Ladder atanga i tlu thut emaw, car accident emaw i tawk ang tih han ngaihtuah teh. Chutih lai tak chuan natna nasa tak nen i han hawi chho a, i kut emaw, i ke emaw vun atang chuan ruh tliak a rawn chhuak tih i hmu a. Dik tak chuan hetiang thil hmu apiang hian an hlauthawng hle. An buai ta hle mai. Damdawi lamah chuan he natna hi Compound Fracture emaw Open Fracture emaw kan ti thin. Hei hi natna khirh tak a nih avangin damdawi in pan vat tur a ni.
A awlsam zawngin, he Compound Fracture hi eng nge ni?
Ruh a tliak chhan ber, a nih loh leh kan tih angin ruh tliak chhan ber chu a chunga chakna nasa lutuk hman vang a ni. Hei hi accident ang chi thil atanga lo thleng thei a ni. Mahse a chang chuan hmun khata pressure pek chhunzawm zel vang pawh a ni thei. Entîr nân, sipai pakhat chu a hnungzang rit tak kenga a kal reng chuan, a ke a nawr chhunzawm zêl chuan a ruh chu a tê tê a tliak thei a ni.
Tunah chuan "Compound" emaw "Open" Fracture emaw tih hi eng nge a nih kan en ang. A awlsam zawngin, hei hi i vun kaltlangin ruh tliak chu a lang thei a ni. Ladder atanga i tlu a, i kut i tihchhiat a, ruh tliak chu vun atanga hmuh theih a nih chuan Compound Fracture a ni. Amaherawhchu, ruh tliak mahse vun chu a la awm reng a, chu chu ruh tliak chu hmuh theih loh tihna a nih chuan "Simple" emaw "Closed" Fracture emaw kan ti thin.
Compound fracture hi natna khirh tak a ni a, natna nasa tak a thlen a, en pawh a hlauhawm hle. Chuvangin, mi pakhat chu hreh lova damdawi in hnai ber Emergency Department (ETU)-ah kal nghal mai tur a ni.
Taksa ruh engte nge he hliam hi a tuar tam ber?
Kan taksa ruh eng pawh hi a chhe thei. Mahse, compound fracture hi kan kut, ke, kut leh keah a tam ber. Chu bakah ruh dang pawh a awm thei a, rate hniam tak ni mahse a nghawng thei bawk.
- Ribs tih a ni
- Collar ruh a awm
- Mit ruh a awm
- Pelvis a ni
- Luru ruh a awm
- Hmai ruh
- Spine emaw vertebrae emaw a ni
Compound fracture awm chhan berte chu engte nge ni?
Hetiang fracture na tak a awm theih nan chuan taksaah hian vuakna emaw, nghawng (Severe Trauma) nasa tak a awm a ngai a ni. Entir nan:
- Car accident na tak a ni
- Hmun sang tak atanga tlak
- Football emaw rugby emaw ang chi contact sport-a accident
Hei hi eng symptoms nge ni?
A lan chhuah dan ber leh langsar ber chu vun chhunga ruh tliak chhuak chhuak hi a ni. Hei bakah hian symptom dang engemaw zat hmuh theih a awm bawk. Table pakhatah chiang takin han en ila.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Ruh langsar tak chu | Hei hi chhinchhiahna langsar ber a ni. Ruh tliak chu vun kaltlangin a lang. |
| Natna nasa tak, na tak | Natna nasa tak, tuar theih loh a awm. |
| Thil khawih theihna (sensitivity) a nei | Hliam vel hi khawih a na hle. |
| A hring leh a hliam | Hliam chhehvel chu a hring chhuak thei a, blue-purple rawng a lo ni thei bawk. |
| Thisen chhuak | Hliam chu a vun a hliam avangin thisen a chhuak a ni. |
| Nerve tihchhiat a ni | A châng chuan nerve chhiat vangin a natna chu beisei aia tlem emaw, a tam emaw pawh a ni thei. A nih loh leh, i rilru a buai thei bawk. |
Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?
Doctor tan chuan compound fracture a awm tih hriat chu chutiang chuan a harsa lo. A chhan chu ruh tliak chu vun kaltlangin a lang thei a ni. Mahse doctor-te chuan an diagnose mai mai lo va, an nghak mai mai lo. Ruh chu engtin nge a tliak tih chiang takin X-ray an ti ngei ang, engzat nge a chhiat tih leh siam that a ngai tih chiang takin an hmu ang. A châng chuan a chhiatna chu thuk zawka zir chian nan MRI emaw CT scan ang chi test a ngai thei bawk.
