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.

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 (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 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.

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.