Ke tihchhiat tih awmzia chu eng nge ni? (Broken Leg) Hemi chungchang hi chipchiar takin sawi ila!

Oh, kawngpuiah i kal a, thing atanga i tla emaw, infiamna i khelh lai emaw khan rang takin i ke chu "a tan" a, a chhe ta niin han mitthla teh. Chutih laia i hrehawmna leh hlauhna chu... ngaihtuah harsa tak a ni lawm ni? Mahse hetiang thil hi tu chungah pawh a thleng thei. Chuti a nih chuan, ke tihchhiat emaw, doctor-te’n an tih angin, ke ruh tliak emaw tih hian eng nge a awmzia tak? Hei hi engtiang chiahin nge a pawi? Heng zawng zawng hi vawiin hian awlsam takin kan sawi dawn a, in hriatthiam theih tur angin.

Ke tihchhiat tih awmzia chu eng nge ni? A awlsam zawngin...

Ke ruh tliak chu i ke ruh, chu chu ruh a tliak chuan a ni. Doctor te pawhin hei hi ``Fracture'' an ti bawk. Kan keah hian ruh lian pathum a awm a. An chanchin hi i hre tawh mai thei:

• Femur: Hei hi taksaa ruh sei ber leh chak ber a ni a, kan kekawr bul velah a awm.
• Tibia: Hei hi shinbone chhunga ruh lian tak, khup hnuai lama awm a ni. Mi tam tak chuan "shin bone" an ti bawk.
• Fibula: Hei hi tibia nen parallel-in, shin pawn lamah a awm a. Tibia aiin a thim deuh hlek a ni.

Ngaihtuah teh, car accident lian tak ang maia `(Trauma)` na tak a awm chuan heng ruh pathumte hi vawi khatah a chhe vek thei a ni. Chutiang bawkin, accident pakhatah `(Tibia)` leh `(Fibula)` te chu an inthen khawm tih i hmu fo thin.

Ke i tihchhiat hian, a bik takin i femur ang ruh lian tak i tihchhiat hian, a siamthat nan operation neih a ngai fo thin . Mahse, a chang chuan break a na lutuk lo a nih chuan cast emaw splint emaw hmangin operation ngai lovin i khawsa thei a ni. Mahse, i ke a dam hnuah chuan a chak leh ben leh stretch tha thei tur chuan physical therapy i mamawh ngei ang.

Ke ruh tliak chi dang a awm em?

Ni e, i ke ruh eng nge a tliak tih an hrilh bakah hian doctor-te chuan ruh tliak chu an classified a. Hei hian a ruh tliak dan dik tak hriatthiamna a pe a ni. Hengte hi damdawi lam tawngkam tlemte ni mahse, ngaihtuahna tlemte pe turin heng thilte hi hriat a tha:

Doctor-te chuan ruh tliak hi a pianzia emaw, a awm dan emaw a zirin an thliar hrang a:

• Transverse fracture: Taksa zau zawng zawng zawnga ruh a tliak.
• Oblique fracture: Ruh angle-a ruh tliak.
• Spiral fracture: A hrual (twisted fracture) a, puan hrual ang mai a ni.
• Segmental fracture: Ruh chi hnih aia tam hmun khata ruh tliak.
• Comminuted fracture: Ruh chu a te te tam takah a inthen a, a hrual ang maiin a awm.
• Buckle / Impacted fracture: Ruh hmun khat chu hmun dangah a nawr lut.

Break thenkhat chu a lo awm dan azirin an thliar hrang a:

• Stress avanga hliam tuar: 1.1.Ruh pakhat chu hun rei tak chhunga thil tenawm tak tak a tawk nawn leh a nih chuan a ruh tliak (fracture) a ni. Hei hi tlantute chungah a thleng thei.
• Avulsion fracture: Ruh te tak te chu muscle emaw tendon emaw a hrual vangin a inthen a.

Entirnan, transverse femur fracture emaw segmental tibia fracture emaw i nei thei. Heng hming leh chi hrang hrangte hian doctor-te chu eng ruh nge a tliak tih leh a chunga thil thleng chu rang tak leh dik takin a hriat theih nan a pui a ni.

Ke ruh tliak hi engtiang chiahin nge a awm?

Kan sawi tawh ang khan femur hi kan taksa ruh lian ber leh chak ber a ni. Chuvangin, a chhe tur chuan accident na tak tak a ngai tlangpui. Khawvel pumah kum tin mi 1,000 zinga 30 aia tlem loin femur an tichhia nia chhut a ni.

