Car accident lian tak i tawk tawh em, emaw, hmun sang tak atanga i tlu tawh em, i hip-ah tuar theih loh khawpin natna i nei tawh em? A chang chuan a na hi a na lutuk a, i ke pawh i che thei lo. Mi tam tak chuan, "Aw, ka hip a chhe tawh," tiin an ngaihtuah thin. Mahse a chang chuan hei hi hip fracture awlsam tak aiin a buaithlak deuh thei a, ngaihven tam ngai fracture a ni thei bawk. Chu chu tunlaia kan sawi tur dinhmun khirh tak zinga pakhat, Acetabular Fracture hi a ni.
A awlsam zawngin Acetabular Fracture tih hi eng nge ni?
Hei hi hrethiam tur chuan kan hip bone siam dan hi han thlir hmasa ila. Kan hip hi ball-and-socket joint angin han ngaihtuah teh. Hei hi "ball-and-socket" joint an ti a.
- Ball: Hei hi kan thigh bone chunglam spherical part a ni. Damdawi lam hawi chuan hei hi ``Femoral head`` kan ti a.
- Socket: He ball hi kan pelvis-a cup ang maia awm, acetabulum .
He ruh mak tak mai hian chetna chi hrang hrang, kea kal, tlan, ben, leh ke hrual te ti turin min pui a ni. Chuvangin, Acetabular Fracture chu hip chhunga socket (Acetabulum) tihchhiatna a ni. Hei hi hip ruh chunglam ruh tliak aiin a na lo zawk tlangpui a, mahse a lo thlen chuan a na hle thei.
Heng break te hi eng pattern leh chi hrang hrang nge awm?
Acetabulum hi kawng hrang hrangin, hmun hrang hrangah a chhe thei a ni. Doctor-te chuan heng ruh tliak te hi an awmna hmun leh ruh tliak dan a zirin an thliar hrang thin. A chi hrang hrang hi han thlir ila.
| Fracture chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Anterior wall tihchhiat a ni | Hip socket hmalam wall emaw rim emaw a tliak. |
| Posterior wall a tliak | Hip socket hnunglam atanga wall emaw rim emaw a rupture. |
| Transverse fracture a awm | Acetabulum hi a dinglam hawiin a chhe a, degree 90 chiah a ni. |
| Comminuted a hliam (fracture) a awm | Hei hi a na deuh hlek a ni. A ruh chu chi hnih aia tam a inthen a. |
| Stress avanga natna (stress fracture) a awm | Hun rei tak, pressure chhunzawm zel (e.g., infiammi-ah) avanga ruh-a crack te tak te, nalh tak tak a awm. |
Engtin nge inthenna nasatzia chu i hriat theih ang?
A châng chuan he ruh hi a chhe vek a, a châng chuan a chhe vek bawk. I doctor chuan i ruh tliak nasat dan tur hriat nan thil engemaw zat a ngaihtuah ang.
- Ruh tliak tliak zat leh lian leh te: Ruh tliak tam poh leh thil awmdan chu a pawi zawk.
- Ruh chi hrang hrangte chu an awmna hmun aṭanga engzat nge an inher: Ruh hnah tam tak chu a inthlak a nih chuan operation neih a ngai mai thei.
- Joint chhunga cartilage chhiatna: Joint hnathawh thatna tura puitu cartilage a chhiat chuan nakin lawkah arthritis ang chi dinhmun a awm thei.
- Hip chhehvela taksa ruh, nerve leh vun tihchhiat.
Thil pakhat hriat reng tur chu open emaw compound fracture emaw a ni . Chumi awmzia chu ruh tliak pakhat hian vun a tikehsawm a, a rawn chhuak tihna a ni. Hei hi dinhmun pawi tak a ni. A chhan chu hliam kaltlangin ruh chhungah natna hrik a lut a, natna khirh tak a thlen theihna chance a sang hle.
Engvangin nge chutiang taka inthen chu a awm?
Kan pelvic girdle ruh te, acetabulum te pawh hi a takah chuan a chak hle. Chuvangin anmahni tihchhiat nan chuan chakna chak tak a ngai a ni. Hetiang natna thlentu tam ber chu:
- Accident na tak: Motor leh motor accident ang chi thil.
