Kawngkhar na? Hei hi kekawr inthen a ni thei ang em?

Cricket khelh laiin drive hmangin i kekawr ipte i tawk tawh em? A nih loh leh bike khalh laiin i tlu a, i tlu a, i kekawrte chu leiah i tawk ngai em? Chutiang thil a thlen chuan i kekawrte a na hi thil pangngai a ni. Mahse, a chang chuan chu natna nen chuan i kekawr ipte chungah chuan hnim hring ang maia hnah te tak te a awm tih i hre tawh em? Mi tam tak chuan hei hi an hmuh hian an hlauthawng thin. An ngaihtuah a, "Aw, ka ke ruh hi a rawn pop chhuak ang em tih ka ngaihtuah a ni." Vawiin hian chutiang dinhmun chu kan sawi dawn a ni. Damdawi lam hawi chuan hei hi "Separated Shoulder" an ti a.

Separated shoulder chu eng nge ni tak tak?

A awlsam zawngin, hei hi i ke ruh (joint) hliam a ni. Mahse, mi tam takin an ngaihtuah angin, ke ruh (dislocated shoulder) a ni lo. An pahnih hian an danglam vek.

Ngaihtuah teh, i shoulder hi a complex system of parts a ni. I collarbone (damdawi lamah chuan ``clavicle`` kan tih) chu i shoulder blade chunglam (the ``acromion``) nen a inzawm na hmunah chuan joint te tak te a awm a. He joint hi ``acromioclavicular joint`` emaw AC joint emaw an ti a.

He joint hi bridge te tak te ang mai a ni. He bridge hi nghet taka vawn reng tur, chu chu ruh pahnih inzawm tlat tur chuan ligament emaw band (`ligaments`) nghet tak tak a awm a. Entirnan, accident-ah chuan i kekawrte chungah nasa taka i tlu a nih chuan heng ligament (`ligaments`) te hi a inzawm emaw, a chhe thei emaw a ni. Heng ligament te hi a chhe emaw, a inzawm emaw chuan collarbone (clavicle) leh shoulder bone (acromion) te chu an inhlat deuh deuh a. Hei hi Separated Shoulder kan tih chu a ni.

Hetiang dinhmun hi a hluar em em a, zirchianna thenkhatah chuan ke ruh hliam 40% chu AC joint a ni tih an sawi. A bik takin rugby leh football ang chi contact sports khel thinte zingah a tam hle.

Engtin nge he natna hi i nei tih i hriat theih ang? (Natna)

Hliam nasat dan azirin shoulder inthen a nih chuan a symptoms a inang lo. Mi thenkhat chuan natna tenau chauh an nei thei a, thenkhat erawh chuan natna nasa tak avangin an kekawrte an che thei lo thei bawk. A lan chhuah dan bulpui te han thlir ila.

Engvangin nge hetiang hi a lo awm? (A chhan ber)

Hetiang dinhmun thlentu ber chu direct-a tlak vang a ni. Chutiang tluknain nghawng a neih chuan kan sawi tawh ligament te chu a tikehsawm thei a ni.

Chutiang thil thleng thei dinhmun engemaw zat a awm a:

• Infiamna lama accident: Rugby, football, leh hockey ang chi infiamna neih laiin intlansiak emaw, tlu emaw. Kan ramah hian hetiang inhliam hi cricket khelh laiin ball a field laiin player a tlu a, hei hi a thleng thei a ni.
• Tlu: I kekawrte i hliam a nih chuan, chu chu bathroom-a i tlu leh tlu emaw, stairs atanga i tlu emaw te hi a ni.
• Car accident: A bik takin motor accident-ah, kekawrte leia a tlak lai hian.

Engtin nge doctor hian hei hi a hriat chian?

I ke ruh na nei doctor hnena i kal chuan accident chungchang leh i symptoms te a zawt hmasa ang che. Tichuan i kekawrte chu a enfiah ang.

• Taksa enfiahna: 1.1.Doctor chuan i kekawrte chu a hre ang a, i natna, a hring emaw, ruh hring emaw a awm leh awm loh a enfiah ang. A chang chuan i kut chu rit tlemte hmanga chawi turin an ti ang che. Bone spurs te chu a rawn chhuak lehzual tih i hmu thei a nih chuan hliam chu i hre chiang thei ang.
• Imaging Tests: Hliam nasat dan dik tak hriat theih nan i doctor chuan test thenkhat atan a refer thei che a ni.
• Shoulder X-ray: Hei hian ruh pahnih hi eng chen nge an inhlat tih chiang takin a tarlang thei.
• Ultrasound scan: Hei hian ligaments a chhiat leh chhiat loh enfiah nan a pui thin.
• MRI scan (Magnetic Resonance Imaging): Hei hi a tam zawkah chuan a ngai lo. Mahse, hliam hi a buaithlak a nih chuan MRI tih tir theih a ni a, chu chuan ligament leh a chhehvela soft tissue-te chhiatna chu chiang zawkin a hmu thei a ni.

Heng test neih zawh hian i hliam dan azirin i doctor chuan orthopaedic surgeon hnenah a refer thei che a ni . Hliam nasat dan a zirin enkawl dan tur a rel ang.

Hliam nasat dan chi hrang hrang

Doctor-te chuan ke ruh hliam hrang hrangte chu a nasat dan a zirin chi hrang hrang 6-ah an thliar hrang a. Classification hman tlanglawn ber chu Rockwood classification a ni. He classification hian operation a ngai em tih leh a dam theih nan eng chen nge a mamawh dawn tih a hril a ni.

Hei hi eng enkawl dan nge ni ang?

