I khup i ben emaw, stairs i chhoh emaw hian i khup chhungah natna mak tak mai i nei bawk em? Hun engemaw chen hnuah a reh em, mahse i kal emaw, i hnathawh leh emaw chuan a na a zual em? Mi tam tak chuan he natna hi khup natna khirh tak a ni tih an hlau hle a, mahse hei hi a chhan chu kan sawi vak loh, mahse mi tam takin an tuar thin, natna tlanglawn tak a ni mai thei. Vawiin hian he natna `Pes Anserine Bursitis` tih hi han sawi ila.
Pes Anserine Bursitis hi eng nge ni?
He hming hi a mak deuhin a ri a ni lawm ni? Hei hi awlsam takin i hrethiam ang u. Kan taksa ruh bulah, chu chu ruh bulah, tuiin a khat balloon ang chi bawm te tak te a awm tih han ngaihtuah teh. Damdawi lamah chuan hengte hi bursa kan ti thin. Chungte chu car chhunga shock absorber ang mai, emaw, cushion ang mai a ni. He bursa hnathawh ber chu kan taksa ruh leh ruh (tendon) te hian an che vel a ruh an hnawih thin pressure tihziaawm hi a ni.
Kan khup chhungah, shin bone (`tibia`) hnuai chiahah hian hetiang bursa hi a awm a, chutah chuan muscle pathum tendon te chu an inzawm khawm a ni. He joint hi goose ke welt ang mai a ni a, chuvang chuan Latin tawng ‘pes anserinus’ tih a ni a, chu chu ‘goose ke’ tihna a ni.
Chuvangin, he bursa hi eng emaw chhan vanga pressure hnuaia dah a nih a, a hring chhuah chuan a chhunga tui awm chu a pung a, a hring zual sauh sauh a ni. Chu chu bursitis kan tih chu a ni. He khup hmuna he hliam hi `Pes Anserine Bursitis` an ti a.
Eng nge a lan chhuah dan? Engtin nge i hriat?
Hetiang natna vei hian natna nasa tak, rang tak a nei tlem hle. A natna hi a pung zauh zauh tlangpui. Chutiang symptoms chu i nei ve mai thei.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| Khawi atanga lo chhuak nge hrehawmna chu | A na hi ke chhung lam, khup ruh hnuai inches 2-3 vel a ni. |
| Nature of pain | A natna chu a pung thut aiin a pung zauh zauh a. I chawlh laiin a tlahniam a, hnathawh erawh chuan a pung leh thin. |
| A natna a zual hun lai | Khup chunga pressure a awm hian a na zawk a, chu chu stairs chho emaw chhuk emaw, khup emaw, chair atanga tho emaw te hi a ni. |
Engvangin nge Pes Anserine Bursitis hi a lo awm?
A awlsam zawngin sawi ila, a chhan ber chu khup chunga pressure awm reng vang a ni. Chu chu khup hman tam lutuk tihna a ni. Machine hman chhunzawm zel a nih chuan a lum a, a chhe vek ang maiin han ngaihtuah teh.
| A chhan ber | Engtin nge a nghawng |
|---|---|
| Khup ben fo thin sport | Soccer, tennis, leh tlan ang chi infiamna kan khelh hian khup chu a inbeng kang reng a, chu chuan bursa chu pressure a siam thei a ni. |
| Hamstrings tight tak tak a awm | Hamstrings a tight chuan khup chhunga bursa chu a tul lovah pressure a siam thin. |
| Khup dinhmun a inthlak danglam thin | Mi thenkhat khup chu a pianphungah chhungril lam hawiin a inbeng (‘valgus’) a ni thei. Hei hian bursa chungah pressure a siam nasa zawk a ni. |
| Training hman dan dik lo | Exercise hmaa in lum loh (stretching) ang chi thilte hian taksa ruh a tichhe thei a, chu chuan bursa a tichhe thei a ni. |
| Accident hlui te | Hetiang dinhmun hi a hmaa khup chhunga ligament (the `MCL` - medial collateral ligament) a hliam vang pawh a ni thei. |
He natna hi tu nge vei thei ber?
Tu pawhin hetiang hi an nei thei a, mahse mi thenkhat chu tlem chuan an hlauhawmna a sang zawk.
- Infiammi tan, a bikin tlan leh zuang sports khel thinte tan.
- A tlangpuiin hmeichhia kum 40 leh 60 inkar tan a ni.
- Zunthlum vei tan chuan .
- Khup ruh natna vei tan.
- Thau lutuk/thau lutuk tan chuan . A chhan chu taksa rihna a san chuan khup chunga pressure a sang chho zel a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i pan dawn chuan i natna lan chhuah dan te, i natna lo awm dan te, eng chen nge i neih tawh tih te a zawt hmasa ang che. Tichuan i khup chu a enfiah ang a, a kut hmangin a na lai chu a hmet ang.
