I ke ruh lian takah ruh spur i nei em? He bunion (Bunion/Hallux Valgus) chungchang hi i zir dawn teh ang!

I kekawr i bun hian i ke ruh lian tak chu a na em? A nih loh leh, ruh atanga ruh chhuak ang maia zung khauh tak i nei em? Kekawr tight avanga thil tenawm tak mai mai niin i ngai mai thei. Mahse a takah chuan mi tam takin an neih thin medical condition a ni. ‘Bunion’ kan ti a. Hlauh tur a ni lo a, mahse i ngaihthah chuan a ti thinrim deuh thei. Chuvangin, vawiinah hian awlsam takin kan sawi vek ang u.

A awlsam zawngin, bunion chu eng nge ni?

Bunion chu ruh bump a ni a, ke ruh lian tak bul tanna joint bulah a lo awm thin. A dik tak chuan ke ruh lian tak bul leh ke kephah inzawmna hmun ruh (joint) a nghawng a ni. Damdawi lam hawi chuan hei hi Hallux Valgus kan ti a ni.

Ngaihtuah teh, i ke ruh lian takah hun rei tak i nawr avangin chu ke ruh chu hrual a, ke ruh dang lam pan chuan nawr a ni. Tichuan ke ruh lian ber bul lama joint chu a sir lehlamah, chu chu ke chhung lam hawiin a rawn chhuak ta a ni. Chu ruh bump lo chhuak chu bunion kan tih chu a ni. Hei hi ni khat emaw ni hnih emaw chhunga inthlak danglam thin thil a ni lo va, kum tam tak chhunga lo thang zauh zauh thin a ni. I ke ruh lianah bump i hmuh chuan, a na emaw, a khauh emaw, a hring emaw a nih chuan doctor hmu a, thurawn lak a pawimawh tak zet a ni.

Bunions chi hrang hrang a awm em?

Ni e, kan hmuh thin bunions chi hrang hrang lian tak tak a awm. Eng nge an nih i en ang u.

• Common Bunion: Hei hi kan hmuh tam ber chi a ni. Ke ruh lian (big toe) pressure avanga lo awm a ni.
• Congenital Hallux Valgus: Nausen thenkhat chu he natna nei hian an piang thei a. Eng emaw chen chu a tlem hle.
• Juvenile emaw Adolescent Hallux Valgus: Hetiang natna hi naupang kum 18 hnuai lam ah a awm thei.
• Tailor’s Bunion: Hei hi a danglam deuh hlek. Ke ruh te tak te bul ah a awm thin. Tun hma chuan puan siamtute chu an ke hrual chungin leiah an thu thin a, chuvangin he dinhmun hi a awm fo thin a, a chhan chu an ke ruh te te chu leiah a nawr thin a ni. Chuvang chuan 'tailor's bunion' an ti a ni. Hei hi pheikhawk tight lutuk emaw, in fit tha lo emaw hak vang a ni fo.

Bunion natna lan chhuahna chu engte nge ni?

Bunion i neih chuan thil tlemte i hriat theih leh hmuh theih a awm. A bulpui ber chu ke ruh lian tak bul atanga hmuh theih bump a ni. Chumi piah lamah chuan symptom dang engemaw zat a awm thei bawk.

Engvangin nge heng bunions te hi an lo awm? A chhante chu engte nge ni?

Hei hi chhan pakhat mah a awm lo. Thil hrang hrang inzawmkhawm a nih a rinawm. Entîr nân, genetics, i ke ruh awm dân inthlâk danglamna te, i kal dân te, leh pheikhawk i thlan chi hrang hrangte hi han ngaihtuah teh.

Big toe joint-a pressure awm chhan berte chu:

• Kekawr inmil lo:Hei hi a chhan ber leh a tam ber a ni. A bik takin kekawr hrual emaw, kekawr sang tak emaw kan bun hian ke ruhte chu hmalam pan a, ke ruh lian chu ke ruh dang lam hawiin a nawr a ni.
• Genetic influence: I nu, i pa emaw, chhungkaw member dang emaw hian bunions an neih chuan i nei tam zawk. Bunions vei zinga 70% aia tam chuan chhungkaw history an nei a ni.
• I kal dan (Ke mechanics): Mi thenkhat kal dan emaw, an kea rit an sem dan inang lo emaw hian ke ruh lian (big toe joint) ah pressure a siam belh thei a ni.
• Inflammatory diseases: Bunions hi ruh natna thlentu dinhmun avang pawh a awm thei a, chu chu rheumatoid arthritis ang chi te hi a ni.
• Hun rei tak ding: Hnathawh emaw thil dang emaw avanga nilenga dingte tan pawh he hlauhawmna hi a sang zawk bawk.
• Kea hliam: Tun hmaa ke hliam, a bik takin ke ruh lian te pawh a nghawng thei bawk.

