I ke/kut i hliam ngai em? Sprain tih hi eng nge a nih chiang takin i zir ang u!

Stairs atanga i chhuk a, i tlan a, i inkhelh a, i ke emaw, i kut emaw a tlu nghal a, na takin, "Ouch, ka ke ruh ka tichhe ta!" Chutiang a nih chuan nangmah chauh i ni lo. Sprains hi kan vaiin kan tawn fo thin a ni. Chuvangin vawiinah hian thil pawimawh tak tak, sprain chu eng nge a nih, engvangin nge a awm tih leh i ke ruh i hliam a nih chuan eng nge i tih tur tih te hi han sawi ila.

Sprain hi eng nge ni tak tak?

A awlsam zawngin sawi ila, sprain hi kan taksa ruh pakhata natna lo awm a ni. Tunah chuan joint chu eng nge ni tih i zawt ta a ni. Joint chu kan ruh pahnih emaw a aia tam emaw inzawmkhawmna hmun a ni. I elbow, knee, shoulder, ankle, wrist ang chi hmunte ngaihtuah rawh. Chungte chu joint an ti a. Heng ruhkawrte hian kan taksa hi kan ben thei a, kan tikehsawm thei a ni.

Chuvângin, heng ruhteahte hian ruhte chu an inzawm khawm a, an awmna hmunah chuan tissue band chak tak , ligaments an tihte chuan an vawng tlat a ni. Chûngte chu rubber band nghet tak ang mai a ni a, chu chuan ruhkawr chu a che nasa lutuk loh nân a ṭanpui a ni. Sprain hi heng ligament pakhat emaw a aia tam emaw chu an huam chin atanga a chhuah a, a nih loh leh a hrual a nih chuan a awm thin.

Joints sprain awm tam ber chu:

• Ke rek
• Khup
• Banrek

Engvangin nge sprains kan neih? A chhante chu engte nge ni?

Sprain hi chhan hrang hrang a awm thei. A tam zawkah chuan a thleng thut mai thin.

• Joint pakhat a inher, a inher, a nih loh leh a ben nghal mai: Kawngpuiah i kal a, rang takin i ke chu khur a tawk a, i ke ruh chu a roll ang tih han ngaihtuah teh. Chutih lai chuan ligament chu a chhe thei a ni.
• Tlu laia ruh (joint) a nghawng dan: Hmun sang atanga tlak emaw, tlu emaw a nih chuan kut chu leiah a tlakbuak thei a, kutphah pawh a chhe thei bawk.
• Inkhelh emaw, exercise emaw i tih hian: I hliam a tam zawk a, a bik takin infiamna, tlan, zuang, emaw kawng thlak rang (e.g. netball, football, basketball, cricket) i khelh hian. Cricket i khelh laiin rang takin i tlan a, i tlu a, i tlu ang tih han ngaihtuah teh. I khup emaw, i ke ruh emaw i ti chhe thei bawk.
• A châng chuan, ligament-te chu a chak lo thei a, a chhe thei bawk a, chu chu movement khat chu tih nawn fo pawhin a ni .

Pawimawh: Mi thenkhat ligament hi a pianphungah chuan a lo chhuak deuh (joint hypermobility). Chutiang mite chuan midang aiin an ke ruh an tichhe nasa zawk.

Sprain symptoms te chu engte nge ni? Engtin nge i hriat chian?

I hliam hian symptom hrang hrang i nei thei. Chungte chu a hliam nasat dan azirin a inang lo.

