I khup ligament chungchang i zir dawn teh ang. Heng thilte hi i tan a pawimawh em em a ni!

I khup hlutna leh makzia hi i ngaihtuah ngai em? Kan tlan emaw, kan zuang emaw, kan kal kual mai mai pawhin kan taksa rihna a thlawp a, zalen tak leh awlsam taka kan kal theih nan min pui bawk. Chuvangin, he khup chhungah hian thil danglam tak leh pawimawh tak tak a awm a. Chumi zingah chuan ``ligaments`` tih part chungchang hi kan sawi belh dawn a ni. Chûngte chu rubber band nghet tak ang mai an ni a, mahse a buaithlâk zâwk a, a chak zâwk bawk. An tel lo chuan kan khup hian stability a nei lovang.

Khup chhunga ligament lian ber berte chu engte nge ni?

A awlsam zawngin kan khup chhungah hian ligament chi li a awm a. Hengte hian kan khup ruhte chu a vawng tlat a, khup chu stability a pe a ni. Kan khup inzawm khawmtu strap nghet tak angin ngaihtuah rawh. Heng pali zinga pahnih hi khup sir lamah (collateral ligaments) a awm a, a dang pahnih chu khup chhungah (cruciate ligaments) a awm bawk.

Tunah chuan hengte hi chipchiar deuhin han thlir ila:

1. Medial Collateral Ligament (MCL) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo.

Hei hi a tawi zawngin MCL kan ti a. Hei hian i thigh bone (i ke chunglam ruh lian tak - femur) chu i shin bone (i ke hnuai lam chhunga ruh lian tak - tibia) nen a thlunzawm a ni. Ligament zau tak, flat tak a ni. MCL hnathawh ber chu i khup chhung lam a stabilize a, chu chu khup chu a tul lovah chhunglam hawia a inbeng loh nan a veng tihna a ni.

2. Lateral Collateral Ligament (LCL) a awm a, a chhuahna tur hmun tur chu a awm lo.

Hei hi LCL an ti a. Thigh bone (femur) chu ke hnuai lam ruh te tak te dang (fibula) nen a thlunzawm a ni. MCL aiin a thim deuh a, a round deuh bawk. LCL hian khup pawn lam chu stability a pe a ni. Hei hian khup chu hla lutuka a kal loh nan a titawp tihna a ni.

3. Hma lam kawng (ACL) .

Tunah chuan khup chhunga pahnih hi han en ila. Pakhat chu Anterior Cruciate Ligament emaw ACL emaw a ni. Hei hian thigh bone (femur) chu shin bone (tibia) nen a thlunzawm bawk a, mahse khup hma lamah erawh a thlunzawm thung. Khup chhunga ligament hliam tam ber chu ACL a ni. Infiamna i khel a, a bik takin football emaw basketball emaw i khelh chuan ACL inhliam i hre tawh ngei ang. A hnathawh ber chu tibia chu femur nena khaikhin chuan hmalam pan lo turin control a ni.

4. Hnung lam (PCL) .

A dang chu `(Posterior Cruciate Ligament)` emaw `(PCL)` emaw a ni. Tin, thigh bone leh shin bone a thlunzawm bawk a, mahse khup hnung lamah erawh a thlunzawm thung. `(ACL)` aiin a chak zawkin a thuk zawk hle. Chuvangin `(PCL)` hi a hliam a tlem hle.Hei hian a bik takin shin bone (the tibia) chu thigh bone (the femur) nena khaikhin chuan hnunglam hawia a kal dan a control a ni.

Heng ligament pahnih, `(ACL)` leh `(PCL)` te hi khup chhungah ('X' letter ang chiah) a inzawm tlat avangin ``cruciate ligaments`` an ti a.

Knee ligament te hian eng hna nge an thawh?

Chuti a nih chuan he thil "bonding" an tih hian kan khup chungah eng nge a tih? Hengte hi awm lo se chuan kan ding thei lo ang a, kan kal thei lo ang a, kan tlan thei lo ang a, kan zuang thei lovang. Ngaihtuah teh, hengte hi:

• Leiah kan ke kan dah hian kan khup hian min nghet reng thei a ni.
• Kan thigh bone (femur) leh lower leg ruh (tibia leh fibula) te chu a thlunzawm a, alignment-a awm reng turin a pui a ni.
• Ruhte chu hmun dik takah a awm theih nan a pui a ni.
• Khup chu a tul lova, a pianphung lo taka a inher a, a sir lama tlak loh nan a veng a ni.
• Khup ruh zawng zawng chu a nghet reng a ni.
• Khup chu kawng hlauhawm, pianphung ni lo lam hawia a kal loh nan a titawp a ni.

A awlsam zawngin sawi ila, heng ligament te hi kan khup vengtu ang mai an ni. Khup hnathawh that nan an pui a, che lutuk lovin.

Knee ligament hliam hi eng nge ni?

