Mi pakhat ke ruh thenkhat lakchhuah a, a hnuai lam la awm chu degree 180-a inher a, a hnua inzawm leh a nih thu i hre tawh em? Tlem chuan mak deuhin a ri mai thei. Mahse hei hi damdawi lam kalphung pawimawh tak a ni a, natna khirh tak tak, a bik takin ke ruh cancer dotu a ni a, naupang tê tête nunah beiseina thar a thlen a, a bik takin. Vawiin hian he special surgery Rotationplasty tih hi kan sawi dawn a ni.
A awlsam zawngin Rotationplasty hi eng nge ni?
Rotationplasty hi mi pakhat ke chhanchhuahna atana tih tur bik (limb salvage procedure) a ni. Mi pakhatin a khup leh a chhehvela cancer ang chi damdawi lam natna a nei ang tih han ngaihtuah teh. A tlangpuiin a ke pum pui hi khup chunglam atanga tan a ni. Mahse Rotationplasty-ah chuan thil danglam tak tih a ni.
Surgeon chuan ke ruh natna nei (a tlangpuiin ke hnuai lam, khup leh ke chunglam) chu a la chhuak hmasa thin. Tichuan, i ke hnuai lam la awm, i ke ruh, i ke, leh i ke ruh , chu la in degree 180-in an inher a ni. Chumi hnuah chuan upper thigh la awmah chuan a inzawm leh leh thin.
Tunah chuan, "Engvangin nge he thil hi i hnungtawlh?"
Ngaihtuah teh. I khup chu hmalam pan chuan a inbeng kang a. Mahse i ke ruh chu hnunglam hawiin a inbeng kang. He surgery zawh hian i ke ruh chu i khup thar angin a thawk a ni. Chu chu, hnunglam i hawi let chuan i ke ruh chu khup ang maiin hmalam pan thei a ni tihna a ni. Chutianga i ke chu i fix tawh chuan a ke lem (prosthetic leg) i buntir thei tawh ang. Tichuan, i ke ruh atanga siam "khup thar" leh ke lem siam chu a thawk dun ang a, i kal thei ang a, i tlan thei ang a, i zuang thei bawk ang.
Mak tak maiin pants i hak hian i ke inthlauhna pawh i hre lo mai thei. I thut emaw, i ding emaw chuan "khup" pahnih hi parallel takin an ben vek a.
He surgery hi tuin nge ti?
Hei hi mi zawng zawng tan surgery a ni lo. Hei hi surgery hmuh tur awm lo tak a ni. He surgery hi a hnuaia thil awm danah hian ngaihtuah a ni ber:
- Bone Cancer: Hei hi a chhan ber a ni. Ruh cancer `Osteosarcoma` leh `Ewing sarcoma`, a bik takin naupang leh tleirawlte zingah a lo awm hian khup vel a lo awm chuan he method hmang hian cancer cell te chu a chhuak vek a ni. Naupang ruh a la lo thang zel avangin , an ke chu an taksa nen an thang lian a, an zai hnuah pawh an thang lian hle. Chuvang chuan an tan chuan he thil hi an insiamrem a awlsam hle.
- Congenital Defects: Naupang thenkhat chu femur (thigh bone) a lo thang tha lo (Congenital Femoral Deficiency - CFD) neiin an piang thei. Chutiang hunah chuan Rotationplasty pawh ngaihtuah a ni.
- A chhan dangte chu:A tlem berah chuan he surgery hi hliam na tak emaw, tihdam theih loh natna emaw tan pawh tih theih a ni.
Operation hmain engtin nge i inbuatsaih thin?
Hei hi thutlukna lian tak a nih avangin operation hmaa ngaihtuah tur tam tak a awm.
1. Hriatthiamna tha tak nei rawh: Nang leh i chhungte hian operation hnua i ke a lan dan tur te, a dam hun tur te leh physical therapy te hi chiang takin in hre tur a ni. I doctor chuan hei hi uluk takin a hrilhfiah ang che a, a tul chuan he surgery nei tawhte thlalak emaw video emaw pawh a entir ang che. Hemi atan hian rilru lama inbuatsaih a pawimawh hle.
2. Taksa enfiahna: I hip leh ankle-ah range of motion tha tak i nei em tih doctor chuan a enfiah ang. I ke panna nerve lian ber, sciatic nerve chu a thawk tha em tih pawh a enfiah bawk ang. He nerve hi surgery hlawhtling tur chuan a pawimawh hle.
3. Imaging test: Surgery an neih hma hian surgical team te hian X-ray, MRI, CT scan ang chi test te an ti a, ke chhung lam dinhmun leh cancer a darh dan uluk takin an zirchiang thin.
