I khup chu a buckle reng em? Patellar Instability chungchang hi han sawi ila!

I tlan lai te, stairs i chhoh lai te, i kal mai mai emaw hian i khup chu a ‘ben’ nghal a, thunun theih lohvin leiah a tla ang tih i hria em? I khup (patella) chu a sir khatah a ‘hnim’ ang maiin i hria em? Mi tam takin he thil tawn hi an nei a. Hei hi tunlaia kan sawi tum chu a ni a, khup ruh nghet lo, emaw, damdawi lam thumal `Patellar Instability` tih hi a ni. Ngaihtuah buai suh, hei hi a awm fo thin. Thumal awlsam takin engkim i sawifiah vek ang u.

Patellar instability hi eng nge ni tak tak?

A awlsam zawngin, hei hi i khup (patella) chu a awmna tur hmun atanga a kal leh haw lai a ni.

I khup chu rel angin ngaihtuah rawh. I thigh bone (femur) tawp lamah chuan he rel kalna tur kawng bik, groove a awm a. Hei hi ``trochlear groove'' kan ti a ni.A tlangpuiin i khup i ben a, i dinglam chuan he rel, trochlear groove tia koh hi chu groove chhungah chuan mumal takin a chho leh chho a.

Mahse `Patellar Instability` nei mi pakhatah chuan he kneecap hi chu groove chhungah chuan a che tha lo. Kawng atang chuan a zuang chhuak ta a ni. Hei hi a chang chuan a pop out vek thei (complete dislocation), a nih loh leh tlemte chauh a pop out a, a lut leh thei bawk (partial dislocation emaw subluxation emaw).

Nilengin kan khup kan hmang thin. Ding, thut, kal, tlan, engkim hian khup a mamawh a ni. Chuvang chuan hetiang harsatna hi khup ah a awm tam zawk a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Kneecap chu socket atanga a rawn chhuah chuan i khup hian a thunun thei tawh lo mai thei. Chumi awmzia chu khup chu a ‘bend’ ang a, i rit chu a phur thei tawh lo tihna a ni. A châng chuan, i khup i tidik thei lo emaw, i kal thei lo emaw pawh a ni thei.

He natna hi hriat theihna tur symptom lian ber ber thenkhat han thlir ila.

Engvangin nge ka khup hi hetiang hian a buckle? A chhante chu engte nge ni?

Hei hi chhan lian tak tak engemaw zat a awm.

• Shallow trochlear groove: Mi thenkhat chu pianpuiah hian trochlear groove thuk lo tak an nei a, chu chuan trochlear ruh chu a ti awlsam zawk a ni.
• Loose ligaments: Khup vel ligament te hi khup inzawmkhawmtu hrui ang mai a ni. Mi thenkhat chuan an pianphungah chuan ligament looser an nei thin. ‘Double-jointed’ kan ti thin. Chutiang mite pawhin khup hliam an nei tam zawk bawk.
• Accident: Infiamna i khelh laiin, i tlu emaw, accident dangah emaw khup khauh na tak i tawk a nih chuan a inthlak danglam thei a ni.

Hei hi tute nge risk sang zawka awm?

Hetiang dinhmun hi tu chungah pawh awm thei mahse, mi thenkhat chu an hlauhawm zawk.

• Hmeichhia: Hmeichhia hian he natna hi an nei tam zawk a, a chhan chu an ligament hi mipa aiin a tlangpuiin a lo hrual deuh a ni.
• Infiammi: He hlauhawmna hi infiamna lam hawia inthlak nghal ngai, entîr nân, soccer, basketball, volleyball, leh cheerleading .
• Damdawi lam thil thenkhat: He harsatna hi damdawi lam thil thenkhat avanga loose connective tissue awm vang pawh a ni thei. Entir nan:
• Cerebral palsy natna a ni
• Down syndrome tih hi a ni
• Ehlers-Danlos natna a ni

Enkawl loh chuan eng nge thleng thei?

Patellar instability lo awm leh hian harsatna a thlen thei a, chungte chu:

• Khup a hrual fo thin.
• Khup hnathawh tlem (tlan leh zuang thei lo).
• Natna rei tak a awm.
• Knee arthritis na tak ang chi dinhmun.

Engtin nge hei hi i hmuh theih, Doctor?

