I kut leh keah hian tuar theih loh khawpa na i nei em? He Fasciotomy surgery chungchang hi i zir dawn teh ang!

Accident-ah i keah hliam na tak i nei niin han ngaihtuah teh. Hun engemaw chen hnuah chuan hliam chhehvel ruhte chu a lo hring chhuak a, tuar theih loh khawpin natna a thlen a, i ke chu a bengchheng ta hle mai. Hei hi hliam atanga natna pangngai mai a ni lo va, chu aia tam a ni. Hei hi medical emergency a ni thei. Chutih lai tak chuan tunlaia kan sawi tak surgery, fasciotomy an tih hi a ngai ta a ni. Hei hi i kut, i ke, a nih loh leh i nunna pawh chhanchhuahna atana emergency surgery a ni thei.

Fasciotomy tih hi eng nge ni mai?

A awlsam zawngin sawi ila, fasciotomy hi taksa peng pakhat vel pressure tihziaawmna tura surgery tih a ni. Hei hian taksa peng (muscle) hualtu membrane khauh tak (fascia) chu tan a, a chhunga pressure awm chu chhuah tir a ni.

Hei hi tlem han sawifiah leh ila. Kan kut leh kea ruh, nerve leh thisen kalna kawngte hi membrane khauh tak leh chak takah an inzawm khawm vek a ni. Sausage vel casing ang maiin han ngaihtuah teh. Damdawi lamah chuan he membrane khauh tak hi ‘fascia’ kan ti thin. He fascia chhunga taksa peng, nerve leh thisen kalna hmun zawng zawng hi ‘muscle compartment’ an ti a.

Tunah chuan han ngaihtuah teh, accident eng emaw avanga he compartment chhungah hian a hring lutuk a awm chuan eng nge thleng ang? Chu fascia sheath tight tak avang chuan swelling chuan chhuahna tur hmun a nei lo. Tichuan chu compartment chhunga pressure chu a sang lutuk a ni. Hei hi ‘compartment syndrome’ kan tih chu a ni. Hetianga pressure nasa lutuk avang hian chu lai hmuna thisen kalna kawngte chu a inkhauh a, taksa ruh leh nerve-a thisen kal chu a tawp thei a ni. Chutiang a nih chuan chu tissue chu a thi tan ta a ni. Chu chu fasciotomy tih a ni a, chu fascia membrane tight tak chu an tan a, a chhunga pressure chu an chhuah tir a, thisen kal dan chu a siam tha leh ta a ni.

Engtin nge he compartment syndrome hi a lo awm?

Hetiang dinhmun hi kawng lian pahnihin a thleng thei a ni.

1. Acute Compartment Syndrome: Hei hi a hlauhawm ber leh a rang ber a ni. Accident na tak hnuah a thleng tlangpui. Entirnan, he dinhmun hi car accident hnua a hring lutuk vang a ni thei a, chu chu ruh tliak emaw, taksa ruh natna nasa tak vang emaw a ni thei. Hei hi emergency medical treatment mamawhna a ni.

2. Chronic Compartment Syndrome: Hei hi a lo thang zauh zauh a. Muscle group khat hmang nasa lutuk, infiammi leh sipai te zingah a awm tlangpui. Exercise hmangin a na zual a, chawlh hahdam chuan a na zawk. Emergency ni lo mah se, hun kal zelah a na thei hle.

Surgery hma leh operation neih chhung hian eng nge thleng?

Acute Compartment Syndrome hi emergency a nih avangin fasciotomy hi ruahman lawk a ni lo tlangpui. Hospital-a Emergency Treatment Unit (ETU)-a i dah hian doctor-te chuan i natna lan chhuah dan a zirin he natna hi an hmuchhuak thin. I kut emaw, i ke emawa natna tuar theih loh, rilru hahna, leh chak lohna ang chi symptoms neia an hriat chuan surgical team chuan rang takin operation room-ah an hruai ang che.

Surgery hi general anesthesia hmanga tih a ni a, chu chu engmah i hre lo ang a, i hre reng dawn lo tihna a ni. Surgeon chuan:

• Skin incision pakhat emaw pahnih emaw chu a kaihhnawih muscle compartment chungah an siam thin.
• Tichuan a chhunga fascia chu an hriatchhuah a, an tan a, pressure chu an chhuah tir ta a ni. Chutiang chuan compartment engemaw zat chhuah a ngai mai thei.
• A dawtah chuan tissue chhia emaw, thi emaw a awm leh awm loh an enfiah a, an paih chhuak thin. Tin, thisen kal dan a lo tha leh tawh em tih uluk takin an enfiah bawk.
• He incision hi a tlangpuiin suture nghal a ni lo . A hring chu a tlahniam vek theih nan ni engemaw zat a ngai a, chuvangin hliam chu hawn reng a ni. A châng chuan ``negative pressure wound therapy'' tih damdawi hman a ni a, chu chuan hliam aṭanga tui lak chhuah hmangin rang takin a hring tihziaawm a ni.
• Ni engemaw zat hnuah hliam chu enfiah leh a ni a, tissue thi dang awm apiang chu lakchhuah a ni.
• A hring chu a reh tawh chuan hliam chu a khar leh thin. A chang chuan hliam khuh tur vun a awm loh chuan taksa peng dang atanga vun lak a, thlak (a `skin graft`) a ni.
• A tawp berah chuan hliam chu a insiam tha a, eng chen nge bandage i vuah tur tih hriattir i ni ang.

Surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery dang ang bawkin fasciotomy hian hlawkna a nei a, chubakah hlauhawmna engemaw zat a nei bawk. Anni hi ngun zawkin han thlir ila.

Operation hnuah eng nge thleng? Engvangin nge physiotherapy hi a pawimawh?

Anesthesia a reh deuh deuh chuan natna engemaw zat i nei mai thei. I doctor chuan a enkawl theih nan painkiller a pe ang che. Operation hnuah chuan physical therapy hi a pawimawh hle a, chu chuan i hmuna i kal theihna leh chakna i neih leh theih nan a pui a ni. I tih loh chuan ruh emaw, ruh emaw a nghet lo thei a, a che tha thei lo thei bawk.

Mi thenkhatin zawhna an zawh thin chu, "Fascia hi an tan hnuah a lo piang thar leh em?" Ni e, a ni. Mahse scar tissue a siam ve tho. Chuvangin chu hmun chu physical therapy hmanga tihzauh that a pawimawh em em a ni.

Damdawi lam pan vat ngai symptoms

Tun hnaia hliam na tak emaw, operation emaw i neih a, a hnuaia symptoms te hi i neih chuan damdawi in Emergency Department (ETU) pan nghal a pawimawh hle

Ngaihtuah vat ngai symptoms: 1.1.

• Hliam tuar theih loh khawpa natna nasa tak, tuar theih loh, hliam nasat zawng nena inmil lo .
• Kut emaw ke emaw chu hun eng emaw chen atana paralysis , a che thei lo tihna a ni.
• Muscle i tihzauh hian natna danglam tak, na tak .
• A rilru a buai em em a, a rilru a buai em em bawk (paresthesia).

Hetiang emergency surgery neih a ngai tih an hrilh hian tu pawhin an hlau hi thil pangngai a ni. Mahse, compartment syndrome tan chuan fasciotomy hi solution him ber leh tangkai ber a ni tih hre reng ang che. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inhawng takin sawi rawh. I tanpui turin an awm reng a ni.