I fa hian cricket khelh, tlan leh zuang hi a ngaina em, a dik em? Mahse hetianga i inkhelh hnu hian ‘Mom/Dad, ka kephah a na’ i ti fo em? A châng chuan kal a harsa deuh niin a lang a, a ke a hrual ang maiin a lang bawk? Nu leh pa tam tak chuan he thil hi ngaihtuah mah se, hei hi naupang lo thanglian zel nena lo awm thin a ni tlangpui a, ngaihtuah tur a ni lo. Chu chu vawiina kan sawi tum chu a ni.
Sever’s Disease hi eng nge ni? Natna a ni tak tak em?
A hmingah "Natna" tih ni mah se, hei hi a takah chuan natna a ni lo. Disorder ang deuh a ni. Damdawi lam hawi chuan hei hi `(Calcaneal Apophysitis)` kan ti a. A hming hi a buaithlak deuhin a ri a ni lawm ni? A awlsam zawngin i vawng ang u.
`Calcaneus` hi kan kephah ruh a ni. `Apophysitis` chu chu ruh peng pakhat a inflammation a ni. A awlsam zawngin, naupang chu a active lai hian an ke ruh (heel bone)-a stress avang hian a lo seilian na hmun chu a lo hring chhuak thin. Hei hi Repetitive Stress Injury a ni a . A tha ber chu, he dinhmun hi chawlh hahdamna tha tak nen a dam vek a ni.
Hetiang hian han ngaihtuah teh: naupang ruhte chu thing hnah la puitling lo ang mai a ni. Ruh tawp, a bik takin growth plate te hi a nem hle. Thil nem tak, cartilage an tih atanga siam an ni. Heng cartilage piece te hi ruh puitling angin an chak lo. Chuvang chuan an chhiat awlsam zawk. Naupangte an lo puitlin chuan he cartilage hi zawi zawiin ruh chak takah a chang ta a ni.
Apophysitis hi naupang ruh thanna plate te a hring chhuak thin a ni. Thil awm dan tlangpui a ni. A bik takin growth spurts lai hian a awm fo thin a, a bik takin kum 8 leh 14 inkar ah a awm fo thin.
Engtin nge ka fa pawhin he natna hi a nei tih ka hriat theih ang?
I fain he natna hi a neih chuan a hnuaia symptoms pakhat emaw a aia tam emaw a lantir thei. Eng nge an nih i han thlir teh ang.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Heel pakhat emaw pahnih emaw ah natna | Naupang tam tak chuan kekawr pahnihah natna an nei a, a bik takin tlan, zuang leh inkhelh hnuah. |
| Heel-a hrual emaw, rit dah emaw hian natna | Naupang kekawrte chu a sir lehlamah i hmet emaw, naupangin a kekawrteah rit a dah emaw chuan a na zual ang. |
| Heel a hring emaw, a rawng a danglam emaw | Naupang thenkhat chuan an kekawrteah hian a hring emaw, a sen deuh emaw an hmu thei a, mahse chu chu mi zawng zawngin an hmu lovang. |
| Limping emaw tiptoes-a kal emaw | Natna avang hian naupang chu a ke ruhte chungah a kal thei a, a kekawrte chu leiah dah lovin a kekawrte chu a kekawrte pawh a kephah a kal thei bawk. |
| Zing lamah heel stiffness a awm | I kekawrteah a nghet lo thei a, a bik takin zing khum atanga i tho emaw, rei vak lo i ṭhut hnuah emaw i kekawrte chu a nghet lo thei. |
Engvangin nge naupangte hian he natna hi an neih?
Hei hi a chhan ber chu heel growth plate-a pressure awm reng vang a ni. Hmun khata pressure tlem dah nawn leh nawn leh ang maiin han ngaihtuah teh. Hun a kal zel a, chu hmun chu a chhe tan ta a ni.
Hei hi tibuaitu pawimawh dang chu Achilles tendon hi a ni . Hei hi kan ke hnunglam ruh te chu ke ruh (heel bone) nena inzawmkhawmtu band chak tak a ni. Naupang taksa a lo thang chak em em hian a chang chuan he tendon hi ruh angin a inzawm chak lo. Tichuan a tight a, heel bone-ah chuan a inhnukdawk tan ta a ni. He pulling hian chu soft growth plate chu pressure a siam thei a, a ti hring thei bawk.
Inflammation hi kan taksain hliam a tihdam dan a ni. Mahse damna kawngah chuan hun a duh a ni. Naupang chuan a ke ruh tichhe thei thil a tih chhunzawm zel chuan a hring chhuak chhunzawm zel ang.
