Khup na hi a thinrim hle a ni lawm ni? I kal lai te, i ben lai te, a nih loh leh stairs i chhoh laia i natna leh i rilru hahna chuan i nitin hnathawh chu a ti harsa thei a ni. Nang pawhin he harsatna hi i tuar a ni mai thei. Damdawi ei leh enkawlna hrang hrang nei chung pawha natna chu a reh lo a nih chuan i doctor chuan i khup hmun thenkhat thlak nana operation chungchang a hrilh che a ni mai thei. Vawiin hian he surgery, chu chu ‘Partial Knee Replacement’ tih hi mi zawng zawng hriatthiam theih tur awlsam takin kan sawi dawn a ni.
‘Partial Knee Replacement’ tih hi eng nge ni?
A awlsam zawngin, hei hi i khup ruh chhia chauh thlakna surgery a ni a, ruh pum pui ni lovin. Hei hi damdawi lam hawi chuan joint replacement (Arthroplasty) an ti a.
He operation-ah hian surgeon chuan i khup ruh leh cartilage chhe tawh, chhe tawh chu a paih chhuak a, chu chu thir leh plastic hmanga siam artificial joint (prosthesis) hmangin a thlak a ni.
Kan khup ruh hi pindan thum nei in angin han ngaihtuah teh. A ṭhen lian pathum a nei a, chungte chu:
- Medial compartment: Khup chhung lam.
- Lateral compartment: Khup hnunglam.
- Patellofemoral compartment: I khup hnuai lam hmun.
Partial Knee Replacement surgery hi khup chhung lam emaw pawn lam emaw a chhiat chuan tih a ni tlangpui. Khup chu a chhe vek lo a nih chuan he surgery-ah hian a chhia chauh thlak a ngai a, a hrisel lai chu a awm reng a ni.
He surgery hi eng condition chi hrang hrang atan nge tih a nih?
He surgery an tih chhan ber chu arthritis a ni fo thin. Mahse, he surgery hi osteoarthritis vei tan chuan a tha hle.
Symptom na tak tak i neih a, damdawi leh exercise ang chi non-surgical treatment hmanga i reh loh chuan i doctor chuan he surgery hi a ngaihtuah thei ang.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Joint natna | Hun rei tak chhunga natna, kea kal emaw, ding emaw, chawlh lai pawha awm. |
| Stiffness a awm | Zing thawh emaw, rei vak lo ṭhut hnu emawa khup a beng emaw, a sei emaw theih lohna tura khup a nghet lo tih hriat. |
| Hmasawnna harsa tak | Khup kim emaw, dinglam emaw theih lohna, kal harsa, stairs chhoh harsa. |
| Vung | Khup vel a hring reng. |
Operation hmain engtin nge i inbuatsaih thin?
I doctor leh surgeon chuan operation hmaa i tih tur chu chiang takin an hrilhfiah ang che. A tlangpuiin, a hnuaia mite hi i tih a ngai ang:
- Taksa enfiahna kimchang: Operation neih theih khawpa hrisel i nih leh nih loh en rawh.
- Thisen test: Thisen level leh harsatna dangte enfiah thin.
- ECG test: Thinlung a thawk tha em tih hriat chian nan.
- Ha enfiahna: Hei hi a pawimawh hle. I ha emaw, i ha emaw-ah natna i neih chuan, chu natna hrik chu operation hnuah i thisen kal tlangin i khup-ah natna a thlen thei a ni. Chuvangin operation hmaa i ha tihfai leh harsatna awm apiang siamthat a pawimawh.
- Imaging test: Khup X-ray hi tih a ni tlangpui. A châng chuan, a tlem hle a, MRI emaw CT scan emaw pawh tih theih a ni.
A pawimawh ber: Damdawi zawng zawng (condition dang atana hman tur pawh tel), vitamin, herbal supplement, emaw, over-the-counter (OTC) damdawi i ei tur zawng zawng te chu i doctor hnenah hrilh ngei ang che. I operation hma ni engemaw zat hnuah damdawi thenkhat ei kha bansan turin an fuih mai thei.
Operation hma ni khatah engtikah nge ei leh in i chawlhsan tur tih hriattirna pek i ni bawk ang. A tlangpuiin operation hma darkar 12 chhungin ei leh in i chawlhsan a ngai dawn a ni.
Surgery neih chhung leh operation zawhah eng nge thleng?
Surgery ni ah chuan natna engmah i hriat loh nan anesthesia pek i ni ang. Anesthesiologist chuan general anesthesia a pe thei che a, chu chuan i muhil vek thei a, regional anesthesia a pe thei che a, chu chuan i kawr hnuai lam chauh a ti na thei bawk.
