Hetiang chiah hian i hip ah hian tightness leh pain i nei em? (Hip Impingement / Femoroacetabular Impingement) chungchang hi i zir dawn teh ang!

A chang chuan i hip-ah hian tightness emaw na emaw mak tak mai i nei thin em? Kal emaw, i hip ben emaw, thut atanga tho emaw a harsa em? Hei hi hliam tuar mai mai emaw, i kum upat deuh deuha thil thleng emaw niin i ngai mai thei. Mahse hei hi vawiinah hian kan sawi tur condition a ni a, chu chu Hip Impingement tih a ni. Hemi chungchang hi i zir belh leh ang u, a chhan chu hei hi mi tam takin an neih theih tur harsatna a nih vang a ni.

Hip Impingement tih hi eng nge ni?

A awlsam zawngin, he dinhmun hi i hip joint-a ruhte chu a inmil tawk lo va, an inhnim tawn a, an inzawm tlat a nih chuan a thleng thin. Hetiang hian han ngaihtuah teh: i hip joint hi i thigh bone (femur, i ke chunglam ruh sei tak) ball ang maia awm a ni a, cup ang maia socket (acetabulum, i hip socket-a ruh socket)-ah a in fit a ni. He ball leh socket hi a inmil tawk chuan awlsam takin kan hip kan ben thei a, kan extend thei a, kan rotate thei bawk.

Chuvangin, hei hi doctor-te’n `Femoroacetabular Impingement` emaw, a tawi zawngin `FAI` emaw an tih chu a ni. `Femoroacetabular` tih hian thigh bone (`femur`) leh hip socket (`acetabulum`) inzawmna hmun a kawk a ni. `Impingement` tih hi damdawi lama thil pakhat, ruh chhunga thil inzawm, inhnim, emaw, inhnim hrual emaw tihna a ni. Chuvangin `FAI` emaw `Hip Impingement Syndrome` emaw chu chutiang thil chu a ni.

Hei hi a hrehawm hle thei . Kal emaw, i hip tihchet emaw a ti harsa thei bawk. I sir khatah tightness emaw, na emaw i nei reng thei. A chhungah thil eng emaw a inkhung ang maiin a lang. Hun a kal zel a, he tightness hian i hip joint vengtu cartilage a tichhia thei a, chu chu ruh pahnih inhnaih lohna tur cushion ang chi a ni.

Kar khat emaw kar hnih emaw hnuah pawh hip na, stiffness, emaw symptom dang i neih chuan doctor pan ngei ang . I hriat hma poh leh enkawl a awlsam zawk.

Hei hi eng symptoms nge ni?

`Hip Impingement` chhinchhiahna lian ber berte chu:

• Hip pain: Hei hi a lan chhuah tam ber a ni.
• Stiffness: Hip area-a tightness awm, ben emaw straight emaw harsat.
• Kal harsatna emaw, ke ruh tliak emaw: Mi thenkhat chuan an hip a na avangin an kal laiin an keh thei.

Mahse mak tak mai chu mi thenkhat chuan FAI an nei a, symptoms an nei lo mai thei . Mahse mi tam tak tan chuan hun kal zelah symptoms hi a pung zauh zauh a, a bik takin hip-a cartilage a chhiat chuan.

He hrehawmna hi engtin nge a awm?

Hip Impingement natna hi hip area-a dull ache angin hriat a ni tlangpui.Duh. A châng chuan he natna hi hip vel, chu chu groin, buttocks, leh upper thigh thlengin a darh thei a ni. Ṭhenkhat chuan he natna hi a chhung aṭanga hliam ang maiin a lang a, mi pakhatin a hrual reng niin an sawi.

He natna hi taksa tihchak laiin a na zual fo thin a, a bik takin exercise-ah hian hip-ah pressure nasa tak a awm thin (entir nan, squatting, lunging, emaw jumping). Khaw khata mut emaw, hmun khata rei tak ṭhut emaw pawhin a na zual thei bawk. Heng hun lai hian a natna chu a na hle thei a, a hliam thei a, a hliam thei bawk .

Engvangin nge Hip Impingement hi a lo awm?

`Femoroacetabular Impingement` hi hip joint-a ruh te chu an inhnim tawn emaw, an inzawm khawm emaw, an in pressure nasa lutuk emaw a ni. Hei hi a chhan ber chu thigh bone (`femur`) emaw hip socket (`acetabulum`) emaw-ah extra bone spur a lo awm vang a ni. Vawi tam tak chu mi hi heng ruhro pianphung pangngai lo neia piang an ni a, a nih loh leh hun kal zelah heng ruh zungte hi a pianphungah a lo piang thei a ni. Chumi awmzia chu tumruh taka kan tih a ni lo tihna a ni.

Hip Impingement chi hrang hrang a awm em?

