Sports fan i ni em? Cricket i khel a, football i khel a, tlan leh zuang i ngaina mai thei bawk. Infiamna i khelh laiin i kekawr hnunglam natna nasa tak hian a rawn tawk nghal em? A nih loh leh nitin hna i thawh laiin hetiang hian a thleng che em? Hetiang hi mi tam takin an tawng tawh a ni. Hei hi "pulled hamstring" kan ti tlangpui. Hetiang natna hi damdawi lam hming chu `(Hamstring Injury)` a ni. Hei hi infiammi tan chuan inhliam tlangpui a ni. Chuvangin vawiin hian a chungchang zawng zawng kan sawi dawn a ni.
A awlsam zawngin Hamstring Injury tih hi eng nge ni?
Okay, heng `Hamstrings` te hi eng nge an nih hi han en hmasa ila. `Hamstring` ruh hi i kekawr hnung lamah taksa peng lian pathum kan ti a. Heng ruhte hian i ke hmanga i thil tih tam takah a pui a, entirnan, kea kal, tlan, zuang, leh ben. Heng taksa ruhte hian kan tlan leh kan zuang hian chakna lo chhuak tam tak chu an la lut a, kan taksa chakna pawh an pe bawk.
Chuvângin, heng ruhte hian an tuar theih loh khawpa chakna emaw, hrualna emaw a lo awm nghâl a nih chuan, chu ruh chhûnga fiber nalh tak takte chu a inzawm khawm thei a, a chhe thei bawk. Chu chu `(Hamstring Injury)` emaw `(Hamstring Strain) kan tih chu a ni.` Rubber band chu a hrual nasat lutuk chuan a chhe ang mai a ni.
Engtin nge he natna nasatzia hi an teh?
Sprain zawng zawng hi a inang vek lo. Ṭhenkhat chu tenau tak tak an ni a, ni rei lote hnuah an dam leh ang. Ṭhenkhat chu a na hle a, a dam theih nan thla tam tak a ngai thei. Chuvangin doctor-te chuan natna hi a nasat dan a zirin chi thum, a nih loh leh grade-ah an ṭhen a ni.
| Grade a awm a, chu chu a natna a ni | Hrilhfiahna | Engtin nge i awm tlangpui? |
|---|---|---|
| Pawl 1 (hliam tenau) 1.1. | Muscle fiber tlemte chauh hi a inzawm emaw, a chhe emaw a ni. | Ka kawr hnunglam chu a tight a, a na deuh bawk. Mahse, pangngai takin ka kal thei. Chak lohna ka nei vak lo. |
| Pawl 2 (a chak lohna (moderate impairment)) 1.1. | Muscle fiber tam tak chu a chhe tawh (partial tear) a ni. | Natna rang tak, na tak i nei a. I kal lai hian a na hle. A hmun chu a hring thei a, a sen thei bawk. I ke hian a hmaa chakna a neih ang kha a nei lo ang maiin a inhria mai thei. |
| Pawl 3 (hliam na tak) 1.1. | Muscle chu a chhe vek (Complete tear). | A na chu tuar theih loh khawpin a na. "click" ri ang maiin a lang thei. I keah rit i dah thei lo vang a, i kal thei tawh lo vang. A hring nasa hle ang a, a sen hle bawk ang. |
Hemi chhinchhiahna berte chu engte nge ni?
I hamstring hliam i rinhlelh chuan heng symptoms te hi fimkhur rawh. Mi zawng zawng hian heng symptoms zawng zawng hi an nei vek dawn lo. Hliam nasat danah a innghat.
- Thigh hnunglam natna: Hei hi a lan chhuah dan ber a ni. He natna hi i ke i tihchet emaw, tlan tum emaw, i ben emaw hian a zual thin.
- Swelling: Hliamna hmun chu a hring tan nghal vat ang.
- Bruising: Darkar engemaw zat hnuah emaw a tuk zingah emaw chuan hliam chhehvel vun chu a sen emaw, a sen emaw a lo ni thei. Hei hi chhungril lama thisen chhuak vang a ni.
- "Clik" ri hriat emaw hriat emaw: Hliam na tak (Grade 2 leh 3)-ah chuan tendon a hrual rualin chhungril atangin "click" ri a ri thei.
- Muscle spasms: Muscle te chu rang takin a tight thei a, a twitch thei bawk.
- Ke chak lohna: Kea rit phurh theihna te, tlan theihna te, zuang theihna te a tlahniam a.
