Nu i nih angin, i fa naupang nalh tak chu inkhelh zawha a kut emaw, a ke emaw a nat avangin a tap nghal mai hian engtiang chiahin nge i hlauh? Tlem a tlu emaw, khawi emaw laiah vuak a nih pawhin, "Aw, ka fa chungah thil pawi tak a thleng em tih ka hre lo," tih hi ngaihtuah buai hi thil pangngai tak a ni. Vawiin hian naupang te te ruh tliak tlangpui chungchang kan sawi dawn a, mahse uluk taka hriattir i nih chuan a dam thuai thei. Hei hi "Greenstick Fracture" kan ti a. A hming hi a mak deuhin a lang thei a, mahse awlsam takin sawi ila.
Greenstick fracture tih hi eng nge ni?
A awlsam zawngin sawi ila, ``Greenstick Fracture'' chu naupang ruh (ruh kan ti) a
, pahnih ah a inthen vek lo va, a sir khatah a rawn pop chhuak mai zawk a ni. Thingpui raw emaw thingpui raw emaw i la a, i ben tum a, a sir khat a rawn pop chhuak a, mahse a sir lehlamah a chhe vek lo ang mai a ni lawm ni? Chutiang chu a ni. Chuvangin "greenstick" an ti a ni. I fa chu inkhelhna hmunah a inkhel a, rang takin an kut a tla ang tih han ngaihtuah teh. Tichuan, an kuta ruh chu tlemin pressure an pe a. Puitlingah chuan ruh chu pahnih-ah a chhe vek thei. Mahse naupang tê tê ruh chu a danglam deuh hlek a.
Engvangin nge hetiang hi naupang tê têteah a hluar?
He natna, ``Greenstick Fracture'' tia koh hi
naupang kum 10 hnuai lam zingah hmuh tur a tam ber a, hei hi a chhan bik a awm. Chu chu naupang tête ruh
chu puitling ruh aiin a nêm zâwk a, a hrual thei zâwk tihna a ni.
Naupang ruh awm dan
Naupang ruh chu thing hnah lo thang thar ang a ni. Tlem a ben a, mahse a chhe lo, a chhan chu moisture a nei tam zawk a, chu chu a nung zawk tihna a ni. Naupang ruh vel (periosteum) te pawh hi puitling aiin a thuk zawk a, a chak zawk bawk. Chuvangin ruh pakhat pressure hnuaia dah a nih chuan a chhe vek ai chuan he periosteum, ruh inzawmkhawmna tura puitu hi a sir khatah a ben emaw, a puak emaw a ni.
A dik tak chuan naupang ruh hian ``collagen'' tih protein a nei tam zawk a, ``minerals . '' Hei vang hian he flexibility hi an nei a ni .
Puitling ruh nena danglamna
Tunah chuan puitling ruh chu chutiang chu a ni tawh lo. Hun kal zelah an lo thang lian tawh a, calcium ang chi minerals te pawh a awm tha hle a, an chak hle a, mahse a vawt deuh bawk. Thingpui hnah tha taka vawt ang maiin. I ben tum chuan pahnih ah a inthen ang a, a sir khatah chuan raw stick ang maiin a crack mai lo. Chutiang bawkin puitling pakhatin hliam a tuar chuan ruh chu a chhe vek (a ``complete fracture``) a tam zawk. Mahse naupang tête ruh a he special flexibility avang hian ruh chu a sir khatah chauh a ben emaw, a crack emaw ang. A lehlam chu a la awm reng mai thei.
Engtin nge hetiang thil hi a lo thlen? A chhan tlangpui engte nge ni?
Naupang tê tête chu an thawkrim hle a. An tlan a, an zuang a, thing an lawn a, an inkhel bawk. Chuvangin heng thil an tih lai hian an tlu leh hliam tenau te an neih hi thil pangngai a ni. ``Greenstick Fracture`` awm chhan ber chu
tlak vang a ni . Hetiang hian han ngaihtuah teh:
- I naupang tê chu kut phar chungin a khelh laiin a tlu a. Hei hi kutphah emaw, kut hmawr emaw-a ``Greenstick Fracture '' awm chhan ber a ni fo thin.
