Pelvic pain pawh i nei ve em? Pelvic fracture a ni thei ang em?

Aw, i kawr emaw, i hnute emaw-ah pawh natna emaw, nuam lo emaw i nei em? A châng chuan beisei loh taka tlu emaw, accident lian tak emaw chuan kan pelvis, chu chu hip ruh leh a kaihhnawih ruh system a tichhe thei a ni. Vawiin hian pelvic fracture, emaw doctor-te'n ``Pelvic Fracture'' an tih ang chi hi eng nge a nih, a lo thlen huna thil thleng leh tihdam dan tur kan sawi dawn a ni. Hlau suh, hei hi hriat chian a pawimawh hle.

Pelvic fracture tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, pelvic fracture chu i pelvis siamtu ruh pakhat emaw a aia tam emaw a tliak tihna a ni. I pelvis hi i belly button hnuaiah, i hip ruh inkar ah a awm a. Heng pelvic fracture thenkhat hi a tenau tak tak a ni thei a, thenkhat erawh chu a na hle thei thung. Engtin nge a hliam tih leh khawiah nge a ruh tih a innghat a ni.

Kan pelvis hi eng ang ruh atanga siam nge ni?

He pelvis hi ruh pakhat chauh a ni em tih i ngaihtuah mai thei. Ni lo, ruh engemaw zat inzawmkhawm a ni. Ring nghet tak ang mai a ni. ``Pelvic Ring'' an ti bawk. Heng ruhte hi han en teh:

• Sacrum: Hei hi i ruhro hnuai lama ruh lian tak, triangular ang maia awm a ni.
• Coccyx: Kan hriat vek angin hei hi "tail bone" an ti bawk. Sacrum hnuaiah a awm a ni.
• Hip ruh: Hengte hi a bulpui pathum atanga siam a ni a:
• `Ilium` (pelvic bone chunglam, a flat lam) .
• `Ischium` (kan thut huna lei chunga a innghahna pelvis hnuai lam leh hnunglam) .
• `Pubis` (pelvis hmalam a awm) .

Heng ruh zawng zawng hi an inzawm khawm a, i pelvic ring an siam ta a ni. Hei hi structure nghet tak a ni. Tin, hei chhungah hian nerve pawimawh tak tak, thisen kalna kawng leh internal reproductive organs tam tak, chaw ei kawng hnuai lam, bladder te hi venhimna a awm a ni. Chu mai pawh ni lovin i ke ruh tam tak pawh he pelvis-ah hian a inzawm tlat a ni. Chuvang chuan kan kal thei a, kan tlan thei a, kan zuang thei bawk.

Pelvic fracture chi hrang hrang nge awm?

Pelvis hi ruh inzawmkhawm a nih avangin pelvic fracture chi hrang hrang a awm a. Chu bakah, eng fracture pawh hi a tlangpuiin a lo awm dan a zirin chi hrang hrangah then theih a ni. Chu chu han thlir ila:

• Closed emaw Open/Compound Fractures: Ruh a tliak a, mahse a chhehvel vun a chhiat loh chuan, hliam hmuh theih a awm lo tihna a nih chuan closed fracture an ti a ni. Amaherawhchu, ruh tliak phei chuan vun a tikehsawm a nih chuan open fracture (`Compound Fracture` an ti bawk) a ni. Hei hi a hlauhawm deuh a, hri kai theihna a tam zawk avangin.
• Complete Fractures: Hetah hian ruh chu a inthen vek a, hmun hnih ah a inthen a.
• Displaced Fractures: Hei hi ruh chi hnih chu an tliakna hmun atanga an inthlak danglam a, an inkarah gap a awm chuan a ni.
• Partial Fractures: Hetiang a nih chuan ruh hi a chhe vek lo va, a chhe ang maiin a chhe vek lo.
• Stress Fractures: Hengte hi ruh chhunga chhe te te an ni bawk. Infiammi, stress chi khat tawk reng rengah an awm thei.

