Cervical Disk Replacement chungchanga hriat tur pawimawh te

I kawr na reng reng, i kawr hawi harsat emaw, electric shock ang maia natna leh i kawr atanga i kut hnuai lam thlenga luang chhuak i nei em? I doctor chuan a chhan chu i cervical spine-a herniated disc a nih thu a hrilh che a ni mai thei. Chuvangin, hei hi enkawlna hlawhtling tak pakhat chu tunlaia kan sawi tur cervical disc replacement surgery hi a ni. He hming i hriat hian tlem a hlauhthawn hi thil pangngai a ni a, mahse chiang takin sawi ila.

Cervical disc thlak danglamna (CDR) tih hi eng nge ni?

A awlsam zawngin sawi ila, he surgery (Cervical Disk Replacement - CDR) hian i kawr (cervical spine) chhunga vertebrae inkar disc chhe tawh, chhe tawh tak chu paih chhuakin artificial/prosthetic disc hmanga thlak a ni.

Kan ruhro chhunga vertebrae inkar disc te hi car chhunga shock absorber ang maiin han ngaihtuah teh. Hengte hian kan ruhro chu a inhnim hrual lo va, awlsam takin kan kawr kan ben thei a, kan twist thei a, kan che thei bawk. Hun a kal zel a, heng disc te hi an chhe vek a, an flatten a, an chhunga nerve kalte chu an pinch thei bawk. Chutah chuan a hmaa ka sawi tawh natna kha a lo thleng ta a ni.

Chuvangin he surgery hian a tum ber chu disc chhe tawh tak awmna hmun chu siam that leh a ni a, nerve compression tihziaawm a, natna tihziaawm a, chutih rualin neck movement tha tak neih reng a ni. Heng artificial disc te hi cobalt leh titanium ang chi metal atanga siam a ni tlangpui.

He surgery hi tute tan nge tih a rawt?

He surgery hi cervical degenerative disk disease nei tan a tha fo thin a, chu chuan nerve compression (radiculopathy) emaw, spinal cord chhiatna (myelopathy) emaw a thlen thei a ni.

Tin, mi zawng zawng hian he surgery hi an nei thei lo bawk. Condition thenkhat i neih chuan hei hi i tling lo mai thei.

I doctor chuan a enfiah ang che a, he surgery emaw, surgery dang, `ACDF` (Anterior Cervical Discectomy and Fusion) ang chi hi i tan a tha ber em tih a rel ang.

Operation hmain engtin nge i inbuatsaih thin?

I surgeon (orthopaedic surgeon emaw neurosurgeon emaw, chutiang lama tui tak) chuan surgery hmain a hmu ang che. Thil thleng thei thenkhat chu hetiang hi a ni:

• Taksa exam kimchang tak neih a ni.
• I medical history leh symptoms te zawh.
• Scan dilna, neck X-ray, MRI, emaw myelogram emaw ang chi.
• Tuna damdawi leh vitamin supplement i ei mek zawng zawng zawt rawh (doctor-in a tih loh chuan damdawi engmah ei kha titawp suh).
• Zuk leh hmuam (meizial zuk, chewing gum) i hman chuan i doctor hnenah hrilh ngei ang che . Nicotine hian hliam damna a tikhawlo. Chuvangin, operation hma kar 4 tal chu i hman tawh loh tur thu i hrilh ang.

Hetih lai hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah zawt la.

Engtin nge surgery hi tih a nih?

Hei hi a thleng tlangpui a ni.

1. Pakhatnaah chuan anesthesiologist chuan general anesthesia a pe ang che. Chuvang chuan natna engmah i hre lovang a, i muhil vek tawh ang.

2. Chumi hnuah surgeon chuan a kawng hma lamah incision te tak te a siam a.

3. Trachea leh larynx te chu uluk takin a sir lamah sawn a, ruhro thleng tur a ni.

4. Surgery neih chhung zawng hian a chhung lam en chungin X-ray technology bik `fluoroscopy` an tih hmangin an ti thin.

5. Disc chhia chu uluk taka lakchhuah a ni a, a hmunah artificial disc thar dah a ni.

6. A tawp berah chuan engkim an dah khawm leh a, a incision chu an sewn leh thin.

Operation hnuah eng nge thleng a, eng nge a hlauhawmna?

Surgery zawhah recovery room-ah hruaiin enkawl i ni ang. Damdawi inah zan khat i awm a ngai mai thei. Doctor leh nursing staff te chuan i haw hmain thupek tul apiang an pe ang che.

Hun rei lote chhunga harsatna (a awm tlem thei) .

• Hliam natna.
• Chaw ei harsa (dysphagia).
• Aw ri bengchheng tak.
• Hrawk thip.

Hun rei tak chhunga harsatna awm thei

• Adjacent segment degeneration (ASD): Operated disc chung leh a hnuaia disc te degeneration hlauhawmna.
• Artificial disc chungchanga harsatna: A tam lo hle a, disc herniation ang chi hi a awm thei.
• Heterotopic ossification (HO): Disc chhehvela ruh lo thang duh loh. Hei hian neck movement a tikhawtlai thei a ni.
• Nakin lawkah surgery dang neih leh a ngai theihna chance tlemte.

Heng risk te hi hlauthawng suh. Mi tam zawk chuan he surgery atang hian result tha tak tak an nei thin. I doctor chuan heng zawng zawng hi a hrilhfiah ang che.

Eng chen nge a dam kim theih nan?

A dam kim theih nan thla 6 vel a la ngai thei a, mahse zawi zawiin i nun pangngaiah i kir leh thei a ni.

• Operation hnu ni 2: Nitin hna i thawk tan thei a, chu chu inbual leh mahni chauha chaw buatsaih te hi a ni.
• Kar 2-3 chhungin: Hna rit tak takah i thawk thei ang.
• Kar 4-6 chhungin: Thil tih tam zawkah i kir leh thei a, chu chu infiamna (contact sports tih loh chu) te hi a ni.

Heng period te hi mi hrang hrangah a inang lo thei a, chuvangin doctor thupek dik taka zawm a pawimawh hle.

Doctor hmuh nghal hun tur

Surgery atanga in haw hnua heng symptoms zinga pakhat tal i neih chuan doctor ko nghal la , damdawi in Emergency Department (ETU) ah kal nghal rawh.

• Cut chu thisen a chhuak chhunzawm zel a.
• Cut atang hian yellow emaw green emaw pus ang chi tui a chhuak thin.
• Natna nasa tak tuar theih loh.
• Khawsik.
• Chaw ei harsatna tihpun emaw, a awm reng emaw.
• Chak lohna thar emaw, rilru hahna emaw.