A chang chuan hnungzang na hi tuar theih loh a ni thin, a ni lawm ni? Damdawi ei hnuah pawh, physical therapy , leh exercise hrang hrang tih hnuah pawh natna chu a reh loh hun a awm. Hetiang thil tawn tuar zinga mi i nih chuan i doctor chuan ‘Spinal Fusion’ tih surgery neih a rawt mai thei. A hming i hriat chuan hlauthawng deuhin i inhria mai thei a, mahse eng nge a nih i hriatthiam veleh chu hlauhna chu a bo mai ang. Chuvangin vawiinah hian he thu hi awlsam takin, i hriatthiam theih dan tur angin i sawi dawn nia.
A awlsam zawngin, Spinal Fusion hi eng nge ni?
A awlsam khawp mai. He surgery hian i hnungzang chhunga vertebrae pahnih emaw a aia tam emaw (or colloquial language-a vertebrae) chu glue-in, solid structure pakhat a siam a ni. Vertebrae pahnih inkara inher avanga natna i neih chuan chu vertebrae pahnih chu i fuse khawm ang a, chu movement chu i titawp vek ang tih han ngaihtuah teh.
Hei hian a tum ber chu natna thlentu chetna tihtawp a ni. Tichuan, chu ruhte chu an inzawm khawm chuan a hma angin an kal leh chhuak tawh lovang. Hei hian a bula nerve, ligament leh muscle te hip leh nawr chu a titawp a, i natna leh i rilru hahna chu a bo vek ang.
Engvangin nge he surgery hi i mamawh?
Hei hi hnungzang harsatna zawng zawng tan surgery a ni lo. Damdawi ei, physical therapy, leh steroid ang chi injection i ei lai pawha i hnungzang natna a ṭhat loh chuan i doctor chuan surgery chu a dawt leh turah a ngai ang. Tin, doctor-in a natna thlentu dik tak a hriat chauhvin operation tih a tha tlangpui bawk .
I hnungzang natna hi a hnuaia thil awmte zinga pakhat emaw avanga lo awm a nih chuan he surgery hian hahdamna a pe thei a ni.
| Dinhmun | A sawifiahna awlsam tak |
|---|---|
| Disk natna (Degenerative Disk Natna) a ni | Kan tar chhoh zel chuan ruhro (spine) chhunga vertebrae inkar cartilage (discs) te chu a chhe vek thin. Tichuan vertebrae te chu an inhnim tan a, chu chuan natna a thlen thin. |
| Fracture a awm | Ruhro ruh tliak emaw, puak emaw. |
| Scoliosis natna (Scoliosis) a ni | Spine chu a sir khatah a curvature pangngai lo. |
| Spinal Stenosis a awm thin | Spinal cord kal tlanga kalna kawng a tawi a, chu chuan nerve compression a thlen thei a ni. |
| Spondylolisthesis a awm thin | Spine chhunga vertebra pakhat a hnuaia vertebra chungah a rawn chhuak. |
| Tumor emaw Spine Infection emaw a awm thei | Tumor emaw infection emaw chu ruhroah a awm. |
Operation hmain engtin nge i inbuatsaih thin?
Operation hma kar khat vel khan thisen test leh test vawi tam tak i neih a ngai dawn a, chu chu back X-ray te hi a ni.
I doctor leh medical team te chuan operation chungchang chipchiar takin an hrilhfiah vek ang che. I hriatthiam loh thil a awm leh awm loh zawh hreh ngai suh. Doctor tan chuan i hriat chian leh inbuatsaihna tha tak a ni.
Operation hma ni engemaw zatah heng thilte hi ngaihtuah hmasa phawt ang che:
- Damdawi in thlen hun tur dik tak hre rawh. Tin, operation zawhah damdawi ina hruai tur leh in lama hruai haw tur che tur ruahmanna siam a pawimawh hle bawk.
- I doctor hnenah operation hma ni engemaw zat chhunga damdawi i ei theih leh ei theih loh tur list zawt rawh. Damdawi thenkhat, aspirin ang chi te hian thisen chhuah a tipung thei a, tihtawp a ngai a ni. Doctor remtihna tel lo chuan damdawi engmah ei kha bansan ngai suh.
- Operation hmaa i ei leh in theih dan leh eng chen nge chaw nghei i mamawh tih chiang takin zawng rawh .
- I in chhung boruak chu buatsaih rawh.Operation hnua i khur emaw, leia thut emaw a harsat dawn avangin, toilet seat sang tak, shower chair, slip-on shoes, leh leia thil lakkhawmna tur reacher ang chi thil buatsaih chu a \angkai hle ang.
Engtin nge surgery hi an tih thin?
Spinal fusion surgery hi kawng lian pahnih hmanga tih theih a ni.
1. Anterior Fusion: Hemiah hian doctor chuan i pum sir lamah incision a siamsak thin.
2. Posterior Fusion: Hetah hian incision hi hnunglam atanga siam a ni.
Incision a siam zawh chuan doctor chuan uluk takin ruhro leh tissue dangte chu a sir lamah a sawn a, chu chuan ruhro (spine) a lut thei a ni. Tichuan, a natna thlentu ruh chhia inkara ruh emaw, ruh emaw chu paih chhuah a ni.
A dawtah chuan screw, rod emaw, bone graft emaw hmangin joint pahnih chu an che lo turin an inzawm khawm thin. Bone graft hi i taksa atanga lak a nih chuan i hip bone atanga lak a ni tlangpui. A then phei chuan mi dang ruh (donor graft) hman a ni. Doctor thenkhat chuan ruhroah hian Bone Morphogenetic Protein an tih thil an inject a, chu chuan ruh thanna a tichak a ni.
