I ke ruh te tak teah hian lump mak tak mai i nei tawh em? Hetah hian Tailor's Bunion'' chungchang thawnthu kan rawn dah a ni!

I ke pawn lam, ke ruh lian lam hawiah hian bump tlem a awm tih i hmu ngai em? Tlemte a na a ni mai thei, a nih loh leh i pheikhawk i bun chuan a tang ang maiin a lang. Chu chu vawiinah hian kan sawi dawn a ni, ``Tailor's Bunion.'' Mi thenkhat chuan ``Bunionette,'' an ti bawk a, a chhan chu bunion lian tak version te tak te ang maia a lan vang a ni.

Hei hi eng nge ni `(Tailor's Bunion)`? A awlsam zawngin sawi ila...

A awlsam zawngin, ``Tailor's Bunion'' chu ruh hring (bony bump) a ni a, chu chu i pinkie toe leh i ke inzawmna joint bulah a lo awm a , chu chu i ke pawn lam joint a ni. A dik tak chuan i pinkie toe leh base inzawmna joint bulah a thleng a, chu chu pangana ``metatarsophalangeal joint'', emaw doctor-te sawi angin ``MTP joint'' emaw a ni.

"Tailor's" tih hming a neih chhan i hria em? Tun hma chuan puan siamtute chuan an ke hrual a, an kephah chu leiah emaw, ṭhutthlengah emaw nghatin hna an thawk fo ṭhin. Chuvangin, hun rei tak chhunga chu ruh chu extra pressure avang chuan he bunion hi an nei tam zawk a ni. Chuvangin ``Tailor's Bunion'' tih hming a pu ta a ni.

Hetiang bunion i neih chuan i hre thei a, i mitin i hmu thei bawk. Amaherawhchu, i keah natna, khauh emaw, thil danglam bik emaw i neih chuan doctor emaw, podiatrist emaw pan a tha ber.

``Tailor's Bunion'' natna lan chhuah dan chu engte nge ni?

A lan chhuah dan tlangpui chu ureter bula ruh hring ( bone lump ) a ni . Mi thenkhat chuan symptom dang an nei lo thei a, a bik takin lump hi a te emaw, a thar emaw a nih chuan.

Mahse, ``Tailor's Bunion'' avanga symptoms i neih chuan hengte hi a lo awm thei a ni:

• I groin emaw i ke pawn lam emaw ah natna i nei thei .
• Pressure point ang maiin a lang thei a, a bik takin pheikhawk bun hian .
• Chu hmunah chuan a hring (swelling) a awm thei.
• A rawng emaw a sen emaw a danglam thei .
• Ke ruh vunah hian corn emaw callus emaw a lo awm thei .

A châng chuan, he ``Tailor's Bunion'' hian i ke ruhte chu a pianphung aṭanga a ben chhuahtîr thei a, chu chuan i ke ruh lian tak chu ke ruh dang lam hawiin a hruai chhuak thei a ni. Ngaihtuah teh, Nadeesha hian a office a kal hian kekawr kekawr sang tak, ke khar tak tak a ha fo thin. Hun a kal zel a, a ke ruh lianah hian bump te tak te a lo awm tih a hmuchhuak a, chu chu a kekawr a hak chuan a na a, a tang bawk. Chu chu ``Tailor's Bunion'' a ni thei.

Engvangin nge he ``Tailor's Bunion'' hi a lo awm?

A chhan ber chu i urethra emaw i joint emaw ah extra pressure a awm vang a ni.Thil pakhatin i ke ruh lian (big toe joint) chu hun rei tak (a tlangpuiin kum tam tak) chhunga pressure a siam chuan, chu pressure chuan joint chu a pianphung atanga a chhuah tir thei a, ke ruh dangte lam hawiin a kawhhmuh thei a ni. A tawpah chuan i ke ruh chu a hmun atanga a chhuah chuan i taksa chuan a compensate a, ``bunionette'', ruh bump, ruhkawr bulah a siam a ni.

