I hip i ti chhe tawh em? Nge tu emaw a tlu em? Hip fracture chungchang hi i zir chiang ang u!

Kan upa pakhat, pi emaw, pi emaw pawh ni se, a tlu a, a tlu a nih chuan a hlauhawm hle thei a ni lawm ni? ‘Aw, ka hip ka tichhia em tih pawh ka hre lo’ tiin kan ngaihtuah fo thin. Dik tak chuan he hip, chu chu `(Hip Fracture)` tih hi tihchhiat hi game a ni lo. I nun tichhe thei dinhmun khirh tak a ni. Chuvangin, vawiin hian he thu hi chiang tak leh awlsam takin i sawi dawn nia.

Hip tihchhiat mai mai chu eng nge a awmzia?

Okay, tunah chuan hip fracture hi eng nge a nih kan en ang. I ke hian thigh bone a nei a, chu chu hip atanga khup thlenga ruh sei ber leh chak ber a ni. Doctor ten femur an ti bawk. Chu chu thigh bone chunglam a ni a, a bik takin hip joint bula awm chu a ni a, chu chu hip fracture kan tih chu a ni.

Hip bone hi taksa ruh sei ber leh chak ber a ni. Chuvangin, a tlangpuiin, a chhiat theih nan chuan tlu na tak emaw, trauma lian tak emaw, car accident ang chi emaw a ngai thin. Hip i tihchhiat chuan a tam zawkah chuan siamthat nan operation i mamawh mai thei tihna a ni.

A châng chuan kan ṭhiante nên chuan, ‘Ka upa tawh avângin ka hip ka tliak’ tih ang chite chu kan fiamthu ṭhîn. Fiamthu mai ni mahse, hip tliak hi accident na tak, nun tidanglam thei tak a ni tih hriat reng a pawimawh . I ngaihthah chuan a hnuah harsatna lian tak a thlen thei a ni.

Hip a tihchhiat theih dante chu engte nge ni?

Tunah chuan en teh, kan hip joint hi ball -and-socket joint a ni. Thigh bone ball ang chi (femoral head) hi kan pelvis-a cup ang maia socket (acetabulum)-ah a in fit a. Chuvangin ‘broken hip’ kan tih hian a ke ruh chunglam khawi hmunah pawh ruh a chhe thei tihna a ni.

Doctor-te chuan heng hip fracture te hi femur break na hmun a zirin an classified thin. Eng nge an nih hi han thlir ila:

• Femoral head fractures: Hei hi femur ball ang deuh, thigh bone chunglam a round part fracture a ni. Hei hi a takah chuan thil thleng tlem tak a ni.
• Femoral neck fractures: Subcapital fractures emaw intracapsular fractures emaw an ti \hin a, hei hi lu zungpui leh a sir lam atanga tlan chhuak shaft sei tak inkar, femur-a bridge ang chi a ni. Hei hi hip fracture chi khat a ni ber. Bottle kawr ang a nih avangin awlsam takin a chhe thei a ni.
• Intertrochanteric fractures: Femur sir lehlamah ruh langsar (trochanters) pahnih a awm a. Hengte hi taksa ruhte inzawmkhawmna hmun a ni. Hei hi heng prominences inkar area-a fracture an ti a.

Doctor-te pawhin a ruh tliak (fracture) awmzia (i.e., a chhe dan, a pianzia) a zirin a hming an vuah bawk. Entirna tlemte chu hetiang hi a ni:

• Transverse fractures a awm thin
• Oblique fractures a awm thin
• Spiral fractures a awm thin
• Comminuted fractures – Hei hi glass chi khat leia tla a, a chhe vek ang mai a ni.

Hei hi eng symptoms nge ni?

Hengte hi hip tliak chhinchhiahna tlangpui a ni. Heng zinga pakhat emaw a aia tam emaw i neih chuan i ngaihtuah ngei tur a ni.

• Ka hip pain na tak ka nei a . He natna hi groin thlengin a radiate thei bawk.
• I hip emaw i ke emaw i che thei lo a, chu chu i mobility nasa takin a khap tihna a ni. I rit pawh i tuar thei lo va, i ding thei lo bawk.
• Kut chhunga hriat theih tur hnah a awm thei a, pawn lam atanga hmuh theih hnah a awm thei bawk.
• Swelling a awm thin.
• Bruises, chu chu blue turn tihna a ni.
• Pawn lam atanga thlir chuan hip joint hi a deformed leh misshapen angin a lang thei . Ke pawh a tawi deuh a, pawn lam hawiin a lang thei bawk.

