I groin area-a natna awm reng em? Osteitis Pubis chungchang hi han sawi ila!

I tlan lai te, stairs i chhoh lai te, a nih loh leh ding mai mai lai pawhin i groin area emaw, i pum hnuai lam emaw ah natna mak tak i nei fo thin em? He thil tawn hi i hriat lar tak a ni ngei ang, a bik takin infiammi i nih chuan. Hetiang natna thlentu pakhat chu Osteitis Pubis an tih hi a ni. Mahse, lungngai suh, a tlangpuiin a pawi lo. Hemi chungchang hi mi zawng zawngin an hriatthiam theih nan a awlsam zawngin sawi ila.

Osteitis Pubis hi eng nge ni?

A awlsam zawngin, Osteitis Pubis hi kan pelvis lai takah ruh pakhat inflammation, chu chu a hring chhuak tihna a ni. Damdawi lamah chuan he ruh hi Pubic Symphysis tiin kan sawi thin. Hei hi kan pelvic floor dinglam leh veilam chu a laiah a inzawm a ni. Ngaihtuah teh, thil tam tak, kan pum ruh leh hip ruh te hi he ruhkawr vel hi a inzawm tlat a ni. Chuvangin, he ruh hi a lo inflamed chuan natna a awm thin.

Hetiang dinhmun hi a tam ber chu overuse/stress atanga lo chhuak a ni a, repetitive motion atanga lo chhuak a ni. Mite chuan tlan, kick, a nih loh leh kawng inthlak danglam nghal (soccer emaw hockey emaw ang chi) infiamna khelte chuan he natna hi an nei tam zawk a ni. Mahse, infiammi ni loteah pawh a awm thei.

Eng nge a lan chhuah dan?

Osteitis Pubis chhinchhiahna ber leh langsar ber chu natna hi a ni. He natna hi kawng hrang hrangin hriat theih a ni. A châng chuan thut mai mai pawhin dull ache ang maiin a awm ṭhin. He natna hi che leh exercise i tih hian a zual thin.

Heng symptoms te hi a hnuaia table-ah hian eng nge ni tih hi ngun zawkin han thlir ila.

He natna hi a nasat em avangin mi thenkhat tan chuan an kal dan pawh a danglam thin. A natna tihziaawm tumna kawngah chuan kea kal chu waddling gait a lo ni thei .

Eng thilin nge hei hi a thlen?

Hei hi a chhan ber chu ka sawi tawh ang khan pelvic area-a pressure awm reng vang a ni. Hei hi infiammi zingah a tam hle.

• Sports: Hetiang dinhmun hi football, hockey, tennis, leh hla taka tlan laiin pelvic joints, connective tissue, leh muscle-te pressure a awm vang a ni thei.
• Surgery: A tlem hle a, heng symptoms te hi pelvic area-a operation hnuah a awm thei.
• Nau neih: Tin, hmeichhe thenkhat chuan nau an pai hnuah he natna hi an nei thei bawk. Mahse, heng pahnih hi infiamna nena inzawm aiin a tlem zawk hle.

Engtin nge diagnosis hi siam a nih?

Chuvangin Doctor i hmuh hunah i symptoms leh natna intan dan a zawt hmasa ang che. Tichuan, damdawi lam dinhmun dang pawh paih chhuah a tum ang.

A dawtah chuan taksa enfiahna (physical exam) neih a ni ang. Hei hian i pelvis leh i pum hnuai lam enfiah a, natna a awm leh awm loh hriat nan chetna leh pressure thenkhat i tih a huam a ni. Hei hi test bik engemaw zat a awm a.

• Pubic Spring Test: Doctor chuan i pelvis chu hmalam atangin zawi zawiin a press ang a, pubic bone chunglam chiah a ni. Natna nasa tak a awm chuan he inflammation chhinchhiahna a ni thei.
• Lateral Compression Test: Hei hian hip ruh chu a sir lehlamah hrual a ni. Natna a awm chuan medial joint a nghet lo emaw, a inflamed emaw tihna a ni.
• FABER Test neih a ni:Hetah hian i ke chu figure ‘4’ angin i ben a, i enfiah thin. Hetianga chetna hian pelvis hmalam a na a nih chuan chu pawh chu Osteitis Pubis chhinchhiahna a ni.

