I kut chu, i elbow atanga i kutphah thlengin, a chhung lam (chu chu kut zungtang te tak te awmna lam a ni) ah hre rawh. Ruh sei tak i hre thei em? Chu chu vawiina kan sawi tur ruh, ‘Ulna’ chu a ni. He ruh hi kan kut chetna leh chakna atan a pawimawh hle. Chuvangin, he kan thianpa chungchang hi chipchiar deuhin han sawi ila.
A awlsam zawngin, he Ulna ruh hi eng nge ni?
Ulna hi i kut hmawr ruh pahnih zinga sei zawk a ni. A dang chu radius a ni. Heng pahnih hi unau ang maiin an thawk ho thin. Ulna ruh hian i kut, i kutphah leh i kut chu a tichak a, a ti che a, a ben a, a tichak bawk. Chu mai a ni lo, kan kuta thahrui pawimawh tak tak, ruhkawr, ruh (ligament) leh thisen kalna kawng pawimawh tak tak tam tak pawh he ruh hi a inzawm tlat a ni.
Ngaihtuah teh, kawngkhar khar i hawng a, no i chawi a, i phone-ah i type bawk. Heng thiltih awlsam zawng zawng hnuaiah hian Ulna ruh hnathawh a awm a. Chuvangin, he ruh hi chhiatna a awm a nih chuan, entirnan, ruh tliak a awm a nih chuan, nitin hna thawh tur kan thawh harsatzia chu i ngaihtuah thei ang.
Ulna ruh hnathawh berte chu engte nge ni?
He ruh hi kan taksa tana a pawimawh zia i lo en ang u.
- Movement-a tanpui: A hnathawh ber chu i kut hmawr leh i kutphah chu bend, rotate leh movement hrang hrang tih theihna tura puih hi a ni. A bik takin i kut chu i han han en chho leh a, ulna ruh hi anchor ang maia thu a, ruh dang (radius) chu a chhehvela a inher theih nan a pui thin a ni.
- An anchor for muscles: Kan kut ah hian muscle sawmhnih chuang zet chu ulna ruh ah a innghat a. Heng taksa ruhte hian kan kut zungtang leh kutphah tihchet theihna chakna min pe a ni.
- Stability pek: He ruh hian i kut, i kutphah leh i kutphah zawng zawng tan stability leh foundation nghet tak a pe a ni.
- Joint function: Hei hi elbow leh wrist joint pahnih hnathawh that nan a pawimawh hle.
Ulna ruh awmna hmun leh a lan dan chu eng nge ni?
Ulna ruh hi i kut medial side-ah a awm a, chutah chuan i kut zungtang te tak te chu a awm a ni . A lehlamah chuan i kutpui awmna hmunah chuan radius bone a awm a.
A lan danah chuan hei hi ruh sei pakhat ni mahse, a peng engemaw zat a nei.
- Proximal end: Hei hi elbow joint chhunga thil awm ber a ni. Table chunga i elbow i dah hian i ruh hrual (pointy bone) i hriat kha i hre reng em? Chu chu damdawi lam hawia Olecranon an tih chu a ni. Hemi hmuna hook ang chi structure (the `Trochlear notch`) hi kan kut chunglam ruh (the `Humerus`)-ah a in fit tha hle a, kan elbow kan ben leh extend thei bawk.
- Shaft: Hei hi ruh sei ber a ni. Arm chu a pianzia leh chakna a pe a ni.
- Distal end: Hei hi wrist joint-a thawhhlawk ber a ni. I kutphah chung lamah, kut zungtang te tak te lam hawiin, i kut atang chuan ruh hring te tak te a rawn chhuak a, a dik em? Chu chu styloid process an ti a . Chu chu ulna ruh hnuai lam tawp chu a ni.
Doctor-in i kuta harsatna a sawi hian heng thumalte hi an hmang mai thei (``Olecranon``, ``Styloid process`` ang chi), chuvangin hengte hi tlem tal hriatthiam a tha.
