I shoulder pawh a frozen tawh em? ‘Frozen Shoulder’ (Adhesive Capsulitis) chungchang hi han sawi ila!

I kekawr ipte chu a vawt nghal vat ang maiin, i kut i chawi sang thei lo va, i sam i hrual emaw, i thawmhnaw thlak emaw ang chi thil awlsam tak tak tih harsa i ti ngai em? Zanah i kekawrte na na tak, a sir khatah i hawi thei lo va, i che thei lo em ni? Hei hi ‘Frozen Shoulder’ kan tih fo thin chu a ni. Tlemte chu a tithinur thei viau nain, hlauh tur a ni lo. Hei hi chipchiar takin i hrethiam ang u.

A awlsam zawngin ‘Frozen Shoulder’ tih hi eng nge ni?

‘Frozen Shoulder’ tih damdawi lam hming dang chu ‘Adhesive Capsulitis’ a ni. Hei hi i shoulder joint vel tissue te chu a thim a, a nghet a, a chetna a tihkhawtlai lai a ni.

Kan ke ruh hi ruh pathum inzawmkhawm a ni tih han ngaihtuah teh . Chu chu kut chunglam ruh (humerus), ke ruh ( scapula ), leh kawr ruh (clavicle) te a ni. Chûng ruh zawng zawng chu bawm ang maia khuhna nghet tak hmanga inzawm khawm leh vênhim a ni. Hei hi shoulder capsule an ti a.

‘Frozen shoulder’ a lo awm chuan he capsule hi a thim zauh zauh a, a nghet a, a sticky bawk. Puan hnim hrual ang mai a ni. Tin, synovial fluid a tihtlem bawk a, chu chuan joint chu a glide thei a ni. Hei hian kekawrte chet a harsa hle. A natna avang hian shoulder hman i tihtlem phah a ni. I hman rei loh poh leh capsule chu a tight zawk thin. A tawpah chuan hmun khatah chuan shoulder chu "frozen" niin a lang.

‘Frozen Shoulder’ natna lan chhuah dan leh a stage te chu engte nge ni?

A lan chhuah dan ber chu ke ruh na leh a khauh hi a ni. Hei hian kekawrte tiharh a harsa hle a, a chang chuan a theih loh phah bawk. He natna hi a tlangpuiin natna dull, aching pain ang maiin a awm thin. Mi thenkhat tan chuan zan lamah a na zual a, mut a harsa hle.

Hetiang dinhmun hi stage thum a paltlang tlangpui. Chu stage pathum chu eng nge ni tih i en ang u.

Engvangin nge ‘Frozen Shoulder’ hi a lo awm? Risk factors te chu engte nge ni ?

Mi thenkhat chunga hetiang thil hi a thlen chhan chiang tak a awm lo a, mahse pawl thenkhat chuan an vei theihna chance a sang zawk.

• Kum leh mipa leh hmeichhia: Hmeichhiaah hian he natna hi an vei tam zawk a, kum 40 leh 60 inkar te zingah a tam ber.
• Shoulder immobilization: Eng emaw chhan vanga rei tak i kekawrte i che thei lo a nih chuan (entir nan, cast-a kut i tliak hnuah, stroke hnuah , emaw, operation hnuah emaw ), he hlauhawmna hi a sang chho zel a ni.
• Damdawi lam thil dang: Hei hi damdawi lam dinhmun thenkhat nen pawh inzawmna a awm bawk. Zunthlum vei te hian 'Frozen Shoulder' an vei theihna chance hi 10% - 20% in a sang zawk a ni. Tin, a hnuaia damdawi lam harsatna nei te pawh hi an hlauhawmna a sang hle bawk:
• Lung natna
• Thyroid natna a ni
• Parkinson natna a ni

Engtin nge doctor hian hei hi a hriat chian?

'Frozen Shoulder' tih hi test bik a awm lo. I doctor-in a tih hmasak ber tur chu taksa a enfiah che a ni.

He taksa enfiahna hian a natna hi a hriat theih tlangpui. Mahse, X-ray, ultrasound, emaw MRI scan hmangin natna dang, arthritis emaw, rotator cuff chhe emaw te chu hriat theih a ni.

‘Frozen Shoulder’ tih hi eng enkawlna nge ni?

Thu lawmawm tak chu , frozen shoulder case tam zawk chu hun kal zelah a mah chauhin a reh ang a, enkawl loh pawhin a reh mai ang. Mahse, hun a duh rei thei a, chuvangin a natna thunun theih nan leh i kekawrte chu a pangngaia a awm leh theih nan enkawlna lak a pawimawh hle.

