I ke ruh lian na vangin i kal thei lo em ni? Toe Joint Replacement surgery chungchang i zir dawn teh ang.

I ke pen apiangin i ke ruh lianah hian tuar theih loh khawpin natna i nei thin em? Kekawr hak hi a harsa em? I ke ruh lian tak ruh chu a chhe tawh emaw, a chhe tawh emaw pawh a ni thei. Chutiang dinhmunah chuan enkawlna dang zawng zawng a hlawhchham tawh chuan doctor-te’n an rawt solution chu ruh thlak (joint replacement surgery) a ni. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.

A awlsam zawngin, he finger joint thlak danglamna surgery hi eng nge ni?

Toe joint replacement surgery-ah chuan i ke ruh chhia leh chhe tawh chu surgery hmanga lakchhuah a, artificial joint hmanga thlak a ni. He artificial joint hi ``prosthesis'' an ti a, hengte hi thir, ceramic emaw plastic emaw atanga siam a ni. Anni hi ruh hrisel ang maia thawk thei tura siam an ni.

He surgery hi ke ruh lian (big toe) ruh (joint)-ah tih a ni tlangpui. Damdawi lamah chuan hei hi metatarsophalangeal (MTP) joint an ti a. Hei hi i ke ruh lian tak leh i ke inzawmtu main joint a ni. He joint hi kan step apiangin a bend vek a ngai a ni. Chuvângin, he ruh hi a chhe tawh a, a khauh a, a chhe tawh a nih chuan kal a hrehawm dâwn êm êm ang tih han ngaihtuah teh.

Engvangin nge hetiang surgery hi i neih a ngai?

He surgery hi a hnuhnung ber a ni. Chu chu, damdawi dangin i natna a thunun theih loh phawt chuan doctor chuan a ngaihtuah ang tihna a ni. A hnuaia tarlan te hi enkawlna hmasa ber an enchhin tlangpui a ni:

• Kekawr bik emaw, brace emaw bun: Kea kal chu awlsam zawkin siam rawh.
• Activity modification: Joint-a pressure tihziaawm.
• Painkillers: Doctor-in a sawi angin natna control nan.
• Physical therapy: Ruh hnathawh leh chakna tihchangtlun.
• Steroid injection: Hun eng emaw chen chu natna leh hliam te tihziaawmna tur a ni.

Heng zawng zawng hian a puih loh chuan operation tih i ngaihtuah a ngai mai thei. He surgery hi a hnuaia thil awmte avanga ruh natna chinfelna a ni thei:

Joint thlak leh joint fuse hi eng nge a danglamna?

Hei hi mi tam takin an zawh thin a ni. Joint thlak bakah hian doctor-te chuan "arthrodesis or fusion" tih surgery neih an rawt fo bawk.

• Fusion: Hei hian ruh pahnih siamtu ruh pahnih chu a nghet taka fuse a huam a ni. Hei hian ruh chu a ti nghet a, natna a ti bo vek bawk. Mahse a pawimawh ber chu zai zawhah ruh chu a che thei lo. Hmun khatah a fix a ni.
• Joint Replacement: Hetiang procedure-ah hian artificial joint dah a nih avangin i kut zungtang chu i la ben thei ang a, i la tizau thei tho ang, chu chu joint chu i sawn thei tho ang, operation hnuah pawh.

Kawngkhar chunga hinge a chhiat chuan hinge thar i dah ang tih han ngaihtuah teh (hei hi thlak ang mai a ni). Chutiang a nih loh chuan chu kawngka hmun chu i nail a, a che lo turin i tichak a (hei hi soldering ang a ni). I doctor chuan i tana tha ber tur chu a rel ang.

Surgery neih hmain eng nge thleng?

Hetiang surgery i tih hma hian i orthopaedic surgeon chuan uluk takin a enfiah ang che.

• I hriselna tlangpui leh natna dang eng pawh an zawt ang.
• I kut zungtang natna chungchang te, eng chen nge a awm tawh tih te, i nitin nun a nghawng dan te an zawt thin.
• Kut zungtang chu an enfiah a, a chakna leh a ben theih dan (range of motion) ang chi thilte an en a.
• Ke ruh dinhmun enfiah nan ke X-ray tih a ni ngei ang.
• Test dang, thisen test ang chi te pawh hi surgery atan i tling em tih hriat nan tih theih a ni.

