Oops! I kut zungtang chu kawngka pakhatah a rawn inkhung ta! A nih loh leh i ke ruh lian takah thil rit tak a tla! Kan nunah hian vawi khat tal he thil tawn hi kan tawng vek tawh a ni lawm ni? A natna nen chuan rei vak lo hnuah i nail hnuaiah thisen blue-black a awm tih i hmu ang. Sharp throbbing pain i nei tan ang. Hei hi damdawi lama (Subungual Hematoma) kan tih chu a ni. Chuti a nih chuan hetiang dinhmunah hian eng nge i tih thin? Kan sawi dawn nia.
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Nail Trephination hi eng nge ni?
A awlsam zawngin sawi ila, Nail Trephination hi i nail hnuaia thisen tang chu paih chhuah theihna tur damdawi awlsam tak, him tak a ni. Chu chu nail chungah chiah, thisen a khawlkhawmna hmun ngeiah khur te tak te laih a ngai a ni. Hei hi damdawi in Emergency Treatment Unit (ETU) emaw outpatient department-a doctor-in a tih tlangpui a ni.
A pawimawh ber chu, eng thil vang pawhin in lamah hetiang hi tih tum suh . Pin leh needle ang chi thil hman hian natna khirh tak a thlen thei a, hliam a ti na zual thei bawk.
I kut zungtangah na takin vuak i nei ang tih han ngaihtuah teh. A tir lama i tih theih tha ber chu towel-a khuh ice cube thenkhat chu chu hmunah chuan dah la. A châng chuan hei hian natna tihziaawmna a ṭanpui ang. Mahse, nail hnuaia thisen chhuak chu a lian zual zel a, a throbbing na chu tuar theih loh a nih chuan doctor pan ngei ngei tur a ni. Chumi hnuah chuan doctor chuan he Nail Trephination treatment hi i mamawh leh mamawh loh chu a rel ang. Tin, kut zungtang tihchhiatna dang, ruh tliak ang chi a awm leh awm loh an enfiah bawk ang.
Eng dinhmunah nge he enkawlna hi a remchang?
He enkawlna hi simple subungual hematomas tan chauh tih a ni tlangpui. Chu chu, nail chu a chhe tawh a, mahse nail khauh ber (nail plate) chu a hnuaia tissue nalh tak tak (nail bed)-ah nghet taka a la inzawm tlat chuan a ni. Mahse, a then phei chuan he enkawlna ringawt hi a tawk lo mai thei.
| Nihna | Tihdamna |
|---|---|
| A bruise awlsam tak a ni (Nail a la chhuak lo, a natna leh thisen inzawmkhawm chauh) | Nail trephination hmanga enkawl hi a tawk tlangpui. |
| Nail inthen darh a ni (Nail plate inthen dan) . | Enkawlna buaithlak zawk, nail lakchhuah pawh a ngai mai thei. |
| Nail-a split emaw deep cut emaw (Splitting emaw deep cut emaw) . | Doctor chuan hliam chu a enfiah ang a, a enkawl dan tur dik ber a ruat ang. |
Hliam a awm veleh damdawi lam pan vat a tha ber. He enkawlna hi hliam atanga darkar 24 atanga darkar 48 chhunga pek a nih chuan a hlawk ber .
Engtin nge he enkawlna hi tih a nih? Hlauh tur thil a ni em?
Ni miah lo. Hei hi i ngaihtuah aiin a awlsam zawkin a rang zawk hle. Inbuatsaihna bik i mamawh lo. Doctor chuan hetianga tih dan tur a hrilhfiah ang che.
1. Faina: A hmasa berin Doctor chuan i nail leh a chhehvel chu uluk takin sahbawn leh tui hmangin a tifai ang. Tichuan, hliam chu antiseptic solution (e.g., Chlorhexidine) hmangin a tifai ang.
