Inkhelh lai te, insual lai te, accident tenau takah emaw i hnar i vuak nasat chuan eng nge thleng? I hnar a thisen chhuak thei a, a hring thei bawk. Hetiang hunah hian i hnar a tliak em tih kan ngaihtuah mai thei. I hnar hi i hmaiah hian a langsar hle a, a sensitive hle bawk. Chuvangin a chhiatna eng pawh kan fimkhur a ngai a ni. Vawiin hian hnar tliak chungchang kan sawi dawn a, damdawi lam atanga thlir chuan hnar tliak chungchang kan sawi dawn a ni.
He hnar tihchhiatna hi eng tak nge ni?
A awlsam zawngin, hnar tliak chu i hnar ruh pakhat emaw, a aia tam emaw a tliak emaw, a tliak emaw a ni. A chang chuan i hnar chhunga cartilage nem tak pawh a chhe thei bawk. Hei hi a takah chuan hmai hliam tam ber pakhat a ni.
I hnar-ah nasa taka vuak i nih angin han mitthla teh. Chutih lai chuan thil tenawm tak nia ngaiin ngaihthah mai mai chu thil tha a ni lo. Because by getting the right medical treatment immediate , hnar tihchhiat nghet tur venna chance ropui tak kan nei a ni.
Hnar tliak hian eng symptoms nge a neih?
Hnar a tliak chuan mi tin hian symptom hrang hrang an nei thei. Hliam nasat dan azirin a danglam thei. Mahse a lan chhuah dan tlangpui thenkhat chu hmuh theih a awm. Eng nge an nih i en ang u.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Natna leh ngilneihna | I hnar chhung leh a chhehvelah natna nasa tak i nei thin. A hrehawm lutuk thei a, khawih pawh i khawih thei lo. |
| Hnar leh mit vel a hring | Accident hnu rei vak lovah chuan hnar leh mit hnuai lam chu a lo hring tan ta a ni. |
| Mit vel a blueness/bruising a awm | Insualin i mit a sen tir ang maiin i mit vel zawng zawng chu a sen vek thei a ni. Hei hi "racoon eyes" an ti bawk. |
| Hnar thisen chhuak | Vawi tam tak chu hnar a chhiat chuan hnar atangin thisen a chhuak thin. |
| Hnar thisen chhuak | Darthlalang i en chuan i hnar chu a sir khatah hrual ang maiin a lang tih i hmu ang. |
| Hnar hmanga thawk harsa | Hnar chhunga hmun hring emaw, a chhe emaw chuan hnar kawngkhar pakhat emaw, a pahnih emaw kaltlangin thawk a harsa thei a ni. Hnar chu a inkhar tih a hriat theih. |
| I hnar i khawih laia i hriat thawm kha | Zawi zawiin hnar i khawih a, a chhung atanga ‘squeaking’ thawm i hriat chuan, emaw, thil chi hrang hrang grinding i hriat chuan, a ruh tliak chhinchhiahna a ni thei. |
| Hnar atang hian tui a luang chhuak thin. | Mucus ni lo, liquid dang a nih chuan i ngaihtuah a ngai a ni. |
Engtin nge hnar hi a tliak theih ang?
Hnar tliak chhan ber chu blunt force trauma a ni. Hetiang thil thleng thei dinhmun thenkhat chu hetiang hi a ni:
- Infiamna hun chhung: Rugby, boxing, karate ang chi infiamnaah te. A châng chuan cricket ball-in a vuak pawhin hetiang hi a thleng thei a ni.
- Insual laiin: Hmaiah vuakna a awm avangin.
- Car accident-ah: Lirthei insu laiin khawi emaw laiah hmai a rawn deng a.
- In falls: A bik takin hmai hnuai lam i tlu a nih chuan.
Hei hi dam tura dah a nih chuan eng harsatna nge a awm?
"Aw... engmah a ni lo, a mah chauhin a dam ang" tih ngaihtuah chungin ngaihthah chu a hlauhawm thei hle. A chhan chu harsatna engemaw zat a awm theihna chance a awm vang a ni.
A hlauhawm ber chu septal hematoma a ni.Condition chu koh a ni. A awlsam zawngin, hei hi i hnar kawng hrang hranga inthenna, wall (septum) chhunga thisen awmkhawm a ni. Hetianga thisen a punkhawm hian cartilage-a thisen kalna chu a titawp a, chu chuan a thih phah thei (necrosis).
He `Septal Hematoma` natna hi enkawl vat a nih loh chuan a hnuaia mi hi a thleng thei a ni:
- Perforation: Chumi awmzia chu hnar pahnih inkarah khur a lo awm tihna a ni.
- Saddle Nose: Hnar bridge chu a pil lut a, hnar pianzia chu a thlak danglam vek tawh.
- Necrosis of the nasal tissue: Hei hi natna khirh tak a ni.
Chuvang chuan i hnar-ah hliam i neih chuan Doctor pan a pawimawh hle.
Doctor, engtin nge hei hi a chhe tih chiang taka i hriat theih ang?
Doctor i pan chuan a tih hmasak ber chu accident a thlen dan a zawt hmasa thin. Tichuan taksa enfiahna a nei leh thin .
- Doctor chuan i hnar chu zawi zawiin a khawih ang a, a chhe lai leh a natna awmna hmun a enfiah ang.
- Instrument te tak te hmangin hnar chhung lam an en a, a chhungah thisen a awm em (septal hematoma) emaw, thawkna kawng a inkhar em tih emaw an en thin.
