I ke pawh i ti tliak tawh em? Ke ruh tliak chungchang hi han sawi ila!

Aw ka! I ke i vuak palh avanga natna lo awm thin chu i hria em, tihsual tenau emaw, tlu emaw pawh nise? A chang chuan simple sprain a ni thei a, mahse a chang chuan i ke ruh tliak (fracture) a ni thei bawk. Hetiang thil a thlen hian hlauhna tlem a awm hi thil pangngai a ni. Mahse, lungngai suh, he thu hi chipchiar takin kan sawi dawn a ni .

Fractured Foot tih hi eng nge ni?

A awlsam zawngin i ke ruh 26 zinga pakhat emaw a aia tam emaw a tliak a ni. I ke ruh te te engzat nge awm tih kha han ngaihtuah teh. Chuvang chuan an chhiat awlsam em em a ni. Heng ruhte hi:

• I ke ruh ruh te te (damdawi lamah chuan phalanges an tih) te.
• I ke ruh lian tak bulpuiah hian ruh te tak te, zungbun ang maia lian pahnih a awm a, chu chu sesamoids an ti a ni.
• I ke lairil ruhte (hengte hi metatarsals an ti a).
• Tin, ke hnung lama ruh , entirnan i ke ruh (hei hi calcaneus an ti).

Ke ruh tliak hi a tam hle. Infiamna lai emaw, accident a\angin emaw, tlu a\angin emaw a thleng thei a ni. A châng chuan kea stress awm reng (entir nan, chawlh hahdamna mumal lo taka tlan) hian ``stress fracture'' an tih dinhmun a thlen thei a ni.Engtin nge ke chu a tliak pawh ni se, damdawi lam pan thiam a pawimawh.

Ke ruh tliak hian eng symptoms nge a neih?

I ke ruh tliak i neih chuan rang takin, na tak emaw, natna a pung zauh zauh emaw i nei thei. He natna hi i che emaw, i kal emaw hian a pung thei a, i chawlh laiin a reh thei bawk. Tin, symptoms te pawh i nei thei bawk:

• Bruising leh vun rawng danglam (blue emaw purple emaw ang chi).
• Vung.
• Kut khawih laiin natna hriat (tenderness).
• Ke pianhmang inthlak danglam (bunion ang maia lang thei).
• I kal dan inthlak danglamna (gait abnormalities).
• Kal harsa leh kea rit dah.
• Ke sawn harsat.
• Taksa balance hloh.

Engtin nge heng ke ruh tliak te hi a lo awm?

Vawi tam tak chu ke ruh tliak chhan ber chu kea hliam direct (`direct injury`) emaw, trauma (`trauma`) emaw a ni. Chungte chu:

• Ke tlu emaw, tlu emaw, tlu emaw.
• Ke chu mak tak maiin a inher a.
• Thil khauh takah i ke i vuak palh avang hian.
• Ke chunga thil rit tak tla.
• Jumping leh running ang chi high-impact activities neih laiin .
• Car accident ang chi thil atang hian .
• Blunt force trauma tih a ni.

Hei pawh hi ‘stress fracture’ tih hi a ni em?

Ni e, chu chu fracture chi khat a ni. Mahse, hliam lian tak, rang tak atanga thleng a ni lo. Stress fracture chu ke ruhte chu hun rei tak chhunga stress nawn leh hman tam lutuk a nih avangin ruh chhungah crack te te a awm a, hun kal zelah a lian chho zel a ni. Hetiang dinhmun hi infiammi zingah a tam hle. Entir nan:

• Football (`Football`) a ni.
• Basketball khelh a ni
• Tlan
• Zai a ni

Hetiang infiamna chi hrang hrang khel thinte hian an chawlh hahdam loh a, kekawr hak tur dik tak an hman loh chuan stress fracture an nei tam zawk a ni.

Tu nge ke ruh tliak hlauhawm zawk?

Mi thenkhat chu midang aiin ke ruh tliak an hlauhawm zawk. Chutianga ti thei thil ṭhenkhat chu hetiang hi a ni:

• High-impact sports leh thil dang tihnaah tel.
• Kekawrte thlawp thei lo leh in fit tha lo bun .
• Vitamin D tlakchhamna nei .
• Ke dinhmun thenkhat neih, ke flat emaw, arch sang emaw ang chi .
• Ruh tihthianghlim natna (osteopenia emaw osteoporosis emaw). Hetiang dinhmun hi hmeichhiaah chuan menopause hnuah a tam ber.

Enkawl loh chuan eng harsatna nge thleng thei?

Ke ruh tliak chu enkawl vat a nih loh chuan harsatna lian tham a thlen thei a ni. Ruhte chu an pianpui awmna aṭanga nawr chhuah, khumah dah luh a nih chuan eng nge thleng ang tih han ngaihtuah teh?

