Ke ruh lian tak atanga natna lo chhuak, chu lai hmuna vun chu pheikhawk i bun chuan a sen a, a hring chhuak thin tih hi i hre chiang em? A châng chuan, i ke ruh lian tak chu i kal lai pawhin a na thei. Hei hi i ke ruh lian tak inzawmna atanga ruh a lo chhuah vang pawh a ni thei. Damdawi lamah chuan he natna hi ‘bunion’ kan ti a. Hei hi thil awm dan tlangpui a ni. Mahse nitin hnathawh, a bik takin kea kal chu a ti hrehawm hle thei.
A awlsam zawngin, bunion surgery tih hi eng nge ni?
Bunion surgery emaw, doctor-te’n ‘bunionectomy’ an tih angin, i kea bunion, chu chu ruh chhuak chhuak, surgery hmanga lakchhuahna a ni.
Ngaihtuah teh, i ke ruh lian tak, metatarsophalangeal (MTP) joint chu a sir khatah i nawr reng chuan chu joint-a ruh chu zawi zawiin a rawn chhuak chhuak ta a ni. Chu chu bunion chu a ni.
A natna lan chhuah dan hi enkawlna dang (kekawr nuam tak bun leh natna tidamtu damdawi ei ang chi) hmangin a enkawl theih tlangpui. Mahse, surgery hmang chauh hian bunion chu a nghetin a paih chhuak thei a, ke ruh chu a awmna tur dik takah a awm leh thei a ni. A natna a nasat em avangin i kal thei lo a, enkawlna dangin a puih loh chuan i doctor chuan zai a rawt mai thei.
Operation hmain engtin nge i inbuatsaih thin?
I surgeon chuan he procedure atan hian uluk takin a buatsaih ang che. Hei hian a huam thei ang:
- Taksa enfiahna kimchang: I taksa chu operation atan a inpeih tawh em tih en rawh.
- Thisen test: Thisen chhunga thil chi hrang hrang teh thin.
- ECG test (Electrocardiogram): Thinlung hnathawh dan enfiah thin ang che.
- Ke X-ray: Ruh dinhmun enfiah nan. A châng chuan MRI emaw CT scan emaw pawh tih a ni thei bawk.
I doctor hnenah damdawi emaw supplement emaw i ei tur chu i hrilh ngei ang, damdawi thenkhat chu operation hmain tihtawp a ngai mai thei.
Doctor chuan surgery hma darkar engzat nge chaw nghei (ei leh in lo) i mamawh tih a hrilh bawk ang che. A tlangpuiin, zai hma darkar 8-ah ei leh in i chawlhsan a ngai thin. Doctor-in a tih tur damdawi pawimawh tak tak chauh chu zing lamah tui in nen ei theih a ni.
Surgery neih chhung hian eng nge thleng?
Surgery ni chuan natna nei lo turin anesthesia pek i ni ang. A tam zawkah chuan he surgery hi general anesthesia a ngai lo. Anesthesiologist chuan a hnungzang hnuai lam emaw, a ke zai lai chauh emaw a ti na fo ang.
I chunga thil thleng tur chu i surgery chi hrang hrang a zirin a danglam ang. Bunion surgery hi chi li a awm a. He table-ah hian han en ila.
| Surgery chi hrang hrang | A awlsam zawngin, hei hi a thleng thin... |
|---|---|
| Osteotomy tih a ni | Hei hi kalphung hman tlanglawn ber a ni. Doctor chuan i ke leh i ke ruh ruhah hian hliam tenau tlemte a siam a, screw emaw pin emaw hmangin ke ruh lian tak chu a awmna tur dik takah a hruai kir leh thin. Tunah chuan hei hi incision tenau tak tak (minimally invasive) hmanga tih a ni fo thin a, chu chu a dam chak zawk a, a hliam a tlem zawk tihna a ni. |
| Arthrodesis (Joint Fusion) tih hi a awm lo. | Hetiang tih dan hi i bunion hi i ke ruh natna avanga lo awm a nih chuan, emaw, i bunion na tak a nih chuan hman thin a ni. Hei hian ruh natna (arthritis part of the joint) chu lakchhuah a, ruh pahnih chu screw hmanga inzawm khawm a huam a ni. Hun a kal zel a, heng ruh pahnih hi an inzawm khawm a, ruh pakhat an lo ni ta a ni. |
| Lapidus tih dan tur | Hei hi bunions na tak tan pawh tih a ni. Bunion chu lakchhuah a ni a, i ke lai takah ruh sei tak (metatarsal ruh hmasa ber) leh i ke ruh bula ruh te tak te (medial cuneiform) inkar joint chu a inrem leh ta a ni. Hetiang tih dan hi kea hypermobility nei tan leh naupang zawk tan pawh a tha hle. |
| Exostectomy tih a ni | Hei hi kalphung pangngai lo zawk a ni. Ruh chhuak chu surgery hmanga lakchhuah (shave off) a ni. Hei hi bunions tenau tak tak tan chauh tih thin a ni. Mi tam tak chuan operation buaithlak zawk an mamawh a ni. |
He surgery hi darkar khat emaw a aia rei lo emaw a ni tlangpui a, mahse he hun hi i dinhmun a zirin a danglam thei.
Surgery hnuah eng nge thleng?
