A chang chuan i kut leh ke chu hnungzang na emaw, i kawng na emaw vangin a rilru a na ang maiin i hria em? Chutiang hunah chuan, "Aw, eng thil nge ka tihsual?" Vawi tam tak chu heng natna lan chhuah chhan hi ‘herniated disk’ an tih, vawiinah hian kan sawi dawn a ni. Mi thenkhat chuan hei hi ‘slipped disk’ an ti bawk. Chuvangin hei hi eng nge a nih, engvangin nge a lo awm tih, engtin nge i pumpelh theih ang tih leh engtikah nge damdawi lam thurawn i lak tur tih te hi awlsam takin han thlir ila.
Herniated disk tih hi eng nge ni? (Herniated Disk tih hi eng nge ni?)
A awlsam zawngin, i ruhro chu ruh te tak te, a chunga dah khawm atanga siam a ni. Hengte hi vertebrae kan ti a. Chuvangin vertebra pakhat chu a dang chungah i neih chuan, an pahnih inkarah hian shock absorber ang maia thawk, soft, cushiony part a awm a ni. Hei hi disk kan tih chu a ni. Car-a shock absorber-te hian shock an absorb ang bawkin, he disk hian i ben, i chawi sang, i kal hunah i ruhro chu a cushion a, a venghim bawk. He disk hi jelly-a khat donut angin han ngaihtuah teh. Pawn lamah chuan shell khauh tak a ni a, a chhung lam chu jelly ang maia nem tak a ni. Hun a kal zel a, a dinhmun tha lo emaw, accident nghal vang emaw pawh a ni thei, he disc pawn lam khauh tak hi a puak thei a, a chak lo thei bawk. Tichuan a chhunga jelly ang maia nem tak chu a rawn nawr chhuak ta a. Chu chu ``Herniated Disk'' emaw ``Bulging Disk'' emaw ``Ruptured Disk'' emaw kan tih chu a ni. Hetianga disc hian a rawn nawr chhuak a, chu chuan spinal cord emaw, a atanga chhuak nerve emaw chu a press tan ta a ni. Chutah chuan i taksa peng hrang hrangah natna, rilru hahna, leh chak lohna ang chi symptoms i nei tan thin. Hetiang dinhmun hi ruhro khawi hmunah pawh awm thei mahse,
hnungzang hnuai lam (chu chu ``lumbar spine'' kan tih) leh kawr (chu chu ``cervical spine'' an ti) ah a awm tam ber. A hnungzang chunglam leh a laiah (``thoracic spine'') a thleng tlem hle. Chanchin tha a awm. Mi tam zawk tan chuan he natna hi operation tel lovin a reh a, enkawlna awlsam tak hmangin a reh thei. Mahse, kar tlemte aia rei symptoms a awm reng chuan doctor pan ngei ngei tur a ni.
Herniated Disk natna lan chhuah dan chu engte nge ni?
Herniated disc symptoms hi mi hrang hrangah a inang lo thei a, disc herniated awmna hmun azirin a danglam bawk.
A hnungzang hnuai lam a herniated disc (Herniated Lumbar Disk) a awm a.
A hnungzang hnuai lam disc a bulh chuan
sciatica natna a thlen fo thin . Hei hi natna khirh tak, hliam na tak a ni a, ke sir khatah a radiate thei a, a hnute atanga ke hnuai lam thlengin a radiate thei a, a chang chuan ke chhungah pawh a radiate thei bawk. Chu bakah, symptoms te pawh i nei thei bawk:
- Lower back na a awm.
- Ke leh/ emaw kea rilru natna emaw, hriatna hloh emaw.
- Muscle chak lohna.
Herniated Cervical Disk a awm bawk
Kawngkhar chhunga vertebrae inkar disc a bulge chhuah chuan a symptoms te chu:
- Kawng na, a bik takin hnungzang leh kawng sir lamah a na.
- Kut chhunga rilru hahna emaw, hriatna hloh emaw.
- Shoulder blade inkar emaw, a chhehvel emaw a na.