Imaging Test te pawh a awm

Taksa enfiah hnuah imaging test an nei a, chu chuan natna hmuhchhuah a nih leh nih loh finfiah a, chhungril lam dinhmun dik taka teh a ni.

• X-ray: Hei hian ruh inthlak danglamna, ruh zau zawng, ruh hring hring ang chi thil a zawng thei a ni.
• MRI (Magnetic Resonance Imaging): He natna hi hriat theih dan tha ber chu MRI scan hi a ni. X-ray-a hmuh theih loh thilte chiang takin a hmu thei a, chu chu ruh leh tissue te a lo hring hmasa te, ruh chhunga tui awmkhawm te hi a ni.
• CT (Computed Tomography) Scan: Hei hian ruh chipchiar tak tak thlalak a hmuh theih nan a pui a ni. MRI tih a harsat emaw, chiang zawka hriat a ngai emaw a nih chuan hman a ni.
• Bone Scan: He test hian ruh natna, natna hrik, hliam, cancer ang chi natna avanga harsatna awmte hriatchhuahna kawngah a sensitive hle.

Engtin nge enkawl a nih?

Thu tha ber ka pek theih che chu Osteitis Pubis hi hun leh enkawl dan dik tak hmangin a dam kim thei tih hi a ni.

Physics therapist trained chuan i taksa ruhte tichak turin a pui thei che a, chu chuan hliam nawn leh loh nan a pui thei che a ni. I doctor leh physical therapist-in OK an pek che chuan i infiamna lam chu i chhunzawm leh thei tawh ang. Hei hi kar tlemte atanga thla 3-6 chhung vel a ni thei.

Chumi atan chuan a hnuaia mite hi tih a ni tlangpui:

• A natna hmunah chuan lumna leh ice hmangin a inthlak danglam thin.
• Taksa tihchakna tihtlem .
• A natna a reh hma loh chuan infiamna atang hian chawlh hahdam vek rawh .
• Doctor-in a tih angin natna tidamtu Ibuprofen, Naproxen, leh Acetaminophen te ei thin.

Heng thilte hian a puih loh chuan i doctor-in steroid injection a pe thei che a, chu chuan a hring (swelling) a tiziaawm thei a ni. Tin, Extracorporeal Shock Wave Therapy (ESWT) tih chu non-invasive treatment an rawt thei bawk.

Engtikah nge operation tih a ngai?

Mi tam zawk chuan operation an mamawh lo nain, a hnuaia thil thlengah hian operation hi ngaihtuah theih a ni:

• Thla 6 aia rei a natna a awm chuan.
• A natna a tam lutuk a, a che thei lo a nih chuan.
• Infiamna lama inhmang thei lo i nih chuan.

Tunah chuan doctor tam tak chuan he surgery hi minimally invasive method hmangin an ti ta a ni.Chumi awmzia chu incision lian tak siam ai chuan camera (endoscope) hmanga tube te tak te chu khur te tak te engemaw zat kal tlangin a inflamed tissue chu lakchhuah a ni tihna a ni. Hei hian dam hun a ti tlem a, natna a ti tlem bawk.

Hetiang dinhmun hi engtin nge kan pumpelh theih ang?

Hetiang dinhmun hi i vei thei a nih chuan i ven theih nan hma i la thei ang. Pelvic area-a taksa ruhte tihchak leh flexibility tihpun hian infiamna lama hliam tuar theihna a ti tlem thei a ni.

Hei hi a pui thei tur exercise thenkhat chu hetiang hi a ni:

• Hip leh thighs (hip adductors) ruh tichaktu.
• A hnungzang hnuai lam ruh tichaktu.
• Pum ruh tichaktu.
• Hamstring leh quadriceps ruh tichaktu.
• Stretching tih hi a ni.
• Tui hleuh.

Trainer emaw physical therapist emaw i thawhpui chuan he natna laka invenna tur exercise dik tak chungchangah kaihhruaina i dawng thei ang.