Surgery neih chhung hian eng nge thleng?

He surgery hi damdawi in emaw, operation room awmna hmun dangah emaw tih a ni tlangpui. Darkar hnih atanga darkar thum vel a ni thei. Surgery neih chhunga thil thleng thenkhat chu hetiang hi a ni:

1. A hmasa berin anesthetized i ni ang. Chumi awmzia chu i kut vein-a damdawi dahin i muhil vek dawn tihna a ni.

2. Chumi hnuah chuan surgeon chuan i kut zungtang chung lamah incision te tak te a siam ang.

3. Chu incision hmang chuan ruh chhia leh cartilage leh ruh chi hrang hrang chhe tawh chu lakchhuah a ni.

4. A dawtah chuan a hmaa teh leh buatsaih tawh artificial joint `(prosthesis)` chu chu hmunah chuan dah a ni.

5. He artificial joint hi kut zungtang sir lehlama ruhte chu pin te te, screw emaw, cement chi khat bik ``bone cement'' an tih hmangin an inzawm a ni.

6. Artificial joint chu a awmna tur dik takah a awm a, a nghet tawk em tih enfiah rawh.

7. Kut zungtang chu a ben tha em tih leh a che tha em tih enfiah thin ang che.

8. A chhehvel tissue, tendon leh nerve te chu an awmna tur hmun dangah an dah leh thin.

9. A tawp berah chuan incision chu stitches hmangin an khar a.

10. Tichuan natna hrik laka inven nan bandage-in an tuam a, a chang chuan plaster `(cast)` an hnawih bawk.

Surgery hnuah eng nge thleng?

Surgery zawhah recovery room-ah i harh ang. I ke chu bandage-in i khuh ang a, cast emaw, boot bik emaw pawh a ni thei bawk. Medical team chuan anesthesia avanga side effects awm leh awm loh an enfiah ang che.

Damdawi in ah hian crutches emaw walker emaw hmanga him taka i kal theih hma loh chuan dah i ni ang . In i haw hmain i doctor leh nursing staff te chuan i kut zungtang enkawl dan tur an hrilh ang che. Chûng zîngah chuan:

• Kut zungtang ah ice hnawih a, a natna leh a hring tihziaawmna tur a ni.
• I ke chu a rei thei ang bera chawi sang reng.
• Ka lo haw leh a ngai ni chuan, ka stitches te chu tikehsawm turin.
• A theih ang anga kekawr kekawr khauh tak ha.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery dang ang bawkin hlawkna a awm a, hlauhawmna pawh a tlem hle. I doctor chuan hengte hi chipchiar takin a hrilhfiah ang che.

A dam leh theih nan eng chen nge hun a duh? Engtin nge in lamah ka in enkawl ang?

I doctor chuan i ruh thar, kea kal tihna chu operation hnuah a rang thei ang bera hmang turin a fuih ang che. Exercise hi damna kawngah a pawimawh hle. A tir lamah chuan a hrehawm deuh mai thei a, mahse hun kal zelah chuan kea kal chu a awlsam zauh zauh ang.

Physics therapy i neih a ngai thei bawk. I ke ruh leh kea i kal theih nan kar 8 vel a ngai thei. Heng tips te hian rang tak leh him taka i dam theih nan a pui ang che:

• Inchhung hna thawhpuitu tur ruahmanna siam rawh: Operation hnu ni hmasa berah tanpuitu tur i neih hi thil awlsam tak a ni.
• I in chhunga harsatna awmte chu paih chhuak rawh: I tlu leh tlu thei thil, leia rug leh wire tlan ang chite chu paih chhuak rawh.
• Aids hmang rawh: I kut zungtang rit tihtlem nan crutches, walker , emaw bathroom grab bars hmang rawh.

Engtikah nge doctor ka hmuh nghal ang?

Surgery hnua harsatna lo awm thei apiang hriat chian a pawimawh hle. A hnuaia symptoms te hi i neih chuan i surgeon chu ko nghal rawh.