I kal theihna a nghawng thei a, ke ruh a tichhe reng thei bawk.

Thil dang chu a chang chuan ruh chu a chhe thei a, vun chung lamah hliam a awm thei bawk (hei hi ``open fracture`` an ti). Hetih lai hian enkawl loh chuan hliam atanga natna kai luh theihna chance a sang hle.

Engtin nge doctor hian hei hi a hriat theih?

I doctor chuan i ke taksa a enfiah hmasa ang. I ke chu an hre thei a, kawng hrang hrangah an kalpui thei bawk. I ke chu hma leh hnung lam hawia kal kual turin an ti thei bawk che a, tlem tal kal kual turin an ti thei bawk che a, i range of motion pawh enfiah turin an ti thei bawk. I natna lan chhuah dan te, hliam i neih dan te, i damdawi lam chanchin te pawh an zawt ang che.

Diagnosis dik tak neih theih nân, i doctor chuan i ke X-ray a order fo ang . A tlem berah chuan, a bik takin stress fracture rinhlelh a nih chuan specialized imaging test dang tihsak theih a ni. Entir nan:

• CT scan (`CT scan - computed tomography scan`) hmanga tih a ni.
• MRI scan (magnetic resonance imaging) hmanga tihchhuah a ni.

Ke tliak i rinhlelh chuan Doctor i hmuh hmain eng nge i tih theih ang? (RICE hman dan) .

I ke ruh tliak i rinhlelh chuan damdawi lam thurawn i lak ngei ngei tur a ni. Amaherawhchu, Doctor i hmuh theih hma chuan in lama tih theih tur engemaw zat a awm. Hei hi RICE method an ti a .

• R – Chawlh: Ke chu a theih ang anga muang taka dah tur. A chungah chuan weight tihtlem rawh.
• I – Ice: Ice pack chu puan te tak tea khuh chu hliamna hmunah minute 20 vel dah la. (Rei lutuk chu dah suh.)
• C – Compression: Ke chu bandage nem leh nghet tak (`compressive dressing`) hmangin khuh tur a ni. Mahse, hre reng ang che, khirh lutuk suh, hei hian thisen kal a titawp thei a ni.
• E – Elevation: I ke chu i thinlung chunglam deuhah chawl la. A chungah chuan pillow i dah thei bawk.

Heng thilte i tih lai hian natna damdawi pawh i ei thei bawk. Damdawi dawr atangin acetaminophen (e.g. Panadol®) i lei thei a, nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen emaw naproxen emaw i hmang thei bawk. Amaherawhchu, Doctor zawt la a tha ber.

Eng damdawi lam enkawlna nge awm?

Ke ruh tliak enkawlna chu thil engemaw zatah a innghat a:

• Eng ruh (te) nge a chhe/chhe?
• Fracture chi hrang hrang.
• I ruh tliak nasat dan.

Plastering leh thil dang tam tak

I ke ven nan cast , splint (cast aiin a rit deuh deuh), emaw, a bik taka siam boot emaw, pheikhawk emaw i ha a ngai mai thei. Heng pheikhawkte hian kephah nghet tak an nei thei a, Velcro® fasteners an nei thei a, ke ruh pawh a inhawng thei bawk. I dinhmun azirin, kea kal tûr chuan kekawrte , kea kalna , a nih loh leh wheelchair i hman a ngai mai thei.

‘Buddy Taping’ tih hi eng nge ni?

I ke ruh tliak i neih chuan i doctor chuan ``buddy taping'' tih hmanraw awlsam tak a hmang thei ang.Hei hian ke ruh tliak chu ke ruh hrisel tak bulah dahin tape hmanga khuh a ni. Hei hian natna a tihziaawm thei a, ke ruh tliak chu a nghet thei bawk.

‘Physical Therapy’ pawimawhna a ni.

I ke a dam deuh hnuah doctor chuan physical therapist hnenah a refer ang che.Min hmu rawh i ti thei ang. Chu chu `physical therapy` an ti a. Physics therapist chuan i ke chakna chu a siam thar leh ang che. I ke flexibility leh range of motion tipung thei exercise bik an zirtir ang che.

Fracture tihziaawmna

A châng chuan ruh tliak chu a chhuak thei a, a hrual thei bawk. Chutiang hunah chuan doctor chuan ruh chu a awmna tur dik takah a dah leh a ngai mai thei (fracture reduction) . Hei hian ke chu a tichak lo va, chutah chuan ruh chu zawi zawiin a hmuna dah a ngai a ni.

Surgery neih a ngai dawn em ni?

