I hip, i khup, emaw i kekawrteah natna engzat pawh ei la, a reh lo fo thin em? Kea kal emaw, stairs-a lawn emaw pawh i harsat mai thei. Hei hi ruh chhunga ruh peng pakhata thisen kalna chu a tawp a, chu chuan a thih phah vang a ni thei. Damdawi lam hawi chuan hei hi Avascular Necrosis (AVN) , emaw Osteonecrosis , kan ti a ni. A hming hi a buaithlak deuh mai thei a, mahse he dinhmun hi awlsam taka hriatthiam a pawimawh hle.
Avascular Necrosis (AVN) hi eng nge ni?
A awlsam zawngin, hei hi kan ruhte "suffocating" awmna condition a ni. Ngaihtuah teh, kan taksaa cell tin ang bawkin ruhte hian nung tur te, chak taka awm tur te, leh thar thang lian tur te hian oxygen leh nutrients a mamawh a ni. Chûngte chu thisenin a rawn thlen a ni. Eng emaw chhan vanga ruh hmun khata thisen kal chu a tawp vek emaw, a tam lutuk emaw chuan eng nge thleng ang? Thingkung tui tel lova a thi ang bawkin, chu ruh peng chu ei tur engmah hmu lovin a thi zawi zawiin a thi tan thin. Hei hi AVN kan tih chu a ni.
He ruh thi hi hun kal zelah a chak lo a, a chhe tan a, a chhe ta a ni. Hei hi joint vel a thleng a nih chuan joint ngei pawh hi a tlakbuak thei a ni. Hetiang dinhmun hian taksa ruh eng pawh nghawng thei mahse, a tam ber chu:
- Hip joint: Thigh bone chunglam tawp.
- Knee joint: Thigh bone hnuai lam tawp.
- Shoulder joint: Kut ruh chunglam tawp.
Hei hi thil thleng thut mai a ni lo. Hun kal zelah zawi zawiin a zual zel a ni. Chuvangin, a tir atanga hriatchhuah leh enkawl a pawimawh hle .
Hetiang natna lan chhuah dan hi engte nge ni?
AVN symptoms hi a lang nghal lo. Kar tam tak chhung, a chang chuan thla tam tak chhungin an lo thang zauh zauh thin. A tir lamah chuan natna a awm lo mai thei. Mahse, a natna a zual zel chuan heng symptoms te hi a lo lang thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Joint natna | A tirah chuan natna hi ruh chu load hnuaia a awm lai chauhvin a intan a, chu chu ding emaw, kal emaw a ni. A hnuah chuan zan lama ding emaw, mut emaw chauh pawhin natna hi a awm thei a ni. |
| Joint bending leh extend harsa | Kawng leh ke ben emaw, tihzauh emaw hian natna leh nuam lo a awm thin. A ruh chu a tlakbuak ang maiin a awm thei bawk. |
| Limping a ni | A bik takin i hip emaw i khup emaw a nghawng chuan i hriat lohvin i kal tan mai thei. Hei hi i taksain a natna pumpelh nan a tih thin a ni. |
| Nitin hna thawh harsat | Thil awlsam tak tak, stairs chhoh te, ding te, kal te pawh hi hna hrehawm leh harsa tak a lo ni ta a ni. |
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Ruh lama thisen luang chhuak chu a tawp theih chhan hrang hrang a awm a. Heng chhante hi chi hnih lian takah ṭhenin kan sawi dawn a ni.
Accident vangin (Traumatic AVN) .
Hei hi a chhan tam ber a ni. Accident na tak i neih a, ruh i tihchhiat (fracture) emaw, ruh i tihchhiat (dislocation) emaw chuan ruh chhunga thisen petu thisen kalna kawng nalh tak takte chu a chhe thei a ni. He risk hi hip fracture ang chi ah chuan a sang hle . Thisen supply a tihtawp hnuah chuan ruh chu zawi zawiin a thi tan ta a ni.
Damdawi lam thil dang emaw, a chhan dang emaw avang (Nontraumatic AVN) .
Hetiang dinhmun hi hlauhawm awm lovin a awm thei a ni. A hnuaiah hian a nghawng chhan thenkhat han thlir ila. Chutiang thil avanga AVN a lo awm chuan taksa sir lehlamah a nghawng thei a ni. Entirnan, ke dinglam a nghawng chuan ke veilam pawh a nghawng thei a ni.
| A chhan/Risk factor a ni | A sawifiahna awlsam tak |
|---|---|
| Hun rei tak chhung steroid hman | Corticosteroids , Prednisone ang chi te hi a chhan lian ber a ni a, thisen lipid level a tisang thei a, thisen kalna kawng a ti tawi thei bawk. |
| Zu in tam lutuk | He hlauhawmna hi hun rei tak chhunga zu in tam lutuk tan pawh a sang zawk a ni. Zu hian thisenah thau chi hrang hrang a tipung thei a, thisen kalna kawng a tikhawlo thei bawk. |
| Meizial zuk | Meizial zuk hian thisen kalna kawng a tizau thei a, thisen kal a tibuai thei bawk. |
| Damdawi lam dinhmun thenkhat | AVN hi natna hrang hrang, sickle cell anemia, lupus , HIV infection, leh cancer enkawlna atana radiation therapy te avanga lo awm thei a ni. |
| Organ thlak danglam a ni | He hlauhawmna hi taksa peng thlak hnua taksain a hnawl loh nan damdawi (a bik takin steroid) pek a nih avangin a tipung bawk. |
| Decompression Natna a awm | Hei hi deep-sea diver-te zingah pawh a awm thei a ni. I surface rang lutuk chuan i thisenah air bubble a lo awm thei a, thisen kalna kawng a tikhawlo thei bawk. |
Engtin nge doctor hian hei hi a hmuh theih?
