I kephah i chawi emaw, i kut i hman emaw hian tuar theih loh khawpin natna i nei bawk em? Thawmhnaw i thlak lai te, shelf atanga thil i lak lai te, emaw, i kut i han chawi chhuah lai chauh hian i kekawr chhungril atanga i hliam ang maiin i inhria em? Damdawi ei a, physical therapy kan neih hnuah pawh he natna hi a reh lo em ni? Tichuan i doctor chuan ‘Shoulder Arthroscopy’ chungchang a hrilh tawh mai thei. Mi tam tak chuan hei hi ‘key-hole surgery’ an ti bawk. Chuvangin he thu hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.
Shoulder Arthroscopy tih hi eng nge ni?
A awlsam zawngin, Shoulder Arthroscopy hi minimally invasive surgery a ni a, shoulder-a harsatna awmte hriatchhuah leh enkawlna atana hman thin a ni. Open surgery pangngai angin incision lian tak siam ai chuan keyhole incision te tak te tlemte chauh siam a ni.
I doctor chuan i shoulder joint chhunga thil thleng chu a en duh ang tih han ngaihtuah teh. He incision te tak te hmang hian pencil ang maia hmanraw te tak te, arthroscope an tih chu a dah lut a. Camera te tak te a nei a, a tawp lamah light a awm bawk. He camera atanga thlalak te hi pawn lama video screen-ah magnified a ni. TV en ang mai a ni.
Joint chhung lam an en a, eng harsatna nge awm tak tak tih an hriat hnuah, incision te tak te dang hmangin surgical instrument nalh tak tak an dah lut a, ruh chhungah siamthat hna an thawk leh thin. Hei hian i ke ruh natna a tiziaawm ang a, i chetna pangngai a siam leh ang.
Engvangin nge he surgery hi tih a nih a, eng condition atan nge tih?
A tlangpuiin, ke ruh natna hi non-surgical treatment kan enchhin hmasa thin. Chumi awmzia chu:
- Taksa lam enkawlna
- Natna tidamtu (Damdawi) .
- Injection te chu ruh chhungah an dah thin
- Hahchawl
Mahse, heng zawng zawng hian natna a puih loh chuan i doctor chuan a dawt leh atan shoulder arthroscopy a rawt thei ang. He surgery hian i kekawr iptea tissue hring chu a paih chhuak thei a, thil dang tam tak a chinfel sak thei bawk.
| Condition enkawl mek a ni | A sawifiahna awlsam tak |
|---|---|
| Rotator Cuff a mittui a tla | A kekawr bul vel a taksa peng (muscle tissue) tearing a, chu chuan kut a ti sang thei a ni. |
| Shoulder Impingement Syndrome a awm a, a rilru a hah hle | Kut chawi chhuah dawna ruh leh ke ruh pakhat inkara tissue pinching avanga natna. |
| Frozen Shoulder a ni | A ke ruh chu a tang a, a na lutuk a, a khauh em em bawk a, a che thei lo. |
| Labrum Mittui tla | A kekawr bul vel a cartilage ring (labrum) te chu a tear a. |
| Shoulder Instability a awm lo | Shoulder joint loose emaw, a dislocation fo emaw. |
| Bone Spurs a ni | A tul lovah ruh chi hrang hrang (extra bone fragments) a lo thang lian a. |
| Osteoarthritis natna a ni | Kum upa lam emaw, accident emaw avanga ruhkawr (cartilage) a chhe lutuk. |
Surgery neih hmain eng nge thleng?
I doctor chuan operation tih a tum hnuah i medical history a zawt ang. I damdawi ei zawng zawng (vitamin pawh) list kimchang i pek a ngai ang. Damdawi thenkhat, thisen tithianghlimtu , chu operation hma ni engemaw zatah ei tawh loh turin an ti mai thei che a ni.
Hospital chuan thupek chiang tak tak a pe ang che, chu chu operation hma darkar engzat nge ei leh in i chawlhsan tur tih te hi a ni. Chu bâkah, i hrisêlna enfiah nân test engemaw zât an ti thei bawk a, chungte chu:
- Thisen test a ni
- Chest X-ray neih a ni
- ECG test (Electrocardiogram) hmanga enfiah a ni.
Surgery neih chhung hian eng nge thleng?
Shoulder arthroscopy surgery hi darkar khat aia rei lo a ni tlangpui . Hemi hun chhung hian a hnuaia thilte hi a thleng thin:
1. Surgery hi semi-reclining position (beach chair position)-a mu emaw, a sir lam hawi emaw hmanga tih a ni.
2. Surgical team te chuan i shoulder area chu antiseptic solution hmangin uluk takin an tifai ang.
3. Chumi hnuah chuan doctor chuan i shoulder joint-ah tui a inject ang. He liquid hian joint chu a ti lian deuh ang a, hmun a siam ang a, camera hmangin a chhung chu hmuh a awlsam ang.
