I fa ruh a na em? Hei hi Osteochondritis Dissecans (OCD) a ni thei bawk.

I fa hian infiamna a ngaina em? A nih loh leh a tlan kual theihna leh a khelh theihna kum a ni tawh em? A chang chuan, "Mommy, ka khup a na," tih emaw, "Ka elbow ka ben thei lo?" A tam zawkah chuan kan theihnghilh mai a, hliam tenau tak mai mai niin kan ngai. Mahse hetiang ruh natna hi a awm reng a nih chuan kan hriat tam loh natna, Osteochondritis Dissecans, a tawi zawngin OCD emaw avanga lo awm thei a ni. A hming hi a buaithlak deuhin a lang thei a, mahse hlauh tur a awm lo. A awlsam zawngin sawi ila.

Osteochondritis Dissecans (OCD) hi eng nge ni?

A awlsam zawngin, Osteochondritis Dissecans (OCD) hi kan ruh, a nih loh leh synovial ruh natna a ni. Naupang, tleirawl leh tleirawl puitlingah a tam ber.

I hria em, joint chu kan taksa ruh pahnih inhmuhna hmun a ni. OCD-ah chuan heng ruh pakhat tawp lama thisen supply chu joint pakhatah a titawp thin. Thing hnah chu tui a hmuh loh laia a lo vawt a, a chak lo ang bawkin, chu ruh peng chu a nêm a , a chak lo bawk.

Hun a kal zel a, he ruh chak lo tak hi a thi a, ruh lian ber a\angin a inthen ta a ni. A châng chuan he ruh chi khat rual hian a hual veltu cartilage (ruh tawp khuh tu tissue smooth) pawh a chhuak bawk. Ruh leh ruh (cartilage) a lo chhuahna hmunah chuan hliam ang chi chhinchhiahna (lesion) te tak te a awm a.

Tunah chuan he ruh te tak te lo chhuak hi engtin nge a awm? A châng chuan a chhuahna hmunah a awm thei bawk. A nih loh leh, joint chhungah a float kual thei bawk. Chutiang a nih chuan ruh chu a nghet lo va, a na tan thei bawk. Mak tak maiin he natna hi a lo awm theih nan thla tam tak, kum tam tak pawh a ngai thei a, chuvangin a tir lamah chuan symptom engmah i hmu lo mai thei.

OCD hian a hnuaia ruhkawrte hi a nghawng tam ber:

• Khup (khup chhunga hmuh tam ber) .
• Elbows a ni
• Ke rek
• A kekawrte
• Hip ruh a awm

Mahse, he natna hi khup, a hnuai lam, a chhung lam ruh (femur)-ah a lang tam ber. Damdawi lam hawi chuan ``medial femoral condyle'' an ti a.

OCD hi chi hnih a awm a.

Doctor te chuan OCD hi chi hnih ah an then a, a pahnih inthlauhna hriat a pawimawh hle.

OCD natna lan chhuah dan chu engte nge ni?

Ka sawi tawh ang khan a tir lamah chuan symptom a awm lo mai thei. A bik takin ruh tliak chu hmun khata che vel lovin a awm reng chuan natna engmah i hre lo mai thei.

Mahse, symptoms a lo lang a nih chuan hetiang hi i tawng thei a ni:

• Joint pain: Hei hi a lan chhuah dan ber a ni.
• Chak lohna: A ruh chu nunna nei lo niin a inhria.
• Swelling: A ruh chu a hring niin a lang.
• Stiffness: Hmun ruh awlsam taka ben theih loh emaw, dinglam thei lo emaw anga inhriatna.
• Limited mobility: Joint chu a pangngai anga a kal kim theih lohna.
• ‘click’ ri hriat: Joint sawn laiin ‘click’ ri hriat.
• Ruh chu a nghet lo ang maia hriat: Ruh chu thunun theih loh khawpa ‘jump’ ang maiin a awm a, a nih loh leh chakna nei lo ang maiin a inhria.

Vawi tam tak chu ruh hring hring chu ruh chhunga hmun dangah a kal a, a tlakbuak avangin heng chhinchhiahnate hi a na zual sauh sauh thin. Tin, he natna leh chhinchhiahna dangte hi infiamna i khelh hian, exercise i tih hian, a nih loh leh ruhkawr tichaktu hna i thawh hian a pung thei bawk.

OCD awm chhante chu engte nge ni?

Doctor-te chuan sporadic OCD hi an la zirchiang mek a ni. A chhan pakhat mah hmuh a la ni lo. Mahse, infiammi zingah he natna hi a awm fo avangin mithiamte chuan ruh pakhata stress nawn fo hi a chhan lian ber niin an ngai.

Cricketer pakhatin bowling a khelh chhunzawm zel a, a elbow-ah nghawng a nei tlem hle tih han mitthla teh. A nih loh leh basketball player zuang chhunzawm zel a, a khup-ah nghawng tlemte chauh a nei bawk. Vawi khatah hliam lian tak a ni lo mai thei a, mahse heng thil tenawm tak takte hi hun kal zelah a pungkhawm thei a, ruh chu a tichhe thei a ni. Hengte hi microtrauma kan ti a.Chutiang microtrauma chu tlan, zuang, leh thil paih ang chi thiltih avanga lo awm thei a ni.

