I kutpui chu a hliam em? (Thumb Sprain) Hlauthawng suh, he thil hi i zawng chhuak ang u!

Nitin hna kan thawh lai hian a chang chuan accident tenau te kan tawk thin hi thil pangngai tak a ni. I ke ruh pawh i ti chhe tawh mai thei. A bik takin kutpui (sprained thumb) a nih chuan a natna leh a hring (swelling) hian a ti thinrim hle thei a ni lawm ni? Chuvangin, vawiin hian he Thumb Sprain an tih hi chipchiar takin kan sawi dawn a ni.

Thumb sprain tih hi eng nge ni?

A awlsam zawngin, thumb sprain chu i kutpui, ruh pahnih inzawmkhawmtu tissue-a ligament pakhat overstretching emaw tearing emaw a ni. A tam zawkah chuan he natna hi Ulnar Collateral Ligament (UCL) a chhiat hian a thleng thin a, chu chu i kutpui chhungah, metacarpophalangeal (MCP) joint bulah a awm a ni. Entîr nân, i kutpui chu a hnungtawlh nghâl thut a, i kut aṭanga hla takah a lo inbeng kang a, a nih loh leh kawng dang dangin a inher a nih chuan i hliam thei tih han ngaihtuah teh.

Heng sprain te hi sprain dang ang bawkin, pull tenau atanga ligament te pawh a tikehsawm vek thei a, ruh atanga pawh a tikehsawm thei bawk. Hetiang dinhmun hi a chang chuan "Skier's Thumb" emaw "Gamekeeper's Thumb" emaw an ti thin.

Thumb sprain chi hrang hrangte chu engte nge ni?

Doctor-te chuan heng sprains te hi an nasat dan azirin an classified a. A chi thum a awm a, chungte chu:

• Grade 1: Hei hi a hliam na ber a ni . Ligament hi a inzawm lutuk a, mahse a chhe lo.
• Grade 2: Hei hi a hring (moderate sprain) a ni . Hetah hian ligament thenkhat chu a chhe vek a.
• Grade 3: Hei hi a hliam na ber a ni . Ligament chu a chhe vek thei a, ruh nena a inzawmna atang pawhin a inthen thei bawk. Hetiang ang hliam na tak hian damdawi lam pan nghal a ngai thei a, operation pawh a ngai thei bawk.

Ka kutpui chu a chhe tawh em? A sprain em ni? Engtin nge chiang taka ka hriat theih ang?

Kutpui ruh tliak leh tliak te hian natna, hliam leh hliam na a thlen thei a ni. Mahse, danglamna engemaw zat a awm. A broken thumb is usually more painful , leh kutpui chu a deformed emaw, a hmel a chhe lo emaw a ni thei. Tin, rilru hahna ang chi pawh i nei thei bawk.

Tlu ang maia accident i neih hnua i kutpuiah natna, hliam, emaw, hliam i neih chuan doctor i pan ngei tur a ni . Pawn lam atang chuan fracture nge sprain tih hriat a harsa hle. Chuvangin, doctor tawnhriat ngah tak in enfiah tir la, a tul chuan X-ray la la, eng nge dik lo tih chiang takin i hre thei ang.

Sprain leh strain hi eng nge a danglamna?

An pahnih hian hrehawm viau mah se, a danglamna tlem a awm.

• A sprain , kan sawi tawh ang khan, ruh ruh inzawmkhawmtu ligament-a hliam a ni.
• Strain chu taksa ruh emaw, ruh leh ruh inzawmtu tendon emaw hliam a ni.

I kutpuiah na i neih chuan Doctor pan rawh. Ani chuan a enfiah ang che a, a ṭul chuan X-ray , musculoskeletal ultrasound , a nih loh leh MRI (Magnetic Resonance Imaging) ang chi test a ti ang a, chu chuan ruh tliak, hliam, a nih loh leh taksa ruh natna a awm leh awm loh a hriat theih nân a ti ang.

Tute nge an kutpui (kut) hliam hlauhawm zawk?

Tu pawh, kum eng pawh ni se, an kutpui chu a hliam thei. Mahse, mi thenkhat chu an hlauhawm zawk.

• Infiammi: He hlauhawmna hi ski , ball man leh thlak (e.g. baseball, basketball, volleyball, soccer) te tan pawh a sang hle.
• Tlu hlauhawmna sang zawk: Kum upa lam, tlu fo thin, emaw, balance lama harsatna nei te pawh hi an hlauhawm zawk bawk.

Dik tak chuan, kutpui hliam (sprained thumb) hi hliam na tak a ni .

