Kut emaw ke ruh tliak (bone fracture) chu engtin nge a lo thang leh thin tih i hria em? Detail mak tak mai!

Aw ka! I fate chu inkhelh laiin a tlu a, a nih loh leh staircase-ah i tlu a... A chang chuan hetiang thil hi i inkhelh lai pawhin a thleng thin. I kut emaw, i ke emaw, i taksa ruh eng pawh i tihchhiat huna i natna leh hlauhna chu sawifiah theih loh a ni lawm ni? Mahse, i hria em, kan taksa hi thilsiam mak tak a ni. Kan taksa hian heng ruh tliak te hi a mah chauhin a siam that theihna mak tak a nei a. Vawiin hian he thil kalphung mak tak hi a awlsam zawngin i sawi dawn nia.

Bone Fracture tih hi eng nge ni?

A awlsam zawngin ruh tliak chu "ruh tliak" kan tih hi a ni. Damdawi lam hawi chuan hei hi ``Fracture'' kan ti bawk.Hei hi chhan hrang hrang avangin a thleng thei a ni. Ruh chu tlu tenau atanga accident lian tak thlengin eng thil atang pawhin a chhe thei a ni. A châng chuan, infiamna i khelh laiin a thleng thei a, a nih loh leh rang taka, thil dik lo taka i kal aṭang pawhin a thleng thei bawk.

Fracture hi a inang vek lo. A chi hrang hrang a awm.

• Simple Fracture / Closed Fracture: Hei hi ruh chhungril lama a chhe lai a ni. Chumi awmzia chu vunah hliam hmuh tur a awm lo tihna a ni.
• Compound Fracture / Open Fracture: Hei hi a pawi deuh deuh. Hetah hian ruh a chhe a, vun a tikehsawm thei a ni. Hei hian hliam atanga natna hrik lut theihna a tipung a ni.
• A chi dang: Hei bakah hian chi dang pawh a awm a, chungte chu comminuted fracture, greenstick fracture (hei hi naupang tê têah a tam zawk). Chung zawng zawng chiang taka hriat tur chuan ``(X-ray)`` lak a ngai a ni.

Mahse, ruh a tliak chuan kan taksa hian a siam thar lehna tur mechanism mak tak mai a nei a.

Mak! Ruh tliak a tihdam dan (The Healing Process) .

Ngaihtuah teh, in sak ang mai a ni. Zan khat thil thuah a thleng lo va, zawi zawiin, step hrang hrangah a thleng thin. Kar tlemte atanga thla engemaw zat chhung chu khawi hmunah pawh a ni thei tlangpui.

Step 1: Inflammation leh Hematoma siam dan

Ruh a tliak meuh chuan a hmun chu a lo hring tan ta a ni . Tin, a chhe lai atang hian thisen tlem a luang bawk. He thisen hian a khawlkhawm a, ruh tliak pahnih inkarah thisen zam te tak te a siam a. Hei hi doctor ten ``Hematoma`` an tih chu a ni.

Accident thlenna hmuna police leh ambulance rawn thleng ang mai a ni. Taksa defense cell leh cleaning cell te hi an inzawm khawm vek a. He hliam leh thisen zam hi damna atana thil pawimawh hmasa ber leh pawimawh ber a ni. Hei hi ruh thar thanna tur lungphum phumna hmun a ni.

Hei hi kan hrehawm ber lai a ni. Chuvang chuan doctor kan hmu a, bandage emaw cast emaw vuah turin kan ti thin. Tichuan, ruh tliak te chu hmun khatah a awm reng a, a che thei lo va, chuvang chuan natna a tlem a, damna pawh a awm tha hle.

Step 2: Callus nêm tak siam chhuah

Tunah chuan chu thisen zam a lo awm hnuah ni engemaw zat hnuah kan taksaa cell chi khat ("the little bone-building workers" ti ila) chuan hna a thawk tan ta a ni. Heng cell te hi an rawn lut a, ruh tliak pahnih inkarah hian soft tissue bridge an siam a. Rubber ang mai a ni a, a pliable deuh bawk. Hei hi ``Soft Callus'' kan tih chu a ni.

Ruh tak tak angin a la chak lo a, mahse a chhe tawh pahnih chu a vawng tlat thei a ni. Pipe chhe tawh pahnih chu a sir lehlamah support tlemte hmanga khin khawm hmain glue khawm ang maiin han ngaihtuah teh.

Step 3: Hard Callus siam chhuah dan

Kar tlemte chhung chu soft `(Callus)` siam a nih hnuah cell chi dang ("bone-strengthening engineers" ti ila - `(Osteoblasts)`) a rawn lut a , chu soft tissue-ah chuan minerals a dah a, ruh khauh leh chak takah a chantir ta a ni Cement hmanga bang siam ang mai a ni. Hei hi `(Hard Callus)` an ti a.

Tunah chuan a chhe lai chu a dam tha tawh a, ruh thar a lo piang ta a ni. He ``Hard Callus'' hi ``(X-ray)'' thlalak ah pawh chiang takin a lang thei. Hetih lai hian doctor-te chuan cast hi an la chhuak fo thin a, a chhan chu tunah chuan ruh hi a chak deuh tawh a ni.

Step 4: Ruh siam thar lehna

Ruh thar a lo awm chuan hna chu a tawp lo. Ruh thar hi a lian deuh thei a, ruh hmasa aiin a pianzia a danglam thei bawk. Chuvangin, kan taksaa cell pawl dang ("bone sculptors" ti ila - `(Osteoclasts)` leh `(Osteoblasts)`) te chu an rawn lut a, he ruh thara hmun duh lohte chu an la chhuak a, a tul angin an siam a, a ruh hmasa ang chiah khan an rawn hruai kir leh ta a ni Hetiang kalphung hi `(Bone Remodeling)` tih a ni.

