I naupang tê chu a tlu em ni? A kut/ke chu a na a ti em? (Buckle Fracture/Torus Fracture) a ni thei!

I fa naupang nalh tak chu a inkhelh a, rang takin a tap tan a, kut emaw ke emaw a chelh ngai em? A nih loh leh, tlem a tlu hnuah, chu kut leh ke hmangin engmah ti lovin, a na tih sawiin a thu mai mai em ni? Vawiin hian naupang tê têa hliam tuar, mahse nu leh pa tam takin an hriat loh thu kan sawi dawn a ni. Hei hi ``Buckle Fracture`` emaw ``Torus Fracture`` emaw kan tih chu a ni.

Hei hi eng nge ni ``Buckle Fracture''? A awlsam zawngin hrethiam ila, kan hrethiam ang em?

A awlsam zawngin sawi ila, ``Buckle Fracture`` hi naupang tê tête zingah a chi khat bik a ni. Amaherawhchu, hetiang hunah hian kan ngaihtuah angin ruh hi a inthen darh lo. Chu ai chuan, ruh sir khat chu a chhungah tlem an nawr a, a nih loh leh an tikehsawm . Bamboo thing naupang, flexible tak chu tlem tal kan ben chuan a chhe vek lo va, a sir khat chu a chhe vek a, knot te tak te ang mai a ni ang? Chu chu he thubuaiah pawh hian a thleng ve tho. Naupang tê tê kutah ruh a awm tih han mitthla teh. Tlu ang chi thilin a nawr nghal chuan ruh khauh tak (i.e. ``cortex``) chu a chhe vek lo va, chhung lam hawiin tlem a nawr zawk a ni. A châng chuan chu hmun chu tlêm têin a hrual thei a, tlâng tê ang mai pawh a ni thei. Chutiang a hring hring avang chuan ``Torus Fracture`` an ti bawk. ``Torus`` tih hi Greek tawng a ni a, a awmzia chu "swelling" emaw "knot" emaw tihna a ni.

Ruh hi pahnih ah a inthen vek loh avangin "incomplete fracture " an ti bawk.

Engvangin nge he ``Buckle Fracture'' hi naupang tê têah hian a awm tam ber?

I ngaihtuah mai thei, "Engvangin nge puitlingah ni lovin naupang chungah hetiang hi a thleng?" Hei hi chhan awlsam tak a awm. Naupang ruh, a bik takin kum 10-12 hnuai lam ruh hi keini ang puitling ruh angin a lo thang kim lo va, a khauh lo bawk. An ruh te chu a la thang lian zel a . Chuvangin, tlem an nem zawk a, an flexible zawk bawk . Thingkung hnah naupang ang maiin awlsam takin an "tuck" a, an chhe thei lo va, an ben a, an chhe ta zawk a ni. Puitling a tlu a nih chuan a ruh chu a chhe vek theihna chance a sang hle a, thing hring ang mai a ni. Mahse naupang tê a tlu a nih chuan, chu ruhte chu a insiamrem theih avangin, ruh chu a chhe vek lo va, ka sawi tawh ang khan a sir khatah a chhe vek ang a, a nih loh leh a inzawm khawm ang. Phên dangin sawi ila, ruh chu a chhia a, mahse puitlingin ruh a tihchhiat aiin a danglamin a chhia a ni.

Engtin nge he ``Buckle Fracture`` hi naupang tête chungah a thlen theih?

``Buckle Fracture`` hi engtin nge a awm tih i hria em? A tam zâwk chuan, naupang tê tê chu an kut phar chungin a tlu a , hei hi a thleng ṭhîn . Ngaihtuah teh, swing atanga an tlak chuan automatic in an kut chu hmalam panin an in chhanchhuak turin lei an man ta a ni. Chutih lai chuan, he ruh tliakna hmun tam ber chu kutphah , a nih loh leh kut (forearm) tawp lam, kutphah a ben na hmun hi a ni. Chutiang hunah chuan ruh chu chutiang chuan a tikehsawm thin. Hetiang hliam hi a tam ber thenkhat chu hetiang hi a ni:

