Facial Fracture a awm em? Hlau suh, hei hi i fimkhur ang u!

I thiante nen cricket in inkhelh laiin ball a rawn thlawk a, i hmaiah a rawn deng a, a nih loh leh i bike atanga i tlu ta ang... Rei vak lo hnuah i hmai chu a sen a, a hring nasa hle a, a na lutuk a, khawih pawh i khawih thei lo. Hetiang hunah hian hei hi hliam emaw, a chhunga ruh tliak emaw mai mai a ni tih i hlau hle a ni lawm ni? Hei hi a takah chuan mi tam tak chunga thil thleng a ni. Chu chu he thuziak-ah hian awlsam takin he thuziak-ah hian kan sawi dawn a ni.

Heng hmai ruh tliak te hi engte nge ni?

A awlsam zawngin, hmai ruh tliak chu i hmai ruh tliak emaw, tliak emaw a ni. Hetiang dinhmun hi ``Maxillofacial trauma'' kan ti bawk. Kan taksa peng dang, entirnan ke ruh nena khaikhin chuan kan hmai ruh te hi a hring deuh a, a nalh deuh bawk tih i hria em. Chuvangin, accident tenau tak pawhin heng ruhte hi a tichhe thei a ni.

Hetiang accident hi a thlen chhan lian tak tak engemaw zat a awm.

• Taksa lama tihduhdahna: Lungchhiatthlak takin, insual leh vuaknaah hian hmai ruh tliak hi a awm fo thin.
• Lirthei chetsualna: Hmai hliam hi a tam hle a, a bik takin three-wheeler leh motor accident-ah te, kan ramah hian a hluar hle.
• Tlu: Hetiang dinhmun hi i hmai i vuak chuan a thleng thei a, chu chu hmun sang atanga tlu emaw, tlu pangngai emaw a ni thei.
• Sports accident: Cricket leh rugby ang chi infiamna khelh laiin accident.
• Hnathawh hmuna accident: In sak ang chi field-ah chuan chunglam atanga i hmaiah thil a tlak chuan accident a thleng thei.

Facial fracture chi hrang hrang awm tam ber

Hmaiah hian ruh engemaw zat a awm avangin ruh tliak hi a awmna hmun a zirin chi hrang hrangah then theih a ni. Eng nge an nih i en ang u.

Nang pawhin heng mizia te hi i nei ve em?

Facial fracture symptoms hi hliam awmna hmun azirin a danglam thei. Mahse, hmun tina chiang tak tak bakah hian natna lan chhuah dan tlangpui thenkhat a awm bawk.

A lan chhuah dan tlangpui

• Bruising leh blueing: Accident thlenna hmun vel vun rawng blue a inthlak.
• Swelling: Hmai natna hmun a hring.
• Natna: Natna tuar theih loh emaw, natna nasa tak emaw neia inhriatna.
• Numbness: Hmai thenkhat chu a hring ang maia hriatna.
• Hmai pianzia a inthlak: Hmai hian symmetry a hloh a, a sir khatah a pil lut a, a nih loh leh a pianzia a danglam ta a ni.

Hnar a chhiat chuan (Nasal Fracture) .

• Hnar hmanga thawk harsa.
• Hnar thisen chhuak.
• Hnar pianzia a inthlak a, a tla thla.

Mit kawng a chhiat chuan (Orbital Fracture) .

• Mit hmuh a fiah lo.
• Double vision hmuh theihna.
• Mit rawn chhuak emaw, a pil lut emaw.
• Mit chunglam, hnuai lam leh sir lam hawia sawn harsa.

A hmui a chhe a nih chuan (Jaw Fracture) .

• Salivation tih hi a ni.
• Chaw ei harsatna emaw, tawngkam emaw.
• Kawng hawn laiin natna nasa tak nei.
• Ha hring, chhe, emaw tla emaw.

Hei hian a tidam mai dawn em ni? A nih loh leh harsatna a awm thei em?

Hei hi i hmel lan dan tichhe thei buaina mai a ni lo. Facial fracture hian i thiltih pangngai a tibuai thei bawk. Kawngkhar tliak nei tan chuan ei leh in sawi a harsat zia han ngaihtuah teh? Hnar tliak tu emaw chuan thaw a tha thei lo.

Chu aia hlauhawm zawk complication a awm thei bawk.

• Infection: Ruh tliak kaltlangin natna hrik a lut thei a, infection a thlen thei bawk.
• Internal bleeding: Internal bleeding a awm thei.
• Nervous system chhiatna: A chang chuan, a bik takin luruh ruh tliak na tak takah chuan thluak vel tui pawimawh (cerebrospinal fluid - CSF) chu hnar atangin a chhuak thei a. Hei hi dinhmun hlauhawm tak a ni a, emergency treatment a ngai a ni.

