A châng chuan i elbow, shoulder, a nih loh leh i kekawrteah natna nasa tak i nei ṭhin em? He natna hi infiamna emaw, thil rit chawi lai emaw hian a pung mai thei. Hei hi a chhan chu i tendon pakhata harsatna a nih vang a ni thei. Chuvangin vawiin hian he natna chi hrang hrang enkawlna dan bik kan sawi dawn a ni. Hei hi tenotomy an ti a.
Tenotomy tih hi eng nge ni?
A awlsam zawngin sawi ila, tenotomy hi i taksaa tendon (muscle leh ruh inzawmtu tissue chak tak) natna enkawlna atana hman thin a ni. Hetiang tih danah hian i doctor chuan i vun chhungah needle a dah lut thei a, chu chuan tendon chhia chu a enkawl thei a ni. A nih loh leh, i vunah hian incision te tak te an siam thei a, surgery hmangin tendon chhia chu an la chhuak thei bawk.
He enkawlna hi taksa chhunga tendon eng pawhah tih theih ni mahse, heng hmunah te hian tih a ni tlangpui:
- I biceps muscle leh i shoulder thlunzawm tu tendon.
- Elbow chhunga tendon awm chu.
- Ke leh ke ruh chhunga tendon awm.
Tenotomy leh Tenodesis Inthlauhna
Heng method pahnih hi biceps tendon disorder enkawlna atan hman a ni. Mahse, an pahnih inkarah hian danglamna a awm. I kekawr iptea biceps tendon-ah harsatna i nei ang tih han ngaihtuah teh.
| Enkawl dan tur | Engtin nge kan tih ang |
|---|---|
| Tenotomy tih a ni | Hetiang tihnaah hian surgeon chuan tumruh takin biceps tendon chu a tikehsawm a, a then a, chu chuan natna a tiziaawm thei a ni. Chutianga tih a nih chuan biceps muscle chu kut hnuai lam deuhin a kal thla a. Hei hian kut pianzia a tidanglam deuh thei a ni. |
| Tenodesis a awm thin | Hetiang tih danah hian doctor chuan a ke ruh atanga tendon chu a tan a, a kut ruh chunglam (humerus)-a khur tharah a dah leh a ni. Hei hian kut pianzia a tidanglam lo. |
Eng method nge i tana tha ber tih chu i active dan te, i dam thuai duh dan te, operation hnua i kut chu a lan dan danglam duh leh duh loh ah a innghat a ni.Hei hi doctor nen sawihoin thutlukna siam a tha ber.
Eng dinhmun nge tenotomy hmanga enkawl?
He enkawlna hi taksa chhunga tendons nena inzawm natna hrang hrang tan hman a ni. A vei tam ber chu:
- Biceps tendinitis natna a ni
- Shoulder calcific tendinitis (a ke ruh chhunga calcification awm) .
- Tennis elbow emaw Golfer elbow emaw a ni thei
- Plantar fasciitis (ke na) 1.1.
- Congenital foot deformities, club foot ang chi te hi a awm thei
- Hammertoes - ke ruh chhunga awm thin
- Khup na (Patellar tendinitis - Runner khup) .
- Achilles tendon hliam a awm
Tenotomy tih hmain eng nge i tih thin?
Doctor chuan enkawlna dang a hlawhchham chauhvin tenotomy tih a rawt tlangpui ang. Chutianga i tih hmain heng non-surgical treatment te hi enchhin turin an fuih ang che:
- Chawlh hahdam: Infiamna emaw, natna thlentu thiltih emaw pumpelh la, tendon chu chawlh hahdam tir rawh.
- Ice leh painkillers: Natna leh hliam tihziaawmna turin ice hnawih la, doctor-in a tih angin painkillers (NSAIDs) ei bawk ang che.
- Physical therapy: Hliam tuar tendon chhehvela taksa peng hrang hrangte tihchak leh tihchakna tipung tura exercise neih thin.
- Corticosteroid injection: Injection chi khat, inflammation tihziaawmna atana pek thin a ni.
Heng zawng zawng hian i natna a tihziaawm loh chuan i doctor chuan tenotomy treatment chungchang chu a hnuaia step atan a hrilh ang che.
Engtin nge Tenotomy enkawlna hi an tih thin?