Heng ligament te hi connective tissue chak tak, elastic deuh deuh atanga siam an ni. Chung chhungah chuan protein chi khat bik `(collagen) tih a awm a. `(collagen) tih hi i hre tawh mai thei, a chang chuan vun mawina tia an sawi thin. Chuvangin he `(collagen)' hian tissue te chu a thlunzawm a, chakna a pe a ni. Tin, heng ligament te hian fiber elastic deuh an nei bawk. Chuvangin khup hi a che thei a, a ben thei a, a insiam thei bawk. Mahse, he elasticity hi a pelh chuan a hliam a ni.

Khup ligament hi a hliam thei em?

Vanduaithlak takin, a ni. Heng ligament te hi eng ang pawhin chak mahse, a chang chuan hliam an tuar thei bawk. Ligament a hliam hian ``sprain'' kan ti tlangpui. Chumi awmzia chu ligament chu a inzawm hla lutuk tihna a ni. Hei hi a hliam na lo atanga ligament fibers te a hrual tlem thlengin a awm thei. A châng chuan, ligament hi a chhe vek thei (``complete rupture`` emaw ``tear`` emaw) pawh a ni thei.

• (ACL) tear (`ACL tear`) .
• (LCL) tear (`LCL tear`) .
• (MCL) tear (`MCL tear`) .
• (PCL) tear (`PCL tear`) .

Knee ligament hliam hi a tam hle a, a bik takin infiammi zingah hian a tam hle. Mahse infiammi ni lote chungah pawh an thleng thei. Ligament hliam i neih theihna tur dinhmun thenkhat chu hetiang hi a ni:

• Khup hnunglam atanga pressure emaw vuakna nasa tak i neih chuan khup chu a ben deuh a nih chuan.
• Khup ben hmalam ah force dah a nih chuan. Hei hi ``dashboard injury'' tia sawi a ni \hin a, a chhan chu car accident-a khup hmalam ``dashboard'' a tawlh hian hetiang hi a thleng thei a ni.
• I ke chu leia a awm chuan i khup sir (chhûng lam emaw, pawn lam emaw)-ah chakna nasa tak a pe a. Entirnan, football game-a mi pakhatin a sir atanga a tackle che hian.
• Khup hi hnunglam a hla lutuk (hyperextended) a nih chuan pawn lam thiltihtheihna engemaw vang a ni tlangpui.
• Khup ruh chu thil awmdan pangngai lo, rang taka inher a nih chuan. Basketball khelh laiin kawng danglam nghal mai, netball khelh laiin dik lo taka tla thla emaw, skiing lai emaw ang maiin han ngaihtuah teh.

Engtin nge doctor chuan ka khup ligament ka hliam tih a hriat theih ang?

Khup hliam i neih a, natna, hring, kal harsa i neih chuan doctor i pan ngei ngei tur a ni. A hmasa berin a hnuaia mite hi a ti ang:

• I natna lan chhuah dan chungchangah zawhna tam tak zawh i ni ang: eng chen nge he natna hi a awm tawh, engtin nge hliam hi a lo awm, engtik laiin nge natna hi a na zual a, i khup chu a nghet lo tih i hria em.
• Taksa enfiahna: Hei hian i khup hliam chu uluk taka enfiah a ngai a ni. Doctor chuan khup a hring emaw, a sen emaw, a na em tih a enfiah ang. Chumi hnuah doctor chuan special test eng emaw zat a nei ang a, khup chu kawng hrang hrangah a kal ang a, ligament-te stability a enfiah ang. I khup hrisel dang nen pawh an tehkhin mai thei bawk.
• X-ray: I ke ruh tliak, khup (patella) emaw, ruh harsatna dang emaw i neih leh neih loh en turin X-ray la turin an ti thei che a ni . X-ray-ah chuan ligament hmuh tur awm lo mah se, hliam dang awm lo turin hei hi a pawimawh hle.
• MRI: Ligament-te dinhmun dik taka hriat theihna kawng ṭha ber chu, a hliam emaw, a chhe emaw, eng chen nge a nih tih hriat theihna kawng ṭha ber chu Magnetic Resonance Imaging (MRI) scan hi a ni. MRI hian khup nêm tak tak, ligament leh meniscus te chu chiang takin a hmu thei a ni.

Khup hliam enkawlna hman tlanglawn tak takte chu engte nge ni?

Khup hliam emaw, ruh tliak emaw enkawlna chu a inang lo thei hle. Thil hrang hrangah a innghat a ni:

• Eng chen nge symptoms i neih tawh?
• Khup chhunga ligament engzat nge hliam?
• Hliam nasat dan (e.g., hliam na lo emaw, mittui tla vek emaw).
• Engtiang chiahin nge i nitin hnathawh leh nun a tihbuai, natna vang emaw, i khup chungah rit i dah theih loh vang emaw pawh nise.
• He hliam hian i khup a tichak lo va, a nghet lo a, nakin lawkah hliam dang tuar leh tur emaw, khup ruh natna (osteoarthritis of the knee) vei theihna tur hlauhawmah a dah che a ni.

