Wrist fracture zawng zawng hi a inang vek lo! Smith Fracture chungchang hi han sawi ila

I tlu a, i kutphah nasa takin i na tawh ngai em? Chutiang a nih chuan a chang chuan i kutphah ruh chu i tikehsawm thei bawk. Heng ruh tliak te hi a danglam a, mi zawng zawng chungah a thleng dan inang lo. Vawiin hian chutiang fracture pakhat, Smith Fracture , chungchang kan sawi dawn a ni. I hriat chuan i rilru a hahdam thei a, hetiang thil hi nangmah emaw, i hriatte emaw chungah a lo thleng a nih chuan i rilru a hahdam thei a, enkawlna dik tak i dawng vat thei bawk.

Smith Fracture tih hi eng nge ni?

A awlsam zawngin sawi ila, Smith fracture hi i kutphah a fracture chi khat bik a ni. I kutphah a flex laiin i tlu a, chu chu i kut chu i kut lam hawia ben a nih emaw, i kut hnunglam a vuakna nasa tak i dawn emaw a nih chuan a thleng tam ber.

Tunah chuan i ngaihtuah mai thei, heng ruh tliak te hi hming chi hrang hrang a awm a, a buaithlak hle. A dik a ni. Smith fracture i hre tawh ngei ang, chu chu ``distal radius fracture,'' a ni a, chu chu radius distal end fracture a ni a, i kut hmawr ruh pahnih zinga lian zawk, i kutpui sir lama awm a ni.

Heng zawng zawng hi doctor-in i kutphah ruh engte nge a tliak tih chiang taka a hriat theih nan a pawimawh hle a, khawiah nge a tliak tih te, engtin nge a tihchhiat tih te, a chhung lam eng ang nge a nih tih te a hriat chian a pawimawh hle. Chûngte chu microscope-a magnifying setting angin ngaihtuah la, chu chuan doctor chuan i hliam thuk tak chu a hmu thei a ni. Amaherawhchu, a pawimawh ber chu i kutphah chu a rang thei ang bera Doctor hnenah entir hi a ni.

Engtin nge hei hi kut ruh tliak dangte nen a danglam?

I kut ruh tliak chi chu i ruh tliak dan leh ruh tliak danah a innghat a ni. Smith fracture hi i kut chhung lam hawia i tlu emaw, i kut hnunglam na taka vuak i dawn emaw a ni tlangpui.

Smith fracture leh Colles fracture inkar danglamna

Tunah chuan doctor chuan ``Colles fracture'' i nei tih a hrilh che a nih chuan, thil thleng chu i kutphah ruh tliak (the ``radius'') chu hnunglam (dorsally)-ah a nawr leh a ni. Chu chu kut hnunglam lam hawi tihna a ni. Mahse Smith fracture-ah chuan a lehlam a ni: ruh tliak chu hmalam (volarly)-in an nawr a, chu chu kutphah lam hawiin an nawr a ni. A danglamna chu i hrethiam em? Hei hi a danglamna ber a ni.

Smith fracture leh Barton fracture inkar danglamna

Barton fracture hi Smith fracture nen a inang hle. An pahnih hian kut chu chhung lam hawia a inbeng a, a tlak chuan a thleng thei a ni. Mahse, Barton fracture-ah chuan ruh tliak chu i kut atanga hlaah emaw, a hlaah emaw a tilt a, hei hian ruh (joint) pawh a huam tel bawk.

Smith Fractures hi tu nge vei tam zawk?

Dik tak chuan tu pawhin Smith fracture an nei thei a, hengte hi accident emaw, vuakna na tak emaw avanga lo awm a nih fo avangin.

Mahse risk factor pawimawh tak pakhat a awm. Chu chu ruh natna (osteoporosis) a ni.Osteoporosis i neih chuan mi pangngai aiin i ruhte chu a chhe awlsam zawk. Tu chungah pawh thleng thei mah se, mipa aiin hmeichhiaah a let li vel zetin a thleng tam zawk. Tin, kum 50 chunglamte chu ruh natna (osteoporosis) vei theihna a sang zawk bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

A vaiin emergency department-a hmuh zawng zawng zinga 20% chu kut ruh tliak a ni. Kum 50 chunglam ruh tliak tam ber pahnihna an ni bawk.

