I ruh pakhat chu a chhe vek a nih chuan engtin nge ni ang? Comminuted fracture chungchang hi han sawi ila!

Aw, accident lian takah kut emaw ke emaw a tliak tih kan hre vek tawh. Mahse fracture thenkhat chu fracture awlsam mai ni lo a awm. Plate pakhat chu leiah a tla a, a chhe vek ang tih han mitthla teh, ruh chu a chhe vek a, a chi hrang hrangah a chang ta a ni. Chu chu damdawi lama 'comminuted fracture ' kan tih chu a ni. Hei hi natna khirh tak a nih avangin hriat chian a pawimawh hle.

Comminuted fracture chu eng nge ni tak tak?

A awlsam zawngin, comminuted fracture chu i ruh pakhat chu hmun hnih emaw a aia tam emaw tal a tliak a, hmun engemaw zatah a inthen a ni. Glass chi khat a tlak chuan a chhe vek ang mai a ni. Hei hi ruh tliak pangngai aiin a buaithlak zawk.

Hetiang chi ruh tliak hi taksa ruh lian emaw, sei emaw eng pawhah a awm thei. An awmna hmun tam ber chu:

• Femur (Thigh ruh) 1.1.
• A hmalam ruh (Tibia) .
• A hnunglam, ke ruh (`Fibula`) .
• Kut chunglam ruh (Humerus) 1.1.
• Kut hmawr leh kut ruh chu kut zungtang lam hawiin (`Radius` leh `Ulna`) .
• Clavicle a awm
• Luruh a ni

He comminuted fracture an tih hi ngaihtuah phak loh accident avanga lo awm a ni fo thin. Car accident na tak emaw, upper story ang chi hmun sang atanga tla emaw angin ngaihtuah rawh. Hengte hi ruh lian tak takah a thleng a nih chuan a pawi hle a, ruh set turin operation a ngai fo bawk. Mahse, a chang chuan heng ruh te tak te ruh tliak chi hrang hrangte hi zai ngai lovin a dam thei a ni. Eng ruh nge i tihchhiat leh engtin nge a tliak tih a zirin eng chen nge a dam rei tih a innghat. Mi tam tak tan chuan, a bik takin operation neih a ngai a nih chuan, a dam kim theih nan kum khat vel a ngai thei.

Comminuted leh segmental fracture hi eng nge a danglamna?

Comminuted Fracture leh Segmental Fracture te hi ruh tliak na tak chi hnih a ni a . Heng hmingte hian i ruh a tliak dan te, khawiah nge a tliak tih te, leh i taksa chhunga a lan dan te chu i doctor hnenah chiang takin a hrilh a ni.

Comminuted fracture i neih chuan i ruh chu hmun hnih emaw a aia tam emaw a chhe tawh a, a tam zawkah a chhe tawh tihna a ni. Phên dangin sawi ila, a hrual tawh ang mai a ni.

A lehlamah chuan segmental fracture chu ruh hmun hnih a inthen a, a inkar a ruh pakhat chu hmun dang atanga inthen a nih chuan a ni. Segmental fracture thenkhat chu a comminuted thei a, a comminut lo thei bawk.

Mahse, eng hming pawh ni se, a pawimawh ber chu i hliam chu doctor-in a rang thei ang bera enfiah tir hi a ni. Fracture chi hrang hrang hi hliam na tak a ni thei a, damdawi lam enfiah hnuah chauh enkawlna tul chu hriat theih a ni.

Hetiang chi ruh tliak hi tute nge tuar tam zawk?

Dik tak chuan, comminuted fracture – ruh tliak dang ang bawkin – tu chungah pawh a thleng thei. Chûngte chu accident na tak avânga lo awm a nih avângin, engtikah nge, engtin nge, tute chungah nge accident a thlen ang tih chu tumahin an sawi lawk thei lo. Chuvangin mi zawng zawng hi risk-ah kan awm a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Mahse thu lawmawm tak chu heng comminuted fracture an tih te hi chutiang chuan a awm lo. A chhan chu, vanneihthlak takin, mi tam zawk chuan accident na tak tak thlentu an tawn a ngai lo.

