Inkhelh laiin kut emaw ke emaw tihchhiat theih a ni a, tlu emaw accident tenau emaw pawh nise. Chutiang a nih chuan doctor-in a sawi hmasak ber chu, "Cast ka bun a ngai a ni," tih hi a ni. Mi thenkhat chuan he cast hi an hmuh hian an hlau deuh thin. Zawhna tam tak i rilruah a lo lang a, chu chu i ha chungin engtin nge hna i thawh ang, engtin nge i inbual ang a, a na ang em? Mahse a takah chuan i ruh damna tura puitu i thian tha ber ang a ni. Chuti a nih chuan, cast chu eng nge ni? Eng nge a tih? Hemi chungchang hi chipchiar takin sawi ila, awlsam takin.
A awlsam zawngin, cast chu eng nge ni?
Ruh tliak, ruh tliak i nei niin han ngaihtuah teh . A dam tha tur chuan ruh tliak pahnih chu vawn tlat leh che thei lo a ngai a ni. Vase chhe tawh chungah glue dah a, a vawt thlengin a hmunah vawn tlat ang mai a ni. Chu chu cast pakhatin a tih thin chu a ni. I kut emaw ke emaw ang chi taksa peng hliam vel a dah a, a che lo turin a hmunah a vawn tlat thin cast a ni. Damdawi lamah chuan hei hi ``immobilization'' kan ti a, chu chu chetna chu a tawp vek tihna a ni.
A châng chuan splint hnawih ang lo takin, plaster chu in lamah pawh lak chhuah theih a ni lo va, siam ṭhat theih a ni lo va, tihzauh theih a ni lo bawk. I taksa peng nena inmil chiah tura siam a ni a, a dam vek hma loh chuan a him theih nan a hmunah dah a ni.
Eng dinhmunah nge plaster hnawih a ngai?
Ruh tliak a awm chuan cast hi an vuah fo thin. Chu chu a chhan ber a ni. Mahse, chu bâkah, ruh lam enkawlna ṭhenkhat hnuah , chu taksa peng chu a dam hma loh chuan che thei lo tûrin cast hman theih a ni. Mahse a tlem deuh deuh.
I taksa peng pakhata ruh i tihchhiat chuan cast i bun a ngai mai thei:
- Kut emaw, elbow emaw
- Kut leh kut
- Ke emaw khup emaw
- Ke rek
- Mawng
Plaster hi chi hnih a awm! Eng nge an nih i en ang u.
Plaster hi chi hnih a awm a. Fiberglass leh plaster of Paris an ni. Tunah hian fiberglass chi khat hman lar ber a ni. An pahnih inthlauhna chu eng nge ni tih i lo en ang u.
| Nihphung | Fiberglass hmanga siam a ni | Plaster of Paris Cast hmanga siam a ni |
|---|---|---|
| Buk | A rit lo, a rit lo. | A rit lutuk. |
| A chakna leh a chhe thei lo | A chak hle a, a chhe thei lo bawk. | A tehkhin chuan a chak lo va, awlsam takin a chhe thei bawk. |
| Vanlawng hmanga zin | Porous a nih avangin vun chhungah boruak a kal a, chu chuan thawmhnaw a ti tlem a ni. | Thli a che lo va, chuvang chuan i thawmhnaw a chhuak thei a, i itchy thei bawk. |
| Hun a vawt. | A vawt nghal vat a, darkar tlemte chhungin a solid kim vek. | A vawt vek theih nan ni khat emaw ni hnih emaw a ngai a ni. |
| Rawng | A rawng hrang hrang a awm (naupangte chuan hei hi an duh em em!) | Mihring var chauh. |
| Shaping awlsamna | A harsa deuh. | I taksa pianzia ang zela insiamrem a awlsam hle. |
A châng chuan, ruh chu a chhe a, a hmun aṭanga chhuak (a displaced fracture) , plaster of Paris chu a awmna hmuna hruai kir leh tûrin a ṭha zâwk mai thei. A chhan chu taksa pianzia ang zela siam a awlsam zawk a, mahse a tam zawkah chuan fiberglass hman a ni.
Plaster an hnawih hmain eng nge thleng?
Cast i hnawih hmain doctor chuan i ruh tliak chu a hmunah a siam leh a ngai ang. Hei hi ‘setting the bone’ an ti a. A nih loh leh i muhil mai thei a, i dam leh thei bawk. Hei hi kawng hnih a awm a.