He surgery hian darkar engemaw zat a daih thei.
Eng harsatna nge awm thei?
Eng surgery pawh hi risk engemaw zat a awm. Chu chu thil pangngai a ni. Mahse hriat lawk a pawimawh hle a, ven a pawimawh hle a, a lo awm a nih chuan hriat vat a pawimawh hle.
A hnuaia tarlan te hi he surgery avanga hlauhawm awm thei thenkhat te an ni.
| Risk chi hrang hrang | Hrilhfiahna |
|---|---|
| Surgery eng pawha risk awm tlangpui | |
| Thisen chhuak | Operation lai emaw, operation hnu emawa thisen chhuak tam lutuk. |
| Thisen a chhuak thin | Thisen zam a awm theihna a awm a, a bik takin keah hian thisen zam a awm thei. |
| Kaichhawng | Surgery hmanga hliam natna hrik kai. |
| Anesthesia nena inzawm hlauhawmna | Anesthesia atana damdawi pek avanga thil thleng thei. |
| Spinal fusion surgery-a risk bik awm thei | |
| Nerve hliam a awm | Kea natna (numbness) ang chi condition a awm thei. Thil awm dan na tak tak, chetna hloh ang chi hi a tlem hle. |
| Pseudoarthrosis natna (pseudoarthrosis) a awm thin | A chang chuan ruh te hi a fuse tha lo. Chutiang a nih chuan thla engemaw zat hnuah hnungzang natna chu a lo let leh thei a ni. |
| Bone grafting avanga harsatna awm thei | Midang ruh lak a nih chuan taksain a hnawl emaw, natna a thlen emaw theihna a tlem hle. |
Heng warning signs te hi i neih chuan doctor hnenah hrilh nghal rawh:
- Hliam atanga a hring tam lutuk, a sen lutuk emaw, zun ang maia tui chhuak emaw.
- Khawsik (degree Fahrenheit 100 aia sang) a ni.
- Natna chu tuar theih loh a lo ni ta a ni.
- Khua a vawt a, a khur bawk.
Operation hnua dam lehna
Surgery zawhah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Ni engzat nge ni tih hi i hriselna, i fitness leh damdawi dang i neih leh neih lohah a innghat a ni. Ni 4 vel i awm tlangpui ang. In lamah i haw hma thei a, kar khat vel i awm a ngai mai thei bawk.
Hemi chhung hian i heart rate ang chi thil enkawltu machine te nen i inzawm ang. I taksaah hian tube engemaw zat i dah bawk ang.
- IV tube (cannula): Hei hi i kut vein pakhatah dahin tui, antibiotics leh a chang chuan natna tidamtu te pek a ni.
- Epidural Catheter: Mi thenkhat chu an ruhroah tube te tak te dah hmangin natna damdawi an pe thin.
- Catheter: Ni hmasa berah tho leh bathroom kal a harsat dawn avangin i zun chhuahna tur catheter dah a ni ang. Hei hi a nuam lo deuh mai thei a, mahse i hre lo mai thei. I hnungzang a dam hma chu hmun khatah i awm a pawimawh hle.
Damdawi ina i awm chhung hian physical therapist leh occupational therapist te chuan an pui ang che. Khum atanga tho chhuah dan tur dik tak, chair-a thut dan tur leh kal tan dan tur dik tak an zirtir ang che.
In lama a thawn hmain doctor chuan X-ray a la ang a, ruh chu a fuse tha em tih a enfiah ang. I stitch te lakchhuah nan ni 10 vel hnuah i rawn kir leh a ngai dawn a ni. Chumi hnuah chuan kar 4-6, thla 6, kum 1, leh kum 2-ah follow-up visit atan i lo kir leh a ngai dawn a ni.
Back surgery aṭanga dam leh tûr chuan inpekna leh thawhrimna a ngai tih hre reng ang che . I hnungzang a dam kim theih nan thla 6 emaw kum khat emaw vel a ngai thei.
Damdawi in chhuahsan hnuah pawh i physical therapy i chhunzawm tur a ni. I doctor chuan engzat nge i kal tur tih a hrilh ang che. Thla 6 hmasa berah i hnungzang ven nan heng tips te hi zawm ngei ang :
- Twisting, bending leh thil rit phurh loh tur.
- Tui bottle lian tak aia rit zawk pawh chawi tum suh!
- Chuvangin, buhfai sil leh thawmhnaw sil ang chi hna te chu chhungte hnenah hun engemaw chen pe rawh.
Take-Home Thuchah a ni
- Spinal Fusion hi ruhro chhunga vertebrae pahnih emaw a aia tam emaw inzawmkhawm a, na taka chetna tihtawp nan surgery a ni.
- Hei hi damdawi dang, damdawi leh taksa lam enkawlna pawhin hahdamna a thlen loh hunah a tha tlangpui.
- Doctor thupek dik taka zawm a, zai hmaa inbuatsaihna tha tak neih a pawimawh hle.
- Surgery zawng zawng ang bawkin risk a awm a, mahse hriat rengna hmanga enkawl theih a ni.
- Damna famkim neih hian hun a duh a, i inpekna leh damdawi lam thurawn zawm hi a pawimawh hle. Ringhlel i neih chuan doctor rawn nghal rawh.
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