I naupang tê chu a tlu a, a kut emaw, a ke emaw a "ti chhe" em? (Buckle Fracture) a ni thei! Hemi chungchang hi han sawi ila.

I fate chu inkhelh laiin a tlu nghal emaw, accident tenau a tawk emaw a nih chuan nu leh pa angin i hlauthawng ngei ang tih ka hrethiam. A bik takin i naupang tê chu a kut emaw ke emaw a na tih a tap a nih chuan, "Aw, ruh ka tliak em tih ka hre lo," tih ngaihtuah hi thil pangngai tak a ni. Mahse, naupang tête chunga ruh tliak ṭhenkhat (keini doctor-te pawhin ‘fracture’ kan ti bawk) hi puitling chunga ruh tliakte nên a danglam deuh tih i hria em? Vawiin hian naupang tê têa awm ṭhin, mahse harsatna lian tham awm lovin a dam thuai ṭhin, ruh tliak chi khat bik kan sawi dawn a ni. Hei hi ‘Buckle Fracture’ kan ti a ni. A chang chuan 'Torus Fracture' an ti bawk. Chuvangin, eng nge a nih, engvangin nge a lo awm a, a lo thleng a nih chuan eng nge kan tih ang tih i en ang u?

‘Buckle Fracture’ tih hi eng nge ni? Eng thil chiah nge thleng?

A awlsam zawngin, buckle fracture hi naupang tê tê têa awm ṭhin, break tê tê, tling lo tak a ni. Naupang tê ruh chu thing hnah hring, puitling lo ang maiin han ngaihtuah teh. Chutianga branch i ben chuan eng nge thleng ang? Pahnihah a inthen vek lo a ni lawm ni? Chu ai chuan a sir khat chu a chhung lam hawiin tlem a inbeng a, knot te tak te emaw, bulge emaw a siam a ni. Chu chu buckle fracture-ah chuan a thleng thin. Ruh pakhat chu a sir khat atanga nasa taka nawr a nih chuan, ruh pawn lam layer khauh tak, cortex , an tih chu a sir khatah a chhung lam hawiin tlem a inbeng a, accordion ang maia buckle te tak te emaw torus emaw a siam a ni. A pawimawh ber chu ruh hi a inthen kim vek lo tur a ni. A lehlamah chuan ‘cortex’ chu a la awm reng thei bawk. Chuvangin hei hi fracture stable deuhah kan ngai a ni. ‘Torus’ tih thumal hi Greek/Latin tawng atanga lo chhuak a ni bawk a, a awmzia chu ‘twisting’ emaw ‘round bulge’ emaw ang chi tihna a ni. Chuvangin a hming ngei pawh hian he fracture hi eng ang nge tih hriatna a pe a ni.

Engvângin nge hetiang hi naupang tê tête chungah a thlen tam zâwk?

Tunah chuan, "Engvangin nge hetiang hi naupang tê tê chauhah a thleng a, puitlingah a thleng lo?" A chhan chu naupang tê tê, a bikin kum 10-12 hnuai lam ruh chu puitling ruh nen a danglam vang a ni.

• Ruh nêm leh hrual : Naupang tête ruh chu a la ṭhang chho zel a, puitling ruh angin a khauh leh nghet lo. An nem zawk a, an porous zawk a, an flexible zawk bawk. Chu branch raw ka sawi tawh ang khan. Chuvangin, chakna lian tak hman a nih chuan ruh chu "snap" vek ai chuan "bend" emaw "snap" emaw a tam zawk. Puitlingah chuan chutiang chakna chuan ruh chu a tikehsawm vek thei fo a, thingpui lum ang maiin a tikehsawm thei a ni.
• Periosteum : Naupang ruh hual veltu periosteum.Periosteum, a nih loh leh ruh khuhna hi puitling aiin a thuk zawk a, a chak zawk bawk. Ruh vel chu sheath nghet tak ang mai a ni. ‘Buckle fracture’-ah pawh he ‘periosteum’ chak tak hian ruh chi hrang hrangte chu a che thei lo (displacement) nasa hle. Chu chu heng fracture te hi a stable chhan dang a ni.

Heng avang hian he hliam bik ‘buckle fracture’ an tih hi naupang tê tê zingah hmuh tur a awm fo.

