I ṭhiante nêna cricket emaw, badminton emaw in khelh laiin han mitthla teh. Vawilehkhatah tlan i tum lai chuan i hnunglam atang chuan ‘tuck’ thawm i hre ta a, i ke kephah chunglam chiah atang chuan mi pakhatin lungin a rawn deng che ang maiin i hre ta a. Hnunglam i thlir chuan tumah an awm lo a, chutih rual chuan natna na tak a awm bawk. A tam zawkah chuan he thil tawn hi tunlaia kan sawi mek dinhmun, ‘Achilles Tendon Rupture’ tih hi a ni. Hei hi a lan dan angin a awlsam lo a, hei hi uluk takin i hrethiam ang u.
He Achilles Tendon hi eng nge ni?
A awlsam zawngin, hei hi kan ke ruh (calf muscle) leh ke ruh (heel bone) inzawmkhawmtu tendon chak tak a ni. Dik tak chuan kan taksaa tendon lian ber leh chak ber a ni. He tendon hian kan kein kan kal, kan tlan leh kan zuang hian kan mamawh chakna a pe thei a ni.
‘Achilles Tendon Rupture’ tih hi he tendon chak tak hi a rupture kim emaw, a then emaw, a rupture emaw a ni. Hei hi acute injury a ni a, a lo awm nghal mai thin. Tendon hi pressure nasa lutuk pek a nih chuan a thleng thin.
Hetiang hi tuin nge nei tam zawk? A chhante chu engte nge ni?
Hei hi infiammi zingah a langsar ber a, a bik takin kum 30 leh 40 inkar te zingah a langsar ber a, hmeichhia aiin mipa an hlauhawm zawk.
Mi thenkhat chu kar khatah ni nga chhung office-ah hna thawk vek an awm a, chawlhkar tawp lamah chauh an chhuak a, cricket emaw, infiamna dang emaw an khel thin tih han ngaihtuah teh. Heng mite hi "weekend warriors" kan ti bawk. Training mumal nei lovin vawi khatah an taksaah harsatna nasa tak an siam avangin chutiang mite chu infiammi naupang training tha tak aiin an Achilles tendon a rupture hlauhawm zawk a ni.
A chhan ber chu hetiang thil hi a ni:
- Thiltih nghal: He hlauhawmna hi infiamna, tlan nghal, ding leh sir inthlak (entir nan, football, basketball, tennis, cricket) khelh hian a thleng thei a ni.
- Accident dang: Hei hi sports accident a ni ngai lo. He vein hi i kal laiin i tlu a, i tlu a, stairs i chhuk laiin step khat i paltlang a, a nih loh leh i ke chu ditch-ah i twist a nih chuan i tikehsawm thei bawk.
- Damdawi thenkhat: Antibiotics thenkhat leh steroid injection te chu a hmunah hian he vein hi a tichak lo thei a, a rupture theihna a tipung thei bawk.
Hei hi eng ang chiah nge ni?
Hetiang dinhmun chhinchhiahna ber leh langsar ber chu ke hnunglam, kephah chunglam atanga ‘tuck’ emaw ‘pop’ emaw ri lo chhuak hriat leh hriat hi a ni. Mi tam tak chuan hnunglam atanga mi pakhatin a vuak niin an ngai a, mahse a nihna tak chu nerve ruptured a ni.
A hnuaia table hian hei hi hriat theihna tura pui thei tur mizia dang thenkhat a tarlang a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Vawikhatmah, natna nasa tak | Groin area, kephah chunglam ah natna na tak, tuar theih loh. |
| A hring leh a rawng blue/purple a inthlak | Hliamna hmun chu a hring thei a, vun hnuaiah thisen a chhuak thei a, a sen a ni thei bawk. |
| Kal harsat | I kal dan pangngaiin i kal thei lo mai thei. A bik takin stairs emaw tlang emaw lawn hian a natna hi a nasa hle. |
| Khawih a nih chuan natna | I kut zungtang hmanga vein tliak chu i khawih chuan a na hle. |
Engtin nge doctor hian hei hi a hmuh theih?
