I kutphah i tikehsawm tawh em? (Wrist Fracture) Hemi chungchang hi han sawi ila!

Aw, i tlu hian i kutphah hliam na tak i nei ngai em? A nih loh leh infiamna i khelh laiin i kut i vuak ngai em, tunah chuan a hmun chu a hring a, a sen a, a na lutuk a, i che thei lo em em bawk? Tichuan i kutphah a tliak thei a, chu chu ruh tliak (fracture) tihna a ni . He thu i hriat hian hlau suh, a chhan chu hetiang hi mi tam tak chungah a thleng thin. Vawiin hian chipchiar tak leh awlsam takin kutphah tliak, emaw doctor-te'n an tih angin ``Wrist Fracture'' chungchang kan sawi dawn a ni.

He kut zungtang tihchhiat hi eng nge a awmzia?

A awlsam zawngin ``Wrist Fracture`` chu kut ruh emaw, a kaihhnawih ruh pakhat emaw a aia tam emaw a tliak tihna a ni. Kan kut ah hian ruh sawm vel a awm a, kutphah atanga kutphah bul thlengin. Chung zinga pakhat pawh chu a chhe thei. Ruh lian ber berte chu:

• Radius: Hei hi i kut hmawr ruh lian ber a ni a, i ke ruh lian tak sir lamah a awm.
• `Ulna` (ulna ruh): Hei hi kut hmawr chhunga ruh te tak te, kut zungtang te tak te sir lama awm a ni.
• Carpal bones: Hengte hi ruh te tak te pariat, wrist joint chhunga awm, i kut bul tanna hmuna awm an ni.

Heng zingah hian ruh tliak tam ber chu ``Radius`` ruh kutphah hnaih ber a ni. Doctor te pawhin hei hi ``Distal radius fracture`` an ti bawk.

Kut ruh tliak chi hrang hrang

A kutphah hi kawng hrang hrangin a tikehsawm thei. Chungte chu ruh tliak dan azirin an thliar hrang a ni. A chi hrang hrang thenkhat chu hetiang hi a ni:

• Colles fracture: Hei hi a tam ber chi a ni. I kut phar a, i kutphah lei lam hawia i tlu a nih chuan i kutphah chu hnunglam hawiin i ben thei a, hei hian hetiang chi ruh hi a thlen thei a ni. Hei hi radius ruh tawp chhe tawh chu chunglam hawia nawr na hmun a ni a, i kut hnunglam lam hawiin i nawr a ni.
• `Smith fracture`: Hei hi kut chu hmalam pan a, kut hnunglam leia a tlak chuan a thleng thin. Hetah hian `(Radius)` ruh tawp tliak chu hnuai lam, chu chu kutphah lam hawia nawr a ni.

Heng chi lian pahnih bakah hian doctor-te chuan heng ruh tliak te hi kawng dangin an thliar hrang a:

• Intra-articular fracture: Ruh a chhe a, ruh tliak line chu wrist joint chhungah a lut a nih chuan he chi hi a ni.
• Extra-articular fracture: Hei hi ruh tliakna hmun a ni a, mahse ruh tliak line chu ruh chhungah a lut lo.
• `Open fracture`: Hei hi a hlauhawm deuh. A chhan chu hetah hian ruh a tliak a, vun chu a hliam a, a rawn chhuak ta a ni. Tichuan hliam atanga natna hrik lut a, natna hrik thlen theihna chance a sang hle. Hetiang thil a lo thlen chuan damdawi in pan vat a ngai a ni.
• `Comminuted fracture`: Hetah hian ruh chu hmun khatah ni lovin, hmun engemaw zatah a inthen a.

Engtiang chiahin nge wrist fracture hi a awm fo?

Hei hi a takah chuan i ngaihtuah aiin a tam zawk. Entîr nân, United States-ah ringawt pawh hian kum tin mi 450,000 chuang ruh tliak an awm tih report a ni. Chung zinga 6 zinga 1 vel chu ``Distal radius fracture`` a ni a, chu chu kan sawi tawh ang khan kutphah ruh ``Radius`` ruh tliak a ni. Hetiang dinhmun hi Sri Lanka-ah pawh a inang mai thei, a chhan chu tlu leh chesual hi a tam hle a ni.

