I kekawrte pawh a chhe tawh em? (Shoulder Fracture) Ngaihtuah buai suh, he thu hi sawi ila!

Aw ka kekawrte... i che thei lo ang maiin a lang em? Tlu emaw, accident eng emaw i neih hnuah, i kekawrteah natna nasa tak leh hring dup i nei tawh em, chu chuan i kut pawh i chawi sang thei lo em ni? Tichuan, i ke ruh a tliak thei a, chu chu i ke ruh tliak a ni . Hemi chungchang hi chipchiar tak leh awlsam takin sawi ila. Ngaihtuah buai suh, he information hian nasa takin a pui ang che.

Shoulder Fracture tih hi eng nge ni?

A awlsam zawngin sawi ila, shoulder fracture chu i shoulder joint-a ruh tliak a ni a, chu chu nitin thusawiah "broken bone" kan tih chu a ni.

Kan kekawrte hi ruh mak tak a ni tih i hria em? Kan kut kan sawn theihna tur, kan chawi sang thei a, kan inher theihna tur leh kan inher theihna tur joint a ni. Ruh lian pathum atanga siam a ni. Heng pathum zinga pakhat emaw a aia tam emaw fracture hi shoulder fracture kan tih hi a ni.

Kawngkhar siamtu ruh ber berte chu engte nge ni? Engtin nge an tihchhiat theih ang?

Shoulder joint hi ruh lian pathum atanga siam a ni. Heng pathum zinga pakhat pawh hi a chhe thei. Chu chu ‘shoulder fracture’ kan tih lai a ni.

• Proximal Humerus: Hei hi i kut chunglam ruh sei tak chunglam, kekawrte nena inzawm a ni. A chhe thei a, chu chu tlu lai pawhin a ni.
• Scapula: Hei hi kan ke ruh hnung lama kan kut kan dah hian kan ruh flat, triangular kan hriat thin chu a ni. Muscle-in a khuh ṭhat avangin a chhe thei lo.
• Clavicle: ‘Collar bone’ tia hriat bawk, ​​hei hi ruh te tak te, sei tak, kawr bul atanga a kephah thlenga kal a ni. Hei hi infiamna i khelh laiin i tlu a nih chuan a chhe thei ber ruh chu a ni.

Heng ruh zinga pakhat tal a tliak chuan ke ruh tliak anga ngaih a ni.

Heng shoulder fractures te hi engtiang chiahin nge a awm?

Kawngkhar hliam dang, ke ruh tliak ang chi nena khaikhin chuan ke ruh tliak hi a tam lo hle. Mahse, a then phei chuan an tam zawk:

• Clavicle fractures: Hei hi naupang tê têah chuan a tam hle a, a bik takin infiamna kheltute zingah a awm fo. Entirnan, inkhelh laiin i tlu nghal a nih chuan hetiang hi a thleng thei a ni.
• Proximal Humerus Fractures: Hengte hi kum 65 chunglam zingah a awm fo a, a bik takin ruh tithianghlim thei natna ( osteoporosis ang chi) nei te tan a awm fo thin . In lama i tlu leh tlu pawhin an thleng thei.
• Scapula Fractures: Hei hi a tlem hle a, a chhan chu rilru leh hnungzang ruhte hian a veng tha hle a ni. Accident lian tak a awm loh chuan a chhe awlsam lo.

A ke ruh tliak hian eng symptoms nge a neih?

I ke ruh tliak a nih chuan heng symptoms zinga pakhat emaw a aia tam emaw i nei thei. Chung zinga pakhat tal i hriat chuan damdawi lam thurawn i la ngei ang.

• Kekawrte na na tak: Hei hi a lan chhuah dan ber a ni. A natna chu a chang chuan tuar theih loh a ni thei.
• Vung:Fracture site vel ah hian swelling tam tak a awm thei.
• Hliam emaw vun rawng danglam emaw: A chhe lai chu blue/purple a lo ni thei.
• Kawngkhar che thei lo emaw, hman theih loh emaw: Kut chawi sang emaw, tihher emaw chu a harsa hle thei a, a theih loh pawh a ni thei.
• Lump, bump, a pianzia danglam danglam tak chu kekawrteah hmuh theih a ni: I kekawr dang atanga i en hian danglamna i hmuh chuan chu pawh chu a chhinchhiahna a ni.

