I ṭhian ṭhenkhat chuan mi dangte aiin mak tak maiin an ke leh ke an ben tam zawk tih i hmu tawh em? I kut zungtangte chu i kut a khawih thlengin i ben thei mai thei a, i ke chu dinglam hawiin i kutphah chu leiah i dah thei bawk. Hei hi mi thenkhat tan chuan zai leh gymnastics ang chi thil atan advantage a nih laiin, thenkhat tan chuan thil tibuaitu leh hrehawm tak a ni thei. Vawiin hian he ‘excessive bending’ hi kan sawi dawn a, chu chu damdawi lam atanga Ligamentous Laxity kan tih thin natna a ni.
Heng ligament te hi engte nge ni?
A awlsam zawngin sawi ila, ligaments hi kan taksaa tissue band nghet tak tak a ni. Rubber band ang mai an ni a, mahse a chak zawk hle. An hna ber chu kan ruhte chu vawn tlat a, kan ruhte chu stability leh support pek hi a ni.
Kan khup hi han ngaihtuah teh. Khup ruh chung leh hnuai lam hi heng ligament te hian a inzawm khawm a ni. Hengte hian kan ruhte chu a inhlat lutuk loh nan emaw, a inher lutuk loh nan emaw a veng a ni. Ligament hna ber chu hetiang hian ruh pakhat venhim hi a ni.
Tin, ligament zawng zawng hi ruh nen an inzawm vek lo bawk. Ligament thenkhat chuan chhungril lam taksa peng, nausen pum ang chi te chu a hmunah a vawng tlat thin. Heng ligament te avang hian intestine leh liver ang chi organ te pawh a hmunah an awm reng a ni.
Ligamentous Laxity natna lan chhuah dan chu engte nge ni?
Hetiang dinhmun hi i neih chuan heng symptoms te hi i hre chiang mai thei. Hengte hi ligament laxity avanga natna langsar ber thenkhat an ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Chauh fo thin | A chhan chu ruh nghet taka awm reng turin taksa ruhte hian nasa zawka hna an thawh a ngai a, chuvang chuan mi pangngai aiin i chau vat zawk mai thei. |
| Joint instability a awm lo | Joint chu a hlimthla, thunun theih loh, a hmuna khar loh ang maiin a awm. Entirna pakhat chu ding chungin khup a ‘bending’ tih hriatna hi a ni. |
| Joint natna (Natna) . | A tul lo taka ruh leh a chhehvel ruhte pressure hian hun rei tak chhung natna a thlen thei a ni. |
| Dislocations nei duhna | Ligament te hi a lo hrual avangin, ke emaw, khup emaw ang chi ruh chu a tlak tlem emaw, a che nghal vat emaw pawhin awlsam takin a inthlak emaw, a then a inthlak (subluxate) thei bawk. |
Eng thilin nge hetiang dinhmun hi a thlen?
Khawvel mihring 5% leh 12% inkar hian hetiang flexible joint hi an nei nia chhut a ni. Naupang tête taksa hi puitling aiin a insiamrem zawk. Hei hi thil pangngai a ni. Chuvangin, naupang tê tak tê taksa ben hi damdawi lam dinhmun engemaw nen a inzawm reng a ni tih hi sawi harsa tak a ni.
Mahse, genetic condition thenkhat chu he condition thlentu ber nia hriat a ni. Chung zinga pahnih chu kan hriat chian a ngai hle.
Marfan Syndrome natna a ni
Hei hi natna hmuh tur awm lo, rochun atanga lo chhuak a ni a, kan taksaa connective tissue a nghawng a ni. Marfan syndrome vei te hi an hring tlangpui a, an sang a, kut, kut zungtang, ke leh ke ruh sei danglam tak an nei bawk. He natna hian taksa peng hrang hrang, thinlung, mit, vun leh thisen kalna kawng hrang hrang a nghawng thei a ni. Harsatna thenkhat, aorta hring (swelling of the aorta) te hi a hlauhawm hle thei.
Ehlers-Danlos natna vei a ni
Hei hi connective tissue tichhe thei natna chi khat a ni bawk. He syndrome vei te hian vun a inzawm khawm nasa hle a, ruhkawr pawh a flexible hle bawk. A na ber, Vascular Ehlers-Danlos syndrome hian aorta leh thisen kalna kawng dangte a tichak lo thei a ni. Tin, colon leh uterus ang chi taksa peng hrang hrangte bang a tikehsawm thei bawk.
Ligament laxity leh accident inzawmna
Ligament laxity hian joint stability a tihziaawm theih dan tur kan sawi tawh a. Ligament te a chak loh chuan ruh te chu a vawng tha thei tawh lo. Hei hi dislocations emaw subluxations emaw a awm lai a ni.
