Khup na i tuar em? Knee Osteoarthritis chungchang hi i zir dawn teh ang!

I upat deuh deuh chuan i khup a na hi thil pangngaiah i ngai em? A nih loh leh, stairs i kal chhoh emaw, rei vak lo i thut hnua i tho emaw hian ‘cracking’ ri i hre em? Hetiang natna leh natna hi osteoarthritis chhinchhiahna a ni thei. Vawiin hian mi tam takin he harsatna an neih, khup ruh natna (knee osteoarthritis) chungchang hi tawi te tein kan sawi dawn a ni.

Knee Osteoarthritis hi eng nge ni tak tak?

A awlsam zawngin, khup ruh natna (knee osteoarthritis) chu hun kal zelah i khup ruh chhunga venhimna khuhna (cartilage) an tih chu a chhe vek a ni. I khup ruh chu car chhunga shock absorber angin ngaihtuah rawh. He cartilage hian kan tlan, kan zuang leh kan kal hian pressure a hip lut a, chu chuan ruh chhunga ruhte chu inhnim hrual lovin a kal tluang thei a ni.

Hun a kal zel a, buaina chu he ‘shock absorber’, chu chu cartilage a lo chhe tawh atang hian a intan thin. Cartilage a chhe chuan ruh te chu an inhnim tan thin. Chutah chuan natna, hliam, khup khauh ang chi symptoms a lo lang thin. Hei hi zan khata thil thleng ni lovin, hun kal zelah zawi zawiin a lo awm chho zel a ni.

Hetiang dinhmun hi stage hrang hrang a awm em?

Ni e, he khup natna hi a lo awm zauh zauh avangin doctor-te chuan a nasat dan sawifiah nan stage hrang hrangah an ṭhen a. Hei hian i dinhmun a hriatthiam theih nan a pui ang che.

Nang pawhin heng symptoms te hi i nei ve em?

Knee osteoarthritis natna lan chhuahna ber chu natna a nih laiin, natna dang engemaw zat a awm bawk. Chûngte chu i hriat chian em tih en rawh.

• Khup na : I taksa rihna emaw, che emaw chauh ni lovin, a chang chuan thut mai mai pawhin a na thei.
• Knee stiffness: I khup khauh emaw, i ben emaw, dinglam emaw theih loh i nei thei a, a bik takin zing i thawh hmasak ber emaw, rei tak i din hnuah emaw.
• Swelling: Khup chu a hring leh puak ang maiin a lang.
• Crackling sound: I khup i ben emaw, i dinglam emaw chuan a chhung atang chuan crackling, gurgling sound i hre thin.
• Instability: Khup hian nunna nei lo angin a inhria a, ding laiin "gives out" ang maiin a awm a, chu chu thunun theih lohvin a ben tihna a ni.
• Khup khar: I khup i tihchet tum chuan a khar emaw, a inkhung emaw ang maiin a lang nghal.

Hei hi i ngaihthah chuan thil thleng thei

Khup natna hi a lan chhuahna mai ang maia ngaihthah a nih chuan harsatna dang a awm thei bawk.

• Joint instability: I khup natna avanga i hman tlem chuan a chhehvel thau teHei hian ruh chu a tichak lo a, a nghet lo zawk a, kea kal harsatna leh tlu theihna a tipung a ni.
• Bone spurs : Ruh te chu an inhnawh tawn a, ruh ah hian bump te te a awm thin. Chungte chuan ruh natna a tipung thei a, ruh a tikhauh thei bawk.
• Baker’s cyst: Khup hnung lamah fluid-filled sac (cyst) a lo awm thei. Hei hian khup hnung lamah a na thei a, a ti na thei bawk.
• Mood disorders: Kal theih lohna ang chi natna leh tihkhawtlai reng reng hian mi thenkhat chu rilru natna, lungkhamna leh lungngaihna te a thlen thei a ni.

Engvangin nge he khup natna hi a lo awm? Risk factors te chu engte nge ni?

