I kut chunglam ruh i tikehsawm tawh em? (Humerus Fracture) chungchang hi han sawi ila!

Aw ka! I kut a na em? Tlu emaw, accident emaw i tawh hnuah pawh i kut chunglam natna leh hliam na tak i nei tawh em, chu chu i sawn theih loh phah em? Chutiang a nih chuan `(Humerus Fracture )` i nei thei a, chu chu kut chunglam ruh tliak a ni. Ngaihtuah buai suh, he thu hi chipchiar tak leh awlsam takin sawi ila.

Hei hi eng nge ni `(Humerus Fracture)`? A awlsam zawngin i hrethiam ang u!

Awle, a hmasain he ruh `(Humerus)` an tih hi eng nge a nih kan en ang. I kutphah atanga i elbow thlenga i kut chunglam a ni a, chu chu chutah chuan ruh sei tak kan neih awmchhun, `(Humerus)` a ni. Chuvangin, he ruh hi a chhiat chuan, a chhiat chuan doctor-te chuan `(Humerus Fracture)` an ti thin. Hei hi i ngaihtuah angin a awm lo a, mahse a thleng a nih chuan a pawi deuh thei.

A tam zawkah chuan hetiang chi ruh tliak hi accident (trauma) vang a ni. Car accident, sang tak atanga tlak, etc. ngaihtuah la, hetiang hun lai hian he ruh chak tak pawh hi a chhe thei a ni.

I humerus i tihchhiat chuan siamthat nan operation i mamawh mai thei. Mahse mi zawng zawng hian operation an mamawh vek lo. Mi ṭhenkhat chuan splint, cast, a nih loh leh sling chauh hmangin an khawsa thei a ni. Mahse, i kut chu i hman kim leh theih nan physical therapy i mamawh dawn a ni.

Fracture chi hrang hrang a awm em?

Ni e, i doctor chuan i ruh tliak chu a chhe dan a zirin a classified ang. He classification hi enkawl dan tur tehnaah a pawimawh hle. A chi hrang hrang thenkhat han thlir ila.

An chhe dan azirin type hrang hrang:

Heta kan en tur hi `break line` hi eng ang nge a nih tih hi a ni.

• Transverse fracture: Ruh chhunga transverse break a awm.
• Oblique fracture: Ruh angle-a ruh tliak.
• Spiral fracture: Ruh chu spiral-a a inthen, spiral ang maia ruh tliak a ni. Hei hi kut a inher chhuah hian a thleng fo thin.
• Segmental fracture: Ruh hmun hnih tal a chhe, a laiah a hnah pakhat a inthen .
• Comminuted fracture: Ruh chi hrang hranga inthen darh. Hei hi a buaithlak deuh.
• (Impacted fracture): Ruh chhe tawhte chuan pakhat chu pakhatah an nawr lut tawh a nih chuan.
• (Buckle fracture / Torus fracture): Hei hi naupang tê têah a tam zawk. Ruh chu a chhe vek lo va, a sir khatah chuan chhung lam hawiin a ben deuh zawk a ni.
• (Hairline fracture / Crack): Ruh chhunga line te tak te tihchhiat mai mai.

Break a thlen dan azirin type hrang hrang:

• Stress fracture: Hmun khata pressure emaw strain emaw tih nawn leh avanga ruh a chhe tlem. Hei hi infiammi te chungah a thleng thei a ni.
• Avulsion fracture: Ruh hnah te tak te chu ruh nena inzawm muscle emaw tendon emaw a innghahna atanga a inthen darh a.

Elbow bula ruh tliak chi khat: `(Supracondylar humerus fractures)`

I kut chunglam ruh chu elbow chung lam deuhah a chhe a nih chuan ``supracondylar fracture'' an ti a ni.Hei hi naupang tê têah a tam ber . Naupangin an kut phar chunga a tlu a, leiah rit a dah hian a thleng tlangpui. Doctor-te chuan hei hi an enfiah a, an enkawl a, ruh tliak dang ang bawkin.

Open nge khar? (`Open vs. khar fractures`) a ni.

Hei pawh hi classification pawimawh tak a ni.

• (Open fracture): Hei hi ruh tliak chuan vun a tikehsawm a, a rawn chhuak a ni. Hei hi a hlauhawm deuh a, a chhan chu natna kai theihna a tipung a, a dam rei zawk bawk.
• (Closed fracture): Hetah hian ruh a chhe a, vun erawh a chhe lo. Hei pawh hi a pawi hle a, mahse `open fracture` angin natna kai theihna a awm lo.

