I hnungzang hnuai lam (Lumbar Spine) chungchang i zir dawn nia Hei hi eng nge ni tak tak?

A chang chuan lower back pain i nei thin em? Hmun khata rei tak i thut lai emaw, phurrit rit tak i chawi lai emaw chuan hnungzang hnuai lam hi a stress ber a ni. Chuvangin, vawiin hian kan taksa peng pawimawh tak, lower back chungchang kan sawi dawn a, doctor-te’n an tih angin , lumbar spine . Eng nge a nih, kan taksa tana rawngbawlna a pek te, eng harsatna nge a thlen theih te, a chinfel dan tur te hi i hrethiam mai ang u.

Lumbar Spine hi eng nge ni?

A awlsam zawngin, lumbar spine hi i hnungzang hnuai lama ruh panga (vertebrae an ti bawk) atanga siam a ni. Doctor-te chuan heng ruh pangate hi L1, L2, L3, L4, leh L5 an ti a. (L hi lumbar tihna a ni.) Heng lumbar vertebrae te hi i ruh zawng zawnga vertebrae dang aiin a lian deuh a, a thim deuh bawk a, square boulder ang mai a ni.

Ngaihtuah teh, lumbar spine hi i rilru chhunga vertebrae 12 hnuaiah (hengte hi thoracic vertebrae an ti a) leh ruh triangular ang maia sacrum an tih chungah a awm a, chu chu a hnuai zawk pawh a ni.

Heng lumbar vertebrae te hi a lian avangin kan ruhro chu stability tha tak a pe a ni. Tin, muscle leh ligament tam tak an lo kal a, he part hi an inzawm khawm bawk. A pawimawh ber chu he lumbar spine hian i taksa rit ber a phur a ni. Chu mai ni lovin, i balance vawng reng turin a pui bawk. He lumbar spine-a inzawm muscle leh ligament te hian kea kal, tlan, thut, thil chawi, i taksa chu kawng tinrengah i ben leh twist thei a ni.

I lumbar spine hian inward curve tlem a nei a. A hming chu lordotic curve an ti a.

Lumbar spine hi eng nge thleng?

Kan hnungzang hnuai lam thil thleng thenkhat han thlir ila:

• I taksa chunglam a thlawp a, i rit zawng a sem darh bawk: I lu rit phurtu lumbar spine a ni a, chubakah i kawr chhunga vertebrae pasarih (cervical spine an tih) leh i rilru chhunga vertebrae sawm leh pahnih (thoracic spine) te pawh a ni. I pelvis nen pawh a inzawm a, chu chuan i taksaah rit ber a phur a, thil i chawi emaw i phurh emaw hian pressure a tuar bawk. I taksa chunglam rit zawng chu i keah a transfer tu a ni.
• I taksa tichak turin a pui che: I hnungzang hnuai lam ruh leh i lumbar spine a flexibility te hian i torso chu kawng tinrengah (hma lam, hnunglam) a ben thei a, a sir lamah a ben thei a, fully rotate, leh twist a ti thei bawk. A bik takin lumbar vertebrae hnuhnung pahnih (L4, L5) te hian heng movement te hi an pui nasa ber a ni.
• I Spinal Cord leh Cauda Equina a venghim: I ruhro kal tlanga kal spinal cord hi i thluak atanga main nerve cable ang mai a ni. I luruh bul atanga tan a ni a, lumbar vertebra hmasa ber (L1) ah a tawp thin. Tichuan, nerve bundle pakhat a awm a, chu chu spinal cord tawp atanga tla thla a ni. Sakawr hmui ang mai a ni a, a chhan chuCauda equina (sakawr hmul tihna) an ti a. He spinal cord, cauda equina hi heng vertebrae atanga siam khuhna hmanga venhim a ni.
• Ke chetna a control: I lower spinal cord leh cauda equina atanga lo chhuak nerve te hian i ke sensations (feelings) leh movement te a control thin.

Lumbar spine-ah hian eng muscle leh soft tissue dang nge awm?

