I ruhte hian thisen a hmu tlem em? Hei hi Avascular Necrosis emaw Osteonecrosis emaw an ti a!

I ruhte thisen kalna a tlakchham chuan eng nge thleng tih i hre tawh em? Tlem chuan a hlauhawm deuhin a ri a ni lawm ni? Mahse, kan hriat chian a ngai a ni. A awlsam zawngin kan ruhte hian an mamawh thisen an hmuh loh chuan ruh tissue chu zawi zawiin a thi tan thin. Chu chu avascular necrosis emaw osteonecrosis emaw kan tih chu a ni. Hemi chungchang hi chipchiar zawkin kan sawi dawn em ni?

Engvangin nge hetiang hian kan ruh ah a lo thlen? Avascular Necrosis hi eng nge ni?

Ngaihtuah teh, kan taksaa cell tin ang bawkin kan ruhte hian nung leh chak taka awm turin oxygen leh nutrients a mamawh a ni. Hengte hi tuin nge phur? Thisen. Kan ruhte hi lungphun mai a ni lo. Tissue nung, siam thar zel, cell hlui thi leh cell thar lo piang chhuak an ni. In siam that ang chiah hian bang hlui te chu an tikehsawm a, a thar siam a ni a, chu chu ruh chhunga thil thleng a ni. Hei hi ruh remodeling kan ti a ni . Tunah chuan han ngaihtuah teh, eng emaw chhan vanga heng ruhte thisen supply hi a block emaw, a tawp emaw a nih chuan eng nge thleng ang? Thlai pakhatin tui a hmuh loh chuan a vuai ang bawkin ruhte hian an mamawh ei leh in leh oxygen an hmu lo. Tichuan ruh cell thar siam chhuah chu a tlahniam a, mahse cell hlui chu an thi chhunzawm zel a ni. Hun engemaw chen hnuah ruh thisen hmu lo chu a chak lo va, a chhe thei a, a tawpah chuan a chhe thei ta a ni. Thing chu termite-in a ei tawh ang maiin. Chu chu (Avascular Necrosis) kan tih chu a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge a nei tam zawk?

Dik tak chuan hei hi a awm vak lo a, mahse awm lo pawh a ni lo. Entirnan, America ang ramah chuan kum khatah mi 10,000 atanga 20,000 velin he natna hi an vei niin an sawi. Hei hi kum eng pawhah a thleng thei a, mipa leh hmeichhia pawh nise. Mahse, kum 30 leh 40 inkar te chu an hlauhawmna a sang deuh hlek a ni. Chumi awmzia chu thalai, hnathawk thei kum tling tawhte pawhin he thil hi an ngaihtuah a ngai tihna a ni.

Avascular Necrosis hi khawiah nge a awm tam ber?

He natna hian taksa ruh eng pawh a nghawng thei a, mahse hip ruh (hip joint)-ah hmuh tur a awm tam ber . Hei hi i kein i kawr a zawmna hmun a ni. Hei bakah hian hmun dang engemaw zat a nghawng thei bawk. Chungte chu:

• Ankles a ni
• Jawbone a ni
• Khup a ni
• Kut chunglam - humerus leh kekawrte

Ngaihtuah teh, hip hi kan taksaa rit phurtu ber pakhat a ni. Chuvangin chutah chuan hetiang harsatna hi a awm a nih chuan kea kal emaw, ding emaw pawh a harsa thei hle.

Engvangin nge hetiang (Avascular Necrosis) hi a lo awm? A chhante chu engte nge ni?

A awlsam zawngin, ruh chhunga thisen kalna titawptu eng thil pawh hian hetiang hi a thlen thei a ni. A châng chuan, 20% vêlah chuan a chhan chiang tak hmuh tur a awm lo . Mahse a chhan ber chu chi hnih ah then theih a ni: 1. Traumatic Avascular Necrosis: Hei hi accident-a ruh a tliak emaw, ruh a inthlak emaw a nih chuan a thleng thin. Tichuan ruh supply tu thisen kalna kawngte chu a chhe thei a ni. 2. Avascular Necrosis natna hlauhawm lo: 1.1.Hei hi ruh chhunga thisen kalna a chhiat chuan a thleng thin a, chu chu natna dang vang emaw, damdawi i ei vang emaw a ni thei. Hetah hian thil danglam tak chu hetiang a thlen hian taksa sir lehlamah ruh inang chiah chiah a nghawng fo thin . Entirnan, i ke dinglamah avascular necrosis i neih chuan i ke veilam ah pawh a awm theihna chance a sang hle.

Eng chi fracture nge Traumatic Avascular Necrosis thlentu ber?

Hei hi ruh tliak apiangah a thleng ngai lo va, mahse ruh tliak thenkhat erawh chu a hlauhawmna a sang zawk.

• Hip fracture leh dislocations : Mi 20% velin avascular necrosis an vei thei niin an sawi a, a bik takin hip joint a dislocated hian an vei thei niin an sawi. Hei hi a chhan chu hip bone-a thisen petu thisen kalna kawng lian ber berte chu hmun sensitive tak takah an awm vang a ni.

