Nu emaw, pa emaw chuan an naute piang thar kut te tak te chu hmangaihna nên an en a, a danglamna tlem a awm tih an hriat chuan engtin nge a ngaih ang? A rapthlak thei a, a lungchhiatthlak thei a, thinrim pawh a ni thei. ‘Engvangin nge kan naute chungah hetiang thil hi a lo thlen?’ tih hi thil pangngai tak a ni. Mahse, lungngai suh. Vawiin hian heng congenital hand danglamna te hi kan sawi dawn a ni. He thu hian thlamuanna engemaw chen a thlen ngei kan beisei.
He congenital hand danglamna hi eng nge ni?
A awlsam zawngin, hei hian i naute kut pianzia chu kut pangngai pianzia nen a danglam deuh tihna a ni. "Congenital" tih thumal hi "pian tirh laia awm" tihna a ni. Chumi awmzia chu he inthlauhna hi nausen pum chhunga a la seilian lai a lo awm tihna a ni.
Nu leh pate hian hetiang thil an hmuh hian lungngai, thinrim leh sual tih hi thil pangngai tak a ni. I ngaihtuah mai thei, "Naupai lai khan ka chungah thil a thleng dik lo em?" Doctor te pawhin hei hi a hmain an hre thei lo tih i thinrim pawh a ni mai thei.
Mahse, a takah chuan tumah sualna a ni lo. Heng dinhmun tam zawk hi chu thlahtute atanga lo chhuak a ni lo. Tin, ven theih an ni lo bawk. A chang chuan scan pawhin a detect thei lo. Chuvangin, khawngaihin nangmah in dem suh.
Heng inthlak danglamna chi hrang hrangte hi engte nge ni?
Congenital hand deformities hi chi hrang hrangah then theih a ni. Hetianga categorize a nih chuan condition hriatthiam a awlsam zawk hle.
| Engtin nge inthlak danglamna a awm thin | A sawifiahna awlsam tak |
|---|---|
| Kut pum pui emaw kut hmun thenkhat emaw siamtu harsatna | Kut thenkhat emaw, a pum emaw a lo thanglian tha lo. |
| Kut inthenna lama harsatna awm thei | Kut zungtang chu a inzawm khawm a, a inzawm khawm a ni. |
| Kut zungtang emaw kutpui emaw extra | Kut pakhata kut zungtang pangngai aia tam neih. |
| Kut emaw kut zungtang emaw a lo thanglian loh emaw, a lo thanglian lutuk emaw | Kut, kut zungtang, kutpui lian leh te hi a tlangpui aia te emaw, lian emaw a ni. |
A tlangpuiin hmuh tur chi hrang hrang
Tunah chuan heng main category hnuaia awm, specific condition tlangpui zawk thenkhat kan sawi dawn nia.
Kut zungtang inzawm khawm (Syndactyly) .
Hei hi congenital hand deformity awm tam ber a ni. Greek tawngin "syn" tih chu "inkhawmpui" tihna a ni a, "daktylos" tih chu "kut zungtang" tihna a ni. A awlsam zawngin sawi ila, hei hi naupang kut zungtang a innghah lai a ni. A chang chuan kut zungtang pahnih inkar vun chauh hi a inzawm khawm thin. Hei hi ‘simple’ condition kan ti a. Hun dangah chuan kut zungtang ruh, nerve leh thisen kalna kawngte pawh a inzawm tlat bawk. Hei hi ‘complex’ condition a ni.
Kut zungtang dang neih (Polydactyly) .
"Poly" tih awmzia chu "tam tak" tihna a ni. Chumi awmzia chu naupang chuan an kut ah kut zungtang panga aia tam a nei tihna a ni. He extra finger hi vun emaw nerve emaw chauhvin a inzawm thei. A châng chuan kut zungtang pangngai ang chi hmun a nei thei a, kut ruh dangah pawh a inzawm thei bawk.
Hei pawh hi chi hnih lian tak a awm bawk:
- Ulnar Polydactyly: Hei hi a tam ber a ni. Hetah hian extra digit chu kut zungtang te tak te sir lamah a lo thang lian a, chu chu kan kut ruh pahnih zinga lian zawk `(ulna)` ruh nena inzawm lam a ni.
- Radial Polydactyly: Hetah hian extra digit chu kutpui sir lamah a lo piang chhuak thin. Chu chu `(radius)` ruh sir lamah a ni. A châng chuan kut khatah kut zungtang tam tak a awm thei bawk.
Radial Club Kut a ni
Hetiang dinhmunah hian kut zungpui lam, chu chu `(radius)` ruh thanna chu a tlahniam a ni. Chuvang chuan kut hnuai lam chu a tawi a, chhung lam hawiin a inbeng a, "J" tih ang chiah hian a pianzia a lo awm ta a ni. Thumb hi a te hle emaw, a awm lo vek emaw pawh a ni thei. Kut tawi hian naupang tan kut pahnih hmanga hna thawh a harsat phah thei a ni.
Kut Cleft a ni
Hei hi naupang kut zungtang lai tak pakhat emaw, a aia tam emaw a bo lai a ni. Hei hian kutphah chhungah "V" ang chi gap, a nih loh leh cleft a siam a ni. Hetiang dinhmun hi a chang chuan syndactyly emaw polydactyly emaw ang chi natna dang nen a awm ve bawk.
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Nausen naupai kar lina leh kar ruk inkarah kut leh kut zungtang te hi a lo thang lian a. He hun sensitive tak chhunga tihbuai eng pawh hian heng inthlak danglamna te hi a thlen thei a ni. Hei hi thil pawimawh tak pahnih a awm a.
