I fate tan chuan inkhelh laiin a tlu a, a tlan kual laiin a kut emaw ke emaw a hliam hi thil thar a ni lo. A tlangpuiin, hliam tenau emaw, hliam tenau emaw angin kan ngai a, mahse a chang chuan thil pawi zawk pawh a ni thei. A bik takin naupang ruhte hian an thanlenna tur bik, chak lohna hmun an nei a. Hei hi ‘growth plate’ kan ti a ni. Vawiin hian he hmun chhiat chungchang kan sawi a, chu chu ruh tliak tihna a ni. Hei hi damdawi lam chuan Salter-Harris Fracture tia hriat a ni.
Growth plate chu eng nge ni?
A awlsam zawngin, growth plate chu naupang ruh sei tak (an kut leh kea awm ang chi) tawp lama cartilage hmanga siam hmun bik a ni. Thing hnah inzar pharh ang maiin han ngaihtuah teh. He hmun hi naupang ruh te chu zawi zawiin a lo thang lian a, a lian leh a pianzia dik takah a lo thang lian thin a ni. Naupang thanlenna a zawh chuan, chu chu tleirawl an nih chuan he cartilage hi a khauh zauh zauh a, ruh pangngai a lo ni ta a ni.
Heng growth plate te hi a tlangpuiin:
- A kut ruh chunglam ruh ah
- A kut hnuai lam ruh pahnih (radius leh ulna) .
- Kut ruh chhungah
- Thigh bone ah chuan
He hmun hi naupang hmasawnna atan a pawimawh em em a, chuvangin he hmuna chhiatna eng pawh hi kan ngaihtuah a ngai ngei ang.
Salter-Harris fracture chi hrang hrang a awm em?
Ni e, doctor-te chuan heng ruh tliak te hi chi pangaah an then a, a lo awm dan azirin. Hemi chungchang hi hriat tam a ngai lova, mahse doctor-in a hrilhfiah che hunah hriatthiam a awlsam zawk nan tlem tal hriat a tha.
| Fracture chi hrang hrang | A awlsam zawngin sawifiah a ni |
|---|---|
| Type 1 a ni | Growth plate chu a inthen vek a, ruh tawp atanga a tlakbuak ang maiin. |
| Type 2 a ni | Growth plate-a fracture lo awm chu ruh lai tak (shaft) thlengin a inzar pharh a ni. Hetiang chi hi naupangte zingah a tam ber. |
| Type 3 a ni | Fracture hian growth plate thenkhat leh ruh tawp lam thenkhat a inthen tir thin. Hei hi naupang tê têah a tam ber a, chutih lai chuan growth plate-te chu a khauh ṭan a ni . |
| Type 4 a ni | Hei hi type 3 nen a inang a, mahse a na zawk deuh. Fracture hi growth plate zawng zawngah a inzar pharh a, ruh tawp leh ruh lai tak a nghawng a ni. |
| Type 5 a ni | Ruh a pressure lutuk chuan growth plate chu a tikehsawm a, a tikehsawm bawk. Hei hi natna awm lo mahse na tak a ni. |
Engtin nge ka fa chungah hetiang thil hi a thleng tawh tih ka hriat theih ang? (Natna)
Naupang tlu hnua heng symptoms te hi i hmuh chuan ngaihtuahawm rawh.
- Ruh na: Naupang chu a hliamna hmun khawih chuan na takin a au chhuak thin.
- Swelling: Hliamna hmun chu a hring vek a.
- A lan dan pangngai lo: Kut emaw ke emaw chu a inzawm khawm, a ben emaw, a danglamna dang emaw a lang.
- Hman theih lohna: Naupang chu a che thei lo va, a kut emaw ke emaw hliam chu a che thei lo emaw, a hmang thei lo emaw a ni.
- Blue/purple discoloration: Vun hnuaiah thisen a luang lut a, a hliam ang maiin a lang.
- Sensitivity to touch: Naupang chuan a hmun khawih pawhin a na a.
Naupang tê tak tê chuan an hliam hun dik tak chu a hrilh thei lo mai thei. I fain kut emaw, ke emaw a hman tawh loh thut a, a kut emaw ke emaw hliam chu a taksa hnaih taka a vawn emaw, a kal laiin a tlu emaw a nih chuan hei hi ngaihven rawh.
Engvangin nge naupangte hian hetiang chi ruh tliak hi an neih?
Hei hi a chhan ber chu accident vang a ni.
- Falls: Infiam lai te, bike khalh lai te, thinga lawn lai te, etc.
- Sports accident: Cricket, football, basketball, leh gymnastics ang chi infiamna khelh laiin accident.
- Lirthei chetsualna thleng thin.
Tin, infiamna khata hun rei tak, a bik takin naupang taksa a lo thanglian kim hmaa overtraining hian growth plate-ah pressure a siam chhunzawm zel thei a, chu chuan heng ang chi fracture te hi a thlen thei bawk.
Hetiang dinhmun hi tute nge hlauhawm ber?
Naupang tu chungah pawh hetiang hi thleng thei mahse, thenkhat tan chuan a hlauhawmna chu a sang deuh hlek a ni.
- Tleirawl: Heng ruh tliak te hi he kum lama an awm tam ber a ni.
- Mipa: Hmeichhia aiin mipa naupangin he natna hi an vei theihna chu a let hnih velin an tam zawk. Hei hi hmeichhe naupangte hi an lo thang chak hle a, an thanna plate te chu ruh khauh takah an lo khauh rang zawk a ni.
