Ke ruh pakhat chu tan lohvin chhanchhuah theih a ni em? (Limb Salvage) Hemi chungchang hi han sawi ila!

I kut emaw, i ke emaw-ah accident na tak i tawk a nih chuan, cancer ang chi natna khirh tak i nei a nih chuan, a ke tan a ngai ang tih hlauhna neih hi thil pangngai a ni. Dik tak chuan hetiang hunah hian kan mangang em em vek a ni. Mahse, ke ruh tliak hi a chinfelna awmchhun a ni lo tih i hria em? Tûn laia damdawi lam thiamna a lo ṭhan chhoh zêl avângin, chutiang ke ruh chu tan ngai lovin a chhanhim thei tur surgical technique bik a awm ta a ni. Chu chu ‘Limb Salvage Surgery’ kan tih chu a ni.

A awlsam zawngin, Limb Salvage Surgery hi eng nge ni?

Ngaihtuah teh, kan Kamal hian bike accident-ah a ke a na hle. Ruhte chu a hrual a, hliam lian tak a ni. Tun hma chuan ke chu tan a ngai dawn niin an sawi thin. Mahse tunah chuan doctor-te chuan he ‘Limb Salvage’ method hian ke a chhanhim thei em tih an ngaihtuah mek a ni.

A awlsam zawngin sawi ila, Limb Salvage Surgery hi kut emaw ke emaw natna nasa tak emaw, hliam emaw, la chhuak ngai lovin siam that leh siamthat tumna a ni. Hetah hian doctor-te chuan i hriselna zawng zawng tichhe lovin i kut emaw i ke emaw a theih ang anga chhanchhuah an tum thin. Hei hi ‘Limb-sparing surgery’ an ti bawk. A awmzia chu "limb-saving surgery" tihna a ni.

Eng dinhmunah nge he surgery hi ngaihtuah theih ang?

Doctor-te chuan he surgery hi thil pawimawh engemaw zatah an ngaihtuah fo thin.

Kut/ke chu tansak? Save rawh? Engtin nge doctor-te hian he thutlukna hi an siam?

Hei hi thutlukna buaithlak tak a ni. Doctor chuan thil engemaw zat uluk taka a ngaihtuah hnuah he surgery hi tih a tum ang. A bulpui ber chu operation hian kut emaw ke emaw hrisel, hnathawk thei, leh pangngai ang maia lang a pe ang che em tih hi a ni .

A nghawngtu thilte chu:

• Natna zau zawng: Cancer natna a nih chuan, a lian hle a nih chuan, emaw, a bul hnaia thil pawimawh tak tak, thisen kalna kawng leh nerve te a rawn luhchilh tawh a nih chuan, a tichhe lova tumor chu lakchhuah theih a ni lo mai thei. Chutiang bawkin natna hrik a nih chuan, a darh zau tawk a, tissue tam tak a tichhia a nih chuan, taksa peng chhanchhuah a harsa mai thei.
• Hliam nasat dan: Doctor-te chuan accident avanga chhiatna thleng nasat dan tehna atan special scoring system an hmang thin. Nerve, tissue, thisen kalna leh ruh chhiatna te an teh thin. Part siam that theih loh a tam lutuk chuan a then a hranpaa siam that theih a ni lo. A pawimawh ber chu operation hnua taksa peng tinah thisen kal lehna tur a ni. Thisen kal loh chuan tissue chu a thi ang.

Surgery neih hmain eng nge thleng?

Hei hi surgery lian tak a nih avangin surgery-ah i lut nghal lo. Chumi hma chuan stage engemaw zat a awm.

1. Pre-operative treatment: Hliam na tak i neih chuan major surgery i neih hmain i dinhmun nghet zawka siam turin treatment dang i neih a ngai mai thei. Cancer a nih chuan operation hmain chemotherapy emaw radiation therapy emaw pek theih a ni a, chu chu tumor tihtlem tum a ni. Hei hian paih a awlsam phah ang.

