I kutpui chu mak tak maiin a ben leh thin em? (Hitchhiker's Thumb) tih a ni! Hemi chungchang hi han sawi ila.

Mite’n rubber band ang maia an kutpui hnunglam hawia an ben lai i hmu tawh em? Kawngpuiah car i tihtawp tum a, i kutpui chu chunglam hawia i herh lai ang mai a ni em? Hetiang hian i kutpui pawh i ben thei mai thei. Hei hi damdawi lam hawia `(Hitchhiker's Thumb)` tih mai mai chu a ni. Hemi chungchang hi vawiinah hian chipchiar zawkin kan sawi dawn em ni?

Hei hi eng nge ni `(Hitchhiker's Thumb)`? A awlsam zawngin sawi ila...

Hitchhiker’s Thumb hi i kutpui nail hnaih ber joint chu a flexible hle a, chu chu hma leh hnunglam (hypermobile) a ben thei tihna a ni. Doctor-te chuan hei hi "distal joint hyperextensibility" an ti bawk. A awlsam zawngin, i kutpui chunglam joint chu degree 50 aia tam hnunglam hawia i ben theih chuan Hitchhiker’s Thumb i nei mai thei.

Kawngpuiah car ding tura lift dilna atana i kutpui i hman ang maiin han ngaihtuah teh. Chutiang chuan he thu-ah hian thumb hi a lang. Chuvangin ``Hitchhiker's Thumb'' tih a ni. I kutpui pakhatah chauh a ni thei a, a pahnihah pawh a awm thei bawk. Mi thenkhat chuan kut pakhatah kutpui ben an nei a, kut lehlamah chuan kutpui chu a tlangpuiin a dinglam a ni.

A pawimawh ber chu a tam zawkah chuan Hitchhiker’s Thumb hian natna a thlen lo . Tin, kut hman hunah pawh hrehawmna leh harsatna a thlen lo bawk. Mahse, a tlem berah chuan genetic condition thenkhat nen a inzawm thei a ni.

Engvangin nge he `(Hitchhiker's Thumb)` hi a lo thanglian? Genetic a ni em?

Ni e, scientist tam tak chuan ``Hitchhiker's Thumb'' hi thlah khat atanga thlah dangah a kal zel a ni an ti a, chu chu i nu leh pa hnen atanga i dawn a ni tihna a ni.

I hria em, kum 1953 khan zirchiangtu pahnih chuan chhungkaw 450 vel zirchianna an nei a. Protractor hmangin mi kut zungtang chu eng chen nge a hnungtawlh tih an teh a. Mi pakhat kutpui chu degree 50 emaw a aia tam emawa hnunglam a ben chuan "Hitchhiker's Thumb" an ti thin. He zirchianna atang hian "Hitchhiker's Thumb" hi genetic trait a nih thu leh recessive trait anga thlah kal zelah a darh zel tih an hmuchhuak ta a ni.

Tunah chuan he blue feature hi eng nge a nih awlsam takin kan en ang.

Kan taksa mizia zawng zawng, entirnan i san zawng, i vun rawng, i mit rawng, etc. te hi kan nu leh pate hnen atanga kan dawn genes atanga teh a ni. Heng genes te hi kan DNA ah a awm a. Mize tinreng atan hian gene pahnih kan dawng a, pakhat chu kan nu hnen atangin leh pakhat chu kan pa hnen atangin. Heng genes te hian pattern bik an nei a, chu chu allele an ti a ni.

Ngaihtuah teh, heng ``alleles`` pahnih hi a danglam a nih chuan pakhat chu dominant emaw "strong" gene a ni thei a, pakhat chu recessive a ni thei bawk .``Recessive'' emaw "weak" gene emaw pawh a ni thei. Dominant gene a awm chuan recessive gene chu a titawp a, dominant gene trait chu a chhuak ta a ni. Mahse, i nu leh pa pahnih atanga recessive gene pahnih i hmuh chuan recessive gene mizia pawh i hmu a, hetiang hian ``(Hitchhiker's Thumb)`` hi a ni.