A tam zawkah chuan he test hian hnar tliak a awm tih a hriat theih. Mahse, hmai ruh dang pawh a chhiat nia rinhlelhna a awm chuan X-ray emaw CT scan emaw tih a ni ang.
Hnar tliak hi eng enkawl dan nge ni ang?
Enkawlna chu hliam nasat danah a innghat a ni. Fracture tenau thenkhat chu in lama damdawi hmanga enkawl theih a ni a, mahse a na zawkah chuan operation a ngai thei.
In lama i tih theih tur enkawlna
Hliam tenau a nih chuan i doctor chuan heng thupekte hi a pe ang che:
- Ice: A hring leh a natna tihziaawm nan ice cube tlemte chu puan fai takah phuar la, hnar chungah minute 15 vel dah la. Ni khatah vawi tam tak hetiang hian ti thin ang che.
- Painkillers: Doctor chuan natna tidamtu Paracetamol emaw Ibuprofen emaw ei tur a rawt mai thei.
- I lu chawi sang rawh: I mut dawnin pillow pakhat emaw pahnih emaw hmangin i lu kha sang deuh la. Hei hian a hring (swelling) a ti tlem ang.
Damdawi lam enkawlna
Septal Hematoma tihbo dan tur
Hnar chhungah thisen a lo awm tawh a nih chuan doctor chuan accident atanga darkar 24 chhungin thisen chu a chhuah tir ang. Hei hi nakin lawka harsatna lian tham lo thleng thei tur venna atana tih a ni.
Manual hmanga siam thar lehna
Accident avanga i hnar ruh emaw, cartilage emaw chu a inthen a nih chuan i doctor chuan a kut hmangin a hmunah a dah leh thei a ni. Hei hi accident atanga ni engemaw zat hnuah tih thin a ni tlangpui a, chu chu a hring a reh tawh chuan a ni.
- Pakhatnaah chuan Naha chhehvelLocal anesthesia hmangin a hmun chu a ti hlim thei lo.
- Tichuan doctor chuan ruh leh cartilage piece te chu zawi zawiin a awmna tur dik takah a nawr lut a.
- Tichuan, hnar chhungah gauze ang chi thil an dah a, pawnah plaster ang maia dressing an hnawih a.
- Hnar pawn lamah a pianzia a awm theih nan temporary splint dah a ni.
- Infection laka inven nan antibiotics pawh pek theih a ni bawk.
A chhunga gauze dah leh pawna dah dressing chu kar hnih vel chhungin lakchhuah theih a ni.
Inzai
Hnar a tliak nasa hle a nih chuan, thawk harsatna a awm reng chuan operation neih a ngai mai thei.
- Septoplasty: He surgery hi deviated septum, hnar kawng hrang hrang inthenna wall chu realigning a ni. Hei hian thawk harsatna a tiziaawm thei a ni.
- Rhinoplasty: He surgery hi hnar pawn lam pianzia siam tharna atana tih a ni. Ruh tliak leh cartilage te chu hnar pianzia thar pe turin an siam thar leh thin.
Engtikah nge doctor i hmuh ang? Engtikah nge ETU-ah hian i kal ang?
Hei hi a pawimawh hle. Doctor hmuh hun tur leh hnar hliam i neih chuan Emergency Department (ETU) pan nghal tur tih hriat a pawimawh hle.
| Dinhmun | Eng nge tih tur |
|---|---|
| Doctor hmuh hun tur | |
| Harsa vuakna avanga hnar a tliak nia rinhlelhna a awm chuan. | Doctor hmu thuai la, check rawh. |
| Kar engemaw zat enkawl hnuah a natna leh a hring a reh loh chuan. | I doctor rawn la, thurawn la rawh. |
| Hnar hmanga thawk harsatna a awm chhunzawm zel chuan. | Hemi chungchang hi doctor hnenah hriattir rawh. |
| Engtikah nge Emergency Treatment Unit (ETU) pan nghal tur | |
| I hnar atanga thisen chhuak kha i titawp thei lo a nih chuan. | Damdawi in hnai ber emergency room-ah tlai lovin kal rawh. |
| Hnar atanga tui thianghlim, tui (mucus ni lo) a luang a nih chuan. | Hei hi emergency pawi tak a ni a, cerebrospinal fluid a nih theih avangin. ETU ah kal nghal rawh. |
| Lu na tak tak i neih chuan. | Lu hliam na tak dang chhinchhiahna a nih theih avangin damdawi lam pan nghal rawh. |
| Mit hmuhna lama inthlak danglamna, hriatna hloh emaw, luak chhuak emaw i neih chuan. | Hengte hi lu vun chhiat chhinchhiahna a ni thei. Damdawi lam pan nghal tur a ni. |
Take-Home Thuchah a ni
- Hnar tliak chu ngaihthah tur a ni lo. Doctor ngaihsak a ngai a ni.
- Hnar hliam i neih chuan a mah chauha a dam hun nghak mai suh, doctor pan ngei ang che.
- Enkawl vat chuan hun rei tak chhunga harsatna awm thei, hnar lama harsatna leh thawk harsatna te a veng thei a ni.
- I natna lan chhuahna pawi tak tak, tihtawp theih loh thisen chhuak, i hnar atanga tui chhuak, emaw lu na na tak i neih chuan tihkhawtlai lohvin damdawi in hnai ber Emergency Department (ETU)-ah kal la.
- I doctor thupek dik taka zawm hi dam thuai nan a pawimawh hle.
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