I ruh pakhat, i khup emaw, i elbow emaw ang chi chu a dang aiin a hring nasa zawk tih i hmu ngai em, zing thawh hnuah emaw, nilengin hnathawh zawh veleh emaw? Kal harsa emaw, ben harsa emaw angin a lang em? Mi tam tak chuan hei hi ‘joint chu tuiin a khat’ kan ti thin. Hei hi a takah chuan dawt a ni lo. Damdawi lam hawi chuan hetiang dinhmun hi a ni a, chu chu Joint Effusion kan ti a ni. Chuvangin, vawiin hian thumal awlsam takin engkim hi sawi ila.
Joint Effusion hi eng nge ni?
A awlsam zawngin, joint effusion chu i joint chhehvela tissue-a extra fluid a awm khawm a, chu chuan a ti hring chhuak thin. Hei hi hrethiam tur chuan joint siam dan hi han en hmasa ila.
I khup kha han ngaihtuah teh. Ruh pathum atanga siam joint a ni. Tin, ruh hi ruh mai a ni lo va, thil pawimawh dang tam tak a nei bawk:
- Cartilage: Hei hi ruh tawp khuh tu membrane hrual, hnim hring a ni. Hei hian ruh pahnih inhnim khawm loh nan a titawp a, ruh chu awlsam takin a che thei bawk.
- Synovial membrane: Hei hi synovial fluid , tui bik, ruhkawr tana ‘grease’ ang maia thawk, a chhuahna hmun a ni. Hei hi ruhkawr (joint) tha taka a thawh theih nan a pawimawh hle.
- Bursas: Chûngte chu tuiin a khat balloon te tak te ang mai an ni a, ruh, ruhro leh ruh (ligament) inkarah cushion angin hna an thawk a, an venghim a ni.
- Ligaments: Band chak tak, elastic band ang chi, ruh inzawmkhawmtu leh ruh inzawmna nghet tak siamtu.
- Tendons: Heng tendon te hian ruh leh ruh te hi a thlunzawm a.
A tlangpuiin heng tissue zawng zawngah hian tui engemaw zat a awm vek a. Mahse, natna hrik, hliam emaw, damdawi lam thil dang emaw avanga heng tissue chhungah hian tui (thisen, zun, a nih loh leh tui dang) a awm khawm chuan Joint Effusion kan ti a ni.
He dinhmun hian eng junction nge a nghawng theih ang?
Hetiang dinhmun hian kan taksa ruh zawng zawng deuhthaw a nghawng thei a ni. Hengte hi ruh natna chi hrang hrang a nghawng lian ber berte chu an ni:
| Taksa chhunga ruh lian tak tak | Taksa chhunga ruh te te |
|---|---|
| Khup | Kut zungtang inzawmna |
| Kiu | Ke ruh inzawmna |
| Koki | Banrek |
| Ke rek | - . |
Ruhkawr hring (swellen joints) awm chhan berte chu engte nge ni?
Ruh natna hi pakhat chauh a awm lo va, engemaw zat a awm a ni. A chhan ber chu:
| Chhan | Hrilhfiahna A awlsam |
|---|---|
| Kaichhawng | Hrik pakhat chu ruh chhungah a lut a, natna a thlen thin. Hei hi septic arthritis kan ti a . Hei hi dinhmun hlauhawm tak a ni . A ruh chu a tichhe vek thei a, ruh thlak nan operation pawh a ngai thei bawk. Chutiang a nih chuan joint chu pus in a khat thin. |
| Pun | Arthritis chu ruh natna (osteoarthritis , rheumatoid arthritis, leh gout) ang chi natna avanga ruh natna (inflammation) a ni. |
| Junction hman tam lutuk | Joint khat hman chhunzawm zel, hman tam lutuk. Entirnan, hla taka tlan avanga khup hliam. |
| Trauma chu a ruh (joint) ah a awm | Thil pakhat, ruh (joint)-a ligament chhe emaw, ruh tliak (bone fracture) ang chi. Hengte hi infiamna lama hliam vang te, tlu vang te, motor accident vang te pawh a ni thei. |
| Tumor a ni | Swelling hi cancer emaw cancer ni lo emaw lump, junction bula lo awm vang pawh a ni thei. |
A pawimawh ber chu ruh hring (joint swelling) hi a symptom a ni a, natna a ni lo. Chuvangin, he natna hi eng nge ni tih chiang taka hriatchhuah a, enkawl a pawimawh hle.
Joint swelling hi eng enkawlna nge ni?
