Rotator cuff hi shoulder natna thlentu a ni em? I chhui chiang ang u!

Zing i thawh hian i kekawrteah natna nasa tak i nei fo thin em? A nih loh leh i kut i chawi sang a, shelf atanga thil i lak chhuah tum hian natna nasa tak i nei em? Hetiang ang kekawr na hi kan ramah hian mi tam tak tan chuan harsatna awm fo a ni. A tam zawkah chuan kan kekawr bul ‘Rotator Cuff’ an tih hmuna natna awm vang a ni. Chuvangin, vawiin hian he thu hi chiang tak leh awlsam takin i sawi dawn nia.

A awlsam zawngin, he Rotator Cuff hi eng nge ni?

Rotator cuff hi i shoulder joint vel a muscle leh tendon pali awmkhawm a ni. Shirt sleeve cuff ang bawkin heng muscle leh tendon te hian shoulder joint vel ah hian protective sheath an siam a. Kan kekawr ipteah hian heng rotator cuff system pahnih hi kan nei a.

A hnathawh ber chu i shoulder bone, scapula leh upper arm bone, humerus te inzawmkhawm leh tihngheh hi a ni. Rotator cuff hian i kut chu a chawi sang thei a, i kut a tikehsawm a, i kut chu hnunglam hawiin a ben thei bawk.

Kan shoulder joint hi golf ball angin han ngaihtuah teh, a chungah ‘T’ tlem a awm. Heta ‘ball’ hi kut chunglam ruh (humerus) lu a ni. ‘T’ hi shoulder blade chhunga hollow te tak te a ni. Chuvangin he Rotator Cuff hian a tih chu chu ball chu T-ah a nghet tlat a, chutiang a nih loh chuan a rawn bounce kual mai mai ang, a dik em?

Eng muscle nge rotator cuff hi siam?

Ka sawi tawh ang khan taksa ruh lian pali leh a kaihhnawih tendon atanga siam a ni. Tendons hi band chak tak, ruh leh ruh inzawmkhawmtu a ni. Heng taksa peng pali leh an hnathawh berte hi han thlir ila.

Engvangin nge Rotator Cuff hi a hliam fo thin?

Nitin hna tam takah kan kekawrte kan hman avangin he hmun hi hliam a awm awlsam hle. Hliam thenkhat chu hliam thut avanga lo awm thei a ni. Mi dangte chu hun kal zelah zawi zawiin an lo thang lian thei bawk. Heng hliamte hi infiammi zingah a tam hle.

Hengte hi natna langsar zual thenkhat chu an ni:

• Overuse syndrome: Hetiang dinhmun hi movement chi khat (e.g., in ceiling painting, emaw cricketer-in bowl chhunzawm zel) i tih chhunzawm zel hian a awm thei.
• Shoulder impingement syndrome: ``Rotator cuff tendinitis'' tia hriat bawk a ni a, hei hi shoulder ruh inkar hmun a tlahniam a, rotator cuff tendons te chu a inkhung a, a compress a ni. Hei hian inflammation leh natna a thlen thin.
• Rotator cuff tears: Hei hi a then tear emaw, a tear vek emaw pawh a ni thei. A lo thleng thut (tlu lai ang chi) emaw, hun kal zelah zawi zawiin emaw a thleng thei bawk.
• Kawngkhar (shoulder sprains) a awm.

Engtin nge ka Rotator Cuff chu a chhe tawh tih ka hriat theih ang?

Rotator cuff tear hi a tlangpuiin a ke ruh na a awm thin . He natna hi kekawr chhung atanga lo chhuak dull ache a ni thei a, a nih loh leh na tak, hliam na tak a ni thei bawk.

Ni engemaw zat chhunga reh lo tur i shoulder na i neih chuan doctor pan ngei ngei tur a ni. A bik takin i kephah i sawn thei lo tak tak emaw, accident i tawk tawh emaw a nih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.

Engtin nge doctor hian hei hi a hriat chian tak tak?