Heng fracture chi hrang hrang tlangpui bakah hian pelvic fracture hi `stable` emaw `unstable` emaw tiin an thliar hrang bawk :

• Stable Pelvic Fracture: Hei hi a tlangpuiin pelvis hmun khatah chauh a awm a, ruh tliak te chu a inthlak (shifted) lo. Heng stable fracture chi hrang hrangte hi low-impact event, tlu tenau emaw tlan accident emaw avanga lo awm a ni fo thin.
• Unstable Pelvic Fracture: Hei hi pelvis-a ruh tliak , hmun hnih emaw a aia tam emaw a awm thei a, ruh tliak te chu a inthlak danglam thei a ni. Heng fracture te hi high-impact events avanga lo awm a ni fo thin a, chu chu car accident lian tak a ni. An pawi zawk a, a chhan chu chhungril taksa peng hrang hrang an tihchhiat theih vang a ni.

Hei bakah hian chi dang bik a awm a, chu chu ``Avulsion Fracture`` tih a ni. Hei hi ruh pakhata inzawm tendon emaw ligament emaw a hrual a, ruh te tak te a lo chhuak a nih chuan a thleng thin. Hetiang hi infiamna kan khelh hunah a thleng thei.

Heng pelvic fracture te hian tute nge a nghawng nasa ber?

Dik tak chuan kum eng pawh nise hip fracture an nei thei. Mahse, hip fracture tenau te hi kum upa lam zingah a tam zawk. Hei hi an kum upat deuh deuh chuan ruh chak lo thei, ruh natna ang chi an nei tam zawk vang a ni.

Mahse, pelvic fracture na tak hi kum 15 leh 28 inkar thalai zingah a tam ber a, he kum hi accident hi a tam zawk. Mipa kum 35 hnuai lam te chuan he natna hi an vei tam zawk a, hmeichhia kum 35 chunglam te erawh chuan he natna hi an vei tam zawk thung.

Pelvic fracture hi engtiang chiahin nge a awm?

Dik tak chuan pelvic fracture hi chutiang chuan a awm lo. Puitlingah chuan ruh tliak zawng zawng zinga 3% vel an ni. A tam zawkah chuan hengte hi accident lian tak avanga thleng a ni. Car accident emaw, hmun sang atanga tla emaw angin ngaihtuah rawh.

Pelvic fracture hian eng symptoms nge a neih?

A natna lan chhuah dan chu a ruh tliak tenau leh nasat danah a innghat. Heng a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Groin, hip, leh/ emaw hnungzang hnuai lam natna.
• Kea kal emaw, ke chet emaw hian a na zual thin.
• Groin area emaw ke emaw ah tingling emaw prickling emaw hriatna.
• Pum natna.
• Zun harsatna.
• Kal emaw, ding emaw harsatna.

Pawimawh: Heng symptoms te hi i neih chuan, a bik takin accident hnuah doctor pan ngei ngei tur a ni.

Eng thilin nge heng pelvic fractures te hi a thlen thin?

Pelvic fracture hi chhan lian tak tak a awm thei a:

1. High-impact events: A hmaa kan sawi tawh ang khan pelvis hi skeletal system chak tak a ni. Chuvangin, nghawng sang tak a awm chuan a chhe thei ber. Entirnan:

• Car leh motor chetsualna a awm.
• Hmun sang tak atanga tla (thing atanga tla, building ang chi).

Hetiang thil thleng hian pelvic fracture nghet lo, na tak a thlen fo thin.

2. Ruh chak lo thei natna: Osteoporosis ang chi natna i nei a, chu chuan i ruh a ti sei a, a tichak lo bawk a, thil tenawm tak tak pawhin pelvic fracture a thlen thei. Hei hi i hna pangngai i thawh lai pawhin a thleng thei a, i tlu leh tlu pawhin a thleng thei bawk. A tam zawkah chuan heng fracture te hi a stable thin.

3. Sports activities: Hei hi a tlem deuh a, mahse sports thenkhat i khelh hunah chuan a hmaa kan sawi tawh `Avulsion Fracture` kha i hmu thei. Hei hi ruh atanga muscle tendon a inthen a, chu chuan ruh chi khat a rawn chhuah tir a ni. Hengte pawh hi stable fracture an ni tlangpui bawk.

Engtin nge hei hi i hmuh theih, doctor?

Pelvic fracture i neih leh neih loh hriat chian nan X-ray i neih a ngai ngei ang. Chu bakah, i doctor chuan hliam awm dan hriat belh duh chuan test dang pawh a ti thei bawk.

Chu test-te chu engte nge ni?

• X-ray: Hei hi ruh thlalakna atan hman a ni. Hei hi pelvis-a khawiah nge a tliak tih hriat nan a pawimawh hle a, engtiang chiahin nge a nasat tih leh engtin nge enkawl tur tih hriat nan a pawimawh hle.
• CT Scan (Computed Tomography): Hei hian angle hrang hrang atanga X-ray tam tak lak a, computer hmanga thlalak chipchiar tak siam a huam a ni. Hei hian X-ray pangngai aiin thlalak chiang zawk a siam thei a ni. I doctor chuan i pelvic fracture chungchang hriat belh nan leh a kaihhnawih hliam dang a awm leh awm loh en turin hei hi a ti thei ang.
• MRI (Magnetic Resonance Imaging): Hei hian magnet lian tak, radio wave leh computer hmangin i taksa peng leh ruh chipchiar taka thlalak a siam a. X-ray emaw CT scan emaw hmanga thu chiang tawk lo a nih chuan i doctor pawhin hetiang hian a ti thei bawk.

Engtin nge enkawl a nih? Mi zawng zawng hian operation kan mamawh em?

Pelvic fracture enkawlna hi thil engemaw zatah a innghat a:

• I fracture hi engtiang chiahin nge a tenau emaw, a nasat emaw.
• Fracture awm dan leh a chi hrang hrang.
• Ruh chhe tawhte chu eng chen nge an kal tawh (an inthlak danglam em).
• I hriselna zawng zawng leh hliam dang i neih leh neih loh.

Minor leh stable fractures, chu chu ruh chi hrang hrang a inthlak lo tihna a ni a, a tlangpuiin operation a ngai lo. Chutiang hunah chuan a hnuaia mite hi enkawl dan tur a ni:

• Chawlh hahdam: I doctor chuan a theih ang anga chawl turin a hrilh ang che. Hei hian pelvis fractured chu pressure a siam belh dawn lo va, a dam chak zawk dawn a ni.
• Walking aids: I ruh tliakna hmun azirin, kekawrte, kea kalna emaw, wheelchair emaw hmang turin an hrilh thei che a ni. Hengte hi i ke atanga rit lak chhuahna tur a ni. Hengte hi thla thum vel i hman a ngai dawn a, a nih loh leh i pelvis a dam vek hma loh chuan i hman a ngai dawn a ni.
• Damdawi: I doctor chuan natna tihziaawmna tur damdawi a pe ang che. I ke leh pelvis vein-a thisen zam awm theihna tur tihtlem nan anticoagulant an pe thei bawk.

Pelvic fracture na zawk emaw, a nghet lo zawk emaw chuan operation vawi khat emaw a aia tam emaw neih a ngai tlangpui. Surgery hi chi hrang hrang a awm a:

• External Fixation: Hetah hian vun leh taksa peng hrang hrangah incision te te siamin i pelvic area chu a nghet thei ang bera siam a ni a, ruh chhungah metal rod emaw screw emaw dah a ni bawk. Heng rod leh screw te hi vun atanga chhuakin taksa pawn lama bar-ah an inbun a ni. Hei hian frame angin hna a thawk a, ruh tliak te chu a dam hma loh chuan a hmunah a vawng tlat thei a ni.
• Skeletal Traction: Hei hi taksa pawn lama pulley system a ni. Ruh chhe tawhte chu a inrem leh theih nan a pui thin. Surgeon chuan i thigh bone emaw shin bone emaw ah metal pin a dah lut thin. Heng pin-ah hian weight dah a ni a, surgeon chuan i ke chu a hrual a. Hei hian pelvic bone fragment chhe tawhte chu an awmna pangngaiah a kal leh ta a ni.
• Open Reduction and Internal Fixation (ORIF): He surgery-ah hian pelvic bone fragment displaced te chu an awmna pangngaiah an sawn leh hmasa thin. Tichuan, a chi hrang hrangte chu an dah khawm a, ruh pawn lamah screw emaw, thir plate emaw hmangin an nghet tlat a ni.

Accident lian takah pelvic fracture na tak tuar tawh chuan chhungril lama hliam dang a nei fo ang. Hengte pawh hi enkawl a ngai dawn a ni. Chutiang a nih chuan, pelvic fracture damna chu chu hliam dangte chu engtiang chiahin nge hlawhtling taka an dam tih ah a innghat ang.

Pelvic fracture hi a mah chauhin a dam thei em?

Pelvic fracture tenau leh nghet lo chu damdawi lam inrawlhna, operation ang chi tel lovin a dam tlangpui. Mahse, i ke ruh tliak tenau i nei a nih pawhin i pelvis leh kea pressure kha tihtlem la, chawlh hahdamna tam tak i neih a ngai a, chu chuan a dam tha thei ang. Fracture tenau i nei nia i hriat chuan a rang thei ang bera doctor pan a pawimawh.

Pelvic fracture hi a dam theih nan eng chen nge a mamawh?

Pelvic fracture hi a dam kim theih nan kar 8 atanga kar 12 vel a ngai tlangpui. Fracture na zawk, a bik takin hliam dang emaw, damdawi lama harsatna i neih chuan hun rei zawk a daih thei.

Pelvic fracture awm theihna tur risk factors te chu engte nge ni?

Pelvic fracture thlentu risk factor engemaw zat a awm a:

• Osteoporosis neih: He natna vei te hi hip fracture an hlauhawm hle.
• Tlu fo: A bik takin kum upa lam tan chuan an tlu fo chuan an pelvic bones a tikehsawm zawk.
• Infiamna thenkhat khelh: A hmaa kan sawi tawh ang khan infiamna thenkhat khel thinte chuan `Avulsion Fracture` an vei thei a.

Pelvic fracture awm lo turin eng nge kan tih theih ang?

Kum leh nunphung a zirin pelvic fracture venna tur thil engemaw zat a awm a:

• Tlu hlauhawmna sang tak i neih chuan kea kalna tur hmanrua hmang ang che: Tiang emaw, kea kalna emaw hman hian tlu lo turin a pui thei a ni.
• Hrisel taka khalh: High-impact vehicle accident hi pelvic fracture thlentu ber a ni. Hrisel takin lirthei khalh fo la, lirthei khalh dan zawm la, lirthei khalh laiin thil tibuaitu thilte pumpelh rawh.
• Ladder i hman hunah himna tur thupek zawm rawh: Ladder i hman dawnin a dik leh him taka tih a nih ngei ngei tur a ni. Ladder hi i hman hmain a dinhmun nghet takah a awm leh awm loh enfiah hmasa phawt ang che.
• Sports i khelh chuan stretch tha la, conditioning exercise ti rawh: Muscle tendon tears avanga avulsion fractures awm theihna tur tihtlem nan activity hmain warm up tha la, sport-specific conditioning exercises ti bawk ang che.

Pelvic fracture a awm theihna tur prognosis chu eng nge ni?

Hei hi hliam nasat dan leh chi hrang hrangah a innghat a ni. Pelvic fracture tenau, stable tak takte hi enkawl a nih chuan a dam tha tlangpui a, hun rei tak chhunga harsatna awm lovin a bo vek thin.

Mahse, high-impact trauma avanga pelvic fracture na tak leh nghet lo tak, car accident ang chi te hian thisen chhuah tam lutuk, a chhehvel taksa peng hrang hrang tihchhiat, leh nerve te tihchhiat ang chi harsatna a thlen thei a ni. Heng a kaihhnawih hliamte hi hlawhtling taka enkawl a nih chuan pelvic fracture te hi a dam tha tlangpui.

