Infiamna, tlan, zuang, a nih loh leh hna hahthlak tak tak thawk duh mi i ni em? A chang chuan hmun khat atanga lo chhuak i ke emaw, i kut emaw ah natna tlem i nei thin em? A tirah chuan ngaihven lo mah la, he natna hi nitin a zual zel niin a lang em? Chutiang a nih chuan hei hi taksa ruh natna pangngai a ni lo va, Stress Fracture . Ngaihtuah buai suh, hei hi mi tam tak, a bik takin infiammi te tuar nasa tak a ni. Engkim hi a awlsam zawngin sawi ila.
A awlsam zawngin, stress fracture tih hi eng nge ni?
Stress fracture chu i ruh (ruh) a crack te tak te, te tak te tak te a ni. Hun kal zelah concrete bang a hrual ang mai a ni. Ruh chhunga major break nghal mai a ni lo. Chuvangin mi thenkhat chuan "hairline fracture" an ti a, a chhan chu sam zung ang maia line te tak te a nih vang a ni.
A hming ang bawkin heng ruh tliak te hi ruh pakhat chu stress emaw pressure nasa lutuk emaw a nih chuan a thleng thin. Doctor-te chuan hei hi "overuse injury" an ti. Chumi awmzia chu taksa peng khat chu chawlh hahdam lovin phurrit inang chiah a tih nawn leh chuan a awm tihna a ni. Ni tam tak chhung chu rit inang chiah tlan emaw, chawi emaw chu han mitthla teh. Chu lungkhamna aṭanga harhchhuah hun a neih loh chuan ruh chu zawi zawiin a chhe tê tê a lo chhuak ṭan a ni.
Khawiah nge heng stress fracture te hi a awm tam ber?
A tam zawkah chuan he natna hi kan taksa rit phur ruhah a awm thin. Chu chu kan ding lai te, kan kal lai te, kan tlan lai emawa kan rit zawng zawng phurtu ruhte hi a ni.
Risk nasa berna hmun: 1.1.
- Ke hnuai lam: Heta ruh pahnih hi tibia leh fibula te an ni.
- Sole: Ke ruh leh ke ruh inzawmkhawmtu ruh (metatarsals) -ah.
- Heel: Heel ruh (calcaneus) .
Hmun tlemte mahse hmun awm thei te:
- Lumbar ruhro (lumbar spine) a ni
- Hip ruh a awm
- Kut leh kutphah
Stress fracture hian eng symptoms nge a neih? Engtin nge a awm?
Stress fracture i neih chuan heng symptoms zinga pakhat emaw a aia tam emaw i nei thei. He natna hi eng ang nge a nih tih hi han thlir ila.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Activity nena inzawm natna a pung zel | I tlan emaw, exercise i tih emaw, hnathawh emaw hian a natna chu a intan a, a zual zauh zauh bawk. |
| Chawlh hahdam pawhin a reh ngai lo natna | Activity tihtawp hnuah pawh natna chu a reh vek lo. A châng chuan, chawlh hahdam lai pawhin a natna chu hriat theih a ni. |
| Thinrimna | Zawi zawiin ka kut zungtang chu a na hmunah ka hmet a nih pawhin ka na hle. Hliam chunga kut nghah ang mai a ni. |
| Vung | Natna hmun vel chu a hring te te i hmu mai thei. |
Mi tam tak chuan he natna hi hmun khatah chiah an hre thin. Entirnan, i keah stress fracture i neih chuan i ke pum pui chu a na deuh thei a, mahse a na ber leh a natna chu ruh tliak chungah chiah a awm ang.
Engvangin nge stress fracture kan neih? A chhan berte chu engte nge ni?
Kan sawi tawh ang khan hei hi a chhan ber chu "overuse," a nih loh leh thil pakhat tih nawn fo hi a ni. Ruh pakhat chu damna hun pe lovin pressure dah reng.
Ngaihtuah teh, kan ruhte hi building ang mai a ni. Maintenance pawh an mamawh hle. Exercise kan tih hian kan ruh te chu a chhe deuh deuh thin. Mahse kan chawlh hian kan taksa chuan chu chhiatna chu a siam tha a, ruh chu a tichak zawk thin. Stress fracture-a thil thleng chu a chhiatna chu siamthat hun pe lovin a chhunzawm zel a ni. Pakhatnaah chuan ruh chung lamah "stress reaction" an tih condition a awm a. Hei hi ruh chhung thuk taka hliam tuar ang mai a ni. Chu hliam chu a dam hmaa i rit i dah chhunzawm chuan zawi zawiin a thuk zawk a, ruh chu a tichak lo va, a tawpah chuan a chhe te te a siam a, chu chu stress fracture an ti a ni.
Hei hi a chhan tlangpui thenkhat chu:
- Chawlh hahdam tawk lo training: He risk hi a bik takin infiammiten training an neih chhunzawm zel hian a sang hle.