- Infiammi: Naupang zuang leh tlan infiamna (basketball, gymnastics, skiing) khel fo thinte chu an hlauhawm zawk.
Hei hian hun rei tak chhung nghawng a nei thei ang em?
Thu lawmawm tak chu a tam zawkah chuan dik tak leh rang taka enkawl a nih chuan hun rei tak chhunga nghawng a nei lo. A pawimawh ber chu doctor pan a, accident atanga kar khat chhungin enkawl tan a ni.
Mahse, a tlem hle a, a bik takin ruh tliak na tak (Type 4, 5) emaw, enkawlna tihkhawtlai a nih chuan harsatna engemaw zat a awm thei.
- Malunion: Ruh tliak chu a align dik lo.
- Nonunion: Ruh tliak chu a inmil tawk lo.
- Growth retardation: Ruh chhia chu a lo thang zawi zawi thei. Entîr nân, chu kut emaw, ke emaw chu a dang aiin a tawi deuh thei a ni. Chutiang a nih chuan hei hi ven nan operation neih a ngai mai thei.
Engtin nge doctor hian hei hi a hriat chian tak tak?
Doctor hnena i fa i hruai dawn chuan uluk takin naupang chu a enfiah hmasa ang. Hliam, hliam, leh natna te chu an en ang. Kut emaw ke hrisel tak nen pawh an tehkhin ang. Doctor chuan engtin nge accident a thlen tih leh engtikah nge symptoms i neih tan tih te a zawt ang che.
Chumi hnuah chuan ruh dinhmun enfiah nan test eng emaw zat an nei leh thin.
- X-ray: Hei hian ruh tliak a hriat theih fo.
- MRI emaw CT scan: A châng chuan heng test-te hi X-ray-a chiang taka hmuh theih loh, a chhehvêla tissue-te ruh tliak emaw, chhiatna emaw zawng tûrin a ngai thei a ni.
Engtin nge enkawl a nih?
Hei hi enkawlna tlanglawn leh hlawhtling ber chu cast dah a ni a, chu chu Plaster of Paris (POP) emaw Fiberglass emaw ang chi hi a ni.Hei hian ruh tliak chu a hmunah a vawng tlat ang a, a dam hma loh chuan a humhim ang. I doctor chuan i fain eng cast nge a mamawh tih te, eng chen nge a awm tur tih te, a enkawl dan tur te a hrilhfiah ang che. Cast chu kar 4-6 vel an ha tlangpui ang.
Fracture na tak (grade 3, 4, emaw 5) tan chuan operation neih a ngai thei. Mahse, hei hi a tlem hle. Chutiang a nih chuan, surgeon chuan ruh tête chu a siam ṭha leh a, a hmuna vawng tûrin internal fixation device, screw, pin, a nih loh leh plate a hmang a ni. Hei hi ``Internal Fixation'' an ti a, ruh a dam hnuah, a chang chuan operation tenau dang tih leh a ngai thin a, chu chu devices te lakchhuah nan a ni.
Engtikah nge ka fa hi doctor hnenah ka hruai nghal ang?
I fain na takin a tlu emaw, accident emaw a neih chuan doctor pan nghal rawh. A bik takin i fain ruh a tliak tih rinhlelhna tlemte i neih chuan damdawi in hnai ber ETU (Emergency Treatment Unit) ah hruai rawh .
A hnuaia symptoms te hi i neih chuan tihkhawtlai suh:
- Natna nasa tak a awm chuan .
- Kut emaw ke emaw pawh i che thei lo a nih chuan.
- Kut emaw ke emaw chu chiang taka inzar pharh a, a pianzia mak tak anga lang a nih chuan .
- Ruh tliak chu vun hmanga hmuh theih a nih chuan .
- A hring nasa hle a nih chuan .
- Heng symptoms te hi rang taka hliam emaw vun rawng inthlak emaw nen a inzawm chuan .
I fa chu ruh a dam kim hmaa tlan, zuang, a nih loh leh inkhelh leh phalsak chuan harsatna a thlen theihna a tipung tih hre reng ang che. Chuvangin i fa chu i doctor-in a tih hma loh chuan chawlh hahdam tir rawh.
Nu leh pate hian an fate hliam an tuar hian an hlauthawng hi thil pangngai tak a ni. Mahse heng growth plate fracture te hi a hmaa hmuhchhuah leh enkawl a nih chuan a reversible vek tawh mai. Hun hi a pawimawh ber a ni. Thil ngaihtuah tur i neih chuan a tha ber chu i fa chu rei lovah Doctor hnenah hruai hi a ni.
Take-Home Thuchah a ni
- Naupang ruh sei tawp lama growth plate te hi an ruhro hmun, a chak lo deuh a, a chhe awlsam zawk a ni.
- Naupangin a tlu hnua a kut emaw, a ke emaw a na, a hring emaw, a khauh emaw a neih chuan, hliam awlsam mai maiah ngai suh la, doctor hmu ngei ang che.
- Chutiang ruh tliak chu a rang thei ang bera hriatchhuah leh enkawl a nih chuan naupang nakin lawka ruh thanna tur a nghawng theih dan tur chu a tlem thei ang bera siam theih a ni.
- Naupang tam zawk hi enkawl dan mumal hnuah hun rei tak chhung harsatna nei lovin an dam kim vek thin.
- I fa chu infiamna emaw, thil tih dan pangngaia kir leh tura a clear hma loh chuan damdawi lam thurawn zawm a pawimawh hle.
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