I fa ke pakhat chu a ke pakhat aiin a tawi zawk tih i hmu ngai em? A nih loh leh, kut pakhat emaw, ke pakhat emaw sei zawng tihtlemtu pianpui natna a awm em? Hetiang hunah hian lungngaihna leh lungkhamna nasa tak nei hi thil pangngai a ni. Mahse tunlai medical science hmasawn tak hian hei pawh hi solution a nei a ni. Chutiang solution pakhat chu tunlaia kan sawi tak ruh sei theihna surgery hi a ni a, chu chu ‘Limb Lengthening Surgery’ an ti a ni.
Limb Lengthening Surgery tih hi eng nge ni?
A awlsam zawngin, hei hi surgical procedure a ni a, i kut emaw ke emaw ruh (s) a sei zawk a ni. Hei hi vawi khatah tih vek a ni lo va, zawi zawiin, thla engemaw zat chhunga tih a ni zawk. Surgeon-te chuan he surgery hi heng ruhte hi an ti thei ber a ni:
- A kut chunglam ruh (Humerus) .
- Forearm-a ruh awmte tan chuan `(Radius/Ulna)`
- Thigh bone `(Femur)` thlengin
- Shin ruh `(Tibia)` tih a ni
Eng dinhmunah nge he surgery hi tih a nih?
He surgery hi ke leh kut sei inthlauhna siamthat nan hman a ni ber a, chu chu kut emaw ke pakhat emaw chu a dang aiin a tawi zawk tihna a ni. Ruh thanna tichhe thei dinhmun thenkhat enkawlna atan pawh hman a ni.
| Dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| Ruh natna tha lo (benign bone tumor) a awm | Growth retardation hi ruh sei na hmun (growth plate) atanga lo awm tumor tlangpui vang a ni. |
| Cerebral Palsy natna a ni | Hetiang dinhmun avang hian ruh thanna hi a chang chuan taksa ruh inthlauhna avang hian a nghawng thei a ni. |
| Pianpui femoral deficiency a awm thin | Thigh ruh pakhat chu a dang aiin a tawi zawka piang a ni. |
| Taksa sir khat chauh a lian (Hemihypertrophy) . | Taksa sir khat (e.g., kut dinglam leh ke dinglam) chu a sir dang aiin a lo thang chak zawk thin. |
| Skeletal Dysplasia a awm thin | Congenital conditions, ruh thanna tibuaitu (e.g., dwarfism). |
| Growth plate tihchhiat a ni | Naupang ruh inzawmkhawmna hmuna ruh tliak vangin growth arrest. |
| Ruh natna (Osteomyelitis) . | Ruh natna na tak tak thenkhat chuan ruh thanna a tichhe thei a ni. |
Surgery neih hmain eng nge thleng?
Operation hmain i doctor chuan i ruh X-ray a la ang a, a sei zawng dik tak a teh ang . Heng test te hian ruh hi engzat nge sei a ngai tih a hriat theih ang. A tlangpuiin surgery vawi khatah inches 2 vel a sei thei.
I medical team chuan operation atana inbuatsaih dan tur an hrilh ang che. Surgery i tih hmain i doctor hnenah eng damdawi nge i ei tih chiang takin zawt la , eng damdawi nge i ei tawh loh tur leh eng nge i ei chhunzawm tur tih zawt la. Surgery hma eng chen nge ei leh in i chawlhsan tur tih pawh an hrilh bawk ang che.
I operation ni chuan general anesthesia pek i ni ang. Chumi awmzia chu operation neih chhungin i muhil vek dawn tihna a ni a, chuvangin natna engmah i nei lovang. Operation hnuah ni thum vel damdawi inah i awm a ngai dawn a ni. In lama i haw hunah chuan i chhungte emaw, ṭhian emaw i zui a ngai dawn a ni.
Operation hnu kar engemaw zat chhung chu puitu tur i neih a pawimawh hle. Incheina te, chaw buatsaih te, bathroom kal te ang chi thila tanpuina i mamawh ngei ang. Leg sprain i neih chuan chu ke chungah chuan rei vak lo i kal thei dawn lo. Wheelchair emaw, kekawrte emaw i hman a ngai ang.
Surgery neih chhung hian eng nge thleng?
He surgery-ah hian step lian pahnih a awm a, chungte chu:
1. Osteotomy tih a ni: 1.1.Surgeon chuan ruh sawi tur chu hmun hnih ah a tan a.
2. Device Installation: Tichuan, ruh pahnih inkarah hian limb lengthening device dah a ni.
Heng mounting device te hi chi hnih lian tak a awm a.
| Device chi hrang hrang | A Hnathawh Dan |
|---|---|
| Pawn lam atanga Fixator | Chutah chuan doctor chuan ruh pahnihah hian pin emaw wire emaw a dah a, taksa pawn lam atangin thir frame a buntir thin. He frame hi taksa atanga inches tlemte a lo chhuak a nih avangin thawmhnaw thenkhat hak pawh a harsa thei hle. Mi tam tak chuan shorts ang chi thil an ha thin. |
| Internal Rod a ni | Hei hi technique thar a ni. Heta i tih tur chu ruh chhungah screw ang chi hmanrua i dah lut a ni. Hei hi taksa pawn lam atanga hmuh theih a ni lo. |
Engtin nge ruh hi operation hnuah a sei tak tak?
