I kutphah i ben emaw, i herh emaw hian tuar theih loh khawpin natna i nei em? Harsa takin click ri i hre mai thei em? He natna hian ni tin hna awlsam ber ber, i sam hrual te, no chawi te, a nih loh leh ziak te pawh i ti thei lo khawpa tibuaitu a lo ni ta em ni? Chutiang a nih chuan vawiin hian i tana pawimawh tak ni thei tur enkawlna kan sawi dawn a ni. Chu chu kutphah thlakna surgery a ni.
He kut thlakna hi eng nge ni? (Kut thlakna tur) .
A awlsam zawngin sawi ila, hei hi surgical procedure a ni. Hei hian i kut zungtang chhia, chhe tawh tak chu la chhuakin, artificial joint hmanga thlak a ngai a ni. He artificial joint hi `(prosthesis)` kan ti a. A tlangpuiin thir leh plastic chi bik `(polyethylene)` a siam a ni. Kut hrisel ang maia thawk thei tura siam a ni. Damdawi lamah chuan ruh thlak (joint replacement surgery) hi `(Arthroplasty)` an ti tlangpui.
Kan kutphah hi a takah chuan ruh te tak te tam tak atanga siam complex joint a ni. Kan kut leh kut hmawr (elbow atanga kut thleng) a thlunzawm a ni. Kan kut kan han vawrh a, kan ziak a, thil kan han chawi chuan kan kut chu a che a. Chuvangin he ruh hi nasa taka a chhiat emaw, a chhe tawh emaw chuan nitin hna thawh pawh hi natna nasa tak thlentu a lo ni ta a ni.
Wrist thlak leh joint fusion hi thil inang a ni em?
Ni e, hengte hi enkawlna chi hnih a ni. I doctor chuan i duhthlanna pahnih hi a hrilhfiah mai thei che a ni. An pahnih inthlauhna hi hriatthiam a pawimawh hle.
- Wrist Fusion / Arthrodesis: Hei hian ruh siamtu ruhte chu inzawm khawm a, a nghet taka inzawm tir a ni. Hemi hnu hian a ruh chu a sawn thei tawh lo . Mahse, a natna chu a bo vek tawh mai. Thil rit phurh emaw, hammer ang chi hmanrua hman emaw pawh daltu a awm lo. Hei hi a natna lak bo a, hna chak tak thawk duh tan chuan solution tha tak a ni.
- Wrist Replacement / Arthroplasty: Hei hi kan sawi tum chu a ni. Hetah hian artificial joint dah a nih avangin operation hnuah pawh i kutphah chu i la che thei tho ang . Hei hian i kut chu eng emaw chen chu i ben thei ang a, i herh thei dawn tihna a ni. Mahse, rit phurh leh hna hahthlak tak tak thawh chungchangah khapna a awm dawn a ni.
He table hian an pahnih inthlauhna chu i tan a chiang zawk ang.
| Mihring ziarang | Wrist thlak danglam a ni | Kut fusion a ni |
|---|---|---|
| Operation hnua chetna | A ruh chu a che thei a ni. | Joint chet theihna a bo (permanent). |
| Natna tihziaawmna | A natna chu a reh tha hle. | A natna chu a reh tha hle a, a awm reng bawk. |
| Heavy lifting/ hnathawh hahthlak tak tak | Limited a ni. Kg 2-5 aia rit chawi hi a tha lo. | Khapna a awm lo. Strength work leh heavy lifting i ti thei bawk. |
Engvangin nge he surgery hi i mamawh?
Wrist replacement surgery hi a tawp ber a ni tlangpui . Doctor-te chuan enkawlna dang zawng zawngin a natna a thunun theih loh chuan chauh an hmang thin. A hnuaia tarlan te hi non-surgical treatment te chu enchhin hmasak ber a ni:
- I thiltih te chu siam danglam rawh (natna tipung thei thil tih loh tur).
- Natna tidamtu (anti-inflammatory, acetaminophen) te hi a tha hle.
- Wrist splints leh ointment te pawh a awm bawk.
- Taksa lam enkawlna.
- Steroid injection te pawh a awm bawk.
Chûng thilte zînga pakhat mah a hlawhtling lo a nih chuan operation tih i ngaihtuah a ngai mai thei. Hetianga surgery neih chhan ber chu a hnuaia mite hi a ni.
- Arthritis: A bik takin ruh natna leh ruh natna.
- Hliam: Hliam na tak avanga ruh chhiatna, kut ruh tliak ang chi.
- Wrist fusion surgery hlawhchham: A hmaa wrist fusion surgery a hlawhchham chuan.
- Osteonecrosis: Ruh ruh a thisen kalna a tibuai a, ruh tissue a thih phah thin.
A awlsam zawngin, he surgery hian a tum ber chu i kutphah natna, hring leh ‘cracking’ ri tihbo a ni a, chu chuan i kut chu na lovin i hmang thei ang.
Surgery neih hmain eng nge thleng?
Hetiang surgery chi hi i rawt hmain i orthopaedic surgeon chuan thil engemaw zat uluk takin a enfiah ang.
- I hriselna zawng zawng leh damdawi lam dinhmun dangte an zawt ang.
- Engtikah nge kutphah natna hi a lo intan tih leh i nun a nghawng dan te an zawt thin.
