I fa hian khup na a tuar em? Osgood-Schlatter Disease a ni thei!

I fa hian khup na a complain em? Inkhelh emaw, tlan emaw, zuang emaw hian a natna a zual zel tih a phunnawi em? Chutiang a nih chuan Osgood -Schlatter Disease tih hming pu natna vang pawh a ni thei. Ngaihtuah buai suh, chipchiar zawkin sawi ila.

He Osgood-Schlatter dinhmun hi eng tak nge ni?

A awlsam zawngin, Osgood-Schlatter hi growth plate -a awm a ni a , chu chu khup hnuai lam chiah, shinbone chung lamah a awm a ni. Tunah chuan he growth plate hi eng nge ni tih i ngaihtuah mai thei. Ngaihtuah teh, kan naupan lai hian kan ke leh ke te hi a sei a, a sang zawk thin. Hei hi ruh tipungtu hmun bik a ni. Hei hi ruh tawp hnaih lama awm, cartilage ang chi thila siam a ni . He hmun hi ruh thanna tamna hmun a ni. Mahse, he growth plate hi ruh peng dang aiin a chak lo deuh a, chuvangin awlsam takin a chhe thei a ni. He Osgood-Schlatter dinhmun hi naupangin a lo seilian tawh loh chuan a lo tha chho tlangpui a, hun rei tak chhung harsatna a thlen tam lo hle.

He thil hi tuin nge dawng tam zawk?

Osgood-Schlatter natna hi naupang kum 9 leh 16 inkarah a tam ber a, mipa naupangin an vei tam zawk a, mahse hmeichhe naupangte pawhin an vei thei a, a bik takin infiamna an khelh chuan an vei thei a ni. Hei hi a chhan ber chu naupangte hi he hun chhung hian an thang chak hle a, chu chu "growth spurt" an ti a ni. Tin, naupang active, tlan leh zuang, a bik takin soccer, basketball, volleyball, gymnastics, long jump, leh high jump ang chi infiamna khel te hian he natna hi an vei tam zawk bawk. Hei hi a chhan chu heng infiamna hian khup chungah pressure nasa tak a siam vang a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Awle, tunah chuan hetiang thil hi engvangin nge a lo awm tih hi han en ila. I fa chu a tlan a, a zuang a, a khup a ben chuan , khup chunglam a kekawr iptea ruh lian tak (``Quadriceps`` muscle kan ti) chu a thawk chhuak thin. He ruh hi khup (kneecap) kaltlangin a kal a, a hmaa kan sawi tawh ang khan patella chung lamah chuan tendon chak tak hmangin a inzawm a ni. He tendon hi ``Patellar Tendon`` kan ti a.

Chuvangin, naupang chu a tlan emaw, a zuang reng emaw chuan he ``Quadriceps`` ruh hi a inzawm khawm a, chu tendon kaltlangin growth plate chu a hrual a ni. Hetiang ang pulling hi tih nawn leh a nih chuan chu sensitive growth plate chu zawi zawiin a hliam a, a lo hring chhuak tan thin. Chu chu chu hmunah chuan hliam tenau emaw, hnim hring emaw a lo awm chhan a ni.

A bik takin naupang taGrowth spurt lai hian ruhte chu a thang chak hle a, mahse taksa ruh leh ruhte chu a lo thang chak lo thei a ni. Chumi hnuah chuan tendon te chu a nghet zual a, growth plate-ah pressure a siam nasa zawk a ni. Chuvang chuan he hun chhung hian Osgood-Schlatter natna hi a hluar zawk a ni.

I fa hian heng miziate hi a nei em?

Engtin nge i fa hian Osgood-Schlatter natna a vei tih chiang taka i hriat theih ang? Heng symptoms fimkhur tur thenkhat chu hetiang hi a ni:

• Khup hnuai lam, khup chunglam natna: A dik tak chuan he natna hi i kut hmanga khawih chuan hnah te tak te ang maia hriatna hmunah a awm a, khup hnuai lam chiah a ni. A chang chuan he lump hi a lian deuh thei a, a lang thei bawk.
• A hmuna hring leh hnim hring: Lump i khawih chuan naupang chu a na tih i hre mai thei.
• Thiltih a nih chuan natna a pung: He natna hi tlan, zuang, stairs lawn, tlang lawn, khup a nih hian nasa takin a pung a ni. I khelh zawh hnuah pawh a natna chu a la awm reng thei.
• A chang chuan ke ruh: A natna a nasat chuan naupang chu ke ruh nen a kal thei a, a bik takin inkhelh lai emaw, inkhelh zawhah emaw.
• Khup pakhat emaw pahnih emawa lo awm: Hetiang natna hian khup pakhat chauh a nghawng thei a, a nih loh leh khup pahnihah a rualin a awm thei bawk. A vaiin naupang 20-30% velin khup pahnih ah an vei thin.
• Zawi zawiin natna a pung: Hei hi vawi khata thleng vek a ni lo. A tlangpuiin, a natna hi a pung zauh zauh a, kar emaw thla emaw chhungin a na a ni.