Mahse wrist fracture dang nena khaikhin chuan Smith fracture hi a tlem hle . Kut ruh tliak zawng zawng zinga 5% vel an ni. Chu chu Colles fractures aiin a tlem zawk.

Hei hi eng symptoms nge ni?

Smith fracture lai hian hetiang symptoms hi i nei thei ang:

• Kutphah natna nasa tak a nei .
• A hring chhuak .
• Khawih a nih chuan tenderness.
• Natna awm lovin i kutphah i che thei lo .
• A kutphah vel a hliam, blue/purple discoloration a awm thei.
• Kutphahah hian deformity emaw lump danglam tak a awm a. Kut pianzia a danglam tawh ang mai a ni.

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

Tlu hi a chhan ber a ni. Smith fracture nei tam zawk chu an kut chu chhung lam hawiin an tlu a, an kutphah hnunglam (dorsum of the wrist) a rawn deng a ni.

Hei bakah hian car accident, infiamna lama hliam (entir nan, bicycle atanga tla, skateboard atanga tla), leh accident na tak tak dangte pawhin Smith ruh tliak a thlen thei bawk.

Doctor chuan i kutphah tliak chhan sawina atan ``mechanism for injury'' tih ang chi thumal a hmang thei. Doctor-te hman ṭhin term mai a ni a, i hliam dan an hriatthiam theih nan a pui bawk.

Engtin nge doctor hian hei hi a hmuh theih?

Smith fracture i neih leh neih loh hriat chian theihna awmchhun chu ``(X-ray)`` test hi a ni. Hei hian doctor hnenah eng ruh nge i tliak tih te, eng ang ruh tliak nge i neih tih te, a ruh tliak te chu khawiah nge a kal tih chiang takin a hrilh thei a ni. Eng wrist fracture pawh tan chuan ``((X-ray)`` hi lak ngei ngei tur a ni.

I kutphah a tliak tih finfiah bakah hian X-ray hian doctor hnenah thu pawimawh dang tam tak a pe bawk. Entirnan, break chu engtiang chiahin nge a fai tih te, a piece engzat nge a awm tih te, ruh inkarah hmun engzat nge awm tih te, ruh dang a chhiat em tih te.

A châng chuan CT scan emaw MRI emaw hmangin kutphah hmun dang, ruh, ruh, leh ruh (ligament) te a chhiat tih finfiah emaw, tih loh emaw theih a ni.

Test i neih tur chu i hliam chhan leh a nasat danah a innghat ang. I kut ruh tliak hi accident na tak, car accident emaw, ladder atanga tlak emaw avanga lo awm a nih chuan test dang i mamawh mai thei.

Eng enkawlna nge awm?

I Smith fracture enkawl dan tur chu original fracture nasat danah a innghat ang. I ruh tliak tawhte chu a dam leh a, a inzawm khawm leh a ngai a ni. An chakna tur kawng hrang hrang a awm.

Immobilization chu kut chet loh tihna a ni.

I ruh tliak chu a na lutuk lo a, ruhte pawh a inhlat vak lo (non-displaced emaw minimally displaced emaw) a nih chuan i kut ah splint emaw cast emaw chauh i bun a ngai mai thei. Splint hi kar thum atanga kar nga chhung a awm tlangpui. Cast pakhat chu rei zawk a daih thei a, a tlangpuiin kar ruk atanga kar riat chhung a daih thei . I ruhte a dam tha em tih hriat nan X-ray dang i neih leh a ngai mai thei bawk.

Closed tihtlem a ni

Fracture na zawk, displaced fracture tihna a nih chuan i ruhte chu a hmuna dah leh turin ``closed reduction'' tih thil i neih a ngai mai thei. Hei hi surgery a ni lo. Hei hian doctor chuan i kut leh i kutphah chu a chelh ang a, ruh tliak tawhte chu a inrem leh theih nan a hrual ang. Chutianga i tih laiin natna tlem zawk i neih theih nan a hnuaia mi pakhat hi pek i ni thei ang:

• Local anesthetic hian i kut leh ke chauh a ti na ang.
• Sedatives (damdawi mutthilh tir thei) hian i taksa pum a ti hahdam a.
• Procedure chhung zawng hian muthilh tir (general anesthesia) i ni ang.