• Natna: Hei hi a symptom ber a ni. Hliam ruh chu sawn, khawih emaw, rit dah emaw a nih chuan natna a awm thei. A châng chuan, engmah tih loh lai pawhin natna a awm thei.
• Swelling: A hliam hnu lawkah chuan a ruh vel chu a hring tan a, a hnu lawkah emaw, a hnu rei vak lo emaw pawh nise.
• Bruising: A chang chuan hliamna hmun chu vun hnuaiah thisen a chhuak thei a, a sen emaw, a hliam emaw angin a lang thei bawk. Hei hi a lang nghal lo mai thei a, mahse ni khat emaw ni hnih emaw chhungin a lo awm thei.
• Limited range of motion: Hliam tuar ruh chu a pangngaiin a che thei lo. Entirnan, i ke ruh i hliam a nih chuan i ke chu a chung leh a hnuai emaw, a sir lehlamah emaw sawn a harsa mai thei.
• Joint instability: Joint chu a lo loose emaw "rocky" emaw angin a lang thei.
• Hliam a thlen huna "pop" ri hriat emaw hriat emaw: Hliam na tak thenkhatah chuan ligament a hrual chuan "pop" emaw "crack" emaw ri hriat emaw hriat emaw i nei thei.
• Rihna phur thei lo: I ke ruh emaw, khup emaw a hliam a nih chuan, chu ke chu leiah dahin kal chu a harsa emaw, a theih loh emaw pawh a ni thei.

Ulukku chi hrang hrang a awm em?

Ni e, sprains hi a nasat dan azirin chi thum ah then theih a ni. Hei hi doctor-in a ruat a ni. Mahse hei hian ngaihtuahna rough tak i neih theih nan a pui ang che.

• Grade 1 Sprain (a hliam tenau): 1.1.
• Hei hi ligament stretching na lo tak a ni . Ligament chu a chhe lo.
• A natna hi a tlangpuiin a na lo hle.
• A hring pawh a tlem hle.
• Joint chu a stable a, a loose lutuk lo.
• Ni rei lo te chhungin a tha leh tlangpui.

• Grade 2-a hliam (sprain hniam lam): 1.1.
• Chutiang a nih chuan ligament chu a then a chhe (partial tear) .
• A natna chu a level hmasa aiin a tam zawk.
• Swelling leh bruising hi a langsar zawk mai thei.
• I ruh i sawn hian natna leh a hlimthla tlem i nei thei.
• A rit phurh chu a harsa deuh mai thei.
• A dam theih nan kar engemaw zat a la ngai thei.

• Grade 3 Sprain (a hliam na tak): 1.1.
• Chutiang a nih chuan ligament chu a chhe vek (complete tear) .
• A na lutuk, a na lutuk.
• A hring leh a hliam pawh a na hle bawk.
• Joint hi a nghet lo va, "panel ang maiin" a awm thei.
• Vawi tam tak chu kut/ke hliam chu hman theih loh emaw, rit pawh tih tlem theih a ni lo.
• A dam theih nan thla engemaw zat a ngai thei a, a chang chuan physiotherapy emaw, surgery emaw pawh a ngai thei bawk.

I hliam a nih chuan engtin nge i tih ang? In lamah eng first aid nge i tih theih?

First aid measure thenkhat chu in lama i tih theih nghal tur a awm a, chu chu i hliam hnu lawkah i tih theih a ni. Hengte hian natna leh hliam tihziaawmna turin a pui ang. Hei hi RICE method kan ti a .

• R - Chawlh hahdam:
• A pawimawh ber chu ruh hliam chu chawlh hahdam hi a ni.Chu chu a hmunah sawn loh emaw, rit phur lovin emaw dah reng tihna a ni. I hman chhunzawm chuan a hliam a zual thei.

• I - Ice (Icing) tih hi a ni.
• Hliam awmna hmunah ice hnawih thin ang che. Hei hian a hring leh natna a tiziaawm ang. Plastic bag-ah ice cube tlemte dah la, puan te tak teah khuh la, a hliamna hmunah minute 15-20 vel hnawih rawh. Ice hi vunah direct-in hnawih suh, hei hian vun a tichhe thei a ni. Ni khatah vawi thum atanga ni thum chhung chu ni khatah vawi thum atanga vawi li tih tur a ni.

• C - Compression tih hi: 1.1.
• Swelling control nan hliam tuar chu elastic bandage hmangin khuh la, a khauh deuh a, mahse a khauh lutuk lo. Hei hian ruh chu a pui ang a, a hring (swelling) a ti tlem bawk ang. Mahse, hei hi hre reng ang che, thisen kalna a titawp thei khawpa khauh takin phuar suh. Bandage hnuaia vun chu a sen emaw, a hring emaw a nih chuan a tight lutuk tihna a ni.

