Hun rei tak chhung hnungzang natna i tuar tawh em? Damdawi ei leh physiotherapy neih hnuah pawh hmasawnna a awm lo em ni? Chutiang a nih chuan i doctor chuan "Spinal Fusion" tih surgery chungchang a hrilh che a ni mai thei. Chu hming i hriat chuan tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Mahse, hlau suh. Hei hi i nunah hahdamna nasa tak thlen thei tur enkawlna a ni thei. Vawiin hian he thu hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.
A awlsam zawngin, Spinal Fusion hi surgical procedure a ni a, vertebrae pahnih emaw a aia tam emaw fuse-in structure pakhat, nghet tak a siam a ni. Kut tliak chunga cast dah ang bawkin, he procedure hian hnungzang natna thlentu vertebrae inkara a tul lo taka inthlak danglamna chu a titawp a ni. An inzawm khawm chuan chu hmuna kalna chu a tlem hle. Hei hian a chhehvela nerve, ligament leh muscle te hip a nih avanga natna leh hrehawmna awm chu a ti bo a ni.
Engvangin nge hetiang surgery hi a tul?
Doctor-te chuan he surgery hi a tawp ber atan an rawt tlangpui. Chu chu, damdawi, taksa lam enkawlna, leh steroid injection ang chi enkawlna hmanga natna chu thunun theih a nih loh chuan chauh tihna a ni . Tin, he surgery hi i tih hmain doctor chuan i natna thlentu dik tak a hriat a ngai bawk.
I hnungzang na chhan chu a hnuaia dinhmunte zinga mi a nih chuan he surgery hian hahdamna nasa tak a pe thei che a ni.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Disk natna (degenerative disk) natna a ni | Vertebrae inkara ‘disc’ nem tak chu a chhe a, ruhte chu an inhnim pil chuan natna a awm thin. |
| Fracture a awm | Accident emaw thil dang emaw avanga ruhro ruh tliak. |
| Scoliosis natna (Scoliosis) a ni | A rilru a buai em em a, a rilru a hah em em bawk a. lateral curvature of the spine. |
| Spinal stenosis a awm thin | Spinal cord kal tlangna canal a tawi avangin nerve compression a awm thin. |
| Spondylolisthesis a awm thin | Vertebra pakhat hmalam pan a slip. |
| Tumor emaw spine infection emaw a awm thei | Cancer emaw, tumor dang emaw leh ruhroah natna hrik awm. |
Operation hmain engtin nge kan inbuatsaih thin?
Operation neih hma kar khat vel khan thisen test engemaw zat leh i hnungzang X-ray i neih a ngai ang .
I medical team chuan operation chungchang chipchiar takin an hrilhfiah vek ang che. Zawhna i neih emaw, i hriatthiam loh emaw chu zalen takin zawt rawh. Doctor tan pawh i hriat chian chuan tanpuina lian 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. Miin a rawn hruai che a, in lama hruai turin ruahmanna siam rawh.
- I doctor hnenah operation hma ni engemaw zat chhunga damdawi i ei theih leh ei theih lohte zawt la, list siam rawh. Damdawi thenkhat, aspirin ang chi te hian thisen chhuah a tipung thei a, tihtawp a ngai a ni. I doctor remtihna tel lo chuan eng damdawi pawh ei kha bansan ngai suh tih hre reng ang che.
- Operation hmaa i ei leh in theih dan leh eng chen nge chaw nghei i mamawh tih chiang takin zawng chhuak rawh.
- I in chhungah inthlak danglamna tenau engemaw zat siam rawh. Hun engemaw chen chu i ben thei lo emaw, i chawi thei lo mai thei a, chuvangin, commode seat sang tak, bathroom chair, pheikhawk bun awlsam tak, leh thil tlate lakna tur reacher ang chi thil neih chu a awlsam zawk ang.
Engtin nge surgery hi tih a nih?
Spinal fusion surgery hi kawng lian pahnih hmanga tih theih a ni. Pakhat chu pum chhunga incision (anterior fusion) hmanga tih a ni a, pakhat chu hnungzang incision (posterior fusion) hmanga tih a ni. I doctor chuan i dinhmun a zirin a hmanraw tha ber a ruat ang.
Incision a siam zawh chuan surgeon chuan uluk takin ruhro leh tissue dangte chu a sir lamah a sawn a, chu chu ruhro thleng a ni. Tichuan, vertebrae inkara ruh chhia, natna thlentu chu lakchhuah a ni.
A dawtah chuan screw, rod emaw, ruh graft emaw hmangin vertebrae pahnih chu inzawmkhawmin, a hmunah an vawng tlat a ni. He bone graft hi i taksa peng dang (a tlangpuiin i hip bone) atanga lak theih a ni. A nih loh leh midang ruh (bone graft) (donor graft) a ni thei bawk. A châng chuan ruh tipungtu thil bik ``bone morphogenetic protein`` an tih chu ruh chhungah an inject ṭhin.
