I ruh leh ruh nena inzawmna (tendons) te pawh na i nei em? Enthesopathy leh enthesitis chungchang hi i zir dawn teh ang!

I kekawrte, i kekawrte, i khup emaw, i kekawrteah emaw natna rang tak emaw, a hring deuh emaw i nei tawh em? Zing i thawh chuan chu hmun chu a khauh hle mai thei? Heng thilte hi thil pangngai angin lang mah se, a chang chuan hei hi ``Enthesopathy`` emaw ``Enthesitis`` emaw an tih natna vang pawh a ni thei.`` Lungngai suh, vawiinah hian he thu hi kan sawi mai ang.

Enthesopathy chu eng nge ni? A awlsam khawp mai!

A awlsam zawngin, ‘Enthesopathy’ tih hi kan taksa chhunga tendon leh ligament te ruh nena inzawmna hmuna nghawng nei hriselna dinhmun emaw, harsatna emaw sawina tlangpui a ni

Hetiang hian han ngaihtuah teh: kan tendon te hi rubber band chak tak ang mai a ni. Hengte hi kan ruh leh kan ruh inzawmkhawmtu a ni. Tin, ligament te hi band chak tak, flexible ang mai an ni. Chungte chuan ruh pakhat chu ruh dang nen a thlunzawm a ni.

Tunah chuan, ruh pakhata tendon emaw ligament emaw a innghahna hmun dik tak sawina medical term chu ``enthesis'' an ti a, chuvangin, thumal tawp lamah "-pathy" i dah chuan chu hmun chu nghawng thei dinhmun emaw harsatna emaw a awm tihna a ni. Tichuan ``enthesopathy'' chu i ``enthesis'' pakhat emaw a aia tam emaw leh chu connective tissue-a lo awm thin harsatna a ni. Hrethiam e?

Chuti a nih chuan enthesitis chu eng nge ni? An pahnih inthlauhna chu eng nge ni?

Hetah hian danglamna tlem a awm. `Enthesopathy` tih hian `enthesis` tichhe thei dinhmun eng pawh a kawk a ni. Mahse, `enthesitis` tih hian chu `enthesis`-a inflammation a kawk a ni. Chu chu, `enthesitis` chu natna bik, `enthesopathy` category hnuaia awm a ni tihna a ni.

A châng chuan doctor-te chuan heng thumal pahnih hi thil pakhat sawina atân an hmang dun thei a ni. Mahse, lungngai suh. I doctor chuan i natna lan chhuah dan chu a en ang a, a chhan chu a zawng chhuak ang a, eng thumal pawh hmang se, enkawlna dik tak a pe ang che.

Enthesitis hi engtiang chiahin nge a awm?

Kum tin mi engzat nge enthesitis vei tih chiang taka sawi a harsa hle. Chu chu a chhan chu tendon leh ligament-a natna leh hliam hi a tam hle a, a bik takin hliam tuar lai hian. Tin, mi tam tak chu enthesopathy atanga official taka an hmuhchhuah hmain an dam leh thin.

Mahse, mithiamte hriat chian chu, psoriatic arthritis leh ankylosing spondylitis ang chi inflammatory arthritis conditions nei zingah enthesitis hi a hluar hle tih hi a ni. Dik tak chuan enthesitis episode khat aia tam neih hi doctor-te’n heng natnate hriat theihna tura an hman thin clues pakhat a ni.

Enthesitis natna lan chhuah dan chu engte nge ni?

Enthesitis natna lan chhuah dan tlangpui chu:

• Na:Joint emaw tendon attachment point emaw a natna hmunah natna nasa tak i nei thei. Tin, ruh i hman hian a na a tizual thei bawk.
• Swelling: Natna hmun chu a hring angin a lang thei.
• A rawng danglam emaw, a sen emaw: A chang chuan chu lai hmuna vun chu a sen emaw, a rawng a danglam emaw thei.
• Stiffness: A bik takin zing i thawh hmasak ber emaw, hun engemaw chen a awmna hmuna i awm hnua i ruh chu sawn tum emaw chuan a khauh tih a hriat theih a, awlsam taka ben leh stretch thei lo a ni. Ngaihtuah teh, zing i thawh chuan i rilru a na lutuk a, i kekawrte pawh leiah i dah thei lo.

