I khup chu hnunglam hawiin a inhawng lutuk em? (Hyperextended Knee) Hemi chungchang hi han sawi ila!

Infiamna i khelh lai te, tlan lai te, zuang lai te, engmah ti lo mai maia i khup a buckle nghal a, tuar theih loh khawpa natna i neih lai khan harsatna nasa tak i tawk tawh em? Chutiang a nih chuan a hlauhawm hle thei a ni lawm ni? Nang pawhin he ‘knee hyperextension’ an tih hi i tawng tawh mai thei. Vawiin hian chipchiar takin kan sawi dawn a, i thianpa nen in inbia ang maiin.

Khup hyperextended tih hi eng nge ni?

A awlsam zawngin, he natna hi i khup chu a chetna pangngai aia hla lutuka a hnungtawlh chuan a thleng thin. Kawngkhar chunga hinge ang maiin han ngaihtuah teh. Kawng khatah chauh a kal a ni. Kawng lehlamah i ben tir chuan eng nge thleng ang? Chu chu i khup chungah a thleng thin.

Kan khup hi ruh (joint) complex tak a ni. Connective tissue te a nei a, chu chu tendon, ligaments, leh cartilage te hi a ni . Hengte hi khup chu a vawng tlat a, a che tha thei tur a ni. Chuvangin, khup chungah chakna lian tak, infiamna lama hliam emaw, accident dang emaw atanga lo chhuak emaw, hnunglam hawia nawr a nih chuan heng connective tissue te hi a chhe thei a ni. Hei hi hyperextended knee kan tih chu a ni. Chutiang a nih chuan khup chungah rit i dah tum chuan a nghet lo , ‘buckling’ pawh a ni mai thei, chu chu a ni thei.

Hei hi `ACL`, `PCL`, `MCL` leh `LCL` mittui nen inzawm tir suh!

Tunah chuan i ngaihtuah mai thei, hei hi khup hliam dang nen a inzawm em? Ni e, khup hyperextension, ACL (Anterior Cruciate Ligament) tear, leh PCL (Posterior Cruciate Ligament) tear te hi khup hliam chi hrang hrang an ni vek a. Mahse heng zawng zawng hi infiamna lama inhliam vang a ni ber.

Heng `ligaments` te hi eng nge an nih i en ang u:

• I thigh bone (femur) leh shin bone (tibia) inzawmkhawmtu ligament lian pahnih chu ACL leh PCL te an ni. An pahnih hian i khup lai takah an tlan a. ACL chu i khup hma lamah a awm a, PCL chu hnung lamah a awm bawk.
• Khup sir lehlamah `MCL (Medial Collateral Ligament)` leh `LCL (Lateral Collateral Ligament)` te hi a awm a. Chungte chuan khup chu a ti nghet a, a sir lamah a kal theih nan a pui bawk.

Tunah chuan i hrethiam tawh em? Khup a sei lutuk chuan heng ligament pakhat emaw a aia tam emaw a chhe thei a ni. A bik takin khup hi nasa taka a sei chuan `ACL` leh `MCL` te hi a hrual theihna a sang hle .

Mahse, khup overextension zawng zawng hian ligament a ti chhe vek lo. Tin, khup hi a zau lutuk lo a nih pawhin ligament te chu a la hliam thei a, a chhe thei bawk. Chuvangin hengte hi tihbuai loh a tha ber a ni lawm ni?

He natna hi tuin nge vei tam ber? Engtiang chiahin nge a hluar?

Tu pawhin khup hyperextension an tih natna an nei thei a ni. Mahse, infiammi zingah a langsar ber.Chu chu a dik a ni. Ngaihtuah teh, football khelh laiin ke pahnih hmanga tackle i siam a nih chuan, emaw, basketball khelh laiin i zuang a, i tlak dik lo a nih chuan... Chutiang chuan hetiang hi a thleng thei a ni.