- A châng chuan inkhelhna thil emaw thil dang emaw aṭanga kut emaw ke emaw direct-a vuak vang pawh a ni thei.
- Infiamna khelh laiin accident tenau, entirnan, soccer khelh emaw, bicycle khalh emaw a thleng thin.
Hetiang accident-ah hian ruh chu bending force emaw twisting force emaw a tawk nghal a ni. Chu chakna chuan ruh chu a tikehsawm vek thei lo nain, a sir khatah, thinghnah raw ang maia a snap tir turin a tawk a ni.
Eng nge a lan chhuah dan? Engtin nge i hriat theih ang?
Tunah chuan, "Engtin nge ka naute hian ``Greenstick Fracture'' a nei tih chiang taka ka hriat theih ang?" Hengte hi fimkhur tur chhinchhiahna thenkhat chu a ni:
- Natna nasa tak: Naute chu a tap chhunzawm zel a, a na a, accident thlenna hmun, kut emaw ke emaw pawh khawih duh loh chuan chu chu chhinchhiahna lian tak a ni.
- Swelling: Hliam na hmun chu a hring thei a, a sen pawh a ni thei .
- Ke leh ke hman duh lohna: Entîr nân, kut chungchângah chuan damlo chuan a kut hmanga eng thil pawh man emaw, chawi emaw a hreh mai thei. Ke chungchangah chuan damlo chu kea kal emaw, rit phurh emaw tum lovin a ke a chak lo thei a, a kal thei lo thei bawk.
- Deformity: A châng chuan kut emaw ke emaw ruh tliak chu a hrual deuh emaw, a pianzia danglam tak emaw a ni thei . Mahse, greenstick fracture zawng zawng hian he deformity lian tak hi an nei vek lo. A châng chuan a hring leh natna tenau te chauh a awm ṭhin.
- A khawih chuan a na: Accident thlenna hmun chu a na lutuk a, i khawih pawh i khawih thei lo mai thei.
A pawimawh ber: Naupang a tlu a, a ke ruh natna, a hring emaw, a kut leh ke hman loh emaw a phunnawi chhunzawm zel a nih chuan, hliam tenau chauh anga ngaih suh. Damdawi lam thurawn lak a tha ber.
Engtikah nge Doctor ka hmuh ang?
I fa te hian accident a tawk a, a hmaa ka sawi tawh ang chi pakhat emaw a aia tam emaw a lan chuan
doctor pan nghal rawh. Bik takin:
- Darkar engemaw zat hnuah a natna a reh loh chuan.
- A hring a na zual zel a nih chuan.
- I kut emaw ke emaw pianziaah danglamna i hmuh chuan.
- Naute in che duh lo emaw, an kut/ke te hman a duh loh chuan.
Hetiang hunah hian in lama oil hnawih mai mai a, nghah mai ai chuan a rang thei ang bera doctor pan a pawimawh zawk. A chhan chu enkawl dik loh chuan ruh chu a inmil lo emaw, awlsam taka a chhe leh emaw theihna chance a sang hle.
Engtin nge doctor-te hian hei hi an hriat chian tak tak?
Doctor i pan chuan an tih hmasak ber chu accident chungchang an zawt che a ni. Tichuan naute chu an enfiah leh thin. Natna, hliam leh pianphung inthlak danglamna te an zawng thin. Tichuan,
ruh chunga thil thleng dik tak hriat tumin X-ray an order fo thin. X-ray hmang hian ruh chu a chhe emaw, a ben emaw, a chhe emaw, greenstick ruh tliak a nih leh nih loh hriat theih a ni. X-ray hmangin ruh chu chiang takin a lang thei a, chu chu thinghnah raw ang mai a ni a, a sir khat chu a tikehsawm a, a sir lehlamah a ben bawk.
Eng nge a enkawl dan? A dam thuai dawn em ni?
``Greenstick Fracture'' i nei tih hmuhchhuah a nih chuan hlauthawng suh.
Hengte hi enkawl theih tak tak a ni tlangpui a, naupang tê têah pawh a awm fo bawk. Enkawlna atan chuan doctor chuan ruh tliak chu a set dik theih nan leh a che leh tawh loh nan splint a dah fo thin.
