I fate a lo puitlin lai en ai chuan thil ngaihnawm zawk a awm lo a ni lawm ni? Nitin an sang chho zel a, an lian chho zel bawk. Heng zawng zawng hnuaiah hian thil mak leh pawimawh tak a awm a: heng ‘growth plate’ te hi. Vawiin hian an nihna te, an hnathawh dan te, kan fate hrisel taka hmasawnna atana an pawimawh zia te kan sawi dawn a ni.
Growth Plate hi eng nge ni? A awlsam khawp mai!
Thing te tak te chu zawi zawiin thing lian takah a lo thang lian ang bawkin kan fate ruh pawh zawi zawiin a sei a, a chak zawk bawk. Heng ruhte hi a bik takin a sei zawnga tihpunna tura puitu hmun bik chu ‘Growth Plates’ an ti a. Chungte chu ruh tawp lama ‘growth zone’ ang mai an ni. A dik tak chuan hengte hi naupang leh tleirawlte ruh tissue thar lo piang chhuahna hmunte an ni.
Heng growth plate te hi tissue bik cartilage an tih atanga siam a ni . Cartilage hi rubber ang a ni a, a flexible deuh a, a hrual bawk. I hnar khawih la, chutah i beng khawih leh rawh... Chu chu cartilage chu a ni. Ruh thar hi he cartilage angin a intan a, chutah chuan zawi zawiin calcium a dahkhawm a, ruh chak tak a lo ni ta a ni.
Tunah chuan heng growth plate te hi khawiah nge an awm tam ber tih i lo en ang u. Kan taksa ruh sei tak tawp hnaihah an awm ber a. Ruh sei chu a zau zawng aiin a sei zawk ruh a ni. Entir nan:
- I thigh bone, a nih loh leh femur , hi taksaa ruh sei ber a ni.
- Ke hnuai lam ruh pahnih chu tibia (shin bone) leh fibula (shin bone) , khup hnuai lama awm an ni.
- Forearm-a ruh, chu chu elbow leh wrist inkar ruhte chu Radius leh Ulna an ti a.
- Heng growth plate te hi kut zungtang leh ke ruh ruh sei te te (metacarpals, metatarsals, phalanges) ah pawh a awm bawk.
A awlsam zawngin, heng growth plate te hi naupangin a san theih nan leh a ke leh ke a sei theih nan a pawimawh hle a, a pawimawh hle bawk.
Chuti a nih chuan heng growth plate-te hi eng nge thleng tak tak?
Okay, tunah chuan growth plate te hi eng nge an nih leh khawiah nge an awm tih i hre tawh ang. Tunah chuan hengte hian eng nge an tih tak tak tih te, kan fate san zawng a nghawng dan te i en ang u.
Growth plate hi kan ruh te tihpunna kawng lian tak a ni. A tlangpuiin ruh sei takah hian growth plate pahnih a awm a, pakhat chu ruh chung lam hnaihah a awm a, pakhat chu a hnuai lam hnaihah a awm bawk. Heng growth plate te hi ruh pakhatah sei zawng thar belhchhahtu an ni a, eng emaw chen chu a zau zawng tipungtu an ni . Floor sak ang bawkin heng growth plate te hian ruh chu a ti sei a ni.
Hetiang hi a ni: Growth plate-a cartilage cell (chondrocyte) te chu an inthen chhunzawm zel a, cartilage cell thar an siam a ni. Heng cartilage cell thar te hi an puitling zauh zauh a, chutah chuan calcium deposition (ossification) hmangin ruh chak tak an lo ni ta a ni. Hetiang kalphung hi a kal zel a, chuvang chuan naupang chu zawi zawiin a sang chho zel a ni. Ruh lai tak chu a sei a, ruh tawp lam pianzia pawh heng growth plate-ah hian a inthlak bawk.
Mahse hei hi a thleng ngai lo. Naupangin kum engemaw zat a tlin hnuah heng growth plate-a cartilage chu solid bone-ah a chang vek a, an ‘growth potential’ an hloh ta a ni. Chu chu ‘closed growth plate’ kan tih chu a ni. A dik tak chuan growth plate chu solid bone-ah a chan vek chuan ‘epiphyseal closure’ a lo ni ta a ni. Growth plate pakhat a khar hnu chuan chu ruh bik chu a lo thang lian tawh lo. Chu chu naupang san zawng chu chutah chuan a lo thang tawh lo tihna a ni.
I sang zawk ngai lo... Chuti a nih chuan heng growth plate te hi engtikah nge an khar?
