Nangmah emaw, i fa emaw hian i keah na a nei fo em, a bik takin ke ruhroah natna i nei fo em? I kal lai hian tlem a mak leh nuam lo deuhin i hria em? Tichuan, vawiin a kan sawi tur "tarsal coalition" an tih dinhmun hi in hriat a pawimawh hle mai thei. Lungngai suh, hei hi a tam vak lo, mahse hei hi hriat chian a tha.
He Tarsal Coalition hi eng nge ni? A awlsam zawngin i hrethiam ang u.
Okay, a hmasa berin heng "tarsal" ruhte hi eng nge an nih kan en ang. Tarsal ruh hi ruh pawl pakhat a ni a, i ke hnung lamah, i kephah leh i ke ruh inzawmna hmunah a awm a ni. Lunghlu te te inzawm khawm ang mai an ni. Heng ruhte hi an inzawm khawm a, kan ke hnathawh dan tur, kal, tlan leh zuang thei tura pui turin an thawk ho a ni.
Tunah chuan "coalition" tih hi eng nge ni? A awlsam zawngin, tarsal coalition chu heng tarsal ruh pahnih emaw a aia tam emaw hi a pianphung ni lo taka an inzawm khawm a, an inzawm khawm hi a ni. Ngaihtuah teh, a tlangpuiin heng ruhte inkarah hian ruh te te a awm tur a ni a, chutiang chuan zalen takin an che thei ang. Mahse, chutiang a nih chuan, chu ruhte inkarah chuan ruh thar, cartilage, a nih loh leh fibrous tissue thar a lo piang a, chu chuan ruh pahnih chu a thlunzawm a ni. Bridge siam mek ang mai a ni.
Hei hi genetic a ni em? Nge, chhan dang a awm em?
A tam zawkah chuan he tarsal coalition an tih hi genetic factors** avanga lo awm a ni. Chu chu naute pum chhunga a la awm laiin ke ruh lo thanglian danah thil danglam tlemte a awm vang a ni thei tihna a ni. Chumi awmzia chu rochun atanga lo chhuak pawh a ni thei tihna a ni.
Mahse, genetic a nih a ngai lo. Achangin,
- Infection pakhat avang hian , .
- Kea hliam na tak a neih avangin, .
- Tarsal coalition hi puitlingah pawh damdawi lam thil pakhat arthritis vangin a awm thei bawk .
He dinhmun hian tute nge a nghawng ber?
Tarsal coalition hi naupang leh puitling thalai zingah hmuh tur a tam ber a ni . Kum 9 leh 16 inkarah hian natna lan chhuahna a lo lang tan tlangpui a, a chhan chu ruh inzawm dan pangngai lo chu a thim a, a nghet a, a na zawk bawk.
Mahse, puitling thenkhat pawhin he natna hi a vawi khatna atan an nei thei a, a nih loh leh naupan lai atang tawhin a awm tawh a, a lan chhuah loh avangin a hnuah a lo lang thei bawk.
A hluar em avangin mipui 1% leh 6% inkar vel a tuar niin an sawi. Chutiang chuan a awm tihna a ni lo. Mahse, he natna vei zinga a chanve vel chuan ke pahnih (bilateral tarsal coalition)-ah hian he harsatna hi an nei thei a ni .
Tarsal Coalition hian taksaah eng nghawng nge a neih? Eng nge a lan chhuah dan?
Tarsal coalition nei zawng zawng hian symptom an nei vek lo. Mi thenkhat chuan an dam chhung zawng chu hrehawmna leh lungawi lohna awm lovin an hmang thei a ni. Chuvangin a chang chuan miten an nei tih pawh an hre lo.
Mahse, symptoms nei ve tho tan chuan natna na lo tak, a hun laia natna nasa tak atanga kal thei lo khawpa natna nasa tak thlengin a awm thei a ni . A lan chhuah dan tlangpui chu:
- Ke ruh hnuai lam emaw, ke lai takah emaw, ke hnung lamah emaw natna emaw, a nghet lo emaw . Ke chu a hrual ang maiin.
- Ke flat hian kal a ti harsa hle. Hei hian ke ruh tliak theihna a tipung bawk.
- Exercise, tlan, emaw, zuang emaw hian a natna a zual thei. Hun rei vak lo chawlh hnuah a reh thei a, i active leh hunah a rawn kir leh thei bawk.
- A châng chuan, heng chhinchhiahnate hi ke hliam tenau tak a neih hnuah a lang nghal ṭhîn .