Chumi awmzia chu, i nu leh pa pahnihin `(Hitchhiker's Thumb)` an neih chuan nang pawhin i neih theihna chance a awm tihna a ni. Mahse, i nu leh pa pakhat hnen atanga straight thumb atana dominant gene i hmuh a, nu leh pa dang atanga `(Hitchhiker’s Thumb)` atana recessive gene i hmuh chuan `(Hitchhiker’s Thumb)` i hmu dawn lo. A chhan chu chu dominant gene chuan recessive gene chu a titawp a ni. Hrethiam e?

`(Hitchhiker's Thumb)` nen hian eng hriselna lama harsatna dang nge inzawm theih?

Hitchhiker’s Thumb hi a takin harsatna awm lo mahse, a chang chuan genetic condition dang engemaw zat chhinchhiahna anga ngaih theih a ni. Condition thenkhat chu hetiang hi a ni:

• Joint hypermobility syndrome: Hei hi connective tissue natna a ni. Hetiang natna vei te hian an ruh (ligament) chu a lo hrual a, a chak lo hle a, chu chuan an ruh chu a pangngai aia a ti flexible zawk a ni.
• Diastrophic dysplasia: Hei hi a awm lo hle a, pianpui genetic condition a ni a, ruh leh ruhro (cartilage) te hmasawnna a nghawng a ni. Skeletal dysplasia chi khat a ni.
• Atelosteogenesis type 2: Hei hi genetic disease a ni bawk a, ruh leh ruhro (cartilage) hmasawnna a tichhe thei a ni. A hmaa kan sawi tawh ``Diastrophic dysplasia`` nen a inang a, mahse a na zawk deuh.
• Atelosteogenesis type 3: Hei pawh hi genetic natna hmuh tur awm lo tak a ni. Taksa pumpui ruh thanna a nghawng a ni.

Heng dinhmunte hi a tlem hle tih hriat reng a pawimawh. Hei hian `(Hitchhiker's Thumb)` nei zawng zawng hian heng dinhmunte hi an nei vek tihna a ni lo.

`(Hitchhiker's Thumb)` i neih chuan eng symptoms nge i beisei ang?

Thumb joint flexible (hypermobile) tak tak i neih chuan chu chu Hitchhiker’s Thumb symptom ber a ni. A tam zawkah chuan hei hi symptom dang a awm lo.

Mahse, a hmaa kan sawi tawh ang khan Hitchhiker’s Thumb hi a chang chuan natna dang emaw, dinhmun dang emaw a ni thei. Chutiang a nih chuan chu natna lan chhuah dan nen chuan hmuh tur a awm ang. Chuvangin Hitchhiker’s Thumb nen hian symptom danglam dang i nei nia i hriat chuan doctor hriattir a tha ber.

`(Hitchhiker's Thumb)` nei mi pakhat chungah eng nge thleng? Nakin hun chu eng nge ni ang?

``Hitchhiker's Thumb'' nei mi pakhat hmalam hun sawi lawk tur chuan a chhan kan en a ngai a ni.

• Isolation-a `(Hitchhiker's Thumb)` pakhat chauh a awm chuan:Mi tam zawk chuan kut zungtang (thumb joint) hi a flexible hle. "Hitchhiker's thumb" pakhat chauh neih hian a tlangpuiin engmah a ti na lo va, kut hman pawh a tibuai lo. Hriselna lama harsatna dang a thlen lo. Mahse, zirchianna thenkhatah chuan he natna vei te hian midang aiin arthritis an vei tam zawk thei niin an sawi.
• Natna dang nena inzawm a nih chuan: Chuti a nih chuan nakin hun dinhmun chu natna sawi tur a zirin a danglam ang.
• Entirnan, joint hypermobility syndrome nei chuan a upat deuh deuh chuan a symptoms a tlahniam thei a, arthritis a vei thei bawk. Ṭhenkhat tan chuan a natna lan chhuah dan hi a na lo hle. Midang tan chuan a na hi a na thei hle. Mahse a tam zawkah chuan ruhte venhimna leh natna damdawi ei hmanga enkawl theih a ni.
• Diastrophic dysplasia vei te chu uluk taka enkawl an nih chuan nun pangngaiin an nung thei a ni. Enkawlna chu a natna lan chhuah dan leh taksa kalphung a nghawng danah a innghat a ni. Nutritional therapy, thawkna lama enkawlna, taksa lam enkawlna, kut zai, ha enkawlna, leh steroid te pawh a huam thei.
• Atelosteogenesis type 2 leh type 3 hian hriselna lama harsatna lian tak a thlen thei a ni. Hetiang natna vei naute tam tak hi thi an piang emaw, an pian hnu rei vak lovah thawkna lama harsatna avangin an thi emaw a ni. Mahse, naute ṭhenkhat chu damdawi lam enkawlna leh enkawlna hnai tak hnuaiah an dam khawchhuak a ni.

