Wrist Arthroplasty: Hei hi natna laka inhmuhna tur solution tha ber a ni em?

Hun rei tak chhung chu kutphah na i nei tawh em? I kut i che thei lo, thil i chawi thei lo, nitin hna i thawk thei lo khawpa natna chu a na em? I sam hrual te, no chawi te, lehkha ziah te ang chi hna awlsam tak tak pawh i ti thei lo mai thei. Damdawi ei leh enkawlna hrang hrang nei chung pawha natna a reh lo a nih chuan i doctor chuan "wrist replacement surgery" chungchang a hrilh che a ni mai thei. He hming hriat hi a hlauhawm deuh thei. Mahse vawiinah hian engkim hi awlsam leh chiang takin sawi ila.

Hei hian eng nge a awmzia, wrist joint thlak danglam?

A awlsam zawngin, wrist joint replacement surgery, emaw medical terms , wrist arthroplasty , chu i wrist joint chhia, chhe tawh chu surgery hmanga lakchhuah a, artificial joint hmanga thlak a ni.

Kawngkhar hinge hlui, chhe tawh chu la chhuakin a thara thlak ang maiin han ngaihtuah teh. He artificial joint hi prosthesis kan ti a . A tlangpuiin thir leh plastic chi bik (polyethylene) atanga siam a ni. Wrist joint hrisel tak ang chiaha thawk thei tura siam a ni.

Kan kutphah hi ruh pakhat chauh a ni lo. Ruh te tak te tam tak atanga siam joint complex tak a ni. Hei hi kan kut leh kut hmawr (elbow atanga kut thlenga part) inzawmna hmun a ni. I kut i vawn a, i sam i sil a, computer-ah i type a, lei atanga thil i la a, heng zawng zawngah hian wrist joint hi a pawimawh ber a ni. Chuvangin he ruh hi nasa taka a chhiat emaw, a jam emaw chuan heng nitin hnathawh te pawh hian natna nasa tak a thlen thin.

Joint replacement leh joint fusion hi eng nge a danglamna?

I doctor chuan wrist fusion surgery, arthrodesis tia hriat bawk chungchang pawh a hrilh che a ni mai thei. An pahnih inkarah hian danglamna lian tak a awm. Hemi chungchangah hian chiang taka i hriat a pawimawh.

He inthlauhna hi a hnuaia table atang hian i hrethiam zawk ang u.

Engvangin nge hetiang surgery hi i neih a ngai?

He surgery hi kutphah natna tan chuan duhthlanna hmasa ber a ni lo. Damdawi dang zawng zawngin a natna a thunun theih loh hnuah doctor-te chuan a tawp ber atan an rawt a ni. A tlangpuiin, an thil tum hmasa ber chu:

• I hnathawh tur thlak danglam (i kut chawlh hahdamna pek).
• Natna tidamtu, entirnan anti-inflammatory.
• Kutphah atan splint (support) vuah.
• Physiotherapy hmanga enkawlna.
• Steroid injection pek a ni.

Chung zinga pakhat mah a thawk lo a nih chuan surgery tih ngaihtuah a ni. Kut na hi a chhan lian ber ber engemaw zat a awm a:

• Hliam: Kut ruh tliak (bone fracture) ang chi thil.
• Arthritis natna: 1.1.
• Osteoarthritis: Ruhkawr chhe lutuk avanga natna lo awm. Hei hi kum upat chhoh zel chuan a hluar zual zel a ni.
• Rheumatoid Arthritis: Taksa taksa hriselna lama harsatna a awm avanga ruhkawr a ti na a, a ti na a, natna a ni.
• Osteonecrosis: Ruh chhunga thisen kal tlem avanga ruh tissue thihna.

He surgery hi tuar theih loh natna, ruh nghet lo, leh i kut i tihchet laiin "cracking" sound ang chi thilte chinfelna tha tak a ni thei.

Surgery neih hmain eng nge thleng?

