I hmui pawh a chhe tawh em? (Fractured Jaw) Hei hi eng nge a nih chiang takin i zawng chhuak ang u!

I hmui, chu chu i ka chhunga hmui ruh chu a chhe thei tih i ngaihtuah ngai em? Insualnaah emaw, kawngpuiah accident-ah emaw, inkhelh lai pawhin a thleng thei mai thei, a dik em? Hei hi a takah chuan a serious condition a ni deuh ber. Chuvangin vawiin hian he jawbone chhe tawh, emaw doctor-te’n an tih angin , a fractured jaw chungchang hi chipchiar takin han sawi ila.

Jaw tihchhiat tih hi eng nge a awmzia?

A awlsam zawngin, ke ruh tliak chu thil na takin i hmui hnuai lam (manible) emaw, i hmui chung lam (maxilla) emaw a rawn deng a, chu chu chu ruh chu a chhe lai a ni. Kan kut emaw kan ke ruh tliak ang mai a ni. He thuziak ah hian lower jaw-a fracture chungchang kan sawi dawn a ni. A châng chuan, a hnuai lam chu hmun khat aia tam a chhe thei bawk. Chumi awmzia chu, a hmui chunglam ( condyle, doctor-te’n an tih) atanga a beng lam hawia a ben leh bend leh back thlengin khawi hmunah pawh a chhe thei tihna a ni. A pawimawh ber chu khawi hmunah pawh hmui a tliak pawh nise, a ke ruh tliak chu damdawi lam emergency a nih avangin damdawi lam pan vat a ngai a ni.

Jaw fracture hi a awm fo em?

Ni e, a nihna takah chuan, hmui ruh tliak hi hmai tliak chi hnihna a ni. Hnar fracture hi a hmasa ber a ni. Hmai tliak zawng zawng zinga 40% atanga 50% vel chu hnar ruh tliak a ni.

Kawngkhar tliak hian eng symptoms nge a neih?

A broken jaw can be very painful , a bik takin i jaw chu hma leh hnung emaw, chung leh hnuai emaw i sawn tum chuan. I hmui i khar thei lo emaw, i hawng zau thei lo emaw pawh a ni thei. I hmui a tliak a nih chuan hetiang hian i hre thei bawk ang:

• I hnar emaw i hmui emaw atangin thisen a chhuak mai thei .
• I hmui emaw i hmui emaw a hliam thei .
• A hmui emaw a hmui emaw a hring thei .
• I ha chu a chhe emaw, a lo hring emaw a ni thei , a nih loh leh i hmui i khar hian i ha chunglam leh hnuai lam chu a inmil tawk lo thei bawk.
• Thâwk harsa i nei thei .
• Chaw ei emaw, inbiakna emaw hian natna i nei thei.
• I hmui i hawng thei lo va , i khar thei lo mai thei .
• I beng a na thei .
• I hmai – a bik takin i hmui hnuai lam – chu a rilru a buai thei .

Pawn lam atanga thlir chuan jaw chhe tawh chu engtin nge a lan?

I hmui a tliak a nih chuan hetiang hian symptom i nei thei ang:

• I hmui emaw i hmuiah emaw lump ang mai a ni thei.
• A hring ( swelling) i hmu thei .
• A hliam (blue emaw purple emaw) a lo lang thei.

Jaw fracture awm chhan berte chu engte nge ni?

Research atanga a lan dan chuan midangte inkara tharum thawhna– chu chu mi pakhatin i hmuiah a vuak che tihna a ni – chu chu hmui tliak chhan ber a ni. A dawt leh chu car accident a ni . Heng pahnih hi kan ramah hian a awm ve ve a ni lawm ni? Hei bakah hian hnathawhna hmuna chetsualna leh infiamna hmuna hliam tuar te pawhin hmui a tikehsawm thei bawk. Cricket khelh laiin ball chak tak, emaw, rugby khelh laiin intlansiak emaw hi han ngaihtuah teh.

Jaw tliak avanga harsatna awm thei te chu engte nge ni?

