I ruh a hliam ang maiin i hria em? (Bone Contusion) Hemi chungchang hi han sawi ila!

I hria em, nitin kan hnathawh lai emaw, kan inkhelh lai emaw hian hliam emaw, scrape emaw tlem kan neih hi thil pangngai a ni. Table vuak emaw, i fate nena inkhelh emaw pawh nise, a chang chuan i vunah blue emaw purple emaw i hmu thin. Mahse vawiinah hian hliam tuar, a thuk deuh a, ngaihven deuh deuh a ngai tih kan sawi dawn a ni. Chu chu ruh hliam (bone contusion) an ti a.

Bone Contusion tih hi eng nge ni?

A awlsam zawngin, ruh hliam hi i ruh hliam a ni. I vunah hliam ang mai a ni. Mahse, vun chunglam a hliam ai chuan a na zawk deuh. Doctor-te chuan ‘bone contusion’ an ti \hin. Contusion tih hi damdawi lama hman tur a ni a, hliam tuar tihna a ni.

Bruise chu i ruh hnuai lama thisen a awm khawm a, na taka vuak hnuah a ni. I ruhte pawh hi tissue nung a ni. I vun a hrual theih ang bawkin ruh pawh a hrual thei bawk. Mahse, ruh chu vun tikehsawm mai ni lovin chakna nasa zawka i vuak hian a hliam a ni. Chu ruh chu a chheh lohvin a chhung lam atangin thisen a chhuak thei a ni.

Ngaihtuah teh, i tlu emaw, car accident emaw i neih a, ruh atanga lo chhuak ang maia natna nasa tak, na tak i neih chuan doctor pan emaw, damdawi in pan emaw i mamawh tak zet a ni.

Hriselna chi hrang hrang a awm em?

Tunah chuan ruh tliak chi hrang hrang han thlir ila. Doctor chuan heng ruh tliak te hi an awmna hmun a zirin a classified thei a:

• Periosteal contusion: Periosteum hi i ruh tam zawk hualtu, thisen kalna kawng leh nerve awmna, membrane te tak te a ni. Hei hi he membrane hi a hliam a ni.
• Subchondral lesion: Hei hi ruh pakhatah a awm a, chu chu ruh chhunga cartilage hnuaia ruh-ah a awm a ni. Khup ang maiin han ngaihtuah teh.
• Intraosseous contusion: Hetiang a nih chuan a hliam chu ruh chhungah a awm a.

Khawiah nge hmuh tam ber?

Heng ruh natna hi accident lian tak emaw, hliam na tak emaw a tawh hnuah a awm fo thin. Entirnan, mithiamte sawi dan chuan khup- a ACL (Anterior Cruciate Ligament) tikehsawmtu zinga 80% vel chuan khup ruhroah ruh hliam an nei bawk.

Dik tak chuan heng hliamte hi taksa ruh eng pawhah a awm thei. Mahse, ruh sei takah an tam ber a, a bik takin i ke ruhah hian an tam ber:

• Femur a ni
• A ke ruh (Tibia) .
• Fibula (tibia hnung lama ruh te tak te) .

Eng nge a lan chhuah dan? Engtin nge i ngaih?

Okay, tunah chuan ruh hliam symptoms kan en ang. Hetiang thil hi i hre mai thei:

• Ruh na: Natna na tak, thuk tak a ni.
• Tenderness: A hmun i khawih chuan a na hle .
• Swelling: A hliam na hmun chu a hring thei.
• Vun hliam emaw, vun rawng danglam emaw: A chang chuan vun chunglam pawh a sen/sem (purple) a lo ni thei bawk.

Hei hi engtin nge a ngaih?

Ruh hliam hi vun natna pangngai aiin natna nasa zawk, thuk zawk ang maiin a lang. Vun a hliam emaw, sa chi khat emaw i khawih chuan a na. Ruh hliam hi taksa chhungril tak atanga lo chhuak natna dull, na tak ang maiin a awm tlangpui. A châng chuan, ruh hliam a zirin, i che emaw, i ding emaw, i dinhmun ṭhenkhat i chelh emaw hian a na zual thei a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Engvangin nge ruh hliam hi a awm? A awlsam zawngin, i ruh tichhe thei khawpa thil i vuak chuan he dinhmun hi a lo awm thei a ni.

