I fa te hian kut emaw, ke emaw a hliam em? Greenstick Fracture'' a nih leh nih loh i hre lo em ni? Hemi chungchang hi han sawi ila!

In lamah naupang nalh tak i neih chuan hetah leh khawiah pawh an tlu a, hliam tenau an tuar hi thil pangngai a ni. Mahse, a châng chuan, tlu tê tê pawh hian i ngaihtuah aia nasain chhiatna a thlen thei a ni. A bik takin naupang te ruh chungchang sawi dawn chuan an ruh hi puitling ruh nen chuan a danglam deuh hlek a ni. Vawiin hian chutiang naupang tê tê chunga ruh tliak thei a nih thu kan sawi dawn a ni.

Hei hi eng nge ni ``Greenstick Fracture''?

A awlsam zawngin sawi ila, ``Greenstick Fracture'' hi naupang tê tête zingah a awm fo ṭhin. Thingkung thar, hnim deuh deuh aṭanga thinghnah pakhat la a, a ben lai chu han mitthla teh. Eng thil nge thleng? Pahnihah a inthen vek ai chuan a sir khatah a chhe deuh a, a sir lehlamah a la inzawm reng em ni? Hrui ang maia innghat pawh a ni thei. Chu chu ``Greenstick Fracture'' tih chu a ni. Hei hi ruh chu pahnih a inthen vek lo va, chu ai chuan a sir khatah crack emaw crack te te a nei a, chu chu fracture hming a ni. "Greenstick Fracture'' an ti a, a chhan chu "green branch" tihchhiat ang maia a lan vang a ni.

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

Tunah chuan, "Engvangin nge puitlingah ni lovin naupang chungah hetiang hian a thleng?" A chhan chu naupang ruh, a bik takin kum 10 hnuai lam ruh hi puitling angin a khauh lo va, a hmin lo bawk. Tlem chuan an nem zawk a, an flexible zawk bawk a, chu branch thar ka sawi tawh ang khan. Damdawi lam hawi chuan an ruhte hian `(Collagen)` an nei tam zawk a, `(Minerals)` an nei tlem zawk bawk. Chuvangin, tlak ang chi impact a awm chuan ruh chu pahnih a inthen vek ai chuan a sir khatah a chhe zawk a ni. Puitlingah chuan chutiang tlu chuan ruh chu a tikehsawm vek thei a, a chhe vek thei bawk. Mahse he `(Greenstick Fracture)` hi naupang ruh chhunga he special flexibility vang a ni.

Engtin nge he `(Greenstick Fracture)` hi a lo awm? A chhante chu engte nge ni?

Tunah chuan, "Aw ka pathian, engtin nge ka fa chungah hetiang thil hi a thlen theih?" Accident lian tak a nih a ngai lo. Thil tenawm tak tak, tlan kual leh inkhelh te pawh hian hetiang dinhmun hi a thlen thei a ni. A chhan langsar zualte chu:

• Inkhelh laiin tlu : A tam zawkah chuan naupangte chu kut phar chhuakin an tlu a, an kutphah emaw, kut hmawr emaw thlengin an tlu thin. Hei hi sofa atang emaw, khum atang emaw, infiamna emaw, inkhelhna hmanrua atang emaw pawhin a thleng thei a ni.
• Kea hliam : I tlan lai emaw, inkhelh lai emawa i tlu a, i tlu a nih chuan i ke hnuai lam ruh (Tibia, Fibula)-ah Greenstick Fracture i nei thei a ni.
• Bicycle atanga tlu : Hetiang dinhmun hi naupang kum upa zawk, bicycle khalh laiin tlu te pawhin an hmu thei bawk.
• Infiamna lama inhliam a awm: Hetiang inhliam hi sikul infiamna, entirnan, cricket khelh laiin ball-in a rawn deng a, infiamna dang i neih laiin i insu a nih chuan a thleng thei a ni.
• Direct blow : Thil na takin kut emaw ke emaw direct-a a tlak chuan hetiang puakruk hi a thlen thei bawk.