Ruh chi hrang hrangte chu a inthlak danglam em? (`Humerus ruh tliak (displaced humerus fractures`)

Doctor chuan i fracture chu `displaced` nge `non-displaced` tih a hrilh bawk ang che.

• Displaced fracture: Hei hian ruh a tliak chuan a chi hnih chu a inthlak a, an inkarah gap lian tak a awm tihna a ni. An awmna hmun atanga chhuak an ni. Hetiang chi ruh tliak hi a siamthat theih nan operation a ngai fo thin .
• (Non-displaced fracture): Ruh chu a chhe tawh a, mahse a hnah te chu a inher lutuk lo va, a hmunah a la awm reng bawk.

Khawiah nge kut chunglam ruh (`Humerus`) chu tihchhiat theih?

I doctor chuan ruh tliak awmna hmun dik tak a sawi bawk ang. Hemi atan hian thumal bik an hmang thin.

• Hmun (`Location - proximal leh distal`): Heng thumal pahnih hian ruh dung lamah khawiah nge a tliak tih a hrilh che a ni.
• (Proximal): Hei hi ruh chunglam tawp, kekawr bul hnaih ber a ni . Chuvangin, `proximal humerus fracture` tih awmzia chu i kut chunglam ruh chu i kekawrte nena a inzawmna hmunah a chhe tihna a ni.
• (Distal): Hei hian ruh hnuai lam tawp a kawk a, chu chu elbow hnaih ber a ni . `Distal humerus fracture` tih hian ruh chu elbow-ah a chhe tihna a ni.
• Anatomy: I ruh hi a chi khat ni mahse, a chhe thei tur hmun hrang hrang a nei a. Humerus hi lu (a chung lam chu kekawr bul hnaih), shaft (a lai lam chu rod ang mai) leh distal aspect (a hnuai lam chu elbow bulah)-ah then a ni. Doctor-te chuan ruh chhiatna hmun dik tak sawina atan surgical neck leh greater tuberosity tih ang chi thumal an hmang thin. Hengte hi hriat tam a ngai lova, mahse doctor tan chuan a pawimawh hle.

Hetiang chi ruh tliak hi tuin nge vei? Engtiang chiahin nge an hluar?

Dik tak chuan humerus fracture hi ruh tliak dang ang bawkin tu chungah pawh thleng thei thil a ni. Hengte hi accident na tak tak avanga lo awm fo thin a nih avangin engtikah nge, engtin nge, tute chungah nge accident a thlen dawn tih kan sawi lawk thei lo.

Mahse, humerus fracture hi chutiang chuan a awm lo . Fracture dang zawng zawng zingah 10% aia tlem chu humerus fracture a ni.

A tam zawkah chuan humerus ruh hi a hnuai lam aiin a chung lamah, kekawr hnaih zawkah (proximal humerus fracture) a chhe thin (distal humerus fracture).

Humerus Fracture natna lan chhuah dan chu engte nge ni?

Humerus fracture i neih chuan symptoms i nei thei ang:

• Natna nasa tak (`Natna`) .
• Vung
• Tenderness ( khawih emaw, press emaw a na ) .
• Kut inthlak theih lohna pangngai
• Vun hliam emaw, vun rawng danglam emaw
• Kut deformity emaw bump emaw a awm a, a pangngai lo

A pawimawh ber chu i humerus ruh a chhe a nih chuan a chhehvela tissue dangte pawh a chhiat theihna a awm.

Hei hian a huam thei ang:

• Muscles : I biceps (hma lam ruh) leh triceps ( hnungzang ruh).
• Nerves: I nerve lian pathum, median nerve, ulnar nerve leh radial nerve te hi humerus ruh nen an inzawm vek a. Chungte chu a chhiat chuan kutah hriatna leh chetna a hloh thei a ni.
• Thisen supply : I brachial artery (thisen kalna bulpui) leh vein.

`Humerus Fracture` hi engte nge ni?

Sawi tawh ang khan hengte hi accident (trauma) avanga lo awm a ni fo thin . Humerus hi taksa ruh chak ber zinga mi a ni. A chhe tur chuan chakna nasa tak a ngai a ni.