• Naupang pakhat chu inkhelhna hmuna slide aṭangin a tlu a, a tla bawk.
• Khum, sofa, chair, emaw crib atanga tlu.
• Naupangte an tlan a, an inkhelh hian an in tawk emaw, an tlu mai mai emaw a ni.
• A chang chuan bicycle atanga tlak atanga lo awm thei a ni .
• Trampoline chunga i zuang laiin kawng dik lovah i tlu a nih chuan .
• Infiamna thenkhat khelh lai pawhin a thleng thei bawk . Entirnan, naupang tê tête nen soccer kan khelh laiin, ball man tum laiin i tlu a nih chuan.

A pawimawh ber chu, ``Buckle Fracture '' thlen tur chuan accident lian tak, na tak a nih a ngai lo . A châng chuan, "Aw, hei hi tlu tê tê chauh a ni," tih pawh ngaihtuah ngai lo tlu tê tê pawh hian hetiang thil hi a thlen thei a ni. Chuvangin naupang tê tê a tlûk chuan a nat thu an sawi a nih chuan ngaihthah suh.

Poditta hian ``Buckle Fracture`` a nei em? A hriat theihna tur chhinchhiahnate chu engte nge ni?

Tunah chuan i fate hian ``Buckle Fracture`` a neih chuan eng chhinchhiahna nge i zawn theih tih i en ang u. Mahse, naupang zawng zawng hi an inang vek lo tih hre reng ang che, naupang thenkhat chuan hrehawmna an lantir vak lo mai thei bawk.

• Natna : Hei hi chhinchhiahna langsar ber leh langsar ber a ni. I fa chu a kut/ke hliam i khawih emaw, i vawrh emaw hian a tap a, emaw, "a na" a tih chuan, chu chu chhinchhiahna a ni. A châng chuan, ding reng chung pawhin natna a awm thei.
• Swelling : Ruh a tliak emaw, a chhuahna hmun emaw chu a hring deuh thei. He hliam hi hriat theih loh tak tak a ni thei a, a nih loh leh hun engemaw chen hnuah a lo lang thei bawk.
• Kut/ke hman loh : I fain chu kut hmanga infiamna a chelh loh emaw, a ei loh emaw, chu ke chu a dah hniam emaw, rit a dah loh emaw a nih chuan a tan hman a harsa a, a na tihna a ni.
• Tenderness : Naupangin a hliam hmun chu khawih emaw, press tlem emaw a nih chuan natna nen a chhang let a nih chuan a hmun chu a hmin hle tihna a ni.
• Deformity : Buckle fracture-ah hian deformity lian tak , kut/ke ben ang chi hi hmuh tur a awm lo. Hei hi a chhan chu ruh chu a chhe kim lo va, a inthlak danglam lo bawk. Mahse, a châng chuan ruh chu hnah te tak te emaw, a hring deuh emaw angin a lang thei a, a pianzia pawh a danglam deuh thei bawk.
• Bruising : A chang chuan hliam na hmuna vun chu a rawng a danglam thei a , blue/purple bruise ang maiin a lang thei bawk.

Pawimawh: Buckle fracture apiangah heng chhinchhiahna zawng zawng hi vawi khatah a awm vek lo. Naupang thenkhat chuan natna an lantir tlem emaw, an lantir lo emaw pawh a ni thei. Chuvangin, i fa chu a tlu hnua mak tak maia a che a, natna a phunnawi a, rinhlelhna i neih chuan Doctor pan a tha ber.

Engtikah nge Doctor ka hmuh ang? Engtik hunah nge?

