Kan dam chhungin vawi khat tal chu kan tlu tawh a, kan inhliam vek tawh bawk. A châng chuan tlu nasat deuh a nih chuan ‘kut emaw ke ruh tliak’ kan ti ṭhin. Ruh tliak chu eng nge ni tak tak, a nih loh leh damdawi lama ‘ruh tliak’ an tih chu eng nge ni? Hetiang thil a lo thlen chuan engtin nge i tih ang? A serious em? Lungngai suh. Vawiin hian heng zawng zawng hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
‘Fracture’ leh ‘Bone Bruise’ hi eng nge a danglamna?
Mi tam tak chuan an pahnih hi an ti buai hle. A awlsam zawngin i hrethiam ang u. Khawi emaw laiah i vun a vuak chuan a rawn sen a, a hliam ang tih han ngaihtuah teh, a dik em? Kan ruhte pawh a hliam thei bawk. Mahse, vun aiin hit na zawk a ngai a, bruise a ngai. Chutianga ruh a chhiat a, a chhunga thisen kalna kawng te tak te atanga thisen thenkhat a luang chhuak a, hliam a siam chuan ‘Bone Bruise’ kan ti thin.
Mahse, ruh chu nasa taka a hliam emaw, a chi hnih emaw a aia tam emaw a chhe vek a nih chuan chu chu ‘Bone Fracture’ kan tih chu a ni. Chu chu ruh tliak hi hliam aiin a na zawk tihna a ni.
Chu chu 'sprain' tih chu a ni. Ruh nena inzawm thil a ni lo. Sprain chu kan ruh vel a ligament te hip emaw, tear emaw a ni. Chuvangin, heng dinhmun pathumte hi thliar hran leh hriat chian a pawimawh hle.
Engtin nge fracture hi an classified?
Thawmhnaw hi a rawng leh style a zirin kan categorize ang bawkin doctor te pawhin fracture hi chi hrang hrangah an categorize thin. Anni hian a ruh tliak dan, a ruh tliak chhan leh a tliakna hmun ang chi thilte an en ber a ni. Heng chi zawng zawng hi hriat a ngai lo. Mahse, i hriat tur chi hrang hrang lian tlemte a awm.
Hei hi hriatthiam awlsam zawk nan table-ah han thlir ila.
| Classification hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Fracture kha khar a ni | Chutiang a nih chuan ruh chu taksa chhung lam a\angin a chhe \hin. Mahse vun a tikehsawm lo. Pawn lam atang chuan hliam engmah hmuh tur a awm lo. |
| Open/Compound Fracture a awm thei | Hei hi a pawi deuh deuh. Ruh tliak pakhat chu vun chhungah a rawn chhuak a. Chutiang a nih chuan hliam chhunga natna hrik lut a, natna kai theihna a sang zawk hle. |
| Non-displaced Fracture a awm lo | Ruh chu a tliak a, mahse a chhe lai chu a hmunah a awm a, a che vel lo. Chungte chu tihdam a awlsam hle. |
| Displaced Fracture a awm | Hei hian ruh chhe tawhte chu a inmil lo va, a set dik theih nan surgery hmangin an sawn fo thin. |
Hei bakah hian break chi hrang hrang dang engemaw zat a awm bawk:
- Greenstick Fracture: Hei hi naupang tê têah hmuh tur a tam ber. Green leaf chu a chheh chuan a chhe vek lo va, a sir khat chu a ben a, a chhe zawk ang bawkin, naupang ruh chu a chhe vek chuan a chhe vek lo. A sir khat chu a chhe a, a sir lehlamah a ben bawk.
- Stress Fracture: Hei hi accident lian tak, rang tak atanga lo awm a ni lo. Hmun khata stress emaw pressure emaw a awm chhunzawm zel chuan a thleng thin. Entîr nân, hla taka tlante chuan an ke ruhah hliam tenau an nei thei a.
- Comminuted Fracture: Hei hi a pawi deuh deuh. Hei hi car accident ang chi accident lian tak a thlen hnua ruh chu powder ang maia a inthen darh hian a ni.
