I khelh lai emaw, accident tenau tak i neih hnuah emaw i kut emaw, i ke ruh (joint) chu a che nghal emaw, hman theih loh emaw i nei tawh em? Hei hi ‘dislocated joint’ kan ti tlangpui. Damdawi lam hawi chuan hei hi dislocation kan ti a ni. Hei hi thil hrehawm leh hlauhawm tak a ni. Chuvang chuan hei hi hriat chian a pawimawh hle.
Dislocation chu eng nge ni tak tak?
A awlsam zawngin, kan taksa ruh pahnih inzawmkhawmna hmun chu ruh (joint) a ni. Kan kekawrte, kan kekawrte, leh kan khup ang chi hmunte hi han ngaihtuah teh. Heng ruhkawrte hi kan ke ruhte chu kan ben thei a, kan tizau thei a, kan ti che thei a ni.
Dislocation , a nih loh leh ruh hring (sprained joint) chu chaknain ruh pakhata ruhte chu an awmna tur hmun aṭanga a kaltîr a, a kal leh haw a ni. Hei hi accident emaw, tlu emaw, infiamna neih laiin emaw a thleng fo thin.
Hetianga ruh a hrual chuan a na hle a, ruh chu hman theih lohvin a siam thei a ni. Chu mai ni lovin, ruh chhehvela tissue nalh tak takte pawh a tichhe thei bawk. Chumi awmzia chu:
- Muscle te hi a hrual thei a, a hrual thei bawk.
- Nerve te hi a pinch emaw a chhe thei emaw a ni.
- Tendon a chhe thei.
- Thisen kalna kawng a chhe thei.
Chuvangin, i ruh (joint) a tichhe tih rinhlelhna tlemte pawh i neih chuan in lamah siamthat tum ngai suh. A tha ber chu damdawi in pakhat Emergency Department (ETU) ah a rang thei ang bera kal hi a ni.
Joint jump chi hrang hrangte chu engte nge ni?
Doctor-te chuan ruh (joint dislocation) hi chi hnih lian takah an ṭhen a, chu chu ruhte chu an awmna pangngai aṭanga an kal chhuah dan azirin a ni. Chu chu eng nge ni tih i han thlir teh ang.
| Lampang | A awlsam zawngin... |
|---|---|
| Dislocation / Luxation kimchang tak a awm | Hemi kawngah hian thil thleng chu ruh pahnih chu a inthen vek a, a inthen ta a ni. Chu chu ruh pahnih inkarah hian inzawmna a awm lo tihna a ni. |
| A then a inthlak / Subluxation | Hei hi joint a dislocated lai a ni. Chumi awmzia chu ruhte chu an awmna pangngai a\angin tlem a chhuak tawh a, mahse a chhuak vek lo tihna a ni. Ruh pahnih hi eng emaw chen chu an la inzawm reng a ni. |
Joint pops symptoms te chu engte nge ni a, joint pops awm tam ber te chu engte nge ni?
Joint popping hi a awm fo thin. Kan taksaa ruh eng pawh hi pop thei mah se, he natna hian a nghawng tam ber ruh tlemte a awm.
- Kut zungtang
- A kekawrte
- Khup a ni
- Elbows a ni
- Mawngbawr
- Khabe
I ke ruh tliak i neih chuan hengte hi i hmuh tam ber tur chu a ni:
- Tuar theih loh, natna nasa tak .
- Joint-ah a hring chhuak .
- Bruising emaw vun rawng danglam emaw hmuh.
- Joint chu a danglamin a lang a, a hmuna awm lovah a inzar pharh a ni .
- Chu joint chu che thei lo, ben theih lohna, hman theih lohna .
- Joint chu a chak lo emaw a nghet lo emaw ang maia hriat .
Heng symptoms te hi a ruh (sprained joint) leh a chhiatna awm dan azirin a danglam thei.
Ankle sprained awm chhan leh risk factors
Joint chu ruh ruhte chu an awmna aṭanga hma leh hnung lama kal theihna tur chakna nei eng thil pawhin a tichhe thei a ni.
A chhan ber chu:
- Car accident: Car accident-in chak taka a tihbuai hian joint a ti pop thei a ni.
- Sports accident: He risk hi contact sports rugby leh football-ah a sang hle.
