Pitar emaw pi emaw tar tawh tak pakhat chu bathroom-ah a tlu a, "a hip a tikehsawm" tih kan hre vek tawh. A chang chuan kan thiante nen "i tar vang mai maiin i hip i tichhia tur a ni lo" tiin kan fiamthu thin. Mahse a nihna takah chuan hip tihchhiat hi thil awlsam tak a ni lo. Hei hi accident pawi tak, a chang chuan nun tidanglam thei a ni. Chuvangin vawiin hian hei hi i fimkhur ang u.
A awlsam zawngin, hip fracture tih hi eng nge ni?
Hei hi i thigh bone chunglam (medically Femur kan ti thin), hip joint bula awm chu a chhe lai a ni. I hria em, thigh bone hi kan taksa ruh sei ber leh chak ber a ni. Chuvangin a chhe tur chuan a tlangpuiin impact lian tak a ni a ngai a, chu chu hard fall emaw car accident emaw ang chi a ni. Hip ruh i tihchhiat hian a siamthat theih nan operation a ngai deuh ber.
Kan hip joint hi ball-and-socket joint ang a ni. Thigh bone chunglam ball ang mai chu kan pelvis chhunga socket pakhatah a lut a. He lai hmuna ruh tliak eng pawh hi hip fracture an ti tlangpui.
Break awmna hmun a zirin chi hrang hrang a awm em?
Ni e, doctor-te chuan hei hi femur a tliakna hmun a zirin an classified a.
- Femoral head fractures: Hei hi ke ruh ball ang maia ruh tliak a ni. Mahse, hei hi a tlem hle.
- Femoral neck fractures: Femur-a ball ang maia lu leh ruh sei inzawmkhawmtu bridge ang chi (neck) a tliak. Hei hi hip fracture chi khat a ni ber.
- Intertrochanteric fractures: Ruh kawr vel ruh langsar pahnih inkar hmuna inthen, ruh leh ruhro te inzawmkhawmna hmun.
Hip tliak hian eng symptoms nge a neih?
Hip fracture a awm chuan heng symptoms zinga pakhat emaw a aia tam emaw hi hmuh tur a awm tlangpui. Hengte hi hriat chian a pawimawh hle.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna nasa tak a nei | Tuar theih loh, hip area-a natna nasa tak. |
| Che thei lo | Hip emaw ke emaw chungah che thei lo, ben thei lo, rit phur thei lo tak tak. |
| A hring leh a hliam | Hliam na hmun a hring a, vun rawng blue/purple a inthlak bawk. |
| Deformity a awm | Hip hi a sir lehlamah khaikhin chuan a danglamin a lang a, ke chu a chhuak emaw, a tawi emaw a ni. |
| Knot a awm tih hriat/hmu | Fracture site-a lump ang chi thil awm emaw hmuh emaw. |
He accident thlen chhan berte chu engte nge ni?
A tlangpuiin hetiang ruh chak tak hi a chhe tur chuan impact chak tak a mamawh a ni.
- Tlu: a bik takin hmun sang (ladder, roof) atanga lo chhuak.
- Car accident: Hei hi car accident na tak takah a thleng tam thei hle.
- Sports accident: Contact sports neih laia thil thleng.
Mahse, kum 65 chunglam emaw, ruh tichak lo thei natna (e.g. osteoporosis) nei tan chuan hip tihchhiat theihna a sang zawk hle tih hre reng ang che, in lama slip leh tlu tenau avang pawhin.
Tu nge hlauhawm ber?
