I fa hian chhan hriat lohvin natna nasa tak a nei em? AMPS chungchang hi han sawi ila! (Amplified Musculoskeletal Pain Syndrome) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.

I fa hian taksa natna chungchangah a phunnawi fo em? Hliam tenau tak, a dam hnuah pawh a na zual zel ang mai a ni mai thei? A châng chuan, "He naupang hian dawt a sawi a, hei hi a thleng thei lo," i ti mai thei. Mahse, hei hi a takah chuan naupangte nghawng thei damdawi lama hriat hlawh tak a ni thei. Amplified Musculoskeletal Pain Syndrome, a tawi zawngin AMPS kan ti a. He thuziak ah hian awlsam tak leh friendly takin kan sawi dawn a ni.

A awlsam zawngin AMPS chu eng nge ni?

AMPS hi natna khirh tak a ni a, naupangte a nghawng nasa hle. Natna nasa tak a thlen thin. He natna hian naupang nitin thil tih theihna, sikul leh infiamna te a tibuai thei a ni. Naupang thenkhat chuan an taksa hmun khatah he natna hi an nei thei. Midang tan chuan localized leh intermittent a ni thei bawk.

Hetiang dinhmun hi stressor engemaw tak a lo awm hnuah a intan fo thin. Hei hi hri kai, natna, hliam, a nih loh leh rilru hahna pawh a ni thei. Mak tak mai chu naupang tam takah chuan a tir lama an hliam emaw natna emaw, an natna lo intan chhan chu a dam vek tawh a, mahse a natna chu a pung zel chauh a ni. Hei hi kan taksa chhunga hlauhawm hriatchhuah leh chhanlettu kan nervous system peng chu a thawk nasa lutuk vang a ni . Heng overactive nerve te avang hian naupang tana natna pangngai pawh hi a lianin a tizau tan thin.

Thu lawmawm tak chu naupang tam tak chu physical therapy leh counselling hmangin an dam kim thei a, chu chuan naupang taksa leh nervous system tichak turin a pui thei a ni. Chuvangin, he dinhmun hi hriat hmasak a pawimawh .

AMPS-ah hian engtin nge pain perception hi a inthlak?

Hei hi hrethiam tur chuan a tlangpuiin natna kan hriat dan hi han en hmasa ila. I kut chu a tan tawh angin han mitthla teh.

• ‘Message’ chu hliam na hmun atanga ruhro (spinal cord)-ah natna nerve kaltlangin a kal a.
• Spinal cord chuan chu thuchah chu thluak lamah a thawn nghal vat thin.
• Thluak chuan "natna" tiin a hre chiang a, chu natna chu i hre ta a ni.
• Hliam a dam chuan heng thuchahte hi thawn chhuah a ni tawh lo va, a natna chu a reh ta a ni.

Process awlsam tak a ni lawm ni?

Mahse AMPS vei naupang chunga thil thleng chu he natna ‘thuchah’ hi a kal dik lo a ni. 'Short circuit' ang mai a ni .

• He natna thuchah hi kan taksa ‘emergency warning system’ ah a kal nghal vek a ni. Chungte chu "fight-or-flight" nerve, emaw (autonomic nerves) tiin kan sawi thin. Chungte chu kan thunun theih loh thil, kan thinlung thawk, thawk, leh thisen kal dan ang chite thununtu an ni.
• He thuchah dik lo avang hian a hmuna thisen kalna kawngte chu a tawi (constrict) thin.
• Thisen kalna kawng a zim chuan chu lai hmuna nerve, muscle leh ruh thlenga thisen leh oxygen awm zat chu a tlahniam a ni. Tin, bawlhhlawh lactic acid ang chi chu chutah chuan a pung khawm bawk.
• Heng zawng zawng hi a inzawm khawm chuan naupang tan chuan tuar theih loh, natna nasa tak a thlen thin.
• He natna nasa tak hian naupang chu kea kal, tlan, emaw, zuang emaw ai chuan che thei loin a siam thei a ni. Hun a kal zel a, hei hian taksa ruh chak lohna, deconditioning, ei leh in lama harsatna, leh harsatna dang, ding chhuak nghal vanga luak chhuak ang chi te a thlen thei a ni.

AMPS natna lan chhuah dan chu engte nge ni?

A lan chhuah dan ber chu natna a ni . He natna hi a awm reng thei a, a lo thleng thei bawk. Naupang chuan heng chhinchhiahnate hi a nei nghal mai thei a, a nih loh leh hliam emaw, natna emaw a neih hnu kar engemaw zat chhungin zawi zawiin a lo awm thei bawk.

A châng chuan, a kut emaw, ke emaw a na hi a na lutuk a, hman theih loh khawpin a na thei bawk. Tin, chu hmuna thawmhnaw khawih emaw, hrual emaw pawh hian tuar theih loh khawpa natna nasa tak, kang tak a thlen thei bawk . Hei hi allodynia an ti a .

