Tlan lai te, zuang lai te, cricket ang game khelh laiin i ke ruh i tikehsawm tawh em? A nih loh leh tuna kum upat ruala lo awm ruh natna hian i ke ruh pawh a nghawng a, i kal pawh theih loh khawpa na a siam em? A châng chuan heng harsatnate hi damdawi, hriak, leh taksa lam enkawlna hmangin tihdam theih a ni a, mahse a châng chuan doctor chuan, "Orgery tlem kan tih a ngai a ni," a ti mai thei. Chu thu i hriat chuan tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Mahse lungngai suh, vawiin hian he ke ruh surgery zawng zawng hi simple Sinhala tawngin i hriatthiam theih tur kan sawi dawn a ni.
A awlsam zawngin, ke ruh surgery tih hi eng nge ni?
Ankle surgery hi i ke ruh chhunga harsatna emaw, dinhmun emaw siamthatna atana surgical procedure eng pawh a ni. I ke ruh chu ruh (joint) mai a ni lo tih hre reng ang che. Ruh engemaw zat atanga siam, thil inzawmkhawm (complex structure) a ni. Heng ruhte hi cartilage leh ligament te hian an vawng tlat a ni. Heng ruhte hi ruh leh ruh (muscle) leh ruh (tendon) te hian an chelh a ni. Chuvangin, ke ruh natna i neih hian heng hmun hrang hrangah hian harsatna a ni thei. Doctor-te chuan enkawlna dangin a natna a tihziaawm loh emaw, a chhiatna a siam ṭhat loh emaw chauhvin surgery hi an ngaihtuah ṭhin.
Eng ang dinhmun nge ke ruh surgery hmanga enkawl?
A hnuaia mi ang hian operation neih a ngai fo thin. Heng thute hi i medical record-ah i hmu tawh mai thei.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Ankle Arthritis natna a ni | Kum upa lam emaw, thil dang vang emawa ruh chhunga cartilage a chhe lutuk a, ruhte chu a inzawm khawm a, chu chuan natna leh hring nasa tak a nei thin. |
| Ankle Fracture a awm | Ankle ruh pakhat emaw a aia tam emaw a tliak, tlu emaw accident emaw ang chi. |
| Ankle Impingement a awm | Ruh, tissue emaw, ruh chhunga hring (swelling) tam lutuk hian ke ben leh tihdik harsa a ti thei. Hei hi infiammiah a thleng fo thin. |
| Tendonitis natna (Tendonitis) a ni | Ankle tendons ah a hring leh a na. |
| Bone Spurs a ni | Ruh chunga thil thar lo piang hian a chhehvel tissue a tichhia a, a ti na bawk. |
| Ankle Instability a awm lo | Ankle-a ligament chak lo, ke ruh a hliam fo thin. |
| Tendon Tear a ni | Ankle-a tendon pawimawh tak, Achilles tendon ang chi rupture. |
Engtikah nge operation tih a ngai?
Ankle problem tam zawk hi chu operation tel lovin enkawl theih a ni. Mahse, a chang chuan eng ang enkawlna pawh tum mah la, an thawk chhuak lo. Thil tih nan i ke ruh hman i harsat chhunzawm zel a nih chuan, emaw, i doctor-in operation tel lo chuan i dinhmun a na zual ang tih a ngaihtuah chuan operation tih a tha mai thei.
A pawimawh ber chu hemi chungchang hi doctor nen inhawng taka sawi dun hi a ni. Engkim zawt la, zawng chhuak rawh, chu chu operation a ngai em tih te, duhthlan tur dang a awm em tih te, operation hnua eng nge thleng dawn tih te hi a ni.
Ankle surgery chi hrang hrangte chu engte nge ni?
Tunah chuan heng surgery te hi eng nge ni tih i lo en ang u. Technology lama hmasawnna avang hian tunah chuan surgery tam zawk chu camera incision te tak te hmanga dah (Minimally Invasive Surgery) hmanga tih a ni ta a ni. Hei hi ankle arthroscopy an ti a . Hetah hian incision lian tak ai chuan incision tenau engemaw zat siam a ni a, chuta tang chuan camera leh instrument nalh tak tak dahin surgery tih a ni. Mahse, thil na tak tak ṭhenkhatah chuan open surgery , chu chu incision lian deuh tihna a ni bawk.
Tunah chuan surgery chi hrang hrang lian ber ber thenkhat han thlir ila.
1. Ankle Fracture Surgery neih a ni ang
I ke ruh ruh i tihchhiat chuan he surgery hi a set dik theih nan leh a dam theih nan tih a ni. Heta thil thleng hi, .Chutianga tih dân chu ruh tliakte chu a hmuna vawng reng tûrin thir plate, screw, leh wire te dah a ni. A chang chuan ruh a chhiat chuan ligament te pawh a chhe bawk. Chutiang a nih chuan operation neih chhungin siamthat an ni bawk.
2. Ankle Impingement Surgery neih a ni ang
Ka sawi tawh ang khan extra bone fragments leh tissue te chu ankle joint chhungah a tang thei a, a na thei hle. Kawngkhar jamb-a thil a tlakbuak a, hawn leh khar theih loh ang mai a ni. He surgery hian a tul lo taka tangte chu a paih chhuak a , ruh chu zalen takin a kal thei a ni.
3. Ankle Fusion Surgery tih a ni
Hei hi arthritis na tak nei tan tih a ni . Hetah hian surgeon chuan ruh leh ruh chhia chu a paih chhuak a, ruh chung leh hnuai lam chu a rawn hruai khawm a, thir plate leh screw hmangin a nghet tlat a ni. Hun a kal zel a, ruh pahnih chu an inzawm khawm a, pakhat an lo ni ta a ni.
