He ruh te tak te hi ke ruh natna thlentu a ni em? AC joint (Acromioclavicular Joint) chungchang i zir dawn teh ang

I kekawr chunglam, a bik takin i kekawr bul tawpna hmunah hian natna mak tak emaw, tightness emaw i nei fo thin em? Cricket i khelh laiin leia i tlu atanga intan emaw, bike khalh hnua i tlu a, leia i kut i tah atanga intan emaw pawh a ni thei. Mi tam tak chuan he ke ruh natna hi thil pangngai, taksa ruh natna (muscle strain) anga an ngaih laiin, a chhan tak chu kan ke ruh te tak te, mahse pawimawh tak tak a awm vang a ni thei. Vawiin hian AC joint chungchang hi han sawi ila, chu chu mi zawng zawngin an sawi tam lo hle a, mahse a pawimawh em em a ni.

He AC joint hi eng nge ni?

A awlsam zawngin sawi ila, AC joint hi i shoulder-a joint lian pahnih zinga pakhat a ni. A hming pum chu Acromioclavicular Joint a ni . A hming hi a buaithlak deuhin a ri a ni lawm ni? Mahse a siam dan erawh a awlsam hle. AC joint hi i collarbone, a nih loh leh clavicle , chu i shoulder blade (scapula) chunglam nena inzawmna hmunah a awm a ni. I kut lehlam kut zungtang hmangin i kekawr chunglam chu i hre thei. I collarbone tawp lama bump te tak te lo chhuak chu a ni a, chutah chuan joint chu a awm a ni.

Chuvangin heng ruh pahnih hming hi inzawmkhawmin `Acromio-clavicular` tih hming hi siam a ni. Hei hi kan kekawrte chetna leh nghetna atana pawimawh tak a ni.

AC junction hian kan taksa tan eng service nge a pek?

AC joint hnathawh ber chu shoulder support a, shoulder vel ligament te innghahna tur hmun siam a ni.

AC joint hi eng emaw chen ‘passive’ joint, a mah chauha che thei lo angin ngaihtuah rawh. Chu chu a chetna chu a ke ruh chhunga ruh leh ruh dangte’n an thunun tihna a ni. Shoulder chhunga muscle te an che chuan shoulder pumpui a che a, chutih lai chuan AC joint chu a che thin. Strict takin sawi ila, planar joint a ni a, ruh pahnih chu a chungah awlsam takin an tlan thei a ni.

Entîr nân, lawng i khalh laiin i kut chu hmalam i nawr a, chutah i hnunglam i hrual ang tih han mitthla teh. Hetianga i che lai hian i kekawrte chu hmalam leh hnunglam hawiin a kal a, AC joint hian kekawrte chu a che tha thei ang. He joint hi i kut i chawi sang lai pawhin a pawimawh hle.

AC junction hi eng atanga siam nge ni?

He inzawmna te tak te chhungah hian kan taksa peng pawimawh tak tak engemaw zat a awm a.

• Ruh: Kan sawi tawh ang khan clavicle leh scapula te hi he ruh hi ruh lian ber pahnih an ni.
• Cartilage: Heng ruh pahnih hi an inhnaih loh nan an inkarah hian cushion a awm a. Hei hi cartilage kan tih chu a ni. Hei hian ruh pahnih chu engmah tihchhiat lohvin a chungah awlsam takin a tlan thei a ni.
• Ligaments: Joint pakhata ruh pahnih chu inzawmkhawmin ligament hmangin a hmunah an vawng tlat a. AC joint hian ligament lian pathum a nei a. Hengte hian joint chu a che vel lovin a hmunah a vawng reng thin.
• Nerves: He junction-ah hian nervous system atanga natna leh hriatna kan nei a, chu chu kawr atanga kekawrte thlengin a inzar pharh a ni.
• Thisen kalna kawng: Organ dang ang bawkin he junction hian thisen kalna system a nei a, chu chuan ei leh in leh oxygen a pe a ni.

AC joint-a natna leh natna langsar ber berte chu engte nge ni?

AC joint injury hi a takah chuan a tam hle. Doctor-te sawi danin, ke ruh hliam zawng zawng zinga 40% vel chu AC joint nena inzawm a ni. Heng hliamte hi kawng hrang hrangin a thleng thei a ni.

• Shoulder sprains: A ruh vel a ligament te a tikehsawm.
• Separated shoulders: Hei hi shoulder blade leh clavicle inthenna a ni a, chu chu shoulder blade inzawmkhawmtu ligament-a tear vang a ni. A nasat dan pawh a inang lo hle.
• Dislocated shoulders: Hei hian AC joint aiin shoulder main joint a nghawng tam zawk a, mahse accident na takah chuan AC joint pawh a nghawng thei bawk.
• Shoulder fractures: Joint-a shoulder blade emaw humerus emaw a tliak.

Chûng zînga eng pawh awm chhan ber chu rang taka, chakna nasa lutuk, kekawrte chunga hman a ni. Sports accident (e.g., rugby khelh laiin tlu, cricket-a lirthei khalh, emaw volleyball khelh), car accident , leh hmun sang atanga tlu te hi a tam ber.

Tin, kum upat ruala lo awm thin arthritis hian he ruh hi a nghawng thei bawk. Mahse, he ruh natna vei tam tak chuan natna leh symptom engmah an nei lo. Chuvangin inenkawl a ngai lo mai thei.

AC joint natna hi eng ang nge a nih?

I ke ruh a na chuan a natna hi AC joint atanga lo chhuak tak tak em tih hriat a harsa deuh thei a, a chhan chu a na chuan i kekawr bul zawng zawng a na ang maiin a awm thin.

