I hmaiah ruh a tliak tawh em? (Facial Fractures) - Hemi chungchang hi han sawi ila!

Aw, accident emaw, tlu emaw, thil dang emaw avanga i hmaiah hliam i nei tawh em? Chutiang hunah chuan i hmai ruh nalh tak chu i hre lo pawh a ni thei. Dik tak chuan kan hmai ruhte hi taksa peng dang ruhte angin a chak lo va, awlsam takin a chhe thei a ni. Chuvangin vawiin hian heng hmai ruh tliak te hi han sawi ila.

Facial fracture tih hi eng nge ni?

A awlsam zawngin, hmai ruh tliak chu i hmai ruh pakhat emaw a aia tam emaw a tliak tihna a ni. Doctor-te pawhin hei hi maxillofacial trauma an ti bawk. Hetiang hian han ngaihtuah teh: car accident emaw, hmun sang atanga tlu emaw, mi pakhatin a rawn nuai che emaw. A châng chuan, hmai ruh tliak pawh hi thil pawi zawk, silai kah hliam ang chiah hian a awm thei bawk. Kan hmai ruh te hi a nalh em em a, chuvangin a nghawng tenau a awm chuan a chhe thei zawk.

Hmaiah eng ruh chi nge tihchhiat theih? `(Hmai Fracture chi hrang hrang)`

Kan hmai hi ruh tam tak atanga siam a nih avangin heng ruh zinga eng pawh hi accident-ah a chhe thei a ni. Facial fracture hi a tlangpuiin chi hrang hrang a awm a:

• Nasal fractures / broken nose: Hei hi hmai ruh tliak chi khat a ni ber. Hei hi hnar-a vuak na tak i neih chuan a thleng thei.
• Frontal bone fractures: Kan hmai ruh tliak.
• Orbital fractures: Mitmeng vel ruh tliak . Hei hi mit lama direct-a vuakna a awm chuan a thleng thei.
• Zygomatic fractures: Kan hmui ruh tliak.
• Tripod facial fracture: Hei hi a buaithlak deuh. Hetah hian hmun pathum-ah te hian ruh tliak a awm vek a, chungte chu mit zungbun, hmui ruh leh hmui chunglam te an ni.
• Maxillary emaw Mandibular fracture / broken jaw: A chunglam (Maxilla) emaw, a hnuai lam (Mandible) emaw a tliak. Heng hmui pahnih hi ei leh in leh inbiaknaah hian a pawimawh hle.
• Mid-face fractures (Le Fort fractures): Hei hi complex fracture chi dang a ni a, level hrang hrangah a awm thei. French surgeon René Le Fort-a sawi hmasak ber a ni a, a hmingah a vuah a ni.

Hmai ruh tliak hian eng symptoms nge a neih?

Hmai ruh tliak chhinchhiahna chu hmaiah khawiah nge ruh a tliak tih leh a chhe nasat danah a innghat a ni. Mahse, a lan chhuah dan tlangpui thenkhat chu:

• Bruising: Vun rawng blue/purple a inthlak.
• Swelling: Hliam na hmun a hring.
• Natna emaw, natna emaw .
• Facial numbness: A chang chuan nerve a chhiat chuan hmai hmun thenkhat chu a nung thei.
• Facial disfigurement: Hmai chu a symmetry a hloh thei a, a sir khatah chuan a pil bo niin a lang thei.

A pawimawh ber chu heng symptoms pakhat emaw pahnih emaw i neih pawhin doctor lam pan nghal hi a ni, a chhan chu a chang chuan pawn lam atanga a lan dan aiin a chhungril lamah a chhiatna a nasa zawk thei a ni.

Tunah chuan hmun bik ruh tliak natna lan chhuah dan hi han en ila:

Hnar a chhiat chuan engtin nge ni ang?

• Hnar hmanga thawk harsa.
• Hnar thisen chhuak.

Mit kawngkhar ruhte chu a chhe vek a nih chuan engtin nge ni ang?

• Mit hmuh a fiah lo.
• Pahnih atanga hmuh tan (Double vision).
• Mitmeng bulpui (bulging eyeballs) a awm.
• Mitmeng hnim hring hring.
• Mit chunglam, hnuai lam leh sir lam hawia sawn harsa.

Hook chu a chhe a nih chuan engtin nge ni ang?

• Drooling a awm.
• Chaw ei harsatna emaw, tawngkam emaw.
• Kawng hawn laiin natna.
• Ha hring, chhe, emaw, tla chhuak emaw.

Heng hmai ruh tliak chhan berte chu engte nge ni?

Facial fracture tam zawk hi tumruh taka taksa tihnat vang a ni. Chubakah chuan:

• Lirthei chetsualna: Car, bike accident.
• Tlu: Hmun sang tak atanga tla, tlu leh tlu ang chi.
• Infiamna kaihhnawih hliam: Cricket leh rugby ang chi infiamnaah te.
• Hnathawhna hmuna accident: In sak ang chi hmunah te.
• Chhungkaw chhunga tharum thawhna .

