Hip Fracture: Hlauthawng suh, hei hi a thupui ber thleng ila!

Kan in chhunga nu emaw pa emaw tar tawh tak chu bathroom-ah a tlu a, a tlu a nih chuan kan rilruah hlauhna lo lang nghal chu, ‘Aw, hip ruh chungah eng thil nge thleng ka hre lo’ tih hi a ni. Kan zingah "kan tar hunah kan hip kan tikehsawm ang" tiin fiamthu sawi mah ila, a takah chuan hei hi kan nun tichhe thei dinhmun pawi tak a ni. Mahse hlauh a ngai lo. He hip fracture hi kan hriat chian chuan eng dinhmun pawh fing takin kan hmachhawn thei ang.

A awlsam zawngin, hip fracture tih hi eng nge ni?

Hip fracture chu kan thigh bone chunglam, hip joint bula a break a ni. He thigh bone hi damdawi lam chuan ‘femur’ an ti a. Hei hi kan taksa ruh sei ber leh chak ber a ni. Chuvangin hei hi a chhe tur chuan hliam na tak, tlu lian tak emaw, car accident emaw ang chi a ngai tlangpui.

Mahse hetah hian thil danglam tak kan hriatthiam a ngai a ni. Tlangval pakhatah he ruh hi tihchhiat nan hian chakna nasa tak a mamawh laiin, kum upa zawkah chuan, a bik takin osteoporosis ang chi natna nei tan chuan, he ruh hi slip tlemte pawhin a chhe thei a, in lamah a tla thei bawk.

Hip chhe tawh siamthat nan operation neih a ngai fo thin a, chuvangin hei hi thil awmdan hi ngaihthah tur a ni lo.

Hip tihchhiat dan hrang hrang a awm em?

Ni e, doctor-te chuan hip fracture hi a fracture awmna hmun a zirin chi hrang hrangah an thliar hrang a. Kan hip joint hi ball-and-socket joint ang a ni. Thigh bone chunglam (femoral head) ball ang chi chu kan pelvis chhunga socket pakhatah a lut a, hip joint a siam a ni. Chuvangin he classification hi thigh bone chunglam a fracture awmna hmun atanga siam a ni.

Hei hi a hnuaia table atang hian awlsam takin i hrethiam thei ang.

Hip tliak hian eng symptoms nge a neih?

Tlu emaw accident emaw hnuah heng symptoms te hi zawng thin ang che. Hengte hi a lan chhuah dan ber leh langsar berte chu an ni:

• Hip area-a natna nasa tak, tuar theih loh .
• Hip emaw ke emaw che thei lo.
• Kut chhunga hriat theih tur lump emaw, a hmel danglam emaw.
• A hring hle mai.
• Bruising leh blueness te pawh a awm.
• Hip emaw ke emaw chu pianphung lo takin a inzawm khawm niin a lang.

Hip fracture hi engte nge ni a, tute nge risk sang zawk?

Tu pawhin accident-ah hip an tichhia thei a, mahse mi thenkhat chu midang aiin an hlauhawm zawk hle.

A chhan ber chu:

• Tlu (a bik takin tarte zingah hmun sang atanga tla emaw, slip emaw) .
• Car accident a awm thin
• Infiamna lama accident a awm thin

Tu nge hlauhawm ber tih i en ang u.

Engtin nge doctor hian hei hi a hriat chian tak tak?

Accident hnua damdawi ina rawn hruai i nih chuan Emergency Treatment Unit (ETU)-a doctor-in a enfiah hmasa ang che. Tichuan, ruh chu a tliak em tih chiang taka hriat theih nan test eng emaw zat an nei ang a, a tliak a nih chuan khawiah nge a tliak a, engtin nge a tliak tih hriat theih a ni bawk ang.

• Hip X-ray: Hei hian chiang takin a tliak tih a lantir fo thin.
• MRI (Magnetic Resonance Imaging): Hei hian X-ray-a lang lo, ruh tliak fiah lo tak tak pawh a hmu thei a ni.
• CT scan (Computed Tomography scan): Hei hian ruh a tliak dan chipchiar zawka hriat theih nan a pui a ni.

Engtin nge enkawl a nih? Surgery neih a ngai em?

Hip tichhia zawng zawng deuhthaw hian operation an mamawh dawn a ni. Surgery i mamawh chi chu i ruh tliak chi, a nasat dan, i kum leh i hriselna zawng zawngah a innghat ang. Surgery hi chi hnih a awm a.

Operation hnuah eng complication nge awm thei?

Surgery dang ang bawkin, heng surgery-te hian hlauhawmna tenau tak tak a nei a ni. Harsatna lo awm thei ber thenkhat chu:

• Avascular Necrosis: Ruh lama thisen kal a tibuai a, ruh cell te a thi thin.
• Nonunion: Ruh tliak te chu a inzawm tha leh thei lo.
• Malunion: Ruh chhe tawhte a inmil lo.
• Bone Infection (Osteomyelitis): A chang chuan, a bik takin ruh hi vun kaltlanga a lan chhuah chuan (open fracture) bacteria infection a awm thei.
• Thisen zam: Operation hnua rei tak che thei lo a nih avangin keah thisen zam a awm theihna a awm.