Accident-ah tu pawhin hip an tikehsawm thei a, mahse mi thenkhat chu an hlauhawm zawk.
| Risk factor a ni | A sawifiahna tawi |
|---|---|
| Kum 65 chunglam a nih vang a ni | Hei hi a chhan chu ruh hi kan pianphungah a chak lo va, kan tar chhoh zel chuan balance a tlahniam bawk. |
| Ruh chak lohna natna | Osteoporosis emaw osteopenia emaw ang chi dinhmun. |
| Hmeichhia nih hi | Hormone inthlak danglam vangin ruh a hring duhna a sang zawk a, a bik takin menopause hnuah. |
| Balance tichhe thei natna | Natna hrang hrang, Parkinson natna, luak chhuak fo (Vertigo) emaw, epilepsy emaw. |
Engtin nge doctor hian hei hi a hriat chian?
Damdawi in lama hruai i nih hnuah doctor-in Emergency Department (ETU)-ah a enfiah fo ang che. I hip leh ke an enfiah ang a, i natna, a hring leh i hmel danglam te an enfiah ang. Chumi hnuah chuan a hnuaia test pakhat emaw a aia tam emaw an ti ang a, a ruh tliak chu an finfiah ang a, a nihna dik tak an hre ang.
- Hip X-ray hmanga tih a ni
- MRI scan a ni
- CT scan a ni
Engtin nge enkawl a nih? Surgery neih a ngai em?
Ni e, hip tichhia zawng zawng deuhthaw hian operation an mamawh ang. Surgery i mamawh chi chu i ruh tliak dan te, i kum leh hriselna lama harsatna dang i neih leh neih lohah a innghat ang. Surgery hi chi hnih a awm a.
1. Hip Replacement / Hip Arthroplasty: He enkawlna hi kum 65 chunglam tan tih a ni tlangpui a, a ruh zawng zawng (total replacement) emaw a then chauh thlak (partial replacement) a ngai mai thei.
2. Open Reduction and Internal Fixation (ORIF): Hetiang tih danah hian surgeon chuan ruh tliak te chu a dam hma loh chuan a vawn tlat theih nan screw, pin, plate emaw, thir rod emaw a dah lut thin. Mi thenkhat chuan hengte hi an dam chhungin an nei reng thin. Midang chuan ruh a dam hnuah lakchhuah tir an ngai bawk.
Operation hnuah pawh complication a awm thei em?
Surgery dang ang bawkin harsatna a awm theihna a awm.
- Avascular Necrosis: Ruh section pakhat chu ruh chhunga thisen kalna tur tihtawp a nih chuan a thi thin.
- Union ni lo: 1.1.Ruh chhe tawhte chu a in fit leh lo.
- Malunion: Ruh chi hrang hrang a inmil lo.
- Bone infection (Osteomyelitis): Ruh tliak chu vun chhungah a lut (open fracture) chuan bacteria infection a awm theihna a sang hle.
Eng chen nge tihdam a ngaih?
Hip tliak chu a dam kim theih nan thla engemaw zat tal a ngai a ni. Zawi zawiin i rilru a hahdam theih nan kum khat vel a la ngai thei. I dam theih hun chhung hi thil engemaw zatah a innghat a ni:
- Surgery chi hrang hrang tih a ni
- 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. Thla engemaw zat PT i tih a ngai dawn a ni. I hip vel muscle te a tichak ang a, i kal leh che thei ang. A tir lamah chuan walker, crutches, emaw cane emaw i hman a ngai mai thei.
Engvangin nge hip fracture hi accident hlauhawm tak a nih?
Hei hi medical emergency a nih avangin, ruh a tihchhiat bakah hian a chhehvela taksa peng pawimawh tak takte pawh a tichhe thei a ni.
A pawimawh ber chu accident na tak, femur tichhia thei khawpa na a nih chuan a bula kal femoral artery chu a chhe thei a ni. Chutiang a nih chuan thisen chhuah tam lutuk chuan nunna a tichhe thei a ni. Thisen zam a awm theihna a sang bawk.
