I ke ruh natna tuar theih loh i nei em? I kut chawi, i sam hrual, a nih loh leh in chung lam thil lak chhuah ang chi hna awlsam tak tak tih i harsat phah mai thei. Standard treatment hmanga natna a reh loh chuan i doctor chuan shoulder replacement surgery neih a rawt mai thei. Vawiin hian chutiang chiah, mahse a danglam deuh deuh, surgery kan sawi dawn a ni. ‘Reverse Shoulder Replacement’ tih a ni.
He ‘Reverse’ Shoulder Replacement hi eng nge ni?
A awlsam zawngin hei hi ruh thlak danglamna surgery a ni bawk. Doctor-te chuan ``Reverse Total Shoulder Arthroplasty`` an ti \hin.He surgery-ah hian surgeon chuan i shoulder joint natural, chhia chu a paih chhuak a, chu chu artificial joint ``prosthesis``, thir leh plastic hmanga siam hmangin a thlak a ni.
Tunah chuan hei hi engvangin nge ‘Reverse’ an tih hi kan en ang.
Kan shoulder joint hi ball awmna cup angin han ngaihtuah teh. I shoulder joint hi i shoulder bone (scapula) (the glenoid) atanga cup ang chi leh i upper arm bone (humerus) (lu) atanga ball ang chi atanga siam a ni tlangpui.
‘Reverse’ surgery-ah chuan a kalh zawng a ni. Surgeon chuan ball leh cup awmna hmun a thlak danglam thin. Surgery zawhah ball chu shoulder bone (scapula) atanga chhuak turin an siam a, cup chu upper arm bone (humerus) chhunga lut turin an siam bawk. Phên dangin sawi ila, configuration pangngai chu a inher danglam vek a ni.
Engvangin nge hetiang hian ‘reverse’ surgery hi tih a nih? Tu tan nge a inhmeh?
He ‘Reverse’ surgery hi hriselna lama harsatna bik nei, shoulder replacement surgery mumal tak nei thei lo tan a tha hle. I kekawr iptea natna nasa tak i neih emaw, i kut i tihchet harsat emaw chuan i doctor chuan damdawi leh physical therapy ang chi thil a lo enchhin hmasa ang. Hengte hian hna a thawh loh chauhvin surgery ngaihtuah a ni ang.
A bik takin, a hnuaia thil pakhat emaw a aia tam emaw nen hian shoulder joint-a arthritis i neih chuan i doctor chuan he ‘reverse’ surgery hi a rawt thei ang.
| Hriselna dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| `(Rotator Cuff)` tissue nasa takin a chhe tawh | Kut chawi sang thei tur shoulder chhehvela ruh leh tissue te nasa taka tihchhiat. Hetiang chhiatna hian ruh pangngai thlak a nih chuan stability a awm theih loh phah a ni. |
| Shoulder Fracture a awm | A shoulder joint na tak a tliak. |
| Chronic Dislocation awm thei | Shoulder joint a inthlak fo chuan a chhehvel tissue te chu a chak lo va, normal surgery pawh a hlawhtling lo ang. |
| Ruh chhiatna nasa tak | Arthritis emaw natna dang emaw avanga ruh ruh a chhe tawh a, nasa taka a chhiat chuan. |
| Cancer emaw tumor dang emaw, ruh chhunga awm | Shoulder joint vel a tumor avanga ruh a chhiat chuan. |
Hetiang dinhmunah hian kekawr bul vel ruh leh tissue te chu a chak lo a, chuvangin traditional shoulder replacement hian a tul angin stability a pe thei lo. Mahse, ‘Reverse’ method-a ball leh socket inthlak danglamna hmang hian muscle group dang (entir nan, deltoid muscle) hmangin kut chu chawi sang theih a ni. Hei hian ruh chu a nghet zawk a, harsatna awm theihna a ti tlem bawk.
Operation hmain engtin nge i inbuatsaih thin?
I surgeon chuan operation hmain a buatsaih tha ang che. Hei hian a huam thei ang:
- Ha enfiahna: Hei hi operation hnua natna kai theihna tihziaawmna atan a pawimawh hle.
- Taksa enfiahna kimchang: Operation neih theih khawpa hrisel i nih leh nih loh en rawh.
- ECG test: I thinlung hriselna enfiah rawh.
- Thisen test: I thisen dinhmun leh thil dang hriat chian.
- Imaging test: Shoulder X-ray, MRI, emaw CT scan emaw hian ruh dinhmun a hriat chian theih nan a pui thei a ni.
A pawimawh ber chu i damdawi ei zawng zawng (prescription leh over-the-counter pain relievers leh vitamins) te chu i doctor hnenah hrilh rawh. Damdawi thenkhat chu operation hma ni engemaw zatah tihtawp a ngai mai thei.
I doctor chuan operation hma ni khatah engtikah nge ei leh in i chawlhsan tur tih a hrilh bawk ang che. A tlangpuiin, operation hma darkar 8 chhungin ei leh in i chawlhsan a ngai dawn a ni.
