"Aw, zing zawng zawng ka hnungzang a na..." Vawiin zing khan hetiang hian i ngaihtuah em? Nangmah chauh i ni lo. Survey-ah chuan khawvel puma mi panga zinga pakhat vel chuan thla khatah vawi khat tal hnungzang natna an nei tih hmuhchhuah a ni. Chuvangin, he thil atan hian doctor pan i tlan a ngai tak tak em? Dik tak chuan i mamawh reng reng lo. Back pain tam zawk chu kar li atanga kar ruk chhungin a mah chauhin a bo a, damdawi hmanga enkawl emaw enkawl loh emaw pawhin a bo vek . Chuvangin a tam zawkah chuan he natna hi in lamah i enkawl thei a ni.
Mahse, a hmasa berin in lama awm hi a tha lo tih kan hriat hmasak a ngai a, chu chu doctor kan hmuh nghal a ngai tihna a ni. Hengte hi "Red Flag Signs" kan ti thin.
‘Red light’ symptoms a awm a, damdawi lam pan vat ngai a ni
A hnuaia symptoms te hi i hnungzang natna nen i neih chuan in lamah awm la , doctor hmu nghal suh . Hei hi a pawimawh hle.
| Feature / Hun remchang a awm | A awlsam zawngin sawifiah a ni |
|---|---|
| Hliam vang a ni | I tlu emaw, accident emaw hnua i hnungzang a na a nih chuan. |
| Natna nasa tak a nei | Chhun lama che thei lo emaw, zan lama mut theih lohna tur natna nasa tak i neih chuan. |
| Ke hnuai lam pan thin natna | Back na hi khup atanga ke hnuai lam (sciatica ang chi) atanga a kal chuan. |
| Numbness a awm | I ke, ke, groin area emaw, i hnute chhehvel emaw-ah tingling emaw numbness emaw i neih chuan. |
| Symptom dang a awm bawk | I hnungzang natna hi khawsik, luak chhuak, luak chhuak, pum na, chak lohna emaw, thawk hah lutuk emaw nen a inzawm a nih chuan. |
| Thununna hloh | I zun emaw, i ek emaw i thunun theih loh chuan hei hi emergency a nih avangin damdawi in Emergency Department (ETU) ah i kal nghal tur a ni. |
| Damdawi lam dinhmun awmsa | Osteoporosis emaw cancer emaw i neih tawh chuan. |
| Rihna tihtlem leh damdawi ei tur | Chhan awm lova i taksa rihna tihtlem a nih chuan, steroid i ei rei a nih chuan, ruihhlo hmang mi i nih chuan. |
Okay, chuvangin a chunga kan sawi tak symptom na tak tak i neih loh chuan tunah hian in lama hnungzang natna tihziaawm dan tur thenkhat i sawi dawn nia.
Chawlh hahdam hi a pawimawh a, mahse a dik zawngin!
A hmasa ber chu i hnungzang chawlh tir hi a ni. Mahse chawlh ka tih hian tun hma angin kar tam tak khumah awm ka tum lo. Doctor-te chuan, "Chu chu i hnungzang chunga i tih theih pawi ber a ni," an ti.
A tha ber chu i hnungzang a na emaw, i hliam emaw hnuah darkar 48 emaw, ni hnih vel emaw chawlh hahdam hi a ni.
Chu ni hnih hnuah chuan zawi zawiin hna pangngai i thawk leh thei tawh ang. I hnungzang a natna leh natna nasa tak chu a reh hnuah, tho leh kal kual te, leh hna light tak tak tih te hian natna leh natna khirh tak chu a tiziaawm ang.
A lum nge a vawt? Eng nge tha zawk?
Tui lum bottle emaw ice pack emaw direct-a i hnungzang na hmunah hnawih hian a hring a tihziaawm thei a, natna a tiziaawm thei bawk. Zirna thenkhatah chuan ice aiin lumna hian a hlawkpui zawk mai thei tih an sawi a, mahse heng hmanraw pahnih hian hnungzang natna a tidam thei tih hmuhchhuah a ni.
A awlsam zawngin hetiang hi a ni.
