I kut a chhe tawh em? (Kut tliak) Hemi chungchang hi han sawi ila!

Aw, i kut i ti na em? I tlu a, leiah i tla mai mai pawh a ni mai thei. Chutiang a nih chuan i kut chu a na leh a hring a awm chu thil pangngai a ni. Mahse hei hi hliam awlsam tak mai a ni em tih i hre thei lo mai thei, a nih loh leh i kut ruh pakhat a tliak a, chu chu `(Broken Hand)` an ti a ni, a dik em? Ngaihtuah buai suh, vawiinah hian heng kut tliak chungchang hi chipchiar takin kan sawi dawn a ni.

Kut ruh chungchang tlem han zir ila?

Kan kut hi thilsiam mak tak a ni a ni lawm ni? Ruh te tak te inzawmkhawm a ni. A dik tak chuan i kut ah chauh hian ruh 27 a awm a. Doctor-te chuan heng ruhte hi an awmna hmun leh an hnathawh dan azirin group lian pathum-ah an then a:

• Carpals: Hei hi ruh te te, i kut leh i kutphah inzawmtu te an ni.
• Metacarpals: Hei hi i kut chhunga ruh awmte a ni a, chu chuan i kutphah chu a pianzia a pe a ni.
• Phalanges: Heng ruhte hian i kut zungtang leh kutpui inzawmna a siam a.

Chuvangin, kut tliak chu ruh 27 zinga pakhat emaw, a aia tam emaw ruh tliak mai a ni. A châng chuan hei hi ni engemaw zât chhûngin splint (kut nghah rengtu support) emaw, cast (plaster cast) emaw hmangin siam ṭhat theih a ni tih hre reng ang che. Mahse, ruh tliak na tak ṭhenkhatah chuan ruh tliak tawhte chu a inrem leh theih nân operation neih a ngai mai thei.

Thil pawimawh dang chu kut a tliak chuan kut chhunga tissue nalh tak tak dangte pawh a chhe thei a ni. Chumi awmzia chu:

• Ligaments (ruh inzawmkhawmtu tissue) .
• Tendons (muscle leh ruh thlunzawmtu tissue) .
• Muscle te hi a ni
• Nerves a awm
• Thisen kalna kawngte

Heng zawng zawng hian nghawng a nei thei a ni.

Kut tliak chi hrang hrang a awm em?

Ni e, a dik tak zet. I kut ruh i tihchhiat hian doctor chuan "Hei hi ruh tliak chu a ni" tiin a sawi mai lo. Eng ang fracture nge a nih leh engtin nge ruh a tihchhiat dan a zirin an classified bawk.

Fracture thenkhat chu a fracture pianzia emaw, a pattern emaw a zirin an thliar hrang thin :

• Transverse fracture: Taksa pum puia ruh a tliak.
• Oblique fracture: Ruh angle-a a chhe.
• Spiral fracture: Ruh chu a hrual ang maia lang.
• Segmental fracture: Ruh chi hrang hranga inthen.
• Comminuted fracture: Ruh chu a hrual vek a, a chi hrang hrang tam takah a inthen a.
• Buckle/impacted fracture: Hei hi ruh chu nawr lut a, a sir khatah tlem a bulge chhuak a ni. Hei hi naupang tê têah a tam zawk a, an ruh a nem zawk avangin.

Break hi a awm dan azirin chi dang a awm bawk :

• Stress avanga hliam tuar: 1.1.Ruh chhunga crack te tak te, hmun khata pressure chhunzawm zel avanga lo awm zauh zauh. Hei hi infiammi te chungah a thleng thei a ni.
• Avulsion fracture: Hei hi ruh chi khat nen tendon emaw ligament emaw a lo chhuah chuan a thleng thin.

Entirnan, `transverse metacarpal fracture` i nei thei. Chumi awmzia chu kut ruh pakhat chu a chhe vek tihna a ni. Kut tliak ṭhenkhat phei chuan hming bik an nei. `Boxer's fracture` tih hi i hre tawh mai thei. Hei hi mi pakhatin a kutphah hmanga thil khauh tak (bang, fence ang chi) a vuak a, a kut a `metacarpal` ruh, a bik takin pinky lam a tihchhiat hian a thleng chiang hle.

