Cricketer i ni em, javelin throw i ni em, tennis khel i ni em? Tichuan elbow natna chungchangah hian i buai a ngai lo mai thei, a dik em? A chang chuan he natna thlentu ber chu elbow chhunga ligament chak tak a tear vang a ni. Chutih lai tak chuan infiammi tam tak hmalam hun tidanglamtu ‘Tommy John surgery’ chu ngaihven hlawh tak a ni. Hemi chungchang hi a awlsam zawngin sawi ila, A atanga Z thlengin.
A awlsam zawngin Tommy John surgery hi eng nge ni?
Tommy John surgery hi i elbow chhunga ligament pakhat Ulnar Collateral Ligament (UCL) tih siamthatna a ni. `UCL` surgery an ti bawk.
UCL hi rubber band chak tak, elbow joint inzawmkhawmtu angin han ngaihtuah teh. Kan elbow hi chutiang bawka kan hman nawn leh fo hian, a bik takin bowling chak tak emaw, javelin kan thlak emaw hian he ligament hi a chhe thei a ni. Hetiang dinhmun hi a tam ber chu:
- Baseball khelh a ni
- Softball khelh a ni
- Javelin a ni
- Football (a bik takin ball vawrh chhuak player te) .
- Tennis leh a ang chi racket sport khel thinte tan.
Infiamna lama infiammi i nih chuan a tam zawkah chuan he hliam hi chawlh hahdam leh enkawlna awlsam tak hmangin tihdam theih a ni. Mahse, professional athlete i nih chuan i career pumpui chu he infiamnaah hian a awm tihna a ni a, he hliam hi i khelh hun tawp ber a ni thei. Chu chu i playing career chhanchhuah nan `UCL` surgery neih a ngai hun a ni.
He surgery-ah hian i doctor chuan i taksa peng dang (a tam zawkah chuan i kut hmalam emaw i khup hnunglam emaw) atangin tendon hrisel tak a la a, chu chu i elbow-a ligament chhia chu siam thar leh nan a hmang thin. Hetianga tendon lak hi ‘graft’ an ti a. A chang chuan mahni taksa atanga lak theih a nih loh chuan donor atanga tendon hman theih a ni. He tendon thar hi i elbow-a upper arm bone (humerus) leh lower arm bone (ulna)-ah a inzawm a, chu chuan `UCL` ligament thar ang maiin a thawk a ni.
He operation hnu hian:
- I elbow chu a stabilise ta.
- A na chu a tlahniam zel a.
- Kut chhunga range of motion chu a lo awm leh ta a ni.
A then phei chuan full cast siam ai chuan ‘internal brace’ an tih hmanrua bik chu elbow-ah dahin cast tichak turin an dah a ni.
Engvangin nge ‘Tommy John’ an tih? A hnung lama thawnthu chu eng nge ni?
Hei hi thawnthu ngaihnawm tak a ni. He surgery hi American baseball player lar tak Tommy John hming chawia sak a ni. Bowler thiam tak a ni. Kum 1974 khan a elbow-a UCL ligament chu a chhe vek a. Chutih lai chuan chutiang hliam chu infiamna hun tawp tihna a ni.
Mahse, doctor-te chuan a elbow siamṭhat tumin surgery thar an tum a. Zai a nih hnuah 1975 season pumpui a khel thei lo. Mahse mi zawng zawng mak tih ber chu 1976 khan field chhungah a rawn kir leh a, a hma aia tha zawkin a khel. Hlawhtling taka a rawn kir leh avangin `UCL` surgery chu `Tommy John surgery' tia koh a ni ta a ni.
Operation hmain engtin nge i inbuatsaih thin?
I orthopaedic surgeon chuan operation atana inbuatsaih dan tur chiang takin a hrilhfiah ang che. A tlangpuiin, a hnuaia mite hi i tih a ngai ang:
- Taksa enfiahna kimchang: Operation neih theihna tur khawpa hrisel i nih leh nih loh enfiah rawh.
