I kut emaw, i ke emaw ruh a tihchhiat hnua operation lian tak a neih hnuah doctor-in i taksaah thir frame a dah tih i hmu tawh ngei ang. I taksaah pawh pakhat i dah tawh mai thei. Hei hi damdawi lama External Fixator, a tawi zawngin "Ex Fix" kan tih chu a ni. A tir lamah chuan hlauhawm leh nuam lo deuhin a lang thei a, mahse a takah chuan i ruh tliak te chu a hmunah dahin rang tak leh dik taka dam turin a pui a ni. Chuvangin vawiin hian eng nge a nih, engtin nge i nitin i hman theih ang, engtin nge i enkawl ang tih i sawi dawn nia.
He External Fixator hi eng nge ni?
A awlsam zawngin, hei hi i taksa pawn lama inzawm, thir frame a ni. He frame chhunga pin te hian i vun kal
tlangin ruh ah an inzawm tir thin. Hei hian a tum ber chu ruh tliak te chu hmun khata cheng lovin a awmtir a, a dam tha tur chuan an mamawh boruak siam a ni. He hmanrua hi i ke, i kut leh ke hmun apiangah ruh atan hman theih a ni. He device hi a tlangpuiin a then hrang hrang a awm thin. Eng nge an nih i en ang u.
| Device atanga a then | A sawifiahna awlsam tak |
|---|
| Pin lian tak tak, solid tak tak | Hengte hi i ruh nena inzawm tlat rod lian ber berte an ni. |
| Wire te tak te, hrual hrual | A chang chuan heng wire te tak te te hi ruh sir khat atanga a sir lehlamah kal nan an hmang thin. |
| Rings a awm | He frame chhehvela circular parts te hian frame pumpui chu a nghet tlat a ni. |
| Rail dinglam sei tak tak | Hengte hi fixator-ah hmuh theih a ni a, chu chu a tlangpuiin thigh emaw arm emaw ang chiah a ni. |
| Clickers te pawh a awm | Chungte chu zawi zawiin ruh chu a awmna dik takah hruai luh tumin an inher kual thin. Hengte hi in lamah i buaipui a ngai dawn a ni. |
Hei hi in lamah i siamrem a ngai em?
Ni e, hei hi a pawimawh hle. I ruhte a dam tha theih nan he frame hi ni khatah vawi khat emaw vawi engemaw zat emaw tlem tal i siamrem a ngai dawn a ni. Ngaihtuah buai suh, doctor emaw nursing staff emaw chuan damdawi in i chhuahsan hmain hetiang tih dan tur an rawn kawhhmuh ang che. Hei atan hian
wrench bik pek i ni ang. Chu wrench hmang chuan frame-a clicker-te chu eng chen nge i turn tur tih leh ni khatah vawi engzat nge i turn tur tih chiang takin i dawng ang.
Heng thupekte hi zawm a pawimawh hle. I doctor-in a rawt angin heng inthlak danglamnate hi i siam chauhvin i ruhte chu a dam tha ang.
Hei hi i tih theihnghilh palh a nih chuan
vawi khatah twisting tam tak tih hmangin vawi tam tak i tih loh chu siam ṭhat tum ngai suh. Chutiang a nih chuan doctor ko nghal la, thurawn la rawh. Tin, hei hi i siamrem lai hian tuar theih loh khawpa natna i neih chuan i doctor hnenah hriattir nghal rawh.
Engtin nge pawn lam fixator hmanga nun pangngai kan hman theih ang?
He metal frame hmang hian ni khat kal tlang hi a harsa deuh. Mahse, chu chuan in lama awm reng leh lungngaihna chu a tikhawlo suh ang che. Active taka awm te, ṭhiante leh chhungte nena hun hman te, leh i thil tih nuam tih te hian i dam thuai theihna kawngah kawng thui tak a zawh thei a ni. I ni tlem a awlsam zawk nan tips thenkhat chu hetiang hi a ni:
- Khualzin i kal hunah: I chhuah hmain tlem tal ruahmanna siam rawh. I kalna tur hmun chu awlsam takin i thleng thei ang em tih leh tanpuina i mamawh dawn em tih ang chi thilte ngaihtuah rawh.
- Inchhung hna thawh hunah: A theih phawt chuan thutthlengah thu la, hna thawk rawh. Ngaihtuah teh, chaw i siam lai te, i ironing lai te, i hmai i sil lai te i thu thei a nih chuan awlsamna ropui tak a ni ang.
- Inbual hunah: Bathroom-ah shower chair dah tur a ni. A nih loh leh leiah thu la, inbual rawh. Hemi hun chhung hian bathtub-a luh loh tur a ni. Chair-in lei a hrual tur i hlauh chuan towel hlui emaw, non-slip mat emaw dah la.
- Mut laiin: I mut lai hian he fixator hmang hian i kut emaw ke emaw chu a chhehvelah pillow dahin venghim ang che. Hei hian i taksa peng dangte chu a hnawih lo vang a, a ti na lo ang.
- Incheina hun: He frame hian thawmhnaw pangngai hak a ti harsa thei hle. Thawmhnaw lian deuh deuh, shorts leh skirt hak a awlsam zawk. Pants thenkhatah chuan ke bulah zipper a awm a, chu pawh chu a nuam hle.
