I fa te chu a tlu a, a kut a na em? Hei hi buckle fracture a ni thei ang em?

Kan naupangte hian an tlan kual a, an inkhelh laiin minor cut leh scrape an nei hi thil pangngai tak a ni. Mahse, a châng chuan, a bîk takin tlu ang chi thil engemaw hnuah, an kut emaw, an ke emaw a na tih an phunnawi reng hian, chu chu a hliam mai a ni lo mai thei. Ruh tliak tenau tak a ni thei a, a nih loh leh ‘buckle fracture’ an tih natna pawh a ni thei a, chu chu a awm fo thin a, a bik takin naupang tê têah chuan a awm fo a, vawiinah hian kan sawi dawn a ni.

‘Buckle Fracture’ tih hi eng nge ni?

A awlsam zawngin sawi ila, ‘buckle fracture’ hi naupang tê tê tê tê tê tê a ni a, chutah chuan ruh chu a chhe vek lo va, a ruh chu a chhe vek thung. A dik tak chuan hei hi ‘incomplete fracture’ a ni. A châng chuan doctor-te chuan ‘impacted fracture’ emaw ‘torus fracture’ emaw an ti bawk.

A thlen dan a\angin a hming a la a ni. Aluminium Coke can hrui hring chu kut hmanga tihkehsawm chu han mitthla teh. Can chu pahnih ah a chhe vek lo a ni lawm ni? Mahse a sir khatah chuan a chhungah a inbeng a, bump tlem ang maiin a chhuak chhuak thin. Chu chu kan naupangte ruh ‘buckle fracture’-ah pawh a thleng thin. A tlangpuiin, ruh chungah pressure (compression) nghal mai, tlu lai ang chiah hian, chu pressure chuan ruh sir khat chu pawn lam hawiin tlem a tibeng a, buckle ang maiin. Ruh chu a chhe vek lo va, a inthen lo va, chu ai chuan bump tlemte ang maiin a chhuak chhuak zawk a ni.

He ‘buckle fracture’ hi naupang kut hmawr ruh pahnih, radius leh ulna-ah hmuh tur a tam ber. Chu chu kut zungtang atanga kutphah thlenga kal laiah a ni. Mahse, ruh sei eng pawhah a awm thei. Entir nan:

• Femur (Thigh ruh) 1.1.
• Tibia (shin ruh) 1.1.
• A ke ruh pawn lama ruh te tak te (Fibula) .
• Kut chunglam ruh (Humerus) 1.1.

Hetiang dinhmun hi naupang tête inkhelh emaw tlan lai emaw an tlu a , an kut phar chungin lei an tawlh hian a thleng fo ṭhin . Naupang kum 12 hnuai lam ah a tam hle a, a tha ber chu a tlangpuiin zai a ngai lo. Vawi tam tak chu, kut zungtang che thei lo tura puitu, splint emaw, a châng chuan ruh chu a dam hmaa vênhimtu plaster cast emaw pawh hman a ni.

‘Buckle Fracture’ leh ‘Greenstick Fracture’ hi eng nge a danglamna?

Hengte hi a takah chuan ‘incomplete bone fractures’ chi hnih, naupang tê tête hmuh theih a ni. Heng hmingte hian doctor chu engtin nge, khawiah nge, eng nge naupang ruh tliak tih a hriat theih nan a pui a ni.

• ‘Buckle fracture’ -ah chuan ruh chu pressure pek a ni a, chu chuan ruh sir khat chu pawn lamah a bulge a, lump a siam a, chu aluminum can I sawi tawh ang khan.
• ‘Greenstick fracture’ chu nausen ruh a ben a, pahnih a inthen a, mahse a sir khat chauh a tliak chuan a ni. Thingpui thar, hnim hring (a green stick) chu i kut hmanga tihchhiat i tum tawh em? Thingpui hring ang maiin a "tuck" lo va, pahnih a inthen lo a ni lawm ni? A sir khat chauh a chhe a, a sir lehlam chu a la inzawm tlat a ni. Chutiang chu a ni.

‘Buckle fracture’ leh ‘greenstick fracture’ pahnih hi puitling aiin naupangte zingah a tam zawk chhan chu naupang ruh hi puitling ruh aiin a nem zawk a, a flexible zawk bawk. Plastic emaw glass emaw ang maiin an chhe awlsam lo. Chuvang chuan naupang ruh chu a chhe vek ai chuan hetiang hian a ben leh snap duh zawk thin.

Amaherawhchu, i fa ruh tliak chu eng tia koh mah la, a hmasa ber pawimawh ber chu a rang thei ang bera Doctor pan hi a ni.

Kut, kut zungtang leh kutpuiah buckle fracture a awm em?