• E - A san zawng:
• Hliam tuar chu i thinlung aia sang thei ang berah dah la. Ke a nih chuan pillow pakhat emaw pahnih emaw hmangin prop up rawh. Arm a nih chuan pillow emaw sling emaw hmangin i prop up thei bawk. Hei hian swelling tihziaawmna tur a pui bawk ang.

Hriat tur: He RICE treatment hi a hliam atanga darkar 24-72 hmasa berah tih a nih chuan a hlawk ber. Natna tidamtu atan `Paracetamol` ang chi hi i ei thei. Mahse doctor rawn hmasa lovin natna tidamtu dang (`NSAIDs` ang chi) ei hmain fimkhur hle ang che, a then chuan a tir lamah thisen chhuah a tipung thei a ni.

Engtikah nge doctor i hmuh ang?

Sprain zawng zawng hian doctor pan a ngai lo. Srain tenau tak chu in lama damdawi hmanga enkawl theih a ni tlangpui. Mahse, doctor i pan ngei tur a ni a, chu chu:

• Natna nasa tak leh tuar theih loh a nih chuan.
• Ke/kut hliam chu leiah i dah thei lo emaw, rit i dah thei lo emaw a nih chuan.
• Hliam tuar ruh chu a pianphung lo taka a inzawm emaw, a hmun dik lo anga lang emaw a nih chuan.
• Hliam awmna hmunah hian rilru hahna, tingling sensation, emaw a rawng inthlak (paleness, blueness) a awm chuan.
• I hliam laiin "pop" ri nasa tak i hriat chuan. (Hei hi ligament tear na tak emaw, ruh tliak emaw a ni thei.)
• A hring a nasat em em a nih chuan, emaw, ni hnih atanga ni thum chhung in lama damdawi ei hnua a hring emaw, a na emaw a reh loh chuan.
• Hei hi a pawizia i ngaihtuah thei lo a nih chuan, rinhlelhna i neih chuan.
• Khawsik ang chi symptom i neih chuan.

Srain tenau ang maia lang mahse, eng nge dik lo tih chiang taka hriat a pawimawh a, a bik takin a natna chu ni engemaw zat aia rei a awm tawh chuan. A châng chuan sprain nia i ngaih chu a takah chuan fracture a ni thei.

Engtin nge doctor hian sprain a check thin?

Doctor hmu tura i kal chuan zawhna tlem a zawt hmasa ang che:

• Engtin nge i hliam?
• Eng nge a lan chhuah dan?
• I hliam lai khan thawm i hre em?

Tichuan, doctor chuan i ruh hliam chu a enfiah ang. Chumi awmzia chu:

• Swelling leh bruising an zawng thin.
• An hre ang a, hmun natna emaw, lump danglam tak emaw a awm leh awm loh an enfiah ang.
• Doctor chuan ruh chu zawi zawiin a sawn ang a, eng chen nge a kal theih (range of motion), a kal laiin natna a awm leh awm loh leh a ruh chu a nghet em tih a enfiah ang.

A tam zawkah chuan he test hian a hliam emaw thil dang emaw a hriat theih. Mahse, a chang chuan ruh a tliak (fracture) nia rinhlelhna a awm chuan X-ray tih a ni thei. Hei hi a chhan chu ruh tliak leh ruh tliak chhinchhiahna hi a chang chuan a inang thei hle a ni.

A tlem hle a, ligament chhiatna nasa tak a awm nia rinhlelh a nih chuan MRI scan hmanga ligament chu engzat nge a chhe tih chiang taka hriat theih a ni a, tissue dang a chhiat leh chhiat loh hriat theih a ni. Mahse, hei hi sprain apiangah a ngai lo.

Sprain hi a dam theih nan eng chen nge a mamawh? Engtin nge a lo thlen leh tawh loh nan ka ven theih ang?

Sprain a dam theih hun chhung hi a nasat dan azirin a inang lo hle (Grade 1, 2, or 3).