Hip fracture awm chhante chu engte nge ni?

A awlsam zawngin, hip fracture chuan accident na tak a ngai a ni . A chhan chu, a hmaa kan sawi tawh ang khan ruh chak tak a ni. A chhan ber chu:

• Tlu: A bik takin hmun sang (ladder, inchung, thing ang chi) atanga i tlak chuan. Amaherawhchu, kum upa lam tan chuan ding mai maia i tlu leh tlu a nih pawhin a thleng thei a ni.
• Lirthei chetsualna: Car, bicycle, leh three-wheeler chetsualna hian hetiang hian hliam na tak a thlen thei a ni.
• Infiamna lama inhliam: A bik takin infiamna nasa tak, rugby leh football-ah te.

Tu nge hlauhawm zawk?

Tu pawhin accident an tawk thei a, hip an tichhia thei bawk. Mahse mi thenkhat chu risk sang zawkah an awm. Chungte chu:

• Kum 65 chunglam puitling: Kan tar chhoh zel chuan kan ruhte a chak lo a, kan balance a tlahniam a, chu chuan kan tlu duhna a tipung a ni.
• Ruh chak lo thei natna nei te. Entirnan, ``Osteoporosis`` (ruh hloh) emaw ``Osteopenia`` (ruh tihthianghlim) emaw an neih chuan. Hetiang dinhmunah hian ruhte chu biscuit ang maiin a chhe vek thin.
• Hmeichhia hi mipa aiin an hlauhawmna a sang zawk a, a bik takin menopause hnuah chuan ruh natna (osteoporosis) an vei tam zawk avangin.
• Infiammi contact sports khel thin te.

A tlangpuiin hip fracture hi mi sang tak atanga a tlak hian a awm thin. Mahse, kum 65 chunglam emaw, ruh chak lo emaw tan chuan inchhung hna thawh lai emaw, nitin thil tih lai emawa tlu emaw, tlu emaw pawh nise, hip tihchhiat theihna chance a sang zawk hle. Ngaihtuah teh, kan in chhunga pi pakhat chu a tlu a, bathroom-ah a tlu a nih chuan... Kum a lo upat deuh deuh chuan ruh a chak lo deuh thin avangin, a tlak pawhin hip a tihchhiat theihna chance a sang zawk. Chutiang bawk chu `(Osteoporosis)` vei tan pawh a thleng thei.

Tin, i balance, stability, emaw gait emaw tichhe thei hriselna dinhmun eng pawh hian i hip tihchhiat theihna a tipung thei bawk. Balance tihtlem thei condition thenkhat chu:

• ` (Parkinson natna)` (Parkinson natna) .
• ` (Vertigo)` (Lung luak chhuak) .
• Kal dan dik lo (gait abnormalities) a awm
• Seizure thlen thei natna, epilepsy ang chi te.

Engtin nge doctor hian hei hi a hriat chhuah?

Doctor chuan taksa enfiahna leh special imaging test hmangin i hip a tliak tih chiang takin a hre thei ang . Tlu nasat emaw, accident dang emaw i neih hnua emergency room (ER)-ah i kal chuan chuta doctor-te chuan ruh tliak a ni tih an hmuchhuak thei a ni.

Doctor chuan accident a thlen dan a zawt hmasa ang che, a nana hmunte a en ang a, i ke i sawn theih leh theih loh a en ang. Tichuan, i hip leh a chhehvel thlalak an la ang a, a hnuaia test pakhat emaw a aia tam emaw an hmang ang:

• Hip X-ray: Hei hian ruh tliak a hriat theih fo.
• MRI (Magnetic Resonance Imaging) test: X-ray a chiang lo a nih chuan, a nih loh leh ruh tê tê nia rinhlelhna a awm chuan, he test hmang hian fiah zawka hmuh theih a ni.
• `CT scan (Computed Tomography scan):` He test hian ruh chipchiar takin thlalak a la thei bawk. Hei hi surgery ruahman hunah a tangkai hle.

Enkawlnate chu engte nge ni?

