I ṭhiante nen cricket inkhelh lai kha han mitthla teh. I bawnghnute area-ah natna nasa tak i nei nghal a, six tlan laiin "click" ang chi emaw, office sports meet-a i bawnghnute area-ah natna nasa tak i neih emaw chuan engtin nge ni ang? A na lutuk a, chu aia step khat pawh i kal thei lo. A tam zawkah chuan hei hi ‘calf strain’ tia kan hriat vek a ni. Damdawi lamah chuan hei hi Calf Strain emaw Pulled Calf Muscle emaw kan ti a. Hei hi infiammi tan chauh a ni lo, tu chungah pawh a thleng thei. Chuvangin vawiinah hian bawnghnute chi hi eng nge ni tak tak, engvangin nge a lo awm tih leh a lo awm a nih chuan eng nge kan tih tur tih te hi han sawi ila.
A awlsam zawngin, Calf Strain tih hi eng nge ni?
Hamstring strain chu i ke hnunglam, khup hnuai lama ruh pakhat emaw a aia tam emaw a inzawm khawm lutuk hi a ni. He hmun hi ‘hamstring’ kan ti a, mahse hetah hian kan ke, ke ruh leh khup kan ben leh ben chhuah theihna tura min puitu taksa peng pawimawh tak pahnih a awm a. A awlsam zawngin, heng ruhte hian kan kal, kan tlan, leh kan zuang hian kan taksa rihna thlawp turin puitu tam tak a pe a ni.
Rubber band ang maiin han ngaihtuah teh. Normal taka i pull chuan a tha khawp mai. Mahse, a huam chin aia tam i hrual nghal chuan eng nge thleng ang? A chhe thei a, a chhe thei bawk. Chutiang chu kan taksa ruhte nen pawh a ni. Thil i tih nghal a, i overstretch chuan chu muscle fibers te chu a chhe vek thin.
He chhiatna hi strain tenau atanga taksa ruh tear vek thlengin a awm thei. Hliam tenau emaw, na tak emaw pawh nise, a rang thei ang bera Doctor pan a pawimawh. Diagnosis dik tak leh enkawl dan dik tak i neih chuan i thiltih pangngai leh infiamna pangngaiah i kir leh thuai thei ang.
Nau pai chhuahna chhinchhiahna langsar ber berte chu engte nge ni?
Spinal cord hliam chhinchhiahna chu hliam nasat danah a innghat a ni. Mahse, a tlangpuiin heng symptoms zinga pakhat emaw a aia tam emaw i nei thei. Chiang taka hrethiam turin a hnuaia table hi han en ila.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Sudden, na tak tak a na | Hliam tuar laiin a kekawr hnunglam na na tak. Miin a kick che ang maiin a lang thei. |
| ‘click’ emaw ‘pop’ emaw ri hriat | Hliam i neih lai hian taksa ruh chu a hrual ang maiin thawm i hre thei emaw, i hre thei bawk. |
| Vung | Hliam na hmun chu rang takin a lo hring tan thin. |
| Bruising leh blueing te pawh a awm | Darkar engemaw zat emaw, ni khat emaw hnuah chuan a chhiatna hmun vun chu a sen emaw, a sen emaw a lo ni thei a, a hliam angin a lang thei bawk. |
| Kal harsat | I ke dah a, i ke ruh chunga ding a, i kekawr bul ben chu a harsa hle. Limp nen i kal a ngai mai thei. |
| Muscle chak lohna | Ka ke ruh chu ka flex thei lo. Ka ke chu chakna nei lo ang maiin ka hria. |
Vawi tam tak chu hetiang hliam tuar hian an thil tih (tlan, zuang) chu a titawp nghal a ngai thin. Natna nasa tak an nei a, an ti chhunzawm thei tawh lo.
Engvangin nge heng sam inthlak danglamna hi a lo awm? Risk factors te chu engte nge ni?
Hmun khat atanga hmun danga i kal nghal vat hian sprain a awm tlangpui. Ngaihtuah teh, tlan chak tak i tan nghal a, i zuang chho nghal a, a nih loh leh i kalna tur i thlak nghal a nih chuan heng ruhte hi tuar theih loh khawpa lungkhamna hnuaiah a awm a ni.
Hetiang dinhmun hi a bik takin i ke ruhte chu chunglam (i taksa lam hawia) a kawhhmuh a, ke ruh atanga ke ruh (calf muscles) te chu rang taka a tlak hniam chuan a thleng thei a ni.
Tu nge hlauhawm zawk?
Nau pai hi tu chungah pawh thleng thei mahse, mi thenkhat tan chuan a hlauhawmna chu a sang deuh hlek a ni.
- Infiammi: Mite chu chakna chak zawk, chawlh nghal vat ngai, leh kawng thlak nghal ngai infiamna khel thinte chu an hlauhawm zawk. Entîr nân, sprinter, soccer, tennis, badminton, leh cricket player-te chuan he natna hi an nei tam zâwk a ni. Tennis player-ah a awm tam zawk avangin "tennis leg" an ti \hin.