This is a very common injury , a bik takin infiammi zingah, chuvangin hriat a pawimawh hle.

Khup tihzauh lutuk hian engtin nge taksa a nghawng?

Natna leh hring ang chi symptom bakah hian khup i hliam hnuah pawh a pangngaia hman i harsat phah thei bawk. Hei hi i khup hmun dang, tendons, ligaments, a nih loh leh meniscus (khup chhunga cartilage structure) te pawh a chhiat chuan a pawi hle thei a ni . I khup chu a chak lo va, a nghet lo hle a, ‘buckling’ ang maiin a awm thei. I khup chungah pawh a tlangpuiin i rit i dah thei lo mai thei bawk.

I khup a sei lutuk chuan "play through the pain" emaw "walk around and see if it will goed" tih ang chi thil i tih loh a pawimawh hle. A lan chhuah dan i ngaihthah chuan hliam tenau tak pawh a nasat phah thei a, khup chhung lam a tichhe zual thei bawk.

I na a, i khup i che tha thei lo a nih chuan doctor pan ngei ang .

Khup hyperextended a nih chuan eng symptoms nge a neih?

Khup a sei lutuk chuan a lan chhuah dan te chu:

• Natna nasa tak a nei .
• Khup a hring chhuak .
• Khup chu a pangngaia tihchet harsat .
• Khup a nghet lo emaw, a tlangpui aia chak lo emaw a awm.
• A chang chuan vun rawng danglam (blue/purple) emaw a awm thei bawk.

Hliam i neih laiin ‘pop’ i hriat emaw, i khup chhungah hetiang thil hi i hriat chuan meniscus i chhe tawh a nih a rinawm. Meniscus hrual hian natna nasa tak a thlen thei a, i khup pawh hman theih loh phah a ni.

Eng thilin nge hei hi a thlen?

A tam zâwk chuan, infiamna emaw, taksa tihchakna dang emaw laiin khup chu a sei lutuk a ni . Cricket-a tlan laiin tlu leh tlu nghal mai emaw, netball-a zuang chhuak leh tlak dik loh emaw, hmun sang atanga tla emaw angin ngaihtuah rawh. A awlsam zawngin, khup hnunglam hawia nawr chakna eng pawh hian khup chu a tizau lutuk thei a ni. Football player ke tackled a nih emaw, basketball player a zuang chho a, a tlak dik loh emaw a nih chuan eng nge thleng tih hi han ngaihtuah teh.

Engtin nge he dinhmun hi i hriat theih?

I doctor chuan taksa enfiahna leh imaging test hmangin khup hyperextension a nei tih a hmuchhuak ang . I khup a enfiah ang a, i natna lan chhuah dante a sawipui ang che a, i khup hman theihna a tlem zia a hmu ang.

Heng imaging test zinga pakhat tal i neih a ngai mai thei:

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

Heng test te hian i doctor chu i khup chhung leh a chhehvela chhiatna awmte chu a hmu thei a, hliam na zawk, ligament chhe ang chi a awm leh awm loh pawh a hriat theih bawk.

Khup sei lutuk chu engtin nge i enkawl ang?

I khup enkawl dan tur chu i hliam nasat danah a innghat ang . Symptom tenau chauh i neih a, i khup chhung lam a chhiatna lian tham a awm loh chuan `RICE` hmangin in lamah i enkawl thei mai thei:

• R - Chawlh hahdam: Hliam thlentu thiltih kha pumpelh rawh. I khup a dam hma loh chuan rit lutuk dah suh.
• I - Ice: Ice pack chu khup ah minute 15 vel vawi khatah hnawih la, ni khatah vawi li hnawih thin ang che.
• C - Compression: I khup chu elastic bandage hmangin i khuh thei a, chu chuan a hring a ti tlem thei.
• E - Elevation: I khup leh ke chu i thinlung level aia sangin a rei thei ang ber dah la.

