I khup chu hetah leh khawiah emaw a rawn pop thin em? (Patellar Subluxation) Hemi chungchang hi han sawi ila!

I tlan lai te, stairs i chhoh lai te, ding chhuak mai mai lai te khan i khup chu a hmun atanga lo chhuak ang maiin i inhriat ngai em? Hei hian i khup a ti na thei a, a ti hring thei a, kal a ti harsa thei bawk. Hei hi a chang chuan thil nuam lo tak a ni thei. Chuvangin, vawiin hian he kneecap popping hi kan sawi dawn a, chu chu ``Patellar Subluxation'' tih condition a ni.

He khup hi eng nge hetah leh khawiah pawh a slip (Patellar Subluxation)?

A awlsam zawngin sawi ila, ``Patellar Subluxation'' chu i khup, damdawi lama ``Patella'' kan tih thin chu a hmun dik tak atanga a then a inthlak danglam hian a ni. Hei hi ``Patellar Dislocation'' a ni a, khup ruh (kneecap) a chhuak vek nen hian inzawm loh tur a ni. ``Dislocation'' ah chuan khup chu a socket atang hian a chhuak vek thin.

I thigh bone (Femur) leh shin bone (Tibia) inkar kneecap, a nih loh leh patella chu a tlangpuiin vertical groove-ah trochlear groove an tih angin a tlan chho leh chho ang tih han ngaihtuah teh. Rel track-a kal ang mai a ni. Patellar subluxation-ah chuan khup chu he groove atang hian rei vak lo a chhuak a, a awmna hmunah a kir leh thin . A tam zawkah chuan khup hi ke pawn lamah a tla thla a, a chang chuan a chhung lamah a tla thei bawk.

Hei hian a hrehawm hle thei a, kea kal pawh a ti harsa thei hle. Patellar subluxation tih nawn leh hian arthritis, cartilage tihchhiat, leh khup pum pui a nghet lo thei a ni . Hei hian khup harsatna dang a thlen thei bawk. Patellar dislocation chu a hmunah a awm leh a nih pawhin doctor pan a, enkawl a pawimawh.

``Patellar Subluxation'' natna lan chhuah dan chu engte nge ni?

Kneecap a pop chuan hetiang symptoms hi i hmu mai thei:

• Khup pawn lam atanga hmuh theih deformity (a chang chuan khup khup chu a sir khatah a tilt tih hmuh theih a ni).
• Khup natna nasa tak a nei .
• Khup a hring chhuak .
• Khup atanga "click" emaw "pop" emaw ri lo chhuak hriatna emaw hriatna emaw.
• Khup chu a tlakbuak ang maia hriatna, a nih loh leh "lock" ang maia hriatna .
• Knee instability , khup chu "wobbling" ang maiin.
• Stairs-a chho leh chhuk harsa, a nih loh leh squatting .
• Khup chu "going numb" emaw "giving up" emaw ang maia hriatna.

``Patellar Subluxation'' i neih hian i khup chu socket chhungah eng emaw chen a la kal a, chuvang chuan i kal thei a ni. Mahse a nuam lo hle thei a, a nghet lo hle bawk. I khup a che lai hian "click" ri i hre thei bawk.

He natna hian eng harsatna nge a thlen emaw, hun rei tak chhunga nghawng a neih emaw?

Hetiang dinhmun hi ``Patella Subluxation`` tih a niA lo lang leh fo thei thil a ni. Tin, ``Dislocation`` kimchang takah a kal thei fo bawk a, chu chu khup chu a hmun atanga chhuak vek tihna a ni. Chu bâkah, he khup ruh nghet lo hian ruh (cartilage) a tichhe thei bawk . Hun a kal zel a, hei hian khup ruh natna (osteoarthritis) a thlen thei a ni.

Ngaihtuah teh, hmeichhe naupang pakhat Nisal-a a awm a, chu chu school netball team-ah a tel ve a ni. Ni khat chu practice laiin a khup chu a tikehsawm deuh a, "click" ri nen chuan a khup chu a sir lamah a inher ang maiin a hria. Rei vak lo hnuah chuan a pangngaiin a awm leh tawh ang maiin a hria a, mahse a khup chu a na tan a, a hring tan bawk. A ngaihven vak lo. Mahse a hnuah chuan a khup chu "a kal bo" zel a, a khelh pawh a khel thei lo. Doctor hnena a entir chauh khan ``Patellar Subluxation'' a nih thu a hrechhuak a, cartilage-ah pawh chhiatna engemaw zat a awm tih a hrechhuak bawk.

