Ruh surgery (Osteotomy) chungchang zawng zawng hi a awlsam zawngin i zir vek ang u!

I taksa hmun ṭhenkhat, a bîk takin i khup, i hip, a nih loh leh i ruhroa natna i hriat chu ruh tê tê a inmil lo emaw, ruh tliak vang emaw a ni em tih i ngaihtuah fo em? I doctor chuan osteotomy tih surgery chungchang a hrilh che a ni mai thei. Hemi chungchang hriat hi a hlauhawm deuh thei. Mahse a chipchiar zawng i hriat chuan chu hlauhna chu nasa takin a tlahniam a ni. Chuvangin, vawiin hian he surgery chungchang hi awlsam takin kan sawi dawn em ni?

A awlsam zawngin, hei hi eng nge ni (Osteotomy)?

Okay, a awlsam zawngin sawi ila, osteotomy hi surgical procedure a ni. Chu chu ruh tan a, a châng chuan ruh thar dah belh a, chutah chuan ruh chu siam thar emaw, a awmna dik takah sawn leh emaw a ni. Thingrem siamtuin thingphel a tan a, a siam thar a, a pianzia thar a pek ang maiin han ngaihtuah teh, mahse hei hi kan taksa ruhte chungah tih a ni.

I surgeon chuan i taksa ruh eng pawh chu osteotomy a ti thei ang. Entirnan, i hmui, i elbow, i ruhro, i kekawrte, i hip, i khup, i ke, i ke ruh, a nih loh leh i keah. I ruhkawr – ruh pahnih inzawmna hmuna harsatna awmte enkawlna atan hman a ni fo. Osteotomy chi hrang hrang leh technique hrang hrang a awm a. An hming hi an tih dan tur siamtu surgeon emaw, ruh an tan leh an siam danglam dan emaw hming chawiin an vuah fo thin.

Engvangin nge he (Osteotomy) surgery hi tih a nih?

Tunah chuan, ‘Engvangin nge hetiang hian ruh hi i tan a ngai?’ tiin i ngaihtuah mai thei. A chhan hrang hrang a awm.

• Ruhte angle, bowing emaw rotation emaw siam\hat: A châng chuan ruhte chu a hmun a\angin tlem a chhuak thei bawk. He surgery hian chu chu siamthat nan a pui a ni. Ngaihtuah teh, mi thenkhat ke chu O hawrawp (bowlegs) ang emaw, X hawrawp (knock-knees) ang chi emaw a ni thei. Hei hi chutiang thil siam that nan hman a ni.
• Joint deformed emaw misaligned emaw siamthat: Joint thenkhat chu piansualna tenau neiin an piang thei a, a nih loh leh nakin lawkah harsatna engemaw avanga deformed an ni thei bawk.
• Ruh tawi emaw, sei emaw: A mak lo em ni? Ni e, a then phei chuan he method hi ruh sei zawng tihdanglam nan pawh hman a ni.
• Joint chhia siamthat: Accident emaw thil dang emaw avanga joint a chhiat chuan.
• Joint pakhata rit phurhna hmun chu thlak rawh: I khup sir khata cartilage chu a chhe tawh ang tih han ngaihtuah teh. Chutah chuan hrehawm i ti thin. He surgery hian rit phurh dan a thlak danglam thei a, cartilage hrisel tak neiin a sir lamah a redirect thei bawk. Chu chuan a natna a tiziaawm ang.
• Osteoarthritis avanga natna tihziaawm: Hei hi he ruh natna (degenerative joint disease) avanga natna tihziaawmna tur solution tha tak a ni a, a bik takin khup leh hip-ah te natna tihziaawmna tur a ni.
• Thalai, active tak takte tan joint replacement surgery tihkhawtlai: Thalai thenkhat tan chuan osteotomy hian an ruh chu an ruh a chhe vek a, an ruh thlak nghal mai ai chuan hun rei zawk an hmang thei a ni.
• Ruh lama harsatna bik dangte siamthat.

Surgery hmain eng nge ka tih ang?