Hei hian accident leh hliam na tak a thlen fo thin:

• Sports accident: Cricket khelh laiin ball-in nasa takin a rawn deng a, football khelh laiin i tlu ang tih han mitthla teh.
• Falls: Hmun sang atanga tla, stairs atanga tla ang mai.
• Lirthei chetsualna thleng thin.

I ruh emaw, i taksa emaw i hrualna hliamte hian ruh a tikehsawm thei hle. Entirnan, ke ruh emaw khup emaw a hliam chuan ruh a pressure avangin ruh a tikehsawm thei a ni.

Tute nge risk sang zawk?

Tu pawhin ruh tliak an nei thei a, mahse mi thenkhat chu an hlauhawmna a sang deuh hlek a ni:

• Contact sports khel thin player te: rugby leh boxing ang chi te.
• Taksa lama harsatna nei hna emaw, hobby emaw nei te.
• Thisen lama harsatna thenkhat nei te.
• Arthritis ang chi ruh natna nei te.

Enkawlna pek loh chuan eng nge thleng? (Buaina awm thei) .

Enkawl vat loh chuan he ruh natna hian i ruh a tichak lo thei a, ruh tliak pawh a thlen thei bawk . Vawi tam tak chu ruh hliam thlentu accident ang chiah hian ruh tliak pawh a thlen thei bawk.

Ngaihtuah teh, i ruh chu a hliam a, mahse i ngaihthah a, i hman chhunzawm zel a, pressure i siam chuan a chhiatna a tipung thei a, ruh chu a chhe thei a, a chhe thei bawk.

Engtin nge doctor hian hei hi a hriat chhuah?

Tunah chuan doctor-in ruh tliak dik taka a hriat theih dan tur i lo en ang u. Doctor chuan a enfiah ang che a, chu chu finfiah turin imaging test thenkhat a ti ang che.

I doctor chuan i ruh hliam leh a chhehvel chu uluk takin a enfiah ang. Tin, i doctor hnenah natna leh hliam ang chi symptom i neih tan tirh lai te, a chhan (tlu emaw sports accident ang chi) i hriat chuan i hrilh tur a ni. Tin, heng natna lan chhuahnate hi thiltih, chetna, a nih loh leh dinhmun thenkhatah a pung (a tlahniam) em tih pawh hrilh bawk ang che.

Eng ang test nge tih thin?

I doctor chuan imaging test hrang hrang hmangin i ruh leh a chhehvel thlalak a la thei ang:

• MRI (Magnetic Resonance Imaging) scan: Hei hi ruh tliak chiang taka hmuh theih dan tlangpui a ni.
• Ultrasound hmanga enfiah a ni.
• CT (Computed Tomography) hmanga tih a ni.

X-ray-ah chuan ruh hliam a lang thei lo. Amaherawhchu, Doctor-in X-ray a la a, ruh a tliak em tih a enfiah thei a ni.

Enkawlnate chu engte nge ni? Dam leh turin eng nge ka tih theih ang?

Awle, tunah chuan hei hi engtin nge a enkawl tih i en ang u. Doctor chuan ruh hliam chunga pressure tihziaawmna tur leh a dam theihna tura enkawl turin a fuih ang che.

Mi tam tak chuan RICE method hmangin heng symptoms te hi in lamah an enkawl thei a :

• R (Rest): Taksa tihchakna hahthlak tak tak pumpelh rawh. A hliam chu a dam hma loh chuan a theih ang anga hman loh tum ang che.
• I (Ice): Ice pack chu hliam na hmunah minute 15 vel ni khatah vawi tam tak hnawih thin ang che. Ice pack chu vun a khawih nghal loh nan puan te tak te in khuh tur a ni tih hre reng ang che.
• C (Compression): Ruh hliam chu elastic bandage hmangin khuh la, chu chuan a hring a ti tlem thei ang. I doctor chuan hetiang tih dan tur dik tak a kawhhmuh ang che.
• E (Elevation): A theih phawt chuan ruh hliam chu i thinlung level aia sangin dah la.