He a chhan ber bakah hian thil dang engemaw zatin he natna hi a thlen thei a ni:
- Ke flat: Naupang thenkhat chuan ke flat an nei a, hei hian an kal laiin an kekawrteah pressure a siam belh thei a ni.
- Naupang thau lutuk: Naupangin a kum leh a san zawng a zirin a rihna pangngai aia sang a nih chuan a kal emaw, a tlan emaw apiangin an kekawrteah rit zawk an phur a ngai a ni.
Engtin nge hei hi i hmuh theih, Doctor?
A tam zawkah chuan doctor chuan naupang taksa enfiahna hmangin he natna hi a hre thei a ni.
- Doctor chuan naupang kephah leh ke chu zawi zawiin a khawih ang a, a nana hmun dik tak hriat tumin tlem a hmet ang.
- Naupang chu kea kal emaw, tlan emaw, zuang emaw turin i ti duh mai thei.
Chumi atan chuan X-ray lak a ngai lo tlangpui. Mahse, doctor chuan stress fracture ang chi natna dang a rinhlelh chuan a chhan bulpui a awm loh nan X-ray emaw MRI emaw neih a rawt thei a ni.
Hei hi eng enkawlna nge ni?
Hei hi enkawl dan pawh a awlsam hle. A pawimawh ber chu heel hi chawlh hahdam deuh pek hi a ni.
| Enkawl dan tur | Eng nge tih tur |
|---|---|
| Hahchawl | Hei hi a pawimawh ber a ni . Ni engemaw zat emaw, kar engemaw zat emaw chhung chu tlan, zuang, emaw, i kephah tichhe thei infiamna emaw thiltih eng pawh i chawlhsan a ngai ang. I doctor hnenah eng chen nge chawlh i mamawh tih zawt rawh. |
| Natna tihziaawmna | I doctor chuan NSAIDs hi a rawn rawt thei a, chu chu a hring leh a natna tihziaawmna atan a ni. Mahse, doctor thurawn tel lo chuan i fa chu natna tidamtu damdawi engmah pe suh. Tin, ni khatah vawi tam tak minute 15 vel kephah chungah ice pack hnawih hian natna leh hliam nasa takin a tiziaawm thei bawk. |
| A bik taka puihna (Orthotics) . | I doctor chuan natna tihziaawmna turin heel cup bik emaw, kekawr bik emaw a rawt thei ang. A then phei chuan brace emaw splint emaw vuah turin an fuih thei bawk. |
| Taksa lam enkawlna | Chu Achilles tendon tight tak tan chuan kan sawi tawh ang khan stretching exercises te hi tih a pawimawh hle. I ke leh kekawrte thlawptu ke ruhte tichakin i kephah pressure i tihziaawm thei bawk. |
Hetiang dinhmun hi a lo thlen leh tawh loh nan ven theih a ni em?
Ni e, a ni ngei ang. I fate natna chu a reh vek tawh a, hna an thawh leh theih tawh chuan he natna hi a lo awm leh tawh loh nan hmalakna tlemte a awm a ni.
- Kekawr hak tur dik: I fate chu kekawr hak tha tak, a kekawrte tichaktu leh shock absorption tha tak pe thei tur lei la, a bik takin infiamna a khelh hian.
- Exercise: Infiamna i khelh hmain in lum hmasa thin la, nitin Achilles tendon stretching exercise tih thin ang che.
- Weight control: Tin, i fate rih zawng hi an kum leh san zawng a zirin a hrisel taka vawn reng a pawimawh hle bawk.
- I taksa thu ngaithla rawh: I fa chu a natna a hriat veleh a thiltih chu chawlhsan a, chawlh hahdam turin zirtir rawh. "A na hma loh chuan khel suh" tih hi sawi a pawimawh.
Sever natna hi a pawi lo hle a, i fa tan pawh hun rei tak chhung harsatna a thlen lo. Amaherawhchu, i fa neih chu a hrehawm hle thei. Chuvangin i fain heng symptoms te hi a neih chuan a rang thei ang bera doctor pan rawh. Enkawlna i tan hma chuan a hring chu a tlahniam nghal vat ang a, i fa pawhin a duh ber hna a thawk leh thei tawh ang.
Take-Home Thuchah a ni
- Sever’s Disease hi hlauh tur a ni lo va, naupang lo thanglian chhoh ruala lo awm thin natna a ni.
- Hei hi naupang active, tlan leh inkhelh laiah a awm fo thin.
- Chumi enkawlna ber leh tha ber chu chawlh hahdam hi a ni.
- Enkawlna dik leh chawlh hahdam chuan he natna hi tihdam theih vek a ni. Naupang hmalam hun a nghawng dawn lo.
- I fain ke ruh na a complain chuan ngaihthah suh. Diagnosis dik tak leh thurawn pe turin doctor pan nghal rawh.
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