Pawimawh: Heng symptoms te hi i neih chuan i kephah siam that tum suh, i kut pawh siam that tum suh. Doctor pan nghal rawh.

Engvangin nge heng shoulder fracture te hi a lo awm?

Shoulder fracture tam zawk hi chu shoulder-a vuakna, chak taka vuak emaw, trauma emaw a awm chuan a thleng thin. Hêng dinhmunte hi han ngaihtuah teh:

• Sports accident: Inkhelh laiin tlu, midang nena insu, ball ang chi thilin a rawn deng.
• Tlu: Kawngkhar atanga tlu leh tlu, bathroom-a tlu, sang tak atanga tla (e.g., thing atanga tla, ladder atanga). A châng chuan khawlaia kal lai pawhin a thleng thei.
• Lirthei accident: Car, bicycle, emaw three-wheeler accident-a kekawrte direct-a a tlak chuan a ti chhe thei a ni.

Tute nge shoulder fracture hlauhawm zawk?

Tu pawhin a kekawrte a tikehsawm thei. Mahse, mi thenkhat chu risk sang deuhah an awm a:

• Naupang leh \halaite: an thawkrim avangin accident-ah an inhnamhnawih duh zawk.
• Kum 65 chunglam: an tlu hlauhawm zawk a, ruh chak lo zawk pawh an nei thei bawk.
• Ruh chak lo nei te: Osteoporosis emaw osteopenia nei te hian ruh a tliak theihna a sang zawk a, tlu tenau te pawh nise. Osteoporosis natna a ni a, ruhte chu a hring a, a chak lo va, awlsam takin a chhe thei a ni. Mi tam tak chuan ruh an tihchhiat hnuah chauh natna an vei tih an hrechhuak thin. Hei hi a tir lamah chuan symptom lian tham a neih loh vang a ni.

A ke ruh tliak avanga harsatna awm thei te chu engte nge ni?

A ke ruh tliak hi thil awlsam a ni lo. A châng chuan harsatna dang a thlen thei a ni:

• Persistent Stiffness: Mi tam tak chuan an ke ruh tliak a dam hnuah pawh an ruh (joint)-ah a nghet deuh chhunzawm thei.
• Arthritis: A ke ruh tliak hian nakin lawkah chu ke ruh natna (arthritis) a vei theihna a tipung thei a ni.
• Infection: Ruh tliak chuan vun a tichhia a (an open fracture), chu chu hliam chu a inhawng tihna a ni a, ruh natna ( osteomyelitis ) a awm theihna a sang hle.
• Tissue dang chhiatna: A tam lo hle a, accident ang chiah khan ke ruh tliak hian ke ruh hmun dang a tichhia thei bawk. Entir nan:
• Muscle te hi a ni
• Ligaments (ligaments) te
• Tendons te hi a awm
• Nerves a awm
• Thisen kalna kawng hrang hrang

Engtin nge i kekawrte a tliak tih chiang taka i hriat theih ang?

Doctor chuan i ke ruh a enfiah ang a, i ke ruh tliak a nih leh nih loh hriat nan special imaging test a nei ang. Accident hnua Emergency Department (ETU) -ah i kal chuan chuta doctor-te chuan hei hi an hmuchhuak thei a ni.

Heng imaging test te hi engte nge ni?

• X-ray: Hei hi i tih hmasak ber tur a ni. X-ray hian ruh tliak eng pawh a finfiah thei a, ruhte chu engzat nge a tihchhiat tih a hmu thei bawk.
• Magnetic Resonance Imaging (MRI): A châng chuan, MRI hi tihchhiat a nih theih nân tih a ni thei a, a bîk takin soft tissue (ligament leh tendon ang chi)-ah te pawh tihchhiat a ni thei. Hei hian ruh chhiatna leh a chhehvela tissue awm dan kimchang takin a tarlang thei a ni.
• Computed Tomography Scan (CT Scan): CT scan hian X-ray aiin ruh leh a chhehvel tissue te chu chipchiar zawkin a en thei a. Hei hi operation i neih chuan a pawimawh hle a, surgeon chuan a ruh tliak chu chiang zawkin a hmu thei a ni.

