"Amputation" tih thumal emaw, taksa peng pakhat surgery hmanga lakchhuah emaw kan hriat hian hlauhna leh mangang tak tak kan nei thin. A hluar hle mai. Mahse hei hi nunna chhanhimtu, damdawi lam enkawlna pawimawh tak a nih theih hun a awm. Chuvângin, he thil chungchânga hriat chian famkim chu chu hlauhna tihziaawmna kawngah chuan ṭanpuitu lian tak a ni ang. Vawiin hian he surgery hi eng nge a nih, engvangin nge tih a ngaih tih leh a hnua thil thlengte kan sawi dawn a ni.
Engvangin nge taksa peng pakhat chu operation hmanga lakchhuah a ngai ang?
Tuman kut, ke, leh kut zungtang pakhat chauh an la chhuak lo vang. Damdawi lam chhan lian tak a awm a ngai a ni. A awlsam zawngin, taksa peng pakhat chu chhandam theih tawh loh khawpa chhia a nih a, taksa pum a tichhe dawn a nih chuan doctor-te chuan he thutlukna hi an siam thin.
Hei hi a chhan ber chu thisen kal tha lo vang a ni . A dik zawka sawi chuan, a kaihhnawih taksa pengte hian thisen kalna kawng emaw, thisen kalna kawng emaw a zim emaw, a chhiat emaw avangin thisen a dawng tlem hle. Hetiang dinhmun hi `(Peripheral Arterial Disease)` kan ti a. Kan thingin tui a hmuh loh chuan eng nge thleng ang tih han ngaihtuah teh? Zawi zawiin a thi a ni lawm ni? Chutiang chu a ni a, thisen atanga oxygen leh nutrition a bo chuan kan taksa chhunga cell te chu an thi tan thin. Tichuan chu part chu a ro a, infection na tak tak a awm thei bawk.
Hemi chhan ber bakah hian chhan dang engemaw zat avangin he surgery hi a ngai thei bawk.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Accident na tak a ni | Kut emaw ke emaw a tihchhiat emaw, siamthat theih loha a chhiat emaw, car accident emaw, kang nasa tak emaw a nih chuan. |
| Cancer natna hrik a awm | Ruh emaw, ruh emawa cancer natna darh zel tur tihtawp nan chuan chu hmun chu lakchhuah a ngai a ni. |
| Thunun theih loh natna hrik | Infection na tak, antibiotics hmang pawha tihdam theih loh, taksa pum puia darh thei. |
| Nerve tissue a thick (Neuroma) 1.1. | A châng chuan nerve tissue na taka thicking a nih avangin kut zungtang ang chi hmun tenau tak chu lakchhuah a ngai thin. |
| Frostbite a ni | Khaw lum lutuk avanga taksa tissue thihna. (Hei hi kan ramah chuan a awm lo). |
Engtin nge surgery hi an tih thin?
Hetiang surgery chi hi i hriselna dinhmun leh surgery chi hrang hrang a zirin ni 5-14 emaw a aia rei emaw damdawi ina awm a ngai tlangpui.
Surgery hmain anesthetized i ni ang. Hei hi kawng hnih in tih theih a ni.
1. General Anesthesia: Hemiah hian i muhil kim vek ang a, surgery a zawh hma chuan engmah i hre lo ang.
2. Spinal Anesthesia: Hei hian i taksa chu i kawr atanga a hnuai lam thlengin a tichak lo. I hriatna i nei a, mahse engmah hrehawm i nei lo.
Surgery an tih hian doctor-in a tum ber chu tissue chhia zawng zawng paih chhuah a, tissue hrisel tam thei ang ber dah chhuah hi a ni.
Doctor-te chuan khawi hmuna lak chhuah nge tih chiang taka hriat theih nan kawng hrang hrang an hmang a.
- An lakchhuah tumna hmun bulah pulse a awm em tih an enfiah thin.
- Hliam kut/ke vun lum leh hrisel tak kut/ke vun lum leh vawt tehkhin a ni.