Lumbar spine-a taksa ruh (muscles) te

I hnungzang hnuai lam ruh te, i pum ruh te hian i taksa peng leh hnungzang hnuai lam chu a ti che a ni. Heng muscle leh ligament te hian i hnungzang hnuai lam chu chakna leh dinhmun nghet tak a pe a, hmalam, hnunglam leh inherna kawngah a pui che a ni. Lumbar spine nena inzawm muscle lian ber ber thenkhat chu hetiang hi a ni:

• Latissimus Dorsi: Hei hi ruh lian tak, flat, triangular tak a ni. I mid leh lower back-ah a tlan chhuak thin. I kut hmanga rit phurh nan a pui a, i thawk laiin i rilru a chawi a, i hnungzang chu a sir lamah a ben bawk.
• Iliopsoas: Hei hi taksa peng pathum awmna pawl a ni. I hip joint a ti che a ni. He muscle hian i hip leh lower back chu i kal a, i tlan a, i chair atanga i tho chuan a nghet reng thei a ni.
• Paraspinals: Heng taksa peng pathumte hi i ruhro bulah an awm a. Anni hian ding nghet taka ding tur te, a sir lam hawia inbeng te, leh inher theih nan te an pui thin. I posture vawng reng turin an pawimawh bawk.

Disc te chu lumbar spine ah a awm

Intervertebral discs hi ruhro (spine) hmun hrang hrang, vertebrae pahnih inkara "shock absorber cushions" ang maia thawk te an ni. Heng disc hi i lumbar vertebrae inkarah hian panga a awm a. Shock an absorb bakah hian heng disc te hian i ruhro hnuai lama kal rit chu a thlawp a, vertebrae inkarah pawh a kal thei bawk.

Pawimawh: I hnungzang hnuai lama he disc hi a chhe emaw, a herniate emaw theihna ber a ni. Hei hi i hnungzang hnuai lam, emaw i ke hnuai lam, a chang chuan i ke chhunga natna i hriat tan tirh lai a ni.

Lumbar spine-a ligament awmte

Ligaments chu ruh pakhat leh ruh dang thlunzawmtu tissue a ni. Lumbar spine-a ligament te hian ruhro chu a nghet reng a, a che tha thei a, accident a thlen chuan impact a absorb thei bawk. Ligament lian ber ber thenkhat chu:

• Anterior Longitudinal Ligament: Hei hi lumbar vertebrae hmalam atanga tlan thla a ni. Lumbar joint a ti nghet a, backward flexion (extension) a tikhawtlai bawk.
• Posterior Longitudinal Ligament: Hei hi lumbar vertebrae hnung lamah a kal a. Forward flexion a tikhawtlai a ni.
• Supraspinous ligament/Interspinous ligament-ah hian a awm a, chu chu a hnuaia mi ang hian a ni.He binding hian hmalam panna tihtlem nan a pui bawk.
• Ligamentum Flavum: Hengte hian ruh chhung lam a khuh a, hnunglam atanga ruhro a venghim bawk.
• Intertransverse ligaments: Hengte hian vertebrae-a transverse process te chu a thlunzawm a ni. I torso lateral bending do turin an pui thin.
• Iliolumbar ligament: Hei hi L5 vertebra atanga pelvic bone thlengin a kal a. Lumbosacral spine a ti nghet thei hle.

Spinal Cord leh Nerves te

Kan sawi tawh ang khan spinal cord hi nerve tissue bundle a ni a, thluak atanga L1 vertebra thlenga inzar pharh a ni. Hei hi thluak atanga taksa peng hrang hranga thuchah thlentu a ni. L1 hnua nerve zung hnuai lam chu cauda equina an ti a .

I lumbar spine (L1 atanga L5 thleng, a sir lehlamah pakhat) nerve pahnih panga a chhuak thin. Heng nerve te hi i ruhro hnuaiah an kal a, nerve dangte nen inzawmkhawmin i ke hnuai lam natna, hriatna leh chetna control tu nerve network an siam a ni.

• L1 nerve: I groin area leh genitals ah sensation a pe a, i hip muscle te a ti che thei bawk.
• L2, L3, L4 nerves: I kekawr hmalam leh i ke hnuai lam chhungril lamah sensation pe rawh. Hip leh knee muscle movement te pawh an control bawk.
• L5 nerve: I ke hnuai lam hnunglam, i ke chunglam leh i ke ruh lian leh ke ruh pahnihna inkar hmunah te sensation a pe a. I hip, khup, ke leh ke ruhte chetna a control bawk.
• Sciatic Nerve: Hei hi L4, L5 leh sacral nerve dangte atanga siam a ni. I hnute atanga intan a, i ke atanga tlan thlain i keah a tawp thin. Sciatica natna hi he nerve hi a chhiat emaw, a compress emaw a nih chuan a awm thin.

Thisen kalna kawng hrang hrang

Lumbar region-a vertebrae, muscle leh ligament te hian i pum chhunga artery lian ber abdominal aorta atanga lo chhuak branch atang hian thisen leh ei tur tha an dawng thin.

