Engvângin nge ruhte chu a châng chuan thil tê ber ber aṭangin a chhe ṭhin? (Pathologic Fracture) A chungchang hi i zir chiang ang u.

I in chhungah i kal a, i ke chu carpet kil khatah emaw, step tenau takah emaw a tla ang tih han ngaihtuah teh. A nih loh leh chair ke chu tlemin na takin i vuak ang u. A tlangpuiin kan kut leh ke ruh lian tak chu chutiang thil atang chuan a chhe lo a ni lawm ni? Amaherawhchu, mi thenkhat ruh chu a chak lo deuh a, chuvangin chutiang thil tenawm tak pawh chuan a tikehsawm thei a ni. Chu chu vawiina kan sawi (Pathologic Fracture) chu a ni.

Hei hi eng nge ni (Pathologic Fracture)?

A awlsam zawngin, Pathologic Fracture chu ruh tliak a ni . Mahse hei hi a thleng mai mai lo. I taksaa damdawi lam thil dang vangin i ruhte chu a chak lo hle a, chu chuan ruh pangngai aiin a chhe thei zawk a ni . A châng chuan doctor-te pawhin hei hi Pathologic Fracture an ti bawk.

Ngaihtuah teh, tlu mai mai emaw, infiamna khelh laiin accident tenau tak emaw, taksain a tuar theih ang chi nghawng tenau tak emaw pawh ni se, ruh chak lo nei mi pakhatah pathologic fracture a thlen thei a ni. Thing ro chhe tak, pressure tlemte pawha chhe thei ang mai a ni.

Hemi hian eng ruh chi nge a nghawng ber?

He natna hi pathologic fracture an tih hi taksa ruh eng pawhah a awm tak tak thei a ni. Mahse, ruh, a tlangpuiin a chak em em a, awlsam taka chhe thei loah chuan hmuh tur a awm tam ber . Entir nan:

• Vertebrae : Hengte hi kan ruhro siamtu ruh te te an ni.
• Pelvis a ni
• Humerus : Hei hi kut chunglam atanga kekawr bul atanga elbow thlenga ruh awm a ni.
• Femur : Kan taksaa ruh sei ber leh chak ber a ni.
• Tibia : Khup atanga ke ruh thlenga ke ruh thuk tak.
• Fibula : Ruh te tak te, tibia nena inmil taka kal.

A tlangpuiin inchhung hna thawh laiin tlem i tlu emaw, stairs atanga i chhuk laiin i balance i hloh emaw pawh nise, kan kut leh ke ruh lian tak takte hi a chhe lo hle. Mahse, i ruh tichak lo thei damdawi lam natna i neih chuan, chutiang thil tenawm tak pawh chuan pathologic fracture a thlen thei a ni .

A châng chuan ruh tliak chu siam ṭhat nân operation neih a ngai mai thei. A nih loh leh, pathologic fracture a awm hmaa ven nan operation neih a ngai mai thei bawk. I ruh chak lo tichhe thei dinhmun chu i doctor chuan enkawlna dang a rawt bawk ang. A dam hun chhung hi eng ruh nge a tliak tih leh a chhan a innghat a ni.

Pathologic Fracture natna lan chhuah dan chu engte nge ni?

Pathologic Fracture symptoms hi fracture pangngai nen a inang hle. Anni chu:

• Natna : Natna nasa tak, tuar theih loh a awm thei.
• Swelling : Ruh tliakna hmun chu a hring ang.
• Tenderness: Khawih emaw, hmet emaw hian natna a awm .
• Inability to move normally : A natna taksa peng chu a che thei lo va, a pangngaia hman theih a ni lo.
• Bruising emaw vun rawng danglam emaw : A chang chuan blue/purple angin a lang thei.
• A deformity emaw lump : A ruh tliakna hmunah hian a pianzia danglam tak emaw, lump emaw hmuh tur a awm thei.

A pawimawh ber chu heng symptoms te hi nei mah la, Pathologic Fracture a nih leh nih loh chiang taka hriat theih nan, a chhan chu eng nge ni tih chiang taka hriat theih nan doctor thurawn i la ngei tur a ni .

Engvangin nge hetiang hi a lo awm? (Pathologic Fracture) a awm chhan

Pathologic Fracture awm chhan ber chu, i hriat loh pawhin, i taksaah damdawi lam thil a awm a, chu chuan i ruhte chu a pianphung ang lo takin a tichak lo a ni Hei hi a thlentu ber pahnih chu ruh natna leh ruh natna (bone tumor) te an ni.

Osteoporosis vang a ni

Osteoporosis hi ruhte chu zawi zawiin porous leh brittle a nih thin natna a ni . A chhung atang chuan an hollow chhuak mai mai ang mai a ni. Hei hian ruh a tichak lo va, a chhe thei bawk. Mi tam tak chuan ruh an tihchhiat hnuah chauh ruh natna an vei tih an hrechhuak thin. Hei hi a chhan chu a tir lamah chuan natna lan chhuah dan chiang tak a awm lo thei a ni .

