Inkhelh lai te, i zai lai te, i ke i hrual nghal lai emaw khan i khup ah ‘pop’ i nei ngai em? I khup chu a sir lam hawia kal ang maia natna nasa tak i nei tawh em? I kal thei lo tih i hmu em? Hei hi damdawi lam chuan patella dislocation kan tih chu a ni. Thil hlauhawm tak ni thei mahse, i hriat chian chuan enkawl a awlsam hle. Chuvangin, vawiinah hian sawi ila.
A awlsam zawngin, he kneecap jumping hian eng nge a awmzia?
Hei hi hrethiam tur chuan kan khup siam dan hi han thlir hmasa ila. A awlsam khawp mai. Kan khup ruh hi ruh lian pathum atanga siam a ni.
1. Femur: Hei hi i ke chunglam ruh sei ber a ni.
2. Ke ruh hnuai lam (tibia): Hei hi khup hnuai leh hmalam ruh thuk tak a ni.
3. Kneecap (patella): Hei hi a laiah, hêng ruh pahnih hma lamah hian ruh te tak te, kil thum ang maia awm a ni.
Rel kawngpuiah rel tlan ang maiin han ngaihtuah teh. Kan ke kan ben a, kan dinglam hian khup (patella) chu thigh bone (femur) hnuai lama groove (`trochlear groove` kan ti)-ah a chho leh chho a. Tendon leh ligament network hian he groove-ah hian a awm reng theih nan a pui a ni.
Patella dislocation chu khup ruh, eng emaw chhan vanga a trochlear groove atanga a chhuah chhuah hi a ni. A pangngaiin a che thei lo va, khup a nghet a, a lock bawk. A tam zawkah chuan khup pawn lamah a tla thla thin. Joint dislocation eng pawh ang bawkin a na hle. Mahse a chang chuan khup chu a mah chauhin a hmunah a tla leh thei thin.
Patella dislocation hi khup dislocation nen a danglam hle tih hriat a pawimawh. Knee dislocation chu femur leh tibia inthenna a ni. A natna khirh zawk a ni.
Tin, khup chu a hmun atanga a chhuah loh vek chuan, tlemte chauh a nih chuan (patella subluxation) kan ti bawk.
Kneecap pop dan tlangpui pahnih a awm.
He dinhmun hi hmunpui pahnih-ah kan ṭhen a.
- Acute Patella Dislocation: Hei hi dislocation chi khat a ni ber. Accident, tlu emaw, intlansiak avanga khup ruh chu a inthlak danglam nghal a nih chuan a thleng thin. Kneecap hi joint dang aiin a chak lo zawk mai thei.
- Congenital Patella Dislocation: Hei hi thil awm lo tak a ni. Naupang a lo puitlin chuan khup chu trochlear groove atang hian a inthlak chhuak ta a ni. Hei hi trochlear dysplasia an ti a.A sawi bawk.
Engtin nge i khup a lo inthlak tawh tih i hriat theih ang?
Kneecap a rawn pop chuan heng symptoms zinga pakhat emaw a aia tam emaw i hmu tlangpui ang. Fiah taka hrethiam turin hetiang hian han thlir ila.
| Symptom a ni | Chu chu eng nge a awmzia? |
|---|---|
| ‘Tick’ thawm a ri a. | Hetiang aw hi khup chu a awmna pangngai atanga a rawn chhuah chuan hriat theih a ni. |
| Khup chu thunun theih lohvin a inbeng (Buckling) . | A ruh chu a nghet lo a nih avangin, ding i tum chuan i khup chu a buckle nghal mai thei. |
| Tuar theih loh khawpa natna nasa tak | Ligament leh tendons te stretching leh tearing hian natna nasa tak a thlen thin. |
| Khup natna (Effusion) . | Hliam vang hian ruh chhungah tui a awm khawm a, a hring nghal vat thin. |
| Bluish/bruising a awm | A chhunga thisen kalna kawng te te a chhiat chuan vun a rawn sen tir thei a ni. |
| Khup lock a ni | Position khatah ka tang a, ka khup pawh ka ben thei lo va, ka dinglam thei lo bawk. |
| Ka kal thei lo. | Natna leh dinhmun nghet lo avangin kea rit phur chunga kal theih loh a ni. |
| Kneecap chu a sir lamah a lang thei. | Pawn lam atang pawhin khup chu a awmna tur hmunah ni lovin, a sir lamah a awm tih i hmu thei. |
Hei hian hun rei tak chhung nghawng a nei thei ang em?