I hmui tliak hian i ei leh in, i thusawi, leh thawk pawh a nghawng thei a ni. Enkawl dik loh chuan i hmui ruh chu a dam tha lo thei , a nih loh leh a dam dik lo thei a, i hmai lan dan emaw, i hmui hnathawh dan emaw a nghawng thei bawk.

Pawimawh: Kawngkhar chhe chu fiamthu a ni lo. Hliam tenau angin ngaihthah suh. Doctor pan nghal rawh.

Engtin nge hmui a tliak tih chiang taka i hriat theih ang? (Diagnosis) tih a ni.

Doctor chuan i hmui chu engtin nge a hliam tih a zawt hmasa ang che, chutah chuan uluk takin i hmui chu a enfiah ang. Test pawh an order thei bawk a, chungte chu:

• X-ray : Ruh ruh tliak a awm leh awm loh enfiah nan.
• CT scan (Computed Tomography - CT scan) : Hmai ruh tliak dang emaw, chhungril thisen chhuak emaw enfiah nan.

Kawngkhar tliak chu eng enkawl nge ni ang?

Enkawlna chu jaw fracture nasat danah a innghat a, chu chu fracture tenau emaw, a na zawk emaw, hmun hrang hranga jaw hnuai lam fracture ang chi emaw a ni.

• Mild fracture treatment: I doctor chuan kar li atanga kar ruk chhung chu liquid diet a pe thei a, chutah chuan soup leh thei tui te pawh a tel thei.
• Severe fracture treatment: Hetiang a nih chuan operation i mamawh ang . Surgery neih chhung hian doctor-te chuan ruh tliak vel chu metal plate emaw bar emaw an dah ang a, chu chuan ruh chu a hmunah a vawng tlat ang. Hei hian ruh chu a dam tha thei ang. A châng chuan, a hmui chu a dam hma loh chuan wire emaw elastic emaw hmangin khar-in an vawn thei bawk. Hei hi bracing the jaw an ti a.

Enkawl lai hian side effect a awm em?

Zirna pakhatah chuan surgery avanga side effect awm tam ber chu hardware failure leh infection a ni tih hmuhchhuah a ni . Hardware failure tih hian operation neih chhunga hmanraw hman, plate, screw, leh wire te chu a chhe emaw, a thawk tha lo emaw tihna a ni.

Kawngkhar tliak chu a dam theih nan eng chen nge a mamawh?

Surgery neih ngai lo mah la, hmui tliak chu a dam theih nan kar engemaw zat a la ngai thei. I hmui a dam hma chuan a hnuaia mite hi i tih a ngai mai thei:

• Surgery i neih chuan, .Straw hmangin liquid i in a ngai dawn a ni. Ha i sil theih loh avangin ha silna hmang turin an ti fo ang che. Surgery i neih loh pawhin soft-food-only diet i ei a ngai dawn a ni.
• I jaw-ah ice pack dah la, i hmuiah a hring (swelling) a tihziaawm theih nan.
• I doctor -in a pek painkillers (Nonsteroidal Anti-Inflammatory Drugs - NSAIDs) te hi na leh vun natna atan ei thin ang che.
• Hei hi a pawimawh hle: I hmui chu wire-a khar a nih chuan wire cutter i bulah dah reng la, chutiang chuan i luak duh emaw, i rilruah thil a inkhung emaw a nih chuan wire chu i cut thei ang. Hei hi nunna chhanhimtu a ni thei.
• I hawn leh hunah emaw, toilet i kal hunah emaw , i kut emaw, kut hrual emaw hmangin i hmui hnuaiah vawn tlat ang che.

Ka hmui a tliak a nih chuan eng nge ka beisei ang?

I dinhmunah a innghat. Operation i neih chuan i hmui ruh chu a dam kim theih nan thla khat emaw a aia rei emaw a ngai thei. I hmui a dam hma leh i doctor-in i hmui inzawmkhawmna plate leh wire te a lak chhuah hma loh chuan liquid diet-ah awm reng turin an hrilh ang che. Nutritionist nen pawh i liquid diet-a ei tur tha tak tak te dah tel dan tur i sawi thei bawk.

Jaw fracture hi a veng thei ang em?