Mahse, tibia leh fibula ruh tliak hi a tam zawk. Hengte hi ruh sei chi hrang hrang tihchhiat tur chi hrang hrang an ni. Fibula hi a mah chauha a chhe hi a tlem hle. A tam zawkah chuan fibula hi tibia nen a inthen khawm thin.

Ke ruh tliak hian eng symptoms nge a neih?

Vawi tam tak chu ke a tliak chuan a tlangpui aia danglamin a lang. Ruh tliak chu a hring a, a rawng a danglam (blue/purple) tih i hmu mai thei. He hliam leh rawng danglam hi a chhehvelah a darh thei a ni. I kuta i hriat theih tur lump a awm thei a, a nih loh leh hmuh theiha lump a awm thei bawk. A nasat lutuk chuan ruh tliak pakhat pawh vun chhungah a rawn chhuak thei bawk. Hei hi a hlauhawm hle mai!

Ke ruh tliak a lan chhuah dan tlangpui chu hengte hi an ni:

• Natna nasa tak: Natna hi a na lutuk thei a, che pawh i che thei lo.
• Swelling: Fracture na hmun hi a hring nasa hle.
• Hman laia natna: I kut hmanga i khawih emaw, i hmet emaw chuan tuar theih loh khawpin natna i nei ang.
• Ke che thei lo emaw, hmang thei lo emaw: Ke chu rit i dah thei lo emaw, i che thei lo emaw a ni.
• Bruising emaw, a rawng danglam emaw: blue, purple spots.
• A nodule (deformity): A lo thang thar emaw, a pianzia a danglam emaw, a tlangpuiin keah a awm lo.

Accident i tawk tawh a, ke ruh tliak i nei nia i hriat chuan damdawi in emergency room-ah i kal nghal tur a ni a, tihkhawtlai lovin!

Ke ruh tliak chhan berte chu engte nge ni?

A tam zawkah chuan ke ruh tliak hi accident chi khat (Trauma) vang a ni. A chhan langsar zualte chu:

• Tlu: Tlu, a bik takin hmun sang atanga tlak. Entirnan, ladder, thing (mango thing, jackfruit thing ang chi), inchung atanga tla.
• Lirthei accident: Car, bicycle leh three-wheeler accident-ah te ke ruh tliak a hlauhawm hle.
• Infiamna lama chetsualna: 1.1.Football, rugby, leh cricket ang chi infiamnaah te chuan intlansiak emaw, tlu emaw avanga ke a chhe thei a ni.

Tute nge an ke tihchhiat hlauhawm zawk?

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

• Infiamna thenkhat khel thin tan: A bik takin infiammi contact sports khel thinte tan.
• Kum 65 chunglam tan: He kum ah hian tlu hlauhawmna a sang zawk a, ruh pawh a chak lo deuh thei bawk.
• Ruh density tichhe thei hriselna lama harsatna nei te tan: Entirnan, natna `(Metabolic bone diseases)` ang chi te.
• Osteoporosis leh osteopenia vei te hi an ke ruh tliak theihna a sang hle. Osteoporosis hi ruh zawi zawiin a chak lo va, a chhe thei lo. Mi tam tak chuan ruh an tihchhiat hnuah chauh natna an vei tih an hrechhuak thin. Hei hi a tir lamah chuan symptom lian tham a thlen loh vang a ni.

Engtin nge doctor-te chuan ke a tliak tih chiang taka an hriat theih?

Doctor chuan ke ruh tliak chu taksa enfiahna leh imaging test thenkhat hmangin a hmuchhuak ang. Accident hnua emergency room-a i kal chuan chuta doctor-te chuan break chu an hmuchhuak thei a ni.

Eng ang test nge tih a nih ang?

Fracture thlalak lak nan hian heng test pakhat emaw a aia tam emaw i tih a ngai ang:

• X-ray: X-ray hian ruh tliak eng pawh a nemnghet thei a, ruh chhiatna engzat nge a awm tih pawh a hriat theih bawk.
• Magnetic Resonance Imaging (MRI): I doctor chuan MRI a ti thei ang. Hei hian ruh chhiatna te, a chhehvela soft tissue te, cartilage leh ligament te pawh a chhiat dan kimchang takin a tarlang thei a ni.
• Computed Tomography scan (CT scan): CT scan hmang hian doctor emaw surgeon emaw chuan X-ray aiin ruh leh a chhehvel tissue chipchiar zawkin a hmu thei a ni.

Ke ruh tliak hi eng enkawl dan nge ni ang?

I doctor-in ke tliak a enkawl hian thil tlemte an en a, chu chu eng ruh nge tliak tih leh hliam dang i neih leh neih loh te hi a ni.

