I ke ruh lian (big toe joint) ah natna nasa tak i nei tawh em? He natna, kea kal harsa titu hian i nitin hnathawhna a tikhawlo a ni mai thei. Mi tam tak chuan hei hi thil pangngaiah an ngai a, ni engemaw zat hnuah a reh mai ang. Mahse a chang chuan he natna hi chhan lian tak a awm thei. Vawiin hian chutiang dinhmunah chuan a tawp ber atana hman theih tur enkawlna kan sawi dawn a, chu chu ke ruh (joint replacement surgery) tih hi a ni.
He toe joint thlak danglamna surgery hi eng nge ni?
A awlsam zawngin, hei hian i ke ruh ruh chhia leh chhe tawh chu operation hmanga lak chhuah a, artificial joint hmanga thlak a huam a ni. He artificial joint hi prosthesis kan ti a . Chûngte chu thir, ceramic, plastic ang chi thil hmanga siam a ni. Anni hi ruh hrisel ang maia thawk thei tura siam an ni.
A tam zawkah chuan he surgery hi ke ruh lian takah an ti thin. A dik tak chuan ke ruh lian tak leh ke inzawmna hmun (Metatarsophalangeal - MTP joint) . Ngaihtuah teh, he joint hi kan ke pen apiangin a ben a ngai a ni. Chuvangin he ruh hi a chhiat emaw, a nghet emaw a nih chuan kea kal chu a hrehawm hle thin. He surgery hi damdawi lam pawhin arthroplasty an ti bawk.
Engvangin nge hetiang surgery hi neih a ngai?
He surgery hi a hmasa ber a ni lo tlangpui. Doctor chuan he surgery chi hi a hmang dawn a, chu chu surgery ni lo enkawlna dang zawng zawng a lo enchhin tawh a, pakhat mah hlawhtling taka result a chhuah loh chuan a ni.
Hengte hi enkawl hmasak ber berte chu an ni:
- Kea kal awlsam zawk nan pheikhawk bik emaw brace emaw bun.
- I thiltih danah inthlak danglamna siam (e.g., thil rit phurh tihtlem, tlan chak lutuk, etc.).
- Painkiller pek a ni.
- Taksa lam enkawlna.
- Steroid injection hmangin ruh chhungah a lut thin.
Heng zawng zawng hian natna a tiziaawm lo a nih chuan a hnuaia thil awmte avang hian a ni thei. Hei hi surgery ngaihtuah tur a ni.
| Ruh natna thlentu berte | A sawifiahna awlsam tak |
|---|---|
| A rilru a buai em em a, a rilru a hah em em bawk a. | Bone spur na tak, ke ruh lian pawn lam atanga rawn chhuak a, khumah a lo awm thin. |
| Hallux Rigidus a ni | Hei hi "stiff big toe" tihna a ni a, a ruh chu a nghet a, a ben tha thei lo. Hei hi ruh natna chi khat a ni. |
| Inhliam | Accident avanga ruh chhiatna, kut zungtang tliak ang chi. |
| Osteoarthritis natna a ni | Kum upat vang emaw, thil dang vang emawa ruh inzawmna (joint wear and tear) a ni. |
| Rheumatoid Arthritis natna a ni | Taksa ngeiin ruh a beih avanga natna leh natna lo awm. |
A pawimawh ber chu he surgery hi hip replacement emaw knee replacement emaw angin a awm lo va, chuvangin mi tlemte chauhvin an qualify a ni.
Joint replacement leh joint fusion hi eng nge a danglamna?
Hei hi mi tam takin an zawh thin a ni. Joint Fusion emaw Arthrodesis emaw hi surgical procedure a ni a, ruh pahnih siamtu ruh pahnih chu a nghetin a fuse a ni. Hei hian natna a tiziaawm a, ruh chu a ti nghet bawk. Mahse, a that lohna ber chu operation zawhah ruh hi a sawn theih loh vang a ni.
Mahse, joint thlak danglamnaah hian artificial joint dah a ngai a, chuvangin operation hnuah pawh finger joint chu i la che thei ang a, i la ben thei tho ang. Mahse, he surgery hlawhtlinna hi mi hrang hrangah a inang lo thei. I orthopaedic surgeon chuan eng surgery nge i tan a tha ber tih a rel ang.
Surgery neih hmain eng nge thleng?
Hetiang surgery i tih hma hian i doctor chuan thil engemaw zat uluk takin a ngaihtuah ang.
- I hriselna zawng zawng leh i damdawi lam harsatna dang (zunthlum leh thisen sang ang chi) te kan zawt ang.
- Eng chen nge i kut zungtang natna hi i neih tawh tih leh i nun a nghawng dan te an zawt thin.
- Finger chu engtiang chiahin nge a chak tih leh a range of motion engzat nge tih hriat nan an enfiah thin.
- Ke ruh dinhmun enfiah nan ke X-ray tih a ni ngei ang .