Heng symptoms lo lang hun hi mi hrang hrangah a inang lo. Mi thenkhat tan chuan naupan lai atanga tan a ni a, kum 10-15 vel a ni. Midang tan chuan heng symptoms te hi puitling an nih hnuah chauh a lang thin.
Tarsal coalition chi hrang hrang a awm em?
Ni e, hei hi chi hrang hrang a awm. Chu chu ruh pangngai lo inzawmkhawmna hmun azirin chi hrang hrang a inang lo tihna a ni. A tlangpui ber chu:
- I ke ruh chhunga ruh lian ber (talus ruh) leh ke ruh (calcaneus ruh) inkarah inzawmna a awm a ni .
- A nih loh leh, heel bone (calcaneus bone) leh a hmaa navicular bone inkarah inzawmna a awm a ni .
Heng chi hrang hrangte hi hmuh tam ber an ni. Chu bakah, hmuh tur tlem zawk chi dang pawh a awm bawk.
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
Ke na i neih chuan doctor-in a tih hmasak ber tur chu i ke leh kekawrte uluk taka enfiah a ni ang . Khawiah nge a na tih te, engtin nge a na tih te, engtikah nge a na tih te zawhna an zawt ang che.
Tichuan, an natna hmuhchhuah chu nemnghet turin special imaging test engemaw zat an order ang . Chungte chu:
- X-ray: Hengte hian i ke ruh awmte chu a rough idea a pe thei che a ni. A châng chuan he inzawmna pangngai lo hi X-ray-ah chiang takin hmuh theih a ni.
- CT scan (computed tomography scans): Hei hian X-ray aiin thlalak chipchiar zawk a pe thei a ni. Tarsal coalition hriat nan CT scan hman a ni fo thin. Ruh inzawmna chu chiang takin a lantir thei a ni.
- MRI (Magnetic Resonance Imaging): X-ray leh CT scan-ah hian ruh a lang ber laiin, MRI hian ruh chhehvela tissue nem tak takte chu a tha hle thei a ni. A châng chuan he test hi a ngai thei bawk.
Heng test zingah hian eng test nge i mamawh tih hi doctor a ni tih hre reng ang che.
Hei hi eng enkawlna nge ni?
A tha ber chu tarsal coalition hian symptoms a neih chuan enkawlna a mamawh chauh a ni . Natna leh lungawi lohna a awm loh chuan enkawl a ngai lo tlangpui.
Symptoms a awm chuan non-surgical emaw surgical treatment emaw pawh a tha thei a, chu chu a natna nasat dan azirin a ni.
Surgery hmanga enkawlna ni lo
A hmasa ber chu he natna hi operation tel lova thunun tum hi a ni.
- Chawlh hahdam: Natna tipung thei thil (tlan, zuang ang chi) hun engemaw chen chawlhsan chuan ruh chunga pressure a tihziaawm bakah natna a tiziaawm thei bawk. A tlangpuiin kar 3 atanga kar 6 vel chawl turin an hrilh ang che.
- Injection: A chang chuan natna tihziaawm nan steroid injection pek theih a ni. Chungte chu ruh natna hmunah direct-in an inject thin.
- Orthotics: Kekawr insert leh arch support te hian i ke a ti nghet thei a, natna a tiziaawm thei bawk. Hengte hi i ke nena inmil tura siam a ni.
- Boot emaw cast immobilization: Temporary boot emaw plaster of Paris (POP) cast hmangin ke chu immobilize thei a, tarsal ruh-a pressure dang tihziaawm theih a ni.
- I taksa rihna tihtlem: I taksa rihna a san chhoh zel chuan i natna a zual chuan doctor nen inbia la, i tana tha tur thau tihtlem dan tur ruahmanna siam rawh.
Surgery hmanga enkawlna te
Surgery ni lo enkawlnain a natna a thunun theih loh chuan, a nih loh leh a natna a nasat chuan doctor chuan operation neih a rawt thei a ni.
- Resection: Hei hi tarsal coalition atana surgery neih tam ber a ni. Chu chu ruh inzawm dik lo (coalition) chu la chhuakin i taksa peng dang atanga lak tissue emaw muscle emaw hmanga thlak a ni. Mi tam zawk chuan he operation hnuah hian an keah hna pangngai an nei leh thei a ni.
