I ke ruh lianah hian lump i nei em? He bunion (Hallux Valgus) chungchang hi han sawi ila!

I ke ruh lian tak bul atanga ruh te tak te, bump -like rawn chhuak i hmu tawh em? Hei hi nangmah ngeiin i tawng tawh ngei ang, a nih loh leh i hriat mi pakhatin a tawng tawh tih i hmu tawh ngei ang. Hei hi ‘bunion’ kan tih tlangpui chu a ni. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, mi tam tak a nghawng avangin.

Bunion tih hi eng nge ni? Hallux Valgus hi eng nge ni tak tak?

A awlsam zawngin, bunion chu i ke ruh lian tak bul, ke ruh leh ke inzawmna hmun, damdawi lama metatarsophalangeal joint (MTP joint) tia hriat, ruh spur a ni. Ball ang maia bump te tak te ang mai a ni. A tam ber chu ke ruh lian chhungril lamah a lo thang lian thin. Damdawi lamah chuan hei hi Hallux Valgus kan ti a ni.

Ngaihtuah teh, i ke ruh lian tak chu zawi zawiin ke ruh dangte lam hawiin a hruai a, chutah chuan chu ruh chu a rawn chhuak ta a ni. Chu protrusion chu bunion an ti a.

I ke ruh lianah hetiang hian lump i nei tih i hriat chuan, a bik takin i kut zungtang natna emaw, rilru hahna emaw a thlen chuan doctor i pan ngei tur a ni A chhan chu a man hma chuan enkawl a awlsam zawk.

Bunions chi hrang hrang a awm em?

Ni e, a takah chuan bunions chi hrang hrang a awm. Kan hmuh tam ber chu ke ruh lian (big toe) pressure avanga lo awm thin hi a ni. Mahse, ke ruh dangah leh thil dang vangin bunions a lo awm thei bawk. A chi thenkhat chu hetiang hi a ni:

• Congenital Hallux Valgus: Hei hi thil mak tak angin a lang thei a, mahse naute thenkhat chu bunions neiin an piang thin. Hei hi pian tirh atanga lo awm thin dinhmun a ni.
• Juvenile emaw Adolescent Hallux Valgus: Heng bunions chi hrang hrang hi naupang leh puitling kum 18 hnuai lam te zingah a awm a, he kum hi a awm thei bawk.
• Tailor’s Bunion emaw Bunionette emaw: Hei hi i ke ruh te tak te bul ah a thleng thin . A hming hi mak ti suh, a hming hi a chhan a ni a, a chhan chu tailor te hi darkar tam tak chhung hmun khatah an thut thin a, chu chuan an ke ruh lian tak chu a ti compress thin a ni. Hei hi pheikhawk inmil lo bun emaw, i ke ruh lian tak chu ke ruh dangte nena inzawm tlat thil tih vang emaw a ni fo.

Hetiang dinhmun hi engtiang chiahin nge bunion an tih?

Hei hi a takah chuan i ngaihtuah aiin a tam zawk. Research atanga a lan dan chuan United States ang ram ah chuan mi pathum zinga pakhat velin bunions an nei thin. Hetiang dinhmun hi kan ramah pawh hmuh theih a ni a, a bik takin hmeichhiate zingah leh kum upat deuh deuhin a pung zel tih hmuh theih a ni.

Bunion natna lan chhuahna chu engte nge ni?

Vawi tam tak chu a lan chhuahna lian ber chu ke ruh lian tak bul hnaia hnim hring (lump) hi a ni. I hmu thei a, i hre thei bawk. Chu bakah chuan natna lan chhuahna dang pawh a awm thei a, chungte chu:

• Ke ruh lianah natna emaw, a nghet lo emaw . Ding mai mai emaw, kal lai pawhin a na thei.
• Lump chhehvelah hian a hring leh a sen a awm thei.
• A chang chuan a rawng emaw a sen emaw a inthlak thin .
• Ke ruh lian tak chu a ben emaw, a che tha thei lo emaw. A chang chuan ke ruh ben hian kang a awm thei bawk.
• Kekawr chi hrang hrang bun harsatna , emaw pheikhawk bun laiin natna tihpun . Hei hi hmalam pheikhawk zim bun hian a langsar zual hle.
• Corn emaw callus emaw hi vun thicked growth a ni. Chungte chu bunion-ah emaw, ke ruh inkarah emaw a lo awm thei.
• Hammertoes hi ke ruh ruh leh ke ruhte chu a nghet a, a ben a, Achilles tendon ang maia awm a ni. Bunion hian ke ruh dangte pawh a pianzia a tidanglam thei bawk.
• Ke ruh lian vel chu a rilru a buai hle .