- Thisen test: Taksa hnathawh dan bulpui leh infection status te zir rawh.
- Imaging test: I elbow chhiatna chu eng nge ni tih chiang taka hriat theih nan X-ray , CT scan , emaw MRI scan emaw tih tur a ni.
- E.C.G.-in a sawi. (Electrocardiogram): I thinlung a thawk tha em tih enfiah thin ang che.
- Ha enfiah: Ka hmui natna chu thisen kaltlangin a darh loh nan leh operation hnua surgery neihna hmun a nghawng loh nan.
Damdawi, vitamin emaw, herbal remedies emaw i ei lai doctor hnenah hrilh a pawimawh hle. Damdawi thenkhat (a bik takin thisen zam ti tlemtu) chu operation hma ni engemaw zatah tihtawp a ngai mai thei.
I doctor chuan operation hma ni khatah eng chen nge ei leh in i chawlhsan tur tih a hrilh ang che. A tlangpuiin zai hma darkar 12 chhungin ei leh in i chawlhsan tur a ni.
Surgery neih chhung hian eng nge thleng tak tak?
Surgery a tan hmain anesthesiologist chuan general anesthesia a pe ang che . Hei hian i muhil vek dawn tihna a ni. Chuvangin operation neih chhung hian natna engmah i hre lovang.
Surgery hian hengte hi a zawm tlangpui a:
1. Arthroscopy: A chang chuan doctor chuan camera te tak te hmangin elbow joint chhung chu a en ang. Hei hi arthroscopy an ti a . Hei hian ligament siamthat laiin chhungril hliam dangte hriatchhuah leh enkawlna kawngah a pui thei a ni.
2. Graft Harvesting: Graft lak a ngai a nih chuan doctor chuan i taksa peng dang (a tlangpuiin kut hmalam emaw khup hnunglam atanga) tendon inch 6-7 vela sei a la ang.
3. Tissue chhia lakchhuah: Elbow chhunga ligament chhia, chhe tawh leh thil tul lo dangte tihfai a, paih chhuah a ni.
4. 4. A rilru a hah lutuk chuan a rilru a buai em em a.Bone piercing: A dawtah chuan ulna ruh ah khur pahnih an la a, humerus ruh ah "Y" angin khur pathum an la bawk.
5. Ligament thar dah: A hmaa lakchhuah tendon (graft) chu heng khur atang hian kal tlangin ligament thar angin fix a ni. A châng chuan ruhah chuan screw te tak te hmangin a nghet zawk theih nan an buntir ṭhin.
6. Chhiatna dang siam that: Elbow (ulnar nerve) chhunga nerve te a chhiat emaw, harsatna dang a awm chuan he surgery neih chhung hian siamthat a ni bawk.
7. Incisions Stitching: A tawp berah chuan vunah incision siamte chu stitches hmangin an khar thin. Chumi hnuah chuan dressing fai takin an khuh a, kut chu a che thei lo turin hard splint dah a ni.
He surgery hi darkar khat leh a chanve vel a ni tlangpui a, mahse he hun hi ligament chhiatna zau zawng leh harsatna dang a awm leh awm loh a zirin a danglam thei.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin Tommy John surgery hian hlawkna leh hlauhawmna a nei vek a ni.
| Hlawkpuina | Risk a awm thei |
|---|---|
| Player tam tak chu hlawhtling taka inkhelah an kir leh thei a. | Surgery hmuna natna hrik awm. |
| Bowling emaw throwing emaw laia natna chu a bo thei a, tuar chakna pawh a pung thei bawk. | Kut emaw, elbow emaw-ah nerve a chhia a, chu chuan rilru a ti na hle. |
| Surgery hlawhtling tak neih hnuah chuan ligament khata operation neih leh a ngai theihna chance a tlem hle. | Thisen kalna kawng a chhiat. |
| Hlawhtlinna rate hi a sang hle (80% - 95% inkar) a ni. | Tendon (graft) dah thar chu hun kal zelah a lo chhuak emaw, a chhe emaw a ni. |
Operation hnua dam leh hun chhung hi eng ang nge ni?