Ngaihtuah teh, i fapa Chamath chu school cricket team-ah a tel ve a ni. Practice zawha a lo haw chuan, "Nu, ka khup a na," a ti fo thin a, a bik takin khup hnuai lam a khawih hian. Rei vak lo hnuah chuan a hring deuh tih i hmu a. A tlan leh field lai hian a na ber. Chu chu he thubuaiah hian a thleng thin.

Engtin nge doctor hian hei hi a hriat theih?

I fa chu doctor hnena i hruai hunah chuan doctor chuan nang leh i fa chu a natna chungchang te, a lo awm fo dan te, i fain eng thil nge a tih thin te, a hmaa khup hliam a awm tawh em tih te a zawt hmasa ang.

Chumi hnuah doctor chuan naupang khup chu a enfiah ang. A na hmun chu an hre ang a, a hring an zawng ang a, khup a inbeng leh a insiam dan te, naupang kal dan te pawh an en ang. A châng chuan naupang chu a natna chu a la awm leh awm loh en tûra zuang emaw, khup chunga ṭhut emaw ang chi thil tih pawh a ni thei.

A tam zawkah chuan doctor chuan heng symptoms leh examination atang hian Osgood-Schlatter natna hi a hre thei a ni. A tlangpuiin X-ray an ti thin.)` a ngai lo. Mahse, doctor chuan natna khirh zawk, ruh tliak, natna hrik emaw, tumor emaw a rinhlelh chuan emaw, a lan chhuah dan danglam tak a nih chuan ``(X-ray)`` a order thei a ni.

Hei hi eng enkawlna nge ni? In lama i tih theih thilte

Thu lawmawm tak chu Osgood-Schlatter natna hi hun kal zelah tihdam vek theih a ni . Naupang chu a lo thang lian tawh lo va, a thanna plate chu ruh chak takah a lo chang tawh a, a natna chu a reh mai ang. Mahse chumi hma chuan naupang chu a natna enkawl dan tur leh thlamuanna pe turin thil engemaw kan tih theih a awm.

A pawimawh ber chu dawhtheihna a ni. Hei hi ni khat emaw ni hnih emaw chhunga tihdam theih tur thil a ni lo. Thla engemaw zat chhungin a natna chu a reh thei a, kum khat emaw kum hnih emaw pawh a reh thei bawk.

I tih theih turte chu hetiang hi a ni:

• Chawlh hahdam leh thiltih khap: Hei hi a pawimawh ber a ni. I fa chu natna thlen thei thil eng pawh a\angin hun eng emaw chen i paih chhuah a ngai a ni. Hei hian tlan, zuang leh khup chunga pressure pe thei thil dangte tihtawp tihna a ni. Natna paltlanga khelh phalsak chuan thil a tichhe zual mai ang. Hei hi rei lo te chhung chauh a ni tih i fa chu i hriatthiam tir a ngai a ni. A natna a reh chuan zawi zawiin i khelh tan leh thei tawh ang.
• Ice: Natna leh hliam na 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. A bik takin inkhelh zawh veleh ice hnawih nghal hi a tha hle.
• Painkillers: Natna tidamtu tlangpui `( Paracetamol )` ang chi hi doctor thurawn angin pek theih a ni. A châng chuan doctor chuan `(Ibuprofen) ang chi anti-inflammatory a rawt thei bawk. Doctor thurawn lo chuan damdawi engmah pe suh.
• Stretching leh strengthening exercise: Quadriceps leh hamstrings tan stretching leh strengthening exercise hian nasa takin a pui thei a ni. Chungte chuan taksa ruhte chu a ti awlsam a, tendon-a pressure a ti tlem bawk. Amaherawhchu, hengte hi natna a awm loh laia tih tur a ni. Physiotherapist hmu a, chutiang tur chuan exercise dik tak zir a tha ber.
• Knee support/strap: Naupang thenkhat chuan khup hnuaia special strap emaw support emaw bun hian natna tihziaawmna a pui tih an hmuchhuak. Hei hian patellar tendon atanga pressure thenkhat lakchhuah a pui a, growth plate-a nghawng a neih pawh a ti tlem bawk. Hemi chungchang hi doctor zawt rawh.
• Dawhthei rawh: A hmaa kan sawi tawh ang khan hei hian hun a mamawh a ni. Thla tam tak chhung chu hetah leh khawiah pawh natna a lo chhuak thei a, kum khat emaw kum hnih emaw pawh a ni thei, a bik takin activity a pun chuan. A pawimawh ber chu dawhthei takin i fa a lo seilian hun nghah hi a ni.

Hei hi a thlen leh tawh loh nan ven theih a ni em?