Ni e, doctor-te chuan he `Hip Impingement` hi chi thum-ah an ṭhen a, chu chu hip joint-a hmun hrang hrangte chu khawiah nge leh engvangin nge a inmil tawk lo tih a zirin:

• Cam impingement: Hei hi thigh bone (femur) lu-a ruh lian zawk a awm chuan a thleng thin a, chu chu ball ang chi a ni. Tichuan, hip socket a kal zel chuan he extra bone hi a inzawm khawm ta a ni.
• Pincer impingement: Hei hi hip socket (`acetabulum`) sir lama ruh extra a lo awm chuan a thleng thin. Chumi hnuah chuan femur kawr chuan he ruh dang hi a rawn deng ta a ni.
• Combined impingement: Mi thenkhat chuan `Cam` leh `Pincer` type pahnih hi a rualin an nei thei.

Hetiang hi tu nge vei thei ber?

Tu pawh hip impingement neiin an piang thei a, hun kal zelah pawh a lo awm thei bawk. Mahse, zirchianna thenkhatah chuan mipa hian cam impingement an nei tam zawk a , hmeichhia erawh chuan pincer emaw combined impingement emaw an nei tam zawk thung .

Infiammi te hian `Hip Impingement` symptom an nei tam zawk. Hei hi hip-a pressure nasa tak siamtu infiamna (football, basketball, zai, leh tlan ang chi) kheltute tan chuan a dik hle. Zirna thenkhatah chuan infiammi zinga a chanve aia tam chuan he `impingement` condition hi an nei thei niin an sawi. Hei hian infiammiten an nei tam zawk tihna a ni lo. Mahse, midang aiin an hip an hman tam zawk leh an hman nasat zawk avangin symptoms a lang hma thei a, an hre tam zawk thei bawk . `FAI` hi i hip pianphung (natural shape) avanga lo awm a ni tih hre reng la, infiamna khelh vangin a lo thang lian lo.

Enkawl loh chuan eng harsatna nge thleng thei?

Enkawl loh chuan FAI hian hun kal zelah i hip joint a tichhia thei a ni. He tightness hian symptoms a ti na zual a, i hip hman emaw, tihchet emaw a harsat bakah hian i hip chhunga labrum te pawh a tikehsawm thei bawk . Labrum hi cartilage ring a ni a, hip socket a hual vel a ni. Joint stable reng turin a pui thin. Femoroacetabular impingement avanga extra pressure leh friction hian hun kal zelah he labrum hi a tikehsawm thei a (hip labral tear a ni).

Tin, `Hip Impingement` vei te hian chu hip ah chuan osteoarthritis an vei tam zawk a, a chhan chu hun rei tak impingement vangin cartilage a chhe thin.

Engtin nge doctor hian hei hi a hriat theih?

Doctor chuan Hip Impingement Syndrome chu taksa enfiahna leh special imaging test hmangin a hmuchhuak ang . I doctor hnenah heng symptoms te hi eng chen nge i neih tawh tih leh eng chetna, thiltih emaw, i dinhmun emaw hian a ti na zual (a nih loh leh a ti na zual) tih i hrilh a ngai ang.

I doctor chuan imaging test hmangin i hip leh a chhehvel tissue te chu a en ang. Heng test-ah hian:

• Hip X-ray hmanga tih a ni
• MRI hmanga enfiah (MRI - Magnetic Resonance Imaging) hmanga enfiah a ni.
• CT scan (`CT scan - Computed Tomography scan`) hmanga tih a ni.

A châng chuan i doctor chuan i hip-ah local anesthetic tlem a inject thei bawk. Hei hian hun eng emaw chen atan natna emaw, natna emaw a ti reh a nih chuan FAI i nei tih chhinchhiahna tha tak a ni. Hei hi diagnostic aid chauh a ni a, enkawlna dang pawh hman a ni.

Hei hi test bik a awm em? (Femoroacetabular Impingement Test) hmanga thil tih a ni.

Ni e, i hip-ah `impingement` a awm leh awm loh enfiah nan i doctor-in a tih tur physical test bik a awm. Hei hi `Femoroacetabular Impingement test` an ti bawk. He test-ah hian i hnungzang chungah i mu ang. Doctor chuan i ke chu i rilru thlengin a chawi sang ang. Tichuan, i khup chu degree 90 (i kekawr ipte nena inmil)-a ben chuan i ke chunglam chu chhung lam hawiin a inher ang a, chu chu i taksa lairil lam hawiin a inher ang.

Heng position-te hmang hian i doctor chuan i hip FAI-in a nghawng theihna hmunte chu zawi zawiin pressure a pe thei a ni. Heng movement te i tih lai hian natna i neih chuan hip impingement i nei thei . He test hi a nuam lo deuh thei a, mahse a him . Test i tih laiin natna nasa tak i neih chuan i doctor hnenah hrilh rawh .

Hei hi eng enkawl dan nge ni ang?

