Kan dam chhung hian engtik lai pawhin ruh kan tikehsawm vek a rinawm a ni lawm ni? Thingkung kan lawn a, kan tluk lai te, inkhelh lai te, accident tenau takah pawh a thleng thei. A tam zawkah chuan doctor kan pan a, plaster (POP cast) kan bun chuan ni rei lo te chhungin a dam vek a, a pangngaiin a lo awm leh thin. Mahse... a thleng reng lo a nih chuan engtin nge ni ang? Ruh tliak chu a set dik lo a nih chuan, eng chen pawh rei se a set lo tak tak a nih chuan engtin nge ni ang? Chu chu vawiina kan sawi tum chu a ni. Damdawi lam hawi chuan heng natna pahnih hi `(Malunion)` leh `(Nonunion)` an ti a.
A awlsam zawngin Malunion leh Nonunion chu eng nge ni?
Hei hi a awlsam hle. Hetiang hian han ngaihtuah ila.
Malunion: Chumi awmzia chu i ruh tliak pahnih chu a inzawm khawm tihna a ni a, chu chu a inzawm khawm tihna a ni a, mahse a dik lo zawngin a inzawm khawm tihna a ni. An awmna tur hmunah chiah an awm lo. Tlem a hrual, a hrual, a tawi deuh pawh a ni thei. Plate chhe pahnih chu glue hmangin i dah khawm a, mahse a pahnih chu a inmil chiah lo, a hrual deuh niin han ngaihtuah teh. Plate chu a inzawm khawm a, mahse tunah chuan a pianzia a danglam tawh. Chu chu `malunion` tih chu a ni.
Nonunion: Hei hi ruh tliak pahnih chu eng ang pawhin hun kal tawh mahse an inzawm khawm ngai loh hun a ni. A pahnih inkarah hian gap a la awm. A hma ang bawka entawn tur kan lak chuan eng ang pawhin i glue khawm pawh nise, plate pahnih inzawm lo ang mai a ni.
Hetianga ruh hi a dam tha lo thei tih chhan lian tak pahnih a awm.
1. Mechanical issue: Chumi awmzia chu ruh chi hnih hi a dam chhungin a inzawm khawm thei lo va, a la awm reng thei lo tihna a ni. A châng chuan ruh chi hrang hrang chu cast chhungah a inthlak thei bawk.
2. Biological issue: Hei hian i taksa chhungril lam thil engemaw avangin ruh thar siamna kalphung a tichhe tihna a ni. Entîr nân, chu lai hmuna thisen kal tlâk loh te, ei leh in lama harsatna emaw, damdawi lam thil dang emaw chuan hei hi a nghawng thei a ni.
Doctor-te chuan heng natnate hi an enkawl hian heng chhan pahnih hi an ngaihtuah thin.
Nonunion chi hrang hrang a awm em?
Ni e, ruh a inrem loh chuan doctor-te chuan a chhan zawng turin an classify thin. Chu chuan enkawl a awlsam phah hle.
| Nonunion chi khat a ni | A awlsam zawngin... |
|---|---|
| Hypertrophic nonunion a ni | Hetiang a nih chuan taksain ruh thar siam a tum a ni. Chumi awmzia chu taksain ruh siam that theihna a nei tihna a ni. Mahse ruh tliak pahnih tawp chu a inhmu lo va, siam that theih a ni lo. Hetah hian mechanical problem a awm a. |
| Atrophic nonunion a ni | Chutiang a nih chuan taksa chuan ruh thar siam tumin theihtawp a chhuah lo. A chhan chu chu lai hmuna thisen supply a tlem em em vang a ni. Hetah hian biological problem a awm a. A châng chuan, ruh natna a lo awm tawh pawhin hetiang hi a thleng thei (septic nonunion). |
| Oligotrophic nonunion a ni | Hei hi chu thil pahnih inzawmkhawm a ni. Taksa hian ruh thar engemaw zat siam a tum a, mahse a famkim lo. Tin, ruh chi hrang hrang pawh a dik tawk lo. Chuvangin hetah hian mechanical leh biological factor pahnih a awm thei a ni. |
Ruh inang lo (malunion) a awm chuan engte nge a lan chhuah?
Ruh a inrem loh chuan a natna lan chhuah dan chu mit lamah leh nuam lo tak angin a lang thei a ni.
Pawn lam atanga a lan dan
- I kut emaw i ke emaw a hliam ang maiin a lang .
- A kut emaw ke emaw chu a hrual ang maiin a lang .