A chhan lian tak tak engemaw zat a awm a:

• Car accident a awm thin
• Tlu - a bik takin hmun sang atanga tlak, emaw, i kut chunga tlu emaw.
• Sports injuries - infiamna inhnaih tak takah a awm thei.

Osteoporosis ang chi natna avanga i ruh a chak lo a nih chuan ruh i ti chhe thei zawk.

`Osteoporosis` chungchang tlem han zir ila

` Ruh natna (Osteoporosis) a awm`` Hei hian ruhte a tichak lo va, chutah chuan beisei loh takin a chhe nghal thei a ni. Mi tam tak chuan ruh an tihchhiat hnuah chauh ``Osteoporosis`` an nei tih an hrechhuak thin. Hei hi a tir lamah chuan chhinchhiahna langsar tak tak a neih loh vang a ni.

Kum 50 an tlin hnuah hmeichhia, a bik takin ruh natna (osteoporosis) an vei theihna a sang zawk. Chuvangin, ruh density screening neih theih nan doctor nen inbiakna neihpui a tha. Hei hian ruh a tliak hmain a natna chu a hriat theih nan a pui thei a ni.

`Humerus Fracture` hi engtin nge kan hriat theih ang?

I doctor chuan taksa enfiahna leh imaging test hmangin humerus fracture a awm leh awm loh a enfiah ang . Accident hnua damdawi in emergency department-a admit i nih chuan heng test te hi chutah chuan tih theih a ni.

Emergency room-a i kal chuan medical team-in an stabilize ang che a, i hliam nasat dan azirin an enkawl ang che, a bik takin nunna atana hlauhawm hliam i neih chuan. I stabilized hnuah chuan imaging test hmangin i fracture tih finfiah a ni ang.

`Humerus Fracture` a awm tih hriat nan eng test nge tih thin?

Heng test zinga pakhat emaw a aia tam emaw hi a ruh tliak thlalak lak nan tih theih a ni:

• X-ray: X-ray hian ruh tliak eng pawh a nemnghet thei a, ruh chhiatna engzat nge a awm tih pawh a hriat theih bawk. Hei hi test hmasa ber a ni.
• Magnetic Resonance Imaging (MRI): I doctor-in i ruh leh a chhehvela tissue-te chhiatna kimchang a hmuh duh chuan MRI tih theih a ni. Hei hian ruh vel a ruh, ruh leh nerve te chhiatna a zawng thei bawk.
• CT scan: CT scan hian i doctor emaw surgeon emaw hnenah X-ray aiin i ruh leh a chhehvel tissue te chu a chipchiar zawkin a hmu thei a ni. Hei hi complex fracture, comminuted fracture ang chi tan chuan a pawimawh hle.

`Humerus Fracture` hi engtin nge kan enkawl ang?

I ruh tliak enkawlna chu eng chi nge a nih, eng thilin nge a chhan, leh i ruhte chu engzat nge a tihchhiat tih a innghat ang .

Kut chu immobilization a ni

I ruh tliak chu a na lutuk lo a, chu chu `non-displaced` (ruh chi hrang hrang a che lo) a nih chuan, `splint` emaw `cast` emaw chauh hmangin i dam thei mai thei. `Splint` hi kar thum atanga kar nga vel a daih tlangpui. `Cast` hi a rei zawk a, a tlangpuiin kar ruk atanga kar riat vel a ni. Heng pahnih ah hian i doctor chuan i ruh a dam tha em tih hriat nan `X-ray` dang a la leh ang.

I ke leh i kut chu a hmuna awm reng turin sling i hman a ngai thei bawk a, a bik takin humerus ruh chu proximal end-ah a chhe a nih chuan.

Kut hmanga buatsaih (`Closed Reduction`) 1.1.

Fracture na zawk tan chuan ``Closed Reduction'' tih hmangin ruh tliak te chu a hmunah dah leh thin a ni. Hei hi surgery a ni lo. Doctor chuan i kut chu pawn lam atangin a chelh ang a, a hrual ang a, a nawr ang a, a chhunga ruh tliak te chu a inrem leh ang. Chutianga i tih lai chuan natna engmah i nei lo vang a, a hnuaia mi pakhat hi i ti ang:

• Fracture awmna hmun vel ah numbing damdawi inject (local anesthetic).
• Taksa pum tihreh nan damdawi pek (`Sedatives`).
• Procedure chhung zawng hian muthilh tir (`General anesthesia`) i ni ang .

Closed reduction i tih hnuah doctor chuan i kut ah splint emaw cast emaw a dah ang.