Ruh tliak hian eng symptoms nge a neih?
Ruh i tihchhiat hian heng zinga pakhat emaw a aia tam emaw i nei thei a ni:
- Natna nasa tak: Natna a zual a, a bik takin a hmun chu sawn emaw, khawih emaw a nih chuan.
- Swelling: Hliam chhehvel chu a hring nasa tan thin.
- Bruising emaw vun rawng danglam emaw: A hmun chu blue emaw purple emaw a ni thei.
- Chet harsa: Kut emaw ke emaw a tliak chuan chu hmun chu a pangngaiin a che thei lo.
- Deformity: A châng chuan kut emaw ke emaw tliak chu kawng danglam takin a ben emaw, a inzawm emaw a lang thei.
- Vun chung lamah ruh chi khat a lang mai thei: Hei hi open fracture-a hmuh theih thil a ni.
Accident i tawk tawh a, heng symptoms te hi i neih chuan hliam pangngai ang maiin ngaihtuah suh. Doctor pan vat rawh.
Ruh tliak chhan ber leh a hlauhawmna
Ruh tliak chhan ber chu taksaah nghawng na tak (trauma) a neih thut mai hi a ni.
- Tlu (a bik takin kum upa lam tan) .
- Traffic accident a awm thin
- Infiamna khelh laiin accident a thleng thin
Heng thil awm tlangpui bakah hian risk factor bik dang a awm bawk. Chu chu ‘Osteoporosis’ a ni. A awlsam zawngin, hei hi kum upat ruala kan ruhte chakna leh density a hloh (a bik takin hmeichhia tan chuan menopause hnuah) a ni. Tichuan ruhte chu a chak lo hle a. Chuvangin, ruh tliak theihna chance hi tlu tlem lutuk hian a sang zawk hle a, khum atanga thawh lai pawhin a sang zawk mai thei. Mi tam zawk chuan ruh an tihchhiat hnuah chauh ruh natna an vei tih an hrechhuak thin.
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
Damdawi in i kal hunah chuan Doctor in a en hmasa phawt ang che. Engtin nge accident a thlen tih te, khawiah nge a na tih te, a hring emaw, a pianzia a danglam em tih te a enfiah ang.
Tichuan, test eng emaw zat an nei a, ruh tliak a awm leh awm loh leh a nasat dan finfiah a ni.
- X-ray: A tam zawkah chuan X-ray hmangin ruh tliak a awm tih finfiah a tawk.
- CT Scan: X-ray aiin CT scan hian thlalak chiang zawk, chipchiar zawka hmuh theih a ni. Hei hi complex fracture-ah chuan a pawimawh hle.
- MRI Scan: Hei hian ruh chauh ni lovin, a chhehvela soft tissue, muscles, ligaments, leh cartilage te pawh a tichhia tih chiang takin a hmu thei a ni.
Ruh tliak enkawlna tur engte nge ni?
Enkawlna chu i ruh tliak chi hrang hrang, a nasat dan leh ruh tliak awmna hmunah a innghat a ni. Enkawlna kawng hrang hrang a awm a.
1. Thil tih theih lohna (immobilization).
A tam zawkah chuan, fracture tenau, buaithlak lo (non-displaced fractures) tan chuan cast emaw splint emaw hmangin a chhe lai chu a tikhawlo thei a ni. Hei hian ruh tliak tawhte chu a hmunah a vawng tlat a, dam leh inzawm leh theihna turin a tul anga che thei lo a pe bawk. Cast hi a hmunah kar 6-8 vel dah a ni tlangpui.
2. Surgery tel lova ruh tihtlem (Closed Reduction) .
A châng chuan ruh tliak chu tlem a inthlak a nih chuan doctor chuan anesthetize ang che a, a kut hmangin ruh tliak chu a hmunah a hruai leh ang a, a nawr leh ang. Hei hi ‘Closed Reduction’ an ti a. Chutianga ruhte an set hnuah chuan a hmuna awm reng turin plaster cast an hnawih thin.