Engvangin nge bunions kan hmuh?

Bunions lo awm chhan pakhat chauh a awm tih hi sawi harsa tak a ni tak zet. A chhan hrang hrang inzawmkhawm a ni thei . Thil thleng inzawmkhawm (chain of interconnected events) angin ngaihtuah rawh.

A nghawng ber chu:

• Chhungkaw chanchin: I chhungkuaa mi tu emaw, i nu, i pa, i pi, emaw, i pi emaw te hian bunions an nei a nih chuan nang pawhin i vei theihna a sang zawk. Hei hi genes atanga lo chhuak thil a ni.
• Ruh insiam dan pangngai lo: Mi thenkhat chuan an ke ruh a inrem dan avang hian bunions an nei duh zawk.
• Kekawr thlan: Hei hi thil pawimawh ber leh kan thunun theih tur a ni. A bik takin hmeichhia tan chuan high heels leh narrow toe box te hian ke ruh lian chu pressure nasa tak a siam a, ke ruh dang lam pan chuan a nawr a ni. Hetiang hi rei tak a awm chuan bunion a lo awm thei a ni.
• I kal dan (Ke mechanics): I ke mechanics, chu chu leia i ke i dah dan hian i kea rit i dah dan pawh a nghawng thei bawk.
• Inflammatory conditions thenkhat: Entirnan, ruh natna, rheumatoid arthritis emaw lupus emaw nei te hian bunions an vei theihna a sang zawk.
• Hun rei tak ding emaw, i kea rit tam tak dah thei hna thawh emaw.

A awlsam zawngin, i ke ruh lian tak chu hun rei tak (kum tam tak pawh ni thei) chhung chu pressure hnuaiah a awm reng a ni. Thil thleng chu pressure chuan i ruh chu zawi zawiin hmalam a pan a, ke ruh dang lam pan chuan a hruai ta a ni. A tawpah chuan chutianga i ke ruh chu a inzar pharh chuan i taksain a insiamrem a tum rualin MTP joint -ah lump a lo awm ta a ni.

Tute nge bunions vei theihna chance sang zawk?

Tu pawhin bunions an nei thei a, mahse pawl thenkhatah chuan an hlauhawm zawk:

• Hmeichhia tan: Hmeichhia hian mipa aiin bunions an nei tam zawk. Vawi tam tak chu, fashion-a bun ṭhin pheikhawk tight, pointed-toe-te hi a chhan a ni thei a ni lawm ni?
• Genetic influence : Sawi tawh ang khan nu leh pate’n bunions emaw ke lama harsatna dang emaw an neih chuan an fate pawhin an nei thei bawk. Bunions vei zinga 70% aia tam chuan nu leh pa an nei a, anni pawh hian he natna hi an nei ve tho tih hmuhchhuah a ni.
• Tun hmaa ke hliam nei tawhte tan: Mihring ke hliam fo thin, infiammi ang chi te pawh hi an hlauhawmna a sang zawk.

Bunion hian harsatna dang a thlen thei em?

Ni e, bunion neih hian natna dang a thlen theihna a tipung thei a, chungte chu:

• Bursitis: Hei hi ruh chhehvela tuiin a khat bawm, bursa an tih chu a lo hring a, a na a ni. Hei hi bunion chunga a awm chuan a natna chu a na zual sauh sauh thin.
• Hammertoes: Ke ruh lian tak a sei avangin ke ruh pahnihna leh pathumna pawh hi hammer ang maia sei leh ben theih a ni bawk.
• Osteoarthritis: Hei hian ruh natna (joint wear and tear) tihna a ni. Bunion hian MTP joint-a cartilage chu a ti chhe thei a, arthritis a thlen thei a ni.

Engtin nge bunion i nei tih chiang taka i hriat theih ang?

Doctor chuan physical exam a ti ang a, bunion i nei em tih a hriat theih ang. I ke a en ang a, i ke ruh lian tak chu a hre ang a, i natna lan chhuah dan a zawt ang che. Eng chen nge bunion i neih tawh tih te, eng thiltih nge a ti na zual tih te, leh i chhungkuaa tu emaw chuan he natna hi an nei em tih te chu chiang takin i sawi a ngai ang.

Podiatrist, ke lama harsatna nei doctor pawh i pan a ngai mai thei bawk.

Bunion hriat theihna tur hian eng test nge tih thin?