2. Operation hmaa endikna: 1.1.Medical team chuan i dinhmun hriatthiam nan test tam tak an nei ang. MRI emaw CT scan ang chi test hian organ chhungah a en thin. CT angiogram emaw Doppler ultrasound ang chi test hian thisen kal dan a enfiah thin. I hriselna zawng zawng leh damdawi dang i neih leh neih loh pawh an ngaihtuah bawk ang.

3. Operation hmaa sawihona: A theih phawt chuan medical team ten surgery chungchang chipchiar takin an sawipui ang che. An tih tur zawng zawng, a hlauhawmna leh a rah chhuah theih turte an sawifiah ang a, i hriatpuina (informed consent) an la ang. I kut/ke chhanchhuah emaw, tan emaw tura thutlukna siam chu i tan a harsa thei hle. Chuvangin ngaihtuah turin hun hmang la, i doctor hnenah zawhna i neih apiang zawt rawh.

Surgery neih chhung hian eng nge thleng?

Hei hi thil kalphung buaithlak tak a ni. A hmasa berin a natna lai chu paih chhuah a ni. Chu chu cancer tumor emaw infected tissue emaw lakchhuah tihna a ni. Tichuan a harsa ber chu a intan ta a ni - sak thar lehna (reconstruction process).

Hei hian vawi khat aia tam operation a mamawh thei a, vawi tam tak pawh a ngai thei bawk. Doctor-te chuan thisen kalna kawng, nerve, ruh leh tissue dangte chu an inzawm leh a, an siam ṭha emaw, an inzawm leh emaw a ngai a ni.

Chumi atana hmanraw thenkhat chu:

• Revascularization: A hmun chhia a thisen kal dan tur siam that leh. Thingkung hring tui pek ang bawkin, thisen kalna kawngte chu surgery nalh tak hmangin a din thar leh a ni.
• Microsurgery: A chang chuan thisen kalna kawng emaw nerve chhia chu i taksa peng dang emaw, donor emaw atanga flap hmanga thlak a ni a, chu thisen kalna kawng/nerve nalh tak takte chu microscope hmangin an inzawm leh thin.
• Grafting: Ruh chhia emaw, lakchhuah emaw chu ruh graft hmanga thlak emaw, vun bo chu vun graft hmanga thlak emaw.
• Prosthesis: Ruh emaw, ruh emaw lakchhuah tawh thlak nan metal implant dah a ni a, chu chuan ke ruh hnathawh chu a siam tha leh a ni.
• Bone transport: Ruh sei tak tak awmna hmun luah khat tur emaw, ruh sei tur emaw chuan stainless steel frame, `Taylor Spatial Frame` emaw `Ilizarov apparatus` emaw chu pawnah dahin, chu chuan ruh thanna a tichak a ni.

Surgery hnuah eng nge thleng? A thatna leh that lohna chu engte nge ni?

Surgery hnuah pawh harsatna lian tak dang a awm leh bawk. Chu chu taksa lama insiamthatna zau tak a ni. Physics therapist chuan i taksa peng chhanchhuah tawhah hian maximum range of motion leh strength i neih leh theih nan a pui ang che. Hei hian hun, thawhrimna, dawhtheihna, leh chhelna a mamawh a ni . Dik tak chuan, a châng chuan ke leh ke ruh (prosthetic limb) hman thiam nân hun a duh rei lo thei a, chhanchhuahna kut leh ke hman aiin.

Eng chen nge tihdam a ngaih?

Hetiang thil a thlen theih hun chhung hi mi hrang hrangah a inang lo. I ke ruh eng hmun nge siam that leh engtin nge an siam tih ah a innghat. Hliam hi kar tlemte chhungin a dam tlangpui laiin, taksa ruh leh ruh te chu a dam theih nan thla tam tak a ngai thung. Damdawi inah ni engemaw zat i awm fo ang a, chutah chuan thla hnih atanga thla thum chhung chawlh hnuah in lamah i haw leh ang. Mahse i taksa peng chu a taka hman leh theih nan hun rei zawk a la ngai thei.