I kekawr bul vel pawh na leh hliam i nei em? Chu chu (Achilles Paratenonitis) a ni em? Hemi chungchang hi han sawi ila!

I tlan lai, i zai lai, a nih loh leh i kal mai mai pawhin i ke ruh emaw, i ke ruh emaw hmunah natna emaw, i rilru hahna emaw i nei ngai em? A chang chuan a hmun chu a sen thei a, a hring thei bawk. Hei hi pheikhawk in fit tha lo i bun chuan a thleng thei bawk. He natna hi tunlaia kan sawi tur `(Achilles Paratenonitis)` tih nen a inzawm tlat a ni. Lungngai suh, hemi chungchang hi chipchiar takin kan sawi dawn a ni.

``Achilles Paratenonitis'' tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, Achilles Paratenonitis hi kan kephah hnung lama Achilles tendon khuh tu tissue inflammation a ni.

Tunah chuan Achilles tendon hi eng nge ni tih i ngaihtuah mai thei. Kan ke ruh hnunglam leh ke ruh (calcaneus an ti bawk) nena inzawm tirtu tissue band chak tak a awm a. Rubber band lian tak, chak tak ang mai a ni. Hei hian tlanna, zuang, lawn leh kea kalna tur min puitu chu a ni. Chuvangin he Achilles tendon chhehvelah hian tissue layer te tak te a awm a. Achilles Paratenonitis ah chuan he layer hi a inflamed a, a na bawk.

Hetiang dinhmun hi a lo thleng nghal thei (`(acute)`), a nih loh leh zawi zawiin a lo awm thei a, rei tak a daih thei bawk (`(chronic)`).

Hei hi hming dang a awm a, i doctor chuan heng hming zinga pakhat hi a hmang thei ang:

• `(Achilles paratendonitis)` tih a ni
• `(Achilles peritendinitis)` tih a ni
• `(Achilles tenosynovitis)` tih a ni
• `(Achilles tenovaginitis)` tih a ni

A pawimawh ber chu hei hi hriat chian a, enkawl hma loh chuan a natna a zual thei a, kea kal leh tlan a harsat phah thei a ni. ``Achilles tendon'' pawh a tichhe thei bawk. Chuvang chuan a natna lan chhuah dan hriat chian a, a hmasa berah enkawlna zawn a pawimawh hle.

Tute nge Achilles Paratenonitis vei tam zawk?

Hei hi a takah chuan player-te tan chuan thil thleng fo a ni. Bik takin:

• Runner tan: Hei hi marathon tlantute zingah a awm fo thin.
• Tennis player tan chuan.
• Zai thiamte hnenah.

Hetiang mite hian tendon-a pressure siamtu movement an tih fo avangin Achilles tendon chhehvel tissue te chu a chhe thei a ni.

Ngaihtuah teh, kan khuaa ka unaupa Sugat chu tlai tin tlan turin a kal thin. A tlanna hlat zawng chu a ti sang nghal a, ``warm-up`` mumal tak pawh ti lovin. Ni rei vak lo hnuah a kekawrte chu a na tan a, a hring deuh bawk. Doctor hnena a entir hnuah chauh ``Achilles Paratenonitis`` a ni tih a hrechhuak ta a ni.

Tin, he natna hi pheikhawk in fit tha lo hateah pawh a awm thei bawk . Kekawr thenkhat chu a fit tha lo, a nih loh leh ``support'' nei lo an awm bawk. An bun hian he harsatna hi a thlen thei bawk.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

Achilles Paratenonitis natna lan chhuah dan hi a takah chuan ke ruh leh Achilles tendon natna dang nen a inang hle a, chuvangin a chang chuan hriat a harsa thei hle.