Ni e, hun rei tak chhunga harsatna engemaw zat a awm thei. Kneecap a pop chuan, ruh inzawmkhawmtu ligament te chu a inzawm khawm a, chu chuan ruh chu a ti nghet lo hle . Tin, khup hnuaia cartilage nem tak pawh a chhe thei bawk. Hei hian nakin lawkah khup ruh natna vei theihna a tipung a ni.
Pawimawh tak chu khup hliam nei tawh zinga 45% vel chuan an nei leh dawn a ni. Hei hi kar tlemte chhung emaw, kum tam tak hnuah emaw pawh a thleng thei.
Engvangin nge khup chu hetiang hian a zuang?
Accidental jump chhan ber chu chakna hman vang a ni. Hei hi kawng hnih in a thleng thei.
1. Direct Impact: Khup thlenga direct-a vuak, inhnawh, emaw, na taka tlak chuan khup ruh a tikehsawm thei.
2. Twisting Motion: Hei hi accident lian tak a nih a ngai lo. I inkhelh lai emaw, i zai emaw, i tlan lai emaw, rang takin i ke dahin i taksa chu a sir lehlamah i herh ang maiin han mitthla teh. Chutiang a nih chuan ke hnuai lam chu hmun khatah a awm a, chu chuan ke ruh a tikehsawm a ni. Hei hian chakna a neih avangin khup chu a pop thei a ni. Hei hi infiammi leh zai thiamte zingah a awm fo thin.
Tin, mi thenkhat chu an kneecap hmuna vawn tlat ligament leh tendon loose neia piang an ni bawk. Hei hi patellar instability kan ti a ni . Chutiang mite chuan an khup chu an chetna tlemte pawhin an pop thei.
Tu nge hlauhawm zawk?
Accident-ah chuan tu pawhin khup ruh tliak ve thei mah se, mi thenkhat tan chuan a hlauhawmna chu a sang deuh hlek a ni.
| Risk category a ni | Chhan |
|---|---|
| Player te an ni | A bik takin khup chunga pressure nasa tak siamtu infiamna (football, basketball) khel thin tan chuan. |
| Dancer te an ni | A chhan chu rang taka twist leh jumping movement te vang a ni. |
| Naupang tê tê (Tleirawl) . | A chhan chu taksa than chak lai hian ruh leh ruh (joint) leh ruh (ligament) te hi a lo chhuak deuh thin a ni. |
| Hmeichhia | Khup chunga lateral force hi hip ruh zau lutuk leh ligaments loose nature vang a ni. |
| Mipa sang tak tak | Taksa rih lutuk hian ruh (joint)-ah pressure a pe tam zawk. |
Engtin chiah nge doctor hian hei hi a hmuh?
A tlangpuiin, doctor chuan i khup a enfiah a, accident chungchang a zawt a, chutah i khup a enfiah hnuah a khup hliam a hriat theih.
Mahse, internal damage dang a awm leh awm loh hriat chian nan imaging test eng emaw zat tih a tha.
- Knee X-ray: Ruh ruh tliak a awm leh awm loh enfiah thin ang che.
- MRI scan: Ligament, tendon leh cartilage chhiatna te ngun taka enfiah nan.
- CT scan: Ruh ruh tliak (subtle fractures) leh ruh awmna hmun (subtle fractures) te ngun taka zirchian.
A châng chuan khup chu a rawn pop chhuak a, a mah chauhin a hmunah a tla leh ṭhin. A pop out tih pawh i hre lo. Mahse khup chu a hring a, a na bawk. Hetiang thil thleng pawh hian doctor chuan a chunga kan sawi tak scan hmang hian pop a nih leh nih loh emaw, chhiatna dang a awm leh awm loh emaw a hre thei a ni.
Kneecap dislocation i neih hian eng nge i tih thin? Enkawlnate chu engte nge ni?
Enkawlna chu khup chawlh tir atanga tan a ni. A chungah kal suh la, thil pangngai pawh ti suh. Natna leh hliam tihziaawmna turin ice i hnawih thei a, doctor-in a tih angin natna tidamtu (e.g. NSAIDs) i ei thei bawk. Chu bakah, i doctor chuan heng enkawl dante hi a zawm ang.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Hniam a ni | Doctor chuan uluk tak leh zawi zawiin khup chu a hmunah a dah leh ang. Hei hi closed reduction an ti a . A tul chuan painkiller emaw sedative emaw tlemte pek theih a ni. |
| Bracing leh crutch te a awm bawk | Kar engemaw zat chhung chu brace/splint dah a ni ang a, chu chuan joint chu a ti nghet thei ang. I khup chu a chungah rit a dah loh nan kekawrte hmang turin an hrilh ang che. |
| Inzai | Ruh, ruh, a nih loh leh ruh (ligament)-ah chhiatna nasa tak a awm a nih chuan, emaw, hliam chu a tuar chhunzawm zel a nih chuan, siam ṭhat nân operation neih a ṭha thei a ni. |
| Rehabilitation neih a ni | Physical therapy hi he enkawlna atana pawimawh tak a ni. A ruh chhehvel ruhte tichak turin a pui a, a nghet leh hma loh chuan range of motion kaltlangin a kal thei a ni. |
Hei hi keimah ngeiin ka siam tha thei lo em ni? Doctor hmuh ka ngai em?