2. Khur te tak te siam: A dawtah chuan Doctor chuan needle te tak te, a tip lum tak nei (electrocautery device) emaw, a bik taka siam emaw hmangin thisen a khawlkhawmna hmun chungah nail-ah khur te tak te a siam a. Hei hian nail khauh tak chauh a chhuah a, a hnuaia vun chu a hliam lo.
3. Thisen chhuak: Puncture siam a nih veleh a hnuaia thisen tang kha a luang chhuak tan ang. Chutih rual chuan i kut zungtang-a pressure leh throbbing pain chu a tlahniam nghal mai mai tih i hria ang .
4. Bandage: A tawp berah chuan Doctor chuan a hmunah hian bandage fai tak a hnawih ang a, in lama enkawl dan tur a hrilh ang che.
A kalphung zawng zawng hi second tlemte chauh a ni. Tlem chuan nuam lo deuhin i hria a, mahse a tawp hunah chuan hahdamna nasa tak i nei ang.
Enkawl hnuah eng nge thleng?
Enkawl zawh veleh haw nghal theih a ni. Darkar 24-36 hnuah chuan i nail-a khur atang hian thisen emaw tui emaw tlem a luang chhuak tih i hmu thei ang. Hei hi thil pangngai a ni a, lungngai suh. A pawimawh ber chu a hmun fai leh vawt taka vawn reng a ni , i doctor-in a hrilh angin bandage thlak thin ang che.
Thisen lakchhuah a nih loh chuan eng nge thleng ang?
Bruise zawng zawng hian hetiang enkawlna hi a mamawh vek lo. Mahse, tuar theih loh khawpa natna i neih chuan a chhunga thisen sang lutuk tihna a ni. Chu thisen chu a chhuah loh chuan a hnuaia mi hi a thleng thei a ni:
- A throbbing pain reng reng chu.
- Kut zungtang khawih hian sensitivity lutuk.
- Nail tihchhiat reng (wrinkles, cracks, nail pianzia inthlak danglam).
- Nail chu a chhuak vek mai thei.
Nail hi enkawl hnuah kar engemaw zat chhung chu a dum ang. Hei hi thil pangngai a ni. Nail thar a lo sei chhoh zel chuan a rawng danglam chu a tla tlangpui ang. A tlangpuiin, hliam awlsam tak a nih chuan nail chu a lo thang leh ang.
Doctor i hmuh leh tur thu vaukhânna chhinchhiahna
Enkawlna hnua a hnuaia hri kai chhinchhiahna te hi a lo lang a nih chuan doctor pan nghal tur a ni.
| Hri kai theihna chhinchhiahna | |
|---|---|
| 🔴 tih a ni | Nail chhehvel vun sen thar emaw, a sen tam zawk emaw. |
| kut_a hring | A hring (swelling) a pung. |
| pus tih a ni | Hliam atang hian thick, milky pus a rawn luang chhuak. |
| 🌡️ | Khawsik. |
I nail-a khur an siam thu i hriat hian hlauhna tlem i neih hi thil pangngai a ni. Mahse hre reng ang che, Nail Trephination hi a him em em a, a hlawk em em a, doctor ten natna tihziaawmna atan an hmang fo thin. Chuvangin, nail tliak i neih chuan a na tuar lova Doctor pan chu hlau suh. He enkawlna tlemte hian hahdamna nasa tak a pe ang che.
Take-Home Thuchah a ni
- Nail hliam, a hnuaia thisen khawlkhawm (subungual hematoma) chu a na hle thei.
- Natna a nasat em em a, thisen zam a lian a nih chuan darkar 48 chhunga Doctor pan a tha ber.
- Nail Trephination hi doctor-in a tih dan awlsam tak, him tak a ni a, natna leh pressure relief nghal a ni.
- In lamah pin, needle, etc. hmangin i nail pierce tum ngai suh, natna khirh tak tak a thlen thei a ni.
- Enkawlna hnua a sen, a hring, a hring, a khawsik ang chi symptoms i neih chuan doctor rawn la nghal rawh.
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