Metatarsal joint-a extra pressure awm chhan ber chu:

• Kekawrte chu a tawi a, hmalam a hawi. Heng pheikhawkte hian i ke ruhte chu a ti nghet thei a ni.
• I kal danah harsatna thenkhat (ke mechanics).
• Natna thenkhat inflammation thlentu , entirnan, `(Rheumatoid Arthritis)` emaw `(Lupus)` ang chi natna.
• Hun rei tak ding emaw, i kea rit tam tak dah thei hna thawh emaw.

Hetiang hi tu nge vei thei ber?

Tu pawhin ``Tailor's Bunion'' hi an siam thei. Mahse, pawl thenkhat chuan an lo thanglian zawk a ni:

• Hmeichhia: Hei hi kekawr tight bik bun vang pawh a ni thei.
• An nu leh pate’n bunion emaw, kea kal harsatna emaw nei te: Bunions nei zinga 70% aia tam chuan nu leh pa pawh he natna nei ve tho an nei a.
• Ke hliam nei (infiammi te pawh tel) te.

``Tailor's Bunion'' pakhat chu enkawl loha dah a nih chuan eng nge thleng ang?

He ``Tailor's Bunion'' hi i enkawl loh a, i siam that loh chuan hun kal zelah a zual zel dawn chauh niin i ngai mai thei. Bone spur chu a lian lehzual ang a, natna leh hliam ang chi symptoms awm theihna chance a sang ang.

Bunionette neih hian i ke ruh tichhe thei natna dang i neih theihna a tipung thei a ni. Entir nan:

• Bursitis (ruh vel a fluid sac a inflammation) 1.1.
• `(Hammertoes)` (Ke ruhte chu a laiah ben) .
• `(Ke ruh natna)` (Ke ruh natna) .

Chuvangin, knot te tak te pawh ngaihthah suh. Natna i neih chuan Doctor pan vat tur a ni.

Engtin nge doctor-te chuan ``Tailor's Bunion'' a nih leh nih loh an hriat chian theih ang?

Doctor chuan taksa enfiahna hmangin ``Tailor's Bunion'' a nei tih a hmuchhuak ang . I ke ruh leh ke a enfiah ang a, i natna lan chhuah dan a zawt ang. I ke ruh lianah hnah i hmuh hmasak ber leh eng thiltih nge i natna lan chhuahna tizualtu tih doctor hnenah i hrilh a ngai ang.

I doctor chuan i ke ruhte thlalak lak nan i ke X-ray a order thei ang. X-ray hian bunion hi engzat nge a lo seilian tih leh i ke ruh (natural position) a nghawng dan te a tarlang thei a ni.

``Tailor's Bunion'' enkawl dan tur chu engte nge ni?

I doctor emaw podiatrist emaw chuan i ke ruh lian tak a pressure sang lutuk tihziaawmna tur leh Tailor’s Bunion a lian lo tur venna tur damdawi a rawn rawt ang che. Bunionette enkawlna atana hman tlanglawn ber berte chu:

