I mit vel pawh ruh tliak i nei tawh em? (Orbital Fracture) Hemi chungchang hi awlsam takin han sawi ila!

Cricket i khelh laiin ball tlan chak takin i mit a rawn deng a, a nih loh leh car accident-ah i hliam ang tih han ngaihtuah teh. A châng chuan, heng thilte hian kan mit vêla ruh nalh tak takte chu a tikehsawm thei a ni. Vawiin hian mit chhehvel heng ruh tliak, damdawi lama Orbital Fractures tia hriat, kan sawi dawn a ni. Hei hi hriat a hlauhawm deuh nachungin, hei hi dik taka i hriat chuan eng thil pawh hmachhawn a awlsam zawk ang, a dik em?

Orbital fracture hi eng nge ni tak tak?

A awlsam zawngin, orbital fracture chu i mit chhehvel ruh pakhat emaw, a aia tam emaw a tliak tihna a ni. Heng ruhte hi an inzawm khawm a, eye socket, i mit vengtu cavity an siam a ni. He cavity chhungah hian i mit, i mit tichaktu ruh, thisen kalna kawng leh nerve te a awm a, chungte chu a pawimawh hle.

A tam zawkah chuan he fracture chi hi thil pakhatin mit a chakna (blunt force trauma) , mi pakhatin a vuak emaw, ball a vuak emaw ang chi hi a ni.

Heng fracture chi hrang hrang hi a awm em?

Ni e, mit vel ruh eng pawh hi a chhe thei a, mahse hmuh tur chi hrang hrang tlemte a awm a:

1. Blowout Fracture a awm thin

Hei hi a tam ber chi a ni . A dik tak chuan mit zungpui chhung lam bang, a chhunga bang te tak te rupture a ni. Eggshell ang maiin han ngaihtuah teh. Hei hi thil khauh tak, baseball ang chi i tih chuan a thleng tam zawk.

2. Orbital Rim tihchhiat (Orbital Rim) a awm

Hei hian mitmeng pawn lam rim-a ruhte a nghawng a ni. He hmuna ruhte hi a thuk em avangin, a chhe tur chuan chakna nasa tak a ngai a ni . Car accident ang chi accident-ah an lang tam ber. Orbital rim fracture i neih chuan i hmaiah fracture dang i neih a rinawm.

3. Orbital Floor atanga a tlakchhiat

Hei hi mit zungbun sir lama ruhte chu hnunglam hawia nawr a nih chuan mit kawngkhar hnuai lama ruhte chu hnuai lam hawiin a ben a ni. Heng fracture te hian mit vel nerve leh muscle te a nghawng thei a, chu chuan mit chu a ti che tha thei lo. Hetiang chi ruh tliak hi car accident leh tlu ang chi thil vang a ni ber.

Mit vel a ruh tliak hian eng symptoms nge a neih?

Mi thenkhat chuan symptom engmah an nei lo mai thei. Mahse a tam zawkah chuan thil hrehawm tak a ni. I ruh tliak chi leh hliam nasat dan azirin symptoms a inang lo thei. Heng symptoms te hi i hriat lar angin a lang em tih en rawh:

• Mit hmuh fiah lo, mit pahnih, mit hmuh tlahniam emaw.
• Mit hnuaiah a hring chhuak.
• Mit vel (mit dum) blue, black, purple emaw a hliam.
• Mit var lamah thisen a lang a.
• Hmai emaw hmai emaw a hring chhuak.
• A rilru a buai hle.
• Mit chu a sir lehlamah sawn harsa.
• A hmui chu a flat hmel hle.
• Mitmeng sunken emaw, mitmeng bulging emaw.
• Hnar thisen chhuak (Epistaxis).

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan vat a pawimawh hle.

Heng ruh tliak chhan berte hi engte nge ni?

Chutiang dinhmun chu puitlingah pawh naupangah pawh a thleng thei a ni.

• Puitling zingah: A chhan ber chu tharum thawhna leh lirthei chetsualna a ni.
• Naupang zingah: A chhan tam ber chu car accident leh ball ang chi thilin hmaiah a deng a ni. Ngaihtuah teh, sikula cricket i khelh laiin ball chak takin i mit a rawn deng a nih chuan chutiang thil chu a thleng thei a ni.