A châng chuan he natna thlentu hi ruh tê tê (`stress fracture`) vang a ni thei a, chuvangin a awm loh leh awm loh hriat chian nan X-ray la turin an ti mai thei bawk.
Tin, ultrasound scan emaw MRI scan emaw hmangin a hring dup nasat zia dik taka tehna leh harsatna dang a awm loh nan a tha thei bawk.
Awle, tunah hian hei hi eng enkawlna nge ni?
Hei hi enkawlna hrang hrang a awm a. I dinhmun nasat dan azirin i doctor chuan i tana tha ber tur enkawlna a thlang ang.
| Enkawl dan tur | Engnge i tih? |
|---|---|
| Damdawi chi hrang hrang | Natna leh hliam tihziaawmna damdawi. Entirnan, doctor-in a pek painkiller (NSAID) i ei thei a. |
| Hahchawl | Hei hi a pawimawh hle.Hun engemaw chen chu natna tipung thei thiltih lakah i inthiarfihlim tur a ni. Tlan leh stairs lawn ang chi thil hi tihtawp a ngai. |
| Ice hnawih (Cold packs) . | Natna hmunah minute 15-20 chhung, ni khatah vawi thum atanga vawi li vel ice hnawih chuan natna leh natna nasa takin a tihziaawm ang. |
| Taksa lam enkawlna | Physics therapist-in a thurawn angin khup chhehvela taksa ruhte tichaktu leh flexibility tipung thei tur stretching exercise tih hi a pawimawh hle. |
| Injection te pawh a awm | A tlem hle a, a natna chu a thunun loh chuan doctor chuan steroid chu bursa chhungah direct-in a inject thei a ni. Damdawi thar zawk PRP (Platelet-rich plasma) injection tih pawh a awm bawk. |
| Inzai | Hei hi procedure a tlem hle. Bursa lakchhuahna tur surgery hi enkawlna dang a awm loh chuan tih chauh a ni. |
Engtikah nge Doctor ka hmuh ang?
Khup na reng reng i neih chuan ngaihthah suh. Doctor pan ngei ngei tur a ni. Thla engemaw zat in lama enkawlna (ice leh chawlh hahdam ang chi) hnua i natna a reh loh chuan, emaw, a natna a zual chuan doctor hmu leh la, enkawlna dang sawipui leh rawh.
Eng chen nge a dam theih ang?
A tam zawkah chuan enkawl dan dik leh chawlh tam tak neih chuan kar 6 atanga kar 8 chhungin a dam leh ang . Mahse, a natna a nasat chuan a rei zawk thei. I hna chu taksa lama harsatna a nih chuan kar engemaw zat chawlh hahdam a ngai mai thei. I hnathawhna hmuna i kîr leh hun ṭha ber chu i doctor zawt la.
Hetiang dinhmun hi a lo thlen leh tawh loh nan engtin nge kan ven theih ang?
He harsatna hi dam leh hnua a lo awm leh tawh loh nan tihtawp a pawimawh bawk.
- Exercise dik tak: 1.1.I khup, i kekawrte leh i pum ruhte tichaktu leh inthlak danglamna tipungtu exercise chungchang zawt la, i doctor emaw, physical therapist emaw zawt rawh. Chûngte dik taka tih chuan he natna hi a lo awm leh tawh loh nân kawng thui tak a zawh thei a ni.
- Weight control: I thau lutuk chuan i khup ah pressure nasa tak a siam thin. I tana taksa rihna hrisel tak i neih theih dan tur chu i doctor nen sawiho rawh. I taksa rihna tihtlem hian i khup a pressure nasa takin a tihziaawm thei a ni.
Pes Anserine Bursitis hi natna khirh tak a ni a, mahse a hmaa hriatchhuah a nih a, uluk taka enkawl a nih chuan a dam thuai thei a ni. Chuvangin, khup na tuar ai chuan vawiin hian doctor rawn la, thurawn la rawh.
Take-Home Thuchah a ni
- Pes Anserine Bursitis hi khup chhung lam, ruh hnuai lam chiah a awm a ni.
- A chhan ber chu khup chunga pressure leh hman tam lutuk vang a ni.
- Doctor-in chawlh hahdamna, ice, leh natna tidamtu damdawi a pek te hi enkawlna bulpui ber a ni.
- Khup na reng reng i neih chuan ngaihthah suh la, doctor thurawn la rawh.
- Exercise dik tak leh taksa rihna hrisel tak neih hian he natna hi a lo awm leh tawh loh nan a veng thei a ni.
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