I fa hian khup na a nei em? Sinding-Larsen-Johansson Syndrome a ni thei ang em?

I fa hian infiamna a ngaina em? Tlan, zuang leh khelh nan chawlh ni a nei ngai lo niin a lang em? Chutiang naupang active tak chuan khup na a neih thut chuan nu leh pa angin hlauhna nasa tak i neih chu thil pangngai a ni. A bik takin khup hnuai lam natna a nih chuan Sinding-Larsen-Johansson Syndrome , tunlaia kan sawi tur natna a ni thei. Lungngai suh, he thu hi chipchiar takin sawi ila.

Sinding-Larsen-Johansson Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, Sinding-Larsson-Johansson syndrome (SLJ) hi i fate khup (patella) chu khup ruh leh ke ruh (tibia) inzawmkhawmtu, patellar tendon an tih tissue khauh tak a ni. A bik takin, buaina hi he tendon hi khup hnuai lam tawp lama a innghahna hmunah a awm thin. Hei hi osteochondritis an tih pawh a ni a, naupang ruh lian zelah harsatna a awm a ni.

Ngaihtuah teh, i fa ruhte chu a la thang lian zel a. A bik takin khup ang chi ruh (joint) ah hian "growth plates" an tih hmun a awm. Hengte hian ruhte chu a ti thang lian thei a ni. SLJ-ah chuan thil thleng chu patella hnuai lam pole-a awm growth plate chu a chhe ta a ni.

Hetiang dinhmun hi naupang kum 10 leh 14 inkar, infiamna khel emaw, inhmang nasa tak emaw zingah hmuh tur a awm tam ber . Hei hi a chhan chu hetiang kum hian naupang taksa hi a thang chak hle a, infiamna lamah pawh an inhmang nasa hle bawk.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hei hi a chhan ber chu khup hman tam lutuk vang a ni . Patellar tendon hi rubber band angin han ngaihtuah teh. Kneecap leh shinbone te chu a vawng tlat a, an che tha thei hle. Naupangte an tlan, an zuang emaw, an kick emaw hian (entir nan, soccer an khelh laiin) an kekawr hmalam ruh lian tak tak (quadriceps muscles) te chu a thawk chhuak thin. Heng taksa pengte hi an inzawm khawm chuan patellar tendon kaltlangin khup (kneecap)-ah hian pull chak tak a awm a.

Hetiang pulling hi a chhunzawm zel a, a repeated a, a repetitive a nih chuan microtraumas a thlen thei a, chutah chuan tendon chu kneecap-ah a inzawm a ni. Heng hliam tenau te hi an pungkhawm a, a tawpah chuan SLJ a thlen thin.

Entîr nân, i fanu chu school netball team-ah a tel ve ang tih han ngaihtuah teh. Nitin darkar tam tak a practice thin a, a zuang leh tlan thin a, a chhan chu tournament a awm dawn a ni. A nih loh leh i fapa hian cricket a khel a, a tlan chak a, a bowl a, bat a vuak hian a khup chungah rit a dah bawk. Hetiang thiltih chi hrang hrang hian SLJ a thlen thei a ni.

A tlangpuiin SLJ hi thil hrang hrang atanga lo awm thei a ni:

• Tlan fo thin.
• Jump up fo thin.
• Kicking sports (football, karate ang chi).
• Ke leh khup chungah sustained force tam tak dah thei activity eng pawh.

SLJ leh Osgood-Schlatter natna hi eng nge an danglamna?

Osgood-Schlatter natna pawh i hre tawh mai thei. An pahnih hian an inang hle. An pahnih hian naupang active, lo thang lian zelte patellar tendon tihchhiat avanga lo awm an ni. A chhan, a lan chhuah dan leh a enkawl dan pawh a inang hle.

A danglamna ber chu tendon chhiatna hmun a ni.

• Sinding-Larsson-Johansson syndrome (SLJ) ah chuan a chhiatna chu tendon chung lamah a thleng a, chu chu tendon chu khup (patella) atanga tanna hmun a ni.
• Osgood-Schlatter natnaah chuan tendon hnuai lam , chu chu tendon chu shin bone (tibia)-ah a inzawm tihna a ni.

