Hun rei tak i ding hnuah, i tlan hnuah emaw, exercise i tan nghal hnuah emaw i kekawr hnung lamah na i nei bawk em? A chang chuan a hring deuh niin a lang em? Mi tam tak chuan he hrehawmna hi an ngaihsak lo va, "Amah chauhin a bo ang," tiin an ngaihtuah thin. Mahse hei hi a takah chuan ‘Heel Bursitis’ an tih natna chhinchhiahna a ni thei. Chuvangin vawiinah hian chipchiar takin sawi ila, eng nge a nih, engvangin nge a lo awm tih leh engtin nge kan enkawl theih ang.
Heel Bursitis hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Heel Bursitis hi i kephah a bursa a inflammation a ni. Tunah chuan, "Eng nge bursa chu?"
Kan taksaah hian ruh, ruh, ruh, etc. inzawmna hmun a awm ang tih han ngaihtuah teh, a dik em? Chungte chu an inhnim tawn loh nan leh an tihchhiat loh nan an inkarah hian gel ang maia tui-a khat bawm te tak te a awm a. Machine-a grease dah ang bawkin, chu chuan chu hmun pahnih inkara inhnaih (friction) a ti tlem a, a kal tluang thei bawk. Chu bawm te tak te chu ‘bursa’ an ti a.
I ke ruh (Calcaneus) bulah hian bursae engemaw zat a awm a. Heng bursae zinga pakhat hi eng thil vang pawha pressure emaw pressure emaw pek a nih chuan a hring a, a sen a, a na bawk. Hei hi bursitis kan tih chu a ni. Hei hi kekawrtea a lo awm chuan Heel Bursitis kan ti thin.
Heel Bursitis hi chi hnih a awm a, chungte chu:
Heel spur hi chi hnih a awm a, a awmna hmun azirin a awm.
1. Retrocalcaneal bursitis: Hei hi a tam ber a ni. I ke ruh leh i ke hnung lama tendon lian ber Achilles tendon inkar bursa a lo inflamed hian a thleng thin. Achilles tendon bursitis an ti bawk.
2. Subcutaneous calcaneal bursitis: Hetiang chi hi Achilles tendon leh a chunga vun inkar bursa a hring chhuak vang a ni.
A chi hnih avanga natna leh lungawi lohna hi a inang hle.
Hetiang natna lan chhuah dan hi engte nge ni?
Heel Bursitis i vei chuan a hnuaia symptoms pakhat emaw a aia tam emaw i nei thei. Hengte hi dawhkan pakhatah han en ila.
| Symptom a ni | Hrilhfiahna A awlsam |
|---|---|
| Natna leh hliam | Hel chhungah emaw a hnung lamah emaw natna leh hliam na tak. Zing i thawh hmasak ber hian a natna chu a na zual thei. |
| Thinrimna | I kut hmanga i khawih emaw, i hmet emaw chuan a natna hmun chu a na hle. I pheikhawk a rawn deng pawhin a natna chu i hre thei. |
| Ke ruh chunga ding harsa | I ke ruh chunga ding hian natna a zual thin. |
| A lum hle tih hriat | A kekawr bul vel chu khawih chuan hmun dang aiin a lum zawkin a lang thei. Hei hi swelling chhinchhiahna a ni. |
| Vun rawng a danglam | A chang chuan a hringna hmuna vun chu a sen thei bawk. |
Engvangin nge Heel Bursitis kan neih?
Hei hi chhan hrang hrang a awm a. A chhan ber chu heel-a bursa-a pressure chhunzawm zel vang a ni.
| Chhan | Engtin Nge A Nghawng Che |
|---|---|
| A hman tam lutuk | Hun rei tak ding te, hla taka kea kal te, tlan te, leh zuang te hian kekawrte chungah pressure a siam chhunzawm zel thei a ni. |
| Activity a pung nghal zung zung | Hetiang dinhmun hi exercise engmah tih loh hnua tlan tan nghal mai, gym-a exercise tihpun nghal mai ang chi thil vang a ni thei. |
| Kekawrte tling lo | Kekawr hnunglam pinch thei kekawr tight ha hi a chhan lian ber a ni. Hei hian bursa chu a ti na chhunzawm zel thei a, a ti na bawk. |
| Warm up tha lo | Hei hi exercise emaw infiamna emaw hmaa in lum tha lo vang pawh a ni thei. |
| Bacteria infection a ni | Hei hi thil thleng tlem tak a ni. Bacteria hi ke ruh hliam ang chi thil hmangin bursa chhungah lutin a kai thei a ni. |
He natna hi tu nge vei thei ber?