Chuvang chuan i hmaiah accident i neih chuan Doctor pan vat a pawimawh hle.

Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.

Doctor i hmuh chuan i nunna a hlauhawm em tih a enfiah hmasa ang. Entirnan, thawk harsatna i neih emaw, thisen a chhuak nasa emaw a nih chuan. Tichuan a hnuaia mite hi a enfiah ang:

• I hnar leh thawkna kawng khar a awm leh awm loh an enfiah thin.
• Mit hnathawh dan leh mit hmuh dan an enfiah thin.
• An thluak emaw, ruhro (Central nervous system)-ah chhiatna a awm em tih an enfiah mek a ni.
• Accident thlen dan chipchiar tak leh i symptoms te zawhfiah i ni ang.
• I hmel pianzia chu uluk takin kan enfiah a, danglamna emaw, asymmetry emaw a awm em tih kan en thin.
• Hmai ruhte uluk taka palpating hmanga chhiatna thlen nasat dan tehna a ni.

He initial examination zawhah hian doctor chuan imaging test atan a refer fo ang che a, chu chuan i ruh tliak chu a finfiah ang a, a nasat dan a hre thei ang. Hei hi test hman tlanglawn ber leh dik ber chu Computed Tomography (CT) scan a ni.

Enkawlnate chu engte nge ni?

Enkawlna chu i hliam chi hrang hrang, ruh tliak awmna hmun leh a nasat danah a innghat a ni.

Pakhatnaah chuan i doctor chuan natna tidamtu leh natna tihziaawmna tur damdawi, corticosteroid ang chi te a pe ang che. Infection hlauhawmna a awm chuan , antibiotics pawh pek theih a ni.

Enkawl dan ber chu chi hnih a awm a:

1. Reduction (bone reconstruction): Hei hian ruh chi hrang hrang chhe tawh leh hmun sawn tawhte chu a awmna tur dik takah dah leh a ni a, chu chu bêl chhe tawhte dah khawm leh ang chiah a ni.

2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Fixation: Ruh inzawm dik tak chu a dam hmaa a hmuna vawn tlat dan. Hei hian operation leh plate te te, screw te, a nih loh leh wire te hman a huam thei a ni.

Heng method pahnih, `Reduction` leh `Fixation` te hi kawng lian pahnih hmanga tih theih a ni:

• Closed Reduction: Hei hi surgical procedure a ni a, pawn lam atanga ruh te chu vun tikehsawm lovin a insiamrem leh thin. Hei hi fracture awlsam leh buaithlak lo tan chauh tih theih a ni.
• Open Reduction: Hetah hian a hmun chu surgery hmangin hawn a ni a, ruh chi hrang hrangte chu uluk takin an inzawm khawm a, chutah chuan plate leh screw hmangin an fix a ni. Hetiang method hi complex fracture tan chuan a pawimawh hle.

I hmai a chhe nasa hle a, ruh engemaw zat a tliak a nih chuan facial reconstructive surgery i neih a ngai mai thei . Tum lian pahnih a awm a: Pakhat chu hnathawh dan pangngai, mit hmuhna, ei leh in leh thawk dan siam that leh a ni. A tum pahnihna chu a theih ang anga i hmel lan dan siam that hi a ni.

Eng chen nge tihdam a ngaih?

Hei hi hun bituk dik tak sawi a harsa a, mi hrang hrangah a inang lo. Thil tam takah a innghat a, chu chu i hliam nasat dan te, i enkawl dan chi hrang hrang te, leh i taksa dam theih dan te a ni.

A tlangpuiin operation hnua a hring leh a hliam chu kar hnih vel hnuah a reh tan ang. Mahse, a dam kim theih nan thla engemaw zat a ngai thei. Hetih hun chhung hian doctor thupek zawm a pawimawh hle a, a bik takin i hmui a tliak a nih chuan, hydrated reng leh ei tur nem tak ei te hi a pawimawh hle.

Doctor pan nghal mai tur a ni!

He thuziak hi a pawimawh ber a ni. I hmaiah accident i neih chuan ngaihthah mai mai suh la, "Thil tenawm tak mai a ni," ti mai suh. A hnuaia symptoms te hi i neih chuan doctor rawn la nghal rawh.

Chutiang accident lakah engtin nge i tlanchhuah theih ang?

Accident hi 100% vela ven theih ni lo mah se, a hlauhawmna tihziaawmna tur thil kan tih theih a awm.

• Lirthei chhunga i awm apiangin seat belt vuah thin ang che.
• Motor i khalh chuan helmet quality tha tak i ha ngei ang .
• Infiamna i khelh chuan chu infiamna atana invenna hmanrua (face mask, helmet) chu uluk takin vuah tur a ni.
• I hna chu a hlauhawm a nih chuan, pawlin a pek himna tur thupek leh hmanrua teA dik takin hmang rawh.