Osteotomy i tih hmain i surgeon chuan i hriselna tlangpui enfiah turin test eng emaw zat a ti ang. Chung zingah chuan a tlangpuiin:

• Thisen test: Hengte hian i thisen chhunga thil chi hrang hrang awm zat leh i chhungril taksa peng hrang hrangte hnathawh dan a enfiah thin.
• Urine test: Hengte hian i hriselna tlangpui hriat theihna tur leh ruh damna tibuaitu tur, infection emaw diabetes emaw awm thei te pawh a hriat theih nan a pui thei a ni.
• ECG (Electrocardiogram) test: I thinlung electric hnathawh dan a enfiah thin.
• Chest X-ray: Operation hmaa i lung a thawk tha em tih hriat chian nan.
• X-ray emaw CT scan emaw: Hengte hi i ruh/ruh chiang taka enin surgery ruahman nan hman a ni. Surgeon chuan ruh lak chhuah tur chu a lian leh te, a sei zawng, a zau zawng leh a angle dik tak a hriat a ngai a ni. A chang chuan computer hmangin 3D model siamin surgery ruahman a ni.

Osteotomy surgery neih lai hian eng nge thleng tlangpui?

Pakhatnaah chuan anesthesia pek i ni ang. Hei hi kawng hrang hrangin tih theih a ni:

• Regional anesthesia chu operation tihna hmun chauh numbing tihna a ni.
• Spinal anesthesia hmanga tihdam theih a ni.
• Mut tir vek che (general anesthesia).
• Local anesthesia hmang hian operation tihna tur hmun chauh numb nan hman a ni.

Doctor chuan i tana tha ber tur a thlang ang.

A dawtah chuan surgical team chuan operation chhehvel chu antibacterial solution hmangin an tifai leh thin. Tichuan, a hmun chu surgical cloth hmangin an khuh a.

Surgeon chuan i vunah incision a siamsak thin. Guide wire hmangin ruh lak chhuah tur hmun an chhinchhiahna (a tam zawkah chuan wedge ang maia siam a ni a, mahse hei hi surgery a zirin a danglam thei). He ruh chhinchhiahna hmun hi lakchhuah nan hian surgical saw bik hman a ni.

Ruh natna emaw, chhia emaw an lakchhuah hnuah, a sir lehlamah ruh hmun la awmte chu inzawmkhawmin a gap chu khar a ni. Osteotomy i neih chi hrang hrang a zirin ruh lakchhuahna hmunah hian ruh (bone graft) dah theih a ni. Tichuan, pin, screw, staple, plate emaw rod emaw hmangin ruh chu a dam hma loh chuan a hmunah an vawng tlat thin. Heng thir chi hrang hrang thenkhat hi hun eng emaw chen atana hman tur a ni a, thenkhat erawh chu a awm reng tur a ni thung.

Osteotomy surgery chi hrang hrangte chu engte nge ni?

Osteotomy surgery hian ruh leh ruh natna chi hrang hrang a enkawl thei a ni. A chi hrang hrang thenkhat han thlir ila.

Jaw osteotomy tih a ni

Hei hian i hmui hnuai lam (manible) emaw, i hmui chunglam (maxilla) emaw ruhte chu i lu leh/ emaw ha dang zawng zawng nen a inmil tir a ni. Hei hian harsatna, open bite, ei leh ei harsa, ha hrual lutuk, hmui hnungtawlh, overbite, underbite te ang chi harsatna a siam tha thei a ni. I ha chu i hmui nena inmil turin operation hma emaw, operation hnuah emaw braces i mamawh thei bawk.

• A hnuai lam operation tih hi mandibular osteotomy an ti a .
• Upper jaw surgery tih pawh hi maxillary osteotomy an ti bawk .
• Thil tih dan bik thenkhat a awm a, entirnan, LeFort osteotomy chu hmai lai takah a ruh chunglam leh hmui ruh inzawmna hmuna ruh tliak siamthatna tur surgery a ni. Sagittal split osteotomy hi jaw surgery chi khat a ni a, ha hnuai lam chu ha nena inmil zawk tura sawn a ni.