Pelvic fracture hi nunna atana hlauhawm thei a ni em?

Ni e, a chang chuan. Car accident emaw, hmun sang tak atanga tlak emaw ang chi, high-impact trauma avanga unstable, complex pelvic fractures te hian i pelvic area chhehvela taksa peng, nerve leh thisen kalna kawngte a tichhe thei a ni. Heng hliamte hian taksa peng hrang hrang a tichhe thei a, thisen a chhuah tam lutuk a, natna hrik a kai thei bawk. Chûngte chu nunna atana hlauhawm dinhmun a ni thei. Chuvang chuan damdawi lam pan nghal a pawimawh.

Pelvic fracture hian harsatna a thlen thei em?

Pelvic fracture na tak leh stable lo hian fracture tenau aiin harsatna a thlen tam zawk. Heng harsatnate hi pelvic fracture avanga nerve leh/ emaw organs tihchhiat vang a ni tlangpui. Pelvic fracture avanga harsatna awm thei te chu:

• Natna rei tak a awm
• Mobility lama harsatna nei
• Mipat hmeichhiatna lama harsatna nei
• Thisen thûk takah thisen zam (Deep Vein Thrombosis - DVT) .

Engtikah nge Doctor ka hmuh ang?

Pelvic fracture symptoms i neih chuan pelvic area-a na leh kal emaw, ding emaw harsatna i neih chuan doctor ko nghal la, a nih loh leh damdawi in hnai ber pan rawh.

Pelvic fracture i nei tih hmuhchhuah a nih tawh a, symptom thar emaw, ngaihtuahawm tak emaw i neih chuan i doctor chu biak ngei ngei tur a ni.

Ka doctor hnenah eng nge ka zawh ang?

Pelvic fracture i neih chuan i doctor hnenah heng zawhnate hi zawh a \angkai thei ang:

• Eng ang fracture nge ka neih?
• Ka pelvis chhunga ruh engte nge a nghawng?
• Ka enkawlna tur ruahmanna chu eng ang nge ni?
• Ka ruh tliak hi a dam theih nan eng chen nge a la ngai ang?
• Engtikah nge thil tih pangngaiah ka kir leh theih ang?

I pelvis hi ruh nghet tak ni mahse, a chhe thei tih hre reng ang che. Pelvic fracture hi a na a, chuvangin tanpuina i mamawh nghal a ni. I pelvis hian nerve pawimawh tak tak, thisen kalna kawng leh taksa peng hrang hrang a humhim avangin, i doctor chuan a ruh tliak hian chhungril lama hliam dang a thlen lo tih chian a duh ang. Osteoporosis chungchangah pawh i buai a nih chuan chu chu i doctor nen pawh sawipui rawh.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Okay, chuti a nih chuan vawiin hian pelvic fracture chungchang hi kan sawi nasa hle a ni lawm ni? Hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• Pelvic fracture hi thil awlsam taka ngaih tur a ni lo. Tlu tenau a\angin a thleng thei a, accident na tak a ni thei bawk.
• I rilru natna , i hip, emaw, i hnungzang natna, emaw, kea kal harsatna , a bik takin accident i neih hnuah, damdawi lam thurawn zawng nghal rawh.
• Enkawlna chu a ruh tliak danah a innghat a ni. Chawlh hahdam leh puihnain a dam thei a, a nih loh leh zai a ngai thei bawk.
• Doctor-in a tih ang taka chawlh hahdam leh exercise neih hi dam thuai nan a pawimawh hle.
• Risk factors (kum, ruh natna, tlu fo) a awm a nih chuan, chu chu hriat reng a, invenna tur ruahmanna siam a finthlak hle.

Hlau suh, mahse ngaihthah bawk suh. I taksa chu i hre chiang ber. Thil danglam bik i hriat chuan doctor pan a, thurawn lak a tha ber fo.

` Pelvic Fracture, ruh tliak, hip, pelvis, accident, ruh hriselna