Shoulder Replacement Surgery chungchanga hriat tur pawimawh te

Nang pawh i kekawrte na lutuk avangin zanah i mu thei lo a ni mai thei. I kut i phar lai te, i thawmhnaw i thlak lai te, a nih loh leh kitchen shelf atanga thil te tak te i kut i phar lai pawhin tuar theih loh khawpin natna i nei thei a ni. Hetiang dinhmunah hian enkawlna dangin a puih loh chuan i doctor chuan ‘Shoulder Replacement’ surgery chungchang a sawipui che a ni mai thei. He hming hriat hi a hlauhawm thei hle. Mahse engkim hi awlsam tak leh chiang takin sawi ila.

Shoulder replacement surgery tih hi eng nge ni?

A awlsam zawngin, hei hian i pianphung anga chhe tawh, chhiat tawh shoulder joint chu la chhuakin artificial joint (prosthesis) hmanga thlak a ngai a ni. Doctor-te chuan hei hi ``total shoulder arthroplasty'' an ti bawk.Hetiang artificial joint te hi metal leh plastic chi khat hmanga siam a ni.

I shoulder joint hi ``ball and socket joint'' a ni.I kut chunglam ruh (humerus) ball ang chi chu i shoulder bone (scapula) cup ang chi (glenoid) ah a in fit a ni. He surgery-ah hian heng a chhe tawhte hi a tharin thlak a ni.

Surgery kimchang leh a then te

Mi tam tak chuan total shoulder replacement an neih a ngai a, chu chu ball leh socket pahnih thlak vek tihna a ni.

Mahse, a châng chuan, ruh hmun khat chauh a chhiat chuan doctor chuan a ke ruh thlak (or hemiarthroplasty) a ti thei bawk. Entirnan, ball chauh a chhia a, socket a awm loh chuan ball chauh thlak a ni. Mahse hei hi a tlem zawk. Arthritis ang chi natna avanga ruh a chhiat chuan a hmun pahnih hi a chhe tlangpui.

Eng dinhmunah nge he surgery hi tih a tha?

Damdawi leh physiotherapy ang chi enkawlna dang hmanga i ke ruh natna lan chhuah dan a ṭhat loh chuan i doctor chuan operation tih a ngaihtuah thei ang:

• Unbearable shoulder pain , a bik takin zan lamah.
• Arm chu a chawi sang emaw a rotate tha thei lo tihna a ni a , a joint movement a tlem tihna a ni .
• Joint a nghet leh a nghet lo .
• Joint a hring chhuak .

Hetiang dinhmun thlentu ber chu shoulder joint inflammation a ni a, chu chu arthritis an ti a ni. A chi hrang hrang awm tam ber chu osteoarthritis (ruh chhe lutuk avanga lo awm) emaw, rheumatoid arthritis (immune system lama harsatna avanga lo awm) emaw an ni. Tin, he surgery hi ke ruh leh ruhro te na taka tihchhiat a nih chuan rotator cuff emaw avascular necrosis (ruh a thisen supply tlakchham) an tih pawhin a tha hle.

Operation hmain engtin nge i inbuatsaih thin?

Hei hi hlau suh, i doctor leh a team te chuan he thil atan hian an buatsaih chiang ang che. Operation hmain test eng emaw zat i neih a ngai dawn a ni.

• Ha enkawltu tlawh: I ha enfiah leh tihfai a ni ang a, chu chuan operation hnua natna kai theihna a ti tlem ang.
• Taksa enfiahna: I hriselna zawng zawng zawng rawh.
• X-ray, CT emaw MRI test: Shoulder joint chhiatna chu eng ang nge a nih tih chiang takin en rawh.
• ECG test (`Electrocardiogram`): Thinlung hnathawh dan enfiah thin ang che.
• Thisen test eng emaw zat.

Tuna i ei mek damdawi (condition dang tan pawh) leh vitamin eng pawh i doctor hnenah i hrilh ngei ang . Damdawi thenkhatah chuan operation hma ni engemaw zat chhung chu i ei tawh loh a ngai mai thei. Ṭhenkhat chuan operation hma darkar 8 vel chaw nghei a ngai thei bawk. I medical team chuan heng zawng zawng chungchangah hian thupek chiang tak an pe ang che.

Engtin nge surgery hi tih a nih?

Surgery tan hmain anesthesiologist chuan natna engmah i hriat loh nan anesthesia a pe ang che. General anesthesia pek i ni thei a, chu chuan i muhil vek thei a, regional anesthesia, chu chuan i kephah leh a chhehvel chauh a ti na thei bawk.

Operation neih chhung hian surgeon chuan:

1. A kekawrte sir zawng zawngah vunah hian incision te tak te siam a ni.

2. Ruh leh cartilage chhia te chu uluk takin lakchhuah a ni.

3. Chu ai chuan pre-measured leh fabricated artificial joint (prosthesis) dah a ni.

4. Arm leh shoulder chu reposition dik leh incision chu sewn a ni.

This surgery usually takes about two hours , mahse he hun hi i ruh chhiatna a zirin a danglam thei.

Operation hnuah eng nge thleng a, a dam leh theih nan eng chen nge a ngaih?

Surgery hnuah recovery room-ah hruai i ni ang a, chutah chuan enkawl i ni ang. Mi thenkhat chu ni khatah an haw thei (`outpatient`), thenkhat erawh chu damdawi inah ni khat emaw ni hnih emaw (`inpatient`) an awm a ngai dawn a ni.

Surgery zawhah chuan sling-ah dah i ni ang. Hei hi kar engemaw zat i ha a ngai dawn a ni. I doctor chuan exercise awlsam tak tak a pe bawk ang che, chu chuan i che thei leh ang a, i kekawrte chu a tichak ang. Dik taka tih a pawimawh hle.

Kar tlemte hnuah physical therapy i tan a ngai dawn a ni. Physics therapist chuan i shoulder range of motion tihpun nan leh i taksa ruh tichak turin exercise leh stretch te a zirtir ang che.

Kar hmasa lamah natna nei hi thil pangngai a ni. Chumi atan chuan doctor chuan natna tidamtu damdawi a pe ang. Damdawi hi a dose dik leh a hun takah ei a pawimawh bawk. Thla engemaw zat chu rit phurh leh infiamna khelh loh a ngai dawn a ni. Amaherawhchu, kar hnih atanga kar thum vel hnuah chuan thawmhnaw inbel leh ei tur engemaw zat buatsaih ang chi hna tenau te chu i thawk tan thei tawh ang.

Hetiang surgery chi hi tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Mahse, hei hnua hahdamna i hmuh tur leh hrehawmna awm lo nun chu a hlu hle tih hre reng ang che. Recovery period chu harsa viau mahse, zawi zawiin i chak chhoh zel chuan i chhuang hle ang. Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.