- Vun senna hmunte chu uluk takin enfiah thin ang che.
- I paih duhna hmun bula vun chu khawih a sensitive em tih enfiah rawh.
Surgery neih chhung hian surgeon chuan a hnuaia mi ang hian a ti ang:
- Tissue natna leh ruh chi hrang hrang tihchhiat te chu paih vek a ni.
- Ruh chunga hmun inthlau leh hrual lo tak takte chu a tifai vek.
- Thisen chhuah tihtawp nan thisen kalna kawng leh nerve te chu nghet takin an seal thin.
- Muscle te hi cut leh shaped a ni a, chu chu a hnuah prosthetic arm emaw ke emaw chu a la awm (stump) ah a inzawm thei a ni.
A châng chuan surgeon chuan vun flap hmangin hliam chu a khar nghal ṭhin. Hei hi ``Closed Amputation'' an ti a. Mahse, hri kai theihna a awm emaw, tissue tam zawk lak chhuah a ngai a nih chuan hliam chu ni engemaw zat hawn a ni thei.
Damna hun leh dam lehna
Operation hnua dam leh dan hi mi hrang hrangah a inang lo. Thil tam takah a innghat a, i hriselna zawng zawng leh surgery neih danah pawh a innghat.
Damdawi inah chuan:
Hospital staff te chuan i hliam chunga dressing te chu an thlak ang a, a nih loh leh nangmah ngeiin tih dan tur an zirtir ang che. Doctor chuan hliam damna tikhawtlai thei damdawi lam dinhmun, zunthlum ang chi a awm leh awm loh a enfiah ang. Natna tihziaawmna tur leh natna hrik laka invenna tur damdawi an pe ang che.
Phantom Pain: Hei hi mi tam takin an tawn thin a ni. A awlsam zawngin sawi ila, a kut/ke lakchhuah chu a la awm reng tih leh a natna a thlen tih hriatna a ni. Hei hi rilru lam harsatna a ni lo va, hriat theih thil a ni. Hetiang thil i hriat chuan thup ngai suh. I doctor hnenah hrilh ngei ang che. A tul angin enkawlna leh counselling a pe thei a ni.
Physical therapy hi operation hnu ni engemaw zat hnuah tan a ni. Stretching exercise nem tak tak tih hmasak a ni. Operation atanga kar 2 vel hnuah prosthetic leg/arm hmangin exercise i tan thei ang.
A tlangpuiin hliam hi a dam kim theih nan kar 4-8 vel a ngai thin.
He inthlak danglamna lian tak hi taksa leh rilru lamah pawh insiamrem theih nan hun a ngai a ni. Chu chu thil pangngai tak a ni. Mahni chauhin hrehawm tuar ngai suh. Ṭanpuina dil rawh.
Hun rei tak chhunga rehabilitation neihnaah hian:
- Taksa chakna leh control tihchangtlunna tur exercise .
- Nitin hnathawh tur mahni inrintawkna neia thawh theihna tipungtu thiltih.
- Artificial limbs (`Prosthesis`) leh puitu dang hman .
- I taksa peng pakhat hloh avanga lungngaihna leh i taksa pianzia thar nena insiamrem theihna tura pui turin i doctor emaw, counselor thiam tak emaw hnen atangin puihna leh counseling dil a pawimawh hle.
Take-Home Thuchah a ni
- Amputation hi nunna chhanhim emaw, nunphung tihchangtlunna emaw atana surgical procedure tul tak a ni. Damdawi inenkawlna hlawhchhamna a ni lo.
- Damna hi taksa leh rilru lama zinkawng a ni a, hun, dawhtheihna leh puihna a ngai a ni.
- I doctor, physical therapist leh counselor te nen thawhhona tha tak neih a pawimawh hle. Zawhna zawh hreh suh la, i ngaihtuahnate sawi chhuak bawk ang che.
- ‘Phantom pain’ emaw rilru hahna i tawk a nih chuan thup suh la, doctor thurawn la nghal rawh. I tanpui thei tur mi tam tak an awm a.
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