- Chu kut emaw ke emaw chu a sir lehlamah khaikhin chuan a tawi deuhin a lang.
Hrisel lohna neia hriatna
- Chu kut emaw ke emaw i hman chuan a na hle .
- Chutah chuan swelling a awm.
- Keah a awm chuan i kal laiin a limp thin .
I ke ruh pakhat chu a inmil lo ang tih han ngaihtuah teh. I kal hian i taksa chuan automatic in i hip, khup emaw, i hnungzang emaw ah rit zawk a dah a, chu chu a compensate theih nan a ni. Hun engemaw chen hnuah chuan i ke chauh a na lo va, i hip leh i hnungzang pawh a na.
A châng chuan ruh chi hrang hrang inmil lo chuan nerve pakhat a tikhawlo thei bawk. Chutiang a nih chuan symptoms i nei thei a, chungte chu:
- Tingling, tingling sensation (paresthesia) 10. A rilru a hah lutuk chuan a rilru a buai em em a.
- Muscle chak lohna, `(atrophy)` tihral
- Nerve natna nasa tak leh inflammation (neuropathy) .
Nonunion hian eng symptoms nge a neih?
Ruh rei tak a dam loh chuan heng symptoms te hi i nei thei ang:
- Ruh tliak atanga natna thuk tak, rei tak awm reng .
- Kut emaw, ke emaw tha taka hman theih lohna emaw, chak lohna emaw a ni .
- A visible deformity , entirnan, tumor ang maia lang, a nih loh leh khur ang maia hriatna.
Tin, ruh natna a lo awm chuan a lan chhuah dan te chu:
- Vung
- Khawsik
- Khua a vawt vangin a khur
Engvangin nge ruhte hi hetiang hian a inmil lo emaw, a inmil lo emaw?
Hei hi chhan hrang hrang a awm thei.
- Nature of the fracture: Fracture thenkhat chu a buaithlak hle. Ruh chu a hmin (comminuted fracture) emaw, a inzawm khawm (spiral fracture) emaw a nih chuan dah khawm leh a harsa hle. Tin, ruh thisen petu thisen kalna kawngte chu accident-ah a chhiat chuan a damna chu a slow hle.
- Enkawlna: Ruh tliak chu doctor-in a enkawl nghal loh chuan ruh chu a inmil lo tan ang. A châng chuan cast an hnawih hnuah pawh ruh tête chu a chhuak thei a ni. Enkawlna tihkhawtlai emaw, enkawl dik loh emaw hi a chhan lian tak a ni.
- Dam laia tihsual: Doctor-in a sawi hmaa plaster kha i tan a, i la chhuak a nih chuan, emaw, rit dah lo tura tih i ke pakhatah rit i dah chuan, ruh dik taka set tur pawh hi a set dik lo thei a, a set lo thei bawk.
- I hriselna zawng zawng: I tar chhoh zel chuan ruh damna a tlahniam thin. Diabetes, thyroid natna, leh ei leh in lama harsatna nei te pawh hi an hlauhawm zawk bawk. Meizial zu leh nicotine hman hi ruh tihdamna hmêlma lian ber a ni. Ruh lama thisen kal chu a tihtlem thei a, damna kawng a titawp thei a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor hmu tura i kal hunah chuan heng step te hi a zawm ang.
1. A chipchiar zawka zawh: A hmasain, chipchiar zawkin an zawt ang che. I hriat tur zawng zawng, accident a lo thlen dan te, engtikah nge a thlen tih te, tuna harsatna i tawh te, natna dang i neih te, eng damdawi nge i ei tih te an zawt ang che.
2. Taksa enfiahna: Tichuan, a hmun chu uluk taka enfiah a ni. Anni hian hmuh theiha hliam emaw, deformity emaw an enfiah a, ke ruhte chu a sei zawng a inang em tih leh ruhkawrte chu a thawk tha em tih an enfiah thin. Tin, kal kual turin an ti mai thei bawk.
3. Imaging test: Chumi hnuah chauh test tih a ni.
- X-ray: X-ray hian thil tam tak a pholang thei tlangpui. Ruhte chu a inmil em tih, a inmil lo em tih, a inmil lo tak tak em tih chiang takin a tarlang thei a ni.
- CT scan emaw MRI scan emaw hmangin:A châng chuan, ruh vêla tissue nem tak takte chhiatna hmuh nân, chipchiar zâwk hriat a ngai a nih chuan CT scan emaw MRI scan emaw tih a ni thei bawk.