Enkawlna dang a awm bawk:

• Damdawi: Hriselna leh natna tihziaawm nan i doctor chuan natna tidamtu damdawi NSAIDs (Nonsteroidal Anti-inflammatory Drugs) (e.g. ibuprofen) emaw acetaminophen (e.g. Panadol) emaw a pe thei che a ni. I doctor chuan heng damdawi te hi eng chen nge i ei tur tih leh eng chen nge i ei tur tih chiang takin a hrilh ang che. Doctor rawn hmasa lovin ni 10 aia rei painkiller ei chhunzawm loh tur a ni.
• Physical therapy: Physical therapist chuan exercise leh stretch te a zirtir ang che a, chu chuan i taksa peng hrang hrangah i taksa peng hrang hranga range of motion a neih leh theih nan a pui ang che. Hei hi a bik takin, a hliam chu ruh (joint) chhungah emaw, a bulah emaw a awm chuan a \angkai hle.
• Immobilization: I doctor chuan splint , brace , emaw cast (Paris-a plaster ang chi) bun turin a hrilh thei che a ni. Chûngte chuan i ruh chu a hmunah an vawng tlat a, a chunga pressure a tihziaawm a, a dam theih nân a ṭanpui bawk. I doctor pawhin eng chen nge a hmuna i dah tur tih a hrilh bawk ang che.

Engtiang chiahin nge a dam thuai ang?

I natna lan chhuah dan i enkawl tan chuan zawi zawiin i rilru a hahdam tan ang. Painkiller i ei tan a, ruh hliam hman i tihtlem chuan a natna leh a hring chu a tlahniam zauh zauh tur a ni.

Mahse, doctor-in a tih hma loh chuan taksa tihchakna engmah ti leh tawh suh. I ruh hian a chakna zawng zawng a neih leh theih nan leh a dam vek theih nan hun a duh a ni.

Ruh tliak chu a dam tha hmaa pressure i dah chuan (infiamna khelh emaw, hnathawhna hmuna kal emaw, exercise nasa tak tih emaw hmangin) ruh tliak bula hmun chak lo takah chuan ruh tliak a awm theihna a sang hle.

Eng nge beisei tur?

Ruh tliak chu a dam leh ngei i beisei thei. Mahse hun a la duh a, a chang chuan a lungchhiatthlak deuh thei bawk.

Vun a hliam hi a na zual lo tlangpui (i pick theihnghilh chuan a na thei viau nachungin). Mahse ruh hliam erawh a danglam. A chhan chu ruh hliam a nih avangin i taksa chu a dam theih nan hun pek a pawimawh. Hriselna hmun a zirin, thil engemaw chen chu hun engemaw chen chu i hlat a ngai mai thei. I infiamna, infiamna, a nih loh leh i hobby nuam tak chu hun engemaw chen i chawlhsan a ngai a nih chuan a lungchhiatthlâk lehzual thei a ni.

I doctor nen eng chen nge taksa tihchakna nasa tak emaw, exercise lak emaw i pumpelh tur tih sawi rawh. Chutiang chuan i beisei tur chu chiang takin i hre thei ang.

Eng chen nge tihdam a ngaih?

Ruh natna hi a dam theih nan hun a duh a ni. Ruh hliam tam zawk hi kar tlemte chhungin a dam leh thin. Mahse, hliam na zawk chu a dam kim theih nan thla tam tak (a nih loh leh a aia rei pawh) a ngai thei.

Ruh hliam a dam theih hun chhung chu eng chi ruh nge a nih, eng ruh chungah nge a awm tih leh chutih rual chuan hliam dang a awm leh awm lohah a innghat a ni.

Engtin nge hei hi i pumpelh theih ang? (Engtin nge kan pumpelh ang?)

Ruh tliak a awm loh nan i veng thei lo mai thei. A tam zawkah chuan heng hliamte hi i thunun theih loh accident avanga lo awm a ni. Mahse, a tlangpuiin heng himna tur tips te hi zawm hian hliam i neih theihna chu i tihtlem thei a ni:

• Lirthei a chuang dawnin seatbelt vuah fo ang che.
• Infiamna, hnathawh, leh taksa tihchakna apiangah himna hmanraw \ha tak tak ha rawh.
• I in leh hnathawhna hmun chu felfai takin vawng la, i tlu leh tlu thei thil awm lo turin vawng rawh.
• Chunglam atanga thil i lak dawnin hmanraw emaw, ladder emaw tha tak hmang fo ang che. Chair leh table-ah chuan lawn ngai suh.
• Kal harsatna i neih emaw, tlu hlauhawmna i neih emaw chuan tiang emaw, kea kalna emaw hmang rawh .