Ruh tliak te chu an sawn chhuak em? (Displaced vs. Non-displaced Fractures) te hi an inthlau hle.

I doctor-in i ruh tliak dan a sawi hian ‘displaced’ nge ‘non-displaced’ tih an sawi ang.

• Displaced fracture chu a chhe pahnih chu an inhlat hle a, an inkarah gap lian tak a siam a ni. Kawngpui kara ruh tliak ang mai a ni. Hetiang chi ruh tliak hi operation a ngai fo thin.
• In a non-displaced fracture , ruh chu a la chhe vek a, mahse a chhe lai chu a la kal hla vak lo a, a la align reng a ni. Hengte hi a chang chuan zai ngai lovin enkawl theih a ni.

Hliam chu a inhawng em, a khar em? (Open vs. Closed Fractures te nen an inhmachhawn dawn a ni)

Doctor chuan he fracture hi ‘open’ emaw ‘closed’ emaw tiin a classified bawk ang.

• In an open fracture , ruh tliak chuan vun a tikehsawm a, a chhuak chhuak thin. Hei hi ‘compound fracture’ an ti bawk. Hei hi emergency a ni! Open fracture-ah hian natna kai leh harsatna dang a thlen theihna a sang zawk hle. Ngaihtuah teh, ruh a lo chhuah chuan natna hrik awlsam takin a lut thei a ni lawm ni?
• Closed fracture pawh a pawi hle a, mahse ruh chu vun atangin a chhuak lo.

Engtin nge shoulder fracture hi enkawl a nih?

I ke ruh enkawlna chu eng ruh nge a tliak tih te, a nasat dan (displaced emaw open emaw ang chi), leh hliam dang i neih leh neih lohah a innghat a ni.

Immobilization tih a ni

Fracture a na lutuk lo a, chu chu ruh a inhlat lutuk tihna a ni (non-displaced fracture) a nih chuan sling emaw brace emaw chauh hman a ngai mai thei. Hei hi eng chen nge i hak tur tih chu a ruh chhan leh a ruh chi hrang hrangah a innghat ang. Kar tlemte chhung a daih tlangpui. I ruhte a dam tha em tih hriat nan X-ray neih fo a ngai mai thei bawk.

A tam zawkah chuan clavicle leh scapula fracture-ah hian hetiang hian immobilization chauh a ngai a, chu chu physical therapy hmangin shoulder movement neih leh a ngai a ni.

Shoulder Fracture Surgery neih a ni

Shoulder fracture thenkhatah chuan operation a ngai a, a bik takin:

• Ruh tliak te chu a kal hla lutuk a nih chuan (Displaced Fracture).
• Fracture chu a inhawng a nih chuan (Open Fracture).
• I kut chunglam ruh (humerus) awmna socket glenoid chu a chhiat chuan.

Shoulder fracture surgery chi hrang hrang hman tlanglawn ber chu:

1. Open Reduction leh Internal Fixation (ORIF) tih a ni.

Hei hi surgeon chuan i ruh tliak te chu a awmna tur dik takah a dah a, chutah chuan an lo thang dun theih nan a siam tha leh thin. Hei hi ‘internal fixation’ hmanga tih a ni tlangpui. Chumi awmzia chu surgeon chuan i ruh chhungah metal plate, screw emaw pin emaw a dah lut a, chu chu ruh a dam hma loh chuan a hmunah a vawng tlat tihna a ni. A châng chuan heng thir chi hrang hrangte hi i taksaah dam chhungin a awm thei ṭhin. Mi thenkhat chuan a hnua lakchhuah nan operation dang an neih leh a ngai mai thei.

