Kan kut hi kan taksa tan engtiang chiahin nge a pawimawh? Ngaihtuah teh, he thuziak chhiarna atana i hman phone emaw computer emaw chu i kut hmangin i chelh a ni mai thei. Mi pakhatin accident na tak, kang, a nih loh leh hri kai na tak avanga a kut a hloh chuan, chu mi nun leh rilru chu eng chen nge a nghawng? Chuvangin, vawiin hian chutiang mi chu kut pe leh thei tur surgery chungchang kan sawi dawn a, chu chu donor atanga kut thlak a ni.
Kut thlak hi eng nge ni?
A awlsam zawngin, hand transplant chu a kut petu thi tawh hnen atanga eng emaw vanga kut emaw, kut thenkhat emaw hloh tawh hnenah surgery hmanga thlak a ni. Hei hi damdawi lama kalphung thar leh sawisel hlawh tak a ni. A chhan chu he surgery nena inzawm risk a sang vang a ni.
Ngaihtuah teh, thinlung emaw, kal emaw ang chi taksa peng pawimawh tak chu dah luh a nih chuan damlo dam chhung a ti rei a ni. Mahse mi chu kut tel lovin a nung thei. Mahse kut thlak hian chu mi nunphung chu nasa takin a tichangtlung thei a ni . Mahni chauha ziak leh thei te, mi pakhat hnena kut i vawn theihna te, mahni hna thawh theihna te hi eng angin nge a va ropui tak em? He surgery nei tawh thenkhat chuan an rilru hriselnaah pawh nghawng lian tak a nei niin an sawi.
Bilateral hand transplant tih hi eng nge ni?
Hei hian donor atanga kut pahnih chu damlo kut veilam leh dinglam ah dah a huam a ni. Hetiang surgery hi a chang chuan surgeon-te tan darkar 24 emaw a aia rei emaw vel an hmang thei a ni.
He surgery atan hian engtin nge i inbuatsaih?
Hei hi duhthusam anga thutlukna siam theih a ni lo. Inbuatsaihna nasa tak a ngai a ni. Hetiang surgery hi i tih duh chuan transplant coordinator i hmu hmasa tur a ni. Qualification tul i tlin chuan transplant team chuan i fit tha em tih an enfiah ang che.
Taksa enfiahna kimchang an nei ang a, i medical history an la ang a, test eng emaw zat an ti ang a, X-ray leh thisen test te pawh an ti ang.
A bik takin, he surgery neih hma hian rilru lam hriselna endikna (mental health evaluation) an nei thin. A chhan chu hei hi nunna atana thil pawimawh tak a nih vang a ni. Surgery hnua harsatna lo thleng tur hmachhawn tur rilru nghet tak neih a pawimawh a, chhungte leh thiante tanpuitu tur system tha tak neih a pawimawh bawk.
Candidate tling ni tura i insiam hnuah waiting list-ah dah i ni ang. Hetah hian i thisen chi, vun rawng leh kum nena inmil donor kut i nghah a ngai dawn a ni. Chuta thlen hun tur chu a chiang lo. Donor hmuh a nih veleh a rang thei ang bera surgery tih a ni ang.
Operation i tih hmain hengte hi i zawm tur a ni:
- Meizial i zuk chuan chawlhsan nghal rawh. A tul chuan hemi chungchangah hian tanpuina dil rawh.
- I doctor thurawn angin tuna i damdawi emaw vitamin emaw i ei mek zawng zawng hi thlak emaw, siamrem emaw rawh.
- Doctor-in a rawt physical therapy exercise-a tel.
- Damdawi lam thil dang (zunthlum, thisen sang ang chi) control tha.
- Zu emaw ruihhlo dang emaw insum tlat.
Surgery tih dan tur
Surgery ni ah chuan anesthesiologist chuan anesthesia a pe ang che. Chuvang chuan engmah hrehawm i nei lovang, i muhil mai ang. Surgical team chuan donor kut leh i kut dang zawng zawng chu an buatsaih ang a, inzawmkhawmna atana mamawh incisions te chu an siam ang.
A hnuaia thilte hi nalh takin an thlunzawm a ni:
- Ruh: Pakhatnaah chuan ruhte chu thir plate leh screw hmangin an fix thin.
- Tendons leh muscles: A dawtah chuan hengte hi kan thlunzawm a, chu chuan chetna kawngah a pui thin.
- Thisen kalna kawng: Thisen kal lehna tur atan hengte hi inzawmkhawm hi a pawimawh hle.
- Nerves: Nerves inzawmkhawmin khawih leh hriatna a siam tha leh thin.
- Vun: A tawp berah chuan vun chung lamah hliam chu stitches hmangin an khar a.
He surgery hi darkar 12 atanga darkar 24 emaw a aia rei emaw pawh a ni thei.
