I fa rilru i en chuan a chhung lam a pil ang maiin a lang em? A nih loh leh, sava ang maiin hmalam a rawn chhuak em ni? Hetiang dinhmun avang hian i fa hian thawk harsatna emaw, a rilru a na emaw tih i hmu tawh em? Ṭhiante nena inkhelh emaw, swimming pool-a kal emaw pawh a hreh hle mai thei a, a taksa inthlak danglamna avang hian a lungawi lo hle a ni. Vawiin hian hetiang dinhmun atana pui thei tur special surgery kan sawi dawn a ni.
Ravitch Procedure chu eng nge ni?
A awlsam zawngin Ravitch procedure hi pectus excavatum emaw pectus carinatum emaw siamthatna tur surgical procedure a ni. Hetiang tihnaah hian surgeon chuan i fa rilru chu a hawng a (open surgery), a rilru lai tak, sternum vel a cartilage deformed thenkhat chu a la chhuak a, sternum chu a dah leh a ni.
He surgery hian naupangin taksa lama harsatna a tawh ṭhin, thawk harsa leh rilru natna te chu nasa takin a tihziaawm a ni . Mahse a pawimawh zawk chu naupang rilru hriselna atana hahdamna a pek hi a ni. Naupang tê tê tân an rilru pianzia chu mi dangte nêna danglam nia a hriat chu a lungchhiatthlâkzia hi han ngaihtuah teh? He surgery hnu hian chu hmel chu a lo awm leh tawh chuan naupang inrintawkna chu nasa takin a pung a ni.
He surgery hi engtiang chiahin nge a awm?
Pectus Excavatum hi chest wall deformity thlentu a ni fo. Hetiang dinhmun hian mi 300 zinga pakhat leh mi 1,000 zinga pakhat a vei thung. Hetiang dinhmun enkawlna tur hian surgery chi hnih a awm a. Pakhat chu Ravitch Procedure a ni . A dang chu Nuss Procedure a ni . Ram thenkhatah chuan Nuss surgery hi a tam zawk viau nain, Ravitch procedure hi rintlak tak, gold standard operation a ni a, kum 60 chuang zet khawvel hmun hrang hrangah mi sang tam tak chungah hlawhtling takin an lo ti tawh a ni.
Engtin nge nang leh i fa chu operation hmain in inbuatsaih thin?
Hei hi nu leh pa i tan chuan a pawimawh hle. Zirchianna atanga a lan dan chuan naupang zai hmaa nu leh pate an hlauh emaw, an lungkham emaw a nih chuan naupang pawhin chutiang bawk chuan a hre ve ngei ang. Chuvangin naupang tan chuan a theih ang anga thlamuang taka awm reng hi chakna ropui tak a ni.
Hengte hi sawiin i fa chu i ti thlamuang thei ang:
- "Operation neih lai khan i muhil vek a, chuvang chuan engmah i hre lo ang a, natna pawh i hre lo ang ."
- "Doctor te hian an enkawl tha ang che, kan awm nghal mai ang."
Surgery ruahman nan i doctor chuan i fa rilru CT scan turin a ti mai thei.Test an dil a. Naupang hnenah chuan scan pangngai, natna nei lo a nih thu hrilhfiah rawh.
Chu bâkah, i doctor chuan operation hmaa ei leh in i chawlhsan hun tûr te, operation hnua natna enkawl dân tûr te pawh chiang takin a hrilh ang che.
Surgery neih chhung hian eng nge thleng tak tak?
He surgery hi darkar hnih atanga darkar thum vel a ni tlangpui. A kaihhnawih step lian ber berte chu tawi te tein han thlir ila.
| Step hrang hrang | Thil thleng sawifiahna awlsam tak |
|---|---|
| 1. Cut pakhat hnawih | Doctor chuan naupang rilruah, sternum chung lamah vun chu horizontal incision a siam a. |
| 2. Muscle te chawi sang | Chest bone (Pectoralis muscles) khuh tu muscle te chu zawi zawiin an chawi sang a, a sir lamah an hrual a. |
| 3. Cartilage deformed tihbo | Sternum sir lehlama deformed costal cartilages, a pianzia tidanglamtu chu uluk takin lakchhuah a ni. |
| 4. Sternum siamthatna | A hnute ruh pil tawh chu a chawi sang emaw, a chhuak chhuak chu a ti hniam emaw a, a awmna tur dik leh dik takah a dah a ni. |
| 5. Support pakhat install dan | Sternum chu a awmna tur dik takah awm reng turin a hnuaiah stainless steel atanga siam bar te tak te dah emaw, a chungah plate dah emaw a ni. |
| 6. Incision chu stitching a ni | A tawpah chuan ruhte chu an awmna hmasaah an kir leh a, vun incision chu uluk takin an sewn khar a ni. |
Surgery hnuah eng nge thleng?