Bunions hian harsatna dang a thlen thei em?

Ni e, bunion condition hi enkawl tha a nih loh emaw, ngaihthah emaw a nih chuan harsatna dang a awm thei bawk.

• Bursitis: Ruh chhehvela bawm te tak te, tui khata khat te chu a hring thei a, a na thei bawk. Hei hi bunion hian pheikhawk a hnawih hian a thleng tam zawk.
• Hammertoes: Ke ruh lian tak hian ke ruh dangte a nawr a, chu chuan ke ruh pahnihna emaw pathumna emaw lairil inzawmna chu chunglam hawiin a ben a, hammer ang maiin a siam a ni. Hei pawh hi dinhmun hrehawm tak a ni.
• Osteoarthritis: Ruh chhunga cartilage te chu a chhe vek a, ruh te chu an inhnim hrual tan thin. Hei hian ruh natna nasa tak a thlen thei a, ruh a tikhauh thei bawk.

Engtin nge doctor hian bunion a hriat theih ang?

Doctor hmu tura i kal hian a tih hmasak ber chu i ke uluk taka enfiah hi a ni. I symptoms te chu a zawt ang che. Eng chen nge lump i neih tawh, engtin nge i natna, engtikah nge i natna a zual tih te a zawt ang che.

A tam zawkah chuan bunion hi taksa enfiahna chauh hmangin hriat theih a ni. Mahse, X-ray la turin an ti mai thei che a, chu chu ruh dinhmun leh ke ruh inzawmna zau zawng hriat theih a ni. Podiatrist hnenah pawh refer i ni thei bawk.

Hei hi eng enkawlna nge ni?

A tha ber chu, bunions enkawlna tur tam tak a awm. Mi zawng zawng hian operation an mamawh vek lo. Thil tam takah chuan thil awlsam tak takte chuan natna chu a thunun thei a, natna chu a zual zel loh nan a pui thei bawk. Enkawlna chu i natna lan chhuah dan nasat danah a innghat.

Bunion chu a mah chauhin a dam leh dawn em ni?

No. Bunions hi anmahni chauhin an dam lo. Nangmah chauhin i siam tha thei lo. Enkawl loh chuan hun kal zelah an na zual thei. Chuvangin, bunion i neih i rinhlelh chuan doctor pan nghal rawh. Enkawlna i tan hma poh leh thil awlsam tak hmanga enkawl theihna chance a sang zawk a, operation ngai lovin.

Bunions hi ven theih a ni em?

Hereditary factors kan control thei lo nain, risk factor dang, a bik takin pheikhawk thlan dan fimkhur hian bunions hlauhawmna nasa takin kan tihtlem thei a ni.

I tih theih ṭhenkhat chu hetiang hi a ni:

• Kekawr dik thlang rawh: Kekawr hmalam a tight lutuk emaw, pointy lutuk emaw ha ngai suh. I ke ruhte zalen taka kal theihna tur ke ruh box square emaw round emaw nei pheikhawk thlang rawh.
• Kekawr i lei dawnin fimkhur takin en rawh: I pheikhawk size i hriat pawhin brand hrang hrangah a size a inang lo thei. Chuvângin, pheikhawk i lei hmain, thut chungin, ding chungin, leh rei vak lo kal kual chungin enchhin hmasa phawt ang che. An tihnat che nge an pinch che tih en rawh.
• Zan lamah pheikhawk lei rawh: Nilengin kan kal kual hnuah kan ke a hring deuh thin. Chuvangin nakin lawkah pheikhawk lei tura i kal chuan a size dik zawk i thlang thei ang.

Ke harsatna dang (e.g. ke flat) i neih chuan, bunions venna atana orthotics bik i mamawh leh mamawh loh doctor zawt rawh.