Engtikah nge Doctor kan hmuh ang?

`(Hitchhiker's Thumb)` i vei nia i hriat chuan, emaw, kan sawi tawh ang chi natna dang pakhat i nei nia i rinhlelh chuan doctor pan a, thurawn dil chu a finthlak hle. A bik takin, a hnuaia symptoms te hi i neih chuan doctor thurawn la ngei ang che:

• I kut emaw i ruh eng emaw hnathawh dan a inthlak tih i hriat chuan .
• I kut emaw, ruh eng emaw (rem, chak lohna ang chi) tihchet theihnaah inthlak danglamna i hriat chuan.
• I kut emaw, i ruh eng emaw zat a hring leh/ emaw, a hmel a danglam tih i hriat chuan .
• I kut emaw i ruh eng pawh a na zual zel a nih chuan .

`(Hitchhiker's Thumb)` hi thudik lo a ni tak tak em?

Hei pawh hi thil ngaihnawm deuh a ni. Mi thenkhat chuan `(Hitchhiker's Thumb)` hi thawnthu mai mai, thawnthu mai mai niin an ngai. A chhan chu chu kum 1953-a zirchianna hnuah chuan he thil chungchangah hian zirchianna tam tak a la awm lo.

Scientist thenkhat chuan kutpui hi chi hnih chauh - chu chu hitchhiker kutpui leh hitchhiker ni lo kutpui (thumb)-ah chauh tihkhawtlai theih a ni lo niin an ngai. Hitchhiker kutpui hi a buaithlak zawk niin an ngai a, chu chu gene pakhat, a nih loh leh allele pahnih hian a thunun lo niin an ngai. Mi hrang hrangah kutpui (thumb flexion) hi a inang lo hle niin an ngai a, mi thenkhatin flexion an neih loh tak tak atanga thenkhatin flexion sang tak an neihna hmun thlengin a inang lo hle niin an ngai. Chuvangin, thumbs hi chi khat chauha then theih a ni lo tih an sawi a, hemi chungchangah hian zirchianna tam zawk neih a ngai a ni.

Chuti a nih chuan, a tâwpah eng nge kan hriat reng ang?

Okay, chuvangin kan sawi tawh atang hian point pawimawh tak tak i hmuh tur thenkhat chu khaikhawm ila:

I kutpui chunglam joint chu degree 50 aia tam hnunglam i ben theih chuan `(Hitchhiker's Thumb)` i nei thei.

Mi tam zawk tan chuan hei hian i kutpui (thumb joint) chu a flexible hle tihna mai a ni. Vawi tam tak chu hei hi a na lo va, i kut hmannaah harsatna a awm lo.

Mahse, very rarely , Hitchhiker’s Thumb hi genetic disease emaw condition hmuh tur awm lo tak nen a inzawm thei.

Hemi chungchangah hian ngaihtuahna i neih chuan, emaw, he thumb feature nen hian symptom danglam dang i neih chuan doctor pan a tha ber. Chumi hnuah chuan doctor chuan a tul angin a pui thei che a, harsatna i neih apiang a enkawl thei a, i dinhmun pawh a hrilhfiah thei bawk.

Chuti a nih chuan, i kutpui pawh hetiang hian a ben ve em? Quirk mai mai a ni thei! Mahse, rinhlelhna i neih chuan zawh a tha fo thin, a dik em?

` Hitchhiker’s Thumb, kutpui, ruh, gene, hypermobility, distal ruh hyperextensibility, recessive trait