I ke ruh tliak i nei em? (Fractured Toe) Hemi chungchang hi chipchiar takin sawi ila!

Aw, i ke ruh chu kawngkaah emaw, chair keah emaw, khum kil khatah emaw i thun ngai em? A nih loh leh inkhelh lai emaw, tlan lai emawa i ke ruh chunga thil rit tak a tlak chuan i ke ruh i ti na ngai em? Chutih laia i rilru natna chu sawifiah theih loh a ni lawm ni? A chang chuan hliam mai mai niin kan ngai thin. Mahse, a takah chuan ke ruh ruh tliak a ni thei. Chûngte chu ruh tê tê ni mah se, kea kal, tlan leh zuang-ah min ṭanpui nasa hle. Chuvangin, pakhat a chhe a nih chuan ke pum pui a nghawng thei a ni.

Ke ruh tihchhiat tih awmzia chu eng nge ni?

A awlsam zawngin, ke ruh tliak chu ke ruh tê ruh tê tê a tliak tihna a ni. Kan ke ruh ruhte hi a te hle a, a nalh hle bawk. Chuvang chuan awlsam takin an chhe thei a ni. Heng ruhte hi te tak te ni mahse, an hliam hi a na thei hle. Kan ke leh ke ruh ruh zawng zawng hi kan kal lai hian a thawk ho vek tih i hria em? Chuvangin, ruh pakhat a tliak pawhin kan ke hnathawh a nghawng thei a ni.

A tam zawkah chuan ke ruh tliak chu chawlh hahdam leh in lama enkawlna awlsam tak hmangin a dam ang . Mahse, a natna leh a hring a nasat chuan doctor pan ngei ngei tur a ni a, hliam chu enfiah tir ngei tur a ni. Hliam na zawk thenkhat chu damdawi lam enkawl belh a ngai thei bawk. A tlem berah chuan doctor chuan office-a ke ruh set turin manipulation emaw, surgery emaw pawh a tih a ngai mai thei.

Ke ruh tihchhiat dan engzat nge awm?

Ni e, ke leh ke ruh surgeon-te chuan heng ke ruh tliak hi chi hnih-ah an ṭhen a: traumatic fractures leh stress fractures .

Traumatic Fractures a awm thin

I ke ruh chu kawngkhar emaw, thil rit tak emaw, mi pakhatin a rawn ke a rawn nam nghal a nih chuan han ngaihtuah teh... Chu chu i ke ruh ruh chu hliam na tak, na tak avanga a chheh chuan ``Traumatic fracture`` emaw ``Acute fracture`` emaw kan tih chu a ni. Hei hi chi hnih a awm bawk a:

• Displaced fractures: Hei hi ruh tliak pahnih chu an awmna hmun atanga an inthlak danglam zel a ni. Plate chhe pahnih, hma leh hnung lama kal ang mai a ni.
• Nondisplaced fractures: Hetah hian ruh chhungah hian crack chauh a awm. Ruh chi hnih hi an inthen lo va, an inher kual vel a ni. Plate-a chip ang maiin, mahse a piece te chu a inthen lo.

Stress Fractures a awm thin

Hemi hi chu a danglam deuh hlek. Stress fracture chu ruh a break a, chu chu kut zungtang chunga pressure repeated, sustained pressure avanga line te tak te ang maia lang a ni. Bang zawi zawiin a hrual ang mai a ni. Hetiang fracture hi infiammi, a bik takin tlan chak leh football leh basketball ang chi infiamna khel thinte zingah a awm fo thin.A awm fo thin. Tin, hriselna lama harsatna thenkhat (e.g. Osteoporosis) leh thil dangin hetiang hi a thlen thei bawk. Stress fracture hi ngaihthah tur a ni lo. A dam tha thei tur chuan damdawi lam thurawn lak a pawimawh.

Doctor-te chuan heng ruh tliak te hi kawng dangin an thliar hrang a: closed leh open fracture.

• Closed fracture: I hliam chu vun hmanga hmuh theih loh, vun a chhe lo tihna a nih chuan ``closed fracture'' a ni.
• Open fracture: Hetah hian hliam chu vun a tikehsawm a, ruh thlengin a thleng tawh a ni. This is a bit dangerous , a chhan chu bacteria te hian hliam inhawng ah lutin ruh ah natna a thlen thei a ni.