- Kum: Kum 40 chunglamte hian taksa tihchakna an neih hian heng hliam chi hrang hrang hi an nei tam zawk.
- Conditioning tlakchhamna: A chhan lian ber pakhat chu exercise engmah hmaa insiam that loh leh insiamthat loh vang a ni.
- Hliam hmasa: Mi pakhatin a hmaa a ke hliam emaw, a ke hliam dang emaw a neih tawh chuan hliam dang a neih belh duh hle.
- Muscle type: Mi thenkhat hamstring muscle hi a pianphungah a tight emaw, a tawi emaw a ni. Risk a sang zawk bawk.
- Gender: Zirchianna thenkhatah chuan mipa te hian he natna hi an vei tam zawk tih an hmuchhuak.
Hernia ngaihthah a nih chuan complication awm thei
Hei hi a tam zawkah chuan tihdam theih ni mahse, enkawl that loh emaw, ngaihthah emaw a nih chuan harsatna thenkhat a awm thei.
- Chronic pain: Hliam a dam hnuah pawh natna awm reng.
- Reinjury: A dam kim hmaa activity i tan leh chuan, chu hmun chu i hliam leh thei bawk.
- Scar tissue: Muscle a dam chhoh zel chuan scar tissue a lo awm a, chu chuan muscle a flexibility a ti tlem thei a ni.
- Deep Vein Thrombosis (DVT): Hei hi natna khirh tak a ni. Zirna thenkhatah chuan thromboembolism symptoms neia rawn lang zinga 10% vel chuan DVT an tih vein-ah thisen zam an nei tak tak tih hmuhchhuah a ni. Hei hi nunna atana hlauhawm emergency a nih avangin ke na emaw, a hring emaw i neih chuan doctor pan a pawimawh.
- Compartment Syndrome: Hei pawh hi natna awm lo mahse na tak a ni. Hetiang dinhmunah hian taksa ruh vel pressure a sang lutuk thei a, thisen supply pawh a titawp thei bawk.
Engtin nge doctor hian he natna hi a hriat theih ang?
Doctor hmu tura i kal chuan zawhna tlem a zawt hmasa ang che. Hliam a lo awm dan te , chutih laia i rilru put hmang te, leh a natna chu eng ang nge a nih tih chipchiar taka sawi chu a \angkai hle. Tichuan, doctor chuan i ke a enfiah ang. A hring, hliam, leh a natna awmna hmun dik tak a zawng ang.
A tam zawkah chuan he test hian a natna chu a hriat theih a ni. Mahse, natna khirh zawk (Achilles tendon emaw DVT emaw tihchhiat ang chi) rinhlelhna a awm chuan i doctor chuan test dang neih belh turin a refer thei che a ni.
- Ultrasound Scan: Hei hi pelvic muscle chhehvela thisen zam awm leh awm loh enfiah nan a pawimawh hle.
- MRI Scan: He test hian muscle tear hi engtiang chiahin nge a nasat tih leh a chhe vek em tih chiang taka hriat theih nan a pui a ni.
Ruh tliak chu rang taka tihdam theih nan eng nge i tih ang?
Ke ruh tliak kan enkawl hian kan hman dan hriat lar tak leh pawimawh tak a awm a. RICE method an ti a. Hei hi hliam atanga darkar 24-48 hmasa berah tih a ni a, hei hian a damna a ti chak a, natna leh hliam pawh a thunun bawk.
He RICE hi eng nge a nih i en ang u.
| RICE lehkha thawn | Awmzia leh tih tur |
|---|---|
| R - Chawlh hahdam rawh | I thil tih lai kha titawp nghal rawh. I ke chu chawlh hahdamna pe rawh. Kea kal, tlan, etc. te chu pumpelh vek tur a ni. Hei hi taksa ruh tihchhiat belh zel tur venna atan a pawimawh hle. |
| I - Ice (Ice a hmin) . | A na leh a hringna hmunah ice hnawih thin ang che. Vawi khatah minute 20 aia rei dah loh tur a ni. Darkar hnih danah hetiang hian ti thin ang che. Ice hi vunah direct-in dah ngai suh. Puan fai emaw towel emaw hmangin khuh rawh. |
| C - Compression tih a ni | Swelling control nan hliam na hmun chu elastic bandage/crepe bandage hmangin khuh tur a ni. Mahse, thisen kalna a titawp thei khawpa khauh takin phuar suh. I mut lai hian he bandage hi tlem tal tizau rawh. |
| E - A san zawng | I ke hliam chu a theih phawt chuan i thinlung aia sangin dah la. I ke chu mut laiin pillow tlemte hmangin chawi sang rawh. Hei hian a hring (swelling) a tihziaawm theih nan a pui ang. |
He RICE method hi in lamah pawh ti thei mahse, .Doctor pan a, thurawn lak hi a tha ber fo.