- Tlu: Joint hi a chhe thei a, chu chu a sang atanga tlak vang emaw, slip and fall vang emaw pawh nise.
Tute nge risk sang zawk?
Tu pawhin he natna hi vei thei mah se, mi thenkhat chu a hlauhawmna a sang deuh hlek a ni.
- Contact sports khel thin tan .
- Kum 65 chunglam tan: Kum i upat deuh deuh chuan taksa ruh chak lohna leh tlu hlauhawmna a pung thin.
- Mite chu damdawi lam harsatna thenkhat, ruh chhehvela tissue (ligaments, tendons) tichak lo, Ehlers-Danlos syndrome ang chi nei te.
Ankle hliam avanga harsatna awm thei
Ruh (sprained joint) chu ruh inher kual mai mai a ni lo. Tin, a chhehvel tissue te pawh a tichhia thei bawk.
- Muscle a tichhe thei
- Ligament leh tendon a hliam
- Nerve tihchhiat a ni
- Thisen kalna kawng chhia
- Ruh tliak a awm
Doctor, engtin nge hei hi i diagnose?
Damdawi in i kal dawnin Doctor-in a tih hmasak ber tur chu a enfiah che (physical exam) a ni. Hliam ruh leh a chhehvel uluk taka enfiah a ni ang. Doctor chuan i symptoms te leh accident hmaa i thil tih dan te a zawt ang che.
Tichuan, hetiang test tlemte hi i ti thei ang a, a chhungah eng chhiatna nge thleng tih chiang takin i hmu thei ang.
- X-ray: Ruh a tliak em tih leh a ruh chu eng chen nge a tlakbuak tih hriat nan.
- MRI (Magnetic Resonance Imaging) scan: Ruh chhehvela tissue nem tak tak, taksa ruh leh ruh (ligament) te chhiatna zawng tur.
- CT (Computed Tomography) scan: Ruh chhiatna chiang zawka hmuh theih nan.
- Ultrasound hmanga scan a ni
Engtin nge ke ruh tliak chu i enkawl ang?
Joint dislocated enkawlna pawimawh ber leh hmasa ber chu joint chu a awmna hmuna dah leh hi a ni. Doctor-te chuan hei hi `relocation` emaw `closed reduction` emaw an ti a. Doctor chuan uluk takin a ruh hring (dislocated joint) chu a hrual a, a nawr let leh a.
Hei hi a hrehawm em avangin i doctor chuan natna tidamtu emaw, rilru hahdamna damdawi emaw a pe thei che a, chu chuan tlem a mutthilh tir thei che a ni. A châng chuan anesthesia pawh hman theih a ni. Ruh tihchhiat a awm leh awm loh enfiah nan ruh ruh (joint realigned) hma leh a hnuah X-ray lak a ni ang.
Hei hi a pawimawh ber a ni: Nangmah ngeiin ke ruh tliak (sprained ankle) set tum ngai suh, emaw, mi training nei lo (i thian, trainer) nen pawh set tum ngai suh. Chutianga tih chuan hliam chu a tizual mai ang a, a chhehvel nerve leh thisen kalna kawngte pawh nasa takin a tichhe thei a ni.
Joint chu a inrem leh hnuah a dam vek hma loh chuan enkawlna engemaw zat a ngai leh a ni.
- Joint immobilization: Doctor chuan a dam hma loh chuan ruh chu a che thei lo turin splint , sling , emaw brace emaw hman a rawt thei a ni.
- Damdawi: I doctor chuan natna leh hliam tihziaawmna turin damdawi dik tak a pe ang. Doctor rawn hmasa lovin ni 10 aia rei painkiller ei chhunzawm loh tur a ni.
- Hahchawl:Hliam tuar ruh chu pressure pe thei emaw, hmang thei emaw thil tih loh a pawimawh hle.
Engtikah nge operation tih a ngai?
A tam zawkah chuan zai a ngai lo. Mahse, ruh chu a inthlak danglam a, a chhehvêla thisen kalna kawng, nerve, a nih loh leh ligament-te chhiatna nasa tak a awm chuan, chu chu siam ṭhat nân operation neih a ngai mai thei. Tin, joint chu closed reduction hmanga a hmunah dah leh theih loh a nih chuan siamthat nan operation neih a ngai thei bawk.
Eng chen nge tihdam a ngaih? Ka zuang leh thei ang em?
