Kut zungtang chhung lam hawia ben tirtu natna atana surgery (Fasciectomy) chungchang i zir dawn teh ang?

I kut zungtang pakhat emaw, a aia tam emaw chu zawi zawiin chhung lam hawiin a inbeng kang a, siamrem harsa tak angin i inhriat ngai em? I kut zungtang chu chhunglam hawia hrual a, inkhung ang maiin a awm a ni lawm ni? Hei hi Dupuytren natna kan tih chu a ni. Hetiang dinhmun hian nitin hna thawh pawh a ti harsa thei hle. Vawiin hian he natna chinfelna atana tih tur special surgery kan sawi dawn a, chu chu Fasciectomy an ti a ni.

A hmasa berah chuan Fasciectomy hi eng nge ni?

A awlsam zawngin sawi ila, fasciectomy hi Dupuytren natna avanga i kut chhunga tissue layer (fascia an tih) a tight leh thicked tawh chu a paih chhuak a ni. Hetiang dinhmun hian i kut zungtang pakhat emaw a aia tam emaw chu duh lohvin i kut sir lam hawiin a ben tir thin. Thil na tak tak ṭhenkhatah chuan i kut zungtangte chu a ding nghet thei lo tak tak thei a ni. Chuvangin, he fasciectomy hnuah hian tissue tight tak chu lakchhuah a ni a, i kut zungtangte chu a zalen a, i kut hnathawh dan pangngai chu i nei leh thei ta a ni.

Dupuytren natna hi eng chiah nge ni?

Dupuytren natna hi connective tissue natna a ni a, hun kal zelah a na zual zel a. Tunah chuan connective tissue chu eng nge ni tih i ngaihtuah mai thei. Kan taksa chhunga thau, taksa peng, ruh leh vun zawng zawng inzawmkhawm leh thlawptu tissue chi khat a ni.

Hetiang dinhmun hi kutphah vun hnuaia tissue layer awm, fascia thickening leh tightening vang a ni. Mi thenkhat chuan he natna hi an nu leh pate hnen atangin gene mutation hmangin an rochun thei a ni . Mi dangte chuan chhan hriat lohvin he natna hi an nei thei a ni.

Natna a lo intan chuan kutphah vun hnuaiah hian nodules te te a lo lang thin. Hun a kal zel a, heng nodules te hi an inzawm khawm a, hrui tight tak tak an siam a ni . Chumi hnuah chuan heng hrui te hi an inzawm tan a, chu chuan an chunga kut zungtang inzawmte chu chhung lam hawiin a hruai lut ta a ni. Doctor-te chuan he natna hi Dupuytren-a contracture tiin an sawi bawk.

Tute nge fasciectomy surgery mamawh?

Hei hi natna zual zel a nih avangin i doctor chuan operation ni lo, steroid injection emaw, collagenase an tih enzyme awmna injection emaw a enchhin hmasa ang.

Fasciectomy leh Fasciotomy hi eng nge an danglamna?

Dupuytren natna hi surgery hmanga enkawlna chi hrang hrang a awm a. An inthlauhna ber chu tawi te tein han hrethiam ila.

Fasciectomy surgery chi hrang hrang

Fasciectomy tih dan kawng hrang hrang a awm. I doctor chuan i dinhmun a zirin a hman dan tur dik ber a thlang ang.

• Segmental (partial) fasciectomy: Hetiang tih danah hian kut natural creases-ah hian incision te te engemaw zat siam a ni a, a thickened fascia atanga a tlem ber chauh lakchhuah a ni.
• Subtotal palmar fasciectomy: Kut leh kut zungtang hrual (creases)-ah zigzag incision siam a ni a, natna nei tam thei ang ber paih chhuah a ni. Chutiang a nih chuan vun graft hmangin hliam a dam theih nan hman theih a ni.
• Dermofasciectomy: Hei hi natna lo lang leh tawh chuan tih thin a ni. Hetah hian a chunga vun awmte nen chuan natna nei tissue chu lakchhuah a ni. Hei hian skin graft a ngai tlangpui.

Operation hnua dam leh hun chhung hi engtin nge ni?

Operation hnuah i kut ah natna engemaw zat, a hring, leh a nghet lo deuh hi thil awmdan pangngai a ni. I kut leh kut zungtangah pawh a rilru a buai thei bawk. He rilru natna hi hun rei tak chhunga nerve inzawm tawhte chu a pangngaia a lo kir leh chuan hriat a ni a, a reh theih nan thla engemaw zat a ngai thei bawk. I hnathawh dan azirin kar hnih atanga kar sawm leh pahnih (thla 3) chhung chawlh a ngai mai thei.

Doctor thupek dik taka zawm a pawimawh hle.

• I kut chu chawi sang taka vawn leh ice hnawih.
• Hliam fai taka vawn.
• Hliam leh stitches te chu vawt takin dah la, tuiin khawih lovin.
• Physical therapy- ah tel ngei ngei tur a ni a, in lama exercise pek ang chiah kha ti ngei ang che.
• Painkiller dik taka hman leh a tul chuan antibiotics hman dan tur dik tak.
• Doctor-in a hrilh che chhung chu i kut ah splint vuah.

Surgery-ah hian hlauhawmna a awm em?

Surgery dang ang bawkin, hlauhawmna engemaw zat a awm. Kut zungtang-ah hian hriatna hloh emaw, rilru hahna emaw engemaw chen a awm hi thil pangngai a ni a, hun kal zelah a ṭha chho zel ang. Mahse, hlauhawmna lian tak tak, a thleng tlem hle thei a awm .

• Anaesthesia avanga allergy nei.
• Kaichhawng.
• Surgery neihna hmunah hliam leh vun hypersensitivity a awm.
• A hring (edema) leh a hliam.
• A tlem hle a, surgery neihna hmun bula nerve emaw thisen kalna kawng emaw a tichhia thei.

Damdawi lam thurawn lak nghal tur

Operation hnua a hnuaia symptoms te hi i hmuh chuan doctor i ko nghal tur a ni.

• Infection chhinchhiahna (khawsik, hliam atanga tui sen chhuak, red streaks ang chi).
• Muscle na nasa tak a nei.
• Hriatthiamna hloh emaw, kut zungtang che thei lo emaw.
• I rilru a na emaw, thawk harsatna emaw i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal tur a ni.
• Vun allergy (e.g., itchy rash) a awm thei.