- Knot ang maia hriat: A châng chuan, tisa hrual chu knot inzawm khawm a, kutah a man ang maiin a awm thei.
- Thut laia na: Mi thenkhat chuan hnute leh kekawrte inzawmna hmunah na an nei thei a, a bik takin ṭhut lai hian a na thei.
A pawimawh ber chu i taksa thu ngaihthlak hi a ni. Inkhelh chhunzawm zel suh, hrehawm takin tlan chhunzawm suh. Chutianga tih chuan hliam tenau tak pawh chu thil pawi zâwkah a chantîr thei a ni.
Engvangin nge hetiang natna hi kan neih?
A awlsam zawngin, he hliam hi engtik lai pawhin hamstring muscle te hi a strain emaw tension emaw a awm chuan a thleng thei a ni. I tlan chak ṭan thut mai ang a, a nih loh leh ball pet turin i ke i phar nghal mai ang tih han ngaihtuah teh. Hei hi a thlen tam ber hun a ni.
Hei hi a nghawng thei risk factor dang engemaw zat a awm a:
- Insiam that loh chuan exercise tan: Exercise hmaa taksa ruh te hi a inbuatsaih tha lo a nih chuan, chu chu a lum loh chuan a inhnukdawk duh zawk tihna a ni.
- Muscle flexibility tlakchham: Mi thenkhat chuan muscle tight tak tak an nei a, awlsam takin an pull thei.
- Exercise tihpun nghal: He risk hi hun engemaw chen exercise i tih loh a, chutah rang taka nasa taka exercise i tan chuan a sang zawk.
- Muscle imbalance: A chang chuan kekawr hmalam (Quadriceps) muscle te a chak lutuk a, hnungzang a hamstrings te a chak loh lutuk chuan heng muscle te inthlauhna hian hamstring hliam a thlen thei a ni.
- Tlu leh Tlu: Ice-ah emaw tuiah emaw i tlu a, rang taka i ke a inthen chuan i hamstrings chu i tikehsawm vek thei a ni.
Engtin nge doctor hian hei hi a hmuh theih?
Doctor i pan dawnin a zawh hmasak ber tur che chu engtin nge a lo awm, eng ang natna nge i neih, a hring em, a blue em, etc. Hliam i neih lai khan eng nge i tih tih chiang taka hrilh chu a pawimawh hle.
Tichuan doctor in i ke a enfiah ang.
- A hring leh a blue a awm leh awm loh enfiah thin ang che.
- An khawih a, a natna awmna hmun chiah an hre bawk.
- I ke chu kawng hrang hrangah ben leh extend turin an ti ang che. Hei hian i hamstrings chakna leh range of motion hriat theihna a pe ang che.
A tam zawkah chuan he taksa enfiahna chauh hian hliam chungchang hi a hriat chian theih phah a ni. Mahse, hliam na tak nia a lan chuan, emaw, ruh tliak nia rinhlelhna a awm chuan, i doctor chuan test dang neih belh turin a refer thei che a ni.
- Ultrasound Scan: Hei hian sa chu engzat nge a phelh tawh tih leh thisen a awm leh awm loh chiang takin a hriat theih.
- MRI Scan: Hei chauh hi taksa ruh chhiatna chiang tak leh dik taka hmuh theihna awmchhun a ni.
- X-ray: Sa chu an hrual chuan a ruh inzawm te chu a lo chhuak thei a. Chutiang ruh tliak nia rinhlelhna a awm chuan X-ray tih tir theih a ni.
Engtin nge enkawl a nih?
Enkawl dan chu i hliam nasat dan (grade) ah a innghat a ni. Hliam tenau (Grade 1) te chu in lamah enkawl theih a ni. Mahse, hliam na tak (Grades 2 leh 3) tan chuan damdawi lam enkawl a ngai ngei ang.
In lama i tih theih thil - RICE method
Heng thilte hi inhliam atanga darkar 48-72 hmasa berah tih a pawimawh hle. Hei hi `RICE` method kan ti bawk.
- R - Chawlh: Hei hi a pawimawh ber a ni. I ke chu chawlh hahdamna pe rawh. Natna thlentu engmah ti suh. Tlan suh, zuang suh, rit phur suh.
- I - Ice: Natna leh khur tihziaawm nan ice pack chu puanah tuam la, a hliamna hmunah minute 15-20 vel hnawih la. Ni khatah vawi eng emaw zat, darkar 2-3 danah tih thin ang che. Ice hi vunah direct-in hnawih ngai suh.