A tam zawkah chuan bunion a awm tih hriat nan test lian tham a ngai lo. Mahse, i doctor chuan i ke ruh awmna hmun te, i ke ruh lian tak chu i ke ruh dangte nena khaikhin chuan eng chen nge a hlat tih te, leh MTP joint dinhmun te enfiah turin X-ray a ti thei a ni. X-ray hmang chauh hian a dinhmun dik taka teh theih a ni a, a bik takin operation ngaihtuah a nih chuan.

Bunions enkawl dan tur chu engte nge ni?

Bunions enkawl dan chu i natna level, bunion lian leh te, leh nitin nun a nghawng danah a innghat a ni. En teh, keimahni ngeiin kan tih theih thil engemaw zat a awm.

• I pheikhawk thlak: Hei hi tih hmasak ber a ni. Kekawrte box zau leh thuk tak neia inthlak chuan i ke ruhte pressure a tihziaawm thei. Kekawr hrual, tight tak tak kha pumpelh rawh. I pheikhawk hak tawhte pawh tizau thei tur stretching devices a awm bawk.
• Bunion pads leh taping: Bunion pads, damdawi dawr hrang hranga lei theih te hi bunion vel ah dah theih a ni a, hei hian pheikhawk atanga pressure leh friction a tihziaawm theih nan a pui thei a ni. I doctor chuan i ke ruhte chu a hmuna vawn nan medical tape hman a rawt mai thei.
• Orthotic devices: Orthotics chu i kekawrte tan i kekawrte tanpui nan i kekawr chhunga dah a ni. Chungte chu over-the-counter orthotics emaw, custom-made insert emaw pawh a ni thei. I doctor chuan i ke ruh lian leh i ke ruh pahnihna inkarah spacer tlemte dah turin a rawt thei bawk. Kekawr i bun loh hunah (a bik takin zan lamah) i ke ruh lian chu a dinglam theih nan splint i hman a ngai mai thei bawk.
• Natna tidamtu : Nonsteroidal anti-inflammatory drugs (NSAIDs) , ibuprofen , te hian natna leh hliam tihziaawmna kawngah a pui thei a ni. Hengte hi pill angin emaw, topical NSAIDs angin emaw ei theih a ni. Mahse, hre reng ang che, damdawi lam thurawn tel lo chuan NSAID hi vawi khatah ni 10 aia tam ei loh tur a ni.
• Ice: Ni khatah vawi tam tak kut zungtang naah minute 15-20 vel ice pack hnawih hian hahdamna a pe thei bawk. Mahse, ice pack chu vunah direct-in dah lo la, puan te tak teah khuh rawh.
• Corticosteroid injection: A hring leh a natna a nasat chuan i doctor chuan bunion chhungah corticosteroid injection a pe thei che a ni. Hengte hi damdawi prescription a ni a , inflammation a tiziaawm nghal vat thin .
• Physical therapy : Physical therapist nen thawkdunin i ke ruh tichak tur, ruhkawr tihchakna tur leh natna tihziaawmna tur te i thawk dun thei ang. I ke ruhte chu a hmunah a awm reng theih nan exercise leh stretch te an zirtir thei che a ni.
• Inzai :Thla tam tak chhung enkawlna dangin a puih loh chuan, emaw, a natna chu a na lutuk a, bunion avang hian ke i kal thei lo emaw, nitin hna i thawk thei lo emaw a nih chuan, i doctor chuan bunion correction surgery neih a rawt thei ang Surgery chi hrang hrang a awm a. I doctor emaw surgeon emaw chuan i surgery chi hrang hrang leh a chipchiar zawngin a hrilh ang che.

Bunions hi anmahni chauhin an dam tha em?

Ni lo, bunions hi a mah chauhin a dam lo va, nangmah chauhin i enkawl thei lo bawk. Bunion chu ruh awm dan inthlak danglamna a ni. Chu chu tihdanglam tur chuan damdawi lam tanpuina i mamawh a ni. Bunion i neih chuan doctor emaw podiatrist emaw pan ngei ngei tur a ni. Chumi hnuah chauh chuan i natna chu uluk takin i hmu thei ang a, i natna lan chhuahna tiziaawm thei tur enkawlna i tan thei ang.

Bunion hi a veng thei ang em?