Hip tichhia zawng zawng deuhthaw hian operation an mamawh dawn a ni. Hei hi a chhan chu operation tel lo chuan a dam tha tawk lo hle a ni. Surgery i mamawh chi chu a ruh nasat dan te, a chi hrang hrang te, i kum te, i hriselna tlangpui te, leh hliam dang emaw hriselna lama harsatna dang i neih leh neih lohah a innghat ang. Hip fracture tan hian surgery chi hnih a awm a, chungte chu:

• Hip replacement (or hip arthroplasty): Kum 65 chunglam puitlingin hip a tliak a nih chuan hip replacement an neih a ngai tlangpui ang. Hei hian hip joint chhia chu la chhuakin, chu chu thir, plastic, a nih loh leh ceramic hmanga siam artificial joint hmanga thlak a huam a ni. Total replacement emaw, partial replacement emaw pawh a ni thei.
• Open Reduction and Internal Fixation (ORIF): Hetiang tihnaah hian i surgeon chuan i hip ruh chhungah screw, pin, plate emaw, metal rod emaw a dah a, chu chuan ruh tliak chu a hmunah a vawng tlat a ni. Hei hi ruh tliak te chu a dam tha a, a che lo a nih chuan a ni. Mi thenkhat chuan an dam chhung zawng heng implant te hi an vuah a ngai thin. Midang chuan an hip a dam hnuah an la chhuak thei bawk.

Operation hnuah eng complication nge awm thei?

Surgery dang ang bawkin hip surgery hnuah pawh harsatna engemaw zat a awm thei. Hengte pawh hi hriat chian a tha:

• Ruh a thisen kal chak loh vanga ruh thihna (`(Avascular necrosis)`):A bik takin femoral neck fracture-ah chuan ruh lu-a thisen kalna chu a tibuai a, chu chu a thi ta a ni.
• Nonunion: Ruh tliak chu a dam kim lo emaw, a then emaw pawh a dam lo thei a, operation dang neih belh a ngai thei bawk.
• Malunion: Hei hi ruh tliak chu a dam dik loh a, a inmil lo a nih chuan a thleng thin . Hei hian hun engemaw chen chu na leh kea kal harsatna a thlen thei a ni.
• Bone infection (Osteomyelitis): Open fracture (ruh hian vun a tihchhiatna hmun) i neih chuan bacteria infection i vei theihna a sang zawk. Surgery hmunah pawh infection a awm thei bawk.
• Thisen zam: Operation hnuah thisen zam a lo awm thei a, a bik takin ke ruh lian tak takah thisen zam a lo awm thei. Chungte chu lung lam pana an kal chuan nunna atana hlauhawm tak an nih theih avangin a hlauhawm hle.
• A kaihhnawih thil dang: Puitling tan chuan lung infection leh urinary tract infection ang chi thil te pawh operation hnuah a awm thei bawk.

Engtin nge he thil hi i dam khawchhuah?

A chang chuan hip fracture hi a awlsam lo hle a, beisei loh taka thleng fo thin angin, tlu nghal emaw, accident dang emaw atanga lo awm thin a ni. Mahse, tlu leh accident hlauhawmna tihziaawmna turin heng himna atana thurawn tlangpui te hi zawm tur a ni. Hengte hi nangmah chauh ni lovin, i chhungte tan pawh a pawimawh a ni:

• I in leh hnathawhna hmun chu felfai takin vawng la, a tul lo taka thil buaithlak lo turin awm rawh. Wire leh thil loose te chu floor atang hian la chhuak rawh. Hei hian nangmah emaw midang emaw chunga tlu theihna a ti tlem ang.
• Bathroom-ah hian non-slip tiles leh shower handle dahna tur grab bar dah rawh.
• Kum 65 aia upa i nih chuan, emaw, i chhûngkaw zînga mi tu emaw chuan ruh natna a vei a nih chuan, i doctor nêna bone density test neihpui tûra inbiakna neih chu ngaihtuah rawh . Hei hian ruh chak lote chu a hmain i hmuchhuak ang a, enkawlna i dawng thei bawk ang.
• Ruh hriselna tha neih theihna tura puitu diet leh exercise plan zawm rawh . Calcium leh vitamin D tamna ei tur ei la, kea kal leh exercise light ang chi thilte hian ruh a tichak a.
• I in chung lam thil i pan dawnin hmanraw remchang (ladder ang chi) hmang fo ang che. Chair leh table-ah chuan lawn ngai suh.
• I lirthei khalh dawnin seat belt vuah fo ang che.
• Eng thiltih emaw, infiamna emaw atan pawh safety gear dik tak ha rawh.