Chin osteotomy tih a ni

He surgery hi chin pianzia thlak danglam nan an ti thin. A tlangpuiin a hmui chu a hniam lutuk a nih chuan a sei nan emaw, a hmui zim tak a tawi zawk nan emaw tih a ni. Hei hian chin chu hmalam pan emaw, kawng dangah emaw a kal thei a ni. A chang chuan hei hi chin implant neih ai chuan a tha zawk. He surgery neih chhung hian i hmui ruh chu an tan a, an sawn bawk. Surgeon chuan ka chhungah incision a siam a. Thla engemaw zat chhung chu i hmuiah feeling i hloh thei.

Elbow osteotomy tih a ni

Elbow joint-a harsatna i neih avangin i kut hnuai lam dinhmunah harsatna a awm a, chu chu i kut chu taksa hnaih lutuk (cubitus varus) emaw, taksa atanga hla lutuk (cubitus valgus) emaw a nih chuan, chutiang harsatna siamthat nan he surgery hi tih a ni. Harsatna a zirin osteotomy chi hrang hrang a awm a.

Spinal osteotomy tih a ni

He surgery hi ruhro (spine) curve siamthat nan tih a ni. Kan ruhro (spine) natural curves hian taksa center of gravity chu pelvis chungah a vawng reng thei a ni. Spine hmun khat emaw a aia tam emaw a curve a san emaw a tlahniam emaw chuan ruh chu a dinglam lo tihna a ni. Hei hian natna a thlen thei a, hahna a thlen thei a, chhungril peng hrang hrangah pressure a siam thei bawk. He surgery hian a tum ber chu ruhro (spine) balance siam leh a, natna tihziaawm a, natna hi a lo awm leh emaw, a zual emaw loh nan a ni.

• Entirnan, Ankylosing Spondylitis ang dinhmunah chuan ruhro chu hmalam hawiin a inbeng kang reng thei a, a hmui chuan a rilru a khawih thei bawk. Hetiang angular problem siamthat nan hian he surgery hi ngaihtuah theih a ni.
• A chi hrang hrang a awm a, chungte chu:
• Posterior column osteotomy: Hei hian hnungzang hnuai lamah lordosis a siam a, hnungzang chunglam ah kyphosis a siam bawk. Ponte osteotomy hi kyphosis siamthatna atana hmanraw bik a ni.
• (Smith-Petersen-a ruh tihchhiatna):Hei hi lordosis siamthatna atana hmanraw bik a ni. Ruh hnunglam atanga ruh chi khat lakchhuah a ni a, chu chuan ruh chu hnunglam hawiin a tilt a ni.
• Pedicle subtraction osteotomy: Hei hian hnungzang hnuai lamah inward curve (lordosis) chak tak a siam a.
• (Bone-disk-bone osteotomy): Hei hian vertebrae inkar disc chung leh hnuai lam ruh siam a ni. Surgery an neih chhung hian disc leh a kianga endplates te chu lakchhuah a ni.
• (Vertebral column resection): Hetah hian vertebrae pakhat emaw a aia tam emaw chu a chhuak vek a ni. Hei hian siamthatna langsar ber a siam thei a ni. Ruh tam tak lakchhuah a nih avangin surgeon chuan he hmun hi ruh graft emaw, metal cage emaw hmangin a luah khat thin.

Hip osteotomy tih a ni

Hei hian i acetabulum emaw femur lu emaw siam thar a huam a ni. Hei hi i hip chhunga ball-and-socket hip joint awm chu a ni. Surgeon chuan ruh chu a tikehsawm a, a siam a, a ṭhen a la chhuak a, chu chuan ruh rit phur thei chungte chu a siam ṭha leh a ni.

• A chi hrang hrang:
• Periacetabular osteotomy: Hei hi hip dysplasia siamthatna atana tih a ni a, hei hi hip socket-in thigh bone ball a khuh kim loh vang a ni. Surgery an neih chhung hian hip ruh thenkhat chu an tan a, an dah leh a, screw hmangin an nghet tlat a ni.
• Femoral osteotomy: Hei hian hip function siam thatna tura pui turin upper thigh bone (femur) chu cut leh reshape a ni.