Immobilization tih a ni

Fracture a na lutuk lo a, chu chu ruh chi hrang hrang a inthlak lo tihna a ni (non-displaced fracture) chuan cast emaw splint emaw chauh i mamawh mai thei. Hengte hi eng chen nge i hak tur tih chu a hliam chi hrang hrangah a innghat ang. Mi tam zawk chuan kar engemaw zat chhung chu cast an vuah a ngai dawn a ni. Ruh chu a dam tha em tih hriat nan X-ray neih fo a ngai bawk ang.

Inzai

Ke ruh thenkhatah chuan zai a ngai - a bik takin ke ruh (femur) a tliak chuan zai a ngai deuh ber.

Surgery tih tam ber chuOpen reduction leh internal fixation hmanga tihhniam. A awlsam zawngin, surgeon chuan i ruh tliak chu a hmunah a dah leh ang a, a dam leh a inzawm leh hma loh chuan a tikhawlo ang. Hei hian ruh chhungah thir plate, screw, emaw pin emaw dah a huam tlangpui.

Heng thir chi hrang hrangte hi i taksaah chatuan atan a awm reng thei. Mi thenkhat chuan a hnua lakchhuah nan operation dang an neih leh a ngai mai thei.

Ke ruh tliak surgery avanga harsatna awm thei

Fracture surgery avanga harsatna lo thleng hi a tlem hle a, mahse a chang chuan a hnuaia mi ang hian a thleng thei a ni:

• Acute Compartment Syndrome (ACS): Muscle chhunga pressure sang chuan tissue-a thisen kal chu a titawp thei a ni. Hei hian taksa ruh leh nerve te chu a tichhe vek thei a ni.
• Malunion: Ruh chhe tawhte a dam chuan a inmil lo va, a inmil lo hle.
• Nonunion: Ruh inzawmkhawm kim leh dik lo.

Ke tliak tihdam nan eng chen nge a ngaih?

I ke dam hun chhung hi thil engemaw zatah a innghat a ni:

• Eng ruh nge a tliak?
• An inthen chhan chu eng nge ni?
• Eng ang enkawlna nge i mamawh?
• Hliam dang i nei tawh em?

Ke ruh tliak tam zawk hi a dam theih nan thla engemaw zat tal a ngai a ni. I doctor emaw, surgeon emaw hnenah i dinhmun nena inmil hun bituk zawt rawh.

Ke ruh tliak hnua dam leh hun

I ruh chu a dam tawh a nih pawhin i dam kim theih nan hun engemaw chen a la ngai thei a, i thiltih pangngai zawng zawng i thawk leh thei bawk. Hun a rei zawng chu i ke ruh eng nge a tliak tih a innghat a ni.

Mi tam tak ke ruh tliak chuan thla engemaw zat chhung physical therapy an mamawh dawn a ni. Physics therapist chuan chakna leh range of motion (i ke i sawn theih zat) i neih leh theih nan a pui thei che a ni. Hemi chungchang hi i doctor emaw surgeon emaw chuan a hrilh belh ang che.

Femur ruh tliak chu a dam theih nan kum khat vel a ngai thei. Tibia leh/ emaw fibula ruh tliak hian a dam theih nan hun a duh tlem zawk tlangpui.

Engtikah nge taksa tihchak leh theih ang tih doctor zawt rawh. I ke chu i dam laiin a khauh loh nan tlem i sawn tur a ni a, mahse i doctor-in i tih theih a tih hma chuan infiamna, exercise, leh ke hnathawh tam ngai thil tih tan suh.

Ke ruh tliak chu i veng thei ang em?

Ke ruh tliak chu i veng thei lo mai thei, hengte hi ruahman lawk loha accident a nih fo avangin. Mahse, accident avanga chhiatna thleng chu heng general safety tips te hi zawm hian i tihtlem thei ang:

• I lirthei khalh dawnin seat belt vuah fo ang che.
• Thiltih leh infiamna tinrengah himna hmanraw \ha tak tak ha rawh.
• I in leh hnathawhna hmun chu felfai takin vawng la, nangmah emaw, mi dangte emaw ti tlu thei thil tul lo tak takte chu awm lo rawh.
• I in chhunga thil sang tak takte thlen theihna turin hmanraw emaw hmanraw dik tak hmang fo ang che. Chair leh table-ah chuan lawn ngai suh.
• Ruh hriselna tha tak neih theihna tura puitu diet leh exercise plan zawm rawh.
• Kum 65 aia upa emaw, chhungkaw history-a ruh natna nei emaw i nih chuan i doctor nen bone density test chungchang sawipui rawh.
• Kal harsatna i neih emaw, tlu hlauhawmna i neih emaw chuan tiang emaw, kea kalna emaw hmang rawh .