- Mipat hmeichhiatna hman lai hian:He metal frame hmang hian i kawppui vun tichhe lo emaw, i hrual loh nan i fimkhur a ngai a ni. Frame chu puan nem tak hmanga khuh a tha.
- Tui chawi loh tur: Mipui inbualna hmun, tuifinriat, lui, lui, etc.-a inbual i nih chuan he hun chhung hian chawlhsan vek tur a ni. Infection laka inven nan pin sites te fai taka vawn hi a pawimawh hle.
Engtin nge Fixator hi i tihfai theih ang?
Hei hi i ngaihven ber tur a ni. He device rod hian i vun a tikehsawm a, ruh thlengin a kal nghal avangin chu hmun atang chuan natna hrik taksaah a lut thei a ni. Chuvangin,
nitin heng hmunte hi uluk taka tihfai a ngai a ni . Damdawi in atanga i haw hunah chuan heng hmunte hi gauze-in a khuh ang. Clinic hmasa ber i kal chuan gauze chu a la chhuak ang. Chumi hnuah chuan thupek angin nitin i tihfai a ngai a ni.
| Step hrang hrang | Eng nge tih tur |
|---|
| 1. Inbuatsaihna | A hmasa berin i kut chu sahbawn hmangin uluk takin silfai ang che. |
| 2. Sahbawn tui siam | Tui tlem leh antibacterial soap chu bawm fai takah chawhpawlh la. |
| 3. Damdawi buatsaih dan | Container fai dang pakhatah chuan doctor-in a rawt povidone-iodine ang chi tui dah la. |
| 4. Faina hmasa ber | Cotton bud thar la la, sahbawn tuiah hnim la, pin site tin vel chu uluk takin tifai rawh. Pin-a a innghat thei tur crust emaw vun thi emaw chu uluk takin paih chhuak rawh. Hmun khata hman thin cotton bud chu paih chhuak rawh. |
| 5. Thianghlim vawi hnihna | Tunah chuan cotton bud thar dang la la, damdawiah chuan hnim la, a hmun chu tifai leh rawh. Pin site tin atan cotton bud thar hmang ang che. |
| 6. A vawt turin dah rawh. | A hmunte chu boruakah minute engemaw zat dah la, a vawt ang. |
Pin site pakhat tihfai nana hman tawh cotton bud chu pin site dang tihfai nan hman ngai loh a pawimawh hle. Tin, cotton bud hman tawh chu sahbawn tui emaw damdawi emaw-ah dah nawn ngai suh. Chutianga tih chuan hmun khat atanga hmun dangah natna hrik a transfer ang.
Infection i neih chuan engtin nge i tih ang?
Eng ang pawhin in enkawl thiam mah la, a chang chuan natna tenau te a awm thei bawk. Hei hi a tam hle a, enkawl theih a ni. Chuvangin lungngai lutuk suh. Infection chhinchhiahnate chu:
- Natna thar a ni
- Pin site vel a sen vek
- Discharge sen, thuk tak a ni
- A rimchhia danglam tak
Hetiang chhinchhiahna i hmuh chuan doctor nen inbia ang che. Chu hmunah chuan povidone-iodine wrap a hnawih thei a, antibiotic ei tur a pe thei bawk.
Heng symptoms te hi i neih chuan doctor ko nghal rawh!
Infection symptom thenkhat chu tlem a na zawk. Hengte hi i hmuh chuan nghah loh a tha.
- Khawsik 101.3 Fahrenheit (38.5 Celsius) aia sang nei .
- Pin sites vel a hring lutuk .
- Vun chu tuiin a khat ang maia hriat .
- A rimchhia hle mai .
Hengte hi hri kai na zawk chhinchhiahna a ni thei. Chutiang a nih chuan damdawi inah dah a ngai mai thei a, IV antibiotics pek i ngai mai thei a, a nih loh leh pin awmna hmun tihfai nan operation tenau i neih a ngai thei bawk.
Chuvangin hetiang chhinchhiahna pawi tak i hmuh chuan, emaw, he fixator chungchangah hian thil mak emaw, nuam lo emaw i hriat chuan i doctor ko nghal rawh. A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
Take-Home Thuchah a ni
- External fixator hi damdawi atana hmanraw pawimawh tak a ni a, ruh tliak te chu a dam tha thei ang. Hlau suh.
- Doctor-in a sawi ang ngeiin nitin adjustment (rotation) chu schedule ruat ang chiah chiahin ti rawh.
- Infection ven hi a pawimawh ber a ni. Chuvangin pin site te chu nitin uluk takin tifai thin ang che. Hmun khata hman tawh thil kha hmang nawn tawh suh.
- Khawsik, khuh lutuk, tui chhuak rimchhia ang chi natna lan chhuahna pawi tak i neih chuan damdawi lam thurawn la nghal rawh.
- Hemi nena nun hi a tir lamah chuan harsa viau mah se, chak takin awm la, a theih ang anga nitin hnathawh chhunzawm zel rawh. Chu pawh chu i dam thuai theih nan a pawimawh hle.
External Fixator, ruh tliak, pin site enkawl, natna hrik, surgery, ex fix
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