I khup, i elbow, i kephah, i hip ang chi ruh chu a lo hring nghal a, a na a, kal a harsat phah em? Mi thenkhat chuan hei hi "tui in the joint" an ti thin. Dik tak chuan he hliam leh natna hian nitin hna thawh pawh a ti harsa thei hle. Chuvangin vawiin hian hetiang hun lai hian i doctor-in a rawn rawt theih tur enkawlna awlsam tak, mahse tangkai tak tak kan sawi dawn a ni. Chu chu `Arthrocentesis` emaw `Joint Aspiration` emaw an ti a.
A awlsam zawngin, arthrocentesis chu eng nge ni?
Hei hi thumal lian tak angin a lang thei a, mahse a takah chuan a awlsam khawp mai. Arthrocentesis hi i ruh hring hring atanga tui tam lutuk paih chhuahna atana needle nalh tak hmanga tihchhuah a ni.
Hetiang hian han ngaihtuah teh: kan joint te hi machine chhunga ball bearing ang mai a ni. An tlan chak theih nan an pianphungah chuan tui tlemte an nei a. Synovial fluid kan ti a. Mahse, ruh natna, natna hrik, a nih loh leh accident ang chi natna avânga ruh chu a lo hring a nih chuan, he tui hi a tam lutuk a lo chhuak ṭan a ni . Chutah chuan ruh chu a hring a, a nghet a, a na bawk.
Chuvangin, `Arthrocentesis` hmanga i tih chu chu tui tam lutuk chu paih chhuakin, hahdamna a pe che a ni. Hei hian natna leh hliam a tiziaawm vek a ni. Tin, tui lak chhuah chu i enfiah chuan he natna hi eng nge ni tih chiang takin i hre thei bawk.
Engtin nge he enkawlna hian hna a thawh?
Hei hi a tlangpuiin doctor office (OPD) emaw damdawi ina outpatient department-a tih theih a ni tlangpui. Inbuatsaihna a ngai lo. I kal hunah doctor chuan hengte hi a zawm ang:
- Pakhatnaah chuan needle dahna tur vun chu uluk takin silfai a, disinfected a ni.
- A dawtah chuan numbing cream (topical anesthesia) chu a hmunah hnawih emaw, a tul chuan numbing injection te tak te (local anesthesia) emaw pek a ni. Hei hian natna tam tak i neih loh nan a tichiang ang.
- A châng chuan, ruh chhunga tui awmna hmun dik tak hriat tumin doctor chuan ultrasound emaw fluoroscopy emaw ang chi scanning machine a hmang thei bawk. Hei hian target dik tak i thlen theih nan a pui thei che a ni.
- Tichuan, syringe nena inzawm needle tha tak chu numbing area kaltlangin joint chhungah an dah lut a.
- Tunah chuan, joint chhunga extra fluid chu syringe chhungah a lut ta a ni. Tui a tam lutuk chuan syringe chu a tul ang zat paih chhuah nan thlak a ni.
- A châng chuan, tui lak chhuah hnuah, natna tidamtu damdawi (e.g., steroid) chu zungbun ang chiah hmangin ruh chhungah inject theih a ni.
- A tawpah chuan fluid sample lakchhuah chu laboratory-ah test turin an thawn a, a tul chuan eng thil nge a thlen tih chiang taka hriat theih nan an thawn thin.
Hetiang zawng zawng hi minute 10 vel a ni .
Hei hian a hlawkna lian ber berte chu engte nge ni?
Arthrocentesis hi lung pakhat hmanga sava pahnih tihhlum ang a ni. Chu chu enkawlna leh diagnosis pahnih a rualin a pe tihna a ni.
Hei hian i natna a\angin a reh nghal ang a, natna thlentu zawng chhuak turin a pui bawk ang che.
