I kekawrte chu a nghet lo tih i hria em? Hei hi ‘frozen shoulder’ i tih hi a ni em?

A chang chuan i kephah chawi emaw, i kut tihchet emaw i harsat thin em? I kekawr ipte chu a tang emaw, a tang emaw ang maiin i hria em? Thawmhnaw thlak i tum emaw, i sam i hrual emaw, i kut i han chawi a, thil pakhat la chhuak tura i beih hian a na em? Heng thilte hi i tan a awm fo a nih chuan 'Frozen Shoulder' , emaw doctor-te'n ``Adhesive Capsulitis'' an tih ang chi natna i nei thei a ni. Chuvangin, vawiin hian he thu hi chipchiar deuhin kan sawi dawn em ni?

‘Frozen Shoulder’ tih hi eng nge ni?

A awlsam zawngin, frozen shoulder hi i shoulder joint-a natna khirh tak a ni. I kekawrte chet theihna a hloh zauh zauh thin. A bik takin i shoulder joint vel connective tissue chak tak (Shoulder Joint Capsule an tih) chu a thim a, a nghet a, a inflamed bawk.

I shoulder joint chu ball ang maia ruh (humeral head an tih) angin han ngaihtuah teh, chu chu ball ang maia ruh dang (glenoid an tih)-ah a in fit a ni. Hei hi ball-and-socket joint kan tih chu a ni. Chu ruh chhehvela capsule-ah chuan kut ruh chunglam ruh leh kekawrte inzawmkhawmtu ligament te a awm a.

Chuvangin he `(Capsule)` hi a thim a, a tight chuan kekawrte chu tihchet a harsa thin. Tin, a na avangin kekawrte hman pawh i tihtlem bawk. I hman loh chuan chu `(Capsule)` chu a thick a, a tight zawk thin. A tawpah chuan hmun khatah chuan shoulder chu "frozen" a ni ta a ni. Chuvang chuan ‘frozen’ shoulder an ti a ni.

Hei hi eng symptoms nge ni? Engtin nge a lo thanglian?

Doctor-te chuan he ‘frozen shoulder’ natna lan chhuah dan hi chi thum-ah an ṭhen a.

1. “Freezing” Stage tih hi a ni

Hei hi a hmasa ber a ni. Hetih hun chhung hian i kekawrte chu a nghet zauh zauh ang a, i che thei ang. Zawi zawiin a natna chu a zual zel ang. Zanah a na zual thei. Tin, zawi zawiin i kekawrte tihchet pawh a harsa zual ang. He stage hi kar ruk atanga thla 9 vel a ni tlangpui.

2. “Frozen” Stage tih hi a ni

Stage hnihna i thlen chuan a natna chu a reh deuh thei. Mahse a kekawrte chu a nghet hle ang a, a lock bawk ang. Hei hian nitin hna thawh a ti harsa hle a, thawmhnaw inbel emaw, sam hrual emaw te hi a ti harsa hle. He stage hi thla hnih atanga thla ruk chhung a ni thei.

3. “Thawing” Stage tih hi a ni

Hei hi dam lehna hnuhnung ber a ni. Hemi hun chhung hian natna a tlahniam a, kekawrte chet thiamna pawh a lo tha chho zauh zauh thin. A kekawrte hian chakna leh range of motion a nei leh ta a, a chakna zawng zawng emaw, a chakna zawng zawng emaw a nei leh ta a ni. He stage hi thla ruk atanga kum hnih vel thleng a ni thei.

Ngaihtuah teh, mi ṭhenkhat chuan stage pathumte hi an tawng vek a ngai a ni: a hmasa berah chuan natnain an tang a, chutah chuan natna chu a reh chung pawhin an tang a, a tawpah chuan zawi zawiin an dam leh ta a ni.

He ‘frozen shoulder’ hi a lo awm chhan ber chu eng nge ni?