Natna tlanglawn leh harsatna ulna ruh nghawng thei
Ruh dang zawng zawng ang bawkin ulna hi natna chi hrang hrang leh accident-in a tichhe thei a ni. A pawimawh zualte han thlir ila.
1. Ulna a ruh tliak
Hei hi Ulna ruh chungchanga harsatna hmuh tam ber a ni. Damdawi lam hawi chuan ruh tliak chu ‘fracture’ an ti a. Hei hi a chhan berte chu:
- Sports accident: Cricket leh rugby ang chi infiamna khelh laiin tlu emaw, intlansiak emaw vang.
- Tlu: A bik takin kut phar chunga tlu. Thil sang tak atanga tlak, stairs atanga tlak thlak ang chi te.
- Car accident: Motor emaw lirthei dang emaw chetsualna.
A pawimawh ber chu accident hnua i kutah natna nasa tak leh hliam na tak i neih chuan doctor i pan nghal tur a ni , chu chu a hliam mai mai nia ngaih ai chuan. Fracture a ni thei bawk.
Ruh tliak natna lan chhuah dan hi han thlir ila.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna nasa tak a nei | Hliam na hmuna natna nasa tak, tuar theih loh. I kut i sawn chuan a na zual thin. |
| Vung | Ruh tliak vel chu a hring tan nghal vat thin. |
| Kut che thei lo | I kut, i kutphah leh i elbow chu a pangngaiin i ben thei lo vang a, i dinglam thei lo vang. |
| Bluish emaw, a rawng danglam emaw | Vun hnuaia thisen chhuak hian vun chu a sen emaw, a sen emaw a tidanglam thei a ni. |
| Kut pianzia a inthlak danglam | A châng chuan kutah hian pianphung ni lo, bend emaw, deformity emaw hmuh theih a ni. |
Heng symptoms te hi i neih chuan damdawi in pakhat Emergency Department (ETU) ah kal nghal tur a ni.
2. Ruh natna (Osteoporosis) a awm
Hei hi mi tam takin an lo hriat tawh thumal a ni. A awlsam zawngin, ruh density a tlahniam a, a chak lo a, awlsam takin a chhe thei tihna a ni. Hei hi silent disease a ni a, a chhan chu a tam zawkah chuan ruh a tliak hma loh chuan symptoms a awm lo.
Kum 65 chunglam leh hmeichhia (menopause hnuah) te hi he natna vei an hlauhawm hle. I hlauhawm a nih chuan i doctor nen bone density test (Bone Density Test / DEXA Scan) neih chungchang sawipui rawh.
3. Thil awmdan dang
- Osteoarthritis: Hun a kal zel a, ruhkawr (joint wear and tear) hian elbow emaw wrist emaw a na a, a ti na thei bawk.
- Ulnar nerve entrapment: I elbow i bump laiin i kut atanga current a rawn tlan thla thin tih i hre reng em? Ulna ruh bula kal ulnar nerve chu a pinch a. A chang chuan he nerve hi a pinch thei a, kut zungtang te tak te leh a bula kut zungtang te chu a ti na a, a na bawk.
Engtin nge ulna ruh hriselna kan enfiah ang?
I doctor chuan i ulna ruh-ah harsatna a awm nia a rinhlelh chuan test eng emaw zat a ti thei a ni.
- Bone Density Test (DEXA Scan): Hei hi ruh natna hriat theihna atana test ber a ni. I ruh chakna tehna atan X-ray level hniam tak tak a hmang thin.
- X-rays: Hei hi test bulpui ber a ni a, a ruh tliak a awm leh awm loh hriat theihna a ni.
- MRI emaw CT scan: Heng test te hi complex fracture thenkhatah emaw, ruh chhehvela soft tissue (muscles, ligaments) a chhiatna a awm leh awm loh enfiah nan emaw a ngai thei a ni.
Enkawlnate chu engte nge ni?
A tlangpuiin ulna ruh hi accident emaw natna emaw a awm loh chuan enkawl a ngai lo. Fracture emaw osteoporosis emaw a awm chuan enkawl a ngai a ni.
