I ke ruh na hi SLAP Tear vang a ni em? (Shoulder SLAP Tear) I hre chiang ang u!

I kephah i chawi sang emaw, i kut i hnunglam i sawn emaw hian natna nasa tak i nei bawk em? I kekawr chhungril atang hian ‘click’ thawm i hre fo em, a nih loh leh a inher ang maiin i hria em? Heng thilte hi thil pangngai angin kan ngaihthah fo thin. Mahse, a chang chuan hei hi shoulder joint chhunga hliam na tak a awm tihna a ni thei. Vawiin hian hetiang dinhmuna awm, medical science-a SLAP Tear tia hriat, shoulder injury chungchang kan sawi dawn a ni.

A awlsam zawngin SLAP Tear tih hi eng nge ni?

He hming hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin han sawi ila. Kan shoulder joint hi ball leh socket joint ang a ni. Upper arm bone (ball) chunglam chu shoulder bone chhunga socket te zawk (cup)-ah a in fit a. He socket chhehvelah hian cartilage ring chak tak a awm a, chu chuan a thuk zawk a, ball chu a hmunah nghet taka dah turin a pui bawk. Hei hi labrum kan tih chu a ni . Phên dangin sawi ila, gasket angin a thawk a, ruh (joint) a nghet reng theih nan a pui bawk.

SLAP hi Superior Labrum tihna a ni a , Anterior to Posterior tihna a ni . Sinhala tawngah chuan hei hi labrum chunglam, hmalam (Anterior) atanga hnunglam (Posterior) thlenga tear a ni. He labrum chunglam hi kan biceps muscle nena inzawm tendon a inzawm na hmun a ni. Chuvangin he SLAP tear hi a lo awm hian labrum, shoulder-a cushion ang mai chu a chhe a, biceps tendon pawh a nghawng thei bawk. Chuvangin a kekawrte chu a na a, a nghet lo va, "a nghing" ang maiin a awm bawk.

SLAP tear awm chhan berte chu engte nge ni?

Hetiang dinhmun hi chhan pakhat mah a awm lo va, mahse thil engemaw zatin a thlen thei a ni. A chhan berte han thlir ila.

Ka kekawr ipteah SLAP tear a awm em? Eng nge a lan chhuah dan?

Heng symptoms pakhat emaw a aia tam emaw i neih chuan i ngaihtuah tur a ni.

• Shoulder pain: Hei hi natna awm reng a ni thei a, a nih loh leh rang tak, na tak, hliam na tak a ni thei bawk.
• Position bik laia natna: Lu chunga kut chawi sang te, kut hnunglam hnung lama dah te, ball vawrh ang chi movement tih te hian natna a pung thei.
• ‘Klik’ ri emaw, grinding sensation emaw: I kekawr i tihchet laiin i ruh chhung atanga click ri i hriat chuan, emaw, ruh pahnih inzawm khawm ang maia i hriat chuan he natna lan chhuahna a ni thei.
• A sensation of the shoulder popping: Shoulder joint hi a support tha lo a, engtik lai pawhin "pop" ang maia unstable feeling a awm bawk.
• Kawngkhar leh kutphah chak lohna hriatna.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah a natna chungchang te, a lo intan dan te, i tih dan te a zawt hmasa ang che. Tichuan, taksa enfiahna a nei ang.

1. Taksa enfiahna: Doctor chuan i kut chu kawng hrang hrangah a rotate ang a, a chawi ang. Hei hian i kekawrte chetna range, muscle chakna, leh eng ang chetna chi hrang hrang nge natna thlen tih hriat theih nan a pui ang.

2. MRI scan: MRI (Magnetic Resonance Imaging) hi kekawr chhunga tissue nem tak tak, labrum leh tendon te dik taka en theih dan tha ber a ni.Scan neih a ni. A châng chuan, i doctor chuan MRI arthrogram , tih pawh a rawt thei a, chu chu a mittui chu chiang zâwka hmuh theih nân ruh chhûngah dye bik inject a ni.

Hei hi eng enkawlna nge ni?

Enkawlna chu mittui tlak dan, i kum leh i activity level-ah a innghat a ni. SLAP mittui zawng zawng hi operation a ngai lo.

Surgery hmanga enkawlna ni lo

Pakhatnaah chuan doctor chuan zai ngai lovin hei hi tihdam a tum thin.

• Chawlh hahdam: Hun engemaw chen kekawrte natna thlentu thiltih atanga hla taka awm.
• Painkillers: I doctor-in a pek anti-inflammatory drugs, a hring leh natna tihziaawmna tur a ni.
• Cortisone shots: Injection bik a ni a, ruh chhunga direct-a inject a ni a, rang taka natna leh hliam tihziaawmna tur a ni.
• Physical Therapy: Hei hi enkawlna pawimawh tak a ni. Physics therapist kaihhruaina hnuaiah exercise hian ke ruh vel a tichak thei a, ruh chu a ti nghet thei a, natna a tiziaawm thei bawk.

Surgery hmanga enkawl dan tur

A chunga kan sawi ang hian thla 3-4 hnuah a natna a reh lo a nih chuan, a nih loh leh a mittui a na hle a nih chuan doctor chuan zai a rawt thei ang. He surgery hi arthroscopically hmanga tih a ni fo thin . Hei hian a awmzia chu camera leh instrument nalh tak tak te chu shoulder-a incision tenau engemaw zat kaltlangin dahin labrum chhe tawh chu siamthat a ni tihna a ni.

• Labral Repair: Labrum chhe tawh chu ruh-ah dah leh.
• Biceps Tenodesis: A chang chuan biceps tendon a chhiat chuan lakchhuah a ni a, kekawrte hmun him zawkah dah leh a ni.

Eng chen nge tihdam a ngaih?

Hei hi mi tam takin harsatna an neih chu a ni. SLAP tear atanga dam leh chu zan khata intlansiak a ni lo va, marathon a ni a, hun a duh rei hle.

Hetiang dinhmun hi a lo thlen leh tawh loh nan engtin nge kan ven theih ang?

Ni e, inhliam leh theihna a awm a, a bik takin infiamna i khelh tan emaw, i kekawrte chungah harsatna nasa tak thlen thei hna i thawk leh a nih chuan. Chuvangin heng thilte hi hre reng ang che:

• Exercise i tih hmain warm up tha rawh: Infiamna i khelh hmain i shoulder muscle te kha ti lum tha rawh.
• I taksa thu ngaithla rawh: I kekawr ipteah na emaw, a khauh emaw i hriat chuan ngaihthah suh la, chawlh hahdam rawh.
• Technique dik tak hmang rawh: Weights chawi leh sports khelh hunah form dik tak hmang rawh. Sudden jerk hmangin weights lift suh.
• Doctor hmu rawh: Natna a awm reng emaw, hliam thar a lo awm emaw chuan doctor thurawn la rawh.