Enkawlna chu i ruh hring hring chhanah a innghat a ni. A chhan thenkhat chu a dam kim thei. Arthritis ang chi natna thenkhat chu tihdam theih a nih loh laiin, a natna lan chhuah dan chu i enkawl thei a, nun pangngaiin i hmang thei bawk.
Doctor-in a tih tlangpui enkawlna thenkhat chu hetiang hi a ni:
- Antibiotics: Bacteria infection, septic arthritis , i neih chuan natna hrik tihlum turin antibiotics pek i ni ang.
- Arthrocentesis: Hei hi ruhkawr atanga tui tam lutuk chu needle hmanga lakchhuah a ni . Chumi hnuah chuan fluid sample chu laboratory-ah thawn a ni a, hrik, protein leh cell chi hrang hrang test a ni. He test hian a natna chhan chiang taka hriat theih nan a pui thei a ni .
- Steroids: Hei hi damdawi chak tak, inflammation tihziaawmna tur a ni. A châng chuan pill angin emaw, injection angin emaw direct-in ruh chhungah an pe ṭhin.
- Damdawi bik: Gout ang chi dinhmun atan chuan damdawi bik (e.g. Colchicine) pek thin a ni.
A pawimawh ber chu i doctor nen inbia a, i tan eng damdawi nge tha ber tih i rel a ni.
In lamah eng thil nge kan tih theih?
Damdawi lam enkawlna i dawn lai hian i natna lan chhuah dan tur enkawlna atana pui turin in lamah thil engemaw zat i tih theih a awm a:
- Chawlh: Ruh hring hring chu chawlh hahdam a pawimawh hle. A theih chuan joint-a rit tihtlem tur a ni. A tul chuan kekawrte ang chi thil hmang ang che.
- Ice: Ice hian a hring leh natna tihziaawmna kawngah a pui hle. Ice pack towel-a khuh chu minute 15-20 chhung ni khatah vawi tam tak hnawih thin ang che.
- Khua lum: Mi thenkhat tan, a bik takin ruh natna vei tan chuan lumna hnawih hian natna a tiziaawm thei a ni. Mahse, a hring tam chuan ice hi a tha ber.
- Weight control: Taksa rihna hrisel tak neih hian rit phurtu ruh, khup leh ke ruh te a tihziaawm thei a ni.
- Painkillers (NSAIDs): Ibuprofen leh Naproxen ang chi natna tidamtu te hian natna leh hliam hi eng emaw chen chu a thunun thei a ni. Mahse, heng damdawi te hi i hman chhunzawm hmain i doctor hnenah i zawt hmasa phawt tur a ni. Damdawi lam harsatna thenkhat (e.g. gastritis, kal natna) nei tan chuan an tha lo thei.
Engtikah nge Doctor i hmuh a ngaih?
Joint swelling hi in lama enkawl theih a ni ngai lo. Case thenkhat chu emergency anga en tur a ni.
| 🚨 Damdawi in (ETU) pan vat vat ngai case te | |
|---|---|
| |
| 🩺 Heng symptoms te hi i neih chuan Doctor pan tur a ni. | |
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He dinhmun hi a dam theih nan eng chen nge a la ngai ang?
A hring chhanah a innghat vek a ni. Ruh tliak vang a nih chuan kar tam tak emaw thla tam tak emaw a daih thei. Osteoarthritis ang chi a nih chuan dam chhung zawnga enkawl ngai a ni thei. Mahse lungngai suh, enkawl dan dik leh nunphung thlak danglam chuan i natna lan chhuah dan i thunun thei a, i dam tha thei bawk.
Take-Home Thuchah a ni
- Joint effusion chu joint chhehvela tissue-a tui tam lutuk awmkhawmna a ni. Symptom dang mai ni lovin, a chhan bulpui zawn a pawimawh zawk.
- A chhan chu natna hrik, ruh natna, ruh hliam emaw, hman tam lutuk emaw a ni thei.
- Ruh a hring a, khawsik, natna nasa tak, che thei lo ang chi natna a awm chuan emergency a ni. Emergency Department (ETU) ah kal nghal rawh.
- In lama chawlh hahdam leh icing hian a pui thei a, mahse a chhan bulpui enkawl erawh a pawimawh hle. Chuvangin i doctor hmu ngei ang che .
- Damdawi lam thurawn tel lovin hun rei tak chhung natna tidamtu damdawi hman loh tur a ni. Hriselna lama harsatna dang a thlen thei bawk.











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