A ruh tliak avanga surgery neih a ngai em? ORIF surgery chungchanga hriat tur awmte! (Open Reduction leh Internal Fixation - ORIF) tih a ni.

Accident i tawk a, i kut emaw, i ke emaw ruh i tikehsawm angah han mitthla teh. Thil tawn hlauhawm tak a va ni êm! Chuvangin, doctor chu a lo kal a, "Hei hi siam that nan surgery leh internal wire leh plate a ngai a ni," a ti a. Chutih lai chuan hlauhna nasa zawka inhriat chu thil pangngai a ni. Mahse, hlau suh. Vawiin hian ORIF chungchang kan sawi dawn a, chu chu ruh tliak na tak siam thatna atana hman tur special surgery a ni.

ORIF surgery hi eng nge ni? Tuin nge mamawh?

ORIF awmzia kimchang chu Open Reduction leh Internal Fixation tih a ni . A hming hi a buaithlak deuhin a lang thei a, mahse a awmzia chu a awlsam hle.

• Open Reduction: Hei hian surgeon chuan vun chu a tikehsawm a, a hawng a, ruh tliak te chu a la a, a hmunah a dah leh a, chu chu glass chhe tawhte chu a dah khawm leh ang chiah a ni.
• Internal Fixation: Chumi awmzia chu ruh chi hrang hrang hmun dik taka dah tawhte chu che lovin an inzawm khawm a, a chhung lam atanga thir chi hrang hrang (entir nan, screw, plate, rod, wire) dahin an nghet tihna a ni.

Ruh tliak nei zawng zawng hian he surgery hi an mamawh vek lo. A châng chuan cast hmangin a ruh tliak chu tihdam theih a ni bawk. Mahse, ruh tliak na tak thenkhat tan chuan ORIF surgery neih a ngai a ni.

Operation hmain eng nge thleng thin?

Fracture tam zawk hi chu a tlu nghal a, chu chu tlu emaw, car accident emaw, infiamna lama hliam emaw a ni. Chuvangin heng surgery te hi ruahman lawk hun a awm lo. Emergency Department (ETU)-a hruai i nih hnuah, medical team hna hmasa ber chu i nunna atana hlauhawm dinhmun tehfung siam a, chutiang dinhmun enkawl a, i dinhmun nghet taka siam chu a ni.

Tichuan, X-ray hmangin a ruh tliak tih finfiah a ni. A châng chuan, doctor chuan CT scan emaw MRI scan emaw tih a rel thei bawk a, chu chuan a ruh tliak leh a chhehvêla ruh chhiatna eng pawh chu ngun zâwkin a en thei a ni.

Surgery neih chhung hian eng nge thleng?

Surgery tan hmain anesthesia pek i ni ang a, chutiang chuan natna engmah i hriat loh nan. I dinhmun leh surgery i tih dan azirin anesthesiologist chuan general anesthesia a pe ang che, chu chuan muthilh tir vek che a, regional anesthesia a pe ang che, chu chuan ruh tliakna hmun chauh a ti na a ni.

Chumi hnuah chuan surgeon chuan hengte hi a zawm a ni:

1. Skin incision: Ruh tliak chungah vun hi tan a, ruh awmna hmunah a chhuk a.

2. Reduction: Ruh tliak leh hrual tawhte chu uluk takin lakchhuah a ni a, a awmna hmun ang zela dah leh a ni.

3. Internal Fixation: Tunah chuan ruh chi hrang hrangte chu a inthlak leh tawh loh nan, thir screw, plate emaw, rod emaw hmangin an fix khawm a. Entirnan, tibia a chhiat chuan ruh lai takah titanium rod sei tak dah theih a ni. Ankle a chhiat chuan a sir lehlamah metal plate dahin screw hmangin fix theih a ni.

4. Hliam (Stitching the wound): Ruh chu a nghet tawh chuan a hliam chu a inzawm khawm leh thin.

5. Immobilization: A tawp berah chuan operated arm emaw ke emaw ah cast emaw splint emaw dahin a che thei lo.

He surgery hi darkar engemaw zat a awh thei tlangpui a, chu chu ruh tliak dan leh ruh tliak nasat dan azirin a ni.

