I ke ruhkawr (ankle joint) chungah pawh i ke ruh a tichhe tawh em? High Ankle Sprain chungchang hi i zir dawn nia!

I ke ruh tliak hi a awm fo thin a ni lawm ni? A chang chuan twist tenau tak a ni thei a, mahse a chang chuan a na deuh thei bawk. "High Ankle Sprain" tih hi i hre tawh em? Hei hi ke ruh tliak pangngai nen chuan a danglam deuh a, a dam nan pawh a rei deuh bawk. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila, thianpa nena inbiakna ang maiin.

Ankle sprain sang hi eng nge ni?

A awlsam zawngin, ke ruh sang tak (high ankle sprain) chu i ke ruh (the tibia) leh i ke ruh (fibula) pawn lam inzawmkhawmtu ligament te a tear emaw, a chhiat emaw a ni. He ligament hi damdawi lam chuan syndesmosis tia hriat a ni . I doctor chuan syndesmotic injury a ti thei bawk.

Ngaihtuah teh, kan ke ruhte chu ke ruh (ankle joint)-a ke ruh nen a inzawm a ni. Ankle joint hian a chung lam leh a hnuai lam a nei a. A chung lam chu ``Tibia`` leh ``Fibula`` ruh a ni. Heng ruh pahnih inkar leh ke ruh thleng hian ruh pakhat ``Talus`` tih a awm a. Ligaments hi fibrous tissue a ni a, thread emaw band chak tak ang chi a ni. Hengte hian ruhte chu a inzawm khawm a, ruhte chu a nghet reng a ni.

Ankle sprain sang leh ke ruh hniam te hi eng nge an danglamna?

An pahnih inthlauhna chu hliam awmna hmun chauh a ni lo. High ankle sprain hi i ke ruh i flex up a, chhung lam emaw pawn lam emaw i twist hian a awm thin. Hei hi bump vang a ni fo.

Mahse, ke ruh hniam, "sprained ankle" kan tih tlangpui chu ke ruh chhung lam hawia a inher chuan a awm thin. A châng chuan pawn lam a roll lai pawhin a thleng thei bawk. Heng low ankle sprains-ah hian a chunga ligament te hi a chhe lo. Chu chu, tlan emaw, zuang emaw laiin i ke i roll mai mai a nih chuan, ke ruh hniam (low ankle sprain) a awm fo tihna a ni.

Ankle sprain sang takah hian eng ligament nge tihchhiat theih?

Ankle sprain sang takah hian ligament lian tham engemaw zat a chhe thei a:

• Anterior Inferior Tibiofibular Ligament: Hei hi Tibia leh Fibula ruh hma lamah a awm a.
• Posterior Inferior Tibiofibular Ligament: Hei hi tibia leh fibula ruh hnung lamah a awm a.
• Interosseous Membrane: Hei hi membrane ang a ni. Ruh pahnih `(Tibia)` leh `(Fibula)` inkarah a awm a, ruh pahnih nghet taka awm reng turin a pui a ni.

Heng ligament zawng zawng hi a inzawm khawm thei a, a chanveah a inthen thei a, a ke ruh sang takah pawh a chhe vek thei bawk.

Ankle sprain sang hi engtiang chiahin nge a awm?

Dik tak chuan ke ruh sang (high ankle sprain) hi ke ruh hniam (low ankle sprains) angin a awm lo. HengteInfiammi zingah hmuh tur a tam ber a, a bik takin:

• Football
• Basketball khelh a ni
• Wrestling khelh a ni
• Ice hockey khelh a ni
• Skiing khelh a ni
• Football

Hetiang dinhmun hi basketball, volleyball, volleyball ang chi infiamna khel thinte zingah a tam ber a ni. Hei hi a chhan chu heng infiamnate hian a ke ruhte chu a rawn inher nghal vat a, a tlu a, a pianphung ang lo takin ke a tikehsawm thei a ni.

Ankle sprain sang tak hian eng symptoms nge a neih?

