A châng chuan, accident-a kut emaw, ke emaw a tliak chuan a dam ṭha lo va, natna nasa tak a thlen ṭhin a ni lawm ni? A nih loh leh, ha thlak hmain jawbone i tihchak a ngai a ni. Hetiang case-ah hian doctor-te chuan ' bone grafting' chungchang an sawi thin. Mi thenkhat chuan he hming hi an hriat hian an hlau mai thei a, mahse vawiinah hian eng nge a nih tak tak, engtin nge a tih tih leh i hriat tur te chu awlsam takin kan sawi dawn a ni.
A awlsam zawngin, ruh (bone graft) tih hi eng nge ni?
Hei hi surgical procedure a ni. Chu chu i taksain ruh chak lo, chhe tawh, a nih loh leh chhia siam ṭhat tûra ṭanpui a huam a ni. Ngaihtuah teh, kan in bangah khur kan neih hian plaster-in kan khat a ni lawm ni? Hei pawh hi chutiang bawk chu a ni. He surgery-ah hian doctor chuan ruh chhunga khur emaw, chak lohna hmunah emaw thil bik a hnawih thin.
Hei hian thil tum lian tak pahnih a nei a:
1. Chakna dang pek: Gap-a dah thil hian ruh chu a thlawp a, chakna a pe bawk.
2. Ruh thar siam tura tanpui: Injected substance hian taksa hnenah "hetah hian ruh tissue thar siam" turin signal a thawn a. Tichuan taksa ngeiin a ruh chu a luah khat a, ruh chu a tichak leh ta a ni.
Hetiang surgery hi tute nge mamawh?
Bone graft neih a ngai theih chhan hrang hrang a awm. A chang chuan accident hnuah a ni thei a, a chang chuan damdawi lam thil dang vang pawh a ni thei bawk. Hei hi a tulna dinhmun lian ber berte han thlir ila.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Fracture a dam tha lo | He surgery hi ruh tliak chu beisei aia zawi zawka a dam (delayed union), a dik lo (malunion), emaw, a dam lo (nonunion) emaw a nih chuan a ngai a ni. |
| Ha Implant hmain | Ha lem (artificial tooth) chu jaw chhungah dah hmain, ha ruh chu a chak lo a nih chuan a tichak turin bone graft an ti thin. |
| Joint thlak danglam a ni | Hetiang hmanrua hi ruh thlak, hip emaw khup emaw thlak hunah hman a ni a, ruh siam that a ngai a, chu chu artificial joint chu a dik taka a nghet theih nan a ni. |
| Spinal fusion hmanga operation tih a ni | Spinal fusion surgery-ah chuan ruh grafts hmangin vertebrae stabilize nan an hmang thin. |
| Damdawi lam thil dang | Natna chi hrang hrang osteonecrosis, ruh cancer, ruh natna (osteomyelitis) avanga ruh chhia siam that nan pawh hman a ni. |
| Pian tirh atanga harsatna awm | Hetiang method hi congenital limb length difference ang chi condition siamthat nan pawh hman theih a ni. |
Ruh grafting tih dan tlangpui te chu engte nge ni?
Doctor chuan thil tam tak a zirin i tana tha ber tur chu a thlang ang a, chu chu i dinhmun leh ruh thlak ngai zat te hi a ni. Thil tih dan tlangpui engemaw zat a awm.
- Autograft: Hei hian i taksa peng dang atanga ruh te tak te lak a huam a , a tlangpuiin iliac crest. Hei hi hmanraw hlawhtling ber nia ngaih a ni. Mahni tissue a nih avangin i taksain a hnar lo va, hri kai theihna a tlem bawk. Mahse, ruh lakna hmunah hian incision hran siam a nih avangin chu hmunah chuan natna engemaw zat a awm thei. Ruh ei theih zat pawh a tlem hle.
- Allograft: Hei hian midang (donor thi tawh) atanga ruh tissue a hmang thin . Hengte hi tissue bank bik atanga lak niin, tihfai, sterilized, leh hriselna dan khauh tak hnuaia dah a ni. Chuvangin hri kai theihna a tlem hle. Hei hi a thatna pakhat chu i taksa peng dang reng reng tan a ngai lo. Hetiang method hi spinal surgery atan hman a ni nasa hle.
- Synthetic Bone Graft: Hengte hi laboratory-a artificial-a siam thilte an ni.. Hengte hi ruh chhunga thil awm, calcium ang chi atanga siam a ni. Germ-free an ni a, a tul ang zat zat ei theih an ni. Ruh zau tak tak luah khatna atan an tangkai hle. Artificial implant thenkhatah pawh ruh thanna tichaktu protein a awm bawk.