- Hmun sang tak atanga tla: Hmun sang tak atanga tla, thing emaw, in emaw atanga tla.
Mahse accident lian tak a nih a ngai reng reng lo. Heng ruh tliak te hi ruh chak lo nei te tan pawh a thleng thei a , a bik takin ruh natna nei te tan pawh a thleng thei a, chu natna chuan kan tar chhoh zel chuan ruh a ti hring thin.Hetiang natna vei tar pakhat chuan in lama tlu leh tlu pawh ni se, hetiang hian ruh tliak na tak a tuar thei a ni.
Hei hi eng symptoms nge ni?
Acetabular fracture chhinchhiahna ber leh langsar ber chu tuar theih loh, hip area-a natna nasa tak hi a ni. He natna hi ke sawn tum chuan a zual sauh sauh a ni.
Tin, ruh tliak hian a bul hnaia nerve a tichhe a nih chuan, hetiang ang chi hi i nei thei bawk:
- Numbness emaw, ke hnuai lam electric shock emaw hriatna.
- Ke ruh natna emaw chak lohna emaw.
Heng symptoms te hi i neih chuan damdawi in Emergency Treatment Unit (ETU) ah i kal nghal tur a ni.
Engtin nge doctor hian hei hi a hriat chian?
I enkawltu doctor chuan i pelvis, i hip leh i ke te uluk takin a enfiah hmasa ang. Pawh,
- Nerve chhiat leh chhiat loh enfiah turin i ke ruh leh ke ruhte chu tihchet tir i ni ang.
- Accident awm dan azirin , hliam dang pawh enfiah thin a ni.
Tichuan, a ruh tliak dan dik tak finfiah nan leh a nasat dan hriatthiam nan hetiang test hi an ti thin:
- X-ray: Hei hian hip chhunga ruh engte nge a chhe tih leh a piece te chu engtin nge a awm tih a hriat theih.
- CT scan: Hei hian hip cross-sectional image a la thei. Hei hi a ruh tliak nasat dan leh a complex pattern hriatthiam nan a pawimawh hle.
Engtin nge enkawl a nih? Surgery neih a ngai em?
Enkawl dan tur chu i breakouts pattern leh nasat danah a innghat a ni.
Surgery neih ngai loh case te
A châng chuan ruh tliak chu a na lutuk lo tihna a ni a, chu chu ruh tliakte chu an awmna hmun aṭanga hla lutuk lo tihna a nih chuan (a stable fracture) doctor chuan a ruh tliak chu operation nei lovin enkawl a tum thei a ni. Chutiang hunah chuan a hnuaia mite hi rawt theih a ni:
- Crutches emaw walker emaw : I ke ruh a dam vek hma chuan i ke dah phal a ni lovang a, chu chu kar 12 vel a ni.
- Leg immobilization devices: Hip chu a inthlak danglam loh nan abduction pillow emaw knee immobilizer emaw hmang la.
- Painkillers: Natna thunun nan damdawi pek i ni ang.
- Anti-coagulants: I kal theih loh avangin hmun khatah i awm thei lo a, chuvang chuan i ke thisen zam (veins)-ah thisen zam a awm theihna a awm. Heng damdawi te hi hei hi ven nan pek thin a ni.
Surgery neih ngai case te
Dik tak chuan acetabular fracture tam zawk hi chu surgery hmanga siamthat a ngai a ni.
Fracture awm dan azirin surgeon chuan heng zinga pakhat hi a thlang ang:
1. Open Reduction and Internal Fixation (ORIF): A awlsam zawngin sawi ila, hei hian ruh tliak te chu surgery hmanga an awmna hmuna sawn leh a, chutah chuan plate leh screw hmanga vawn khawm a ngai a ni. Chungte chu ruhte a dam kim hma loh chuan taksa chhungah an awm reng a ni.
2. Total Hip Replacement: Acetabulum hi a chak lo lutuk emaw, a chhe lutuk emaw a siamthat theih loh chuan i surgeon chuan he surgery hi a rawt thei ang. Hei hian hip joint leh cartilage zawng zawng lakchhuah a, artificial joint hmanga thlak a huam a ni .