Heng hming zawng zawng, heng classification zawng zawng hian doctor chu eng ruh nge a tliak tih chiang takin a hrethiam nghal vat a, a chungah eng nge thleng tih a hrethiam a, enkawlna tha ber a pe bawk che a ni.

Kut tliak hi engtiang chiahin nge a awm?

Dik tak chuan kut tliak hi kan ngaihtuah aiin a tam zawk. A bik takin kut ruh metacarpal ruh tliak hi a tam ber. Statistically chuan khawvela fracture zawng zawng zinga 10 zinga 1 chu metacarpal fracture a ni! Tin, thalai kum 18 leh 34 inkar zingah hei hi kut hliam report tam ber a ni.

Kut tliak hian eng symptoms nge a neih?

Okay, tunah chuan i kut i tihchhiat hunah eng nge i hriat theih ang leh i hmuh theih ang tih i en ang u. Heng symptoms zinga pakhat emaw a aia tam emaw i nei thei ang:

• Natna nasa tak: Hei hi a pawimawh ber a ni.
• Swelling: Fracture site vel ah hian swelling nasa tak a awm thei.
• Kawng emaw, hrual emaw a nih chuan tenderness.
• Kut, kut zungtang leh kutpui tihchet harsa .
• Fracture hmun vel chu blueness emaw vun rawng danglam emaw a awm.
• A tlangpuiin kut chhunga lump (deformity) ang mai a ni. Ruh chhuak ang mai pawhin a lang thei.
• Kut pêng ṭhenkhat chu hrual ang maiin a lang thei a, a hrual pawh a ni thei. A châng chuan kut zungtangte pawh a inzawm khawm thei (`malrotation`).

Kut i tihchhiat hian danglamna i hmu nghal tlangpui. I chawlhna hmunah hian a hring, a rawng a danglam a, a hring (lump) a awm tih i hmu thei. He hliam leh rawng danglam hi a ruh tliakna hmun atang hian kut hmun dangah a darh thei a ni. Ruh chu a inthlak vek (a `displaced fracture`) chuan ruh chi hrang hrang vun chhungah a rawn chhuak thei. Chu chu a hlauhawm deuh thei.

Kut ruh tliak chhan berte chu engte nge ni?

Kut ruhte hi a chhe thei a, hei hi a chhan tam tak a ni. A chhan langsar tak tak thenkhat han thlir ila:

• Tlu: Hei hi a chhan tam ber a ni. A bik takin i tlu a, i kut hmanga i innghahna tur i mamawh hunah. Ngaihtuah teh, naupang i nih lai khan, i inkhelh lai khan, i tlan lai khan, i zuang a, i bike atanga i tlak lai khan, a dik em? Bathroom-a i tlu leh i tlu pawhin a thleng thei.
• Infiamna lama chetsualna: 1.1.Chutiang accident chu cricket khelh laiin ball chak takin kut a tlak chuan, rugby leh football ang chi contact sport khelh laiin, emaw, martial arts thenkhat practice laiin emaw a thleng thei a ni.
• Hnathawhna hmuna chetsualna emaw, hmanrua hmanga hnathawh laia chetsualna emaw: Thil rit tak chawi laia tlu, machine-a i kut man, etc. te.
• Trauma: Accident lian tak a thlen chuan, car accident ang chi.
• Hmun khauh tak vuak: Mi thenkhat chuan an thinrim chuan an kut chu bang emaw kawngkhar emaw ah an vuak thin. Chu chuan awlsam takin an kut ruh a tikehsawm thei a ni. Chuvangin chutiang chu ti ngai suh.

Heng bakah hian hriselna lama harsatna thenkhat chuan kut ruh te chu a chak lo va, a chhe awlsam hle bawk. Entirnan, cancer ni lo (benign) tumor `enchondromas` an tih te chu ruh chhungah a lo piang a, a tichak lo hle. Tin, `osteoporosis` (ruh hloh natna) leh `osteopenia` (ruh density hniam) tih te hian ruh a tichak lo thei a, beisei loh takin a chhe thei a, a tlak tlem pawhin a ti chhe thei bawk. Mi tam tak chuan ruh an tihchhiat hma loh chuan `osteoporosis` an nei tih an hre lo. A chhan chu a tir lamah chuan symptom lian tak tak a nei lo.

