I kut zungtang emaw, kut zungtang engemaw zat emaw chu zawi zawiin kutphah lam hawiin a inbeng ang tih i hre ngai em? Siam i tum pawhin tihdik a harsa hlein i hria em? Hei hi Dupuytren natna an tih natna lan chhuahna a ni thei. Hetiang dinhmun hi a nasat chuan i kut zungtangte chu tihdik theih loh tak tak a ni thei. Chuvangin, vawiin hian Fasciectomy chungchang kan sawi dawn a, hei hi he natna enkawlna tha tak a ni.
Fasciectomy tih hi eng nge ni?
Fasciectomy hi surgery tih mai a ni. I kut atanga fibrous tissue layer fascia an tih chu lakchhuah a ni. I kut vun hnuaia membrane te tak te ang maiin ngaihtuah rawh. Dupuytren natna vei mi pakhatah chuan he membrane hi a thim zauh zauh a, a nghet a, a inzawm tan ta a ni. Chumi hnuah chuan kut zungtangte chu kutphah lam pan chuan a hruai lut ta a ni.
Chuvangin, he Fasciectomy surgery hian a tih chu chu tissue tight tak chu lakchhuah a, i kut zungtangte chu zalen taka tihdik tir hi a ni. Hei hian i kut hnathawh chu a tichak leh ang.
Dupuytren natna hi eng nge ni?
Dupuytren natna hi connective tissue disorder kal zel a ni. Hemiah hian thil thleng chu a hmaa kan sawi tawh fascia chu kut emaw kut pahnih emawa awm chu a thim a, a tight ta a ni. Kan taksa chhunga he connective tissue hi kan taksa ruh, taksa peng, ruh leh vun inzawmkhawmtu leh puitu hna thawktu a ni.
Mi thenkhat chuan he natna hi an vei thei a , chu chu genetic mutation vang a ni a , chu chu thlah kal zelah a kal zel a ni . Mahse, mi thenkhat chuan chhan hriat lohvin he natna hi an nei thei a ni.
Hetiang natna vei te hian an kutphah vun hnuaiah hian nodules te te an nei hmasa thin. Hun a kal zel a, heng nodules te hi an inzawm khawm a, hrui thuk tak, hrui ang maia siam a ni. Heng hrui te hian kut zungtang pakhat emaw a aia tam emaw chu kutphah lam hawiin a hruai a. Doctor-te chuan he natna hi Dupuytren-a contracture tiin an sawi bawk.
He surgery hi tuin nge mamawh tak tak?
Dupuytren’s hi natna zual zel a nih avangin i doctor chuan non-surgical treatment a lo enchhin hmasa ang.
- Steroid injection hmanga tihdam theih a ni
- Enzyme collagenase injection hmanga tihchhuah a ni
Heng enkawlnate hian a puih loh chuan, chu chu i ke ruhte a ben lutuk a, nitin hnathawh pawh i ti thei lo tihna a nih chuan, i doctor chuan operation tih a rawt mai thei. Chutiang hunah chuan Fasciectomy hi surgery tih tam ber a ni.
Fasciectomy, Fasciotomy... Eng nge a danglamna?
Dupuytren natna hi surgery hmanga enkawlna chi hrang hrang a awm a. An inthlau deuh hlek a. Eng nge an nih i han thlir teh ang. He table hi en hian awlsam takin he danglamna hi i hrethiam thei ang.
| Enkawl dan tur | Eng nge tih tur awlsam tak |
|---|---|
| Fasciotomy tih a ni | Kutphahah hian incision te tak te siamin, a hrui thim tawh chu an tan a, an inthen a ni. A la chhuak lo, a cut mai mai a ni. Hei hian cord chhunga tension a tichak lo va, kut zungtangte pawh a ti awlsam bawk. |
| Percutaneous needle fasciotomy (Needle Aponeurotomy) hmanga tih a ni. | Needle te tak te hmangin tissue thickened ah hian hole engemaw zat siam a ni. Heng khur te hian tissue chu a tichak lo va, a ti chhe a, kut zungtang te chu a chhuah zalen thei a ni. |
| Fasciectomy tih a ni | Hei hian chutiang harsatna nei nodules leh cords te chu cut chhuak vek leh paih vek a huam a ni. Hei hi he thuziak-a kan sawi tur method chu a ni. |
Operation hmain eng nge i tih tur?
Surgery hmaa i surgeon thupek uluk taka zawm a pawimawh hle . Anni chuan hetiang thil hi tih turin an ti tlangpui mai thei che:
- Surgery hma darkar engemaw zat chaw nghei (ei leh in loh).
- Meizial i zuk chuan titawp rawh . Meizial zuk hian damna a tibuai a ni.
- Damdawi thenkhat, vitamin, leh herbal supplement thenkhat ei kha rei lo te atan chawlhsan turin an ti thei che a ni .
Surgery chi hrang hrang a awm em?
Ni e, natna dinhmun a zirin fasciectomy surgery chi hrang hrang leh hman dan hrang hrang a awm.
Partial leh Total Fasciectomy inthlauhna
- Partial (partial removal): Hei hian natna nei, thicked tissue chauh lakchhuah a huam a ni.
- Total (a chhuah kim vek): 1.1.Chutah chuan kut fascia membrane zawng zawng chu lakchhuah a ni a, tissue hrisel pawh a tel.