Engtin nge hetiang hliam hi a lo thlen theih? Engtin nge a lo awm tlangpui?

Hetiang chi ‘buckle fracture’ awm chhan ber chu ruh sei tak (long axis)-a chakna hman nghal mai hi a ni. Naupang tê tête chu an inkhelh thiam a, an tlan a, an zuang a, an infiam bawk. Chuvangin heng hun lai hian accident tenau te hi a awm fo thin. He hliam hi hmuh tur a tam ber:

• Kut phar chunga tlu (FOOSH): Hei hi a chhan tam ber a ni. I fa chu inkhelhna hmunah a tlan kual a, rang takin an kut a rawn deng ang tih han mitthla teh. Chutiang dinhmunah chuan taksa rit zawng zawng chu kut hnuaiah a tla thla thei a, kutphah emaw, kut hmawr emaw ruh chu pressure a siam thei a ni. Hei hi ‘buckle fracture’ a awm tam ber lai a ni.
• Direct blow: A chang chuan, thil pakhatin kut emaw ke emaw direct-a a tlak chuan, a tlak avangin hetiang chi ruh hi a awm thei bawk.
• Jump leh sports accident : Heng hliam chi hrang hrangte hi hmun sang atanga zuang emaw, infiamna khelh laiin accident dang a thlen lai pawhin a awm thei bawk.

Heng ‘buckle fracture’ te hi radius leh ulna -ah te hmuh tur a tam ber a, a bik takin kutphah bulah a awm. Tin, a chang chuan tibia leh fibula-ah te pawh hmuh theih a ni a, mahse kut aiin an tam lo hle.

Engtin nge ka fa hian ‘buccal fracture’ a nei tih ka hriat theih ang? Eng nge a lan chhuah dan?

Tunah chuan, "Engtin nge ka fa hian hetiang hi a nei tih chiang taka ka hriat theih ang?" ‘Buckle fracture’ symptoms hi i ngaihtuah angin a na lo mai thei. Mahse, hengte hi hre reng ang che:

• Hliamna hmuna natna: Naupang chuan an kut emaw, an ke emaw a na tih a sawi thei. A hmun an khawih emaw, an press emaw chuan a na zual thei ( tenderness ).
• Swelling: Hliam na hmun vel ah hian swelling engemaw zat i hmu mai thei. A châng chuan hei hi hriat theih loh a ni thei.
• Hman duh lohna: Naupangin a kut emaw ke emaw hliam chu a hmang hreh mai thei. Entîr nân, kut chungchângah chuan chu kut chuan engmah an man thei lo mai thei a, ke pakhatah chuan chu ke chu dah emaw, kal emaw chu an hreh hle mai thei.
• Deformity: ‘Buckle fracture’ tam zawkah chuan deformity lian tham a awm lo. Chuvangin, "Kut hi a ben lo va, chuvangin a chhe lo" tih hi ngaihtuah suh.
• Bruising: A chang chuan hliam chhehvel vun hi a rawng a danglam thei.A danglam tawh a, blue-purple bruise pawh hmuh tur a awm.

Pawimawh: Naupang thenkhat chu natna an tuar nasa hle a, hliam tenau an neih hnuah pawh an tap nasa thei hle. Mi dangte chuan natna hi an ngaihsak vak lo mai thei. Chuvângin, i fate nungchang leh a thusawi chu ngun takin ngaihven rawh. Ringhlelna i neih chuan damdawi lam thurawn la ngei ang che.

Engtin nge doctor hian hei hi a hriat chian? Eng test nge an tih?

Doctor hnena i fa i hruai dawnin doctor emaw nurse emawin a tih hmasak ber tur chu naupang leh nangmah accident chungchang hi zawt hmasa phawt ang che. Tichuan, naupang chu an enfiah ang. Hliamna hmun chu a hring em tih te, khawih laia a na em tih te, leh ke ruh chu a che thei em tih te an enfiah ang. Mahse, ‘buckle fracture’ a awm leh awm loh hriat chian nan chuan ‘X-ray’ i lak ngei ngei tur a ni. ‘X-ray’ image atang hian a hmaa ka sawi tawh ang khan ruh chhunga bend te tak te emaw ‘buckle’ te chu chiang takin i hmu thei a ni. 'X-ray' lak hlau suh. Hetiang dinhmunah hian ‘X-ray’ hian naupang a tichhe lovang. Naupang enkawl dan dik tak pekna atan a thu hriatte hi a pawimawh hle.

