Hun rei tak chhung hnungzang natna tuar tawh i ni em? A châng chuan, hnungzang natna nasa tak, damdawi ei leh physiotherapy tih hnuah pawh a reh lo a awm ṭhin, a dik em? Chuvangin, chutiang hunah chuan enkawlna dang a hlawhchham chuan vawiinah hian doctor-te’n an rawt surgery bik chungchang kan sawi dawn a ni. Hei hi TLIF surgery an ti a. Hei hi a buaithlak deuh a, mahse awlsam takin i hrethiam ang u.
Chuti a nih chuan, he TLIF surgery hi eng nge ni?
A awlsam zawngin TLIF (Transforaminal Lumbar Interbody Fusion) hi ruhro surgery chi khat a ni. Kan ruhro hi ruh te te (vertebrae an tih) atanga siam a ni a, pakhat chu pakhat chungah dah a ni. Heng ruh pahnih inkarah hian car chhunga shock absorber ang maiin shock absorb thei jelly ang maia hmun a awm a. Hei hi intervertebral disk kan tih chu a ni.
Hun a kal zel a, kum a lo upat deuh deuh emaw, accident vang emaw hian he ‘disc’ hi a chhe thei a, a bulge chhuak thei a, a chhe thei bawk. Tichuan, he ‘disc’ bula kal spinal nerve te hi an compress tan ta a ni . Chutah chuan tuar theih loh hnungzang na, tingling, leh ke hnuai lam natna chu a lo thleng tan ta a ni.
TLIF surgery-ah chuan doctor-te chuan disc chhia chu an paih chhuak vek a, ruh graft hmangin an thlak leh thin . Tichuan, a chung leh a hnuai lam vertebrae pahnih chu an inzawm khawm a, ruh chak tak pakhat an siam ta a ni. Hei hi fusion an ti a. Concrete leih a, pillar pahnih dah khawm ang mai a ni.
TLIF surgery hi tute tan nge a tha?
He surgery hi hnungzang natna zawng zawng enkawlna a ni lo. Doctor-te chuan natna khirh tak tuar, damdawi, injection leh physiotherapy atanga hahdamna hmu thei lote tan a rawt tlangpui. He surgery hi a hnuaia natna nei tan chuan a hlawkpui hle thei a ni:
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Disk natna (degenerative disk) natna a ni | Kum upa lam emaw, chhan dang vang emaw chuan vertebrae inkar ‘disc’ chu a chhe vek a, a thim a, natna a thlen thin. |
| Spondylolisthesis a awm thin | Vertebra pakhat chu a dang nena khaikhin chuan hmalam emaw hnunglam emaw a slip. |
| Scoliosis natna (Scoliosis) a ni | Spine chu N-shape-in a sir khatah a inher a. |
| Herniated disks lo awm leh thin | Enkawlna pek ni mah se, disc chu a rawn chhuak nawn leh a, nerve chu a pressure a ni. |
| Spinal stenosis a awm thin | Nerve compression natna hi nerve canal a tawi vang a ni. |
He surgery hi i mamawh leh mamawh loh chu i doctor chauhvin a rel ang tih hre reng la, i symptom zawng zawng leh scan report zawng zawng a enfiah hnuah.
Surgery hma hian eng nge kan inbuatsaih ang?
Surgery hmain i doctor leh medical team te chuan uluk takin an sawipui ang che a, engkim an hrilhfiah ang che.
- Health check-up: Thisen test ang chi thil hi i hriselna tlangpui enfiah nan tih thin a ni.
- Damdawi chungchang: Tuna i damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah i hrilh tur a ni. Damdawi thenkhat, a bik takin anticoagulants leh nonsteroidal anti-inflammatory drugs (NSAIDs) , operation hma ni engemaw zat ei kha bansan turin an ti ang che.
- Meizial zu lo: Meizial zu mi i nih chuan i bânsan ngei ngei tur a ni. Nicotine hian bone graft thar chu a tidam tha lo thei a, hliam damna a tikhawtlai thei a, natna kai theihna a tipung thei bawk.
- In lama puitu tur che: Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. I haw hnuah, leh ni hnih emaw ni thum emaw chhung chu puitu tur i neih a pawimawh hle.
Surgery neih ni leh surgery neih chhung hian eng nge thleng?
Operation ni-ah chuan darkar 8-12 vel ei leh in loh turin an ti ang che. Anesthesiologist chuan anesthesia pek dan tur a hrilhfiah ang che.