- Hlawkna: Joint natna hi a bo vek tawh. I rihna i tuar thei a, natna nei lovin i kal thei bawk.
- A that lohna: Joint chu vawi khat weld a nih chuan a ben thei lo va, a extend thei lo bawk . Hei hian ankle hian a flexibility a hloh tihna a ni. Mahse doctor-te chuan kal leh ding a awlsam phah angin an siam \ha \hin.
4. Ankle Ligament siam thar lehna
I ke ruh i roll fo thin em? I kekawr bul te tak te i neih lai pawhin i ke i roll em? Hei hi i ke ruh chhunga ligament te a chak lo va, a dam tha lo vang pawh a ni thei. He surgery hian ligament chak lote chu stitching leh tightening a ni . Hei hi Brostrom procedure an ti bawk . A nasat lutuk chuan ligament chhia chu hmun dang atanga tissue hmanga thlak theih a ni.
5. Ankle Tendon siamthat
Tendons hi tissue band chak tak, ruh leh ruh inzawmkhawmtu a ni. He surgery hi hengte hi a inthen emaw, inflammation (tendinopathy) a awm reng emaw a nih chuan tih thin a ni. Tendon chhia chu lakchhuah a ni a, a phelh chuan a hrual a, siamthat a ni. Tendon a chhiat nasat chuan tendon transfer tih theih a ni. Hei hian tendon chhia chu hmun dang atanga tendon hmanga thlak a huam a ni.
6. Total Ankle thlak danglam
Hei hi khup thlakna ang chi surgery a ni. Arthroplasty an ti bawk . Hei hian ke ruh chhia chu la chhuakin, chu chu thir leh plastic hmanga siam artificial joint hmanga thlak a ni. Hei hi arthritis na tak nei leh joint fusion neih duh lo tan chuan duhthlan tur tha tak a ni. Hei hian natna a tiziaawm thei a, ruh chhunga mobility engemaw zat a humhim thei bawk.
Surgery neih hian eng hlauhawmna nge a neih?
Surgery dang ang bawkin ke ruh surgery hian hlauhawmna tenau tlemte a keng tel a, mahse hengte hi a tlem hle.
- Infection: Surgery hliam hi a fai loh chuan natna hrik a lut thei a ni.
- Blood Clots: Operation hnua hmun khata rei lutuk a awm avangin keah thisen zam a lo awm thei.
- Anesthesia avanga thil thleng: Mi thenkhat chuan anesthesia damdawi ei avanga allergy an nei thei.
- Hliam damna lama harsatna: Zunthlum ang chi natna nei te chuan hliam hi a dam rei zawk thin.
- A chhehvel nerve emaw thisen kalna kawng emaw chhiatna: Hei hi operation neih laiin a thleng tlem hle.
A pawimawh ber chu operation hnua physical therapy tha taka tih hi a ni. I tih loh chuan ke ruh chu a nghet lo thei a, a chak lo thei bawk a, surgery chuan duhthusam result a chhuah lo thei bawk.
Eng chen nge tihdam a ngaih?
Hei hi i surgery chi hrang hrang a zirin a danglam ang a, mahse hei hi a thleng tlangpui.
| Hun bituk | Eng nge beisei tur |
|---|---|
| A hmasa ber kar 2 - 6 chhung | Ke chu cast emaw special boot (medical boot) emaw-ah a awm tur a ni. Weight bearing khap a ni. Kal tur chuan kekawrte i hmang tur a ni. |
| Plaster an lak chhuah hnuah (kar engemaw zat) . | Physical therapy a tan ta a ni. Exercise hi ankle mobility leh chakna siam that nan an ti thin. |
| Kar 8 - 12 chhung a ni | Mi tam zawk chu an hnathawh dan pangngaiah an kir leh thei a ni. |
| Thla 6 - kum 1 chhung | I ke ruh chu a dam kim theih nan leh chakna famkim a neih leh theih nan hetiang hun rei hi a la ngai thei. Infiammi i nih chuan he hun chhung hian i ke ruh i hman danah i fimkhur tur a ni. |
Surgery ngaihtuah hi a buaithlak thei hle a, a bik takin emergency a nih loh chuan. Mi zawng zawng hian option dang zawng zawng hi enchhin kan duh vek. Mahse ankle problem thenkhat chu a awm a, chu chu siamthat a nih loh chuan a dam lo mai mai. Surgeon-te chuan i natna thlentu chu an paih chhuak thei a, i ruh (joint) chu a thawk tha leh thei bawk. I doctor i rin tlat a, i dam chhung hian dawhtheihna leh inpekna engemaw chen i neih chuan natna nei lo relief i hmu ngei ang.
Take-Home Thuchah a ni
- Ankle surgery hi enkawlna dang a hlawhchham chuan a tawp ber a ni tlangpui.
- I harsatna atana hman tur surgery chi hrang hrang a awm thei. Chumi chungchang chu i doctor nen zalen takin sawipui rawh.
- Surgery hnua dam leh hun chhung hi a pawimawh hle. A bik takin doctor leh physical therapist-in thupek a pekte zawm a pawimawh hle.
- A na leh a hring tih hi ngaihtuah buai suh. Chumi atan chuan doctor chuan a tul anga enkawlna a pe ang.
- Surgery hlauh hi thil pangngai a ni. I ngaihtuahna emaw hlauhthawnna emaw i neih chuan i doctor nen sawiho rawh.
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