Enkawl dan tlangpui
- Plaster of Paris (POP) cast: Hei hi tih a ni fo. Ruh chu a che thei lo turin kut emaw ke emaw-ah full cast dah a ni. Hei hi kar engemaw zat a hmunah dah a ngai dawn a ni. A tlangpuiin kar 4-6 vel a awh ang.
- Splint: A chang chuan, a bik takin a hring tam chuan splint (cast angin rigid lo leh a sir khatah chauh support nei) hman hmasak theih a ni a, chutah chuan cast chu swelling a tlahniam hnuah hnawih theih a ni. A dang pawhin, a ruh a na lutuk lo a nih chuan, splint chu rei tak dah theih a ni.
He cast emaw splint emaw hi a hmuna a awm lai hian ruh chu a chhung atangin a dam tan thin.
Natna tur hian eng nge i tih?
Doctor chuan
naute chu a natna tihziaawm nan painkiller a pe ang. A tlangpuiin ``Paracetamol'' ang chi thil hi pek thin a ni. Doctor-in a sawi ang chiaha pek tur a ni a, a hun takah pek tur a ni. Cast dah a nih hnu ni engemaw zat chhung hian natna leh hrehawmna engemaw zat a awm thei. Chutiang hunah chuan kut emaw ke emaw tlêm sâng taka vawn reng hian a natna a tiziaawm thei bawk.
Recovery hun leh thil hriat tur
``Greenstick Fracture'' a dam theih nan kar 4 atanga kar 6 vel a ngai tlangpui. Mahse, hei hi nausen hrang hrangah a inang lo deuh thei a, a ruh tliak dan azirin. Doctor chuan cast lakchhuah hun tur a hrilh ang che. Cast a awm lai hian a hnuaia mite hi hre reng ang che:
- Cast chu hnim suh: Tui inbual emaw, tui telna thil i tih emaw chuan plastic bag emaw, tui tlak lohna thil emaw hmangin cast chu khuh nghet takin khuh tur a ni. A hnim hian vun harsatna a thlen thei a, cast pawh a tichak lo thei bawk.
- Cast chhungah engmah dah suh: A châng chuan, an hrual laiin, naupang tê tête chuan cast chhungah ruler leh pen ang chi thil dah an tum ṭhin. Chutiang chu ti suh. Vun hliam leh natna hrik a thlen thei.
- Cast chhehvel vun enfiah: Cast kil kilte chu a sen, a hliam, a hring emaw a awm leh awm loh enfiah fo ang che. Chung zinga pakhat tal i hriat chuan i doctor hnenah hrilh rawh .
- Kut zungtang rawng leh lum leh vawt enfiah: I kut emaw, i ke emawa cast hmanga hmuh theih kut zungtangte chu a sen, a hring, a hring, a vawt lutuk emaw a nih leh nih loh enfiah rawh. Chutiang a nih chuan cast chu a tight lutuk tihna a ni a, thisen kal pawh a tikhawtlai thei tihna a ni. Doctor hnenah i hriattir nghal tur a ni.
Cast lakchhuah hnuah pawh doctor-in a tih hma loh chuan fimkhur deuh a ngai a ni. Tlan, zuang, leh rit phurh chhuah nghal mai chu a tha lo. Thil tih pangngai i thiam leh a ngai a ni. A châng chuan i kut emaw, i ke emaw inher leh theih nân exercise tenau engemaw zat ti tûrin an hrilh che a ni.
Hei hian harsatna dang a thlen thei em?
``Greenstick Fracture`` hi a tlangpuiin uluk leh rang taka enkawl a ni a,
hun rei tak chhunga harsatna a awm lo tlangpui. Ruh chu a dam vek a, naupang chu a hma ang bawkin a tlan thei a, a khel thei bawk. Amaherawhchu, uluk taka enkawl a nih loh chuan, a nih loh leh Doctor thupek zawm tha a nih loh chuan, a chang chuan harsatna tenau tlemte a awm thei a ni. Entir nan:
- Malunion: Ruh chu cast emaw splint emaw hmanga immobilized tha lo a nih chuan ruh chu a inmil lo deuh thei. Hei hian a tawpah chuan kut emaw ke emaw hnathawh a nghawng thei a ni.
