Khup chhung lam natna? Hei hi MCL tear a ni thei ang em? (MCL Tear) tih a ni.

Sports fan i ni em? Football, volleyball, netball ang chi infiamna i khel mai thei. A nih loh leh, i tlan emaw, i zuang emaw, i rit i chawi emaw pawh a ni thei. I khup chhungril lam chu ‘click’ ri nen a na nghal vat a nih chuan engtin nge ni ang? A nih loh leh mi pakhatin a rawn vuak che a, i khup chu chhung lam hawiin a buckle mai thei em? Hetiang hunah hian i khup ligament pawimawh tak i MCL chu a chhiat theihna chance a sang hle. Vawiin hian MCL tear chu eng nge a nih, engtin nge a awm tih leh eng nge tih tur tih te kan sawi dawn a ni.

A awlsam zawngin, MCL tear chu eng nge ni?

MCL hi Medial Collateral Ligament tihna a ni a . Sinhala tawngah chuan khup chhunga ligament lian tak a ni. Kan khup hi ruh (joint) angin han ngaihtuah teh. He ruh chunglam (femur) leh ruh hnuai lam (tibia) te hi a inzawm tlat a, khup chu a sir lama a kal loh nan a titawp a, he band chak tak MCL an tih hian a nghet tlat a ni. Hrui nghet tak ang mai a ni.

MCL tear chu he ligament chak tak hi a chhiat chuan a ni. A chhiatna chu a tlem thei hle a, a chhe vek thei a, a inthen vek thei bawk.

Kan khup ah hian hetiang ligament lian pali a awm a.

• Medial Collateral Ligament (MCL): Khup chhung lam a awm.
• Lateral Collateral Ligament (LCL): Khup hnung lama ligament awm.
• Anterior Cruciate Ligament (ACL): Khup chhunga X ang chi ligament pahnih hmalam.
• Posterior Cruciate Ligament (PCL): Khup chhunga X ang chi ligament pahnih zinga hnunglam pakhat a ni.

Heng pali zingah hian MCL ligament hi a hliam tam ber a ni.

MCL Mittui Grade dan (Mittui Grade) .

I doctor chuan mittui tla nasat dan chu a classified ang. Hei hi stage lian pathum (grade) ah then a ni. Chu chu i hriat chuan i enkawl dan chu i hrethiam ang.

MCL tear awm chhante chu engte nge ni?

MCL tear chhan ber chu khup pawn lama na taka vuak vang a ni. Football i khelh laiin mi pakhatin a tackle che a, i khup pawn lamah a rawn deng che a, i khup chu chhung lam hawiin a ben che ang tih han ngaihtuah teh. Hei hian a chhunga MCL ligament a tikehsawm thei a ni.

Tin, MCL tears hi hetiang hian a awm thei bawk:

• Kawng danglam nghal: Ke pakhat leia dah a, taksa chu a sir lehlamah rang taka hawitir a nih chuan. Hei hi infiamna basketball leh netball-ah te a awm fo thin.
• Landing dik lo: Zuang chhuak leh khup ben laiin landing dik lo.
• Khup hyperextension: Hei hi skiing ang chi infiamnaah pawh a thleng thei.
• Heavy lifting: Thil rit tak tak, posture dik lo taka i chawi hian.
• Repetitive stress: Khup hi rei tak stress a awm chuan MCL ligament chu a chak lo thei a, a tlakbuak tlem ber pawhin a tikehsawm thei a, rubber band hlui ang mai a ni.

MCL tear hian eng symptoms nge a neih?

MCL tear a awm chuan heng symptoms pakhat emaw a aia tam emaw i nei thei.

• Hliam a thlen chuan khup chhung atang hian ‘click’ emaw ‘cracking’ emaw ri a ri thin .
• Khup chhung lam a na .
• I khup chhung lam i khawih pawhin a na .
• Khup a hring leh a nghet lo .
• Kea rit i dah hian khup chu "pop" emaw "bend" emaw a ni ang tih hlau rawhHriatthiamna (unstable).
• I khup i ben emaw, i dinglam emaw chuan a innghat emaw, a lock emaw ang maia inhriatna.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah chuan hliam a awm dan a zawt hmasa ang che. Tichuan i khup a enfiah ang.