Hei bakah hian doctor-te pawhin harsatna dang an neih leh neih loh an enfiah bawk:
- I vun rawng leh lum leh vawt enfiah rawh (thisen supply chungchang zir rawh).
- Thisen chhuah tam lutuk a awm leh awm loh enfiah nan thisen sang leh pulse an enfiah thin.
- Hliam chhehvel leh a hnuai lamah sensation test a ni a, nerve chhiatna a awm leh awm loh enfiah a ni.
Enkawl dan tur
Emergency Department (ETU)-a rawn hruai i nih chuan tih hmasak ber chu a natna thunun hi a ni. Hei hi oral painkillers pek che a ni a, a nih loh leh intravenous painkillers pek che a ni a, chu chuan a reh nghal vat thei a ni. A chang chuan hliam chhehvel nerve-ah injection an pe a, chu chuan a hmun chu a ti hlim thei a ni. Hei hi Nerve Block an ti a .
Hliam awm dan azirin tetanus shot leh antibiotics te pawh pek thin a ni a, chu chu hri kai loh nan a ni.
A dawtah chuan ruh chu a inrem leh a, a tihdam theih nan a tul angin hmalak a ni. Hei hian operation a ngai a ni. Surgery neih chhung hian doctor chuan natna tidamtu leh anesthetics a pe ang a, chutah chuan ruh tliak te chu a awmna tur dik takah a sawn leh ang. Hei hi fracture tihtlem kan ti a ni .
Ruhte chu a hmun dik taka vawn theih nan operation neih laiin hmanraw chi hrang hrang hman a ni a:
- Pins a ni
- Rods te pawh a awm
- Plate te pawh a awm
- Screw a awm bawk
Chutianga ruhte chu an buatsaih hnuah chuan cast emaw, hmanraw dang emaw hmangin a part chu a che thei lo va, a che thei lo.
Engtin nge ruh tliak chu a dam?
Kan taksa hian ruh tissue thar siam theihna mak tak a nei a. Ruh a tliak chuan ruh tliak vel chu ruh tissue thar a lo piang tan thin. Hei hi External Callus kan ti a ni. A tirah chuan a nem a, jelly ang maiin a nem a, mahse kar leh thla tam tak chhung chu a khauh zauh zauh a, calcium a dahkhawm a, ruh pangngai a lo ni ta a ni.
He damna hi stage lian pathum-ah a thleng a:
1. Inflammation stage a ni
Ruh a tliak veleh taksa chuan a damna chu a tan ta a ni. Immune system cells te chu hliam na hmunah an tlan lut nghal a, chu hmuna thisen kal chu a tipung a ni. Hei vang hian hliam chhehvel chu a hring a, a sen a ni.
2. Siamthat stage
He stage hi kar tlemte atanga thla engemaw zat thleng a awm thei. Hemi chhung hian i ruh tliak chu cast hmangin i immobilized a ni. Hemi hun chhung hian taksa hian External Callus kan tih chu a siam a.A siam mek a ni. Hei hi a nalh em avangin venhim a pawimawh hle.
3. Remodeling stage a ni
Hei hian thla engemaw zat a daih thei. Hemi hun chhung hian ruh tissue (callus) siam thar chu a thim a, calcium a awm a, a chak zawk bawk. Zawi zawiin ruh chu a pianphung pangngai leh chakna pangngaiah a kir leh ta a ni.
Hei hian eng harsatna nge a thlen theih?
Compound fracture hi hliam buaithlak tak a ni. Chuvangin harsatna chi hrang hrang a awm thei a. Doctor-te chuan ETU-ah te, operation neih lai te, dam leh hun chhung te hian hei hi an hre reng a ni.
