Cricket, volleyball, a nih loh leh javelin throwers khel thin infiammi i ni em? Tichuan i elbow chhung lam atanga natna lo chhuak chu i hre tawh ngei ang. He hliam hi infiamnaah chuan a awm fo thin a, chutah chuan i kut hmanga thil i paih thin a ni. A châng chuan he natna hi a nasat em avangin i infiamna kawng a titawp thei a ni. Vawiin hian hetiang huna chhanchhuahna atana lo kal, infiammi tam tak hmalam hun chhanhimtu special surgery kan sawi dawn a ni. Chu chu "Tommy John surgery" tih chu a ni.
A awlsam zawngin Tommy John surgery hi eng nge ni?
A awlsam khawp mai. Tommy John surgery hi i elbow-a ligament bik siam thatna tur surgery a ni. Damdawi lamah chuan hei hi UCL surgery (Ulnar Collateral Ligament) thlak danglamna surgery kan ti a ni.
I elbow joint chu kawngkhar hinge angin ngaihtuah rawh. He hinge sir lehlamah hian a tul lo taka kal kual lovin a hmunah a vawng tlat thei strap a awm a ni lawm ni? Chutiang bawkin elbow chhungah hian elbow joint nghet taka awmtirtu band chak tak a awm a, chu chu `(Ulnar Collateral Ligament)` emaw `(UCL)` emaw kan ti a ni.
Chutiang bawkin, kut chungah pressure nasa tak nena thil kan vawrh nawn leh hian (a bik takin cricket-a fast bowler, baseball player, javelin throwers) hi he `(UCL)` ligament hi zawi zawiin a inzawm thei a, a chhe thei a, a chhe thei bawk. He surgery hi chu ligament chhia chu siamthat nan tih a ni.
Chuti a nih chuan engvangin nge hei hi ‘Tommy John’ an tih?
Hemi hnuaiah hian thawnthu ngaihnawm tak a awm a. He surgery hian a hming hi American baseball player lar tak Tommy John atanga lak a ni . Bowler a ni a. Kum 1974 khan a elbow-a he ``UCL`` ligament hi nasa takin a chhe ta a ni. Chutih lai chuan a khelh hun titawp thei tur thil a ni. Mahse doctor-te chuan operation thar an nei a, a elbow chu an tidam ta a ni. Kum khat vel a chawlh hnuah Tommy John chuan hlawhtling takin a khel leh ta a. Chumi hnuah chuan he surgery hi "Tommy John surgery" tia hriat a ni ta a ni.
He surgery hi ka mamawh tak tak em?
Hei hi mi tam takin harsatna an tawh a ni. Infiamna lama infiammi mai mai i nih chuan i elbow chu chawlh tam tak pek leh enkawlna dang pek hmangin he natna hi i tidam thei mai thei.
Mahse, competitive emaw professional athlete emaw i nih chuan i career pumpui chu he throwing ability-ah hian a innghat a nih chuan he surgery hi i tan a pawimawh hle mai thei. He surgery atanga beisei tur ber chu:
- I elbow chu stabilise tir rawh .
- Natna tihziaawmna .
- Elbow -a range of motion siam that leh .
Surgery neih chhung hian i surgeon chuan i taksa hmun dang atanga tendon hrisel tak hmangin UCL chhia chu a thlak thin. Hei hi graft an ti a. He graft hi UCL thar ang maia thawk turin upper arm bone (humerus) leh forearm bone (ulna) ah te dah a ni.
Operation hmain engtin nge i inbuatsaih thin?
I doctor chuan operation hmaa i tih tur zawng zawng a hrilhfiah vek ang. A tlangpuiin, a hnuaia mite hi i tih a ngai ang:
- Surgery tur i hrisel tawk em tih hriat nan taksa enfiahna kimchang .
- Thisen test eng emaw zat neih a ni bawk .
- Elbow dinhmun chiang taka hriat theih nân imaging test, X-ray , CT scan , emaw MRI scan , tih a ngai mai thei.
- Thinlung hnathawh dan enfiah nan ECG test neih a ni.
- Operation hnua hri kai theihna tihziaawmna tura ha enfiahna .
Pawimawh tak: Damdawi, vitamin , emaw, herbal remedies i ei apiang chu i doctor hnenah hrilh ngei ang che. Damdawi thenkhat chu operation hma ni engemaw zatah tihtawp a ngai mai thei.
I doctor chuan i operation hma ni khatah eng chen nge ei leh in i chawlhsan tur tih a hrilh ang che. A tlangpuiin, i operation hma darkar 12 vel chhungin ei leh in i chawlhsan a ngai dawn a ni.
Surgery neih chhung hian eng nge thleng?
Surgery tan hmain anesthesiologist chuan general anesthesia hnuaiah a dah ang che , chutiang chuan surgery neih chhungin natna i nei lo ang.
Surgery hi hetiang hian tih a ni tlangpui:
1. Elbow chhung lam en: A hmasa berin surgeon chuan camera te tak te (arthroscopy) a dah lut thei a, elbow chhunga chhiatna dang a awm leh awm loh a enfiah thei bawk.
2. Graft lak: Ligament thar siam nan hian i taksa hmun dangah inch 6-7 vela sei tendon hrisel tak i la thin. Hei hi i kut hmawr atanga lak a ni tlangpui. A châng chuan, i khup hnunglam aṭangin hamstring pawh lak theih a ni .
