I kut zungtang chu a laiah a ben a, tihdik a harsa em? Hei hi Boutonnière Deformity a ni thei!

Kut zungtang mak tak maia ben, tihdik harsa tak i hmu tawh em, i tawng tawh em? Kut zungtang chu a laiah a ben a, a innghat ang maiin a lang a, a tip chu chunglam hawiin a lang mai thei. Hei hi mi thenkhat tan chuan thil buaithlak tak a ni thei. Vawiin hian kut zungtang (fingers)-a awm thin, damdawi lama Boutonnière Deformity tia hriat thin chungchang kan sawi dawn a ni.

Hei hi eng nge ni Boutonnière Deformity?

A awlsam zawngin, Boutonnière Deformity hi kut zungtang (a nih loh leh, a chang chuan, a tlem berah, ke ruh) lai tak (middle joint) chu a ding nghet thei lo va, bent position-ah a innghat a ni. Chumi awmzia chu kut zungtang lai tak chu hnuai lam hawiin a ben a , a dinglam theih loh tihna a ni . Chutih rual chuan kut zungtang tawp (end joint), nail awmna joint chu chunglam hawiin a ben a, point ang maiin a lang.

Kan kut zungtang ah hian joint kan nei a. Chu middle joint, chu chu kutphah atanga joint pahnihna a ni – damdawi lamah chuan Proximal Interphalangeal joint (proximal interphalangeal joint) emaw, a tawi zawngin PIP joint (PIP joint) emaw kan ti a – chu chu ben theih loh chu a ni a, ben a nih chuan a tlakbuak thin. Chutih rual chuan kut zungtang tawp lam – Distal Interphalangeal joint (distal interphalangeal joint) emaw DIP joint (DIP joint) emaw kan ti a – chu chu hnunglam hawiin chunglam hawiin a inher a ni.

Hei hi boutonnière an ti a, French tawngin buttonhole tihna a ni. Hetiang dinhmun a awm chhan chu tendon, taksa ruh leh ruh thlunzawmtu tissue chak tak, kut zungtang chunglam a chhiat chuan fiber inkarah hian khur te tak te, buttonhole ang maia awm a ni. Chuta tang chuan a hming hi a lo chhuak ta a ni. He tendon hian hna a thawk tha lo a nih chuan i kut zungtang chu i tidik thei dawn lo.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

He Boutonnière Deformity thlentu ber chu kut zungtang chhunga tissue tihchhiat a ni a, chu chu central slip tendon an ti a ni. He tendon hian kut zungtang lai tak (middle joint) tidik turin min pui thin. Kut zungtang chunglam zawhin a tlan a. Joint chungah pawh i hmu mai thei.

Accident-a central slip tendon chhiatna

A tam zawkah chuan he dinhmun hi accident vang a ni. Hetiang thil hi han ngaihtuah teh:

• Kut zungtang chu a tlakbuak emaw, a vuak nasat emaw: Entirnan, volleyball emaw netball emaw ang chi infiamna i khelh laiin ball pakhatin i kut zungtang chu chak takin a rawn deng a. A nih loh leh i kut zungtang chu kawngkaah a tang a ni. Chutiang dinhmunah chuan tendon chu a hrual emaw, a hrual emaw thei a ni.
• Kut zungtang (fracture of a finger): Kut zungtang pakhata ruh a tliak chuan a ruh tliak phek chuan tendon a tichhe thei a ni.
• Finger joint dislocation: Joint a dislocation chuan tendon pawh a inzawm khawm thei a, a tikehsawm thei bawk.
• Thil hriam tak atanga hliam emaw, vuakna na tak emaw: Kut zungtang chu chemte ang chi thilin a tan emaw, kut zungtang chungah thil rit tak a tlak chuan he tendon hi a chhe thei a ni.

Hetiang central slip tendon hliam hi tu chungah pawh thleng thei mahse, infiammi zingah a tam zawk a, infiamna lama hliam an tuar tam zawk avangin.