A chhan ber chu kum upat rualin cartilage hi a pianphungah a chhe vek a, kan khalh laiin car tire a chhe vek ang bawkin. Mahse he wear and tear hi ti chak thei risk factor dang engemaw zat a awm bawk.

Engtin nge hei hi i hmuh theih, Doctor?

Khup na nei doctor hnena i kal chuan i natna lan chhuah dan a zawt hmasa ang che a, chumi hnuah i khup a enfiah leh ang.

• Khup a hring em, a sen em, a khawih chuan a na em?
• Eng chen nge i khup i ben theih leh i tihzauh theih (range of motion).
• Joint chu a nghet lo nge a lo chhuak em?
• I kal dan tur enfiah rawh.

He initial examination zawhah hian X-ray tih a ni thei a , chu chuan a natna chu a finfiah thei a ni. X-ray hian cartilage chu a chhe tawh a, ruh a khawih em tih chiang takin a lang thei a, ruh spur a awm em tih emaw a hriat theih bawk. A châng chuan, chipchiar zawka hriat a ngai a nih chuan MRI emaw CT scan emaw tih a rawt thei bawk.

Hei hi eng enkawlna nge ni?

Doctor-te chuan a hnuhnung ber atan surgery an hmang tlangpui. Chumi hma chuan enkawl dan tur tam tak enchhin theih a awm.

Nonsurgical hmanga enkawlna te

• Painkillers: Doctor chuan natna leh hliam thunun nan damdawi \ha tak tak a pe ang.
• Physical therapy: Exercise hi khup vel a ruh awmte tihchak nan leh khup mobility tihchangtlun nan an pe thin. Hei hi a pawimawh hle.
• Thau tihtlem: Tlem tal tihtlem hian i khup pressure nasa takin a tihziaawm thei a ni.
• Knee brace: Hengte hian khup tanpui nan a pui a, stability a ti sang bawk.
• Injection chi hrang hrang: 1.1.
• Cortisone injection: Steroid chi khat, rang taka natna leh hliam tihziaawmna tura pek thin a ni.
• Gel injection (Viscosupplementation): A ruh chhungah lubricant an inject a, chu chuan kal a ti awlsam hle.
• PRP (Platelet-rich plasma) injection: I thisen atanga plasma lakchhuah chu ruh chhungah inject lehin a damna tur a tichak a ni.

Surgery hmanga enkawlna te

Enkawlna dang a hlawhtlin loh a, a na chu tuar theih loh a nih chuan operation tih a ngaihtuah theih a ni.

• Osteotomy: Khup ruh chu an tan a, an siam thar leh a, chu chuan taksa rihna chu ruh hrisel lamah a sawn a ni.
• Knee replacement: A ruh chhe tawh chu lakchhuah a ni a, thir leh plastic hmanga siam artificial joint hmanga thlak a ni. Hei hi a pum pui emaw, a then emaw pawh a ni thei.

I khup a chhe lo tur chu i veng thei lo em ni?

Hei hi pumpelh kim theih a nih loh laiin, a hlauhawmna tihziaawmna tur leh natna kal zel dan tur thunun theihna tur thil i tih theih a awm.

• I taksa rihna hrisel tak vawng reng rawh: Hei hi a pawimawh ber a ni.I rihna 10% tihtlem pawhin khup ruh natna (knee osteoarthritis) i vei theihna chu nasa takin a ti tlem thei a ni.
• Exercise: Exercise low-impact, swimming leh cycling ang chi ti la, chu chuan khup vel muscle te a tichak a ni.
• I khup chunga stress tihziaawm: I tlan chuan kawngpui khauh ai chuan thlai ang chi hmun nem zawk thlang rawh. Heavy lifting i tih chuan posture dik tak hmang rawh.
• Enkawlna zawng hmasa rawh: Khup natna i neih tan veleh doctor pan vat a pawimawh a, ngaihthah ai chuan. Enkawlna i tan hma poh leh i natna lan chhuah dan enkawl leh operation ngai lovin hrisel taka awm theihna chance a sang zawk.