Engtin nge ruh tliak chu a dam? (Bone Healing) Kan taksa thiltihtheihna mak tak mai!

Oh dik tak chuan, kut emaw, ke emaw ang maia ruh i tihchhiat hian i natna leh i rilru hahna chu sawifiah theih loh a ni lawm ni? Ni tam tak chhung, thla tam tak chhung pawh engmah i ti thei lo a, khumah pawh i awm a ngai mai thei. Mahse, hetiang hunah hian kan taksa chhungah hian damna mak tak a thleng tih i hria em? Kan taksa chhunga doctor tenau team khat, heng ruh tliak te hi siam thattu ang mai a ni. Hei hi naupang tê têah a thleng rang hle a, mahse puitling pawhin he theihna hi an nei ve tho.

Ruh tliak hi eng nge ni tak tak? (Bone Fracture tih hi eng nge ni?)

A awlsam zawngin sawi ila, ruh tliak chu kan taksa ruh tliak emaw, a chhe emaw, a inthen emaw a ni. Thingkung hnah a chhiat ang mai a ni. Mahse ruh hi kawng hrang hrangin a chhe thei. Ngaihtuah teh, cricket i khelh laiin i tlu a, i kut i tichhia a ni. Crack te tak te pawh a ni thei. Mi dangin bicycle accident-a an ke a tihchhiat chuan a ke chu eng emaw zatah a chhe thei a ni. A châng chuan ruh tliak chuan vun a tikehsawm a, a chhuak thei a, chu chu open fractures kan ti a ni. Ṭhenkhat chu vun chhungah a awm a, chu chu closed fractures a ni . Engtiang pawhin chhe mah se, kan taksa hian a tihdam theihna tur system mak tak a nei a.

Engtin Nge Kan Taksa hian Hêng Ruh Tûkte Hi A Tidam?

Hei hi thil mak tak a ni tak zet a ni. Kan taksaah hian he hna thawk tur chauha specialized cell kan nei a. In chhe tawh siam that tura in sa leh thingrem siamtute lo kal ang mai a ni. Hetiang kalphung hi thil pawimawh tlemteah a thleng thin.

A hmasa ber: Inflammation leh Hematoma Formation

Ruh a tliak chuan a chhe lai vel a thisen kalna kawng te tak te atang hian thisen engemaw zat a chhuak thin. He thisen hian a khawlkhawm a, thisen zam ang chi thil a siam a ni. Damdawi lamah chuan hei hi ``Hematoma`` kan ti a. Hei hi damna kawng hmasa ber a ni. I hre reng mai thei, thil i vuak nasat chuan a rawn sen a, a lo hring chhuak thin. Hei pawh hi chutiang bawk chu a ni. He hliam leh natna hi taksain min hriattirtu a ni a, "Hetah hian harsatna a awm a, fimkhur rawh." He ``Hematoma`` chhungah hian damna atana mamawh cell te chu an inkhawm tan thin.

Pawimawh: Hetih tirh lamah hian ruh hi uluk taka set a, a tul chuan cast hnawih a pawimawh hle. Chutah chuan a dam tha tan dawn a ni.

Step hnihna: Callus nem tak siam

Tunah chuan kan taksa atanga special cells te chu thisen zam (hematoma) awmna hmunah an lo kal tan ta a ni. Heng cell te hi an lo kal a, ruh tliak pahnih inkarah hian glue ang chi thil an siam thin. Hei hi soft tissue angin a lo piang hmasa ber thin. Vase chhe tawh tak vase khawm turin gum engemaw zat dah ang mai a ni. He soft tissue bridge hi soft callus kan ti a . A tlangpuiin kar khat emaw kar hnih emaw vel a ngai a, a lo piang chhuak thin. Hetih lai hian ruh hi a la chak tawk lo. Chuvang chuan doctor-te chuan i ke ruhte chu sawn loh tur leh thil rit phur lo turin an ti che a ni.

Step Pathumna: Ruh Bridge chak tak! (Hard Callus Formation) atanga lo chhuak a ni.

