Lirthei pakhatin a brake nasat thut a, a nih loh leh khawi hmunah emaw kan tlu a, kan lu leh kan kawr hi a hnungtawlh dan i hmu ngai em? A nih loh leh infiamna kan khelh laiin kan kawngah accident kan tawk tawh em? Vawiin hian hetiang dinhmunah hian kawr chunga chetsualna lian ber pakhat kan sawi dawn a ni. Hemi hming hi a hlauhawm deuh hlek nachungin, hei hi uluk taka hriat a pawimawh hle.
Hangman’s Fracture tih hi eng nge ni?
A awlsam zawngin, hei hi kan kawr ruh (bone system) a tliak a ni. Kan kawr insiam dan hi tlem han hrethiam hmasa ila. Kan
ruhro hi ruh te te, a chungah dah khawm atanga siam a ni. Chungte chu ‘vertebrae’ kan ti thin. Chutiang vertebrae chu kawr chhungah 7 a awm a. Hengte hi cervical vertebrae kan ti a. Hengte hi kan thluak atanga lo chhuk nerve cord pawimawh tak, spinal cord an tih chu venghimtu an ni. Hangman’s Fracture chu a sir lehlamah a kawng (C2 emaw axis emaw) a vertebra pahnihna a tliak a ni. He C2 ruh hi ring ang maia siam a ni a, chu ring chhungah chuan spinal cord chu a kal tlang a ni. Chuvangin, he ruh hi tihchhiat hi thil pawi tak a ni thei. A hming hi hlauhawm tak angin lang mah se, he natna hi a hming ang bawkin inkhung ai chuan chhan dang vangin a tam zawk.
Eng thilin nge hetiang dinhmun hi a thlen?
He fracture hi lu chu rang taka, rang tak leh chak taka hnunglam leh chunglam atanga paih a nih chuan a thleng thin. Damdawi lamah chuan hei hi hyperextension injury kan ti a. Chumi awmzia chu a kawng chu a awmna pangngai aia hnunglam hawiin a ben tihna a ni. Hêng thilthlengte hi han ngaihtuah teh:
- Car accident: A bik takin hmalam atanga lirtheiin nasa taka min rawn nuai hian kan taksa chu seat belt in a titawp a , mahse kan lu chu hmalam pan a, hnunglam pan leh thin. Hetih lai hian chakna nasa tak a awm a, a kawngah hian chakna nasa tak a awm a.
- Diving: Tui thuk lo takah lu hmasa berah i zuang lut a nih chuan.
- Sports accident: Rugby leh football ang chi high-impact sports-ah te.
- Hmun sang atanga tlu: A bik takin i lu hnunglam hawia i tlu a nih chuan.
A pawimawh ber chu kan kawng ruh tliak kan neih hian ruhro (spinal cord) a chhiat kan hlau vek a ni. Mahse a tam zawkah chuan he hangman fracture-ah hian accident a thlen lai hian spinal cord a chhe lo.
Mahse, hei hi unstable fracture a ni thei. Hei hian a awmzia chu enkawl that loh chuan ruh tliak te chu a inthlak danglam thei a, a tawpah chuan ruhro (spinal cord) a tichhia thei tihna a ni. Chutiang a nih chuan natna,
paralysis, leh, a nih loh leh thihna pawh a thleng thei a ni. Chuvangin, lu chu paih let lehna tur accident eng pawh a awm hnuah doctor pan nghal a pawimawh hle.
Tarte tan pawh hlauhawmna a awm
Kan tar chhoh zel chuan ruh a chak lo thin avangin, tlu tenau pawhin hetiang hian a chang chuan ruh tliak na tak a thlen thei a ni. Hetiang hlauhawmna hi
osteoporosis (ruh tichhe thei natna), ruh chhunga cancer darh tawh,
vitamin D tlakchhamna nei te tan a sang hle.
Hei hi eng symptoms nge ni?
Accident-a hetiang fracture a awm hian a hnuaia symptoms pakhat emaw a aia tam emaw a awm thei. Mahse, accident-a hliam dang a awm chuan a tir lamah chuan kawng na a awm lo mai thei tih hi hre reng ang che.
| Symptom a ni | Hrilhfiahna |
|---|
| Kawng na lutuk | I kawr i ti che thei lo khawpa natna i hriat. |
| Numbness emaw chak lohna emaw | Kut, ke emaw, taksa peng dang emawa chak lohna emaw, chak lohna emaw hriatna. Hei hi ruhro (spinal cord) a nghawng tih chhinchhiahna a ni thei. |
| A kawngah hliam a awm | Accident avanga nghawng a neih avangin kawr vun hnuaiah blue/purple bruising a awm. |
| Thâwk harsa | Hei hi symptom pawi tak a ni. Spinal cord chhiat hian thawkna atana puitu nerve te a nghawng thei a ni. |
Hetianga accident a tawh hnu hian a tha ber chu damlo kawr chu a reh thei ang bera dah a, damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal a ni.
Doctor-te hian engtin nge hei hi an hmuh?
