I kut zungtang chu swan kawr ang maiin a inzawm em? Swan Neck Deformity chungchang hi i zir dawn nia.

A châng chuan kut zungtang emaw, kut zungtang engemaw zât emaw, mak tak maia ben i hmu tawh emaw, i tawng tawh emaw pawh a ni thei. Swan kawr ang maiin. Hei hi damdawi lamah chuan (Swan Neck Deformity) kan tih chu a ni. Vawiin hian hei hi eng nge a nih tak tak, engvangin nge a lo awm tih leh tih theih dan tur kan sawi dawn a ni.

A awlsam zawngin sawi ila, Swan Neck Deformity hi i kut zungtang chhunga tendon leh joint te a nghawng a ni. Thil thleng chu i kut zungtang tip-a joint chu hmalam hawiin a flex a , chu chu chhung lam tihna a ni. Middle joint chu a hyperextends a . 'S' letter ang maiin han ngaihtuah teh. A hming hi a chhan chu swan kawr ang maia a lan vang a ni.

Hei hi a kalh zawng (Swan Neck Deformity) hi (Boutonniere Deformity) an tih hi a ni. Chutah chuan middle joint chu hmalam hawiin a inbeng a, kut zungtang tip-a joint chu hnunglam hawiin a ben bawk. I kut zungtang chhunga tendon hrang hrangte a chhiat chuan, ruhkawrte hrualtu chakna balance nalh tak chu a danglam thei a ni. Chutah chuan kut zungtang te chu hetiang hian kawng hrang hrangin an ben tan ta a ni. Mi tam zawk chuan (Swan Neck Deformity) hi (Rheumatoid Arthritis) ang chi inflammatory condition vangin an nei thin. Mahse mi thenkhat tan chuan hliam vang pawh a ni thei. Neurological disorder thenkhat nei te pawhin (Swan Neck Deformity) an nei thei bawk.

Swan Neck Deformity natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun chhinchhiahna ber chu i kut zungtangte chu a pangngai lo taka a ben vang a ni. Hetiang deformity i neih hian i kut zungtang emaw, i kut zungtang emaw chu a la awm reng lai pawhin chutiang chiah chuan a awm a ni. He dinhmun hi hun kal zelah a zual thei hle. Kut zungtang natna chu tihzauh emaw, ben emaw i harsat thei a, i kut hman pawh i harsat thei bawk.

Swan Neck Deformity hi kut zungtang-a ‘S’ lem danglam tak en hian i hre thei ang:

• Nail bula distal joint chu hmalam pan a ni a, tlang chhip ang maiin a sang chho ta a ni.
• Middle joint chu hnunglam hawiin a hniam a, ruam ang maiin a hniam bawk.

A lan chhuah dan dangte chu:

• Hun kal zelah kut zungtang (finger joint) a nghet lo (stiffness) a pung zel.
• I kut zungtang hman i tum hian snapping sensation a awm .
• Kut zungtang ben emaw hman emaw tum hian natna hriat .
• Kut hman harsatna .

Engvangin nge hetiang hi a lo awm? Swan Neck Deformity hi engte nge ni?

A nihna takah chuan chhan engemaw zat a awm thei.

• Arthritis natna: a bik takin kut ruh tichhe thei teHei hi a tam zawk chu inflammatory conditions rheumatoid arthritis vang a ni . Psoriatic arthritis pawh hi a awm thei bawk. Heng dinhmunte hian kut zungtang chhunga soft tissue te a tichhe a, tendon te a tichak lo bawk.
• Connective Tissue Diseases : I kut natna thenkhat, scleroderma leh lupus te hian soft tissue a tichhe thei a, tendon a tichak lo thei bawk.
• Muscle Spasticity : Neurological disorder thenkhat, traumatic brain injuries emaw cerebral palsy emaw te hian duh loh zawnga muscle spasm a thlen thei . Hei hian kut zungtang ruh thenkhat chu a tikhauh lutuk thei a, chu chuan inthlauhna a siam thei a ni.
• Traumatic Injuries: Kut zungtang hliam , hliam, ruh tliak, emaw tendon hliam ( Mallet Finger ang chi) te hian he natna hi a thlen thei a ni. Kut zungtang chhunga tendon thenkhat tihchhiat emaw, tihchhiat emaw (Swan Neck Deformity) vang pawh a ni thei bawk.

Finger joint te chu hetiang hian a deformed a, chu chu finger joint te bend leh straighten tura puitu mechanism nalh takah thil a chhiat chuan a ni – chu chu ‘extensor mechanism’ kan ti a ni. Hei hi system buaithlak tak a ni. Tendon leh muscle te hi lever leh pulley ang maiin finger joint-ah an thawk dun a. Heng zawng zawng hi an thawk dun a, an inthlau hle a, a chhan chu hmun khata chhiatna chuan ruh dangte chu kawng hrang hrangin a nghawng a ni. Joint pakhata kawng khata force pulling a tlahniam chuan joint danga kawng danga force pulling chu a pung thei a ni. (Swan Neck Deformity) Joint pakhatah a intan fo thin a, chutah chuan joint dangte pawh chutiang bawk chuan an inthlak thin.