Khup ruh (knee osteotomy) tih a ni

Osteotomy-ah hian khup hnuaia ruh pahnih hmuh chhuah zinga pakhat – tibia emaw femur emaw – cut leh reshape a ngai a ni. Hei hi arthritis vanga chhiatna thlengte siamthat nan an ti fo thin. He surgery hian khup ruh chu a siam thar leh a, khup chhia atanga rit leh pressure chu a hrisel lam a pan a ni. Knee osteotomy hi osteoarthritis hmasa berah tih a ni tlangpui a, chutih lai chuan a chhiatna chu khup sir khatah chauh a awm a ni.

• Osteotomy awmna hmun hi a chhiatna awmna hmunah a innghat a ni. Entirnan, high tibial osteotomy -ah chuan, cartilage chhiatna chu khup chhungah a awm a nih chuan, khup pawn lam atangin ruh hring (wedge) ang chi chu lakchhuah a ni a, a nih loh leh khup chhungah chuan ruh chu wedge ang maia hawn a ni. Hei hian ke a ti dinglam a, arthritis a ti na zual lo.
• Khup chi thenkhat (Osteotomy): 1.1.
• Tibial osteotomy: Hei hian bowlegged alignment a siam a, chu chuan khup chhungah pressure nasa lutuk a siam a ni.
• High tibial osteotomy: Hei hi khup ruh natna vei te khup ruh (knee joint) siamthatna atana hman thin a ni. He surgery hian khup thenkhat emaw, a pum emaw thlak ngai lovin a tikhawtlai thei a, a tikhawtlai thei bawk.
• (Fulkerson-a ruh lak chhuah):Hei hi kalphung bik a ni. Tibia hmun bik (tibial tubercle) thenkhat chu lakchhuah a ni. Hei hian kneecap tendon tibia nena a inzawmna hmun a thlak danglam a, kneecap-a pressure a tihziaawm bakah dislocation a veng bawk.

Big toe leh ke ruhro (osteotomies) tih a ni

Hallux osteotomy hi ke ruh lian tak atanga ruh lakchhuah a, tihdik a ni. Calcaneus osteotomy hi ke flat emaw, ke chu a tlangpui aia arch sang zawk nei emaw siamthat nan a siam danglam thin a ni.

• Ke lama harsatna enkawlna atana hmanraw bik (Osteotomy) engemaw zat:
• Chevron leh Akin osteotomies: Heng surgery te hian bunions (hallux valgus) vanga ke ruh lian (big toe) deformities na lo tak tak atanga na lo tak tak te chu an siam tha thin.
• (Dwyer osteotomy): Hei hian ke chu a siam thar leh a, chu chuan arch sang tak chu a ti tlem a ni.
• (Weil osteotomy): Hei hian i ke ruh (claw toes) leh i ke ball hnuaia natna te chu a siam tha a ni.
• (Cotton osteotomy): Hei hian keah arch siam a pui thin.

He surgery hian eng hlauhawmna nge a neih?

Surgery dang ang bawkin osteotomy hian hlauhawm engemaw zat a keng tel thei a ni. Mahse lungngai suh, doctor-te chuan heng hlauhawmnate hi tih tlem tumin theihtawp an chhuah thin. Risk lian ber berte chu:

• Anesthesia chungchanga harsatna awm thei.
• Kaichhawng.
• Thisen a chhuak thin.
• Nerve emaw artery emaw hliam.
• Ruh a set tha lo emaw, a dam hunah a dam tha lo emaw pawh a pawi lo.
• Joint inflammation leh stiffness a awm bawk.
• Hun rei tak chhung natna.
• Scar tissue siam chhuah.

Heng hlauhawmna chungchang hi doctor nen inbiakna neih a pawimawh hle a, zawhna i neih zawng zawng zawh vek a pawimawh hle.

Eng chen nge a dam theih ang? Engtin nge ka tih ang?

Dam leh hun chhung hi mi hrang hrangah a inang lo thei. Thil tam takah a innghat a, chung zingah chuan osteotomy i neih chi hrang hrang, surgery technique, i ruh chhiatna zau zawng leh nasat dan, i chakna leh dam duhna te pawh a tel.

Ruh pakhat a dam theih nan hun a duh a ni. Surgery neihna hmunah hian natna a awm ang a, hliam a dam hma loh chuan natna a awm ang.