Over-the- counter painkillers aspirin emaw ibuprofen emaw, NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) an tih te hian natna leh hliam tihziaawmna kawngah a pui thei a ni. Mahse, heng damdawi te hi ni 10 aia rei i ei a nih chuan doctor rawn la.

Nakin lawka hliam i neih loh nân, i doctor chuan i khup vêla ruhte tichak tûr leh i insiamrem theihna tipung tûrin exercise neih a rawt thei bawk .

Knee hyperextension a awm chuan operation a ngai em?

Khup hliam hi zai a ngai hi a tlem hle . Mahse, i khup hliam thlentu accident-in i ACL emaw PCL emaw ang chi ligament a chhiat emaw, a tikehsawm emaw a nih chuan, i mittui chu siam that nan operation i mamawh mai thei.

A tam zawkah chuan khup siamthatna surgery hi outpatient procedure angin an ti thin . Chumi ni vek chuan in lamah i haw thei tihna a ni. I surgeon chuan khup chhunga cartilage awmte chu a siam ṭhat ṭhin, knee arthroscopy tih, minimally invasive procedure a ti fo ang.

Hetiang dinhmun atanga dam leh tur hian eng chen nge hun a duh?

I dam leh hun chhung hi i khup a hliam nasat dan leh hliam dang i neih leh neih lohah a innghat a ni. I khup hliam hian chhungril lam a tichhe lo a, operation a ngai lo a nih chuan kar tlemte atanga thla khat chhungin i dam leh tur a ni .

Mahse, hliam na tak avanga operation i neih a ngai a nih chuan i hnathawh pangngai zawng zawng i thawh leh theih nan thla engemaw zat a la ngai thei .

I dam leh hun tur chungchangah i doctor emaw surgeon emaw hnenah thu chiang tak zawt rawh .

Khup extension lutuk hi engtin nge kan ven theih ang?

Infiamna emaw, taksa tihchakna dang emaw i khelh hunah heng thilte hi fimkhur rawh:

• Hriselna atana hmanraw dik tak ha rawh.
• I khup a na a nih chuan, taksa tihchak lai emaw, i tih zawh hnu emaw pawh nise, "play through the pain" suh.
• I taksa chu chawlh hahdamna hun pe la, thawhrimna nasa tak hnuah a dam leh theih nan hun pe rawh.
• Sports i khelh hmain emaw exercise i tih hmain , i taksa ruhte chu lum la, tizau rawh.
• Taksa tihchak hnuah , cool down la, stretch leh rawh.

Hliam hlauhawmna tihziaawmna turin heng himna atana thurawn tlangpui te hi zawm rawh:

• I in leh hnathawhna hmun chu nangmah emaw, mi dang emaw chetsual leh tlu thei thil tul lo tak takte awm lohna hmunah dah la.
• I in chhunga thil sang tak takte thlen theih nan hmanraw emaw hmanraw \ha tak tak hmang fo ang che. Chair, dawhkan leh counter-ah chuan chho ngai suh.
• Kal harsatna i neih emaw, tlu hlauhawmna i neih emaw chuan, kekawrte, tiang emaw, kea kalna emaw hmang rawh.

I khup a sei lutuk a nih chuan eng nge i beisei theih ang? / Eng nge a hmalam hun?

Khup hliam hnuah pawh dam leh vek i beisei thei . Hei hi hun rei lote chhunga hliam a ni a, hun rei tak chhung chu i hriselnaah emaw, i infiamna nuam i khelh theihnaah emaw nghawng a nei tur a ni lo.

Mahse, hliam chu a nasat lutuk a, operation a ngai a nih chuan, thla engemaw zat tal chu hliam thlentu infiamna emaw, thiltih emaw aṭanga hla taka awm beisei ang che

Mi tam tak chuan he natna an neih hnuah hian result tha tak an nei thin. Most injuries do not require surgery , leh kar tlemte chhungin hna pangngai zawng zawng i thawk leh thei tur a ni.