Hei hi a thlen theih dan tlangpui pathum a awm a, chungte chu:

• I kut zungtang chunglam extensor tendon a chhiat emaw a chak lo emaw a nih chuan.
• Kut zungtang hnuai lam ligament (Volar Plate Ligament) a chhiat emaw, a chak lo emaw a nih chuan.
• Contracture hi kut zungtang ruhte a nghet lutuk a, a inzawm khawm chuan a awm thin.

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Engtin nge doctor hian hei hi a hriat theih?

Doctor chuan i kut zungtang emaw, i kut zungtang emaw chu swan neck deformity i neih leh neih loh a enfiah ang. Anni chuan eng chen nge joint i ben leh extend theih tih an en ang a, engtiang chiahin nge a khauh tih an en bawk ang. I hriselna chanchin te, natna khirh tak i neih te, i natna thlentu hliam eng emaw zat te pawh an zawt bawk ang.

Hetiang test hi i ti thei bawk mai thei:

• (X-ray) emaw (MRI) scan – hliam emaw, ruh natna emaw a awm leh awm loh enfiah nan.
• Thisen Test – Inflammatory diseases hriatchhuahna atana pui turin.

Hei hi enkawl turin eng nge tih theih ang?

Doctor-te chuan hei (Swan Neck Deformity) hi hand therapy leh splinting (chu chu kut zungtang-a support dahna) hmangin siamthat an tum fo thin. Hand therapist chuan kut zungtang chi hrang hrang a pe thei a, zawi zawiin ruh hrang hrang a siam tha thei bawk. In lama i tih theih tur finger exercise awlsam tak tak an zirtir thei bawk.

Mahse, i ruh a khauh lutuk emaw, hliam siamthat ngai i neih emaw chuan operation i mamawh mai thei . Surgery neih chhung hian i doctor chuan tissue thenkhat a chhuah a ngai mai thei a, thenkhat chu a siamthat a ngai mai thei. A nih loh leh, i kut zungtang ruh (finger joint)-a chakna awmte chu a inthlau lehzual theih nân i tendon-te chu i sawn a ngai mai thei bawk. Operation hnuah chuan splint bun a ngai mai thei a, hand therapy chhunzawm a ngai mai thei.

Hetiang dinhmun hi eng nge ka beisei theih ang?

Enkawlna hian a dinhmun a ti tha thei a, kut zungtang chhunga range of motion engemaw zat a siam tha thei bawk. A bik takin a natna hi hriat hmasak a, enkawl hmaa enkawl a nih chuan a result a tha hle. Mahse, operation pawh hian a dinhmun chu a siam tha kim thei lo mai thei. Chronic condition i neih chuan a lo awm leh thei a ni.

Kei lam atang hian eng nge ka tih theih ang?

General treatment emaw, surgery emaw i neih pawhin, hun rei tak chhunga i dam theih nan hand therapy hi a pawimawh hle. Hei hi a bik takin swan neck deformity thlentu medical condition hnuaia awm i neih chuan a dik hle. Enkawl hnua hand therapy hman chhunzawm zel hi a tha ber tur a ni.

Swan neck deformity enkawlna chu a hnuaia awm enkawlnaah a innghat fo thin. A châng chuan a buaithlak thei a, chu chu a hnuaia dinhmun a zirin a ni. Entirnan, vawi khat hliam tuar chu operation hmangin siamthat theih a ni a, mahse rheumatoid arthritis ang chi natna rei tak chu dam chhung enkawl a ngai a ni.

I doctor chuan Swan Neck Deformity thlentu thil hrang hrangte chu theihtawp chhuahin a enkawl ang. Tin, natna a zual zel loh nan leh a lo awm leh tawh loh nan thurawn an pe bawk ang che. I kut zungtangte chu tlem a danglam deuh pawh nise, a theih ang anga hnathawh leh chetna vawng reng turin in lama i tih theih turte an hrilh bawk ang che.

Chuti a nih chuan, heng zawng zawng atang hian eng thil nge kan hriat reng tur?

• Swan Neck Deformity hi deformity a ni a, a kut zungtang chu ‘S’ angin a ben a, chu chu swan kawr ang mai a ni. Hei hi kut zungtang tip chu hmalam hawia ben a, middle joint hnunglam hawia ben a nih chuan a thleng thin.
• Hei hi arthritis conditions rheumatoid arthritis -a lo awm fo a ni a, mahse hliam, connective tissue natna dang, leh nerve disorder vang pawh a ni thei.
• A lan chhuah dan ber chu kut zungtang a khauh, a ben laia ‘click’ ri, na leh kut hman harsat te hi a ni.
• Hei hi damdawi lam enfiahna hmangin hriat theih a ni a, X-ray emaw MRI emaw hmangin hriat theih a ni mai thei.
• Hand therapy , splinting , leh a chang chuan surgery te hi enkawlna ber a ni.
• Enkawl tan hma a pawimawh hle. Tin, a hnuaia dinhmun dik tak enkawl leh kut hmanga enkawlna chhunzawm zel hi dam lehna atan a pawimawh hle bawk.

Heng symptoms te hi i neih chuan hlauthawng lova doctor lam pan a tha ber. Enkawlna rang tak hian rah tha tak a chhuah thei a ni.