Aw, nang emaw i naute emaw hian ruh i tikehsawm em? (Bone Fracture) Lungngai suh, he thu hi han sawi ila!

Nangmah emaw, i fa emaw, i hriat mi emaw chuan ruh a tikehsawm dawn tih ngaihtuah chu a hlauhawm tak zet a, lungkhamna a thlen thei tak zet a ni. A châng chuan tlu tenau a\angin, inkhelh laiin, a nih loh leh car-a chuang laiin accident tenau a\angin a thleng thei bawk. Chuvangin vawiinah hian ruh tliak chu eng nge a nih, engtin nge kan hriat theih ang, doctor-te’n eng nge an tih, a pawimawh ber chu a dam dan hi i sawi dawn nia.

Ruh tihchhiat hi eng nge a awmzia tak?

A awlsam zawngin, ruh tliak chu kan taksaa ruh chak tak, a pum emaw, a then emaw a chhe emaw, a chhe emaw a ni. Keini doctor te hian hei hi ‘fracture’ kan ti tlangpui thin. Kan ruhte hi chak hle mah se, chakna bituk aia tam, tlu emaw, vuak na tak emaw ang chi chu a tuar a nih chuan a chhe thei a ni. Thingpui ang maiin han ngaihtuah teh, tlem i ben thei a, mahse a tawp i thlen chuan a chhe vek ang, a dik em? Chutiang chu a ni.

Engvangin nge hetiang hian kan ruh hi kan tikehsawm? A chhan engte nge ni?

Ruh tliak chhan tam tak a awm thei. A chhan ber thenkhat han thlir ila.

• Tlu: Hei hi ruh tliak chhan ber a ni a, a bik takin naupang leh tarte zingah a ni. Naupang tê tête chu an tlan kual lai te, thing an lawn lai te, a nih loh leh in lama ṭhut ringawt pawhin an tlu thei a ni. Kan tar chhoh zel chuan kan balance a tlahniam a, kan ruhte pawh a chak lo a, chu chuan tlu atanga ruh kan tihchhiat theihna a tipung a ni.
• Accident: Ruh hi kawngpuiah accident, hmun sang atanga tlak, hnathawhna hmuna accident ang chi thil atang pawhin a tliak thei bawk.
• Sports Injuries: Player-te hian cricket, football, rugby, emaw tlan leh zuang ang chi high-impact sports an khelh laiin ruh an tikehsawm thei a ni. A châng chuan, hetiang hi awkward landing aṭang pawhin a thleng thei bawk.
• Repetitive Stress: Movement inang i tih chhunzawm chuan ruh inrawlh chungah hian stress tlemte a awm thei a ni. Sipai leh hla taka tlante chuan chutiang thil avang chuan ruh tliak te te (`Stress Fractures`) an nei thei a ni.
• Pathological Fractures: Thil awm dan thenkhat, ruh natna leh ruh cancer te hian ruh a tichak lo thei a, chakna tlemte pawhin a tikehsawm thei bawk.

Fracture chi hrang hrang a awm em?

Ni e, a takah chuan ruh tliak chi hrang hrang a awm a, chu chu ruh tliak dan leh ruh tliak chi hrang hrang awm dan azirin a ni. Doctor-te chuan he classification hi enkawl dan tur an hriat theih nan an hmang thin. Fracture chi hrang hrang thenkhat chu tawi te tein han thlir ila.

• Greenstick-a ke ruh tliak:Hei hi hnah hring, hnim hring tihchhiat ang mai a ni a, a sir khat chu a chhe a, a sir dang chu a ben ang. Ruh sir khat chauh a chhe vek a, a sir lehlamah erawh a ben mai mai thung. Hei hi naupang tête ruhah a tam zawk a, a chhan chu an ruh hi tlem a nem deuh a, a hmin deuh bawk.
• Buckle emaw Torus Fracture: Hei hi ruh sir khat chu pawn lam hawia tlem a inbeng a, knot te tak te ang maia a inher a ni. A lehlamah a chhe lo. Hei hi naupang tê têah pawh hliam a awm fo.
• Avulsion Fracture: Kan ruhte hi kan ruhte hi tissue tendons an tih hmanga inzawmkhawm a ni. A châng chuan ruh nena inzawmna aṭanga ruh (tendon) a inhnukdawk chuan ruh pakhat chu a rualin a chhuak thei bawk. Chu chu avulsion fracture an ti a.
• Growth Plate Fracture: Naupang leh puitling tleirawl te an lo puitlin chuan an ruh chhungah hmun bik a awm a, chutah chuan an sei zawk thin. Heng hmunte hi growth plate kan ti a. Heng growth plate pakhatah hian ruh a tliak chuan growth plate fracture an ti a. Hei hi a bik takin ngaihtuah tur a ni a, naupang nakin lawka ruh thanna tur a nghawng thei a ni.
• Stress Fracture: A hmaa kan sawi tawh ang khan, runner-te ang chiah hian ruh chu stress chhunzawm zel a nih chuan ruh chhungah hian crack te tak te a lo awm thei a ni. Hei hi rang taka ruh tliak lian tak a ni lo va, hun kal zelah stress repeated avanga lo awm zauh zauh crack te tak te a ni.
• Comminuted Fracture: Hei hi ruh tliak na zawk a ni. Hei hi ruh chu chi hnih aia tam a inthen chuan a ni. Hei hi accident lian tak emaw, vuakna nasa tak emaw hnuah a thleng tlangpui.
• Compression Fracture: Hei hi ruh chu a compress a, a tikehsawm a, a san zawng a hloh a ni. Sponge an hrual ang mai a ni. Hetiang fracture hi vertebrae-ah hmuh tur a tam ber a, a bik takin kum upa lam, osteoporosis ang chi natna nei te tan a ni.

