I ke ruh pawh i ti chhe tawh em? (Ankle Fracture) - Hei hi eng nge a nih chiang takin i zawng chhuak ang u!

Aw ka! Stairs atanga i chhuk lai emaw, cricket i khelh lai emaw khan i ke a rawn inher nghal em? Tunah chuan i ke ruh a na nasa em? Hun engemaw chen hnuah chuan a hmun chu a hring a, a sen a, i dah pawh i dah thei lo em ni? Hei hi a hliam mai mai em ni, a chhungah ruh a tliak (fracture) a awm em tih i ngaihtuah mai thei. Dik tak chuan ke ruh natna thlentu ber chu ke ruh tliak vang a ni. Chuvangin he thu hi han sawi ila, chiang takin, awlsam takin.

A hmasain, he ankle joint hi eng nge ni?

Okay, hei hi a awlsam hle mai. I ke ruh inzawmna hi ruh lian pathum inzawmkhawm atanga siam a ni. Chair ke pathum ang mai a ni a, chu chuan he ruh hi a tichak reng a ni.

• Tibia: Hei hi khup hnuai lama i ke ruh lian tak, thuk tak chu a ni. Kan sawi chuan "shin bone" an ti bawk.
• Fibula: Hei hi a pawn lam ruh te tak te, te tak te, ruh lian tak nena inmil, a ni.
• Talus: Hei hi i ke leh ke inzawmkhawmtu ruh te tak te, mahse pawimawh tak a ni. Ruh chunglam pahnih leh ke inkar kawngpui (bridge) ang mai a ni.

Heng ruh pathumte hi an inzawm khawm a, i ke ruh inzawmna (ankle joint) an siam a ni. Tunah chuan i hrethiam tawh ang, heng ruh pakhat emaw a aia tam emaw a tliak chuan " ankle fracture " kan ti a ni. A châng chuan heng break te hi a tenau hle thei bawk. Mahse break na tak tak thenkhatah chuan operation a ngai thin. A dam kim theih nan kar tlemte atanga kum khat chhung a ngai thei.

Ankle bone tihchhiat dan kawng hrang hrang a awm!

"Ke tliak" ti mah ila, a thlen theih dan kawng tam tak a awm. Chungte chu Doctor-te chuan ruh tliak chi leh a chhe na hmun a zirin an thliar hrang a. A chi hrang hrang hi han thlir ila.

Ankle fracture hian eng symptoms nge a neih?

Ankle sprain symptoms hi hriat a awlsam tlangpui a, mahse a chang chuan sprain pangngai nen a inang thei hle.

• Sudden, severe pain: Natna tuar theih loh chu accident hnu lawkah a awm nghal a.
• I ke dah theih lohna: I kea rit phur chunga ding tura i beih hian natna nasa tak i nei thin.
• Khawih laia natna: I kut hmanga ruh tliak chu zawi zawia i hmet chuan a na zual thin.
• Swelling: Accident hnu rei vak lovah chuan ke ruh vel chu nasa takin a lo hring tan thin.
• Bruising: Vun chhung atanga thisen chhuak hian a hmun chu blue emaw purple emaw a ni thei.
• Deformity: A nasat deuhah chuan ke ruh chu a deformity a, a inzawm khawm angin a lang thei.

Engtin nge ke ruh chu a tliak theih ang?

Ngaihtuah teh, kan nitin nunah kan thil tih tam tak hian hetiang ang accident hi a thlen thei a ni.

• Tlu: Hmun sang tak atanga tlu, stairs emaw chair atanga tlu emaw, kea kal laiin tlu mai mai emaw hi a chhan lian ber a ni.
• Foot rolling: Kawngpui khur chunga kal emaw, tlan lai emawa ke chu rang taka luh emaw, chhuah emaw.
• Sports accident: Heng accident te hi a bik takin infiamna lam hawi leh zuang thlakna, cricket, football, leh netball te ang chi infiamnaah a tam hle.
• Car accident: Lirthei insu laiin kea direct-a a tlak chuan ruh a tikehsawm thei.
• Direct impact: Hei hi thil rit tak i ke chunga tla ang chi thil awlsam tak atang pawhin a thleng thei.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan dawnin a tih hmasak ber chu accident a thlen dan a zawt che a ni. Tichuan i ke chu an enfiah leh thin. A na hmun, a hring emaw, a pianzia inthlak danglamna emaw chu uluk takin an en thin.

