I ke ruh (ankle joint) chu eng nge ni tih chiang takin i zawng chhuak ang u. He hmun tlemteah hian hna lian tak a ni!

Kan ke ruhte hi nitin thil tam takah kan hmang thin a ni lawm ni? Kal, tlan, zai, stairs chhoh... Heng zawng zawng atan hian ankle joint hi a inmil tawk a ngai a ni. Chuti a nih chuan, he ankle joint hi eng nge ni a, engtin nge a thawh a, a part engte nge ni? A awlsam zawngin sawi ila. Thian nena inbiakna ang maiin.

Ankle joint hi eng nge ni?

A awlsam zawngin, i ke ruh (ankle joint) chu i ke leh i ke hnuai lam inzawmna (joint) a ni. A chang chuan doctor-te chuan ``Tibiotalar joint'' emaw ``Talocrural joint'' emaw an ti thin.Chu hmingte chu scientific deuh a ni lawm ni? Mahse hriat a tha.

Joint dang zawng zawng ang bawkin i ke ruh hi i ruhro (skeletal system)-ah a tel ve a ni. Tin, he ke ruh chhungah hian thil tam tak a awm a, chu chu cartilage, muscles, ligaments, leh nerves te hi a ni . Heng zawng zawng hian harsatna awm lova kan kal theih nan a thawk ho a ni.

I ke ruh a na emaw, a khauh emaw i neih chuan a rang thei ang bera doctor pan tur a ni. I natna lan chhuah chhan chu an hmuchhuak thei ang a, i hnathawh dan pangngaiah i kir leh theih nan enkawlna an pe thei ang.

Ankle joint hi eng nge thleng?

He ankle joint hian i kal emaw, i tlan emaw, i zuang emaw hian i taksa rihna a balance a, a support nasat zia hi han ngaihtuah teh! Ankle joint hnathawh ber chu i taksa tihngheh leh balance neih theihna tura puih hi a ni.

Ankle joint hian a kalna tur kawng lian pahnih a nei a, chungte chu:

• Plantar flexion: Hei hian i ke chu hnuai lam, i taksa atanga hla taka ben tihna a ni. Ballet dancer ang maiin i ke ruhte chu leiah i tap mai ang tih han ngaihtuah teh. Chu chu a ni.
• Dorsiflexion: Hei hian i ke chu chunglam hawiin, i taksa sir lam hawiin, i ke ruhte chu i han en chho ang maia ben tihna a ni.

Heng chetna pahnih hian leilung hrang hranga kea kal, tlan leh tlang lawn theihna min pe a ni.

Khawiah nge ankle joint hi a awm?

Hei hi mi zawng zawngin kan hriat chian a ni. Ankle joint hi i ke hnuai lamah a awm a, chutah chuan ke hnuai lam leh ke chu a inhmukhawm a ni.

Ankle joint hi eng chi joint nge a nih?

Kan taksaah hian ruh chi hrang hrang a awm a . Doctor-te chuan kawng hrang hrangin an thliar hrang a. Joint chi hrang hrang lian ber berte chu:

• An siamna hmanrua (an siam dan) a zirin.
• An kal dan (an hnathawh dan) a zirin.

Ankle joint hi synovial joint chi khat a ni a . Heng synovial joint te hian zalenna nasa ber an nei a ni. Socket chhunga ruh pakhata ruh dang a in fit atanga siam an ni. He ruh siamtu ruh tawp hi thil hrual hyaline cartilage an tih hian a khuh a ni . Tin, ruh pahnih inkar hmun chu synovial membrane hmanga inzawm a ni bawk.A khuh chuan a lubricate leh joint humhimtu tuiin a khat a ni. He extra cushioning hian synovial joint te chu friction tlem thei ang bera a kal theihna tur a ni.

A hnathawh danah chuan ankle joint hi hinge joint a ni . Kawngkhar chunga hinge ang maiin han ngaihtuah teh. Hinge hmun thenkhat chu fixed a nih laiin, hmun thenkhat chu kawngkhar hawn leh khar pui turin hla deuhah an kal thung. Chutiang chuan ankle joint chu a sir lehlamah a kal thei a ni.