2. Joint thlak danglamna (Arthroplasty) .

Arthroplasty hi ruh thlakna surgery a ni. I shoulder joint chu a tliak avanga nasa taka a chhiat chuan shoulder replacement surgery neih a ngai mai thei. Surgeon chuan ruh chhia chu la chhuakin artificial joint (prosthesis) hmangin a thlak ang.

Surgery avanga harsatna awm thei a awm em?

Shoulder fracture surgery avanga harsatna lo thleng hi a tlem hle a, mahse a chang chuan a hnuaia mi hi a thleng thei a ni:

• Acute Compartment Syndrome (ACS): I ruh chhunga pressure a san a, tissue-a thisen kal a tawp chuan taksa ruh leh nerve te chu a tichhe vek thei a ni.
• Malunion: Hei hi i ruh tliak te chu a dam chhoh zel angin a inmil tawk lo a nih chuan a thleng thin.
• Nonunion: A châng chuan ruhte chu a inzawm kim lo thei a, a inzawm khawm lo thei bawk.
• Surgery lama harsatna awm fo, natna hrik, thisen chhuah tam lutuk, leh anesthesia nena inzawm harsatna te.

A ke ruh tliak atanga dam nan eng chen nge a ngaih? Eng nge ka beisei ang?

Mi tam tak chuan an ke ruh tliak chuan an dam chhungin thla engemaw zat chhung chu physical therapy an mamawh dawn a ni.I tih a ngai a ni. Physics therapist chuan chakna leh range of motion (i kekawr i kal theih zat) i neih leh theih nan a pui thei che a ni. Heng exercise te hi dik taka tih hi dam thuai nan a pawimawh hle.

Shoulder fracture na tak chuan shoulder a ti nghet reng thei a, a range of motion pawh a ti tlem thei bawk. I doctor emaw surgeon emaw chuan hei hi a hrilhfiah ang che.

Damna hun

I kekawrte a dam theih nan eng chen nge a rei tih hi thil engemaw zatah a innghat a ni:

• Eng ruh nge a tliak?
• Breakup hi a va serious tak em.
• Eng enkawlna nge i mamawh (surgery emaw, surgery lo emaw).
• I kum leh i hriselna zawng zawng.
• Physics therapy exercise i tih that zia.

A dam kim theih nan kar tlemte atanga thla engemaw zat chhung pawh a ngai thei. A nasat deuh thenkhatah chuan a rei zawk thei. I doctor emaw, surgeon emaw hnenah i dinhmun nena inmil hun bituk zawt rawh.

Engtikah nge exercise leh sports i khelh leh theih ang tih i doctor zawt rawh. I ke ruh chu a dam laiin a khauh loh nan i che reng tur a ni a, mahse i ke ruh tliak chu infiamna emaw, thil rit phurh nan emaw i doctor-in a pawi lo a tih hma loh chuan hmang suh Chutianga tih chuan hliam chu a lo kir leh thei a ni.

Engtin nge ke ruh tliak laka inven theih ang?

"Accident a thlen hnua inchhir ai chuan ven hi a tha zawk." Chuvangin heng himna tur tips te hi zawm rawh:

• Lirtheiah chuan seatbelt vuah fo ang che.
• Eng infiamna emaw hnathawhnaah emaw himna hmanraw \ ha tak tak (e.g. helmet, shoulder pads) vuah tur a ni.
• I in leh hnathawhna hmun chu felfai takin vawng la, thil hnim leh tlu thei thilte pawh awm lo rawh. Lei a hnim a nih chuan fimkhur rawh.
• Chunglam atanga eng thil pawh i lak dawnin, hmanraw emaw, hmanraw emaw dik tak hmang fo ang che . Chair leh table-ah chuan lawn ngai suh.
• Ruh hriselna tha tak neih theih nan calcium leh vitamin D tamna diet leh exercise plan zawm tur a ni.
• Kum 65 aia upa i nih chuan, emaw, i chhungkuaa mi tu emaw chuan ruh natna (osteoporosis) a nei a nih chuan, i doctor nen bone density test chungchang sawipui rawh.
• Kal harsatna i neih emaw, tlu hlauhawmna i neih emaw chuan tiang emaw, kea kalna emaw hmang rawh .