Eng natna leh harsatna nge lumbar spine hi a nghawng?

Vanduaithlak takin he kan ruh hnuai lam hian harsatna chi hrang hrang a tawk thei a ni. Heng harsatnate hian i hnungzang emaw, i hip emaw-a chetna (range of motion) a tikhawtlai thei a, i hnungzang, i hip, i kekawrte emaw, i ke emaw a na thei a, i chak lo thei a, i ke a ti na thei bawk.

Lumbar spine tibuaitu natna leh dinhmun thenkhat chu:

• Lower back pain: Hei hi mi tam tak tan chuan harsatna tlanglawn tak a ni. Hliam leh dinhmun hrang hrang avanga lo awm thei a ni. Natna chhe thei (e.g. Osteoarthritis , Ankylosing Spondylitis ), Spinal Stenosis , Herniated Disk te a awm theiBack pain hi thil chi hrang hrang, pinched nerves, sprains, spinal fractures, tumors, cysts, bone spurs, leh spondylolisthesis (vertebra slip) te vang a ni thei.
• Lumbar Stenosis: Hei hi i ruhro (spinal cord) vel a hmun zau zawng tihtlem a ni. Hei hian spinal cord atanga chhuak nerve te tan hmun a ti tlem a ni. Hei hian nerve compression a thlen thei a, natna a thlen thei a, a ti na thei bawk a, ke, groin, hip, buttocks leh lower back ah te chak lohna a thlen thei bawk. Heng symptoms te hi kea kal emaw, ding emaw hian a zual thei a, mut emaw, thut emaw, hmalam deuha inbeng emaw hian a reh thei bawk.
• Spondylolisthesis: Hei hi lumbar vertebra chu a hnuaia vertebra nena khaikhin chuan hmalam pan a ni. Hei hian nerve a compress thei a, hnungzang emaw ke emaw a ti na thei bawk.
• Vertebral Compression Fracture: Osteoporosis ang chi natna nei chuan accident tenau tak atang pawhin vertebral compression fracture a nei thei a ni. Car accident leh hmun sang atanga tlak ang chi thil atang pawhin fracture na tak a awm thei bawk.
• Sciatica: Lumbar radiculopathy tia hriat bawk a ni a, hei hi nerve natna a ni a, chu chu sciatic nerve tihchhiat emaw, a ti na emaw a ni. Herniated disc, spondylolisthesis, osteoarthritis ang chi thil vang pawh a ni thei.
• Herniated Disk: Hei hi vertebrae inkar disc a bulge, a tear emaw, a chhunga thil awmte a leak emaw hian a thleng thin. A hnungzang na a thlen thei a, ke ruh a ti na thei a, taksa ruh a tichak lo thei bawk.
• Lumbar Lordosis ("Swayback" tia hriat bawk): Hei hi hnungzang hnuai lam a curvature lutuk a ni. Hei hian lumbar vertebrae-ah a tul lo takin pressure a siam a ni. Hei hi natna, dinhmun tha lo leh ruhro ben lutuk vang a ni thei.
• Muscle Spasm: Lumbar region thlawptu muscle lian tak tak a awm a. Heng thau te hi a tense emaw a twisted emaw thei a ni. Hei hi hnungzang natna thlentu a ni bawk.
• Degenerative Disk Disease: Hetiang dinhmun hi lumbar spine-a disc te a chhe lutuk hian a lo awm thin. Vertebrae inkar space a tlahniam a, hei hian nerve compression leh back pain a thlen thei a ni.
• Puitling Scoliosis: Scoliosis hi ruhro sir lam hawia inher chhuak a ni. Hetiang dinhmun hi kan tar chhoh zel emaw, ruhro a chhe deuh deuh emaw hian lumbar spine-ah a awm thei a ni.
• Cauda Equina Syndrome: He natna hi nerve bundle cauda equina an tih compression avanga lo awm a ni. Hei hi medical emergency a ni a . A lan chhuah dan chu natna, chak lohna, leh ril leh ruh control theih lohna te a ni.

Engtin nge lumbar spine natna leh dinhmun te hi hriat chhuah a nih?

A hmasa berin i doctor chuan i medical history te, i damdawi ei te leh i symptoms te a zawt ang che. Tichuan, taksa enfiahna an nei ang a, a tul chuan test leh scan an order ang.