Tunah chuan hna tak tak chu a thleng ta. Ruh siamtu cell, osteoblast , tia koh te chu soft callus awmna hmunah an kal a, ruh thar an siam tan thin. Hei hi glue hmanga a vawn khawmna hmun chu cement-a siam ang a ni. He ruh tissue thar hi hard callus kan ti a . Hei hian ruh tliak pahnih chu a thlunzawm a, a tichak bawk. Hetiang hian kar engemaw zat a daih thei a, thla khat emaw thla hnih emaw pawh a daih thei bawk. Hemi hun chhung hian natna chu a reh zauh zauh tih i hria ang a, ruh pawh a chak deuh ang. Doctor chuan X-ray a la ang a, ruh chu eng chen nge a kal zel tih a hriat theih ang.

A tawp ber tur chu: Bone Remodeling

Tunah chuan hard callus a lo awm tawh a, ruh chu a inzawm khawm tawh a, ruh hmasa aiin a lian deuh tawh a, lump ang mai a ni mai thei. Tunah chuan kan taksaa cell pawl bik dang, osteoclasts , te chu an rawn lut a, he ruh siam thara a tam zawkte chu an paih chhuak a, ruh chu a pianphung hmasaah an siam leh tan ta a ni. Hei hi bone remodeling an ti a . Hetiang kalphung hian hun a duh rei hle. Thla tam tak emaw, kum tam tak emaw pawh a daih thei. Mahse a tawpah chuan ruh chu a pianphung hmasaah a kir leh ang.

Ruh a dam theih nan eng chen nge a mamawh? (Ruh pakhat a dam theih nan eng chen nge a mamawh?)

Hei hi mi tin a inang lo. Hei hi chhan hrang hrang a awm a:

• I kum: Naupang tête ruh chu a dam chak hle a, a châng chuan kar tlemte chhungin a dam vek. Mahse an upat deuh deuh chuan he healing rate hi a tlahniam deuh thin.
• Ruh tliak chi leh a awmna: Ke ruh lian tak, chi hrang hranga inthen chuan kut zungtang pakhata hrual te tak te aiin a dam rei zawk. Tin, thisen kal thana hmunah ruhte chu a dam chak zawk bawk .
• Fracture type: Comminuted fracture , ruh tam takah a inthen a, ruh tliak awlsam aiin a dam rei zawk. Open fracture hian infection a thlen tam zawk a, chu chuan damna a tikhawlo thei a ni.
• I hriselna tlangpui: Damdawi lam harsatna thenkhat (e.g., Diabetes Mellitus , Osteoporosis ) nei te chuan ruh damna rate an nei slow thei.

A tlangpuiin ruh tissue thar (Callus) lo awm tur leh ruh chu a chak deuh deuh theih nan kar 6-8 vel a ngai thin. Mahse a chak kim theih nan leh chu remodeling chu a awm theih nan, .Thla engemaw zat a la ngai thei a, kum khat emaw kum hnih emaw pawh a la ngai thei bawk. Chuvangin Doctor-in a dang a sawi hma loh chuan fimkhur a tha ber.

Eng Thiltein Nge Ruh Damna A Nghawng?

Thil chi hrang hrang hian ruh damna a ti chak thei a, a tizau thei bawk.

Thil \ha lam: 1.1.

• Damdawi lam enkawlna dik: Ruh tliak chu uluk taka dah te, plaster cast hnawih te, a tul chuan a hmuna awm reng turin operation tih te.
• Ei leh in tha: A bik takin ei tur tha tak tak, calcium, vitamin D , leh protein te ei hi a pawimawh hle. Thil chi hrang hrang, bawnghnute, cheese, yogurt, thlai hring, leh sangha te.
• Chawlh : Ke ruh tliak chu chet lutuk suh la, Doctor-in a sawi angin chawlh hahdam rawh.
• Kum tleirawl: A hmaa kan sawi tawh ang khan thalai te hi an dam chak thuai a.
• Meizial zuk loh : Hei hi a pawimawh hle.

