I taksa peng hrang hrang, tight leh constricted anga inhriatna a awm em? Hei hi contracture a ni thei!

A châng chuan i taksa peng ṭhenkhat, vun, taksa ruh, a nih loh leh ruhte pawh a tight leh tight ang maiin i inhria em? I hma angin awlsam takin i ben thei lo va, i stretch thei lo tih i inhria em? Hetiang dinhmun hi doctor-te’n ‘contracture’ an tih ang chi a ni thei. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

He ‘contracture’ hi eng nge ni?

A awlsam zawngin sawi ila, contracture chu kan taksa soft tissue leh connective tissue-a structural change lo awm a ni. Chu chuan heng tissue te hi a ti nghet a, a ti nghet a, an elasticity a hloh a, rubber band ang maiin a ti . I vun, i taksa ruhte, a nih loh leh i ruhkawr vêla tissue te chu lung ang maia nghet leh nghet lo taka lo awm tûrin han mitthla teh. Hei hian chutiang hmunte chu an kal theihna tur range a tikhawtlai a ni.

Hei hi kan taksa chhunga hliam chi khat ang mai a ni. A chang chuan vunah chiang takin i hmu thei. Entirnan, mi pakhatin kang lian tak a neih chuan, a hliam a dam hnuah, chu lai hmuna vun chu a hliam a, a khauh tih i hmu tawh mai thei. Chu chu hei hi a ni. Hetiang hliam hi tissue dang, chu chu taksa ruh, ligament-a a awm hian `fibrosis` kan ti bawk. Thil thleng chu heng tissue thenkhat hi zawi zawiin tissue dense, hard, fibrous, inflexible type in a thlak ta a ni.

Chuvangin, heng tissue tight tak takte hi an inzawm tha thei lo va, an che tha thei lo bawk. A châng chuan heng tissue te hi a tlem thei a, a tawi thei bawk. Chutiang a nih chuan ‘contracture’ chhehvela tissue dangte pawh a inzawm thei a, taksaah deformities a siam thei bawk.

Contracture chi hrang hrangte chu engte nge ni?

Contractures hian kan taksa tissue hrang hrang leh hmun hrang hrang a nghawng thei a, kawng hrang hrangin a nghawng thei a ni. Doctor ten an sawina atan hming hrang hrang an hmang thin. A chi hrang hrang thenkhat han thlir ila:

• Scar contractures: Hengte hi i vun hliam leh dam hnua scarring lo awm vang a ni. Scar contracture hian tissue dang emaw joint dang emaw a che tha thei lo a nih chuan contracture chi dang a thlen thei a ni.
• Muscle contractures: Hengte hian muscle pakhat emaw, muscle inzawmkhawm pawl emaw a nghawng thei a ni. Heng taksa ruh (muscle contracture) te hian contracture dang a thlen thei bawk a, chu chu ruh (joint) ang chi thilte tha taka kalpui theih lohna te hi a ni.
• Joint contractures emaw capsular contracture: Hei hian ruh ruh vel, joint capsule an tih, connective tissue a nghawng a ni. He capsule hi a tight chuan ruh chhunga ruh te chu a che thei lo.
• Arthrogenic contracture (Arthrogenic) atanga lo chhuak a ni.Hei hi joint capsule-a lo awm contracture a ni bawk. Mahse, hei hi chu ruh (joint)-ah ngei a thleng a ni. Muscle contracture hian joint a nghawng ang bawkin, joint capsule chhunga contracture hian awlsam takin a kaihhnawih muscle te a nghawng thei a ni.

Kan hriat fo thin ‘contracture’ chi hrang hrang a awm em?