Genetic factors atanga lo chhuak a ni
Genes hian kan taksa chhunga cell tinte thanlen dan leh hnathawh dan tur kaihhruaina a pe a. Heng genes te hi nu leh pa atanga fate hnena pek chhuah a ni. A chang chuan heng genes te hi a takin a inthlak (mutations) thei bawk. Kut inthlak danglamnaah chuan heng genetic changes te hi a chhan hriat lohvin a takin a thleng fo thin. An tlem hle a, thlah khat atanga thlah dangah an inthlau hle.
Environment lam thilte
Hei hi nuin naupai laia natna a neih thenkhat leh damdawi a ei thenkhatin a nghawng thei a ni. Entirnan, natna dona damdawi thalidomide leh cancer enkawlna atana chemotherapy damdawi thenkhat. Heng thilte hian tissue hrisel lo thang zelte a tichhe thei a, a than dan pawh a tidanglam thei bawk.
Kut danglamna thenkhat chu heng thilte avang hian sawifiah theih a nih laiin, a tam zawkah chuan a chhan chiang tak hmuh tur a awm lo.
Hetiang dinhmun avang hian harsatna a awm thei em?
Kut deformity awm dan leh nasat dan azirin naupang thenkhat chuan harsatna awm lovin an insiamrem thei a, an thawk thei bawk. Mahse, naupang thenkhat chuan enkawl loh chuan harsatna engemaw zat an tawk thei a ni.
- Hmasawnna lama tlai lutuk.
- Mahni hna thawh leh nitin hna thawh harsat.
- Infiamna leh thil dang thenkhata tel theihna tur tihkhawtlai.
- Psychological leh social problem (midang laka inthiarfihlim anga inhriatna, mualphona, etc.).
Eng enkawlna kawng nge awm?
Naupang tin hi an danglam bik avangin naupang mamawh dan azirin enkawl dan tur an ruat thin. Enkawlna tum ber chu chu kut hmanga naupangin hna a thawh theih zat tihpun leh nitin nun awlsam zawk siam hi a ni. Thil tum dang chu naupang chu a kut hmel chu eng emaw chen tihchangtlun a, mahni inngaihhlutna siam tura tanpui hi a ni.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Stretching tih hi a ni | Exercise nem tak tak hmanga ruh leh taksa peng hrang hranga incheina tihchangtlun nan. |
| Splinting emaw, casting emaw a ni | Kut chu a awmna tur dik takah vawn nan leh traction vawng reng turin hmanraw hman thin. |
| Taksa lam enkawlna | Kut chakna leh hnathawh thatna tur exercise leh enkawlna bik. |
| Prosthetics hmanga siam a ni | Kut chhunga hmun emaw ruh emaw awm lohna atana pawn lam fixation device. |
| Inzai | Surgery tih hian fused fingers te chu then hran a, extra fingers te lakchhuah a, kut pianzia leh hnathawh thatna tur te an ti thin. |
Entirnan, syndactyly a nih chuan kut zungtang hi surgery hmanga then a ni tlangpui. Polydactyly a nih chuan kut zungtang chu surgery hmangin lakchhuah a ni a, kut zungtang la awm chu dah leh a ni.
He inthlak danglamna hi enkawlna hian a ‘dam’ kim thei lo tih hre reng ang che. Amaherawhchu, kut hnathawh leh a lan dan erawh nasa takin a tichangtlung thei a ni. A pawimawh ber chu nang leh i fa hian he inthlak danglamna hi a tha zawngin i pawm a ni. Chu chu enkawlna hlawhtling tura chakna lian ber a ni.
Engtin nge nu leh pa angin i fate i ṭanpui theih ang?
Hetiang natna nei naupang nu leh pa i nih angin i tih theih tam tak a awm. I fate tan chuan i thlawpna hi a hlu hle.
- I doctor nen inbiakna neihpui rawh: I doctor hnenah i lungkhamna leh hlauhthawnna zawng zawng sawipui rawh. Nangmah ah engmah dah suh.
- Support group chungchang zawt rawh: I doctor hnenah nu leh pa leh naupang dang, chutiang thil tawn tawhte nen support group chungchang zawt rawh. Chutiang mite nêna inbiakna chu nang leh i fa tân chakna petu ropui tak a ni thei a ni.
- I fa chu fuih rawh: I fa chu a lo ṭhan chhoh zêl chuan, an danglam tih hrethiam tûrin ṭanpui ang che. An sualna a ni lo tih leh an tih theih tam tak a awm tih hrilh rawh.
I doctor zawh tur zawhna
Doctor i tlawh hunah hetiang zawhna hi i zawt thei ang:
- Ka fa hian eng ang kut deformity nge a neih?
- Eng enkawl dan tha ber nge i rawt?
- Ka fa hian naupang dang ang bawkin thil pangngai a ti thei ang em?
- Engtin nge ka fa chu he inthlâk danglamnaah hian a insiamrem theih nân ka ṭanpui theih ang?
Naupangte chuan heng thilte hi i ngaihtuah aiin an insiamrem rang zawk a ni. An khawvel hi a mak khawp mai. I hmangaihna te, i thlawpna te, i rilru put hmang te hi naupangin a dawn theih damdawi tha ber a ni.
Take-Home Thuchah a ni
- I fa chu kut piansual neia piang a nih hi i sualna a ni lo. Chumi chungchangah chuan inthiam lohna nei suh.
- Heng dinhmun tam tak hi rochun atanga lo chhuak emaw, ven theih emaw a ni lo.
- Enkawlna tum ber chu kut hnathawh leh hmel tihchangtlun hi a ni.
- Naupangte chuan heng inthlak danglamnate hi an insiamrem rang hle. An chak em em a ni.
- I fate hrisel taka a thanlen theih nan i rilru put hmang tha leh hmangaihna hi a pawimawh hle.
- Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.
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