I khelh laiin, i tlan laiin, a nih loh leh i zuang laiin i khup chhungah click ri rang tak, hrehawm tak i nei tawh em? I khup hnunglam chu a hring a, a sen em? LCL tear i nei mai thei. Ngaihtuah buai suh, hei hi infiammi zingah inhliam tam tak a ni. Chipchiar tak leh awlsam takin sawi ila.
A awlsam zawngin LCL tear tih hi eng nge ni?
Kan khup hi kawngkaa hinge ang maiin han ngaihtuah teh. He hinge hi a nghet tlat a, a che lutuk loh nan band a awm bawk. Chutiang chu kan khup sir lehlama ligament te hi a ni.
I khup pawn lam (i taksa atanga hla lam hawi lam) ah chuan i thigh bone (femur) leh i shin bone pakhat (fibula) inzawmkhawmtu band nghet tak a awm a. Hei hi Lateral Collateral Ligament (LCL) kan tih chu a ni.
A hna ber chu khup chu a tul lova pawn lam hawia a inbeng loh nan a ni . He LCL ligament hi infiamna neih laiin accident, tlu emaw, chet nghal vat emaw avanga inzawm emaw, a chhe emaw a nih chuan chu chu LCL tear kan tih chu a ni.
Infiammi football, soccer, skiing ang chi infiamna khel thinte chu he natna hi an vei theihna a hlauhawm hle. Amaherawhchu, uluk taka enkawl leh insiamthat an nih chuan khelmualah an kir leh thei a ni.
Engtin nge he LCL tear hi a lo awm?
A tam zawkah chuan he hliam chi hi infiamna khelh laia thil thleng vang a ni.
- Khup khauh taka vuakna: A bik takin khup chhung lam a vuak hian khup chu pawn lam hawiin a nawr thei a, LCL chu a tikehsawm thei bawk.
- Sudden change of direction: I tlan chak a, chutah rang taka sir lam i hawi chuan.
- Landing laiin tihsual: I ke chu landing laiin a awmna dik lo a nih chuan.
- Khup ben emaw, twisting emaw lutuk.
- Stop-and-go movement te pawh a awm.
Chutiang dinhmun chu football, skiing, soccer, leh basketball ang chi infiamnaah a awm fo avangin a hlauhawmna a sang hle.
LCL tear hian eng symptoms nge a neih?
LCL tear i rinhlelh chuan heng symptoms te hi fimkhur rawh. Heng symptoms zinga pakhat emaw a aia tam emaw i nei thei.
| Symptom a ni | A hriat dan |
|---|---|
| Na | Ka khup hnunglam ah chuan na tak tak ka nei a. He natna hi hliam hnu lawkah a intan thin. |
| Vung | Hliamna hmun, chu chu khup hnunglam chu a lo hring chhuak thin. |
| Press a nih chuan tenderness a awm | I khup hnunglam chu i kut zungtang hmanga i hmet chuan a na hle. |
| Bruising a awm | A châng chuan hliam vêla vun chu a rawn sen thei bawk. |
| Instability nei lo anga inhriatna | Hei hi mi tam zawkin an tawn hlauhawm ber a ni. An khup chungah thunun thei lo ang maiin a lang a, an din lai chuan ‘zump’, ‘stuck’, ‘bent’ ang maiin an inhria nghal a ni. An ke dah hlau ang mai a ni. |
Engtin nge hei hi i hmuh theih, Doctor?
Hetianga hliam i tuar tawh a nih chuan a rang thei ang bera Doctor pan a pawimawh hle. Doctor chuan accident a thlen dan a zawt hmasa ang che. Tichuan i khup a enfiah ang.
- Hrem a nih chuan a hring leh a na hmun te enfiah thin ang che.
- Khup chu kawng hrang hranga sawn a, ligament stability enfiah.
He enfiahna i neih zawh hian hliam nasat dan dik tak hriat theih nan test eng emaw zat tih belh leh turin an ti thei che a ni.
- X-ray: X-ray-ah hian LCL tear hmuh tur a awm lo. Mahse, X-ray hi ruh atanga ligament lo chhuakin a kal dun em tih hriat nan a pawimawh a, a nih loh leh ruh tliak dang a awm em tih hriat a pawimawh bawk.
- MRI (Magnetic Resonance Imaging): MRI hi LCL a inthen em tih te, eng chen nge a inthen tih te, khup chhunga ligament dang (ACL ang chi) emaw, meniscus emaw a chhiat leh chhiat loh chiang taka hriat theihna a ni.
- Ultrasound Scan hmanga tihchhuah a ni:Hei hian LCL dinhmun pawh ngaihtuahna engemaw zat a pe bawk.
Enkawlna chu hliam level a zirin a ni.