Enkawlna kawng hrang hrang chu nonsurgical atanga surgical thlengin a awm thei:

• The `(RICE method)`: Hei hi hliam tam zawka hman ber a ni.
• Chawlh : Khup chawlh hahdam.
• Ice : Ni khatah vawi tam tak minute 15-20 vel ice hnawih la, a hring leh a na tihziaawm nan.
• C. A rilru a buai em em aCompression: Khup chu elastic bandage hmanga khuh a, a hring control theih nan.
• Elevation : Khup chu thinlung chungah dahin, a hring (swelling) a ti tlem.
• Painkiller leh anti-inflammatory drugs: Heng zingah hian nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen leh naproxen te pawh a tel. Hengte hi damdawi lam thurawn hnuaia lak tur a ni.
• Assistive devices: I khup atanga rit lak chhuahna atana puitu crutches ang chi thil.
• Immobilization: Khup chungah knee brace ang chi thil dah a, a tul lo taka chetna tur venna.
• Physical therapy: Hei hi a pawimawh hle. Physics therapist chuan i khup-a chetna, chakna leh inthlak danglamna i neih leh theih nan exercise bik a zirtir ang che.
• Surgery: Ligament tear na tak tak thenkhat, a bik takin ACL tear te hi operation a ngai thei. Hei hi orthopaedic surgeon-in a ti thin. Hei hian hliam tuar ligament siamthat emaw, a thar siam emaw a huam thei.

Doctor chuan i tan eng enkawlna nge tha ber tih a rel ang.

Knee ligament hliam hi engtin nge kan ven theih ang?

Tunah chuan, "Aw, hetiang hliam hi pumpelh dan tur a awm lo em ni?" Of course , khup hliam zawng zawng hi 100% in ven theih a ni lo. Mahse, kan khup ligament enkawl tur leh a hlauhawmna tihziaawmna turin step tlemte kan la thei. Hengte hi athlete emaw sports mi emaw i nih chuan a pawimawh hle:

• Infiamna hlauhawm tak takte chu hre reng ang che: Infiamna ṭhenkhat, basketball, volleyball, soccer, football, leh netball te hian khup hliam hlauhawmna a keng tel tih hrethiam ang che. Heng infiamna te hi i khelh hian fimkhur zual rawh.
• Surface dik thlang rawh: Exercise leh inkhelh hunah surface flat leh tha thei ang bera hmang thin ang che. Hei hian a tul lo taka khup inher leh tlu leh tlu theihna a ti tlem ang.
• I taksa rihna hrisel tak vawng reng rawh: I san zawng leh kum a zirin taksa rihna hrisel tak vawng reng rawh, a chhan chu i thau chhoh zel chuan i khup chungah pressure a sang chho zel a ni.
• I workout hrang hrang siam rawh: Nitin exercise chi khat tih ai chuan i workout routine chu tidanglam rawh. Weight training (`strength training`) leh aerobic (heart rate) exercise (`cardio`) te chu mix up rawh. I taksa ruhte a chak chuan i ruhte pawh a humhim bawk.
• Warm-up leh Cool-down: Taksa tihchakna eng pawh i tih hmain warm-up tha tak ti hmasa phawt ang che. Tin, exercise i tih zawh hnuah stretch tha tak leh cool-down tha tak nei bawk ang che.
• Zawi zawiin intensity tipung rawh: All out la, exercise la suh. I exercise intensity leh duration chu zawi zawiin leh systematic takin tipung rawh.
• Pheikhawk dik tak ha rawh: I thiltih tur nena inmil, i fit tha, leh dinhmun tha tak pheikhawk bun rawh.
• Invenna hmanrua bun: Infiamna i khelh apiangah invenna hmanraw rawt (e.g., khup vengtu) ha rawh.

A tawp berah chuan hre reng ang che

Chuvangin, tunah hian kan taksaah hian khup ligament te hi eng ang taka pawimawh leh pawimawh nge an nih tih chiang takin i hmu thei tawh ang. Chûngte chu kan khup chu a hmunah vawng tlattu, a nghet taka vawngtu leh zalên taka kan kal theih nâna min ṭanpuitu a ni. Mahse, eng ang pawhin chak mah se, pressure dik lo hnuaia dah an nih chuan, emaw, accident a awm chuan awlsam takin an inhnim emaw, an chhe thei emaw a ni.

Khup hliam na tak i neih chuan, emaw, hmun khata hliam inang i neih reng chuan ngaihthah suh. Doctor thiam tak hmuh ngei ngei tur a ni. Diagnosis dik tak leh enkawlna dik tak neih chauhvin natna i tihziaawm thei a, khup hnathawhna a nei leh thei a, nakin lawkah hliam emaw, hun rei tak chhung khup harsatna (i tar deuh deuha ruh natna ang chi) i veng thei bawk. Chuvangin, i khup hi enkawl tha la, i nun atan a pawimawh em em a ni!

` Khup ruh, khup hliam, ACL, MCL, LCL, PCL, khup na, infiamna lama hliam, khup, khup hliam, khup hliam