Ankle sprain sang tak i neih chuan hetiang hian symptom i nei thei ang:

• A then chu ankle area-ah a hring a, mahse ke ruh hniam tak angin a na lo mai thei.
• Ke hliam chungah hian rit dah a harsa a, a bik takin stairs chhoh ang chi thil tih hi a harsa hle.
• I ke ruh chungah i ding thei tawh lo vang (i sam chu i roll ang). Chutianga tih chuan natna nasa tak a thlen thei a ni.
• Hliam atanga ni engemaw zat hnuah bruising a intan thin. Hei hi a chang chuan ke ruh chung lam deuhah pawh hmuh tur a awm.

A pawimawh ber chu heng symptoms te hi i neih chuan doctor pan tur a ni a, "sprain" anga ngaih mai mai tur a ni lo.

Ankle sprain sang lutuk hi engte nge ni?

Kan sawi tawh ang khan, i ke chu chunglam hawia i beng a, chhung lam, pawn lam emaw, a sir lam emawa a inher nghal chuan ke ruh sang tak (high ankle sprain) a awm thin. Hei hi i ke hrual mai ai chuan intlansiaknaah a thleng tam zawk. Entirnan, i tlan laiin mi pakhatin i ke a rawn deng a nih chuan, emaw, i zuang laiin i keah dik lo taka i tlak chuan. Hei hi i tlan emaw, i zuang emaw hian a thleng fo thin.

Engtin nge ke ruh sang (high ankle sprain) hi hriat theih?

Doctor i pan dawnin hetiang thil hi engtin nge a lo awm tih te, i medical history te, etc. te an zawt hmasa ang che, chutah chuan taksa enfiahna an nei ang.

Ankle sprain sang tak hriat theih nan i doctor chuan a hnuaia mi ang hian a ti thei ang:

• Chair-ah i thu ang a, i khup chu i beng ang a, i ke leh i kekawrte chu hnuai lamah i innghat ang. Chumi hnuah chuan doctor chuan i ke chu a nawr chho ang a, pawn lam hawiin a rotate deuh ang. Natna nasa tak i neih chuan ke ruh sang tak (high ankle sprain) a nih a rinawm. Doctor pawhin hliam hnu ni engemaw zat hnuah he test hi a ti thei bawk.
• Syndesmosis squeeze test hi tih a ni. He test-ah hian doctor chuan i tibia leh fibula ruhte chu a hrual khawm a. Hei hian ruh inthenna interosseous membrane-ah pressure a siam a ni. I ke chunglam a na i hriat chuan ke ruh sang tak (high ankle sprain) a nih a rinawm.
• ``Interosseous Membrane'' awmna hmunah chuan natna a awm leh awm loh en turin an press a.
• Ankle hmaa ligament chu na a awm leh awm loh en turin an tikhauh a.
• Hei bakah hian doctor chuan imaging test pawh a ti thei bawk. Entirnan, X-ray, MRI (Magnetic Resonance Imaging) scan, CT (Computed Tomography) scan, leh ultrasound pawh a ni thei. MRI hi ke ruh sang tak (high ankle sprain) hriat theihna tur test tha ber a ni. Mahse, doctor chuan X-ray a order hmasa thei a, chu chuan natna dang, ruh tliak ang chi a awm leh awm loh a enfiah thei a ni.

Engtin nge ke ruh sang tak (high ankle sprain) hi i enkawl ang?

Hetiang hliam i neih hian ni thum atanga ni nga chhung chu RICE method hmangin i enkawl tan thei a ni. Chumi awmzia chu:

• R - Chawlh: Ke hliam chu chawlh tir rawh. In che vel lutuk suh.
• I - Ice: Ni khatah vawi tam tak minute 15-20 vel ice hnawih thin ang che. Hei hian a hring leh natna a tiziaawm ang. Ice hi vunah direct-in hnawih lo la, puan in tuam zawk rawh.
• C - Compression: Ankle chu elastic bandage hmanga khauh taka khuh. Mahse thisen kalna titawp thei khawpa tight lo.
• E - Elevation: I ke chu i thinlung aia sang thei ang berin dah la, pillow chungah ang maiin.

I kal kual duh chuan kekawrte i hman a ngai dawn a ni.

Natna leh hliam tan chuan damdawi dawr atanga lei theih non-steroidal anti-inflammatory drugs (NSAIDs) i hmang thei ang. Chûngte chu pill angin ei theih a ni a, a châng chuan cream, lotion, spray angin pawh hman theih a ni. An hman hmain doctor rawn hmasa phawt a tha.

