SDR surgery (Selective Dorsal Rhizotomy) tih hi eng nge ni? Cerebral Palsy nei naupangte a pui em?

I fa te hian Cerebral Palsy a nei em? Chutiang naupangte ke ruh, a bik takin ke ruh chu a tul lovah a nghet a, a nghet lo tih i hre tawh ngei ang. Damdawi lam hawi chuan hei hi ‘spasticity’ kan ti thin. Hetianga a khauh avang hian naupang tan chuan kea kal, tlan, zuang mai ni lovin, nitin hna thawh a harsa hle. Chuvangin vawiin hian he harsatna chinfelna nghet tak atana tih tur special surgery kan sawi dawn a ni. Chu chu Selective Dorsal Rhizotomy, a tawi zawngin SDR surgery tih a ni.

A awlsam zawngin, SDR surgery hi eng nge ni?

Selective Dorsal Rhizotomy (SDR) hi cerebral palsy vei naupangte taksa ruh (muscle stiffness) (spasticity) tihziaawmna tur surgical procedure a ni. Thil tih dan buaithlak tak ni mah se, a awlsam zawngin sawi ila, naupang ruh hnuai lam a sensory nerve fiber thenkhat, kea ruh (muscle stiffness) siamtute chu thlan bik taka tan leh lakchhuah a ngai a ni.

A pawimawh ber chu he surgery hian naupang ke ruhte chu paralysis a siam lo. Tin, ke chet dan pawh direct-in a nghawng lo. A tul lo taka taksa peng (muscles) tight tak takte chauh a chhuah tir thin.

He surgery hi tute nge tih tur? Naupang zawng zawng tan a tha em?

SDR surgery hi cerebral palsy vanga taksa ruh (muscle stiffness) (spasticity) enkawlna atan an ti ber a ni.

I hriat angin, cerebral palsy (CP) hi naupangin an taksa chetna a thunun theihna a tichhe thei a ni. Thluak chhunga chetna leh inremna thununtu peng hrang hrang tihchhiat avanga lo awm a ni. CP vei naupang tam tak chuan ‘spasticity’ an tih natna an nei a. Chumi awmzia chu naupangin che a tum emaw, a ding reng mai emaw hian taksa ruh ṭhenkhat chu nasa takin a inzawm khawm nghal tihna a ni. Hei hian naupang tan kea kal a ti harsa thei a, nitin thil tih a ti harsa thei a, a chang chuan natna pawh a thlen thei bawk.

SDR surgery hian a bik takin:

• Spastic diplegic cerebral palsy: Hei hian naupang taksa ruh (muscle stiffness) nei, ke ruh a nghawng berte a kawk a ni.
• Severe spastic quadriplegic cerebral palsy: Hei hian naupang taksa peng pali zawng zawng nghawng thei taksa ruh na tak nei te a kawk a ni.

Okay, engtin nge he surgery hian taksa ruh (muscle stiffness) a tihziaawm?

Hei hi hrethiam tur chuan kan nervous system hi rei lo te han ngaihtuah ila. Kan taksa ruh (muscles) taksa ruh (muscle tone) pangngai chu ruhro (spinal cord) chhunga awm nervous system hnathawh hian a thunun a ni.

Kan taksa hian telephone ang maia nervous system neiin han ngaihtuah teh.

1. Sensory Nerves: Hengte hian ruh (muscle) atanga ruhro (spinal cord) thlengin information a phur a.

2. Motor Nerves: Hengte hian spinal cord atang hian muscles ah "hetiang hian contract" turin thupek a thawn leh thin.

A tlangpuiin kan thluak hian he message flow hi a control tha hle. Chu chu kan duh angin kan taksa ruhte kan thunun thei tihna a ni. Mahse Cerebral Palsy-ah chuan thluak hian heng nerve te hi a thunun theihna a tlahniam a ni. Chutah chuan thil thleng chu sensory nerve thenkhat chu an thawk nasa lutuk a, taksa ruhte hnenah signal dik lo an thawn chhunzawm zel a, "tighten, tighten" turin an hrilh thin.

SDR surgery neih chhunga thil thlengte chu hetiang hi a ni:

Surgeon hian sensory nerve rootlets chauh a thlang a, a cut a, chu chuan taksa ruh a tikhauh a, a tul lo taka activate a ni. Special test (EMG) hmangin eng nerve nge hnathawk tha tih leh eng nerve nge signal dik lo thawn chhuak tih hriat nan hman a ni. Hei hian thil dang tichhe lovin taksa ruh tightness chauh a tihtlem theih phah a ni.

Chutiang chuan taksa ruh (muscle stiffness) a reh chuan a hnuaia taksa pengte chu a pangngaiin an thawk tan thei a ni. Hei hian naupang chetna leh hnathawhna a titha a ni. Tin, ruh leh ruhkawr-a deformities awm thei, hun rei tak chhunga taksa ruh (muscle stiffness) avanga lo awm thei tur venna atan a pui bawk.

Operation hmain engtin nge i inbuatsaih thin?

SDR surgery hi naupang zawng zawng tan a tha lo a nih avangin i fate chu specialist team-in an zirchiang ang a, a hlawkpui dawn em tih an zirchiang ang. Hemi kawngah hian a hnuaia specialist te hi an tel tlangpui thin:

Heng mi zawng zawng hian naupang chu an enfiah a, team angin an inkhawm a, SDR surgery hian naupang tan hlawkna a thlen dawn em tih thutlukna hnuhnung ber an siam thin.