A châng chuan AC joint awmna hmun dik tak aṭangin natna hi a lo chhuak thei bawk. Mahse a châng chuan a natna chu kawr, ke hnuai lam, rilru ruh emaw, hnungzang emaw thlengin a radiate thei a ni. Natna awm dan pawh a chhan a zirin a inang lo.

Engvangin nge AC junction atang hian ‘tock tock’ ri a lo chhuak?

Hei hi mi tam takin harsatna an neih a ni. A nihna takah chuan kan ruh (joint) hian a chang chuan ‘click’ emaw ‘click’ emaw ri a siam hi thil pangngai tak a ni. Hei hi kan taksa kan han hrual emaw, kan ruh kan ben emaw hian a thleng thei. A chhan chu joint chhunga fluid chhunga air bubble tangte chu a chhuak thin a ni. Chutiang thawm pangngai chu hlauh a ngai lo.

Mahse, special case i ngaihven ngai a awm.

Tin, chutiang bawka kut i vawn lai pawha click ri i hriat fo chuan, emaw, chu thawm ruala ‘crackling’ ri i hriat chuan, ruh pahnih inhnawh khawm ang maia i hriat chuan, chu chu doctor hnenah pawh i hrilh tur a ni.

Pawimawh tak: I kekawrte hliam i neih nia i hriat chuan, mi training nei lo chuan khawih emaw, khauh emaw, siamrem emaw phal ngai suh. Joint a dislocated nia i hriat chuan dah leh tum suh, a kekawrte chu a muang thei ang bera dah la, Emergency Department (ETU) hnai ber pan nghal rawh.

AC joint disorders enkawlna tur engte nge ni?

I mamawh enkawlna chi chu i dinhmun leh a nasat danah a innghat ang. I doctor chuan i dinhmun dik tak hriat theih nan (X-ray emaw scan emaw hmangin a enfiah hmasa ang che). Chumi hnuah chauh chuan enkawlna an ziak ang.

Hengte hi enkawlna hman tlanglawn tak takte chu an ni:

• Chawlh hahdam: A ke ruh hliam hi chawlh hahdam a pawimawh hle. Hun engemaw chen chu thil rit phurh te, overhead work te, leh infiamna te hi i pumpelh a ngai dawn a ni.
• Painkillers: I doctor chuan natna leh hliam tihziaawmna turin NSAIDs (Nonsteroidal anti-inflammatory drugs) ang chi damdawi a rawn rawt thei ang. Hengte hi damdawi lam thurawn hnuaiah chauh ei fo ang che.
• Corticosteroid injection: A natna leh a hring nasa lutuk chuan i doctor chuan ruh chhungah direct injection bik a rawt thei ang. Hei hi cortisone shot an ti bawk .
• Physical therapy: Hei hi enkawlna pawimawh tak a ni. Physics therapist enkawlna hnuaiah exercise bik i tih a ngai dawn a, chu chuan i ke ruhte a tichak a, ruhkawr chetna range a ti sang bawk. Hei hian joint chu a awmna pangngaia a awm leh theih nan nasa takin a pui ang.
• Immobilization: Doctor chuan kut chu sling-ah dah turin a fuih a , chu chuan ruh chu a chawlh tir a, a che lutuk loh nan.
• Surgery: A tam zawkah chuan surgery a ngai lo. Mahse, ligament chu a chhe vek a, ruh chu a inhlat hle a nih chuan (severe separation), a nih loh leh a tliak a nih chuan, a insiamrem leh theih nan operation neih a ngai mai thei.

Engtin nge AC junction hi a hrisel theih ang?

"Tihdam aiin invenna a tha zawk," an ti. Chuvangin AC joint chhiatna thleng thei laka kan inven nan thil engemaw zat kan tih theih a awm.

• Nunphung hrisel: Ei leh in inthlau tak ei leh exercise dik tak neih hi taksa pum tan a tha hle a, chubakah ruhkawr tan pawh a tha hle.
• Exercise hma leh tih zawh: Eng sport emaw exercise emaw i tih hmain , warm-up tha rawh. Chu chu i taksa lum tir tihna a ni. Tin, i exercise i zawh hnuah , cool-down tha la, chu chu i taksa ruhte chu tizau rawh. Hei hian hliam hlauhawmna nasa takin a ti tlem a ni.
• ‘Don’t play through the pain’: Infiamna i khelh laiin i kekawrte na i neih chuan ngaihthah suh la, khelh chhunzawm zel rawh. Hei hian hliam tenau chu harsatna lian takah a chantir thei a ni. Natna i neih chuan inkhelh kha bansan la, chawlh hahdam rawh.
• Invenna hmanrua bun: Rugby ang chi infiamna nasa tak i khelh chuan invenna hmanraw \ha tak tak, shoulder pad ang chi ha la.
• Damdawi lam thurawn zawng rawh:Medical checkup neih fo a tha. Tin, i kekawr iptea natna danglam tak, i khauh lutuk emaw, popping sound emaw i neih chuan ngaihthah suh la, doctor pan nghal rawh.

Kan kekawrte hi kan taksa ruh mak tak a ni. Joint dang zawng aiin kawng tam zawk leh range sang zawkah a kal thei. He joint mak tak mai hi AC joint hi a pawimawh hle a ni. Hliam i neih hma chuan he ruh hi i ngaihtuah lo mai thei. Mahse chutiang a nih chuan i ke ruh natna emaw, i ke ruh tliak emaw chu ngaihthah tur a ni lo. I kekawr ipteah thil mak tak tak i hriat chuan Doctor pan rawh. A harsatna chu eng nge ni tih chiang takin a sawifiah ang a, a enkawlna tha ber chu eng nge ni tih a sawifiah ang.