Khup hliam a ni em? (Knee Sprain) – Hei hi eng nge a nih chiang takin i zawng chhuak ang u!

A chang chuan kan nunah hian accident tenau tak pawhin khup a ti na thei a ni lawm ni? Inkhelh lai te, tlan lai te, stairs chhuk lai te, a nih loh leh tlu leh tlu mai mai pawh a ni thei. I khup na, a hring, leh i tihchet harsat chuan khup hliam, chu chu khup hliam a nih theihna chance a sang hle Chuvangin vawiin hian heng khup hliam te hi han sawi ila.

Knee Sprain tih hi eng nge ni?

A awlsam zawngin, khup hliam (knee sprain) chu i khup ruh chhunga ligament-te a inzawm emaw, a chhe emaw a ni. Rubber band, a hrual nasat lutuk chuan a snap ang maiin han ngaihtuah teh. Hei hi a thleng dik chiah a ni.

Kan khup hi kan taksa ruh lian ber pakhat a ni. Kan thigh bone, femur , chu kan shin bone, tibia nen an thlunzawm a ni. Heng khup te hian kan ke kan ben a, kan tizau a, kan ti che thei bawk.

Ligaments hi tissue band chak tak, hrui ang maia awm, kan taksa ruh leh ruhte inzawmkhawmtu a ni. Tin, a tul lo taka ruh (joint) a kal kual loh nan an pui bawk a, ruh (joint) te chu kawng dik takah chauh a kal theih nan an pui bawk.

Khup na, a hring, emaw, i khup che emaw, hman emaw harsatna i neih chuan (a bik takin accident emaw, tlu emaw hnuah) doctor i pan ngei tur a ni .

Khup hliam chi hrang hrangte chu engte nge ni?

Kan khup ruh (knee joint) ah hian ligament chi li a awm a. Chungte chu:

• Medial Collateral Ligament (MCL): Khup chhung lam atanga tlan.
• Lateral Collateral Ligament (LCL): Khup pawn lam atanga tlan.
• Anterior Cruciate Ligament (ACL): Hma lam, khup chhungah a awm.
• Posterior Cruciate Ligament (PCL): Hnunglam, khup chhungah a awm.

A tam zawkah chuan khup sir lehlamah collateral ligaments , MCL emaw LCL emaw te chu a chhe vek a, chu chu a chhe tihna a ni. Mahse, heng ligament zinga pakhat emaw, a chang chuan ligament engemaw zat te hi accident vawi khatah a hliam thei a ni.

Khup hliam hi engtiang chiahin nge a awm?

Dik tak chuan khup hi kan taksa ruh hliam awlsam ber zinga mi a ni. Heng sprains te hi a tam hle bawk a, a bik takin infiammi zingah hian a tam hle.

Khup hliam (sprained knee) hian eng symptoms nge a neih?

Khup hliam natna lan chhuah dan tlangpui chu hengte hi an ni:

• Khup na: Natna a awm thei a, a bik takin khup sir lehlamah a na thei. He natna hi khup sawn emaw hman emaw a nih chuan a zual thei.
• Vung:Khup chu a hring vek tawh.
• Instability: Khup chu chak lo takin a inhria thei a, a chetna a thunun thei lo a, a kalna tur a pe thei bawk. Mi thenkhat phei chuan "khup a thi tawh" ang maiin a lang.
• Reduced range of motion: Khup chu a pangngaia ben emaw, dinglam emaw a harsa a, chutianga tih chuan natna a thlen thin.

Cricket i khelh laiin kawng i thlak nghal a, i khup i tikehsawm ang tih han ngaihtuah teh. Chutiang a nih chuan "cracking" ri i hre nghal a, i khup a na tan a, rei vak lo hnuah a lo hring chhuak leh a, a hliam a ni thei.

Khup hliam hi engte nge ni?

A awlsam zawngin, khup chu a chetna pangngai aia nasa zawka nawr luih a nih chuan a hliam thei a ni. Hei hi eng kawng pawhah a thleng thei. Entirnan, khup chu a sir lehlamah a ben, a zau lutuk a, a inher lutuk a nih chuan a hliam a awm thei.