Surgery zawhah naupang rilru hliamah hian drain te tak te pahnih dah a ni ang a, chu chuan tui tam lutuk chu a chhuah tir ang. Zun chhuahna tur catheter dah a ni bawk ang. Hengte hi ngaihtuah buai suh. Ni khat emaw ni hnih emaw hnuah catheter chu lakchhuah a ni ang. Chest tube hi ni hnih atanga ni thum vel hnuah lakchhuah a ni ang.
A pawimawh ber chu a rilru chhunga steel support bar dah chu kum khat vel hnuah operation tenau takah lakchhuah a ngai a ni Mahse a awlsam hle a, chu ni vek chuan naupang chu a haw thei bawk. A châng chuan screw hmanga nghet taka dah plate dah a nih chuan lakchhuah leh a ngai tawh lo.
He surgery hian risk emaw complication emaw a nei em?
Surgery dang ang bawkin risk tlemte chauh a awm. Mahse thu lawmawm tak chu modified Ravitch procedure avanga complication rate chu 5% aia tlem a ni . Chu chu case 100 zinga 95 chu chinfel vek a ni dawn tihna a ni. Harsatna awm thei thenkhat chu hetiang hi a ni.
| Complication awm thei | Hrilhfiahna awlsam tak |
|---|---|
| Pneumothorax tih hi a ni | Lung a inzawm khawm. |
| Atelectasis natna (Atelectasis) a ni | Lung thenkhat a tlakbuak. |
| Pleural effusion a awm thin | Lung vel a fluid filling. |
| Pericarditis natna (Pericarditis) a ni | Thinlung khuh tu membrane a hring chhuak. |
| Kaichhawng | Taksaah hliam emaw, natna hrik emaw a awm. |
| Bar atang chuan a zuang thla ta | Fixed support atanga inthlak danglamna. |
| Natna lo lang leh zel | Hun engemaw chen hnuah hnute chu a pianphung hmasaah a kir leh thin (a tlem hle). |
A dam leh theih nan eng chen nge hun a duh?
I fa chu operation hnu ni thum atanga ni li hnuah damdawi in atanga hruai haw theih i beisei thei ang. A chang chuan zai laia natna control nan nerve cooling procedure (Nerve Cryoablation) hman a nih chuan damdawi ina awm chu ni thum aia rei lovah tihhniam theih a ni.
In lama a haw hmain naupang chuan:
- Natna chu i thunun theih a ngai a ni.
- Chaw ei thiam a ngai a, nangmah chauhin bathroom-ah i kal thei bawk.
- Tlemte i kal thiam tur a ni.
Engtikah nge sikul i kal leh theih ang tih doctor zawt rawh. Mahse, i rilru a dam vek hma chuan contact sports hi pumpelh tur a ni a, chu chu kar 6 atanga kar 8 vel a ni tur a ni .
Operation zawhah doctor chuan kar hnih, thla thum leh kum khat hnuah follow-up visit nei turin a rawn let leh ang che.
Engtikah nge doctor ko nghal vat a ngaih?
I fain in lama a haw hnua a hnuaia symptoms te hi a neih chuan doctor ko nghal rawh.
| Operation hnua heng symptoms te hi i neih chuan doctor ko nghal tur a ni. | |
|---|---|
| Symptom a ni | Eng nge ngaihven tur |
| Infection a awm tih chhinchhiahna | Hliam atanga khawsik sang, sen, hliam, emaw hliam atanga chhuak chhuak. |
| Thunun theih loh natna | A natna hi a nasat em avangin natna tidamtu damdawi pekte hmangin a thunun thei lo. |
| Thâwk harsa | Naupang chuan thawk a harsat emaw, a thawk a hah hle emaw a ni. |
Naupang tan surgery neih tura thutlukna siam hi nu leh pate tan chuan thil awlsam a ni lo. Mahse, i fain an hmel lan dan avanga taksa emaw rilru emawa hrehawm a tawrh lai en chu a harsa bawk. Chuvangin i fate tana thurawn petu ni rawh. I ngaihtuahna emaw hlauhthawnna emaw i neih chuan i doctor nen sawiho rawh. I fate nen inbia la, an rilru put hmang chu ngaithla rawh. Hei hi zan khat thil thua thutlukna siam theih a ni lo. Chhungte nen inbia la, mi zawng zawng tana tha ber tur chu rel rawh.
Take-Home Thuchah a ni
- Ravitch Procedure hi kum tam tak chhunga hnute sagging emaw protruding emaw siamthatna atana surgery hlawhtling tak a ni.
- Hei hian naupang taksa lama harsatna (thawk harsa ang chi) leh rilru lama harsatna (mahni inrintawk lohna ang chi) te pawh chinfelna tha tak a pe a ni.
- Naupang rilru inbuatsaihna atan chuan zai hmaa nu leh pate thlamuang taka awm hi a pawimawh hle.
- Dam leh tur chuan damdawi inah ni eng emaw zat awm a ngai a, in lamah kar engemaw zat chawlh a ngai a, a bik takin contact sports tih loh nan.
- I fa doctor nen i ngaihtuahna emaw rinhlelhna emaw sawipui hreh ngai suh.
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