Stairs pakhata i kal lai te, rei vak lo i thut hnua i tho emaw, i khup i ben a, i dinglam emaw hian natna mak tak emaw, tightness emaw i nei em? I khup chhung lam atanga ‘click’ emaw ‘click’ emaw ri lo chhuak chu i hre fo thin em? Mi tam tak chuan hei hi an ngaihven vak lo va, khup emaw ruh natna pangngai mai mai niin an ngai. Mahse hei hi a chhan chu i hriat ngai loh, mahse a awm fo thin, ‘Plica Syndrome’ an tih hi a ni mai thei. Ngaihtuah buai suh, vawiinah hian he thu hi awlsam tak leh i hriatthiam theih tur angin kan sawi dawn a ni.
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A awlsam zawngin Plica Syndrome hi eng nge ni?
Awle, a tir atang khan tan ila. Kan khup ruh hi a buaithlak hle. He joint chhungah hian membrane a awm a, chu chuan a venghim a, a hnathawh that theih nan a pui bawk. He membrane hian naturally occurring folds hrang hrang a nei a. Damdawi lamah chuan chu fold te chu ‘plica’ kan ti thin. A tlangpuiin mi zawng zawng hian an khup chhungah chutiang fold pali vel an nei vek a.
Hengte neih hi harsatna a ni lo. Mahse, a chang chuan a bik takin khup lai takah awm medial plica chu a hliam a, a hring chhuak fo thin a, chu chu rubbing fo emaw accident engemaw vang emaw a ni. Chu natna leh natna dangte chu Plica Syndrome kan tih chu a ni. A dik tak chuan hei hi khup chhunga thil awm dan pangngai, min tibuai tan thin a ni.
Engtin nge hei hi Torn Meniscus nen a danglam?
Hei hi mi tam takin zawhna an neih a ni. A chhan chu khup na an tawn hian mi tam tak chuan khup chhunga cartilage ‘Meniscus’ an tih chu a lo chhe tawh niin an ngai a. A chhan chu an pahnih hian an symptoms hi a inang tlang hle a ni. Mahse, an pahnih inkarah hian danglamna chiang tak a awm.
A danglamna ber chu a natna hriatna hmun a ni. Meniscus torn-ah chuan a natna chu khup ruh lai tak atanga lo chhuak a ni a, chu chu ruh line chunglam deuhah a ni. Plica Syndrome-ah chuan a natna hi chu aia sang deuhin a awm tlangpui.
I doctor chuan i khup a enfiah hunah heng natna pahnih hi thliar hran a tum ang. Mahse, MRI hi he natna pahnih hi thliar hran theih nan leh harsatna dang a awm loh nan hman a tha fo thin. Chuvangin khup na i neih chuan mahni chauha guess ai chuan doctor hmuh a tha zawk.
He natna hi tuin nge vei tam zawk?
Hetiang dinhmun hi tu chungah pawh awm thei mahse, mi thenkhat chu an hlauhawm zawk.
- Infiammi: Hei hi khup ben leh ben loh reng reng, tlan leh cycle khalh ang chi infiamna lama inhmangte tan chuan a tam hle a, a chhan chu chutiang thil tih lai chuan plica membrane chu an hrual reng a ni.
- Accident victims: Hetiang dinhmun hi accident rang tak hnuah pawh a awm thei a, chu chu car accident-a dashboard-a khup a tlak vang te, a tlak laia khup na tak a vuak vang te pawh a ni thei.
- Hnathawh dan: Hna thenkhatah chuan miten nilengin khup ben chungin hna an thawk a ngai a (e.g., tilers), chutiang bawkin hlauhawmah pawh an awm bawk.
Ngaihtuah teh, ni khatah office chhunga stairs-a vawi tam tak chho leh chhuk thin emaw, bike khalh fo thin emaw hian hetiang hliam hi a tuar thei a ni. Chuvangin hei hi infiammi tan chauh thil a ni lo.
Plica Syndrome natna lan chhuah dan ber berte chu engte nge ni?
Hetiang natna hi i nei nia i rinhlelh chuan a hnuaia symptoms te hi ngaihven rawh. Hengte hi Plica Syndrome chhinchhiahna langsar ber berte an ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Khup na | Khup hmalam emaw, a laiah emaw natna dull, na tak. He natna hi stairs chhoh emaw, khup emaw, khup emaw hian a na zual thei. |
| ‘Tock’ emaw ‘click’ emaw a ri | Khup ben emaw, tihzauh emaw hian khup chhung lam atanga ‘click’ ri hriat emaw hriat emaw. A châng chuan he thawm hi natnain a zui bawk. |
| Catching Sensation a ni | Rei vak lo ṭhut hnua i ding chhuah chuan khup a tight tih hriatna. A chhungah thil pakhat a man ang maiin. |
| Vung | Khup vel chu a hring deuh tih i hmu thei a, a bik takin a natna hmunah chuan. |
| Instability a awm lo | I khup chungah thunun thei lo ang maia inhriatna leh stairs atanga i chhuk emaw, tlang chhip emawa i tlu dawn ang maia inhriatna. |
| Hun rei tak ṭhut harsat | Rei tak dinhmun khata thut a, a bik takin khup ben laia natna zual zel. |
Engtin nge doctor hian hei hi a hriat chian a, a enkawl?