Surgery hnuah recovery room-ah hruai i ni ang. Chutah chuan medical team te chuan darkar tlemte chhung chu uluk takin an enkawl ang che. Anesthesia a reh hnuah i vital signs leh pain level te an enfiah ang.
A tam zawkah chuan hei hi outpatient procedure a ni a, chu ni vek chuan in lamah i haw thei tihna a ni. Mahse, zai zawhah chuan i khalh thei dawn lo tih hre reng ang che. Chuvangin in lama hruai tur che tur ruahmanna siam lawk a pawimawh.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Hlawkpuina
He surgery nei tam tak hian an dam hnuah natna reh nasa tak an nei thin. Tin, ke ruh lian chu a awmna tur dik takah a awm leh tawh avangin pheikhawk bun pawh a awlsam phah bawk. Ke ruh chu a awmna tur dik takah a awm chuan i kal theihna te, tlan theihna te, leh zuang theihna te pawh a tha chho zel bawk.
Risk a awm thei
Hei hi surgery him tak ni mahse, surgery dang ang bawkin, hlauhawmna tenau tak tak a awm. Hengte hi a tlem hle a ni:
- Thisen a chhuak thin.
- Surgery neihna hmunah emaw, ke chhungah emaw natna hrik awm.
- Nerve chhiatna emaw, rilru hahna emaw.
- Scarring a awm.
- Thisen kalna kawng a chhiat avangin hun rei tak chhung ke a hring chhuak thin.
- Bunion a lo lang leh thin.
- Arthrodesis laiin ruhte inzawmkhawm loh (nonunion) a ni.
Hemi chungchang hi i doctor nen inbia la, hrethiam rawh.
A dam leh theih nan eng chen nge hun a duh?
Bunion surgery hnua a dam kim theih nan thla engemaw zat a ngai a ni.
- Stitches break: A tlangpuiin kar hnih vel hnuah a ni.
- Ruh damna: Hei hian kar 6 atanga kar 12 vel a awh ang. Hemi chhung hian venhimna kekawr emaw boot emaw bik i ha a ngai dawn a ni.
- Thil tih dan pangngai thawk leh rawh: Kar 6-12 hnuah i ke chu a pangngaiin i hmang tan thei ang. I ke chakna leh chetna neih leh theih nan physical therapy a ngai mai thei.
- Complete recovery: Thla 3 vel hnuah taksa tihchakna pangngai i tan leh thei ang. Mahse, kea a hring hi thla 6 atanga thla 9 chhung a awm thei.
A pawimawh ber chu:I surgery zawhah doctor hmuh hun tur pek i ni ang. Nitin i ke i kal a, i check ngei ngei tur a ni tih hi damna kawngah a pawimawh hle.
Operation hnuah dressing hi engtin nge kan enkawl ang?
Medical team chuan i kut zungtang chu a hmunah a awm reng theih nan bandage bik hmangin an khuh ang. I doctor hnenah nangmah ngeiin dressing i thlak thei em tih zawt rawh. A tam zawkah chuan dressing chu a hmunah i dah reng a ngai ang, chu chu stitches a chhuah hma loh chuan. Tin, inbual laiin a hnim loh dan tur zawt bawk ang che (entir nan, plastic bag hmanga khuh).
Surgery zawhah ka kal thei ang em?
Hei hi i surgery chi hrang hrangah a innghat a ni. Surgery thenkhat hnuah chuan venhimna pheikhawk leh weight bearing thenkhat nen i kal thei mai thei. Mahse, operation thenkhat hnuah , kar tlemte chhung chu i keah rit engmah dah a tha lo. Chutiang hunah chuan kekawrte emaw, khup scooter emaw hman a ngai mai thei.
Doctor thupek dik taka zawm a pawimawh. I ke ruh a dam hmaa rit i dah chuan operation chu a hlawhchham vek thei.
Engtik hunah nge doctor ka biak ang?
A hnuaia thilte hi i tawn chuan i surgeon chu ko nghal rawh.
- Dressing chu a lo chhuak a, a chhuak a, a hnim a nih chuan.
- Khawsik hi 39 degree Celsius (101 degree Fahrenheit) aia sang a nih chuan.
- Surgery hmun atanga thisen chhuak a awm chuan.
- Infection chhinchhiahna (e.g., pus, rim, rawng danglam, hring, lum) i hmuh chuan.
- Natna chu a thar emaw, a zual zel emaw a nih chuan.
Bunion hi ruh spur te tak te a ni a, mahse i nun leh i kal theihnaah nghawng lian tak a nei thei a ni. Treatment zawng zawng i lo enchhin tawh a, a tha lo ang tih a hriat chuan operation ngaihtuah a hun tawh mai thei. I doctor chuan nangmah, i ke leh i hriselna zawng zawng tana thutlukna tha ber siam turin a pui ang che.
Take-Home Thuchah a ni
- Bunion hi natna khirh tak a ni a, ke ruh lian tak ruh (joint)-ah a awm thin.
- Enkawlna dang a hlawhchham chuan bunionectomy surgery hian solution nghet tak leh natna tihziaawmna a pe thei a ni.
- Surgery chi hrang hrang a awm a, i doctor chuan eng chi nge i tan a tha ber tih a rel ang.
- Damna hian thla engemaw zat a daih a, he hun chhung hian dawhtheihna leh doctor thupek dik taka zawm hian result tha ber i hmu thei ang.
- Operation hnua symptom danglam tak tak a awm chuan doctor hnenah hriattir nghal rawh.
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