Hetiang dinhmun, ‘buckle fracture’ tia koh hian naupang ruh sei tak a nghawng tam ber. Kut, kut zungtang, kutpui ruh te tak teah hian ‘buckle fracture’ hi a awm lo. I fain a kut emaw, a kut zungtang emaw a na tih a complain a nih chuan a kut zungtang a hliam emaw, a kut zungtang a tliak emaw pawh a ni thei. Chuvangin, symptom thar i neih chuan doctor nen inbiakna neih a tha ber.

‘Buckle Fracture’ hi engtiang chiahin nge a awm?

Hei hi a awm dan tlangpui a ni. Naupang ruh tichhia pali zinga pakhat (4 zinga 1) chuan ‘buckle fracture’ a nei a ni. Tin, naupang tê tê kut ruh tliak zawng zawng zînga a chanve (50%) chu hetiang chi ruh tliak hi a ni.

Tuin nge ‘Buckle Fracture’ nei?

‘Buckle fractures’ (impact fractures an ti bawk) hi naupang kum 12 hnuai lam zingah a tam ber a, a chhan chu, kan sawi tawh ang khan naupang taksa hi a la thang lian zel a, chuvangin an ruh hi puitling aiin a nem zawk a, a flexible zawk bawk. Kan tar chhoh zel chuan kan ruhte hian chu flexibility chu a hloh zauh zauh thin. Naupang ruh a nem zawk avangin, a chhe vek ai chuan hetiang hian (leh ruh tliak kim lo dang) a chhe thei zawk.

Puitlingin he ‘buckle fracture’ hi nei thei mah se, a tlem hle. A châng chuan puitling ruh flat, ruhro ang chiteah a awm thei bawk. Tin, ruh tichhe thei natna nei, ruh natna nei te chu ruh tliak chi hrang hrang, ‘buckle fracture’ te pawh an vei theihna a sang hle bawk.

‘Buckle Fracture’ a lan chhuah dan chu engte nge ni?

I fain ‘buccal fracture’ a neih chuan heng ang symptoms hi i hmu thei ang:

• Natna: Hliamna hmun i khawih emaw, a natna kut/ke i sawn emaw hian natna i nei thei.
• Swelling: Hliamna hmun chu a hring thei.
• Tenderness: Hliamna hmun chu hmun dang aiin khawih a na zawk thei.
• Bruising emaw vun rawng danglam emaw: A chang chuan hliam na hmunah hian blue emaw purple emaw rawng danglam i hmu thei bawk.
• Deformity emaw lump: Naupang taksa peng pakhatah chuan a tlangpuiin hmuh theih loh thil hmuh theih, lump emaw bump emaw a awm chuan.
• Naupang tê tê tân: Naupang tê ṭhenkhat chuan natna chu an inhrilhfiah thiam lo mai thei a, chuvangin kut hliam chu hman loh an tum mai thei. Entîr nân, kut pakhat chauhvin infiamna thilte an chelh thei a, a nih loh leh ke pakhat a hliam chuan chu ke chu an dah thla a, an kal duh lo mai thei bawk.

‘Buckle Fracture’ awm chhante chu engte nge ni?

‘Buckle fracture’ tam zawk hi naupang tête an tlu a, an hmaa kut phar chhuakin leiah an inhnek a, anmahni chhanchhuah an tum hian a thleng ṭhin . Tlu chakna hian an ruhte chu pressure a siam a, chu chuan heng ‘buckle fracture’ te hi a thlen thin. Chuvangin he natna hian naupangte kut hmawr (radius leh ulna) ruhte a nghawng tam ber a ni. I fapa chu huanah a inkhel a, rang takin a tlu a, a kut a rawn deng ang tih han ngaihtuah teh. A nih loh leh i fanu chu a bicycle khalh laiin a sir lamah tlem a kal a, leiah a tla ta ang u. Chutih lai tak chuan hetiang hliam hi a thlen a rinawm ber.

‘Buckle Fracture’ hi engtin nge kan hriat theih ang?

I fa chu doctor hnena i hruai hunah chuan taksa enfiahna an nei hmasa ang . Chu chu hliam chu an hre ang a, a hring leh na loh an enfiah ang tihna a ni. Tichuan, ruh tliak a awm leh awm loh finfiah nan leh ruh chu eng ang chhiatna nge a thlen tih hriat nan X-ray an order fo ang.

Buckle fracture hi engtin nge an enkawl?

‘Buckle fracture’ (‘impacted fracture’ an ti bawk) chu ‘splint’ hmanga enkawl a ni tlangpui. Hei hi ‘immobilization’ an ti bawk a, chu chu ruh hliam chu che thei lo tura ven tihna a ni. Naupang thenkhat tan chuan Doctor-te pawhin ‘cast’ an rawt mai thei a, chu chu plaster cast a ni. I doctor chuan i fa tan eng enkawlna nge tha ber tih a hrilh ang che. He ‘splint’ emaw ‘cast’ emaw hian i fa ruh hliam chu a chhiat belh zel loh nan a veng thei a, natna tihziaawmna atan a pui thei a, an hahdam theih nan a pui thei bawk.

