Ankle ruh pathumte hi a chhe vek em? He Trimalleolar Fracture chungchang hi han sawi ila!

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.

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.

Eng thilin nge hetiang inthenna hi a thlen?

Hetiang dinhmun hi a chhan lian tak tak engemaw zat a awm. Eng nge an nih i han thlir teh ang.

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.

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.