3. Surgery tih a ni
Fracture chu a nasat em em a, open fracture a nih chuan, a nih loh leh ruh tliak a awm chuan operation neih a ngai mai thei.
- Chhungril lama Fixation: 1.1.Hei hian vun chu surgery hmanga tan a, ruh tliak chu vawn tlat turin thir wire, plate, leh screw hmanga vawn a ngai a ni. Chungte chu ruh a dam hma loh chuan taksaah dah a ni. A châng chuan dam chhung atan a hmunah dah theih a ni a, a hnuah surgery dangah pawh lakchhuah theih a ni bawk.
- External Fixation: Fracture na tak takah chuan ruhte chu taksa pawnah pin leh metal frame hmangin surgery hmangin an fix thin. Hei hian ruhte chu stability a pe a ni.
- Joint Replacement (Arthroplasty): Hip ang chi ruh tliak a awm chuan ruh chu lakchhuah a, artificial joint hmanga thlak a ngai mai thei.
- Bone Grafting: Ruh chu a chhe deuh a nih chuan taksa peng dang (hip bone ang chi) atanga lak chhuah ruh te tak te chu thlakin a bo lai chu a luah khat thei a ni.
Engtikah nge damdawi ina kal i mamawh tak tak?
Accident i tawk a, ruh i tliak tih rinhlelhna tlemte pawh i neih chuan, a hnuaia symptoms te hi i neih chuan , damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- Natna tuar theih loh a awm chuan .
- Hliam tuar, kut emaw, ke emaw ang chi i tiharh theih loh chuan .
- Chu part chu mak tak maia bent leh stretched angin a lang a nih chuan .
- Ruh tliak chu vun hmanga hmuh theih a nih chuan .
- A hring leh hliam na tak a awm chuan .
Hetiang hunah hian in lama thuin hun khawhral suh. Damdawi lam pan vat a pawimawh hle.
Ruh tliak laka inven nan eng nge i tih theih?
Hlauhawmna chu thunun thei lo mah ila, a hlauhawmna tihziaawmna tur thil engemaw zat kan tih theih a awm.
- Lirthei a chuang dawnin seat belt vuah fo ang che.
- When playing sports , infiamna atana invenna hmanrua dik tak ha rawh.
- In leh hnathawhna hmuna i tlu leh tlu thei thilte chu paih la, boruak chu tifai takin vawng reng rawh.
- Calcium leh vitamin D tamna ei tur (milk, yogurt, cheese, sangha te) ei hian ruh natna hlauhawmna tihziaawm rawh.
- Exercise neih fo thin ang che. Ruh a tichak a ni.
- Kum 50 chunglam i nih chuan, a bik takin hmeichhia i nih chuan, ruh natna chungchang hi doctor nen inbia ang che. A tul chuan bone density test pawh an ti thei bawk.
Ruh tliak tihdam hun chhung hi mi hrang hrangah a inang lo a, ruh tliakna hmun leh ruh tliak nasat dan azirin a inang lo. Chuvangin hlauthawng suh. Doctor thupek dik takin zawm rawh. A tul angin chawlh hahdam rawh. A hnua physiotherapy ti tura tih i nih chuan chutiang pawh chu ti ve rawh. Tichuan i nun pangngaiah i kir leh thuai thei ang.
Take-Home Thuchah a ni
- Ruh tliak hi natna khirh tak a ni a, mahse uluk taka enkawl a nih chuan a dam vek thei a ni.
- Tuar theih loh khawpa natna i nei a, i hring a, i pianzia a danglam emaw, ruh a lang emaw a nih chuan hun khawhral suh la, damdawi in Emergency Department (ETU)-ah kal nghal rawh.
- Doctor thupek (casting, resting, exercise) dik takin zawm rawh. Hmanhmawh suh.
- Calcium tamna ei leh in leh exercise hi ruh nghet taka vawn nan a pawimawh hle. Hei hi i tar chhoh zel chuan a pawimawh zual hle.
- I hriselna chungchanga harsatna awm apiang chu rintlak takin i doctor nen sawiho rawh.











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