`(Patellar Subluxation)` awm chhante chu engte nge ni?

A tam zawkah chuan hetiang hian kneecap a pop out chhan ber chu injury a ni . Entirnan, khup ruh (kneecap)-a direct-a vuakna. Hetiang dinhmun hi football ang chi, high-impact sports kheltute zingah a awm tam zawk a ni . I ke hnuai lam leiah nghet taka phun a, i khup chu chhung lam emaw pawn lam emaw a inher nghal chuan a thleng thei bawk.

Chu bakah, khup ruh chhunga ligament leh tendon-ah general laxity a awm chuan (patellar instability) , patellar subluxation a thlen thei bawk.

Patellar Subluxation vei theihna tur risk factors te chu engte nge ni?

Hetiang dinhmun hian tu pawh a nghawng thei a, mahse ke ruh chak lo leh tendon laxity nei teah a tam zawk . A hnuaia mite zingah hian a tam zawk bawk:

• Kum 10 leh 20 inkar (a bik takin infiammi naupang).
• Taksa lama thawkrim mi .
• Hmeichhia (hmeichhia te hian he natna hi an nei tam zawk).
• Infiammi emaw, infiamna lama inhmang fo te.
• Mite chu a tlangpui aia sang zawk .

Tun hmaa i khup ruh (slocation) emaw, a then emaw (partial dislocation) avanga operation i neih tawh chuan he natna hi i vei leh theihna a sang zawk.

Engtin nge `(Patellar Subluxation)` hi i hriat theih ang?

Doctor i hmuh chuan taksa enfiahna an nei ang . I ke chu an ben ang a, an tidik ang a, i khup vel chu an feel ang. I natna lan chhuah dan leh i khup a inthlak hmaa thil thleng te an zawt ang che.

Doctor chuan i khup chungah special test (subluxation test) thenkhat a ti thei bawk. Imaging test thenkhat pawh an ti thei bawk , chu chu:

• Khup X-ray hmanga enfiah a niA test a ni.
• MRI scan `(MRI Scan)` hmanga enfiah a ni.
• CT scan hi test a ni.

Patellar Subluxation hi engtin nge enkawl a nih?

I doctor chuan hei hi enkawl nan nonsurgical methods a lo enchhin hmasa ang a, a bik takin hetiang thil hi i chunga a thlen hmasak ber a nih chuan. Nonsurgical treatment option hrang hrangte chu:

• RICE method: Hei hian a awmzia chu:
• `Chawlhna`: Khup chawlh hahdam.
• `Ice`: Ice hnawih a, a hring leh a natna a tihziaawm.
• Compression: Khup vel chu a hring (swelling) control nan bandage khauh tak a ni.
• Elevation: Ke chu sang taka vawn reng a, a hring tihziaawmna tur.
• NSAIDs: Hengte hi nonsteroidal anti-inflammatory drugs (NSAIDs) an ni a, natna tidamtu leh anti-inflammatory drugs an ni. Entirnan, ibuprofen (Advil®) tih hi a ni.
• Immobilization: Hliam nasat dan azirin khup brace emaw cast emaw hmangin khup chu a che thei lo.
• Walking/mobility aids: I khup chunga phurrit tihtlem nan kekawrte, tiang emaw, kea kalna emaw hmang turin an ti thei che a ni. Knee brace functional tak, J-brace emaw, patella-stabilizing sleeve emaw hmang turin an ti thei bawk.
• Orthotics (special shoes): Kneecap-a pressure tihziaawmna turin kekawr emaw insole emaw, a bik taka siam hmang turin a fuih mai thei.
• Physical Therapy: Hei hi khup vel ruhte tihchak leh tihzauh nan a pawimawh hle a, chubakah balance (proprioception) tihchangtlun nan a pawimawh hle.