He rupture atang hian eng harsatna nge lo awm thei?
Hei hi hliam na tak a nih avangin harsatna engemaw zat a awm theihna a awm. Hengte hi fimkhur a pawimawh hle.
| Complication awm thei | Hrilhfiahna awlsam tak |
|---|---|
| Posttraumatic arthritis natna a ni | Fracture hian joint chhunga cartilage a tichhia a ni. Hei hian hun kal zelah arthritis a thlen thei a ni. |
| Ruh chhunga thisen kalna hloh (Avascular necrosis) . | Fracture hian ruh a thisen petu thisen kalna kawng a tichhe thei a ni. Thisen supply a bo chuan ruh cell te chu an thi a, ruh chu a tlakbuak tan thin. |
| Kaichhawng | Infection hi surgery hliam chung lamah emaw, a chhung thuk takah emaw a awm thei. Infection thuk zawkah chuan hliam tihfai nan operation a ngai thei. |
| Thisen a chhuak thin | Operation hnua hmun khata awm hian kea thisen kal a ti tlem a, thisen zam a awm theihna a awm bawk. |
| Sciatic nerve hliam a awm | He nerve hi hip joint hnung lamah a kal avangin a ruh tliak emaw, surgery emaw vangin a chhe thei a ni. Hei hian "foot drop" (kal laiin ke ruh leh ke ruhte chawi sang thei lo) tih natna a thlen thei a ni. |
| Ruh than dan pangngai lo (Heterotopic ossification) . | Ruh thar lo piang chhuak soft tissue, hip vel muscle te ang chi. |
Damna kalphung leh dam lehna
Operation hnuah natna hi a pangngai reng a ni. Doctor chuan painkiller tul tak tak a pe ang che.
I kal leh hunah chuan crutches emaw walker emaw i mamawh ngei ang. Kar 6-8 vel hnuah i keah rit engemaw zat i phur thei tawh ang. Mahse, kea kal kim tur chuan thla engemaw zat a la ngai dawn a ni.
Physical therapy hi he zinkawngah hian a pawimawh hle a ni. Exercise hi hip-a mobility neih leh theih nan leh taksa ruh tichak turin a ngai a ni. Hun a kal zel a, i doctor chuan exercise low-impact, swimming emaw stationary cycling emaw lama kal turin a fuih ang che. Mahse, thil hahthlak tak tak, hahthlak tak tak i tih hmain thla 6 atanga thla 12 vel i nghah a ngai ang.
Meizial zu mi i nih chuan ruh damna chu a slow zawk hle tih hre reng ang che. Tin, harsatna a thlen theihna pawh a sang zawk bawk. Chuvangin, he hun chhung hian meizuk loh vek hi i hriselna atan a pawimawh hle.
I dam lehna famkim chu thil tam takah a innghat a, chung zingah chuan i ruh tliak nasat dan te, i kum leh i hriselna zawng zawng te pawh a tel a ni. Mi thenkhat chu an hnathawh tawhna level-ah an kir leh thei a, thenkhat erawh chuan an hnathawh tawhna level-ah an kir leh thei tawh lo mai thei. Chuvang chuan dawhthei taka awm a, doctor thupek zawm a pawimawh.
Take-Home Thuchah a ni
- Acetabular fracture chu hip ball vawn tu socket a break a ni. Hei hi thil pawi tak a ni a, accident na tak avanga lo awm tlangpui a ni.
- A lan chhuah dan ber chu hip area-a natna tuar theih loh a ni.
- Hetiang hliam hi a lo awm a nih chuan damdawi in pakhata Emergency Treatment Unit (ETU)-ah tihkhawtlai lohvin i pan nghal tur a ni.
- Heng ruh tliak te siamthat nan hian operation neih a ngai fo thin a, a damna tur hian thla engemaw zat a ngai thin.
- Recovery period-ah hian Physical therapy hi a pawimawh hle.
- I doctor leh physical therapist-in thupek an pek ang chiah kha zawm fo ang che. Dawhtheihna leh inenkawlna nen chuan nun tha tak i hmang leh thei ang.











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