- Activity tihpun nghal zat:Kar khata ni hnih tlan thin i nih kha han ngaihtuah teh. Kar khatah ni ruk vel i tlan tan thut chuan i taksa hian insiamrem hun a nei tawh lovang.
- Infiamna thar emaw exercise thar tan: Training mumal leh kaihhruaina mumal nei lovin thil thar tan nghal mai.
- Training surface thlak danglam: Indoor track-a tlan a, rang taka asphalt-a tlan tan ang mai a ni.
- Kekawr emaw hmanraw in fit tha lo hman: A bik takin tlantute tan pheikhawk tha tak neih loh hian nghawng lian tak a nei thei a ni.
- Kum naupan lai atanga infiamna pakhata specialise: Naupang thenkhat chuan kum khat chhungin infiamna inang an khel thin. Chutiang naupang chu infiamna chi hrang hrang khel naupang aiin stress fracture a nei tam zawk.
Tute nge stress fracture vei theihna chance sang zawk?
Mi thenkhat chu midang aiin he natna hi an vei theihna chance a sang deuh hlek a ni.
Infiamna leh thiltih hrang hrang
An ke hnuai leh ke hnuai lam pressure nasa tak siamtu infiamna khel thinte chu risk sang zawk an ni.
- Hmun hla tak tak tlan leh athletics
- Basketball khelh a ni
- Tennis khelh a ni
- Gymnastics (hengte hi kut leh kutphah ah pawh a lo thang lian thei) .
- Lam
Hriselna lama harsatna dangte
Natna thenkhat leh taksa dinhmun te pawhin hei hi a nghawng thei a ni.
- Osteoporosis: Natna pakhat, ruh tichak lo.
- Ke lama harsatna: ke flat emaw, ke arch sang emaw.
- Vitamin D tlakchhamna: Vitamin D hi ruh chakna atan a pawimawh hle.
- Obesity: Taksa rihna a tam poh leh ruhte hian pressure a tuar nasa zawk thin.
- Ei leh in lama harsatna: Taksain ei leh in mamawh a dawn loh chuan ruh a chak lo thin.
Doctor, engtin nge hei hi stress fracture a nih leh nih loh i hriat theih ang?
Hetiang natna i neih chuan doctor pan ngei ngei tur a ni. A enfiah ang che a, i dinhmun chu a hmuchhuak ang.
A hmasa berin doctor chuan zawhna a zawt ang che. Engtin nge a natna chu a lo intan, engtikah nge a na zual, eng infiamna nge i tih, etc. Tichuan a natna awmna hmun chu a enfiah ang. Ke pakhata ding turin emaw, tlem tal zuang turin emaw a ti thei che a ni. Hei hian natna awmna hmun dik tak chu a hriat theih nan a pui ang che.
A châng chuan test eng emaw zat tih a ni thei a, chu chu a natna hriat chian a ni.
- X-ray: Mahse hre reng ang che, stress fracture hi a lo awm hnu kar hmasa berah chuan X-ray pangngaiah hmuh tur a awm lo mai thei.
- MRI scan (Magnetic Resonance Imaging): Hei hi stress fracture hriat theihna tha ber a ni. Ruh leh a chhehvel soft tissue te thlalak chiang tak tak a siam thei a ni.
- CT Scan (Computed Tomography) hmanga tihchhuah a ni.Hei hian ruh chipchiar taka thlalak a pe thei bawk.
- Bone scan (Whole body bone scan): Hei hi a then phei chuan hman a ni bawk.
Awle, tunah chuan enkawl dan tur kan sawi dawn nia.
Hei hi enkawlna tha ber leh pawimawh ber chu chawlh hahdam hi a ni . Ruh chu a dam theih nan hun pek. I doctor chuan i dinhmun a nasat dan a zirin enkawlna a pe ang che.
A pawimawh ber chu natna thlentu thiltih kha tihtawp vek hi a ni. "Natna chu khelhpui ngai suh."
Enkawlna hman tlanglawn tak takte:
- Chawlh: Kar engemaw zat emaw, thla engemaw zat emaw chhunga natna thlentu infiamna emaw thiltih emaw tihtawp.
- Icing: Natna leh hliam tihziaawm nan ice pack towel-a khuh chu minute 15-20 chhung ni khatah vawi tam tak hnawih thin ang che.
- Natna tidamtu: I doctor chuan nonsteroidal anti-inflammatory drugs (NSAIDs) emaw paracetamol emaw a rawn rawt thei ang. Mahse hre reng ang che, doctor rawn hmasa lovin ni 10 aia rei pain reliever ei suh.
- Elevation: A theih phawt chuan ke emaw kut hliam chu thinlung level aia sangah dah tur a ni. I mut laiin ke hnuaiah pillow i dah thei bawk.
