ALIF (Anterior Lumbar Interbody Fusion) hmanga hnungzang natna atana surgery neih chungchang zawng zawng

Damdawi ei lai te, physio tih te, engkim ti chung pawha reh ngai lo hnungzang natna i tuar bawk em? A chang chuan he natna hi hnungzang atanga ke thlengin a darh thei bawk. Chutiang dinhmunah chuan i doctor chuan ALIF surgery chungchang a hrilh che a ni mai thei. Surgery chungchang sawi a nih hian hlauhna tlem a awm hi thil pangngai a ni. Mahse, lungngai suh, thu awlsam takin engkim kan sawi dawn a, he ALIF surgery hi eng nge a nih, engtin nge tih a nih a, engtin nge kan inbuatsaih ang.

A awlsam zawngin, ALIF surgery chu eng nge ni?

ALIF tih hming hi a buaithlak deuhin a lang thei a, mahse thumal hrang hrangah han then ila.

• A - Anterior: Hei hi "hma lam atanga" tihna a ni. Chumi awmzia chu surgeon chuan i pum sir lama incision te tak te siam hmangin i ruhro chu a lut ang tihna a ni .
• L - Lumbar: Hei hian i hnungzang hnuai lam a kawk a ni . Back pain tam zawk hi he hmunah hian a awm thin.
• I - Interbody: Hei hi "vertebrae pahnih inkar" tihna a ni. Kan ruhro hi ruh te te (vertebrae) a inzawm khawm atanga siam a ni. Heng vertebrae pahnih inkarah hian surgery hi tih a ni.
• F - Fusion: Hei hi "inzawmkhawm" tihna a ni.

I ruhro (spine)-a vertebrae pahnih inkar cushion ang chi (hei hi intervertebral disk kan ti) chu a chhe tawh ang tih han ngaihtuah teh. Tichuan, chu vertebrae te chu an inhnim khawm a, an chhunga kal nerve te chu an press a. Chutah chuan hnungzang natna nasa tak a lo thleng thin.

Chuvangin, ALIF surgery-ah chuan pum chhungah i kal a, disc hlui, chhe tawh tak chu i la chhuak a, ruh thar emaw, titanium (graft) atanga siam cage te tak te emaw hmangin i thlak leh a ni. Hun a kal zel a, a chung leh a hnuai lam vertebrae pahnih chu a thar nen chuan an inzawm khawm a, ruh chak tak pakhat a lo ni ta a ni. Tichuan nerve compression chu a bo a, a natna chu a reh ta a ni.

He ALIF surgery hi tuin nge mamawh?

Doctor chuan he surgery hi damdawi dang (damdawi, exercise, physiotherapy) hmanga hnungzang natna a puih loh chuan a rawt tlangpui. He surgery hi a hnuaia thil awmte tan hian hman a ni ber:

• Degenerative Disk Disease: Kum upa lam emaw, thil dang vang emawa vertebrae inkar disc te chu a chhe vek a, chu chuan nerve-ah pressure a siam thin.
• Lumbar Radiculopathy: Spinal nerve compression avanga ke hnuai lam atanga radiate chhuak natna leh rilru hahna ang chi natna.
• Spondylolisthesis: Vertebra pakhat chu a dang chungah hmalam pan a tlan.
• Scoliosis: Ruh (spine) curvature ang chi natna.
• Hetiang hmanrua hi a hmaa hnungzang surgery vawi tam tak nei tawh tan pawh a tha thei.

Operation hmain engtin nge i inbuatsaih thin?

Hei hi ni khata thutlukna siam theih a ni lo. Doctor nen hian ruahmanna fel tak siam a ngai a. He inbuatsaihna hi hmun hrang hrangah then ila.

Surgery tih dan tur

Operation room-a hruai i nih hnuah anesthesiologist chuan a muthilh vek ang che, chuvangin natna engmah i hre lo ang.

He surgery hi team effort ang mai a ni. Surgeon pahnih an tel ber a ni.

