Stairs atanga i chhuk laiin, infiamna i khelh laiin, a nih loh leh kawngpuiah i kal laiin i ke ruh chu i roll nghal mai ang tih han ngaihtuah teh. Chutiang chuan tuar theih loh khawpin natna i nei a, i ke pawh i dah thei lo. Hetiang hunah hian thil pawi tak thleng thei chu ke ruh tliak hi a ni. Mahse, Trimalleolar Fracture hi a buaithlak deuh a, ngaihven a ngai hle. Chuvangin vawiinah hian he thu hi awlsam takin, i hriatthiam theih dan tur angin i sawi dawn nia.
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A awlsam zawngin sawi ila, he Trimalleolar Fracture hi eng nge ni?
He hming hi a buaithlak deuhin a lang thei a, mahse a awmzia erawh a awlsam khawp mai. Trimalleolar tih awmzia chu ‘pathum’ tihna a ni. Hei hian i ke ruhro siamtu ruh lian pathumte chu a rualin a chhe vek tihna a ni.
Kan ke ruhte hi ke hnuai lam ruh pahnih tawp inzawmkhawm atanga siam a ni. Eng nge an nih i han thlir teh ang.
- Tibia: Hei hi i ke hnuai lam ruh lian leh chak tak chu a ni. A hnuai lam tawp lamah chuan hmun hnih a nei a, chu chuan ke ruh inzawmna (ankle joint) a siam a ni.
- Medial Malleolus: Hei hi i ke ruh chhunga i hriat theih tur ruh bump a ni.
- Posterior Malleolus: Hei hi ke ruh hnung lama awm a ni.
- Fibula: Hei hi ruh te tak te, fibula nena inmil taka kal, a sir lam a ni.
- Lateral Malleolus: Hei hi i ke ruh pawn lama ruh bump, i kut hmanga i man theih tur a ni.
Chuvangin, Trimalleolar Fracture-ah chuan heng hmun pathum - medial malleolus, lateral malleolus, leh posterior malleolus te hi a chhe vek a ni. Frame ang mai a ni a, a sir pathum atanga ke breaking chu vawi khata support thei a ni.
Hei hi hliam na tak a ni em?
Ni e, hei hi a takah chuan ke ruh tliak awlsam zawk aiin hliam na zawk leh buaithlak zawk a ni. Mahse lungngai suh, uluk taka enkawl a nih chuan a dam kim thei. Hei hi thil pawi tak a nih theih chhan hrang hrang a awm a:
- Surgery neih a ngai mai thei: A tam zawkah chuan hetiang fracture hi siamthat nan hian surgery neih a ngai thin.
- Dam hun: Ruh pathumte hi dam vek a ngai a, thla engemaw zat chhung chu i ke i dah thei lo mai thei. Hei hian nitin hna thawh te, hnathawhna hmuna kal te, lirthei khalh te a harsa dawn tihna a ni.
- A chhehvel tissue chhiatna: Ruh a chhe chuan a chhehvel ligament leh tendon te pawh a chhe thei a, chu chuan dam hun a ti rei lehzual thei a ni.
- Arthritis vei theihna: Nakin lawkah chu ankle joint-ah chuan arthritis vei theihna chance a sang hle.
- Limping: Dam vek hnuah pawh mi thenkhat chuan rei vak lo an kal laiin limp tlem an nei thei.
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Hetiang dinhmun hi a chhan lian tak tak engemaw zat a awm. Eng nge an nih i han thlir teh ang.
| Chhan | Hrilhfiahna |
|---|---|
| Falls a ni | Chu chu tlu emaw, tlu emaw, sâng aṭanga tlu emaw a ni thei. |
| Lirthei chetsualna thleng thin | Car emaw motor emaw accident-a ke ruh (ankle) a nghawng na tak. |
| Infiamna lama accident a awm thin | Football, rugby, leh basketball ang chi infiamna lama kawng inthlak danglam emaw, tlak nghal emaw lai hian. |
| Ankle rolling a ni | Vawikhatmah ke ruh chu chhung lam emaw pawn lam emaw ben emaw, twisting emaw. |
Trimalleolar leh Bimalleolar fracture te hi eng nge an danglamna?
Bimalleolar Fracture tih pawh i hre tawh mai thei. An pahnih inthlauhna chu a awlsam hle.
- Bimalleolar Fracture: Hei hian ke ruh sir lehlamah ruh pahnih (medial leh lateral malleolus) chauh a chhe vek a.
- Trimalleolar Fracture: Hetiang a nih chuan ruh pahnih bakah hian ke ruh hnunglam (posterior malleolus) pawh a chhe bawk. Chumi awmzia chu fracture pathum a awm tihna a ni.