I ke a tliak nasa hle a nih chuan, a nih loh leh noninvasive measures dangin hna a thawk lo a nih chuan, i doctor chuan operation neih a rawt thei ang . Hetiang surgery hi internal fixation an ti a. Hei hian surgeon chuan i ke chhungah thir screw, pin, rod, a nih loh leh plate a dah a, ruh a dam hma loh chuan a hmunah a vawn tlat a ni.

Ke pakhat a dam theih nan eng chen nge a duh?

Ke ruh tliak chu a dam kim theih nan kar li atanga kar ruk vel a ngai tlangpui . Mahse, a then phei chuan kar 10 atanga kar 12 vel a daih thei. Hei hi eng ruh nge a tliak tih leh a chhe nasat danah a innghat a ni. I dinhmun chungchangah doctor hnenah zawhna chiang tak zawt rawh.

Damna hmasa lamah chuan i keah rit i dah thei dawn lo. Ruh tliak chu a dam hma loh chuan kekawrte, kea kalna emaw, wheelchair emaw i hman a ngai ang. Fracture na tak thenkhat chu a dam theih nan thla ruk vel a ngai thei a, mi active leh infiammi tan chuan ke hian thla ruk vel a mamawh thei bawk.

Ke ruh tliak hi ven theih a ni em?

Ke ruh tliak tam zawk hi accident leh tlu vang a ni a, chuvangin ven kim a harsa hle. Mahse, i ke nghet taka awm theih nan thil engemaw i tih theih a awm a, a bik takin stress fracture laka invenna atan:

• Infiamna leh thil dang i khelh hian kekawr hak tur dik tak ha thin ang che .
• I taksa ruhte a chak reng theih nan exercise i tih hma leh i tih zawhah warm-up leh cool-down exercise (stretches leh exercise) ti la .
• Infiamna leh thiltih i tih tam dan azirin i kekawrte thlak fo thin ang che.
• Training emaw exercise program emaw i tih hian vawi khatah hun leh chakna tihpun loh la, zawi zawiin tipung zawk rawh.
• Inkhelh lai leh training neih chhungin chawlh hahdam tawk neih theihnghilh suh ang che.
• I ei tur atang hian vitamin D tling la, a nih loh leh doctor-in a tih angin vitamin D supplement ei bawk ang che.
• I ke chungah thil engemaw.Natna a awm chuan hnathawh kha titawp la, damdawi lam thurawn la rawh.

Doctor hmuh a ngai em?

Ke ruh tliak emaw, ruh tliak emaw i neih chuan damdawi lam pan vat tur a ni. Mahse, ke ruh tliak i neih chuan lirthei khalh suh. A theih chuan mi dang doctor emaw, urgent care center emaw hnenah hruai tir rawh.

Kar tlemte kalta chhung khan i ke na i nei a, a reh lo a nih chuan chu pawh chu enkawl a pawimawh. Stress fracture emaw, ke natna dang emaw i nei thei bawk.

Doctor hnenah eng nge i zawh tur?

I ke ruh tliak chungchanga doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Eng ang ke ruh tliak nge ka neih?
• Hemi atan hian eng enkawlna nge i rawt?
• Natna tihziaawmna turin in lamah eng nge ka tih theih ang?
• Engtikah nge ka kal theih leh ang?
• Nakin lawkah hetiang fracture awm lo turin eng nge ka tih ang?

Ke ruh tliak chungin i kal thei em?

Fracture tam zawkah chuan ruh tliak chu a dam laiin i ke chu hun engemaw chen i dah thei dawn lo. I hliam awm dan azirin hei hi kar riat emaw a aia rei emaw a ni thei. Hemi chhung hian i ke venhimna tur leh chhiatna dang a awm loh nan cast, splint emaw special shoe emaw i bun a ngai dawn a ni. I kal kual theih nân kekawrte, kea kalna emaw, wheelchair emaw i hman a ngai thei bawk. Kar hmasa ber a dam hnuah i doctor chuan zawi zawiin i keah rit i dah tan tir thei che a ni.

Home message chu la rawh

Ke ruh tliak hi thil thleng thut, tlu emaw, accident emaw avanga lo awm a ni thei a, pressure awm reng leh hman tam lutuk vang pawh a ni thei bawk. I ke chu engtiang pawhin tliak mah se, i ke chu a dam ṭhat hma loh chuan chawlh hahdam a pawimawh. Ke ruh tliak chunga ding emaw, kal emaw i tum chuan i ke damna a tikhawtlai thei a, a dam tha tur pawh a tikhawlo thei bawk. Chuvangin, i doctor thusawi ngaithla la, okay a pek che hma loh chuan i keah rit dah loh tur a ni. Tichuan zawi zawiin i keah rit i dah thei a, i dam thuai thei a, i thiltih pangngaiah i kir leh thei bawk!

` Ke ruh tliak, ruh tliak, ke hliam, ruh tliak, RICE method, damdawi lam enkawlna, ruh hriselna