Ruh tliak i nei tawh em? (Comminuted Fracture) chungchang hi a awlsam zawngin i zir ang u!

Kan nunah hian chetsualna leh tlukna kan hmachhawn a ngaih chang a awm thin. A chang chuan hliam tenau tak nen kan tlanchhuak thei a, a chang chuan kut emaw ke emaw kan tikehsawm thei bawk. Ruh a chhe kan tih hian a then chu hmun khatah a chhe mai mai a, mahse ruh chu a chhe nasa hle a, a chhe tawh ang maia a inthen na hmun thenkhat chu a awm bawk. Chu chu chutiang ruh tliak na tak tan chuan `(Comminuted Fracture)` kan tih chu a ni. Chuvangin vawiin hian he dinhmun `(Comminuted Fracture)` tih hi chipchiar deuhin kan sawi dawn a ni , i hriatthiam theih nan.

`(Comminuted Fracture)` tih hi eng nge ni?

A awlsam zawngin, `(Comminuted Fracture)` chu i ruh pakhat (i.e. ruh pakhat) chu a chi thum emaw a aia tam emaw a inthen a ni . Hetiang hian han ngaihtuah teh: plate i thlak hian a chang chuan pahnih ah a inthen a, mahse a chang chuan a chhe vek a, a chhe lai te te a lo awm ta a ni. Hei pawh hi chutiang bawk chu a ni. Fracture awlsam takah chuan ruh chu hmun hnih ah a inthen thei. Mahse `(Comminuted Fracture)` ah chuan ruh chu a inthen darh a, a chang chuan powder ah a chang bawk. Hei hi ruh tliak pangngai aiin a na zawk deuh tih pawh i hrethiam tur a ni . A chhan chu a chi hrang hranga a inthen chuan a inzawm khawm leh tur chu a buaithlak deuh thin.

Engvangin nge ``Comminuted Fracture'' hi a lo awm? A chhante chu engte nge ni?

Hetiang ruh hi a chhe vek tur chuan a chhe nasa hle ang a, a chhe nasa hle ang . Tlu tlemte atanga lo awm mai mai hi a tlem hle. A thlen thei thil thenkhat chu hetiang hi a ni:

• Lirthei chetsualna na tak: Hei hi lirthei, motor leh motor inkara inhnawh tawnna atanga lo awm emaw, accident na tak tak dang atanga lo awm thei a ni.
• Hmun sang tak atanga tlak: Thingkung emaw, in sak emaw atanga i tlak chuan.
• Intense sports injuries: Infiamna chak tak, impact sports thenkhatah (e.g. rugby) a awm thei.
• Silai kah ang chi hliam na tak tak: Hetiang thilah hian ruh chungah chakna nasa tak a awm avangin ``Comminuted Fracture'' a awm thei.

Mahse, thil dang a awm. Mi an lo upat deuh deuh chuan an ruh a chak lo a, chu chu `(Osteoporosis)` kan ti bawk. Chutiang ruh chak lo nei tan chuan tlu tlemte pawh, mi pangngai tan harsatna lian tham thlen lo tur chuan `(Comminuted Fracture)` a thlen theihna chance a awm. Mahse kan hmuh tam ber chu a hmaa kan sawi tawh angin nghawng lian tham tak tak avanga lo awmte hi a ni.

`(Comminuted Fracture)` a lan chhuah dan chu engte nge ni? Engtin nge i hriat?

Ruh tam tak a inthen chuan a hrehawm zia chu i ngaihtuah thei ang. A lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Natna nasa tak: A bulpui ber chu natna nasa tak a ni. A natna chu a na lutuk thei a, khawih pawh i khawih thei lo.
• Rapid swelling and bruising: Hliam na hmun chu a hring tan nghal ang a, blue/purple pawh a lang thei bawk.
• Deformity: Chumi awmzia chu kut emaw ke emaw a nih chuan a pianzia a danglam thei a, a inzawm tlat angin a lang thei tihna a ni.
• Ke leh ke ruh che thei lo: Hei hian kut emaw ke hliam emaw hman theih loh emaw, sawn theih lohna emaw a thlen a ni.
• A châng chuan ruh tliak ṭhenkhat chu vun aṭangin a chhuak thei a: Hei hi a hlauhawm deuh. Hei hi ``Open Comminuted Fracture`` kan ti bawk. Hetiang a nih chuan hri kai theihna chance a sang zawk.
• Accident thlen laia "crackling" ri hriat emaw hriat emaw: (`(Crepitus)`) Mi thenkhat chuan ruh inzawm ri an hre emaw, an hre emaw thei.
• A natna hmun khawih a nih chuan chetna pangngai lo: (`Abnormal movement`) Kut/ke chu a tlangpuiin ruh (joint) ni lo hmunah a ben ang maiin a lang thei.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak nghal a pawimawh hle.