I khup chu a rawn pop chhuak a, a mah chauhin a hmunah a awm leh a nih pawhin doctor hnenah thurawn dil ngei ngei tur a ni. Doctor chuan engtin nge a lo awm tih leh a lo thlen lai khan eng nge i tih tih a zawt hmasa ang che. Tichuan i khup a enfiah ang.

• Khup hmel kan enfiah a, a hring a awm leh awm loh kan en thin.
• An kut hmangin a hmun chu an khawih a, a na em tih an enfiah thin.
• I khup i ben theih leh i dinglam theih tur range of motion kan en a ni.
• Kea kal pawh i tum thei maithei.

Test a ngai mai thei

Hetiang test hi tih theih a ni bawk a, chu chuan a dinhmun dik tak a finfiah theih a ni.

• Knee X-ray: Dislocations emaw fracture dang emaw a awm leh awm loh enfiah thin ang che.
• MRI scan: Khup chhunga ligament chhia, ACL tears leh meniscal tears te, emaw, loose bone fragments te enfiah nan.
• CT scan: Khup ruh (knee joint) awm dan dik tak hriat nan.

Enkawlnate chu engte nge ni?

Enkawlna hi chi hnih ah then theih a ni a, chungte chu non-surgical treatment leh surgery te an ni.

Nonsurgical Treatment te pawh a awm bawk

Heng enkawlnate hi enchhin hmasak phawt a ni fo.

• I khup chu a hmuna dah leh: I khup chu a rawn pop chhuak a, a lut leh tawh lo a nih chuan doctor pan nghal rawh. Doctor chuan uluk takin a hmunah a dah leh ang. Hei hi ``closed reduction'' an ti a. Hei hi tlem a na thei a, chuvangin painkiller pek i ni mai thei.
• Knee brace: Hei hi khup a che thei lo tur leh khup ruh chu a hmuna awm reng turin an bun thin. Hei hi kar engemaw zat i ha a ngai dawn a ni. Hemi chhung hian kekawrte pawh i hman a ngai mai thei.
• Painkillers: Doctor chuan natna tidamtu nonsteroidal anti-inflammatory drugs (NSAIDs) te chu a rawn rawt thei a, chu chu a hring leh a natna tihziaawmna atan a ni.
• Physical therapy: Hei hi a pawimawh ber a ni. Physics therapist-in a tih angin khup chhehvela taksa ruh tichaktu exercise tih hian khup ruh chu a nghet reng thei a ni.

Surgery hmanga enkawl dan tur

I khup a pop nawn fo emaw, physical therapy-in a puih loh chuan i doctor chuan operation neih a rawt thei ang. Khup surgery tam zawk hi arthroscopically hmanga tih a ni a, chu chu camera chu incision tenau tlemte hmanga dah a ni tihna a ni. Hei hian recovery time a ti tlem a ni. Surgery atanga a dam kim theih nan thla 6 atanga thla 12 vel a ngai thei.

Surgery chi hrang hrang thenkhat chu hetiang hi a ni.

Hetiang dinhmun lakah hian engtin nge i inven theih ang?

Vawikhat khup hliam a awm chuan a chhehvel connective tissue chu a chhe vek a ni. Hetiang chhiatna hian re-strain theihna a tipung a ni.

Heng exercise te hian khup vel muscle te chu a tichak a. Chumi hnuah chuan heng ruhte hian khup chu a hmunah an vawng tlat a ni. Cycling hi khup tichak turin exercise ropui tak a ni bawk. I doctor chuan thil engemaw tih laiin khup brace vuah turin a fuih thei che a ni.

Doctor hmuh i mamawh tak tak hunah

A hnuaia symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.

• I khup i ben theih loh emaw, i dinglam theih loh chuan .
• I ke chungah i rit phur chungin i ding thei lo emaw, i kal thei lo emaw a nih chuan .
• Khup natna nasa tak i neih emaw, nitin hna i thawh theih lohna tur i che thei lo emaw a nih chuan.
• Khup ah hian a danglam bik a , a sen emaw, a hring emaw a awm chuan.

I khup chu a rawn chhuak reng ang maia i hriat chuan ngaihthah suh. A rawn pop chhuak a, a hmunah a kir leh a nih pawhin doctor pan a, enfiah tir a tha ber. Chutiang chuan hun rei tak chhunga harsatna lo thleng tur chu i veng thei a ni.