Ni e, kan thang lian ngai lo tih kan hre vek. Kum bithliahah chuan kan san zawng a tisang tawh lo. Chumi chhan ber chu heng growth plate te hi an khar thin vang a ni.
A tlangpuiin puitlin lai vel hian growth plate te hi an khar tan thin . Chu chu mipat hmeichhiatna lama puitlin hun tawp lam a ni. Hei hi hmeichhia leh mipa tan chuan a danglam deuh thei. Hei hi hormone-te nghawng vang a ni ber.
- In girls , an growth plate te hi kum 13 leh 15 inkar ah an khar tlangpui a, chu chu an thlasik atanga kum engemaw zat hnuah a ni. Hei hi hormone estrogen hian a nghawng a ni.
- For boys , hei hi a hnu deuh deuh a, a tlangpuiin kum 15 leh 17 inkar a ni.Hemi kawngah hian hormone testosterone hian chanvo a nei a ni.
Pawimawh: Heng kum bithliah hi mi zawng zawng tan a inang vek lo. Naupang thenkhat chuan he milestone hi tlem an thleng hma deuh mai thei a, thenkhat erawh chuan an thleng tlai deuh mai thei bawk. Naupang hrang hrangah a inang lo. Tin, genetics, nutrition, leh hriselna zawng zawng ang chi thilte hian hei hi a nghawng thei bawk. Chuvangin, i fa chu a hma emaw, a hnu emawa an thiante aiin a sang zawk a nih chuan lungngai suh. Ringhlel i neih chuan damdawi lam thurawn lak a tha ber.
Chuvangin, heng growth plate te hi vawi khat an khar chuan ruh te chu a sei tawh lo va, chuvangin height growth chu a tawp vek tawh mai. Chuvangin, ‘Aw, tlem chuan ka sang zawk se,’ tih ngaihtuah hian awmzia a nei lo, a chhan chu thil awmdan pangngai a nih vang a ni.
A chang chuan harsatna a lo awm thin... Growth Plates-ah hian eng harsatna nge thleng thei?
Kan fate thanlenna atan growth plate hi pawimawh em em mah se, a chang chuan harsatna tenau te an tawk thei a ni. Eng nge i hria em? Growth plate chu ruh siam kim a la ni lo. Cartilage atanga siam hmun a ni a, zawi zawiin ruh a lo chang ta a ni.Chuvangin, heng growth plate te hi fully solid bone aiin a chak lo deuh a, chu chu hliam tuar awlsam zawk tihna a ni.
In chanve sak, plaster la awm ang maiin han ngaihtuah teh. awlsam takin a che thei a, a chhe thei bawk, a dik em? Chutiang chu heng growth plate te hi an ni. Ruh hmun dang aiin an nem zawk a, chuvangin an vuak emaw, an inher nasat emaw chuan an chhe thei.
Heng growth plate te nena harsatna awm thei ber chu growth plate fracture hi a ni .
Growth Plate Fractures hi eng nge ni tak tak?
A hming hian a tilang chiang hle a ni lawm ni? ‘Growth plate fracture’ tih hi kan sawi tawh growth plate, ruh inzar pharhna cartilage area-a fracture a ni. Ruh tihchhiat ang mai a ni a, mahse chu chu chu specific growth plate region-ah chuan a thleng thin.
Hetiang chi ruh tliak hi naupangte zingah a tam ber a:
- Kut zungtang ruh (phalanges) ruhte chu .
- Kut hmalam ruh (chu chu (Radius) leh (Ulna) kan tih) .
- Ke hnuai lam ruh (Tibia) leh (Fibula) .
- Hengte hi kutphah leh ke ruh vel pawh a awm thei bawk.
Hengte hi naupangte inkhelh laiin an tlu emaw, infiamna (e.g., soccer, basketball, gymnastics) an khelh laiin accident an neih emaw, vuakna nasa tak an dawn emaw hian a thleng tlangpui. A châng chuan, hun rei tak chhûnga stress repetitive vangin growth plate te pawh a chhe thei bawk.
Chanchin lawmawm tak! A tam zawkah chuan growth plate fracture hi a dam tha hle. Doctor-te chuan diagnosis dik tak an siam a, a tul anga enkawlna (e.g., cast, surgery pawh a ni thei) an pek chuan nakin lawka ruh thanna tur nghawng nei lovin an dam ang. Mahse, a tlem berah chuan ruh tliak na tak tak, a bik takin growth plate kal tlangte hian nakin lawka ruh thanna kawngah nghawng tlem a nei thei a ni. Entirnan, ruh chu a hrual deuh emaw, a hrual deuh emaw pawh a ni thei. Chuvangin growth plate a chhiat nia i rinhlelh chuan doctor thurawn lak nghal a pawimawh hle.
