Kan tlu dawn lai hian kan inhriat loh pawhin kan tih hmasak ber chu leiah kut nghatin mahni chhanchhuah tum hi a ni. Staircase-a i tlu emaw, i kal laiin thil pakhat i tlu emaw angin han mitthla teh. Chutih lai chuan kan taksain lei a tawlh loh nan leia kut nghatin kan titawp kan tum thin. Mahse chutianga kan tih chuan kan taksa pum pui rit chu kan kutphah thlengin a kal nghal vek a ni . Chutih laia pressure nasa tak lo thleng chuan, kutphah ruh a tliak theihna chance a sang hle . Chuvang chuan kut ruh tliak, a awm fo thin chu damdawi lamah "Colles Fracture" kan ti a ni.
A awlsam zawngin Colles Fracture tih hi eng nge ni?
Okay, hei hi tlem a awlsam zawkin han sawifiah ila. I kut ah hian ruh lian pahnih a awm a, i elbow atanga i wrist thlengin . A lian zawk, thumb side-a awm chu radius an ti a. Colles Fracture chu radius ruh tliak a ni a, chu chu kutphah hnaih ber , kutphah atanga inch khat vel a sang a ni.
Hemi chungchanga thil danglam bik chu ruh a tliak chuan a chhe lai chu kut chhungah a hruai chho ta a ni. A hnah te tak te pahnih a inthen tawh pakhat chu a ben chhuak ang mai a ni. Hei hi natna khirh tak leh pawi tak a ni a, damdawi lam pan vat a ngai a ni.
I kut ruh tliak i rinhlelh chuan in lama enkawl pawh ngaihtuah suh. A tha ber chu damdawi in hnai ber emergency department, emaw ETU (Emergency Treatment Unit)-ah a rang thei ang bera kal hi a ni.
Hetiang dinhmun hi tuin nge tawk tam ber?
Kum eng pawhah Colles Fracture hi awm thei mahse, pawl thenkhat chu an hlauhawm zawk.
- Hmeichhia kum 60 chunglam: Hetiang hlauhawmna hi hmeichhe kum upa zawk, ``Osteoporosis`` tih natna nei tan chuan a sang hle.`` A awlsam zawngin sawi ila, ``Osteoporosis`` hi kan tar chhoh zel chuan ruh a chak lo va, a chhe thei a, awlsam takin a chhe thei a ni. A chang chuan miten he natna hi an nei tih pawh an hre lo. Tlemte tlûk leh tlu pawh hian ruh a tikehsawm thei a ni.
- Infiammi: Cricket, football, leh skating ang chi infiamna khel thinte pawh hi an tlu awlsam avangin an hlauhawm hle.
- Accident dang: Heng fracture chi hrang hrangte hi accident na tak takah pawh a awm thei a, chu chu car accident, bicycle atanga tlu, leh sakawr chunga chuang lai te a ni.
Engtin nge osteoporosis hi he thil nen hian a inzawm?
I kutphahTlu tenau avanga ruh i tihchhiat chuan ruh natna (osteoporosis) i vei theihna chhinchhiahna a ni thei. Ruh hrisel, chak tak chu tlu tenau hian awlsam takin a tikehsawm lo. Chuvangin, hemi chungchang hi i doctor nen inbia a, ruh natna (osteoporosis) test neih hi a finthlak hle ang. Tunah chuan a enkawlna tha tak tak a awm ta.
Colles Fracture natna lan chhuah dan chu engte nge ni?
I kutphah i tihchhiat hian , natna nasa tak i nei thin. Chumi rual chuan symptom dang engemaw zat i hmu thei bawk.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna nasa tak a nei | Kut ke ruh tliak atanga lo chhuak natna na tak, tuar theih loh . |
| Vung | Fracture chhehvel chu nasa takin a lo hring tan thin. |
| Bluish/bruising a ni | Vun hnuaiah thisen a luang lut thei a, chu chuan a hmun chu a sen emaw, a sen emaw a lo ni thei. |
| A lan dan pangngai lo (Deformity) . | Hei hi Colles Fracture danglamna pakhat a ni. Kutphah chu mak tak maiin a beng a, a hrual a, a chunglam a beng a, fork ang maiin a lang thei. |
| Hmasawnna harsa tak | I kutphah chu i rotate thei lo emaw, a tlangpuiin i chho leh chho thei lo mai thei. I kut zungtang chet a harsa thei bawk. |
Enkawl loh chuan eng harsatna nge awm thei?
Colles Fracture hi enkawl tha a nih loh chuan, a chang chuan enkawl pawh ni se, harsatna engemaw zat a awm thei bawk. Hengte hi fimkhur a pawimawh hle.