• Physical Exam: Doctor chuan i khup chhung lam chu a kut hmangin a hmet ang a, a natna awmna hmun dik tak chu a zawng ang. Tichuan, i khup chu tlem a beng chungin pawn lam atangin pressure a pe ang a, khup chhung lam hawia inhawng zat a en ang (valgus stress test). Hei hian MCL ligament hi engtiang chiahin nge a loose tih hriat theihna a pe ang che.
• MRI Scan: Hei hi MCL tear finfiah nan test tha ber a ni. MRI hian ligament engzat nge a tihchhiat tih chiang takin a tarlang thei a, chubakah ACL ang chi hmun dang a chhiat leh chhiat loh pawh a hriat theih bawk.
• Ultrasound Scan: Hei hian MCL ligament-a tear leh a chhehvela tui awm zat ang chi thilte pawh a enfiah thei bawk.
• X-ray: MCL tear hi X-ray-ah hmuh theih a ni lo a, a chhan chu X-ray-ah hian ruh chauh a lang a ni. Mahse, i doctor chuan a ruh tliak emaw, hliam dang emaw a neih loh nan X-ray a ti thei a ni.

MCL tear hi engtin nge enkawl a nih?

Mi tam tak tan chuan thu lawmawm tak chu MCL mittui tam zawk hi operation tel lovin enkawl theih a ni . MCL ligament hian thisen supply tha tak a neih avangin a mah chauhin a dam duh zawk.

Surgery hmanga enkawlna ni lo

• RICE method: Hei hi enkawlna hmasa ber leh pawimawh ber a ni.
• R - Chawlh: I khup chawlh hahdamna pe rawh. Tlan, zuang, emaw, i khup tichhe thei thil dang emaw chu pumpelh rawh.
• I - Ice: Natna leh hringna hmunah minute 15-20 chhung ni khatah vawi tam tak ice hnawih thin ang che. Ice hi vunah direct-in hnawih lo la, puan in khuh rawh.
• C - Compression: Khup chu elastic bandage hmangin khuh la, a hring control theih nan. A khauh lutuk chuan khuh suh.
• E - Elevation: I ke chu a theih ang anga elevation dah la. Hei hian a hring (swelling) a ti tlem ang.
• Painkillers: I doctor-in a thurawn angin NSAIDs (Non-steroidal anti-inflammatory drugs) i ei thei a, chu chuan a hring leh a natna a tiziaawm thei a ni.
• Khup Brace: 1.1.Doctor chuan khup chu a sir lama a inbeng loh nan leh MCL ligament chu a dam theihna tura a mamawh stability a pek theih nan brace bik vuah a rawt a ni.
• Crutches: Khup chunga rit tihtlem nan hun engemaw chen chu crutches hman a ngai mai thei.
• Physical Therapy: Hei hi a pawimawh hle a ni . MCL a dam veleh physical therapist kaihhruaina hnuaiah exercise i tan tur a ni. Hei hian i khup range of motion a neih leh theih nan a pui ang che a, i thigh leh a chhehvel thau te a tichak ang a, i hnathawh pangngaiah a kir leh ang.

Inzai

Surgery neih a ngai lo .

• MCL ligament chu a chhe vek (Grade 3) a nih chuan ruh atanga a inthen tawh niin a lang.
• Ligament dang, ACL ang chi chu MCL tear nen nasa taka a chhiat chuan.
• Professional athlete i nih a, nakin lawkah khup stability sang ber i mamawh a nih chuan.

Surgery-ah chuan ligament chhe tawh chu sewing leh emaw, taksa peng dang (e.g., hamstring tendon) atanga lak tissue graft hmanga ligament siam thar leh emaw a ni.

Eng chen nge a dam theih ang?

Dam hun chhung chu mittui tla nasat dan leh enkawlna i zawm that danah a innghat a ni.

• Pawl 1: Kar 1-3 chhungin a dam tlangpui.
• Pawl 2: Kar 4-6 vel a daih thei.
• Pawl 3: Kar 6 aia rei a daih thei a, thla engemaw zat a daih thei bawk. Surgery tih a nih chuan a rei zawk thei bawk.

Doctor hnena zawhna zawh tur

MCL tear i nei a nih chuan hetiang zawhna hi doctor zawh a tha.

• MCL tear chi (grade) nge ka neih?
• Eng enkawlna kawng nge ka neih? Surgery ka mamawh em?
• Eng chen nge a dam kim theih nan i ngaihtuah?
• Eng damdawi nge ka ei ang?
• Specialist ka hmuh tur em ni?
• Engtikah nge physical therapy hi ka tan ang?
• Engtikah nge ka khelh tan leh theih ang?