A pawimawh ber chu hei hi kut hmawr ruh (`(Forearm bones - Radius, Ulna)`) leh ke hnuai ruh (`(Lower leg bones - Tibia, Fibula)`)-ah a awm tam ber. Tin, chutiang fracture chu collarbone (`(Clavicle or Collarbone)`) ah pawh hmuh tur a awm bawk.

`(Greenstick Fracture)` natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

Okay, tunah chuan hetiang hliam hi engtin nge i hriat theih ang tih kan en ang. Naupangte hi an naupan lai a nih avangin thil awmdan chu an hre chiang lo tak zet a ni. Chuvangin heng chhinchhiahnate hi i hriat chian a ngai a ni.

• Natna nasa tak : Naupang chu a hliamna hmun khawih emaw, a kut/ke sawn emaw a tap emaw, a na emaw a nih chuan chu chu a chhinchhiahna lian tak a ni.
• Swelling : Hliam na hmun hi a hring nasa hle thei . A lo hring thuai thei a, hun rei tak a la ngai thei bawk.
• Bluish or discolored : A chang chuan blue emaw red emaw a lo ni thei a, hliam ang maiin a awm thei.
• Kut/ke hman duh lohna : Naupangin kut/ke hman a hreh a nih chuan , chu kut hmanga thil pakhat pan loh, inkhelhna thil lak loh, emaw, chu ke dah loh ang chi te chu, chu pawh chu chhinchhiahna pawimawh tak a ni.
• Abnormal shape or curvature (`(Deformity)`) : A chang chuan kut emaw ke emaw a curvature tlem emaw, unnatural bend emaw a awm thei. Mahse, hei hi a lang chiang reng reng lo. `(Greenstick Fracture)` ah hian deformation lian tham a awm lo fo thin.
• ‘Kadas’ thawm i hriat thu sawi : A chang chuan i tluk hian thawm te te i hre thei a, mahse chutiang chu mi zawng zawngin an ti vek lo a, chuvang chuan i ring thei lo.

Pawimawh: A châng chuan heng chhinchhiahnate hi chutiang chuan a na lo niin a lang thei. I naute chu tlem a tap mai mai a, a natna chu a reh tawh ang maiin lang mahse, ngaihtuahna i neih chuan doctor pan a tha ber. Thil tenawm tak a nih vang mai maiin ngaihthah suh.

Engtin nge doctor hian hei hi a nemnghet?

I fa chu Doctor hnena i hruai dawn chuan a hliam chu engtin nge a awm tih te, a natna lan chhuah dan te, naupang dinhmun te a zawt hmasa ang che. Tichuan, uluk takin naupang chu an enfiah ang. Hliam chu an tuar ang a, eng hring emaw, natna emaw an zawng ang.

Tichuan, hei hi fracture a ni em tih chiang taka finfiah tur chuan a pawimawh ber chu ``(X-ray)`` test tih hi a ni.`(X-ray)` hmang hian ruh ruh tliak a awm em tih chiang taka hriat theih a ni a, eng ang ruh tliak nge a nih tih te, `(Greenstick Fracture)` a nih leh nih loh, a chhe vek tawh em tih hriat theihna awmchhun a ni. Ka sawi tawh ang khan `(X-ray)` hian ruh sir khatah crack te tak te chauh a lantir tam zawk a, a sir lehlamah erawh a la awm reng thung.

``Greenstick Fracture'' hi doctor-te'n eng enkawlna nge an pek?

Okay, X-ray atanga Greenstick Fracture a nih thu a hriat chuan doctor chuan a enkawl tan ang. A pawimawh ber chu ruh tliak chu uluk taka set a, a awmna hmuna dah leh a, a dam theih nan phalsak hi a ni. Hei hi immobilization an ti a.