Doctor hmuh a ngai em?

Ni e, a dik tak zet. Ruh hliam i nei nia i hriat chuan Doctor i pan fo tur a ni. Normal bruise atan doctor pan a ngai lo nain, ruh hliam tan chuan doctor pan ngei ngei tur a ni.

Ni engemaw zat aia rei ruh na i neih chuan, a nih loh leh symptom dang i neih chuan, i taksa peng pakhat chelh harsa, emaw, i hman laia na emaw i neih chuan doctor pan tur a ni.

Accident na tak, tlu nasat emaw, car accident emaw i tawk a nih chuan damdawi in emergency department-ah kal nghal rawh.

Doctor hnenah eng nge i zawh tur?

I doctor hnenah zawhna i zawt thei ang:

• Ruh hliam emaw, hliam dang emaw ka nei em?
• Ka hliam ah hian eng ruh nge hliam? Eng ang bruise nge ni?
• Eng ang enkawlna nge ka mamawh?
• Engtikah nge infiamna te, exercise lak te, a nih loh leh taksa tihchakna dang hahthlak tak tak ka tih leh theih ang?

Dam lehna tur stage hrang hrangte chu engte nge ni?

I vun hnuaia hliamte chu a dam chhoh zel chuan a rawng a inthlak thin. A tir lamah chuan sen emaw, sen emaw angin an lang thei. Vun dum zawk i neih chuan a hliam chu purple, dark brown, black emaw a ni thei. A hliam chu a dam deuh deuh chuan a sen hring, a sen, a sen hring a lo ni thei bawk.

Ruh hliam pawh hian damna stage a paltlang bawk. Mahse, a hliam chu taksa chhungah a awm avangin pawn lam atanga hmuh theih tur danglamna i hmu thei lo mai thei. I ruh hliam chu pressure dah leh a, thil tih dan pangngai zawng zawng thawh leh chu engtikah nge a him tih doctor zawt la a tha ber.

Engtin nge ruh a tliak emaw, a hliam emaw i hriat theih ang?

Ruh tliak leh ruh tliak hi taksaa hliam na tak (a tam zawkah chuan tlu, car accident, emaw sports accident) avanga hliam na tak a ni. A danglamna chu i ruh a chhiat danah a ni.

Ruh (bone contusion) hi thil na takin ruh a rawn deng a, thisen a chhuah a, mahse ruh chu a chhe lo va, a tliak lo.

Ruh tliak hi ruh pakhat chu hmun khata tal tihchhiat theih khawpa na taka vuak a nih chuan a thleng thin. Fracture hi hliam na zawk a ni a, hliam na zawk a ni. Tin, hliam aiin a dam rei thei bawk.

Accident na tak i tawk a, ruh bulah emaw, ruh bulah emaw natna i neih chuan damdawi in emergency department-ah kal nghal rawh. Hliam chi hrang hrang i neih pawhin i ruh enfiah nghal a pawimawh hle.

Ngaihtuah teh, coffee table-ah i ke i bump emaw, teammate nen basketball khelh laiin i khauh lutuk emaw pawh nise, hliam i tuar a ni. Ruh hliam hi i vunah blue emaw black emaw ang mai a ni. Mahse hengte hi hliam thuk zawk, tlem a na zawk te an ni.

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

I doctor chuan i ruh tliak chu khawiah nge a awm tih leh a dam theih nan eng nge i tih theih tih chiang takin a hrilhfiah ang che. Damna kawngah hian hmanhmawh suh. Hun a la ngai thei a, mahse a phu a ni. I doctor-in taksa tihchakna nasa tak thawk leh turin a hrilh che hma chu nghak rawh. I ruh a dam vek tawh chuan i hnathawh pangngai chu i thawk leh thei tawh ang. Hlauthawng suh la, i doctor thupek ang chiah kha zawm rawh. Tichuan i dam thuai thei ang!

` Ruh tliak, ruh na, hring, infiamna lama hliam, RICE method