He hero te tak te hi i hria em? (Talus Ruh) .

I ke ruh chu i en a, "Engtin nge he ruh te tak te hian ka taksa pum pui rit chu a thlawp a, tlan, ka zuang leh kea ka kal theih nan min pui?" A mak tak zet a ni. He thil mak takah hian hero ngawi reng, mahse pawimawh tak a awm. Vawiin hian a chanchin kan sawi dawn a ni. Tin, chu chu talus ruh chu a ni.

A awlsam zawngin, talus ruh chu eng nge ni?

Talus hi ruh te tak te, mahse chak tak tak a ni a, i ke ruh, i ke hnuai lam leh i ke a thlunzawm a ni. Mi thenkhat chuan astragalus an ti bawk. I ke hnung lama ruh lian ber pahnihna a ni. Hei aia lian zawk ruh awm chhun chu heel bone a ni a, chu chu calcaneus a ni.

Ngaihtuah teh, i ke hnuai lam ruh lian pahnih, tibia leh fibula te hi he talus ruh hmang hian ke nen an inzawm a ni. Ke leh ke inkar kawngpui (bridge) ang mai a ni. He inzawmna hi ankle joint kan tih chu a ni.

He ruh danglamna dang chu ruh tam zawk angin taksa ruh nen direct-a inzawm lo a ni. Hei hian thisen supply a nei tlem tihna a ni. Chuvangin he ruh hi a chhe (fracture) chuan a dam theih nan hun rei tak a ngai a, harsatna a awm tam zawk. Chumi chungchang chu nakinah kan sawi leh ang.

He ruh te tak te hian eng hna nge a thawh?

"A te hle a mahse hna tam tak a thawk" tih thu hi he tailbone hi a inmil hle. Chu chu a thil tih thenkhat i hmuh hunah i hrethiam ang.

Talus ruh pianzia leh a hmun thenkhat

Talus ruh i en chuan sakawr hnungzang chunga saddle ang maia siam a ni. A chung lam chu a curve a ni. Ruh pumpui hi cartilage an tih, a hring hring, hnim hring in a khuh vek a ni. ‘Grease’ layer ang mai a ni. Ruh te hi an inhnim hrual hian he cartilage layer hian a ni a, friction tihziaawmna hmangin ruh chu awlsam taka a kal theih nan a pui thin.

Doctor ten he ruh chungchang an sawi hian a hmun thum an sawi thin. Hengte hi i hriatna tlangpui atan a pawimawh hle.

1. Talus lu: Hei hi ruh hma lam a ni. Kea navicular bone nen a inzawm a ni.

2. Talus taksa: Hei hi ruh peng lian ber, a lian ber a ni. Hemi chunga curved part hi ke ruh pahnih inzawmkhawmtu chu a ni a, ankle joint a siam a ni.

3. Talus neck: Lu leh taksa inkâra hmun zim tak chu Kawng a ni.

I ke ruh hliam i neih a, doctor i biak laiin heng thute hi i hriat chuan tunah chuan a chhiatna chu khawiah nge a awm tih chu i hre chiang thei tawh ang.

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Talus ruh tichhe thei harsatna tlanglawn tak takte chu engte nge ni?

Ruh dang zawng zawng ang bawkin talus ruh hian harsatna leh hliam chi hrang hrang a tawk thei a ni. Chung zinga pawimawh ber pahnih chu ruh tliak leh ruh natna (osteoporosis) te an ni.

1. Talus ) a tikehsawm

Hei hi talus ruh hliam na ber a ni. A tlangpuiin hetiang chi ruh tliak tur hian accident na tak tak a ngai thin.

• Hmun sang tak atanga tla: Ladder, thing, hmun sang dang atanga tla.
• Car accident: A bik takin motor accident-ah emaw, car-a brake nasat lai emaw hian.
• Sports accident: Sports-ah chuan zuang lutuk emaw, ke ruh hrual emaw a awm thin.

Mi pakhatin ladder a lawn a, hna engemaw a thawk a, rang takin a tlu a, a tlu ang tih han mitthla teh. An rit zawng zawng chu ke pakhatah an dah a, an ke ruh chu chhung lam hawiin a ben chuan talus ruh chu chak lutukin a chhe thei a ni.

A pawimawh ber chu talus fracture hi thil awlsam taka ngaih tur a ni lo. A chhan chu, a hmaa ka sawi tawh ang khan, he ruh hi thisen kalna a tlem vang a ni. Fracture a awm chuan heng thisen kalna kawngte hi a chhe thei a ni. Chutiang a nih chuan ruh hmun thenkhat chuan thisen a hmu tlem ang a, a thi tan ang (avascular necrosis). Chuvangin, inenkawlna tihkhawtlai hi a hlauhawm thei hle.