Mi tam tak chuan accident-a hliam an tuar emaw, an hmuiah an vuak emaw hian an hmui an tikehsawm a ni. Accident emaw, mi pakhatin a rawn beih che emaw chuan i veng thei reng reng lo mai thei. Mahse, i risk tihziaawmna tur thil i tih theih a awm. Entir nan:

• Motor, bicycle, scooter-a i khalh dawnin full-face helmet vuah theihnghilh suh.
• Lirthei chhunga i chuan emaw, i khalh emaw hian seatbelt vuah fo ang che .
• Skiing ang chi infiamna lama inhnaih tawnna i khelh chuan, hmai tuamna leh hmui venna hman dan ngaihtuah rawh .
• I hnaah hian hmaiah vuakna thlen thei thiltih a tel a nih chuan, hnathawhna hmunah chuan lu khuhna venna bun rawh .

Engtin nge ka in enkawl ang?

A hmui tliak chu a dam zawi zawi hle. Ni tin i thiltih pangngai, infiamna khelh ang chi i thawh leh theih nan kar tam tak emaw, thla tam tak emaw a la ngai thei.

Engtikah nge Doctor ka hmuh ang?

Heng zinga pakhat tal i neih chuan doctor hmu nghal rawh:

• In lama enkawlna hmanga reh lo natna .
• Thâwk harsa emaw, thawk harsa emaw.
• Infection chhinchhiahna, khawsik leh khawsik ang chi .
• Nausea leh luak chhuak .

Doctor hnenah eng zawhna nge ka zawh ang?

I hmui a tliak a nih chuan doctor hnenah heng zawhnate hi zawt la a tha ang:

• Ka chin ah chuanEng part nge a chhe?
• Eng ang enkawlna nge i rawt?
• Surgery ka mamawh a nih chuan eng surgery nge i rawt ang?
• Ka hmui a dam theih nan eng chen nge a la ngai ang?
• Eng thiltih nge ka pumpelh ang?

Dislocated jaw leh broken jaw hi eng nge an danglamna?

A danglamna chu jaw dislocated hian jawbone a tichhia lo. Thil thleng chu i beng bula ruh (doctor-te chuan hengte hi temporomandibular joints ) an ti a, i hmui hnuai lam ruh chu a rawn chhuak chhuak a ni. Mahse, hmui hrual leh hmui tliak pahnih hi emergency a ni a, damdawi lam pan vat a ngai a ni .

Kawngkhar chhe tawha mut dan tha ber chu eng nge ni?

I mut laiin i hmui tliak chu i humhim tur a ni bawk. Chutianga tih theih dan tha ber chu i hnungzang chunga mut hi a ni . Hei hian i hmuiah pressure a awm loh nan a veng ang.

Mi tam zawkte hmui tliak chu a dam a, mahse a dam kim theih nan thla eng emaw zat a ngai thei. I dam chhung hian doctor thupek uluk taka zawm a pawimawh. Entirnan, liquid diet-a awm reng emaw, ei tur nêm chauh ei emaw a ngai mai thei. I hliam tuar chu i enkawl a ngai dawn a, chutah chuan contact sports atanga rei vak lo awm reng pawh a tel thei.

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

Okay, chuvangin kan sawi tawh atanga i hriat reng tur pawimawh tak tak thenkhat han thlir ila:

• Jaw broken hi natna khirh tak a ni . Ngaihtuah suh.
• Natna nasa tak, hring, emaw, i hmui hawn emaw khar emaw harsatna ang chi symptoms i neih chuan doctor pan nghal rawh.
• Enkawlna chu a ruh tliak danah a innghat a ni. Liquid diet chauh a huam thei a, operation pawh a huam thei bawk.
• I dam hma loh chuan i doctor thupek dik takin zawm rawh . Wire i neih chuan i bulah wire cutter dah la.
• Dam nan hun a duh a ni. Dawhthei takin awm rawh.
• Helmet leh seat belt ang chi himna hmanrua hmangin hetiang accident hi ven tum ang che.

He thu hi i tangkaipui ngei ka beisei. Hrisel takin awm rawh!

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