He inzawmna hi he thupui chungchanga zirchianna engemawzat an neihah pawh a finfiah tawh a ni.
- Rugby player 51 te zirchiannaah chuan hypermobile joint nei player te hian player nei lo player te aiin hliam an nei tam zawk tih hmuhchhuah a ni. Mak tak maiin group pahnihte hian taksa chakna level inang an nei a ni.Chumi awmzia chu taksa ruh chak tak neih mai mai hian hetiang mite hi accident laka venhimna atan a tawk lo tihna a ni.
- Zirchianna dang pakhatah chuan mipa an ke ruh tliak tawhte chu mipui zawng zawng aiin ligament laxity nei an tam zawk tih hmuhchhuah a ni.
Engtin nge he dinhmun hi kan hriat theih ang?
Ligamentous laxity tih awmzia sawifiahna tur standard mumal tak a awm lo. Mahse, khawvel hmun hrang hranga doctor-te hman lar tak, Beighton test an tih chu a awm a.
He test hian i ruh engemaw zat a flexibility a enfiah ber a:
- Kut zungtang te tak te chu a knuckle
- Base of thumb a ni
- Khup a ni
- Spine a ni
- Elbows a ni
He test chhung hian doctor chuan thil engemaw zat tih turin a ti ang che:
- I ke dinglam hawiin, hmalam pan la, i kutphah pahnih chu leiah dah rawh.
- I kutpui chu hnunglam hawiin i kutphah chungah hnawih tum ang che.
- I kut zungtang te tak te chu degree 90 aia tam hnunglam hawiin ben rawh.
Mahse, Beighton test-a score sang tak i hmuh vang mai mai chuan hypermobility syndrome i nei tihna a ni lo tih hre reng ang che. I doctor chuan nangmah leh i natna lan chhuahna dangte a enfiah kim hnuah thutlukna a siam ang.
Hei hi eng enkawlna nge ni?
I ruh (joint) a insiamrem avanga natna leh hrehawmna i neih loh chuan enkawlna bik a ngai lo. Mi tam zawk tan chuan hei hi harsatna a ni lo.
Mahse, hei hian natna a thlen emaw, ruh natna a thlen fo chuan doctor pan ngei ngei tur a ni.
A hnuaia mite hi enkawl dan tur pawimawh ber berte chu an ni:
- Physiotherapy: Hei hi a solution tha ber leh pawimawh ber a ni. I ruh chhehvel thau te a tichak thei a, ruhte chu a nghet zawk thei bawk. Physiotherapist kaihhruaina hnuaia exercise dik tak tih hi a pawimawh hle.
- Splinting/Taping: Infiamna emaw, hliam thlen thei thil tihna emaw i tih hmain, splint dah emaw, ruh natna hmuna tape bik hnawih emaw hmangin venhimna dang i pe thei ang.
- Prolotherapy hmanga enkawlna:Hei hi enkawlna dang a ni. Mahse, hemi chungchangah hian ngaihdan hrang hrang a awm. Chu chu ligament na takah chuan irritant solution inject a ni. A tlangpuiin chumi atan chuan sugar chi khat dextrose an tih chu an hmang thin. He injection hian connective tissue a tichak a, natna a tiziaawm niin an ngai. Mahse, zirchianna thenkhatah chuan result inang lo tak tak a awm. Chuvangin, mithiam thenkhat chuan prolotherapy hian hun eng emaw chen atan chauh hahdamna (placebo effect) a pe niin an ngai. Chuvangin, eng enkawlna pawh i neih hmain i doctor nen inbiakna neih hmasak phawt a pawimawh hle.
Take-Home Thuchah a ni
- Ligamentous laxity chu i ruhte chu a pangngai aia a bend a ni. Hei hi mi tam zawk tan chuan harsatna a ni lo.
- Hei hi zai thiam leh infiammi ang mi tan chuan a hlawkpui thei a, mahse thenkhat tan chuan natna, ruh nghet lo leh ruh inthlak fo thin a thlen thei a ni.
- Hetiang dinhmun hi genetic disorders Marfan syndrome leh Ehlers-Danlos syndrome te nen a inzawm thei a ni. Chuvang chuan natna i neih fo emaw, ruh a nghet lo emaw a nih chuan damdawi lam thurawn lak a pawimawh hle.
- Physiotherapy hian ruh chhehvel thau te a tichak thei a, stability a ti sang thei bawk.
- Hemi chungchangah hian hrehawmna, lungawi lohna, rinhlelhna i neih chuan, hemi chungchang sawipui tur tha ber chu i doctor a ni tih theihnghilh suh .
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