Closed reduction hnuah i doctor chuan i kutphah ah cast emaw splint emaw a dah ang. Chumi hnuah chuan specialist i hmuh a ngai ang a, i enkawl dan tur i sawipui ang.

Surgery i mamawh em?

Fracture na tak tak tan chuan, chu chu fracture ``closed reduction'' hmanga set tha thei lo tan emaw, fracture nghet lo tan chuan operation neih a ngai a ni. I surgeon chuan ruh tliak te chu a reign leh ang (open reduction), i kutphah chhungah chuan metal plate leh screw te chu a dah khawm ang a, chu chu a inzawm khawm ang (internal fixation).

Surgery atanga dam lehna hian procedure dang aiin hun a duh rei zawk. Operation hnuah i ruhte venhimna tur leh a dam theih nan splint i bun a ngai dawn a ni. Tin, chakna leh chakna i neih leh theih nan physical therapy i mamawh bawk ang.

Natna chungchangah eng nge tih theih ang?

Damdawi eng pawh ei hmain doctor nen inbiakna neih hmasak a pawimawh a, eng enkawlna pawh hnua natna tihziaawmna tur a ni. Over-the-counter pain reliever (ibuprofen emaw acetaminophen ang chi) hian natna leh hliam tihziaawmna a pui thei a ni. I doctor-in a hrilh ang chiah khan hmang rawh.

Engtin nge hetiang thil hi a lo thlen loh nan i ven theih ang?

Kut ruh tliak hi accident-in a thleng fo mai. Tlu hi kut ruh tliak chhan lian ber a nih avangin, i in leh hnathawhna hmun chu nangmah emaw, midang emaw ti tlu thei thil awm lo tura dah a pawimawh hle. Leiah cable, pillow leh inkhelhna thilte chu fimkhur rawh. Tin, i chhungte kum 50 chunglamte pawhin tlu lo tura tih dan tha tak tak an hmang tih enfiah bawk ang che.

Tin, i doctor nen osteoporosis chungchang leh ei leh in (calcium leh vitamin D tamna), exercise, leh ruh density screening neih fo ang chi thil hmanga i ruh chak taka i awm theih dan tur sawipui bawk ang che.

Eng chen nge tihdam a ngaih?

Dam hun chhung hi i ruh tliak nasat dan leh i enkawl danah a innghat a ni. Thla engemaw zat atanga kum khat aia rei thlengin a dam kim thei a ni .

• Splint emaw cast emaw hman a nih chuan: kar ruk vel.
• Closed reduction i neih chuan: Surgery i duh loh chuan chu ni vek chuan i haw thei bawk. Kar ruk atanga kar riat tal splint/cast i bun a ngai ang.
• Surgery i neih chuan: Surgery atanga i dam leh theih nan thla khat atanga thla thum vel a ngai thin. Kar li atanga kar ruk vel rehab leh physical therapy i mamawh bawk ang.

Mi tam tak chuan an kut ruh tliak a dam hnuah thla tam tak, kum tam tak chhung pawh nise, an kutphah a na a, a na thei bawk. Chuvangin i doctor-in exercise a tih ang chi hi tih a pawimawh hle.

Engtikah nge hna leh sikul ka kal leh theih ang?

Eng enkawlna pawh dawng ila, Smith fracture hian a dam hma loh chuan i nun a nghawng ang:

• Chhiar, ziak leh computer hman hi a harsa thei hle a, a bik takin i kut thunun ber kutphah chu a chhe a nih chuan.
• Surgery i neih tawh chuan i chakna i neih leh theih nan physical therapy i mamawh dawn a ni.
• Surgery neih a ngai lo a nih pawhin i doctor chuan i kut leh i kutphah range of motion leh flexibility vawng reng tura pui turin exercise thenkhat a zirtir ang che.

