Inkhelh laiin i tlu nghal em? A nih loh leh bathroom-ah i tlu lut a, i kekawrte i ti na em ni? Vawikhatmah, tuar theih loh natna avangin i kut pawh i che thei lo em ni? A châng chuan i kekawrte pianzia a danglam tih i hmu mai thei. Hetiang thil hi a thleng a nih chuan i ke ruh (dislocated shoulder) a ni mai thei. Hei hi hlauhawm deuh mahse, enkawlna dik tak hmanga tihdam theih vek theih dinhmun a ni. Chuvangin hemi chungchang hi i hrechiang lehzual ang u.
He shoulder shrug hian eng nge a awmzia?
A awlsam zawngin, i ke ruh (dislocated shoulder) tih awmzia chu i shoulder joint-a ruhte chu an awmna tur hmun a\angin an kal leh chhuak a, an inthen tihna a ni.
Hei hi tlem han sawifiah leh ila. Kan taksaa ruh (joint) chu ruh pahnih intawh tawnna hmun a ni. I shoulder joint hi i kut chunglam ball (humerus) leh i shoulder blade (the scapula) socket emaw glenoid emaw atanga siam a ni. Socket chhunga ball fit ang mai a ni. Hei hi ``ball-and-socket joint'' kan ti a. Hei hi kan kut chu kawng tinrenga kan kal theihna tur joint a ni.
Dislocated shoulder chu ball ang ruh chu socket atanga a rawn chhuah chhuah vek hian a ni. Chutiang a nih chuan ruh chhehvela tissue nalh tak takte pawh a chhe thei bawk.
Chumi awmzia chu:
- Muscle te hi a ni
- Nerves a awm
- Tendons te hi a awm
- Ligaments (ligaments) te
- Thisen kalna kawngte
Hei hi dinhmun hrehawm tak a ni. I kekawrte chu a inthlak danglam emaw, i kut i che thei lo emaw i tih chuan nangmah ngeiin siamthat tum ngai suh. A tha ber chu damdawi in hnai ber Emergency Department (ETU) ah a rang thei ang bera kal hi a ni.
Shoulder shrug chi hrang hrang a awm em?
Ni e, doctor-te chuan hei hi kawng lian pahnih-ah an thliar hrang a. Pakhat chu ruhte chu eng chen nge an inthlak danglam tih a innghat a ni.
1. Complete Dislocation or Luxation: Hei hi shoulder joint-a ruh pahnih te chu an inthen vek a, an rawn chhuak a ni. Hei hi "dislocated shoulder" kan tih hian kan sawi tlangpui a ni.
. Ruhte chu a la inkhawih reng a, mahse a pangngai angin erawh a ni lo. Natna awm mahse, a chhuak vek angin a na lo thei.
A ke ruh (dislocated shoulder) hian eng symptoms nge a neih?
Shoulder dislocated hian heng symptoms zinga pakhat emaw a aia tam emaw a thlen tlangpui.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna nasa tak a nei | Natna rang tak, tuar theih loh, na tak. |
| Kut inthlak thei lo | Ka kut chu ka chawi thei lo va, ka rotate thei lo bawk. Ka kut chu nunna nei lo ang maiin ka hria. |
| Shoulder shape a inthlak danglam thin | Pawn lam atang chuan a kekawrte chu a pil emaw, a chhuak emaw angin a lang thei a, a awmna tur hmunah a awm lo ang maiin a lang thei. |
| A hring leh a hliam | A shoulder area chu a hring a, blue/purple a lo ni tan ta. |
| Muscle Spasms a awm thin | Taksain hliam laka inven a tum rualin a kekawr bul vel ruhte chu a nghet tan a, chu chuan a natna a tizual a ni. |
| Tingling emaw chak lohna emaw | Chu nerve-te chu a nghawng chuan i kut, i kutphah, a nih loh leh i kut zungtangte chu a hrual emaw, a rilru a buai emaw a ni thei. |
Engvangin nge shoulder chu a zuang? Tute nge hlauhawma awm?