Kutpui hliam (sprained thumb) hian eng symptoms nge a neih?

Symptoms chu a hliam nasat danah a innghat. A hmaa kan sawi tawh level pathum a zirin symptoms a inang lo.

Grade 1 (a hliam na lo) 1.1.

• Thumb bul ah natna emaw press a nih chuan na .
• Thumb-ah emaw a bul emaw-ah emaw a hring chhuak .
• Kut zungtang bul ah hliam (blueness) hmuh.

A châng chuan, hliam na lo tak tak nei te chuan hliam an tuar hnu lawkah natna nasa tak an nei lo thei bawk.

Pawl 2 (Moderate Sprain) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

• A hnathawh dan leh range of motion of the thumb.
• Thumb bul ah natna nasa tak leh press a nih chuan na .
• Thumb-ah emaw a bul emaw-ah emaw a hring chhuak .
• Kut zungtang bul ah hliam a awm tih hmuh.

Grade 3 (a hliam na tak) 1.1.

• Thumb bul ah natna nasa tak leh press a nih chuan na .
• Thumb joint-a loose emaw instability emaw awm.
• Thumb leh index finger inkar thil pakhat man harsa .
• Thumb chhunga lump ang maia hriatna. Hei hi ulnar collateral ligament (UCL) a chhe vek tawh chuan a thleng thei a ni. Ligament chhe tawh tawp chu vun hnuaia hnim hring ang maiin a lang thei.
• Thumb-ah emaw a bul emaw-ah emaw a hring chhuak .
• Kut zungtang bul ah hliam a awm tih hmuh.

Thumb sprain awm chhante chu engte nge ni?

Thumb sprain awm chhan ber chu chakna nasa tak avanga kut zungtang chu kut, hnungzang, a nih loh leh kawng danglam takah a inher chhuak a ni Hei hi kut phar chhuakin lei a rawn deng hian a thleng fo thin.

Ski pole a vawn laiin skier a tlak pawhin a awm fo thin . Chuvangin "Skier's Thumb" an ti bawk.

A châng chuan, thil tih nawn fo, tih nawn fo (e.g., infiamna ṭhenkhat, hna ṭhenkhat) hun rei tak chhunga thil chelh emaw, hrual emaw ngaite chuan ligament chhiatna leh hliam an nei thei a ni. Hetiang hun rei tak chhunga natna hi "Gamekeeper's Thumb" tia hriat a ni bawk.

Engtin nge doctor-te chuan kutpui (thumb sprain) hi an hriat theih?

Doctor i hmuh hunah chuan hliam chu engtin nge a lo awm tih te, engtikah nge a lo awm tih te, leh i natna lan chhuah dante chu eng nge ni tih an zawt hmasa ang che . Tichuan, i thumb joint chu engtiang chiahin nge a stable tih leh khawi atanga natna lo chhuak nge tih chu physical exam an ti ang. Hei hian a hliam a nih leh nih loh leh a nasat dan tur a hriat theih nan a pui ang. Imaging test pawh an order thei a, a hmaa kan sawi tawh ang khan.

Diagnostic test te pawh a awm

Taksa enfiah hnuah doctor chuan hliam dang a awm leh awm loh enfiah nan emaw, a hliam nasat dan dik tak hriat nan emaw hetiang test hi a ti thei ang:

• X-ray hmanga tihchhuah:
• Hei hian ruhte chipchiar takin thlalak a la thei a ni. Hei hian i natna leh i hliam hi i ruh tliak vang a nih leh nih loh hriat theih nan a pui thei a ni.
• Tin, ligament hian a pull em tih leh avulsion fracture a thlen em tih pawh i check thei bawk a, chu chu ruh atanga ruh te tak te hmanga ligament a chhuah thinna a ni.
• Stress X-ray: Hei hi X-ray lak laiin doctor-in i kutpui hliam chu pressure tlem a pe a. Hei hian MCP joint stability chungchang hi a hriat belh theih a ni . Pressure hian natna a thlen chuan doctor chuan kutpui bulah hian numbing medicine (anesthetic) a inject thei bawk.

• MRI (Magnetic Resonance Imaging) hmanga tihchhuah a ni.
• MRI hian radiation hmang lovin taksa chhung lam chipchiar takin thlalak a la thei a ni. X-ray pangngaia hmuh theih loh ruh chipchiar tak tak a hmu thei a, chubakah soft tissue (sprain emaw muscle strain emaw a nasat dan ang chi) chipchiar takin a hmu thei bawk. He thu hian doctor chu enkawl dan tur ruahmanna siamin, operation a ngai em tih thutlukna siam turin a pui a ni.