- Test dang, thisen test ang chi te pawh hi i taksa chu operation atan a inpeih tawh em tih hriat nan tih theih a ni.
Surgery neih chhung hian eng nge thleng?
He surgery hi darkar hnih atanga darkar thum vel a ni tlangpui. Hospital emaw, operation room awmna hmun dangah emaw tih a ni. Surgery neih chhunga thil thleng hrang hrangte chu hetiang hi a ni:
1. Anesthesia: Pakhatnaah chuan anesthesia hi i kut vein pakhatah i muthilh kim theih nan pek a ni.
2. Incision: Chumi hnuah surgeon chuan ke ruh lian tak chung lamah incision te tak te a siam a.
3. A hmun chhe tawhte lakchhuah: Chu incision hmang chuan ruh chhia, ruh chhe tawh leh ruh tliak te chu lakchhuah a ni.
4. Artificial joint thlak danglam: A hmaa kan sawi tawh ang khan artificial joint (prosthesis) chu a lakchhuahna hmunah dah a ni.
5. Fixation: He artificial joint hi kut zungtang sir lehlamah ruhteah nail te te, pin, screw emaw, ruh cement chi khat emaw hmangin nghet takin an inzawm a ni.
6. Testing: Engkim a hmunah a awm em tih leh joint thar a kal tha em tih kan enfiah thin.
7. Stitching: A tawp berah chuan incision chu stitching hmanga khar a ni. Chumi hnuah chuan natna hrik laka invenna atan bandage a ni a, cast emaw, special boot emaw pawh dah a ni mai thei.
Surgery hnuah eng nge thleng?
Surgery zawhah recovery room-ah i harh ang. I ke chu bandage a ni ang a, cast-ah pawh a awm mai thei. Medical team chuan anesthesia avanga side effect a awm loh nan an enfiah ang che.
Walker emaw crutches emaw hmanga him taka i kal theih hma chuan damdawi inah i awm a ngai dawn a ni. In i haw hmain doctor leh nursing staff te chuan in lama zawm tur thupek set khat an pe ang che.
- Ice hnawih la , natna leh hliam tihziaawmna tur a ni.
- I ke chu a rei thei ang bera chawi sang reng.
- Stitch te cut turin i lo kir leh a ngai ni.
- Kekawr kekawr a thuk thei ang bera ha.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin hlawkna leh hlauhawmna a awm vek. I doctor chuan hengte hi uluk takin a hrilhfiah ang che.
| Hlawkpuina | Risk a awm thei |
|---|---|
|
|
Heng risk te hi a tlem hle a, mahse hriat chian a pawimawh hle.
Eng chen nge tihdam a ngaih? Tin, emergency doctor hmuh ngai te pawh a awm bawk
I doctor chuan i ruh thar chu operation hnuah a rang thei ang bera hmang turin a fuih ang che, chu chu kea kal tihna a ni. A tir lamah chuan hrehawm deuh mah se, exercise hi damna kawngah a pawimawh hle. Hun kal zelah a natna chu a reh ang.
Physics therapy i neih a ngai thei bawk. Weight bearing hmanga kal kim theih nan kar 8 vel a ngai thei.
Pawimawh: I dam chhungin danglamna i hmuh chuan doctor hnenah hriattir a pawimawh hle.
Heng symptoms te hi i neih chuan doctor ko nghal rawh:
- Khawsik emaw, khawsik emaw i neih chuan.
- A natna a tlahniam ai chuan a nasat zawk chuan.
- Cut chu oozing pus emaw, rimchhia emaw a nih chuan.
- Incision vel a sen emaw, a hring emaw a awm chuan (hengte hi natna kai chhinchhiahna a ni thei) .
Tin, hun engemaw chen hnuah ruh thlak (transplanted joint)-ah harsatna a awm nia i hriat chuan, chu chu, .
- Joint hnathawh emaw chakna emaw a tlahniam chuan.
- Joint chu a nghet lo tih leh a lo chhuak dawn ang maia a awm chuan (Instability).
- Natna thar, rilru hahna, emaw, vun thar i neih chuan.
Hetiang ang hi eng pawh ni se, tihkhawtlai lova enkawltu doctor chu hmu rawh.
Take-Home Thuchah a ni
- Toe Joint Replacement hi enkawlna dang a hlawhchham huna ke ruh lian tak natna nasa tak tan chuan solution tha tak a ni thei.
- He surgery hian natna a tiziaawm thei a, ruh incheina leh hnathawh a titha thei bawk.
- Operation hnua a dam kim theih nan hun engemaw chen a ngai a, chumi atan chuan damdawi lam thurawn leh taksa lam enkawlna a pawimawh hle.
- I dam chhungin natna hrik (khawsik, khuh, zun) emaw, ruh natna (na thar, nghet lo) emaw i neih chuan doctor pan nghal tur a ni.
- I specialist chauhvin i tan enkawlna tha ber a ruat thei a, chuvangin eng thil pawhah i doctor hnenah inhawng tak leh rinawm takin sawi rawh.
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