Hetiang test hi i ti thei ang:

• CT Scan (Computed Tomography - CT Scan): Hei hian X-ray leh computer hmangin an enfiahna hmun thlalak "slice" te tak te tak tak an la thin. Spinal canal pianzia leh lian leh te, leh ruh dinhmun (bone spurs, bone fusion, infection emaw tumor avanga ruh tihchhiat) te a en thei a ni.
• Magnetic Resonance Imaging (MRI): Hei hian magnet lian tak, radio wave leh computer hmangin chipchiar takin thlalak a la thin. Spinal cord leh nerve chhuak, herniated discs, infection, leh tumor te hriatchhuahna kawngah a pui thei a ni. MRI hian CT scan aiin nerve te chu chiang zawkin a hmu thei a ni.
• X-ray: Radiation tlemte hmangin ruh leh soft tissue thlalak a la thin. Anni hian thil chi hrang hrang an zawng thei a, chu chu ruh tliak, disc lama harsatna, ruhro (spinal stenosis), leh ruh natna (arthritis) te hi a ni.
• Electromyogram (EMG) leh Nerve Conduction Studies: EMG hian nerve leh muscle te hriselna leh hnathawh dan a enfiah thin. Nerve conduction study hian nerve pakhata electrical impulse a kal chak dan a teh a. Heng test te hian nerve chhiatna leh nerve compress na hmun hriat theih nan a pui thei a ni.
• Myelogram: He test hian vertebrae leh discs, spinal cord leh nerve roots inzawmna a en thin. Tumor, bone spur emaw herniated disc emaw a awm leh awm loh a enfiah thei a, chu chuan spinal cord emaw nerve emaw a press a, natna, rilru hahna emaw, chak lohna emaw a thlen thei a ni.

Lumbar spine hriselna lama harsatna awmte hi engtin nge enkawl an nih?

Lumbar spine tichhe thei dinhmun tam takah non-surgical leh surgical treatment pahnih a awm bawk. I enkawl dan tur i thlan chu harsatna awm chhan leh a nasat danah a innghat ang.

Surgery ni lo enkawlna chu engte nge ni?

I hnungzang natna hi accident emaw tumor emaw avanga lo awm a nih loh chuan i doctor chuan less invasive treatment a rawt hmasa thei ang. Surgery ni lo enkawlna hman tlanglawn thenkhat chu:

• Hahchawl.
• Ice emaw hot compress emaw a ni thei.
• Hna hahthlak emaw, natna tipungtu emaw tih loh.
• Taksa lam enkawlna.
• Damdawi: taksa ruh tichaktu, natna tidamtu (e.g. paracetamol), leh natna tidam thei damdawi (e.g. ibuprofen, naproxen).
• Steroid Injection: Lumbar natna atan hian steroid injection hi chi thum ngaihtuah theih a ni. Lumbar Epidural Block hi steroid injection a ni a, chu chu epidural space a ni a, chu chu spinal cord pawn lam space a ni.Lumbar facet joint block chu vertebrae inkar facet joint lining-a steroid injection a ni. Interlaminar injection emaw transforaminal injection emaw chu steroid injection a ni a, chu chu spinal cord leh spinal column inkar space-ah a injection a ni.
• Medical Branch Block leh Radiofrequency Ablation: He enkawlna hi lumbar natna rei tak thenkhat tan chuan ngaihtuah a ni. A hmasa berin, ruhro (spine) facet joint nena inzawm nerve-ah local anesthetic an inject a. Natna a tlahniam chuan a dawt leh tur chu a natna chu a tawp thlenga tihbo tum a ni. Hei hi radiofrequency ablation tih technique hmanga nerve tihchhiat hmanga tih a ni . Thla tam tak chhung chu a natna chu a reh tawh a ni. Mahse, nerve a lo thang leh chuan a natna chu a lo let leh thei a ni.

Engtin nge lumbar spine surgery ka mamawh tih ka hriat theih ang?

Lumbar spine surgery i mamawh mai thei a, chu chu:

• Enkawlna dangin a puih loh chuan.
• I hnungzang hnuai lam, hip leh/ emaw i ke symptoms a na zual a nih chuan (surgery hi hnungzang na aiin ke natna atan tih a ni tlangpui).
• Surgery neih theih khawpa hrisel i nih chuan.

Accident (car accident ang chi), cancer, epidural abscess (spinal cord leh spinal cord khuhna inkara natna), osteomyelitis (ruh natna), cauda equina syndrome, emaw conus medullaris syndrome (spinal cord disorder chi khat) avanga lumbar region-a hliam i neih chuan operation hi enkawlna hmasa ber a ni.