- Natna chu a kekawrte, kutphah hnuai lam, a chang chuan kut zungtang thlenga radiate thin.
- Kawng ben emaw, herh emaw hian a na zual thin.
Engvangin nge disc hi hetiang hian a bulge chhuak? (Herniated Disk awm chhan) .
Kan sawi tawh ang khan disc hian jelly ang maia chhung lam a nei a, pawn lam khuhna khauh tak a nei bawk. Hun kal zelah emaw, chhan dang vang emaw pawhin he pawn lam khuhna hi a chak lo thei a, a chhe thei bawk. Tichuan soft interior chu rupture hmangin a rawn nawr chhuak ta a. Hetianga a chhuak part hi nerve ti pressure tu chu a ni. Hetiang a nih chhan hi a chhan hrang hrang a awm a:
- Tar : Kan tar chhoh zel chuan kan disc te hian tui a hloh a, a vawt a, a flexibility a hloh bawk. Hei hian chhiatna a thlen awlsam phah hle.
- Accident: Tlu nghal emaw, vuak na tak emaw chuan disc a tichhia thei. Thil rit tak i chawi nghal a, i hnungzang i tikehsawm ang tih han ngaihtuah teh. Hei pawh hi a theih a ni.
- Posture chhe fo: Bending over chungin hna i thawh chuan, i hnungzang hmang dik lovin weight i chawi a nih chuan, a nih loh leh i chawi dik loh chuan heng thilte hi a thleng fo chuan disc te a tichhe thei a ni.
- Thil rit chawi dik loh: Mi tam tak chuan an hnungzang ben hmangin rit an chawi thin. Hei hi a dik lo. I khup ben a, i hnungzang dik taka dahin rit i chawi tur a ni.
Hemi atan hian tute nge hlauhawm ber? (Disk Slipped a awm theihna tur Risk Factors)
Mi thenkhat chuan he natna hi an nei tam zawk. Tute nge an nih i en ang u:
- Kum 30 leh 50 inkar mite: He kum zat hian he natna hi an hmu tam ber.
- Mipa: Hmeichhia aiin mipa hian a let hnih velin hetiang hi an nei tam zawk.
- Chhungkaw chanchin : I chhungkuaa mi tu emaw hian hetiang natna hi a nei tawh a nih chuan nang pawhin i vei theihna a hlauhawm hle.
- Meizial zuk : Meizial zu thinte hian an disc-ah thisen a tlem a, chu chuan a tichak lo thei a ni.
- Hmun khata rei tak ṭhut: Hei hi office-a thawk leh computer hmaa hun tam tak hmang thinte tan chuan a pawimawh hle.
- Thau lutuk emaw, taksa rihna sang emaw :Taksa rihna a san chuan hnungzang hnuai lam ah pressure nasa tak a awm thin.
- Diabetes Mellitus : Hei hi zunthlum vei tan pawh a sang zawk.
- Connective tissue disorder thenkhat nei te pawh an hlauhawm thei bawk.
Engtin nge doctor hian hei hi a hriat chian? (Herniated Disk a awm tih hriatchhuah) .
Doctor i hmuh hunah i symptoms te an zawt hmasa ang che. Tichuan physical exam an ti leh ang. Hemi chhung hian i natna hmun te, i taksa ruh (muscle reflexes) te, i taksa ruh (muscle) te rilru put hmang te, i taksa chakna te an enfiah ang.
Straight Leg Raise Test tih test an ti thei bawk . He test-ah hian khumah i mu a, i ke pakhat chu dinglam hawia chawi sang turin an ti che a ni. Hetianga i tih hian i ke hnuai lam na i hriat chuan herniated disc i neih tih chhinchhiahna a ni thei. Tin, neurological exam pawh tih theih a ni bawk. Diagnosis finfiah nan hetiang test hi an ti thei bawk:
- Magnetic Resonance Imaging (MRI) hmanga enfiah a ni.
- X-ray hmanga tih a ni.
- Computed Tomography (CT) hmanga tihchhuah a ni.