Tute nge kut hliam hlauhawm zawk?

Tu pawhin kut an tikehsawm thei a, mahse mi thenkhat chu a hlauhawmna a sang deuh hlek a ni:

• Kum 40 hnuai lam: A chhan chu hetiang kum lama mite hi an thawkrim zawk a ni.
• Infiammi: A bik takin `contact sports` khel thin te leh martial arts ti thin te.
• Ruh tichhe thei hriselna lama harsatna nei te: a chunga kan sawi tak osteoporosis ang chi te.

Engtin nge doctor chuan mi pakhatin a kut a tliak tih chiang taka a hriat theih ang?

Kut na nei doctor i pan chuan engtin nge a lo awm tih a zawt hmasa ang che. Tichuan i kut taksa enfiahna (physical exam) an ti ang. Anni chuan a hring, a hliam, leh i kut i tihchet theih leh theih loh an zawng ang.

Tichuan, i kut ruh chu khawiah nge a tliak tih chiang taka hriat chian nan leh a ruh chu eng ang nge a nih tih hriat chian nan doctor chuan ``X-ray`` test a ti ang ``X-ray`` hi ruh tliak chiang taka hmuh theih dan tlangpui a ni. ``CT scan`` pawh i neih a ngai mai thei, a bik takin operation i neih dawn chuan.

Kut tliak chu eng enkawl dan nge ni ang?

I kut tliak i enkawl dan tur chu thil engemaw zatah a innghat a, chung zingah chuan eng ruh nge tliak tih te, eng ang ruh tliak nge tih te, leh natna dang a awm leh awm loh te pawh a tel. Enkawlna hman tlanglawn ber berte chu:

Kut chu immobilization a ni

I kut chu a na lutuk lo a, chu chu ruhte a inhlat lutuk tihna a ni (a `nondisplaced fracture`) chuan `splint` emaw `cast` emaw i bun a ngai mai thei. Hei hi ruh tliak te chu a hmuna awm reng tur leh an inzawm khawm leh theihna tura tih a ni. Mi tam zawk chuan kar 3 atanga kar 6 vel chhung chu an kut chu a che thei lo ang . Hemi chhung hian ruhte a dam tha em tih enfiah nan `X-ray` dang i neih a ngai mai thei.

Ruh buatsaih dan (Closed Reduction) 1.1.

Fracture hi a na zawk a, chu chu ruhte chu a hmuna awm lo tihna a nih chuan, a insiamrem leh theih nan closed reduction tih procedure i neih a ngai mai thei. Hei hian doctor chuan i kut pawn lam chu a hmet a, ruh tliak chu a hmunah a hruai kir leh a ni. Chutianga i tih lai hian hrehawmna i nei lo mai thei a, a hnuaia mi pakhat hi i ti thei bawk:

• Local anaesthetic pek a ni a, chu chuan a ruh chhehvel chauh a ti na a ni.
• Sedatives hi taksa pum tih hahdam nan leh zu ruih deuha inhriat tir turin pek a ni.
• A nih loh leh chutiang chu an ti a, muthilh vek chein general anesthesia an pe che a ni.

Closed reduction hnuah doctor chuan i kut chu splint emaw cast emaw hmangin a immobilize ang.

Kut chhe tawh Surgery neih a ni

``Open fracture`` (ruh chu vun a tikehsawm tihna) emaw ``comminuted fracture`` (ruh chu a chi hrang hrang tam takah a chhe tawh tihna) emaw i neih chuan i doctor chuan operation neih a rawt thei ang. Tin, kut peng dang, ligament, tendon, emaw nerve emaw a chhiat chuan operation neih a ngai thei bawk.

Surgery neih chhung hian i surgeon chuan i ruhte chu a hmunah a ``set`` leh ang a, chu chuan a dam leh thei ang a, a lo thanglian leh ang. Chutianga tih theih dan kawng hnih a awm a:

• External fixation: Hetah hian ruh siam that nan kut hmangin thir rod emaw wire emaw dah a ni.
• Internal fixation: Hetah hian ruh chhungah plate te emaw screw te te dahin ruh fix a ni.