Hmeichhia leh kum 65 chunglamte chu ruh natna vei an hlauhawm hle. Kan pi leh pu te hian tlu deuh pawh nise kut emaw, ke emaw an tikehsawm thin tih i hre tawh mai thei. Chutianga a awm chhan ber pakhat chu ruh natna (osteoporosis) a ni.

Ruh natna emaw, hliam emaw vang a ni

Tumor chu kan taksa hmun dangah pawh cell pangngai lo awm, solid mass a ni. Chung zinga ṭhenkhat chu cancer (malignant) an ni thei a, ṭhenkhat erawh chu non-cancerous (benign) an ni thei thung. Bone lesions hi solid tumor a ni lo va, ruh tichak lo thei cell deposit a ni zawk.

A (Pathologic Fracture) hi ruh chhungah tumor emaw lesion emaw a lo awm a, hmun dang atanga ruh thlenga a darh chuan a awm thei. Tichuan ruh pianphung leh chakna chu a chak lo ta hle mai.

• Malignant tumors: Ruh cancer (sarcoma) i neih chuan ruh chhung ngeiah a thang lian thei. Mahse, cancer hi taksa peng dang (e.g., hnute, lung, prostate) atanga ruh a darh (bone metastasis) a tam zawk.
• Benign bone tumors: Heng tumor te hi cancer cell awm lo, ruh chhunga thang lian a ni. A chi hrang hrang a awm. Heng chi hrang hrang zinga eng pawh hian ruh a tichak lo thei (pathologic fracture).

Engtin nge he natna hi dik taka i hriat theih ang?

Doctor chuan Pathologic Fracture i nei tih a hmuchhuak ang che.A taksa enfiahna leh imaging test hrang hrang an nei thin.

I ruh hliam leh a chhehvel enfiah nan heng imaging test zinga pakhat tal hi tih a ni ang:

• X-ray : Hengte hian ruh tliak chiang takin a lang thei.
• MRI Scan (MRI - Magnetic Resonance Imaging) : Hei hian ruh chauh ni lovin, a chhehvela soft tissue leh tumor ang chi thil te pawh a hmu thei a ni.
• CT scan (Computed Tomography scan) : Hei hian ruh leh a chhehvel tissue te chipchiar taka thlalak a siam thei bawk.

A ruh tliak chhan a zirin test dang neih belh a ngai mai thei. Entir nan:

• Thisen test dan : Cancer chhinchhiahna awm leh awm loh enfiah thin.
• Biopsy : Tissue emaw tissue emaw sample te tak te lak a, microscope hmanga enfiah.
• Bone density test (DXA scan) : Hei hi ruh natna enfiah nan a pawimawh hle.

Engtin nge (Pathologic Fracture) hi i enkawl ang?

Pathologic Fracture enkawlna chu eng ruh nge a tliak tih leh eng thil nge a chhan tih ah a innghat a ni . Fracture dang zawng zawng ang bawkin Pathologic Fractures tan hian a hnuaia enkawlna te hi hman a ni:

• Immobilization: Cast emaw splint emaw i bun a ngai mai thei. Eng chen nge i hak tur tih chu ruh tliak chi hrang hrangah a innghat ang. Mi tam zawk chuan kar engemaw zat chhung chu cast an vuah a ngai dawn a ni. Ruh chu a dam tha em tih enfiah nan X-ray i neih a ngai mai thei bawk.
• Surgery: Pathologic fracture thenkhatah chuan operation a ngai thin. Surgeon chuan ruh tliak chu a `set` a, a dam leh a, a inzawm leh thlengin a hmunah a siam tha thin . A hmanraw hman tlanglawn ber chu `internal fixation` a ni. Chumi awmzia chu surgeon chuan ruh chhungah thir plate, screw emaw pin emaw a dah tihna a ni. A châng chuan chûngte chu dam chhûngin a hmunah a awm reng thei a ni. Mi thenkhat chuan a hnua lakchhuah nan operation dang an mamawh mai thei.
• Radiation therapy: Doctor-in ruh a tliak hmaa tumor emaw lesion emaw a hmuh theih chuan a tihchhiat nan radiation therapy pek theih a ni. He radiation hian ruh chhunga than dan pangngai lo chu a tichhia a, ruh cell hrisel tak takte chu a lo thang leh thei ta a ni. Ruh cancer avanga pathologic fracture a awm chuan operation hnuah pawh radiation therapy pek theih a ni bawk.
• A hnuaia dinhmun enkawl dan: Hei hi a pawimawh hle.I ruh tliak chhan bulpui dinhmun emaw, tumor emaw enkawlna atan pawh enkawlna dang i mamawh thei bawk. Entirnan, cancer i neih chuan oncologist nen in thawh dun a ngai dawn a ni. I doctor chuan i beisei tur leh eng ang enkawlna nge i mamawh dawn tih a hrilhfiah ang che.