I natna lan chhuah dan min hrilh hian doctor chuan i damdawi lam chanchin te, damdawi i ei dan te, leh nunphung (zu, meizuk) te a zawt hmasa ang che. Tichuan i taksa chu a enfiah ang.
Mahse he natna hi finfiah theih dan tha ber chu MRI (Magnetic Resonance Imaging) scan hmangin a ni . He natna hi a tir lamah chuan X-ray pangngai hmanga hriat a harsa hle. Hei hi a chhan chu X-ray-a inthlak danglamna chu ruh chhiatna nasa tak a thlen hnuah chauh a lang thei a ni. Mahse, MRI scan hian ruh chhunga thisen kal tlem leh ruh chhunga inthlak danglamna fiah lo tak tak pawh a tir lamah a hmu thei a ni.
Hei hi eng enkawlna nge ni?
Enkawlna chu thil tam takah a innghat a, chung zingah chuan i ruh chhiatna zau zawng, natna stage, i kum leh i hriselna zawng zawng te pawh a tel. Enkawlna tum ber chu ruh chhiatna nasa zawk tihtawp te, natna tihziaawmna te, leh ruhkawr hnathawh chhunzawm zel te hi a ni.
Surgery hmanga enkawlna ni lo
Natna hi a hmaa hriatchhuah a nih chuan heng thil hmang hian operation ngai lovin control i tum thei ang:
- Chawlh: Joint natnaah rit phurh a, chu chu kea kal lutuk, tlan tam lutuk leh zuang lutuk tihtlem tihna a ni.
- Painkillers: I doctor-in non-steroidal anti-inflammatory drugs (NSAIDs) a pek ang chi thilte hian natna leh hliam tihziaawmna kawngah a pui thei a ni.
- Physical Therapy: Exercise hian ruh chhehvel thau te a tichak a, ruh inzawmna (joint mobility) a tichak bawk.
- Crutches ang chi supports: Hip emaw khup emaw a nghawng chuan crutches hman hian ruh chunga rit a tihziaawm thei.
- Cold/Heat packs: Hengte hian hun eng emaw chen atan natna a tiziaawm thei a ni.
Surgery hmanga enkawlna te
Ruh chhiatna nasa tak a nih chuan, emaw, a chunga enkawlnate hian a thunun theih loh chuan, zai a ngai mai thei.
| Inzai | Eng thil nge thleng? |
|---|---|
| Core Decompression tih a ni | Hei hian ruh chhia chhungah khur te tak te (core) pakhat emaw a aia tam emaw drilling a huam a ni. Hei hian ruh chhunga pressure a tihziaawm a, thisen kalna kawng thar a siam thei a, thisen kal dan a titha bawk. Hei hi natna tan tirh lamah a tangkai hle. |
| Bone Grafting tih a ni | Ruh thi chu operation hmangin lakchhuah a ni a, i taksa peng dang atanga ruh hrisel emaw, donor ruh emaw hmanga thlak a ni. |
| Joint thlak danglam a ni | Ruh a chhiat nasat chuan, a nih loh leh a ruh chu a chim a nih chuan, ruh chhia chu paih vek a ni a, thir emaw plastic emaw a siam artificial joint hmanga thlak a ni. Hip/Knee Replacement hi tih a ni tlangpui. |
AVN vei tan chuan hmalam hun eng nge awm?
Sawi hmasak ber tur chu Avascular Necrosis hi nunna atana hlauhawm tak a ni lo tih hi a ni . I dam chhung a nghawng dawn lo. Mahse, i nunphungah nghawng lian tak a nei thei a ni. A natna hian nitin hna thawh te, kea kal te, hnathawh te a ti harsa thei hle.
Tin, AVN hian ruh a tihchhiat hian ruh chhunga cartilage chu a chhe thei a, chu chuan osteoarthritis na tak a thlen thei bawk . Chutiang hunah chuan a tawpah chuan ruh thlak (joint replacement surgery) neih a ngai mai thei.
Engtikah nge Doctor ka hmuh ang?
Hei hi a pawimawh ber a ni. Mi tam tak chuan ruh natna hi an ngaihsak lo va, thil pangngaiah an ngai. Mahse, heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.
I kal lai emaw, i taksa i chet lai emawa natna i neih a, chawlh hahdam emaw, natna tidamtu damdawi i ei hnu emaw pawha a reh loh chuan, emaw, chhan awm lova i keh ang maia i inhriat chuan tihkhawtlai lohvin doctor pan la, thurawn la rawh.
Hetiang dinhmun hi hriat hma chuan enkawlna hlawhtling zawk a ni thei a, ruh chhiatna a tlem thei a, i nunphung pawh a tha zawk thei tih hre reng ang che.
Take-Home Thuchah a ni
- Avascular Necrosis (AVN) hi ruh chhunga thisen kalna a tawp a, ruhte a thih phah a ni.
- Hip, knee, leh shoulder joint te hi a na ber a ni.
- A lan chhuahna ber chu ruh natna a ni a, zawi zawiin a pung a, chawlh hahdam pawhin a reh lo.
- Hei hi accident vang te, hun rei tak chhung steroid hman vang te, zu in tam lutuk vang te, leh damdawi lam thil thenkhat vang te a ni thei.
- Sawifiah loh taka ruh natna emaw, ke ruh natna emaw i neih chuan ngaihthah suh la, doctor pan ngei ang che.
- A hmaa hriatchhuah leh enkawl a nih chuan natna a zual zel loh nan a veng thei a ni.
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