Enthesopathy vei thenkhat chuan an kut zungtang leh ke ruh ah pawh inthlak danglamna an hmu thei bawk . I nail pitting emaw discoloration emaw ang chi thil i hmu mai thei.

Enthesitis hi i taksa hmun apiangah tendon emaw ligament emaw ruh nena inzawm hmunah a awm thei a, mahse hmun tlemte a awm tam ber:

• A kekawrte
• Elbows a ni
• Kut leh kutphah
• Khup a ni
• Ankles a ni
• Ke - a bik takin ke ruh na (Plantar Fasciitis) - hi a entir tha hle.

Engvangin nge enthesitis leh enthesopathy kan neih?

Enthesopathy (enthesitis telin) hi chhan lian tak pahnih a awm a:

1. I tendon emaw ligament emaw tichhe thei hliam.

2. Taksa a inflammation thlentu hriselna dinhmun.

Hliam vangin

Enthesopathy thlentu hliam thenkhat chu:

• Repetitive strain injuries: Computer-a hna i thawh reng chuan i kutphah natna chu ngaihtuah teh. A nih loh leh, athlete pakhatin a chetna ang chiah a tih reng reng chunga hliam a lo thleng thin te pawh hi.
• Infiamna lama hliam: Heng dinhmunte hi infiamna khelh laiin accident nghal, tlu leh hliam vang a ni thei.
• Tennis elbow: Elbow pawn lam a na.
• Golfer’s elbow: Elbow chhung lam a na.

Hetiang hliam hian ‘enthesis’ an tih hmun a tichhe thei a, a na leh a hring a thlen thei a ni.

Taksa chhunga inflammatory conditions avang hian

Hriselna lam thil thenkhatah chuan taksaah inflammation a awm a, chu chuan enthesitis a thlen thei a ni. Kan immune system hian thil engemaw zat chu a chhang let a, protein bik cytokines an tih chu a siam chhuak thin. Heng cytokines te hian kan taksa a tidam thei a, mahse inflammation a thlen thei bawk. Enthesitis thlen thei inflammation thlen thei dinhmun thenkhat chu:

• Psoriatic Arthritis: Hei hi vun natna psoriasis nena inzawm arthritis natna a ni.
• Ankylosing Spondylitis: Hei hi ruh natna chi khat a ni a, ruhro a nghawng ber a ni.
• Rheumatoid Arthritis: Hei hi inflammatory condition a ni bawk a, ruh a nghawng a, immune system hnathawh vang a ni.
• Psoriasis: Vun natna ni mahse, a kaihhnawih hian enthesitis a vei theihna a awm.
• Bursitis: Tui khata khat bawm bursa an tih, ruhkawr bula cushion anga thawk te inflammation.
• Plantar Fasciitis: Ke ruh, a bik takin kephah (heel)-a natna khirh tak a ni. Hei hi enthesitis entirna tha tak a ni bawk.

Enthesopathy avanga harsatna dang awm thei a awm em?

Hun rei tak chhunga enthesopathy (chu chu hun kal zelah natna lo awm leh zual zel) vei te chu ruh zung (bone spurs ) vei theihna a sang hle . Enthesitis thlentu cytokines te hian kan ruh te hi tissue thar siam turin signal an pe sual fo thin. Heng ruh spurs te hian natna a tizual thei a, natna thar a tan thei bawk.

Engtin nge doctor hian heng natnate hi a hriat theih ang?

Doctor chuan enthesopathy hi a bik takin taksa enfiahna hmangin a hmuchhuak ang . I natna lan chhuahna hmun chu a enfiah ang a, palpation hmangin a enfiah mai thei. I doctor hnenah i natna, i rilru hahna emaw, i natna lan chhuahna dang emaw i hriat hmasak ber ṭum leh eng thiltih nge a ti na zual (a nih loh leh a ti na zual) tih hrilh a pawimawh.