Engtin nge i kutphah a tliak tih chiang taka i hriat theih ang? (Natna)

I kutphah a tliak a nih chuan heng zinga pakhat emaw a aia tam emaw i nei thei ang:

• Natna nasa tak leh awm reng: Hei hi a lan chhuahna ber a ni. A natna chu a na lutuk thei a, i kut pawh i che thei lo.
• Swelling: Kut tliak vel hi a hring nasa hle.
• Tenderness: A ruh tliak lai i khawih emaw, i hmet emaw chuan tuar theih loh khawpin natna a thlen thin.
• Bruising: A chang chuan ruh tliak vel vun chu a sen emaw, a sen emaw a lo ni thei.
• Kut khauh: Kut chu kut ben emaw, dinglam emaw a harsa thin.
• Kut deformity: A châng chuan kut chhe lai chu a pianphung ang lo takin a inzawm emaw, a ben emaw angin a lang thei. Mi thenkhat chuan kut chu "crooked" ang mai a ni an ti.
• Kut zungtang (tingling in the fingertips): Mi thenkhat chuan an kut zungtang chu a tingling ang maiin an hria mai thei.

Pawimawh: Heng symptoms te hi i neih chuan "Amah chauhin a dam leh ang" tih mai mai suh. Doctor hmu ngei ngei tur a ni a, check out ngei tur a ni.

Engvangin nge hetiang hian kutphah hi a chhe? (A chhan) .

A tam zawkah chuan kutphah (wrist fracture) hi kutphah a tlak chuan emaw, kut chu lei emaw, bang emaw a tlak chuan a thleng thin. Tichuan taksa pum pui rit chu kut chungah a tla a, ruh chu kutphah chhungah a chhe thei a ni. Ngaihtuah teh, cricket khelh laiin ball man tum laiin tlu emaw, bathroom-a tlu emaw, bicycle atanga tlu emaw... Hei hi engtik lai pawhin a thleng thei.

Thalai leh kum 60 chunglam kut ruh tliak chhan hi a inang lo deuh hlek a.

• Thalai: Tlangval kut ruh tliak hi high-energy incident avanga lo awm a ni tlangpui . Entîr nân, hmun sâng tak aṭanga tlu, ladder aṭanga tlu emaw, motor accident emaw, infiamna khelh laiin na taka tlu emaw, insu emaw a ni.
• Kum 60 chunglam: Hetiang kum lama kut ruh tliak hi accident lian tak a ni hauh lo. Energy hniam thil thleng atang pawhin a thleng thei. Entirnan, ding chunga tlu leh tlu tlem hian hetiang hi a thlen thei a ni. Hei hi a chhan ber chu kan tar chhoh zel chuan ruhte hian chakna a tlakchham vang a ni.

Risk factors te chu engte nge ni? (Risk Factor hrang hrang) 1.1.

Mi thenkhat chu midang aiin an kutphah tliak hlauhawm zawk an ni. Hei hi osteoporosis tih natna nei tan chuan a dik hle . Osteoporosis hi ruh chak lo leh awlsam taka chhe thei dinhmun a ni.

Kum 60 chunglam zingah hian risk factor dang engemaw zat a awm a:

• Ruh mineral density tlahniam (Osteopenia): Hei hi Osteoporosis hmahruaitu a ni.
• Hmeichhia nih: Hmeichhia hi mipa aiin an hlauhawm zawk.
• Mihring var nih: (Hei hi international data atanga a lan dan chuan thil dik tak a ni.)
• Chhungkaw history-a chutiang fracture nei tawh.
• Menopause hmasa ber.

Hetiang dinhmun hian eng harsatna nge a thlen?

Enkawl that loh chuan a chang chuan kut ruh tliak hian harsatna chi hrang hrang a thlen thei a ni. Chung zingah chuan:

• Kut chhunga tendon rupture a awm.
• Carpal tunnel syndrome: Kut kawngkhar kal tlanga nerve compression avanga kut bengchheng leh natna thlentu natna a ni.
• Compartment syndrome: Thil natna khirh tak, a hring hian kut tissue-a thisen kal a tichhe a, pressure a tisang bawk.
• Complex regional pain syndrome: Natna nasa tak leh hliam na tak awm reng thei dinhmun a ni.
• Arthritis of the wrist: Hun kal zelah ruh natna (arthritis of the wrist) a lo awm thei a.

Hei vang hian kut tliak i rinhlelh chuan Doctor pan nghal tur a ni an ti.