Damdawi ina hruai i nih hunah doctor chuan taksa a enfiah hmasa phawt ang. Natna emaw, hliam emaw a awm leh awm loh an enfiah ang. Tin, i kut leh keah a hring emaw a chak lo emaw an enfiah bawk ang a, i ruhro (spinal cord)-ah chhiatna a awm leh awm loh an enfiah ang. Chumi hnuah chuan imaging study engemaw zat an nei ngei ang.
- X - ray: X-ray hi a bul berah chuan a ruh tliak a awm leh awm loh enfiah nan lak a ni.
- CT Scan: Hetiang chi ruh tliak hi hriat chian dan tha ber a ni. CT scan hmangin fracture nasat dan , a chhe tawhte chu a inthlak danglam em tih te, leh a hnuaia vertebrae nena inzawmna a buai em tih te chu chiang tak, three-dimensional (3D) image-ah a lang thei a ni.
- MRI Scan: A then phei chuan MRI scan a ngai mai thei. MRI hian ruh chauh ni lovin, spinal cord leh vertebrae inkar disc te pawh chipchiar takin a en thei a ni.
Heng test atanga thu hriatte atang hian i doctor chuan i fracture chu a classified ang. Chu chu, a ruh tliak dan leh ruh chi hrang hrang a inthlak nasat dan azirin an thliar hrang ang tihna a ni. He classification hian i tan enkawlna tha ber a hril ang.
Engtin nge enkawl a nih?
Enkawlna chu ruh tliak nasat dan te, ruh tliak a nghet leh nghet lo, vertebrae inkar disc a chhiat leh chhiat leh spinal cord a nghawng danah a innghat a ni. Enkawlna kawng hrang hrang pahnih a awm.
1. Surgery ni lo enkawlna (External Fixation) 2. Surgery (Internal Fixation) .
| Enkawl dan tur | Hrilhfiahna |
|---|
| Cervical Brace hmanga siam a ni | A ruh a na lutuk lo a nih chuan, a kawr chu a che thei lo a, thla engemaw zat chhung chu plastic a siam neck collar khauh tak bun theih a ni. |
| Halo Vest a ni | Hei hi device buaithlak deuh a ni. Fracture chu a nghet lo a nih chuan a kawng chu a reh vek theih nan hman a ni. Lu vel chu thir ring dahin, pin te te hmangin luruh-ah an nghet tlat a ni. Chumi hnuah chuan ring chu vest-ah an thlunzawm a, chu chu torso-ah rod hmangin an bun a ni. Hei hi a hlauhawm deuhin a lang thei a, mahse ruh hi a dam tha tur chuan a pawimawh hle. He enkawlna hi immobilization kan ti a ni . |
| Surgery neih a ni | Fracture a nasat em em a, ruh tliak chu a dislocated lutuk a nih chuan emaw, spinal cord compression a awm chuan operation neih a ngai mai thei. Surgery an tih lai hian ruh tliakte chu a hmunah an sawn leh a, screw, rod, a nih loh leh plate hmangin an fix leh thin. A châng chuan ruh chu immobilization hmanga a dam loh chuan operation a ngai ṭhin. |
Thu lawmawm tak chu hangman fracture 90% vel chu operation tel lovin enkawl kim theih a ni a, Halo Vest ang chi immobilization treatment hmanga enkawl theih a ni.
Engtin nge recovery trend hi a awm?
A hun takah enkawlna dik tak i dawng a nih chuan he natna atanga dam chhuak vek theihna chance tha tak i nei a ni. Research report 32 an zirchiannaah chuan hangman fracture chi khat na lo ber chu immobilization chauh hmangin 100% in tihdam theih a ni tih hmuhchhuah a ni. Zirna dang pakhatah chuan he natna vei mi 30 zinga 85% chuan kum khat chhungin an dam kim vek a ni. Chuvang chuan a pawimawh ber chu accident hi ngaihthah lova, damdawi lam thurawn lak nghal mai hi a ni. Tichuan i doctor chuan enkawlna tha ber a pe ang che a, i dam thuai theih nan hna a thawk ang che.
Take-Home Thuchah a ni
- A Hangman’s Fracture chu serh vertebra pahnihna (C2) ruh tliak a ni. Hei hi dinhmun pawi tak a ni.
- Hetiang dinhmun hi car accident, hmun sang atanga tlak, emaw sports accident-a lu leh kawr hi rang taka hnunglam atanga paih chhuah vang a ni fo thin.
- A lan chhuah dan chu kawng na nasa tak, rilru hahna , chak lohna, a nih loh leh thawk harsa .
- Hetiang accident hnuah hian i kawr kha sawn tum ngai suh. Damdawi in pakhata Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- A hun takah enkawlna dik tak (neck brace, halo vest, emaw surgery) i hmuh chuan he natna atanga dam kim theihna chance a sang hle. Chuvangin hlauthawng suh la, i doctor thurawn zawm rawh.
Hangman's Fracture, Hangman's Fracture, Neck Fracture, C2 Vertebra, Kawng Hliam, Spinal Cord, Car Accident, Kawng Na
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