• Kekawr thlak: Toe box thuk leh zau tak nei pheikhawk lama inthlak hian i ke ruhte pressure tihziaawmna kawngah a pui thei a ni. I pheikhawk awmsa kha stretch thei tur stretching devices a awm bawk.
• Bunion pads leh taping: Bunion pads, damdawi dawr hrang hranga hmuh theih te hi ``Tailor's Bunion'' vel ah dah theih a ni a, hei hian cushioning a pe a, pressure a ti tlem bawk. I doctor chuan i ke ruhte chu a hmuna vawn nan medical tape hman a rawt thei bawk.
• Orthotic devices: Orthotics chu insoles a ni a, i kekawrte chu i ke thlawp turin i kekawr chhungah dah a ni. Hengte hi damdawi dawrah lei theih a ni a, i duh angin i siam thei bawk. I doctor pawhin i ke ruh inkar spacer dah a rawt thei bawk.
• Natna tidamtu: Nonsteroidal anti-inflammatory drugs (NSAIDs) hian natna leh hliam tihziaawmna a pui thei a ni. Hengte hi pill angin emaw, topical NSAIDs angin emaw ei theih a ni. Amaherawhchu, damdawi lam thurawn tel lo chuan NSAID hi ni 10 aia rei ei loh tur a ni.
• Ice: Ice pack emaw puan lum emaw hmanga kut zungtang natnaah hnawih hian hahdamna a pe thei bawk. Ice pack hi vunah direct-in dah suh, puan te tak te in khuh rawh.
• Corticosteroids: Heng damdawi chi khat, doctor-in a pek, inflammation tihziaawmna tur damdawi chi khat a ni.
• Surgery: Enkawlna dangin i symptoms a ti reh lo a nih chuan, emaw, a natna a nasat em avangin i kal thei lo a nih chuan i doctor chuan bunion correction surgery neih a rawt thei ang. I doctor emaw, surgeon emaw chuan eng surgery nge i neih dawn tih leh a hnua i beisei tur chu a hrilhfiah ang che.

Engtin nge ``Tailor's Bunion'' chu a chhuah vek theih ang?

Dik tak chuan ``Tailor's Bunion'' tihbo vek theihna awmchhun chu operation tih hi a ni.

Mahse, hrisel tur chuan bunion surgery hmanga lakchhuah a ngai hauh lo. Mi tam tak chuan an natna lan chhuah dan chu operation tel lovin an enkawl thei a ni. I doctor emaw podiatrist emaw chuan i natna lan chhuah dan a nasat lutuk a, nitin hnathawh emaw, i kalna emaw tibuai thei a nih chauhvin operation tih a rawt ang.

``Tailor's Bunion'' ka neih chuan eng nge ka beisei ang?

``Tailor's Bunion'' vei tam tak chuan an natna lan chhuah dan chu operation tel lovin an enkawl thei a, an nitin nunah nghawng lian tham nei lovin an enkawl thei bawk. I doctor chuan i natna lan chhuahna tihziaawmna tur leh i ke leh ke ruh hrisel taka awmtir thei tur enkawlna hrang hrang zawng turin a thawkpui ang che.

``Tailor's Bunion'' lakchhuah nan operation i nei a nih pawhin thla engemaw zat chhungin i hnathawh pangngai zawng zawng chu i thawk leh thei tawh ang.

A pawimawh ber chu i keah lump thar emaw, a lo thang thar emaw i hmuh chuan doctor pan tur a ni a, a bik takin a na emaw, a hring emaw, a rawng a danglam tawh emaw a nih chuan. Enkawlna i tan hma chuan symptoms na tak tak emaw, complication emaw i neih theihna a tlem zawk.

``Tailor's Bunion'' lo thanglian zel hi ka veng thei ang em?

`(Tailor's Bunions)` thenkhat chu i thlak danglam theih loh chhan vangin an lo thanglian a, chuvangin i veng thei reng reng lo mai thei. Amaherawhchu, pheikhawk insiam tha, hrual hrual hak hi `(Tailor's Bunions)` (leh ke leh ke ruh lama harsatna dang tam tak) laka invenna tha ber a ni.

I ke nena inmil tur pheikhawk nuam tak zawng turin heng tips te hi zawm la:

• Kekawr kekawrte chu a zim, a zungpui sei tak tak nei hak loh tur – a bik takin i ke ruhroah a tight lutuk a nih chuan.
• I kekawr size i hriat pawhin, i kekawrte chu a fit tha ber tur i nih theih nan pheikhawk tlemte hmang la. Kekawr size hi brand hrang hrangah leh style hrang hrangah a inang lo deuh thei.
• Kekawr thar i lei hmain, a chhunga thut, ding leh kal chhuakin inbel hmasa phawt ang che. I ke ruhte chu eng position emaw chetna emaw i neih laiin a na em, a tlakbuak em, a pinch em tih enfiah rawh.
• Ni tawp lama pheikhawk hak tum hian fit dik zawk a pe thei che (i ke hi a pianphungah nitin a hring deuh a, chuvangin zing aiin chawhnu lamah a lian deuh thin).