Dam leh hun chhung hi ruh hliam leh hliam nasat dan azirin a inang lo.
Entirnan, kut zungtang i hliam a nih chuan a pangngaia a awm leh theih nan kar thum vel a ngai thei. Mahse i kekawr bul ang chi ruh lian tak i tihchhiat chuan a dam kim theih nan thla engemaw zat emaw, a aia rei emaw pawh a ngai thei. I doctor chuan hei hi a hrilhfiah ang che.
A pawimawh ber chu infiamna leh thil rit phurh loh hi a ni a, a ruh chu a dam vek hma loh chuan. Chutiang a nih loh chuan chutiang thil chu i tih hma lutuk chuan ruh hliam leh theihna a sang zawk hle.
Vawi khat i ruh, a bik takin khup emaw, i ke emaw i tihchhiat chuan nakin lawkah i hliam leh theihna a sang zawk. Chuvangin, exercise emaw, infiamna emaw kan tih hian brace ang chi invenna hmanrua bun hian he hlauhawmna hi a tiziaawm thei a ni. Tin, ruh chhehvel thau tichak turin physical therapy lak a pawimawh bawk.
Joint a popping loh nan eng nge kan tih theih ang?
Sprains hi accident avanga lo awm a nih fo avangin 100% a ven theih a ni lo. Mahse, a hlauhawmna tihziaawmna tur thil tlemte kan tih theih a awm.
Sports khelh leh exercise i tih hian...
- I infiamna atana himna hmanrua dik tak ha la.
- Exercise i tih lai emaw, infiamna i khelh laiin ruh natna i neih chuan "natna hmanga khelh" kha titawp rawh.
- Exercise i tih hmain i taksa chu uluk takin ti lum hmasa phawt ang che. Exercise i tih zawhah i taksa chu tha takin ti lum rawh.
- I taksa chu chawlh hahdamna tur leh hnathawh hahthlak tak hnua a dam leh theih nan hun pe rawh.
Hriselna tlangpui atan...
- I inah emaw, i hnathawhna hmunah emaw thil tul lo, tlu thei leh tlu thei i neih chuan la chhuakin, felfai takin dah la.
- When picking up something from above , chair emaw table emaw-a chhoh ai chuan hmanraw remchang hmang rawh.
- Kal harsatna i neih emaw, tlu hlauhawmna i neih emaw chuan cane/walker hmang ang che.
I doctor zawh tur thil
Doctor i hmuh hunah heng zawhnate hi zawh theihnghilh suh. Chutiang chuan hriatthiamna famkim i nei thei ang.
- Eng ang dislocation nge ka neih? (Complete nge Subluxation?)
- Eng enkawlna dang nge ka mamawh?
- Eng chen nge a dam kim theih nan?
- Eng chen nge joint chu immobilized (splint/sling-ah) tur?
- Surgery ka mamawh dawn em?
- Engtikah nge infiamna leh exercise ka tan leh theih ang?
Ankle sprained hi thil hlauhawm tak a ni. Ke ruh tliak hmuh emaw, hriat emaw chu thil mak tak a ni thei. Mahse a tha ber chu hlauthawng lova damdawi in pakhat emergency room (ETU)-ah mahni in siam that tum lovin kal nghal mai hi a ni. Thu lawmawm tak chu mi tam zawk hi enkawl dan mumal an neih chuan an dam kim vek a, an thiltih pangngai leh infiamna pangngaiah an kir leh thei a ni.
Take-Home Thuchah a ni
- Dislocation chu hliam na tak, ruh ruhte chu a awmna pangngai atanga a inthlak danglam chuan a ni.
- Engtik lai pawhin , eng dinhmunah pawh, nangmah emaw, medical professional ni lo mi dang puihnain emaw, ruh hring (dislocated joint) set tum suh. Hei hian a dinhmun a ti na zual thei a ni.
- I ke ruh tliak nia i rinhlelh chuan damdawi in Emergency Department (ETU) -ah kal nghal rawh.
- Doctor thupek dik takin zawm rawh. I dam leh hma loh chuan a tul anga chawlh la rawh. Physics therapy a ngai a nih chuan dik takin ti rawh.
- A dam kim hmaa infiamna emaw hna rit tak tak emaw lama kir leh loh chuan ruh chu a hliam leh tawh loh nan a pui thei a ni.
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