Ni e, ‘contracture’ chi hrang hrang, hming hran pek pawh a awm. Chung zinga tlemte han thlir ila:

• Amyoplasia: Hei hi pianpui natna a ni. Hetiang dinhmunah hian i fate taksa peng hrang hrangah contracture tam tak i hmu thei a ni.
• Arthrogryposis: Hei hi thumal hman tlanglawn tak a ni. He hming hi naupang chu contracture tam tak neia piang a nih chuan an hmang thin. Muscular Dystrophy leh Edwards Syndrome ang chi genetic condition te nen pawh hmuh theih a ni.
• Clubfoot: Hei hi pianpui contracture a ni bawk. Naupang ke emaw ke emaw a tendon te a nghawng a, chu chuan ke chu chhung lam, taksa lam hawiin a hawi tir thin. A châng chuan, bawnghnute ruh (calf muscles) pawh a nghawng thei bawk.
• Dupuytren-a contracture: Hei hi genetic condition a ni. Kut soft tissue-ah contracture a siam a, kut zungtang pakhat emaw a aia tam emaw chu chhunglam hawiin kutphah lam hawiin a ben a ni.
• Elbow contracture emaw stiff elbow: Hei hi elbow joint capsule-a contracture awm a ni.
• Equinus contracture: Hei hi ke ruh emaw a chhehvel thau emaw inzawmkhawmna a ni a, chu chuan ke chu a pangngai, neutral position (ke nen 90-degree angle-a) a hruai theih loh phah a ni.
• Flexion contracture: Hei hi ruh inzawmna chi khat a ni. Hei hian joint chu flexed position-ah a stiff a, a straight leh thei tawh lo. A tam zawk chu ke leh ke ruh a nghawng a ni.
• Frozen shoulder emaw adhesive capsulitis: Hei hi shoulder joint capsule a contracture a ni. He thu hi mi tam takin an lo hre tawh a.
• Volkmann contracture: Hei hi kut a lo awm thin contracture chi dang a ni. Chutah chuan kut zungtang leh kutphah chu chhung lam hawiin a inbeng a, kut chu claw ang maiin a lang.

Contracture natna lan chhuah dan chu engte nge ni?

Contracture i neih chuan symptoms i nei thei a, chungte chu:

• Chiang taka hmuh theih, thicked, hardened scar tissue.
• Muscle, joint emaw soft tissue dang emaw a stiff emaw tightness emaw a awm.
• Musculoskeletal natna a awm.
• Range of motion leh overall mobility tlahniam.
• Muscle atrophy (muscle mass tlahniam).
• Kal dan lama harsatna nei.
• Flexion deformities (a bent posture awm reng), a bik takin ke leh ke ruh (limbs)-ah.

Engvangin nge he ‘contracture’ hi a lo awm?

Contracture hi kan sawi tawh ang khan i tissue-a scarring emaw fibrosis emaw an tih hi a ni. Hei hi hliam hnua tissue siam thar leh tum lai emaw , hman loh vanga tissue atrophies lai emaw a thleng tlangpui a ni . A châng chuan, pianpui a ni thei bawk.

A chhan lian ber ber thenkhat chu hetiang hi a ni:

• Hliam: I taksa atanga tissue tam tak i hloh a, chu chu kang, natna hrik kai emaw, operation emaw ang chi thil vangin vun emaw soft tissue emaw ah contraction scar a lo awm thei a ni.
• Ischemia: Tissue-a thisen kal tlem chuan chronic inflammation a thlen a, chu chuan hliam a thlen thin. Ischemia hi rang takin emaw, zawi zawiin emaw a awm thei. Incheina tlakchhamna hi chutiang chhan pakhat a ni.
• Immobilization: Soft tissue contracture awm chhan ber chu che thei lo a ni. I taksa peng thenkhat chu hliam, taksa lama harsatna, emaw, thluak lam harsatna vang emaw hian a thawk thei lo thei a ni. Ngaihtuah teh, i kut emaw, i ke emaw i tihchhiat a, kar tam tak chhung cast i bun a ngai a nih chuan chu hmun chu a nghet hlein i hria a ni lawm ni? Chutiang chu a ni.
• Neuromuscular disorders: Stroke leh cerebral palsy ang chi natna hian thluak leh taksa peng hrang hrangte inbiakpawhna a tibuai a, chu chuan an che thei lo emaw, an inzawm khawm lutuk emaw a ni (hypertonia).
• Inherited connective tissue natna: I connective tissue lo awm dan tichhe thei natna, congenital myopathy ang chi te hian taksa ruh a ti nghet lutuk emaw, a ti hrual lutuk emaw (hypotonia) a thlen thei.
• Nau piangsual: Nausen thenkhat chu contracture neiin an piang a. Chungte chu natna leh chhan chiang tak awm lovin a thleng thei a ni. Genetic mutations vang emaw, nausen pum chhunga chetna dik lo vang emaw pawh a ni thei.

