I kut zungtangah hliam na tak i nei tawh em, chu chu inkhelh laiin ball i vuak emaw, kawngkaa i kut zungtang a tlak emaw, i kut i kut zungtang chunga i tlu emaw pawh nise? Chutih lai chuan, ‘Aw, ka kut zungtang a tliak em tih pawh ka hre lo’ tiin i ngaihtuah mai thei. Hei hi mi tam tak chunga thil thleng a ni. Chuvangin kut zungtang a tliak (fracture) hian eng nge thleng thin tih te, a natna lan chhuah dan te, eng nge kan tih tur tih te hi han thlir ila.
Kut zungtang tihchhiat hi eng nge a awmzia tak?
A awlsam zawngin, kut zungtang tliak chu i kut zungtang ruh pakhat emaw, a aia tam emaw a tliak a ni. Kan kut zungtang hi ruh te te phalanges an tih atanga siam a ni. Kutpui hian heng zinga pahnih a nei a, kut zungtang dangte hian pathum a nei bawk. Chung ruh pakhat emaw a aia tam emaw a tliak chuan finger fracture kan ti thin. He break hi ruh lai takah a awm thei a, a nih loh leh kut zungtang inzawmnaah a awm thei bawk.
Kut zungtang tliak natna tihziaawmna turin, ice hnawih te, natna tidamtu damdawi ei te, leh i kut chawi sang te ang chi thil i ti thei ang . Mahse, hei hi hun rei lote chhunga chinfelna chauh a ni. Doctor pan ngei ngei tur a ni a, X-ray i la ngei tur a ni.
Kut zungtang tliak hian eng symptoms nge a neih?
Kut zungtang i tihchhiat hian i rilruah a lo lang hmasa ber chu tuar theih loh natna hi a ni. A châng chuan kut zungtang pawh a pianzia a danglam thei a, a hrual ang maiin a lang thei bawk. Tin, heng symptoms te hi zawng bawk ang che.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Swelling leh Bruising te a awm | Fracture hmun chu a hring a, blue/purple a ni thei. |
| Deformity a awm | Kut zungtang chu mak tak maiin a inzawm khawm leh a inher ang maiin a lang thei. |
| Harsatna Sawn | Ka kut zungtang ka ben emaw, tihdik emaw ka tum hian natna nasa tak ka nei thin. |
| Natna nasa tak | Khawih emaw, hmet emaw hian a na zual thin. |
| Kut zungtang a nghet lo | Kut zungtangte chu a tight hlein a lang thei. |
I kut zungtang chu tlem tal i che thei a nih pawhin a chhe lo ang tih ring suh. Fracture thenkhatah chuan tlem i sawn thei a, mahse a natna a tizual chauh ang. Numbness a awm chuan nerve a chhiat tihna a ni thei. Tin, ruh pakhatin vun a tihchhiat (an open fracture) a nih chuan emergency a ni. Chutiang a nih chuan damdawi in Emergency Department (ETU) ah i kal nghal tur a ni.
Kut zungtang tliak chhante chu engte nge ni?
A tam zawkah chuan chetsualna avanga kut zungtang a tliak thin. Heng thilte hi nitin hnathawh lai pawhin a thleng thei a ni. Heng thilte hi i chungah pawh a thleng tawh em tih en rawh.
| Thil awm fo thin |
|---|
| Infiamna khelh laiin - ball tlan chak tak (cricket, baseball)-in kut a vuak. |
| I tlu dawn laia leia i tlak loh nan leia kut dah. |
| Kawngkhar, drawer, window-a i kut zungtang dah. |
| Accident na tak tak, car accident ang chi te. |
| Hammer leh drills ang chi hmanrua hman avanga accident thleng thin. |
Risk tipungtu thil dang
Heng hlauhawmna bakah hian natna thenkhat chuan ruh a tichak lo thei a, kut zungtang pawh awlsam takin a tikehsawm thei bawk. Entir nan:
- Calcium emaw Vitamin D tlakchhamna.
- Ruh tihthianghlimna natna, ruh natna (osteoporosis) ang chi.
- Ei leh in lama harsatna (malnutrition) a awm.
- Hri kai theihna thenkhat.
Engtin nge doctor hian hei hi a hriat chian?
Doctor hmu tura i kal dawnin, engtin nge accident a lo awm tih a zawt hmasa ang che. Tichuan i kut zungtang chu uluk takin a enfiah ang a, a hnuaia mite hi a ngaihven hle ang:
- Kut zungtang chu kawng dik lo lamah a hrual em?
- Kut zungtang dang aiin a tawi zawkin a lang em?
- I kut i clench hian kut zungtang dangte chu a chung lam a pan em? (Scissoring hmanga tih a ni) .