An pahnih inthlauhna hriat a har thei hle. Thu lawmawm tak chu an pahnih hian chawlh hahdamna leh anti-inflammatory damdawi hmanga enkawl an nih avangin an enkawl dan pawh a inang hle. I doctor chuan i fa chu a enfiah ang a, SLJ nge Osgood-Schlatter tih a hrilh ang che.

Hetiang hi tuin nge nei tam zawk?

Kan sawi tawh ang khan SLJ hi naupang kum 10 leh 14 inkar , a bik takin infiamna khel thinte zingah a tam ber a ni. Hetiang kum zat hi a chhan a awm. Hei hi naupangte’n an thanlenna (growth spurts) an paltlang lai a ni. Ruh, thau leh ruh (tendon) te chu a ruala a inthlak chak vek chuan khup ang chi ruh te chu extra stress hnuaiah dah theih a ni.

Zirna thenkhatah chuan naupang cerebral palsy vei te hian SLJ vei an tam zawk tih hmuhchhuah a ni.

Puitlingah pawh a thleng ve em?

SLJ hi puitlingah a tlem hle . Dik tak chuan kum 15 chunglam i nih a, heng symptoms te hi i neih chuan natna dang, "Jumper's Knee" (patellar tendinopathy) ang chi a nih a rinawm. Puitlingah khup na chhan dang tam tak a awm bawk. Chuvangin, natna thar i neih chuan, a bik takin taksa tihchakna nasa tak i neih hnuah doctor pan a tha ber.

Hetiang dinhmun hi engtiang chiahin nge a awm?

SLJ hi natna tlanglawn tak a ni , khup natna thlentu a ni a, a bik takin naupang active tak takte zingah.

Hei hian naupang taksaah eng nghawng nge a neih?

Hei hi naupang tan chuan a hrehawm hle thei a ni. Mahse SLJ hian naupang hriselnaah hun rei tak chhung nghawng a nei lo va , an thil tih nuam tih tur pawh a tikhawlo lo . Naupang chu chawlh hahdam a ngai dawn a, patellar tendon a dam hma chuan a natna thlentu infiamna emaw thiltih emaw chu a pumpelh a ngai dawn a, hei hian kar engemaw zat atanga thla engemaw zat a awh thei a ni. Mahse, an dam tawh chuan hun rei tak chhung nghawng nei lovin an hnathawh dan pangngaiah an kir leh thei a ni.

Hei hi eng symptoms nge ni?

Sinding-Larsson-Johansson syndrome lan chhuah dan tlangpui chu:

• Naupang khup hnuai lam chiah, a ke ruh chung lam deuha natna nasa tak. Hei hi a symptom ber a ni.
• Vung.
• Khup vel a tenderness.
• Khup chu a pangngaia ben chu a harsa ta hle.

I fa hian heng symptoms te hi a nei a nih chuan, a bik takin infiammi a nih chuan SLJ hi ngaihtuah tur a ni.

Engtin nge doctor hian hei hi a hriat chian?

Doctor hnena i fa i hruai hunah chuan naupang khup leh hip taksa enfiahna a nei hmasa ang. Engtikah nge a natna a lo intan tih leh engtin nge a zual zel tih ang chi zawhna a zawt ang.

Tin, SLJ dinhmun finfiah nan leh hliam dang (fracture ang chi) enfiah nan imaging test thenkhat pawh tih theih a ni bawk.

Heng test te hi engte nge ni?

• X-ray: X-ray hmang hian khup, tibia emaw ruh dang emaw a tliak leh tliak loh enfiah theih a ni. Stress fracture a awm leh awm loh a enfiah thei bawk a, hei hi infiammi zingah a tam hle.
• MRI (Magnetic Resonance Imaging): MRI hian khup leh a chhehvel thlalak kimchang tak a pe thei a. Hliam avanga patellar tendon thickening a awm leh awm loh a enfiah thei bawk.
• Ultrasound: Ultrasound test hian khup vel a taksa peng leh connective tissue kal tlanga thisen a kal dan a enfiah thei a ni.

Heng test neih zawh hian doctor chuan i fain SLJ a nei em tih emaw, thil dang emaw a nei tih chiang takin a hre thei ang.