- Compression: Hliam chu elastic bandage hmangin i khuh thei a, chu chuan a hring a ti tlem thei a ni.
- Immobilization: A châng chuan ruh chawlhna tûrin plaster of Paris (cast), boot bik emaw, pheikhawk emaw bun tûrin an hrilh thei che a ni.
- Kawngkhar hman: Ke hliam chunga rit tihtlem nan kekawrte hmang turin an ti thei che a ni.
A tam zawkah chuan zai a ngai lo. Mahse, ruh chu a dam ṭha lo a nih chuan, emaw, ruh tliak chu harsatna thlen theihna hmun, hip ang chi a nih chuan, doctor-te chuan internal fixation tih ang chi tih an rel thei a ni.
Eng chen nge a dam leh theih ang? Engtikah nge hna ka thawh leh theih ang?
Hei hi mi tam tak tan chuan harsatna lian ber a ni. Stress fracture hi a dam kim theih nan kar 6 leh kar 8 inkar a ngai tlangpui. A châng chuan a rei pawh a daih thei bawk.
Natna i hriat chhung chuan ruh chu a la chak lo tih hre reng ang che. I hmanhmawh chuan hmun khatah a chhe leh thei bawk.
I rilru a hahdam viau a nih pawhin i doctor-in a tih hma loh chuan infiamna, tlan leh zuang leh tan tawh suh.Zawi zawiin i thiltih i tan leh dan tur a hrilh ang che. A tlangpuiin, tui chawi leh cycle khalh ang chi exercise low-impact hmangin i tan ang a, chutah chuan tlan ang chi thilah i kal leh ang.
Engtin nge stress fracture hi i ven theih ang?
Hetiang dinhmun a lo thlen loh nan hian thil engemaw zat kan tih theih a awm.
| Eng nge tih tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Taksa thu ngaithla rawh. | Natna i hriat veleh activity kha titawp rawh. Natna hi i taksa atanga signal lo chhuak a ni. |
| Zawi zawiin kal zel rawh. | I exercise intensity leh duration tihpun nghal suh. Zawi zawiin tihpun la, kar khatah 10% vel. |
| Warm-up leh cool-down te pawh a awm bawk | Exercise engmah neih hmaa taksa tihlum a pawimawh a, a hnua tihlum hmasak a pawimawh hle. |
| Thil hmanraw dik tak ha rawh. | I infiamna nena inmil pheikhawk quality tha tak ha la. Runner i nih chuan kilometre 500 vel tlan zawh hnuah pheikhawk thlak a tha. |
| I ei leh in hi enkawl tha rawh. | Calcium leh vitamin D tamna ei tur ei thin la, hengte hi ruh chakna atan a pawimawh hle. |
Engtikah nge doctor i hmuh ngei ang?
Natna hi kan taksain, "Hetah hian thil dik lo a awm" tih min hrilh dan hi a ni. Chuvangin, thil tih lai emaw, i tih zawh hnu emawa natna emaw, hliam emaw i neih reng chuan ngaihthah suh la, doctor pan nghal rawh. Harsatna a awm chuan a hriat chian hma chuan enkawl leh tihdam a awlsam zawk.
Engtikah nge ETU (Emergency Treatment Unit) ah ka kal ang?
A then phei chuan enkawl vat a ngai thin. Accident lian tak (trauma) i tawrh emaw, a hnuaia symptoms te hi i neih chuan ETU (Emergency Treatment Unit) hnai ber pan nghal rawh.
- Natna nasa tak, tuar theih loh a awm chuan .
- I taksa peng pakhat i che thei lo a nih chuan.
- A part, kut emaw ke emaw ang chi chu a deformed a, a tlangpui aia danglamin a lang a nih chuan .
- Ruh tliak chu vun hmanga hmuh theih a nih chuan .
- A hring nasa emaw, hliam thar emaw a awm chuan.
Hetiang chi fracture hi stress fracture aiin a na zawk thei a, chuvangin doctor lam pan vat a pawimawh.
Take-Home Thuchah a ni
- Stress fracture hi thil thleng nghal mai a ni lo va, ruh pakhata pressure chhunzawm zel avanga zawi zawiin crack fiah lo tak a ni zawk.
- I taksa signal te chu ngaithla rawh. Natna i neih chuan ngaihthah suh. Hahchawl.
- Damna kawngah hian hmanhmawh suh. I doctor-in a hrilh che hmaa chawlh hi i hmalam hun athletic career-a i investment lian ber a ni.
- Kekawr dik tak, hmanraw dik tak, leh ei leh in inthlau tak hian heng hliam chi hrang hrang venna kawngah hian kawng thui tak a zawh thei a ni.
- Eng natna pawh i rinhlelh chuan speculate suh la, doctor hnenah diagnosis leh treatment dik tak hmu rawh.
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