Heng symptoms nei doctor i pan hunah chuan i symptoms te, engtin nge a lo intan tih te, engtikah nge natna a zual zel tih te a zawt hmasa ang che. Tichuan i khup an enfiah ang. Plica hring a awm chuan khup i hmet hian i hre thei mai thei.
Tichuan, a hmaa kan sawi tawh ang khan khup harsatna dang (tendinitis emaw meniscus tear ang chi) a awm loh nan X-ray emaw MRI scan emaw an ti ang.
Enkawlna chungchang sawi dawn chuan thu lawmawm tak chu a tam zawkah chuan operation lian tham a ngai lo . Enkawlna awlsam tak hmanga enkawl theih a ni.
| Enkawl dan tur | Engnge i tih? |
|---|---|
| Surgery hmanga enkawlna ni lo | |
| Hahchawl | Hun eng emaw chen atana natna thlentu thiltih (tlan, stairs chhoh ang chi) tihtawp. |
| Ice a lo hmin ta | A natna leh a hringna hmunah minute 15 vel vawi khatah ice hnawih la, ni khatah vawi eng emaw zat hnawih thin ang che. |
| Natna tihdamna damdawi | I doctor chuan natna hrik leh natna tihziaawmna tur damdawi (NSAIDs) a pe thei ang. |
| Steroid injection te pawh a awm bawk | A na leh a hring a nasat chuan doctor chuan corticosteroid injection direct-in ruh chhungah a pe thei a ni. |
| Taksa lam enkawlna (physiotherapy) a ni | Hei hi a pawimawh hle. Exercise tihchak leh tizau thei, kekawr hmalam (Quadriceps) leh kekawr hnunglam (Hamstrings) te hian khup chunga pressure a tihziaawm thei a ni. |
Engtikah nge operation tih a ngai?
A tam zawkah chuan a chunga kan sawi takte hian thla engemaw zat chhungin a natna chu a thunun thei a ni. Mahse, hengte hi tih a nih lai pawha hmasawnna a awm lo a, a natna hian nitin hnathawh a tibuai chhunzawm zel a nih chuan i doctor chuan operation neih a rawt thei ang.
Chumi atana surgery chu ‘arthroscopic resection’ an ti a. Ngaihtuah buai suh, hei hi surgery lian tak, khup i tan vek theihna tur surgery a ni lo. Heta tih tur chu incision te tak te siam a ni a, camera dah a ni a, chutah chuan incision te tak te dang siam a ni a, instrument tha tak tak dah a ni a, chu chuan Plica buaina nei, a hring tawh chu cut chhuakin a paih chhuak a ni. He surgery zawh hian kar 6 vel hnuah i normal leh thei tlangpui.
Engtin nge he dinhmun hi i pumpelh theih ang?
Hei hi pumpelh vek theih a nih loh laiin, a hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm.
- I khup chungah harsatna tam lutuk dah loh tur. Chawlh hahdam lovin thiltih inang chu tih chhunzawm zel loh tur.
- Exercise tih dan thar i tan dawnin zawi zawiin tan la rawh. Vawi khatah i khup chungah rit lutuk dah suh. I taksa chu insiamrem turin hun pe rawh.
- I ke ruhte chu chak takin vawng reng ang che. I thigh muscles (quadriceps leh hamstrings) tichaktu exercise hian i khup ruh (knee joint) a support pek chu a tipung ang.
- Kekawr dik tak ha rawh. I thiltih nena inmil pheikhawk tha tak bun hi i khup tan pawh a tha hle.
Engtikah nge Doctor ka hmuh ang?
I khup a na reng reng, a hring emaw, a nghet lo emaw i neih chuan ngaihthah suh. Doctor hmu ngei ang.
Hei hi ruh natna mai a ni tih ngaihtuah chuan thil a tichhe zual mai ang. A chhan dik tak i hmuh a, enkawlna leh thurawn dik tak i hmuh chuan he natna hi i paih bo thei ang a, i nitin hnathawh dan pangngai angin i thawk thei ang, engmah daltu awm lovin.
Take-Home Thuchah a ni
- Plica Syndrome hi a awm fo a, khup chhunga tissue natural fold chu a hring a, a na bawk.
- A lan chhuah dan ber chu stairs chhoh laia natna, khup ben laia ‘click’ ri, leh a nghet lo.
- Heng symptoms te hi meniscus tear nen inang mahse, a natna awmna hmun azirin a danglam thei. MRI hmangin a natna hriat chian theih a ni.
- Damdawi awlsam tak tak, chawlh hahdam, vur, leh physical therapy exercise te hian he natna hi a tidam vek thei fo thin.
- I khup natna emaw, nuam lo emaw i neih reng chuan ngaihthah suh la, doctor thurawn la ngei ang che.
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