• Cast dah : A tam zawkah chuan ``Plaster of Paris cast`` emaw ``Fiberglass cast`` emaw hman a ni. He cast hian a kut/ke hliam chu a che thei lo turin a tikhawlo a ni. Hei hian ruh chu zalen tak leh dik takin a dam thei a ni. He cast hi kar 4 atanga kar 6 vel a awm tlangpui. Hei hi doctor-in a ruat a, a ruh tliak dan azirin, naupang kum a zirin a ni.
• Splint : A then phei chuan ``splint'' hi a hring a tlahniam deuh thlengin hman hmasak theih a ni a, chutah chuan ni engemaw zat hnuah cast hman a ni thei bawk. ``Splint'' hi cast nen a inang a, mahse a sir khatah chauh a tight a, a sir lehlamah ``Velcro'' strap hmanga siamrem theih a ni.
• Painkillers : I fate natna tihziaawm nan i doctor chuan natna tidamtu Paracetamol (Panadol) ang chi te a rawn rawt thei ang.
• Follow-up appointment : Cast a awm lai, leh cast lakchhuah hnuah pawh i duh angin doctor pan fo tur a ni. Ruh chu a dam tha em tih leh alignment a awm em tih enfiah nan X-ray dang a la leh thei bawk.

In lama naupang enkawl hunah eng thilte nge ngaihtuah tur? (Cast a ha chungin)

Cast atanga in i thlen hnuah i fa te enkawl tur hian mawhphurhna lian tak i nei a ni. Heng thilte hi eng emaw chen enkawl rawh:

• Cast chu hnim suh : Tui inbual emaw, tui telna thil i tih emaw chuan cast chu `(Plastic bag)` emaw, tui tlak lohna thil emaw hmangin uluk takin khuh tur a ni. A hnim hian cast a tichak lo thei a, vun lama harsatna (`(Skin irritation)` emaw `(Infection)`) a thlen thei bawk.
• Cast chhungah engmah dah suh : A chang chuan itch a awm chuan naupang tête chuan cast chhungah hian pen, pencil, leh thingphel ang chi thil dah an tum ṭhin. Chutiang chu an tih tir suh ang che. Hei hian vun a tichhe thei a, `(Infection)` a thlen thei bawk. Itch a awm chuan doctor hnenah hrilh rawh , ani chuan solution a hrilh ang che (`(Cool setting)`-ah `(Hair dryer)` dahin boruak luang chhuak turin i ti thei mai thei).
• A hring leh a hring (swelling and numbness) en rawh : Cast on nei kut/ke-a kut zungtangte chu a hring emaw, a rawn sen emaw, naupang chu a hring ang tih emaw enfiah fo ang che.Tin, i kut zungtangte chu a vawt em tih enfiah bawk ang che. Chutiang a nih chuan cast chu a tight lutuk emaw, thisen kal a tikhawtlai emaw pawh a ni thei. Hetiang a nih chuan , doctor pan nghal rawh.
• Kut/ke chawi sang : A tir lamah chuan kut/ke hliam chu chawi sang la, a theih ang angin, pillow hmangin, thinlung level aia sang deuhah dah thin ang che. Hei hian a hring (swelling) a tihziaawm theih nan a pui ang.
• Cast kilte hian hliam a thlen em tih enfiah rawh : Cast kil kilte hian a chang chuan vun a nawr thei a, hliam a thlen thei bawk. Chutiang a nih chuan i doctor hnenah hrilh rawh .
• A rimchhia em tih enfiah : Cast chhung atanga rimchhia lo chhuak a awm chuan natna hrik a awm tihna a ni thei. Chutiang a nih chuan i doctor hnenah hrilh rawh .

Hei hian a dam vek dawn em ni? Buaina a lo ni leh dawn em ni?

Hei hi nu leh pa tam takin an zawh leh rilrua an neih ber chu a ni. Ni e, ``Greenstick Fracture'' hi hliam a ni a, a tlangpuiin a dam tha a, harsatna lian tham a awm lo. Naupang tête ruhte chu mak tak maiin a ṭhang lian a, a dam thuai bawk. Doctor sawi angin uluk taka i enkawl a, cast i bun laiin i enkawl tha chuan ruh chu a hma ang bawkin a chak tawh ang.

