Orthopaedic surgery i hlau em? A awlsam zawngin sawi ila!

I nu emaw i pa emaw hian khup na a tuar a, stairs a lawn thei lo em ni? A nih loh leh, i ṭhian pakhatin cricket an khelh laiin an kut a tikehsawm a, cast an vuah a ngai tih i hre tawh em? Nangmah ngei pawhin hip pain emaw back pain emaw i nei a, doctor-in surgery chungchang a sawi hlau pawh a ni mai thei. Mi tam tak chuan "Orthopaedic Surgery," a nih loh leh ruh, ruh leh taksa peng hrang hranga surgery tih thumal kan hriat hian kan cringe deuh thin. Mahse hei hi hlauh tur thil tak tak a ni em? Hemi chungchanga rinhlelhna i neih zawng zawng tihfai nan vawiin hian sawi ila.

A awlsam zawngin, orthopaedic surgery chu eng nge ni?

Kan taksa hi in mawi taka sak angin han ngaihtuah teh. Chu in frame, chu chu a bang, a chung, a tukverh leh a kawngkhar te hi kan ruhro a ni. Damdawi lamah chuan hei hi musculoskeletal system kan ti a. Hei hian ding nghet taka ding thei, kea kal, tlan, rit phurh, a tawi zawngin, chetna chi hrang hrang tih theihna min puitu a ni.

Chuvangin he `musculoskeletal system` hi a bulpui ber engemaw zat atanga siam a ni a:

• Ruh: Kan taksa pianzia leh chakna petu framework.
• Muscles: Ruh tihchakna tura puitu parts.
• Joints: Ruh pahnih inzawmkhawmna hmun. Kawngkhar chunga hinge awm ang maiin. Chûngte chuan kan ke ruhte chu kan ben thei a, kan tizau thei bawk.
• Tendons leh ligaments: Thil chak tak, band ang chi, ruh leh ruh inzawmkhawmtu.
• Cartilage: Thil hrual, rubbery ang maia awm, ruh chhunga ruh inzawmkhawm lo.
• Soft tissues: Heng zawng zawng hual veltu tissue dangte.

Tunah chuan he system hi a pawimawh zia chu i hrethiam tawh mai thei. Heng part te hi accident emaw, tar emaw, damdawi lam thil dang vang emaw hian a chhe thei a ni. Tichuan hrehawm kan nei a, kan kal thei lo va, kan nitin hna pawh kan thawk thei lo. Chutiang hunah chuan a chhe tawhte siamthat, siam thar lehna emaw, a thara thlak emaw tura surgery tih thinte chu `Orthopaedic Surgery` kan ti thin.

Hengte hi eng surgery chi nge ni? Eng taksa peng hrang hrangah nge an perform?

Orthopaedic surgeon te hi taksa peng hrang hranga thawk tura training an ni. Chuvangin, surgery zawng zawng hi doctor pakhatin a ti vek lo. Ṭhenkhat chu khup lamah an specialise a, ṭhenkhat chu ruhro lamah an specialise bawk. Car engine siamtu mechanic leh tinker thin mechanic neih ang mai a ni.

Hemi chungchang hi a hnuaia table atang hian ngaihdan tha tak i hmu thei ang.

Sri Lanka-a surgery tih tam ber pahnih chu ACL surgery leh khup thlak surgery te an ni.

Operation hma, operation neih lai leh operation zawhah eng nge thleng?

Okay, tunah chuan he process zawng zawng hi engtin nge a kal tih i en ang. Hei hi step khat hnu step khata hriat hian i hlauhthawnna a ti tlem hle ang.

Surgery neih hmain... (Consultation)

Operation i mamawh tih hriat a nih hnuah i dinhmun chungchanga specialist specialist hnenah refer hmasa phawt ang che. He inkhawm hi `inrawnkhawmna` kan ti a.

Doctor chuan i medical history kimchang a zawt ang che. Chu chu, eng chen nge natna i neih tawh, engtin nge a lo intan, eng natna dang nge i neih, eng damdawi nge i ei, etc. Tichuan, i natna hmun chu a enfiah ang. X-ray emaw MRI scan emaw i neih chuan i dinhmun dik tak hrethiam turin uluk takin a en bawk ang.

Tichuan doctor chuan i surgery tur chu a schedule ang. Emergency a nih chuan surgery neih nghal a ngai mai thei. Chutiang a nih loh chuan ni engemaw zat emaw, kar engemaw zat hnuah pawh a ni thei.

