Kut emaw, ke emaw sei zawng hi a tawi lutuk em? He kut leh ke sei theihna surgery (Limb Lengthening Surgery) chungchang hi i zir chiang ang u

A châng chuan nau piang vang emaw, kan dam chhung hun engemaw chen accident vang emaw hian kan kut emaw, kan ke emaw sei zawngah hian danglamna tlem a awm thei. Mi thenkhat tan chuan hei hian an nitin hnathawh bakah an rilru hriselna a nghawng thei a ni. Chuvangin nang pawh hetiang harsatna hian a tibuaitu i nih chuan vawiin hian a chinfel dan tur kan sawi dawn a ni. Chu chu limb lengthening surgery a ni.

A awlsam zawngin, Limb Lengthening Surgery tih hi eng nge ni?

A hming ang bawkin hei hi kan kut emaw, kan ke emaw ruh sei thei tur surgical procedure a ni. Fimkhur tak leh zawi zawia tih a ni. Surgeon-te chuan hetiang hian a hnuaia ruhte hi an ti sei thei a ni:

• Humerus: Chu chu i kut chunglam ruh chu a ni.
• Radius/Ulna: I kutphah leh i kutphah inkar ruh pahnih.
• Femur: Thigh chhunga ruh awm. Hei hi kan taksa ruh sei ber a ni.
• Tibia: Khup leh ke ruh inkar shin bone.

Eng dinhmunah nge he surgery hi tih a tha?

He surgery hi an kut emaw ke emaw sei zawng inang lo tak takte chungah tih a ni tlangpui. Doctor-te chuan ruh thanna tichhe thei damdawi lam harsatna thenkhat tan pawh solution atan an rawt bawk. Entirnan, ke pakhat chu a dang aiin a tawi a, i kal laiin hnungzang, hip, khup na i neih chuan he surgery hian a solution a pe thei a ni.

Hengte hi he surgery hi a tul theih dan tlangpui thenkhat chu an ni:

• Ruh lian tham plate-a cancer awm lo tumor .
• Cerebral palsy ang chi natna te .
• Pianpui natna, pian tirh atanga a ke ruh pakhat (femur) chu a dang aiin a tawi zawk (Congenital femoral deficiency) .
• Hemihypertrophy hi thil awm lo tak a ni a, taksa sir khat chu a sir dang aiin a thang chak zawk a ni.
• Genetic condition hrang hrang Skeletal Dysplasia ang chi te . Chungte chuan ruh than dan pangngai lo a thlen thin. Entirnan, dwarfism hi dwarfism tia sawi theih a ni.
• Growth plate tihchhiat a ni.
• Ruh natna chi hrang hrang osteomyelitis .

Operation hmain eng nge i hriat tur?

He surgery i neih hma hian i doctor chuan i ruh X-ray eng emaw zat a la ang a, a tehna dik tak a la ang. Heng tehnate hian ruh hi eng chen nge sei a ngai tih a hril ang. A tlangpuiin ruh pakhat chu surgery vawi khatah inches 2 (centimetre 5 vel) thlenga sei theih a ni.

I medical team chuan operation hmain thupek an pe ang che, a bik takin operation hmaa damdawi ei tur leh tihtawp tur te, ei leh in tur te.Engtikah nge i chawlh tur tih chiang takin zawt rawh.

He surgery hi general anesthesia hmanga tih a ni tlangpui. Chuvang chuan engmah hrehawm i nei lovang. Operation hnuah ni thum vel damdawi inah i awm a ngai dawn a ni.

Engtin nge surgery hi an tih thin?

He surgery-ah hian step lian pahnih a awm a.

1. Osteotomy: Pakhatnaah chuan surgeon chuan uluk takin ruh chu hmun hnih ah a tan a.

2. Device dah dan: Chumi hnuah, heng ruh hrual pahnih chungah hian hmanraw bik (Limb Lengthening Device) dah a ni.

Heng mounting device te hi chi hnih lian tak a awm a. An pahnih inthlauhna chu hetiang hian han thlir ila.