Arthritis leh natna dangte

Accident bakah hian Boutonnière Deformity hi chhan dang engemaw zat a awm thei a:

• Rheumatoid arthritis: Hei hi a chhan lian tak a ni bawk. Hun rei tak chhung kut ruh a hring leh a na avangin tendon chu a chak lo thei a, a inzawm khawm thei a, a chhe thei bawk.
• Kang hliam: A chang chuan kang vangin tendon a chak lo thei a, a chhe thei hial a ni.
• Congenital hand deformity: A tlem berah chuan hei hi pianpui natna a ni thei.
• Connective tissue natna: Genetic natna thenkhat hian taksa connective tissue a tichak lo thei hle. Chu pawh chu a chhan pawh a ni thei.

A awlsam zawngin, chu central slip tendon chu a chak lo emaw, a chhe emaw a nih chuan middle joint (PIP joint) chu a hrual thei lo. Tin, tip joint (DIP joint) hrualtu extensor tendon dangte pawh a nghawng a, an chhuah tam tan ta a ni. Chuvangin chu bend mak tak chu a lo thleng ta a ni.

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Hei hi eng symptoms nge ni?

Hetiang natna lan chhuah dan ber chu kut zungtang hmun dik lo a ni . Chumi awmzia chu:

• PIP joint chu i straight thei dawn lo .
• Chutih rual chuan DIP joint chu chunglam hawiin a ben a, hyperextended a ni bawk .

Hei bakah hian hetiang hi i hre thei bawk:

• Joint na leh a hring.
• Joint stiffness a pung thei a, a bik takin hun kal zelah.

A châng chuan, heng chhinchhiahnate hi kut zungtang hliam hnu lawkah a lang thei bawk. A nih loh leh kar tam tak hnuah an rawn lang thei bawk. Mahse, arthritis ang chi natna i neih chuan he Boutonnière Deformity hi a tam zawk. I kut zungtang chu uluk taka ben leh tihdik chu a harsa deuh tih i hre hmasa mai thei.

Engtin nge doctor hian hei hi a hriat theih?

Doctor hmu tura i kal hunah i kut zungtang chu uluk takin an enfiah ang. I symptoms leh i medical history te an zawt ang che. Boutonnière Deformity hi i hmuh chuan hriat a awlsam hle. Mahse, a tan tirh khan chutiang chuan a lang lo mai thei.

Tichuan doctor chuan test tenau tak Elson's test an tih chu a ti thei ang.

Hetiang hian a tih dan chu: I kut zungtangte chu hmun khatah ben turin an ti che a, hetiang hian: kil khatah. Tichuan doctor chuan i index finger (or injured finger) middle phalanx chu a press down a, i finger chu dinglam turin a ti che a. Resistance laka i kut zungtang i straight thei lo a nih chuan central slip tendon-ah harsatna a awm tih an hre thei ang.

Chu bâkah, doctor chuan X-ray a order thei bawk . Hei hian hliam nasat dan leh ruh chhiatna eng pawh hriat theih nan a pui thei a ni. Enkawlna ruahmannaah pawh a pui thei bawk.

Okay, tunah chuan hei hi eng enkawl dan nge ni ang?

A tam zawkah chuan doctor-te chuan Boutonnière Deformity hi non-surgical method hmangin an enkawl tan thin. Chu chu conservative treatment hmanga enkawl tihna a ni. Mahse a pawimawh ber chu a rang thei ang bera enkawl hi a ni . Enkawlna dawng tura i nghah rei poh leh he deformity hi siamthat a harsa zawk thei a, operation pawh nise.

Conservative hmanga enkawl a ni

I natna hi tun hnai a nih chuan i doctor-in a tih hmasak ber tur chu i kut zungtang-ah splint dah hi a ni . He splint hian thla engemaw zat chhung chu i PIP joint chu a ti dinglam ang. Hei hian tendon chhia chu a dam theih nan hun a pe ang. Hemi hun hnu hian thla engemaw zat chhung chu physiotherapy i tih a ngai dawn a ni. Hei hian exercise bik tih tihna a ni.

Surgery hmanga enkawl a ni

Mahse, hliam na tak a nih chuan, emaw, operation ni lo enkawlna hmanga enkawl ṭhat loh natna rei tak a nih chuan operation i mamawh mai thei . I kut zungtang-ah hian scar tissue a lo awm thei a, chu chuan hmun dik lovah a tlakbuak thei a ni. A nih loh leh, surgeon chuan a hmun ṭhenkhat chu a inzawm leh a ngai mai thei bawk.

