I kutphah bulah harsatna tlem i nei em? Scaphoid fracture a ni thei!

I tlu a, i kut chu leiah i vawm a, i kutphah hliam na tak i tuar tawh em? A nih loh leh inkhelh laiin i kut chu kawng dik lo takin i beng a, chutah chuan a hmun chu a lo hring chhuak a, i sawn thei lo mai thei em ni? A châng chuan heng thilte hi "a hliam mai mai" angin kan ngai a, mahse thil pawi zawk a ni thei. Chu chu hetiang thil a thlen hian a thleng thei a, chu chu scaphoid fracture an ti a ni. Vawiin hian he thu hi chipchiar zawkin han sawi ila, a tha em?

Scaphoid Fracture tih hi eng nge ni?

A awlsam zawngin sawi ila, scaphoid fracture chu i kutphah ruh a tliak tihna a ni. Scaphoid ruh hi i ke ruh lian ber bul, i kutphah bulah a awm a. I kutphah hi ruh te tak te engemaw zat carpal bones an tih atanga siam a ni. Scaphoid hi chutiang carpal bones zinga mi a ni.

Hei hi kan tlu a, kan kut man tumin kan kut kan phar hian a thleng fo thin. Ngaihtuah teh, rang takin i tlu a, i tlu a, nangmah chhanchhuah tumin leiah i kut i nghat nghal a ni lawm ni? Chutih lai chuan he ruh hi a chhiat a rinawm ber. Chumi piah lamah chuan car accident, sports khelh laiin hard impacts, etc. a thleng thei bawk a, a chang chuan he ruh hi uluk taka siam that nan operation neih a ngai thin. Mi tam zawk chuan he natna atanga an dam kim theih nan thla thum vel an hmang thin.

Scaphoid ruh hmun thenkhat leh a ruh tliakna hmun te

He scaphoid ruh hian hmun thum a nei bawk. Heng zinga eng pawh hi a chhe thei.

• Distal pole: Hei hi scaphoid ruh tawp ber, i kut leh kut zungtang lam hawia awm, chu chu kut hmalam atanga hla tak a ni.
• Waist of the scaphoid: Hei hi scaphoid ruh lai tak a ni. A tam zawkah chuan, chu chu scaphoid fracture 70% aia tam chu he middle part-ah hian a awm tihna a ni.
• Proximal pole: Hei hi i hmai lam, i taksa chhunga awm scaphoid ruh tawp ber a ni.

Heng thute hi i tan chuan mak tak maiin a ri thei. Mahse doctor-te chuan i kutphah a tliak dan dik tak, i scaphoid ruh a tliak dan leh tuna i taksa chhunga ruh awm dan dik tak hriatthiamna atan an hmang a ni. Mahse, eng hming pawh nise, a pawimawh ber chu a rang thei ang bera doctor pan a, enfiah tir hi a ni.

Hei hi engtiang chiahin nge a hluar? Tuin nge dawng tam ber?

Scaphoid fractures hi kut ruh ruh tliak chi khat a ni a, kut ruh hliam zawng zawng zinga 15% vel a ni.

Dik tak chuan, tu pawhin ruh an tikehsawm thei ang bawkin, tu pawhin scaphoid ruh an tikehsawm thei a ni. Hei hi tlu emaw, chetsualna dang emaw avanga thleng fo vang a ni. Mahse, thalai kum 30 hnuai lam leh tleirawl zingah a tam zawk.Hei hi a tam zawk deuh. Tlu duhna i neih chuan i risk sang zawk bawk. Tin, ruh tihthianghlimna natna, osteoporosis ang chi nei te hian midang aiin an ruh an tikehsawm awlsam zawk a, chuvangin scaphoid fracture an neih theihna a sang zawk bawk.

Eng nge a lan chhuah dan?

Scaphoid fracture i neih chuan symptoms i nei thei ang:

• Na: A bik takin ke ruh lian tak bul, kutphah bulah chiah.
• Swelling: Kut natna hmun chu a hring thei.
• Tenderness: A chunga kan sawi tak hmun hi khawih emaw, hmet emaw chuan a na thin .
• Kut zungtang che thei lo: Kut hawi emaw, chawi emaw harsatna.
• Bruising emaw discoloration: A dum emaw, a sen emaw a lang thei.
• Lump emaw deformity danglam tak: Kutphah hi lump danglam tak angin a lang thei a, a lang thei bawk.

Displaced leh non-displaced fracture te chu a awm thei

Heng thumal dang pahnih hi doctor-in i fracture sawifiahna atana a hman tur a ni. ``Displaced fracture'' tih awmzia chu ruh a tliak hnuah ruh tliak pahnih chu a che nasa hle a, an inkarah gap lian tak a awm tihna a ni. ``Non-displaced fracture'' ah chuan ruh chu a la chhe vek a, mahse a chi hnih chu a che vak lo va, an awmna hmunah chuan an la inhnaih hle. ``Displaced fracture'' hi siamthat nan operation a ngai fo thin.

Engvangin nge hetiang hi a lo awm?

Kutphah chunga chak taka a tlak chuan scaphoid ruh a tikehsawm thei a ni. A chhan ber chu:

• Tlu: A kut pahnih phar chungin a phar chhuak a, lei lam a pan a.
• Sports accident: Cricket emaw football emaw khelh lai ang chi.
• Lirthei chetsualna thleng thin.

Engtin nge doctor-te hian hei hi an hriat chhuah?

Doctor chuan scaphoid fracture i neih leh neih loh chu a enfiah ang che a, imaging test eng emaw zat a ti ang.

Eng test nge tih a nih?

I enfiah hnuah a hnuaia imaging test pakhat emaw a aia tam emaw i nei thei ang:

• X-ray: X-ray hian scaphoid emaw ruh dang emaw a tliak leh tliak a awm leh awm loh leh engzat nge chhiatna a thlen tih a hriat theih.
• Magnetic resonance imaging (MRI): A chang chuan i doctor chuan MRI scan a ti ang. Hei hian ruh leh a chhehvela ruh leh tissue te chhiatna chu a famkimin a zirchian theih nan a pui thei a ni.
• CT scan: Operation i neih a ngai a nih chuan i doctor chuan i ruh chhiatna chu chiang takin a hriat a ngai ang. CT scan hian X-ray aiin ruh leh a chhehvel tissue te chu chipchiar zawkin a entir thei a ni.

Occult scaphoid ruh tliak te

A chang chuan scaphoid fracture hi X-ray-ah a lang lo va, a chang chuan a lang lo tak tak bawk. Hei hi occult scaphoid fracture an ti a. Chutiang a nih chuan i doctor chuan MRI emaw CT scan emaw a ti thei ang. I doctor chuan eng test dang nge i mamawh theih tih a hrilh ang che.

Pawimawh: I doctor hnenah i natna hmun leh i press chuan eng nge a na tih chiang takin hrilh rawh. I natna chu scaphoid ruh-ah a awm a, ni khat emaw ni hnih emaw hnuah a reh lo a nih chuan i ruh thup (hidden fracture) i nei thei a ni. Heng hidden fracture te hian enkawlna bik a mamawh lo va, hlauhawm bik a awm lo bawk.

Enkawlnate chu engte nge ni?

I scaphoid fracture enkawlna chu a nasat danah a innghat. I ruh tliak chu dah khawm leh a, tihdam a ngai a ni. A chhiat dan leh a chhe dan azirin i doctor chuan heng damdawi pakhat emaw a aia tam emaw a hmang thei a ni.

Kut/kut (wrist) chu immobilization (immobilization) a ni

I ruh tliak chu a lian lutuk lo a nih chuan, chu chu scaphoid ruh chu a awmna hmun atanga hla lutuk lo (`non-displaced`) tihna a nih chuan, splint emaw, plaster of Paris cast emaw chauh i bun a ngai mai thei. Splint hi kar thum atanga kar nga vel a awm tlangpui. Cast pakhat hi a rei deuh a, a tlangpuiin kar ruk atanga kar riat vel a ni. Heng pahnih ah hian i ruh a dam tha em tih hriat nan X-ray dang i neih leh a ngai dawn a ni.

Surgery tel lova ruh tihtlem (Closed reduction) .

Fracture na zawk tan chuan closed reduction an tih chu scaphoid ruh chu a insiamrem leh thin. Hei hi surgery a ni lo. Doctor chuan i taksa pawn lam chu press leh pull in a chhunga ruh tliak chu a realign leh ang. Chutianga a tih lai hian a hnuaia mi pakhat hi a ti ang a, chu chuan natna i neih loh nan a pui ang che:

• Local anesthetic inject hian ruh tliak vel chu a ti na thei lo.
• Sedatives hi taksa pum tih hahdam nan pek thin a ni.
• I taksa pum pui chu anesthetized a ni ang a, i mut tir ang (`General anesthesia`).

Hetiang ``(Closed reduction)`` i tih zawh hian doctor chuan splint emaw plaster emaw a dah ang che.

Scaphoid ruh tliak surgery a ni

Fracture na tak tam zawkah chuan operation a ngai thin. Surgeon chuan i scaphoid ruh chu a siam thar leh ang a, a hmunah a siam tha ang a, chutiang chuan a rawn inzawm khawm leh thei ang a, a dam thei ang. A tam zawkah chuan ``Internal fixation'' tih thil an ti ang.Hei hian surgeon chuan i ruh chhungah hian thir chi hrang hrang a dah lut ang a, a dam hma loh chuan a hmunah a vawng tlat ang. Heng ``Internal fixation'' tih dante hi:

• Plate leh screw: Metal plate leh screw te chu ruh chhunga dahin ruh chi hrang hrang inzawmkhawm nan an dah thin.
• Pin leh wire te:Pin leh wire hmang hian ruh tenau zawkte chu fixation device dang aiin a inzawm khawm thei a ni. Chungte chu plate emaw, hmanraw dang, rod ang chi emaw nena hman dun a ni tlangpui.

Mi thenkhat chuan heng thir chi hrang hrangte hi an taksaah chatuan atan an nei thin. Mi thenkhat chuan an lakchhuah nan operation an neih leh a ngai thin.

Ruh grafting a ni

I scaphoid fracture chu ``displaced'' tak a nih chuan, a piece te chu a inhlat hle tihna a ni a, a nih loh leh i ruh a dam tha lo a nih chuan ``bone grafting'' tih procedure i neih a ngai mai thei.Surgeon chuan i ruh tliak chu a lo inzawm leh theih nan ruh tissue dang a dah belh ang. Tichuan, ``internal fixation,'' an ti tlangpui ang a, ruh a dam thlengin a chi hrang hrangte chu an vawn khawm ang. Heng ruh grafts atan hian ruh lak theihna hmun engemaw zat a awm a:

• I taksa hmun dang atanga lo kal – a tam zawk chu i hip ruh chunglam atanga lak a ni.
• Midang (pawn lam donor) hnen atangin.
• Thil siam chhuah (artificially made piece) a ni.

Scaphoid fracture surgery hi outpatient procedure angin an ti fo thin.

I surgery hnuah i kutphah chu immobilized a ngai dawn a ni. I kut chu a chhe hma ang bawkin i hman leh theih hmain splint emaw cast emaw i bun a ngai mai thei.

Scaphoid fracture tan hian eng damdawi nge hman thin?

Painkiller ``NSAIDs'' an tih, aspirin emaw ibuprofen emaw te hian operation hnuah thisen chhuah leh harsatna dang a thlen thei a ni. Chuvangin, i surgeon chuan operation hnua natna tihziaawmna tur damdawi i ei theih dan tur a sawipui ang che.

NSAIDs hian side effect a neih theih dan:

• Thisen chhuak.
• Pum chhunga ulcer awm.
• Pum natna.
• Intestinal lama harsatna awm thei.

Scaphoid fracture hi a mah chauhin a dam thei ang em?

Natna, hliam, leh natna ang chi symptoms te hi ngaihthah ngai suh. I natna lan chhuah dan chu a na lo hle a nih pawhin enkawlna i la mamawh tho . Scaphoid fracture enkawlna i hmuh loh chuan a hnuah harsatna lian tak tak i tawk thei a, chu chu:

• Acute compartment syndrome (ACS): Muscle chhunga pressure a sang a, tissue-a thisen kal chu a titawp a, muscle leh nerve tichhe reng thei a ni.
• `(Malunion)`: I ruh tliak te chu a dam huna a in fit loh chuan .
• Nonunion: I ruhte chu a pum pui emaw, a then emaw a inzawm leh lo.
• Avascular necrosis (osteonecrosis): Hei hi ruh natna na tak a ni a, hun kal zelah a zual zel. I che theihna a nghawng thei a ni. Ruh pakhata thisen kal chu tihtawp a nih chuan a thleng thin.
• Kut natna: ``Nonunion'' leh ``Avascular necrosis'' an tih hian kut leh kutphah ah arthritis a thlen thei. Kut ruh natna hian a ti na thei a, a hring thei a, a tikhauh thei a, a piansualna a thlen thei bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

I natna lan chhuah dan a reh theih nan kar engemaw zat a la ngai thei. I scaphoid fracture siamthat nan operation chi hrang hrang i neih dan azirin kar tlemte chhungin i kut chu i sawn leh thei mai thei.

Amaherawhchu, tuar theih loh khawpa natna reh lo i neih chuan Doctor pan nghal mai tur a ni.

Engtin nge he hlauhawmna hi tihziaawm theih ang?

Hliam hlauhawmna tihziaawmna turin heng himna atana thurawn tlangpui te hi zawm rawh:

• Lirthei i chuan dawnin seat belt vuah fo ang che.
• Thiltih leh infiamna tinrengah himna hmanraw \ha tak tak ha rawh.
• Nangmah emaw, mi dang emaw chetsual leh tlu thei thilte chu paih chhuakin i in leh hnathawhna hmun chu tifai takin vawng reng ang che.
• Chunglam atanga thil i lak dawn chuan hmanraw emaw hmanraw dik tak hmang fo ang che. Chair leh table-ah chuan lawn ngai suh.
• I ruh hriselna vawng reng thei tur diet leh exercise plan zawm rawh.
• Kum 50 aia upa i nih chuan, emaw, i chhungkuaa mi tu emaw chuan ruh natna a vei a nih chuan, i doctor nen bone density test neih chungchang sawipui rawh.
• Kal nan tiang emaw, kea kalna emaw i hman chuan hmang fo la, hmun inthlau takah fimkhur rawh.