| Complication awm thei | Hrilhfiahna awlsam tak |
|---|---|
| Harsatna awm fo thin | |
| Vun tichhe thei | Ruh a chhuah chuan vun a chhe thin. Ruh a dam ang zelin hliam chu a dam leh thin. |
| Joint a chhiat | Ruh hnaihah ruh tliak a awm chuan ruh inthlak danglamna a nghawng thei a ni. Joint chu a che thei lo thei bawk. Hei hi physical therapy hmangin a lo awm leh thei a ni. |
| Nerve tihchhiat a ni | Ruh tliak chuan nerve a tikehsawm thei a, a tikehsawm thei a, a tikehsawm thei bawk. Hengte hi a dam fo thin a, mahse thla tam tak emaw, kum tam tak emaw a daih thei. |
| Harsatna tihdamna | A châng chuan ruhte chu a inzawm khawm lo (nonunion), a dam zawi zawi (delayed union), a lo dam dik lo (malunion) emaw pawh a ni thei. |
| Naupangte than dan inang lo | Naupang ruh hian a tawp lamah growth plate a nei a. Chungte chu a chhiat chuan chu ruh chu a sir lehlamah a tawi zawk thei a ni. |
| Complication na zawk (mahse a awm lo) zawk | |
| Kaichhawng | Hliam chu a inhawng a, natna hrik a lut thei a ni. Plaster a la awm laiin khawsik leh rimchhia hi natna hrik kai theihna chhinchhiahna a ni. Damdawi lam pan nghal rawh. |
| Pulmonary Embolism natna a awm | Thisen zam chu a ruh tliak bula vein-ah a lo awm thei a, lung chhunga vein pakhatah a kal thei a, a lodge thei bawk. Thâwk harsa i neih thut chuan hei hian nunna a tichhe thei a, enkawl vat a ngai a ni. |
| Ruh thihna (Osteonecrosis) . | Ruh a thisen kalna chu a tan chuan ruh chu a thi thei a ni. |
| Compartment Syndrome a awm thei | Hliam vel a ruhte a hring lutuk hian thisen kalna kawng a tikhawlo thei a, thisen kal pawh a titawp thei bawk. Hei hi dinhmun hlauhawm tak a ni. I hring lutuk, natna nasa tak, emaw, rilru hahna i neih chuan doctor hnenah hriattir nghal rawh. |
Eng chen nge tihdam a ngaih?
Compound fracture hi a dam kim theih nan thla engemaw zat emaw a aia rei emaw a ngai thei. Hemi hun chhung hian dawhtheih a pawimawh. Dam hun chhung hi thil engemaw zatah a innghat a:
- Hliam nasat dan.
- I kum (naupangte chu puitling aiin an dam chak zawk).
- Enkawlna hnua harsatna awm thei.
- Damdawi dang, zunthlum ang chi i neih chuan dam lehna a tlai thei.
Cast pakhat chu engtin nge kan enkawl ang?
I cast enkawl that hi a dam thuai theih nan a pawimawh hle. Tips thenkhat chu hetiang hi a ni:
- Doctor-in phalna a pek loh chuan, .Plaster chu hnim lo turin phal suh. A hnim chuan a vawt harsa ang a, vun hliam emaw, natna hrik emaw a thlen thei bawk.
- Plaster chhehvel vun chu enfiah fo thin ang che. A sen a nih chuan, tui a chhuak a, a na a nih chuan doctor hnenah hrilh rawh.
- Darkar 24-48 hmasa berah chuan i kut/ke chu a theih ang anga pillow hmangin i thinlung aia sangin dah la. Hei hian a hring (swelling) a tihziaawm theih nan a pui ang.
- Plaster chhunga vun a hnim chuan a chhungah engmah dah suh, a hrual tur.
- Swelling tihziaawm nan doctor-in phalna a pek che chuan i kut zungtang i sawn a tha.
- Plaster kilte a hrual emaw, a hrual emaw a nih chuan vun hliam lo turin plaster emaw tape emaw hnawih thin ang che.
Cast on i neih chuan eng dinhmunah nge ETU-ah i kal vat a ngai?
I taksaah cast i neih chuan a hnuaia symptoms te hi fimkhur hle ang che. Heng zinga pakhat tal i neih chuan emergency room-ah kal nghal rawh.
- Plaster hian i kut/ke a ti na a nih chuan .
- I kut/ke chu a chak lo deuh nia i hriat chuan .
- Natna a awm reng emaw a pun zel emaw chuan .
- Plaster chu a tight lutuk nia a hriat chuan .
- Plaster atanga rim na tak lo chhuak a awm chuan.
- Khawsik i neih chuan .
Take-Home Thuchah a ni
- Compound fracture hi natna khirh tak a ni a, vun a tliak a, ruh a lang chhuak a ni.
- Hetiang ang chetsualna a thlen chuan hlauthawng suh la, damlo chu damdawi in hnai ber Emergency Treatment Unit (ETU)-ah a rang thei ang bera hruai rawh.
- Ruh chu nawr luh leh tum ngai suh la, hliam chu tifai ngai suh. Hliam chu puan fai taka khuh chu a tawk.
- Dawhtheihna leh damdawi lam thurawn zawm a pawimawh hle a, a damna tur hian thla engemaw zat a daih thei a ni.
- Cast enkawl dan dik leh physical therapy dik tak hi a dam thuai theih nan a pawimawh hle.
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