A châng chuan zawi zawiin i ke i han phar chuan a hmunah a tla leh thei a ni. Mahse, na vanga i ke sei a harsat chuan ti suh. Doctor chuan a natna a tiziaawm thei a, a ti awlsam thei bawk.
A pawimawh ber: Nangmah ngeiin i siam that thei a nih pawhin doctor i pan ngei tur a ni. Internal fracture, cartilage chhiatna, ligament torn te enfiah a pawimawh hle. Chutianga tih loh chuan nakin lawkah harsatna lian zawk a thlen thei a ni.
I khup ruh a nghet lo nia i hriat emaw, i ke chawi harsa i tih emaw, na leh hliam i neih emaw, i khup a tlakbuak ang maia i hriat chuan doctor thurawn la ngei ang che.
Eng chen nge tihdam a ngaih?
Hei hi i hliam nasat dan leh enkawl danah a innghat a ni.
- A vawi khatna atan chhiatna lian tham a awm loh chuan: Recovery outlook a tha hle. Mi tam zawk chu kar 6-8 chhungin nitin hnathawh dan pangngaiah an kir leh thei . Thla 3-4 chhungin infiamna an khel tan thei .
- Tlu leh surgery i neih tawh chuan: I dam leh hun chu a rei zawk ang. Infiamna lama i kir leh theih nan kum khat chuang a la ngai thei.
Engtin nge hetiang thil hi a thlen leh loh nan kan ven theih ang?
Vawikhat ruh pakhat a tliak chuan ligament te chu a inzawm khawm a, chutiang bawka accident a awm chuan a hliam leh theihna a sang hle. Accident laka inven a har viau laiin, a hlauhawmna tihziaawmna tur thil kan tih theih a awm.
- Physics therapy dik takin ti rawh: Exercise te hi hun bituk chhung atan ti la, i doctor leh physical therapist te thupek angin ti rawh. I keah rit lutuk dah nghal vat suh.
- I ke ruh tichak rawh: I khup vel (a bik takin i kekawr hma leh hnunglam) tichaktu exercise ti rawh. Hei hian muscle group pakhat chauh chungah stress nasa lutuk a awm loh nan a pui ang.
- Sports posture dik: Athlete i nih chuan specialist hnenah i chetna leh i dinhmun dik leh dik loh enfiah tir la.
- Operation ngaihtuah: I khup ruh (ligaments) a lo hrual nasa hle a nih chuan, a tichak turin operation neih chungchang chu i doctor nen sawiho rawh.
Hei hian a ti na hle em? Kneecap a rawn pop chhuah hnuah ka kal thei ang em?
Ni e, hei hi dinhmun hrehawm tak a ni. Kneecap a dislocated chuan i kal thei lo . Khup chu a lock a, a nih loh leh thunun theih lohvin a ben a ni. A chungah rit i dah tum chuan khup chu a ‘buckle’ ang. A hmuna a tlak leh chuan i kal thei mai thei a, mahse na leh hliam a awm ang. Chuvangin crutches hman hi a tha ber.
Kneecap dislocation hi thil hlauhawm leh hrehawm tak a ni thei. Mahse enkawlna leh insiamthatna dik tak i neih chuan damna famkim i nei thei a, i nun pangngai leh infiamna pangngaiah i kir leh thei bawk. A pawimawh ber chu doctor thupek zawm hi a ni.
Take-Home Thuchah a ni
- Patella dislocation chu khup ruh chu a groove pangngai atanga a chhuah chuan a ni.
- Hei hi a hrehawm hle a, chutih lai chuan kea rit dah leh kal theih a ni lo.
- Kneecap chu a mah chauhin a hmunah a tla leh a nih pawhin, doctor pan ngei ngei tur a ni a, internal fractures emaw ligament damage emaw a awm leh awm loh enfiah tur a ni.
- Enkawlnaah chuan chawlh hahdam, brace bun leh physical therapy te a tel. A \henah chuan zai a ngai mai thei.
- Hei hi a lo thleng leh tawh lo tur chuan rehabilitation exercise mumal tak neih a pawimawh hle a, khup vel ruhte tihchak a pawimawh hle.
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