Ka fa hian he hrehawmna hi a mitthla em?

Nu leh pa i nih angin he harsatna hi i neih hi thil awmdan pangngai a ni a, a chhan chu pawn lam atanga thlir chuan naupang hian hliam a nei lo niin a lang.

AMPS hi a chhan bik a awm em?

Doctor-te chuan AMPS thlen chhan dik tak hi an la hre lo a, mahse kan sawi tawh ang khan taksa emaw rilru lama harsatna eng emaw tak hnuah a lo awm tih hriat a ni. A châng chuan, chhan chiang tak awm lovin a inṭan thei bawk.

Hemi kawngah hian naupang kum, genetic influence, leh hormone inthlak danglamna te pawh hian hmun a chang thei niin an ngai. Hetiang dinhmun hi hmeichhe naupang leh naupang te zingah a tam hle.

Doctor, engtin nge hei hi AMPS a nih i hriat chian?

AMPS hmuhchhuah hi a harsa thei hle a, a chhan chu a natna lan chhuah dan a inang lo thei hle a, hun kal zelah a danglam thei bawk. Doctor chuan naupang leh an chhungte medical history kimchang tak a la hmasa ang. Tun hnaia natna, hliam, leh sikul emaw, in lama emaw thil thleng lungkhamthlak tak takte pawh an zawt bawk ang.

Chumi hnuah naupang chu uluk taka taksa enfiahna pek a ni ang a, chu chuan natna dang, natna hrik leh ruh tliak te chu a awm lo ang. AMPS hriat theihna tur thisen test bik a awm lo . Mahse, doctor chuan a chhan dang hriat loh nan hetiang test hi a rawt thei a ni:

• Bone scans: Thisen kal a tlahniam em tih enfiah thin ang che.
• MRI (Magnetic Resonance Imaging): A hring emaw, taksa ruh (muscle atrophy) emaw enfiah thin ang che.
• Nerve test: Nerve te sensitivity leh function te enfiah thin.
• X-ray: Ruh a hring (osteoporosis) a awm leh awm loh enfiah thin ang che.

AMPS hi engtin nge enkawl a nih?

AMPS enkawlna hian tum lian pahnih a nei a. Pakhat chu natna enkawl hi a ni. A dang chu nervous system chu misdirected pain signals te chu kawng dik takah redirect lehin nervous system "train" a ni.

Hetah hian hriat reng tur pawimawh tak chu painkiller chauh hian AMPS a tidam thei lo tih hi a ni . Painkiller hi naupangin enkawlnaah a tel theihna tur khawpa natna control nan chauh pek a ni. Enkawlna tum tak tak chu naupang chu a dinhmun pangngaia a awm leh theihna tur te, sikul kal theihna tur te, leh ṭhiante nena inkhelh theihna tur te a ni.

Enkawlna hi team sport ang mai a ni. I doctor leh specialist dangte chuan i fate tanpui turin an thawk ho thin:

• Naupang natna lam specialist
• Naupang rilru lam thiam emaw counselor emaw
• Taksa lam enkawltu a ni
• Occupational therapist a ni

Enkawlna lian ber berte chu:

1. Intense Physical Therapy: Naupangin natna hre mah se, hei hian zawi zawiin taksa ruh chak lo zawkte tihchak nan exercise neih a ngai a ni. A tir lamah chuan natna chu nasa zawk mah se, taksain a thiam zauh zauh a.

2. Occupational Therapy: Naupang chu amah chauhva nitin hna thawk thei tura zirtir thar leh, ha sil leh inchei te.

3. Psychotherapy: Naupang chu a natna nen nunpui tur leh a rilru hahna (stress) enkawl dan tur zirtir a ni.

4. Desensitization: Natna hmun chu zawi zawiin massage a, thil chi hrang hrang (cotton, puan chi hrang hrang) hmanga khawih. Hei hian thluak chu khawih hi a hrehawm lo tih a zirtir nawn leh a ni.

Enkawl lai hian eng nge beisei tur?

Hei hi zinkawng harsa tak a ni thei. Enkawl tan a nih chuan a tir lamah naupang natna a zual thei. Hei hi a chhan chu naupang chuan hun rei tak chhunga hman loh taksa peng leh ruhte chu a hmang tan thin vang a ni. Mahse function a lo tha chho tan chuan a natna chu a tlahniam zauh zauh thin.

Naupang tam zawk hi chu enkawl dan tur ruahmanna siam a nih hnuah sikul leh thil dang dangah an kir leh thei a ni. Naupangte chu intensive treatment hnuah an dam vek tlangpui. Naupang tlemte chauhvin relapse an nei.