Closed Reduction tih a ni
Ruh tliak pahnih chu a inthlak danglam deuh niin han ngaihtuah teh. Doctor chuan i vun chu a kut hmangin a chelh ang a, zawi zawiin ruh pahnih chu an awmna hmunah a sawn leh ang. Chutianga i tih lai chuan natna engmah i hriat loh nan numbing agent a pe ang che. Chuvang chuan engmah hrehawm i nei lovang.
Operation ngai case te
A then phei chuan a ruh chu a nasat em avangin pawn lam atanga siam that theih a ni lo. Doctor chuan operation tenau tak a ti ang a, a chhungah hian metal plate emaw screw/pin emaw a dah ang a, ruh pahnih chu a inzawm khawm ang. Hei hi ``internal fixation'' an ti a, chutianga tih a nih chuan general anesthesia pek i ni ang a, chuvang chuan engmah i hre lo ang.
Chutianga ruh chu uluk taka siam a nih hnuah chauh plaster hi an hnawih thin.
Plaster hnawih dan tur step by step in...
Plaster hnawih hi layer engemaw zat hnawih ang a ni.
1. Pakhatnaah chuan i vun venghim rawh: Pakhatnaah chuan i vun venhim nan puan sei tak, hrual thei, sock ang maia i bun thin. Hei hi ``stockinette'' an ti a.
2. A chungah cotton layer: Tichuan, chu chu cotton ang chi bandage nem tak tak layer engemaw zat an khuh a. Hei hian plaster tightness tihtlem nan a pui a, swelling tenau eng pawh control theih a ni.
3. Tunah hian plaster hnawih hun a ni ta: Fiberglass emaw plaster of Paris emaw chu tuiah hnim la, cotton layer chungah uluk takin khuh rawh. Hetiang hian i duh ang thickness leh strength i neih thlengin ti leh rawh. Doctor chuan i taksa peng pianzia angin a siam ang.
Plaster hi kutphah ang chi hmun tenau takah minute 15-20 vel a ngai laiin, ke ang chi hmun zau zawka hnawih nan darkar khat vel a ngai thei.
Plaster hi a vawt theih nan eng chen nge a duh?
Hei hi plaster chi hrang hrang pek i nih dan azirin a danglam ang.
- Fiberglass hi a hnawih hnuah a vawt tan nghal thin. Darkar tlemte chhungin a solid kim vek a ni. Vawikhat a vawt chuan khawih pawhin a rough hle.
- Plaster of Paris hi a vawt kim theih nan ni khat emaw ni hnih emaw a ngai thei a, a chakna zawng zawng a thleng thei bawk. Chuvangin chutih chhung chuan engmah phurrit dah lo turin fimkhur rawh. A vawt hunah chuan a hring leh var angin a lang ang.
Plaster i hnawih hnu ni hmasa berah eng nge i tih ang?
Plaster hnawih hnu ni hnih emaw ni thum emaw chhunga a hring tihziaawm nan heng thilte hi tih a pawimawh hle.
- Elevated reng tur: Casted arm emaw leg emaw chu i thinlung level aia sangin pillow pahnih emaw pathum emaw hmangin a theih ang angin dah la. Hei hian swelling nasa takin a tihziaawm ang.
- Ice hnawih: Tui tlak lohna plastic bag-ah ice cube thenkhat dah la, towel-ah khuh la, plaster chungah dah rawh. Ice tui chu plaster-ah direct-in a tawk ngai lo. Hei hian hliam leh natna a tiziaawm bawk ang.
- I kut zungtang kha vawrh rawh: I kut zungtang emaw ke ruh emaw, i cast pawn lama awmte chu vawn fo thin ang che. Hei hian thisen kal dan a ti tha ang a, rilru hahna leh rilru hahna a tihziaawm bawk ang.
Plaster cast hnawih avanga hlawkna leh hlauhawm awm thei
Cast thatna ber chu ruh tliak chu a dam hma loh chuan venhimna tha ber a pe a ni. A hmanraw him leh tangkai tak a ni.
Mahse, hlauhawm tlemte a awm a, a awm tlem hle.
- Pressure sores: Plaster chhung atanga hmun khata pressure chhunzawm zel avang hian pressure sores a awm thei.
- Compartment Syndrome: Hei hi natna khirh tak, emergency a ni. Cast chhunga swelling chu a tam lutuk thei a, thisen kalna kawng leh nerve te a ti compress thei bawk. Natna tuar theih loh, i kut zungtang tingling, emaw, paleness , i neih chuan doctor i pan nghal tur a ni.
- Thisen zam (Deep Vein Thrombosis - DVT): Thisen zam hi thisen zam hi thisen zam hi a lo awm thei a, a bik takin ke chu cast hmanga immobilized a nih chuan.