I doctor chuan i ke ruh a roll up loh nan brace, tape, emaw cast emaw hman a rawt thei bawk.

Hei bakah hian physical therapy hi a pawimawh hle. Exercise bik, therapeutic band hmanga exercise, tuiah exercise (hydrotherapy) te pawh a huam thei. Tuiah exercise hi a awlsam zawk a, a chhan chu ke ruh chungah rit a dah tlem vang a ni.

Hliam a nasat lutuk loh chuan, emaw, ke ruh chu a nghet lo a nih loh chuan, operation neih a ngai lo.

Ankle sprain sang tak hi a dam theih nan eng chen nge a mamawh?

A tlangpuiin ke ruh sang tak atanga a dam leh theih nan kar ruk atanga kar riat vel a ngai thin. Athlete i nih chuan inkhelh leh tur chuan hun rei zawk a la ngai thei. Low ankle sprains hi a tlangpuiin a dam chak zawk a, chuvangin dawhthei taka enkawl a pawimawh hle.

Engtin nge ke ruh sang tak (high ankle sprain) i tihziaawm theih ang?

Ankle sprains hi accident a ni. Accident hi pumpelh kim theih a ni lo. Mahse, ke ruh sang tak (high ankle sprain) i neih theihna tur tihtlem nan thil engemaw zat i tih theih a awm a:

• I ruh tichaktu leh flex tirtu exercise program zawm rawh.
• I balance leh proprioception tichaktu exercise program ti rawh. Proprioception chu i thluak in i taksa dinhmun a hriatna a ni . Hei hi balance atan a pawimawh hle.
• Infiamna i khelh laiin i ke ruh ven nan brace emaw tape emaw ang chi invenna hmanrua hmang la.

Ankle sprain sang tak neih theihna tur outlook/prognosis chu eng nge ni?

In most cases , ke ruh tliak sang tak chu operation tel lovin hlawhtling takin enkawl theih a ni. Mahse, i ke ruh i hliam leh theihna a sang zawk mai thei. Nakin lawkah chuan ruh (joint)-ah hian a nghet deuh deuh pawh i nei thei bawk. Chuvang chuan a dam tha hma chu enkawl a, chumi hnuah i ke ruh a nghet reng theih nan exercise chhunzawm zel a pawimawh.

Engtikah nge ke ruh sang tak (high ankle sprain) vangin doctor i hmuh ang?

I ke a hliam a, i rit i dah thei lo a nih chuan doctor ko emaw, emergency room emaw i pan ngei tur a ni. Ruh tliak i nei em tih hriat a pawimawh. Tichuan, i doctor-in a tih angin hliam chu i enkawl tur a ni.

Kan ke ruh hi engtik lai pawhin kan ti chhe vek tawh a, mahse i zuang emaw, tlan lai emawa i ke ruh i hliam a nih chuan ke ruh sang tak a ni thei. Chuvangin, i dam kim hma loh chuan i doctor thupek zawm ngei ngei tur a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

• Ankle sprain sang hi ke ruh hniam aiin a na zawk deuh a ni. Ankle chunglam ligament a chhiat chuan a thleng thin.
• Hei hi infiamna neih laiin a thleng fo thin a, a bik takin intlansiaknaah a thleng fo thin.
• A lan chhuah dan chu a hring, a rit phurh harsatna, kut zungtang hmawr chunga ding thei lo, leh a hnu lama hliam .
• Diagnosis leh enkawlna dik tak neih theih nan doctor pan a pawimawh hle. MRI scan a ngai fo thin.
• Enkawlna ber chu RICE method, painkiller, leh physiotherapy te hi a ni. A dam theih nan kar 6-8 emaw a aia rei emaw a ngai thei.
• Enkawlna i dawhthei a, i doctor thupek i zawm a, i ke ruh tichak turin exercise i tih chuan i dam tha thei a ni.

Hetiang thil hi i lo tawng tawh a nih chuan, emaw, hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Hrisel takin awm rawh!

`ke ruh sang tak, syndesmotic injury, ke ruh tliak, ligaments, tibia, fibula, sports lama hliam te