Surgery hnuah eng nge thleng?

Surgery hnuah recovery room-ah hruai i ni ang. Chutah chuan medical team chuan anesthesia atanga i dam kim hma leh harsatna dang a awm loh an chian hma loh chuan an enkawl tha ang che. Mi thenkhat chu ni khatah an haw theih laiin, mi tam zawk chu ni khat emaw ni hnih emaw chhung damdawi inah an awm a ngai dawn a ni. Hei hi i dinhmun a zirin i doctor-in a ruat ang.

ORIF surgery hi a tlangpuiin a hlawhtling hle a, a rare, complex fracture-ah pawh a hlawhtling hle.

Eng harsatna nge awm thei?

Surgery dang ang bawkin ORIF surgery hian harsatna a thlen tam lo hle. Hrilhfiah tur a awm lova, kan hriat chian a pawimawh hle.

A dam leh theih nan eng chen nge hun a duh?

I ruh tliak dan azirin a dam kim theih hun chhung hi a inang lo ang. Fracture thenkhat chu kar tlemte chhungin a dam a, a na zawk erawh chu a dam theih nan thla tam tak emaw kum khat emaw pawh a ngai thei thung.Hun a la ngai mai thei. Kar tlemte chhung chu cast i bun a ngai dawn a ni. I dam lai hian heng thilte hi enkawl la.

• Kut/ke chu chawi sang rawh: A theih phawt chuan operated arm/leg chu pillow-ah dahin thinlung level aia sangin dah la. Hei hian a hring (swelling) a ti tlem ang.
• Hliam fai taka vawn: Infection laka inven nan Doctor-in a sawi angin hliam fai leh khuh vek tur a ni. Hliam bandage thlak dan tur leh engtikah nge i inbual theih ang tih thupekte chu ngun takin ngaithla rawh.
• Physical Therapy: Ruh a dam chhoh zel chuan a chhehvel thau leh ruhkawrte tichak turin physical therapy hi a pawimawh hle. Crutch ang chi assistive devices i hman a ngai mai thei.

Engtin nge natna hi kan thunun theih ang?

Operation hnuah natna engemaw zat hriat hi thil pangngai a ni a, a bik takin kar hmasa lamah chuan. I doctor chuan natna control turin natna damdawi a pe ang che. Damdawi hi a dose dik tak leh a hun takah ei a pawimawh. Natna chu tuar theih loh a nih chuan doctor hnenah hriattir nghal rawh.

Metal part (screw, plate) te hi a awm reng em?

Hei hi mi tam tak tan chuan harsatna a ni. Mi thenkhat tan chuan heng thir pengte hi an dam chhung zawngin an taksaah a awm reng thin. Plate leh screw te, a bik takin ke ruh ang chi joint-a dah te hi ruh a dam hnuah pawh chakna dang a pek avangin lakchhuah a ni lo. Mahse, a then phei chuan (entir nan, nausen ruh lian tham tak takah an dah a nih chuan) a hnuah surgery tenau tak hmangin an la chhuak thin. Hemi chungchang hi i surgeon zawt la, hrilhfiah la a tha ber.

Damdawi lam thurawn lak nghal tur

I dam chhungin a hnuaia symptoms te hi i neih chuan doctor ko nghal la , damdawi in hnai ber Emergency Department (ETU) ah kal rawh.

• A rilru a na hle.
• Thâwk harsa (Dyspnea).
• Khawsik hi 38° Celsius (101° Fahrenheit) aia sang a ni.
• Surgery hliam atanga thisen chhuak tam lutuk.
• Hliam awmna hmuna natna hrik awm chhinchhiahna (pus chhuak, hring lutuk, rawng danglam, rim, emaw lum lutuk hriatna).
• Natna nasa tak, natna tidamtu damdawi hmang pawha thunun theih loh.

Ruh tihchhiat hi thil lungchhiatthlak tak a ni. Surgery leh i taksaa thir chi hrang hrang dah thu i hriat hian hlauhthawn hi thil awmdan pangngai a ni. Mahse, hre reng ang che, ORIF surgery hi ruh na tak chu uluk taka tihdamna kawng tha ber leh him ber a ni. Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.