LCL tears hi grade thum ah then a ni ber. I enkawlna tur chu i hliam level a zirin a innghat ang.
| Inhliam grade a awm | Nihna | Enkawlna leh dam leh hun chhung |
|---|---|---|
| Pawl 1 a ni | Ligament hi a inzawm deuh a, a chhe deuh bawk. A chhe kim lo. | Home treatment (chawlhna, ice) a tawk. Crutch leh khup brace hmang turin an fuih mai thei. Kar 3-4 vel chhungin a dam tlangpui . |
| Pawl 2 a ni | Ligament atanga a then a tear. Khup chu a nghet lo deuh a. | Crutch leh special brace i hman a ngai ngei ang. Physiotherapy a ngai dawn a ni. A dam theih nan kar 8-12 vel a ngai thei. |
| Pawl 3 a ni | Ligament chu a chhe vek (Complete tear). Khup hi a nghet lo hle. | Hetiang a nih chuan zai a ngai fo thin. Brace hi thla engemaw zat bun a ngai dawn a ni. A dam theih nan kar 8-12 emaw a aia rei emaw a ngai thei. |
Engtikah nge operation tih a ngai?
Grade 3 hliamah chuan a bik takin khup hmun pawimawh dang (entir nan, Anterior Cruciate Ligament (ACL) emaw Meniscus) nen LCL pawh a chhiat chuan operation neih a ngai tak zet a ni. Surgery-ah chuan LCL chhe tawh chu an inzawm khawm leh a, ruhah an inzawm leh emaw, tendon dang hmangin an inzawm leh emaw a ni.
In lamah eng thil nge i tih theih?
I doctor thupek zawm chung hian, damna ti chak turin in lama tih theih tlemte a awm. Hei hi RICE method an ti bawk.
- Chawlh: I khup chawlh hahdamna pe rawh. Natna thlentu engmah ti suh. I ke leia dah emaw, rit dah emaw chu doctor-in a tih hma loh chuan pumpelh suh.
- Ice: Hei hi a hring leh natna tihziaawmna atan a pawimawh hle. Ice pack puan te tak tea khuh chu hliamna hmunah minute 15-20 vel dah la . Ni thum hmasa berah darkar 1-2 danah hetiang hian tih tur a ni . Ice hi vunah direct-in dah suh.
- Compression: I khup chu elastic bandage hmangin khuh rawh. Hei hian swelling control nan a pui thei a ni. Mahse, khauh lutuk chuan wrap suh .
- Elevation: I ke chu a theih ang angin elevation la. I thinlung level aia sang zawka chawisang chuan swelling a tihziaawm thuai ang.
- Painkillers: I doctor-in a tih angin non-steroidal anti-inflammatory drugs (NSAIDs) ibuprofen ang chi i ei thei.
Complication leh risk factors te fimkhur tur
He dinhmun hi a tlangpuiin a reh mai thin nachungin, a chang chuan harsatna a awm thei bawk. If you have any of these symptoms , i doctor hnenah hriattir nghal rawh.
- Khup a nghet lo reng reng.
- I khup atanga ‘click’ ri i hriat emaw, ‘jumping’ ang maia i hriat emaw chuan.
- I khup emaw i ke hnuai lam emaw a natna emaw, chak lohna emaw i neih chuan.
- I khup a khauh i hriat chuan.
Engtikah nge ETU (Emergency Treatment Unit) ah i kal nghal tur?
A hnuaia symptoms te hi natna khirh tak tak chhinchhiahna a ni thei. Chung zinga pakhat tal i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
- Thâwk harsa, rilru natna nghal, emaw thisen khuh (hengte hi lung chhunga thisen zam chhinchhiahna a ni thei - Pulmonary Embolism).
- Thigh, groin, emaw kea na, a hring emaw, a sen emaw (hengte hi thisen kalna kawnga thisen zam awm chhinchhiahna a ni).
- Natna chu tuar theih loh a lo nih chuan.
- Ke chu a dum a, a vawt a, a rawng a danglam bawk.
- Ke ruhte chu a rilru a buai emaw, a che thei lo emaw.
Hetiang hunah hian nghak mai mai suh. Damdawi lam thurawn zawng nghal rawh.
Take-Home Thuchah a ni
- LCL tear chu khup pawn lama ligament hliam a ni. Infiammi zingah a awm fo.
- A lan chhuah dan ber chu khup pawn lam natna, khup natna, khup thunun theih loh anga inhriatna te hi a ni.
- Hetiang accident a lo thlen chuan a rang thei ang bera Doctor pan tur a ni.
- Enkawlna chu hliam nasat danah a innghat a (Grade 1, 2, or 3). Surgery neih a ngai mai thei.
- Recovery process-ah hian chawlh hahdam te, physiotherapy te, doctor thupek zawm te hi a pawimawh hle.
- Infiamna lamah chuan hmanhmawh leh tawh suh. I dam kim hma loh chuan dawhthei takin awm rawh.
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