Tichuan, ruh tliak nia rinhlelhna a awm chuan test eng emaw zat tih a ni ngei ang a, a diagnosis chu finfiah a ni ngei ang.

• X-ray: Hei hi test pawimawh leh pawimawh ber a ni. X-ray hmangin ruh a tliak em tih te, khawiah nge a tliak tih te, ruh chi hrang hrang eng emaw zat a inthlak danglam em tih te chiang takin a lang thei a ni.
• CT Scan: Complex fracture thenkhatah chuan i doctor chuan CT scan hmanga ruh chhung lam ngun zawka en turin a rawt mai thei.
• MRI Scan: A ruh tliak bakah ligament emaw soft tissue emaw a chhiat nasat nia rinhlelh a awm chuan MRI scan a ngai thei.

Engtin nge ke ruh tliak chu i enkawl ang?

Enkawlna chu ruh tliak chi, a nasat dan leh i hriselna tlangpuiah a innghat a ni. Fracture zawng zawng hi operation a ngai lo.

Surgery neih ngai loh case te

I ruh a tliak a, mahse a piece te chu a inthlak lo (a non-displaced fracture) , surgery a ngai lo fo thin. Chutiang a nih chuan i doctor chuan i ke chu a tikhawlo ang a, ruh chu a mah chauhva a dam theih nan hun a pe ang. Hei hi a hnuaia mi hmang hian tih a ni:

• Cast: Ke chu a che thei lo turin khup thleng emaw, a hnuaiah emaw dah a ni.
• Kekawr bik (Walking Boot/Brace): Hriselna tenau thenkhatah chuan boot emaw brace emaw special removable hman theih a ni.

Surgery neih ngai case te

Accident (a displaced fracture)-a ruh hnah te chu a hmun atanga chhuak a nih chuan a awmna hmunah dah leh a, siamthat a ngai dawn a ni. Chutiang a nih loh chuan ke ruh chu a dam tha lo ang a, nakin lawkah arthritis ang chi harsatna a awm thei bawk.

• Closed Reduction: Hei hi ruh chi hrang hrangte chu operation tel lovin a hmunah an rawn dah leh a, pawn lam atanga manual pressure hmanga an rawn dah leh a ni. Hei hi numbing hmanga tih a ni. Tichuan an awmna hmuna awm reng turin plaster an hnawih a.
• Surgery (Open Reduction and Internal Fixation - ORIF): Ruh chi hrang hrangte chu a inhlat lutuk a, emaw, ruh chu a nghet lo a nih chuan, vun hawn a, ruh chi hrang hrangte chu a awmna tur dik takah sawn a, thir plate te tak te leh screw hmanga fix turin surgery tih a ni. Chungte chu taksa chhungah dah a ni. Hei hi ruhte chu a inmil tawk a, a dam hma loh chuan a che thei lo tura tih a ni.

Engtikah nge damdawi lam pan nghal tur?

I ke ruh hliam i neih a, symptom engemaw zat i neih chuan doctor pan emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw, tihkhawtlai lohvin i kal tur a ni.

Surgery emaw cast emaw hnuah...

Enkawlna hnuah pawh heng natna lan chhuah dan hi lo thlir reng ang che:

• A hring a pun chuan.
• Plaster chhungah hian inflammation, swelling, emaw, natna tihpun emaw a awm chuan.
• Khawsik i neih emaw, khawsik i neih emaw, surgical wound atanga pus chhuak i neih chuan (hengte hi infection chhinchhiahna a ni).

Hetiang thil i tawn chuan a enkawltu doctor chu ko nghal la, damdawi inah kal nghal rawh.

Ke ruh tliak chu a dam theih nan eng chen nge a mamawh?

Hemi atan hian hun bituk chiah a awm lo. Mi tin leh inthenna awm dan azirin a inang lo.

• Operation ngai lo fracture tenau chu kar 12-16 vel chhungin a dam vek tlangpui .
• In the case of a complex fracture that requires surgery , ke ruh chu a hnathawh dan pangngai a neih leh theih nan kum khat emaw kum hnih emaw vel a ngai thei.

He dam chhung hian cast i bun a ngai ang a, kekawrte i hmang ang a, i ke chu lei atanga hla takah i dah a ngai bawk ang. Hei hian thla tam tak a daih thei. Hei hi dawhtheih a ngai hun a ni. I doctor leh physiotherapist-in an pek ang chiah kha zawm a pawimawh hle.