Ankle joint hi engtin nge a awm?

He mechanism mak tak mai, i ke ruh inzawmna (ankle joint) hi heng hmun hrang hrang atanga siam a ni:

• Ruh a awm
• Cartilage a awm
• Ligaments (ligaments) te
• Muscle te hi a ni
• Nerves a awm
• Thisen kalna kawng

Tunah chuan heng hmun tinte hi chipchiar deuhin han thlir ila.

Ankle chhunga ruh awmte

Ankle joint hi ruh lian pathum atanga siam a ni a:

• Tibia: Shin bone tia hriat bawk , hei hi i ke chunglam atanga i ke ruh lian hnuai lam thlenga ruh lian tak, chak tak a ni.
• Fibula: Hei hi shin bone an ti bawk. Hei hi ruh hring zawk, tibia nena inmil taka kal a ni. Knob ang chi, ke ruh pawn lama kut atanga vawn chu fibula hnuai lam tawp atanga siam a ni.
• Talus: Hei hi ruh te tak te, mahse pawimawh tak, ke ruh inzawmna lai takah a awm a, tibia leh fibula te chu ke ruh nen a thlunzawm a ni.

Heng ruh pathumte hi an inzawm khawm a, ankle joint an siam a ni.

Ankle cartilage a awm

Cartilage hi tissue chak tak, flexible tak a ni. I ruh (joint) te a venghim thin. Shock absorber angin a thawk a ni . I ke ruh inzawmna chu hyaline cartilage in a khuh a . Hei hi kan taksaa cartilage chi khat awm tam ber a ni. Doctor thenkhat chuan articular cartilage an ti bawk . I ruhte a khuh a, i ruh tawp a khuh bawk.

Hyaline cartilage hi a hmin hle a, a hnim bawk. Chuvangin i ruh ruhte chu awlsam takin an inhnim pil thei a ni. I tibia, fibula leh talus ruhte inzawmkhawmna hmunte chu he hyaline cartilage hian a khuh a ni.

Ankle ligaments a awm

I ke ruh chhunga ligament te hi hrui nghet tak ang mai a ni. I ke ruhte chu i ke hnuai lam ruhte nen an thlunzawm a ni. Anni hian ruh (joint) a nghet reng theih nan an pui thin.

Ankle-ah hian ligament chi thum a awm a, chungte chu:

• Medial ligaments (deltoid ligaments an ti bawk):Heng ligament palite hi medial malleolus atanga tan a ni a, chu chu tibia hnuai lam tawp chhungah ruh langsar tak a ni. Chuta tang chuan an inzar pharh a, ke ruh talus, calcaneus (heel bone) leh navicular bone-ah te an inzawm khawm a ni. Ankle chhung lam chu an stabilize thin.
• Lateral ligaments: Heng ligament pathumte hi fibula tawp hnuai lam, lateral malleolus, ke ruh pawn lam atanga tan a ni. Talus leh calcaneus ruh-ah an inzawm tlat a ni. Ankle pawn lam chu an stabilize thin. Heng lateral ligament te hi ke ruh tliak (ankle sprain) ah hian an hliam tam ber.
• Syndesmotic ligaments: Heng ligament palite hian tibia leh fibula te chu an vawng tlat a. "High ankle sprain" an tih dinhmunah chuan an pawimawh hle.

Ankle ruh (ankle muscle) te

Muscles hi soft tissue a ni a, flexible fiber atanga siam a ni. I taksa peng hrang hrang hip leh che thei turin an contract (flex) thin. I ke leh kekawrte chetna chu i ke leh kea ruh inzawmte hian a thunun a ni.