Comminuted fracture natna lan chhuah dan chu engte nge ni?

Comminuted fracture i neih chuan a thlentu accident avanga symptom na tak dang i nei thei bawk. I symptoms chu i hliam dang i neih danah a innghat ang. Mahse a tlangpuiin, comminuted fracture symptoms chu:

• Natna nasa tak: Hei hi natna pangngai a ni lo va, tuar harsa tak natna a ni.
• Taksa peng pangngai che thei lo che thei lo: Kut emaw ke emaw che thei lo leh ben theih lohna dinhmun.
• Taksa peng pakhat , a danglamna hriat theiha lang emaw, a hmuna kal lo emaw: Kut emaw, ke emaw chu a inzar pharh emaw, a danglam zawnga dah emaw angin a lang thei.
• I ruh hi i vun kaltlangin a chhuak chhuak a: Hei hi chhinchhiahna pawi tak a ni.
• Swelling: Hliam na hmun hi a hring nasa hle.
• Bruises leh blood stains : Vun hnuaiah thisen a luang a, blue/purple a lo ni.

Open leh Closed Comminuted Fractures te chu a awm thei

I doctor chuan i ruh tliak chu ``Open Fracture`` emaw ``Closed Fracture`` emaw tiin a classified ang.

• ``Open Fracture`` (a then chuan ``Compound Fracture`` an tih) i neih chuan i ruh tliak chuan vun a tikehsawm tawh a ni. Hengte hi an dam rei zawk a , an kai theihna a sang zawk bawk .Tin, ) leh harsatna dangte pawh a awm theihna a sang zawk bawk.
• Closed fracture chu ruh a tliak a, vun a chhe lo tihna a ni a, chu chu vun atanga ruh a chhuak lo tihna a ni. Hei pawh hi a pawi hle a, mahse open fracture aiin harsatna a nei tlem zawk.

Displaced Comminuted Fractures te chu a awm a

‘Displaced’ emaw ‘Non-displaced’ emaw tih hi i doctor-in ruh tliak sawina atana a hman tur thumal a ni .

• Displaced fracture chu ruh a chhe a, a hnah te chu an nawr hrang a, an inkarah gap lian tak a awm a ni. Heng fracture chi hrang hrangte hi a set dik theih nan operation a ngai fo thin .
• Non-displaced fracture chu ruh a tliak a, mahse a hnah te chu a kal hla lutuk lo va, a la awm reng a ni.

Comminuted fracture-ah chuan ruh chu a inthen tam a, chu chuan ruh chi dang aiin a inthlak danglam duh zawk a ni.

Comminuted fracture awm chhante chu engte nge ni?

He comminuted fracture hi accident na tak, high-impact accident ( Trauma ) avanga lo awm a ni. A chhan langsar zualte chu:

• Lirthei chetsualna na tak (car leh motor accident ang chi).
• Hmun sang tak atanga tla (entir nan, ladder atanga, inchung atanga, thing sang tak atang pawhin).

I ruh na taka a tlak chuan comminuted fracture a thlen thei. Mahse, thil pangngai, slip leh falls te hian ruh a tikehsawm thei a, mahse, comminuted fracture thlen thei khawpa chhiatna a thlen tlem zawk thung.

Engtin nge comminuted fracture chu kan hriat theih ang?

I doctor chuan taksa enfiahna leh imaging test hrang hrang hmangin comminuted fracture a hmuchhuak ang. A chang chuan chetsualna lian tham tak i tawh hnua emergency room-a admit i nih chuan heng test te hi chutah chuan tih theih a ni.

Emergency room-a hruai i nih chuan medical team-in an stabilize ang che a, a nasat dan tur angin an enkawl ang che. A bik takin nunna atana hlauhawm hliam i neih chuan ngaih pawimawh hmasak a ni ang. I stabilized hnuah chuan imaging test neih a ngai dawn a, chu chuan fracture chu a finfiah ang.

Eng ang test nge tih thin?