Thla engemaw zat hnuah i natna lan chhuahna a ṭhat loh chuan, emaw, patellar subluxation vawi khat aia tam i neih tawh chuan, i doctor chuan operation neih a rawt thei ang . Surgery tih theih turte chu:

• Lateral Release: Hei hian khup hmun ``Lateral Retinaculum'' an tih chu tan a, khup awmna hmun siamthat (``Patella Positioning'') a ni. Hei hi reconstructive procedure dang nena inzawm hian tih a ni tlangpui.
• Medial Patellofemoral Ligament (MPFL) Repair: Kneecap hmuna awm reng tura puitu ligament siamthat leh tihchakna tur surgery a ni.
• MPFL Reconstruction: Hei hi arthroscopic surgery a ni a, chu chu camera hmanga incision te te hmanga tih a ni. Hei hian i kekawr hnunglam atanga i hamstring muscle thenkhat lakchhuah a ni a, medial patellofemoral ligament chu siam thar leh a ni.
• Osteotomy tih a ni:Hei hian i shin bone (Tibia) chu angle engemaw zatah cut a, shin bone, kneecap, thigh bone leh connective tissue te chu repositioning a huam a ni.

Engtikah nge Doctor ka hmuh ang?

``Patellar Subluxation'' i nei thei nia i ngaih chuan, hetiang symptoms i nei tihna a nih chuan doctor i pan ngei tur a ni:

• Natna leh hliam .
• Ke hmanga leia rit phurh theih lohna .
• "click" ri emaw khup chhunga "buckling" tih hriatna emaw.
• Kneecap chu socket atanga rawn chhuak ang maiin a lang thei a .

I khup chu a hmunah a insawn leh tawh nia i ngaih pawhin doctor pan a pawimawh reng tih hre reng ang che. Enkawl that loh chuan hei hi a lo awm fo thei a, a hnuah harsatna lian zawk a thlen thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei ang:

• Eng enkawlna tur nge i rawt?
• Surgery ka mamawh dawn em?
• Hetiang dinhmun ka neih leh theihna chance hi engzat nge ni?
• Ka khup chu hetiang hian a rawn pop chhuak leh tawh loh nan eng nge ka tih theih ang?

``Patellar Subluxation'' atanga damchhuah nan eng chen nge a ngaih?

Hetiang dinhmun atanga dam leh hun chhung hi thil engemaw zatah a innghat a ni:

• Hei hi i subluxation hmasa ber a ni em, a nih loh leh a lo lang leh ?
• I dinhmun nasat dan .
• Eng ang enkawlna nge i dawn ?

Hei hi i subluxation hmasa ber a nih a, a na lutuk lo a, operation pawh i mamawh lo a nih chuan kar li atanga kar ruk chhungin i dam kim vek tur a ni . I doctor chuan physical therapy a rawt fo ang. I physical therapist chuan hun bituk a pe thei che a ni.

Subluxation vawi khat aia tam, hliam lian tak, emaw, operation i neih tawh chuan i dam leh hun chu a rei zawk ang . Kar ruk atanga kar riat chhungin light activity i tan leh thei tur a ni. Mahse, infiamna i khelh leh theih nan kum khat emaw a aia rei emaw a la ngai thei.

Engtin nge Patellar Subluxation hi ka ven theih ang?

Patellar subluxation tam zawk hi hliam vang a nih avangin hliam zawng zawng hi kan veng thei lo. Mahse i khup chhehvela connective tissue awm chu a nghet reng theih nan thil i tih theih a awm. I khup (kneecap) a rawn chhuah loh nan i tih theih thenkhat chu hetiang hi a ni:

• I ke ruh zawng zawng tichaktu taksa tihchakna nei rawh .
• Contact sports khelh laiin khup (knee pads) vuah .
• Tun hmaa i khup i hliam tawh a nih chuan khup brace vuah hian hliam nawn leh tur venna kawngah a pui thei a ni.
• I doctor-in physical therapy a pe che a nih chuan, chu thupêk chu zawm dik rawh .

Take-Home Thuchah a ni

Patellar subluxation hi thil tibuaitu leh hrehawm tak a ni thei. I khup chu a nghet lo thei hle. I khup chu a hmunah i dah leh thei mai thei a, mahse doctor i pan ngei tur a ni . A chhan chu, hun kal zelah heng subluxation chi hrang hrangte hian dislocations (complete dislocations) a thlen thei a ni. I doctor chuan hetiang thil a thlen loh nan a pui thei che a ni. I khup tichak tur leh kawng dik zawh leh turin enkawlna tha ber ber a rawn rawt thei che a ni. Chuvangin, khup lama harsatna i neih chuan ngaihthah suh, damdawi lam thurawn zawng nghal mai chu a finthlak ang!

` patellar subluxation, khup ruh tliak, khup na, khup instability, khup natna, physical therapy, khup surgery te