Ruh tliak chungchang hi a awlsam zawngin i zir dawn teh ang!

I tlu a, i kut emaw i ke emaw a na lutuk a, "Aw, ruh ka tliak em tih pawh ka hre lo," tih hlauthawng takin i hliam tawh em. A nih loh leh infiamna i khelh laiin emaw, car accident-ah emaw ruh a tliak tih i hre tawh mai thei bawk. Hei hi damdawi lam chuan ‘ ruh tliak ’ kan tih chu a ni. Hei hi hlauhawm deuh mahse, hei hi dik taka hriat a pawimawh hle . Chuvangin vawiinah hian he thu hi awlsam takin, i hriatthiam theih dan tur angin i sawi dawn nia.

‘Fracture’ leh ‘Break’ hi thil hrang hrang pahnih a ni em?

A hmasain he zawhna hi ka chhang ang. Ni lo, thil inang an ni. ‘Bone Fracture’ tih hi damdawiin ruh tliak sawina a ni. ‘Broken bone’ tih hi common parlance-a kan hman thin a ni. Chuvangin i doctor-in ‘Fracture’ a tih chuan ruh tliak tihna a ni.

Ruh tliak leh ruh hliam hi eng nge a danglamna?

Heng thil pahnih hi taksaa vuakna na tak a awm hian a thleng thin. Infiamna i khelh laiin i tlu emaw, car accident i tawk emaw, i hliam emaw han mitthla teh. Heng dinhmun pahnih hi hetiang hunah hian a thleng thei a ni.

A awlsam zawngin kan vun hian a ti na thei ang bawkin kan ruh pawh a ti na thei bawk. Mahse ruh hliam tur chuan nasa zawkin i vuak a ngai a ni. Chutiang a nih chuan ruh chu a chhe lo va, chu ai chuan a chhung atangin thisen a chhuak a, chu thisen chu ruh tissue chhungah a tang lut ta zawk a ni. Hei hi ruh hliam kan tih chu a ni .

Mahse, vuakna chakna chuan ruh chu hmun khatah tal a tikehsawm a nih chuan, chu chu ruh tliak (fracture) kan ti a ni. Fracture hi hliam aiin a na zawk. Tin, a dam theih nan hun a duh rei zawk bawk.

Fracture chi hrang hrangte chu engte nge ni?

Fracture hi kawng hrang hrangin kan thliar hrang thei a. Doctor-te chuan a ruh tliak dan, a ruh chhan leh taksa chhunga khawiah nge a awm tih a zirin an thliar hrang ber a ni. Chung zinga tlemte chu tawi te tein han thlir ila.

Thil dang chu displaced leh non-displaced classification hi a ni .

• Non-displaced fracture chu ruh chi hnih chu a inmil reng a, chu chu line khatah a la awm tihna a ni.
• Displaced fracture chu ruh tliak pahnih chu a inthlak danglam a, a inmil lo tihna a ni. Chungte chu siamthat nan operation a ngai tlangpui.

Tute nge ruh tliak hlauhawm zawk?

Tu pawhin accident-ah ruh an tikehsawm thei a, mahse mi thenkhat chu an hlauhawm zawk.

A bik takin ruh natna (osteoporosis) a ni.He risk hi he natna vei tan chuan a sang zawk hle. Osteoporosis hi ruh te chu a hring a, a chak lo va, a chhe awlsam a, a tlak tlem pawhin a tikehsawm thei a ni. Vawi tam tak chu miten ruh an tihchhiat hnuah chauh natna an vei tih an hrechhuak thin.

Ruh tliak hian eng symptoms nge a neih?