Doctor i hmuh chuan a enfiah hmasa ang che a, i natna lan chhuah dante a zawt ang che. Engtikah nge natna a lo intan tih chiang takin hrilh la, eng ang thiltih nge a ti na zual emaw, a ti tha zawk emaw tih te, a dangte pawh hrilh bawk ang che.

Chumi hnuah chuan test eng emaw zat tih a ni thei a, chu chu a natna hmuhchhuah a ni a, chungte chu:

• X-ray hmangin:Hei hian ruh-ah harsatna a awm leh awm loh hriat theih nan a pui thei a, chu chu ruh spur ang chi hi a ni.
• MRI scan: Hei hi soft tissue, chu chu muscle leh tendons te dinhmun chiang taka hriat theihna tha ber a ni. Mittui a awm leh awm loh leh a lian zia chiang takin a hre thei.
• Ultrasound scan: Hei hian taksa ruh leh ruh (tendon) dinhmun chu real-time-in a enfiah thei bawk.

Hei hi eng enkawlna nge ni?

Enkawlna i mamawh chi chu i hliam nasat dan leh a nasat danah a innghat ang. I doctor chuan natna tihziaawmna tur leh i rotator cuff damna tura pui turin heng ang enkawlna hi a rawt thei ang:

• Chawlh hahdam: I tih hmasak ber chu i kekawrte chu a natna thlentu thiltih te pumpelh a, chawlh hahdamna tha tak pek hi a ni.
• Ice: Ice hian natna leh hliam tihziaawmna atan a pui hle. Mahse vunah direct-a ice dah ngai suh. Towel te tak te in khuh la, minute 15-20 vel dah la. Hei hi ni khatah vawi eng emaw zat i ti thei a ni.
• Painkillers: I doctor chuan natna leh inflammation tihziaawmna turin nonsteroidal anti-inflammatory drugs (NSAIDs) ang chi damdawi a pe thei ang. Mahse, hengte hi ni 10 aia tam i hman chuan i doctor nen in inbia ngei tur a ni.
• Physical therapy: Physical therapy hi ke ruh tichaktu leh kekawrte inthlak danglamna siam that nan a pawimawh hle. Physics therapist chuan i tana tha tur exercise a zirtir ang che.
• Cortisone shots: Natna leh inflammation a na hle a nih chuan i doctor chuan i shoulder-ah direct-in steroids (corticosteroids) injection a pe thei che a ni.
• Surgery: A natna a nasat chuan emaw, thla engemaw zat chhung enkawlna dangin a puih loh chuan operation neih a ngai mai thei. I doctor chuan hei hi a hrilhfiah ang che.

Engtin nge chutiang harsatnate chu i pumpelh theih ang?

Rotator cuff hliam laka invenna tha ber chu i shoulder hi uluk taka hman a, a chungah rit lutuk dah loh hi a ni.

• A natna chu ngaithla rawh: Exercise i tih lai emaw, thil dang tih lai emaw pawh nise, i kekawrte na i neih chuan ngaihthah suh. "Natna chu khelhpui ngai suh." Hnathawh kha bansan la, chawlh hahdam rawh.
• Warm-up leh Cool-down: Exercise emaw taksa tihchakna emaw i tan hmain uluk takin warm-up hmasa phawt ang che. Tin, i tih zawh hnuah cool-down theihnghilh suh.
• Thil hmanraw dik tak hmang rawh: Infiamna i khelh hunah emaw, hna rit tak tak i thawh hunah emaw hmanraw remchang, him tak hmang ang che.
• Damdawi lam thurawn zawng nghal rawh:Natna emaw, symptom dang emaw i hriat veleh doctor pan nghal rawh. Enkawl hmasak hian harsatna a zual zel loh nan a pui thei a ni.

Chuvangin, Rotator Cuff hi kan kekawr iptea thil pawimawh tak a ni a, chu chu incheina leh dinhmun nghet tak neihna atana pawimawh tak a ni. Chuvang chuan kan enkawl hi kan mawhphurhna a ni. I kekawrte na i neih chuan ngaihthah suh. Chawlh la, a tul chuan doctor rawn la, enkawlna dik tak la rawh.