Inkhelhna hmuna i tlan kual lai emaw, inchhung hna i thawh lai emawa i kut i tlu palh emaw, i kut i tihbuai emaw khan natna rang tak, na tak i nei tawh em? A chang chuan a hliam mai mai niin kan ngai a, mahse thil pawi zawk a ni thei. Vawiin hian hetiang huna awm thei fracture chi khat bik kan sawi dawn a ni.
Avulsion Fracture hi eng nge ni tak tak?
A awlsam zawngin hei pawh hi fracture a ni. Mahse heihi erawh a danglam deuh. I ruh leh ruhte chu hrui nghet tak hmanga inzawm tlat niin han ngaihtuah teh. Damdawi lamah chuan heng rope te hi tendon leh ligaments kan ti thin. Tendon hian ruh pakhat chu ruh nen a thlunzawm a, ligament chuan ruh pakhat chu ruh dang nen a thlunzawm a, chu chuan ruhte chu a tichak reng a ni.
Tûnah, kawng i thlak nghâl a, i zuang a, i tlan chak a nih chuan eng nge thleng? I taksa ruh chu kawng khatah a tlan chhuak a. Tichuan a ruh inzawm chu a lehlamah a kal ta a ni. He pull hi a chak lutuk chuan tendon (or ligament) chu a inzawmna hmun ruh atang hian a chhuak thei a ni. Chu chu ``Avulsion Fracture '' kan tih chu a ni.Chutiang chu thil bang-a innghah chu lak chhuah tum chuan plaster te tak te a rawn chhuak a, chu chu a rawn chhuak ta a ni.
Khawiah nge heng break chi hrang hrang hi a awm tam ber?
He hliam hi ruh eng pawhah thleng thei mah se, hetiang hmunah hian hmuh tur a tam ber a ni:
- Kiu
- Ankle leh ke ruh te
- Khup
- Kut zungtang leh kutphah te
- Hips leh pelvis te pawh a awm
- Spine a ni
Hei hi dinhmun pawi tak a ni em? ETU ah ka kal a ngai em?
I ngaihtuah mai thei, "Aw, he hliam te tak te avang hian damdawi inah ka tlan a ngai em?" Mahse thudik tak chu, eng fracture pawh hi natna khirh tak angin kan enkawl a ni. A chhan chu enkawl tha a nih loh chuan a inmil lo thei a, a hnuah harsatna lian zawk a thlen thei a, ruh inzawmna pawh a tikhawtlai thei bawk.
Chuvangin ruh tliak i nei tih rinhlelhna tlemte pawh i neih chuan a tha ber chu damdawi in hnai ber Emergency Department (ETU) ah kal nghal mai tur a ni. Chumi hnuah doctor-te chuan uluk takin an enfiah ang che a, a tul angin enkawlna an pe ang che.
He dinhmun hian tute nge a nghawng ber?
Heng hliamte hi infiammi zingah a tam ber. Footballer, cricketer, netball player, ballet dancer, leh gymnast-te chu an kalna tur inthlak danglam nghal, zuang leh tlan chak lutuk vangin an hlauhawm zual hle.
Mahse hei hi infiammi chunga thil thleng mai a ni lo. Mi pangngai pawhin hetiang accident hi a tawk thei a, chu chu step pakhata tlu emaw, tlu laiin leia kut a tlak emaw ang chi hi a ni.
Avulsion fracture awm chhan hi engte nge ni?
Hei hi infiamna avanga lo awm a ni fo thin a, a bik takin infiamnaah hian taksa chetna inthlak danglam nghal a, taksaah pressure nasa tak a awm thin.
- Kawng inthlak danglam nghal: Football leh basketball ang chi infiamnaah te.
- Sprinting : Infiamna lamah.
- Kicking: Karate, Football te a ni.
- Hmun sang taka zuang: netball, volleyball.
- Tlu laiin kut phar chungin leiah vuak.
- Speed tihpun emaw tlahniam nghal emaw.
- Baseball ang game-a leia tlan chhuak.
Hei hi eng symptoms nge ni?
Accident-a natna nasa tak lo thleng bakah hian i hriat theih tur chhinchhiahna dang engemaw zat a awm bawk. Nang leh i doctor tan hengte hi chiang taka hriat a pawimawh.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Sudden, na tak tak a na | Accident thlen lai hian natna nasa tak a nei. |
| A hring leh a hliam | Hliam na hmun chu a hring a, blue/purple a lo ni ta a ni. |
| ‘Popping’ emaw ‘popping’ emaw ri hriat | Mi thenkhat chuan ruh hring a chhuah chuan popping sound an hre mai thei. |
| Hmasawnna harsa tak | A natna ruh emaw, kut/ke emaw chu ben emaw, tihzauh emaw theih lohna. |
| Thil rit phur thei lo | Accident hi ke pakhatah a awm a nih chuan, weight bearing emaw, limping emaw nena kal theih lohna. |
Engtin nge doctor hian hei hi a hriat chian?
