Kan tlan emaw, kan zuang emaw, kan kal emaw hian kan ke hma lamah ruh a awm a, chu chu kan vawn nghet tlat a ni lawm ni? Kan sawi tlangpui hian ‘shin bone’ kan ti thin. Chu chu medical science-ah chuan tibia an tih chu a ni. Hei hi kan taksa ruh pawimawh tak leh chak tak a ni. Mahse a chang chuan he ruh chungchanga harsatna a awm a, a bik takin naupang tlan leh kea kal te hian ke a na thei a, kal a harsat phah thei bawk. Chuvangin vawiinah hian he ruh pawimawh tak hi chipchiar deuhin han sawi ila.
He Tibia hi eng nge ni?
A awlsam zawngin, tibia hi i ke hnuai lam, khup leh ke ruh inkar ruh lian zawk leh pawimawh zawk a ni. Kan thigh bone (femur) hnuaiah taksaa ruh sei ber pahnihna a ni.
Ngaihtuah teh, he tibia hian amah chauhin hna a thawk lo. Ṭhian ang ruh dang a nei a, chu chu fibula a ni. He fibula hi a thim deuh a, tibia nen khaikhin chuan a thim zawk. Heng ruh pahnih hi membrane chak tak hmanga inzawmkhawm a ni. ``Interosseous membrane`` kan ti a. Hei hian ruh pahnih hi a vawng tlat a, ruh nghet tak angin a thawk a ni.
Tibia hnathawh ber berte chu engte nge ni?
Kan taksa ruh zawng zawng ang bawkin tibia hian hna bik engemaw zat a nei a.
1. Taksa rih zawng phurh dan:
Ke hnuai lam ruh lian ber leh chak ber a nih angin, kan ding a, kan kal a, kan tlan hian kan taksa rit zawng zawng hi tibia hian a phur vek a ni . Building chhunga main pillar ang bawkin khup leh ke ruh inzawmna te, fibula te pawh a ti nghet thei bawk.
2. Muscle inrawlhna: 1.1.
Tibia-ah hian taksa peng 11 a awm a, chu chuan kan ke kan ben, kan tizau a, kan ti che thei a ni. Chu mai ni lovin, tendon leh ligament ang chi thil te pawh a inzawm tlat a ni.
Kan ruh ah hian ruhro a awm tih i hria ngei ang. He ruh sei tak tibia an tih hian yellow marrow a pai tam hle bawk. Tin, ruh tawp lamah hian red marrow engemaw zat a awm bawk.
Khawiah nge tibia hi a awm? A peng hrang hrangte chu engte nge ni?
Tibia hi i ke hnuai lam chhungah, khup leh ke ruh inkar ah a awm a. Fibula ruh te tak te hi i ke pawn lamah a awm a. Tibia hian hmun pawimawh engemaw zat a nei a.
- Proximal aspect: Hei hi khup siamtu thigh bone (femur) nena inzawm a ni. Knobby part pahnih a nei a. `medial condyle` leh `lateral condyle` kan ti a.
- Tibia shaft: Hei hi ruh sei ber a ni. Hei hi kan taksa rit phurtu chu a ni. Hei hi i ke hmalam i kut i dah hian vun hnuaia nghet taka i hriatna hmun a ni.
- Distal aspect: Hei hi ke ruh inzawmna (ankle joint) nena inzawm a ni. I ke chhung lam, i ke ruh bula ruh bump lian tak kha i hre reng em? Chu chu he hmuna awm `medial malleolus` chu a ni.
Engtin nge i tibia-ah harsatna a awm leh awm loh i hriat theih ang?
Tibia hi ruh chak tak ni mahse, tihchhiat theih loh a ni lo. A chhiat chuan symptoms a lantir thei a, chungte chu:
- Kea kal emaw, tlan lai emawa natna nasa tak .
- Kea rit dah theih loh.
- Ke a bawkkhup a.
- In-toeing chu kea ke ruhte chu kea kal laiin chhunglam hawiin a ni.
- Ke pakhat chu a dang aiin a tawi zawk tih a lang.
- Khup natna (Knee arthritis) a awm thei.
- Kea hring emaw, hliam emaw a awm.
- A hmaa awm ngai lo vun hnuaia hnim hring lo lang.
Heng symptoms te hi i neih chuan, a bik takin tlu emaw, chetsualna emaw hnua i neih chuan doctor thurawn lak a pawimawh hle.
Tibia tibuaitu natna tlanglawn tak takte chu engte nge ni?