• Musculoskeletal Ultrasound hmanga tihchhuah a ni:
• Hei hian sound wave hmangin taksa thlalak a la thin. I doctor chuan ultrasound hmangin ruh pakhat chhehvela soft tissue te chu a enfiah thei ang. Hei hian ligament-te chu a ṭhen a chhe tawh em, a chhe vek em tih, a nih loh leh tui a awm khawm em tih hriat theih nan a pui thei a ni. Hei hian hliam nasat dan leh enkawlna tha ber hriat theihna turin a pui thei a ni.

Engtin nge kutphah (sprained thumb) chu i enkawl ang?

Enkawl dan chu a hliam nasat danah a innghat a ni.

Mild sprains (Grade 1) te enkawl dan 1.1.

Hengte hi PRICE method (Protection, Rest, Ice, Compression, Elevation) zawmin in lamah enkawl theih a ni tlangpui.

• Invenna: Thumb spica splint ni engemaw zat vuah la, hliam na hmun chu a che thei lo ang. Hengte hi damdawi dawrah emaw, online-ah emaw lei theih a ni.
• I kut chawlhtir: I kut hliam chu i hliam hnu darkar 48 tal hman loh tur a ni. Hei hi splint i neih chuan tih a awlsam zawk. Splint i neih loh chuan i kut/kutpui chu natna thlen thei zawng zawngah hman loh tur a ni.
• Icing your thumb: I hliam hnuah a rang thei ang bera i kutpui leh kut ah ice hnawih thin ang che. Hei hian swelling tihziaawmna kawngah a pui thei a ni. Ice massage hian natna chu target turin a pui thei a ni. Ice cube chu puanah khuh la, ni khatah vawi tam tak minute thum atanga minute nga chhung chu a natna hmunah chuan circular motion-in hnawih rawh. A chang chuan ice bath hian a pui thei bawk - i kutpui leh kut chu ice water-ah minute thum atanga minute nga chhung dah la. Mahse, a lutuk lo turin fimkhur la, frostbite i nei thei bawk.
• Compression bandage hman: Kutpui hliam chu elastic compression bandage hmangin khuh rawh . Thumb spica splint thenkhat pawh hian he elastic feature hi an nei ve bawk. Hei hian swelling a tihziaawm thei bawk.
• I kut chawi sang: Chawlh lai hian i kut chu i thinlung chungah a theih ang angin dah la.
• Pain reliever ei: Over-the-counter pain reliever, aspirin leh ibuprofen te hian natna leh hliam na a tidam thei a ni.

Ni hnih chawlh leh heng in lama enkawlna hnua natna leh hliam chu a reh lo a nih chuan doctor pan ngei ngei tur a ni .

A rilru a buai em em a, a rilru a buai em em bawk (Grade 2) .

• Thumb Spica Splint emaw Cast emaw Bun: I doctor chuan i kutpui a dam hma loh chuan a che thei lo turin splint emaw cast emaw bun turin a rawt mai thei. A hliam nasat dan azirin i doctor-in a chhuah tir che a tih hma loh chuan a hmunah i dah reng a ngai mai thei.
• I kutpui leh kut chu ice la: I hliam hnuah a rang thei ang bera ice hnawih rawh. Hei hian swelling tihziaawmna kawngah a pui thei a ni.
• Painkiller ei: Damdawi dawr atanga i lei theih tur painkiller hmang rawh.
• Stretching exercise hrang hrang: 1.1.Kutpui chu a che thei lo avangin a nghet thei hle. Chuvangin, i doctor chuan i kutpuiah chetna a neih leh theih nan stretching exercise thenkhat a rawn rawt thei ang. Heng exercise te hi engtikah nge i tan dawn tih i doctor thupek zawm rawh.

Sprain na tak enkawl dan (Grade 3) 1.1.

• Surgery neih: Ligament a chhe vek chuan operation neih a ngai fo thin. Surgery chi hrang hrang a awm a, chu chu ruh-a ligament inzawm leh, avulsion fracture chu ruh anchor, pin emaw screw hmanga siam that te hi a ni.
• Cast emaw splint emaw bun: Operation hnuah i kutpui a dam theih nan kar 6 atanga kar 12 vel cast emaw splint emaw i bun a ngai dawn a ni.
• Occupational/Physical Therapy: I kutpui chu operation hnua a dam leh chuan i medical team chuan i kutpui leh kut chakna leh range of motion neih leh theih nan exercise bik tih turin an hrilh ang che.

I kutpui i hliam a nih chuan damdawi in pan a ngai em?