- Fracture enkawl dan: 1.1.
- Immobilization: Vawi tam tak chu cast emaw splint emaw hmangin kut chu immobilize a ni. Hei hian ruh tliak te chu a inrem tha thei a, mahni chauhin a dam thei bawk.
- Surgery: A châng chuan ruh chi hrang hrang hmun tam takah a darh a nih chuan, emaw, vun a luhchilh tawh chuan, ruh chu wire, nail emaw, metal plate (plate leh screw) hmanga siam ṭhat lehna tur surgery neih a ngai thei a ni.
- Osteoporosis enkawl dan: 1.1.
- Hei hian exercise, calcium leh vitamin D supplement te, ruh tichaktu damdawi bik te a huam a ni. I doctor chuan i tana tha ber tur treatment plan a ruat ang.
Ulna leh Radius inkara danglamna
Kan sawi tawh ang khan heng pahnih hi unau inthuam ang mai an ni. Kan kut a complex movement kan tih theih nan min pui turin an thawk dun a ni. An pahnih inthlauhna hi ngun zawkin han thlir ila.
| Mihring ziarang | Ulna ruh | Radius ruh a ni |
|---|---|---|
| Hmun | Kut zungtang te tak te hi kut sir lamah a awm a . | A kut zungtang (thumb side) ah a awm a. |
| Lenzawng tehna | Radius bone aiin a sei deuh . | Ulna ruh aiin a tawi deuh . |
| Hnathawh ber | A bik takin elbow joint stability leh movement a pui thin. | Wrist joint hian kut inthlak leh inher chhuahnaah mawhphurtu ber a ni. |
Engtin nge i Ulna ruh hi a hrisel theih ang?
Kan skeletal system pumpui ang bawkin kan ulna nghet taka awm reng turin thil tam tak kan tih theih a awm. Chûngte chu thil harsa tak a ni lo va, kan ni tin nunah kan thunun theih thil tih dân awlsam tak a ni.
- Balanced diet: Calcium leh vitamin D tamna ei tur ei la, i eitur ah hian bawnghnute, yogurt, cheese, sangha te (ruh nei), leh thlai hring (spinach, kale) te ang chi te dah tel bawk ang che. Vitamin D atan hian zing ni chhuahnaah pawh a pawimawh hle.
- Exercise: Weight-bearing exercise (exercise-a rit chawi ngai) leh exercise, kea kal leh tlan te hian ruh a tichak a.
- Hrisel takin awm rawh: Accident laka inven a pawimawh hle.
- Lirtheiah chuan seat belt vuah fo ang che. Motor khalh i nih chuan helmet dik takin vuah rawh .
- Inkhelh dawnin infiamna tin atana hman tur invenna hmanrua bun tur a ni.
- In lamah emaw, hnathawhna hmunah emaw i tlu leh tlu thei thil chu leiah dah suh.
- Chunglam thil thleng tur chuan ṭhutphah emaw, dawhkan emaw-a lawn ai chuan, ladder remchang emaw, chutiang chi emaw hmang rawh.
- Damdawi lam thurawn zawng rawh: Kum 50 chunglam i nih chuan, emaw, i chhungkuaa mi tu emaw chuan ruh natna a vei a nih chuan, i ruh density enfiah turin i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Ulna chu i kut hmawr kut zungtang te tak te lam ruh sei tak a ni. I kut leh ke incheina atan a pawimawh hle.
- Accident hnua i kutah natna nasa tak, hliam emaw, piansualna emaw i neih chuan ruh tliak a ni thei. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- Osteoporosis hi ruh a chak lo va, a chhe awlsam thin. Natna ngawi reng a nih avangin i hlauhawmna hre reng ang che, a bik takin i tar chhoh zel chuan.
- Calcium tamna ei leh in te, exercise neih fo te, accident laka invenna te hian i ruh zawng zawng, i ulna telin i tichak thei ang.
- I ruh hriselna chungchangah harsatna i neih chuan i doctor nen zalen takin sawipui rawh .
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