Chhungkaw OCD hi genetic mutation avanga lo awm a ni. A bik takin, `ACAN` tih gene-a mutation awm vang a ni. He `ACAN` gene hian kan taksa chu protein pakhat `aggrecan` siam turin a hrilh a, chu chu cartilage siam nan hman a ni. Genetic mutation avang hian he `aggrecan` protein hian cartilage a siam tha lo emaw, a siam tha lo emaw a ni. Chuvangin he dinhmun hi a lo awm ta a ni.

He natna hi tu nge vei thei ber?

Tu pawhin OCD an vei thei a, mahse mi thenkhat chu an hlauhawm zawk.

• Kum 10 leh 20 inkar mi: He kum zat hi a tuar nasa ber.
• Mipa: He natna hi hmeichhia aiin mipaah ​​a tam zawk.
• Infiammi: Infiamna chi hrang hranga telte, a bikin ruhkawr tichhe thei khawpa infiamna khel thinte chu an hlauhawmna a sang zawk.
• Chhungkaw chanchin: I chhungkuaa (nu leh pa, unau) tu emaw chuan OCD a vei a nih chuan nang pawhin i vei theihna a hlauhawm hle.

Enkawl a nih loh chuan eng nge thleng ang?

OCD hi uluk taka enkawl a nih loh chuan hun kal zelah a natna lan chhuah dan chu a zual thei hle. A tâwpah chuan, natna khirh tak emaw, ruh natna emaw i nei thei a ni. Chhungkaw OCD vei te hi kum zatve (kum 50 vel) aiin osteoarthritis vei an hlauhawm zawk. Chuvangin hei hi ngaihthah tur a ni lo.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah i symptoms te a zawt hmasa ang che. Engtikah nge natna a lo intan tih te, ni khata engtik lai nge a nih tih te, eng thil pawh tih zawhah natna hi a lo thleng em tih te a zawt ang che.

Tichuan, a natna ruh chu an enfiah leh thin. Range of motion chu teh a ni a, ruh hrisel tak nen khaikhin a ni.

A dawtah chuan, an natna hriat chian nan X-ray emaw MRI (Magnetic Resonance Imaging) scan ang chi imaging test an ti thei a ni. Chhungkaw OCD rinhlelhna a awm chuan, chu chu finfiah turin genetic testing neihpui turin an refer thei bawk.

Hei hi eng enkawlna nge ni?

OCD enkawlna kawngah hian thil tum lian tak pahnih a awm a. Pakhat chu ruh (joint) tihdamna tura puih hi a ni. A dang chu ruh natna a thisen supply siam that leh a ni. Enkawl dan tur chu non-surgical leh surgical-ah then theih a ni.

Surgery hmanga enkawl loh

Vawi tam tak chu, a bik takin naupang leh tleirawl tan chuan hei hi doctor-te’n an rawt hmasak ber a ni.

Surgery neih a ngai dawn em ni?

Thla engemaw zat nonsurgical treatment i neih hnua i symptoms a nasat chuan i doctor chuan operation neih a rawt thei ang. Surgeon chuan hetiang hian a ti mai thei:

• A natna ruh leh ruhroah hian khur te tak te tak te siam a ni. Hei hian taksa chu chu hmuna thisen thar pe turin a tichak a, chu chuan a dam chak zawk a ni.
• Pin leh screw hmanga ruh leh cartilage fragment inthen tawhte chu inzawm leh.
• Tissue chhia chu i taksa peng dang atanga ruh graft emaw, a inmil donor atanga graft emaw hmanga thlak.

Surgery chi i mamawh tur chu OCD awmna hmun, a chhiatna nasat dan leh a loose piece a lo thlen tawh danah a innghat ang. I surgeon chuan hei hi chipchiar takin a hrilhfiah ang che.

Hei hian a mah chauhin a tidam dawn em ni?

Hei hi zawhna tha tak a ni. Naupang leh puitling naupang osteochondritis dissecans vei ruh chu a la thang zel avangin chawlh leh hun hmangin he natna hi a mah chauhin a reh thei zawk a ni.

A chhan chu doctor-in he natna hi a hriat chian thuai a, enkawlna a tan chuan nakin lawkah harsatna a thlen theihna a tlahniam zawk a ni.

Eng chen nge a dam theih ang? Nakin hun a nghawng dawn em?

Mi tam tak chu an dam kim theih nan thla engemaw zat a ngai a ni. I dam chhung hian eng exercise leh activity nge i tih theih leh tih theih loh tih doctor chuan a hrilh ang che.

Surgery atanga a dam leh theih nan thla hnih vel a ngai tlangpui. Chumi hnuah chuan chakna leh chetna hloh tawh chu i neih leh theih nan thla engemaw zat physical therapy i neih a ngai dawn a ni.

Naupang leh thalai hmalam hun tur erawh chu, hun rei tak chhunga nghawng nei thei chu enkawl dan dik tak hnuah a awm tlem hle. Mahse, nakin lawka ruh a chhiat loh nan chuan infiamna chu thlak emaw, thil tih nawn fo ṭhenkhat tihtawp emaw a ngai mai thei. Entirnan, naupang elbow-a OCD nei chu a dam hnuah cricket a khel leh thei a, mahse pitching bansan turin a fuih thei bawk.

Puitling kum upa zawkte chu ruh natna hmunah osteoarthritis vei an tam zawk a, operation pawh an mamawh zawk bawk.

Engtikah nge Doctor ka hmuh ang?

Nangmah emaw i fa emaw hian kar khat aia rei ruh natna i neih chuan doctor pan ngei ngei tur a ni.

Tin, ruh sawn theih lohna tur trauma i neih emaw, natna nasa tak i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.