hrilh rawh. Thisen tithianghlimtu (e.g., aspirin, warfarin) hian operation lai leh operation hnuah thisen a tipung thei a ni. I doctor chuan engtikah nge i ei tawh loh tur tih a hrilh ang che. |
| Meizial zuk | Meizial zu mi i nih chuan zai hma kar li tal chu bânsan a pawimawh hle. Meizial zuk hian hliam damna nasa takin a tikhawtlai a ni. |
| Zu | Zu hian thisen a ti thim thei bawk a, chuvangin operation hma leh operation hnu ni engemaw zat chu zu in loh vek tur a ni. |
| Chaw nghei | Surgery atan anesthesia hnuaiah i awm dawn avangin, i tih hma darkar tlemte (a tlangpuiin darkar 8-12) chhung chu engmah ei leh in loh a tha ber. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che. |
Surgery neih chhung hian eng nge thleng?
Operating theatre-a hruai i nih hnuah anesthetist chuan anaesthesia a pe ang che. Hei hi kawng hnih in tih theih a ni:
1. General Anesthesia: Hemiah hian surgery zawh hma chu i muhil kim vek ang. Engmah i hre lovang.
2. Regional Anesthesia: Hei hian i kawr hnuai lam emaw, i kekawr bul vel emaw chauh a ti na lo. I conscious a, mahse engmah hrehawm i nei lo.
Anesthesia an pek hnuah surgeon chuan ke ruh (ankle)-ah hian incision te te engemaw zat a siam a, arthroscope hmangin a ruh chhung chu a enfiah thin. Buaina awmna hmun dik tak a hriat veleh, surgeon chuan a chhiatna chu siamṭhat nan incision dang hmangin hmanraw mamawh chu a dah lut a ni. Procedure pumpui hi darkar khat vel a ni tlangpui . Mahse, he hun hi i dinhmun azirin a danglam thei.
Debridement tih hi eng nge ni?
Surgery chungchang i sawi hian he thu hi i hre mai thei. Debridement tih awmzia chu ‘thianfai’ tihna mai a ni.. I in chhunga room pakhat chu a buai hle ang tih han ngaihtuah teh. Tlem a tihfai a ngai mai thei. Uluk taka tihfai a ngai mai thei. Engti kawng pawhin, a tawpah chuan a rah chhuah chu a inang vek a, chu chu pindan thianghlim leh felfai tak a ni. Debridement hi chutiang thil chu a ni. Hei hi doctor-in a sawi tum chu i ke ruh chhung atanga a tul lo, tissue chhia, ruh chi hrang hrang, leh cartilage chi hrang hrang te chu paih chhuakin, ruh chu ‘tifai’ a ni.
Surgery hnuah eng nge thleng?
Hei hi outpatient procedure a ni tlangpui . Procedure zawhah darkar engemaw zat enkawl i ni ang a, chutah chuan in lama haw phalsak i ni ang. Doctor emaw nurse emaw chuan i haw hnua i tih tur chu a hrilhfiah ang che.
- Kar hmasa berah chuan ke zai chu rit phurh loh tur . Hei atan hian crutches i hman a ngai dawn a ni.
- Ice leh Elevate Your Ankle: I ke chawi sang, chair-a dah ang chi hian a hring (swelling) a ti tlem thei a ni. Ni khatah vawi tam tak minute 15-20 vel i ke ruh iceing hi natna leh hliam tan pawh a tha hle.
- Hliam fai taka vawng tur: Hliam chu khuh tur a ni a, fai taka vawn tur a ni. Inbual dawnin tui tlak lohna khuhna hmangin khuh thin ang che. Hliam a dam hma chuan inbual emaw, swimming pool-a kal emaw hi a tha lo.
- Painkillers: I doctor-in a pek painkiller (NSAID ang chi) chu a hun takah ei thin ang che.
- Splint: Kar hmasa lamah chuan i ke ruh chetna tihtlem nan splint emaw boot emaw ha turin an ti ang che.
Ni engemaw zat hnuah doctor chuan a hmu leh ang che, a hrualna chu a tikeh ang a, a hnua i tih tur a hrilh ang che. Chumi hnuah chuan physical therapy i tan a ngai dawn a ni . Hei hi i ke ruh chakna leh chetna i neih leh theih nan a pawimawh hle.
He surgery hian eng nge a thatna?
Invasive surgery tam zawk nena khaikhin chuan ankle arthroscopy hian thatna tam tak a nei a.
Hei hi surgical procedure a ni a, taksa tichhe tlem ber a ni a, result pawh a hlawhtling hle. Chuvang chuan khawvel hmun hrang hranga doctor-te chuan he method hi an duh zawk a ni.
- Dam thuai: Hliam lian tham a awm loh avangin dam hun chhung hi a rei lo hle. Kar tlemte hnuah chuan hna pangngai i thawk leh thei ang.
- Natna tlem: Operation hnua natna hi a tlem hle.
- Thisen chhuah tlem leh hliam tenau: Incision te te hian thisen a chhuak tlem a, hliam te te, hmuh theih loh tlemte chauh a la awm.
- Harsatna awm thei lo: Infection ang chi harsatna awm thei hi a tlem hle.
Risk a awm em?
Surgery dang ang bawkin hlauhawmna engemaw zat a awm a, mahse hengte hi thil awm lo tak tak, a thleng fo lo.
- Anesthesia avanga allergy nei
- Nerve tihchhiat a ni
- Thisen zam, a bik takin ke ruh (Deep Vein Thrombosis - DVT) .
- Hliam natna
- Thisen chhuah tam lutuk emaw, a hring emaw
- Ankle leh kea natna (numbness) a awm
- A nih loh leh, buaina chu chinfel kim a nih loh chuan operation dang neih leh a ngai mai thei.
Heng risk te hi hlau suh. I doctor chuan heng hlauhawmnate hi tih tlem nan a tul zawng zawng a la ang.
Operation hnuah engtikah nge doctor ka hmuh ang?
Surgery hnua in lama i haw hnuah i taksa ngaihven a pawimawh hle. A hnuaia symptoms te hi i neih chuan i doctor ko nghal la , a nih loh leh i enkawlna hmun damdawi inah kal rawh.
- Natna tuar theih loh i tawn chuan .
- Hliam chu thisen chhuak tam lutuk a nih chuan .
- Nausea leh vomiting a awm reng chuan.
- Infection chhinchhiahna i hmuh chuan (e.g. khawsik, sen, hring, incision vel lum, pus).
Take-Home Thuchah a ni
- Ankle Arthroscopy hi "keyhole surgery" hmasawn tak a ni a, ke ruh chungchanga harsatna awmte chu taksa tichhe tlemte chauhvin a enkawl a ni.
- Hei hi hun rei tak chhunga ke ruh na, a nghet lo, leh a nghet lo ang chi, enkawlna dang hmanga tihdam loh te tan chuan solution tha tak a ni.
- Open surgery lian tak tak nena khaikhin chuan dam hun a tlem a, natna a tlem a, harsatna a tlem zawk bawk.
- Dam vat tur chuan zai hma leh operation hnua doctor thupek uluk taka zawm a pawimawh hle.
- Surgery hnua physical therapy hi ke ruh chakna leh hnathawhna famkim neih leh theihna awmchhun a ni.
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