X-ray-a ruhte chu a inmil lo tih a hriat chuan `Malunion` an ti a ni. Hun rei tak (entir nan thla 6, 9, 12) hnua ruhte a inrem loh chuan `Nonunion` an ti a .
Heng condition te hi siamthat theih a ni em? Enkawlnate chu engte nge ni?
Ni e, hengte hi siamthat theih a ni ngei ang. Mahse malunion zawng zawng hi siamthat a ngai lo. I nitin nunah nghawng lian tak a neih loh chuan, emaw, a hrehawm lo a nih chuan, i doctor chuan engmah ti lo turin a ti mai thei che a ni. Mahse, i natna emaw, i rilru hahna emaw a thlen chuan enkawlna i lak a ngai a ni.
Enkawl dan hi chi hnih ah then theih a ni a, non-surgical leh surgical.
Malunion a awm chuan enkawlna a ni
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Surgery hmanga enkawlna ni lo | |
| Bracing a ni | Ruh chu a dinhmun tha zawka awm tir turin brace bun. |
| Orthotics hmanga enkawl a ni | Ke a tawi chuan a compensate turin kekawr chhungah hian special insert dah a ni. |
| Taksa lam enkawlna | Ruh chhehvel thau tichaktu leh ruh chunga phurrit tihziaawmna exercise te. |
| Surgery hmanga enkawl a ni | |
| Osteotomy tih a ni | Surgeon chuan ruh inmil lo chu a tikeh leh a, a tidik a, plate leh screw hmangin a siam ṭha leh a ni. |
| Limb sei zawnga surgery neih a ni | Kut emaw ke emaw tih tawi a nih chuan hmanraw bik dahin ruh chu a sei zauh zauh a ni. |
Nonunion tan enkawlna
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Surgery hmanga enkawlna ni lo | |
| Damdawi lam enkawlna | Damdawi lam dinhmun hnuaia awm, zunthlum, ei leh in lama harsatna, emaw, natna hrik emaw enkawl. |
| Ruh tichaktu | Ultrasonic emaw electromagnetic wave hmanga ruh tihdamna tichaktu pawn lam thil. |
| Surgery hmanga enkawl a ni | |
| Debridement tih a ni | Ruh chi hnih tawp atanga tissue thi surgery hmanga lakchhuah a, ruh chunglam thar siam. |
| Ruh grafting a ni | I taksa peng dang (e.g., i hip bone) atanga ruh lak emaw, donor atanga ruh chi khat emaw chu gap chhungah dah luh a ni. Hei hian ruh thar a tipung a ni. |
| Internal fixation a ni | Fixation-ah chuan ruh pahnih chu siam ṭhat lehin, wire, plate, pin, a nih loh leh rod hmanga inzawm khawm a ni. |
Enkawl hnuah eng dinhmun nge awm ang?
A tam zawkah chuan heng surgery leh enkawlna dangte hi a hlawhtling hle. Mahse, a dam leh theih nan hun engemaw chen a ngai. Operation hnu thla engemaw zat chhung chu crutches i hman a ngai mai thei. Tin, taksa chakna hloh tawhte neih let leh nan leh ruh inzawmna siam that leh nan physical therapy hi a pawimawh hle bawk.
Mahse, natna dang, zunthlum ang chite chu uluk taka control a nih loh chuan, meizuk tihtawp a nih loh chuan, ruh nghet tak chu a verrucid leh a nih chuan enkawlna a hlawhchham theihna chance tlemte chauh a awm.
Chuvangin, ruh tliak i nei tih rinhlelhna tlemte pawh i neih chuan doctor pan hreh suh. Enkawlna dik tak neih vat chuan heng harsatna chi hrang hrangte venna kawngah hian kawng thui tak a zawh thei a ni.
Take-Home Thuchah a ni
- I ruh tliak a, a na leh a hring chu rei tak a awm reng a nih chuan, emaw, i ke ruh chu a nghet lo ang tih a hriat chuan ngaihthah suh. Hetah pawh hian i doctor nen sawiho leh rawh.
- `Malunion` chu ruh tliak chu a inrem tawk loh vang a ni. `Nonunion` chu a align loh lai a ni.
- Zunthlum leh meizuk ang chi thilte hi ruh damna daltu lian tak a ni thei. Hengte chungchang hi doctor nena inbiakna leh thunun theihna tur siam hi enkawlna hlawhtling tak neih nan a pawimawh hle.
- Non-surgical leh surgical treatment pawh a awm vek. I doctor chuan i tana tha ber tur chu a rel ang.
- Enkawlna hnua doctor thupek zawm, a bik takin physical therapy exercise tih hi dam thuai nan a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh