I ruh hi hmun hnih-ah a tliak a, a laiah phei pakhat a inthen em? Chu chu segmental fracture a ni em? Hemi chungchang hi han sawi ila!

Kan tlu leh hliam tenau te kan tawk vek tawh. A chang chuan kut emaw ke emaw i hliam a, a chang chuan a hring deuh bawk. Mahse han mitthla teh, accident lian tak hnuah i ruh chu hmun khatah ni lovin, hmun hnih tal a tliak a , chu ruh tliak pahnih inkarah chuan ruh pakhat chu a hmun dangte a\angin a in\hen vek a ni. Chu chu vawiinah hian ruh tliak na tak kan sawi dawn a, chu chu segmental fracture an ti a ni. A hming hi a hlauhawm deuhin a ri a ni lawm ni? Mahse, lungngai suh, he thu hi a awlsam zawngin, chiang takin, i hriatthiam theih tur angin kan sawi dawn a ni.

Segmental fracture hi eng nge ni tak tak?

A awlsam zawngin, segmental fracture chu i taksa ruh sei takah hmun hnih tal a break tihna a ni. Heng break pahnih hian ruh peng te tak te chu a bulpui dang pahnih a\angin a in\hen vek a ni. Thingpui hnah pakhat hmun hnih-a tihchhiat a, a laiah thingphel te tak te a lo chhuak ang maiin han ngaihtuah teh.

Hetiang chi ruh tliak hi taksa ruh sei eng pawhah a awm thei. Hmun tam ber chu:

• Femur (i hnute atanga i khup thlenga ruh awm) .
• Tibia (ke chhung lam ruh thuk tak, khup atanga kephah thlenga awm) .
• Fibula (ke hnunglam ruh te tak te, ke ruh nena inmil) .
• Upper arm bone (`Humerus` - kekawr bul atanga kekawr bul thlenga ruh) .
• Elbow atanga kutphah thlenga ruh pahnih (`Radius` leh `Ulna` - forearm bones) .
• Clavicle (kawr ruh) 1.1.

Heng ruhte hi chutiang ruh tliak na tak tuar tam ber an ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hetiang dinhmun ``Segmental Fracture`` an tih hi tlu mai mai atanga lo awm a ni lo. Hengte hi accident na tak tak (``serious traumas``) vang a ni fo thin . Ngaihtuah:

• Car accident na tak: car chesual, bicycle accident.
• Hmun sang tak atanga tlak: Thingkung, inchung emaw, scaffolding emaw atanga i tlak chuan.

Ruh pakhat chu hetiang taka nasa taka a tihchhiat chuan hmun hnih-ah a chhe thei a, a laiah chuan a hnah pakhat a inthen thei chauh a ni. A tlangpuiin, kan tlu leh kan tlu emaw, inchhung hna kan thawh lai emawa ruh tliak hi hetiang hian a na lo hle. Hengte hi natna khirh tak tak an ni tak zet a , ruh chu a inrem leh theih nan operation a ngai fo bawk .

A dam hun chhung hi eng ruh nge a tliak tih leh a hliam nasat danah a innghat a ni. A tlangpuiin a dam kim theih nan kum khat vel a ngai thei .

`Segmental` leh `Comminuted` fracture te hi eng nge an danglamna?

Heng hming pahnihte hi doctor-te chuan ruh tliak awm dan sawina atan an hmang a ni. An pahnih hian fracture chi hrang hrang na tak an ni.

• Segmental fracture, kan sawi tawh ang khan, ruh chu hmun hnih a a inthen a, a laiah piece pakhat a inthen a ni.
• Comminuted fracture chu ruh chu hmun thum emaw a aia tam emawa a inthen a, chu chu a hmin a ni .

Tunah chuan i hrethiam tawh a ni lawm ni? Segmental fracture thenkhat chu comminuted a ni thei (a laia a chhe lai chu a te zawkah a inthen thei tihna a ni), thenkhat erawh chu a chhe lo thei bawk.

Mahse, eng hming pawh ni se, a pawimawh ber chu accident hnua doctor pan vat hi a ni .

Hetiang hian tuin nge fracture nei thei ang? Engtiang chiahin nge a hluar?

Ruh tliak dang ang bawkin segmental fracture hi tu chungah pawh a thleng thei . A chhan chu heng hliamte hi sawi lawk loh hunah a thleng thin a, engtikah nge a thlen dawn tih leh engtin nge a lo awm dawn tih pawh kan sawi lawk thei lo.

Mahse, hengte hi a tlem hle . A chhan chu hengte hian an nitin nunah accident na tak tak an thlen thin hi mi zawng zawngin kan tawng vek lo. Chu pawh chu kawng khatah chuan vanneihna a ni.

Eng nge a lan chhuah dan? Engtin nge i hriat chian?

Segmental fracture i neih chuan a thlentu accident nena inzawm symptom na tak dang i nei thei bawk. Heng symptoms te hi hliam dang i neih dan azirin a danglam ang. Mahse a tlangpuiin segmental fracture symptoms chu hetiang hi a ni thei:

• Natna nasa tak : Natna chu tuar theih loh a ni thei.
• Taksa peng pangngai che thei lo che thei lo : Kut leh ke pawh i che thei lo mai thei.
• Taksa peng pakhat hmel emaw, a chetna emaw a inthlak danglam : Kut emaw ke emaw chu a inzar pharh emaw, a pianphung ni lo taka dah emaw hmuh tur a awm.
• Bone showing through the skin : A chang chuan ruh tliak te chu vun kaltlangin hmuh theih a ni. Hei hi a hlauhawm hle mai.
• Swelling : Hliam na hmun hi a hring nasa thei hle.
• Bruising : Chu hmuna vun chu blue/purple a lo ni thei.

Open leh Closed Break te

Doctor chuan i ruh tliak chu ``Open Fracture`` emaw ``Closed Fracture`` emaw tiin a classified ang.

• Open fracture chu ruh tliak chu vun atanga rawn chhuak a ni. Hengte hi a dam rei zawk a , natna hrik leh harsatna dang a thlen tam zawk bawk .
• Closed fracture pawh hi natna khirh tak a ni a, mahse ruh chu vun atangin a chhuak lo.

Engtin nge doctor hian hei hi a nemnghet?

Doctor chuan segmental fracture i neih leh neih loh chu physical exam leh imaging test hrang hrang hmangin a nemnghet ang . A châng chuan, accident hnua emergency room (ER)-a admit i nih chuan heng test-te hi chutah ngei chuan tih a ni.

Emergency room-a hruai i nih chuan medical team-in i dinhmun a ti nghet ang a, a nasat dan tur angin an enkawl ang che, a bik takin i hliamte chu nunna atana hlauhawm a nih chuan. I stabilized hnuah chuan imaging test hmangin i fracture tih finfiah a ni ang.

He natna hi hriat chian nan eng test nge hman thin?

I ruh tliak dan chiang taka hriat theih nan heng test pakhat emaw a aia tam emaw i neih a ngai mai thei:

• X-ray: X-ray hian segmental emaw fracture dang emaw a awm leh awm loh leh ruhte chu engzat nge a tihchhiat tih a finfiah thei a ni.
• Magnetic Resonance Imaging (MRI): I doctor chuan MRI hmangin i ruh leh a chhehvel tissue chhiatna chu a kimchangin a hmu thei ang. Hei hian hliam hian i ruh chhehvela taksa ruh, connective tissue leh taksa peng hrang hrangte a nghawng dan chiang takin a hriat theih nan a pui thei che a ni.
• CT scan (Computed Tomography scan): CT scan hmang hian doctor emaw surgeon emaw chuan X-ray aiin ruh leh a chhehvel tissue te chu chipchiar zawk, chiang zawkin a hmu thei a ni.

Engtin nge enkawl a nih? Eng chen nge a dam leh theih ang?

Segmental fracture zawng zawng deuhthaw hi operation hmanga enkawl a ni. Heng ruh tliak te hi a inrem leh theih nan surgical technique hrang hrang a awm a. I surgeon-in a hman dan tur chu i hliamte, eng ruh nge a tliak tih leh accident hnua harsatna dang i neih leh neih lohah a innghat ang.

Surgeon chuan i ruh tliak te chu a realign (set) ang a, a siam tha ang . Hei hi an inzawm khawm tan a, an lo thang lian a, an dam tan hun a ni. Hei hi internal fixation an tih thil hmanga tih a ni fo thin . Chumi awmzia chu surgeon chuan i ruh chhungah thir chi hrang hrang a dah lut a, ruh a dam thlengin a hmunah a vawng tlat tihna a ni. Internal fixation hi chi hrang hrang a awm a:

• Rods: Ruh lai takah, a chung atanga a hnuai lam thlenga dah luh thin thir rod.
• Plate leh screw: Metal plate chu ruh chungah dahin screw hmanga nghet taka dah a ni.
• Pin leh wire: Pin leh wire hmang hian ruh te te, fixation device dangin an chelh theih loh te chu an vawm khawm thin. Chungte chu rod emaw plate emaw nena hman dun a ni tlangpui.

Mi thenkhat chuan heng thir chi hrang hrangte hi an taksaah an dam chhung zawngin an nei a, a chang chuan an lakchhuah theih nan operation dang an mamawh thei bawk.

Pawn lam atanga Fixation

Pawn lam fixation (`External Fixation`) i mamawh mai thei. Hei hi hun eng emaw chen atana chinfelna a ni fo thin. I hliam dangte a dam hma loh chuan fracture chu a nghet reng theih nan tih a ni. Surgeon chuan i taksa chhunga ruh chhungah screw a dah a, chu chu a ruh tliak sir lehlamah a dah a, chu screw chu i taksa pawn lama frame (`brace or bracket`)-ah a thlunzawm a ni.

A châng chuan surgeon-te chuan he pawn lam fixation hi major internal fixation hmaa hmalakna hmasa ber atan an rawt ṭhin. Hliam dang tam tak i neih chuan i taksa chu internal fixation tuar thei tur khawpa a dam leh theih nan rei vak lo i nghah a ngai mai thei. Taksa chhunga hliam chu a tlahniam laiin ruh nghet taka siam nan hman a ni bawk.

Segmental fracture surgery hi outpatient hmanga tih a ni . Chumi awmzia chu chu ni vek chuan i haw thei mai thei tihna a ni. Mahse, hetiang chi ruh tliak chhan accident aṭanga hliam dang i neih a rinawm avângin, i dam leh hma loh chuan damdawi inah i awm a ngai mai thei

Operation hnuah i taksa ruh tliak awmna hmun chu a inchei thei lo ang. A awmna hmun azirin, brace, splint, a nih loh leh cast . Hei hi a part-ah rit i dah leh theih hma emaw, accident hmaa i hman ang khan i hman hmain emaw a ngai dawn a ni.

Eng damdawi nge enkawl nan hman thin?

NSAIDs (Non-Steroidal Anti-Inflammatory Drugs), natna tidamtu atana hman tlanglawn tak, 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 hrilh ang che.

Heng surgery te hi harsatna a awm em?

Ni e, segmental fracture surgery hnuah pawh complication thenkhat a awm thei. Chung zinga ṭhenkhat chu:

• Acute Compartment Syndrome (ACS): Muscle chhunga pressure sang chuan tissue-a thisen kal chu a titawp thei a ni. Hei hian taksa ruh leh nerve tihchhiat nghet tak a thlen thei a ni.
• Malunion: Ruh tliak te chu a dam chhoh zel chuan a inzawm tha lo.
• Nonunion: Ruh inzawmkhawm kim lo emaw, a inzawm tha lo emaw tihna a ni.
• Bone infection (`Osteomyelitis`): Open fracture (vun atanga ruh lo kalna hmun) i neih chuan bacteria infection i vei theihna a sang zawk.
• Chhungril lama chhiatna dangte:Fracture hian hliam chhehvel taksa ruh, nerve, thisen kalna kawng, tendon leh ligament te pawh a tichhe thei bawk.

Tin, a hmaa kan sawi tawh `NSAID` chi natna tidamtu te hian side effect a nei thei bawk:

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

Ka dam chhung hian eng nge ka beisei ang?

I natna lan chhuah dan a reh theih nan kar engemaw zat a la ngai thei . I surgery chi hrang hrang leh ruh tliak nasat dan azirin kar tlemte chhungin i che leh thei tawh mai thei.

Amaherawhchu, natna khirh tak, reh lo i neih chuan i doctor ko nghal tur a ni.

I dam leh hunah chuan physical therapy i mamawh ang . Hei hian taksa peng hliam na hmuna chakna leh range of motion i neih leh theih nan exercise bik i tih a ngai dawn tihna a ni. He enkawlna hi i hliam dangte tana i dam lehna tur ruahmanna pum puiah a tel ang.

Segmental fracture tam zawk hi a dam theih nan kum khat vel a ngai thin . I ruh a dam hun dik tak chu a ruh tliak nasat dan leh harsatna dang i neih leh neih lohah a innghat a ni.

Hemi hun chhung hian hna emaw, sikul emaw i kal thei lo mai thei . Hnathawh, sikul leh thil dang aṭanga hla taka awm i mamawh hun chu i hliam leh ruh tliak bikteah a innghat ang. I dam hma chuan taksa tihchakna engmah i tih hmain i surgeon emaw doctor emaw hnenah zawt hmasa phawt ang che.

Chutiang accident tihziaawmna turin eng nge kan tih theih ang?

Hetiang accident na tak hi pumpelh kim a harsa hle. A chhan chu accident hi kan beisei loh ber laiin a thleng thin. Amaherawhchu, kan nitin nunah chetsualna a thlen theihna tur tihziaawm nan hetiang thil hi kan ti thei a ni:

• Lirtheiah chuan seatbelt vuah fo ang che. Bicycle leh motor khalh dawnin helmet vuah tur a ni.
• Infiamna leh thil dang khelh hunah invenna hmanraw \ha tak tak bun tur a ni.
• I in leh hnathawhna hmun chu felfai takin vawng la, i tlu leh tlu thei thil awm lo turin vawng rawh.
• I in chung lam thil i pan hunah chuan hmanraw emaw, ladder emaw \ha tak tak hmang fo ang che. Thil neih theihna turin ṭhutphah emaw, dawhkan emaw-ah chuan chho ngai suh.
• Ruh hriselna tha tak neih theihna tura puitu diet leh exercise plan zawm rawh.
• Kum 50 aia upa i nih chuan, emaw, i chhungte zinga mi pakhatin ruh natna a vei a nih chuan, i doctor nen bone density test chungchang sawipui rawh.

Hengte hi kan tih theih a ni. Mahse hre reng ang che, segmental fracture hi accident vang a nih fo avangin ven kim a harsa hle.

Engtikah nge damdawi in pan nghal tur?

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

• Natna nasa tak a ni.
• Taksa peng pangngaia sawn theih chu tihchet theih lohna.
• Taksa peng pakhat hmel danglam emaw, a awmna hmun atanga a kal dan emaw.
• Vun hmanga ruh hmuh theih.
• Vung.
• Heng symptom dangte nen hian hliam thar a lo lang bawk.

A bik takin accident na tak i tawk tawh a nih chuan damdawi in pan nghal mai tur a ni.

Doctor hnena zawhna pawimawh zawh tur

Hetiang dinhmun hi i tawk a nih chuan i doctor hnenah heng zawhnate hi zawh theihnghilh suh:

• Eng ruh nge tliak?
• Eng ang surgery nge ka neih a ngai dawn?
• Surgery tam zawk ka neih a ngai dawn em ni?
• Eng chen nge a dam theih ang?

A tawp berah chuan take-home message

Segmental fractures hi hliam na tak a ni . An hliam tuar te hi nunna atana hlauhawm tak a ni thei. Heng hliamte hi a hlauhawm ber chu kan inbuatsaih lawk thei lo hi a ni.

Mahse thu lawmawm tak chu segmental fracture siamthatna tur surgery hlawhtlinna rate hi a sang hle a ni . Hliam lian tak atanga dam leh chu a châng chuan thil harsa tak angin lang thei mah se, i damna kawng chu step khat hnu step khatin kalpui la, kawngpuiah hmasawnna tlemte i neih apiangah hlim takin awm rawh. Beiseina chu bansan ngai suh. Dam leh thuai turin duhsakna kan hlan e!

` Fracture, segmental fracture, ruh surgery, accident, dam leh hun, surgical complication, physical therapy