A ruh tliak chhinchhiahna

• Ankle area ah natna nasa tak a awm .
• Ankle a hring chhuak.
• I kal thei lo va, i ke pawh dah thei lo khawpa nuam lo taka inhriatna.
• Vun a rawn sen emaw, a hliam angin a lang emaw.
• Ankle pianzia inthlak emaw, lump danglam tak awm emaw.

Heng symptoms te hi i neih chuan, a bik takin accident hnua i neih chuan damdawi in Emergency Department (ETU) ah i kal nghal tur a ni.

2. Ruh natna (Osteoporosis) a awm

Hei hi ‘ruh hring (thinning of the bones) emaw ‘porous bones’ emaw tihna mai a ni. Kan tar chhoh zel chuan, a bik takin hmeichhiaah chuan menopause hnuah ruh density a tlahniam tan thin. Tichuan ruhte chu a chak lo a, awlsam takin a chhe thei a ni. A châng chuan a pangngaia kal lai pawhin ruh a chhe thei a.

Mi tam tak chuan ruh an tihchhiat hnuah chauh osteoporosis an nei tih an hrechhuak a, hei hi a hma hian symptom bik a awm loh avangin.

Kum 50 chunglam i nih chuan, a bik takin hmeichhia i nih chuan, emaw, i chhungte zinga mi pakhatin ruh natna (osteoporosis) a neih chuan, i doctor nen bone density scan neih dan tur sawipui a pawimawh hle.

Harsatna dang

• Arthritis: Ankle joint-a cartilage a chhe lutuk hian ruh a ti na thei a, ruh chu a che harsa thei bawk.
• Tarsal tunnel syndrome: Ke ruh chhunga nerve kal tlang compression avanga ke ruh tliak leh tingling ang chi natna lanchhuahna.
• Avascular necrosis: Ruh chhunga thisen kal tlakchham vanga ruh cell thi. Hei hi talus fracture avanga complication angin a thleng fo thin.

Engtin nge doctor hian harsatna a awm leh awm loh a hriat theih ang?

Ke ruh na nei doctor pan tura i kal chuan a tih hmasak ber tur chu zawhna a zawt che a ni. Like, accident i tawk em, engtin nge a na, a hring a awm em, chutah chuan i ke ruh a enfiah ang.

Tichuan, harsatna chu eng nge ni tih chiang taka finfiah nan hetiang test hi i en thei ang.

• X-ray hmangin:Hei hi a ruh tliak a awm leh awm loh enfiahna atana test bulpui ber a ni.
• CT scan: Hei hian 3D image-ah ruh chu a chhe tawh em tih leh ruh tliak laiah engtin nge a awm tih chiang taka hriat theih nan a pui a ni. Hei hi surgery ruahman nan a pawimawh hle.
• MRI Scan: Ruh bakah hian he test hi ruh chhehvela ligament, cartilage leh soft tissue dangte chhiatna enfiah nan hman a ni.
• Bone density test (DEXA scan): He test hi ruh natna (osteoporosis) i neih leh neih loh finfiah nan tih a ni.

Enkawlnate chu engte nge ni?

Enkawlna chu harsatna i neih danah a innghat a ni.

A ruh tliak enkawlna

A ruh tliak enkawlna chu a ruh tliak danah a innghat a ni.

• Immobilization: Ruh chi hrang hrang a che lo a nih chuan Plaster of Paris (POP) emaw fiberglass emaw hmanga siam cast hmangin ke ruh chu a che thei lo.
• Surgery: Talus fracture tam zawkah chuan ruh chi hrang hrangte chu a insiamrem leh a, a che thei lo turin screw leh plate hmanga siamthat a ngai a ni. Hei hian ruh chu a dam tha thei a, thisen supply a siam tha leh bawk.

Operation hnuah chuan zawi zawiin ankle mobility, chakna leh balance neih leh theih nan physiotherapy hi a pawimawh hle.

Osteoporosis natna enkawlna

Hei hi enkawlnaah chuan ruh chak lo zual zel tur venna leh ruh tihchakna lam a ni.

• Exercise: Weight lifting leh kea kal ang chi thil.
• Vitamins leh minerals: Calcium leh vitamin D supplement te.
• Damdawi: I doctor chuan ruh hloh titawp thei emaw, ruh thanna tichaktu emaw damdawi a pe thei ang.

Engtin nge i ruh zawng zawng, i talus pawh tiamin, i hrisel theih ang?

"Damdawi aiin fimkhur hi a tha zawk," an ti. Chuvangin accident pumpelh a, nun hrisel zawm a tha ber.

Talus hi ruh te tak te a ni a, mahse tunah chuan i nitin nunah a pawimawh zia chu i hrethiam tawh mai thei. Chuvangin i ke ruh natna, hring, emaw, hrehawmna emaw i neih chuan ngaihthah suh la, doctor pan rawh. Accident a awm chuan damdawi in Emergency Department (ETU) ah kal nghal ngei ngei tur a ni.