Hei hi step rei ber a ni. Ruh chu a dam kim theih nan thla engemaw zat, kum khat emaw kum hnih emaw pawh a ngai thei. Mahse lungngai suh, he hun chhung hian normal takin i la function thei tho.

Chuti a nih chuan, i hmu em? Kan taksa hi a fing em em a ni. A chhungah engineering workshop tlemte awm ang mai a ni, a dik em?

Engvangin nge naupang tête ruh hi a lo thang chak em em?

Naupang kut emaw ke ruh tliak chu a dam thuai tih i hre tawh ngei ang. A dik khawp mai! Naupang ruh a la thang zel avang leh an ruh vel (the periosteum) vel chu puitling aiin a thuk zawk a, a thawkrim zawk avangin ruh cell thar a lo piang chak zawk a ni. Dam theihna tha zawk an nei bawk. Chuvang chuan naupang ruh tliak chu kar tlemte chhungin a dam thei a ni. Mahse naupang tê tê leh puitlingah chuan a rei deuh a ni.

Eng thil nge ruhte chu a dam thuai theih nan ṭanpui?

Ruh a tliak chuan kan taksa hi a dam thuai theih nan tlem kan tanpui a ngai a ni.

• Damdawi lam thurawn dik zawm: Doctor-in a tih ang chiah kha i ti tur a ni, chu chu cast ha chunga awm reng te, chawlh hahdam te, leh rit phurh loh te hi a ni. Doctor-in a tih angin check-up turin i kir leh tur a ni bawk.
• Ei leh in tha neih: CalciumCalcium tamna eitur (milk, cheese, yogurt, salmon, green vegetables) leh vitamin D (egg, fish, sunlight) te hi ruh thanna atan a pawimawh hle. Tin, protein (nga, sa, artui, chickpeas, green beans) tam tak ei tur a ni bawk.
• Chawlh: Ruh tliak chu chawlh hahdam a pawimawh hle. A natna hmunah hian rit engmah dah suh la, doctor-in a tih hma loh chuan hnathawhna hmunah kal suh.
• Meizial zuk loh: Meizial zuk hian thisen a tihtlem avangin ruh damna a tikhawtlai thin.
• Zu control: Zu in tam lutuk pawh hi ruh damna atan a tha lo.

Doctor thurawn hi a pawimawh ber a ni tih hre reng ang che. I dinhmun atana enkawlna tha ber chu an hre chiang hle.

Eng thil nge ruh damna tikhawtlai?

A chang chuan ruh damna hian beisei aia rei a daih thei bawk. Hei hi chhan hrang hrang a awm a:

• Kum: I upat deuh deuh chuan ruh damna rate a tlahniam deuh thin.
• Serious fractures: Ruh chu a tam zawkah a inthen a nih chuan, emaw, ``Compound Fracture`` a nih chuan a dam rei zawk ang.
• Infection: A bik takin open fracture a awm chuan hliam chhungah natna hrik a luh chuan infection a lo awm thei a, a damna pawh a tikhawtlai thei a ni.
• Thisen pek \ha lo: Ruh \henkhat (kutphaha awm ang chi) hian thisen a \ha lo. Chutiang hmuna ruh tliak chu a dam rei zawk.
• Natna dang: Natna thenkhat, zunthlum vei te hian ruh tihdam theihna a tlahniam thei.
• Nutritional deficiencies: Taksain calcium leh vitamin D ang chi thil a neih tlem chuan.
• Damdawi lam thurawn dik taka zawm loh: a hun hmaa cast lakchhuah leh chawlh loh ang chi.

Engtikah nge doctor ka hmuh leh a ngaih?

Cast atanga in i thlen hnuah heng thilte hi i hriat chian a ngai a ni. Heng zinga pakhat tal i neih chuan doctor pan nghal rawh.

• Natna a zual zel chuan: Natna chu tuar theih loh a nih chuan, a na zual zel a nih chuan.
• A hring tam lutuk chuan: Kut zungtang chu a hring a, a rawng a danglam a nih chuan cast chhung atang hian.
• Cast chu a tight lutuk angin a lang a, a loose lutuk a nih chuan.
• I kut zungtang a hring emaw, a blue/white emaw a nih chuan.
• Cast rimchhia emaw, hnim hmel emaw a nih chuan.
• Khawsik i neih chuan (hei hi natna kai chhinchhiahna a ni thei) .

Hetiang thil a lo thlen chuan hlauthawng suh, Doctor hnenah hrilh nghal rawh.

Chuvangin, take-home message hnuhnung ber chu:

Ruh tihchhiat hi thil hrehawm tak a ni. Mahse, kan taksa hian mahni insiam that theihna mak tak a nei tih hre reng ang che. Damdawi lam enkawlna \ha, ei leh in \ha, leh chawlh hahdamna \ha tak nen, .Enkawlna a awm chuan ruh tliak tam zawk chu hun rei tak chhunga harsatna awm lovin a dam vek a ni.

Chuvangin, lungngai suh! Doctor thupek dik takin zawm la, i taksa chu a dam theih nan a mamawh hun pe rawh. Ni engemaw zat hnuah chuan a hma ang bawkin i tlan thei tawh ang a, hna i thawk thei tawh ang. Kan taksain he natural healing power a neih hi ring tlat ang che!

` Ruh tliak, Ruh tliak, Ruh tihdam, Ruh tliak tihdam, Ruh tliak, Sinhala medical article, Health, Bone Nutrition