Chu hlawknate chu a hnuaia table-ah hian eng nge ni tih i en ang u.
| Chhawr tangkai | A awlsam zawngin... |
|---|---|
| Instant natna tihziaawmna | Vawikhat chu ruh chhunga tui tam zawk chu paih chhuah a nih chuan ruh chunga pressure a tlahniam a, a hring leh natna pawh nasa takin a tlahniam bawk. |
| Damdawi ei tur inbuatsaih | Damdawi ruh chhunga inject hmain hetiang hian tui tam lutuk chu paih chhuah chuan damdawi chu a lut tha zawk a ni. Damdawi thatna a tipung bawk. Entirnan, hetiang injection hi: - Cortisone shot/steroid injection hmanga tihdam theih a ni - Platelet tamna plasma (PRP) hmanga injection pek thin - Viscosupplementation (gel injection) hmanga tihdam theih a ni. |
| Diagnosis tih a ni | Fluid (synovial fluid) sample lak a, lab-a test tura thawn a nih chuan a hring chhan dik tak chu hriat theih a ni. Entir nan: - Bacteria infection a ni em? - Ruh chhungah thisen a chhuak em? - Gout ang chi damdawi lam harsatna avanga crystal deposit awm em ? |
Hei hi risk a awm em?
Hei hi a tam zawkah chuan enkawlna him tak a ni. Complication a awm tlem hle. Mahse, damdawi lam thil dang ang bawkin, hlauhawmna tlemte a awm.
- Infection lo awm dan: 1.1.Needle awmna hmunah hian natna hrik a luh theihna chance a tlem hle.
- Thisen chhuah: Thisen kalna kawng te tak te tak tak a chhiat chuan needle an thun chuan thisen tlem a chhuak thei a ni.
- Allergic reactions: Mi thenkhat chuan a hmuna natna tihdamna damdawi emaw, ruh inject nana damdawi emaw allergy an nei thei. Mahse, allergy na tak ``Anaphylaxis`` ang chi hi a awm lo hle.
- Post-injection flare: Mi thenkhat (50 zinga 1 vel) chuan injection an pek hnu darkar engemaw zat hnuah ruh natna leh a hring (swelling) engemaw zat an nei thei . Mahse, hei hi ni engemaw zat chhungin a mah chauhin a reh tlangpui.
Enkawlna hnuah eng nge thleng a, engtikah nge thlamuanna ka neih ang?
Enkawl zawhah doctor chuan a zung dahna hmunah hian bandage te tak te a hnawih ang a, ni khat emaw ni hnih emaw chhung chu ruh chu a ti na lutuk lo turin a fuih ang che.
A tuk zingah natna leh hliam atanga hahdamna i nei tan ang. He relief hi eng chen nge a awm tih chu i dinhmun a zirin a ni. Arthritis ang chi chronic condition i neih chuan hun kal zelah i swelling chu a lo let leh thei a ni. Tichuan he enkawlna hi i tih leh a ngai mai thei. I doctor chuan a tih dan tur dik tak a hrilh ang che.
Engtikah nge doctor ka hmuh leh ang?
Enkawlna hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Symptoms fimkhur tur |
|---|
| Painkiller ei chung pawha natna a zual zel chuan. |
| Damdawi injectna hmun chu a sen a, a lum a, a inject ang maia a hriat chuan . |
| Injection na hmun atanga thisen emaw tui dang emaw a luang chhuak a nih chuan. |
| Khawsik i neih emaw, i khawsik emaw i neih chuan . |
Take-Home Thuchah a ni
- Arthrocentesis hi damdawi hman dan awlsam leh him tak a ni a, natna tihziaawmna leh ruh hring hring chhan hriat theihna a ni.
- Hei hian ruh chhunga tui awm tam lutuk chu needle tha tak hmanga lak chhuah a huam a ni.
- Hei hian i natna leh i hliam atanga a reh nghal vat ang.
- Tui lak chhuah chu a enfiah chuan doctor chuan i dinhmun chungchangah thutlukna dik tak a siam thei ang.
- Enkawl hnua a natna a zual emaw, a sen emaw, a khawsik a lo awm chuan doctor hnenah hriattir nghal tur a ni.











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