Naupang tam zawk chuan kar hnih atanga kar thum vel chhung chu splint an vuah a ngai dawn a ni. Eng chen nge an hak ngai tih chu naupang natna lan chhuah dan (na leh hliam ang chi) a lo that thuai danah a innghat a ni.

Natna tihziaawm nan NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) Aspirin emaw Ibuprofen emaw, doctor-in a tih angin i ei thei tlangpui. Engpawhnise,Naupangte aspirin i pek dawnin i fimkhur hle tur a ni a, Reye’s syndrome ang chi natna khirh tak tak a thlen thei a, chuvangin damdawi lam thurawn tel lo chuan pe suh. I doctor chuan i fa hnenah eng damdawi nge i pek theih ang tih leh engzat nge i pek theih tih a hrilhfiah ang che.

Buckle Fracture hi a mah chauhin a dam ang em? Enkawl Loh A Nih Chuan Eng Nge Thleng?

‘Buccal fracture’ hi fracture dang thenkhat angin a na lo hle nachungin, a natna, a hring, leh a natna ang chi symptoms te chu ngaihthah ngai suh. I fain ‘buccal fracture’ a neih a, a enkawl that loh chuan harsatna a thlen thei a, chungte chu:

• Malunion: Ruh chhe tawhte chu a dam chuan a inmil lo thei.
• Nonunion: Ruh chhe tawhte chu a inzawm kim lo thei a, a inzawm khawm lo thei bawk.
• Natna lan chhuahna a zual zel: Enkawl loh chuan naupang natna ang chi natna lanchhuahna te hi hun kal zelah a zual thei a, a dam lehna hun a tipung thei a ni.

Chuvang chuan, hliam tenau tak pawh ni se, rinhlelhna i neih chuan damdawi lam thurawn lak hi a finthlak hle ang.

Enkawlna hun chhunga harsatna awm thei te chu engte nge ni?

‘Buckle fracture’ enkawl hian a chang chuan a hnuaia mite hi a thleng thei a ni:

• Reinjury: Naupang chu infiamna ang chi taksa lam thila a tel hma lutuk (a dam hma) chuan a ruh chu a hliam leh thei a, a na zual thei bawk.
• Chhungril hliam dang: A ruh tliak hian a chhehvel thau, nerve, thisen kalna kawng, tendon leh ligament te a tichhia thei bawk.
• NSAIDs natna tha lo: Heng natna tidamtu damdawi hian mi thenkhatah thisen chhuah, pum na, pum na, leh intestinal problem te a thlen thei a ni. Chuvang chuan damdawi hi doctor-in a tih ang chauhin i hmang tur a ni.

Naupang chu enkawl tan hnuah eng chen nge a dam thuai ang?

Naupang tam tak chuan splint an vuah hnuah natna chu a reh nghal vat a, a tha zawk bawk. Mahse, a tlangpuiin a symptoms te chu a reh vek theih nan kar engemaw zat a ngai thin. Splint hian ruh chu a hmunah a dah reng avangin natna nasa takin a tihziaawm thei a ni.

I fa chu tuar theih loh khawpin a na a, a reh lo a nih chuan Doctor pan nghal rawh.

Engtin nge ka fain buckle fracture a neih theihna tur chu ka tihtlem theih ang?

Fracture ven dan 100% a awm loh laiin, i fate hliam hlauhawmna chu heng general safety tips te hi zawmin i ti tlem thei ang:

• Lirthei a chuang dawnin seatbelt vuah fo ang che.
• Infiamna emaw, exercise i tih emaw hian invenna hmanraw \ha tak tak ha la .(e.g. helmet, khup khup) te.
• I in leh inkhelhna hmuna accident thlen thei thilte chu uluk takin la chhuakin dah rawh.
• In chhûnga thil sâng takah i kut i phar hunah , thil ṭha tak hmang la, chu chu ladder ang chi hi a ni. Naupangte chu ṭhutphah leh dawhkan chunga lawn lo turin zirtir rawh.
• I fa chu ruh hriselna tha neih theihna tura puitu ei leh in inthlau leh exercise tih dan pangngai zawm turin fuih rawh.

‘Buckle fractures’ hi accident avanga tlu thut ang chi a nih fo avangin pumpelh kim a harsa hle. Amaherawhchu, naupang tê tê an inkhelh hunah tlem tal ngaihsak a, an tâna boruak him siam a pawimawh.