Cast lakchhuah hnuah chuan a tir lamah chuan kut/ke chu a nghet deuh (`(Stiffness)`) a, a che harsa thei bawk. Hei hi thil pangngai a ni. Ni engemaw zat hnuah doctor chuan exercise nêm tak tak (`(Gentle exercises)`) ti turin a ti mai thei che. Chumi hnuah chuan naupang chu a hma ang bawkin a khel leh thei a, a tlan thei a, a zuang leh thei bawk.

Mahse, enkawl that loh chuan, a nih loh leh cast hi a hnawih tha lo a nih chuan, a chang chuan ruh chu malunion a lo ni thei. Chumi awmzia chu ruh chu a dam lo thei tihna a ni. Chuvang chuan Doctor thupek dik taka zawm a pawimawh hle. Mahse, greenstick fracture-ah chuan hetiang complication hi a tlem hle.

Chutiang chetsualna laka inven nan eng emaw kan tih theih a awm em?

Accident 100% ven a harsa khawp mai. Naupang tê tête chu an inkhelh lai emaw, an inher laiin an tlu a, hliam tenau an neih hi thil pangngai a ni. Mahse an himna tur tlem kan ngaihtuah thei a, accident tih tlem kan tum thei bawk.

• Inkhelhna hmun him : Naupangte inkhelhna hmunah hian thil hrual emaw, hnim hring emaw a awm loh nan fimkhur tur a ni. Playing floor hnuaiah ``Soft matting`` ang chi thil i dah thei a nih chuan a tha ang.
• Supervision : Naupang tê tête chu en reng ang che, a bîk takin hmun sâng an lawn lai te, an tlan lai te, an zuang lai te, an inkhelh lai te.
• Infiamnaa invenna hmanrua : I fain infiamna a khelh chuan invenna hmanrua \ha tak tak, helmet, khup khup, elbow pad, leh wrist guard te hmang turin fuih rawh.
• In chhung boruak humhalh: Naupang tê i neih chuan khum vêlah khum rail dahin, stairs-ah safety gate dahin, window-ah window guard dahin accident i tihtlem thei a ni.

Naupangin hliam a tuar thut a nih pawhin Doctor hmuh a ngai em?

A châng chuan hliam tenau emaw, hliam emaw kan neih chuan in lamah damdawi engemaw zat kan ei a, kan dah mai mai ṭhin. Mahse, a hmaa ka sawi tawh ang khan symptoms, chu chu , naupang chu a tlu hnuah pawh a tap chhunzawm zel a nih chuan, a na a, a kut leh ke a che thei lo a nih chuan, a hliamna hmuna a hring emaw, a hring emaw a awm a nih chuan, doctor pan a tha ber tih a chiang. Nghak suh. A chhan chu pawn lam atanga hmuh theih aiin a chhungril lamah thil pawi zawk a thleng thei a ni. Enkawlna i hmuh vat chuan i dam thuai thei a, a hnua harsatna lo awm thei tur pawh i veng thei bawk.

Take-Home Message chu a tawi zawngin

Chuvangin, ``Greenstick Fracture`` chu naupang tê tête ruh hliam a ni a, a hnah thar, a sir khat chauh a chhe ang mai a ni. Hei hi uluk taka enkawl a nih chuan a dam kim vek ang, ngaihtuahawm tur a awm lo. I fa te hian hetiang hliam hi a neih chuan hlauthawng suh. Doctor hnenah a rang thei ang bera hmu la, a rawtna angin enkawl rawh. Cast a awm lai hian i fa chu uluk takin enkawl rawh. I fa tlan leh inkhelh leh hun tur chu a hla vak lo. A pawimawh ber chu i ngaihsakna, dawhtheihna leh doctor thupek dik taka zawm hi a ni.

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