Ke ruh tliak hian eng symptoms nge a neih?

Ke ruh tliak chhinchhiahna ber chu natna nasa tak leh hring dup hi a ni . Chu bâkah, i tawng thei bawk:

• Kut zungtang ben theih loh emaw, khawih pawhin natna nasa tak nei emaw.
• Kal theih lohna emaw, ke nghah theih loh khawpa natna nei emaw.
• Kut zungtang chhunga tingling emaw prickling emaw hriatna.
• Kut zungtang hnuaia thisen zam (blue/black discoloration) leh a chhehvelah thisen a chhuak a, ke hmun dangah pawh a darh thei bawk.

Traumatic fracture-ah chuan kut zungtang a tihchhiat chuan "crack" tih i hre mai thei. Kut zungtang chu a ben emaw, a pangngai lo angin emaw a lang thei. Stress fracture-ah chuan a hring a awm thei a, mahse hliam i hmu lo mai thei. I chawlh laiin natna chu a reh thei a, mahse i ding emaw, thil i tih emaw chuan a lo let leh thei.

Engvangin nge kan ke ruhte hi a chhe?

A tam zawkah chuan ke ruh ruh direct damage, hliam, emaw trauma vangin ke ruh a tliak thin . Hei hi kea thil rit tak (e.g., lung, coconut, gas cylinder) a tlak lai te, mi pakhatin thil na tak a vawrh (e.g., lung, kawngkhar) emaw, ke ruh a tlakbuak a, a chetsual hunah emaw a thleng thei a ni. Hei hi kan unau naupang zawkte an inkhelh lai te, an tlan lai te, a nih loh leh an zuang lai te hian a awm fo thin.

Finger fracture hi accident pakhat chauh ni lovin, hun kal zelah thil tih nawn fo leh hman tam lutuk vang pawh a ni thei . Chu chu ``Stress fractures'' kan tih chu a ni. Hengte hi infiammiah a tam ber a, a bik takin football leh basketball ang chi high-impact sports khel thinte leh tlantute zingah a tam ber. Tin, ``Stress fractures'' hi hetiang hian a awm thei bawk:

• Ke pianzia dik lo emaw, a pianphung dik lo emaw a awm.
• Hriselna lama harsatna thenkhat, entirnan osteoporosis (ruh hloh natna).
• Kekawr tight emaw pheikhawk lian lutuk emaw ha.

Ke ruh tliak chu enkawl loha dah a nih chuan eng harsatna nge thleng thei?

Ngaihtuah teh, i ngaihsak lo mai mai a, "Aw, hliam mai a ni, a mah chauhin a dam ang" i tih chuan? Chutiang chu ti suh.

I ke ruh tliak nia i inhriat chuan a rang thei ang bera Doctor pan a pawimawh . Enkawl loh chuan ke ruh tliak hian harsatna a thlen thei a, chungte chu:

• Ke na reng reng.
• Ruh chhiatna (distortion) a awm.
• Ke leh ke ruh natna (arthritis) natna.
• Kal harsat.
• Nakinah pawh surgery neih a ngai mai thei.

Engtin nge doctor chuan ke ruh tliak chu dik taka a hriat theih?

Doctor i hmuh hunah i symptoms leh i medical history te a zawt ang che. I kut zungtang i hliam dan pawh a hre duh ang. Tichuan physical exam a ti ang . Hei hian a hnuaia mite enfiahna a huam ang:

• A hring, a hring, a hring emaw a awm leh awm loh enfiah rawh.
• I ke pahnih chu an khaikhin a, deformity a awm em tih an en a.
• Hliam inhawng emaw vun hliam emaw a awm leh awm loh enfiah thin ang che.

Hetiang dinhmun dik tak hriat chian nan hian eng test nge tih a nih?

A châng chuan doctor chuan taksa enfiahna hmang chauhvin kut zungtang a tliak tih a hre thei a. Mahse, ṭhenkhatah chuan imaging test an order thei a ni . Chûng zîngah chuan:

• Ke X-ray: Traumatic fracture hi X-ray hmangin hmuh theih a ni tlangpui. Mahse, stress fracture hi crack tenau tak tak atanga tan a nih avangin X-ray-ah pawh hmuh tur a awm lo mai thei.
• Magnetic resonance imaging (MRI) scan: Doctor-in `(Stress fracture)` i nei thei nia a ngaih a, mahse `(X-ray)`-ah a lang lo a nih chuan `(MRI)` a dil thei ang.

