Tin, taksa ruh leh ruh (tendon) te pawh i ti na em? (Soft Tissue Injury) chungchang hi i zir chiang ang u!

Kan nitin nunah, a chang chuan tlu tlemte nen, infiamna kan khelh lai emaw, hna chi khat kan thawh chhunzawm zel hian kan taksa peng thenkhat chu a na tan thin a ni lawm ni? A chang chuan chu hmun chu a hring a, a sen a, a na lutuk a, kan ke leh ke pawh kan ti che thei lo. Chu chu hetiang hun lai hian a thleng thei a, chu chu `Soft Tissue Injury` an ti a ni. Chuvangin vawiinah hian he thu hi chipchiar takin sawi ila, kan thianpa hnenah kan sawi ang maiin.

He soft tissue hliam hi eng nge ni?

A awlsam zawngin sawi ila, soft tissue injury hi kan taksa ruh vel a soft tissue te hliam a ni. Heng soft tissue te hian kan ruhro hi a thlawp a, a kal tha thei tur a ni. Kan taksa ruh , tendon (hengte hi ruh leh ruh inzawmkhawmtu band ang chi thilte an ni), leh ligaments (hengte hi ruhkawr inzawmkhawmtu leh nghet taka awm theihna tura puitu band ang chi thilte an ni) te hi han ngaihtuah teh.

Heng tissue te hi taksa tihchakna emaw, accident emaw i tih hian a chhe thei a ni. A sudden, large force can cause a traumatic injury , chutih laiin hun rei tak, repetitive strain injury chuan repetitive strain injury a thlen thei thung. Mahse lungngai suh, soft tissue hliam tam zawk hi hun leh chawlh hahdamna tha tak nen a dam leh thin.

Soft tissue hliam chi hrang hrangte chu engte nge ni?

Heng hliamte hi chi hnihah then theih a ni. Pakhat chu acute injuries a ni a, chu chu a lo thleng nghal vek a ni . A dang chu repetitive strain injuries a ni a, hun kal zelah a lo awm a, hman nawn fo avanga lo awm a ni .

Acute soft tissue hliam a awm

Hengte hi hliam, lo thleng thut a ni.

• Muscle Strains: Hei hi i taksa ruh pakhat a inzawm lutuk emaw, a chhe lutuk emaw a nih chuan a ni . Hei hi taksa ruh i hrual nasat lutuk emaw, i hrual rei lutuk emaw a nih chuan a thleng thei. Entîr nân, cricket i khelh laiin i ke ruh pakhat i hrual thut chuan i hrual mai thei. Muscle te hi chakna nasa tak hmanga che nghal vat emaw, chakna tlemte hmanga che chhunzawm zel emaw hmangin kan hrual thei a ni. Groin strain leh hip flexor strains te hi infiammi te hliam hi a awm fo thin. Muscle leh ruh thlunzawmtu tendon pawh hetiang hian a hrual emaw, a hrual emaw thei bawk.

• Sprains : Sprain chu ruh inzawmkhawmtu ligament-a a tear a ni. Heng ligament te hian ruh pakhata ruh leh ruh te chu a thlunzawm a, a ti nghet a ni. Joint pakhat chu a normal range of motion aia nasa zawka nawr a nih chuan he ligament hian a tizau thei a, a tikehsawm thei a, a tichak lo thei bawk. Entirnan, i ke ruh i roll chuan ``i ke ruh i ti chhe thei`` thei a, i tlu a, i kut i vuak chuan ``i kutphah i ti chhe thei`` thei bawk.

• Contusions: Bruise chu hliam anga kan hmuh hi a ni . Hei hi vun hnuaia thisen kalna kawng te te a chhiat a, thisen tlem a chhuah tir a, chu chuan vun rawng a tidanglam thin. Harsa taka vuak hian i soft tissue thuk takah thisen kalna kawng a tichhia thei a, i taksa ruh te pawh a tichhia thei bawk. Muscle contusion hi hmuh tur a awm lo mai thei, mahse a na a, a dam theih nan hun rei tak a ngai a ni. A dam tha lo a nih chuan a chang chuan hun rei tak chhung harsatna a thlen thei a ni.