3. A rilru a hah lutuk chuan a rilru a buai em em a.Thianghlimna: Elbow chhunga tissue chhia zawng zawng chu lakchhuah vek a ni.
4. Ruh buatsaih dan: A dawtah chuan forearm bone (ulna) ah khur pahnih an la a, upper arm bone (humerus) Y ang deuhah khur pathum an la bawk.
5. Ligament thar dah: A hmaa lakchhuah tawh tendon ``graft`` chu heng khur atang hian kal tlangin ligament thar angin an fix a. Screw te te hmangin ruh ah a nghet thei bawk.
6. Siamthat dang: Hetih hun chhung hian ulnar nerve emaw, elbow hmun dang emaw a chhiat chuan a chhiat phah a nih chuan siamthat a ni bawk ang.
7. Surgery tawp: A tawp berah chuan vun hliam chu suture khar a, bandage fai tak hmanga khuh a ni. Surgery zawhah chuan elbow a inher loh nan splint dah a ni.
He surgery hi minute 60 leh 90 inkar a ni tlangpui .
Surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin Tommy John surgery hian a hlawkna bakah hlauhawmna engemaw zat a nei bawk.
| Hlawkpuina | Risk a awm thei |
|---|---|
| Player tam zawk (80%-95%) te hlawhtling taka inkhelh leh theihna. | Surgery hmuna natna hrik awm. |
| Thil kan paih hian endurance a titha thei a ni. | Elbow (ulnar nerve) chhunga nerve chhiat avanga rilru hahna. |
| Ligament khata operation neih leh a ngai theihna chance a tlem hle. | Thisen kalna kawng a chhiat. |
| Tendon (graft) dah thar chu a lo hring emaw, a chhe emaw a nih chuan. |
Operation hnua dam lehna chu engtin nge a awm?
Tommy John surgery atanga a dam kim theih nan kum khat chuang a ngai thei tih hre reng ang che. Hei hi kawng thui tak, dawhtheihna mamawh a ni.
I doctor leh physiotherapist te chuan i tana tha tur recovery plan an pe ang che. A tlangpuiin hetiang hian a lang thei:
| Hun bituk | Eng thil nge thleng? |
|---|---|
| Kar hmasa lamah khan | I elbow immobilize turin hard splint i bun tur a ni. |
| Thla 1-2 inkar vel a ni | Hinged splint ah switch rawh. Physiotherapy exercise te chu a tan ta a ni. |
| Thla 3-4 inkar vel a ni | I doctor phalna i hmuh chuan throwing hi i practice tan thei a, a light hle. |
| Thla 6-9 inkar vel a ni | Training-ah khapna awmin i tel thei dawn a ni. Instruction dik taka zawm a pawimawh hle. |
| Thla 12-18 inkar vel a ni | Harsatna a awm loh chuan intihsiaknaa tel kim vek turin medical clearance i dawng ang. |
Doctor hmuh hun tur
Operation hnua heng symptoms te hi i neih chuan doctor i ko nghal tur a ni .
- A rilru a na
- Thâwk harsa
- Khawsik hi 39 Celsius (102 Fahrenheit) aia sang a ni .
- Infection chhinchhiahna te chu surgery hliam atanga thisen chhuak emaw, zun ang maia tui emaw , a hring, rimchhia, leh lumna danglam tak a awm.
- Elbow, kut leh kut natna thar emaw, na zual emaw .
- A natna hi a nasat em avangin natna tidamtu damdawi hmang pawha thunun theih a ni lo .
I rilru a na emaw, thawk harsa emaw i neih chuan tihkhawtlai lovin damdawi in hnai ber Emergency Department (ETU)-ah kal nghal mai tur a ni tih hre reng ang che. Chûngte chu natna khirh tak chhinchhiahna a ni thei.
Tommy John surgery hi tun hmaa sports-ending injury chinfelna hlawhtling ber a ni. Damna hun rei tak ni mah se, dawhtheihna leh doctor thupek dik taka zawm chuan hlawhtling takin inkhelhna hmunah i kir leh thei a ni. I doctor-in okay a pek hmaa i hmanhmawh a, training i tan chuan operation tam zawk i neih a ngai mai thei a, hun rei zawk pawh infiamna atanga inthiarfihlim a ngai mai thei bawk. Chuvangin hetah hian dawhtheihna hi a pawimawh ber a ni.
Take-Home Thuchah a ni
- Tommy John surgery hi hlawhtling tak a ni a, elbow chhunga collateral ligament (UCL) chhiatna siamthat a ni.
- Hei hi professional player-te tan chuan a pawimawh hle a, cricket leh baseball ang chi throwing sports khel thinte tan chuan a pawimawh hle.
- Operation hnua a dam kim theih nan kum khat aia rei a ngai thei a, dawhtheihna leh inpekna a pawimawh hle.
- Doctor leh physiotherapist-te thupek dik taka zawm hi infiamna lama hlawhtling taka kir leh theihna tur kawng tha ber a ni.
- Vaukhânna chhinchhiahna, rilru natna, thawk harsa, operation hnua khawsik sang tak takte chu ngaihthah suh. Damdawi lam thurawn zawng nghal rawh.











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