‘Buckle fracture’ a awm chuan eng nge i tih thin? Engtin nge enkawl a nih?

Thu lawmawm tak chu ‘buckle fracture’ hi a tlangpuiin hliam a dam tha hle a, a dam thuai a, harsatna lian tham a awm lo. Chuvangin enkawl dan pawh a awlsam fo thin.

• Immobilization: Enkawlna ber chu ruh hliam chu a che thei lo a, a che thei lo. Chumi atan chuan:
• A splint: Hei hi temporary splint a ni a, a then chu fiberglass emaw plaster emaw atanga siam a ni a, kut/ke sir khatah dahin bandage hmanga khuh a ni.
• A ‘Cast’: Hei hi kan hriat vek ‘plaster’ chu a ni. ‘Splint’ aiin a khuh nghet zawk a, ruh chu a tikhawlo vek bawk.

Doctor chuan splint emaw cast emaw hman tur chu a rel ang a, chu chu hliam awm dan leh naupang kum a zirin a ni. He immobilization hian natna a tiziaawm a, ruh chu a dam tha tur chuan chawlh hahdamna a pe a, hliam dang a tuar leh thei bawk.

• Hun chhung: A tlangpuiin he ‘splint’ emaw ‘cast’ emaw hi kar 3 atanga kar 4 vel dah a ngai thin . ‘Buckle fracture’ tenau thenkhatah chuan hun a la rei lo thei.

• Painkillers : Naupang a na a nih chuan Doctor thupek angin Paracetamol ang chi painkiller awlsam tak pek theih a ni.

A pawimawh ber chu heng ‘buckle fractures’ te hi a pianphungah chuan stable fracture an ni.Chumi awmzia chu ruh chi hrang hrangte chu a kal kual theihna chance a tlem hle tihna a ni. Chuvangin zai ngai hi a tlem hle.

Doctor chuan check-up tura lo haw hun tur a hrilh ang che. Chutih lai chuan kal la, cast chu i paih chhuak thei ang.

He hliam hi a dam theih nan eng chen nge a mamawh ang? A dam vek dawn em ni?

Hei hi nu leh pa anga i thlamuanna ropui ber a ni. Naupang tê tête ruh tihdam theihna hi a mak khawp mai!

• Fast healing: ‘Buckle fracture’ chu kar tlemte chhungin a dam vek tawh mai. Ruh chu a dam tha a, ‘cast’ a awm chhungin a chak bawk.
• Dam chhuak kim: Heng hliamte hi rei tak chhung harsatna a awm lo. Naupang ruh chu a hma ang bawkin a lo thang leh ang. Naupang ruhte hian ‘remodel’ theihna mak tak an nei a, chu chu anmahni insiam thar thei tihna a ni. Chuvangin, chu ‘buckle’ te tak te awmna hmun chu a tawpah chuan ruh pangngai a lo ni tawh ang.
• Cast lakchhuah hnuah: Cast lakchhuah a nih chuan vun chu a vawt deuh thei a, a hnah pawh a hring thei bawk. Tin, ruh chu a nghet deuhin a hria a, taksa ruhte pawh a chak lo deuh thei bawk. Hei hi thil pangngai a ni. Ni engemaw zat hnuah chuan naupangin a kut/ke a hman dan pangngai a neih leh avangin hengte hi a bo vek ang. A châng chuan doctor chuan physiotherapy engemaw zat a rawt thei a, chu chuan damna a tikhawtlai thei a ni.

Nu leh pa angin eng nge ka tih ang? Eng thil nge ka ngaihtuah ngai?

Naupangin hetiang hliam a tuar hian nu leh pa angin thil engemaw zat i tih theih a awm a.