Hetiang dinhmun avang hian hna/sikul ka kal thei lo ang em?

I hna emaw, sikul hna emaw chu thut chungin i thawk thei a, i khup hliam chungah pressure sang zawk dah lovin i thawk thei a nih chuan , i dam hma chuan hna emaw sikul kal emaw i chawlhsan a ngai lo.

Mahse, i dam lai hian taksa tihchakna engmah i thawh leh hmain i surgeon emaw doctor emaw hnenah zawt hmasa phawt ang che .

Engtikah nge doctor i hmuh ang?

Ni engemaw zat hnuah a na emaw, a hring emaw a zual zel nia i hriat chuan , emaw, i khup pangngaia i che thei lo a nih chuan , doctor nen inbia ang che.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Heng symptoms te hi i neih chuan emergency room-ah kal nghal rawh :

• Natna nasa tak a ni.
• A hring (swelling) chu a pung zel a ni.
• Vun rawng a danglam (blue/purple).
• I khup i che thei lo tak zet a ni.

Doctor hnenah eng nge ka zawh ang?

• Imaging test eng emaw tal ka neih a ngai dawn em ni?
• ACL emaw PCL tear ka nei em?
• Eng chen nge ka chawlh ang a, infiamna leh taksa tihchakna dangte ka pumpelh ang?
• Surgery ka neih a ngai dawn em ni?
• Eng chen nge (hnathawh/sikul) ka kal theih loh ang?
• Hei hi natna khirh tak a ni em?
• Tun season-ah ka khel thei dawn lo em ni?

Heng zawng zawng hi khup hliam i neih hian i rilruah a lo lang thin. Vanneihthlak takin khup hliam tam zawk hi operation a ngai lo , in lamah pawh damdawi lei theih loh hmangin i enkawl thei a, i taksa chu chawlh hahdam leh dam theihna hun pek hmangin i enkawl thei bawk.

Ligament chhe ang maia hliam na tak i nei a nih pawhin, i dam kim thei tur a ni a, i infiamna leh thiltih duh zawngah i kir leh thei tur a ni .

Chuti a nih chuan, eng thil nge hriat reng tur pawimawh ber?

Okay, kan sawi tawh atang hian point pawimawh tak tak thenkhat ka rawn tarlang ang.

• Hyperextended knee chu khup chu a normal range aia hnunglam hawia a inbeng a ni . Hei hi infiamna neih laiin a thleng thei a, chu chu tlu atanga a lo thleng thei a ni.
• A lan chhuah dan ber chu khup na, a hring, leh a nghet lo . Khup chhung atanga ‘pop’ ri lo chhuak i hriat chuan ligament a lo chhe tawh a ni thei.
• In lama enkawl dan `RICE` (rest, ice, compression, elevation) hi a tawk fo thin. Painkiller pawh hman theih a ni.
• Hliam na tak, a bik takin mittui tla thuk tak takte chuan operation (Knee Arthroscopy) , mahse hei hi a awm lo.
• 'Natna chu vawng reng suh.' Symptom i neih chuan doctor pan ngei ngei tur a ni. Symptoms a zual chuan emergency room-ah kal nghal tur a ni.
• Invenna hi a tha ber a ni. In lum a, in lum a, himna hmanrua hman a pawimawh a, i taksa thu ngaihthlak a pawimawh bawk.
• A tam zawkah chuan hei atang hian i harh chhuak vek thei a ni . Chuvangin lungngai suh, inenkawlna mumal tak, chawlh hahdamna, leh enkawl dan dik tak nen chuan i nun pangngaiah i kir leh thei ang.

I khup hi i tan a hlu hle tih hre reng ang che. Chuvang chuan i mawhphurhna a ni a, i enkawl hi i mawhphurhna a ni. Harsatna a awm chuan Doctor biak hreh ngai suh.

` Khup, Khup hrual, Khup natna, Infiamna lama hliam, Khup na, Khup natna, (Hyperextended Knee)