Infiamna i khelh hian i ke ruh lian tak (joint) chu a na em? Hei hi Turf Toe a ni thei!

Cricket, football emaw rugby emaw i khel tih han ngaihtuah teh. Rang taka tlan i tum thut a, i ke ruh lian tak chu leiah a tlakbuak a, i kephah i han chawi a, hmalam i pan chuan i ke ruh lian bul lamah "tuck" ri nen natna nasa tak i nei a nih chuan engtin nge ni ang?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..? A nih loh leh ni engemaw zat chhung chu i ke ruh lian tak ruh lian tak atanga natna leh hliam lo chhuak nen i kal a, a hlim lo deuh tawh em? Hetiang thil hi i tawng tawh a nih chuan medical science-a "Turf Toe" tia hriat condition vang a ni fo thin.

A awlsam zawngin Turf Toe hi eng nge ni?

He hming i hriat hian mi thenkhat chuan hei hi natna thar niin an ngai mai thei. Mahse, a ni lo. A awlsam zawngin Turf Toe hi ke ruh lian tak, ke inzawmna lian ber, ke ruh inzawmna (sprain) a ni. Ankle sprained ang bawkin ke ruh lian tak joint vel soft tissue leh ligament te strain emaw tear emaw a ni.

A hming chu Turf Toe tih a ni a, a chhan chu American football player-te’n artificial turf field-a an khelh ṭan hnuah a lo awm ta a ni. He artificial turf hi grass pangngai aiin a khauh deuh avangin, a chunga tlan a, a tawp nghal a, a kalna tur a thlak danglam hian ke ruh lian (big toe joint)-ah pressure nasa tak a siam a ni. Mahse hei hi player-te chunga thil thleng mai a ni lo; tu chungah pawh a thleng thei.

He natna hian kut zungtang chungah khawiah nge dik tak a nghawng?

Hei hi tlem tal i hrethiam zawk ang u. Kan ke ruh lian hian ruh pahnih a nei a. Ke ruh lian ber bul hnaia ruh lian ber, ke ruh dangte nena inzawm chu damdawi lam hawia Metatarsophalangeal joint (MTP joint) kan tih hi a ni.

He ruh hi a thawk tha thei tur chuan a chhehvel ligament, tendon leh connective tissue te atanga tanpuina tam tak a mamawh a ni. Chûngte chuan hrui ang maiin, ruh chu a nghet reng theih nân a ṭanpui a ni. Turf toe hi ke ruh lian chu hyperextended a nih chuan a awm a, chu chuan heng supporting tissue te hi a tichhia a ni.

Turf Toe grade lian ber berte chu engte nge ni?

Doctor chuan a natna nasatzia chu level lian pathum (grade)-ah a ṭhen ang. He classification hi eng treatment nge i mamawh tih leh eng chen nge i dam leh theih dawn tih hriat nan a pawimawh hle.

Turf Toe natna lan chhuah dan chu engte nge ni?

Turf toe symptoms hi a hliam nasat dan azirin a inang lo. Hliam hi a lo awm nghal a nih chuan "click" ri i hre thei a, ke ruh chhungah thil a chhe tih i hre thei bawk. Natna pawh a intan nghal thei bawk.

Mahse, he dinhmun hi hun rei tak chhunga chetna repetitive vang a nih chuan symptoms a lang zauh zauh thei a, hun kal zelah a na zual thei bawk.

A lan chhuah dan ber chu hengte hi a ni:

• Natna leh natna: Natna chu a awm reng thei a, a hmun i press chauhvin a na thei bawk. A chang chuan a na hi a na lutuk a, i ke pawh i dah thei lo.
• Swelling and bruising: Ke ruh lian tak bul chu a hring a, a sen thei bawk. A châng chuan a hliam chu blue/purple-ah a chang thei a, a rawng chu ke thlengin a darh thei bawk.
• Ke ruh lian chu ben harsa: Ke ruh lian chu a chung leh a hnuai lam ben harsa a lo ni ta. Tlan emaw, zuang emaw hian lei atanga i nawr chhuak thei lo ang maiin i inhria thei a, i ke pawh a chak lo thei bawk.
• Loose junction chu: 1.1.MTP joint chu a nghet lo hlein a lang thei a, a zuang chhuak ang maiin a awm thei. Joint pawh a tight leh stiff tih a hriat theih bawk.

Engvangin nge Turf Toe hi a lo awm?

A chhan ber chu ke ruh lian tak chu leiah a nawr a, a ke ruh chu chunglam hawiin a ke ruh chu hnunglam hla lutukah a ben a ni. Hei hi sprinter tan starting position nen a inang hle. Hetih lai hian ke ruh (toe)-ah chakna tam lutuk pek a nih chuan a natural range of motion aiin a kal thei a, chu chuan ruh chhehvela ligament leh soft tissue te chu a tikehsawm emaw, a tizau emaw thei a ni.

Hei hi kawng hnih in a thleng thei a:

1. Incheina repetitive vang: Entirnan, ballet dancer leh gymnast ang miten an ke ruh an zuang reng hian hun kal zelah he chhiatna hi a thleng zauh zauh thei a ni.

