Inkhelh laiin i tlu em? Nge accident tenau i tawk em? I kekawrteah natna nasa tak i nei a, i kut pawh i che thei lo em ni? Tichuan i kawr ruh chu i ti chhe tawh mai thei. He thu i hriat hian hlauthawng suh. Hei hi i ngaihtuah angin a hlauhawm lo a, kan ramah leh khawvel hmun hrang hrangah, a bikin thalai leh infiammi zingah hian accident tlanglawn tak a ni. Hemi chungchang hi i hrechiang lehzual ang u.
Clavicle fracture tih hi eng nge ni?
A awlsam zawngin sawi ila, clavicle hi kan kekawrte leh kan rilru lai takah hnute ruh inzawmtu ruh a ni. He ruh hi i kut hmangin i hre thei. He ruh hi a chhe emaw, a chhe emaw chuan ``Clavicle Fracture`` kan ti thin.
Heng break te hi kawng hrang hrangin a thleng thei a ni. I doctor chuan i dinhmun a sawi hian hetiang thu hi a hmang thei a ni.
Breakage awm dan azira classification
- Single fracture emaw multiple fracture emaw: A chang chuan collarbone hi hmun khatah chauh a chhe thei. Mahse hliam na tak thenkhatah chuan ruh chu biscuit ang maiin a inthen tam thei hle. Hei hi ``Comminuted fracture'' an ti a.
- A chhe tawhte chu a sawn chhuak em ni: Thingpui a chhiat chuan a hrui pahnih chu a inher lo va, hmun khatah a awm reng ang tih han ngaihtuah teh. Chutiang fracture chu ``Nondisplaced fracture`` an ti a. Mahse, a chhe pahnih chu a inhlat a, a chung leh a hnuai lam a kal tawh chuan ``Displaced fracture`` an ti a ni.
Doctor chuan heng classification te hi hmangin i tan eng treatment nge tha ber tih chiang takin a hre thei a ni.
He thil hi a chheh hunah engte nge a lan chhuah?
Ke ruh tliak hian a lan chhuah dan tlangpui engemaw zat a awm. Chung zinga pakhat emaw, a aia tam emaw i neih leh neih loh en rawh.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Ruh natna | Kawngkhar area, mid-neck emaw base of the neck emaw-ah natna nasa tak a awm. |
| Kut leh kekawrte tihchet harsat | A kekawrte emaw, kutphah emaw a nghet lo tih hriatna. I sawn tum chuan natna a pung zel. I shoulder i tihchet hian "smacking" sound hriat emaw hriat emaw. |
| Hliam leh hliam te | Spine-ah vun rawng a danglam a, blue emaw purple emaw a awm bawk. |
| Hmuh theih danglamna chu | Accident sir lama shoulder chu a sir lehlamah khaikhin chuan a hniam hle niin a lang. A nih loh leh shoulder blade chu a sang emaw, a hniam emaw angin a lang. |
| Skin tenting a awm bawk | Ruh tliak chu vun hnuai atang hian a rawn chhuak a, puan in ang maia hnim hring ang maiin a lang. Hei hi displaced fracture ah a thleng fo thin . |
| Vung | Hliam avanga inflammation awm hian a chhehvel ruh leh tissue te a ti hring chhuak thin. He hliam hi awlsam takin a lang thei a, a chhan chu tendon hi vun hnaih a nih vang a ni. |
Thingkung a chhe chhan berte chu engte nge ni?
A tam zawkah chuan kutphah tliak hi hliam na tak avanga lo awm a ni. Entirna thenkhat chu hetiang hi a ni:
- Tlu: Hei hi a chhan tam ber chu kekawrte chunga tlu emaw, kut phar emaw a ni. Hei hi bicycle atanga tlu emaw, infiamna khelh laiin emaw a awm fo thin.
- Collisions: Hei hi infiamna, rugby emaw football emaw i khelh laiin mi pakhat kekawr ipte nena in inhmachhawn hian a thleng thei a ni. Hetiang chi inhnaih hi naupang tê tê an inkhelh lai pawhin a thleng thei a ni.
- Lirthei chetsualna: Hetiang ang chi hi lirthei chetsualnaah a thleng thei a, chu chu dashboard a tawlh emaw, airbag-a a tlakbuak emaw a ni thei.
- Nau piang laia thil thleng: A chang chuan nausen an pian hian kekawrte chu nau neihna kawngah a tang thei a, kawr ruh chu a chhe thei bawk.
Engtin nge doctor hian hei hi a hriat theih?
I ruh ruh tliak nia rinhlelhna tlemte pawh i neih chuan damdawi in hnai ber emergency room (ETU)-ah i kal nghal tur a ni. Chutah chuan doctor chuan a hnuaia mite hi a ti ang:
1. Accident a thlen dan a zawt: Thil thleng chungchang a zawt che a, thil awmdan chu a rough idea a nei bawk.
2. Accident awmna hmun enfiah thin ang che:Natna, a hring leh a lan chhuah dan dangte uluk taka enfiah thin a ni.
3. X-ray lak: A ruh tliak a awm leh awm loh hriat chian nan X-ray lak a pawimawh hle. X-ray hian a ruh tliakna hmun leh a nihna (a chunga kan sawi chi hrang hrangte) chiang takin a tarlang thei a ni. Complex fracture thenkhatah chuan ``(CT scan)`` pawh tih theih a ni.