Vanneihthlak takin, ke ruh hliam inthen tam zawk (a bik takin type I, II, leh type III thenkhat) chu operation tel lovin enkawl theih a ni. Enkawl dan chu hliam nasat danah a innghat a ni.

Nonsurgical Treatment hmanga enkawl a ni

• Rest and immobilization: I kut chu a natna a reh hma loh chuan a tir lamah chawlh tir a pawimawh. I doctor chuan i kut chu a che thei lo turin sling hman a rawt mai thei. Hei hian a tul lo taka shoulder movement a veng thei ang a, ligament te pawh a tidam thei bawk ang.
• Ice: Ni 48-72 hmasa berah chuan darkar 2-3 danah minute 15-20 chhung hliamna hmunah ice hnawih hian natna leh hliam nasa takin a tiziaawm thei a ni.
• Painkillers: Natna control nan i doctor chuan general painkillers paracetamol emaw non-steroidal anti-inflammatory drugs (NSAIDs) (ibuprofen leh naproxen ang chi) emaw a pe thei ang.
• Physical Therapy: Natna a reh tawh chuan physical therapy exercise hi a pawimawh hle a, hei hian shoulder mobility siam that leh shoulder vel muscle te tichak turin a pui a ni. Mahse, heng exercise te hi orthopaedic specialist phalna lak hnuah chauh tih tan tur a ni tih hre reng ang che.
• Heavy lifting pumpelh: Hliam a dam hma chuan rit phurh hi pumpelh vek tur a ni a, a tlangpuiin kar 8-12 chhung a ni.

Surgery hmanga enkawl a ni

Hliam na zawk (type IV, V, VI), emaw, nonsurgical treatment dawng lo type III hliam tan chuan operation neih a ngai mai thei. Type III hliam a awm a nih chuan, a bik takin naupang, active, emaw athletic emaw ah chuan i doctor chuan operation neih a rawt zawk ang. Surgery-ah hian:

• Ligament chhe tawhte siamthat emaw tihchak emaw.
• Thilpek bik (pin, wire, plate ang chi) hmanga collarbone leh shoulder blade te chu a awmna tur dik takah sawn lehin, a nghet thei ang bera siam.
• A chang chuan hliam hi rei tak a awm tawh chuan taksa peng dang (graft tissue) atanga lak chhuah tissue hmanga ligament siam thar leh a ngai mai thei.

Eng chen nge a dam theih ang?

Dam hun chhung hi hliam nasat dan leh enkawl danah a innghat a ni.

Surgery i neih chuan a dam hun chhung chu a rei zawk dawn a ni. Operation hnu kar 6 vel chhung chu i shoulder hi i hmang tam thei dawn lo. Physics therapy hmang hian a dam kim theih nan thla 6 vel a ngai thei.

Recovery chhunga i tana i tih theih tur thil

I doctor phalna i neih hnuah chuan i kekawrte tichak tur leh i flexibility tihpun nan in lama exercise awlsam tak tak i tih theih tur a awm.

1. Range-of-motion exercise neih dan tur

Hengte hi natna a reh hnuah tan hmasak theih a ni.

• Pendulum a inzawm khawm: 1.1.
• Dawhkan ang chi thil bulah ding la, i kut tha tak chu dawhkan chungah dah la, hmalam pan deuh rawh.
• Hliam kut chu zalen taka hnuai lama innghat turin phalsak rawh.
• Tunah chuan i kekawrte chu ti hahdam la, i kut chu hmalam leh hnunglam, sir lehlamah, leh circle-in kalpui rawh.
• A tir lamah chuan weights tel lovin ti rawh. Ni engemaw zat hnuah natna a awm loh chuan rit tlemte, tui bottle ang chi chu chelh chungin i ti thei ang.

• Wall chhoh dan:
• Bang lam hawiin ding rawh.
• Kut hliam kut zungtang chu bang chungah dah rawh.
• Tunah chuan rulhut ang maiin zawi zawiin i kut zungtang hmangin bang chungah chuan tlan chho rawh. I theih ang tawkin kal la, second 30 vel chelh la, zawi zawiin hnuai lam pan leh rawh.

2. Taksa tichaktu exercise

Tlemte i dam hnuah hengte hi i tan thei ang.

• Scapular squeezes te chu:
• Leiah mu la, i khup ben la, i ke chu leiah dah rawh.
• I kut pahnih chu i sir lamah dinglam hawiin dah rawh.
• Tunah chuan i shoulder blades te chu i ruh lam hawia i hrual ang maiin hrual khawm rawh.
• Second 5 vel vawn la, chutah chuan chawlh hahdam rawh. Hetiang hian vawi 20 vel ti rawh.

A pawimawh ber: Natna hmangin exercise engmah nawr luih suh. Exercise eng pawhin i natna a tizual a nih chuan chawlhsan la, i doctor emaw physical therapist emaw nen inbia ang che.

Engtikah nge doctor i hmuh ang?

I ke ruh hliam hnua a hnuaia symptoms te hi i neih chuan doctor pan nghal ngei ngei tur a ni. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.

• Natna nasa tak a awm chuan .
• A kekawr ipteah hian chiang taka hmuh theih lump emaw deformity emaw a awm chuan.
• I kut emaw, i kut zungtang emawa rilru hahna emaw, hriatna hloh emaw i neih chuan.
• I kut zungtang chu a vawt emaw a hring emaw a nih chuan .
• I kut chu nunna nei lo anga i hriat chuan .
• Kut chu a pangngaia chet a harsat chuan.

Shoulder separation, Separated Shoulder, shoulder na, AC joint injury, shoulder hliam, collarbone, shoulder treatment, shoulder pain sinhala