Khup natna thlentu tam ber chu:

• Sports accident: Hei hi a chhan ber a ni. He hlauhawmna hi infiamna, tlan, zuang, rang taka ding leh kawng thlak danglam te a ni.
• Tlu: Kal pangngaia i tlu a, i tlu a nih pawhin i khup i la tichhe thei tho.
• Repetitive Strain Injuries: Heng hliamte hi training laiin khup hman tam lutuk vang emaw, hnathawhna, infiamna emaw, hobby-na atana ke leh khup hman chhunzawm zel avanga lo awm thei a ni.

Khup hliam (knee sprain) awm theihna tur risk factors

Tu pawhin khup hliam thei mah se, infiammi leh taksa lam hna thawktute chu an hlauhawm zawk. He risk hi a bik takin infiamna khel thinte tan chuan a sang hle a, chu chu rang taka stop, twist leh direction thlak danglam ngai a ni. Entir nan:

• Football
• Basketball khelh a ni
• Rugby khelh a ni
• Tennis khelh a ni
• Skiing khelh a ni
• Ice hockey ang chi games te pawh a awm.

Kan exercise tih dan hian hei hi a nghawng thei bawk:

• Exercise tih zat emaw, a chakna emaw tihpun nghal mai.
• Infiamna thar emaw exercise emaw hmanraw mumal emaw training mumal tak nei lovin tan (entir nan, dinhmun dik lo hmanga exercise tih emaw, him taka khelh dan zir hmaa high-impact sport tan emaw).
• Kum khat chhung zet khup ruh tichhe thei, chawlh hahdam ngai lo sport khelh.

Khup hliam hi engtin nge kan hriat theih ang?

Doctor chuan khup hliam a awm tih chu taksa enfiahna hmangin a hmuchhuak ang . I doctor chuan khup hliam chu a enfiah ang a, a range of motion a enfiah ang (i khup dang, hliam lo nen pawh a khaikhin mai thei).

I natna lan chhuah tirh khan doctor hnenah i hrilh tur a ni a, a bik takin accident thlen dan leh a chhan dik tak i hriat chuan i sawi tur a ni.

Doctor ten natna an hriat theih nan eng test nge an hman?

Taksa enfiah lai hian i doctor chuan clinical test bik engemaw zat tihsak turin a ti thei che a ni . Chungte chu taksa chetna emaw, dinhmun emaw a ni. Chûngte chuan hliam chi dang a awm leh awm loh hriat nân a ṭanpui thei a ni. Heng test te tih nan hian hmanraw bik a ngai lo. Doctor chuan mu turin a ti ang che, ṭhu turin a ti ang che, a nih loh leh dinhmun bikah a ding ang che a, chutah chuan i khup chu a ti che ang.

Hei bakah hian imaging test hmangin khup ruh leh a chhehvel tissue te thlalak lak theih a ni bawk. Entir nan:

• Khup X-ray neih a ni
• Ultrasound hmanga tih a ni
• Magnetic Resonance Imaging (MRI) hmanga tihchhuah a ni.

Khup hliam Grade hrang hrang

Doctor-te chuan khup hliam hi a ruh (ligaments) a chhiat nasat dan a zirin an thliar hrang a:

• Grade 1 Sprain (Mild): Ligaments te hi a inzawm khawm emaw, a chhe deuh emaw a awm thin. A nih loh leh, engmah hrual lovin stretching mai mai a awm thei bawk. Hei hi a mildest level a ni.
• Grade 2 Sprain - Moderate: Ligaments hi a then a chhe a, mahse a chhe kim lo. Hei hi a moderate level a ni.
• Grade 3 Sprain - Na tak: Ligament te chu a chhe vek a, chu chu a chhe vek tihna a ni. Heng Grade 3 sprains te hi Ligament Tears an ti tlangpui a . Hei hi level na tak a ni.

Khup hliam hi eng enkawlna nge ni?