Hei hi a pawi hle thei a, accident hi kum upa lam a nih chuan a pawi hle thei a ni. An upat deuh deuh chuan taksa chu a dam zawi zawi a. Surgery leh a hnu lama dam hun chhung chu an tan chuan a harsa hle thei a ni. Zirchianna thenkhatah chuan kum upa lam, hip fracture tuar te chu an dam hnuah pawh kea kal leh khawtlang nun atanga inhnukdawk an tlem zawk tih hmuhchhuah a ni. He mahni chauhna hian an hriselna zawng zawng a nghawng thei a ni.
Hetiang accident hi ven theih a ni em?
Accident hi thunun thei lo mah ila, a hlauhawmna tihziaawmna tur thil tam tak a awm.
- I in boruak chu him takin siam rawh: Thil hnim hring, wire inzawm, leh thil dangte chu lei aṭangin la chhuak rawh. Bathroom ah chuan non-slip mat dah la. Lighting tha tak a awm ngei ngei tur a ni.
- I ruh hriselna enkawl rawh: Calcium leh vitamin D tamna ei tur ei la, i doctor nen inbia la, exercise \ha tak ti rawh.
- Bone density test nei rawh: Kum 65 chunglam emaw, chhungkaw history-a ruh natna nei emaw i nih chuan, i doctor nen bone density test neih dan tur sawipui rawh.
- Invenna hmanrua ha la:I lirthei khalh dawnin seat belt vuah fo ang che. Infiamna i khelh chuan himna atana hmanraw \ha tak tak ha la.
- Thil sang tak atanga thil i pan dawnin fimkhur rawh: Thil thleng tur chuan ṭhutphah emaw, dawhkan emaw-ah chuan lawn suh. Ladder emaw thil dang emaw remchang tak hmang rawh.
Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?
Hip tliak i rinhlelh chuan emergency a ni fo. Ambulance call nghal rawh. Mi tu emaw a tlu a, a hnuaia symptoms te hi a neih chuan damdawi lam pan vat tur a ni.
| Damdawi ina kal nghal vat a ngaih huna thil awm dan | |
|---|---|
| 1. 1. A rilru a hah lutuk chuan a rilru a buai em em a. | Hip emaw ke emaw chu a che thei lo tak tak a nih chuan. |
| 2. 2. A rilru a hah lutuk chuan a rilru a buai em em a. | Tuar theih loh, natna nasa lutuk a awm chuan. |
| 3. A rilru a hah lutuk chuan a rilru a buai em em a. | Hip emaw ke emaw a inthlak danglam a, a pianzia a danglam tawh a nih chuan. |
| 4. 4. A rilru a hah lutuk chuan a rilru a buai em em a. | Ruh tliak chu vun hmanga hmuh theih a nih chuan. |
| 5. A rilru a hah lutuk. | A natna hmun chu a hring lutuk a, a hliam a nih chuan. |
Mi hip chhe tawh chu tihngheh emaw, chawi sang emaw chu a pawi em?
A tha lo tak zet. Miin hip a tliak nia i rinhlelh chuan ambulance ko nghal rawh. Trained medical professional-te an lo thlen a, damdawi ina an phurh hma loh chuan i tih theih awmchhun chu a awm reng theih nan i bei mai a ni. Keah hian rit engmah dah suh, ding emaw, kal emaw tum suh.
Take-Home Thuchah a ni
- Hip fracture hi damdawi lam thil pawi tak leh hmanhmawhthlak tak a ni. A ngaihthah tur a ni lo.
- Hei hi kum upa lam zingah a tam ber nachungin, kum eng pawha accident na takah a thleng thei a ni.
- Enkawlna atan chuan zai a ngai fo thin.
- Recovery period hi a rei thei a, dawhtheihna leh physical therapy hi a pawimawh hle.
- A bik takin nu leh pa tar tawhte awmna inah chuan an tlu leh tlu loh nan a tul anga venhimna lak a pawimawh hle.
- Hip fracture i rinhlelh chuan damlo chu nangmah ngeiin sawn tum lo la, ambulance ko nghal rawh.
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