`Humerus Fracture` (`Humerus fracture surgery`) avanga operation tih a ni.

Humerus fracture thenkhatah chuan operation a ngai thin. Ruh tliak chi hrang hrang leh ruh chhiatna engzat nge a awm tih a zirin i surgeon chuan kawng hrang hrang a hmang thei a ni.

Internal fixation a ni

Surgeon chuan i ruh tliak te chu a hmunah a `set` leh ang a, a hmunah a siam tha ang a, chutiang chuan ruh te chu a dam leh thei ang a, a rawn inzawm leh ang. A tam zawkah chuan `internal fixation` tih an ti ang. Chumi awmzia chu surgeon chuan i ruh chhungah hian metal piece (`metal`) a dah lut ang a, chu chu a hmunah a vawng tlat ang . Ruh a dam vek hma loh chuan i kut hman dan kha i tihtlem a ngai dawn a ni.

`Internal fixation` tih dan hrang hrang a awm a:

• Rods: Ruh chhunga thir tiang, a chung atanga a hnuai lam thlenga dah luh.
• Plate leh screw: Ruh chi hrang hrang inzawmkhawmna atana ruh nena inzawm, thir plate.
• Pin leh wire: Hengte hi fixation device dang aiin ruh chi hrang hrang te zawk awmna hmunah hman a ni. Rod emaw plate emaw nen inzawmkhawmin an dah fo thin.

Mi thenkhat chu heng thir chi hrang hrangte hi an taksaah dahin an khawsa thin. Mi thenkhat chuan an lakchhuah nan operation an neih leh a ngai thin.

Joint thlak danglam (`Arthroplasty`) tih a ni.

Elbow emaw shoulder joint emaw i tliak chuan arthroplasty (joint replacement) tih a ngai mai thei. Surgeon chuan ruh chhia chu a la chhuak a, artificial joint hmangin a thlak leh thin. He artificial joint (prosthesis) hi thir, ceramic, plastic chak tak atanga siam a ni thei. Joint thar chu i natural joint ang bawkin a lang ang a, a che ang.

Ruh grafting a ni

I humerus fracture chu a displace hle a nih chuan, emaw, ruhte a in fit tha lo a nih chuan bone graft i neih a ngai mai thei. Surgeon chuan i ruh tliak chu a dah khawm leh theih nan ruh tissue extra a dah lut ang. Tichuan, ruh chu a lo seilian leh hma loh chuan a chi hrang hrangte chu an vawn khawm theih nan internal fixation an ti ang. Bone graft lak theihna hmun engemaw zat a awm a:

• I taksa hmun dang atanga lo chhuak - a tam zawk chu i hip ruh chunglam atanga lak a ni.
• Donor dang (`pawn lam donor`) hnen atangin.
• A thlakna tur artificial piece a ni.

I surgery hnuah i kut chu a thawk thei lo ang. I kut i hman leh theih nan splint, cast, emaw sling emaw i bun a ngai mai thei.

`Humerus Fracture` damdawi pek thinte chu engte nge ni?

NSAIDs (non-steroidal anti-inflammatory drugs) aspirin emaw ibuprofen emaw, natna tihziaawmna atana hman thin te hian operation hnuah thisen chhuah leh harsatna dang a thlen thei a ni. Chuvangin i surgeon chuan operation hnua natna tihziaawmna tur damdawi i ei theih dan tur a hrilh ang che.

NSAIDs side effects: Thisen chhuah, pum na, pum na, intestinal problem.

Humerus Fracture enkawlna hian eng harsatna nge a thlen?

Fracture surgery hian harsatna a thlen thei a, chungte chu:

• Acute compartment syndrome (ACS): I ruh chhunga pressure sang chuan tissue-a thisen kal chu a titawp thei a, chu chuan taksa ruh leh nerve a tichhe vek thei a ni. Hei hi emergency a ni.
• Malunion: Ruh tliak chu a dam huna a inmil tawk loh dan.
• Nonunion: Ruh inzawmkhawm kim leh dik lo.
• Bone infection (Osteomyelitis): Open fracture (ruh hian vun a tihchhiatna hmun) i neih chuan bacteria infection i vei theihna a sang zawk.
• A chhehvel tissue tichhe thei dangte: Fracture hian hliam na hmuna taksa ruh, nerve, thisen kalna, tendon leh ligament te a tichhia thei a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

I natna lan chhuah dan a reh theih nan kar engemaw zat a la ngai thei . I ruh tliak siamthatna atana immobilization method emaw surgery hman dan azirin kar tlemte hnuah i kut chu i hmang tan leh thei ang.