A tam zawkah chuan khup hliam chhinchhiahna chu in lamah enkawl theih a ni. Mahse, a hliam hi dik taka hriat theih nan leh khup chhungah chhiatna dang a awm loh nan doctor pan hmasak a pawimawh.

Khup hliam enkawlna hman tlanglawn ber chu RICE method hi a ni :

• R - Chawlh hahdam: Hliam thlentu thiltih kha pumpelh rawh. Khup a dam hma loh chuan hman loh tum ang che.
• I - Ice: Ni khatah vawi tam tak minute 15 vel i khup ah ice pack hnawih thin ang che. Ice pack chu puan te tak te emaw towel emaw hmangin khuh la, i vun chu direct-a khawih tir suh.
• C - Compression: I khup chu elastic bandage hmangin khuh la, chu chuan a hring chhuak tihziaawmna tur a pui ang. I doctor chuan him taka tih dan tur a kawhhmuh ang che.
• E - Elevation: I khup chu a theih ang anga heart level aia sangah dah la. I mut dawnin i ke chu pillow-ah dah la.

NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) group atanga natna tidamtu, Aspirin emaw Ibuprofen emaw, natna leh hliam tihziaawmna tur.Ni e, paracetamol (Acetaminophen) i hmang thei bawk. Heng natna tidamtu chi hrang hrangte hi ni 10 aia rei i ei hmain doctor nen inbia ang che.

I khup thlawp tur leh a hmuna awm reng tura pui turin brace i bun a ngai mai thei. I khup a dam hma loh chuan kekawrte i hman a ngai thei bawk. I doctor chuan khup a tihnat loh nan leh i range of motion tihchangtlun nan physical therapy a rawt thei bawk.

Khup hliam hian operation a ngai em?

Khup hliam hnuah operation neih a ngai lo. Mahse, hliam na tak emaw, hliam dang emaw, ruh tliak ang chi i neih chuan operation neih a ngai mai thei.

Enkawlna ka tan hnuah eng chen nge ka dam leh thuai ang?

Vawikhat khup hliam enkawlna i tan chuan zawi zawiin i rilru a hahdam tan ang. A natna lan chhuahna a reh theih nan kar engemaw zat a la ngai thei.

I khup a dam lai hian engzat nge i hman theih tih doctor zawt rawh. I khup chu doctor-in a tih hma loh chuan hmang tan tawh suh, i rilru a hahdam a nih pawhin. I khup ligament a dam kim hmaa pressure i dah chuan i hliam leh emaw, original sprain kha a ti na zual emaw a rinawm.

I khup i hliam a nih chuan eng nge i beisei theih ang?

Knee sprains hi a tlangpuiin hun eng emaw chen atana hliam a ni . Sprain tam zawk hian doctor-in khelh emaw training emaw a him a tih hnuah i khelh theihna emaw, active taka awm theihna emaw a nghawng lo.

Mahse, i khup vawi khat i hliam chuan nakin lawkah i hliam leh theihna a sang deuh mai thei (a bik takin i khup nasat lutuk emaw, na tak emaw i neih chuan). Nakin lawkah i hliam theihna tur tihtlem nan eng nge i tih theih tih i doctor zawt rawh.

Khup hliam hi a dam theih nan eng chen nge a mamawh?

Khup hliam chu a dam theih nan kar tlemte tal a ngai tlangpui. Sprain na zawk hian thla engemaw zat a daih thei. I doctor chuan hemi chungchang hi a sawipui ang che.

I dam chhung hian eng thiltih leh chetna nge him tih i doctor zawt rawh. I khup hmanga taksa tihchakna nasa tak thawh leh chu engtikah nge a him tih a hrilh bawk ang che.

Engtin nge khup hliam hi i ven theih ang?