Eng chen nge tihdam a ngaih?

Hip tliak chu a dam theih nan thla engemaw zat tal a ngai a ni. I rilru a hahdam a, hun kal zelah hmasawnna i hmu thei a, kum khat chhung enkawl a ngai thei bawk. In sak ang mai a ni a, a then a in sak a ni. Damna hun chhung hi thil dang tlemteah a innghat a ni:

• Surgery i neih tur chi chu.
• Hliam dang i nei em tih ka ngaihtuah thin.
• I kum (mi upa zawkin a dam theih nan naupang zawk aiin hun a duh rei zawk).
• I hriselna zawng zawng (entir nan, zunthlum i neih chuan dam lehna a tlai thei).
• Break chhan leh break nasat zia.

I surgeon chuan i beisei tur leh i dinhmun nena inmil tur recovery time frame a hrilh ang che.

Operation hnu lawkah physical therapy (PT) i tan a ngai dawn a ni. Hei hi damdawi ina i la awm lai hian a intan thei a ni. Thla engemaw zat PT i tih a ngai dawn a, chutah chuan i che leh thei tawh ang. Physics therapist chuan exercise leh stretch te a zirtir ang che a, chu chuan i hip vel muscle te a tichak ang a, i joint ah range of motion a ti sang ang. Heng exercise te hi dik taka tih hi i damna tur atan a pawimawh hle.

Operation hnuah i dam chhung hian walker, cane, emaw crutches emaw i hman a ngai mai thei. Mi thenkhat chuan hengte hi hun rei zawk an hman a ngai a ni. I doctor emaw physical therapist emaw hnenah heng kea kalna tur hmanrua te hi eng chen nge i hman tur tih zawt rawh.

Engvangin nge hip tliak hi a hlauhawm?

Hip fracture hi ke ruh tliak mai a ni lo. Hei hi chu aia pawi zawk a ni.

Hip tliak hi game a ni lo tih hre reng ang che, emergency medical attention mamawhna na tak a ni!

I femur leh hip joint a tihchhiat bakah hian hip fracture hian hliam na tak dang a thlen thei bawk. Hei hi a bik takin i tlu nasat emaw, car accident-a i awm emaw chuan a thleng thei.

Accident na tak, i thigh bone ti chhe thei khawpa na chuan i femoral artery pawh a tichhe thei bawk. Chutiang a nih chuan thisen chhuak nasa tak chu doctor-in a enkawl vat loh chuan nunna atana hlauhawm tak a ni thei. Tin, hip tliak leh operation hnua che thei lo tura awm a ngaihna hian thisen zam a tipung thei bawk.

Hliam na tak tak, hip fracture thlentu hi puitling kum 65 chunglam tan chuan a hlauhawm zual hle a , i upat deuh deuh chuan i taksain hliam eng pawh atanga a dam theih nan hun a duh rei zawk a ni. Hei hi hip fracture ang chi accident lian takah chuan a nasa zawk. Hip replacement surgery (leh a dam hun chhung) hi kum upa lam tan chuan a harsa zawk thei. Damdawi lam harsatna dang an neih chuan thil awmdan chu a buaithlak lehzual thei a ni.

Zirna hrang hrangah chuan kum 65 chunglam puitling, hip tliak tawhte chuan an dam hnua kea kal ang chi taksa tihchakna an tihtlem emaw, an chawlhsan emaw a, khawtlang nun leh hobby-te pawh an inhnukdawk zawk tih hmuhchhuah a ni. He mahni chauhna hian i hriselna zawng zawng leh rilru hriselna zawng zawng a nghawng thei a ni. Hip fracture hnua active taka awm dan tur doctor nen sawiho rawh. I hmangaih tak takte leh i thil hlimawm tak takte nena inzawmna nei reng tur kawng him tak tak an rawn rawt thei a ni.

Engtikah nge damdawi in pan vat a ngaih?