Ruh a dam hnuah, i dah luh rod, plate, leh screw te chu la chhuak turin operation tenau dang i neih leh a ngai mai thei.

Operation hnuah pawh complication a awm thei em?

Kut zai atanga harsatna lo thleng hi a tlem hle a, mahse a chang chuan thil engemaw zat a awm thei:

• ` Malunion` : Hei hi i ruh tliak te chu a inmil tawk lo a, a dam deuh deuh chuan a inmil lo deuh deuh thin.
• ` Nonunion `: I ruhte hi a inzawm kim lo emaw, a inzawm lo emaw a ni.
• Bone infection (Osteomyelitis) : Open fracture (vun atanga ruh chhuakna hmun) i neih chuan hliam chhunga bacteria lut a, natna thlen theihna a sang zawk.
• Kut a khauh : Kut tliak tawhte chuan ruh tliak vel leh kut ruhroah a nghet lo tlangpui a, chu chuan che a harsa hle. In lama tih tur exercise awlsam tak tak leh occupational therapy te hian he stiffness hi a tihziaawm thei a ni.
• Acute Compartment Syndrome (ACS) : Hei hi natna khirh tak a ni. I taksa ruh chhunga a hring hian pressure a tisang thei a, tissue-a thisen kal pawh a titawp thei bawk. Hei hian taksa ruh leh nerve tihchhiat nghet tak a thlen thei a ni. Chuvang chuan doctor te pawhin swelling hi an ngaihtuah nasa hle.

Kut a dam theih nan eng chen nge a mamawh?

I kut a dam theih nan eng chen nge a rei tih hi thil engemaw zatah a innghat a ni:

• Eng ruh nge a tliak?
• Eng thilin nge break (tlu emaw accident emaw ang chi) chhan?
• Eng ang enkawlna nge i mamawh?
• Kut hliam dang a awm leh awm loh (e.g. a torn ligament).

Kut tliak tam zawk hi chu a dam theih nan thla khat emaw thla hnih emaw vel a ngai a ni. Mahse, hei hi mi tin a inang lo thei. I dinhmun nena inmil ber hun tur i doctor emaw surgeon emaw zawt la a tha ber.

Eng chen nge a dam kim ang a, hna a thawk tan ang?

Ruh a dam hnuah pawh i dam kim theih nan leh i thiltih pangngaia i kir leh theih nan hun engemaw chen a la ngai dawn a ni. I kut a khauhna chu a tlahniam tur a ni a, i chakna chu a lo let leh tur a ni. Mi tam zawk chuan kar 8 vel (a nih loh leh thla hnih vel) hnuah taksa tihchakna, infiamna khelh ang chi te chu an thawk leh thei a ni .

Mahse, taksa tihchakna eng pawh i thawh leh hmain doctor emaw surgeon emaw rawn hmasak a pawimawh hle. Thil tih leh infiamna eng pawh i thawh leh hmain doctor thurawn lak a pawimawh hle a , a bik takin thil tih emaw, infiamna emaw bik i tih laiin i ruh a tliak a nih chuan.

Kut tliak chu i veng thei ang em?

Kut tliak hi 100% vel chu ven theih a ni lo mai thei, accident hi kan beisei loh ber hunah a thleng thei a ni. Mahse, heng himna atana thurawn tlangpui zawm hian hliam i neih theihna chu i tihziaawm thei a ni:

• I thinrim emaw, i lungawi loh emaw chuan bang, kawngkhar emaw, thil khauh dang emaw chu tawk ngai suh. Hei hian i kut ngei pawh a tichhe dawn a ni.
• Lirthei-a i chuan dawnin seat belt dik takin vuah fo ang che.
• I thiltih emaw, infiamna emaw i tih apiangah invenna hmanrua (e.g. gloves) dik tak ha thin ang che.
• Calcium leh vitamin D tamna ei leh in leh ruh hriselna tha neih theihna tura pui turin exercise plan zawm rawh.
• Kum 50 aia upa i nih chuan, emaw, i chhungte (nu, pa, unau) tu emaw chuan ruh natna nei an nih chuan, i doctor nen bone density test neih chungchang sawipui rawh

Engtikah nge emergency room-ah i kal ang?