Surgery atanga tlem i dam leh hnuah ruh sei (bone lengthening phase) a intan thin. Hei hi ‘distraction phase’ kan ti a. Hei hi thla hnih vel a ni. Hemi hun chhung hian ruh chi hnih an tan tawh chu zawi zawiin an hrual a. An inthen darh rual hian i taksa chuan ruh tissue thar a siam a, chu chuan an inkar gap chu a luah khat ta a ni.
Kan taksa hian ruh thar siam theihna mak tak a nei a. He surgery hian chu natural process chu a control a, ruh chu kan mamawh angin a sei tir a ni.
Hemi chhung hian thil pawimawh pathum i nei a, chungte chu:
- Device siamrem dan: Ni khatah vawi engemaw zat, nangmah ngeiin device i siamrem a ngai a ni. A vawi khatnaah chuan ruh pahnih hi tlemte, millimeter khat velin an inthen a ni. Externally mounted frame a nih chuan hei hi knob pakhat turn hmanga tih a ni. Internal device a nih chuan remote control ang chi thil hmangin i turn thin.
- Physical Therapy: Hei hi a pawimawh hle.. Results tha ber tur chuan physical therapy hi a ngai a ni. Kar khatah vawi engemaw zat i kal a ngai dawn a ni. Hei hian i taksa ruhte a tichak ang a, ruhkawrte a tichak ang a, ruh thar chu a tichak zawk ang.
- Doctor tlawh fo rawh: I doctor chuan ruh thar siam chhuah kal zel dan enfiah turin X-ray a la fo ang. Ruh siamna rate a sang lutuk emaw, a hniam lutuk emaw a nih chuan a zirin treatment plan pawh siamrem theih a ni.
Ruh a sei hnuah eng nge i tih thin?
Ruh chu i duh angin a sei tawh chuan ruh lo piang thar chu chak, a nih loh leh ‘hard’ a nih theih nan hun i pek a ngai a ni. Hei hi ‘consolidation phase’ kan ti a. Hei hian thla thum vel a daih thei. Hemi chhung hian:
- Device siamrem a titawp: Device chu a la awm reng a, mahse i siamrem lo.
- Physics therapy chhunzawm zel: Hei hi ruh a nghet thei ang bera awm reng nan chhunzawm zel tur a ni.
- Zawi zawiin i kut/ke-ah rit dah tan rawh: A tir lamah chuan i kut/ke-ah chuan kekawrte ang chi support hmangin i rit i dah tan ang. He stage tawp lam hian i doctor chuan support tel lovin i taksa rihna dah turin a fuih mai thei che. I doctor-in a tih hma loh chuan i kut/ke-ah rit phur turin hmanhmawh ngai suh.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin hlawkna leh hlauhawmna a awm. Hengte hi doctor nen zalen taka sawiho a pawimawh.
| A thatna te | Risk & Complication awm thei te |
|---|---|
|
|
Doctor pan nghal tur dinhmunte chu engte nge ni?
A hnuaia symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh . Chungte chu hri kai emaw, harsatna lian tham dang emaw chhinchhiahna a ni thei.
| Risk symptoms - doctor hnenah hrilh nghal rawh! | |
|---|---|
| Khawsik | Taksa lumna a sang. |
| Puncture na hmun atanga discharge | Thisen chhuahna, zunthlum emaw, tui dang emaw. |
| Hliam emaw, puncture emaw hmunah a sen | Hliam vel emaw, a zung vel emaw, a sen, a hring emaw, a sen emaw a awm. |
| Natna nasa tak emaw, a hring emaw | Kut emaw ke emaw phar chhuaka natna tuar theih loh emaw, a hring danglam emaw. |
| Numbness a awm | Kut emaw ke emaw phar chhuak a tingling emaw numbness emaw. |
| Chhung na emaw thawk harsa emaw | Hei hi emergency a ni. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. |
Thutawp atan chuan ruh sei surgery hi limb length issue nei tan chuan nun tidanglam thei tak a ni thei. Technology thar, a bik takin intraosseous devices chuan a hma aia awlsamin a him zawk a ni. Surgeon thiam takin a tih chuan, leh thupek dik tak a pek chuan hlawhtlinna rate a sang hle. Mi tam tak chu he surgery hnuah hian nun famkim, active takin an nung zui zel a ni.
Take-Home Thuchah a ni
- Bone lengthening surgery hi damdawi lam thil engemaw avanga ke leh ke sei zawng inthlak danglamna siamthatna atana specialized surgery tih a ni. Cosmetic atana tih a ni lo.
- Hei hi thla tam tak a daih thei a, hun rei tak a ni. Damlote inpekna, a bik takin physical therapy enkawlna leh damdawi lam thupek zawm hi a hlawhtling thei tur chuan a pawimawh hle.
- Thil tih dik, hmanrua siamrem leh thingpui dahna hmun fai taka vawn te hian hlawhtlinnaah nghawng a nei nghal vek a ni.
- Hlauhawm chhinchhiahna (khawsik, natna nasa tak, hliam, thisen chhuak) i hmuh chuan i doctor hnenah hriattir nghal la, hlauthawng leh tihkhawtlai lohvin i doctor hnenah hriattir nghal rawh.











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