Ke ruh i tihchhiat hian eng nge i tih thin?

I ke ruh tliak anga ngaihna symptom i neih a, ke pawh i kal thei lo khawpa na i neih chuan doctor pan ngei ngei tur a ni a, X-ray i la ngei tur a ni. Doctor hmuh i nghah lai hian in lamah RICE method hi i zawm thei ang.

RICE method hi eng nge ni?

RICE hi Rest, Ice, Compression, leh Elevation tih acronym a ni.

• R – Chawlh: Infiamna leh taksa tihchakna dang, natna thlen thei chu khelh tawh loh tur. I ke chu a theih ang anga che lovin dah la, kea rit phurh kha tihtlem bawk ang che.
• I – Ice: Ice cube chu puan te tak teah khuh la, kut zungtang hliam chungah minute 20 vel dah rawh. Hei hian a hring (swelling) a tihziaawm theih nan a pui ang. Ice hi vunah direct-in hnawih ngai suh.
• C – Compression (compression/bandaging): Kut zungtang chu zawi zawiin bandage nem tak, compressive tak hmangin khuh rawh. Amaherawhchu, khauh lutuk chuan phuar suh.
• E – A san zawng:I ke chu i thinlung chunglam deuhah dahin chawlh hahdam rawh. Hei hian swelling tihziaawmna tur a pui bawk ang.

Heng thilte rual hian a tul chuan natna damdawi pawh i ei thei bawk. Nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., Ibuprofen, Naproxen) emaw acetaminophen (e.g., Panadol) emaw i hmang thei bawk. Naupang tê tête chu aspirin pe suh.

Kekawr pangngai bun hi a hrehawm thei hle. Chuvang chuan kekawrte, i size pangngai aia zau deuh deuh i bun chu a nuam zawk mai thei.

Doctor office-a enkawl dan tur

Kut zungtang tliak enkawlna chu i hliamna hmun leh i hliam chi hrang hrangah a innghat a ni. I doctor chuan enkawlna hrang hrang a rawn rawt thei ang:

• Buddy taping: Hei hian i doctor chuan i kut zungtang chhe tawh leh a bula kut zungtang (buddy finger) chu a tape khawm tir a ni. Hei hian natna a tiziaawm a, kut zungtang a nghet reng bawk. Kut zungtang pahnih inkarah hian cotton te tak te dah a ni a, chu chu tui a awm loh nan a ni. He cotton phek hi nitin thlak tur a ni.
• Kekawr bik: I doctor chuan pheikhawk khauh tak, a hnuai lam khauh tak, hliam tuar thei, ke ruh veng thei, ke ruh chu a hmuna awm reng tura pui thei tur a rawt thei ang. Swelling a tlahniam tawh chuan pheikhawk tha tak, nghet tak emaw ``Boot walker'' emaw i ha tur a ni.
• Manipulation: I ke ruh chu a inthlak emaw, a hmun atanga a chhuah loh emaw a nih chuan i doctor chuan ``Manipulate/Reduce`` a ngai mai thei. Hetiang tihnaah hian i doctor chuan i ke chu local anesthetic hmangin a ti na hmasa ang . Tichuan, i ke ruh chu a tidik ang a, a hmunah a dah leh ang a, chu chuan a ke ruh tliak chu a siam \ha ang.
• Trephination: Hei hian i nail hnuaia thisen lo awm tawh (subungual hematoma) paih chhuah nan needle emaw electrocautery device emaw hmangin i nail-ah khur te tak te siam a ni.
• Surgery: I ruh tliak na tak i neih chuan, emaw, ruh a nghawng a nih chuan, i doctor chuan operation neih a rawt thei ang. Kut zungtang tliak surgery neih lai hian surgeon chuan pin ang chi fixation device a hmang tlangpui ang.

Ke ruh pakhat a dam theih nan eng chen nge a mamawh?

A tir lama natna leh hliam chu kar khat vel chhungin a reh tur a ni. Ke ruh tliak tam zawk hi a dam kim theih nan kar ruk atanga kar riat vel a ngai a ni. I dinhmun nasat dan azirin hun rei zawk a daih thei. I ke chu thla engemaw zat a lo hring thei.

Engtikah nge ka thiltih pangngai ka thawh leh theih ang?