- Myelogram tih a ni.
- Electromyogram (EMG) hmanga enfiah a ni.
- Nerve kalpui dan zirchianna.
Mi zawng zawng hian heng test zawng zawng hi an neih vek a ngai lo tih hre reng ang che. Test i tih turte chu i natna lan chhuah dan leh i doctor thutluknaah a innghat ang.
Herniated Disk Pain damdawi in lama hman tur thenkhat chu engte nge ni?
A tam zawkah chuan herniated disc avanga natna hi hun kal zelah a tlahniam zauh zauh thin. Disc a dam hma loh chuan natna enkawl nan a hnuaia mi hi i ti thei ang:
- Chawlh hahdam: Natna a nasat chuan ni khat atanga ni thum chhung chawlh hahdam tur a ni. Mahse khumah rei lutuk lo la. Chutianga tih chuan i taksa a ti khauh thei a, i thawh hunah a natna a tizual thei bawk.
- Pain reliever ei rawh: Over-the-counter pain reliever ibuprofen emaw acetaminophen emaw i ei thei a, chu chu damdawi dawrah i dawng thei bawk. Mahse Doctor zawt la a tha ber.
- Compress lum emaw vawt emaw: Tui lum bottle emaw ice pack emaw hmangin natna hmunah hnawih thin ang che. Mi thenkhat chuan lum an duh a, thenkhat chuan khaw lum an duh bawk. I tana nuam tur chu thlang rawh.
Herniated Disk hi eng damdawi nge ni?
Heng in lama damdawi te hian natna a ti reh lo a nih chuan i doctor chuan enkawlna dang a rawn rawt thei bawk.
- Damdawi: I doctor chuan natna tidamtu chak tak, anti-inflammatory drug, a nih loh leh muscle relaxant a pe thei che a ni.
- Physical Therapy: Physical therapist chuan i nerve-a pressure tihziaawm thei exercise tih dan tur a zirtir ang che. Heng exercise te hian taksa ruh tight tak takte a ti hahdam ang a, thisen kal pawh a ti tha ang.
- Spinal Injection: Epidural emaw nerve block emaw an ti bawk a, hei hian steroid damdawi chu ruh natna thlentu hmunah direct-a inject a ni. Hei hian natna leh hliam tihziaawmna atan a pui thei a ni.
Engtikah Nge Surgery A Ngaih Theih Ang?
A tha ber
chu mi sawm zinga 9 chu enkawlna dang hmanga zai ngai lovin an dam thei a ni. Mahse, enkawlna dang zawng zawngin a natna a tiziaawm lo a, nitin hnathawh tur a tam lutuk chuan i doctor chuan zai a ngaihtuah mai thei. A tlem hle a, herniated disc a lian a nih chuan bladder emaw bowel emaw control tu nerve te a tichhe thei a ni. Chutiang a nih chuan emergency surgery neih a ngai mai thei. Thil dangah chuan operation hi a tawp ber a ni. Surgery tum ber chu chutiang nerve-a pressure tihziaawm hi a ni. Hei hi spinal decompression surgery an ti a. Surgery tih tam ber chu
microdiskectomy a ni . Hei hi minimally invasive spine surgery a ni a, microscope leh instrument te tak te hmangin herniated disc chu incision te tak te tak hmangin lakchhuah a ni. Surgery tih theih dang pawh a awm bawk:
- Diskectomy tih a ni
- Laminotomy hmanga tih a ni
- Laminectomy tih a ni
- Artificial disk hmanga operation tih a ni
- Spinal fusion a ni
Herniated Disk hi engtin nge kan ven theih ang?
A chang chuan hei hi ven a harsa thin. Mahse, a hlauhawmna tihziaawmna tur thil kan tih theih a awm a:
- Weights dik taka chawi: I hnungzang ben hmangin weights chawi suh. I khup kha ben la, i hnungzang chu dinglam hawiin dah la, i ke hmangin chawi sang rawh. Weightlifting technique dik tak practice rawh.