Hei hi shoulder joint-ah force a awm tawk a, a pop chhuak thei a nih chuan a thleng thei. A tlangpuiin thil hrang hrang atanga lo chhuak a ni:
- Tlu: Hmun sang atanga tla, tlu, etc. ang chi thil.
- Car accident: Car accident-a kekawrte chunga nghawng a neih.
- Infiamna lama chetsualna: 1.1.Shoulder dislocations a awm thei a, a bik takin contact sports rugby leh football-ah te, cricket-a diving leh volleyball khelh lai te pawh a awm thei.
Tu nge hlauhawm ber?
Tu pawhin shoulder dislocation an nei thei a, mahse mi thenkhat chu an hlauhawm zawk.
- Player: A bik takin inhnek ngaina game khel thinte.
- Mipa: Hmeichhia aiin mipa hian a let hnih aia tam shoulder dislocation an nei tam zawk.
- Thalai kum 15-30 inkar: Hetiang kumte hi an active em avangin accident an tawk nasa zawk.
- A hmaa an ke ruh lo chhuak tawhte: I ke ruh i tihchhiat hnuah chuan chu ruh chhehvela ligament te chu a chak lo deuh thin. Chuvangin, a dislocate leh theihna chance a sang zawk hle.
A ke ruh (dislocated shoulder) avanga harsatna awm thei te chu engte nge ni?
Shoulder dislocation chu ruh hma leh hnung lama kal mai mai a ni lo. A nghawng hian kekawr bul vel tissue te pawh a tichhe thei bawk.
- Ruh tliak: Ruh te te chu a ke ruh a inthlak chuan a chhe thei.
- Ligament leh tendon sprains: Heng ruh inzawmkhawmtu tissue te hi a inzawmkhawm emaw, a chhe thei emaw a ni.
- Nerve chhiatna: Kawngkhar vel a nerve tlan te hi pinch emaw compress emaw theih a ni.
- Thisen kalna kawng chhia: A tlem hle nachungin thisen kalna kawng a chhe thei.
Mi thenkhat chuan an ke ruh an tihchhiat hian Hill-Sachs lesion an tih natna an nei thin. Hei hi humerus (a kut chunglam ball ang chi ruh) ball a chhiat lai a ni. Hetiang chhiatna hi a ke ruh a inthlak a, ball ang ruh chu socket a tlak chuan a thleng thei a ni.
Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?
ETU-a i kal hian doctor-in a tih hmasak ber chu i kekawrte a enfiah hmasa ber a ni. Engtin nge a lo awm tih leh tunah hian eng symptom nge i neih tih a zawt che a.
Chumi hnuah chuan hetiang test hi tih theih a ni a, chhungril lama chhiatna a awm leh awm loh enfiah a ni thei bawk:
- X-ray: Hei hi ruh a inthlak emaw, a chhe emaw hriat nan a pawimawh hle.
- MRI scan (Magnetic resonance imaging): Hei hian tissue nalh tak tak, ligament leh tendon te chhiatna a hriat theih nan a pui a ni.
- CT scan (Computed tomography scan): Hei hi ruh chhiatna chiang zawka hriat theih nan tih a ni.
Enkawl dan tur
A ke ruh tliak enkawlna pawimawh ber leh hmasa ber chu ruh hring chhuak chu a hmunah dah leh hi a ni.
Hei hi ‘Closed Reduction’ an ti a.Hei hi surgery a ni lo. Doctor chuan i taksa chu pawn lam atangin a chelh ang a, zawi zawiin i kut chu a hmunah a hruai leh ang. Chutianga a tih lai chuan i kekawrteah local anesthetic injection a pe thei che a, chu chuan natna tihziaawmna atan a pe thei che a, a nih loh leh i mutthilh theih nan sedatives a pe thei bawk che a ni.