Strain hliam nawn fo thin

Chungte chu chetna inang repetition chhunzawm zel avanga lo awm zauh zauh hliamte an ni.

• Tendonitis : Tendonitis tih hi tendon a hring leh inflammation a ni. Hei hi chhan hrang hrang a awm a, mahse a chhan ber chu tendon-a stress repeated vang a ni. Hei hian mit hmuh theih loh tendon fiber-ah microscopic tears a siam a ni. Hetianga tendon a inflamed tawh chuan a dam theih nan hun leh chawlh a mamawh a ni. Hun rei tak chhunga tendonitis hian tendon-ah hian inthlak danglamna nghet tak a thlen thei bawk (tendinopathy).

• Bursitis : Bursitis chu i ruh leh tissue dang inkara soft tissue sac awm, i bursae a hring leh a hring chhuak a ni. Heng bursae te hian i ruh leh tissue dangte inkarah cushion angin hna an thawk a, friction a ti tlem a, i che vel laiin shock a absorb bawk. Heng bursae te hi an stress lutuk emaw, an thinrim lutuk emaw a nih chuan na takin an lo hring thei a ni. Hei hi elbows leh knees-ah a tam ber. Bursitis hi tendonitis nen pawh a awm thei bawk.

Heng soft tissue hliamte hi engtiang chiahin nge a nasat theih ang?

Acute soft tissue hliam hi a tenau atanga na tak thlengin a awm thei . Doctor chuan i hliam hi ``first-degree, second-degree emaw third-degree`` tiin a classified thei.

• First-degree strain emaw sprain emaw ah chuan tissue chu "pulled" chauh a ni a, a torn lo.
• Second-degree injury chu tissue thenkhat a inthlakna hmun a ni .
• Third-degree injury tih awmzia chu tissue chu a chhe vek tawh tihna a ni .

Soft tissue hliam tam zawk chu hun kal zelah a dam laiin, grade 3 hliam erawh chu surgery hmanga siamthat a ngai pawh a ni thei .

Tin, muscle strain te hi hun kal zelah anmahni chauhin dam mahse, strain na tak tak chuan a hring lutuk avangin harsatna dang a thlen thei bawk. Heng harsatnate hi enkawlna bik leh dam rei zawk a ngai thei bawk. Overuse injuries hi tissue ti thinrimtu activity i tihtawp hian a dam tlangpui. Mahse, chutiang thil chu i tih hma lutuk chuan hliam na tak a lo ni thei a, hun rei tak chhung chhiatna a thlen thei bawk.

He soft tissue disorder hi engte nge a lan chhuah?

Heng natna hrang hrangah hianA lan chhuah dan tlangpui chu natna a ni . A tlangpuiin a hring (swelling) a awm thin. Swelling hi inflammation chhinchhiahna a ni. Hei hi hliam i taksain a chhan dan a ni. A dam theihna tura pui turin thisen leh resources tam zawk chu hmunah a thawn chhuak thin. Mahse, a hring (swelling) hian i rilru a ti na zual thei bawk.

A lan chhuah dan dangte chu:

• Stiffness leh range of motion tlahniam (e.g., kut chawi sang harsa).
• Taksa peng hliam chu che harsa emaw, rit phurh emaw .
• Thisen kalna kawng a chhiat chuan hmuh theih blueness a lo lang ang .
• Nerve a chhiat chuan a rilru a buai emaw, a rilru a buai emaw a awm thei .

Soft tissue tihchhiat chhante chu engte nge ni?

Soft tissue hliam emaw, chhiatna emaw thlentu lian ber pahnih a awm a, chungte chu: repetitive strain leh trauma .

• Contusion hi direct blow, tlu emaw, intlansiak vang emaw a awm thei.
• Sudden jerking movement emaw, vawi engemaw zat hrual na tak tak emaw chuan muscle emaw tendon emaw chu a hrual (strain) emaw, ligament a ti chhe thei (sprain) emaw a ni thei.