Pawimawh: Natna nasa tak tuar theih loh leh reh lo i neih chuan doctor ko nghal rawh.

Engtin nge `Humerus Fracture` hlauhawmna tihziaawm theih ang?

Hliam hlauhawmna tihziaawmna turin heng himna atana thurawn tlangpui te hi zawm rawh:

• Seat belt kha vuah fo ang che .
• I thiltih apiang emaw, infiamna emaw i tih apiangah himna hmanraw \ha tak tak ha rawh .
• I in leh hnathawhna hmun chu nangmah emaw midang emaw tlu thei thil awm lovin dah la .
• Chunglam atanga thil thleng tur chuan hmanraw emaw hmanraw dik tak hmang fo ang che. Chair, dawhkan leh counter-ah chuan lawn ngai suh.
• I ruh hrisel taka awm theihna tura puitu diet leh exercise plan zawm rawh.
• Kum 50 chunglam i nih emaw, i chhungte zinga mi tu emaw chuan ruh natna a vei a nih chuan, i doctor nen bone density test neih chungchang sawipui rawh .
• Kal harsatna i neih emaw, tlu hlauhawmna sang tak i neih emaw chuanCane emaw walker emaw hmang rawh .

`Humerus Fracture` i neih chuan eng nge beisei tur?

I humerus i tichhia a nih pawhin, i dam leh vek i beisei thei . Mahse, i kut chakna leh range of motion i neih leh theih nan physical therapy i mamawh dawn a ni.

`Humerus Fracture` hi a dam theih nan eng chen nge a mamawh?

I dam leh theih hun chhung chu i ruh tliak nasat dan leh i enkawl danah a innghat ang. Mi tam zawk chuan humerus fracture atanga an dam leh theih nan thla engemaw zat an hmang thin .

I taksa a dam thuai dan tur tidanglam thei thil tam tak a awm a. I dinhmun nena inmil hun bituk chungchang chu i doctor emaw surgeon emaw nen sawiho rawh.

Hnathawh emaw, sikul emaw ka kal thei lo ang em?

I hliam bik leh eng ruh nge tliak tih hian hna, sikul, leh thil dang aṭanga hla taka i awm a ngaih hun chu a hril ang. I dam lai hian taksa lam thil emaw, infiamna emaw i tih leh hmain i surgeon emaw doctor emaw nen inbia ang che.

Engtikah nge emergency room-ah ka kal ang?

Humerus fracture - emaw ruh tliak dang emaw i neih nia i hriat chuan a rang thei ang bera doctor pan tur a ni . Heng symptoms pakhat emaw a aia tam emaw i neih chuan emergency room-ah kal nghal rawh:

• Natna nasa tak a nei.
• Normal takin kut i thlak thei lo.
• I kut chu a danglam emaw, a hmun atanga chhuak lo emaw a ni.
• Vun kaltlangin ruh chu i hmu thei.
• Vung.
• Heng thil dangte bakah hian hliam thar a lang bawk.

Accident i tawk tawh a nih chuan emergency room-ah kal nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah hetiang zawhna hi zawh theihnghilh suh:

• Eng ang fracture nge ka neih?
• Surgery ka mamawh em?
• Eng chen nge a dam theih ang?
• Engtikah nge taksa tihchakna emaw, infiamna emaw ka tih leh theih ang?

A tawp berah chuan hei hi hre reng ang che ! (In lama hruai tur thuchah)

I kut chunglam humerus ruh hi chu i taksa peng pakhata ruh awmchhun a ni a, i taksa ruh chak ber zinga mi a ni. Humerus fracture hi accident na tak, car accident ang chi hnuah a thleng tlangpui. I ruh siam that nan operation i nei a nih pawhin, humerus fracture hnuah pawh a dam kim theih i beisei thei . Physics therapy dik tak hi dam thuai theihna tur leh i kut chu a pangngaia awm leh theihna tur kawng tha ber a ni. Chuvangin, hlauthawng suh, i doctor thupek zawm mai rawh. Dam leh thuai turin duhsakna ka hlan e!

` Humerus fracture, kut ruh, kut ruh tliak, ruh tliak, enkawl dan, symptoms, surgery