Eng natna leh harsatna dang nge Nontraumatic Avascular Necrosis thlentu?

Hei hi a thlen thei thil engemaw zat a awm a:

• Osteoporosis : Natna pakhat, ruh a tikehsawm. A bik takin hmeichhe kum upa zawk (leh mipa thenkhat) ah chuan avascular necrosis hi khup ah a lo awm nghal thei a ni. Hei hi `(SPONK - Spontaneous Osteonecrosis of the Knee)` an ti bawk.
• Thisen lama harsatna: Entîr nân, sickle cell anemia ang chi natna . Heng natnaah hian thisen sen (red blood cells) pianzia a inthlak a, thisen kalna kawng te tak teah an tang thei a ni .
• Diabetes Mellitus: Zunthlum vei te pawhin an hlauhawmna a sang zawk a, a chhan chu zunthlum hian thisen kalna kawng a tichhe thei a ni.
• Cancer enkawlna : Cancer enkawlna thenkhat, a bik takin radiation therapy , chuan chu hmuna thisen kalna kawng a tichhe thei a, avascular necrosis a thlen thei.
• Decompression sickness: Tuipui thuk lama tui piltute an han chhoh chak chuan thisenah boruak bubble a lo awm thei a, thisen kalna kawng a tikhawlo thei a ni.
• HIV
• Lupus: Hei hi immune system natna a ni.
• Organ Transplant: He risk hi a awm bawk a, a bik takin kidney transplant ang chi thil hnuah. Hei hi a chhan pakhat chu damdawi hman \henkhat a ni.

Kan nunphungah hian eng thil nge he hlauhawmna hi tipung?

Thil tih dan thenkhat hian hetiang (Avascular Necrosis) hi a vei theihna a tipung thei bawk.

• Zu in tam lutuk: Zu in tam lutuk hian thisenah thau a tipung thei a, thisen kalna kawng a tikhawlo thei bawk.
• Meizial zuk: Meizial zuk hian thisen kalna kawng a tichhe hle bawk.
• Hun rei tak chhung Corticosteroid hman: Entirnan, damdawi `(Prednisone).` tih ang chi te hi natna tam tak tan damdawi pek thin a ni. Mahse, rei tak leh a tam taka ei chuan heng side effect chi hrang hrangte hi a awm thei a ni.

Avascular Necrosis natna lan chhuah dan chu engte nge ni?

Symptoms hi vawi khatah a lang vek lo. Kar tam tak emaw, thla tam tak emaw chhung chu engmah i hre lo mai thei. Hun a kal zel a, heng symptoms te hi a lo lang chhuak thin:

• Natna lo thleng leh chhuak: Natna lo thleng leh kal lo, a bik takin ruh natna chu pressure pek a nih chuan, chumi hnuah pressure lakchhuah a nih chuan a reh leh thin.
• Zawi zawiin a na leh a khauh zual zel: A tir lamah chuan a na deuh thei a, mahse a hnuah chuan a na chu a na zual thei a, ruh sawn a harsa thei bawk.
• Limited range of motion of the joint: Entirnan, kekawrte chungchangah chuan kut chawi sang a harsa thin. Hip-ah chuan ke ben emaw, dinglam emaw a harsa ta hle.
• Limping: Hetiang dinhmun hi i hip emaw khup emaw-ah i neih chuan i kal laiin i limp thei.
• Stairs chhoh harsa, ding leh kal harsa.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor i pan ngei tur a ni .

Doctor-te hian engtin nge Avascular Necrosis hi an hriat theih?

Doctor i pan chuan i symptoms te an zawt hmasa ang che a, an enfiah ang che. Tichuan a hnuaia test pakhat emaw a aia tam emaw an ti thei ang:

• X-ray: An ruh tliak leh ruh natna ang chi thil an zawng thei. Mahse, Avascular Necrosis hi a tir lamah chuan X-ray-ah hmuhchhuah a ni lo mai thei.
• MRI (Magnetic Resonance Imaging - MRI): Hei hi Avascular Necrosis hriat theihna atana test tha ber leh sensitive ber a ni. MRI hian ruh lama inthlak danglamna tenau ber pawh chiang takin a hmu thei a, thisen kal tlemna hmunte pawh a hmu thei.

Avascular Necrosis hi engtin nge enkawl a nih?

Enkawlna chu i ruh chhiatnaah a innghat.

Ruh chhiatna a tlem chuan, ruh te tak te, rit phur lo tan chuan:

Hetiang hunah hian zai a ngai lo mai thei. I doctor chuan hetiang hi a rawt thei ang:

• Cold leh hot packs (Cold packs, Heat treatment): Natna leh hliam tihziaawmna.
• Chawlh: A natna ruh chu chawlh hahdam a pawimawh hle.
• Nonsteroidal anti-inflammatory drugs (NSAIDs): Natna tidamtu, ibuprofen ang chi te hian natna leh hliam tuar te a titawp thin.
• Taksa lam enkawlna:Exercise leh enkawlna dang hmanga ruh natna tihziaawmna leh range of motion tihpunna.
• Walking aids: Walking aids, canes leh crutches te hmangin ruh natna hmuna rit tihtlem nan hman tur a ni.