Soft tissue hliam hi ruh hliam nen a danglam. Mahse a chang chuan an pahnih hi a thleng dun thei a ni. Entirnan, ruh a tliak emaw, a inthlak emaw a nih chuan , a chhehvel soft tissue pawh a chhe thei bawk. Ruh hliam hi a langsar ber mai thei, mahse a soft tissue-ah pawh chhiatna a awm thei bawk.

Soft tissue hliam avanga harsatna awm thei te chu engte nge ni?

Heng natnate hi uluk taka enkawl a nih loh chuan harsatna engemaw zat a awm thei a ni.

Harsatna awm nghal thei:

• Thisen kalna kawng chhia : Hriselna emaw, hliam emaw tam zawk hi thisen kalna kawng te te a chhiat vang a ni a, chu chuan thisen tlemte a chhuah tir thin. Mahse, a nasat chuan thisen kalna kawngte chu nasa takin a chhe thei a ni. Hei hian chhungril lama thisen chhuak nasa tak (hemorrhage) emaw, tissue-a thisen pek tlem (ischemia) emaw a thlen thei a ni.
• Nerve chhiatna : Trauma avanga soft tissue tihchhiat hian hun eng emaw chen atan nerve chhiatna a thlen thei a , chu chu neuropraxia an ti a ni . Hei hian thluak leh taksa peng hliam inkara sensory leh motor signal te chu hun engemaw chen a titawp thei a ni. Tendonitis emaw bursitis emaw avanga hliam hian nerve a ti compress thei a, a nghawng thei a ni.
• Compartment syndrome : Hei hi muscle compartment (muscle group pakhat, fascia an tih membrane-a khuh) chhunga lo awm a ni. A na hle a, taksa ruh chhunga thisen kalna tur a titawp thei bawk. Pressure tihziaawm nan emergency surgery neih a ngai mai thei.

Damna dik lo avanga hun rei tak chhunga harsatna awm thei:

• Contracture : Hliam a dam hma chuan a natna hmun chu che thei lovin i dah a ngai mai thei. Mahse, rei tak i che thei lo a nih chuan a soft tissue te chu a nghet thei a, a inzawm khawm thei a, a awm reng thei bawk. I doctor chuan chutiang laka invenna atan physical therapy exercise bik a pe thei ang.
• Joint instability : A dam tha lo chuan i ruh chu a ti nghet lo thei a, chu chuan a ruh a ti na leh thei bawk. Sprain na tak thenkhat chu hei hi siamthat nan operation a ngai thei bawk. Soft tissue hliam dang dam tha lo pawhin ruh pakhat a nghawng thei a, a rit leh pressure chu a thlawptu tissue-ah a sawn a ni.
• Chronic inflammation : Hliam hman tam lutuk, a dam tha lo chuan chronic tendonitis emaw bursitis emaw a thlen thei. Hei hian natna rei tak a thlen thei a, a tawpah chuan hun rei tak chhung soft tissue tichhe thei a ni. I tissue te chu a chak lo thei a, a nghet lo thei a, a thawk tha lo thei bawk. Hetiang chak lohna hian tissue rupture pawh a thlen thei .
• Heterotopic ossification : Soft tissue hliam na tak chuan i soft tissue chhungah ruh tissue a siam thei a. Myositis ossificans ( ruh tissue lo piang chhuak) hi taksa ruh hliam hnuah a awm thei. Enthesophytes ( bone spurs) hi tendonitis hnuah a awm thei.

Engtin nge doctor-te hian heng soft tissue disorder te hi an hriat chhuah?

Doctor chuan i hliam chu taksain a enfiah ang a , engtin nge a lo awm tih leh eng ang pressure nge a thlen theih tih zawhna a zawt ang che. A châng chuan, hliam chu chipchiar zâwka en tûr leh hliam dang emaw, harsatna dang emaw a awm leh awm loh enfiah nân imaging test neih a ngai thei bawk. MRI scan hian soft tissue chhiatna chu chiang zawkin a lang thei.