Osgood-Schlatter natna hi naupang hmasawnna nena inzawm a nih avangin ven kim a harsa hle. Mahse, natna enkawl dan tur leh flare-up awm tam lohna tihtlem nan thil engemaw i tih theih a awm a:

• Inkhelh hmaa warm-up leh inkhelh zawha cool-down: Hei hi a pawimawh hle. I taksa ruh leh ruh (tendon) te chu activity atan i buatsaih a ngai a ni. Hei atan hian minute 5-10 tal dah la.
• Regular Stretching: Kawr hmalam (`(Quadriceps)`) leh kekawr hnunglam (`(Hamstrings)`) ruhte chu mumal taka tihzauh a pawimawh hle. Hei hian taksa ruhte a ti awlsam a, tendon-a pressure a ti tlem bawk.
• Zawi zawiin i training tipung rawh: Training tam lutuk emaw, intensity emaw tihpun nghal mai chu thil tha a ni lo. Zawi zawiin leh systematic takin i tipung tur a ni. Kar khatah i training hun emaw intensity emaw 10% aia tam tihpun loh a tha ber.
• Kekawrte dik: Infiamna khelh laiin khup chunga stress tihziaawmna tura puitu, quality tha, athletic shoes bun a pawimawh. Kekawr chhe tawh hak loh tur.
• I taksa thu ngaithla rawh: Natna i hriat chuan ngaihthah suh la, khelh chhunzawm zel ang che. Natna hi i taksa atanga signal lo chhuak a ni a, chu chu ngaihthlak a, chawlh hahdam a ngai. Hetiang dinhmunah hian "No pain, no gain" tih thu hi a hman theih loh.

Hlauh tur thil a ni em? Engtikah nge Doctor ka hmuh ang?

Nu leh pa tam tak chuan hei hi an hlau hle a, "Aw, ka fa khup hi nasa takin a hliam a ni," tiin an ngaihtuah thin. Mahse Osgood-Schlatter hi natna khirh tak, hun rei tak chhunga awm thei a ni lo. Sawi tawh ang khan naupang chu a lo thanglian kim tawh chuan a mah chauhin a tha zawk tlangpui. A tam zawkah chuan chhiatna nghet tak a awm lo. Chu khup hnuaia lump te tak te chu rei vak lo a awm mai thei, mahse a hrehawm lo, cosmetic issue mai a ni.

Mahse, hetiang ang case-ah hian doctor i pan ngei tur a ni:

• Natna a na hle a nih chuan, naupangin a tuar thei lo a nih chuan, thil pangngai a tih theih loh chuan.
• In lama enkawlna (rest, ice) kar hnih atanga kar thum hnua natna a reh loh chuan emaw, a na zual emaw chuan.
• Naupang chu chiang takin a ke a kal a, a khup chungah rit a phur thei lo a nih chuan.
• A hring tam lutuk chuan khup a sen a, lumna a awm bawk (hengte hi hri kai chhinchhiahna a ni thei).
• Zanah natna a awm chuan, chu chu naupang chawlh lai pawha natna a awm chuan, naute chu mut atanga kaihthawh theih khawpa na a nih chuan.
• Khup natna bakah symptom dang, khawsik, taksa na, leh taksa rihna tlahniam te i neih chuan.

Hetiang hunah hian Osgood-Schlatter emaw, natna dang emaw a nih leh nih loh chiang taka hriat theih nan doctor pan a pawimawh hle.

Take-Home Thuchah a ni

Okay, chuvangin tunah chuan kan sawi tawh Osgood-Schlatter Disease condition hi in hriatthiam ka beisei.

A tawp berah chuan, hriat reng tur pawimawh tak takte chu hengte hi a ni:

• Osgood-Schlatter hi khup natna a ni a , naupang puitling, active tak takte a nghawng thin .
• Hei hi pressure leh hliam tenau te, tibia chunglam, khup hnuai lama awm growth plate avanga lo awm a ni.
• A lan chhuah dan ber chu khup hnuai lam natna, a hring, leh hnathawhna nena inzawm natna a ni.
• Chawlh hahdam, ice, leh natna thlen thei thil tih loh hi a enkawlna ber a ni. Physiotherapy pawh a pawimawh hle.
• He dinhmun hi a na lo hle a, naupang a lo puitlin chuan a mah chauhin a lo tha chho zel dawn a ni.
• Mahse, a natna a nasat chuan, a reh lo a nih chuan, a nih loh leh symptom danglam dang a awm a nih chuan , doctor pan ngei ang che.

Chuvangin, i fa pawhin heng symptoms te hi a neih chuan hlau suh la, a tul angin chawlh pe la, he dinhmun hi i hmachhawn hmain doctor hnen atangin thurawn la rawh. A pawimawh ber chu naupangin hei hi a hriatthiam tir a, dawhthei taka awm tir hi a ni.