Engtin nge doctor hian ``Comminuted Fracture'' hi dik takin a hriat theih ang?

Hetiang hliam tuar chunga damdawi in i kal hian doctor chuan i chunga thil thleng chu a zawt hmasa ang che a, chu hmun chu a enfiah ang a, chutah chuan a hnuaia test te hi a ti ang a, chu chu i hliam chu ``comminuted fracture'' a nih leh nih loh leh a nasat zia a hriat theih nan a ni:

• X-ray: Hei hi test tam ber a ni. X-ray hmangin ruh chu engtin nge a tliak tih te, a hnah engzat nge a tihchhiat tih te, a hnah engzat nge a darh zauh tih te chiang takin a lang thei a ni.
• CT scan (Computed Tomography scan - CT scan): A chang chuan, a bik takin ruh (e.g. khup, elbow) hnaihah a ruh tliak a nih chuan, emaw, ruh chi hrang hrang chungchang chipchiar zawka hmuh i duh chuan i doctor chuan CT scan a ti thei a ni. Hei hian ruhte chu three-dimensional (`3D`) image a siam thei a, chu chuan thil awmdan chu a hrethiam zawk thei a ni.
• Magnetic Resonance Imaging (MRI): MRI hi comminuted fracture finfiah nan hman a ni tlem hle. Mahse, a ruh tliak chhehvela tissue nem (muscle, tendon, nerve, leh thisen kalna kawng)-ah chhiatna a awm em tih hriat nan MRI neih a ngai mai thei.

Heng test te hnuah chauh hian doctor chuan i chunga thil dik lo tak tak leh eng ang enkawlna nge mamawh tih a rel thin.

`(Comminuted Fracture)` hi engtin nge i enkawl? Eng chen nge tihdam a ngaih?

``Comminuted Fracture'' hi fracture buaithlak deuh a ni tih kan sawi tawh a. Ruh chu a chi hrang hrang tam takah a inthen chuan a ruh chu a chet lohna tur zawnga dah khawm leh siamthat a ngai a ni. Chutiang a nih loh chuan ruh chu a fit tha lo ang.

Chuvangin, a tam zawkah chuan ``Comminuted Fracture'' hi operation a ngai thin.

Surgery-ah chuan ruh tliak tawhte chu a theih ang anga an awmna hmuna sawn leh a, chutah chuan dah khawm leh a ni. Chumi atan chuan hmanraw hrang hrang a awm a:

• Open Reduction and Internal Fixation (ORIF): Hei hi surgery atana hman tlanglawn ber a ni.
• `Open Reduction` tih awmzia chu: Doctor chuan vun a tan a, ruh tliak lam a pan a, ruh chi hrang hrang chu kut hmangin a siamrem thin.
• `Internal Fixation` tih awmzia chu: Ruh chi hrang hrang buatsaih tawhte chu a chhung atanga thir plate bik, screw, rod emaw nail emaw dahkhawmna a ni. Hengte hi taksa nena inmil tura siam, thir bik hmanga siam a ni.
• External Fixation: Comminuted fracture na tak tak thenkhatah chuan, a bik takin open fracture a awm emaw, hliam a hring nasa lutuk emaw a nih chuan ORIF surgery tih nghal theih a ni lo mai thei. Chutiang hunah chuan external fixator an tih device an hmang thin.
• Hei hian ruh tliakna hmun chung leh hnuai vun kaltlangin ruh chhungah metal pin (`pins` emaw `screw`) engemaw zat dah luh a, taksa pawn lama frame (`frame`)-ah dah a ni. Hei hian ruh chi hrang hrangte chu che lovin a hmunah a awm reng theih nan a pui a ni. Hliam chu tlem a dam tawh a, a hring chu a reh tawh chuan a hnuah `(ORIF)` surgery tih theih a ni. A chang chuan he `(External Fixator)` hi ruh a dam hma loh chuan hman theih a ni.