Surgery neih ni ah chuan...

I zai ni hian damdawi in ward-ah dah i ni ang. Nurse pakhat a rawn kal ang a, surgical gown-ah a thlak ang che. Jewelry eng pawh, necklace, bracelet, ring emaw te chu i paih chhuah a ngai ang. Chumi hnuah i thisen sang leh pulse rate chu enfiah a ni ang a, i kut ah IV line dah a ni thei bawk.

Chumi hnuah chuan operation theatre-ah hruai i ni ang. Chutah chuan anesthesiologist-in a enfiah ang che. Operation laiin natna engmah i hriat loh nan a muthilh tir ang che. Hei hi hlau suh, hemi kawngah hian training sang tak an nei a ni.

Surgeon chuan i mut hnuah operation a tan ang.

• Ruh a tliak chuan a dinglam a, screw, pin, rod emaw plate emaw hmangin an fix thin.
• Ligament a chhe a nih chuan a chhe lai chu lakchhuah a ni a, i taksa peng dang atanga tissue hrisel tak tak emaw, midang atanga graft emaw hmanga thlak a ni.
• Joint a chhe tawh (arthritis) a nih chuan ruh chhe tawh chungah metal emaw plastic emaw cap dah a ni a, chu chuan ruh chu a thawk tha leh thei ang. Hei hi joint replacement kan tih chu a ni.

Surgery zawh hnuah incision te chu stitches hmangin an khar a, bandage hmangin nghet takin an khuh thin.

Operation hnuah... (recovery period) .

Surgery zawhah recovery room-ah sawn i ni ang. Anesthesia atanga i hriatna i neih leh hma loh chuan chutah chuan i awm reng ang. Tichuan ward-ah an hruai leh ang che. Surgery thenkhat tan chuan chu ni vek chuan in lamah i haw thei bawk. Surgery na tak tak thenkhat tan chuan ni engemaw zat damdawi inah i awm a ngai dawn a ni.

In i haw hunah chuan i stitches enkawl dan tur, leh i tih tur leh tih loh tur chungchangah thupek hrang hrang pek i ni ang. Heng thupekte dik taka zawm hi dam thuai nan a pawimawh hle. A tir lamah chuan chawlh hahdamna tam tak i mamawh dawn a ni. Chuvangin homework-a puitu tur i neih chuan tanpuina ropui tak a ni.

Doctor chuan i hliam dam leh tawh loh enfiah turin follow-up appointment a pe ang che. X-ray dang neih leh a ngai mai thei bawk.

Vawi tam tak chu, heng operation chi hrang hrang hnuah hian physical therapy -ah an hruai ang che . Chumi awmzia chu, a bik taka trained mi enkawlna hnuaiah exercise pek i ni ang a, chu chuan operation tihsak i kut, ke, emaw, ruhkawr emaw, a chetna range tihchak leh tihchangtlun theihna tur a ni. Hei hi bo lova tih tur a ni.

Heng surgery te hian eng hlawkna leh hlauhawmna nge a neih?

Engkim ang bawkin heng surgery te hian hlawkna leh hlauhawmna tenau tak tak a nei a ni.

A thatna te: 1.1.

• Natna tihziaawmna: Natna awm reng chu i paih chhuak thei.
• Taksa hnathawh tihpun: I ben thei a, i ding nghet thei a, i kal tha zawk bawk.
• Range of motion tihchangtlun: Tun hmaa i tih theih loh thilte i ti thei.
• Ruh chhe tawhte dik taka fixation: Ruh chu chiang taka fix a ni a, pulling lovin.
• Malignant tumor tihbo: Nunna atana hlauhawm thei tumor lakchhuah.

Risk awm thei: 1.1.

Hengte hi thil thleng tlem hle mah se, fimkhur a pawimawh hle.

• Thisen chhuak
• Kaichhawng
• Joint na emaw, a nghet lo emaw
• Thisen a chhuak thin
• Muscle chak lohna
• Numbness a awm

I doctor chuan operation hmain heng hlauhawmnate hi uluk takin a hrilhfiah ang che.

Engtikah nge operation zawhah doctor i hmuh nghal tur?

Surgery zawh hnua in lama i haw veleh i taksaa inthlak danglamna te ngaihven a pawimawh hle. A hnuaia symptoms te hi i neih chuan doctor ko nghal la, damdawi in Emergency Department (ETU) ah kal rawh.