Eng nge a lan chhuah dan?
Hetiang taka inthen a nih chuan heng symptoms te hi i hre nghal mai thin.
- Tuar theih loh khawpa natna.
- Ke dah thei lo emaw, chu ke chungah chuan kal thei lo emaw.
- Ankle area-a hring (swelling na tak pawh a ni thei).
- Ankle vel a hliam, blue hmel a lang.
- A châng chuan ruh chi hrang hrang hmuh theihna tûr khawpa deformation chu i hmu thei bawk.
Heng symptoms te hi i nei a nih chuan a tha ber chu doctor thurawn la nghal mai a ni a, i ke chu ti che lovin. A theih chuan damdawi in hnai ber Emergency Department (ETU) ah kal la.
Hei hi Doctor hian engtin nge a enkawl?
Damdawi in i kal hunah doctor in natna damdawi a pe hmasa ang che. Tichuan, X-ray hmangin a ruh tliak chu a finfiah ang a, a nasat zia a en ang. Thlalak chiang zawk hmuh theih nan CT scan emaw MRI scan emaw i mamawh thei bawk.
Hetiang chi ruh tliak enkawlna atan hian operation a ngai fo thin. Hetiang tih dan hi Open Reduction Internal Fixation (ORIF) tih a ni.
ORIF surgery hi eng nge ni?
Chumi awmzia chu:
1. Open Reduction: Surgeon chuan vun a tan a, ruh tliak te chu a pholang a, a awmna tur dik takah a dah thar leh thin.
2. Internal Fixation: Chumi hnuah chuan ruh chi hrang hrangte chu a che leh tawh loh nan metal plate, screw, wire hmangin chhungril lamah an fix leh thin.
He surgery zawh hian i keah hian ruh a dam hma loh chuan cast emaw special brace emaw i bun a ngai dawn a ni.
Recovery hun leh thil hriat tur
Hei hi mi tam tak tan chuan hun harsa ber a ni a, a chhan chu dawhtheihna leh hun a mamawh vek a ni.
Engtikah nge operation zawhah ka kal theih ang?
A tlangpuiin i doctor chuan i ke hliam chu a rit dah emaw, leia dah emaw chu operation hnu kar 6 tal a phal lo. Hei hi ruhte a dam theih nan a tul a ni. Chumi hnuah chuan physiotherapist puihnain i keah rit phur chungin zawi zawiin i kal tan thei ang.
Hnathawh lamah ka kir leh thei dawn em ni?
Hei hi hna i thawh dan azirin a danglam thei.
- Ke chu chawi sang reng tur a ni a, a tlem berah chuan operation hnu kar hnih hmasa berah pawh dah tur a ni.
- Kar 6 vel kal a harsa mai thei a, chuvangin office kal leh haw hi harsatna a ni thei.
- Painkiller i ei avangin hnathawhnaah i rilru pek a harsa thei hle.
Chuvangin doctor nen inbia a, i duh hun hunah workout tan la a tha ber.
Engtikah nge i khalh theih ang?
Hei hian thla engemaw zat a daih thei . Cast a awm lai hian i khalh thei lo. A lakchhuah hnuah pawh chakna leh i ke ruh i thunun leh hma chu i nghah a ngai dawn a ni. I khalh chak lutuk chuan accident dang i tawk leh a rinawm.
Doctor pan vat a ngaih hunah
I dam chhung hian a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- Khawsik emaw, khawsik emaw i neih chuan.
- Surgery hliam atanga pus ang chi tui a chhuak a nih chuan.
- Hliam vel chu a sen a, a hring a, khawih theih loh khawpa na a nih chuan.
- I tlu leh a, i ke a na tawh nia i inhriat chuan.
Hengte hi hri kai chhinchhiahna a ni thei a, chuvangin enkawl vat vat a pawimawh hle.
Take-Home Thuchah a ni
- Trimalleolar Fracture hi natna khirh tak a ni a, ke ruh pathum a tliak a ni.
- Hei hi enkawlna atan ORIF surgery a ngai fo thin.
- A dam theih nan thla eng emaw zat a ngai a, chumi chhung chuan dawhthei taka awm a, doctor thupek zawm a pawimawh hle.
- Physiotherapy hi damna atana thil pawimawh tak a ni. Skip suh.
- I dam chhungin lungngaihna emaw, lungkhamna emaw i neih chuan chu chu i doctor nen pawh sawipui rawh. A pangngai a, chutiang tur chuan tanpuina i dawng thei bawk.
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