- Bone Marrow Aspirate: Hei hian ruh lian tak, i hip ruh ang chi atanga ruhro tlem te te chu needle hmanga lak a ni. He ruhro hian ruh siam thei cell bik (stem cells) a nei a. He ruhro hi transplant dan dang nena hman dun a nih chuan ruh damna chu a chak zawk thin.
Surgery neih chhung hian eng nge thleng?
Hetiang thil hi a tlangpuiin step khat hnu step khatin i lo en ang u.
1. Anesthesia: Pakhatnaah chuan anesthetized vek i ni ang ( anesthesia pek i ni ang ). Chuvangin operation neih chhung hian natna engmah i hre lovang, i muhil ang.
2. Incision siam: Chumi hnuah surgeon chuan ruh luh theihna turin bone graft dahna tur vun chu a tan a.
3. Ruh buatsaih dan: A dawtah chuan ruh chu uluk takin an tifai a, tissue chhia emaw, natna nei emaw awm apiang chu paih chhuakin, ruh chu graft atan an buatsaih leh thin.
4. Graft siam that: Tunah chuan a hmaa siam bone graft (i ruh chi khat, donor ruh emaw, thil siam chhuah emaw) chu gap-ah dah a ni a, a che thei lo turin plate te emaw screw emaw hmanga siam that pawh a ni thei.
5. Incision khar: A tawp berah chuan incision chu stitched leh closed felfai tak a ni.
Hei hian risk a nei em?
Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Mahse doctor-te chuan hengte hi a theih ang anga tihtlem tumin theihtawp an chhuah thin. Hengte hi i hriat lawk a pawimawh.
Hemi nena inzawm hlauhawmna awm thei thenkhat chu:
- Thisen chhuak
- Infection awm thei te
- Ruh damna lama harsatna a awm
- Natna rei tak a awm
- Hardware chhiat, implant siam thatna atana hmanraw, plate leh screw te loose emaw, a chhe emaw ang chi te
- Nerve tihchhiat a ni
- Scarring a awm
Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Operation hnuah i taksa chu zawi zawiin grafted material nen a inzawm tan a, a ruh ang maiin a enkawl ta a ni. Hetiang kalphung hi kar tlemte atanga thla engemaw zat emaw kum khat emaw pawh a ni thei .
Dam hun chhung hi i kum, hriselna zawng zawng, leh ruh graft lian tham leh awmna hmun te a innghat a ni.
Pawimawh tak: Meizial zu mi i nih chuan bânsan chuan damna kawngah nasa takin a pui ang. Meizial zuk hian thisen kalna kawng a tikhawlo a, ruh a thisen kalna a ti tlem bawk. Hei hian ruh damna a tikhawtlai thei a ni.
Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh.
I surgery zawhah i dinhmun enfiah a pawimawh hle. A hnuaia symptoms te hi i neih chuan doctor rawn nghal tur a ni.
| Symptom a ni | Eng nge fimkhur tur |
|---|---|
| Incision atanga thisen chhuak emaw, hliam emaw | Incision na hmun atanga thisen chhuak danglam tak emaw, tui dang lo chhuak emaw a awm chuan, emaw, a hmun chu a hring nasa hle a nih chuan. |
| Khawsik | I taksaah khawsik i hriat chuan natna hrik i kai tih hriatna a ni thei. |
| A rilru a buai em em (Neuropathy) . | Implant dahna hmun vel a tingling sensation hriat, emaw, sensation awm lo tak tak emaw. |
| Thunun theih loh natna | Doctor-in a pek che natna tidamtu damdawi i ei pawhin a natna chu a reh lo. |
Take-Home Thuchah a ni
- Bone grafting hi ruh chak lo emaw, ruh tliak emaw tihchakna atana hmanraw hlawhtling tak a ni. Hei hi hlauh a ngai lo.
- Chumi atan chuan nangmah ruh emaw, midang ruh emaw, thil siam chhuah emaw pawh hman theih a ni. I doctor chuan eng method nge i tan a tha ber tih a rel ang.
- Dam leh hun chhung hi mi hrang hrangah a inang lo. Doctor thupek dik taka zawm a pawimawh hle a, a bik takin meizuk loh ang chi thilte hi zawm a pawimawh hle.
- Operation hnua symptom danglam tak tak (khawsik, natna nasa lutuk, hring, rilru hahna) i neih chuan doctor hnenah hriattir nghal hreh suh.
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