Plantarflexion (ke hnuai lam hawia ben) control tu muscle te:

Heng taksa ruhte hian i ke chu hnuai lam, i taksa atanga hla takah i ben tir thei a ni. Entirnan, i ding a, i ke chu i ke ruh chungah i chawi sang a, heng ruhte hian hna an thawk a ni. Muscle lian ber ber thenkhat chu:

• Gastrocnemius (a kekawr hnunglam ruh lian ber) .
• Soleus (gastrocnemius hnuaia thau awm) .
• Tibialis hnunglam `(Tibialis hnunglam)`

Dorsiflexion (ke chunglam hawia flex) control tu muscle te:

Heng muscle te hian i ke chu chunglam leh sir lamah i ben thei a ni. Entirnan, i kal lai hian lei atanga i ke i chawi chhuah apiangin heng ruh te hi a thawk chhuak thin. Muscle lian ber ber thenkhat chu:

• Tibialis anterior (shin ruh hma lama taksa ruh) 1.1.
• Extensor digitorum longus `(Extensor digitorum longus)` tih a ni

Ankle nerve a awm bawk

Nerve hi electric cable ang a ni. I thluak leh i taksa dangte inkarah electrical impulse an keng tel a ni. Heng impulses te hian sensations i hriat theih nan leh i taksa ruh te a ti che thei a ni. Ankle chhunga nerve lian ber ber thenkhat chu:

• Tibial nerve a ni
• A chunglam peroneal nerve a awm
• Peroneal nerve thuk tak a ni

Heng nerve te hi a chhiat chuan ke ruh natna, natna, taksa ruh chak lohna ang chi thil a awm thei a ni.

Thisen kalna kawng (ankle) ah a awm

Thisen kalna kawngte hi i taksa pum puia thisen phurtu kawng a ni. Circuit khar ang mai an ni a, i thinlung atanga tan in i thinlungah an tawp leh thin. I ke ruhroah thisen pe chhuaktu leh thisen phur chhuaktu artery lian pathum a awm a, chungte chu:

• A hmalam tibial artery a ni
• A hnunglam tibial artery a ni
• Peroneal artery atanga chhuak

Heng thisen kalna kawngte hian ke ruh chhunga tissue te chu an mamawh oxygen leh nutrients te a pe a ni.

Ankle joint tibuaitu harsatna leh dinhmun tlanglawn tak takte chu engte nge ni?

I ruh emaw connective tissue emaw tichhe thei thil eng pawh hian i ke ruh (ankle joint) a nghawng thei a ni. Harsatna leh dinhmun tlangpui thenkhat chu:

• Ke leh ke ruh natna: Hei hi ruh natna (joint inflammation) an ti. Hetiang dinhmunah hian ruhte chu a hring thei a, a na thei bawk.
• Gout: Thisenah uric acid a pun avangin ruh chhunga crystal awm avanga natna khirh tak a ni.
• Bursitis: Tui khata khat bawm te tak te, bursa an tih, ruhkawr vel a inflammation.
• Tendinitis: Tendon, ruh leh ruh inzawmkhawmna tissue a inflammation.
• Flat feet: Ke arch hloh hian ke ruh chungah rit a siam belh thei a ni.

Sports injuries hi ke ruh hliam nasat ber pawl an ni:

• Ankle sprains: Ligament inzawm emaw, a hrual emaw. Hei hi mi tam zawka hliam tuar tam ber a ni.
• Achilles tendon hliam leh tendon natna dang: Achilles tendon hi kephah chunglam a tendon lian tak a ni.
• Ankle fractures: Ankle ruh pakhat emaw a aia tam emaw a tliak.

Ankle joint nena inzawm natna langsar tak takte chu engte nge ni?

I natna lan chhuah dan chu i ke ruh tichhe thei dinhmun emaw, harsatna emaw a zirin a innghat ang. Mahse, ke ruh lama harsatna tam zawk hian heng ang symptoms hi a thlen thei a ni:

• Natna (a bik takin chet lai): Hei hi a lan chhuahna ber a ni.
• Inflammation (swelling): Ke ruh vel a hring.
• Stiffness: Ankle hi awlsam taka ben leh ben loh theih a ni lo.
• Instability: Ankle chu a chak lo hle niin a hria a, a slip hlauhna a awm bawk.
• A rawng inthlak emaw, a sen emaw: Ke ruh vel vun chu a sen emaw, a sen emaw a ni thei.
• I lumna: I ke ruh i khawih hian i ke ruh vel chu lumna i nei thei.

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh. Damdawi lam thurawn lak a tha ber.

Ankle enfiahna atana test tih tlanglawn tak takte chu engte nge ni?