I doctor chuan i natna lan chhuah dan control nan leh i hip tihchhiat belh zel tur venna atan enkawlna hrang hrang a rawt mai thei. Enkawlna hman tlanglawn ber berte chu:

• NSAIDs (Nonsteroidal Anti-inflammatory Drugs) te hi a hnuaia mi ang hian a ni.Hengte hi damdawi dawr atanga lei theih, over-the-counter pain reliever leh anti-inflammatory medication (ibuprofen leh naproxen ang chi) te an ni. Hengte hian natna leh hliam tihziaawmna turin a pui thei a ni.
• Corticosteroids: Hengte hi anti-inflammatory damdawi a ni bawk a, mahse doctor-in a pek ngei ngei tur a ni. I doctor chuan i hip joint-ah direct-in cortisone injection a pe thei bawk. Hei hian rang takin natna leh inflammation a tiziaawm thei a ni.
• Physical therapy: Physical therapist chuan i hip vel ruh tichak turin exercise a zirtir ang che. Hei hian hip joint-a pressure a tihziaawm bakah i hip i tihchet theihna a tipung bawk ang.
• Activity modification: Exercise i tih dan tur i thlak a ngai mai thei a, a nih loh leh hip natna tipung thei movement emaw activity thenkhat tih kha i bansan a ngai mai thei bawk. Entirnan, squatting thuk lutuk kha bansan rawh.
• Surgery: I doctor chuan natna lan chhuahna na tak i neih chuan, i nunphung a nghawng a nih chuan, emaw, enkawlna dangin a puih loh chuan operation neih a rawt thei ang. Hip labral tear i neih chuan operation i mamawh mai thei. Hip impingement siamthatna atana surgery tih tam ber chu hip arthroscopy a ni . Hei hian incision te te tlemte siam a, camera leh instrument te te hman a huam a ni. I surgeon chuan he thil hi a hrilh belh ang che.

Hip Impingement hi a dam vek dawn em ni?

I hip pianzia siamthatna tur surgery i neih loh chuan Hip Impingement Syndrome hi a bo vek lovang . Mahse, mi tam tak tan chuan surgery ni lo enkawlna dang hmangin symptoms hi a control tha thei hle.

Mahse, hun kal zelah nonsurgical treatment-te hlawkna chu a tlahniam thei a ni. I doctor emaw, surgeon emaw hnenah eng enkawlna nge i tan a tha ber tih leh engtikah nge operation tih i ngaihtuah tur tih sawipui rawh.

Hip arthroscopy to correct femoroacetabular impingement is very successful , mi tam zawk chuan hun rei tak chhunga side effects an nei lo. Exercise emaw, chetna emaw thenkhat chu i pumpelh emaw, i siam danglam emaw a ngai mai thei a, mahse i active reng tur a ni a, sports i khel thei tur a ni.

FAI hi ven theih a ni em?

Hip impingement hi i hip joint natural shape leh position avanga lo awm a nih avangin ven theih a ni lo . Mahse, hip labral tears ang chi complication venna tha ber chu a rang thei ang bera enkawl tan hi a ni .

Engtikah nge Doctor ka hmuh ang?

I hip na, i khauh, emaw i hip hman emaw, i tihchet emaw harsatna i neih chuan – a bik takin heng symptoms te hi kar tlemte aia rei a nih chuan – doctor pan ngei ngei tur a ni.

Tin, NSAID emaw physical therapy ang chi damdawi hmanga i rilru a hahdam loh chuan doctor hnenah hrilh bawk ang che.Min hrilh rawh.

Doctor hnenah eng nge i zawh tur?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• Eng ang `Hip Impingement` nge ka neih? (`Cam`, `Pincer`, a nih loh leh `Combined`?)
• Engtikah nge surgery hi ka ngaihtuah ang? A nih loh leh eng chen nge operation tel lovin ka nghah theih ang?
• Ka hip-a harsatna awm thei thil eng thiltih leh che vel nge ka pumpelh tur?
• Hip cartilage chhiatna (hip labral tear) hlauhawmna a sang zawk em?

A tawp berah chuan hriat reng tur tlemte

`Hip Impingement` i vei tih i hriat chuan kut khatah i rilru a hahdam mai thei – tunah chuan i hip a na rei tawh chhan chu i hre tawh ang. Mahse, a lehlamah chuan lungngaihna leh inchhir pawh i nei thei – a chhan chu a venna atana i tih theih tur thil a nih loh avangin, i hip ruhte chu a pianphung atanga lo piang chhuak a nih vang a ni.

Eng ang pawhin awm mah la, he natna `Hip Impingement (Femoroacetabular Impingement)` tih hian enkawlna a dawng tha hle . I natna lan chhuah dan thunun theih dan tur zawn nan hun engemaw chen a ngai mai thei a, mahse i doctor chuan i dam hma loh chuan insiamremna siam turin a pui ang che. A tawpah chuan operation i neih a ngai a nih chuan `Hip arthroscopy` hi minimally invasive leh hlawhtling tak a ni tih hre reng ang che . Chuvangin hlauh tur a awm lo. A bulpui ber chu a na tuar loh a, damdawi lam thurawn la nghal mai hi a ni.

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