A chang chuan natna leh hrehawmna kan nei vek a, mahse natna awm reng chu thil pangngai a ni lo. I kutpui i hliam a, ni hnih khat chawlh i la a, ice i hnawih hnuah pawh i la na a nih chuan doctor i pan ngei tur a ni . Hliam na zawk a awm leh awm loh enfiah turin test a kalpui mai thei a, i kutpui chu a nghet theih nan splint a pe mai thei bawk.

Kutpui hliam (sprained thumb) chu a dam theih nan eng chen nge a mamawh?

Hei hi a thlen theih hun chhung hi a hliam nasat danah a innghat a ni. Mild sprain (Grade 1) hi kar li atanga kar ruk vel chhungin a dam tlangpui a, mahse i kutpui chu splint emaw cast emaw hmanga i immobilize a, a ti na thei thil tih loh chuan a dam thei chauh a ni.

I hliam na tak (Grade 3) chu a dam kim theih nan leh i kutpui chu a pangngaia i hman theih nan thla engemaw zat a ngai thei. Hei hi a chhan chu hliam na tak nei tan chuan operation a ngai tlangpui a, chu chu splinting/casting, leh physical therapy tih a ngai thin.

Engtin nge kut zungtang hliam (sprained thumb) hi ka enkawl ang?

I doctor thupek ang chiah kha zawm rawh. Ligament hi a dam theih nan hun a duh avangin thla khat tal chu kut hmanga thiltih leh infiamna te hi pumpelh tum ang che.

Thumb sprains hi engtin nge kan ven theih ang?

Thumb sprain venna atan thil engemaw zat tih theih a awm a:

• I kut hmanga exercise emaw sport emaw i tih hmain i kut leh kut zungtang ruh te chu uluk takin han hrual hmasa phawt ang che .
• Infiamna khelh hunah invenna hmanrua vuah tur a ni .
• Tlu lo turin hmun zau takah exercise la .
• Kekawr in fit tha tak ha la, i pheikhawk hrui chu a inbun tha em tih enfiah rawh. Hei hian an inzawmkhawm theihna a ti tlem ang.
• Skiing i tih hian i tlu dawn a nih chuan i ski pole te kha thlah la , nghet lutuk suh.
• Tlu hlauhawmna sang tak i neih chuan kea kalna hmanrua, tiang emaw, kea kalna emaw hmang ang che .

Thumb sprained a awm chuan eng prognosis nge ni?

Thumb sprains na lo (Grade 1) leh moderate (Grade 2) te hi chawlh hahdamna tha leh kutpui tihkhawtlai loha enkawl a nih chuan hun rei tak chhunga harsatna awm lovin a dam tha tlangpui.

Zirna tam takah chuan ulnar collateral ligament (UCL) sprains na tak (Grade 3) surgery hi a tlangpuiin a hlawhtling tih a lang. Grade 3 UCL sprains surgery hmanga enkawl loh chuan chronic instability a thlen tlangpui .

Thumb hliam hian harsatna a thlen thei em?

Harsatna awm thei chu a hliam nasat dan leh a ligament a chhiat danah a innghat a ni. Thumb sprain avanga harsatna awm thei thenkhat chu:

• Thumb ah natna rei tak a awm .
• Kut zungtang ruh natna (arthritis) a awm.
• Thumb joint a nghet lo .
• Pinch chakna a tlahniam .
• Surgery avanga nerve chhiatna .
• Thumb joint -a range of motion tlahniam .

Engtikah nge Doctor ka hmuh ang?

Thumb sprain symptoms i neih chuan kutpui na leh ruh inzawmna nghet lo ang chi i neih chuan doctor pan rawh .

I kutpui i hliam tawh chuan i doctor hnenah symptom thar, buaithlak tak i neih chuan hrilh rawh.

I hre reng ang u (Take-Home Message) .

Kan nitin nun kan kalpui vek hian accident tenau leh tlu te kan tawk thei vek a ni. Chutiang hliam tlanglawn tak pakhat chu kutpui kutpui (sprained thumb) hi a ni. I kutpui i hliam a nih chuan doctor pan hlau suh. Sprain awlsam zawk emaw, thil pawi zawk emaw, hliam dang emaw a nih leh nih loh hriat a pawimawh. I kutpui chu a pangngaia a awm leh theih nan treatment plan i neih theih nan a pui bawk ang. Chuvangin, fimkhur rawh!

` Thumb Sprain, Thumb Sprain, Sprain, Ligament, Kutpui na, Enkawlna, Invenna, Infiamna lama Hliam