Broken Femur chungchang hi i zir dawn em ni? Hlau suh, kan inbia ang u!

Aw, chu i ke ruh lian tak, chak tak, i hip atanga i khup thlenga – femur – chu a chhe ta a nih chuan eng ang nge ni ang tih han ngaihtuah teh! Thil hrehawm tak a ni thei. Femur hi kan taksaa ruh sei ber, rit ber leh chak ber a ni. Chuvangin, a chhe tur chuan chakna lian tak, accident lian tak a nih a ngai dawn a ni. Femur i tihchhiat chuan doctor pan nghal a pawimawh hle. A chhan chu a dam theih nan thla tam tak a la ngai thei a ni. Chuvangin, he thu hi chipchiar deuhin han sawi ila, kan sawi dawn em ni?

Femur chu eng nge ni? A chheh chuan eng nge thleng?

A awlsam zawngin, i ke ruh chhunga ruh awmchhun chu femur hi a ni. Kan sawi tawh ang khan kan taksa ruh lian ber leh chak ber a ni. Chuvangin, tihchhiat chu thil tenawm tak a ni lo. Tlu tenau atanga tihchhiat hi a tlem hle tlangpui. Car accident lian tak, hmun sang atanga tlak emaw, silai kah hliam emaw ang chi thilin a tichhia fo thin.

Mahse, a bik takin kum 65 chunglam tan chuan ding lai chauh pawha an tlu a, an tlu a nih chuan an ruh a chak lo (a bik takin osteoporosis ang chi natna an neih chuan), chuvangin he femur hi a chhe thei a ni.

Engvangin nge he femur fracture hi hliam na tak a nih?

Femur i tihchhiat hian kut emaw ke emaw tihchhiat ang mai a ni lo. Tlem a pawi deuh deuh pawh a awm thei. En teh:

• Thisen chhuak tam tak a awm thei: A bik takin ruh chi hrang hrangin vun a rawn chhuah chuan (hei hi ``open fracture'' an ti a), taksa atangin thisen tam tak a chhuak thei a ni. A chang chuan chhungril lamah pawh thisen a chhuak thei bawk.
• Shock: Thisen chhuah tam lutuk leh natna avangin taksa chu shock-ah a lut thei.
• Hip ruh a chhe thei: Thigh bone chunglam, chu chu hip joint bulah a chhe a nih chuan hip bone pawh a chhe thei bawk. Hetiang hlauhawmna hi ruh natna vei tan chuan a sang zawk.
• Khup chhiatna: Thigh bone hnuai lam, chu chu khup hnaihah a chhiat chuan khup pawh a chhe thei bawk. Hei hi khup thlak surgery nei tawh emaw, ruh natna vei tawh emaw-ah pawh a awm fo.

I thigh bone i tihchhiat chuan engzat nge a na?

Aw ka! Chu chu thil pawi tak a ni. Thumal hmanga sawifiah a har khawp mai. Mahse, lungngai suh, damdawi ina i admit hnuah doctor-te chuan i natna thunun nan damdawi mamawh chu an pe ngei ang che.

Femur chhe tawh hian eng symptoms nge a neih?

Accident dangah i tlu emaw, i hip i hliam emaw a nih chuan heng symptoms te hi fimkhur rawh:

• A natna chu tuar theih loh a ni .
• I ke hliam pawh i dah thei lo va , rit pawh i dah thei lo .
• A chang chuan ruh tliak te hian vun a tikehsawm a, a chhuak thei a, thisen a chhuak thei bawk.Hei hi ``Open fracture'' an ti a.
• A châng chuan ruh tête chu vun chung lamah a rawn chhuak thei a, hmuh theih a ni a, mahse vun chu a chhe lo . Hei hi ``closed fracture'' an ti a.
• Thigh area chu blue a ni a , a hliam pawh a lang thei .
• Thigh area thenkhat chu a hring vek a .
• Ke hliam chu ke dang aiin a tawi deuhin a lang thei. Ke hliam chu pawn lam (i taksa atanga hla takah) a hawi thei bawk .

Thigh ruh tliak nen i kal thei em?

Ni lo tak zet a ni. Vawikhat i femur a chhiat chuan chu ke chu rit i dah thei lo vang a, i ding thei tawh lo bawk ang. Chuvangin kea kal pawh ngaihtuah suh.

Hetiang hip fracture hi engtin nge doctor-te hian an hriat theih?