Chu bakah, i doctor chuan enkawlna hrang hrang a rawt thei bawk a, chungte chu:
- Painkillers: Natna leh hliam control nana damdawi.
- Physical therapy: Taksa chakna leh flexibility tihchangtlunna tur exercise bik.
- Soft cast emaw boot emaw: Ke chu che thei lovin dah la, a bik takin hliam na tak a nih chuan.
Recovery chhunga tih loh tur thil
- Hliam chungah lumna hnawih: Ni hmasa berah hliam chungah lumna hnawih hian a hring leh thisen a tipung thei a ni.
- Zu in: Zu hian damna a tikhawtlai.
- Massage: Hliam hmasa berah massage hian a natna a tizual thei a ni.
- Kea kal emaw, exercise tam zawk neih emaw: Chawlh hahdam kim a pawimawh.
Eng chen nge tihdam a ngaih?
Hemi atan hian ni chiang tak a awm lo. I dam leh hun chhung chu i hliam nasat danah a innghat.
- Minor sprain (Grade 1): Kar 1-3 chhungin a dam thei.
- Moderate tear (Grade 2): Kar 4-8 emaw a aia rei emaw a la ngai thei.
- Complete tear (Grade 3): Thla 3-6 emaw a aia rei emaw a la ngai thei. Surgery neih a ngai mai thei.
A pawimawh ber chu i dam kim hma loh chuan dawhtheih hi a ni. Natna a reh vang mai maia tlan leh zuang dan hlui lama i kir leh thut chuan, chu hmun chu i hliam leh thei a, a dam leh theih nan hun rei zawk a ngai thei bawk. Chuvangin, i doctor emaw, physical therapist emaw rawn la, zawi zawiin i hnathawh i tan leh tur a ni.
Engtikah nge doctor i hmuh ngei ang?
A hnuaia symptoms te hi i neih chuan Doctor pan hmasa phawt ang che. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
- Leiah i ke nghatin i ding thei lo a, rit i phur thei lo a nih chuan.
- I ke, i ke, i ke i ben theih loh emaw, i dinglam theih loh chuan.
- Groin area-ah tuar theih loh natna a awm chuan.
- I ke hnuai lam, ke hnuai lam emaw, kephah hnuai lam emaw a hring lutuk i hmuh chuan.
Nakin lawka buaina lo thleng tur chu engtin nge kan ven theih ang?
"Tihdam aiin invenna a tha zawk," an ti. Chuvangin heng tips te hi zawm hian chutiang natna vei theihna chu nasa takin i tihtlem thei a ni.
- Exercise hmain warm up: Eng sport emaw exercise emaw i tih hmain minute 5-10 chhung kea kal emaw, light jogging emaw hmangin i taksa ti lum hmasa phawt ang che.
- Stretching: Calf stretch ti rawh, a bik takin bawnghnuteah.
- Zawi zawiin a chakna tipung rawh: Exercise harsa tak tak ti nghal mai lovin, i taksain a tih theih angin exercise chakna chu tipung zauh zauh rawh.
- Natna hmangin exercise la suh: Muscle na i hriat chuan ngaihthah suh la, exercise pawh ti suh. I taksa chu ngaithla rawh. Hahchawl.
- Chawlh hahdam leh dam lehna: Exercise neih inkar ah i taksa chu a dam leh theih nan hun remchang pe rawh.
- Kekawr hak tur dik tak ha rawh: I infiamna emaw, i thiltih tur emaw nena inmil leh i ke tanpui tha tak pe thei tur pheikhawk bun rawh.
- Muscle tichak: Hamstring muscle tichaktu exercise (calf raise ang chi) tih fo hian hliam hlauhawmna a ti tlem thei a ni.
Sprain hi hliam awmze nei tak a ni a, tu pawh, infiammi leh nitin nunah pawh a thleng thei a ni. Mahse i hriat chian chuan hliam a thlen veleh RICE method hi zawm la, doctor thurawn la la, i dam thuai thei ang a, i nun pangngaiah i kir leh thei ang.
Take-Home Thuchah a ni
- Calf Strain hi bawnghnute ruh (calf muscles) a inzawm lutuk emaw, a tear emaw avanga hliam awm fo a ni.
- Hliam hnu lawkah natna, vun leh kal harsatna te a awm nghal thei.
- First aid atan RICE (Rest, Ice, Compression, Elevation) method zawm a pawimawh hle.
- Natna nasa tak i neih emaw, i hring lutuk emaw, kea kal harsatna i neih chuan rei lovah doctor pan tur a ni.
- Dam kim hmaa hnathawh chhunzawm leh hian hliam a lo awm leh theihna a tipung a ni.
- Exercise hmaa taksa ruhte tihlum leh tihzauh hian chutiang hliam chu a veng thei a ni.
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