Bunions hi chhan hrang hrang (a bik takin genetic factors) avanga lo awm thei a nih avangin, venhim kim a harsa hle. Mahse, pheikhawk in fit tha tak bun leh i ke tana tha nunphung i hman hian bunions lo piang chhuak chu a ti hniam thei a, a nasat loh nan a pui thei bawk. A tlangpuiin, i ke nena inmil leh hahdam thei tur pheikhawk thlang turin heng tips te hi zawm la:

• Kekawrte chu a tawi lutuk, a hrual lutuk, a kekawr sang lutuk hak loh tur – a bik takin i ke ruh a pinch chuan. Hengte hi i hmelma lian ber berte an ni!
• I pheikhawk size i hriat pawhin, a inmil ber tur zawng turin pheikhawk engemaw zat hmang la . A chhan chu pheikhawk zawng zawng hi a size inang vek a ni lo a, brand pakhat atanga brand dang thlengin.
• Kekawr thar i lei hmain , thut, ding, leh tlem tal kal kual velin inbel rawh . I ke ruhte chu a na em, a pinch em, engti kawng pawhin a pinch em tih enfiah rawh. Kekawr leh i ke ruh sei ber inkarah hian hmun tlem a awm tur a ni.
• You can find a more accurate fit by shopping for shoes at the end of the day , i ke chu nitin a hring deuh a, zing aiin tlai lamah a lian deuh bawk.

I doctor emaw podiatrist emaw chuan i ke tan pheikhawk chi emaw brand tha ber emaw a rawn rawt thei ang. Structural foot problem dang, flat feet emaw high arches emaw i neih chuan, bunions venna atana orthotics i mamawh leh mamawh loh i doctor zawt rawh.

Bunions nei chuan eng nge a beisei theih ang?

Bunions vei tam zawk chuan an natna lan chhuah dan an enkawl thei a, nitin hnathawhnaah nghawng lian tham nei lovin nun pangngaiin an hmang thei a ni. I doctor chuan i natna lanchhuahna tiziaawm thei tur leh i ke leh ke ruhte hrisel leh chak taka awm tir thei tur enkawlna inzawmkhawm zawng turin a thawkpui ang che.

A pawimawh ber chu, bunions symptoms i neih chuan doctor pan hun tikhawtlai suh.Enkawlna i tan hma chuan operation ngai lovin i symptoms control theihna chance a sang zawk.

Mite bunion surgery nei tawhte chuan thla hnih atanga thla thum chhungin an hnathawh pangngai zawng zawng an thawk leh thei tlangpui , mahse a dam kim theih nan hun rei zawk a ngai thei.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i hmuh chuan a rang thei ang bera doctor emaw podiatrist emaw pan rawh :

• I ke emaw i kut zungtang emaw a na fo thin .
• Kal emaw, kut zungtang hrual emaw a harsa .
• Ke ruh lian tak bul (a na emaw, a na lo emaw) hmuh theiha lump .
• Kut zungtang chhungah emaw, a chhehvelah emaw a hring, a sen emaw, a lum emaw .
• Kut zungtang-a rilru hah emaw, hriatna hloh emaw .

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor nena in inhmuh hunah, thil awmdan hriatthiamna tha zawk neih theih nan hetiang zawhna hi i zawt thei ang:

• Engvangin nge he bunion hi ka neih? Ka ke pianziaah hian harsatna a awm em?
• Eng ang enkawlna nge ka tan a tha ber? Surgery ka mamawh dawn em?
• Eng chen nge heng enkawlna atang hian hahdamna kan beisei theih ang?
• Ka ke lehlamah bunion a lo awm loh nan eng nge ka tih theih ang?
• Kekawr chi hrang hrang bun hi ka pumpelh vek tur em ni?
• In lamah eng exercise nge ka tih theih ang?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Bunions, a nih loh leh hallux valgus hi ke lama harsatna awm fo a ni. I ke ruh lian tak chu a pianphung atanga nawr chhuah, ke ruh dang lam pan a nih chuan an lo awm thin. A tawpah chuan i ke ruh lian tak leh i ke inzawmna hmunah ruh bump a lo awm thei a ni.

Bunion hian natna a thlen emaw, nitin hnathawhna a tibuai emaw a nih chuan enkawlna zawn a pawimawh . I pheikhawk hak chi thlak ang maia awlsam a ni thei a, mahse bunion i hriat theih nan doctor emaw podiatrist emaw i pan tur a ni. Chumi hnuah chuan i doctor chuan i natna lan chhuah dan tihziaawmna tur leh i duhzawng thiltih tur i tih leh theihna tura puitu tur enkawlna a rawn rawt thei ang che. A rang thei ang bera, tihkhawtlai lohvin thurawn lak a tha ber!