1. Access Surgeon: He doctor hna hi ruhro surgeon-in i ruhro a luh theihna tur hmun siamsak hi a ni. I pum chhungah incision te tak te a siam ang a, i navel hnuai inches 2-3 vel a ni ang. Tichuan, pum ruh, peritoneal sac leh thisen kalna kawngte chu uluk takin a sir lamah sawn a ni ang a, chu chuan ruhro (spinal cord) tan hmun a siam ang.

2. Spine Surgeon: Tunah chuan spine specialist chuan hna a chelh ta a ni. Disc chhe tawh, chhe tawh chu a paih chhuak vek ang. Tichuan, a hmaa kan sawi tawh bone graft emaw titanium cage (graft) emaw chu space chhungah kan dah lut ang. A kal kual loh i duh chuan screw te te dahin a siam tha ang.

He hna hi a zawh chuan doctor hmasa ber chu a lo kal leh a, intestines, thisen kalna kawng, etc. te chu a hmunah a dah leh a, pum ruhte chu a stitch up a, vun incision chu a khar leh thin.

He surgery hi darkar khat atanga darkar hnih vel a ni tlangpui a, mahse disc tam tak thlak a ngai a nih chuan emaw, a hmaa i pum surgery i neih tawh chuan a rei zawk thei.

Surgery hnuah eng nge thleng?

Surgery zawhah i hriatna i neih leh hma loh chuan recovery area-ah dah i ni ang. Chutah chuan nurse-te chuan i pulse leh thawk dan an enfiah reng ang a, natna damdawi an pe bawk ang che.

Tichuan ward-ah sawn i ni ang. Damdawi inah ni thum atanga ni li vel i awm a ngai dawn a ni. Hemi hun chhung hian, .

• Hri kai chhinchhiahna a awm leh awm loh uluk takin kan vil reng a ni.
• Operation hnu ni hmasa berah chuan tho leh tlem tal kal kual turin i fuih ang. Hei hi dam thuai nan a pawimawh hle.

A dam lehna tur a ni

A dam kim theih nan thla engemaw zat a ngai thei. Kar engemaw zat chhung chu thil rit i chawi thei lo mai thei, i kawr chhungah i ben thei lo mai thei, i taksa pawh i tikehsawm thei lo mai thei. Ruh hnah dah luh chu vertebrae nen a inzawm kim theih nan kum khat vel a ngai thei .

ALIF surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna tenau a nei bawk.

A thatna te

• Hei hian hnungzang hnunglam ruh (muscles) a tichhe lo. Incision hi pum chungah a awm avangin natna a tlem a, dam hun a tlem bawk.
• Hetiang hmang hian posterior lumbar intervertebral discectomy (PLIF) aiin disc lakchhuahna tha zawk leh ruh hnah lian zawk dah theihna a siam a ni.
• Hetiang method hi a hmaa back surgery nei tawh pawhin a hmang thei a ni.

Risk (Buaina) 1.1.

• Infection leh thisen chhuah tam lutuk hi eng surgery-ah pawh a awm ve tho.
• Nerve tihchhiat a ni.
• Intestine, bladder emaw thisen kalna kawng emaw a chhiat. (Hengte hi a tlem hle)
• Incision hmanga pum ruh chhuak (incisional hernia).

I doctor chuan heng zawng zawng hi a hrilhfiah ang che.

Doctor hmuh vat hun tur

In lama i haw hnua heng symptoms te hi i neih chuan , i doctor ko nghal la , damdawi in Emergency Department (ETU) ah kal nghal rawh.

• Khawsik i neih chuan khawsik i nei a, i khur bawk.
• Surgery hliam chu a sen a, a hring a, a khawih a na a, a hnim hring (ozing pus) a nih chuan (hengte hi natna kai chhinchhiahna a ni thei).
• Beisei aia nasa zawk leh natna tidamtu damdawi ei hnuah pawh a reh loh chuan .

ALIF surgery ngaihtuah hian hlauhna leh inhnialna hi thil pangngai tak a ni. A chhan chu hnungzang lama harsatna i tawk nasa tawh ngei ang. Hei hi i nunah thutlukna lian tak a ni. Chuvangin i zawhna leh hlauh zawng zawng chu i doctor nen sawiho rawh. Engkim an hrilhfiah ang che a, thutlukna tha ber siam turin an pui ang che.