I ruh tliak dan chiang taka hriat theih nan heng imaging test pakhat emaw a aia tam emaw i neih a ngai mai thei:

• X-ray hmanga `(X-ray)`: 1.1.X-ray hian comminuted emaw fracture dang emaw a awm tih a finfiah thei a, i ruhte chu engzat nge a tihchhiat tih a hmu thei bawk.
• Magnetic Resonance Imaging (MRI): I doctor chuan MRI hmangin ruh leh a chhehvel chhiatna chu a kimchangin a hmu thei ang. Ruh chhehvela soft tissue (muscles, connective tissue, organs) chhiatna a zawng thei bawk. Hei hi accident avanga hengte hi engtin nge an nghawng tih hriat nan a pawimawh hle.
• CT Scan (Computed Tomography scan): CT scan hmang hian i doctor emaw surgeon emaw chuan X-ray aiin i ruh leh a chhehvel tissue te chipchiar zawkin a hmu thei a ni.

Engtin nge comminuted fracture hi enkawl a nih?

Ruh sei emaw lian emaw i tihchhiat a, comminuted fracture a lo nih chuan siamthat nan operation i mamawh ang. Comminuted fractures siamthat nan hian surgical technique hrang hrang hman a ni. I surgeon-in a hman dan tur chu i hliam te, ruh tliak te, leh accident hnua harsatna lo awm tawh zawng zawngah a innghat ang.

Surgeon chuan i ruh tliak te chu a awmna tur dik takah (‘set’ kan ti) a sawn leh ang a, a hmunah a siam tha ang. Hei hi an dam tha a, an in fit tawn hian a ni. A tam zawkah chuan hei hi internal fixation . Chumi awmzia chu surgeon chuan i ruh chhungah hian thir chi (rod emaw plate emaw ang chi) a dah lut ang a, chu chu ruh a dam hma loh chuan a hmunah a vawng tlat ang. Internal fixation hi chi hrang hrang a awm a:

• Rods: Ruh lai tak kaltlangin rod pakhat, a chung atanga a hnuai lam thlenga dah a ni.
• Plate leh Screw: Metal plate chu ruh chhungah dahin screw hmangin an nghet a, ruh chi hrang hrangte chu an vawng tlat a ni.
• Pin leh Wire: Ruh chi hrang hrang fixation dang aiin a te zawk hle a nih chuan pin leh wire hmangin an inzawm khawm thin. Chungte chu rod emaw plate emaw nena hman dun a ni tlangpui. I comminuted fracture hnuah a piece te chu a inzawm khawm theih nan pin leh wire i mamawh mai thei.

Mi thenkhat chu heng thir chi hrang hrangte hi an taksaah dahin an khawsa thin. Mi thenkhat phei chuan a hnuah surgery hmanga lakchhuah an ngai hial a ni.

Pawn lam atanga Fixation

External fixation pawh i mamawh thei bawk. Hei hi hun eng emaw chen atana chinfelna a ni fo thin. I hliam dangte a dam hma loh chuan fracture chu a nghet reng theih nan a pui thin. Surgeon chuan i taksa chhungah, i ruh tliak sir lehlamah screw a dah a, i taksa pawn lama support (brace emaw bracket emaw)-ah a thlunzawm a ni.

A châng chuan surgeon-te chuan i comminuted fracture enkawl nan major surgery hmaa step hmasa ber atan external fixation an rawt ṭhin. Hliam dang tam tak i neih chuan i taksa chu internal fixation surgery neih theih khawpa a dam theih nan hun engemaw chen a la ngai thei.

Bone Grafting tih a ni

I comminuted fracture chu a displace nasat em avangin, emaw, i ruh chu beisei angin a dam tha lo a nih chuan, bone graft i neih a ngai mai thei . Surgeon chuan ruh tissue extra a la ang a, i ruh tliak chu a rawn dah khawm leh ang. Tichuan, a hnah te chu an vawn khawm a, a tlangpuiin internal fixation hmangin ruh chu a lo thang leh hma loh chuan an vawn khawm thin. Bone graft atana tissue lak theih dan kawng hrang hrang a awm a:

• I taksa hmun dang atang pawhin – a tam zawkah chuan i hip ruh chunglam atang hian.
• Pawn lam atanga thawhhlawk tak hnen atangin.
• Artificial taka siam a thlakna tur piece nen.