Kum upa zawk, kum 50 aia upa, chhungkaw history-a ruh natna nei i nih chuan doctor nen bone density test neihpui dan tur sawipui a tha.

Ka fa hian ‘Buckle Fracture’ a neih chuan eng nge ka beisei theih ang?

I fa chu a dam kim theih beisei theih a ni. ‘Buccal fracture’ hi hun rei lote chhunga harsatna awm thei a ni. Hemi hnu hian naupang chuan hun rei tak chhung natna leh nghawng dang a nei tawh lovang.

Impacted fractures hi fracture dang nena khaikhin chuan a dam rang hle. Naupangte hian kar 2-3 chhung chauh splint an vuah a ngai tlangpui. Natna leh natna ang chi symptoms te chu a reh tawh chuan a tam zawkah chuan enkawlna dang emaw, follow-up visit emaw a ngai tawh lo.

Ka fa hian sikul a kal thei dawn lo em ni, thiltih hrang hrangah a tel thei dawn lo em ni?

‘Buckle fracture’ tih hian naupang sikul kal tawh loh tur tihna a ni lo. Mahse, an natna lan chhuah dan a reh vek hma leh kar hnih dang chu infiamna ang chi taksa tihchakna hahthlak tak tak an pumpelh tur a ni.

Naupang tam zawk chu thla khat vel hnuah an infiamna leh thil dang zawng zawngah an kir leh thei a ni. I doctor chuan eng chen nge thil engemaw i tih loh tur tih chiang takin a hrilh ang che.

Buckle fracture a awm theih dan tur chu eng nge ni?

‘Buckle fracture’ awm theihna tur thlirna a tha hle. I fa chu a dam kim ang a, hun rei tak chhung natna emaw, chhinchhiahna dang emaw nei lovin a nung ang.

Engtikah nge Emergency Room-ah ka kal ang?

I fa hian ‘buckle fracture’ – emaw ruh tliak dang emaw a nei nia i hriat chuan a rang thei ang bera doctor i pan tur a ni. A hnuaia symptoms te hi an neih chuan emergency room-ah kal nghal tur a ni:

• Natna nasa tak a ni.
• Taksa peng pangngaia sawn theih chu tihchet theih lohna.
• Taksa peng pakhat chu a pangngai aia danglamin a lang a, a nih loh leh a hmuna awm lo angin a lang bawk.
• Vun a hrual a, ruh a lang thei a nih chuan.
• Vung.
• Heng symptoms te hi hliam thar lo lang nen a inzawm a ni.

Nangmah emaw, i fain accident na tak (trauma) i tawk a nih chuan emergency room-ah kal nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

I fa dinhmun chungchangah hetiang zawhna hi doctor hnenah i zawt thei ang:

• Eng ruh nge tliak?
• Ka fa hian ‘buckle fracture’ emaw, fracture chi dang emaw a nei em?
• Ka fa hian eng chen nge splint a bun a mamawh ang?
• Eng chen nge a dam theih ang?
• Engtikah nge taksa tihchakna (inkhelh ang chi) a tan leh theih ang?

Nu leh pa tu pawhin an fain a hliam a, a bik takin ruh a tliak tih an hriat hian hlauhthawn hi thil pangngai tak a ni. Mahse, ‘buckle fracture’ hi hliam enkawl theih tak a ni tih hre reng ang che, naupang tê têah pawh a awm fo. Chumi awmzia chu i doctor chuan a diagnose thei a, a enkawl thuai thei tihna a ni. I fa chu a hliam chungchang te, engvangin nge ‘splint’ a bun dawn tih te leh eng chen nge a bun dawn tih te sawifiah rawh. He hliam hi hun rei lote chhunga awm a nih thu leh a taksa a dam hnuah a duh zawng zawng a khel thei a, a tel thei tih hrilhfiah rawh.

Thil pawimawh ber berte hre reng ang che (Take-Home Message) .

• ‘Buckle fracture’ chu ruh a tliak kim lo a, naupang tê têah a awm fo.
• Hei hi tlu vangin a thleng tam ber a, a bik takin kut leia a man lai hian a thleng fo thin.
• I kut/ke hman loh ang chi natna, hliam, emaw hman loh ang chi symptom i neih chuan doctor rawn la.
• Hei hi a tlangpuiin kar 2-3 chhungin splint hmangin a dam leh thin. Surgery a ngai lo.
• Naupang chu a dam vek a, hun rei tak chhung nghawng a nei lo.
• I doctor-in a tih hma loh chuan taksa tihchakna nasa tak chu pumpelh rawh.

I fa chu dam thuai turin duhsakna hlanin!

` buckle fracture, impacted fracture, torus fracture, naupang ruh tliak, ruh tliak, naupang ruh tliak, naupang hriselna