Thil tha lo (negative Factors) te:

• Meizial zuk: Meizial zu thinte hian an ruhte a dam theih nan hun rei tak an hmang thin. Tin, an dam tha lo thei bawk. Hei hi a chhan chu meizuk hian thisen kalna a tikhawtlai a , chu chuan thisen a tliakna hmun a thlen tlem phah a ni.
• Nutritional deficiencies: Taksain ei tur mamawh a dawn loh chuan ruh siam a tlai thin.
• Natna thenkhat: Diabetes Mellitus, Osteoporosis, leh thyroid natna te.
• Damdawi thenkhat: Steroid ang chi damdawi rei tak ei thinte chuan ruh dam rei lutuk an nei thei.
• Ruh tliak chet lutuk: Cast hi a hnawih tha lo a nih chuan, emaw, doctor thupek zawm lova damlo chu a chet lutuk chuan ruh chu a dam loh nan a veng ang.
• Infection: Infection a awm chuan, a bik takin open fracture-ah chuan damna a tlai thei hle.
• Ruh tliak na tak leh thisen pek tlem: Ruh chu a chi hrang hranga a inthen tam a nih chuan, a nih loh leh ruh tliak nana thisen petu thisen kalna kawng lian ber berte a chhiat chuan tihdam a harsa hle.

Damna Rang zawka I Tih Theih Turte

I ngaihtuah mai thei, "Aw, hei hi ka siam that vat mai mai thei lo em ni?" Hei pawh hi i pui thei tak zet a ni.

• Doctor thupek dik takin zawm rawh. Cast i bun laiin weights chawi lo turin a hrilh che a nih chuan stick rawh.
• Plaster chu nangmah ngeiin lakchhuah emaw, siam that emaw tum suh. Chu chuan harsatna a thlen belh zel dawn chauh a ni.
• Ei leh in inthlau tak ei rawh. Calcium, vitamin D, leh protein tamna ei tur ei thin ang che. A tul chuan doctor hnenah vitamin dang zawt la.
• Meizial i zu a nih chuan bansan ngei ang. A tlem berah chuan ruh a dam hma loh chuan.
• Date ruat (`follow-up appointment`)-ah clinic-ah kal rawh. Doctor chuan tuna thil awm dan leh tih tur dang a hrilh ang che.
• A tul chuan doctor-in a tih angin physiotherapy exercise ti la. Hei hian ruh chhehvel thau te a tichak ang a, ruh chu a pangngaia a awm leh theih nan a pui bawk ang.

Doctor I Mamawh Em? Engtikah nge Lungngai Tur?

Ni e, a dik ngei ang. Ruh tliak i neih nia i hriat chuan, emaw, i nei nia i rinhlelh chuan doctor pan ngei ngei tur a ni. Avang,

• A chhe em, khawiah nge, engtin nge a chhe tih chiang taka hriat theih nan X-ray i lak a ngai a ni.
• Ruh chhe tawhte chu a inmil a, plaster cast hnawih a ngai thei a, a tul chuan operation pawh a ngai thei bawk.
• Heng thilte hi tih dik loh chuan ruh chu malunion , a inmil tawk lo tihna a ni a, a nih loh leh non-union a lo ni thei lo tihna a ni . Hei hian a hnuah harsatna lian zawk a thlen thei a ni.

Tin, cast kenga in i thlen hnuah a hnuaia thilte hi fimkhur rawh:

• Natna a zual zel a nih chuan.
• A hring tam lutuk chuan plaster a tight a, kut zungtang te chu a sen vek a ni.
• Khawsik i neih chuan.
• Plaster chhung atanga rimchhia lo chhuak a awm a nih chuan, emaw, a hnim tih hriat a nih chuan.
• I kut zungtang a tingling emaw, sensation a tlahniam emaw a nih chuan.

Heng symptoms te hi i neih chuan doctor pan nghal rawh. Infection chhinchhiahna a ni thei bawk.

Chuvangin, a tawp berah chuan thil tlemte hriat reng tur! (Take-Home Message: Hriatreng tur tlemte!)

Chuti a nih chuan, kan taksa thiltihtheihna mak tak hi i hmu em? Ruh a tliak chuan kan taksa chhungah hian a tihdam nan thil tam tak a thleng thin. Kan taksa natural repair team ang a ni. A pawimawh ber chu dawhthei taka awm a, doctor thupek zawm hi a ni. Ruh pakhat a dam theih nan hun rei tak a ngai a ni. Chumi hun chhung chuan i chawl tha a, i ei tha a, zuk leh hmuam ang chi nungchang tha lo laka i inthiarfihlim chuan i ruh tliak chu a dam thuai ang a, i tih thin angin i thawk thei tawh ang. Ngaihtuah buai suh, kan taksa hian a tidam thiam hle mai!

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