Surgeon chuan hetiang hi a ti thei a:

• Central slip tendon chhia chu siamthat emaw siam thar emaw rawh .
• Extensor tendon dangte tension tihtlem emaw, a awmna tur dik takah dah emaw.
• Arthritis a awm chuan PIP joint chu siamthat emaw fused emaw theih a ni .

Operation hnuah kar engemaw zat chhung chu i kut zungtang-ah splint i vuah a ngai dawn a ni. Kar khatna hnuah chuan kut exercise engemaw zat tih tur pek i ni ang. I physiotherapist chuan thla engemaw zat chhung chu i rehabilitation program chu a kaihruai ang.

Enkawlna hnuah eng ang beiseina nge neih theih ang?

Boutonnière Deformity hi enkawl theih a ni a , mahse hun hi a pawimawh ber a ni .Accident hnua enkawlna i zawn nghal chuan, operation nei emaw nei lo emaw pawh nise, i dam kim thei a ni. Mahse, he natna hi hriatchhuah leh enkawlna zawng tura rei vak lo i nghah chuan tihdam a harsa deuh thei.

Tin, a natna chhan pawh a pawimawh hle bawk . Hun rei tak chhung arthritis ang chi natna i neih chuan a damna tur a tikhawtlai thei a ni. Hliam na tak leh pianpui natna (congenital disorder) te hi operation hmanga siamthat a harsa zawk. A châng chuan surgeon-te chuan kut zungtang ruh (finger joint)-a flexibility ṭhenkhat chu an siam ṭha leh thei a, mahse a zawng zawng erawh chu an siam ṭha leh thei lo.

He natna hi a dam theih nan thla tam tak a ngai thei. I lam atanga inpekna nasa tak a mamawh bawk - a bik takin i kut zungtang i exercise tan tirh hian. Amaherawhchu, mi tam tak, an medical team-in thupek an pek zawm chuan result tha tak an nei thin.

I kut zungtang hmanga accident i neih a, i che tha thei lo a nih chuan doctor i pan ngei ngei tur a ni tih hre reng ang che. I kut zungtang te a te vang mai maiin accident chu thil tenawm tak niin ngai suh. I kut zungtang te hi taksa peng hrang hrang complex leh nalh tak tak an ni. Accident tenau tak pawhin i ngaihtuah aia nasain chhiatna a thlen thei a ni.

I kut zungtang pakhat a chhiat chuan a nena inzawm tendon dangte a nghawng thei a ni. I hriat hmain i kut zungtang i tihchet theihna tura puitu mechanism ngei chu a tibuai thei a ni. Dam leh tur chuan heng hmun tenau tak takte hi i siam that a ngai a ni.

He thawnthu atang hian kan hriat reng tur pawimawh ber chu! (In lama hruai tur thuchah)

Okay, chuvang chuan Boutonnière Deformity chungchang hi kan sawi nasa hle. A tawp berah chuan i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Kut zungtang lai tak chu a ben a, a tawp lam chu chunglam hawiin a awm a nih chuan Boutonnière Deformity a ni thei.
• Hei hi kut zungtang (a bik takin central slip tendon) hliam emaw, arthritis emaw avanga lo awm a ni fo thin.
• A lan chhuahna ber chu natna, hliam, leh kut zungtang tihdik theih lohna te hi a ni .
• Damdawi lam thurawn lak vat a pawimawh hle. A hun rei poh leh enkawl a harsa thin.
• Enkawlnaah chuan splinting, physical therapy, leh a châng chuan operation te pawh a tel a ni .
• Hun leh i inpekna hi dam lehna atan a pawimawh hle. I doctor thupek ang chiah kha zawm rawh.
• I kut zungtang hliam tenau pawh hi ngaihthah suh. Doctor pan nghal rawh.

Chuvangin, he thu hi in tan a tangkai ngei ka beisei. Heng symptoms te hi i neih chuan hlau suh la, doctor hnenah thurawn dil rawh. Enkawlna rang tak i neih chuan damna tha tak i hmu thei ang!