Hengte hi a chi hrang hrang zinga tlemte chauh an ni. Chu bakah, ruh tliak chi dang a awm bawk a, doctor chuan X-ray enin eng chi ruh nge a nih tih chiang takin a hrilh thei che a ni.

Ruh kan tihchhiat hian engtin nge kan awm? Eng nge a lan chhuah dan?

Ruh a tliak chuan symptom chi hrang hrang a lantir thei. Ṭhenkhat chu a langsar hle a, ṭhenkhat erawh chu a fiah deuh deuh thung.

• Natna: Hei hi mi zawng zawng deuhthaw hian an hriat chhuah ber a ni. A ruh na hmunah hian natna nasa tak a awm a. A châng chuan, a natna hian a natna hmun chu a sawn theih loh phah ṭhin.
• Swelling: Fracture chhehvel chu a hring tan ang. Hei hi taksain a natural response a ni.
• Bruising/Discoloration: A break na hmunah vun hnuaiah thisen a luang lut a, chu chuan a hmun chu blue, purple, yellow angin a lang thin. A hliam na tak ang mai a ni.
• Hmasawnna Harsatna:Kut, ke emaw, ruh dang emaw a tliak chuan che emaw, a pangngaia hman emaw a ti harsa thei a ni.
• Deformity: Fracture na tak thenkhatah chuan ke ruh pakhat chu a inzar pharh a, a pianphung ang lo takin a lang thei bawk. Hei hi chhinchhiahna hlauhawm tak a nih avangin doctor pan nghal tur a ni.
• Open Fracture: A chang chuan ruh tliak chi khat hian vun a tikehsawm a, a chhuak thei bawk. Hei hi ‘open fracture’ (or compound fracture) an ti a. Hei hi a hlauhawm hle a, a chhan chu thisen chhuah leh natna hrik kai theihna a sang hle.
• Crepitus: Ruh chhe tawhte chu an inhnaih chuan, chu hmun chu khawih emaw, tihnghing emaw a nih chuan thawm mak tak, ‘crackling’ ang maia hriat theih a ni

Pawimawh: Nangmah emaw, i fa emaw hian heng chhinchhiahna pakhat emaw, a aia tam emaw i neih chuan, hliam mai mai angin ngaihthah suh. Damdawi lam thurawn zawng nghal rawh.

Engtin nge doctor ten ruh a tliak leh tliak loh an enfiah thin?

Doctor hnenah ruh tliak neia i kal chuan engtin nge a awm tih leh a nasat zia an zawt hmasa ang che. Tichuan, ruh tliak nia rinhlelh chu uluk takin an enfiah ang. An khawih chuan a hring, a pianzia inthlak danglamna, a chetna leh a natna te an zawng ang.

Tichuan, ruh a tliak em tih chiang taka hriat theih nan, khawiah nge a awm tih leh engtin nge a tliak tih hriat chian nan X-ray tih a ni. X-ray hmangin thil tam tak chiang takin a lang thei a, chu chu ruh tliak dan te, khawiah nge a tliak tih te, ruh chi hrang hrangte chu a inthlak danglam em tih te hi a ni. Complex fracture thenkhatah chuan CT scan emaw MRI scan emaw pawh tih theih a ni.

Engtin nge ruh tliak i tihdam? Enkawlnate chu engte nge ni?

Ruh tliak enkawlna tum ber chu a ruh tliak te chu uluk taka dah khawm leh a, a hmuna awm reng hi a ni. Chumi hnuah chauh chuan ruh chu a dam tha thei ang. Chumi atan chuan hmanraw hrang hrang a awm.