Hei hi zawhna pawimawh tak a ni. I fa te chu a tlu a, a chunga chhinchhiahna pakhat emaw a aia tam emaw a lan chuan a tha ber chu doctor pan nghal mai hi a ni. Nu leh pa thenkhat chuan, "Tlukna tenau mai a ni a, rei vak lo hnuah a tha leh ang," tiin an ngaihtuah thin. Mahse ruh tliak a nih chuan eng thil nge thleng tih chiang taka hriat a, uluk taka enkawl a pawimawh. Chutiang a nih loh chuan a dam tha lo a nih chuan a hnuah harsatna a thlen thei a ni. Entirnan, ruh chu a inmil lo thei a, natna chhunzawm zel a thlen thei a, kut/ke hnathawh a tichhe thei bawk. Chuvangin, i fate natna engmah chu ngaihthah ngai suh, a bik takin a tlu hnuah. Doctor hmuh a, thil pawi tak a ni lo tih hriat chu thlamuanna a ni thei.

Engtin nge doctor-te chuan ``Buckle Fracture'' hi an hriat theih?

Doctor i pan hunah doctor-in a tih hmasak ber tur chu i fa leh nangmah chu thil thleng chungchang zawt hmasa phawt ang che . Engtin nge i tlu a, i tlu hnua eng thil nge thleng, engtikah nge natna a lo intan, a hring a awm leh awm loh. Tichuan doctor chuan i fa kut/ke hliam chu a enfiah ang . A hring em, a na em, a khawih chuan a na em, a pianzia a danglam em, i kut/ke pawh i che thei em? Mahse, buckle fracture emaw, ruh fracture chi dang emaw, sprain chauh emaw a nih leh nih loh hriat chian nan X-ray lak a ngai a ni . X-ray hmangin ruh chhiatna chu chiang takin a lang thei a, chutah chuan ruh chu a chhe emaw, a inthlak emaw a ni. ``Buckle Fracture'' a nih chuan ``X-ray''-ah kawng bik takin a lang ang.

Hei hi engtin nge i enkawl? Naupang tê tan chuan a na hle ang em?

Hetah hian chanchin lawmawm chu a awm e! Buckle fracture hi a nasat loh tlangpui a , a dam tha hle a , a dam nghal vat bawk . Chuvangin tul lova lungngai suh. Enkawlna atan doctor-te chuan hliam tuar kut/ke-ah hian splint emaw cast emaw an dah fo thin.

• Splint chu removable support a ni a, chu chu kut emaw ke emaw chu hun eng emaw chen atana tihkhawtlai nan hman a ni. Fiberglass emaw plastic emaw hmanga siam theih a ni .
• A `Cast` tih a niCast chu plaster of Paris emaw fiberglass emaw hmanga siam khuhna a ni a, chu chu kut/ke vel zawng zawngah dah vek a ni a, a tlangpuiin in lamah pawh lakchhuah theih a ni lo. Hei hian ruh chu rang tak leh dik taka a dam theih nan a pui a, ruh chu uluk taka a set leh a dam hma loh chuan chetna a veng thei a ni.

He `splint` emaw `cast` hi kar 2 atanga kar 3 chhung dah a ngai tlangpui a, a chang chuan kar 4 vel dah a ngai bawk . Hun chu a chhiatna zau zawng leh naupang kum ang chi thilte a\angin a innghat ang. Doctor chuan chiang takin a hrilh ang che. Painkillers : I fa chu a na a nih chuan Doctor chuan natna tidamtu na lo tak `Paracetamol` ang chi a rawn pe ang che. Dose-ah leh doctor-in a hrilh hunah pe rawh.

Buckle fracture a awm chuan a tam zawkah chuan operation a ngai lo va, chu chu 99% vel a ni. Ruh chu a chhe lo emaw, a chhe lo emaw a nih loh avangin, splint emaw, cast emaw hmangin a enkawl tha thei a ni.

Eng chen nge a dam theih ang? Ka khel leh thei dawn em ni?

Naupang tête ruhte chu mak tak maiin a dam thuai a! Chuvangin buckle fracture hi a dam vek theih nan kar 3-4 vel a ngai tlangpui. A châng chuan hun tlem a la tlem thei bawk. Splint emaw cast emaw lakchhuah a nih hnuah chuan kut/ke chu ni engemaw zat chhung chu a nghet deuh emaw, a na deuh emaw a ni thei. Hei hi thil pangngai a ni. Zawi zawiin kut/ke i hman chuan a khauhna chu a bo vek ang. Doctor chuan exercise thenkhat a pe thei bawk. Dam hnuah, a ni, i naupang tê chu inkhelh, tlan, zuang, leh an tih ṭhin zawng zawng tihnaah a kir leh thei ngei ang! Hei hian hun rei tak chhung nghawng a nei tlem hle.