- Fusion: A natna a nasat em avangin, emaw, ruh natna ang chi thil avanga ruh a chhiat chuan fusion an tih surgery tih theih a ni. Hei hian ruh natna chu a nghet taka inzawmkhawm a, chetna tihtlem a huam a ni. Hei hian screw, staple, a nih loh leh metal plate hman a huam thei . Hei hian ruhte chu a dinhmun tha zawkah a awm tir a, natna a tiziaawm bawk.
Enkawl loh chuan eng nge thleng ang?
Mi thenkhat tan chuan a natna leh lungawi lohna chu a nasat em avangin an thil tih nuam (infiamna emaw, kea kal emaw ang chi) an tih theih loh phah thei a ni. Enkawl loh chuan hun kal zelah ke chu a nghet zual thei a, kal a harsa thei bawk.Chuvangin, symptoms i neih chuan Doctor pan a tha ber.
Operation hnuah pawh complication a awm thei em?
Surgery dang ang bawkin, a hlauhawmna a awm bawk. Tarsal coalition surgery hnua harsatna awm thei thenkhat chu:
- Kaichhawng
- Thisen zam (Hematoma) .
- Hliam dam tha lo
- Ruh damna tha lo
- Nerve hliam a awm
- Thisen kalna kawng hrang hranga thisen zam
- Ke ruh (Flail toes emaw hammertoes emaw) pianzia thlak danglam .
- I ke ruh a nghet emaw, a chak lo emaw
Mahse lungngai suh, doctor-te chuan heng hlauhawmnate hi tih tlem tumin theihtawp an chhuah mek a ni.
Tarsal Coalition nena kan awm dun huna hriat reng tur thil
Hetiang dinhmun hi i neih chuan, a lan chhuah tirh lamah chuan, a thlen thei thil eng pawh kha titawp rawh . A tam zawkah chuan chawlh hahdam a tawk. Mahse a natna a awm reng chuan doctor pan tur a ni. I rilru hahna tihtlem nan injection emaw orthotics emaw a rawt thei bawk.
Surgery atanga dam leh theih nan eng chen nge hun a duh?
Dam leh hun chhung hi mi hrang hrangah a inang lo. A tlangpuiin tarsal coalition surgery atanga a dam kim theih nan thla 6 atanga thla 12 inkar a ngai thin. Mahse, he hun hi i kum, i natna nasat dan leh natna dang, arthritis ang chi i neih leh neih loh a zirin a rei zawk thei. Dam vat theih dan tha ber chu doctor thupek dik taka zawm hi a ni.
Hei hi ven dan tur a awm em?
Tarsal coalition hi genetic a nih fo avangin a pumpelh kim thei lo . Mahse, symptoms a awm tak tak chuan uluk taka enkawl theih a ni. A hmaa hriatchhuah leh enkawl dan dik chuan natna a zual zel loh nan a pui thei a ni.
Tarsal coalition a awm chuan eng nge kan beisei ang?
Mi tam takin he natna hi nei mah se, naupan lai emaw, tleirawl lai emaw hian a lan chhuah dan a lang thin. Mi thenkhat chuan symptom an nei ngai lo mai thei. Chuvangin he natna nei zawng zawng hi an inang vek lo.
Sports ka khel thei ang em?
Tarsal coalition nei tan chuan infiamna khelh hi a harsa deuh thei. Mahse, infiamna khelh chu thil theih loh a ni lo . Doctor-in he natna hi i nei tih a nemnghet a nih chuan, i doctor hnenah eng infiamna nge i tih theih leh tih theih loh te, eng khapna nge i neih tur tih te zawt rawh. Low-impact sports (swimming ang chi) i ti thei mai thei.
I sawi tur pawimawh ber chu
Tarsal coalition avanga natna hi a tithinur thei tak zet a, a chang chuan nitin hnathawhna a nghawng phah thei bawk. A chang chuan hriat theih nan hun rei tak a ngai thin. Mahse, vanneihthlak takin a hriat chian dan leh enkawl dan tha tak tak a awm. Heng enkawlnate hian i natna lan chhuah dan a thunun thei a, i nunphung a tichangtlung thei bawk.
Nangmah emaw i fa emaw hian an keah natna emaw, a nghet lo emaw a awm reng a nih chuan ngaihthah suh, doctor pan nghal la, thurawn la rawh. Tichuan, i tana tha tur enkawlna ruahmanna siam theih a ni. Ngaihtuah buai suh, damdawi lam thurawn dik tak nen chuan he natna hi uluk takin enkawl theih a ni!
` Tarsal Collision, Ke na, Ke ruh na, Ke Flat, Naupang Ke Natna, Ruh inzawmna, Surgery











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