Operation hnuah engtin nge ruh hi a sei?

Operation hnua i dam leh tan chuan a pawimawh ber phase chu a intan thin. Chu chu distraction phase chu a ni.Hei hi thla hnih vel hun rei tak a ni. Hetih lai hian ruh tliak pahnih chu an inhlat hle tan thin.

Hetiang thil hi a thlen dan tlangpui pathum a awm a:

1. Device siamrem dan: Ni khatah vawi tam tak i siamrem a ngai dawn a, a tlem hle. Chutianga i tih apiangin ruh pahnih chu a inhlat deuh deuh a. He gap hi a lo awm chhoh zel chuan taksa hian ruh thar a siam a, chu chu a luah khat ta a ni. External device hmang chuan knob te tak te i turn a ngai a ni. Internal device hmangin hei hi remote control hmanga tih a ni.

2. Physical Therapy: Hei hi tih ngei ngei tur a ni . Physical therapy hi a tha ber tur chuan a pawimawh hle. Kar khatah session engemaw zat i tel a ngai ang. Hei hian i taksa ruhte a tichak ang a, ruh inzawmna a tichak ang a, ruh thar lo piang mek chu a tichak thei bawk.

3. Regular Check-ups: I doctor chuan ruh thar a lo than chhoh dan enfiah nan X-ray a la fo ang. Growth rate a slow lutuk emaw, a rang lutuk emaw a nih chuan treatment plan chu a zirin a siamrem theih a ni.

Ruh a chak chhoh hun chhung (Consolidation Phase) .

Ruh chu a duh ang sei a nih chuan a chakna tur, a nih loh leh "a nem" theih nan hun a mamawh a ni. Hei hi consolidation phase kan ti a. Hei hian thla thum vel a daih thei. Hemi chhung hian appliance chu i siamrem tawh lo ang. Mahse physical therapy i chhunzawm a ngai dawn a ni. Zawi zawiin i doctor thurawn angin chu kut emaw, ke emaw chu rit i dah tan thei a ni.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.

A thatna te

• Kawng leh ke sei zawng siamthat hian kal dan leh dinhmun dik tak a siam thin .
• Joint- a flexibility leh range of motion tihpun.
• Muscle chakna tihpun .
• Limb sei zawng inang lo avanga hnungzang, hip leh khup natna tihbo.

Risk/Complication awm thei te

• Ruh siam thar chu a nghet tawk lo .
• Ruh hian beisei angin a sei lo .
• A chhehvel thau emaw nerve emaw chhiatna .
• Surgery hliam emaw ruh emawa natna hrik awm .
• Pawn lam thil hmangtute zingah pin dahna hmuna natna hrik awm .
• Kut emaw ke emaw phar chhuak ruh emaw, ruh emaw a nghet lo .

Engtikah nge i doctor hmuh nghal tur

A hnuaia symptoms te hi i neih chuan i doctor ko nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh .

• Khawsik .
• Device-a pin dahna hmun atanga thisen, zun emaw, tui dang emaw a chhuak .
• Surgery hliam emaw, pin dahna hmun emaw a sen leh a hring .
• Kut emaw ke emaw phar chhuakah natna nasa tak emaw, a hring emaw.
• Kut emaw ke emaw phar chhuak a awm emaw, hriatna hloh emaw .
• Nausea leh luak chhuak .
• Chhung na emaw thawk harsa (hei hi emergency pawi tak a ni).

He surgery hi a hlawhtling tur chuan i doctor thupek uluk taka zawm a, physical therapy session-a tel a, ei leh in tha tak ei a pawimawh hle. Hei hian hun leh dawhtheihna engemaw chen a mamawh thei a, mahse a tawpah chuan i nunah danglamna nasa tak a thlen thei a ni.