Dik tak chuan zirchiangtute chuan eng thilin nge frozen shoulder hi a thlen tih chiang takin an la hre lo. Mahse, he natna hi shoulder joint capsule a inflamed, thickened leh stiff vang a ni tih kan hria. Hun a kal zel a, capsule chhungah hian scar tissue, adhesions tia hriat chu a lo awm ta a ni. Shoulder joint hnathawh thatna tura puitu synovial fluid pawh a tlahniam bawk. Heng zawng zawng hi a inzawm khawm chuan shoulder-in zalen taka a kal theihna leh a inher theihna a tikhawtlai a ni.

Tute nge ‘frozen shoulder’ vei theihna hlauhawm zawk?

Mi thenkhat chuan he natna hi an nei tam zawk. Tute nge an nih hi han thlir ila:

• Kum: Hei hi puitling kum 40 leh 60 inkar ah a awm tlangpui.
• Gender: Hetiang dinhmun hi mipa aiin hmeichhiaah a awm tam zawk.
• Tun hnaia i ke ruh hliam: I ke ruh hliam (entir nan, rotator cuff tear, i ke ruh, i ke ruh, emaw, i kut chunglam ruh a tliak), operation emaw, i ke ruh a che thei lo (entir nan, sling i bun emaw) i neih chuan, he natna hi i vei theihna a sang zawk a ni. Hei hi a chhan chu a kekawrte hman loh hunah capsule hi a tight duh vang a ni.
• Diabetes Mellitus: Zunthlum vei zinga 10% leh 20% inkar chuan frozen shoulder an nei thin.
• Hriselna dang: Chung zingah chuan stroke, hypothyroidism, hyperthyroidism, Parkinson natna, leh thinlung natna te a tel. Stroke hian i kut leh ke i tihchet theihna a tikhawtlai thei a, chu chuan i ke ruh chu a vawt thei a ni. Researcher te chuan engtin nge condition dangin hei hi a nghawng tih an hre chiang lo.

Engtin nge doctor-te chuan frozen shoulder hi an hriat theih?

Heng symptoms i neih chuan Doctor i hmuh hunah i symptoms te an zawt hmasa ang che a, i medical history an la ang. Tichuan i kut leh kekawrte chu taksa enfiahna an nei ang. An thil tih tur thenkhat chu hetiang hi a ni:

• I shoulder chu a sir lehlamah a kal ang a, range of motion leh pain a enfiah ang. Hei hi doctor-in i kut a tihchet hian "passive range of motion" test an ti a.
• A dawtah chuan i "Active Range of Motion" chu eng ang nge a nih tih hriat tumin i kekawr ipte chu i bengchheng turin an ti ang che.
• Heng range of motion pahnih hi tehkhin a ni. ‘Frozen shoulder’ nei te hian active leh passive range of motion an nei tlem hle.

I doctor chuan i ke ruh X-ray laksak turin a ti fo ang a, chu chuan natna dang, arthritis ang chi a awm loh nan a ti ang. Frozen shoulder hi a tlangpuiin MRI emaw ultrasound emaw a ngai lo. Mahse, i doctor chuan natna dang, rotator cuff tear ang chi a rinhlelh chuan heng test te pawh hi an order thei bawk.

‘Frozen shoulder’ enkawlna tha ber berte chu engte nge ni?

Frozen shoulder enkawlna hi a tir lamah chuan natna tihziaawmna a ni tlangpui. Movement chu a pangngaia a lo kir leh loh chuan physical therapy emaw surgery emaw a ngai mai thei.