A chunga kan sawi bakah hian damdawi lam harsatna thenkhat nei te pawhin Heel Bursitis an vei theihna a sang zawk bawk.
- Haglund’s deformity: Hei hi heel bone hnung lamah extra bone spur a lo awm thinna a ni. He spur hian pheikhawk chu a rub thei a, bursa chu a press thei bawk.
- Rheumatoid arthritis natna a ni
- Ankylosing spondylitis (AS) natna hi a awm thei lo.
- Psoriatic arthritis natna a ni
- Gout tih hi a ni
Hetiang ruh natna i neih hian taksaa ruh leh bursa hrang hrang a lo hring chhuak duh zawk a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Kekawr natna avanga doctor i pan chuan i natna lan chhuah dan chu ngun takin a ngaithla hmasa ang a, chumi hnuah taksa enfiahna a nei leh ang.
Zawhna zawh hmasak tur che
- I ding rei em? Eng hna nge i thawh?
- Eng ang exercise leh sports nge i tih thin?
- Eng ang pheikhawk nge i hak tlangpui?
- Hetiang natna hi a lo thleng tawh em?
Taksa enfiah leh tur
- I kekawr ipteah hian hliam a awm em tih ka check a.
- An kut hmangin natna hmun dik tak chu an press down thin.
- I ke leh kekawrte chetna range (range of motion) a enfiah thin.
- I ke ruhte chungah ding la, i ke chu a na zual em tih en turin a chung leh hnuai lamah ben turin an ti che a ni.
A pawimawh ber chu i natna chungchang te, a lo intan dan te, a pung zel dan te, engmah thup lovin doctor hnenah hrilh la. Chu thu hriat chuan diagnosis dik tak siamna kawngah nasa takin a pui ang.
Bacteria infection i rinhlelh chuan...
I kephah natna bakah khawsik leh khawsik ang chi symptoms i neih chuan i doctor chuan bacteria infection a ringhlel mai thei. Chutiang a nih chuan, .
- I taksa lum leh vawt an enfiah mek a ni.
- A châng chuan, bursa inflamed aṭang hian tui tlemte chu needle (syringe) te tak te hmangin (bursal aspiration) lakchhuah a ni a, bacteria awm leh awm loh enfiah turin thawn theih a ni.
Eng test nge tih finfiah tur?
A tam zawkah chuan he natna hi taksa enfiahna hmanga hriat theih a ni. Mahse, a then phei chuan i doctor chuan a natna chhan dang a awm leh awm loh hriat nan test eng emaw zat neih a rawt thei a ni.
- X-ray: Hei hian heel bone pianzia a inthlak danglam leh awm loh, Haglund’s deformity ang chi condition emaw, fracture emaw a enfiah thei a ni.
- MRI scan: Hei hian bursa-ah a hring chhuak tih chiang takin a lang thei a, Achilles tendon (Achilles tendinitis) a chhiatna eng pawh a awm thei a, a chhehvela soft tissue awm dan pawh a lang thei bawk.
- Ultrasound scan: Hei hian bursa leh a chhehvela tendon awm dan a hriat chian theih nan a pui thei bawk.
Heel Bursitis hi eng enkawlna nge ni?
A tha ber chu he natna hi operation tel lovin enkawl theih a ni fo thin. Enkawlna kawng hrang hrang hi chi hnih ah then theih a ni.
In lama thil tih theih (RICE method) .
- Chawlh hahdam: Natna thlentu emaw, tipungtu emaw thiltih reng reng chu titawp rawh. Kea kal, tlan emaw, zuang emaw chu rei vak lo bansan la, i ke chu chawlh tir rawh. Hei hian bursa hring chu a dam theih nan hun a pe ang.