Pathologic Fracture avanga harsatna dang lo awm thei te

Pathologic fracture hian fracture dang ang bawkin harsatna engemaw zat a thlen thei a ni. Chung zinga ṭhenkhat chu:

• Acute Compartment Syndrome (ACS): Hei hi taksa ruh chhunga pressure a san a, tissue-a thisen kal chu tihtawp a nih chuan a ni. Hei hian taksa ruh leh nerve tihchhiat nghet tak a thlen thei a ni.
• Malunion: Dam laiin ruh tliak a inzawm tha lo a nih chuan.
• Nonunion: Ruh, a pum emaw, a then emaw lo inzawm leh lo.

(Pathologic Fracture) hi a dam theih nan eng chen nge a mamawh?

Pathologic Fracture a dam theih hun chhung hi thil engemaw zat ah a innghat a ni:

• Eng ruh nge a tliak?
• Eng thilin nge ruh tliak hi a thlen?
• Eng ang enkawlna nge i mamawh?
• Hliam dang i nei tawh em?

Ruh tliak chu a dam theih nan thla engemaw zat a ngai fo thin. I dinhmun bik nena inmil hun bituk chungchang chu i doctor emaw, surgeon emaw nen sawiho rawh. I dam leh hun chhung pawh hi i ruh tliak chhan (underlying condition)-ah a innghat bawk ang. Ruh tliak chu a dam hnuah pawh, ruh natna, ruh natna tha lo (benign bone tumors) emaw, cancer emaw ang chi natnate chu enkawl nan hun pek belh a ngai thei a ni.

Hetiang chi ruh tliak hi ven theih a ni em?

Ni e, eng emaw chen chu ven theih a ni. I doctor chuan ruh a tliak hmaa tumor, lesion emaw osteoporosis chhinchhiahna emaw a hmuh theih chuan pathologic fracture hi a veng thei a ni. A chang chuan tumor leh ruh tichak lo thei condition te hian ruh a tliak hmain natna a thlen thei bawk. Hei hi "impending pathological fracture" an ti a, chu chu "ruh tliak, a thleng thuai mai thei" tihna a ni. Ruh natna thar i neih chuan , doctor pan nghal rawh.

A châng chuan ruh a tliak hmaa tumor emaw lesion emaw paih chhuah nan surgery (prophylactic fixation an tih) pawh a awm thei bawk. Osteoporosis emaw, ruh density tichhe thei natna dang emaw i neih chuan i doctor chuan i ruh tichak tur leh ruh tliak hlauhawmna tihziaawmna tur damdawi leh enkawlna dang a rawn rawt thei ang.

Kum khatah vawi khat (a nih loh leh doctor-in a rawt angin) medical checkup neih a pawimawh.Tin, ruh vel a na emaw, i press laiin na emaw i neih chuan i doctor hnenah hrilh nghal rawh. I hlauhawm nia i hriat chuan i doctor hnenah cancer awm leh awm loh genetic testing emaw, bone density test emaw zawt la, chu chuan osteoporosis a hmu hmasa thei a ni.

Engtikah nge damdawi in pan nghal tur? (Emergency a awm chuan)

Ruh tliak i neih nia i hriat chuan, a bik takin heng symptoms te hi i neih chuan emergency room-ah kal nghal rawh :

• Natna nasa tak a ni.
• I taksa peng pakhat i che thei lo a nih chuan.
• Taksa peng pakhat chu mak tak maia lang, emaw, hmun atanga chhuak anga lang emaw a nih chuan.
• Ruh chu vun hmanga hmuh theih a nih chuan.
• Swelling a awm chuan.
• Heng symptoms te nen hian hliam thar a lo lang a nih chuan.

I doctor zawh tur zawhna

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• Eng ruh nge tliak?
• Hei hi Pathologic Fracture nge fracture chi dang?
• Enkawlna tam zawk ka mamawh dawn em ni?
• Eng damdawi lam dinhmun nge he ruh tliak hi a thlen?
• Cancer ka nei em?

Ruh tihchhiat hi a hlauhawm fo thin. Damdawi lam harsatna i hriat loh avanga a lo thlen chuan a hlauhawm zawk thei. I doctor chuan ruh tliak chhan te, i taksa tihdam theih dan tur te, leh a chhan bulpui thunun nan eng enkawlna nge mamawh tih te a sawifiah ang.

Zawhna zawh hreh ngai suh. I hriselna dinhmun i hriatthiam poh leh i hmaa thil lo thleng tur hmachhawn turin i inringtawk zawk ang.

A tawp berah chuan (Take-Home Message) .

Pathologic Fracture hi natna khirh tak a ni. Mahse, a natna hriat chian leh enkawl dan dik tak hmangin enkawl theih a ni . A pawimawh ber chu i ruh hriselna enkawl a, natna lan chhuah dan danglam tak i neih chuan damdawi lam pan a ni. I doctor hnenah inhawng takin awm la, i zawhnate zawt la, i enkawlna tur ruahmanna chu zawm rawh. Hetiang dinhmun hi hlawhtling takin i tuar thei ang.

` Pathologic Fracture, Ruh Fracture, Ruh chak lo, Osteoporosis, Ruh Tumor, Ruh Cancer, Ruh hriselna