Operation tel lova enkawlna: 1.1.

`(Comminuted Fracture)` hi zai loha enkawl hi a tlem hle. Ruh chi hrang hrang hi hmun tam takah a darh avangin `(Plaster Cast)` emaw `Splint` emaw chauh hmangin a in fit tha dawn lo. Mahse, a tlem hle , ruh hnah te chu a hla vak lo a nih chuan doctor chuan plaster cast hmangin operation tel lovin tihdam a tum mai thei. Mahse, hei hi a hlawhtling lo hle.

Natna control dan: 1.1.

Hei hi a hrehawm tak zet a nih avangin doctor chuan natna tidamtu damdawi \ ha tak tak a pe ang che .

Damna hun: 1.1.

``Comminuted Fracture'' dam hun chhung hi mi hrang hrangah leh a ruh tliak dan azirin a inang lo. Fracture pangngai aiin a rei zawk.

• Ruh chi hrang hrangte chu a inzawm khawm a, a chak zawk theih nan thla engemaw zat (a tlangpuiin thla 3-6 emaw a aia rei emaw) a ngai thei.
• Chumi hnuah pawh, i kut/ke natna chu hman leh i duh chuan physiotherapy tih damdawi course i neih a ngai ngei ang. Hei hian thla engemaw zat a daih thei bawk.

Chuvangin, a dam kim theih nan kum khat vel a ngai thei. Chuvangin dawhthei taka enkawl a pawimawh.

``Comminuted Fracture'' avanga harsatna awm thei te chu engte nge ni?

Hliam zawng zawng ang bawkin ``Comminuted Fracture'' hian harsatna engemaw zat a nei thei. Hengte pawh hi hriat chian a tha:

• Kaichhawng:A bik takin ``Open Fracture`` (vun an hliam a, ruh a lo lang) emaw, operation hnuah emaw chuan hliam chhungah natna hrik a lut thei a, natna a thlen thei a ni.
• Nerve emaw thisen kalna kawng emaw a chhiat: Ruh a chhiat chuan ruh hrual hrual te hian a bul hnaia nerve emaw thisen kalna kawng emaw a tichhe thei a ni.
• Compartment Syndrome: Hei hi natna khirh tak a ni. Hliam chhehvela taksa ruhte a hring chhuak hian compartment chhunga pressure a tisang thei a, thisen kal pawh a titawp thei a ni. Hei hi emergency treatment ngai tak a ni. A lan chhuah dan chu kut/ke natna nasa tak, vun hring, leh kut/ke bengchheng te a ni.
• Malunion emaw Nonunion emaw: A chang chuan ruh chi hrang hrang hi a inzawm khawm dik lo thei (splint ang maiin). A nih loh leh rei tak an awm dun thei bawk. Chutiang a nih chuan operation dang i neih leh a ngai mai thei.
• Hun kal zelah ruh natna (Arthritis): A bik takin ruh pakhatah comminuted fracture a awm a nih chuan, hun kal zelah chu ruh chu ruh natna, chu chu ruh natna tihna a ni.
• Chronic pain: Mi thenkhat chuan hliam a dam hnuah pawh na an nei chhunzawm thei.
• Kut/ke-a nghet leh hnathawh hloh: Kut/ke hliam chu a nghet lo thei a, a hma angin a ben thei lo thei a, a dinglam thei lo bawk. Hei hi physiotherapy a pawimawh em emna hmun a ni.

Hetiang thil hi mi zawng zawngah a thleng vek lo a, mahse a thleng thei tih hriat a, doctor thupek uluk taka zawm a pawimawh.

`(Comminuted Fracture)` hnua dam thuai theih nan eng nge i tih ang?