Soft tissue hliam enkawlna tha ber berte chu engte nge ni?

Soft tissue hliam tam zawk hi in lama enkawlna awlsam tak (`conservative care`) hmanga enkawl theih a ni. A tlem hle a, hliam na tak tuar chuan operation a ngai thei. Hliam na tak i nei nia i ngaih chuan, emaw, natna hlauhawm tak tak, natna zual, rilru hahna, emaw, muhil emaw i neih chuan emergency room (`ER`) ah kal rawh. Hliam tenau nei tan pawh doctor pan a, thurawn lak hi a tha reng a ni.

Soft tissue hliam enkawlna awlsam tak takah chuan painkiller leh RICE method (or a update thar zawk, PRICE method) ang chi standard practice te pawh a tel. He `PRICE` hi `Protection`, `Rest`, `Ice`, `Compression`, leh `Elevation` tihna a ni.Tun hnaiah doctor-te pawhin ni hmasa ber hnua i damna tur kaihhruaina atan PEACE and LOVE tih hming pu practice thar an rawn siam bawk.

PRICE enkawl dan tur

`RICE` tih hi acronym lar tak a ni a, acute musculoskeletal injuries enkawlna atana hman a ni. `PRICE` hi a update thar a ni.

Chumi awmzia chu:

• P - Protection : Hliam a dam hma loh chuan ven nan cast, brace, splint emaw i bun a ngai mai thei .
• R - Chawlh : Chawlh hahdam hi taksa ruh leh ruh hliam eng pawh tihdam nan a pawimawh ber a ni.
• I - Ice: Ice hnawih hian natna leh hliam a tiziaawm thei. Ice pack khat chu minute 20 vel hnawih la.
• C - Compression : Soft tissue vel ah elastic bandage hnawih hian a hring leh thisen chhuah a ti tlem thei.
• E - Elevation : Hliam chawlh laia chawi sang hian thisen chhuah leh hliam a tihziaawm thei.

REMNA leh HMANGAIHNA enkawl dan

He acronym sei tak, `REMNA leh HMANGAIHNA` hian i damna hnuhnung ber tur kaihhruaina dang a pe a ni.

REMNA tih awmzia chu:

• P - Invenna : Hliam chu a dam hma loh chuan venhim tur a ni.
• E - Elevation : Hliamna hmun chawi sang hian thisen kal leh hliam a ti tlem.
• A - Anti-inflammatory ei loh tur : Tunah chuan doctor-te chuan dam leh hmasak ber atan non-inflammatory pain relievers , acetaminophen emaw arnica emaw hman an rawt a ni.
• C - Compression : Soft tissue vel ah elastic bandage an vuah a, chu chuan a hring leh thisen chhuah a ti tlem a ni.
• E - Zirna : Hei hian doctor ten i dam lehna kawngah i chanvo an zirtir tur che tih min hriat nawn tir a ni. A bik takin, passive role ni lovin active role la turin an fuih tur che a ni .

Tin, HMANGAIHNA tih awmzia chu:

• L - Load : `Load` chu mechanical load (weight emaw pressure emaw) a hliamna hmuna a kir leh zauh zauh tihna a ni. I doctor chuan he thil kalpui dan tur hi physical therapist hnenah a hruai thei che a ni.
• O - Optimism : Research atanga a lan dan chuan dam lehna kawng tha tak a niMental health condition neih hian i dam leh theihna tur prognosis a nghawng thei a ni. I dam theihna hi ring la, i dam chhungin i rilru hriselna ngaihthah suh.
• V - Vascularization : Hei hian i hliam tuar tissue-a thisen kal tam tihna a ni. A tir lamah thisen kal tihtlem nan ice leh compression hman theih a nih laiin, thisen kal tam chuan a hnuah hliam chu a tidam thei a ni.
• E - Exercise : Physical therapy hian i tissue chak lo zawkte chakna leh inthlak danglamna a siam tha thei a ni. Hei hian hnathawhna lama i kir leh hunah hliam nawn leh loh nan a pui thei a, a bik takin ruh nghet lo tan chuan.