SLJ hi engtin nge enkawl a nih?

Sinding-Larsson-Johansson syndrome enkawlna ber leh tha ber chu chawlh hahdam leh kekawr hmalam quadriceps muscle te inzawmkhawm hi a ni Naupang patellar tendon a dam hma chuan a hliam thlentu infiamna emaw, game emaw a khelh tawh loh a ngai dawn a ni.

Naupang tam zawk chuan kar tlemte atanga thla engemaw zat chhung chu infiamna atanga inthiarfihlim a ngai dawn a ni. Hun rei zawng chu a hliam laia hliam nasat danah a innghat a ni. Naupang chu a dam chhoh zel chuan an infiamna ai chuan khup (swimming ang chi)-a stress tlem zawk siamtu thil dang lamah an inthlak thei mai thei.

Hun rei lote chhunga natna leh hliam tihziaawmna tura i tih theih thenkhat chu hetiang hi a ni:

• Ice hnawih: I khup na hmunah hian ni khatah vawi tam tak minute 15-20 chhung puan in khuh ice dah thin ang che.
• Painkillers: Damdawi lam thurawn angin NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) ibuprofen ang chi te i ei thei. Chungte chuan natna leh hliam a tiziaawm.

Pawimawh:Damdawi eng pawh i ei tan hmain, i chawlh hmain emaw, a hman dan tur i thlak hmain i fa doctor nen inbia fo ang che. I fa chu i doctor phalna la hmasa lovin ni 10 aia rei NSAID pe suh.

Surgery neih a ngai dawn em ni?

Naupangin Sinding-Larsson-Johansson syndrome enkawl nan operation a mamawh hi a tlem hle . A nasat ber lai pawhin, doctor-te chuan naupang emaw, tleirawl emaw chu operation neih an rawt hmain, enkawlna dang, invasive lo zawk, physical therapy ang chi chu an rawt ṭhin.

A châng chuan puitling SLJ vei nia hriatte chu an patellar tendon siamṭhat nan khup arthroscopy an neih a ngai thei bawk.

NSAID hian side effect a nei em?

Ni e, NSAID hian side effect engemaw zat a nei thei. Chuvangin doctor-in a tih ang chauha hman tur a ni. Side effect thenkhat chu:

• Thisen chhuak.
• Pum chhunga ulcer awm.
• Pum natna.
• Digestive system lama harsatna awm thei.

Engtiang chiahin nge naupang chu enkawl hnuah a dam thuai ang?

NSAIDs ei hian a natna chu a reh tlangpui a, darkar khat vel chhungin naupang chu a dam leh tan thin. Ice pawh chutiang bawk chu a ni.

Mahse, he natna tihziaawmna hian naupang patellar tendon chu a dam vek tihna a ni lo . Chawlh hahdam leh SLJ dinhmun thlentu thiltih loh hi naupang enkawlna atana pawimawh ber a ni.

Doctor thupek dik takin zawm rawh. I fa dinhmun a zirin doctor chuan a dam leh theih nan eng chen nge a mamawh dawn tih a hrilh ang che.

Engtin nge ka fain SLJ a vei theihna tur chu ka tihziaawm theih ang?

I fate patellar tendon a chhiat loh nan a tir lamah i pui thei ang. Chutianga tih theih dan tha ber pakhat chu i fate chu infiamna hun inkara chawlh leh damna hun remchang pek hi a ni.

Tunah chuan naupang leh thalai tam zawkin SLJ vei hmuhchhuah an ni tawh a, hei hi a hma aia tam zawkin an awm mek a ni. Chutianga an tih chhan lian ber chu kum khat chhungin infiamna inang an zir emaw, an khelh emaw vang a ni (infiamna pakhatah a bik takin) . Naupang tam takin infiamna emaw thiltih pakhata specialise an tum hian an taksa hian chawlh hahdam leh dam lehna hun a nei tlem hle. SLJ chauh ni lovin, natna dang zawng zawng laka inven nan naupangte chu an tleirawl tawp thlenga infiamna pakhata an specialise loh nan ven a tha ber.

SLJ laka i him theih nan eng nge i tih tur?