Surgery neih chhung hian hmai hnuai lam i hawi ang. Tichuan, doctor chuan hengte hi a zawm ang:
1. Skin incision: Hnung lam vun, ruh sir lam deuh deuhah hian incision te tak te siam a ni.
2. Muscle removal: Spine thleng tur chuan muscle te chu uluk takin a sir lamah an inthen a.
3. Ruh hawn: Ruh te tak te pahnih ‘lamina’ an tih leh ‘facet joint’ an tih te chu nerve te tan hmun siam nan an la chhuak thin.
4. Nerve diversion: Nerve tihchhiat loh nan fimkhur takin diverted a ni.
5. Disk lakchhuah: Disk chhia chu paih vek a, a hmun chu a tifai vek.
6. Bone graft leh cage dahna: Disc lakchhuahna hmunah hian ruhro pahnih inkarah hian ruh graft khata khat ‘cage’ bik dah a ni. He bone graft hi nangmah atanga lak emaw, hmun dang atanga lak theih a ni.
7. Screw leh rod fixation: A chung leh a hnuai vertebrae pahnih ah hian screw set hnih dah a ni a, chu pahnih chu rod hmanga thlunzawm a ni. Hei hian ruh thar a lo thang lian thlengin vertebrae pahnih chu a hmunah a awm reng a ni.
8. Stitching the wound: A tawp berah chuan muscle te chu dah khawm lehin vun hliam chu stitching a ni.
He surgery hi darkar hnih atanga darkar thum vel a ni tlangpui .
Surgery hnuah eng nge thleng? Engtin nge ka dam leh ang?
Surgery zawhah observation unit-ah hruai i ni ang. I heart rate leh thawk dan chu i hriatna i neih leh hma loh chuan enfiah a ni ang. Natna damdawi pek i ni ang. Damdawi inah hian ni thum atanga ni li vel i awm tlangpui ang.
TLIF surgery hi hnungzang natna tihziaawmna atana hmanraw tangkai tak a ni. Mahse, a dam kim theih nan hun engemaw chen a ngai a ni. Dawhtheihna hi a pawimawh hle.
A dam kim theih nan thla engemaw zat atanga kum khat chhung a ngai thei. Hei hi ruh graft chu ruh dang pahnih nen a inzawm kim theih hun chhung a ni.
In lama haw huna fimkhur dan tur
I natna chu a bo tawh chuan i tih dan hluiah a rang thei ang bera kir leh i duh tawh ang. Amaherawhchu, i taksa tihdam nan hun pek a pawimawh.
| Hun | Thil pumpelh tur |
|---|---|
| Kar 2-4 hmasa ber |
|
| Kar 4-6 inkar vel a ni |
Doctor chuan nitin kea kal tawi turin a fuih che a ni. Hei hian damna kawngah nasa takin a pui dawn a ni. Physiotherapy pawh a pe dawn a ni.
Emergency thila doctor pan ngai
A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
- I khawsik 103 Fahrenheit (38.9 Celsius) aia sang i neih chuan .
- I khawsik a, i khur (chills) a nih chuan.
- Surgery hliam chu a sen, a hring, a nih loh leh khawih pawhin a na a nih chuan .
- Beisei aia nasa zawka natna a awm chuan.
Back surgery chungchangah hian tlem a hlauthawng leh lungkham deuh hi thil pangngai a ni. Mahse mi tam tak chuan he surgery chi hrang hrang hmang hian hnungzang natna hi an paih chhuak thei a, nun tha zawk an hmang thei a ni. Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
Take-Home Thuchah a ni
- TLIF hi hnungzang natna nasa tak, enkawlna dangin a tihziaawm loh enkawlna chi khat hlawhtling tak a ni.
- He surgery-ah hian disc chhia chu lakchhuah a ni a, ruh graft hmanga thlak a ni a, vertebrae pahnih fuse khawm a ni.
- Surgery hmaa meizuk loh leh doctor thupek zawm a pawimawh hle.
- A dam kim theih nan thla engemaw zat atanga kum khat vel a ngai thei a, chutih chhung chuan i dawhtheih a ngai a ni.
- I doctor chuan operation hnua bending, lifting, twisting ang chi thil tih loh tur a hrilh ang che.
- Vaukhânna chhinchhiahna, khawsik, hliam na tak, natna nasa tak i neih chuan doctor rawn nghal rawh.
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