Damdawi in i kal hunah doctor ten i ke hliam chu uluk takin an enfiah hmasa ang. Tichuan, `(X-ray)` test an ti ngei ang. A châng chuan, `(Computed Tomography scan)`, `(CT scan),` tia hriat bawk pawh hi a ruh tliak dan chiang zawka hriat theih nân tih theih a ni bawk. Heng test atang hian doctor te hian eng ang fracture (`(fracture type)`) nge i neih tih chiang takin an hre thei a ni.

Femur fracture hi chi hrang hrang a awm a:

• Transverse fracture: Ruh chu a sir zawng zawngah line horizontal-in a chhe vek a.
• Spiral fracture: Ruh hi spiral ang maiin a tliak a.
• Oblique fracture: Ruh chu a sir zawng zawngah a chhe tawh.
• Comminuted fracture: Ruh chu a chi thum emaw a aia tam emaw a inthen tawh.
• `(Open or compound fracture)` (Open fracture): Ruh chu a chhe tawh a, ruh chi hrang hrangte chuan vun a tikehsawm a, a lo chhuak ta a ni.

Engtin nge femur fracture hi enkawl a nih?

Pakhatnaah chuan, natna tihziaawmna tur leh ruh tliak chu a che lo turin doctor-te chuan i hip vel chu splint, board chi khat, an dah thei a, chu chuan i ke tam zawk chu a khuh thei a ni. Hei hi hun eng emaw chen atana tehfung a ni.

Hei bakah hian enkawlna `(traction)` tih pawh an hmang bawk. Hei hian ruh tliak te chu a inmil tawk theih nan a pui thin. `(Traction)` hi chi hnih a awm a:

• Weighted traction splints: Hei hian i ke ruh (ankle)-ah strap i bun a, a chungah weight i bun a, frame leh pulley hmangin zawi zawiin i chhuah a ni. Hei hian femur-ah pressure nem tak a pe a, ruhte chu a inmil reng theih nan a pui a ni.
• Skeletal traction: Hei hian doctor chuan operation tenau tak a ti a, i thigh bone (femur) emaw shin bone (tibia) emaw ah pin a dah a. Tichuan, i thigh bone a dinglam theih nan pin-ah hian weight an dah a.

Hip fracture apiang hian operation a ngai em?

Ni e, a dik ngei ang.I thigh bone i tihchhiat chuan a dam tha turin operation i mamawh ang. He surgery hi i hliam hnu darkar 24 atanga darkar 48 chhungin tih thin a ni tlangpui a, damdawi inah i admit a ni. Doctor-te hian surgery chi hnih lian tak an nei a, chungte chu:

• `(Open Reduction leh Internal Fixation - ORIF)`
• `(Pawn lam atanga fixation)`

He `(ORIF)` surgery hi eng nge ni?

Hetiang procedure-ah hian surgeon chuan i hip emaw knee joint bulah incision a siam a, ruh tliak te chu a realign leh thin. Tichuan, ruh chu a nghet theih nan thir hmanrua (e.g., rod emaw plate emaw) an dah a.

He `(ORIF)` surgery-ah hian eng metal instrument nge hman?

• Rods: Hengte hi intramedullary nail an tih surgical procedure-ah an hmang thin. Surgeon chuan heng rod te hi i ke chhungah a dah lut a, medullary cavity kaltlangin (hei hi bone marrow awmna hmun a ni).
• Screw: A hmaa kan sawi tawh stick emaw metal plate emaw a che loh nan a chung leh a hnuai lamah screw dah a ni.
• Metal plate: Splint ang bawkin, surgeon chuan heng metal plate te hi ruh pawn lamah a dah a, screw hmangin a nghet a, chu chuan ruh ruh chu a ti nghet thei a ni.

Chuti a nih chuan ``(External fixation)`` surgery tih hi eng nge ni?

Hei hi thigh bone stabilize nana surgery a ni bawk. Hei hian i thigh bone-ah metal pin (bolt/pin) engemaw zat dahin i ke pawn lama frame (frame)-ah i dah a ngai a ni. A châng chuan, he procedure hi ORIF surgery hmaa ruh chu hun eng emaw chen atana tihngheh nan hman a ni. A nih loh leh, hliam a na lutuk a, ORIF surgery tih theih loh hunah pawh hman theih a ni.

He ``(External fixation)`` surgery hi anesthesia hmanga tih a ni. Surgeon-te chuan i kawr ruh tliak lai chung leh a hnuaiah ruh chhia loah khur an drill a, chutah chuan rod an dah a ni. Heng rod te hi i ke pawn lama frame pakhatah an inbun a. He frame-a ``(ball-and-socket joints)`` hian ruh chhe tawhte chu a line dik theih nan rod-te chu a siamrem thei a ni.

