Exercise zawhah i taksa ruhte chu a puak ang maiin a na em? Rabdomyolysis tih hming pu natna hlauhawm tak a ni thei!

Exercise nasa tak leh tlan tam tak i ni em? A nih loh leh workout na tak hnuah a tuk zingah taksa ruh natna neih hi thil pangngai a ni em? ‘Muscle soreness’ kan ti a. Mahse a chang chuan he taksa ruh natna hi a pangngai lo va, natna khirh zawk chhinchhiahna a ni thei bawk. Vawiin hian hetiang dinhmun khirh tak, mahse kan zavaia kan hriat chian a ngai kan sawi a ni. Chu chu Rhabdomyolysis a ni a, a tawi zawngin ‘Rhabdo’ kan ti a.

A awlsam zawngin, Rhabdomyolysis chu eng nge ni?

Hei hi scientific hming deuh a ni a, mahse hriatthiam a awlsam hle. I taksa ruhte chu fiber te tak te inzawmkhawm atanga siam niin han ngaihtuah teh. Rhabdomyolysis-ah chuan heng ruhte hi nasa takin a chhe a, fiber te chu a chhe vek a ni. An chhiat chuan chu fiber chhunga thil awmte, a bik takin ‘myoglobin’ an tih protein chu thisenah direct-in a chhuak ta a ni. Tunah chuan hetah hian buaina chu a awm ta. Hetianga thisena chhuak thilte hi kan taksa tan a toxic hle a ni. Heng toxins te hi thisen kal tlangin kan kal (kidney) ah a kal thin. Kal hna chu thisen tihfai hi a ni. Mahse vawi khata toxin tam tak a lo luh chuan kal (kidney) hian a tuar thei lo. Kitchen sink-a bawlhhlawh bawm lian tak i dah chuan a khar ang mai a ni. Hei hian kidney failure a thlen thei a ni . Bawlhhlawh an paih chhuak thei lo tihna a ni. Hei hi dinhmun hlauhawm tak a ni. Enkawl vat loh chuan nunna atana hlauhawm hial a ni thei.

Rabdomyolysis hi engte nge ni?

Hetiang dinhmun hi chhan pakhat a awm lo, chhan tam tak a awm thei. Hmun lian pahnih ah then ila.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

He natna lan chhuah dan hi mi zawng zawng tan a inang vek lo. A chang chuan a natna lan chhuah dan hriat a harsa thin. Mahse "classic triad" hmuh tur ber chu hei hi a ni: 1. Taksa natna nasa tak: tuar theih loh natna, a bik takin kekawrte, kekawrte leh hnungzang hnuai lam natna. 2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Muscle chak lohna: I kut leh ke chet emaw, chawi emaw a harsa thin. 3. Zun dum: Hei hi chhinchhiahna pawimawh ber leh hlauhawm ber a ni . Zun chu a sen hring hring a lo ni a, cola rawng ang mai a ni . I zun chhuah zat pawh a tlahniam thei bawk. Mahse, he natna vei zinga a chanve vel chuan taksa ruh na leh chak lohna an nei lo mai thei tih hre reng ang che. Chuvangin symptom dangte pawh i hriat a ngai a ni.

Thil langsar dangte chu:

• Pum a na
• Luak chhuak leh luak chhuak
• Khawsik
• Lung na tak tak
• Rilru tibuai
• Tui tlakchhamna (dehydration).
• Thil hriatna hloh

Engtin nge hei hi i hmuh theih, Doctor?

Heng symptoms te hi i neih chuan doctor pan nghal tur a ni. Doctor hian test eng emaw zat a kalpui ang a, a natna hi a finfiah ang.

• Creatine Kinase (CK) thisen test: CK hi taksa peng hrang hrang (muscle tissue) a chhiat chuan thisenah a chhuak thin chemical lian ber a ni. Rhabdomyolysis -ah chuan CK level a sang hle. He test hi vawi tam tak tih a ni bawk a, enkawl laiin a level a tlahniam em tih enfiah thin a ni.
• Myoglobin urine test : Hei hian a hmaa ka sawi tawh protein, taksa ruh atanga chhuak, zun chhunga awm chu a test thin. Mahse, hei hi CK test angin a dik lo a, a chhan chu myoglobin hi taksa atangin a paih chhuak thuai a ni.
• Test dang: Test dang pawh tih theih a ni a, chu chu liver function test leh EKG te hi a ni.

Engtikah nge damdawi in pan nghal tur?

Hei hi a pawimawh ber a ni. A tlangpuiin taksa ruh a chhiat hnu darkar 24 atanga 72 hnuah a lan chhuah tan thin. Workout pangngai hnua taksa ruh natna lo chhuak chu rhabdomyolysis atanga taksa ruh natna nen inthlau a awlsam hle.

Tuar theih loh, taksa ruh natna nasa tak, chak lohna i neih a, i zun chu a dum emaw, cola rawng emaw a lo ni tih i hriat chuan ngaihtuah nawn leh suh. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.

Enkawl tan hma hi harsatna lian tham laka invenna tha ber a ni.

Engtin nge enkawl a nih?

Rhabdomyolysis a awm tih finfiah a nih chuan damdawi inah dahin enkawl i ni ngei ang.

• IV Fluids (Saline ): Enkawlna ber chu vein hmanga saline pek hi a ni. Hei hian taksa chu tui tha taka a awm theih nan a pui a, zun chhuah a tipung a, chu toxins te chu kal atanga ‘flush’ out turin a pui bawk.
• Dialysis: Kal a chhiat em avangin thisen a tifai thei lo a nih chuan dialysis tih a ngai mai thei a, chu chu machine hmanga thisen tihthianghlimna a ni.
• Surgery: A chang chuan, hliam tuar ruh chu a hring thei a, a chhehvel thisen kalna kawng leh nerve te chu a press thei bawk. Hei hi ‘compartment syndrome’ an ti a. Chutiang hunah chuan pressure tihziaawm nan surgery tenau (fasciotomy) tih theih a ni.
• A chhan bulpui enkawlna: Chu natna chu zunthlum emaw, natna hrik emaw, damdawi eng emaw avanga lo awm a nih chuan, chu chhan enkawlna \ha tak pawh pek a ni ang.

Take-Home Thuchah a ni

• Rhabdomyolysis hi taksa ruh chhe lutuk avanga natna khirh tak a ni. Hei hian kal (kidney) a tichhe thei a ni.
• A lan chhuah dan ber chu taksa ruh natna nasa tak, chak lohna, a bik takin dark brown/cola-colored zun a ni .
• Heng symptoms pakhat emaw a aia tam emaw i hriat chuan hun khawhral suh la, damdawi in Emergency Department (ETU) ah kal nghal rawh.
• Exercise i tih hian, a bik takin ni lum takah chuan i taksa tui a tihchak theih nan tui tam tak in thin ang che. I taksain a tih theih aia tam exercise ti suh.
• A hmaa hriatchhuah leh enkawl a nih chuan a dam kim thei a ni. Chuvangin a symptoms te hi ngaihthah ngai suh.

Rhabdomyolysis, taksa ruh chhe, kal tha lo, zun thim, exercise, creatine kinase