He surgery zawng zawng hi darkar engemaw zat a daih thei.
He surgery hian harsatna a thlen thei em?
Surgery dang ang bawkin risk engemaw zat a awm a, mahse chu risk chu a tlem hle tih hriat reng a pawimawh.
A hlauhawmna tlangpui chu thisen chhuah, thisen zam, natna hrik kai, natna, leh anesthesia kaihhnawih hlauhawmna te a ni.
Chu bakah, he surgery-a harsatna bik engemaw zat a awm bawk:
- Nerve tihchhiat: Hei hian ke pakhatah natna a thlen thei a, mahse chetna hloh hi a tlem hle.
- Pseudarthrosis: Chumi awmzia chu a chang chuan ruh inzawmna nena inzawm ruhte chu a inmil tawk lo tihna a ni. Chutiang a nih chuan thla engemaw zat hnuah hnungzang natna a lo let leh thei a ni.
- Bone grafting avanga harsatna awm thei: Donor hnen atanga ruh lak a nih chuan natna kai emaw taksain a hnawl theihna chance a tlem hle.
Heng harsatna thenkhat hi venna kawngah hian i pui thei a, a bik takin natna hrik kai theihna chhinchhiahna te hriat chian hian i pui thei a ni.
Heng symptoms te hi i neih chuan doctor ko nghal rawh:
* Surgery hliam vel chu a hring lutuk, a sen emaw, a hring emaw a awm.
* Khawsik (100 degree Fahrenheit aia sang).
* Natna a zual zel a nih chuan.
* Khawsik leh khur i hriat chuan (chickenpox i neih lai ang).
Operation hnua dam leh hun chhung
Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. A tlangpuiin ni 4 vel a ni. Mahse, he hun hi i hriselna leh damdawi lam thil dang a zirin a danglam thei.
Hemi chhung hian i heart rate ang chi thil enkawltu machine te nen i inzawm ang. Tube engemaw zat i nei bawk ang.
- I kut ah IV line: Hei hi tui, antibiotics, leh natna tidamtu te pekna hmun a ni.
- Epidural catheter: Mi thenkhat chuan an hnungzang chhunga tube te tak te dah hmangin natna damdawi an dawng thin.
- Zun chhuahna kawngkhar:Ni hmasa berah chuan tho leh bathroom-a kal chu i harsat mai thei a, chuvangin hei hi i dah mai mai thei. Hei hian tlem a nuam lo deuhin i hria a, mahse i hnungzang a dam hma loh chuan i ding reng a pawimawh hle.
Damdawi ina i awm chhung hian physiotherapist leh occupational therapist ten an rawn tlawh ang che. Khum atanga tho chhuah dan te, chair-a thu dan te, leh kal dan tur te an zirtir ang che . In lama i haw hmain i hnungzang X-ray lak a ni ang a, surgery chu a hlawhtling em tih hriat a ni ang. I stitch te lakchhuah nan ni 10 vel hnuah i rawn kir leh a ngai dawn a ni. Tichuan kar 4-6, thla 6, kum 1, leh kum 2 hnuah doctor hmu turin i lo kal leh a ngai ang.
Back surgery atanga dam leh tur chuan inpekna leh thawhrimna a ngai tih hre reng ang che . A dam kim theih nan thla 6 atanga kum khat vel a ngai thei. Damdawi in chhuahsan hnuah pawh physical therapy i chhunzawm tur a ni. Thla 6 hmasa berah chuan ben, twisting, leh eng thil rit pawh chawi loh tur a ni . Tui bottle te tak te aia rit zawk chu chawi suh. Chuvângin, in chhûng hna ṭhenkhat chu rei lo tê chhûng i tihtîr a ngai mai thei!
Take-Home Thuchah a ni
- Spinal Fusion hi enkawlna dang hlawhchhamna hmuna hnungzang natna nasa tak tan surgery lian tak a ni.
- Surgery hmaa inbuatsaih tha a pawimawh hle. I doctor nen engkim sawiho la, i in boruak chu nuam takin siam rawh.
- Dam lehna tur chuan hun leh inpekna a ngai a ni. Physiotherapy instruction dik takin zawm rawh.
- Infection chhinchhiahna, hliam na tak leh khawsik te chu en reng ang che. Hetiang thil hi i hriat chuan doctor ko nghal rawh.
- Hei hi team thawhrimna a ni. He zinkawngah hian nang leh i doctor, therapist leh i chhungte in thawhhona tha tak neih a ngai a ni. He harsatna hi hlau lovin hmachhawn rawh.
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