Operation hnuah physical therapy a ngai em?

Ni chiah e! I dam chhung zawng hian physical therapy i mamawh dawn a ni. Hei hian i ke ruh a tichak ang a, joint mobility a siam tha ang a, i kal dan pangngaia i kal leh theih nan a pui bawk ang.

Painkiller i pe em?

Ni e, i doctor chuan i natna chungchang a sawipui ang a, natna damdawi \ha tak a pe ang che.

Heng surgery-te hian eng hlauhawmna emaw, harsatna emaw a thlen theih?

Surgery dang ang bawkin hip fracture surgery hian harsatna engemaw zat a nei thei a ni. Chung zingah chuan:

• Acute compartment syndrome (ACS): Hei hi taksa peng hrang hranga pressure a lo pung a, taksa peng leh taksa peng hrang hranga thisen kal a tlahniam a ni. Hei hian taksa ruh leh nerve tihchhiat nghet tak a thlen thei a ni.
• Ruh chi hrang hrang inzawm tha lo: Hei hian ruh chu a tidam dik lo thei a ni.
• Nail leh screw dah luh avanga harsatna awm.
• `(Fat embolism syndrome)`: Hemiah hian thisenah thau chi hrang hrang a awm khawm thei a. Thâwk harsa leh hriatna hloh ang chi symptoms a awm thei.
• Thisen a chhuak thin.
• Ruh chhe tawhte kil hrual (sharp edges) hian thisen kalna kawng emaw, nerve emaw a tikehsawm thei a, a tichhe thei bawk.
• Kaichhawng.

Operation hnuah engtin nge ka in enkawl ang?

Kar hmasa pahnihah chuan in lama tanpuitu tur i neih a pawimawh hle. (I doctor chuan i in lama lo kal a, i tanpui tur enkawltu trained zawng turin a pui thei che a ni.)

I mut hunah chuan i ke tliak chu i thinlung aia sang zawka chawi sangin ding chungin i mu tur a ni . Hetianga mut hian ke ruh tliak a hring (swelling) a tihziaawm thei a ni.

Zawi zawiin i dam chhoh zel chuan nangmah chauhin in chhungah i insawn kual duh ang. Mahse, i keah engzat nge i dah theih tih doctor zawt rawh. Tiang, kekawrte, a nih loh leh kea kalna hmanrua i hman a ngai mai thei. I physical therapist chuan an hman dan tur a kawhhmuh ang che.

A pawimawh ber chu tlu leh tawh lo tura fimkhur hi a ni! I tlu leh a nih chuan i femur chu i hliam leh thei a ni. Tlu tlem theih nan hengte hi ti rawh:

• I mutna leh inbualna chu chunglam a nih chuan mutna tur hmun remchang siam la, a hnuaiah chuan portable commode dah bawk ang che. Chutiang chuan stairs atanga chho leh chhuk a ngai tawh lovang.
• I tang thei thil, leia wire emaw, rug te te emaw te chu paih chhuak rawh.
• Bathtub-ah emaw, shower-ah emaw, toilet bulah emaw handrail dah rawh.
• Stairs sir lehlamah handrail dah rawh.
• I in chu light tam zawk dah belh emaw, bulb eng zawk hmang emaw pawh nise, ti eng tha rawh.
• I hman fo thin thilte chu i hmuh theih nan chair-a chhoh ngai lovin i thlen awlsam cabinet-ah dah la.
• Bathroom floor-ah non-slip mat dah rawh.

Thigh ruh tliak tihdam nan eng chen nge a ngaih?

A dam kim theih nan thla li atanga thla ruk vel a ngai thei. A châng chuan hun rei zâwk a daih thei a, chu chu a ruh tliak dân, i kum leh i hrisêlna zawng zawng a zirin a ni.

Engvangin nge dam nan hun rei tak a mamawh? A chhan chu femur chhe tawh chu natural healing process a paltlang vang a ni. Stage engemaw zat a nei a:

• Ni 1-5 chhung hian:I thigh bone a chhiat chuan thisen petu thisen kalna kawngte pawh a chhe vek bawk. Heng thisen kalna kawng chhete hian a ruh tliakna hmunah hian ``hematoma,'' thisen zam a siam a. He thisen zam hian hun eng emaw chen atan framework angin hna a thawk a, i ruh a dam theih nan a pui bawk. I immune system hian he hliam hi a chhang let a, tissue chhia leh damna tichaktu cell te chu a tichak a ni.
• Ni 5-11: I taksa chuan ruh chhe tawhte inkarah cartilage network a siam tan a. Ruh thar (woven bone) a siam tan bawk.
• Ni 11-28: Chu cartilage network chu a thim zauh zauh thin. Thisen kalna kawng thar leh ruh thar tam zawk a lo piang ta a ni. Chutianga a kal zel chuan i ruh chu a insiamtha leh tan a, a tawpah chuan ruh pangngai a lo ni ta a ni. Hetiang thil tih zawng zawng hi thla tam tak, kum tam tak pawh a daih thei.