- Refracture: Cast chu a dam tha hmaa lakchhuah a nih a, chutiang bawka hliam chu a lo awm leh a nih chuan ruh chu a chhe leh mai thei.
- A châng chuan, a tlem hle a, ruh thanna kawngah nghawng tlemte a nei thei (`growth plate injury`), a bik takin ruh lian zel tawp pakhat bulah (growth plate) ruh tliak chu a awm a nih chuan. Mahse, hei hi ``Greenstick Fracture``-ah chuan a tlem hle.
Chuvang chuan doctor pan a, a rawt anga enkawl a pawimawh em em a, accident tenau tak pawh nise.
Hetiang hliam lakah hian engtin nge i naute chu i humhim ang?
"Invenna hi damdawi tha ber a ni" tih thufing a awm. Chuvangin, chutiang `(Greenstick Fracture)` laka kan fate te hi a theih ang anga venhimna tur thil tlemte kan tih theih a awm:
- I in boruak hi him takin siam rawh: Naupang tête tlan leh zuangna hmunah chuan hmun hnim (carpet, rug) dah rawh. Infiamna ang chi thilte chu leiah dah kual suh. An chhungah an inzawm khawm thei a, an tlu thei bawk.
- Inkhelh hunah fimkhur rawh: An chungah i mit kha nghat tlat la, a bik takin inkhelhna hmun leh tlang lawn hmuna inkhelh hunah. Tlu hlauhawmna hmunah fimkhur rawh.
- Safety gear: I fa chu cycling leh skating ang chi infiamna a khelh hunah helmet, knee pad leh elbow pad hmang turin fuih rawh.
- Balanced diet: I fate chu ruh tichak turin calcium leh vitamin D (milk, yogurt, cheese, green vegetables, fish) awmna ei tur pe rawh. Hei hian ruh hrisel taka a awm theih nan a pui a ni.
- Tlu dik dan (Protective reflexes): Hei hi a harsa deuh a, mahse naupangte chu an naupan lai atanga active taka khelh phalsak an nih chuan an tlu palh hunah an kut leh ke dik taka dahin an taksa control dan an thiam deuh deuh a, hei hian accident lian tham a veng thei a ni.
Accident 100% vel chu ven theih a ni lo mai thei, a chhan chu naupang te te hi an misual hle a ni. Mahse, a hlauhawmna chu nasa takin kan tihtlem thei a ni.
Thil hriat reng tur te chu a tawi zawngin
Okay, chuvangin tunah chuan vawiin a kan sawi tawh ``Greenstick Fracture'' hi hriatthiamna tha tak in neih ka beisei. A tawp berah chuan thil pawimawh ber berte i inhriat nawn tir leh ang u:
- ``(Greenstick Fracture)`` hi naupang tê tête zingah chuan ruh pakhat chauh a chhe a, a chhe vek lo. Greenstick ang maiin.
- Hei hi naupang kum 10 hnuai lam ah a awm fo thin a, a chhan chu an ruh hi a nem a, a flexible bawk.
- Tlu hi a chhan ber a ni.
- A lan chhuah dan ber chu natna, hring, leh kut/ke hman duh lohna te hi a ni.
- Ringhlel i neih chuan Doctor pan nghal rawh. X-ray hmanga confirm theih awmchhun a ni.
- Enkawlnaah hian cast emaw splint emaw hman a ni. Kar 4-6 vel chhungin a dam leh thin.
- Doctor thupek uluk taka zawm hi dam thuai nan leh harsatna awm lo turin a pawimawh hle.
I fate chungah hetiang thil hi a thleng a nih chuan hlauthawng suh, tih hre reng ang che. Hei hi enkawl theih tak a ni. I hmangaihna, i ngaihsakna leh doctor thurawn nen chuan rei lo te chhungin i fa chu a inkhel leh tawh dawn a ni!
Zawhna dang i neih chuan chhungkaw doctor zawh zak suh. I tanpui turin an inpeih reng a ni.
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