I elbow-ah hian tuar theih loh khawpin natna i tuar rei tawh em? I doctor chuan elbow thlak danglamna surgery chungchang a sawipui tawh mai thei. Hetiang surgery chi hi i hriat hian tlem a hlauhthawn leh hriat duhna i neih hi thil pangngai a ni. He surgery hi eng nge ni tak tak? A awlsam zawngin, mi zawng zawngin an hriatthiam theih tur angin sawi ila.
Hei hian eng nge a awmzia, elbow joint thlak danglam?
A awlsam zawngin, elbow joint thlak danglamna surgery-ah hian i elbow joint chu lakchhuah a, artificial joint hmanga thlak a ngai a ni. Hei hi damdawi lamah chuan joint replacement (arthroplasty) tia hriat a ni.
Hetiang hian han ngaihtuah teh: kan elbow joint hi kawngkaa hinge ang mai a ni. Hun a kal zel a, he hinge hi a chhe thei a, a rust thei a, hna a thawk tha tawh lo thei bawk. Kan ruh (joint) pawh chutiang chu a ni. Arthritis ang chi dinhmun vang emaw, accident na tak vang emaw pawh nise, ruh chhunga cartilage a lo chhe tawh a, ruhte a inhnim tan chuan natna nasa tak leh tihkhauhna a thlen thei a ni.
Hei hi surgeon-in i natural joint-a a chhe tawh, a chhe tawhte chu a paih chhuak a, chu chu thir leh plastic hmanga siam artificial joint (prosthesis) hmanga thlak a ni. Hemi hnu hian awlsam takin i kut chu na lovin i ben thei ang a, i tizau thei bawk ang.
He surgery chi hrang hrangte hi engte nge ni?
Elbow thlak danglamna surgery chi hrang hrang a awm a. I doctor chuan eng chi nge i tan a tha ber tih a rel ang. Heng chi hrang hrangte hi chiang takin i hrethiam ang u.
| Surgery chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| Total Elbow thlak danglam a ni | Hei hi a tam ber chi a ni. Hetah hian upper arm bone (humerus) leh forearm bones (ulna leh radius) chhia te chu paih vek a ni a, artificial joint dah a ni. |
| Elbow thenkhat thlak danglam a ni | Hei hi a hmingin a sawi ang chiah chu a ni. Joint chhia chauh thlak a ni. Hei hi a tam vak lo. A tlangpuiin ruh hmun khat chauh a chhiat hunah tih a ni a, chu chu accident na tak a nih chuan a ni. |
| Artificial joint dah dan tur | |
| Linked thlak danglam a ni | Hetiang method ah hian artificial joint chu hinge inzawm khawm ang mai a ni. A hmun hnih chu kut chunglam ruh leh kut hmawr ruh-ah thir zungbun hmanga inzawm a ni. Hei hi a stable ber leh hman tlanglawn ber a ni . |
| Unlinked thlak danglam a ni | Hetah hian artificial joint peng hrang hrangte chu an inzawm lo. Chu ai chuan naturally occurring ligament leh tissue te nen an inzawm zawk a ni. Mahse chutiang ti tur chuan chu ligament leh tissue te chu a chak hle a ngai a ni. Joint pakhat a upa tawh a, thlak ngai a nih chuan ligament te chu a chak lo lutuk tlangpui a, chuvangin he method hi hman a ni tlem hle. |
He surgery hi tute nge tih tur?
Doctor chuan he surgery hi symptom na tak nei, enkawlna dang (painkiller leh physical therapy ang chi) dawng lote tan a rawt thei a ni. A lan chhuah dan ber chu:
- Tuar theih loh ruh natna .
- Elbow- ah a nghet lo .
- Elbow ben emaw straight tha thei lo (limited mobility).
- Joint a hring chhuak .
Heng natna lan chhuah chhan ber chu ruh natna (arthritis) a ni.
- Osteoarthritis: Kan tar chhoh zel a, kan ruh (joint) a chhe lutuk avanga kan natna a ni.
- Rheumatoid Arthritis: Taksa taksa chakna (immune system) in ruh a beih avanga natna lo awm a ni.
- Post-traumatic arthritis: Arthritis hi a hmaa elbow fracture emaw dislocation emaw a awm hnu kum tam tak hnua lo awm thin.
Chu bakah, elbow fracture na tak thenkhatah pawh he surgery hi a ngai thei bawk.
Operation hmain engtin nge i inbuatsaih thin?
I doctor leh surgeon chuan operation hmaa i tih tur chu an hrilhfiah ang che. Hengte hi i tih tur a ni tlangpui ang:
- Taksa enfiahna: Surgery neih theih turin i hrisel tawk em tih hriat nan.
- Thisen test a ni.
- ECG test: Thinlung hnathawh dan enfiah thin.
- Ha enfiahna: 1.1.Hei hi mak deuhin a lang mai thei, mahse a pawimawh hle. Ha chhunga natna hrik awmte chu thisen kaltlangin a kal thei a, ruh dah thar chu a kai thei a ni. Hei hi chu risk tihtlem nan tih a ni.
- Imaging test: Elbow X-ray lak ngei ngei tur a ni. MRI emaw CT scan emaw ti turin an ti thei bawk.