Doctor hmu tura i kal hunah i ke leh kekawrte uluk takin a enfiah hmasa ang.
- I ke chu kawng hrang hrangah i herh thei em tih en rawh.
- Chu hmun chu kut hmangin an enfiah a, vein an tanna hmunah hian gap a awm em tih an enfiah thin.
- Ultrasound emaw MRI scan emaw hmangin vein-ah chhiatna engzat nge a awm tih chiang taka hriat theih a ni bawk.
A pawimawh ber chu hetiang accident hi enkawl loha awmtir chuan chhiatna nasa tak a thlen thei a ni. Enkawl loh chuan vein chu a dam tha lo ang. Chuvangin, nakin lawkah chuan vein khat chu a rupture leh theihna chance a sang zawk hle.
Hei hi eng enkawlna nge ni?
Doctor i pan hmain in lama i tih theih tur thil a awm a, chu chuan natna leh hliam tihziaawmna tur a ni. RICE method kan ti a.
- R - Chawlh: Ke hliam chungah hian rit engmah dah suh. Hahchawl.
- I - Ice: Ice pack hmangin a natna leh a hringna hmunah hnawih thin ang che.
- C - Compression tih hi: 1.1.Swelling control nan chuan a hmun chu bandage hmangin nghet takin khuh tur a ni.
- E - Elevation: A theih phawt chuan i ke chu i thinlung level aia sang zawkah dah la, pillow ang maiin dah la.
Damdawi lam enkawlna chi hnih a awm a. I doctor chuan i kum, i activity level leh i hliam awm dan a zirin enkawlna chi hrang hrang a rel ang.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| Surgery hmanga enkawlna ni lo | Ke chu a che thei lo turin special cast emaw brace emaw dah a ni. Hei hian vein chu a mah chauhin a dam thei a ni. Hei hi ke hnuai lam hawia tih a ni. |
| Inzai | Hei hi active, thalai tan chuan a tha hle. Surgeon chuan a vein chhe tawh tawp pahnih chu a sew leh a. Surgery zawhah chuan a dam hma loh chuan cast i bun a ngai dawn a ni. |
| Taksa lam enkawlna | Hei hi tih ngei ngei tur a ni. Surgery i nei emaw nei lo emaw, vein a dam hnuah i ke leh vein-ah chakna leh insiamremna i neih leh theih nan physical therapist kaihhruaina hnuaiah exercise i nei tur a ni. |
He hliam hi a dam kim theih nan thla 4 atanga thla 6 vel a ngai tlangpui.
Hetiang accident hi ven theih a ni em?
Accident hi 100% velin ven theih ni lo mah se, a hlauhawmna tihziaawmna tur thil kan tih theih a awm a:
- Exercise i tih hma emaw, inkhelh hmain warm up tha rawh.
- I workout nasatzia chu tipung nghal suh. Zawi zawiin tipung rawh.
- Hamstring muscle leh Achilles tendon te tan stretching exercise neih fo thin ang che.
Engtikah nge doctor i hmuh ngei ang?
Hetiang thil hi i chungah a lo thleng a nih chuan tihkhawtlai suh.
- Infiamna emaw thil dang emaw i khelh laiin i ke hnunglam atanga ‘click’ ri i hriat chuan.
- A ruala natna nasa tak, na tak a awm chuan.
- Accident hnua kea kal a harsat chuan.
Heng symptoms te hi i neih chuan doctor pan nghal rawh. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
Take-Home Thuchah a ni
- Achilles Tendon Rupture hi ke ruh tliak ang maia thil awlsam a ni lo va, natna khirh tak a ni.
- A lan chhuah dan ber chu popping sound leh ke hnunglam na nghal mai a ni.
- Hetiang thil hi a lo thleng a nih chuan damdawi lam thurawn lak nghal a pawimawh hle. Tikhawtlai suh.
- Surgery tih emaw tih loh emaw pawh nise, dam kim theih nan physical therapy hi a pawimawh hle.
- He hlauhawmna hi infiamna khelh hmaa insiam that leh exercise dik tak tih hian tihziaawm theih a ni.
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