• Casting: Hei hi hmanraw hman tlanglawn ber a ni. Rigid cast chu kut, ke emaw, taksa peng dang emaw kehchhiaah dah a ni. Hei hian ruh tliak chu immobilize-in a dam tha thei a ni. Cast hi eng chen nge a hak tur tih hi a ruh awmna hmun, a hliam chi leh a kum a zirin a innghat a ni.
• Splint emaw Brace emaw: A chang chuan, a bik takin a tir lamah a hring tam lutuk chuan, cast angin a tight lo, removable support (`splint` emaw `brace` emaw) hman a ni. A hring a reh hnuah cast hnawih theih a ni.
• Reduction: A châng chuan ruh tliak chu a sawn chhuak thei a, a hnah pahnih chu a kal leh chhuak thei a ni. Chutiang a nih chuan doctor chuan a piece te chu a dah khawm leh ang.Plaster hi ‘set’ a nih hnuah an hnawih thin. Hei hi ‘setting’ kan ti a, damdawi lam tawng chuan `(Reduction)` tih a ni.
• Closed Reduction: Hemiah hian ruh chi hrang hrang chu pawn lam atangin vun tikehsawm lovin an siamrem thin. A chang chuan hei hi light anesthetic (anaesthesia) hnuaiah tih a ni a, a na deuh thei a ni.
• Open Reduction and Internal Fixation (ORIF): Fracture na tak thenkhatah emaw, Closed Reduction a set tha lo a nih chuan ruh tliak te chu la chhuakin wire, plate, screw leh pin hmangin chhungril lamah fix turin operation an ti thin.
• External Fixation: Fracture na tak, comminuted fracture-ah chuan ruh chi hrang hrangte chu a hmuna vawn nan metal frame hman a ni \hin.

Hei bakah hian doctor chuan damdawi, natna tidamtu leh antibiotics (open fracture a awm chuan) pawh a pe thei bawk ang.

Mak a ni lo maw? Kan taksaa ruh pakhat hian engtin nge a tihdam?

Ruh dam hi kan taksaah hian thil mak leh buaithlak tak a ni tak zet a ni. Step by step khata a thlen dan hi han thlir ila.

1. Hematoma Formation: Pakhatnaah chuan ruh a tliak veleh a ruh tliakna hmunah thisen a inzawm khawm tan a, thisen zam (or hematoma) a siam a ni. Hei hian a ruh tliakna hmun chu a humhim a, a tihdamna atana mamawh cell bik a recruit tan a ni.

2. Callus Formation: Tichuan, ni engemaw zat chhungin thisen zam awmna ruh tliak pahnih vel chu tissue thar, nem tak (`soft callus`) a lo piang tan ta a ni. Hei hi gum ang mai a ni a, ruh tliak pahnih chu a thlunzawm khawm a ni. Hun kal zelah (kar tlemte chhungin) he ``callus`` nem tak hian calcium a khawlkhawm zauh zauh a, ``bony callus`` (``hard callus``) khauh tak, chak tak a lo ni ta a ni. Chuvang chuan plaster hi rei tak an dah thin niin an sawi. He ``callus`` hi a lo pian tha a, ruh a chak hma loh chuan humhim rawh.

3. Bone Remodeling: Calus siam thar, chak tak hi a tir lamah chuan a lian deuh thei a, ruh pianphung hmasa nen a danglam thei bawk. Mahse hun kal zelah (thla engemaw zat, kum khat emaw kum hnih emaw pawh ni thei) kan taksaa cell bik (osteoclasts leh osteoblasts) te hian he ruh thar hi an tichhia a, an siam thar leh a, ruh chu a pianphung hmasa angin an siam thar leh thin. Hei hi Bone Remodeling an ti a.

Chuvangin i hmu thei ang, ruh pakhat a dam theihna tur process mak tak chu a va ni em. Chumi atan chuan dawhtheihna leh hun hman a pawimawh hle.

Chuvangin, hei hi i rilruah i vawng tlat ang u! (In lama hruai tur thuchah)

Ruh tihchhiat hi tu tan pawh thil hlauhawm leh hrehawm tak a ni. Mahse i hlauthawng lo va, i hriatthiam loh a, i enkawl dan dik tak i hmuh chuan a dam kim thei fo.

• Inthenna rinhlelhna tlemte pawh a awm meuh chuan, .Hliam emaw, hliam emaw a ni mai mai lo ang, doctor pan nghal rawh. I nghah rei poh leh a dam rei ang a, harsatna i nei tam thei bawk.
• Doctor thupek dik takin zawm la, a bik takin plaster (cast) i dah hun chhung, damdawi leh exercise i tih chungchangah. Hei hi dam thuai nan a pawimawh hle.
• Naupang ruh tliak, a bik takin ruh tliak (growth plate) chungchangah fimkhur hle ang che, an hmalam hun atana an thanlenna tur a nghawng thei a ni.
• Ruh pakhat a dam theih nan hun a duh a ni. Dawhthei takin awm rawh. I taksain a hna dik taka thawk turin a mamawh hun pe rawh.
• Plaster lakchhuah hnuah pawh doctor-in a rawt angin physiotherapy exercise tih hian chu ruh chhunga chetna leh chakna neih lehna kawngah nasa takin a pui ang.
• Zawhna leh rinhlelhna i neih chuan i doctor zawh leh hreh leh hreh ngai suh. I hriselna chungchangah hriattirna i dawng thei vek a ni.

Chuvangin, fimkhur rawh! Accident a awm chuan hlauthawng suh, doctor thurawn zawng nghal rawh.

` Ruh tliak, ruh tliak, ruh tliak, plaster hmanga enkawl, ruh tliak dam, naupang ruh tliak, ruh tihdam dan