I kut a tliak nia i hriat chuan a rang thei ang bera Doctor i pan tur a ni. Mahse, heng symptoms te hi i neih chuan , hospital emergency department ah kal nghal rawh:

• A na chu tuar theih loh khawpin a na.
• I kut emaw, i kut zungtang emaw i che thei lo a nih chuan.
• I kut hmel a danglam nasa hle a nih chuan (a hrual, a lumpy ang maiin).
• Vun atanga ruh chhuak i hmuh theih chuan.
• A hring nasa hle.
• Heng symptom dangte nen hian blueness thar a lo lang nghal a nih chuan.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hunah i dinhmun chiang taka i hriat theih nan heng zawhnate hi i zawt thei ang:

• Eng ang fracture nge ka neih? (A chunga kan sawi tak chi hrang hrang zingah hian eng chi nge?)
• Surgery neih a ngai em?
• Eng chen nge splint emaw cast emaw ka hak ang?
• Eng chen nge occupational therapy ka mamawh ang?
• Engtikah nge infiamna khelh ang chi taksa tihchak leh hi a him ang?

I kut chu a chhe tawh a nih pawhin i vawm thei em?

Hei hi mi tam takin an zawh thin a ni. I kut ruh eng nge a tliak tih leh a chhe nasat dan azirin i kut chu i che thei a, i kut chu tlem i hmang thei bawk. Amaherawhchu, i kut i sawn thei a nih pawhin nawr luih suh - a bik takin i hman laiin a na lutuk a nih chuan. Chutianga tih chuan natna chu a tizual thei a ni.

I kutah ruh tliak i nei tih rinhlelhna tlemte pawh i neih chuan damdawi lam pan nghal a tha ber. Doctor-in a natna hi a hriatchhuah a, a enkawl hma chuan a dam thuai ang a, harsatna a thlen theihna a tlem phah bawk.

Hei hi kut tliak nge, a hliam mai mai?

Ruh tliak leh ruh tliak hi hliam chi hrang hrang pahnih ni mah se, accident chi khat (e.g., tlu) atanga lo awm ve ve a ni.

• Ruh tliak hi ruh a chhiat a, a inthen a, a chhe emaw, a chhe emaw a ni.
• I ligament (ruh inzawmkhawmna tissue) pakhat chu a inzawm emaw, a chhe emaw a nih chuan sprain a awm thin. I kut ruh tliak chuan i kutphah emaw, i kut zungtang emaw (a "jammed finger") a ti na thei bawk.

A châng chuan, an pahnih chhinchhiahna hi a inang vek a, chuvangin eng nge dik lo tih chiang taka hriat theih nân X-ray lak a ngai mai thei.

Cartoon leh movie-a mi pakhat a tlu a, a kut a tihchhiat emaw, a kut a hammer hmanga vuak a nih chuan kan nuih a za hle. Mahse nun tak takah chuan kut hliam hi fiamthu a ni lo. Kan chhehvel khawvel nena kan inpawh tawn a, kan nitin hna kan thawh hian kan kut a pawimawh zia hi han ngaihtuah teh. I kut ruh tihchhiat hian kar tam tak chhung, a rei zawk pawh ni thei, nitin hnathawh dan danglam taka tih i zir a ngai tihna a ni. Chu chu harsatna lian tak a ni thei.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Chuvangin, i kut i hliam a nih chuan, "Thil tenawm tak mai a ni," tih ngaihtuahin, natna leh hliam ang chi symptoms te chu ngaihthah suh. A rang thei ang bera doctor hmu la, check out rawh. Doctor-in i kut ruh tliak a hriat thuai a, enkawl dan dik a tan chuan i ruhte chu a dam tha leh rang thei ang bera dam theihna chance a sang zawk. Tichuan i thiltih pangngaiah i kir leh thuai thei ang. Hrisel takin awm rawh!

` Kut tliak, ruh tliak, kut na, kut hring, kut enkawl, boxer ruh tliak, cast, splint