Hengte hi a lan chhuah dan tlangpui chu:

• Natna: A bik takin exercise lak lai emaw, zing thawh lai emaw hian.
• Swelling: Heel hnunglam, dinglam sir.
• A sen hring.
• Khawih a nih chuan tenderness.
• Chu chu a dik a ni, rilru lum tak a ni.
• Ding leh che harsa.
• Ankle tihchak laiin "crackling" emaw "popping" sound (`(Crepitus)`) hriat emaw hriat emaw. Hei hi vur chunga kal laia i hriat thawm nen a inang hle.
• Chu hmunah chuan a khauh tih hriatna, a bik takin zing lamah.

Heng symptoms te hi a tlangpuiin zawi zawiin a intan a, exercise nen a na zual zel bawk. Heng symptoms te hi i neih chuan, a awm reng a nih chuan, a na zual a nih chuan doctor i pan nghal ngei tur a ni. A chhan chu he natna hi rei tak a awm chuan Achilles tendon chu a rupture (ruptured tendon) a ni thei. Chutiang a nih chuan condition chu a na deuh deuh a ni.

Engvangin nge he `(Achilles Paratenonitis)` hi kan neih? A chhante chu engte nge ni?

A chhan ber chu Achilles tendon leh a chhehvel tissue (membrane)-a pressure nasa lutuk emaw, hman tam lutuk vang emaw a ni.

A chhan dang engemaw zat a awm bawk:

• Kekawrte in fit tha lo ha.
• Exercise intensity emaw duration emaw tihpun nghal. Entirnan, hla tak tak tlan tan nghal mai.
• Exercise neih hmaa in lum tha lo leh exercise zawh hnua a lum tha lo.
• Exercise emaw, hmun khauh tak emaw, hmun inthlau takah emaw khelh.
• Kea deformity emaw structural problem emaw nei. Entirnan, ke chu a flat lutuk (`(flat feet)`) emaw, ke arch a sang lutuk (`(arch)`) emaw a nih chuan.
• Stretching tih tlem lutuk.

Hei hi a takah chuan sports injury tlangpui anga ngaih a ni .

Engtin nge doctor chuan hei hi ``Achilles Paratenonitis'' tia dik taka a hriat theih ang?

Achilles Paratenonitis hi a chang chuan hriat a harsa deuh thei a, a chhan chu ka sawi tawh ang khan a natna lan chhuah dan hi natna dang, ke ruh tliak ang chi nen a inang a ni.

Doctor i pan hunah i symptoms te a zawt hmasa ang che. Tichuan physical exam an ti ang . I groin area leh heel area an enfiah ang a, an sawn ang a, a na leh a hring em tih an enfiah ang.

A châng chuan sports medicine specialist emaw, ke leh ke ruh surgeon emaw hnenah refer i ni thei bawk.

Hemi atan hian eng test nge tih a nih?

Doctor chuan imaging test thenkhat a ti thei a, chu chuan a natna chu a finfiah thei a, a chhiatna a thlen nasat dan a zirchiang thei a, a enkawlna tha ber a hriat theih bawk.

Anni chu:

• MRI (Magnetic Resonance Imaging) Scan: Hei hian Achilles tendon leh a chhehvel tissue te chu chiang takin a hmu thei a. Hei hian chhiatna a thlen dan dik tak hriat theihna kawngah a pui hle.
• Ultrasound scan: Hei hi tissue dinhmun enfiahna atana test tha tak a ni bawk.
• X-ray: Hei hian ruh lama harsatna a awm leh awm loh a enfiah thei. A chang chuan a na chhan chu ruh nena inzawm thil a ni thei.

He `(Achilles Paratenonitis)` hi engtin nge enkawl a nih?

A tam zawkah chuan he natna hi enkawlna awlsam tak hmangin tihdam theih a ni. A bulpui ber chu `(RICE)` enkawlna a ni. Hei hi in lamah i ti thei ang.