He enkawlna hi kawng lian pahnihin tih a ni. I mamawh dan tur chu i tendon a chhiat nasat danah a innghat ang.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Needle hmanga hman dan (Percutaneous needle tenotomy) hmanga tih a ni. | Hei hian local anesthesia hmanga chu hmun chu numbing a, vun kaltlangin needle hmangin tendon chhungah dah a ni. A chang chuan ultrasound scan hmangin needle chu a kalna tur hmun dik takah an kaihruai thin. Chutianga tendon-a puncture te te siam chuan taksa natural healing process chu a tichak a ni. Chumi awmzia chu chu hmuna thisen kal chu a tipung a, chu chuan tendon chu a mah chauhin a dam theih nan a pui a ni . |
| Tenotomy hawn a ni | Hei hi surgery tenau tak a ni. I mut tir emaw, i rilru a buai emaw pawh a ni thei. Surgeon chuan i vunah hian incision te tak te a siam ang a, tendon chu a la chhuak ang a, a tikehsawm ang. Chutianga tendon chu a chhuah zalen chuan a natna chu a bo vek tawh ang. |
He enkawlna hian eng hlauhawmna nge a neih?
Tenotomy hi a tlangpuiin a him a, mahse damdawi lam thil dang ang bawkin hlauhawmna tenau tak tak a awm.
- Cramping: Hetianga enkawlna hnuah hian a bik takin biceps tendon tan chuan a hmunah hian cramping engemaw zat i nei thei. Mahse, chutiang chu mi zawng zawngah a thleng lo. He harsatna hi hun kal zelah a reh ang.
- Scar tissue: Surgery an neihna tendon vel ah scar tissue a lo awm chuan a na thei hle.
- Simptoms lo lang leh: Mi thenkhat tan chuan kum tam tak hnuah pawh symptoms hi a lo let leh thei. He hlauhawmna hi hna i thawh chhunzawm zel emaw, tendon-a harsatna siamtu infiamna i khelh chhunzawm zel chuan a sang hle.
A pawimawh ber chu heng risk te hi mi zawng zawngah a thleng lo a, mahse fimkhur a pawimawh hle.
Eng chen nge tihdam a ngaih?
Enkawl zawhah chuan a theih ang anga tendon hman loh a ngai dawn a ni. I dam leh hun chhung chu i enkawlna chi leh tendon awmna hmun a zirin a inang lo ang. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.
Mi tam tak chuan thla engemaw zat chhung chu exercise hahthlak tak tak emaw, infiamna emaw an ti thei dawn lo. Taksa tihchak leh hmain doctor rawn hmasa phawt ang che.
Engtikah nge doctor i hmuh ang?
Heng symptoms te hi i neih chuan doctor pan rawh:
- Ni engemaw zat hnuah pawh a reh lo va, a zual zel a, a na zual zel zawk.
- A hring chhuak.
- Vun rawng a danglam.
- Taksa peng pakhat sawn a harsa emaw, a hrehawm emaw a nih chuan.
Accident i tawk tawh a nih chuan, emaw, taksa peng pangngai i sawn theih loh i sawn thei lo a nih chuan damdawi in pakhat Emergency Department (ETU)-ah kal nghal rawh.
Tenotomy hi tendon kaihhnawih harsatna tam tak hlawhtling taka enkawl theih a ni. Damdawi him leh rang tak a ni. Hetiang harsatna i neih chuan Doctor biak hreh suh la, thurawn dik tak i dawng ang.
Take-Home Thuchah a ni
- Tenotomy hi chronic tendon pain enkawlna a ni a, enkawlna dang, chawlh hahdam leh taksa enkawlna nen a la tha lo.
- Hei hi kawng lian pahnih hmanga tih a ni: needle hmanga (percutaneous) leh surgery tenau (open) hmanga tih a ni.
- Hei hi a tlangpuiin enkawlna him leh tangkai tak a nih laiin, hlauhawmna tenau engemaw zat a awm tih hre reng ang che.
- Enkawl hnua dam lehna atan chawlh hahdam a pawimawh. Doctor thupek fimkhur taka zawm a pawimawh hle.
- Tendon natna rei tak i neih chuan ngaihthah suh la, doctor thurawn la rawh.
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