``Comminuted Fracture'' i neih a, enkawl mek i nih chuan, i dam thuai theih nan heng thilte hi enkawl la:

• Doctor thupek dik tak zawm rawh: Chu chu a pawimawh ber a ni. Engkim dik takin ti rawh, i damdawi ei dan tur te, i hliam enkawl dan tur te, chawlh hahdam i mamawh zat te, engtikah nge i kal tan leh tur tih te.
• Damdawi pek chu a hun takah ei rawh: I damdawi pek, natna tidamtu leh a chang chuan antibiotics (infection laka invenna) te chu a pek angin ei thin ang che.
• Chawlh hahdam a pawimawh: Ruh a dam hma loh chuan kut/ke natna chu chawlh hahdam a pawimawh hle. Doctor-in a tih hma loh chuan thil rit phurh, tlan leh zuang engmah ti suh.
• A natna hmun chu chawi sang la, a hring (swelling) a tihziaawm theih nan: Kut/ke a nih chuan pillow hmanga chawi sang reng chuan a hring (swelling) a tiziaawm thei a ni.
• Physiotherapy tih ngei ngei tur: I doctor-in a rawt chuan physiotherapy session-ah tel fo ang che. In lamah pawh exercise te hi ti ve rawh. Hei hian i kut/ke chakna leh inthlak danglamna i neih leh theih nan a pui ang che.
• Chaw tha tak tak ei rawh:Calcium leh vitamin D tamna ei tur (bawnghnute, yogurt, cheese, thlai hring, leh sangha ang chi) ei tam la, chu chuan ruh tihdamna kawngah a pui a ni. Protein tamna eitur te pawh a pawimawh hle.
• Meizial i zuk chuan bansan rawh: Meizial zuk hian ruh damna nasa takin a tikhawtlai a ni. Chuvângin, zu in mi i nih chuan, tûna bânsan chu i tân ṭanpuina nasa tak a ni.
• Medical checkup te hi skip suh: Doctor hnenah lo kal leh la, i dinhmun enfiah turin a hrilh che ni-ah kal rawh.

``Comminuted Fracture'' hi a veng thei ang em?

Accident hi kan beisei loh ber laia thil thleng a ni. Mahse, himna tur ruahmanna thenkhat zawm chuan hliam na tak tuar theihna a ti tlem thei a ni.

• Hriselna atana kalphung zawm tur:
• Lirthei a chuang dawnin seatbelt vuah fo ang che.
• Motorcycle emaw bicycle emaw i khalh dawnin helmet standard dik tak ha rawh.
• Hnathawhna hmunah hmanraw leh kalphung him tak tak zawm tur a ni a, a bik takin in sakna ang chi hmun hlauhawmah te zawm tur a ni.
• Infiamna i khelh hian infiamna atana hman tur himna hmanrua (e.g., guards, padding) hmang thin ang che.
• Tlu laka invenna (a bik takin kum upa lam tan):
• I in chhunga slip leh tlu hlauhawm thei (e.g., bathroom, stairs) te chu hre reng ang che. A tul chuan handrail leh non-slip mats dah tur a ni.
• Zanah lighting tha tak a awm ngei ngei tur a ni.
• Kea kal harsatna i neih chuan i doctor-in a tih angin kea kal emaw, kea kalna emaw hmang la.
• Ruh nghet taka vawn reng:
• Calcium leh vitamin D tamna ei leh in inthlau tak ei rawh.
• Exercise neih fo (weight-bearing exercise hian ruh a tichak).
• Osteoporosis ang chi natna i neih chuan uluk takin enkawl rawh.

Heng thilte ngaihtuah hian eng emaw chen chu `(Comminuted Fracture)` ang chi hliam na tak lakah kan inveng thei ang.

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

Okay, chuvangin vawiin hian `(Comminuted Fracture)` chungchang kan sawi nasa hle. I hriat reng tur pawimawh tak takte chu hetiang hi a ni:

• ``Comminuted Fracture`` hi ruh tam takah a inthen a, a natna khirh tak a ni.
• Hei hi a tlangpuiin a nghawng na tak (accident lian tak, hmun sang atanga tlak ang chi) vang a ni.
• If you suffer an injury like this , damdawi lam pan nghal a pawimawh hle.
• Vawi tam tak chu he natna hi ruh chi hrang hrangte dik taka siam that nan operation a ngai thin .
• Dam nan hun a duh a , damna kawngah hian physiotherapy hi a pawimawh hle.
• Doctor thupek dik taka i zawm a, dawhthei taka i inenkawl chuan damna tha tak i nei thei a ni.

Hlau suh la, i himna chu ngaihtuah reng ang che. A chhan chu, "Damdawi aiin fimkhur hi a tha zawk" an tih angin. He thu hi i tangkaipui ngei ka beisei!

` Comminuted Fracture, ruh tliak, ruh chhe, surgery, ruh tihdam, physical therapy, accident, ruh enkawl