`(RICE)` tih awmzia chu:

• R - Rest: Ke na tak hi chawlh hahdam a pawimawh hle. Tlan leh zuang ang chi thil tih hi rei vak lo i chawlhsan a ngai dawn a ni.
• I - Ice: Natna hmunah minute 15-20 vel ni khatah vawi tam tak ice hnawih thin ang che. Hei hian a hring leh natna a tiziaawm ang. Ice hi vunah direct-in hnawih lo la, puan in khuh rawh.
• C - Compression: Swelling tihziaawm nan elastic bandage emaw sports tape emaw hmangin compression tlemte hnawih tur a ni. Mahse thisen kal titawp khawpa hnawih suh.
• E - Elevation: A theih phawt chuan ke na tak chu thinlung aia sangin dah thin ang che. A chungah pillow i dah thei bawk. Hei hian swelling a ti tlem bawk ang.

Pawimawh: Steroid injection hi tendon lama harsatna nei tan chuan a tlangpuiin a tha lo a, a chhan chu tendon a tichak lo thei a, a rupture theihna a tipung thei bawk.

`(RICE)` enkawlna bakah hian surgery ni lo enkawlna dang a awm a:

• Painkiller leh anti-inflammatory medications: Nonsteroidal anti-inflammatory medications (NSAIDs), ibuprofen ang chi hi doctor-in a tih angin ei tur a ni.
• Physical therapy: Hei hi a pawimawh hle. Physical therapist chuan i Achilles tendon tihchak leh flex turin stretching leh strengthening exercise a zirtir ang che.
• Kekawrte emaw pheikhawk siam danglam bik: I ke nena inmil tha tak leh arch support nei thei tur pheikhawk ha la.
• Auxiliary devices te chu: 1.1.A châng chuan ``heel lift'' (heel tisangtu pad), boot bik, ``cast'', emaw ``brace'' emaw hmangin chu hmun chu a kal theih loh nan (``immobilization'') hman theih a ni.
• Contrast baths: I ke chu tui lum bawm leh tui lum bawm khatah a inthlak a.
• Stretching leh massage te pawh a awm.
• `(Brisement)` enkawlna: Hetah hian saline leh local anesthetic vawi tam tak inject a, tissue chhia chu tihzauh a ni. Mahse, hei hi mi zawng zawng tana tih tur a ni lo.

Surgery i mamawh tak tak em?

Mi tam zawk chuan zai an ngai lo. Mahse, i natna lan chhuah dan a nasat a, hun rei tak a lo ṭhat loh emaw, enkawlna dangin a puih loh chuan i doctor chuan i Achilles tendon siam ṭhat nan operation neih a rawt thei ang.

Operation hnuah chuan tendon hi a dam theih nan hun a duh dawn a, chuvangin thla engemaw zat chhung chu exercise hahthlak tak tak i ti thei lo mai thei. I surgeon chuan engtikah nge i hnathawh pangngaia i kir leh theih ang tih a hrilh ang che.

He `(Achilles Paratenonitis)` hi a dam kim thei ang em?

Ni e, a tam zawkah chuan he natna hi a dam vek thei a ni. A pawimawh ber chu i doctor thupek dik taka zawm hi a ni. Tichuan i dam thuai thei a, harsatna i pumpelh thei bawk.

He enkawlna kawngah hian tuin nge pui ang che?

Achilles Paratenonitis i neih hian specialist team an awm a, anni hian an pui thei che a ni:

• Ke lam enkawltu (Podiatrist) a ni
• Ke leh ke ruh lam enkawltu (`(Orthopaedic surgeon)`)
• Occupational therapist a ni
• Taksa lam enkawltu a ni

Eng chen nge a dam leh theih ang? Eng ang thlirna nge ni ang?

Dam hun chhung hi i hriselna tlangpui, kum, hliam nasat dan leh enkawlna i dawn danah a innghat a ni. A tam zawkah chuan a dam kim theih nan thla engemaw zat a ngai thei.