I ke ruh natna emaw, danglamna emaw i hriat veleh doctor pan rawh. Doctor-te’n harsatna an neihte hriat theihna tura an hman ṭhin test ṭhenkhat chu:

• X-ray: Ruh ruh tliak emaw, ruh lama harsatna dang emaw a awm leh awm loh enfiah thin ang che.
• Ultrasound hmanga tihchhuah te:Ligament leh tendon ang chi soft tissue te chhiatna zawng rawh.
• Joint aspiration : Joint chhunga tui tlemte la chhuakin test a ni. Infection emaw gout ang chi condition emaw hriatchhuahna kawngah a pui thei a ni.
• CT scan: X-ray aiin ruh leh ruhkawr chipchiar zawkin a hmu thei.
• MRI: Soft tissue, cartilage, ligament, leh tendon te chu chiang takin a hmu thei.
• Thisen test: Thil awm dan thenkhat, infection leh arthritis te hriatchhuah.

Doctor chuan heng test te hi i symptoms leh mamawh dan a zirin engtin nge i tih ang tih a rel ang.

Ke ruh natna tihziaawm nan eng nge ka tih theih ang?

I ke ruh natna i hriat veleh engmah rit phur suh. I doctor-in a tih hma loh chuan infiamna, tlan, emaw, zuang emaw kha bansan rawh. RICE method hi zawm a tha ber . Natna emaw, chhinchhiahna dang emaw i hriat veleh hetiang hian ti ang che:

• R - Chawlh: I hliam tu thiltih kha pumpelh rawh. I ke ruh chu a dam hma loh chuan rit lutuk dah suh.
• I - Ice: Puan lum emaw ice pack emaw chu towel te tak teah khuh la, ke ruh chungah minute 15 vel dah rawh. Ni khatah vawi tam tak hetiang hian ti thin ang che. Ice hi vunah direct-a hnawih loh tur.
• C - Compression: Swelling tihziaawm nan i ke ruh chu elastic bandage hmangin i khuh thei. Amaherawhchu, thisen kalna a titawp thei khawpa khauh takin phuar suh.
• E - Elevation: A theih phawt chuan i ke ruh chu i thinlung level aia sangin dah la. I ke chu pillow-ah i prop up thei bawk.

In lama enkawl ni engemaw zat hnuah a na a nasat emaw, ke ruh natna a reh loh emaw chuan doctor pan ngei ngei tur a ni.

Ngaihtuah teh, soccer match-a chakna goal i khung emaw, kawngpuiah i kal mai mai emaw pawh nise, second i che apiangin i ke ruh i hmang vek a ni.

Kan hman fo avangin ke ruh nena inzawm harsatna kan nei tam zawk. Over-the-counter damdawi leh chawlh hahdam hmangin i natna chu i tihziaawm thei mai thei. Mahse, a natna lan chhuah dan chu ngaihthah suh. Ni engemaw zat chawlh hnua i ke ruh natna, i ke ruh na leh a hring te chu a reh lo a nih chuan doctor pan rawh.

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

Ankle joint hi kan taksa peng te tak te mahse a pawimawh em em a ni. Kan nitin hna tam tak a ti awlsam a ni.

• Ankle joint hi ruh, cartilage, ligament, muscle, nerve leh thisen kalna kawng hrang hrang atanga siam a ni. Chung zawng zawng chu a thawk tha vek hunah chauh harsatna awm lovin kan kal thei a, kan tlan thei bawk.
• Ankle sprain, tendon hliam, leh fracture te hi a awm fo thin. He risk hi a bik takin infiamna khel thin tan chuan a sang hle.
• Natna, hring, emaw, rilru hahna ang chi symptom i neih chuan ngaihthah suh. RICE method zawm la, ni engemaw zat chhunga a lo tha lo a nih chuan doctor thurawn la rawh.
• Ankle hliam tam tak hi enkawl dan dik leh chawlh hahdam chuan tihdam theih a ni. Chuvangin hlauthawng suh, mahse tihkhawtlai suh.

I ke ruh chu enkawl tha rawh. Hun rei tak a rawng a bawl ang che!

` Ankle Joint, Ankle Joint, Ke ruh na, Ruh, Cartilage, Ligaments, Ruh natna