Engtin nge femur tliak hi ka ven theih ang?

Vanduaithlak takin ke ruh tliak (motor accident, tlu, silai kah hliam ang chi) thil thlengte hi kan thunun harsa hle.

Mahse, kum upat deuh deuha tlu hlauhawmna sang zawk (a bik takin kum 65 chunglam) te chuan fimkhur a ngai hle. Ding reng chung pawhin an tlu thei a, an hliam thei bawk.

Kum 65 chunglam i nih a, tlu hlauhna i neih chuan i tlak theihna tur i doctor zawt la. Damdawi i ei a, i mutthilh emaw, i luak chhuak emaw a nih chuan hrilh rawh. I doctor chuan i hlauhawmna tihziaawmna tur thil i tih theihte a rawt thei ang. Entîr nân, i ke tichaktu leh i balance tichaktu exercise an rawt mai thei.

Engtikah nge ka doctor ka hmuh ang?

I doctor hmu turin follow-up appointment pek i ni ang a, operation hnu kar hnih hnuah tan a ni ang a, chumi hnuah kar engemaw zat hnuah. Appointment apiangah kal ngei ngei tur a ni.

I dam lehna kal zel dan tur emaw, thil chiang tak tak, natna tihdamna ang chi emaw zawhna i neih chuan i doctor nen inbiakna neihpui ngei ang che.

Engtikah nge ka doctor ka biak ang emaw, emergency medical attention ka zawn ang?

Hip tliak atanga dam leh laiin, heng symptoms te hi i neih chuan , i doctor ko nghal la emaw, damdawi in hnai ber pan la:

• Thâwk harsa emaw, thawk lak laiin rilru na emaw.
• Zun tam emaw, zun laiin kang emaw.
• Surgery hliam chhehvel a sen emaw, natna tihpun emaw.
• Hliam atang hian pus ang chi tui a chhuak a.
• Ke pakhatah a hring (a sen ang a, ke dang aiin a lum zawk ang).
• Bawnghnute na.
• 101°F (38.3°C) aia sang a ni.
• I painkillers te hian an thunun theih loh natna.
• Kal a harsat thut chuan emaw, i keah rit i dah emaw a nih chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Hip tliak hi hliam na tak a ni a, emergency medical treatment a ngai a ni. I mamawh nghal maite i ngaihtuah hnuah, i doctor hnenah heng zawhnate hi zawh a tha ang:

• Surgery tam zawk ka mamawh dawn em?
• Engtikah nge physical therapy hi ka tan ang?
• Ka natna thunun turin eng nge ka tih ang?
• Engtikah nge ka kal theih ang?
• Engtikah nge ka office emaw hnathawhna hmunah emaw ka kir leh theih ang?

Femur chhe tawh enkawl a nih hnu kum tam takah pawh natna hi a la awm thei em?

Vanduaithlak takin, a ni. I ruh tliak a dam hnuah pawh chu hmunah chuan natna i la nei thei tho. Hei hi chronic pain an ti a. Hei hi chhan hrang hrang a awm thei a:

• Nerve chhiatna original fracture emaw treatment emaw atanga lo chhuak.
• Scar tissue a ni.
• Arthritis natna a ni.
• Nonunion chu ruhte a inmil tawk loh vang a ni.

He natna rei tak hi physical therapy, exercise leh damdawi hmanga tihziaawm emaw tihbo emaw theih a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvang chuan femur chhe chungchang kan sawi nasa hle. Hei hi hliam na tak ni mahse, damdawi lam enkawlna dik leh i inpekna chuan i dam tha thei tih hre reng ang che.

Dam thuai theihna thuruk chu damdawi lam thupek dik taka zawm a, a tih angin physical therapy exercise tih a, dawhthei taka awm hi a ni.

He natna chungchangah hian zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Dam leh thuai turin duhsakna kan hlan e!

` femur, femur chhe, thigh bone, fracture, surgery, dam lehna, physical therapy