ETU i kal hunah doctor chuan thil thleng chungchang chipchiar takin a zawt hmasa ang che.
Doctor hnena details i pek te hi a pawimawh hle. Chuvangin, engkim chiang takin sawifiah vek tur a ni, chu chu thil thleng dan te, i natna te, i hriat thawm te, etc. Damdawi dang i ei a nih chuan a chanchin pawh hrilh bawk ang che.
Tichuan, doctor chuan hliam na hmun chu a enfiah ang. A hring, a na, leh i kut/ke i tiharh theih leh theih loh a enfiah ang.
A dawtah chuan test eng emaw zat neih a ni a, ruh tliak a awm leh awm loh finfiah a ni.
- X-ray: A tam zawkah chuan he ruh tliak hi X-ray-ah chiang takin a lang thei.
- CT scan: X-ray a chiang lo a nih chuan, a nih loh leh a chhehvela soft tissue a chhiatna hmuh a ngai a nih chuan CT scan tih theih a ni.
Engtin nge enkawl a nih?
Enkawl dan chu ruh tliakna hmun, ruh tliak lian leh te, leh ruhpui ber atanga a hlat danah a innghat a ni. Hei hi a tlangpuiin enkawlna tih tur a ni.
- Chawlh hahdam: Hliam tuar lai chawlh hahdam a pawimawh.
- Icing: Ni khatah minute 15-20 vel vawi tam tak ice hnawih hi a hring leh natna tihziaawmna tha tak a ni.
- Immobilization: Plaster of Paris (POP) emaw splint emaw hmangin ruh tliak chu a che thei lo.
- Damdawi: Doctor chuan natna leh hliam control nan painkiller a pe ang.
- Physical Therapy: Ruh a dam tawh chuan ruh incheina leh thau chakna neih leh theih nan physical therapy exercise hi a pawimawh hle.
Surgery neih a ngai em?
Avulsion fracture tam zawk hi chu operation a ngai lo. Chawlh hahdam leh cast hmangin an tidam thin.
Mahse, ruh tliak chu ruh lian ber atanga centimetre 2 aia hla a nih chuan , emaw, ruh chu a nghet lo a nih chuan operation neih a ngai mai thei. Surgeon chuan vun chu a tikehsawm ang a, ruh chi hrang hrangte chu a dah leh ang a, pin, screw, a nih loh leh plate hmangin a hmunah a siam ṭha ang. He surgery hi anesthesia hmanga tih a nih avangin natna engmah i nei lovang.
A dam leh theih nan eng chen nge hun a duh? Engtin nge ka dinhmun pangngaiah ka awm leh theih ang?
Ruh tliak chu a dam kim theih nan kar 3 atanga kar 12 vel a ngai tlangpui. He hun hi i kum, i hriselna leh i hliam nasat dan azirin a danglam thei.
Kar engemaw zat chhung chu cast i bun a ngai dawn a, crutch i hman a ngai mai thei bawk.
A pawimawh ber chu i doctor-in a tih hma loh chuan a natna kut/ke chungah rit phurh loh vek tur a ni. Inkhelh, tlan, emaw, zuang emaw lama i tlan let leh chuan, chu hmun chu i hliam leh thei a, dam lehna pawh i tikhawtlai lehzual thei bawk.
I dam hnuah chuan orthopaedist i hmuh a ngai dawn a ni. I hmasawnna chu a enfiah ang a, a tul chuan X-ray dang a la ang a, engtikah nge thil tih pangngai leh infiamna pangngai i thawh leh theih ang tih a fuih ang che.
Take-Home Thuchah a ni
- Avulsion fracture chu ruh te tak te te chu tendon emaw ligament emaw in a tihchhiat a ni.
- Hei hi player-te zingah a awm fo nachungin, tu chungah pawh thleng thei hlauhawm tak a ni.
- Sudden sharp pain, swelling, leh ‘cracking’ sound te hi a lan chhuahna ber a ni.
- Ruh tliak i rinhlelh chuan emergency angin en la, damdawi in Emergency Department (ETU)-ah kal nghal rawh.
- I doctor thupek ang chiah kha zawm rawh. Infiamna emaw, weightlifting emaw lama tlan let leh chu pumpelh rawh.
- Chutiang accident thlen theihna chu infiamna emaw, exercise lak emaw hmaa taksa lum leh tihzauh ṭhat hian tihziaawm theih a ni.
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