Hei bakah hian bicycle chetsualna te, motor chetsualna te, sang atanga tla te, leh infiamna kaihhnawih hliam dangte pawhin hei hi a thlen thei a ni.

Hetiang fracture hian eng harsatna nge a thlen theih?

Mit vel a tliak hian harsatna engemaw zat a thlen thei a, chu chu harsatna a zual thei tihna a ni.

• I hmai hmun thenkhata chetna emaw hriatna hloh (nerve emaw muscle emaw a chhiat chuan).
• A ruh tliakna hmun azirin thawk harsa, hmuh, hriat leh thusawi harsatna a awm thei.
• Hliam na tak chuan natna khirh tak tak, natna hrik, seizure, i thluaka thisen chhuah, leh thluak chhiatna thlengin a thlen thei a ni . Chuvang chuan hetianga hliam tuar hnu hian damdawi lam pan nghal a pawimawh.

Engtin nge doctor-te hian he natna hi dik taka an hriat theih?

I mit velah ruh tliak i nei em tih hriat nan mit lam doctor chuan i mit leh a chhehvel hmun chu uluk takin a enfiah ang. I mit chu a che tha em tih leh mit lama harsatna a awm em tih a enfiah ang. Mit chu a socket-ah a awm dik em tih pawh an teh thei bawk.

Chu bakah mit doctor chuan i natna lan chhuah dan a zawt ang che a, imaging test X-ray leh CT scan (Computed Tomography scan) te pawh a order ang che. Heng scan te hian a ruh tliakna hmun dik tak leh a nihna dik tak hriat theih nan a pui thei a ni.

Hei hi eng enkawl dan nge ni ang?

Mit vel a ruh tliak enkawlna chu i hliam chi leh nasat danah a innghat a ni. Surgery hi a ngai ngai lo .

• Lacerations tenau te tan: Lacerations tenau te tan chuan i mit doctor chuan i mit ah ice pack hnawih la, a natna leh a hring a tihziaawm theih nan a rawt thei ang. Hun a kal zel a, i mitmeng chu a mah chauhin a dam thei a ni.
• Damdawi: Doctor chuan antibiotics emaw, decongestant emaw a pe thei .
• Tip pawimawh: Hliam a dam hma chuan i hnar kha chak takin pick suh .Chutianga i tih chuan i thaw thaw chu mit vel vun hnuaiah a khawlkhawm thei a, vun a tipung thei tih a fuih bawk.

Mahse, i mit i tliak avanga i che tha thei lo a nih chuan, emaw, vawi khatah thlalak pahnih i hmuh chuan (double vision) , chu chu a na zawk a ni. Chutiang a nih chuan, i mit lam doctor chuan oculoplastic surgeon , mit surgeon, he surgery chi hrang hrang ti tûra zirtîr bikte hnênah a hruai thei che a ni.

Surgery i mamawh chuan surgeon chuan i symptoms leh hliam nasat dan a zirin eng surgery nge i mamawh tih a hrilhfiah ang che.

Operation hnu ni engemaw zat chhung chu hliam leh hliam engemaw zat a awm thei. Ni engemaw zat chhung chu mit hmuhna (blurred vision) engemaw zat i nei thei bawk. I surgeon chuan damna kawnga pui turin ice, antibiotics, emaw, natna damdawi emaw a rawt thei ang.

Hetiang thil hi a lo thleng a nih chuan eng nge ka beisei ang?

I thlirna chu hliam chi leh nasat danah a innghat a ni.

• Break awlsam tak hian hun kal zelah a mah chauhin a dam thei.
• Fracture na zawkah chuan operation a ngai mai thei.
• A nasat chuan mit a hloh emaw, mit pahnih emaw a awm thei. Mahse, ruh tliak tam zâwk chu hun rei tak chhûng nghawng nei lovin a dam .

Hei hi a dam theih nan eng chen nge a la ngai ang?