Scaphoid fracture hi ka veng thei ang em?

Scaphoid fracture hi tlu emaw accident dang emaw avanga lo awm a ni tlangpui a, chuvangin a venna tur thil tam tak a awm lo, kea kal laiin fimkhur (i neih chuan cane/walker hmang) leh hmun inthlau takah fimkhur tih loh chu.

Scaphoid fracture ka neih chuan eng nge ka beisei theih ang?

Scaphoid fracture i neih chuan dam leh vek i beisei thei.

I kutphah chakna leh range of motion i neih leh theih nan physical therapy i mamawh dawn a ni.

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

I dam leh theih hun chhung chu i ruh tliak nasat dan leh enkawlna i mamawh danah a innghat ang. Mi tam zawk chuan scaphoid fracture atanga an dam theih nan thla thum vel an hmang thin.

I taksa a dam theih nan eng chen nge a daih tih nghawng thei thil dang tam tak a awm bawk. I dinhmun nena inmil hun bituk chungchang chu i doctor emaw surgeon emaw nen sawiho rawh.

Hnathawh emaw, sikul emaw ka kal thei lo ang em?

I kutphah tisa lovin i hna emaw, sikul hna emaw i la thawk thei a nih chuan hna emaw, sikul emaw i kal thei lo ang.

I dam lai hian taksa tihchak leh hmain i surgeon emaw doctor emaw nen inbia ang che.

Scaphoid fracture a awm theih nan Outlook

Scaphoid fracture awm theihna tur outlook a tha hle. Surgery i nei a nih pawhin i dam kim vek tur a ni, i ruh tliak hian hun rei tak chhung nghawng a neih a rinawm loh avangin.

Engtikah nge damdawi in pan vat a ngaih?

Scaphoid fracture – emaw ruh tliak dang emaw i neih nia i hriat chuan a rang thei ang bera doctor i pan tur a ni. Heng symptoms te hi i neih chuan emergency room-ah kal nghal rawh:

• Natna nasa tak tuar theih loh.
• I taksa peng pakhat, a tlangpuiin i che thei tur i che thei lo a nih chuan.
• I taksa peng pakhat chu a tlangpui aia danglamin a lang a nih chuan, a hmun atanga zuang chhuak ang maia lang a nih chuan.
• I ruh chu i vun hmanga hmuh theih a nih chuan.
• Vung.
• Heng symptom dangte nen hian hliam thar a lo lang a nih chuan.

Accident lian tak (trauma) i tawk tawh a nih chuan emergency room-ah kal nghal rawh.

Doctor hnenah eng zawhna nge i zawh tur?

• Scaphoid fracture ka nei em, a nih loh leh fracture chi dang ka nei em?
• Ka scaphoid ruh eng hmun nge a chhe?
• Surgery ka mamawh dawn em?
• Eng chen nge a dam theih ang?
• Engtikah nge taksa tihchakna ka tan leh theih ang?

Ruh tihchhiat hi a hlauhawm reng a, a bik takin a lo thleng thut a nih chuan, i tlu leh tlu ang chi hi a ni. Scaphoid fractures hian enkawlna a dawng tha hle a, i ruh leh taksa a dam tha thei tur chuan duhthlan tur tam tak a awm bawk. I ruh chak leh hrisel taka awm theih dan tur i doctor nen sawiho la, kum 50 aia tam i nih emaw, i chhungte zinga mi pakhatin ruh natna a neih chuan ruh density test neih fo bawk ang che.

A tawp berah chuan thil hriat reng tur

Chuvangin, i hmu em, i kutphah chungchangah harsatna tlem i nei a nih pawhin, ngaihthah mai mai chu thil tha a ni lo. Scaphoid fracture hi uluk taka enkawl a nih chuan a dam vek thei a ni.

A pawimawh ber chu symptom i neih chuan a rang thei ang bera Doctor pan hi a ni. Chutiang chuan thil awmdan dik tak chu an hre thei a, a tul anga enkawlna an tan thei bawk.

I ruh hriselna enkawl hi a pawimawh hle tih hre reng ang che. Ei leh in inthlau tak te, exercise dik tak te, leh accident laka invenna atana fimkhurna te hian heng dinhmunte hi eng emaw chen chu a veng thei a ni. Zawhna i neih chuan doctor zawh hreh suh. Tichuan i chiang thei ang.

` Scaphoid fracture, kut ruh tliak, kut na, ruh tliak, X-ray, MRI, ruh zai