I doctor chuan i tan engtikah nge infiamna khelh a him tih a hrilh ang che a, i thil tih dan pangngai chu i thawk leh ang. Mahse, i swelling a tlahniam hnuah hnathawhna hmunah i kir leh thei tur a ni a, nuam takin supportive shoes i ha thei tur a ni. Zawi zawiin nitin taksa tihchakna i tih zat chu tipung rawh.

I kal laiin i rilru a hah deuh a, a na deuh bawk. Mahse, hei hi i kut zungtang ruhte a inzawm leh a chak tan chuan a bo tur a ni. Natna thar i neih tan chuan i thil tih chu titawp nghal la, i doctor nen inbia ang che. Inhliam leh theihna risk i duh lo.

Ke ruh tliak hi i veng thei ang em?

Traumatic fracture hi accident leh hliam vang a nih avangin ven a harsa hle. Mahse, stress fracture ven tumna atana thil engemaw zat i tih theih a awm a:

• Exercise i tih lai emaw, infiamna i khelh lai emawa natna i neih tan chuan chawlhsan nghal rawh. "Natna hmanga khelh" angin ngaihtuah suh.
• Exercise, infiamna emaw, taksa tihchakna dang emaw i tih hmain in lum la, in lum uluk hle ang che .
• Infiamna leh taksa tihchakna zawng zawngah kekawr dik tak bun tur a ni.
• In chhungah pheikhawk bun thin ang che. A chang chuan in lama thil hlauhawm lo thleng thei te hi kan ngaihtuah ngai lo.
• Ruh hriselna tha atan Vitamin D3 ei thin ang che.
• I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.
• Natna emaw, chhinchhiahna dang emaw i neih chuan , damdawi lam pan nghal rawh.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan nghal rawh:

• Sudden numbness emaw tingling sensation emaw a awm nghal.
• A hring emaw, natna emaw a pung nghal.
• Thisen chhuak emaw, hliam inhawng emaw.
• Khawsik emaw, khawsik emaw.
• Kut zungtang-ah hian red streak a lang (hei hi infection chhinchhiahna a ni thei).
• Kut zungtang chu a ben emaw, a hrual emaw angin a lang.
• Beisei aiin damna slow zawk.

I kut zungtang tliak avanga enkawlna i dawng tawh a nih chuan i hliam atanga kar khat atanga kar hnih hnuah doctor i pan leh tur a ni (follow up). Hliam na tak i neih chuan i doctor-in a hmuh fo a ngai mai thei.

Doctor hnenah eng zawhna nge ka zawh ang?

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

• Kut zungtang tliak a nih chuan eng enkawlna nge i rawt?
• Ka kut zungtang natna tihziaawm nan in lamah eng nge ka tih theih ang?
• Engtikah nge ka thiltih pangngai ka thawh leh theih ang?
• Nakin lawkah ke ruh tliak lo turin eng nge ka tih theih ang?

"Ouch!" In chhungah chuan i tlan lut a, i ke ruh chu i vawm ta a. A chhe tawh em? Vawikhat natna a reh chuan i theihnghilh a, thil dang i ti tan ta a ni. "Ke ruh chauh a ni, eng thil nge thleng?" i ngaihtuah mai thei. En leh rawh. Tê mah se, i ke ruh ruhte hi i ke hnathawh danah a pawimawh hle. Kea kal tur te, inkhelh tur te, leh thil dang nuam i tih theih nan te hna tha taka thawk turin i mamawh a ni. Chuvangin, chawlh hahdam turin hun engemaw chen hmang la, i doctor ko la, ke ruh tliak thei a awm leh awm loh enfiah rawh.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Ke ruh tliak hi a awm fo nachungin, ngaihthah tur a ni lo. Natna, hliam, ke ruh tliak ang chi symptom i neih chuan doctor pan ngei ngei tur a ni. A tam zawkah chuan enkawlna awlsam tak hmangin i dam leh thei a ni. Mahse, uluk taka enkawl a nih loh chuan a hnua i kal theih lohna tur harsatna i tawk thei a ni. Chuvangin, i ke kha enkawl tha rawh, a chhan chu khawi hmunah pawh phurtu che an ni!

` Kut zungtang, ke ruh tliak, ke ruh tliak, ke hliam, stress fracture, damdawi lam enkawlna, first aid