Chu bakah chuan genetic condition thenkhat, hormonal problem, infection, damdawi thenkhat (e.g. hun rei tak steroid hman), leh nutritional deficiency (a bik takin vitamin D leh calcium) te hian growth plate leh ruh thanna hnathawh a tichhe thei bawk. Mahse, hengte hi eng emaw chen chu a tlem hle.
Hemi chungchangah hian tlem kan fimkhur deuh tur em ni? Engtikah nge Doctor kan hmuh ang?
Naupang a tlu hian hliam tenau emaw, hliam emaw a neih hi thil pangngai a ni. Mahse, a chang chuan chu aia tam pawh a ni thei a, a bik takin growth plate a chhiat chuan. Chutiang hunah chuan tlem tal kan fimkhur a ngai a ni.
I fa hian heng symptoms te hi a neih chuan doctor pan nghal rawh:
- Accident hnuah chuan kut emaw, ke emaw-ah tuar theih loh khawpin natna i nei thei a, a bik takin ruhkawr vel emaw, ruh sei tak tawp lamah emaw natna i nei thei a ni.
- Hliamna hmunA hring, a sen, leh khawih pawhin a lum nia hriat a nih chuan.
- Kut emaw ke emaw i hman dik loh chuan , rit i phur thei lo a, chu kut/ke chu i tihchet harsat chuan.
- Hliam kut emaw ke emaw chu a hmel a danglam a nih chuan (e.g., a inzar pharh angin a lang a, a sir lehlamah aiin a pianzia a danglam a ni).
- I fain a natna hmun a phunnawi reng a nih chuan, inkhelh laiin thil thleng anga ngaih suh. A chang chuan hliam tenau a ni thei bawk.
- I fate san zawng sei dan chungchangah rinhlelhna emaw, ngaihtuahna emaw i neih chuan (entir nan, kum inang mi dangte aiin a tawi zawk tih a lang a nih chuan, emaw, an lo thang chak tawh loh thut a nih chuan, emaw, an taksa peng hrang hrangte chu a sei tawk lo tih an hriat chuan).
Doctor chuan uluk takin a enfiah thei che a, a tul chuan X-ray la la, growth plate a chhiat leh harsatna dang a awm leh awm loh a hriat theih. A châng chuan MRI emaw CT scan emaw ang chi test pawh a ngai thei bawk. Enkawlna tan hma a nih chuan harsatna tam tak chu a nasat hmain chinfel theih a ni a, nakin lawka harsatna awm tur pawh a reh thei bawk.
Take-home message pawimawh thenkhat
Okay, chuvangin tunah chuan vawiin a kan sawi ‘Growth Plates’ te hi in hriatthiam ka beisei. Hengte hi kan fate hmasawnna atana hlut zia i hrethiam ngei ang.
A tawp berah chuan hriat reng tur thenkhat chu hetiang hi a ni:
- Growth plate hi specialized cartilaginous area a ni a, naupang leh tleirawl ruh chu a sei zawngin a thang lian a ni. An tel lo chuan san zawng tihpun theih a ni lo.
- Hengte hi puitlin hunah an bo zauh zauh a , a tlangpuiin hmeichhia tan kum 13-15 inkar leh mipa tan kum 15-17 inkar a ni.
- Growth plate hi ruh chak aiin a chak lo deuh a, chuvangin awlsam takin a hliam thei a ni. A bik takin growth plate fracture lakah fimkhur rawh .
- A tam zawkah chuan heng ruh tliak te hi a dam tha hle. Mahse, engpawh ni se, a bik takin ruh na, a hring, emaw, ruh hman harsatna emaw a awm chuan, damdawi lam thurawn lak a pawimawh hle. Enkawlna rang tak hian nakin lawka harsatna lo thleng tur venna kawngah a pui thei a ni.
- I fa than dan emaw, a san dan emaw chungchangah harsatna i neih chuan, chu chu doctor hnenah sawipui hlau ngai suh. Naupang ruh hrisel taka a thanlen theih nan ei leh in inthlau tak, mut that leh hnathawh him te hi a pawimawh hle.
I fa hrisel leh hlim taka seilian hmuh hi nu leh pa zawng zawng duhthusam a ni. Hetiang thil tenau te hriat chian hian nasa takin a pui ang. Hrethiam e?
Growth Plates, Naupang thanlenna, Ruh thanna, Cartilage, Ruh tliak, Puberty











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