Surgery an neih chhung hian surgeon chuan cartilage leh ruh chhia chu a la chhuak a, artificial joint hmangin a thlak leh thin. Cartilage-in a tih thin hna thawk turin plastic spacer pawh dah a ni bawk. Surgery hi darkar khat vel a ni tlangpui .
Operation hnuah recovery room-ah hruai i ni ang a, chutah chuan medical team-in i vital signs leh i natna te chu an enfiah ang. Mi tam zawk chu surgery neih ni vek hian an haw thei a ni. Mahse, a tul chuan damdawi inah zan khat riah a ngai mai thei.
He surgery avanga hlawkna leh harsatna awm thei te
He surgery hlawkna ber chu hun rei tak chhunga natna leh khauh te chu a bo tawh a, nuam takin i kal thei a, hna i thawk thei bawk. I nunphung a tisang bawk.
A pawimawh ber chu he surgery hnua dam leh hun hi khup zawng zawng thlak danglam hnu aiin a rang zawk hle.
This artificial joint usually lasts for 10 years or more , mahse mi thenkhat chuan nakin lawkah khup hmun dangah arthritis an neih chuan total knee replacement an neih a ngai mai thei.
Complication hi a tlem hle a, mahse hriat reng a pawimawh.
- Thisen a chhuak thin
- Hliam emaw khup chhungah emaw natna hrik awm
- Nerve emaw thisen kalna kawng emaw a chhiat
- Prosthetic joint a chhe emaw, a hrual emaw
- Khup ben/extend theihna tlahniam
Damdawi dang, hemophilia, zunthlum, emaw lupus emaw i neih chuan i doctor hnenah pawh hrilh bawk ang che.
Recovery hun leh thil tih tur
A dam kim theih nan thla engemaw zat a la ngai thei. Mahse kar 6 vel hnuah chuan thil pangngai tam zawk chu i thawk leh thei tur a ni . I dam lehna tur chu i kum, operation hmaa i hriselna leh damdawi lam thil dang a zirin a innghat ang.
I dam thuai theih nan heng thilte hi i ti thei ang:
| Eng nge tih tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Ice-laying a ni | Ni khatah vawi tam tak minute 20 vel i khup ah ice hnawih thin ang che. Hei hian natna leh hliam a tiziaawm ang. |
| Khup chu a sang chho zel | A theih phawt chuan i khup chu i thinlung level aia sangin dah la. A chungah pillow dahin mu rawh. |
| Hliam fai taka vawn | Doctor thupek zawm rawh. Hliam chunga bandage thlak dan tur leh engtikah nge shower i lak theih ang tih chiang takin zawt rawh. |
| In lama tih tur exercise te | I doctor-in a tih angin exercise te chu ti rawh. Hengte hian i khup chhehvela thau te a tichak ang a, ruhkawr a nghet lo bawk ang. |
| Taksa lam enkawlna | Kar tlemte chhung chu physical therapist nen in thawh dun a ngai dawn a ni. I khup him taka i ben dan leh a chungah rit dah dan an zirtir ang che. |
Damdawi lam pan vat ngai symptoms
Operation hnua i dam chhung hian a hnuaia symptoms te hi i neih chuan doctor ko nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- A rilru a na
- Thâwk harsa (dyspnea) .
- Khawsik Fahrenheit 101 (39 Celsius) aia sang
- Hliam atanga thisen chhuak tam lutuk
- Hliam natna chhinchhiahna (pus discharge, a hring lutuk, rimchhia, sen, khawih a lum)
- Thigh, ankle, emaw kea natna thar emaw, na zual emaw
- Natna nasa tak, natna tidamtu damdawi ei chung pawha reh lo
A tawpah chuan khup na leh rilru hahna i tuar a ngai tawh lo. Enkawlna dangin a hlawhtlin loh chuan surgery hi nun nuam zawk i hman theih nan duhthlanna tha tak a ni thei. I tana enkawlna tha ber tur chu i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Partial Knee Replacement hi ruh natna vanga khup a chhiat zawng chauh thlak a ni.
- Recovery time hi total knee replacement surgery aiin a rang zawk tlangpui.
- Dam thuai leh hlawhtling tur chuan doctor leh physical therapist-te thupek dik taka zawm a pawimawh hle.
- Operation hnua vaukhânna lan chhuah theih (e.g. rilru natna, khawsik sang, hliam natna) te chu hre reng la, heng zinga pakhat a lo awm chuan doctor lam pan nghal rawh.
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