- Infection: Plaster hnawih hmaa vunah hliam a awm emaw, plaster chhunga thil dah luh a, vun a hrual emaw a nih chuan natna hrik a awm thei.
I plaster hi engtin nge i enkawl ang? - Tih tur leh tih loh tur
I cast chu a awmna hmuna a awm chhungin uluk taka enkawl chu i mawhphurhna a ni. Chutianga tih theihna tur tips thenkhat chu hetiang hi a ni.
| Thil tih tur (Tih tur) ✅ | Ti suh ❌ |
|---|---|
| Plaster chu a theih ang anga fai leh vawt taka dah tur a ni. | Plaster chu hnim ngai suh. Tui a luh loh nan i inbual dawnin plastic bag-in uluk takin khuh thin ang che. |
| Plaster hi a chhe emaw, a lo hrual emaw a awm leh awm loh enfiah fo ang che. | I hrual duh pawhin plaster chhungah engmah, thinghnah, pen emaw, wire chi hrang hrang emaw chu thun ngai suh. Hei hian vun a tikehsawm thei a, natna hrik hlauhawm tak a thlen thei bawk. |
| Doctor-in a tih angin finger exercise ti rawh. | Plaster chhungah emaw, a bulah emaw vun ah lotion emaw powder emaw hnawih suh. |
| Natna danglam tak, hliam emaw, rim emaw i neih chuan doctor hnenah hriattir rawh. | In lamah chauh plaster hi lakchhuah, tihchhiat leh tan tum ngai suh. |
Engtin nge plaster hi i lak chhuah ang? A na em?
Hei hi mi tam takin an hlauh em em a ni. "Plaster ka cut hunah ka kut/ke chu a tan dawn em ni?" Mahse hlauhna tur a awm lo.
Doctor chuan saw bik (cast saw) hmangin plaster chu a la chhuak thin. Blade hi a rotate lo va, speed sang takah a vibrate mai a ni. Chuvangin plaster khauh chunga a awm chuan a cut a, mahse i vun nem takah a awm chuan a cut lo. Tlem a tickle ang maiin a hria a, thawm a siam bawk a, mahse a na lo.
Doctor chuan plaster chu a sir lehlamah a tan a, a theh darh a, a la chhuak a. Tichuan, cotton layer leh a chhunga puan phek chu scissors hmangin an tan a.
Heng symptoms te hi i neih chuan doctor pan nghal rawh!
Plaster i bun lai hian heng thilte hi fimkhur hle ang che. Chung zinga pakhat tal i neih chuan i doctor nen inbia ang che.
- Tuar theih loh, na zual zel.
- Cast hmanga hmuh theih kut zungtangte chu a sen, a hring emaw, a hring lutuk emaw a lo ni ta a ni.
- Kut zungtang tingling nasa tak emaw, hriatna hloh emaw.
- Plaster chhung atanga rimchhia lo chhuak.
- Plaster chu hmun khatah a chhe emaw, a chhe emaw, a lo chhuak emaw a ni.
- Plaster chhung atang chuan vun a kang ang maiin a lang.
A bik takin, kut zungtang tingling emaw paleness emaw ruala natna tuar theih loh a awm chuan a hmaa kan sawi tawh ``Compartment Syndrome`` symptom a ni thei. Chutiang a nih chuan zan leh zan nghak lovin damdawi in Emergency Department (ETU) ah i kal nghal tur a ni.
Ruh i tihchhiat hian cast bun hi a ti thinrim deuh thei a, tuar pawh a harsa thei bawk. Mahse venhimna tha ber a ni a, i taksa a dam tha thei bawk. Doctor thupek dik takin zawm rawh. Tichuan i dam thuai ang a, hna pangngai i thawk leh thei tawh ang.
Take-Home Thuchah a ni
- Cast hnathawh ber chu ruh tliak chu immobilize a, a dam tha tura puih hi a ni.
- I cast chu hnim lo turin phal suh. Shower dawnin plastic wrap hmangin khuh tha rawh.
- Scratch duhna i neih pawhin plaster chhungah engmah poke suh. Hei hian natna khirh tak tak a thlen thei a ni.
- Tuar theih loh khawpa natna, i kut zungtang hrual, emaw, rawng danglam emaw i neih chuan doctor hnenah hriattir nghal rawh.
- In lamah nangmah ngeiin cast lakchhuah tum ngai suh. Hei hi medical professional trained chauhin tih tur a ni.











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