Tibia ruh tichhe thei tur condition engemaw zat a awm. Tlemte han thlir ila. Hengte hi table anga hriatthiam a awlsam zawk.
| Dinhmun | A awlsam zawngin... |
|---|---|
| Tibia a tliak | Naupangte zingah ke hnuai lam hliam awm fo. Tlu tenau vang emaw, ke ruh tliak vang emaw pawh a ni thei. A nih loh leh, a pawi zâwk pawh a ni thei a, chu chu car accident emaw, hmun sâng aṭanga tlu emaw pawh a ni thei. |
| Osgood-Schlatter natna a ni | Hei hi khup natna chi khat a ni. A bik takin naupang infiamna khel leh puitling mekte zingah a hluar hle. He natna hi tibia chunglama growth plate chu an hrual chuan a lo awm thin. Hei hi a hlauhawm lo va, naupang a lo puitlin chuan a mah chauhin a dam tlangpui. |
| Blount natna a ni | Hei hi naupangte tibia growth plate tichhe thei dinhmun a ni bawk. Taksa rih lutuk hian growth plate-ah pressure a siam a, ruh pawh a thang tha lo hle. A chhung lam a thanna chu a tlahniam a, pawn lam erawh a thang chhunzawm zel a, chu chuan ke chu pawn lam hawiin bow ang maiin a ben a ni. |
| Paget-a ruh natna a ni | Hei hi ruh siamthatna rate chu a tlangpui aia nasa zawka a san lai a ni. Chuvângin, ruhte chu a chak lo va, a nêm a, a lian lutuk a ni. Hei hian ruhte a tikehsawm thei a, awlsam takin a tikehsawm thei bawk. Kum upa lam zingah a tam ber. |
| Ruh natna (Osteoporosis) a awm | Kan ruhte hi a chhe reng a, thlak danglam zel a ni. Ruh hlui a bo ruala ruh thar siam theih a nih loh chuan ruh chu a chak lo va, a chhe thei bawk. Tlu tenau pawhin ruh a tikehsawm thei. |
| Shin splints (Shin splints / Tibial stress syndrome) tih hi a tha hle a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. | Hei hi exercise neih lai, a bik takin tlan laia ke hnuai lam hmalam natna sawina atana hman thin a ni. Hetiang dinhmun hi ke flat nei te tan chuan exercise an tihpun thut chuan a thleng thei a ni. |
Engtin nge kan ruh, tibia pawh tiamin, kan hrisel theih ang?
Tunah chuan kan chetna leh nghet taka kan awm theihna tura tibia hi a pawimawh zia i hriat tawh avangin he ruhro hi hrisel taka vawn reng theih nan hian tih dan awlsam tlemte kan zawm thei a ni.
- Exercise neih fo : Kea kal leh tlan ang chi rit phur thei exercise hian ruh a tichak a.
- Taksa rihna hrisel tak vawn reng: Taksa rihna tam lutuk hian ruh leh ruhkawrte chu a tul lovah pressure a siam thin.
- Ei leh in inthlau tak ei: Calcium leh vitamin D (milk, yogurt, green vegetables) tamna ei tur hi ruh hriselna atan a pawimawh hle.
- Sports khelh hunah venhimna bun: A bik takin contact sports-a venhimna hmanrua hman hian ruh tliak a veng thei a ni.
I ke na reng reng, na tak i neih chuan, i ke pianzia a danglam tih i hriat chuan, emaw, i keah rit i hmang thei lo emaw, i phur thei lo emaw a nih chuan, a bik takin accident hnuah , doctor pan nghal rawh. Accident na tak a awm chuan i damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. Ke na leh hliam hi ngaihthah ngai suh.
Take-Home Thuchah a ni
- Tibia hi i ke hnuai lam ruh ber, rit phur thei ber a ni. Hei hi ‘shin bone’ kan tih chu a ni.
- He ruh hi kan chetna zawng zawng deuhthaw, kea kal leh tlanna atan a pawimawh hle.
- Ke na, hliam, kal harsa tih ang chi symptom i neih chuan ngaihthah suh. I doctor nen inbia ngei ang che.
- Naupang, a bik takin infiamna khel thinte hian Osgood-Schlatter ang chi natna hrehawm tak tak chu hun eng emaw chen atan an nei thei a ni. I hlauthawng hmain doctor thurawn la hmasa phawt ang che.
- Nun hrisel (balanced diet, exercise) hian i ruh a tichak thei a ni.
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