I ke ruh lian tak kha khauh leh na tak i nei bawk em? Cheilectomy surgery chungchang i zir dawn teh ang

I kal laiin i ke ruh lianah hian tuar theih loh khawpin natna i nei tawh em, a bik takin pheikhawk tight tak i bun lai hian? I ke ruh i ben tha thei lo ang maiin i inhria a, a khauh, a tight... lungpuiah a inkhung ang maiin i hria. Hei hi thil pangngaiah i ngai mai thei a, mahse i ke ruh lian tak (big toe joint) a awm vang pawh a ni thei. Vawiin hian khawvel hmun hrang hranga he harsatna chinfelna tha tak atana hman thin `Cheilectomy` tih surgery kan sawi dawn a ni.

A awlsam zawngin Cheilectomy tih hi eng nge ni?

Okay, hei hi thumal awlsam takin han sawi ila. Cheilectomy (‘kee-lek-to-mee’ tia lam tur) hi surgical procedure a ni a, chu chu ke ruh lian tak (big toe joint) chunga ruh spurs ( ‘bone spurs’ tia koh) lo thang lian zawk te chu lakchhuah a ni. I ke ruh lian tak chu a ben emaw, a che tha thei lo emaw, kawngkhar jamb angin ngaihtuah rawh. Chuvangin, ruh zung (bone spurs) te i lakchhuah chuan i ke ruh lian tak chu a ben thei a, zalen takin a che leh thei bawk.

Eng ang condition nge Cheilectomy hi tih thin?

He surgery hi `Hallux Rigidus` tih hming pu condition tan tih a ni ber. Hei hian ``stiff big toe`` tihna a ni. ``Hallux`` tih awmzia chu ke ruh lian tihna a ni a, ``Rigidus`` tih awmzia chu a khauh tihna a ni. Hei hi a takah chuan i ke ruh lian (damdawi lam chuan ``metatarsophalangeal (MTP) joint`` tia koh) ruh (joint inflammation condition) a awm a ni. Strict takin sawi ila, hei hi ``osteoarthritis`` chi khat a ni a, khup leh hip ang chi joint te pawh a nghawng bawk.

Hetiang natna `Hallux Rigidus` an tih hi i neih chuan ruh hring (osteophytes) na tak tak chu ruh chungah a lo awm tan thin. Heng spurs te hian vun hi joint chungah a bulge chhuak thin. Chuvangin i pheikhawk i bun hian heng spurs te hi pheikhawk chung lamah an tang a, tuar theih loh khawpin natna a thlen thin. Hun engemaw chen hnuah he natna hian kea kal a ti harsa hle a, a ti hrehawm thei hle bawk.

Mi zawng zawng hian operation an neih a ngai em?

No. Doctor chuan he natna hi i nei tih an hriat veleh operation neih a rawt nghal lo vang. Operation tel lovin kawng dang hmangin natna chu thunun an tum hmasa ang a, hahdamna an pe ang che. Thil dang zawng zawng a hlawhchham chuan surgery hi a tawp ber a ni.

Hengte hi operation hmaa enkawl dan tur tlangpui chu a ni:

Heng enkawlnate pawh hi i natna a reh lo a, nitin hnathawh i tih harsat chhunzawm zel chuan i doctor chuan `Cheilectomy` surgery chungchang a sawipui ang che.

Cheilectomy leh Bunion Surgery hi thil hrang hrang pahnih a ni em?

Ni e, an pahnih inkarah hian danglamna chiang tak a awm. Mi tam tak chuan an pahnih hi an ti buai hle. An pahnih hian ruh tam lutuk lakchhuah a huam a, mahse a danglamna ber chu ruh spur awmna hmunah a ni.

I ke ruh lian tak inzawmna chu pindan ang maiin han ngaihtuah teh.

• Cheilectomy hi hallux chung lama lump awm chu surgery hmanga tih a ni. Hei hian ruh chunglama ruh zung (bone spurs) lo awm chu lakchhuah a huam a ni. Hetiang dinhmun hi Hallux Rigidus an ti a.
• Bunion surgery `(Bunionectomy)` hi hallux valgus sir bang a bump a awm chuan an ti thin. Chu chu, ruhkawr sir (inner side) a ruh bump `(bunion)` lo awm chu lakchhuah a ni tihna a ni. Hetiang dinhmun hi `Hallux Valgus` kan ti a.

A awlsam zawngin, operation chi hrang hrang chu ruh spur chu ruh chunglam emaw, a sir lamah emaw a awm leh awm lohah a innghat a ni.

Surgery neih hmain eng nge thleng?

Surgery hun tur i rel hmain i doctor chuan uluk takin a enfiah ang che.