Engtikah nge emergency room-ah ka kal ang?

I ke ruh tliak nia i hriat chuan, a bik takin heng symptoms te hi i neih chuan damdawi in emergency department-ah tlai lovin kal rawh:

• Natna nasa tak a ni.
• I ke i sawn theih loh chuan.
• I ke hmel a danglam tawh a nih chuan, a nih loh leh a hmun atanga zuang chhuak ang maia lang a nih chuan.
• I vun i hliam a, ruh a rawn chhuak i hmuh chuan.
• Vung.
• Heng symptoms te nen hian hliam thar a lo lang a nih chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Ka ke ruh eng nge a tliak?
• Surgery ka neih a ngai dawn em ni?
• Eng chen nge plaster cast ka hak ang?
• Eng chen nge physical therapy ka tih a ngai dawn?
• Engtikah nge taksa tihchakna ka tan leh theih ang?

Ke ruh tliak hi engtiang chiahin nge a pawi?

I ke ruh tliak hi hliam na tak a ni. Accident na tak, ke tikehsawm thei khawpa na chuan hliam dang, nunna atana hlauhawm pawh a thlen thei a ni.

I ke ruh tliak nia i ngaih chuan emergency room-a kal nghal a pawimawh hle. I hliam chu hriatchhuah leh enkawl a nih hma chuan a dam tha thei ang. I doctor emaw surgeon emaw hnenah eng nge i beisei tih zawt rawh.

I ke ruh tliak pawh nise i kal thei em?

I thigh bone ``Femur`` emaw shin bone ``Tibia`` emaw a chhe a nih chuan i ding thei dawn lo va, i kal thei dawn lo va, i keah pawh rit i dah thei dawn lo.

Mi thenkhat chuan an fibula an tihchhiat hnuah an kal thei a, a chhan chu ruh rit phur thei a ni lo (i ding emaw, i che emaw hian i taksa rit a thlawp lo tihna a ni). Mahse, fibula hi a mah chauha a chhe thei hi a tlem hle a, chuvangin kea kal leh hman tum loh tur a ni.

I doctor emaw, surgeon emaw chuan cast i bun lai emaw, operation zawhah emaw him taka ding dan, kal dan leh che dan tur a entir ang che.

Ke ruh tliak hi hliam hlauhawm tak, hliam na tak a ni thei. I dam lai hian thla engemaw zat tal chu ding leh che danglam dan i thiam a ngai dawn a ni. Chu hun chu a hlu hle. Ke ruh tliak tam zawk hi chu hun rei tak chhunga harsatna awm lovin a dam tha hle.

Physical therapy hi hun rei tak, harsa tak a ni. I damna zinkawng zawh apianga hmasawnna i neihte chu hlim leh chhuang turin hun hmang rawh.

Cast i bun a ngai a nih chuan i doctor emaw surgeon emaw hnenah engtin nge i enkawl ang tih zawt la. Nitin thil tih tur, inbual leh inchei dan tur thupek an pe ang che.

Take-Home Thuchah hnuhnung ber

Okay, chuvangin kan sawi tawh atanga thu pawimawh ber berte kha i hriat nawn tir leh ang u:

• Ke ruh tliak chu ke ruh tliak a ni. Hei hi ``Fracture`` an ti bawk.
• Natna nasa tak, hliam na tak, i ke che thei lo ang chi symptom i neih chuan ruh tliak a ni thei. Chutiang a nih chuan Doctor pan nghal rawh.
• Tlu, lirthei chesual, leh infiamna lama chetsualna te hi a chhan ber a ni.
• Enkawlna kawng hrang hrang chu plaster cast hnawih atanga operation thlengin a awm thei. Doctor-in a rel ang.
• A dam theih nan thla engemaw zat a ngai a, physical therapy pawh a ngai hle.
• Hriselna kawng thenkhat zawm chuan accident tihziaawm theih a ni.
• Osteoporosis ang chi dinhmun avang hian ruh pawh awlsam takin a chhe thei a, chuvangin chu pawh chu fimkhur hle ang che.

I ke i tihchhiat huna thil pawimawh ber chu hlauthawng lo tur leh damdawi lam thurawn lak nghal hi a ni tih hre reng ang che. Enkawlna dik tak i neih chuan i nihna hluiah i kir leh thei tawh ang. Dam leh thuai turin duhsakna kan hlan e!

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