Engtin nge enkawl a nih? Surgery neih a ngai em?
Thu lawmawm chu hetiang hi a ni: Ankle fracture tam zawk hi operation tel lovin a dam tha hle. Za zela tlemte chauhvin operation an mamawh.
Enkawlna an pek tlangpui chu:
- Immobilization: Ruh tliak chu a hmuna awm reng tur leh a dam tha theih nan sling emaw shoulder immobilizer emaw pek theih che a ni. Hei hi kar engemaw zat hak tur a ni.
- Painkillers: Kar hmasa pahnih chhunga natna nasa tak nei tan chuan doctor-in a pek painkillers i ei a ngai dawn a ni. Chumi hnuah chuan natna tidamtu damdawi pangngai (e.g. Paracetamol, Ibuprofen) i hmang thei ang. Mahse damdawi chu doctor-in a tih ang chauhin ei rawh.
- Medical follow-up: Date-ah doctor hmu leh turin an ti ang che. Chutih hunah chuan ruh chu a dam tha em tih hriat nan X-ray lak a ni ang.
- Physical therapy: Kar tam tak chhung sling bun hnuah shoulder joint leh muscle te chu a nghet lo thei. Ruh chu a dam deuh tawh chuan physical therapist chuan exercise awlsam tak tak a zirtir ang che, chu chuan i shoulder mobility leh i taksa ruh tichak turin a pui ang che.
- Surgery: Ruh tliak chu nasa taka a insawn a nih chuan, ruh chuan vun a tikehsawm a, a bul hnaia thisen kalna kawng emaw, nerve emaw a tihchhiat chuan operation tih a ngai chauh a ni. Chutiang a nih chuan orthopedic surgeon chuan a chhe tawhte chu a siam thar leh ang a, pin emaw plate leh screw hmangin a vawn khawm ang.
Eng chen nge tihdam a ngaih?
I kum leh i ruh tliak dan azirin dam hun chhung hi a inang lo ang. A tlangpuiin, hetiang hi a ngai mai thei:
- Puitling tan: Kar 8 atanga kar 12 chhung
- Naupang tê tê tan: Kar 6 atanga kar 8 chhung
- Naupang kum 8 hnuai lam tan: Kar 3 atanga kar 6 chhung
- Nausen piang thar tan: kar 2 vel
I doctor chuan engtikah nge thil pangngai (sports, weight lifting ang chi) i thawh leh theih ang tih a hrilh ang che.
Recovery chhunga i tih tur leh tih loh tur thilte
Hemi hun chhung hian dik taka dam tur chuan heng thupekte hi zawm a pawimawh hle.
| ✔️ Thil tih tur (Tih tur) . | ❌ Tih loh tur |
|---|---|
| Ni khatah vawi tam tak minute 20 vel ice hnawih la, natna leh hliam tihziaawmna turin. | Doctor thurawn tel lo chuan natna tidamtu chi hrang hrang mix leh ei loh tur a ni. |
| I sling chu chhun leh zanah bun reng ang che (inbual laiin chauh phelh rawh). | Damdawi ei tur ruahman aia tam ei loh tur. |
| A tul angin natna tidamtu damdawi ei la, mahse doctor-in a tih ang chauhin ei thin ang che. | Sling ha chungin lirthei khalh suh. |
| Thupek angin nitin i kephah, i kut leh i kut zungtang te chu tlem tal tichei thin ang che. | I doctor-in phalna a pek che hma chuan kut hliam chu chawi chhuak suh, nawr suh, nawr suh. |
| Ni ruat saah doctor pan ngei ngei tur a ni. | Damna kawngah hmanhmawh tum suh. Dawhthei takin awm rawh. |
Kut tliak hi darkar khat chhungin a thleng thei a, kar tam tak chhung nitin nun a tidanglam thei bawk. Motor khalh te, thil eng emaw pan a, mi dangte hnên aṭanga ṭanpuina dîl chu a harsa thei hle. Mahse, i chhungte leh i thiante chuan tanpui che an duh tih hre reng ang che. Dam vat tura nawr i tum chuan harsatna a thlen chauh ang a, i dam lehna pawh a tikhawtlai ang. A tha ber chu dawhthei taka doctor thupek zawm hi a ni.
Take-Home Thuchah a ni
- Clavicle fracture hi hliam hi a tam hle a, chuvangin a tul lovah hlau suh.
- Fracture tam zawk hi chu operation ngai lovin a dam vek a, kut chu immobilization (sling hmangin) leh chawlh hahdam a ni.
- A lan chhuah dan ber chu natna nasa tak, hliam, kekawrte che thei lo, leh hmel hmuh theiha inthlak danglamna te hi a ni.
- Chutiang accident i tawk nia i rinhlelh chuan damdawi in pakhat Emergency Treatment Unit (ETU)-ah kal nghal la, damdawi lam thurawn la rawh.
- I dam leh hunah i doctor leh physical therapist-in thupek an pek ang chiah kha zawm rawh. Hmanhmawh hian thil a tichhe zual thei a ni.
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