Surgery hnuah eng nge thleng?
Operation hnuah intensive care unit (ICU)-ah enfiah turin dah i ni ang. Damdawi inah kar hnih vel i awm a ngai mai thei. Hemi chhung hian i dam leh dan enfiah nan thisen test leh X-ray neih chhunzawm zel i ni ang.
Natna damdawi pek i ni ang. Medical team chuan i kut hnathawh dan an enfiah fo ang. I kut zungtang chet tir turin an ti ang che. Mahse heng thil thleng tur hian hun rei tak a la ngai mai thei a, chuvangin lungngai suh.
A pawimawh ber chu i dam chhung zawng immunosuppressant i ei a ngai dawn a ni. Heng damdawi te hian i taksain taksa peng thar chu "ram dang" anga a hriat theih nan a veng a, a bei thei lo (rejection). Heng damdawi te hi i doctor-in a tih ang chiah, a hun taka ei hi a pawimawh hle.
Physics therapist puihnain kut hnathawh tihpun nan exercise i tih a ngai bawk.
Hei hian eng hlauhawmna leh harsatna nge a neih?
He surgery avanga hlauhawm ber chu kut thlak tawh chu hnawl a ni . Tin, harsatna dang pawh a awm thei bawk. Table pakhatah han en ila.
| Risk chi hrang hrang | Harsatna awm thei te |
|---|---|
| Surgery nena inzawm risk te | Thisen chhuah, natna hrik, thisen zam, kut thlak tawh hloh, leh a tlem hle, thihna. |
| Harsatna dang a awm bawk | Vun rawng danglam, vun cancer, kut thar chu i ta ni lo anga inhriatna (psychological rejection). |
| Immunosuppressants te hian a nghawng tha lo a nei thei | Chauhna, lu na, thisen sang, luak/ luak, pum na, natna hrik kai theihna a sang, leh zunthlum. |
Kut thlak chu hnawlna
Thil thleng chu i immune system chuan hmelma thar chu invader angin a hmu a, tihchhiat a tum a ni. Hei hi kawng lian pahnihin a thleng thei.
| Hnawlna chi hrang hrang | Hrilhfiahna |
|---|---|
| Acute Rejection tih a ni | Operation atanga ni engemaw zat chhungin a awm thei. A lan chhuah dan chu kut na, vun rawng danglam te a ni. He natna hi damdawi hmanga control theih a ni . Kut chu a bo lovang. |
| Chronic Rejection tih hi a ni | Hei hi zawi zawiin operation hnu thla emaw kum tam tak emaw chhunga lo awm thin thil a ni. Hetah hian taksain kut chu damdawi pawhin a thunun theih loh khawpin a bei a. Hei hian kut thlak tawh chu a hloh thei a ni . |
Eng chen nge tihdam a ngaih?
Dam leh hun chhung hi mi hrang hrangah a inang lo. Surgery hliam chu a dam theih nan kar engemaw zat a ngai a ni. Ruhte hi a inzawm theih nan kar 6-8 vel a ngai a ni. Physics therapy hmang hian kut chakna leh hnathawh chu a pung zauh zauh a. Thil pakhat man ang chi hna awlsam tak tak pawh hian kar 8 vel a daih thei. Zirna hrang hrangah chuan taksain kut thar a insiamrem kim theih nan leh nerve te a lo thang lian theih nan kum 5 vel a ngai thei tih hmuhchhuah a ni.
Engtikah nge doctor i hmuh ang?
Hetiang surgery hi i duh chuan i doctor nen inbia hmasa phawt ang che. I dinhmun chu a zirchiang thei a, specialist dik tak hnenah a refer thei che a ni.
Operation i neih tawh chuan a hnuaia symptoms te hi i neih chuan i medical team hnenah hriattir nghal rawh . Hnawlna venna atan hian hun hi a pawimawh ber a ni.
- Vun rawng danglam emaw, vun rawng chhuak emaw
- Natna nasa tak a nei
- Kut a hring chhuak
- Tun hmaa thiltih a tlahniam
Take-Home Thuchah a ni
- Kut thlak hi nunna chhanhim thei operation a ni lo va, mahse mi pakhat nunphung leh rilru hriselna nasa takin a tichangtlung thei a ni .
- Hei hi surgery buaithlak tak a ni a, risk leh complication tam tak a nei .
- A pawimawh ber chu operation hnuah immunosuppressant hi i dam chhung zawngin hlawhchham lovin i ei tur a ni .
- He surgery hmachhawn tur hian rilru lama inbuatsaihna chak tak leh chhungkaw puihna hi a pawimawh hle.
- Warning sign (na, swelling, discoloration) a lo lang a nih chuan doctor hnenah hriattir nghal rawh.
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