• Cast, splint, emaw, crutches emaw i bun a ngai mai thei. Hengte hian ruh leh ruhte chetna tihtlem nan a pui ang a, operation tih ruh chunga rit a tihtlem bakah ruhte chu a dam tha thei ang. Chungte chu kar tlemte atanga thla hnih vel thleng a ni tlangpui.
• Cast emaw splint emaw-ah i awm a nih pawhin operation i neih atanga ni engemaw zat chhungin physical therapy i mamawh ang.Physical therapy hian i ruh (joint) chakna leh a kal theihna a tipung a ni.
• I khup emaw, i hip emaw operation i neih chuan thla engemaw zat chu crutches i hman a ngai mai thei. I chakna leh balance neih leh theih nan physical therapy i chhunzawm zel a ngai dawn a ni.
• Jaw surgery (jaw osteotomy) i neih tawh chuan i jaw chu wired shut a ni ang a, kar ruk vel liquid diet i hmang ang. I ke ruh lian tak operation i neih tawh chuan kar hnih atanga kar ruk vel chu pheikhawk i ha thei lo ang a, i khalh thei lo bawk ang.

Engtin nge damna kawngah i puih theih ang?

Nang pawhin he damna hun chhung hian i pui thei ang.

• Meizial zu suh: Nicotine hian damna a tikhawtlai a, ruh damna dik tak pawh a tibuai thei bawk. Chuvângin, zu in loh vek rawh .
• Ei leh in tha, hrisel ei rawh: Ei leh in inthlau tak, Mediterranean diet ang chi, thlai leh thei tam tak ei thin ang che.
• I doctor thupek ang chiah kha zawm rawh.
• I taksa rihna hrisel tak vawng reng rawh.

Eng result nge beisei theih ang?

I result hmuh tur chu i hriselna tlangpui, i ruh harsatna nasat dan, i surgery bik i neih dan, leh i surgeon thiamna te a innghat ang. I doctor chuan i surgery tur leh operation hnua i beisei tur chungchang a sawipui ang che. I doctor zawhna zawt hreh ngai suh la, i ngaihtuahna leh hlauhthawnna i neihte pawh sawi hreh ngai suh.

Ruh leh ruhkawrte siamthat leh siam tharna tur hian osteotomy leh surgery dang chi hrang hrang a awm a. I doctor chuan i ruh emaw, i ruh emaw harsatna bik leh duhthlan tur awmte chu a sawipui ang che. I ruh harsatna awm dan azirin nonsurgical treatment (conservative treatment) hmanga enkawl hmasak i ni thei. Chung zingah chuan chawlh hahdam, vur, anti-inflammatory leh natna damdawi, leh corticosteroid injection te pawh a tel thei. Heng enkawlnate hian i ruh natna a thunun lo a nih chuan, emaw, enkawl theih loh natna i neih chuan, i ruh enkawltu (orthopaedic surgeon) chu i tanpui turin a awm tih hre reng ang che. I mobility tihchangtlun nan leh i natna leh i rilru hahna tihziaawmna turin surgical option an nei a ni.

He thuziaka hriat reng tur pawimawh ber berte

Chuvangin, osteotomy ngaihtuah hian hlauhna tlem a awm hi thil pangngai a ni. Mahse, hei hi damdawi lam thil pawimawh tak a ni a, i nunphung a tichangtlung thei a, natna a tiziaawm thei a, i ruh leh ruhte chu nunna thar a pe thei bawk.

• Hriatthiamna tha tak nei rawh: I dinhmun te, i surgery tur te, a thatna leh that lohna te, leh i dam leh hun tur te chu i doctor nen sawiho rawh.
• Doctor thupek zawm rawh: Dam thuai tur chuan doctor thupek uluk taka zawm a pawimawh hle a, operation hma leh operation hnuah pawh uluk taka zawm a pawimawh hle.
• Dawhthei rawh: Ruhte a dam theih nan hun a duh a ni. Chumi chhung chuan physical therapy ang chi thil te chu uluk takin ti la, chak takin awm rawh.
• Meizial zuk loh tur: Hei hi i tih tur a ni ngei ang.

Hemi chungchanga zawhna dang i neih chuan i doctor zawh hreh suh. I tanpui turin an awm reng a ni.

` Osteotomy, ruh surgery, ruh surgery, ruh surgery, surgery, ruh deformities, ruh na