Engtikah nge Emergency Treatment Unit (ETU) ah i kal a ngaih ?

I ke ruh (or ruh dang) i tliak nia i hriat chuan emergency room-ah kal nghal rawh . A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan ER-ah i kal ngei ngei tur a ni:

• Natna nasa tak a ni.
• I shoulder normal taka i shrug thei lo a nih chuan.
• I ke emaw i kut emaw chu a pangngai lo emaw, a dinhmun a inthlak emaw (deformity) a nih chuan.
• I ruh chu vun hmanga hmuh theih a nih chuan (Open Fracture).
• A hring nasa hle.
• Heng symptom dangte nen hian hliam thar hmuh tur a awm bawk.
• I kutah a hring emaw, a hring emaw i neih chuan (hei hi thisen supply emaw nerve emaw tihchhiatna chhinchhiahna a ni thei).

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor i hmuh hunah zawhna i neih apiang zawh hlau suh. Hriatthiamna chiang tak neih hi damna kawngah a pawimawh hle. Entîr nân, hêng zawhnate hi i zâwt thei ang:

• Eng ruh nge tliak? Engtiang chiahin nge a serious?
• Surgery ka mamawh em? Ka neih chuan eng nge thleng ang?
• Eng chen nge sling emaw brace emaw ka bun a ngai dawn?
• Natna chungchangah eng nge tih theih ang?
• Engtikah nge exercise leh sports ka khelh tan leh theih ang?
• Physics therapy hi a ngai dawn em ni? A nih chuan engtikah nge a intan ang?
• Ka elbow, wrist leh fingers te chu ka kekawrte a dam hma loh chuan a nghet lo turin ka che thei ang em?
• In lama ka fimkhur tur thil bik a awm em?

I ke ruh tliak chu i ti che thei em?

I shoulder i tihchhiat hian i che thei lo thei a, i che thei lo bawk. Mahse i tih chuan hrehawmna nasa tak i nei ang . I kekawrte chu a pangngaiin i che thei dawn lo.

Accident hnuah i kekawrte chu tharum hmanga hman tum ngai suh. Accident i tawk tawh a, ruh tliak i nei nia i hriat chuan emergency room-ah kal nghal rawh.

I doctor emaw surgeon emaw chuan i ruh tliak a dam hnua i kut leh ke i tihchet leh theih hun tur chu a hrilh ang che. I physical therapist chuan i dam leh hunah i kekawr bul vel ruhte tichak turin exercise leh stretch te a zirtir ang che. I kekawrte a dam lai hian i kutphah dang, i elbow, wrist, leh fingers te chu i straining lovin i che thei mai thei. Hemi chungchang pawh hi i doctor zawt la.

Chuti a nih chuan, hriat reng tur hnuhnung berte chu engte nge ni? (In lama hruai tur thuchah)

Shoulder fracture chu shoulder joint-a ruh a tliak a ni. Heng hliamte hi kan beisei loh ber lai, a thleng thut fo thin. Chuvangin a hlauhawm deuh thei a, mahse chu chu thil pangngai a ni.

A pawimawh ber chu damdawi lam enkawlna mumal tak neih a, doctor thupek dik taka zawm hi a ni. Surgery nei pawhin i shoulder joint chu thla engemaw zat hnuah a dam tur a ni. Hun engemaw chen chu i kekawr ipteah a khauh deuh tih i hre mai thei. Mahse, mi tam zawk chuan physical therapy hmangin an chakna leh range of motion tam zawk chu an nei leh thei a ni.

Chuvangin hlauthawng suh, dawhthei la, doctor thupek zawm la, enkawlna zawng rawh. I dam thuai rawh se!

` Kekawrte ruh tliak, Ke ruh tliak, Ke ruh tliak Sinhala, Kekawrte na, Ke ruh tliak enkawlna, Kekawrte zai, Physical therapy