• Grade 1 sprain hi kar khat emaw kar hnih emaw vel chhungin a dam thei tlangpui.
• Grade 2 sprain hi a dam theih nan kar thum atanga kar ruk vel a ngai thei.
• Grade 3 sprain hian thla engemaw zat (thla 3-6 aia rei) a daih thei. A châng chuan zai a ngai a nih chuan a dam hun pawh a rei thei hle.

I dam thuai theih nan doctor thupek dik taka zawm a pawimawh hle. Tin, ruh chu a dam kim hma loh chuan hliam leh lo turin i fimkhur tur a ni.

A châng chuan, a bîk takin, hliam na tak takah chuan, i doctor chuan physiotherapy hmangin ruh chu a tichak thei a, a range of motion a siam ṭha leh a, nakin lawka a hliam a awm loh nan a pui thei bawk. Physiotherapist chuan exercise tih tur bik a zirtir ang che.

Sprain venna atan thil engemaw zat tih theih a awm a:

• Exercise i tih hma emaw, infiamna i khelh hmain `warm-up` tha tak ti la, chu chu i taksa tihlum nan exercise tlem tal ti la. Tin, exercise i tih zawh hnuah `cool-down` ti bawk ang che.
• I infiamna emaw exercise emaw i tih tur nena inmil pheikhawk quality tha tak ha la. Kekawrte hian i ruh (joint) te tanpui tha tak a pe tur a ni.
• Lei inthlau emaw, khur awmna hmuna kal emaw, tlan emaw hian fimkhur hle ang che.
• I ruh chhehvel thau te tichak turin exercise la. Muscle chak tak takte hian i ruhte chu venhimna tha tak a pe a ni.
• I chau emaw, i na emaw i hriat chuan ngaihthah suh la, exercise la. Hahchawl.
• Tun hmaa ruh i hliam a nih chuan, a hliam leh tawh loh nan support bandage emaw brace emaw hman chungchang doctor zawt rawh.

Sprain leh strain hi eng nge a danglamna?

Heng hming pahnihte hi a inhmeh lo fo a, mahse an pahnih inkarah hian danglamna tlem a awm.

• A sprain , kan sawi tawh ang khan, chu chu ligament , chu chu ruh pahnih inzawmkhawmtu tissue band-a hliam a ni.
• Strain , emaw mi thenkhatin an sawi angin, "neuropathy" (hei hi a dik vek lo nain, thumal hman tlanglawn tak a ni), chu chu taksa ruh emaw, ruh leh ruh inzawmtu tissue chak tak tendon an tih emaw chu a hrual emaw a tikehsawm emaw a ni.

A awlsam zawngin, sprain hian ruh pakhata ligament a huam a, strain erawh chuan muscle emaw tendon emaw a huam thung. A lan chhuah dan thenkhat chu inang mahse, a chhiatna chu tissue hrang hrangah a ni.

A tawp berah chuan thil hriat reng tur

Chuvangin, tunah chuan i hrethiam tawh mai thei, sprain hi chutiang chuan a awlsam lo.

• Sprains hi a tam hle a, mahse a tenau atanga na tak thlengin a awm thei.
• RICE method hi sprain tan chuan first aid tha ber a ni.
• A natna a nasat emaw, a hring lutuk emaw, i sawn thei lo emaw, ni engemaw zat chhunga a dam loh chuan doctor pan ngei ngei tur a ni.
• A dam tha hma loh chuan chawlh hahdam a pawimawh hle a, a tul chuan physical therapy lak a pawimawh hle a, nakin lawkah a hliam leh tawh loh nan fimkhur a pawimawh hle.

I taksa hi i tan a hlu a ni tih hre reng ang che. Chuvangin hliam tenau pawh ngaihthah suh. Inenkawlna mumal tak i neih chauh chuan i dam thuai thei a, i nitin hnathawh leh i infiamna i duhzawngte chu i chhunzawm leh thei bawk. Fimkhur reng ang che!

` Sprain, sprain, ligament, ruh natna, ke ruh tliak, khup hliam, first aid