Surgery i neih chuan a dam rei deuh mai thei. I doctor thupek ang chiah kha zawm rawh. I dinhmun leh enkawlna kawng hrang hrangte chu i doctor nen uluk takin sawipui rawh.

Engtin nge he `(Achilles Paratenonitis)` lo awm hi i tihtlem theih ang? Engtin nge i ven theih ang?

Hei hi a pawimawh ber a ni. `(Achilles Paratenonitis)` vei theihna tihziaawmna tur thil kan tih theih a awm. Hei hi infiamna leh exercise nei te tan a pawimawh zual hle.

• Stretch tha: Exercise i tih hmain i Achilles tendon leh calf muscle te chu warm up la, stretch rawh. Hei hian hliam tuar theihna a ti tlem ang.
• I exercise tih dan tur chu thlak rawh:Achilles tendon-a pressure nasa lutuk siamtu exercise lian tak takte chu pumpelh la, mahse low-impact exercise (e.g., tlanna nena tui chawi, cycle khalh) pawh ti bawk ang che.
• Exercise chakna tipung zauh zauh: Vawi khatah i nawr lutuk suh. Zawi zawiin i exercise hun te, hlat zawng te, leh a chakna te chu tipung zel ang che.
• Kekawr hrisel ha rawh: Arch support tha tak nei leh i kekawrte pressure tihziaawmna tur pheikhawk thlang rawh.
• Training dik tak nei rawh: Infiamna i khelh chuan chu mi atan chuan training dan dik tak zawm rawh.

Kan taksaah hian Achilles tendon hi a chak ber pawl a ni. Mahse, active miah chuan a chhehvel tissue chu hman tam lutuk vangin a inflamed thei a ni. Kekawrte in fit tha tak bun hian a pui thei a ni. Mahse, training tha tak i neih a, engkim dik taka tih tum a, hetiang taka natna i la neih hian a lungchhiatthlak hle thei.

Engtikah nge Doctor ka hmuh ang?

`(Achilles Paratenonitis)` natna hi a tir lamah hriat leh enkawl a pawimawh hle. Hei hian kea kal te, tlan te, leh zuang te a ti harsa thei hle. Tin, `(Achilles tendon)` chu a tikehsawm thei bawk (`(rupture)`). Chutiang a nih chuan surgery a ngai dawn a ni.

I ke ruh, i khup hnung lamah emaw, a hmaa ka sawi tawh ang chi emaw, a hmaa ka sawi tawh ang chi emaw i neih chuan doctor pan nghal vat rawh. I dinhmun chu a enfiah ang a, i tana ṭha ber tur enkawlna ruahmanna a pe ang che. Enkawlna rang leh dik tak i neih chuan i nun pangngai, active takin i kir leh thei ang.

Take-Home Thuchah a ni

• Achilles Paratenonitis hi Achilles tendon chhehvela tissue khuh a inflammation a ni.
• Hei hi tlan, zai, pheikhawk bun mumal loteah a thleng fo thin.
• Natna, hring, sen, hring, leh kephah hmuna "click" ri te hi a lan chhuahna ber a ni.
• Rest, ice, compression, leh elevation (RICE therapy) te hi enkawlna line hmasa ber a ni.
• Physical therapy, painkiller, leh kekawrte dik tak hman a pawimawh.
• A tam zawkah chuan zai a ngai lova, mahse a nasat chuan ngaihtuah a ni.
• Hei hi exercise i tih hmain i lum tha a, pheikhawk dik tak i bun a, zawi zawiin i exercise chakna i tihpun chuan i ven theih a ni.
• Symptoms i neih chuan a rang thei ang bera doctor pan tur a ni. Anmahni i hriat hma poh leh i dam chak zawk!

He thu hi i tangkaipui ngei ka beisei. Hrisel takin awm rawh!

` Achilles Paratenonitis, Heel Na, Shin Na, Sports Inhliam, RICE Enkawl, Taksa Therapy, Tendonitis