Eng chen nge tihdam a ngaih?

Hip fracture hnua a dam kim theih nan thla engemaw zat, a nih loh leh kum khat pawh a ngai thei. Hei hi zawi zawiin, zawi zawiin a kal zel a ni. I dam theih hun chhung hi thil engemaw zatah a innghat a ni:

• Surgery i neih chi hrang hrang
• I kum leh i hriselna zawng zawng
• Accident-ah hian hliam dang a awm em tih

Operation hnu lawkah physical therapy (PT) i tan a ngai dawn a ni. He enkawlna hian thla eng emaw zat a daih dawn a ni. Physics therapist chuan i hip chhehvela taksa ruhte tichak turin exercise a zirtir ang che a, kea kal leh turin a pui ang che.

A tir lamah chuan kea kalna tur, kekawrte emaw, tiang emaw i hman a ngai ang. I doctor emaw physical therapist emaw chuan hengte hi eng chen nge i hman a ngaih dawn tih a hrilh ang che.

Engvangin nge hip fracture hi a hlauhawm? A bik takin kum upa lam tan chuan...

Hip fracture hi medical emergency a ni a, a chhan chu ruh a tihchhiat bakah hian a chhehvel thil pawimawh tak takte pawh a tichhe thei a ni.

Ngaihtuah teh, accident na tak, thigh bone tikehsawm thei khawpa natna a thlen chuan a bula kal femoral artery chu a chhe thei a ni. Chutiang a nih chuan thisen chhuahna nasa tak a thlen thei a, nunna pawh a tichhe thei bawk.

Hetiang dinhmun hi kum 65 chunglam tan chuan a hlauhawm lehzual a, kan upat deuh deuh chuan taksa dam theihna a tlahniam a. Chuvangin hetiang hliam lian tak hi a dam theih nan hun a duh rei zawk a ni. Surgery leh a hnu lama dam lehna tur hmachhawn chu kum upa zawk tan pawh a harsa thei hle.

Chutiang accident lo thleng tur ven nan eng nge kan tih theih ang?

A hlauhawmna chu thunun thei lo mah ila, a hlauhawmna tihziaawmna tur thil tam tak a awm.

• I in boruak hi him takin siam rawh: I in leh hnathawhna hmunah thil tul lo tak takte chu tifai la, tlu thei tur hlauhawmte chu tihtlem rawh. Bathroom ah chuan non-slip mat dah la. Lighting tha tak a awm ngei ngei tur a ni.
• Bone density test nei rawh: Kum 65 chunglam i nih chuan, emaw, i chhungkuaa mi tu emaw chuan ruh natna a vei a nih chuan, doctor nen bone density test neih dan tur sawipui rawh.
• Ei leh in tha leh exercise tha: Calcium leh vitamin D tamna ei tur ei la, taksa rihna phur thei exercise, kea kal ang chi hian ruh a tichak a, ruh a tichak bawk.
• Hriselna atana fimkhurna zawm rawh: A chunga thil awm zawng zawng thleng tur chuan ṭhutphah emaw, dawhkan emaw-ah chuan chho suh. Thil hmanraw dik tak hmang fo ang che. Lirthei a chuang dawnin seat belt vuah fo ang che.

Engtikah nge ETU (Emergency Treatment Unit) ah i kal nghal tur?

Hip tliak i rinhlelh chuan medical emergency a ni. Damdawi inah kal la, ambulance ko nghal rawh. Tihkhawtlai suh, a bik takin tlu emaw, accident emaw hnua heng symptoms te hi i neih chuan:

• I hip emaw i ke emaw i che thei lo a nih chuan.
• Natna chu tuar theih loh a nih chuan.
• Hip emaw ke emaw chu hrual a, unnatural anga lang a nih chuan.
• A vun chu a hliam a, a ruh chu a lang thei a nih chuan.
• Hip a hring nasa hle a nih chuan.
• Heng symptoms te nen hian hliam na tak i hmuh chuan.

Hip tliak chungin i kal thei ang em?

Ni lo tak zet a ni. Hip chhe tawhah chuan ding emaw, rit takin kal emaw tum suh. Chutianga tih chuan ruh tliak chu a ti na zual thei a, harsatna dang a thlen thei bawk.

Mi hip chhe tawh chu kan sawn tur em ni?

No. Miin hip a tliak nia i rinhlelh chuan ambulance ko nghal rawh. Chu mi chu a hip chu a nghet leh che thei lo turin tanpui la, trained medical professional an lo thlen hma loh chuan damdawi inah phurh rawh. Ke chungah hian pressure engmah dah suh la, ding reng tum suh, kal tum suh.