- Ice: Plastic bag-ah ice cube thenkhat dah la, towel te tak te hmangin khuh la, a natna hmunah minute 15-20 vel ni khatah vawi thum atanga vawi li vel hnawih rawh. Hei hian natna leh hliam nasa takin a tihziaawm ang.
- Kekawrte dik: Kekawr tight, tight tak tak bun loh vek tur a ni. Kekawr nêm, fit ṭha tak, kekawr hnunglam pinch lo tur ha la.
- Damdawi: Non-steroidal anti-inflammatory drugs (NSAIDs) ibuprofen leh naproxen te hian natna leh hliam tihziaawmna kawngah a pui thei a ni. Mahse, eng damdawi pawh i hman hmain doctor rawn hmasa phawt tur a ni tih hre reng ang che.
Doctor-in enkawl dan tur a rawt
In lama enkawlna hian a puih loh chuan i doctor chuan hetiang enkawlna hi a rawt thei ang.
- Orthotics lam hawi:Hengte hi kekawr chhunga dah bik hmanrua bik a ni. Heel wedges ang chi thil i bun hian i kein lei a rawn nam dan chu a siamthat a, i kephah pressure a tlahniam bawk.
- Physical therapy: Hei hi a pawimawh hle. Physical therapist chuan i Achilles tendon leh i khup thlawptu muscle te tan stretching exercise a zirtir ang che. Heng exercise te hian bursa a pressure a tihziaawm bakah a natna a tiziaawm thei bawk.
- Antibiotics: I bursitis hi bacteria infection avanga lo awm a nih chuan i doctor chuan oral antibiotics a pe ang che.
- Bursa injection: Hei hi tih dan tur awm lo tak a ni. A natna leh a hring a reh loh chuan i doctor chuan bursa chhungah steroid a inject thei a ni.
- Surgery: Hei hi a hnuhnung ber a ni. Thla 6-12 chhung enkawl hnua hmasawnna a awm loh chuan bursa chhia chu paih chhuah nan bursectomy an tih surgery tih a ngai mai thei.
He dinhmun hi a dam theih nan eng chen nge a la ngai ang?
Diagnosis leh treatment dik tak a awm chuan he natna hi hlauh tur a ni lo. Mi tam zawk chu in lama enkawl a nih chuan kar hnih atanga kar thum chhungin an dam leh thin. Natna khirh zawk nei tan chuan a dam kim theih nan thla engemaw zat a ngai thei. A pawimawh ber chu dawhthei taka awm a, doctor thupek zawm hi a ni.
Engtin nge a lo lang leh tur ven theih ang?
- Exercise i tih hmain i lum tha hle tur a ni .
- I activity atan pheikhawk dik tak ha rawh. Kekawr tight, tight tak tak vuah loh tur.
- I tlan emaw, i kal emaw chuan a theih ang anga hmun khauh (concrete) kha pumpelh la, ramngaw ang chi hmun nêm takah exercise la .
- Nitin hamstring leh Achilles tendon stretching exercise te ti thin ang che.
Heel Bursitis hi infiammi, active tak tak, leh hun rei tak ding thinte zingah a awm fo thin. Tlemte chu hrehawm tak ni thei mahse, enkawlna dik tak nen chuan i nun pangngaiah i kir leh thuai thei a ni.
Take-Home Thuchah a ni
- I kekawr hnunglam natna leh hliam chu ngaihthah suh, "rei lo teah a reh mai ang" tih ngaihtuah suh.
- Chutianga a awm chhan ber chu hman tam lutuk te, pheikhawk in fit lo tak tak te, a nih loh leh exercise tih tam lutuk te hi a ni.
- A tir lamah chuan chawlh hahdam te, ice hnawih te, leh pheikhawk dik tak bun te hian hahdamna nasa tak a pe thei a ni.
- Ni engemaw zat chhunga natna a reh loh chuan, a zual deuh a nih chuan doctor pan ngei ngei tur a ni.
- He natna hi enkawl dan dik leh physical therapy exercise hmanga tihdam vek theih a ni.
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