I ruh a tliak tawh em? (Broken Rib) - Hei hi eng nge a nih chiang takin i zawng chhuak ang u.

Cricket i khelh laiin ball tlan chak takin i rilruah a rawn deng che emaw, bus atanga i chhuk lai emaw, bathroom-ah emaw i tlu a, i tlu ang tih han ngaihtuah teh. Chumi hnuah chuan i rilru chhung hmun khatah natna khirh tak, tuar theih loh i nei thin. He natna hi i thawk chhuah lai, i nuih lai emaw, i taksa pawh i herh lai pawhin a lo pung a nih chuan i ruh (rib problem) i nei thei a ni. Chuvangin vawiin hian he Broken Rib an tih condition hi han sawi ila. Lungngai suh, hei hi dik taka i hriatthiam phawt chuan thil tam tak a awlsam tawh ang.

Eng thilin nge ruh tliak chhan?

Kan rilru chhunga rib cage hi venhimna cage ang a ni. A chhunga taksa peng nalh leh pawimawh tak tak, thinlung leh lungte a venghim a ni. Heng ruhte hi chak tak ni mahse, a chang chuan nasa taka vuak chuan a chhe thei emaw, a inthen emaw thei bawk.

A awlsam zawngin, hetiang thil hian ruh a tikehsawm thei a ni:

• Accident: Car accident-a tih ang chi, rilruah na taka vuakna.
• Assault: A rilruah vuakna, insual ang maiin.
• Sports accident: Rugby leh football ang chi contact sports khelh laiin accident.
• Tlu: Hmun sang atanga tla emaw, lei hnim hring emaw atanga tla.
• Movement repeated: Movement repeated, golf khelh ang chi hian a chang chuan stress fracture a thlen thei.
• Khuh ri nasa tak leh chhunzawm zel: Mi thenkhat chuan ni tam tak chhung khuh nasa lutuk hian an ruhte an tichhe thei a ni.
• CPR pek: CPR enkawl laiin mi thinlung a chawlhsan huna chest compression hian ruh a tikehsawm thei bawk.

Engtin nge ka ruh a tliak tih chiang taka ka hriat theih ang?

Rib a tihchhiat avanga rilru natna hi heart attack laia natna awm nen hian a danglam deuh hlek a ni. He inthlauhna hi hriatthiam a pawimawh hle.

Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. A bik takin thawk harsatna i neih emaw, accident hnua natna nasa tak i neih emaw chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.

Engtin nge doctor hian hei hi a hriat chian tak tak?

Doctor i pan hunah thil thleng chungchang a zawt hmasa ang che. Tichuan a na lai chu a enfiah ang. Stethoscope a bun ang a, i thawk laiin i lung a ngaithla ang. I rilru a lo chhoh dan leh a tlak dan pawh a enfiah bawk ang.

Rib tliak i rinhlelh chuan test engemaw zat tih a ngai ang a, chu chu finfiah nan leh chhungril lama chhiatna dang a awm leh awm loh enfiah a ngai ang.

• X-ray: Hei hi test hmasa ber a ni. A tam zawkah chuan X-ray hmangin ruh tliak a hmu thei. Harsatna dang a awm leh awm loh a enfiah thei bawk a, chu chu lung tlu tawh ang chi hi a ni.
• CT Scan hmanga tihchhuah:CT scan hian X-ray-a chiang taka hmuh theih loh, ruh tliak (subtle fractures) pawh a hmu thei a ni. Tin, chhungril taksa peng hrang hrang, lung, thin, leh spleen-ah te chhiatna a awm leh awm loh pawh chiang takin a hmu thei bawk.
• MRI: Hei hi CT scan nen a inang. Ruh bakah soft tissue leh taksa peng hrang hrang a tichhia tih a lantir.
• Bone Scan: Hei hi stress rei tak avanga stress fracture hmuhchhuahna atan a tangkai hle.

Engtiang chiahin nge ruh tliak chu a pawi thei ang?

A tam zawkah chuan rib fracture hi fracture tenau tak mai a ni. Chu chu ruh a che lo tihna a ni. Mahse, accident na tak chuan ruh engemaw zat a tihchhiat emaw, ruh tliak chuan a sir na tak a neih chuan thil awmdan chu a pawi deuh thei a ni.

• Rib pakhat chu rilru chunglam a chhe a nih chuan: A sir hrual hian thisen kalna kawng pawimawh tak a pinch thei a, a tichhia thei bawk.
• Rib chu rilru lai takah a chhe a nih chuan: Lung chhungah a tlakbuak thei a, chu chuan lung a tikehsawm thei.
• I rilru hnuai lam ruh i tihchhiat chuan: I liver, kidney emaw spleen emaw a tichhe thei.

Hetiang dinhmun a lo awm chuan emergency a ni. Chuvang chuan rilru tana hlauhawm eng pawh hi ngaihthah hi a tha lo.

Hei hi eng enkawl dan nge ni ang?

Rib fracture awlsam tak a dam theih nan kar 6 vel a ngai tlangpui. Hemi hun chhunga i tih theih pawimawh tak tak te chu hetiang hi a ni.

• Chawlh hahdam tam rawh: Infiammi i nih chuan i dam kim hma loh chuan infiamna atang hian inthiarfihlim rawh. Thil rit phur leh thil hahthlak tak tak tih loh tur.
• Ice hnawih: Natna leh hliam tihziaawmna turin ice pack puana khuh chu a natna hmunah minute 15-20 chhung ni khatah vawi tam tak hnawih thin ang che.
• Natna tihdamna damdawi ei: Paracetamol emaw natna tidamtu dang (e.g. Ibuprofen) emaw i doctor-in a pek angin, a dose leh a hun ruat angin ei thin ang che. A natna a nasat chuan i doctor chuan damdawi chak zawk a pe thei a ni.
• Thâwk la thûk rawh: Hei hi a pawimawh hle . Mi tam tak chuan hriat lohvin an thawk an vawng tlat emaw, natna avangin thawk thuk lo tak tak emaw an la thin. Hei hian lungah mucus a tipung thei a , pneumonia ang chi natna khirh tak tak a thlen thei bawk . Chuvangin, darkar khatah vawi khat tal thawk 5 atanga 10 vel zawi zawiin, thûk takin thawk la, chutih rualin a natna chu tuar chhuak rawh.
• Belt, vest, leh i rilru tikhauh thei thil dang reng reng bun suh!Tun hma chuan hetiang hi tih ni mah se, tunah chuan doctor-te chuan chutianga tih chuan thawk a tikhawtlai ang a, pneumonia vei theihna a tipung ang, a chhan chu rilru a inflate tha lo ang tih an sawi.

Entirnan, natna khirh takah chuan lung a hliam a nih chuan enkawlna bik (e.g., intubation) emaw, operation emaw a ngai thei. Mahse, chutiang thil chu a tlem hle.