Hip fracture apiang hi medical emergency a ni. I hip a tliak nia i hriat chuan 1990 (or i local emergency number) ah call nghal rawh. Tlu, car accident, emaw accident na tak dang i tawk a, heng symptom pakhat emaw a aia tam emaw i neih chuan emergency services call rawh:

• I hip leh ke i che thei lo.
• Tuar theih loh hrehawmna a awm.
• I hip emaw i ke emaw chu a danglamin a lang a, a hmaa a lan danah a lang lo, a inzar pharh ang maiin a lang.
• A châng chuan vun a hrual a, ruh a lang (hei hi a pawi hle).
• I hip a na hle mai.
• Heng symptom dangte nen hian rang takin hliam na tak (blueness) a lo lang thin.

Doctor hnenah eng zawhna nge i zawh tur?

Nangmah emaw, i hriat mi emaw hip tliak neia i enkawl dawnin, hetiang zawhna hi doctor zawt la, chutiang chuan thil awmdan chiang takin i hre thei ang.

• Eng ang hip fracture nge ka neih? Engtiang chiahin nge a serious?
• Eng ang surgery nge ka tih a ngai dawn? Chuta tang chuan eng nge ka beisei theih ang?
• Operation hnua hlauhawm awm thei te chu engte nge ni?
• Engtiang chiahin nge physical therapy (`PT`) ka tan a ngai ang?
• Eng chen nge ka dam kim theih nan? Ka thawk leh thei dawn em ni?
• Natna thunun tûrin eng nge i tih theih?

Hip tliak chungin i kal thei ang em?

No. I ding thei lo va, i kal thei lo va, i hip tliak chungah pawh rit i dah thei lo. Hip-a pressure dah hian ruh tliak chu a ti na zual thei a, ruh tliak chu a tikehsawm thei a, a chhehvel thisen kalna kawng leh nerve te a tichhe thei a, harsatna leh hliam dang a thlen thei bawk.

I surgeon emaw healthcare provider emaw chuan operation hnu leh i dam chhungin him taka ding dan, kal dan leh che dan tur a entir ang che. An thupekte chu uluk takin zawm rawh.

Mi hip chhe tawhte tihngheh chu a pawi em?

Mi pakhatin hip a tliak nia i hriat chuan 1990 (or i local emergency number) ah call nghal rawh. Trained health professional chauhvin hip chhe tawh chu an sawn tur a ni a, an chawi tur a ni a, an sawn tur a ni. Chu mi chu a theih ang anga muhil tir tum la, sawn ngai lovin. An keah pressure engmah dah suh la, ding emaw, kal tir emaw tum suh. Chutianga tih chuan hliam chu a tizual thei a ni.

Emergency services i call hian, call chhangtu hnenah tanpuina a lo thlen hma loh chuan chu mi chu him leh nghet taka awm dan tur hrilhfiahna zawt rawh.

Hip tliak hi thil hlauhawm tak, lungchhiatthlak tak a ni. A bik takin second tlemte chhungin a thleng thei a, chu chu tlu nghal emaw, car accident emaw atanga lo chhuak a ni. Hip surgery atanga dam leh hi hun rei tak, thil harsa tak a ni thei. I dam lehna kawngah hmasawnna tlemte apiang lawm rawh. I che leh exercise harsa i neih chuan i doctor emaw physical therapist emaw hnenah hrilh rawh. Anni chuan harsatna i tawh apiang hneh tûrin an ṭanpui thei che a ni.

A tawp berah chuan thil hriat reng tur

Hip tihchhiat hlauvin i nun a ngai lo. Mahse eng thil nge a thlen thei tih hriat a pawimawh a, engtin nge i risk tihziaawm theih ang tih hriat a pawimawh. Accident a thlen hmain i ruh density emaw, i hriselna zawng zawng emaw a inthlak danglamna hriat theihna tur screening neih fo chungchang sawipui rawh. Tlu lakah inveng la, i ruhte chu nghet takin vawng reng rawh. A chhan chu hip hrisel hi zalenna, hlim taka nun theihna kawngkhar a nih vang a ni! Dawhtheihna leh doctor thurawn zawm chuan he natna atang hian i dam tha thei ang.

` Hip fracture, Hip fracture, Hip fracture, Femur, Kum upa lamah tlu, Osteoporosis, Hip surgery tih te