Soft tissue hliam hi a dam theih nan eng chen nge a mamawh?

Soft tissue hliam hi a dam theih nan kar tlemte atanga thla engemaw zat chhung a ngai thei. Hliam nasat danah a innghat. I doctor hi eng chen nge a daih dawn tih hrilhtu tha ber a ni. I dam chhungin doctor thupek zawm chuan a kal tluang ang. Workout i tan hma lutuk chuan i tissue te chu a hliam leh thei a ni. Mahse, che leh tura i nghah rei lutuk chuan i dam leh theih nan hun rei zawk a daih thei.

Engtin nge heng soft tissue hliam te hi ven theih ang?

Hliam tam zawk hi accident a ni a, a pum puia ven a harsa hle. Mahse mi thenkhat chu midang aiin soft tissue injury an nei tam zawk. Chumi zinga mi i nih chuan inbuatsaihna tlem in i risk chu i tihtlem thei a ni.

Soft tissue hliam tuar thei tur risk factors te chu:

• Infiamna leh taksa inzirtirna lama inhmang.
• Hnathawh tur, movement chi khat mamawh.
• Thil hmanrua emaw hnathawhna hmun emaw design dik lo.
• Active lova active nghal mai.

Soft tissue hliam hlauhawmna tihziaawm nan hengte hi hre reng ang che:

• I taksa ruhte chu i hman hmain leh darkar tam tak i din hnuah pawh uluk takin tizau rawh.
• Training i tan hmain emaw, hna chi khat i thawh hmain , i technique kha ti famkim rawh.
• I hmanrua leh hnathawhna hmun chu thianghlim, him, leh ergonomic a nih theih nan enfiah rawh .
• I taksa leh a huam chin chu ngaithla rawh. "Enough is enough" a tih che chuan titawp rawh.

Soft tissue hliam hi ruh hliam ang bawkin a na thei hle. Tin, an dam theih nan pawh chutiang bawk chuan hun rei tak an hmang thei a, chu aia rei pawh a ni thei bawk. Hei hi mi dangte hriatthiam leh hrilhfiah a harsa thei hle a, a bîk takin nang leh mi dangte’n hna thawk tûra rang taka hmuh leh che an duh chuan. Mahse i dam lehna tur chu hmanhmawh suh. Heng tissue te hi a pangngaia awm leh theih nan hian hun, slow, planned rehabilitation, leh hna tam tak thawh a ngai a ni. Mahse, a phu a ni. I taksain lawmthu a sawi ang che.

A tawp berah chuan hriat reng tur pawimawh ber berte

Chuvangin, soft tissue hliam hi fiamthu a ni lo. Hriselna tenau emaw, hliam emaw pawh hi enkawl tha a nih loh a, chawlh hahdam a nih loh chuan a hnuah harsatna lian zawk a lo ni thei a ni.

• Natna leh hliam hi ngaihthah suh. Thil tenawm tak angin lang mahse , dinhmun khirh tak bul tanna a ni thei.
• PRICE treatment method kha hre reng ang che . Chu chu venhimna, chawlhna, ice, compression leh elevation tihna a ni.
• I doctor thupek ang chiah kha zawm rawh. I dam thuai dawn nia i ngaih pawhin i taksa chu a dam theih nan a mamawh hun pe la.
• Exercise i tan hmain in lum a, i tih zawh hnuah in lum leh thin.
• I hnathawhna hmun leh i hmanraw hmante chu i taksa tan hrisel takin siam rawh.

Heng thilte hi i enkawl chuan soft tissue hliam lakah nasa takin i inveng thei ang a, i hliam a nih chuan i dam thuai thei ang. Hrisel takin awm rawh!

` soft tissue hliam, sprain, strain, bruise, PRICE enkawlna, PEACE and LOVE enkawlna, tendonitis