• Hlauthawng suh la, doctor thurawn zawng rawh: I fa chu a tlu tawh a, a kut emaw, a ke emaw a na a, a hring emaw, rinhlelhna i neih chuan hlauthawng suh la, doctor pan nghal rawh. In lama hriak hnawih emaw, hnawih tam emaw hmangin dinhmun tichhe lo la.
• Cast emaw splint emaw hmangin fimkhur rawh:
• Vawt takin dah rawh: Cast chu hnim turin phal suh. Inbual dawnin tui tlak lohna polythene sheet hmangin khuh rawh.
• Fai takin vawng rawh: ‘Cast’ chhungah hian bawlhhlawh, hnim, ei tur chi hrang hrang ang chi thil lut suh.
• A chhungah engmah dah suh: Cast chhungah hian engmah, chemte, tiang emaw, pen emaw dah suh. Hei hian vun a tichhe thei a ni.
• Cast-a harsatna a awm chuan: Cast chu a tight lutuk nia a lan chuan, i kut zungtang chu a sen emaw, a hring emaw a nih chuan, cast rimchhia a nih chuan, emaw, hliam a awm chuan doctor hnenah hriattir nghal tur a ni.
• Doctor thupek zawm rawh:Cast hi eng chen nge i dah tur tih te, engtikah nge i lo kir leh tur tih te, eng activity nge i tan a tha leh tha lo tih te chu i doctor thupek dik takin zawm rawh.
• I fate thlawp rawh: Cast bun hi naupang tan chuan a nuam lo deuh thei. Hmangaihnain biak la, fuih rawh.

Hetiang hliam hi a thlen leh tawh loh nan ven theih a ni em?

Naupang tê tête an inkhelh lai leh an inkhelh laiin accident tenau lo thleng thei lo chu pumpelh vek a harsa hle. Naupang hmasawnna kawngah a tel ve a ni. Amaherawhchu, chetsualna tihziaawmna tura kan tih theih \henkhat a awm a:

• Infiamna hmun him: Naupang inkhelhna hmunte chu a him thei ang bera siam tur a ni. A sir hrual leh a hnim hring te chu fimkhur rawh.
• Infiamna hun chhunga himna hmanrua: I fain infiamna (e.g., cycle khalh, skating) a khelh chuan himna hmanrua (helmet, khup pads, elbow pads) \ha tak hmang turin fuih rawh.
• Ei leh in tha: Naupangte ei tur calcium leh vitamin D tamna pek hian an ruh a tichak a. Hei hian ‘buckle fractures’ direct-a a veng lo nain, ruh hriselna zawng zawng atan a pawimawh hle.

Mahse, heng zawng zawng karah pawh hian a chang chuan beisei loh accident a thleng thei tih hre reng ang che. Chutiang a nih chuan hlauthawng lova thil dik tih a pawimawh.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Okay, chuvang chuan 'Buckle Fracture' chungchang hi kan sawi nasa hle. A tawp berah chuan, hriat reng tur pawimawh thenkhat chu hetiang hi a ni:

• 'Buckle fracture' hi naupang tê (a bik takin kum 10 hnuai lam)-a hliam awm fo a ni a, ruh chu a chhe vek lo va, a sir khatah chuan "snapping" deuh niin a lang.
• Hengte hi hliam na tak tak an ni lo tlangpui. Hei hi naupang ruh a nem vang a ni.
• A lan chhuah dan chu natna, hliam, leh kut/ke hliam hman duh lohna te a ni .
• X-ray examination hmanga finfiah theih awmchhun a ni.
• Enkawlna atan hian kar 3-4 chhung splint emaw cast emaw vuah a ni tlangpui. Surgery neih a ngai lo.
• Heng hliamte hi a dam tha hle a, a dam thuai bawk a, a tlangpuiin hun rei tak chhung harsatna engmah a hnutchhiah lo.
• I fain hetiang hliam a tuar nia i rinhlelh chuan hlauthawng suh la, doctor pan nghal rawh.
• Naupang chu a dam thuai theih nan doctor thupek dik taka zawm a pawimawh hle.

Chuvangin, ‘buckle fracture’ chungchanga in hlauhthawnna leh rinhlelhna te kha a bo tawh ngei ka beisei. Hetiang thu hriat hi emergency-ah i tan a tangkai hle ang. I fate nun hrisel leh hlawhtling tak an neih theih nan duhsakna ka hlan a che u! Buckle Fracture, Bone Fracture, Naupang Ruh, Torus Fracture, Kut Fracture, Ke Fracture, Naupang hriselna, Buckle Fracture, Torus Fracture, naupang ruh tliak, ruh hliam, pediatric orthopedics, splint, cast