Painkiller awlsam tak, NSAIDs (Nonsteroidal anti-inflammatory drugs) ibuprofen ang chi te hian natna leh hliam tihziaawmna kawngah a pui thei a ni. Hengte hi a tawk lo a nih chuan i doctor chuan damdawi chak zawk a pe thei ang.

A natna lan chhuah dan a nasat emaw, hun kal zelah a tha lo emaw a nih chuan i doctor chuan enkawlna dang a rawt thei ang.

• Corticosteroid injection: Shoulder joint-a injection hian rang takin natna a tiziaawm thei a, mobility a tipung thei bawk.
• Joint distension: Hetiang tih danah hian i doctor chuan i shoulder capsule-ah tui sterile a inject a, chu chuan a tizau a ni. Hei hian i shoulder chu awlsam zawkin a che thei a ni.
• Physical therapy: Specialist kaihhruaina hnuaia exercise tih hian shoulder chu a hnathawh dan pangngaiah a awm leh thei a, mahse hei hi natna stage thenkhatah chuan a hlawk zawk a ni.
• Surgery: Hei hi a tam zawkah chuan a ngai lo. Mahse, enkawlna dang a hlawhtlin loh chuan i doctor chuan arthroscopic surgery a rawt thei a, chu chuan camera te tak te leh instrument hmangin kekawr chhunga tissue awm zawng zawng chu a paih chhuak thei a ni.

In lama natna tihziaawm dan tur

• Hot/cold compress: Tui lum emaw, tui vawt emaw bottle hnawih hian natna leh hliam a tiziaawm thei. Minute 15-20 vel dah la. An pahnih inkarah pawh i inthlak thei bawk.
• TENS therapy (`Transcutaneous electrical nerve stimulation`): Hei hi hmanraw te tak te hmangin vun kaltlangin electric current voltage hniam tak thawn chhuah a ni a, chu chuan natna signal thluak thleng tur a tikhawlo a ni. Mahse, he device chi hi i hman hmain i doctor nen in inbia ngei tur a ni.

Exercise awlsam tak tak, kekawrte tan a tha

Shoulder exercise nem tak hian he natna hi a tiziaawm thei a, a lo awm loh nan pawh a veng thei bawk. Mahse, hre reng ang che, heng exercise te hi i tan hmain doctor emaw physical therapist emaw rawn hmasa phawt a tha. Natna thlen thei khawpin ti suh.

Exercise i tih hmain i kekawrte kha lum hmasa phawt ang che. A tha ber chu tui lum taka inbual hi a ni.

• Pendulum stretch: Ding nghet la, kut na tak chu zalen takin hnuai lamah dah rawh. A kut lehlamah chuan dawhkan pakhatah chuan innghat rawh. Tunah chuan kut na tak chu circle te tak tein a sir khatah vawi 10 leh a sir lehlamah vawi 10 vel rotate leh ang che.
• Cross-body reach: I kut tha tak hmangin i kut natna nei elbow chu man rawh. Tunah chuan i rilru atanga natna nei kut chu a sir lehlamah hrual rawh. Second 15-20 vel chelh la, i kekawr ipteah a inzawm tih i hriat thlengin. Ni khatah vawi 10-20 vel tih thin ang che.
• Towel stretch: Towel hnunglam atanga feet 3 vel a sei chu chelh la. I kut tha tak chu chunglam leh i kut natna chu hnuai lam hawiin vawn rawh. Tunah chuan i kut tha tak hmangin towel chu han hrual rawh. I kut na tak chu i kekawr ipteah a inzawm tih i hriat thlengin second 10 chhung vawng tlat ang che.

‘Frozen Shoulder’ nen engtin nge kan mut ang?

He natna chungchanga harsatna lian ber chu zanah a na zual zel hi a ni. Heng tips te hian a pui ang che.

• Pillow dik tak hmang rawh: I lu, i kawr leh i ruhro chu a dinglam a awm reng thei tur pillow thlang rawh.
• Extra pillow hmang rawh: A na lo lam hawiin mu rawh. I kut inkar ah pillow dah la. Hei hian i kekawrte chu a inmil reng theih nan a pui ang.
• Mut lum: I mut hmain tui lum bottle i kekawr ipteah hnawih hmasa phawt ang che. Hei hian natna a tihziaawm bakah i mut that theih nan a pui bawk ang.