In lama i fate i enkawl laia i tih theih thilte

Hetih huna i tih theih pawimawh ber chu i doctor thupek dik taka zawm hi a ni. Chu bâkah, hengte hi hre reng ang che:

• `Cast` emaw `Splint` emaw enkawl dan:
• Cast chu hnim lo turin phal suh . Tui a luh loh nan plastic bag hmangin khuh nghet la, a hnim chuan vun harsatna a thlen thei a, cast pawh a tichak lo thei bawk.
• Cast chhungah hian engmah dah suh (e.g. pen, pencil, toys). Scratch suh. Chutianga tih chuan vun a tichhe thei a, infection pawh a thlen thei bawk.
• Cast chu a lo chhuak a, a chhe a, a rimchhia a nih chuan , i doctor hnenah hrilh nghal rawh.
• Casted hand/leg-a kut zungtang emaw ke ruh emaw chu a sen a, a hring a, a tingle a, a na lutuk a nih chuan , i doctor hnenah pawh i hriattir nghal tur a ni. Hengte hi cast a tight lutuk tihna a ni thei.
• Pain control: Doctor-in a sawi angin painkiller pek tur a ni.
• Swelling tihziaawmna: 1.1.A tir lamah chuan doctor-in a fuih chuan i kut/ke chu tlem a sangin dah la (e.g. pillow-ah). Hei hian a hring (swelling) a tihziaawm theih nan a pui ang.
• Naupang chu nuam ti takin siam rawh: Naupang tê chu nuam ti takin siam rawh. A bo loh nan thil chhiar tur, lemziak tur, etc. pe rawh.
• Medical check-up : I fa chu doctor appointment-ah hruai ngei ngei tur a ni. Heng appointment te hi cast lakchhuah nan leh damna kal dan tur en nan a pawimawh hle.

Hei hian hun rei tak chhung harsatna a thlen dawn em ni? Hlauh tur a awm em?

Ni lo, Buckle Fracture hnuah hian hun rei tak chhung harsatna a awm lo tlangpui . Ruh chu a dam tha tawh chuan naupang chuan a hna pangngai a thawk leh thei tawh ang. A tlangpuiin ruh thanna leh kut/ke chakna a nghawng lo. Amaherawhchu, a hmaa kan sawi tawh ang khan a chang chuan a ruh tliak chu enkawl that loh emaw, doctor thupek zawm tha lo emaw a nih chuan harsatna a awm thei. Chuvang chuan a tir atanga thil tih dik a pawimawh.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Okay, chuvangin tunah chuan kan sawi tawh ``Buckle Fracture'' emaw ``Torus Fracture'' emaw kha i rilruah hriatthiamna tha tak leh chiang tak i neih ka beisei.

• Buckle fracture hi naupang tê tê ruh flexible-a hliam tenau tak a ni a, ruh chu a chhe vek lovin a sir khatah a chhe/a chhe vek a ni.
• I fain natna, a hring, a tlu avanga an kut/ke hman harsa, emaw, khawih a na emaw a neih chuan ngaihthah suh la, doctor hnenah entir ngei ang che
• X-ray hmangin hei hi eng nge a nih chiah tih a chiang ang.
• Enkawlna atan chuan kar engemaw zat chhung chu splint emaw cast emaw vuah a ni tlangpui. Damna hi a tha hle a, a rang hle bawk.
• Don’t worry, don’t panic , hei hi naupang te te zingah a awm fo a, a dam tha hle. A pawimawh ber chu Damdawi lam thurawn la vat a, chumi ang zela zawm hi a ni. Tichuan i naupang tê chu a dam thuai ang a, a tlan leh a khel leh ang!

Zawhna dang i neih chuan doctor zawt hreh suh. Nang leh i fate tanpui turin an awm reng a ni.

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