He ‘contracture’ avang hian eng harsatna nge thleng thei?

Permanent contracture hian i nunphungah nghawng lian tak a nei thei a ni . I mobility leh independence a nghawng thei a ni. Tin, \anpuina tel lova nitin hna thawh a harsat phah thei bawk.

Tin, contracture hian natna rei tak a thlen thei a, a kaihhnawih taksa peng leh ruh dangte pawh a nghawng thei a, chu chuan natna a ti na zual hle bawk. Ngaihtuah teh, i mobility tlem chuan i tissue te chu a lo tlem lehzual tan thin.

Engtin nge ‘contracture’ kan hriat theih ang?

Contracture thlen thei tur hliam emaw condition emaw i neih tawh chuan i doctor chuan a hre vek ang. I range of motion chu a check thei a , physical exam hmangin a diagnose thei bawk .

A châng chuan, i doctor chuan i connective tissue leh soft tissue te thlalak a la duh mai thei a, chu chuan contracture awm chhan chu a chhui chiang lehzual thei a ni. Hei hian X-ray te, ultrasound scan te, MRI scan te pawh a huam thei.

Contracture enkawlna tha ber berte chu engte nge ni?

Contracture enkawlna tha ber chu invenna hi a ni . A tam zawkah chuan ven theih a ni. Tunah hian che thei lo emaw, contracture thlen thei damdawi lam harsatna i neih chuan physical therapy hian nasa takin a veng thei a ni.

Contracture i neih chuan enkawl hmasak a tha ber . Contracture thar hi a nasat loh tlangpui avangin operation tel lovin awlsam takin enkawl theih a ni. Mahse, contracture hmasawn tak takte chuan nonsurgical treatment-ah chuan an chhang lo thei.

Contracture enkawl dan tur chu conventional, orthopaedic therapies, leh surgery te a ni. I contracture thlentu underlying condition pawh enkawl a pawimawh bawk.

Nonsurgical hmanga enkawl a ni

Hemi hnuaia enkawlna awmte chu:

• Static leh dynamic stretching: Doctor-te chuan brace, cast leh splint chi hrang hrang hmangin tissue contracted chu zawi zawiin leh chhunzawm zelin an stretch thin.
• Heat therapy: I soft tissue-ah therapeutic heat i hnawih hian an rilru a hahdam thei a, an inzawm khawm thei bawk. Hei hi chronic hypertonia (muscle overactivity) emaw spasticity (excessive stiffness) i neih chuan a \angkai hle. Khua lum hian thisen kal a titha bawk.
• Physical therapy: Passive leh active exercise hian taksa ruh leh ruh tight tak takte chu flexibility leh range of motion a ti tha thei a ni. Hei hian che thei lo vanga taksa ruh (muscle atrophy) a veng thei bawk.
• Myofascial release hmanga enkawlna:Hei hi manual massage technique a ni a, i fascia, i taksa ruh hnuaia connective tissue awm chu a ngaih pawimawh ber a ni. Contracture venna leh enkawlnaah a pui thei a ni.
• Injection: A then phei chuan intra-articular leh soft tissue injection hian contracture a tiziaawm thei a ni. Botox® injection hian tissue a ti hahdam thei a, collagenase injection hian fibrosis a ti chhe thei bawk.
• Anti-inflammatory treatment: Anti-inflammatory damdawi leh enkawlna low-level laser therapy (infrared light) te hian inflammation tihziaawmna leh immobilization hnua fibrosis a veng thei a ni.