I doctor chuan eng method nge i tana tha ber tih chu a rel ang a, a hrilhfiah ang che.
Surgery tih dan tur
- Segmental fasciectomy: Hetiang tihnaah hian kut natural creases-ah hian incision te te engemaw zat siam a ni a, a thickened fascia (cord) tlemte chauh lakchhuah a ni.
- Subtotal palmar fasciectomy: Natna nei tam thei ang ber paih chhuah nan kutphah leh kut zungtang hrual (‘Z’ ang deuha siam fo)-ah hian incision engemaw zat siam a ni. A chang chuan vun graft hmangin hliam a dam theih nan hman theih a ni.
- Dermofasciectomy: Hei hi natna lo awm lehna hmunah tih thin a ni. Hetah hian fascia tissue natna nei chu a chunga vun nen hian lakchhuah a ni. Chutiang a nih chuan skin graft tih a ngai a ni.
Surgery hian eng hlawkna nge a neih?
He surgery hlawkna lian ber chu i kut, kut zungtang leh kutpui te hnathawh i neih leh theih hi a ni. Tissue tight tak chu lakchhuah a nih chuan i kut zungtangte chu i tizau thei a, i tidik thei zawk bawk. Zirna thenkhatah chuan fasciectomy surgery result hi enkawlna dang aiin a rei zawk tih hmuhchhuah a ni.
Risk leh complication a awm em?
Surgery dang ang bawkin, hlauhawm leh harsatna engemaw zat a awm theihna chance tlemte chauh a awm. Mahse, lungngai suh, hengte hi a tlem hle.
Operation hnuah i kut zungtang-ah hian eng emaw chen a hring emaw, a rilru a buai emaw tih hi thil pangngai a ni. Hei hi nerve pinched te a relax tan chuan a tha chho zauh zauh ang.
Harsatna dang awm thei:
- Anaesthesia avanga allergy nei
- Hliam natna
- Vun sensitivity leh scarring
- A hliam (Bruises) a awm
- A hring (edema) .
- A tlem hle a, kut chhunga nerve emaw thisen kalna kawng emaw a chhe thei.
Engtin nge dam leh hun chu?
Operation hnuah i kut ah natna engemaw zat, a hring, leh a nghet lo deuh tih hriat hi thil pangngai a ni. I kut leh kut zungtangah pawh a rilru a buai thei bawk. Chûngte chu a bo vek theih nân thla engemaw zât a la ngai thei. I hnathawh dan azirin kar hnih atanga kar sawm leh pahnih (thla 3 vel) chhung hna i chawlh a ngai mai thei.
I dam chhungin doctor thupek zawm a pawimawh hle .
- Arm-ah ice pack dah la, chawi sangin dah rawh.
- Hliam chu sahbawn leh tuiin silfai la, bandage-in khuh reng rawh.
- I inbual dawnin i kut leh i stitches a hnim loh nan fimkhur rawh.
- Taksa lam enkawlna hmanga enkawlnaSession-a tel leh in lama exercise dik taka tih hi kut hnathawh leh theih nan a pawimawh hle.
- Painkiller leh antibiotics pek ang chiah ei.
- Thla 3 vel chhung chu splint (i kut a ding reng thei tur support) vuah turin an ti thei che a ni.
Surgery hian natna hi a tidam kim lo a, mahse kut hnathawh chu nasa takin a titha thei a ni. Operation nei mi sawm zinga pahnih vel chuan eng emaw chen chu natna lan chhuah dan an nei leh ang. Chutiang a nih chuan surgery dang neih a ngai mai thei.
Engtik hunah nge doctor ka biak ang?
Operation hnua a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni .
| Feature ngaihven tur a ni | Hrilhfiahna |
|---|---|
| Hri kai theihna chhinchhiahna | Fever, hliam atanga tui sen chhuak, leh hliam chhehvela red streaks lo lang te. |
| Allergy natna lan chhuah dan | Itchy skin rash a awm thin. |
| Natna nasa tak a nei | Tuar theih loh, taksa ruh natna nasa tak. |
| Finger hnathawh dan | Kut zungtang-a hriatna hloh emaw, tihchet theih lohna emaw. |
| Emergency symptom dangte pawh a awm thei | Chhung na emaw thawk harsa emaw. |
Dupuytren natna hi i nitin hnathawh leh hnathawhna kawngah daltu lian tak a ni thei. Fasciectomy surgery hmang hian i kut leh kut zungtang te chu i hmang tangkai leh thei a ni. A pawimawh ber chu operation hnua physical therapy leh exercise dik tak zawm hi a ni.
Take-Home Thuchah a ni
- Fasciectomy hi Dupuytren natna avanga pawn lam hawia kut zungtangte tihdikna atana surgery tih a ni.
- He surgery hian kut hnathawhna siam that leh a tum a, chu chu kut zungtang chhung lam hawia hruai thin tissue thickened chu lakchhuah a ni.
- Operation hnua a dam kim theih nan physical therapy treatment leh medical instruction zawm a pawimawh hle.
- He surgery hian natna hi tidam kim lo mah se, nunphung chu nasa takin a tichangtlung thei a ni.
- Heng symptoms te hi i neih chuan doctor thiam tak hnenah enkawl dan tur sawipui rawh.
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