Enkawlna awlsam tak tak thenkhat chu hetiang hi a ni:

• Compress lum leh vawt: Hengte hian natna leh hliam tihziaawmna turin a pui a ni.
• Natna leh hliam damdawi: Chung zingah chuan nonsteroidal anti-inflammatory drugs (NSAIDs), ibuprofen leh acetaminophen te pawh a tel. I doctor chuan natna tidamtu/anti-inflammatory damdawi dang a pe thei bawk. Steroid injection hmang hian natna nasa tak leh hliam na tak chu control theih a ni. I doctor chuan corticosteroid, cortisone ang chi chu i shoulder joint-ah direct-in a inject ang.
• Physical Therapy: Physical therapist chuan stretching leh range-of-motion exercise te a zirtir ang che.
• Home Exercise Program: I doctor emaw physical therapist emaw chuan in lama exercise i tih theih dan tur a zirtir thei che a ni.
• TENS (Transcutaneous Electrical Nerve Stimulation) therapy: Hei hi battery hmanga thawk device te tak te hmanga nerve impulse block leh natna tihziaawmna a ni.

Kum khat vel zet surgery nei lo enkawlna i neih hnua i natna leh i ke ruh natna a lo ṭhat loh chuan i doctor chuan enkawlna dang a rawt thei ang. Chung zingah chuan:

• Manipulation Under Anesthesia: Hetiang tih danah hian doctor chuan a muthilh tir ang che a, i kekawrte chu chak takin a chelh ang. Hei hian i joint capsule chu a tizau emaw, a tikehsawm emaw ang a, a khauhna chu a tizau ang. Hei hian i range of motion a ti sang ang.
• Shoulder Arthroscopy: Hetiang tihnaah hian i doctor chuan i joint capsule (capsular release) a tight part te chu a cut ang a, a la chhuak ang. I kekawr bul vel a incision te te hmangin pencil ang maia lian instrument te te an dah lut ang.

Doctor-te chuan result tha zawk neih theih nan kawng pahnih hi an hmang dun fo thin.

‘Frozen shoulder’ hi eng nge a hmalam hun? A dam dawn em ni?

Vawi tam tak chu, damdawi awlsam tak tak, natna tidamtu leh ke ruh exercise te, a chang chuan cortisone injection nena hman dun te hian kum khat emaw a aia rei lo chhungin kephah chetna leh hnathawhna a siam tha leh thei a ni. A châng chuan enkawlna engmah awm lo pawhin hun kal zelah shoulder range of motion leh function a ṭha chho zauh zauh a, mahse a slow hle. A tlangpuiin dam lehna famkim emaw, damna famkim hnaih emaw a awm theih nan kum hnih vel a ngai thin.

Frozen shoulder hi a veng thei ang em?

Ni e, eng emaw chen chu. I kekawr iptea hliam na tak emaw, che harsa emaw i neih chuan, a rang thei ang bera physical therapy i tan chuan i ke ruh vawt (frozen shoulder) i neih theihna chu i tihtlem thei a ni I orthopaedic surgeon emaw, physical therapist emaw chuan i mamawh ang zela exercise program a siam thei a ni.

A tawp berah chuan ka sawi tur chu... (Take-Home Message)

Frozen Shoulder (Adhesive Capsulitis) hi natna harsa tak a ni thei a, nitin nun a nghawng thei a ni. I shoulder joint a na leh a khauh avangin nitin thil tih thin kha harsatna awm lovin tih harsa emaw, tih theih loh emaw a ni thei.

A pawimawh ber chu heng symptoms te hi i neih chuan natna tuar chhuak lova doctor thurawn lak hi a ni.

In lama inenkawlna, chawlh hahdamna leh natna tihdamna te hian a puih loh chuan Doctor pan rawh. Physics therapy emaw, surgery ni lo enkawlna dang emaw an rawt hmasa mai thei. Hun rei tak chhunga dam lo frozen shoulder tan pawh surgery hi option a ni. I doctor chuan i tana tha ber tur enkawlna thlang turin a pui thei che a ni. Chuvangin, tihkhawtlai lova damdawi lam thurawn zawng chu hlau suh.

` Frozen Shoulder, Shoulder Pain, Shoulder Stiffness, Adhesive Capsulitis, Kekawrte Exercise, Taksa Therapy, Arthritis