- Kut chakna leh range of motion te hi an test thin.
- X-ray hmangin ruhte dinhmun enfiah a ni.
- Thisen test ang chi thil an ti a, operation atan an buatsaih thei ang em tih an enfiah thin.
- Enkawlna dang pawh kan lo enchhin tawh tih leh surgery dang pawh i sawipui tawh tih kan enfiah ang.
Surgery neih chhung hian eng nge thleng?
He surgery hi damdawi inah tih a ni tlangpui. Darkar hnih pawh a tling lo. Surgery neih chhunga thil thlengte chu hetiang hi a ni:
1. Anesthesia: Anesthesia hi IV (intravenous) hmangin i kut chhungah pek a ni a, chu chuan i muhil vek thei a ni. Tin, operation hnua natna tihziaawmna turin upper extremity block pek a ni fo bawk.
2. Incision: Kut chung lamah cut (incision) te tak te siam a ni.
3. Joint removal: Joint chhia, cartilage chhe tawh, leh ruh chi hrang hrang te chu paih chhuah a ni.
4. Artificial joint dah: Artificial joint thar (prosthesis) chu ruh natnaah pin, screw emaw, cement chi khat (bone cement) emaw hmangin an bun a ni.
5. Inspection: Joint thar chu a hmunah a awm em tih leh a kal tha em tih enfiah thin ang che.
6. Suturing: A chhehvel tissue, nerve leh tendon te chu a lo awm leh a, a incision chu khar a, suture a ni.
7. Bandage leh splint: A tawp berah chuan a hliam chu bandage fai takin an tuam a, kut che thei lo turin splint an hnawih thin.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin hlawkna a awm bakah hlauhawmna tlemte chauh a awm bawk. I doctor chuan hengte hi chipchiar takin a hrilhfiah ang che.
| Hlawkpuina | Harsatna awm thei te |
|---|---|
|
|
I hriselna atana in lama thil tih tur
Operation hnua rang leh him taka i dam theih nan thil engemaw zat i tih theih a ni. Heng step te hi zawm hian i joint thar chu rei zawk daih turin a pui bawk ang.
- Mi tanpui tur: Operation hnu ni hmasa berah nitin hna thawk tur mi neih a awlsam zawk. Hemi hun chhung hian thawmhnaw kawrfual lian tak tak leh paper plate ang chi te hi a \angkai thei hle.
- Thil rit chawi suh: Doctor-in a rawt aia tam chawi suh. Hei hi a tlangpuiin kg 2-5 vel a ni. Hammer ang chi engmah hmang lo la, i kut chu a lutuka ben loh tur a ni.
- Tlu lakah inveng rawh: Tlu hian i kutphah a tichhe thei. In lama thil hnim hring leh i tlu thei thilte chu paih chhuakin fimkhur rawh. Hetih hun chhung hian tlak hlauhawmna sang tak nei infiamna atang hian inthiarfihlim rawh.
- Exercise: I doctor leh physical therapist-in an pek ang chiah khan exercise te hi ti rawh. A tir lamah chuan natna engemaw zat a awm thei a, mahse zawi zawiin a tlahniam ang a, i kut chu a chak lehzual ang.
A tlangpuiin hetiang artificial joint hi kum 10-15 vel hman theih a ni.
Doctor hmuh hun tur
Surgery hnua harsatna eng emaw a lo awm a nih chuan rang taka hriatchhuah a, enkawlna zawn a pawimawh hle.
Operation hnu ni engemaw zat hnuah heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh:
Hengte hi hri kai chhinchhiahna a ni thei.
- Khawsik emaw, khawsik emaw i neih chuan.
- Incision chhehvelah a sen leh a hring a awm chuan.
- Cut chu oozing pus emaw, rimchhia emaw a nih chuan.
- A natna chu a tlahniam ai chuan a zual zel a nih chuan.
Hun engemaw chen hnuah a hnuaia mi hi i tawn chuan doctor pan rawh:
Hengte hi joint failure chhinchhiahna a ni thei.
- Natna lo awm lehna.
- A ruh (joint) a nghet emaw, a hring emaw.
- Joint chu a lo hrual a, a thunun theih loh nia a hriat chuan `(Instability)` an ti a.
- Kut chakna emaw hnathawh tlem emaw.
Hliam emaw, ruh natna emaw avanga i kutphah natna chhunzawm zel i neih chuan i doctor chuan i kutphah thlak dan tur surgery neih a rawt thei ang. Hei hian i natna a tiziaawm thei a, nitin hna pawh awlsam zawkin i thawk thei bawk.
Take-Home Thuchah a ni
- Kut thlak (wrist replacement surgery) hi natna khirh tak nei, enkawlna dang la dawng lote surgery tih a ni.
- He surgery hnu hian a na a reh a, kutphah chet theihna a lo awm leh ta a ni.
- Fusion leh replacement hi duhthlan tur pahnih a ni. I doctor nen inbia la, i tan eng nge tha ber tih rel rawh.
- Operation hnua dam thuai tur chuan i doctor thupek dik takin zawm la, a bik takin weight-lifting khapna leh exercise chungchangah.
- Infection chhinchhiahna i neih chuan khawsik, hliam na tak, tuar theih loh khawpa natna i neih chuan damdawi lam thurawn zawng nghal rawh.











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