I kutphah chu i han herh lai khan a tlakbuak ang maiin i inhria ngai em, a nih loh leh click ri a siam ang maiin i inhriat ngai em? A nih loh leh i kut zungtang te tak te awmna hmuna i kut sir lama na nghal mai? Thil i chawi sang emaw, kawngkhar i hawn emaw, i kut i herh mai mai emaw pawh a ni thei. Heng thilte hi thil pangngai anga hnawl mai mai suh. Hei hi i kutphah hmun pawimawh tak takah harsatna a ni thei. Chu chu vawiina kan sawi tum chu a ni.
A awlsam zawngin TFCC chu eng nge ni?
TFCC tih hming hi a buaithlak deuhin a lang thei a, mahse a hnathawh dan erawh a awlsam khawp mai. TFCC hi Triangular Fibrocartilage Complex tih tawi a ni a . A awlsam zawngin sawi ila, kan kutphah nghet leh nghet taka awm theihna tura puitu cartilage leh ligaments khawlkhawm tlemte mahse pawimawh tak a ni.
Ngaihtuah teh, kan kut hmawr chung lamah ruh pahnih kan nei a. Chungte chu radius leh ulna kan ti a. Heng ruh pahnih hi kutphah chhunga ruh te te nen an inzawm a, kut ruh zawng zawng chu he TFCC hian a vawn khawm a, a ti nghet vek a ni.
Car-a shock absorber ang bawkin a hna ber chu kutphah chunga pressure awm chu absorb a, load kan chawi emaw, kan tlu emaw, ding atanga kan tho emaw hian joint venhim hi a ni. I kutphah chu i rotate thei a, bottle cap i hawng thei a, thil pakhat chu i chelh nghet thei bawk a, a chhan chu he TFCC hi a hrisel a ni.
Chuvangin he hmun pawimawh tak hi a chhe emaw, a chhe emaw a nih chuan TFCC tear kan ti thin. Tichuan kutphah chu a chak lo tan a, a nghet lo tan ta a ni.
TFCC tear chhan berte chu engte nge ni?
TFCC tear a awm theih dan tlangpui pahnih a awm. Hei hi chiang zawka hrethiam turin chipchiar zawkin han thlir ila.
| Chhan chi hrang hrang | Engtin nge chu chu a lo thlen? |
|---|---|
| 1. Accident emaw hliam emaw avanga (Injury) . | Hei hi a chhan tam ber a ni. I kut chungah i tlu nghal a, i tlu nghal a nih chuan chutiang hun laia kutphah chungah chakna nasa lutuk a awm avangin TFCC chu a chhe thei tih han ngaihtuah teh. Tin, cricket emaw volleyball ang chi infiamna khelh laiin kutphah chu a ben nghal emaw, a inher dik lo emaw a nih chuan he hliam hi a thleng thei bawk. A châng chuan, accident na tak, kut ruh tliak (fracture)-ah pawh TFCC hi a chhe thei hle. |
| 2. Kum upa lam (Degeneration) vang . | Kan taksa ruh dang ang bawkin kan kutphah chhunga ruh (cartilage) leh ruh (ligament) te hi a chhe zauh zauh a, kan tar chhoh zel chuan a thim zual zel bawk. Chutiang tissue te tak te chu a tlakbuak pawh hian awlsam takin a chhe thei a ni. Tin, he dinhmun hi mi chetna chi khat ti reng rengteah pawh a awm thei bawk. Entîr nân, badminton emaw, tennis player emaw, thingrem siamtu emaw, computer mouse chu hun rei tak chhûnga chutiang bawka hmangtu emaw chuan hun kal zêlah heng pêngte hi a chhe thei a, mittui a lo chhuak thei a ni. |
Hei hi eng symptoms nge ni?
Hun kal zelah TFCC mittui lo chhuak hian natna leh symptom lian tham a thlen lo fo thin. Mahse, mittui tla nghal mai i neih chuan a hnuaia chhinchhiahna pakhat emaw a aia tam emaw i nei thei a ni:
- ‘click’ emaw ‘click’ emaw ri hi kut zungtang inher emaw, inher emaw hian a ri a.
- Kut zungtang hawi emaw, herh emaw harsatna (entir nan, kawngkhar khar hawn harsa).
- Kutphah natna, a bik takin kut zungtang te tak te awmna lam .
- Thil pakhat nghet taka chelh theihna hloh . No khat pawh i kut atangin a tla thla ang maiin i hria.
- Wrist chu chak lo leh chakna tlachham niin a lang .
Engtin nge doctor hian hei hi a hmuh theih?
Heng symptoms neia doctor i pan chuan engtin nge a natna a lo intan tih leh engtik lai nge a na zual tih a zawt hmasa ang che.