Engtin nge doctor hian hei hi a hriat chian?

Doctor i pan chuan engtin nge a lo awm tih leh i symptoms te chu a zawt hmasa ang che. Tichuan i kut chu uluk takin a enfiah ang a, a sir lehlamah a ben ang (a `physical examination`).

Mahse, ruh tliak a awm em tih chiang taka hriat theih nan, khawiah nge a awm tih leh a nasat zia hriat chian nan chuan `X-ray` (X-ray) test neih a ngai ngei ang. A châng chuan, a ruh tliak bâkah, doctor chuan kut chhunga `ligaments` (ligaments), `tendons` (tendons), leh `nerves` (`spinal cords` ) te chhiatna a awm leh awm loh en turin `CT scan` (CT scan) emaw `MRI scan` (MRI scan) emaw pawh a rawt thei bawk.

Hei hi eng enkawl dan nge ni ang?

Kut ke ruh tliak enkawlna chu thil engemaw takah a innghat a, chung zingah chuan:

• Breakage type: A hmaa kan sawi tawh `Colles` leh `Smith` ang chi chi hrang hrang.
• A ruh nasat dan: Ruh chu a chhe deuh emaw, a chhe deuh emaw, a vun chu a hliam a, a chhuak emaw a nih pawhin.
• Hliam dang a awm leh awm loh: A châng chuan ruh tliak rualin thisen kalna kawng emaw, nerve emaw a chhe thei bawk.
• I kum, i active zia leh hei hi i kut thunun ber a nih leh nih loh te pawhin hmun a chang ve bawk.

Enkawlna hmasa ber chu ruh tliak chu a hmunah dah leh a ni. Tichuan, ruh chu a dam hma loh chuan a che thei lo tur a ni a, chu chuan a che leh thei tawh lo.

• Ruh chi hrang hrang a awm chuan: Doctor chuan ruh chu a dam hma loh chuan plaster cast (a `cast`) a hnawih nghal thei.
• Ruh chi hrang hrang a awm loh chuan: Chumi hnuah chuan doctor chuan ruh chi hrang hrangte chu a hmunah a dah leh a ngai dawn a ni. Hei hi `reduction` an ti a.

`Closed reduction` (vun tikehsawm lo enkawlna) .

Hei hi non-surgical procedure a ni. Chumi awmzia chu doctor chuan i vun chu a tikeh lo vang a, pawn lam ruh chi hrang hrangte chu a align mai ang tihna a ni. Tichuan, ruh chi hrang hrangte chu a hmuna vawn tlat turin splint emaw, cast emaw an vuah ang. Splint hi ni engemaw zat an vuah tlangpui a, chu chuan a hring chu a reh thei a ni. Cast hi ni engemaw zat emaw kar khat emaw hnuah (a hring a reh tawh chuan) an vuah tlangpui. A hring a reh deuh deuh chuan cast chu thlak a ngai mai thei.

I doctor chuan i dam dan enfiah turin kar tin X-ray a la ang a, kar thum tal a la ang. Tichuan, kar ruk vel hnuah X-ray an la leh ang. Chutih hunah chuan cast chu lakchhuah a ni fo ang a, i kut hnathawh leh che vel tihchangtlun nan physical therapy tan tir turin an hrilh ang che. I kutphah venhim nan hun engemaw chen splint vuah turin hriattir i ni thei bawk.

`Open reduction` (surgical hmanga siamthat) 1.1.

Hei hi surgical procedure a ni. A chang chuan closed reduction method hian hna a thawk lo. Doctor chuan a kutphah ah incision a siam a ngai dawn a, ruh te chu a realign leh a ngai dawn a ni. Tichuan, heng zinga pakhat emaw a aia tam emaw hmangin ruhte chu a dam hma loh chuan an vawn khawm ang:

• `Cast` (plaster) hmanga siam a ni.
• `Plate leh screw`: Ruh chi hrang hrangte chu dah khawm a, a chungah thir plate dah a ni a, screw hmanga nghet taka dah a ni.
• `Metal frame leh pin awm`
• `External fixator`: Hei hi ruh chhungah pin dahin pawn lam frame-ah dah a ni. He frame hian ruhte chu a chhung atanga a dam thlengin a vawng tlat a ni.

Wrist sprain hi a dam theih nan eng chen nge a mamawh?