I doctor emaw podiatrist emaw chuan i ke tan pheikhawk chi emaw brand tha ber emaw a rawn rawt thei ang. Structural foot problem dang i neih chuan flat feet emaw high arches emaw i neih chuan bunions venna atana orthotics i mamawh leh mamawh loh doctor zawt rawh.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan a rang thei ang bera doctor emaw podiatrist emaw pan rawh:

• I ke emaw i ke ruh emaw a na a nih chuan .
• Kal leh che harsa i neih chuan.
• I urethra bulah lump hmuh theih i neih chuan .
• I kut zungtang chhungah emaw a chhehvelah emaw swelling i neih chuan .

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• ``Tailor's Bunion'' ka nei em, kea harsatna dang a ni em?
• Eng ang enkawlna nge ka mamawh?
• Surgery ka mamawh dawn em?
• Kekawr chi hrang hrang bun loh tur em ni?

Tailor’s Bunion hi a pianphung anga tihtlem theih turin siam theih a ni em?

"Natural" tih thumal hian damdawi lam hrilhfiahna chiang tak a nei lo a, mahse ``Tailor's Bunion'' vei tam tak chu operation tel lovin enkawl theih an ni.

Mahse, ``Tailor's Bunion'' chu surgery hmanga lakchhuah mai loh chu a tihtlem theih dan tur a awm lo. Hriat reng tur chu, ``Tailor's Bunion'' pawh tiamin, damdawi lam harsatna eng pawh enkawl nan operation neih a ngai hi thil "unnatural" a awm lo. I tana enkawlna tha ber chu i tana hnathawktu leh i nun pangngaia hruai kir lehtu hi a ni.

Sewing machine pawh i neih loh laiin ``Tailor's Bunion'' i nei tih i hriatchhuah chuan i buai mai thei. Jeans ripped siamthat dan emaw, button loose siamthat dan emaw i hriat pawhin a pawimawh lo, ``Tailor's Bunion'' hi a hrehawm leh tibuaitu a ni thei.

I symptoms te hi ngaihthah suh, a tenau deuh pawh nise. I ke na reng reng, hring hring emaw, harsatna dang emaw, i rilru hahdam lohna tur nei reng reng nen i nun a ngai lo. I keah harsatna i neih chuan, a bik takin i ke ruh lian bulah thil thar i hmuh chuan doctor emaw podiatrist emaw pan rawh.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan kan sawi thin, ``Tailor's Bunion'' kha i hrethiam tawh a, a pawimawh ber chu:

• A theih ang angin pheikhawk tight, a bik takin pointed shoes bun loh tur. I ke ruhte chu zalen taka che turin phalsak rawh.
• I urethra bulah lump, na, emaw swelling ang chi thil i hmuh chuan ngaihthah suh la, doctor pan rawh.
• In most cases , operation neih a ngai lo. Hetiang dinhmun hi enkawlna awlsam tak hmanga control theih a ni a, chu chu pheikhawk thlak leh pad bun te hi a ni.
• Thlawhna atanga lo chhuak pawh a ni thei bawk. Chuvangin i chhungkuaa mi tu emaw chuan a nei a nih chuan nang pawhin tlem tal fimkhur a tha ber.

Lungngai suh, hei hi enkawl theih a ni a, mi tam tak a nghawng a ni. I ke kha enkawl rawh, a chhan chu khawi hmunah pawh phurtu che an ni!

` Taylor-i bunion, bunionette, ke na, pheikhawk, bunion, ke ruh, ke hriselna