Mit vel a ruh tliak dam hun chhung hi mi hrang hrangah a inang lo.

• Fracture awlsam tak takte hi hun kal zelah anmahniin an dam leh thin.
• Hliam a nasat a, zai a ngai a nih chuan a dam hun chhung a rei zawk thei.
• Mi thenkhat chuan thla 9 thleng nerve natna an nei thei.
• Mi thenkhat chuan vawi khatah thlalak pahnih an hmu chhunzawm thei a, chu chu operation dang neih belh a ngai thei bawk.
• Enophthalmos , mit inhnim pilna hmel pawh hi hun kal zelah a pung thei bawk.

Engtikah nge hna/sikul ka kal leh theih ang?

Hetiang chi ruh tliak avanga operation an neih hnuah hian mi tam zawk chu kar khat chhungin sikul emaw hnathawhna hmunah emaw an kir leh thei a ni . Mahse, hnathawh hahthlak tak tak, thlawhna hmanga zin leh tuipui thuk taka tuiah zin te chu operation hnu kar engemaw zat chhung chu tihkhawtlai a ngai a ni.

Hetiang fracture hi a veng thei lo em ni?

Heng thilte hi kan veng thei reng reng lo nain, a hlauhawmna tihtlem nan thil tlemte kan tih theih a awm a:

• Sports thenkhatah chuan safety gear , helmet emaw face mask emaw bun a ngai thin. Entirnan, cricket khelh dawnin helmet vuah a pawimawh hle a, a bik takin fast bowler hmachhawn hunah chuan helmet vuah a pawimawh hle.
• Motorcycle emaw bicycle emaw khalh laia helmet vuah .
• Car-a chuang emaw, khalh lai emawa seat belt vuah .

Engtin nge ka in enkawl ang?

I mit vel i tliak a nih chuan i mit doctor chuan ice pack emaw cold compress emaw hmangin natna leh hliam tihziaawmna tur a rawt thei ang. Tin , i lu chu a hring lehzual loh nan i thinlung level aia sang zawka dah a tha bawk (entir nan, mut laiin extra pillow hmang). Natna atan painkiller i ei thei bawk. Hnar thisen chhuah loh nan i doctor chuan thisen kalna kawng a tikhawtlai theih nan ni hnih atanga ni thum chhung hnar spray a rawt thei ang.

Engtikah nge ka doctor ka hmuh leh ang?

I mit vel a tliak avanga enkawl i nih hnuah heng symptoms te hi i neih chuan doctor hmu leh la:

• Nausea emaw, luak chhuak emaw.
• Lu na reng reng.
• Khawsik.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Heng symptoms te hi i neih chuan emergency room hnai ber ah kal nghal la, 1990 : call rawh :

• Lu na tak, na tak a ni.
• Seizures a awm thin .
• Kal harsa, tawng harsa, hmuh harsa.
• Taksa lama rilru hahna emaw, chak lohna emaw.
• Hnar emaw beng atanga thisen chhuak emaw tui dang emaw.
• Fainting a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Orbital floor fracture hi a pawi em?
• Ka mit chhehvel eng ang fracture nge ka neih?
• Hetiang fracture hi a mah chauhin a dam em?
• Surgery ka mamawh em?
• Follow-up treatment ka mamawh dawn em?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Mit vel a fracture chu a thleng nghal thei. Cricket ball-in mit a tawlh vang a ni thei a, car accident vang pawh a ni thei bawk. Mahse, he ruh tliak chi hi chuan natna, hliam, leh mit lama harsatna te ang chi natna khirh tak tak a thlen thei a ni.

Hlauthawng suh! A chang chuan hetiang fracture hi a mah chauhin a dam thei a, mahse mit doctor pan a, checkup neih a tha ber fo. Chutih hunah chuan operation i mamawh leh mamawh loh emaw, ice ang chi in lama damdawi hmanga enkawl theih leh theih loh emaw chu chiang takin i rel thei ang. I vision hi a hlu a, chuvangin enkawl tha rawh.

` Orbital Fracture, Mit Hliam, Mit Natna, Hmai Fracture, Mit Surgery, Mit lam doctor