Doctor chuan eng chen nge hna emaw, sikul emaw, thil dangah emaw i kal thei lo ang tih a hrilhfiah bawk ang che.

Mi tam zawk chuan cast lakchhuah hnu thla khat emaw thla hnih emaw chhungin emaw, operation an neih hnuah emaw light exercise (walking, jogging, lower body exercise) an ti leh thei a ni. Mahse, exercise nasa tak emaw, contact sports emaw neih leh theih nan thla thum atanga thla ruk vel a ngai thei.

Hei hian eng harsatna dang nge a thlen theih?

Smith fracture hian heng ang harsatna hi a thlen thei a, chuvang chuan enkawlna dik tak neih a pawimawh hle:

• Acute compartment syndrome (ACS) : I kut hmawr ruh chhunga pressure sang chuan thisen chu tissue-ah a luang chhuak thei a, chu chuan taksa ruh leh nerve a tichhe vek thei a ni. Hei hi emergency a ni.
• `(Malunion)` : Hei hi i ruh tliak te chu a dam tha lo va, a inmil lo a nih chuan a thleng thin.
• Carpal tunnel syndrome : Kut ruh tliak a dam tha lo a nih chuan kutphah chhunga median nerve compression a awm thei a, kut na a ti na a, a ti na a, a chak lo bawk.
• Bone infection (osteomyelitis) : Open wrist fracture (ruh hian vun a tihchhiatna hmun) i neih chuan bacteria infection i vei theihna a sang zawk.
• Chhungril hliam dang : Fracture hian i hliam chhehvel taksa ruh, nerve, thisen kalna kawng, tendon leh ligament te pawh a tichhe thei bawk.
• Arthritis : Hun a kal zel a, ruh hliam ah hian arthritis a lo awm thei a.

Engtikah nge Doctor ka hmuh ang?

I kutphah a tliak nia i hriat chuan a rang thei ang bera tanpuina la rawh . Accident i tawk tawh a, heng symptoms te hi i neih chuan emergency room-ah kal rawh:

• Natna nasa tak a nei.
• A hring chhuak.
• A khawih chuan a na hle.
• I kutphah i ti nghing thei lo.
• Wrist chu mak tak maia bent leh deformed anga lang a nih chuan.
• I kut zungtang a tingling emaw, a rawn sen emaw a nih chuan.

Doctor emaw emergency personnel emaw hnenah thil thleng dik tak hrilh rawh .

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal hunah heng zawhnate hi zawh theihnghilh suh. Chutiang chuan engkim chiang takin i hrethiam thei ang.

• Eng ang fracture nge ka neih? Smith fracture a ni em?
• Splint emaw cast emaw ka bun a ngai dawn em ni? Eng chen nge?
• Surgery ka mamawh em?
• Physics therapy ka mamawh dawn em?
• Engtikah nge kutphah chhe tawh chu ka hman theih ang?
• Engtikah nge infiamna emaw, exercise emaw ka khelh theih ang?
• Engtikah nge ka kut chu a dam vek ang?
• In lama ka tih tur leh ka pumpelh tur thil thenkhat chu engte nge ni?
• Engtikah nge Doctor ka hmuh leh ang?

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Ruh tliak hi a hlauhawm reng a, a bik takin accident na tak a nih chuan. Vanneihthlak takin kut ruh tliak te, Smith ruh tliak te pawh hi enkawl theih a ni. Enkawlna mumal leh doctor thurawn pek a nih chuan mi tam zawk chuan hliam hmaa an tih tawh zawng zawng chu an ti leh thei a ni.

Smith fracture emaw, wrist fracture dang emaw i nei nia i hriat chuan hun khawhral suh la, a rang thei ang bera check out tir rawh.Risk factor bik, osteoporosis ang chi i neih chuan i ruh nghet taka awm theih dan tur leh ruh tliak lo tur ven dan tur doctor nen inbiakna neih theihnghilh suh. I hriselna chu i kutah a awm!

` Kut ruh tliak, Smith ruh tliak, kut ruh tliak, ruh tliak, kutphah na, kutphah enkawlna, Smith Fracture