Kut ruh tliak a dam theih hun chhung hi thil hrang hrangah a innghat a, chu chu a ruh tliak nasat dan leh enkawl dan chi hrang hrangah a innghat a ni.

• Closed reduction: Ni engemaw zat chu splint-ah i awm ang a, chumi hnuah kar li atanga kar ruk chhung chu cast-ah i awm ang. Chumi hnuah chuan thla thum emaw a aia rei emaw a la ngai thei a, i thiltih pangngaiah i kir leh thei a ni.
• Open reduction (surgical repair): Hetiang tih dan hian a dam rei deuh a ni.

Damna a nih chhung hian i doctor chuan i kut zungtang, i kekawrte leh i kekawrte (a theih ang anga) te chu i kut a khauh loh nan che turin a hrilh ang che. Tin, i kut chu i thinlung level aia sangah dah turin an hrilh bawk ang che, chu chuan a hring a ti tlem thei ang. I doctor thupek a zirin i kutphah te pawh tihchet tan turin an ti thei bawk.I chakna, hnathawh leh chetna i neih leh theih nan physical therapist hnenah pawh refer i ni thei bawk.

Enkawlna zawng zawng zawh hnuah pawh natna emaw, rilru hahna emaw i la nei thei tho. Thlamuanna famkim, chakna leh inthlak danglamna famkim neih leh theih nan thla ruk atanga thla sawm leh pahnih vel a ngai thei. Chuvangin i enkawlnate chu dawhthei takin awm rawh.

Kut ruh tliak hi i veng thei ang em?

Kut ruh tliak tam zawk hi tlu leh chesual vang a ni a, chuvangin ven a harsa hle. Mahse, ruh hriselna tha tak neih hian, a bik takin kum 60 chunglam tan chuan he hlauhawmna hi a tihziaawm thei a ni. Osteoporosis ang chi natna i neih chuan i ruh nghet taka awm theihna tura i tih theih dan tur i doctor nen sawiho rawh. Ei leh in inthlau tak, calcium, vitamin D leh exercise te hian a pui thei a ni.

Engtikah nge Doctor ka hmuh ang?

I kutphah hliam i neih emaw, ruh tliak i neih emaw chuan damdawi lam pan ngei ngei tur a ni.

• Hliam hi a na lutuk lo va, ruh a chhuak ang maia lang lo a nih chuan doctor i hmuh hmain ni khat emaw vel i nghak thei mai thei. Chutih lai chuan i kutphah chu splint hmangin humhim rawh. Ice hnawih la, i kut chu chawi sangin dah rawh.
• Amaherawhchu, hliam a na hle a nih chuan, a nih loh leh kut pianzia chiang taka tihdanglam (a hrual tawh ang mai) a nih chuan, doctor emaw, emergency room-ah emaw mi pakhat nen kal nghal tur a ni. Tikhawtlai suh.

Doctor hnenah eng zawhna nge ka zawh ang?

I kutphah a tliak a nih chuan doctor hnenah hetiang zawhna hi zawh a tha ang:

• Eng ang wrist fracture nge ka neih?
• Hemi atan hian eng enkawlna tha ber nge ni ang?
• Natna tihziaawmna turin in lamah eng nge ka tih theih ang?
• Engtikah nge ka kut ka hman leh theih ang?
• Nakin lawkah hetiang break hi ka awm loh nan eng nge ka tih ang?

A tawp berah chuan take-home message

Aw, i tlu a, i kut a na a, a hring a, hlauhna i neih hi thil pangngai a ni. Mahse, nangmah chauh i ni lo tih hre reng ang che.

A pawimawh ber chu a rang thei ang bera damdawi lam thurawn lak hi a ni. Doctor chuan eng ang fracture nge i neih tih chiang takin a hrilh thei che a, a enkawlna tha ber chu eng nge ni tih a hrilh thei che a ni.

Damna tur hian hun eng emaw chen a la ngai thei a, mahse doctor-in a tih ang taka enkawl leh physical therapy a neih chuan i kut chu i hman thin angin i hmang thei tawh ang a, harsatna i pumpelh thei bawk ang. Chuvangin, i enkawlnaah chak tak leh dawhthei takin awm rawh!

` Kut ruh tliak, kut ruh tliak, kut ruh tliak, Colles ruh tliak, Smith ruh tliak, kutphah na