He examination zawhah hian X-ray tih ngei ngei tur a ni a, chu chuan fracture a awm leh awm loh finfiah a, eng fracture chi nge a nih tih hriat a ni ang.
Kut zungtang tliak chu eng enkawl dan nge ni ang?
Enkawl dan chu ruh tliak awmna hmun, a nasat dan leh ruh tliak te chu a inthlak (nondisplaced) leh inthlak lohah a innghat a ni.
Nondisplaced Fracture a awm lo
Ruh tliak te chu a inthlak loh chuan enkawl a awlsam hle. Doctor chuan hetiang hian a ti fo ang:
- Splinting: Kut zungtang dinglam leh che thei lo turin splint dah a ni.
- Buddy Taping: Kut zungtang chhe tawh chu a sir lama kut zungtang hrisel takah dahin tape hmangin an khih a. Hei hi ‘Buddy Taping’ an ti a.
Kar tlemte chhung chu hetiang hian i dah a ngai a ni. Chumi hnuah doctor chuan i kut zungtang khauh lutuk tihziaawmna turin exercise tih turin a fuih bawk ang che.
Displaced Fracture a awm
Ruh tliak te chu a inthlak a nih chuan doctor chuan a hmunah a dah leh a ngai dawn a ni. Hei hi ‘reduction’ an ti. Ngaihtuah buai suh, hei hi kut zungtang chhungah local anesthesia inject hmanga tih a ni. Ha lak chhuah ang mai a ni. Fragment te chu a hmunah a awm tawh chuan finger chu a hma ang bawkin splint hmangin immobilized a ni.
Engtikah nge operation i mamawh?
Thil na tak ṭhenkhatah chuan zai a ngai mai thei. Hengte hi a case thenkhat chu an ni:
- Fracture hian finger-a joint pakhat a nghawng a nih chuan.
- Ruh chu a then a then (multiple fractures) a nih chuan.
- Splint chauh hmanga uluk taka vawn theih loh, unstable fracture a nih chuan.
- Kut zungtang tendon emaw ligament emaw a chhiat rualin a chhiat chuan.
Surgery an tih lai hian surgeon chuan wire te te, screw te, a nih loh leh plate te hmangin ruh tliak te chu a vawng tlat thin. A châng chuan hengte hi hun eng emaw chen dahin an paih chhuak leh ṭhin. A châng chuan a nghetin an dah ṭhin.
Enkawlna tihkhawtlai a nih chuan eng nge thleng ang?
Hei hi a pawimawh hle. A theih chuan accident atanga kar khat chhungin doctor pan tur a ni . I kal hma poh leh ruhte chu a inmil lo thei hle.
A tlai lutuk a nih chuan doctor chuan ruh chu a hmuna dah turin a hawn a ngai mai thei a, a ruh tliak siamthat nan operation pawh a ti thei bawk. Chuvangin, enkawl vat vat a pawimawh hle.
Kut zungtang pakhat a dam theih nan eng chen nge a mamawh?
Kut zungtang pakhat a dam theih hun chhung hi mi hrang hrangah a inang lo. Break nasat dan te, i kum leh i hriselnaah a innghat a ni. A tlangpuiin a dam kim theih nan kar tlemte atanga thla engemaw zat, kum khat pawh a ngai thei.
I doctor-in a tih hma loh chuan i kut hmangin hna rit tak tak thawk suh. Tin, i kut zungtang khauh lutuk tihziaawmna turin doctor emaw physiotherapist emaw tih ang chiaha exercise tih a pawimawh hle bawk.
Thil ngaihtuah tur a awm lo, enkawl dan dik i hmuh chuan i dam thuai ang!
Kut zungtang keh chu thil tenawm ang maia lang mah se, ngaihthah tur a ni lo. In lama awm mai maiin , ‘Thil tenawm tak mai a ni’ tih ngaihtuah mai suh. Hliam tenau tuar pawh nise doctor pan hi a finthlak. Chumi hnuah chauh chuan dinhmun chu eng nge ni tih leh eng nge i tih tur tih chiang takin i hre thei ang. Nangmah ngeiin enkawl tum suh.
Take-Home Thuchah a ni
- Kut zungtang pakhatah na, a hring emaw, a hring emaw a awm chuan, a ke ruh tliak a ni thei.
- Mahni chauhin thutlukna siam suh. Doctor hmu ngei ang che, X-ray la rawh.
- Ruh chi khatin vun a tikehsawm a, a chhuak chhuak a nih chuan emergency a ni. Damdawi inah kal nghal rawh.
- Enkawlna zawngin hun tikhawtlai suh. Enkawlna i zawn hma poh leh i dam thuai thei.
- Doctor thupek dik takin zawm la, a bik takin exercise lak dan tur chu zawm rawh.
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