Khup hliam hi pumpelh vek theih a ni lo mai thei, a bik takin athlete i nih chuan. Mahse i risk tihtlem dan tur a awm. Infiamna emaw, taksa tihchakna dang emaw i khelh hunah hengte hi fimkhur hle ang che:

• Hriselna atana hmanraw dik tak (kekawr fit tha tak tak te pawh tel) bun tur a ni .
• I khup a na a nih chuan, taksa tihchak lai emaw, i tih zawh hnu emaw pawh nise, "play through the pain" suh.
• Hnathawh hahthlak tak hnuahI khup chu chawlh hahdamna hun pe la, damna hun pe rawh.
• Sports khelh emaw exercise emaw i tih hmain warm up leh stretch hmasa phawt ang che.
• Taksa tihchak hnuah cool-down leh stretching exercise te ti thin ang che.

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

• I in leh hnathawhna hmun chu felfai takin vawng la, nangmah emaw, mi dangte emaw ti tlu thei thil tul lo tak takte chu awm lo rawh.
• I in chhunga thil sang tak takte thlen theihna turin hmanraw emaw, hmanraw emaw duan dik 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 emaw, kea kalna emaw hmang ang che.

Engtikah nge Doctor ka hmuh ang?

Accident i tawk tawh a, khup hliam symptom i neih chuan doctor pan tur a ni. Ni engemaw zat enkawl hnua i natna lan chhuah dan a ṭhat loh chuan (a nih loh leh a na zual a nih chuan) doctor nen inbia ang che.

Engtikah nge Emergency Department (ETU) ah ka 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.
• Coloration - khup vel blue/purple a inthlak ang chi.
• I khup emaw i ke emaw i che thei lo tak tak a nih chuan (inability to move the joint).
• I khup atanga "knock knock" emaw "pop" tih ang ri i hriat emaw i hriat emaw chuan.

Ka doctor hnenah eng nge ka zawh ang?

• Ka khup hliam emaw, hliam dang emaw ka nei em?
• Hei hi eng grade of sprain nge ni?
• Eng ang enkawlna nge ka mamawh?
• Eng chen nge a dam theih ang?
• Engtikah nge training ka tan theih ang emaw, ka khelh leh theih ang?
• Dam leh lai hian eng exercise chi hrang hrang nge tih a him?

Khup hliam leh ligament tear hi eng nge an danglamna?

Knee sprain leh knee ligament tear te hi hliam inang chiah chiah a ni. A danglamna chu i ligament te chu engtiang chiahin nge a inzawm khawm emaw, a chhiat emaw tih hi a ni.

Grade 1 leh 2 knee sprains tih hian i ligament te chu a inzawm khawm emaw, a then a chhe emaw a, mahse a chhe vek lo tihna a ni. Grade 3-a khup hliam chu mittui tla vek a ni a, chu chu hliam hian i ligament a tizau lutuk a, a chhe vek tawh tihna a ni.

Chuvangin, grade 3 khup hliam leh ligament tear te hi hliam inang a ni. Chûng zîngah chuan:

• MCL mittui a tla
• LCL mittui a tla
• ACL mittui tla
• PCL mittui a tla

I na a, i vun a, i khup i che thei lo a nih chuan Doctor pan rawh. A hliam chu a hmuchhuak thei a, enkawl dan tur dik ber a rawt thei bawk.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Khup hliam hi a na a, i khup i hliam tih hriat chu a hlauhawm thei hle. Infiamna khel emaw, taksa lama inhmang emaw tan chuan risk tlangpui (leh lungchhiatthlak tak) a ni. Thu lawmawm tak chu khup hliam tam zawk hi chawlh hahdam leh in lama enkawlna hmangin a dam leh thin.

Khup na leh hliam ang chi symptom i neih chuan – a bik takin i khup i hliam emaw, thil i vuak emaw chuan – ngaihthah suh. Hliam hriat theih nan doctor hmu rawh. Chutiang chuan eng nge dik lo tih te, a dam theih nan eng chen nge a la ngai dawn tih te, engtikah nge training leh khelh tan leh a him tih te i hre thei ang. I khup kha enkawl tha rawh!

` Knee Sprain, Khup Na, Ligament Inhliam, Sports Inhliam, RICE Enkawlna, Khup Swelling, Joint Diseases