Comminuted Fracture surgery hi outpatient procedure a ni a, a tlangpuiin ni khatah i haw thei tihna a ni. Mahse, accident avanga hliam dang i nei thei a, chu chuan comminuted fracture a thlen a, chuvangin i dam hma chu damdawi inah i awm a ngai mai thei.

Operation hnuah i taksa ruh tliak awmna hmun chu a inchei thei lo ang. A awmna hmun azirin brace, splint, emaw cast emaw i bun a ngai mai thei. Chumi hnuah chauh chuan zawi zawiin i rit i dah thei ang a, accident hmaa i hman ang khan i hmang tan thei ang.

Comminuted fracture atan hian eng damdawi nge hman thin?

Non-steroidal anti-inflammatory drugs (NSAIDs) aspirin emaw ibuprofen emaw te hi operation hnua hman a nih chuan thisen chhuah leh harsatna dang a thlen thei a ni. Chuvangin, i surgeon chuan operation hnua natna tihziaawmna tur damdawi i ei theih dan tur a hrilh ang che.

Comminuted Fracture enkawlna avanga harsatna awm thei

Comminuted Fracture ``(Comminuted Fracture)`` Operation hnua harsatna awm thei te chu:

• Acute Compartment Syndrome (ACS): Muscle chhunga pressure a sang a, tissue-a thisen kal chu a titawp a, muscle leh nerve tichhe reng thei a ni.
• Malunion: I ruh tliak chu a dam chhoh zel angin a inmil tawk lo a nih chuan.
• Nonunion: I ruhte a inzawm kim loh emaw, a then emaw a inzawm loh chuan.
• Bone infection (Osteomyelitis): Open fracture (vun atanga ruh lo kalna hmun) i neih chuan bacteria infection i vei theihna a sang zawk.
• Chhungril lama chhiatna dangte:Fracture hian hliam chhehvel taksa ruh, nerve, thisen kalna kawng, tendon leh ligament te a tichhe thei a ni.

Tin, ``NSAIDs'' ang damdawi hi hman dik loh a nih chuan side effects a thlen thei bawk a, chungte chu:

• Thisen chhuak
• Ulcers (rilru natna) 1.1.
• Pum natna
• Digestive tract lama harsatna awm thei

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

I natna lan chhuah dan a reh theih nan kar engemaw zat a la ngai thei. I comminuted fracture leh ruh tliak siamthatna tur surgery chi hrang hrang i neih dan azirin kar tlemte chhungin i che leh thei ang.

Amaherawhchu, tuar theih loh khawpa natna i neih chhunzawm chuan doctor pan ngei ngei tur a ni.

Engtin nge comminuted fracture hlauhawmna hi ka tihziaawm theih ang?

I nitin nunah accident hlauhawmna tihziaawmna turin hengte hi zawm rawh:

• Lirthei a chuang dawnin seatbelt vuah fo ang che.
• Thiltih leh infiamna zawng zawngah himna hmanrua dik tak ha thin ang che.
• I in leh hnathawhna hmun chu fai takin vawng la, nangmah emaw, mi dangte emaw ti tlu thei thilte chu awm lo rawh.
• Chunglam atanga thil thleng tur chuan hmanraw \ha tak tak hmang fo ang che. Chair leh table-ah chuan lawn ngai suh.
• Ruh hriselna tha tak neih theihna tura puitu diet leh exercise plan zawm rawh.
• Kum 50 aia upa i nih chuan, emaw, i chhungte zinga tu emaw chuan osteoporosis (bone thinning disease) a neih chuan, i doctor nen bone density test chungchang sawipui rawh.

Comminuted fracture hi a veng thei ang em?

Comminuted fracture hi a thleng nghal vek avangin ven theih vek a ni fo thin. Accident a thlen hun tur i sawi lawk theih loh avangin comminuted fracture ven nan hian himna atana fimkhurna bulpui zawm mai loh chu tih theih a awm lo. Walker emaw cane emaw i hman chuan an tel lo chuan kal ngai suh la, lei inthlau takah chuan fimkhur hle ang che.

Comminuted fracture ka neih chuan eng nge ka beisei theih ang?