• Taksa enfiahna: A hmasain, i ke ruh lian tak chu eng chen nge i ben theih ang tih te, i ben lai a nasat zia te, leh a hring a awm leh awm loh te uluk takin an enfiah ang.
• X-ray examination: Tichuan X-ray hmangin ruh chhunga dinhmun chu eng ang chiah nge a nih tih te, cartilage engzat nge a chhe tawh tih te, ruh zungbun (bone spurs) te chu eng ang taka lian nge a nih tih hriat chian a ni. He information hi surgery hi i tan a tha em tih hriat nan hman a ni.

Surgery tih dan tur tlem han sawi ila.

Surgery neih chhung hian i ke chunglam, ke ruh lian tak (big toe joint) chungah hian incision te tak te siam a ni. Tichuan, chu incision hmang chuan i ke ruh i ben theih lohna tur ruh na tak takte chu uluk takin an paih chhuak ta a ni.

He surgery hi kawng lian pahnih hmanga tih theih a ni:

1. Open Cheilectomy tih tur a ni

Hetah hian incision lian deuh deuh siam a ni a, a ruh chu hmuh theih zawk nan hawn a ni a, ruh zung (bone spurs) te chu lakchhuah a ni.

2. Minimally Invasive Cheilectomy tih a ni ang

Hetiang tih danah hian incision lian tak ai chuan vunah khur te te tlemte siam a ni. Tichuan, chu khur atang chuan hmanraw bik ‘burr’ an tih chu dahin ruh zungte chu tihkehsawm leh paih chhuah a ni. Hetiang hmanraw thatna chu hliam a awm tlem a, a dam rei deuh pawh a ni mai thei.

I doctor chuan eng method nge i tan a tha ber tih a rel ang.

Surgery hnuah eng nge thleng?

Hei hi a tlangpuiin surgery lian tak, ni engemaw zat damdawi ina awm ngai a ni lo va, chuvangin zan khatah i haw thei bawk ( outpatient surgery ).

• Pheikhawk bik: In lama i haw hnuah, i ke a dam chhungin kar engemaw zat chhung chu pheikhawk bik i bun a ngai dawn a ni. Hei hian surgical site-a taksa rihna tihtlem nan a pui dawn a ni.
• Pain control: Natna control nan doctor chuan natna tidamtu ibuprofen emaw acetaminophen emaw ang chi a rawt thei ang.
• Swelling: I ke chu a hring deuh mai thei. I ke chu a theih ang anga chawisang reng a tha ber.

He surgery hian eng nge a thatna?

`Cheilectomy` surgery a thatna lian ber chu relief a ni.

Risk leh complication a awm lo em ni?

Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Mahse, hengte hi a tlem hle a, doctor-te chuan theihtawp chhuahin tih tlem tumin an bei thin.

• Natna chhunzawm zel: Mi thenkhat chuan operation hnua an kut zungtang an ben hian natna engemaw zat an la nei thei.
• Surgery dang neih belh a ngai: A tlem berah chuan `Hallux Rigidus` natna hi a na zual a nih chuan enkawl nan operation dang neih belh a ngai mai thei. Entir nan:
• Arthrodesis procedure chu surgery hmanga ruh ruh inzawmkhawmna a ni.
• A hliam tuar cartilage-a pressure tihziaawmna tur surgery (Moberg osteotomy surgery) .
• Harsatna dang: Surgery dang ang bawkin natna kai leh hliam awm theihna chance a tlem hle. I ke hnuai lamah pawh na i nei thei bawk.

Hemi chungchangah hian lungngai suh. I doctor chuan operation hmain heng thilte hi chiang takin a sawipui ang che.

Eng chen nge a dam leh theih ang? Engtikah nge hna ka thawh leh theih ang?

Damna hun hi mi hrang hrangah a inang lo.

• Swelling: I ke chu operation hnu kar engemaw zat, a nih loh leh thla tam tak chhung pawh a hring deuh thei. Hei hi thil pangngai a ni.
• Kekawr: Chu kekawr bik chu kar hnih tal i ha tur a ni , doctor-in a tih hma loh chuan.
• Hnathawh lehna: Mi tam zawk chuan thla khat emaw thla hnih emaw chhungin hna an thawk leh thei . Mahse, i hnaah chuan kea kal emaw, ding emaw tam a ngai a nih chuan, emaw, i natna leh i hliam a na zawk a nih chuan, hnathawhna hmuna kir leh turin hun rei vak lo a la ngai thei a ni. Hemi chungchang hi doctor nen sawiho a tha ber.

Doctor pan vat a ngaih hunah

Operation hnua in lama i haw hunah heng symptoms te hi fimkhur hle ang che. Heng zinga pakhat tal i neih chuan doctor ko nghal rawh.

• Incision chhehvel vun chu a sen hle a nih chuan .
• Chu hmun chu a hring lutuk a nih chuan .
• Cut atang hian pus ang chi yellow liquid a chhuak a nih chuan.
• Painkiller ei chung pawha tuar theih loh khawpa natna i neih emaw, nitin natna a zual zel a nih chuan.
• Khawsik i neih chuan .

Hengte hi hri kai chhinchhiahna a ni thei a, chuvangin enkawlna zawn vat a pawimawh.