Enthesitis hriat theihna tur test bik a awm lo. Mahse, i doctor chuan special scan (imaging test) hmangin i taksa chhungril thlalak a la thei a, hliam emaw, inflammation emaw a awm leh awm loh a zawng thei a ni. Chung zingah chuan:

• X-ray hmanga tih a ni
• Ultrasound hmanga scan (`Ultrasound`) hmanga tih a ni.
• MRI scan (`MRI - magnetic resonance imaging`) hmanga enfiah a ni.

I doctor chuan inflammatory condition i nei nia a hriat chuan thisen test ṭhenkhat pawh a ti thei bawk .

Enthesitis enkawlna tur engte nge ni?

I mamawh enkawlna tur chu i enthesitis awm chhan a zirin a innghat ang. Hliam i neih hnua i taksa a dam theih nan in lama i tih theih thil a ni thei. A nih loh leh, natna khirh tak a nih chuan hun rei tak chhunga enkawl dan tur ruahmanna siam a ngai mai thei bawk. Enthesopathy enkawlna hman tlanglawn ber berte chu:

In lama i tih theih tur enkawlna

• RICE method: Hei hi hliam tam tak enkawlna atana hman tlanglawn tak a ni.
• R - Chawlh: Taksa peng natna vei chawlh hahdam.
• I - Ice: Ice pack hnawih a, a natna leh a hring tihziaawmna tur a ni.
• C - Compression: Compression bandage hmanga swelling control dan. I doctor chuan hei hi uluk taka hnawih dan tur a entir ang che, a khauh lutuk lovin.
• E - Elevation: Hliamna hmun chu thinlung level aia sang zawka dah.
• NSAIDs: Over-the-counter pain reliever ibuprofen (NSAIDs) te hian inflammation tihziaawmna leh natna tihziaawmna atan a pui thei a ni. Mahse, heng damdawi te hi hun rei tak hman atan a tha lo tih hre reng ang che. Doctor rawn hmasa lovin vawi khatah ni 10 aia tam ei loh tur a ni.

Damdawi lam thurawn anga enkawlna pek

• Corticosteroids: Hei hi doctor-in inflammation tihziaawmna atana a pek damdawi a ni. I doctor chuan cortisone shot direct-in a natna enthesis-ah a pe thei che a ni.
• Physical therapy: Physical therapy hian hliam chhehvel taksa ruhte a tichak a, a inthlak danglam theihna a tipung a, natna a tiziaawm thei bawk. Physics therapist chuan exercise leh stretch te a zirtir ang che, chu chuan i dam leh theih nan leh range of motion (i taksa peng pakhat i kal theih dan tur) i neih leh theih nan a pui ang che.
• DMARDs: Disease-modifying antirheumatic drugs (DMARDs) hi taksa hriselna titawp thei damdawi a ni. Autoimmune natna, enthesitis vanga arthritis chi thenkhat enkawl nan an hmang thin.

Enthesitis hi a dam kim thei em?

Enthesopathy enkawl hi bacteria infection antibiotics hmanga enkawl ang maia "tidam" ai chuan, a lo thanglian zel anga enkawl anga ngaih tur a ni. Enthesopathy leh a hnuaia hliam emaw, a dinhmun emaw chu a bo vek thei fo.

Mahse, enthesitis flare emaw flare-up emaw i nei thei - a bik takin autoimmune natna avanga lo awm a nih chuan. I doctor chuan i symptoms te enkawl dan tur leh flares awm tam dan tihtlem dan tur a pe ang che.

Enthesopathy vei chuan eng ang hmalam hun nge a beisei theih ang?

Mi zawng zawng tawnhriat hi a inang vek lo. Enthesopathy i neih chi hrang hrang leh a chhan danah a innghat.