Lumbar spine condition tan eng surgery nge neih theih?

Surgery tih dan tlangpui thenkhat chu hetiang hi a ni:

Lumbar Spinal Decompression Surgery hmanga tih a ni

Hei hi thumal tlangpui a ni. Surgery chi hrang hrang, spinal cord emaw nerve roots emaw a pressure emaw compression emaw tihziaawmna tura symptoms tihziaawmna atana tih a kawk a ni. Surgery hmanraw hman tlanglawn tak takte chu:

• Lumbar Diskectomy: Hetiang tih danah hian surgeon chuan a bul hnaia nerve zungte pressure tihziaawmna turin disc thenkhat a la chhuak thin.
• Lumbar Laminotomy emaw Laminectomy: Hetiang tih danah hian surgeon chuan ruh kawng (spinal canal) ruh arch (lamina) atanga a tlem ber chu a la chhuak thin. Laminotomy-ah chuan lamina atanga a tlem ber chauh lakchhuah a ni. Laminectomy-ah chuan lamina pumpui chu lakchhuah a ni a, ruh spur, disc fragment leh ligament thickened te nen, a tul chuan lakchhuah vek a ni. Lamina lakchhuah a nih chuan spinal canal a zau a, pressure a reh a ni.
• Lumbar Foraminotomy emaw Foraminectomy emaw hmanga tih theih a ni:Heng surgery pahnih hi nerve zungte’n spinal cord atanga an chhuahna kawngkhar (foramen) tihzauh nan an ti a, chu hmuna ruh thenkhat chu lakchhuah a ni. Foraminectomy-ah chuan ruh tam tak lakchhuah a ni.
• Lumbar Corpectomy: He surgery-ah hian surgeon chuan vertebra (vertebral body) hmunpui ber leh disc te chu a la chhuak a, chu chuan spinal cord-a pressure a tihziaawm a ni. A châng chuan, vertebrae te chu an inzawm khawm ( spinal fusion ) a, chu chuan lumbar spine chu a ti nghet thei a ni.

Lumbar Disk thlak danglamna Surgery neih a ni

Hemiah hian lumbar disc natna nei chu lakchhuah a ni a, artificial disc dah a ni. Hei hi lumbar disc thlak nan an ti fo thin. Mahse, tun hnaiah he surgery hi a tlem ta hle a, hei hi operation hnua harsatna awm thin vang a ni.

Lumbar Spinal Fusion hmanga siam a ni

Hei hi surgery a ni a, lumbar vertebrae pakhat emaw a aia tam emaw chu a nghetin a fuse a, vertebrae inkara inherna a awm tawh lo.

Spinal Cord Hliam tuar nan Functional Electrical Stimulation hman theih a ni

Hetiang method-ah hian electrical impulse te te hmangin lumbar nerve-in a thunun taksa hnuai lam ruh leh nerve te chu a tichak a, an hnathawh that leh tumin an bei a ni.

Minimally invasive lumbar spine surgery ka nei thei ang em?

Hemi chungchang hi i surgeon nen sawiho rawh. Thil tam takah chuan minimally invasive spine surgery hian traditional open surgery a thlak ta a ni. Vunah hian incision lian tak pakhat siam ai chuan minimally invasive surgery chu incision tenau pakhat emaw a aia tam emaw hmangin an ti thin. Incision te hi a te a nih avangin incision lian tak aiin taksa ruh leh soft tissue te a chhiatna a tlem zawk.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

I lumbar spine hi i hnungzang hnuai lam a ni. Vertebrae panga (L1-L5) a nei a. Tin, intervertebral discs, spinal cord leh nerve, muscle, tendon leh ligament te pawh a awm bawk. I taksa rih zawng thlawptu leh i taksa chetna tam zawk pe theitu lumbar spine a ni.

A pawimawh ber chu, i hnungzang na, i ke ruh natna, chak lohna emaw i neih chuan ngaihthah suh. Doctor hmu ngei ang a, thurawn la rawh.

Condition tam takah hian non-surgical leh surgical treatment a awm vek a. Chuvangin ngaihtuahawm tur a awm lo. I lumbar spine hrisel taka awm theihna turin i dinhmun dik tak i vawn reng a, rit dik tak i chawi a, exercise i tih pawhin i pui thei bawk.

` Hnung na, lumbar spine, vertebrae, disc lama harsatna, sciatica, spinal cord, nerve na