A pawimawh hle mai:
- Nangmah chauhin i kekawrte siam that tum suh.
- Doctor ni lo tu pawhin i kekawrte chu khawih emaw, siam that emaw phal suh.
Chutianga tih chuan nerve, thisen kalna kawng leh tissue dangte nasa takin a tichhe thei a, chu chuan natna chu a tizual lehzual thei a ni.
Shoulder a realign hnuah doctor chuan a hnuaia enkawlna te hi a rawt ang.
- Immobilization: A ke ruh chu a awmna tur dik takah a awm hnuah, kut chu a che thei lo turin sling emaw splint emaw dah a ni. Hei hi shoulder chawlh hahdamna tur leh tissue chhia chu a dam theih nan a ni. Hetiang dinhmunah hian kut hi kar engemaw zat an dah tlangpui.
- Damdawi: Doctor chuan natna leh hliam tihziaawmna turin painkiller a pe ang.
- Chawlh hahdam: I kekawrte chunga harsatna thlen thei emaw, i chau thei emaw thil tih loh tur a ni.
- Physical therapy: Hei hi a pawimawh hle. I kekawrte a dam tan chuan physical therapist kaihhruaina hnuaiah exercise i tan tur a ni. I kekawr iptea a nghet lo tihziaawmna turin exercise awlsam tak hmangin i tan hmasa ang a, chutah chuan i kekawr bul vel ruh tichak turin exercise i ti leh ang. Hei hi i tih dik loh chuan i shoulder sprain a lo lang leh mai thei.
Surgery neih a ngai dawn em ni?
A tam zawkah chuan shoulder dislocated a nih chuan operation a ngai lo. Mahse, a hnuaia thil awmteah hian operation neih a ngai mai thei:
- Tlu laiin a ke ruh (ligaments) leh ruh (tendon) te nasa taka a chhiat chuan.
- ‘Closed reduction’ method hmanga shoulder chu hmun dik takah a dah leh thei lo a nih chuan.
- I shoulder a pop fo chuan ligaments a chak loh lutuk vang a ni. Chutiang ligament te chu tikhauh turin operation tih theih a ni.
Eng chen nge a dam theih ang?
A ke ruh (dislocated shoulder) chu a dam kim theih nan thla engemaw zat a ngai a ni. Kar hmasa lamah chuan arm chu immobilized a ngai a ni. Chumi hnuah chuan thla engemaw zat chhung chu physical therapy i tih a ngai dawn a ni.
Athlete i nih chuan inkhelh tan leh hmain doctor rawn hmasa phawt tur a ni. I kekawrte a dam kim hmaa hna rit tak tak i thawh emaw, i khelh emaw chuan i kekawrte chu i dislocate leh theihna chance a sang hle a, i hliam chu a ti na zual thei bawk.
Mi tam zawk chuan enkawlna dik leh taksa enkawlna tha tak hmangin an dam kim vek thin. An thiltih pangngai leh infiamna pangngaiah an kir leh thei a ni.
Take-Home Thuchah a ni
- Dislocated shoulder chu shoulder joint-a ruh awm chu a hmun atanga a rawn pop chhuah chuan a ni. Hei hi thil hrehawm tak a ni.
- I ke ruh tliak i rinhlelh chuan nangmah ngeiin siamthat tum ngai suh la, midang tih tir tum ngai suh.
- Damdawi in hnai ber emergency room (ETU) ah kal nghal rawh. A theih ang anga kut chu a muang thei ang bera dah rawh.
- Doctor-in a ke ruh chu a hmuna a dah leh hnuah (closed reduction) kut chu a ding reng a, physical therapy neih a pawimawh hle.
- Re-sprain ven nan leh taksa ruh tichak turin physical therapy exercise dik taka tih a pawimawh hle.
- I dam kim hma chuan i doctor thupek zawm la, i kekawrte chunga harsatna thlen thei thil tih loh tur.
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