Sinding-Larsson-Johansson syndrome venna kawng tha ber chu quadriceps muscles te hi tihzauh fo hi a ni . I fa ke chu a flexible poh leh an tendon-ah stress a nei tlem zawk ang.

A tlangpuiin patellar tendon-a pressure tihziaawm nan hengte hi zawm a tha:

• Infiamna khelh hma leh khelh zawh hnua insiamthat.
• Chawlh hahdam leh chawlh hahdam.
• "Playing through the pain" hi thil tha tak a ni ngai lo! Natna i hriat chuan chawlhsan la, chawlh hahdam tur a ni.

I fain SLJ a neih chuan eng nge i beisei ang?

I fa chu SLJ a vei tih hmuhchhuah a nih chuan infiamna leh taksa tihchakna hahthlak tak takte chu hun engemaw chen a inthiarfihlim beisei ang che . SLJ hi hun eng emaw chen atana awm a ni a, mahse tendon a dam theih nan hun a duh a ni.

Hei hi eng chen nge a daih ang?

Sinding-Larsson-Johansson syndrome hi eng chen nge a awm tih chu naupang patellar tendon tihchhiat hmasak nasat danah a innghat a ni. Ni engemaw zat emaw, kar tlemte emaw chhungin natna leh hliam chu a reh thei. Mahse, naupangte chuan khup hun rei tak a tihchhiat loh nan thla eng emaw zat infiamna laka an inthiarfihlim a ngai mai thei.

Naupang chu sikul a kal thei ang em?

I fa hian SLJ atanga a dam leh lai hian sikul kal a chawlhsan a ngai lo. Khup a dam hma loh chuan pressure i siam loh nan, i fate doctor hnenah physical education (PE/PT) class atanga chawlh an lak a ngai em tih zawt rawh .

Hetiang dinhmun hi eng nge a thlir ang?

Sinding-Larsson-Johansson syndrome hi hun eng emaw chen atana natna a ni . Amaherawhchu, naupangte tan chuan an infiamna duh tak chu rei lo te chhung bansan chu a harsa thei hle. I fa hian an taksa chawlh hahdamna, dam lehna leh damna tura pui turin eng nge a tih tur tih te, engvangin nge a SLJ dinhmun thlentu infiamna emaw thiltih emaw atanga rei lo te chhung a inthiarfihlim a ngaih tih te chu hrethiam rawh.

Engtikah nge doctor i hmuh ang?

I fain khup natna thar a neih chuan, a bik takin a hring chhuak a nih chuan doctor pan nghal rawh . Doctor chuan i fate natna thlentu chu eng nge ni tih hriat theih nan a pui thei che a, SLJ emaw thil pawi zawk, ruh tliak ang chi emaw pawh nise.

Doctor hnenah eng zawhna nge i zawh tur?

I fa nen Doctor i pan dawnin heng zawhnate hi zawh loh theihnghilh suh ang che:

• Ka fa hian eng test nge a neih ang?
• Naupangin eng chen nge inkhelh a chawlhsan ang ?
• Hei hi Sinding-Larsson-Johansson syndrome nge Osgood-Schlatter natna?
• Nakin lawkah Sinding-Larsson-Johansson syndrome venna atana pui thei tur stretch engte nge awm?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Naupangin natna a tuar lai hian nu leh pa tan chuan hlauhthawn hi thil pangngai tak a ni. A bik takin ruh hliam a awm chuan hun rei tak chhunga nghawng a neih dan tur ngaihtuah a awm thin.

Thu lawmawm tak chu Sinding-Larsen-Johansson Syndrome hi hun eng emaw chen a awm a, nakin lawkah naupang khup a nghawng dawn lo.

I fain an infiamna duh ber season khat a khelh loh a ngai a nih pawhin, an dam lehna tur a nih avangin a hlutzia hria ang che. Chawlh hahdam tak leh i doctor thupek zawm chuan i fa chu a dam thuai ang a, a duhzawng thil a ti leh ang!

` Sinding-Larsen-Johansson Syndrome, khup na, naupang khup natna, infiamna lama hliam, patellar tendon, herniated disc, Osgood-Schlatter