Surgery neih chhung hian eng nge thleng?
Surgery ni ah chuan natna engmah i hriat loh nan anesthesia pek i ni ang. Anesthesiologist chuan i mutthilh vek theihna tur damdawi (general anesthesia) emaw, i kekawr bul vel chauh ti na thei tur (regional anesthesia) emaw a pe ang che.
Operation neih chhung hian surgeon chuan hengte hi a zawm thin:
1. I kekawr bul hnai vunah hian incision te tak te siam a ni ang.
2. Cartilage chhia leh ruh chi hrang hrang te chu ruh atanga lakchhuah a ni.
3. Prosthesis chu dah luh a ni.
4. Metal ball chu shoulder bone (scapula)-ah screw-in an dah a. Socket hi kut chunglam ruh (humerus) ah dah a ni.
5. Joint thar chu uluk taka buatsaih a ni a, a incision chu stitches hmanga khar a ni.
He surgery hi darkar khat emaw darkar hnih emaw vel a ni tlangpui a, mahse he hun hi i ruh tihchhiat nasat dan azirin a danglam thei.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
He surgery atanga hlawkna lian ber chu ke ruh natna nasa tak leh khauh lutuk hi nasa takin a tihziaawm a ni. I kut chu operation hma aiin i hmang thei a, i chawi sang thei bawk. Tin, ke ruh zai mumal thei lo tan pawh hei hi solution tha tak a ni.
Surgery dang ang bawkin risk engemaw zat a awm a, mahse hengte hi a tlem hle.
- Thisen a chhuak thin
- Thisen kalna kawng a chhiat
- Implant chhehvel ruh tliak
- Surgery neihna hmunah emaw, ruh chhunga natna hrik awm
- Nerve tihchhiat a ni
- Implanted artificial joint chu a hun hmaa tihzauh emaw, a chhe emaw
Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Surgery zawhah recovery room-ah hruai i ni ang a, chutah chuan medical staff-te chuan anesthesia-in a nghawng a reh hma loh chuan an enkawl tha ang che. Chumi ni vek chuan i haw thei mai thei. A nih loh leh ni khat emaw ni hnih emaw chhung chu damdawi inah i awm a ngai mai thei bawk.
A dam kim theih nan thla 6 vel a ngai thei.
- Kar hmasa ber: Sling i bun a ngai ang.
- Pain management: Doctor-in a sawi angin painkiller leh damdawi dang (NSAID) i hmang tur a ni a, a tul chuan i hmang tur a ni.
- Physical Therapy: Kar engemaw zat hnuah physical therapist i hmu ang. I shoulder muscle tichak tur leh i range of motion tihpun nan exercise a zirtir ang che. Heng exercise te hi dik taka tih hi dam thuai nan a pawimawh hle.
- Khapna tur: 1.1.Thla engemaw zat chu rit phurh leh infiamna khelh loh a ngai dawn a ni. I doctor-in phalna a pek hnuah zawi zawiin i thil tih dan pangngai chu i thawk leh thei tawh ang.
He surgery hi eng chen nge a daih?
Heng artificial joint te hi rei tak an daih a, a tam zawkah chuan kum 15 emaw a aia rei emaw chhung chu harsatna awm lovin an awm thin. Mi tam tak chuan he implanted joint hi an dam chhungin an hmang thei a ni.
Operation hnua doctor hmuh hun tur
Operation hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh. I rilru na tak tak emaw, thawk harsa i tih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal tur a ni.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| • Cut atanga thisen chhuak | • A rilru a na |
| • Khawsik Fahrenheit 101 (39 Celsius) aia sang | • Thâwk harsa (dyspnea) . |
| • Natna nasa tak, natna tidamtu damdawi ei chung pawha reh lo | • Kut emaw, kutphah emaw natna thar emaw, na zual emaw |
| • Infection chhinchhiahna: incision atanga pus ang chi tui chhuak, a hring, a rawng a danglam, a rim, a nih loh leh a danglam bik taka lumna a awm. | |
Take-Home Thuchah a ni
- ‘Reverse Shoulder Replacement’ hi rotator cuff chhiat nasat vang emaw, chhan bik dang emaw avanga regular shoulder surgery nei thei lote tan special surgery tih a ni.
- He surgery-ah hian shoulder joint ball leh socket te chu an dah leh a, chu chuan kut chu taksa peng hrang hrang hmangin a che thei a ni.
- Hei hian i natna nasa tak chu a tiziaawm ang a, nitin hnathawhna chu natna nei lovin i kalpui thei ang.
- A dam kim theih nan thla engemaw zat a ngai a, taksa lam enkawlna leh damdawi lam thurawn zawm a pawimawh hle.
- Operation hnua natna lan chhuah dan danglam (a bik takin natna kai chhinchhiahna, natna nasa tak) i neih chuan doctor hnenah hriattir nghal rawh.
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