| Complication awm thei | Hrilhfiahna awlsam tak |
|---|---|
| A kutphah a nghet lo | Hei hi complication awm tam ber a ni. Cast lakchhuah hnuah thla khat emaw thla hnih emaw chhung chu kutphah ben emaw, tihdik emaw a harsa thei. Hei hi physical therapy hmangin a tam zawkah chuan pumpelh theih a ni. |
| Compartment Syndrome a awm thei | Kut ruh vel pressure nasa lutuk avanga natna khirh tak, hrehawm tak. Hei hi emergency a ni. |
| Malunion a ni | Ruh tliak pahnih chu a inmil tawk lo mai thei a, mahse a inmil lo deuh thei bawk. Hei hian kutphah hmel a tidanglam thei a, a na chhunzawm zel thei bawk. |
| Nerve Hliam a awm | Ruh a tliak chuan a bul hnaia nerve te chu a chhe thei a ni. Entirnan, ``Carpal Tunnel Syndrome'' tih natna a awm thei. Chutah chuan kutphah chhunga nerve pakhat chu a compress a, kut leh kut zungtang a ti na a, a na bawk. |
| Secondary Osteoarthritis natna a ni | Hun engemaw chen hnuah chuan ruh tliakna ruh (joint)-ah ruh natna (arthritis) a lo awm thei a. Hei hian ruh a ti na a, a ti na bawk. |
Engtin nge doctor hian hei hi a hriat chian? Eng nge a enkawl dan?
ETU-a i kal chuan doctor chuan accident a thlen dan te, i natna te, i natna lan chhuah dan te a zawt hmasa ang che. Tichuan i kut chu a enfiah ang.
Tichuan, X-ray hmangin ruh chu a tliak em tih chiang takin an en a, a tliak a nih chuan khawiah nge a tliak a, engtin nge a tliak tih hriat a ni bawk. X-ray hmangin `Colles Fracture` a awm leh awm loh chiang takin a chiang thei.
Enkawl dan tur
Enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu ruh tliak te chu a awmna tur dik takah hruai kir leh a ni (Reduction). A pahnihna chu ruh chu a dam leh theih nan immobilize (Immobilization) a ni.
1. Surgery nei lo enkawlna:
Hei hi enkawlna hman fo chu a ni. Hetah hian doctor chuan i kutphah ti na thei tur damdawi a pe ang che a, i kut chu a hrual laiin ruh tliak te chu zawi zawiin a hmunah a sawn leh ang. Hei hi ``resetting'' an ti a. Tichuan, ruhte chu a hmunah a awm reng theih nan elbow hnuai atanga kut zungtang lai thlengin plaster cast an dah a. He plaster cast hi kar 6 vel bun a ngai tlangpui . Hemi chhung hian ruh tliak chu a dam ang a, a inzawm leh ang.
2. Surgery tih tur: 1.1.
A châng chuan ruh chu a ṭhen tam emaw, kut hmanga siam ṭhat theih loh khawpa hrual emaw a nih chuan zai a ngai mai thei. Hei hi orthopaedic surgeon-in a ti thin. A vun chu an tan a, ruh tliak te chu an dah leh a, a hmuna awm reng nan a hnuaia thil te hi hman a ni:
- Metal pin hmanga siam a ni
- Metal plate hmanga siam a ni
- Screw a awm bawk
- Pawn lam atanga fixator a ni
Surgery zawhah kut ah plaster emaw splint emaw an hnawih ang.
Eng chen nge a dam leh theih ang? Ka dinhmun pangngaiah ka kir leh thei ang em?
Cast hi kar 6 vel hnuah lakchhuah a ni tlangpui. Amaherawhchu, i kut chu lakchhuah a nih chuan a dam kim lo. A kutphah ah hian a khauh deuh thei a , a na deuh thei bawk .
Thla 6 atanga kum khat chhungin khawi hmunah pawh a la ngai thei a, a pum puia, 100% tihna a ni a, accident hmaa i kut hnathawh dan ang khan a thawk leh thei a ni. Hei hi mi tin a inang lo.
Cast chu lakchhuah a nih hnuah i doctor chuan physical therapy ah a refer ang che . Physics therapist chuan i kutphah a che lehzual theih nan leh i kut chakna a tihpun theih nan exercise bik a zirtir ang che. Heng exercise te hi dik taka tih hi dam thuai nan a pawimawh hle.
Doctor hmuh leh hun tur
Heng symptoms te hi i neih chuan, plaster i bun lai emaw, i lakchhuah hnuah emaw pawh nise, i doctor pan nghal tur a ni .
- Natna chu tuar theih loh a lo nih chuan.
- I kut zungtang i che thei lo emaw, i kut zungtang rawng a inthlak (blue, white, emaw pale) a nih chuan.
- I kut zungtang tingling emaw numbness emaw i neih chuan.
- Plaster chhung atanga rimchhia lo chhuak a awm chuan.
- Plaster chu a tight lutuk nia a hriat chuan.
Hengte hi harsatna awm thei chhinchhiahna a nih theih avangin damdawi lam thurawn lak vat a pawimawh hle.
Take-Home Thuchah a ni
- Colles Fracture hi kutphah na tak a ni a, a tam zawkah chuan kut phar chhuak a tlak chuan a na hle.
- I kutphahah natna nasa tak, hliam, leh natna danglam tak i neih chuan , chu chu ruh tliak a ni thei.
- Ringhlel i neih chuan in lama enkawl tum lo la, damdawi in Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- Hmeichhe kum upa zawkte zingah hetiang fracture hi osteoporosis symptom a ni thei a, chuvangin chu pawh chu i doctor nen sawiho rawh.
- Enkawl zawhah taksa lam enkawlna leh exercise hi dam kim theih nan a pawimawh hle.
- Doctor thupek dik taka zawm hi dam thuai leh hlawhtling tur chuan a pawimawh hle.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh