I fa hian an ruh a lo seilian na hmun ruh tliak a nei em? Growth Plate Fractures chungchang hi han sawi ila!

I fa chu inkhelh laiin a tlu nghal em? A nih loh leh sports practice atanga kut emaw ke emaw natna neia lo haw? Naupang tê tête chuan a châng chuan an ruh an tikehsawm tih i hre tawh mai thei a, mahse he dinhmun bik Growth Plate Fractures tih hi i hre lo mai thei. Lungngai suh, hei hi hlawhtling taka enkawl theih fo a ni. Chipchiar takin sawi ila.

Heng growth plate te hi engte nge ni? Engvângin nge an pawimawh?

A awlsam zawngin, growth plate hi naupang leh puitlingte ruh sei tak (kut leh kea awm ang chi) tawp lama cartilage chi khat bik a ni. Thingkung hnah tawp atanga hnah thar lo chhuak angin ngaihtuah rawh. Chungte chu ruhte a lo thang lian a, a lo thang lian a, a lo pian dan tur dik takah a pui thin. Naupang chu a lo puitlin kim tawh a, chu chu an sang tawh lo tihna a ni a, heng growth plate te hi zawi zawiin ruh khauh takah an chang ta a ni.

Heng growth plate te hi ruh tawp lamah hetiang hian an awm a:

• Humerus - Hei hi kut chunglam ruh a ni.
• Radius leh Ulna - Hengte hi i fa kut chhungah, elbow hnuai chiaha awm a ni.
• Metacarpals - Kut chhung lam ruh te te.
• Femur - Kan taksaa ruh sei ber, kawr chhunga awm.

Hengte hi a bulpui ber an ni. Chuvangin, heng growth plate-te chungah hian thil engemaw a thleng a nih chuan, chu chu fracture a awm a nih chuan, chu chu growth plate fracture kan tih chu a ni. Naupang ruh a na a, a hring a, a kut emaw ke emaw aiin a danglamin a lang emaw, a inzawm khawm emaw a nih chuan doctor i pan ngei tur a ni. Heng ruh tliak chi hrang hrangte hi a dam theih nan kar engemaw zat a ngai a, chuvang chuan diagnosis leh treatment neih thuai a pawimawh hle .

Growth plate fracture chi hrang hrang a awm em?

Ni e, doctor-te chuan heng ruh tliak te hi classified turin system bik an hmang thin. Salter-Harris classification an ti a ni. A chi hrang hrang panga a awm a, chungte chu:

1. Type 1: Hei hi growth plate-a cartilage chu ruh tawp atanga a inthen a, thil pakhat glue-a dah ang maia a lo chhuak a ni.

2. Type 2: Hetiang chi ah hian a ruh chu growth plate ah a awm a, ruh shaft chhungah a inzar pharh thin. Hetiang chi hi naupangte zingah a tam ber.

3. Type 3: Hei hi growth plate leh a ruh inzawm tawp ber a inthen a, a ruh tliak a ni. Hei hi a lian deuh a, chu chu tleirawl zingah a tam zawk tihna a ni a, an growth plate te chu ruh khauh takah a chang zauh zauh a ni.

4. Type 4-na chu:Hei hi type 3 nen a inang a, mahse a na zawk deuh. Growth plate phek khat, ruh tawp lam chi khat leh ruh sei lam chi khat chu a chhe vek a.

5. Type 5: Hei hi ruh chunga pressure tihchhiat avanga lo awm a ni a, chu chuan growth plate a tichhia a ni. Hei hi a tlem ber chi a ni a, a pawi deuh thei bawk.

He classification hi doctor-te tan chuan eng ang enkawlna nge pek tur tih te, a dam leh theih nan eng chen nge a duh ang tih te, nakin lawkah eng harsatna nge lo awm thei tih te ngaihtuah nan a pawimawh hle.

Heng growth plate fracture te hi engtiang chiahin nge an awm?

Growth plate fracture hi a takah chuan naupang ruh hliam tam ber pakhat a ni. Naupang ruh tliak zawng zawng hmun thuma ṭhena hmun khat vel an ni. Hei hi kan hriat chian a pawimawh hle a ni.

Growth plate rupture a nih chuan eng symptoms nge a neih?

I fain growth plate fracture a neih chuan heng ang symptoms hi i hmu thei ang:

• Natna: Natna nasa tak a awm thei a, a bik takin ruh chungah emaw, ruh awmna hmunah emaw a awm thei.
• Limbs te hi a danglamin a lang: Kut emaw, ke emaw hliam chu a inzawm khawm, a ben, a nih loh leh a danglamna dang angin a lang thei.
• I che thei lo: I hliam na hmun chu i ben tha thei lo a, i ding nghet thei lo a, i rit lo thei bawk.
• Swelling: Hliamna hmun chu a hring thei.
• A rawng danglam emaw, hliam emaw: A chang chuan hliam chu blue emaw purple emaw a ni thei.
• Tenderness: Naupang chu khawih a nih chuan a na thei .

I fapa chu cricket khelh atanga a lo haw chuan a kut a na a, a che thei lo a, a hring deuh bawk tih han ngaihtuah teh. Chutiang a nih chuan growth plate fracture a ni thei.

Naupang tê tê chuan an hliam lai hian a hrilh thei lo mai thei. Chutih hunah chuan hetiang thil hi i hmu mai thei:

• Vawilehkhatah kut emaw ke emaw hman a tlem ta hle mai.
• Hliam kut/ke chu taksa hnaih taka chelh a, venhim a ni.
• An tap a, an au a, khawih an duh lo.
• A kal chuan a limp thin.

Hetiang thil i hmuh chuan hun khawhral suh la, Doctor pan rawh.

Heng growth plate fracture te hi engte nge ni?

A tam zawkah chuan heng fracture te hi sudden traumas vang a ni . Entir nan:

• Tlu: Thingkung atanga tla, inkhelh laiin tlu emaw, stairs atanga tla emaw ang chi.
• Traffic accident: Kawngpuia awm laia thil thleng.
• Sports accident: Cricket, football, leh netball ang chi infiamna khelh laiin accident.

Entirnan, Nisal fapa chu inkhelhna hmuna a tlan laiin a tlu thut mai a, a tlu ta thut mai a. A ke ruh chu a na tan ta hle mai. Damdawi in a kal meuh chuan growth plate fracture a ni tih a hre ta chauh a ni.

Tin, chubakah, .Sport inang chiah hi a bik takin naupang taksa a lo thanglian kim hmain overtraining hian growth plate-ah stress repetitive a siam thei a, hei hian hetiang fracture hi a thlen thei a ni. Chuvang chuan naupang tan kum khat chhunga infiamna ang chiah hi an taksa a lo thanglian kim hma loh chuan a tha lo. Chawlh hahdam pawh a pawimawh hle.

Heng growth plate fracture te hi tute nge hlauhawm zawk?

Naupang tu pawhin hetiang accident hi an tawk thei a, mahse naupang thenkhat chu a hlauhawmna a sang deuh hlek a ni:

• Tleirawl: Heng chawlh hahdamna hi naupang kum 13-17 inkar zingah hmuh tur a tam ber.
• Mipa: Mipa naupangte hian hmeichhiate aiin heng ruh tliak hi a let hnih velin an nei tam zawk . Hei hi a chhan chu hmeichhe naupangte hi a tlangpuiin an thang chak deuh a, an ruh pawh a khauh rang zawk bawk. Tlangval pawh hi an agile leh active zawk.
• Infiammi: Naupang zuang chhuak (e.g., basketball, gymnastics, skiing, volleyball) infiamna khel te chu an hlauhawm zual a, chutiang bawkin naupang football leh hockey ang chi contact sports khel te pawh an hlauhawm hle.
• Physically active kids: School sports bakah hian heng accident te hi naupang skateboarding, hiking, leh cycling ang chi thil ti thinte chungah pawh a thleng thei a ni.

Growth plate ruh tliak avanga harsatna awm thei te chu engte nge ni?

A tam zawkah chuan hmuhchhuah a nih a, enkawl vat a nih chuan (hliam atanga kar khat chhungin) heng growth plate fracture te hian harsatna lian tham a thlen lo. Mahse, a châng chuan a hnuaia mite hi a thleng thei a ni:

• Malunion: Ruh tliak te hi a inzawm tha lo va, a inzawm khawm zawk a ni.
• Nonunion: Ruh tliak te chu a dam tha lo emaw, a dam lo emaw a ni.
• Stunted growth: Hei hi a tlem hle . Mahse, ruh tliak na tak (a bik takin Type 5) i neih chuan chu ruh chu nakin lawka lo thanglian zel tur chu a nghawng thei a ni. Chumi awmzia chu ruh chu a sir lehlamah a tawi zawk emaw, a te zawk emaw pawh a ni thei tihna a ni. Hei hi ven nan operation neih a ngai mai thei.

Chuvangin rinhlelhna tlemte pawh nei mahse doctor pan a pawimawh .

Engtin nge growth plate fracture hi an hriat theih?

Doctor chuan he fracture chi hi naupang enfiah (physical exam) leh special test (imaging test) tih hmangin a hmuchhuak thin.

A hmasa berin, doctor chuan a hliamna hmun chu uluk takin a enfiah ang a, naupang chu an natna lan chhuah dan a zawt ang a, a ke ruh chetna (range of motion) a enfiah ang a, a kut/ke dang hliam lo nen a khaikhin ang.

I hriat chipchiar zawng zawng – naupangin accident hmaa a thil tih te, harsatna a awm tih i hriat hmasak ber te, naupangin natna a neih tan tirh te kha doctor hnenah hrilh vek a pawimawh hle.

Eng ang test nge tih thin?

Doctor chuan heng test zinga pakhat emaw a aia tam emaw hmangin ruh leh a chhehvel tissue te chu a en ang:

• X-ray: Hei hi hman tam ber a ni.
• Magnetic Resonance Imaging (MRI): A châng chuan hei hi a ṭhan chhoh dan dik tak hmuh theih nân a ngai ṭhin.
• Computed Tomography (CT) scans: Hei hi thil harsa thenkhatah pawh hman a ni.

Engtin nge growth plate fracture hi enkawl thin?

Growth plate ruh tliak tam zawk hi cast hmanga enkawl a ni a, chu chu plaster cast (immobilization) a ni. Cast hian ruh tliak chu a hmunah a vawng reng a, a dam tha thei bawk. I doctor chuan i fain eng cast nge a mamawh tih leh a enkawl dan tur a hrilh ang che.

Surgery neih a ngai em?

Hetiang fracture chi hrang hrangah hian operation neih a ngai lo. A tlangpuiin ruh tliak na zawk (Type 3, 4, or 5) tan chuan operation neih a ngai thin. I fain operation a mamawh chuan surgeon chuan internal fixation tih hming pu thil a ti ang. Chumi awmzia chu ruh chhe tawhte chu a hmunah an dah a, chutah chuan screw, pin emaw wire emaw hmangin ruh chu a chhung atanga a dam thlengin an vawn khawm ang tihna a ni. Ruh a dam hnuah chuan pin emaw wire emaw lakchhuah nan operation tenau dang i neih leh a ngai mai thei. I doctor emaw surgeon emaw chuan heng zawng zawng hi a hrilhfiah vek ang che.

Eng chen nge a dam tlangpui?

Naupang tam zawk chuan growth plate a tliak hnuah thla khat vel (kar li atanga kar ruk) chhung cast an vuah a ngai dawn a ni. Fracture a na zawk emaw, surgery tih a nih chuan a rei zawk thei.

I doctor chuan a dam theih hun chhung dik tak a hrilh thei che a, chu chu i fain eng ruh nge a tihchhiat leh a chhe nasat dan azirin a ni.

Hetiang growth plate fracture hi a veng thei ang em?

Dik tak chuan heng ruh tliak tam zawk hi accident avanga lo awm a nih avangin ven kim a harsa hle. Mahse, i fain hliam a tuar theihna tur tihziaawmna tur thil i tih theih a awm a:

Infiamna i khelh emaw, taksa tihchakna dang emaw i tih hian hengte hi fimkhur hle ang che:

• Invenna hmanraw dik tak (e.g. cricket khelh laiin pad, helmet) i bun ngei ngei tur a ni .
• Thil pakhat a na a nih chuan, inkhelh lai emaw, i tih zawh hnuah emaw, i fa chu "natna chu khelhpui lo turin" hrilh rawh.
• I taksa chu chawlh hahdam tir la, thawhrimna nasa tak hnuah harh leh rawh.
• Sports khelh emaw exercise emaw i tih hmain stretch la, warm up rawh.
• I activity i zawh hunah cool down la, stretch rawh.

Chhungkaw chhunga mi zawng zawng him taka awm theih nan heng thurawn tlangpui hi zawm rawh:

• Car ka chuan apianginSeatbelt vuah tur a ni.
• Kawngkhar chhungah hian mi pakhat tlu leh tlu thei thil a awm leh awm loh enfiah la, la chhuak rawh.
• Ceiling atanga thil i chawi dawnin hmanraw \ha tak tak (e.g., ladder) hmang ang che. Naupangte chu ṭhutphah emaw, dawhkanah emaw lawn tir ngai suh.

Ka fa hian growth plate a tliak a nih chuan eng nge ka beisei ang?

Growth plate fracture tam zawk hi chu harsatna nei lovin a dam tha hle a, naupang hriselna leh hmasawnna kawngah hun rei tak chhung nghawng a nei lo. Harsatna awm thei tihziaawmna kawng tha ber chu a rang thei ang bera (hliam atanga kar khat chhungin) diagnosis neih hi a ni.

I fain engtikah nge inkhelh, tlan leh zuang a tan leh theih ang tih doctor zawt rawh. Growth plate chu a dam kim hmaa pressure i dah leh chuan complication (a hmun khata tihbuai leh pawh telin) a awm theihna a sang zawk.

Engtikah nge Doctor ka hmuh ang?

I fain thil lungchhiatthlâk tak, tlu nasat emaw, car accident emaw a neih chuan doctor pan nghâl rawh.

I fain ruh a tliak nia i hriat chuan, emaw, a hnuaia symptoms te hi a neih chuan , Emergency Department (ETU) ah kal nghal rawh:

• Natna nasa tak a nei.
• Taksa peng pakhat che thei lo.
• Taksa peng pakhat chu a hmel a danglam a, a inzawm khawm a, a hmun aṭanga a inher chhuak niin a lang .
• A vun chu a hrual a, a ruh chu a lang thei.
• A hring nasa hle.
• Heng symptoms te hi hliam thar emaw vun rawng inthlak emaw nen a inzawm thei a ni .

Doctor hnenah eng zawhna nge ka zawh ang?

• Ka fa hian growth plate fracture emaw, hliam dang emaw a nei em?
• Eng ang growth plate fracture nge a neih?
• Ka fa hian operation a mamawh dawn em?
• Ka fa hian eng chen nge cast a hak ang?
• Engtikah nge ka fa hian thil tih dan pangngai leh infiamna pangngaiah a kir leh theih ang?

Naupangin accident a neih hian hlauhna a awm hi thil pangngai a ni a, a bik takin tlu emaw, i ven theih loh accident emaw a nih chuan. Growth plate fracture hi a na hle thei a, mahse naupang tam zawk chu an dam tha a, an hna an thawk leh thei ta a ni.

Growth plate fracture enkawlnaah hian hun hi a pawimawh ber a ni. I fa chu growth plate fracture (or ruh hliam dang emaw) nei nia i hriat chuan a rang thei ang bera doctor pan rawh. Doctor chuan a natna chu a hriat chian thuai a, i fa chu cast a dah hma chuan a dam leh thuai ang a, an hnathawh dan pangngaiah a kir leh thei ang.

Thupui tawi (Take-Home Message) 1.1.

A tawp berah chuan naupang thanna plate te hi an ruh thanna atana pawimawh tak a ni. Hengte tana hlauhawmna, chu chuGrowth Plate Fracture hi a awm fo thin a, mahse ngaihtuahawm tur a awm lo. A pawimawh ber chu accident i rinhlelh emaw, symptom i hriat veleh damdawi lam thurawn la nghal mai tur a ni. Enkawlna rang tak chuan i fa chu an hmalam hun atana an thanlenna tichhe lovin a dam leh thei a ni. I fa himna ngaihtuah reng hian accident tih tlem nan a pui bawk ang.

` growth plate fracture, growth plate fracture, naupang ruh tliak, Salter-Harris, cast, naupang hriselna, ruh tliak