Hliam avanga natna i neih chuan i taksa a dam hnuah enthesitis chu a bo vek a rinawm hle a, i thiltih danah pawh inthlak danglamna engemaw zat i siam a ni. Hun rei tak chhunga side effect awm lovin i hnathawh pangngai zawng zawng chu i thawk leh thei tawh ang. Mahse, i rilru a hahdam a nih pawhin i doctor-in a tih hma loh chuan taksa tihchakna nasa tak chu thawk leh tawh suh.

Enthesopathy thlentu hriselna lama harsatna thenkhat chu a rei tawh hle. Heng dinhmunte hi hun rei tak chhung i enkawl a ngai dawn a, i dam chhung zawng pawh a ni mai thei. I doctor chuan i beisei tur leh heng natnate hi engtin nge i enkawl ang tih a sawipui ang che.

Enthesitis hi ven theih a ni em?

Enthesitis hi ven theih a ni fo a, a chhan chu hliam rang tak leh hriselna dinhmun kan ven theih loh a thlen thei a ni. Damdawi lam harsatna i neih apiang enkawl dan tha ber berte chu i doctor nen sawiho rawh. Enthesitis flares i neih theihna chu i tihtlem thei mai thei a, mahse i veng thei reng reng lo.

Engtikah nge Doctor ka hmuh ang?

Hliam i nei a nih chuan, emaw, a natna emaw, a hring emaw a danglam ang maia lang, a zual zel emaw, ruh i sawn theih loh chuan doctor pan tur a ni. I enthesitis enkawlna chu a hma angin a thawk tha lo niin a lang a, a nih loh leh flare-up i neih tam zawk chuan i doctor hnenah hrilh rawh . I enkawl dan chu a thlak danglam thei emaw, a siamrem thei emaw a ni thei.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

I doctor zawh tur zawhna pawimawh thenkhat chu hetiang hi a ni:

• Engvangin nge he ``Enthesopathy`` emaw ``Enthesitis`` emaw hi ka neih?
• Eng ang test nge ka tih ang?
• Heng symptoms te hi a lo lang leh thei ang em?
• Engtikah nge taksa tihchakna ka tan leh theih ang?
• Hun rei tak chhunga ka enkawl tur hriselna dinhmun ka nei em?

Enthesopathy hi arthritis nen a inang em?

Ni lo, `Enthesopathy` leh `Arthritis` te hi a niHengte hi thil chi hrang hrang pahnih a ni. Mahse, an pahnih inkarah hian inzawmna nghet tak a awm thei. Arthritis chi hrang hrang 100 chuang a awm a, chung zinga tam tak chuan enthesopathy-a hmuh ang chi, natna, tiharh, leh vun natna a thlen thei a ni.

Tin, inflammatory arthritis chi hrang hrang hian enthesitis a thlen thei bawk. Chuvangin, arthritis i neih chuan enthesitis i vei theihna a sang zawk. Eng symptom emaw, inthlak danglamna emaw i fimkhur tur tih chu i doctor nen sawiho rawh.

A tawp berah chuan take-home message

``Enthesitis`` leh ``Enthesopathy`` tih thumal hi thil mak deuhin a ri thei a, mahse i ruh leh i ruh inzawmna hmunte nghawng thei dinhmun a kawk tih hre reng ang che. Heng hmunah hian natna emaw, natna emaw i neih chuan ngaihthah suh.

He natna hi vawi khata hliam dam a ni thei a, hun rei tak enkawl ngai damdawi lam natna avang pawh a ni thei bawk.

Chuvangin, hemi chungchanga zawhna i neih chuan Doctor hmu a, biak pawh hlau suh. Heng symptoms te hi eng thilin nge a thlen tih te, a tihziaawm dan tur te, leh a chhan enkawl dan tur i tih tur te a hrilhfiah ang che. Hrisel takin awm rawh!

` Enthesopathy, Enthesitis, Joint Na, Tendon Na, Inflammation, Arthritis, Sri Lanka