Contracture hmanga operation tih te

Contracture laka surgery hmanga enkawlna hrang hrangte chu:

• Tenotomy (tendon lengthening): He surgery hian i tendon a khauh loh nan cut emaw hole te te siam a ni. Tendon a lo sei leh chuan a sei thei bawk.
• Tendon transfer: Hetiang tih danah hian tendon contracted chu lakchhuah a ni a, tendon dang, donor atanga emaw i taksa peng dang atanga emaw chu contracture awmna hmunah dah a ni.
• Arthroplasty: Joint capsule contracture tan chuan i joint capsule hmun thenkhat chhuah tir, thlak emaw, a chang chuan joint pumpui thlak emaw tur chuan operation neih a ngai mai thei.
• Fasciotomy: I fascia tichhe thei contracture, Dupuytren’s contracture ang chi te hian fasciotomy hi a hlawkpui thei a ni. Surgeon-te chuan fascia-ah hian zung an tan a, chu chu chhuah tir a, a nih loh leh scar tissue chi hrang hrang an paih chhuak thin.
• Z-plasty: Vun leh fascia-a contracture tihchhiat dan pakhat chu tissue-a Z-shaped incision siam a, tightness tihziaawmna a ni. He Z-pattern hian tissue chu a tihtlem ai chuan a lo thanglian leh turin a fuih a ni.
• Plastic surgery: Scar contracture atan chuan surgeon chuan scar tissue chu la chhuakin, donor emaw i taksa peng dang atanga lak skin graft emaw skin flap emaw hmanga thlak a ngai mai thei.

Contracture awm dan tur prognosis chu eng nge ni?

Contracture hian a nasat leh a nasat hmain enkawlna a dawng tha ber . Doctor-te chuan mi hlauhawm tak takte contracture ven emaw, tih tlem emaw tumin hma an la thei a ni.

Contracture siam tharte hian conservative treatment an dawng fo thin. Contracture hmasawn zawkte chu surgery hmanga enkawl theih a ni. Mahse, contracture thenkhat chu enkawlna dawng lo emaw, operation hmanga tihdam kim loh emaw pawh a ni thei.

Engtin nge he ‘contracture’ hi ka ven theih ang?

Contracture thlentu ber chu immobilization a ni . Hliam na tak, operation, natna avanga damdawi ina i awm emaw, kar tam tak chhung cast i vuah a ngai emaw a nih chuan contracture i nei thei a ni.

I enkawl lai hian doctor-te chuan contracture awm lo turin theihtawp an chhuah ang. Mahse, i ṭanpuina pawh an mamawh ang . I dam leh chhung hian i physical therapy exercise te dik taka tih a pawimawh hle.

Natna emaw, chak lohna emaw, hliam emaw i neih chuan exercise hi a harsa thei a, a harsa thei bawk. A châng chuan i exercise tih dânah ṭanpuina i mamawh thei a, a nih loh leh mi hriat nawn tirtu leh chêttîrtu i mamawh thei bawk.

Nangmah emaw, i enkawl tu emaw hian contracture thlen thei natna khirh tak i neih chuan, chutiang a nih loh nan physical therapy kalpui chhunzawm zel i mamawh mai thei. Heng hunah hian quality lifetime care dawn a pawimawh hle .

Condition dang atanga dam leh hunah contracture hi awlsam takin a lo awm thei a ni. Tin, dam nan hun rei tak an hmang thei bawk. Chu chhiatna chu tihdanglam nân, taima tak leh taima takin physical therapy hmangin i thawh a ngai a ni .

Chronic leh congenital condition thenkhat chuan contracture engemaw zat a awm loh nan a veng thei bawk. Mahse, a hmaa hmalakna hian a nghawng dan che leh rualbanlohna a thlen danah danglamna nasa tak a thlen thei a ni.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Contracture hi kan taksa peng nêm tak takte chu a nghet a, a nghet a, a che harsa a. A chhung lam atanga hliam tuar ang mai a ni. Hetiang dinhmun hi kangmei, hliam, operation, rei tak che thei lo, thluak lam natna thenkhat, leh nau piangsual vang te a ni thei. A pawimawh ber chu ven tum hi a ni. A bik takin eng emaw vanga rei tak che thei lo i nih chuan doctor-in a tih ang chiah khan physical therapy exercise hi ti rawh. A chhan chu, contracture a lo awm chuan a dam theih nan hun leh tha tam tak a mamawh thei a ni.

Heng symptoms te hi i neih emaw, rinhlelhna i neih emaw chuan doctor hnenah thurawn dil ngei ang che . A hmaa hriatchhuah leh enkawl hian natna a zual loh nan leh i nunphung a tichangtlung thei a ni.

`contracture, taksa ruh khauh, ruh khauh, scar tissue, chetna tlem, fibrosis, physical therapy