2. Accident: He inhliam hi a lo thleng thut thei a, chu chu football emaw rugby player-te ke leia a tlakbuak a, player dang lo kal a, a rawn deng hian a thleng thei a ni.

Enkawl loh chuan eng harsatna nge thleng thei?

Turf toe hliam hi enkawl dan dik a nih chuan a reh vek fo thin a, mahse enkawl loh chuan harsatna engemaw zat a awm thei.

• Natna awm reng leh ruhkawr (stiffness) a awm.
• Run leh zuang tur chuan push-off chakna hloh a ngai.
• Ke ruh lian tak ruh (joint) deformity. Hei hi bunions kan tih chu a ni .
• Arthritis avanga ruh natna (arthritis) a awm. Hei hi hallux rigidus an ti a .
• Ke ruh lian chu a nghetin a chawi sang a ni.

Chuvangin, kut zungtang na i neih chuan ngaihthah suh. Damdawi lam thurawn lak vat a pawimawh hle.

Engtin nge doctor hian hei hi a hriat chian?

Doctor hmu tura i kal hunah i kut zungtang chu a enfiah hmasa ang. Natna leh hliam awmna hmun chu a press ang. I kut zungtang chu a range of motion enfiah turin a chung leh hnuai lam ben turin a ti bawk ang che.

Hliam a thlen dan sawi turin an ti ang che. Chutih laia i hriat reng zawng zawng, i kut zungtang dah dan leh i natna i hriatna hmun te chiang taka sawi theih chuan natna dik tak hriat theihna kawngah nasa takin a pui ang.

Tichuan, X-ray hmangin ruh a chhiat leh chhiat loh enfiah a ni a, a tul chuan MRI (Magnetic Resonance Imaging) scan hmangin soft tissue, ligament leh tendons ang chi-a chhiatna thleng dik tak hriat theih a ni.Tih pawh ka rawt thei bawk.

Turf toe enkawlna tur engte nge ni?

Thu lawmawm tak chu turf toe vei tam zawk (a bik takin grade 1 leh 2) te hi chawlh hahdam leh enkawlna awlsam tak hmanga enkawl theih a ni. I doctor chuan enkawlna hrang hrang a rawt thei ang:

1. Chawlh hahdam: Hliam nasat dan azirin ni engemaw zat atanga kar engemaw zat chhung chu i keah rit dah loh tur a ni. Chutih lai chuan kea kal theihna tura pui turin walking boot emaw, crutches emaw i hman a ngai mai thei.

2. Ice leh Elevation: Darkar tlemte danah minute 20 vel a na, a hringna hmunah ice hnawih thin ang che. Tin, i ke chu i thinlung aia sang zawkah dah la. Hei hian natna leh hliam nasa takin a tihziaawm ang.

3. Natna tidamtu: I doctor chuan nonsteroidal anti-inflammatory drugs (NSAIDs) ang chi damdawi a pe thei a, chu chu a hring leh natna tihziaawmna atan a ni. Mahse, doctor-in a tih ang chauhin damdawi ei fo ang che.

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5. Stabilization: Joint a dam hma loh chuan a chetna khap tlat ang che. I doctor emaw physical therapist emaw chuan ke ruh lian tak chu ke ruh dangte nen tape-a siam dan tur a entir ang che. I khelh tan leh hunah pheikhawk nghet tak, a thlawp tha tak tak ha la.

6. Orthotics: Special inserts emaw, kekawr stiff-soled emaw hmang turin a fuih mai thei. Chungte chuan tlan leh zuang laiin joint-a support pek chu a tipung a ni.

7. Surgery: Hei hi a tul lo hle. Tissue na tak tak, ruh tliak, emaw, ruh chhiatna nasa tak (level 3 hliam) a awm chuan, hliam siamthat nan operation neih a ngai thei.

He dinhmun hi a dam theih nan eng chen nge a la ngai ang?

Dam leh hun chhung hi mi hrang hrangah a inang lo. I hliam nasat dan, kum, activity level leh hriselna dinhmun dangte a zirin a ni. A tlangpuiin:

• Level 1 hliam hi kar khat vel chhungin a dam thei.
• Level 2 inhliam hi kar hnih atanga kar thum chhung a daih thei.
• Level 3 hliam hi a dam theih nan thla hnih atanga thla ruk vel a ngai thei. Surgery a ngai a nih chuan a dam hun pawh a rei zawk.

Engtikah nge Doctor ka hmuh ang?

I ke ruh lian emaw, i ke emaw a na emaw, a hring emaw, a hliam emaw i neih chuan doctor pan tur a ni a, a natna chu a na lo hle a nih pawhin.I tana tha tur treatment plan i tan theih nan eng thil nge thleng tih chiang taka hriat a pawimawh.

A bik takin, doctor pan emaw, Emergency Department (ETU) pan nghal emaw chu:

• A na lutuk a nih chuan.
• I ke i dah thei lo a, rit i dah thei lo a nih chuan.
• Ke ruh lian tak a joint chu a pangngai lo anga lang, a rawn pop chhuak ang maia lang a nih chuan.