Ngaihtuah teh, bike i khalh laiin helmet i bun loh chuan accident tenau tak pawh hian i hmaiah chhiatna nasa tak a thlen thei a ni. Chutiang bawkin infiamna khelh hunah pawh invenna hmanrua hman a pawimawh hle.

Facial fracture avanga harsatna awm thei te chu engte nge ni?

I hmai ruh a tliak chuan i hmel lan dan chauh ni lovin, i hnathawh dan pangngai pawh a nghawng thei a ni. Entir nan:

• A hmui chhe tawh tan chuan ei a harsa khawp mai.
• Hnar tliak nei tan chuan hnar atanga thaw lak a harsa thin.

Tin, infection a awm thei a, internal bleeding a awm thei a, neurological issues a awm thei bawk. Facial fracture na tak thenkhat chuan cerebrospinal fluid (CSF) chu hnar emaw beng atang emaw a chhuak thei a. Hei hi CSF leak an ti a.

Hetiang ang complication awm theihna tur tihziaawm nan hian hmai hliam i neih veleh doctor pan a, enkawl vat a pawimawh hle.

Engtin nge doctor hian hei hi a hriat chian?

Hmai hliam tuar chunga doctor i pan chuan an tih hmasak ber tur chu thih hlauhawm i nih leh nih loh an hriat chian hmasak ber tur a ni. Chutiang a nih chuan chu chu an ngaih pawimawh ber a ni. Tichuan:

• I hnar kawng leh thawkna kawng a block em tih an enfiah thin.
• I mit chu a thawk tha em tih an enfiah mek a ni.
• I central nervous system, chu chu i thluak leh i spinal cord-ah chhiatna a awm em tih an enfiah mek a ni.
• I symptoms te ka zawt che a ni.
• Engtin nge a hmai a hliam tih an zawt a.
• I hmai pianziaah hian danglamna emaw asymmetry emaw a awm em tih kan en mek a ni.
• Hmai ruhte chu palpate la, a chhiatna zau zawng hriat theih a ni.

Eng ang test nge tih thin?

Imaging test hian doctor-te chu hmai a tliak tih finfiah nan a pui a, harsatna dang, dislocation ang chi a awm loh nan a pui bawk. Chumi atana test hman tlanglawn ber chu CT scan (Computed Tomography - CT scan) a ni.

Hmai tliak hi engtin nge enkawl a nih? `(Enkawlna)`

I doctor chuan natna tihziaawmna tur damdawi a pe thei a, corticosteroid ang chi damdawi a pe thei a, natna kai theihna a awm chuan antibiotics a pe thei bawk.

Hmai ruh tliak hi enkawlna chi hnih a awm a, chungte chu:

1. Reduction: Ruh chhe tawhte chu a awmna tur dik takah dah lehna (realign) dan.

2. Fixation: Hei hi ruh chu a dam hma loh chuan a hmuna vawn tlat nan tih a ni. Hei hian ruh natna chu immobilize a huam tlangpui. A châng chuan, hei hian plate te te, screw te, leh wire te dah luh nâna operation neih a ngai ṭhîn.

Ruh tam tak tliak tawh, complex case-ah chuan hmai siam thatna surgery neih a ngai mai thei. Enkawlna chu hmaiah khawiah nge hliam a awm tih leh a nasat danah a innghat a ni.

Surgery ni lo enkawlna ``(Closed Reduction)``

Hei hian ruh tliak chu operation tel lovin a hmunah dah a huam a ni. Chumi awmzia chu doctor chuan i hmai a tikehsawm lo va, ruh chu la chhuak lovin ruhte chu a kut hmangin a siam thar leh ang tihna a ni. Mahse, hei hi fracture awlsam leh buaithlak lo tan chauh tih theih a ni.

Surgery hmanga enkawl (Open Reduction) .

A châng chuan ruh tliak chu a buaithlâk lutuk a, kut hmanga siam ṭhat theih a ni lo. Chutiang a nih chuan a hmun chu hawn a, ruh set turin operation a ngai a ni.

Hmai siam\hatna Surgery neih a ni

Hetiang surgery chi hrang hrang hi hmai a chhiat nasat chuan a tul a ni. Heng surgery te hian thil tum lian tak pahnih a nei a:

• Hnathawh dan pangngai siam\hat leh: hnar hmanga hmuh, ei, ei leh thawk chhuah ang chi thil.
• I theihna zawng zawnga i hmel siam that leh.

Eng chen nge tihdam a ngaih?

Hei hi mi tin tan a inang lo. A nghawngtu hi thil engemaw zat a awm a, chungte chu: i hmai a tihchhiat nasat dan te, eng enkawlna nge i neih tawh te, leh i taksain a dam theih dan te.

A tlangpuiin hmai siam\hatna operation hnua a hring leh hliam chu kar hnih vel chhungin a reh ang. Mahse, a dam kim theih nan thla engemaw zat a ngai thei. Chuvangin i dawhtheih a ngai a ni.

Chutiang accident tihziaawmna turin eng nge kan tih theih ang?