4. Tunah chuan buttonhole ang vela lian incision te tak te siam a ni a, chuta tang chuan camera (arthroscope) chu dah a ni.
5. Video screen enin doctor chuan shoulder problem awmna hmun dik tak chu a nemnghet a.
6. Tichuan, incision te te pakhat emaw pahnih emaw siam belh a ni a, chuta tang chuan siamthatna tul tak siam turin hmanraw nalh tak tak dah a ni.
7. Hna an thawh zawh hnuah a hnah te te te chu stitches emaw bandage te te hmangin an khar a, a chungah hian bandage lian zawk an dah thin.
Surgery hnuah eng nge thleng a, engtin nge a na?
Hei hi outpatient procedure a ni a . Chumi awmzia chu chu tlai vek chuan in lamah i haw thei tihna a ni. Operation hnuah darkar khat emaw darkar hnih emaw vel damdawi inah i awm a ngai dawn a ni. Hemi chhung hian anesthesiologist te chuan i natna control nan natna damdawi an pe ang che. Chumi hnuah chuan in lamah i haw thei a, mahse i khalh thei dawn lo. Chhungkaw member emaw, thian emaw lo kal ve se a tha ber. Chumi zan chuan a theih chuan mi pakhat i bula awm tir pawh a tha hle.
Eng surgery pawh neih laiin natna engemaw zat hriat hi thil pangngai a ni a, mahse lungngai suh. Anesthesia team chuan a theih ang anga i hlim theih nan an enkawl ang.
A tam zawkah chuan he surgery neih chhung hian i kawr emaw, i kekawrte emaw ah nerve block injection an pe ang che. Hei hian darkar engemaw zat chhung chu i kut leh ke zawng zawng a ti na a. Hei hian operation hnuah natna engmah i nei dawn lo tihna a ni. A then phei chuan general anesthesia pek i ni thei a, chu chuan i muhil vek thei bawk.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Open surgery nena khaikhin chuan Shoulder Arthroscopy hian thatna engemaw zat a nei a:
- A na chu a tlem zawk.
- Joint stiffness a tlahniam.
- Hri kai theihna a tlem hle.
- Recovery hun hi a rei lo hle.
- Scar te hi a tlem hle.
He surgery hi him tak ni mahse, hlauhawmna thenkhat chu a awm tlem hle.
- Thisen a chhuak thin
- Nerve emaw thisen kalna kawng emaw a chhiat
- Thisen chhuah tam lutuk emaw, a hring emaw
- Kaichhawng
Eng chen nge a dam theih a, engtikah nge doctor ka hmuh ang?
I shoulder joint a dam kim theih nan kar engemaw zat atanga thla engemaw zat a ngai thei .A dam leh theih nan kar khat vel a ngai thei. Hei hi i shoulder problem nasat dan leh surgery buaithlak danah a innghat a ni. Kar hmasa lamah chuan natna leh hliam engemaw zat neih hi thil pangngai a ni.
I doctor-in natna damdawi a pek che kha ei la. Ice pack hian a hring (swelling) a ti tlem thei hle. Ni hmasa berah chuan recliner-a mu emaw, pillow tam tak vuah emaw hian natna a tiziaawm thei a ni. I doctor chuan i kut thlawp turin sling hmang turin a hrilh fo ang che.
A pawimawh ber chu rehabilitation plan hi a ni. I doctor leh physical therapist-in exercise an pek che dik tak, bo lovin tih hi dam thuai nan a pawimawh hle.
Operation hnua heng symptoms te hi i neih chuan doctor i ko nghal tur a ni .
- Khawsik .
- Natna nasa tak, natna tidamtu damdawi ei hnuah pawh a reh lo .
- Hliam chhehvel atanga tui rimchhia, rawng danglam tak lo chhuak a awm chuan.
- Kut emaw kut zungtang emawa rilru natna emaw, hriatna hloh emaw.
- Nitin a hring a pung zel a nih chuan.
Take-Home Thuchah a ni
- Shoulder arthroscopy hi ‘keyhole’ surgery a ni a, shoulder problem hrang hrang te chu incision lian tak nei lovin a enkawl a ni.
- Hei hi open surgery aiin a him zawk a, a na lo zawk a, a dam thuai thei bawk.
- Surgery hlawhtlin nan chuan a hnua doctor leh physical therapist-in a pek dan zawm a pawimawh hle a, a bik takin exercise te hi zawm a pawimawh hle.
- Khawsik, tuar theih loh natna, hliam atanga tui luang chhuak ang chi natna danglam tak i hmuh chuan tihkhawtlai suh la, i doctor hnenah hriattir nghal rawh.
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