(Avascular Necrosis) A natna a nasat chuan operation:

Thil tam takah chuan, a bîk takin hip ang chi rit phur thei ruh (avascular necrosis)-a a awm chuan, operation neih a ngai a ni . Surgery chi hrang hrang tih theih a awm a:

• Core Decompression: Hetiang tih danah hian surgeon chuan ruh natnaah hian khur te te (core) engemaw zat a siam thin. Hei hian ruh chhunga pressure a tihziaawm bakah thisen kalna kawng thar a tipung bawk. A chang chuan , ruh graft emaw injection dang emaw hmangin ruh dam chakna an hmang thin. Hei hi natna hi a hmaa hriatchhuah a nih phawt chuan a hlawhtling thei a ni.
• Joint Replacement: Hei hian joint chhia chu la chhuakin artificial joint hmanga thlak a ni. Hip Replacements leh Knee Replacements hi surgery hlawhtling tak pahnih (95% vel) a ni a, natna tiziaawmtu leh Avascular Necrosis vei te chu an che thei lo lehzual theih nan a pui bawk.

Avascular Necrosis hi ven theih a ni em?

A chang chuan hei hi ven theih a ni lo, a bik takin accident avanga lo awm a nih chuan. Mahse, a hlauhawmna tihtlem nan thil kan tih theih a awm a:

• Meizial zuk bân: Hei hi i tih tur a ni ngei ang.
• Zu in tlem: A theih ang anga tihtlem a tha ber.
• Cholesterol level control: Thisen a cholesterol sang hi thisen kalna kawng tan a tha lo.
• Damdawi lam natna khirh tak avanga corticosteroids i ei a nih chuan i doctor nen a dose tihtlem dan tur sawipui rawh. I damdawi ei kha titawp ngai suh la, doctor zawt hmasa lovin a dose pawh thlak ngai suh.

Avascular Necrosis hi a dam kim thei em?

Vanduaithlak takin Avascular Necrosis hi damdawi a awm lo . Enkawlna hian natna kal zel dan a thunun thei chauh a, natna a tiziaawm thei bawk. Mi tam tak chuan a tawpah chuan operation an mamawh a, a bik takin joint replacement surgery an mamawh a ni. Avascular Necrosis vei te pawhin hun kal zelah osteoarthritis na tak an nei thei bawk.

Engtikah nge Doctor ka hmuh ang?

Avascular necrosis hi natna a ni a, hun kal zelah a zual zel a. Hetiang natna hi i nei tih hmuhchhuah a nih chuan i symptoms te, a bik takin natna leh che harsat te hi uluk takin i ngaihven tur a ni. A hnuaia mi hi i neih chuan doctor pan nghal rawh :

• Chawlh emaw, natna tidamtu damdawi ei emaw hnu pawha reh ngai lo natna .
• A na hi a na em em a, kea kal leh che a har khawp mai.
• Chhan awm lovin i limping a nih chuan .

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha:

• Engvangin nge Avascular Necrosis ka neih?
• Eng enkawl dan nge ka tan a tha ber?
• Heng enkawlnate hian eng harsatna nge a thlen?
• Enkawlna hnuah eng ang follow-up care nge ka mamawh?

Avascular Necrosis hi natna khirh tak leh nunna atana hlauhawm tak a ni. Hetiang natna vei theihna tipung thei damdawi i neih chuan, emaw, i hlauhawmna tipung thei damdawi i ei a nih chuan i doctor nen inbia ang che. Avascular Necrosis symptoms chu a hrilhfiah thei che a ni. A hmaa hriatchhuah leh enkawl hian natna zual zel chu a tikhawtlai thei a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur thenkhat chu khaikhawm ila:

• Avascular Necrosis tih hi ruh a thisen kalna a tawp a, ruh a thih phah a ni.
• Hei hian hip a nghawng tlangpui a , mahse khup leh kekawrte ang chi hmun a nghawng thei bawk.
• Hei hi ruh tliak, natna thenkhat (e.g. zunthlum, lupus), damdawi thenkhat (e.g. corticosteroids), zu in tam lutuk, leh meizuk te ang chi thil vang a ni thei
• Natna awm fo, ruh nghet lo, ke ruh natna ang chi symptom i neih chuan doctor pan rawh.
• Hei hi MRI scan hmanga hriat theih dan tha ber a ni.
• Enkawlnaah hian chawlh hahdam, damdawi, taksa lam enkawlna , a nasat chuan operation (Core Decompression, Joint Replacement) tih a ngai thei bawk.
• Dam kim theih ni lo mah se, a hmaa hriat chhuah a, enkawl tan a nih chuan a thunun theih a ni.

Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Hrisel takin awm rawh!