Facial fracture hi a taka ven theih dan a awm lo. Mahse, accident-a chhiatna thleng thei tihtlem nan thil kan tih theih a awm a:

• Lirthei i chuan dawnin seat belt vuah ngei ngei tur a ni.
• Motorcycle emaw three-wheeler emaw i khalh chuan helmet leh himna hmanrua dang bun la.
• Infiamna i khelh dawnin himna hmanrua (helmet, hmai tuamna, hmui venna) dik tak vuah tur a ni.
• I hnathawhna atana himna tur thupek zawm rawh. I hna hian lu venhimna a mamawh a nih chuan uluk takin ha rawh.

Facial fracture hnuah hian hun rei tak chhung nghawng a nei em?

Mi thenkhat chuan hmai a tliak hnuah hun rei tak chhung nghawng an nei lo mai thei. Mahse, mi thenkhat chuan hun rei tak chhung harsatna an tawk thei. Chung zingah chuan:

• Sinus chungchang a ni.
• Thâwk harsa.
• A thlum emaw, a rim emaw hriatna a inthlak danglam.
• Numbness emaw sensation tlahniam emaw.
• Mit hmuhna lama harsatna a awm.
• Lu na.
• Lu emaw hmai emaw khawih hian natna.

Damdawi lam pan vat chuan heng hun rei tak chhunga harsatna awm thei te hi a ti tlem thei a ni. I doctor chuan i dinhmun a zirin i beisei tur a hrilh ang che.

Engtikah nge Doctor ka hmuh ang?

I hmaiah ruh a tliak mai thei nia i ngaih chuan damdawi lam pan vat a pawimawh. A hnuaia symptoms te hi i neih chuan doctor pan rawh:

• Hliam na hmuna natna emaw, khawih a nih chuan a hring emaw.
• Vung.
• A sen hring.
• A hliam (Bruises) a awm.
• Hmai pianzia a inthlak danglam.
• Hnathawh dan pangngaia thawk thei lo (e.g., hmui hawn theih loh, ei theih loh).

Engtikah nge damdawi in (ETU) pan nghal tur?

A hnuaia mi hi a lo awm a nih chuan Emergency Department (ETU) hnai ber pan rawh :

• Hliam inhawng ruh hmuh theih nei.
• Hnar atanga thisen emaw clear fluid (CSF pawh a ni thei) chhuak.
• Mit hmuh fiah lo, mit hmuh pahnih, mit tihchet harsat.
• Ei leh thawk harsa.
• Hook emaw hnar emaw chu a awmna hmun atanga inthlak danglam anga lang a nih chuan.
• A chung leh a hnuai lam a in fit tha lo a nih chuan, a nih loh leh hmui kan sawn laiin natna a awm chuan.
• Ha a lo chhuak a nih chuan.
• Hmaiah natna nasa tak leh hliam na tak a awm chuan.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

I hmai hliam emaw, ruh tliak emaw i neih chuan doctor hnenah heng zawhnate hi zawh a tha ang:

• Ruh engzat nge tliak?
• Eng enkawlna kawng nge ka neih?
• Tunah hian operation ka neih a ngai dawn nge, nakinah ka tih a ngai dawn em ni?
• Eng chen nge a dam theih ang?
• Engtikah nge hna/sikul ka kal leh theih ang?
• Engtin nge he hliam hmun hi a dam hma loh chuan ka humhim theih ang?

Facial fracture hi a pawi em?

Facial fracture tam zawk hi chu nunna atana hlauhawm a ni lo. Mahse, ṭhenkhat chuan i mit hmuhna, thawkna kawng, thawkna lam, a nih loh leh central nervous system-ah harsatna lian tak a thlen thei a ni.

Chuvangin, i hmaiah hliam i neih chuan, a tenau nia i hriat pawhin, doctor pan ngei ngei tur a ni.Tichuan i tana enkawlna tha ber a rawn rawt thei ang.

Facial fracture hi a mah chauhin a dam thei em?

A ruh tliak chu a hmun dik takah a awm chuan a mah chauhin a dam thei a ni. Mahse, thil tam takah chuan doctor chuan ruh chu a dam ṭhat theih nân a siam ṭhat leh a ngai ang. Chutiang a nih loh chuan ruh chu a inmil lo thei a, a hnuah harsatna a thlen thei bawk.

A tawp berah chuan ka sawi tur chu... (Take-Home Message)

Facial fracture hi accident-a thil thleng thei a ni. A châng chuan, a chhûngah hian kan hmuh theih aia tam chhiatna a awm thei bawk. A tam zawkah chuan hengte hi natna khirh tak tak, operation tel lova enkawl theih an ni lo. Mahse, hmai a tliak nasat chuan, a nih loh leh complex fracture tam tak a awm chuan operation neih a ngai mai thei.

Chuvangin, i hmaiah ruh a tliak mai thei tih i ngaihtuah chuan damdawi lam thurawn la nghal ngei ang che. Enkawlna rang tak hian hun rei tak chhunga harsatna awm theihna chu nasa takin a tihziaawm thei a ni. Dam leh thuai turin duhsakna kan hlan e!

` Hmai tliak, Hmai tliak, Hnar ruh, Jaw Fracture, Hmai Surgery, CT Scan, Accident, Maxillofacial Trauma