Hei hi kan zinkawng harsa ber leh pawimawh ber a ni. Tommy John surgery aṭanga a dam kim theih nan leh inelna lama infiamna lama a kir leh theih nan kum khat chuang a ngai thei a ni. Hei hi dawhtheihna mamawh zinkawng a ni. I doctor leh physiotherapist-in thupek an pek ang chiah kha i zawm a ngai a ni.
I recovery schedule chu hetiang hi a ni mai thei:
| Hun | Eng thil nge thleng tih leh tih ngai |
|---|---|
| Kar hmasa lamah khan | I kut chu a che thei lo turin hard splint i bun a ngai a ni. I elbow chu i ti che thei lo tak zet a ni. |
| Thla 1-2 inkar vel a ni | Rigid support chu lakchhuah a ni a, hinged splint dah a ni a, chu chuan elbow flexion a ti tlem thei ang. Hetih lai hian physical therapy hmanga enkawl tan a ni. |
| Thla 3-4 inkar vel a ni | Doctor chuan i dam leh dan a enfiah ang a, engkim a kal tha a nih chuan thil awlsam tak tak, ball vawrh ang chi tih tan phalsak i ni thei bawk. Mahse doctor thurawn ang chauhin. |
| Thla 6-9 inkar vel a ni | Training tlemteah i tel thei ang a, mahse exercise leh training dan thenkhat chu i pumpelh a ngai tho ang. |
| Thla 12-18 inkar vel a ni | Recovery process chu harsatna awm lovin a zawh chuan i doctor chuan full-time competition-ah kir leh turin a phalsak ang che. He hun chhung hi i taksa dam leh zat leh infiamna a zirin a danglam thei. |
He zinkawngah hian dawhtheihna hi a pawimawh ber tih hre reng ang che. Hmanhmawh lutuk te, thupek zawm dik loh te, leh thupek zawm dik loh te hian hliam na zawk, zai tam zawk leh infiamna atanga hun rei zawk awm lohna a thlen thei a ni.
Engtikah nge Doctor i hmuh nghal tur?
Operation atanga in haw hnua a hnuaia symptoms te hi i neih chuan i doctor ko nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh .
- A rilru a na
- Thâwk harsa
- Khawsik (102 Fahrenheit/39 Celsius aia tam) .
- Surgery na hmun atanga thisen chhuak tam lutuk
- Surgery neihna hmuna natna kai chhinchhiahna (e.g., pus, hring lutuk, rim, sen, emaw, lumna hriatna) .
- Elbow, kut emaw, kut zungtang emawa natna thar emaw, zual zel emaw
- Natna nasa tak i nei a, chu chu painkiller pek che hmang pawhin i thunun thei lo.
Tommy John surgery hi surgery mak tak a ni a, professional infiammi te tan second chance a pe a ni. Mahse a hlawhtlinna chu 90% chu operation hnua rehabilitation process-a i dawhtheihna leh i inpeknaah a innghat a ni.
Take-Home Thuchah a ni
- Tommy John surgery hi surgery hlawhtling tak a ni a, a bik takin infiammi tan chuan elbow chhung lam UCL ligament a chhiat avangin a hlawhtling hle.
- He surgery atanga dam leh tur hian kum khat chuang a ngai a, chutih chhung chuan damlo taksa enkawlna hi a pawimawh hle.
- Operation hnua natna lan chhuah dan danglam (na na tak, khawsik, hring) a awm chuan doctor hnenah hriattir nghal rawh.
- Doctor leh physical therapist-te thupek dik taka zawm chuan mi tam tak chu hlawhtling takin khelmualah an kir leh thei a ni.











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