Chu bakah, operation hmain test dang engemaw zat i neih a ngai thei bawk:

• Physical leh occupational therapist-te chuan naupang taksa chakna kimchang taka zirchian nan in-depth evaluation an nei thin. Naupang che vel chu video-in an la a, operation hnua enkawlna tul apiang an ruahman bawk.
• Thluak MRI scan hmanga thluak lama harsatna dang a awm loh leh awm loh enfiah a ni.
• Neurological problem dang i neih chuan pediatric neurologist pan rawh .
• Neurosurgeon nen inhmu leh la, surgery avanga hlauhawmna leh dam leh hun tur chungchang sawiho rawh.
• I fate tan anesthesia pek hi a him em tih enfiah turin anesthesiologist tlawh rawh.

Surgery tih dan tur step khat hnu step khatin

SDR surgery tih dan tlangpui chu hetiang hi a ni:

1. Anesthesia: A hmasain anesthesiologist chuan naupang chu general anesthesia a pe a. Chuvangin naupang chu operation neih chhungin a muhil tha a, natna engmah a hre lo.

2. Incision: Neurosurgeon chuan naupang hnungzang hnuai lam lai takah incision te tak te a siam thin.

3. Nerve exposure: He incision hmang hian spinal cord khuhtu dura chu a inhawng a, ruh leh ruh te a paltlang a, a hnuaia nerve fiber te chu a lang chhuak ta a ni.

4. Nerve Separation: A dawtah chuan surgeon chuan motor nerve leh sensory nerve te chu a then hrang a. Motor nerve te hi eng chhiatna pawh laka venhim a ni.

5. Nerve dik lo hriatchhuah: Tunah chuan sensory nerve zungah electrode an dah a, electromyography (EMG) an ti leh a.Electrical stimulation hi "stimulator" an tih machine hmanga pek a ni. Hei hian eng nerve nge muscle tightness thlentu, eng nerve nge signal dik lo thawn chhuak tih leh eng nerve nge hnathawk tha tih chiang takin kan hre thei a ni.

6. Nerve cutting: Fimkhur takin sensory nerve pangngai lo hriat chhuah zinga percentage engemaw zat chu cut a ni. Eng nerve nge tih leh engzat nge cut tih hi naupang hrang hrangah a inang lo.

7. Incision khar: Nerve cutting a zawh chuan incision chu layer khat hnu layer khatin an inzawm khawm leh thin.

8. Recovery: Surgery zawhah naupang chu intensive care unit (ICU) emaw special recovery room-ah sawn a ni a, medical team-in uluk takin an vil reng a ni.

He surgery hi darkar li emaw darkar nga emaw vel a ni tlangpui.

Surgery hnuah eng nge thleng?

Naupangte chu operation an neih hnuah ni nga vel damdawi inah an awm a ngai dawn a ni. Darkar 24-48 hmasa berah chuan naupang chu khumah a awm reng a ngai dawn a ni. Operation atanga ni engemaw zat chhungin physical therapy tan a ni ang.

He surgery hian eng hlawkna nge a neih?

SDR surgery result hi naupang dinhmun a zirin a danglam thei. Tin, operation hlawhtlinna chu operation hnua intensive physical therapy treatment tihnaah a innghat vek bawk.

Surgery zawng zawng ang bawkin risk a awm em?

Ni e, surgery dang ang bawkin SDR surgery hian risk engemaw zat a keng tel a, mahse permanent complication hi a tlem hle.

I fa medical team chuan operation hmain heng hlauhawm zawng zawng hi chipchiar takin an sawipui ang che.

Recovery time leh physical therapy pawimawhzia

Hei hi SDR surgery hlawhtlinna atana pawimawh ber leh pawimawh ber a ni. Surgery hi zinkawng zawh hmasak ber chauh a ni. Rehabilitation hi Results tak tak neih theih nan a pawimawh hle.

Physical therapy leh occupational therapy te hi operation atanga ni engemaw zat chhungin an tan thin. Naupang chu operation hnu thla thum atanga thla ruk chhung chu kar khatah ni engemaw zat heng enkawlnate hi a tel tur a ni.

• Physical Therapist: Naupang taksa peng hrang hranga range of motion tihchakna, tihzauh leh tihchangtlun nan exercise a ni. A tirah chuan therapist chuan exercise a ti ang a, naupang a dam chhoh zel chuan naupang ngei pawhin active takin exercise a ti ang.
• Occupational Therapist: Naupang chu nitin hna (e.g., incheina, inkhelh) awlsam zawk leh mahni inrintawkna neia thawk turin a pui thin.

Heng exercise-te hian a tum ber chu:

• Energy a tipung.
• Thut leh ding chunga balance leh posture dik siam.
• Ke ding tur buatsaih.
• Thut atanga ding ang chi movement te chu awlsam zawka tih theihna tura training neih.

Engtikah nge doctor nen inbiakna neih a ngaih?

Damdawi in atanga naute i rawn hruai haw hnua harsatna i hmuh chuan doctor ko nghal rawh.

• Surgical incision chu a sen, a hring, a nih loh leh pus a chhuak a nih chuan (infection chhinchhiahna).
• Naupangin khawsik sang tak a neih chuan.
• I zun emaw, i bawlhhlawh emaw control theihna i hloh chuan.

Hetiang chhinchhiahna danglam tak tak i hmuh chuan damdawi lam thurawn la nghal rawh.