A dawtah chuan i kutphah chu enfiah a ni ang (physical exam) . Hetah hian doctor chuan i kutphah hmun hrang hrangah a press ang a, i kut chu a rotate ang a, a ben ang a, a natna, range of motion leh chakna a enfiah ang.
A tam zawkah chuan he test hian TFCC tear a nih leh nih loh a hre thei. Mahse, a nemnghet tur leh harsatna dang, ruh tliak ang chi a awm leh awm loh hriat nan X-ray emaw MRI scan ang chi imaging test i mamawh mai thei.Pakhat ti turin an ti che mai thei. MRI scan hian cartilage leh ligament ang chi soft tissue te a chhiat tih chiang takin a lang thei.
Hei hi eng enkawlna nge ni?
A tha ber chu, TFCC mittui zawng zawng hi operation a ngai lo. A tam zawkah chuan enkawlna awlsam tak hmanga enkawl theih an ni. Enkawlna chu i hliam nasat dan leh i natna lan chhuah danah a innghat a ni.
| Enkawl dan tur | A sawifiahna tawi |
|---|---|
| Damdawi ei tur | Doctor-in natna tidamtu, a bik takin NSAID a pekte hian natna leh hliam tihziaawmna kawngah a pui thei a ni. |
| Bracing a ni | I kutphah a che loh nan brace emaw splint emaw bik vuah turin an ti mai thei che a, TFCC chhia chu a dam theihna tura a mamawh chawlh hahdamna pe turin an ti mai thei bawk. |
| Injection te pawh a awm | A hring leh a na lutuk chuan a natna hmunah cortisone ang chi injection hmangin a control theih a ni. |
| Taksa emaw Occupational Therapy emaw hmanga enkawlna | Hei hi a pawimawh hle. Exercise hmanga kut zungtang vel a ruh tichaktu hian ruh (joint) tanpui tha tak a pe a ni. Hei hian hliam nawn theihna a ti tlem bawk. |
| Inzai | Enkawlna dangin hna a thawh loh chuan emaw, a chhiatna a nasat chuan i doctor chuan zai a rawt thei ang. Hei hi arthroscopic hmanga tih a ni fo.A tlem berah chuan invasive takin. Chu chu, incision te tak te siam a, camera dahna surgery tihna a ni. Hei hian recovery time a ti tlem a ni. |
Hetiang hliam hi a veng thei ang em?
Accident hi pumpelh theih reng a nih loh laiin, a hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm a:
- Infiamna i khelh hmain in lum tha rawh: Kut leh kut exercise ti la, a bik takin kutphah hmanga infiamna, tennis, badminton, a nih loh leh cricket i khelh hmain.
- Kut leh kut ruhte tichak rawh: Physics therapist emaw doctor emaw hnenah exercise \ha tak tak zawt rawh.
- Tlu laka inveng rawh: Thil awlsam tak tak, kawngpuiah i kal laiin hnuai lam hawi leh fimkhur taka kal te, stairs lawn te, leh hmun hnim hring a fimkhur te hian accident lian tham a veng thei a ni.
Engtikah nge Doctor i hmuh ang?
A hnuaia symptoms te hi i neih chuan doctor pan nghal a, thurawn lak a tha ber a, ngaihthah mai mai a, "Ni engemaw zat hnuah a dam leh ang" tih ngaihtuah ai chuan. Enkawl i tan hma poh leh i dam thuai ang.
- Kut zungtang hawi emaw, herh emaw a harsat chuan.
- Kut zungtang te tak te lam atanga natna lo chhuak a awm chuan.
- I kutphah i herh laiin ‘click’ ri i hriat chuan.
- Kut a hring a nih chuan.
Hemi chungchang hi i doctor nen zalen takin sawipui rawh. "Hei atan hian surgery ka mamawh em?", "He hliam hi a dam theih nan eng chen nge a la ngai ang?", "Ka dam hma chuan eng nge ka tih theih leh tih theih loh?"
Take-Home Thuchah a ni
- TFCC hi cartilage leh ligaments set pawimawh tak a ni a, i kutphah a nghet reng thei a ni.
- Hei hi accident vang emaw, hun kal zelah emaw a chhe thei a ni.
- A lan chhuah dan ber chu kutphah pinky lam a na, ‘click’ ri, leh grip chak lo a ni.
- Hetiang symptoms i neih chuan ngaihthah suh la, doctor pan ngei ang che.
- Mi tam tak chu chawlh hahdam leh taksa enkawlna ang chi enkawlna awlsam tak hmangin an dam leh a, a tul chuan operation tih chauh a ni.
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