- C - Compression: A hring control nan elastic bandage nghet tak hnawih tur a ni. Mahse thisen kalna a titawp thei khawpa khauh takin hnawih suh. I ke a hring emaw, a rawng a inthlak emaw chuan bandage chu tlem tal phelh rawh.
- E - Elevation: A theih phawt chuan i ke chu i thinlung aia sangin dah thin ang che. I ke chu thut laiin chair-ah chawi sang la, mut laiin pillow-ah chawi sang rawh. Hei hian a hring (swelling) a tihziaawm theih nan a pui ang.
Tin, doctor-in a sawi angin natna tidamtu damdawi pawh i ei thei bawk.
Damdawi lam enkawlna
- Physical Therapy (PT): Hei hi hliam na tak tan chuan a pawimawh hle. Physics therapist chuan exercise dik tak a zirtir ang che. Heng exercise te hian zawi zawiin taksa chakna leh inthlak danglamna a siam thar leh thei a ni.
- SA hman dan: A chang chuan RICE tih dan zawhah doctor chuan `SA (Movement, Exercise, Analgesia, Therapy)` tih dan zawm turin a ti thei che a ni. Chu chu, natna chu i thunun a, zawi zawiin i che leh exercise i tan tihna a ni. Mahse hei hi doctor thupek ang chauha tih tur a ni.
- Surgery: Hei hi a tul lo hle. `Grade 3` hliam, ruh atanga tendon a chhe vek emaw, a inthen emaw tihna ah chuan a inzawm leh theih nan operation a ngai thei.
Engtikah nge doctor i hmuh ngei ang?
Sprain awlsam tak mai a nih chuan ni engemaw zat hnuah a natna chu a reh tur a ni. Mahse hetiang dinhmunah hian doctor i pan ngei ngei tur a ni.
- I kal theih loh khawpa natna i neih chuan.
- Hliam na hmun chu a hring nasa hle a, a dum dum a lo ni tawh a nih chuan.
- I ke a tingling emaw, sensation a neih loh emaw chuan.
- "Tock" ri i hriat chuan.
- In lama enkawl ni engemaw zat hnuah a natna a reh loh chuan.
Heng symptom na tak tak i neih chuan Emergency Department (ETU) ah a rang thei ang bera kal la, `Grade 3` hliam na tak a nih theih avangin.
Hei hi a dam vek theih nan eng chen nge a la ngai ang?
Chutiang thil a thlen theih hun chhung chu natna nasat danah a innghat vek a ni.
- Pawl 1: Kar khat emaw kar hnih emaw vel hnuah a dam thei.
- Pawl 2: Kar tlemte atanga thla khat emaw thla hnih emaw thleng a daih thei.
- Pawl 3: A dam kim theih nan thla engemaw zat a ngai thei. Surgery a ngai a nih chuan a rei zawk pawh a ni thei.
A pawimawh ber chu i hun hmang la, i taksa chu damna hun pek hi a ni. I doctor emaw physical therapist emaw chuan, "Okay, tunah chuan i ti thei tawh ang," a tih hma chuan tlan emaw, infiamna emaw lamah kir leh tawh suh. I hmanhmawh chuan i hliam leh theihna a sang zawk. I tih chuan a hliam hmasa aiin a na zawk thei.
Dam hun chhung hian zawi zawiin exercise i tan tur a ni. Kea kal atang hian i tan hmasa thei a, chutah chuan jogging hmangin i tan thei bawk. Engkim hi pawi lo level-ah tih vek tur a ni.
Take-Home Thuchah a ni
- `Hamstring Injury` chu kekawr hnunglam ruh (muscle) a strain emaw tear emaw a ni. Hei hi infiammi tan chuan inhliam tlangpui a ni.
- Hliam nasat dan azirin category pathum, `Grade 1, 2, leh 3` a awm a.
- A lan chhuah dan ber chu na, a hring, a sen, leh ke chet harsat te hi a ni.
- Hliam a awm chuan chawlh, ice, bandage, leh elevation (RICE) te hi a pawimawh hle.
- I na lutuk a, i kal thei lo a nih chuan, emaw, "click" ri i hriat chuan doctor i pan ngei tur a ni.
- I dam kim hma loh chuan infiamna leh exercise hahthlak tak takah tel suh. I hmanhmawh chuan hliam chu a lo lang leh thei a ni.
- Re-injury ven nan exercise hmain warm up tha la, muscle flexibility tipung thei exercise ti bawk ang che.











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