Hei hi ruh leh ruhkawr specialist-in a tih ngei tur a ni a, a bik takin kut surgery lama tawnhriat nei chuan a ti ngei ang. Surgery a rawt hmain i doctor chuan:

• I hriselna tlangpui leh natna dang eng pawh an zawt ang.
• Eng chen nge i kutphah natna i neih tawh tih leh i nun a nghawng dan zawt rawh.
• I kutphah chu enfiah a ni ang a, a chakna leh a range of motion te enfiah a ni ang.
• Ruh dinhmun enfiah nan X-ray examination neih a ngai ngei ang.
• Test dang, thisen test ang chi te pawh hi surgery atan i tling em tih hriat nan tih theih a ni.
• Enkawlna dang zawng zawng chu an lo enchhin tawh tih leh surgery dang an sawiho tawh tih an enfiah ang.

Engtin nge surgery hi tih a nih?

He surgery hi damdawi inah tih a ni tlangpui. Darkar hnih pawh a tling lo. Surgery neih chhung hian a hnuaia step te hi zawm tur a ni:

1. I mut theih nan general anesthetic pek i ni ang. Chu bakah, i kut atan chauh anesthetic injection (upper extremity block) hran pek i ni thei bawk a, chu chuan operation hnua natna tihziaawmna atan a pui thei bawk.

2. Kut chungah hian incision te tak te siam a ni.

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4. A hmaa siam artificial joint (prosthesis) chu ruh chhungah nail te te, screw emaw, cement chi bik (bone cement) emaw hmangin ruh chhungah dahin an nghet tlat thin.

5. Artificial joint chu a awmna tur dik takah a awm a, a nghet tawk em tih enfiah rawh.

6. Joint a kal tha em tih enfiah thin ang che.

7. A chhehvel tissue, nerve leh tendon te chu hmun dangah an dah leh thin.

8. A tawp berah chuan incision chu stitches hmanga khar a ni a, antiseptic bandage leh splint hmanga khuh a ni.

A dam leh theih nan eng chen nge hun a duh? Engtin nge in lamah ka in enkawl ang?

A tlangpuiin a dam kim theih nan kar 6 atanga kar 12 vel a ngai thin. Initial cast i lakchhuah hnuah chuan hun engemaw chen chu splint i bun a ngai dawn a ni.

A tir lamah exercise i tih hian a na deuh thei a, mahse hun kal zelah a na chu a tlahniam ang a, i kut hnathawh pawh a \ha zawk ang. I doctor chuan physical therapist hnenah pawh a refer thei che a ni.

In lamah heng thilte hi a bik takin enkawl rawh:

• Mi tanpui tur: Operation hnu ni hmasa berah nitin hna thawk tur mi neih hi a awlsam zawk hle.
• Thil rit phurh loh tur: Hei hi a pawimawh hle. I doctor-in a rawt aia tam chawi suh (a tlangpuiin kg 2-3), hei hian artificial joint a tichhe thei a ni. Hei hi dik taka i zawm chuan i artificial joint hi rei tak i hmang thei ang.
• Tlu lakah inveng rawh: I in chhunga i tlu leh tlu theihna hmun (bathroom, stairs) te chu fimkhur rawh. Hun engemaw chen chu tlu thei tur infiamna lakah hlat rawh.
• I kut a tiharh thei hnathawh: I kut a tihbuai thei hna, hammer hman ang chi hna chu pumpelh rawh.

Artificial joint hi eng chen nge a daih? Engtikah nge Doctor ka hmuh ang?

Enkawl ṭhat a nih chuan, he artificial joint hi kum 10 aṭanga kum 15 vêl a daih tlangpui .

Surgery zawhah a hnuaia symptoms te hi i neih chuan doctor pan nghal rawh. Hengte hi hri kai chhinchhiahna a ni thei:

• Khawsik emaw, khawsik emaw.
• Hliam vel a sen emaw, a hring emaw.
• Pus emaw, a cut atanga tui rimchhia lo chhuak emaw.
• Natna awm reng emaw, na zual zel emaw.

Hun a kal zel a, prosthesis a chhe deuh emaw, harsatna dang a lo awm emaw chuan heng symptoms te hi a lo awm thei a ni. Chutiang a nih chuan i doctor hnenah hetiang hian hrilh rawh:

• Joint hnathawh emaw chakna emaw tlahniam.
• Natna, a khauh emaw, a hring emaw a lo lang leh thin.
• Joint chu a nghet lo ang maia hriat ("jumping" ang maia awm).