- Taksa rihna hrisel tak vawng reng rawh: Taksa rihna a san chuan a tul lovah ruhroah pressure a awm thin.
- Posture tha tak vawng reng rawh: I kal lai te, i thut lai te, ding lai te, leh mut lai te chuan i hnungzang dinglam taka awm tir thin ang che.
- Stretching: A bik takin hun rei tak ṭhu chunga hna i thawh chuan tho la, darkar khatah vawi khat tal i taksa kha han hrual rawh.
- Heels sang tak bun loh tur: Hetiang pheikhawk bun hian ruhro (spinal imbalance) a thlen thei a ni.
- Exercise neih fo: I hnungzang leh pum ruh tichaktu exercise ti thin ang che. Chungte chuan i ruhro (spine) tanpui tha tak a pe a ni.
- Meizial zuk loh tur: Meizial in hian disc te a tichak lo va, a chhe awlsam zawk bawk. A theih chuan meizuk kha bansan rawh.
A dam leh theih nan eng chen nge hun a duh? (Recovery Hun) 1.1.
Mi tam zawk tan chuan he natna hi thla khat chhungin a dam leh ang a, a mah chauhin emaw, damdawi lam enkawlna awlsam tak hmangin emaw a ni thei. Chutiang a nih loh chuan Doctor pan rawh. Mi thenkhat chuan enkawlna tlem tal an mamawh mai thei a, injection emaw surgery emaw pawh a ngai mai thei.
Enkawl loh chuan a na zual ang em?
Ni e, he natna hi enkawl loh chuan a zual thei hle. A bik takin a thlentu thil (entir nan, rit phurh dik lo) i tih chhunzawm zel chuan. Hei hian
natna rei tak a thlen thei a, a natna hmuna control hloh emaw sensation emaw a thlen thei bawk. Standard treatment kar 4-6 hnuah pawh symptoms a lo tha lo a nih chuan doctor pan ngei ngei tur a ni.
Engtikah nge Doctor hmuh hun tha ber? (Doctor Hmuh Hun) .
A tirah chuan in lamah natna lakah hahdamna i hmu thei mai thei. Mahse, hetiang ang case-ah hian doctor i pan ngei tur a ni:
- Natna avanga nitin hna i thawh theih loh chuan (e.g., hnathawhna hmuna kal a harsat chuan).
- Kar 4-6 hnuah symptoms a reh loh chuan.
- Symptoms a na zual zel a nih chuan.
- I zun emaw, i bawlhhlawh emaw i control theih lohna condition i neih chuan. (Hei hi emergency a ni!)
- I kut, ke, kutphah emaw, ke emaw-ah rilru hah, hriatna hloh, chak lohna i neih chuan.
- Ding rawh, kal a harsat chuan.
I doctor zawh tur zawhna pawimawh tak takte chu engte nge ni? (I Doctor Zawh tur Zawhna)
Doctor hmu tura i kal hunah hetiang zawhna hi zawh theihnghilh suh:
- Eng chen nge ka chawlh ang?
- Eng chen nge ka kal ang a, eng ang thiltih nge ka tih ang?
- Eng painkiller nge ka ei ang?
- Ice nge hot compress hi ka tan a tha zawk em?
- (If considering surgery) Eng surgery option nge ka neih?
A tawp berah chuan hriat reng tur (Take-Home Message) .
Disc a bulge chhuah hian hlauhna leh lungkhamna neih hi thil pangngai a ni. Mahse,
khumah awm reng suh. Chutianga tih chuan i taksa ruhte a tikhauh thei a, thawh pawh a ti na zual thei bawk. I doctor-in a tih angin exercise light tak tak leh stretch ti rawh. Mi tam zawk chuan kar tlemte chhungin thil awlsam tak tak, over-the-counter pain reliever ang chi hmangin hahdamna an hmu thin. Amaherawhchu,
natna nasa tak, rilru hahna, emaw, i bladder thunun harsa i neih chuan ngaihthah suh. Damdawi lam pan nghal rawh. I hriselna hi i tan a pawimawh em em a ni!
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