Ruh tliak hian natna chi hrang hrang a thlen thei a, mahse hengte hi a bulpui berte chu an ni:

• Natna nasa tak: Hliamna hmunah hian tuar theih loh khawpa natna a awm thin.
• Swelling: Hliam na hmun hi a hring nasa hle.
• Tenderness: Kut hmanga zawi zawia press a nih pawhin natna nasa tak a awm.
• Che thei lo: Kut emaw ke emaw a tliak chuan chu hmun chu a pangngaiin a che thei tawh dawn lo.
• Bruising: Hliam vel vun hi a rawng a danglam thei.
• Deformity: A châng chuan hmun pakhat, kut emaw ke emaw ang chi chu a inzawm khawm angin a lang thei a, a pianzia pawh a danglam thei bawk.
• Vun hmanga ruh hmuh theih: Hei hi open fracture-ah hmuh theih a ni.

Engtin nge doctor chuan ruh tliak chu a hriat theih ang?

ETU-a i kal chuan doctor chuan a enfiah hmasa ang che a, i hliam nasat dan a zirchiang ang. Tichuan hetiang hian test tlemte an nei ang a, ruh tliak a awm leh awm loh an finfiah ang.

• X-ray: Hei hi test tam ber a ni. X-ray hian ruh a tliak em tih te, khawiah nge a tliak tih te, a tliak nasat zia te chu chiang takin a lang thei a ni.
• MRI scan (Magnetic Resonance Imaging): A chang chuan ruh chhehvela tissue nem (muscle leh ligament ang chi) chhiatna zawng turin MRI tih a ni thei bawk.
• CT scan: Hei hian ruh leh a chhehvel tissue te chu chiang zawk, three-dimensional image a siam thei a ni. Hei hi complex fracture-ah chuan a tangkai hle.

Ruh tliak chu engtin nge i enkawl ang?

Enkawl dan chu i ruh tliak chi hrang hrang, a nasat dan leh thil dang engemaw zatah a innghat a ni.

1. Incheina tihtawp (Immobilization) .

Hei hi fracture awlsam ber, non-displaced fracture tam zawk enkawlna a ni. Ruh tliak chu immobilized a ni a, a mah chauha dam theihna hun pek a ni.

• Splint: Board ang chi thil hi binding tur.
• Cast: Plaster hnawih. A tlangpuiin kar 6-8 chhung a daih.

2. Closed Reduction tih a ni

Hei hi surgery a ni lo. Displaced fracture-ah chuan doctor chuan damlo chu anesthetize ang a, external manual technique hmangin ruh tliak te chu a hmunah a nawr leh ang. Tichuan, an awmna hmuna awm reng turin cast dah a ni ang.

3. Surgery tih a ni

Complex, crushed, open fracture ang chi natna khirh tak takah chuan operation neih a ngai thei.

• Internal Fixation: Surgery hi ruh tliak te chu dah khawm a, a chhung atanga rod, plate leh screw hmanga siamthat a ni.
• External Fixation: Ruh hi taksa pawn lam thil, frame ang chi ah nail dahin a fix thin.
• Arthroplasty (joint replacement): Hip emaw khup emaw ang chi ruh a tliak chuan ruh chhung ngei pawh lakchhuah theih a ni a, artificial joint dah theih a ni bawk.

Engtik laiin nge ETU-ah ka kal nghal tur?

Accident i tawk tawh a, i tlu tawh a, vuakna nasa tak i tuar tawh a, a hnuaia symptoms te hi i neih chuan thil dang ngaihtuah lovin ETU (Emergency Treatment Unit) hnai ber pan nghal rawh.

Damdawi inah kal nghal rawh:

• Natna tuar theih loh a awm chuan .
• I kut/ke hliam i sawn theih loh chuan.
• Chu hmun chu a dik lo va , mak tak maiin a lang a nih chuan.
• Vun chu a hliam a ruh chu a lang thei a nih chuan .
• A hmun chu nasa taka a hring a, blue/purple a nih chuan .

A dam hun chhung hi a ruh tliak dan azirin a inang lo. Fracture awlsam tak chu kar tlemte chhungin a dam laiin, fracture na tak chu a dam kim theih nan kum khat emaw a aia rei emaw a ngai thei. A pawimawh ber chu i doctor thupek uluk taka zawm a, i taksain a dam theih nan a mamawh hun pek hi a ni.