4. Prosthesis atana inbuatsaihna: A chang chuan, i ke chu zai hmain teh a ni ang a, operation hnu lawka hman theih tur temporary prosthesis (prosthesis) siam a ni ang.
Rotationplasty surgery leh duhthlan tur dang danglamna
Rotationplasty ai hian duhthlan tur lian pahnih a awm a:
- Khup chunglam ke tan leh artificial limb tha tak hman.
- Cancer awmna hmun chu lakchhuah a, chu chu metal part emaw midang atanga ruh graft emaw hmanga thlak.
He table-a heng method pahnih nena khaikhin chuan Rotationplasty surgery thatna leh that lohna hi han en ila.
| Nihphung | Rotationplasty hman thatna | A that lohna leh a hlauhawmna |
|---|---|---|
| Hnathawh dan tur | Anmahni ke ruhte hian khup angin hna an thawh avangin movement leh control a sang hle. An tlan thei a, an zuang thei a, infiamna pawh an khel thei bawk. | Thluak leh nerve te chu "khup thar" an hman theih nan training neih a ngai a ni. |
| A chhe thei lo | Mahni tissue, nerve leh thisen kalna kawng a hman avangin a chhe thei lo zawk a, operation dang pawh a ngai lo. | Damdawi laiin inzawmna tlai a awm thei. |
| Landan | Pants hak hian danglamna a siam lo nain, hei hi functionality tihpunna tura tih a ni. | Hei hi a chhiatna ber a ni. Ke chu hnunglam hawi a nih avangin a hmel a danglam. Rilru lama pawm tur chuan hun a ngai a ni. |
| Harsatna awm thei | Ke tan a nih chuan ``phantom limb pain'' (ke bo a na ang maia hriat) ang chi complication te chu pumpelh a ni. | Surgery hi a buaithlak hle. Ischemia, nerve chhiatna leh infection te a awm thei. |
Engtin nge dam leh hun chu?
Hei hi surgery lian tak a nih avangin a dam theih nan hun a duh dawn a ni.
- Ruh pahnih hi a dam kim theih nan thla 3 atanga thla 6 vel a ngai thei. `Chemotherapy` ang chi cancer enkawl mek i nih chuan a dam theih nan hun rei vak lo a la ngai dawn a ni.
- Hemi chhung hian wheelchair emaw, kekawrte emaw i hman a ngai dawn a ni.
- A hliam chu a dam tawh a, a hring chu a reh tawh chuan prosthesis chu bun theih a ni.
- Physical therapy hi he zinkawngah hian a pawimawh hle a ni. Physics therapist chuan i hip leh "new knee" (ankle) tihchak leh flex turin exercise a zirtir ang che. Hei hi i thluak hian he chetna thar hi a thiamna hmun a ni.
Naupangte chuan puitling aiin hei hi an insiamrem rang zawk. Mahse thla 6-12 chhungin a tam zawk chuan engmah thlawp lovin an kal tan thin. Eng thil pawh, infiamna pawh ni se, an duh ang tih theihna hmun an thleng a ni.
Rotationplasty ang thutlukna siam hi thil harsa tak leh mahni chauha awm thei tak a ni. A chhan chu i hriat mi pakhat hian hetiang thil hi a paltlang thei a, a hloh thei a ni. Mahse vawiinah hian social media hmang hian he surgery nei tawhte zawn chhuah theihna hun remchang i nei a, an chanchin ngaihthlak theihna hun remchang i nei a, infiamna an khelh dan te i hmu thei a, nun pangngai tak i hmang thei bawk. Chutiang thil hmuh chu he thutlukna siamnaah hian chakna nasa tak a ni thei.
Take-Home Thuchah a ni
- Rotationplasty hi ke pakhat chhanchhuahna atana surgery tih hi thil awm lo mahse hlawhtling tak a ni. A bik takin naupang ruh cancer tan chuan duhthlan tur tha tak a ni.
- Hei hian damlo ngei pawhin a ke ruh chu khup hnathawk theiah a chantir a, chu chuan a kal theihna leh hnathawhna a tipung zawk a ni.
- Ngaihtuah tur ber chu operation hnua ke pianhmang danglam hi a ni a, mahse a functional benefits erawh a sang hle.
- Hei hi mimal thutlukna leh harsa tak a nih avangin operation tih i tum hmain i doctor nen a thatna, a chhiatna leh a hlauhawmna zawng zawng chungchang ngun taka sawiho hmasak a pawimawh hle.
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