Comminuted fracture i neih chuan i dam lehna tur chu fracture chi dang aiin a rei zawk ang. A dam theih nan kum khat vel a ngai thei a, a bik takin accident hmasa atanga hliam dang i neih chuan.

I taksa peng hliamte chakna leh range of motion i neih leh theih nan physical therapy i mamawh ang. He therapy hi i hliam dangte tihdamna tur ruahmanna lian zawka tel a ni ang.

Comminuted fracture hi a dam theih nan eng chen nge a mamawh?

Comminuted fracture hian fracture chi dang aiin a dam rei zawk a, harsatna a thlen tam zawk bawk.

Comminuted fracture tam zawk hi a dam theih nan kum khat emaw a aia rei emaw a ngai thin. I ruh (or ruh) dam hun dik tak chu i ruh tliak nasat dan leh harsatna i neih leh neih lohah a innghat a ni.

Hnathawh emaw, sikul emaw ka kal thei lo ang em?

Accident na tak i tawk a nih chuan i dam hma chuan hna emaw, sikul emaw i kal thei lo mai thei. Hliam bik leh ruh tliak i neihte hian hnathawhna hmun, sikul leh thil dang i tih loh hun chhung chu a nghawng dawn a ni.

I dam chhung hian taksa tihchakna engmah i thawh leh hmain i surgeon emaw doctor emaw nen inbiakna neihpui hmasa phawt ang che.

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

Comminuted fractures hi hliam na tak a ni. Accident hmasa berah khan hliam dang i nei a nih chuan i nun chu a nghawng vek thei a ni. Comminuted fractures hi nunna atana hlauhawm hliam a nih fo avangin pakhat leh pakhat hriat chian a harsa thei hle. I doctor nen i tan recovery plan bik leh i accident atanga i dam leh huna i beisei tur chungchang sawipui rawh.

Engtikah nge Emergency Room-ah ka kal ang?

Comminuted fracture – emaw ruh tliak dang emaw i neih nia i hriat chuan a rang thei ang bera doctor i pan tur a ni. Heng symptoms te hi i neih chuan emergency room-ah kal rawh:

• Natna nasa tak a ni.
• Taksa peng pakhat, a tlangpuiin i tihchet theih loh.
• Taksa peng pakhat chu hriat theih takin a danglam emaw, a awmna hmun a\angin a inher emaw a ni.
• I vun atanga i ruh rawn chhuak chu i hmu thei.
• Vung.
• Heng symptom dangte nen hian hliam thar leh thisen chhuahna hmun a lo lang bawk.

Accident na tak a awm chuan emergency room-ah kal nghal tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi zawh theihnghilh suh:

• Eng ruh nge a tliak?
• Eng ang surgery nge ka mamawh?
• Surgery dang (Follow-up Operations) ka mamawh dawn em?
• Eng chen nge a dam theih ang?

Comminuted fracture hi hliam na tak a ni. Hliam lo awm tawh enkawlna i dawn hma chuan i nei tih i hre lo mai thei. Ruh tliak – a bik takin ruh tliak i neih tih i hriat chuan hlauhna i neih chu thil pangngai a nih laiin , comminuted fractures enkawlna kawngah hlawhtlinna rate a sang hle.I doctor leh surgeon te chuan damna kawngah an kaihruai ang che.

Take-Home Thuchah hnuhnung ber

Tunah chuan comminuted fracture hi ruh tam tak a inthen nana natna khirh tak a ni tih i hre tawh mai thei. Hengte hi accident lian tham tak avanga thleng fo thin a ni. Surgery neih a ngai fo a, a dam kim theih nan hun a duh a ni.

Mahse, hriat reng tur pawimawh ber chu damdawi lam enkawlna leh taksa lam enkawlna tha tak nen chuan he natna atang hian i dam chhuak vek tawh mai thei tih hi a ni. Chuvang chuan doctor thupek dik tak zawm a, damdawi ei tur a tih ang taka ei a, rehabilitation exercise mumal taka tih a pawimawh hle. Tin, chetsualna laka inven nan fimkhur theih ang anga hmalak a pawimawh bawk. Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh.

` Comminuted Fracture, ruh tliak, comminuted fracture, ruh zai, accident, ruh tihdam, ruh hriselna