Damdawi, vitamin leh supplement i ei apiang chu i doctor hnenah hrilh ngei ang che . Operation hmain damdawi thenkhat ei kha i chawlhsan a ngai mai thei.
Tip pawimawh: Operation hnuah kar tlemte chhung chu i elbow i hmang thei dawn lo a, chuvangin in lama i mamawh ber thil thenkhat (e.g. cup, comb, lehkhabu) chu i kut dangin a thlen awlsamna hmunah dah a tha.
Operation hma ni khatah ei leh in chawlhsan hun tur hriattir i ni ang. A tlangpuiin operation hma darkar 12 chhungin ei leh in i chawlhsan a ngai dawn a ni.
Surgery leh a hnua thil thlengte
Operation ni-ah chuan anesthesiologist chuan i kut chu a ti na ang a, chutiang chuan natna i nei lo ang. Hei bakah hian operation neih chhunga mut hahdam taka mut theih nan general anesthesia pek i ni bawk ang.
Surgeon chuan:
1. Elbow hnung lamah incision siam a ni.
2. Cartilage chhia leh ruh chi hrang hrang te chu paih chhuah a ni.
3. Ruh tawp chu artificial joint nena inmil turin siamrem a ni.
4. Prosthesis chu dah a ni.
He surgery hi darkar hnih vel a ni tlangpui. Surgery zawhah recovery room-ah hruai i ni ang a, chutah chuan medical team-in i dinhmun an enfiah ang. A tlangpuiin ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai dawn a ni.
Harsatna awm thei leh a bik taka fimkhur tur
Surgery dang ang bawkin harsatna a awm theihna a tlem hle.
- Graft chhehvel ruh a tliak.
- Surgery hmun emaw, ruh chhunga natna hrik awm.
- Nerve emaw thisen kalna kawng emaw a chhiat.
- Artificial joint chu a hun hmaa a chhe emaw, a hrual emaw.
- Scar tissue siam vangin kut a che thei lo.
Damdawi dang, zunthlum emaw, ruh natna emaw i neih chuan i doctor nen inbiakna neihpui ngei ngei tur a ni.
A pawimawh ber chu: weight lifting khapna!
Hei hi he surgery chungchanga hriat tur pawimawh ber a ni.
Joint thlak danglamna dang (knee, hip) ang lo takin, elbow joint-a dah prosthetic parts te hi a nalh deuh thei. Hei hi a chhan chu kan kut ruhte hi hip emaw, khup emaw ang hmuna ruh aiin a te zawkin a hring zawk a ni.
Chuvang chuan he surgery nei tam tak hian an dam chhungin operation an neihna kutah rit phurh theihna an nei thei a ni.A tlangpuiin chu kut hmanga kilogram 2.5 (pound 5) aia tam chawi hi a tha lo. He limit hi zawm dik a pawimawh hle . Chutianga tih loh chuan prosthesis chu a lo chhuak thei a, a chhe thei bawk.
Recovery hun leh doctor koh hun tur
A tlangpuiin a dam kim theih nan kum khat vel a ngai thei . Kar hmasa berah i kut che thei lo turin splint emaw brace emaw i bun a ngai mai thei. Kar 12 vel hnuah chuan physical therapist enkawlna hnuaiah exercise i tan tur a ni. Heng exercise te hian i kut ruh te a tichak ang a, chetna a siam tha leh ang.
Operation hnu kar hmasa berah natna engemaw zat neih hi thil pangngai a ni. I doctor-in a pek painkillers chu dik takin hmang rawh.
Damdawi lam thurawn zawng nghal rawh!
A hnuaia symptoms te hi i neih chuan i doctor emaw damdawi in hnai ber Emergency Department (ETU) hnenah kal nghal rawh.
| Symptoms fimkhur tur |
|---|
| • A rilru a na |
| • Thâwk harsa (dyspnea) . |
| • Khawsik 101°F (39°C) aia sang . |
| • Surgery hliam atanga thisen chhuak tam lutuk |
| • Infection chhinchhiahna: hliam atanga tui chhuak ang chi, hliam na lutuk, rawng danglam, rim, emaw hliam chhehvel lumna hriatna. |
| • Natna nasa tak, thunun theih loh, natna tidamtu damdawi hmang pawhin. |
I dam chhung zawnga kut pakhata rit phur thei lo chu inthlak danglamna lian tak ni mahse, he surgery hi i natna awm reng tihbo nan leh i nunphung tihchangtlun nan a hlu hle. Chuvangin, he thu hi i doctor nen uluk takin sawi la, i tana tha tur thutlukna siam rawh.
Take-Home Thuchah a ni
- Elbow joint replacement surgery hi natna nasa tak leh natna khirh tak, enkawlna dangin a tihziaawm loh solution atan an ti thin.
- A dam kim theih nan kum khat vel a ngai a, physical therapy exercise neih a ngai bawk.
- Dan pawimawh ber: I dam chhung zawngin kut operation hmanga thil rit (a tlangpuiin kg 2.5 aia tam) chawi loh tur.
- Operation i tih hmain i doctor nen uluk takin a thatna leh a hlauhawm dan sawipui thin ang che.
- Vaukhânna chhinchhiahna, khawsik sang, tuar theih loh natna, emaw, hliamna hmuna natna hrik kai theihna chhinchhiahna i hmuh chuan doctor lam pan nghal rawh.
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