- Heat: Hei hian thisen kalna kawng a tizau thin. Hei hian ruhro (spine)-a oxygen supply a tipung a, chu chuan taksa ruh (muscle stiffness) a ti tlem a ni.muscle spasms ) tihziaawmna a ni.
- Ice: Hei hian thisen kalna kawng a tikhawlo a, chu chuan chu hmuna thisen kal chu a ti tlem a, a hring (swelling) a ti tlem bawk. A tir lamah chuan na deuh mah se, natna thuk tak a\angin hahdamna a pe thei a ni.
Hot compress atan chuan tui lum bottle emaw heating pad emaw i hmang thei bawk. Ice compress atan chuan damdawi dawr atanga ice pack lei a ngai lo. In lama fridge-ah thlai vawt (frozen vegetables) packet khat pawh i hmang thei a , puan pakhata khuh a ni. Tichuan i hnungzang na nen i chhuah a ngai tawh lovang.
Painkiller hman huna hriat tur thil
Over-the-counter painkillers paracetamol emaw nonsteroidal anti-inflammatory drugs (NSAIDs), ibuprofen leh naproxen te hian hnungzang natna a tidam thei tih hmuhchhuah a ni.
Mahse hengte hi i hman hmain i doctor nen inbiak hmasak phawt a finthlak a, a chhan chu damdawi dang (e.g. gastritis, kal natna, thin natna) i neih chuan heng damdawi te hi i tan a tha lo mai thei.
- NSAID damdawi (ibuprofen ang chi) hian pum a ti na thei a, gastritis a thlen thei a, kal a tichhe thei bawk.
- Paracetamol hi rei tak ei tam chuan thin a tichhia thei a ni.
Heng side effects te hi hun rei tak chhung dose sang tak nen a awm fo thin a, mahse himna ngaihtuah a pawimawh hle.
Tin, natna tidamtu cream leh gel te pawh i hmang thei bawk. Aspercreme, Bengay, leh Icy Hot ang chi product te hian capsaicin, camphor, leh menthol ang chi thil chi hrang hrang a nei a, hei hian natna atanga rei lo te chhung a ti reh thei a ni.
Exercise hi hnungzang natna damdawi tha ber a ni!
"Hetah hian he exercise hi i tih tur" tih hi hnungzang natna atana exercise bik awm lo mah se, a tlangpuiin, hnungzang natna nei tan chuan exercise hi a pawimawh hle. Spine flexibility (mobility) a vawng reng thei a ni.
A pawimawh ber: I hnungzang a khauh lai leh natna nasa tak a neih lai hian exercise ti suh. Hei hian a natna a tizual zawk dawn chauh a ni. A natna a reh hnuah chuan stretching exercise te hi tan thin ang che.
Physics therapy i lo nei tawh a, eng exercise nge i tih tur tih i hriat chuan, chutiang exercise awlsam tak tak atang chuan tan la rawh. Mahse, i inrintawk loh chuan, .A tha ber chu doctor emaw physical therapist emaw zawt la, i tana tha tur exercise te zir hi a ni.
A tlangpuiin, physical therapist chuan hetiang exercise hi a rawt thei che a ni:
- Exercise hmanga vertebrae inkar hlat zawng tihpun leh nerve compression tihziaawmna.
- Back leh hip muscle te tan stretching exercise neih a ni.
- Core tichaktu exercise te.
- Taksa pumpui fitness neih nan aerobic exercise, kea kal leh tui chawi te.
Take-Home Thuchah a ni
- A tam zawkah chuan hnungzang natna hi a na lo hle a, kar tlemte chhungin a mah chauhin a dam leh ang.
- Thuziak-a kan sawi ‘red light’ symptoms (khawsik, rilru hahna, bowel/urinary control hloh ang chi) i neih chuan in lamah awm lo la, doctor pan nghal mai rawh.
- A na tan chuan ni 1-2 chhung chawl la. Tichuan kea kal fo leh thil pangngai tih tan rawh. Khumah awm reng suh.
- Compress lum emaw, vawt emaw hian natna a tiziaawm thei.
- Painkiller i ei hmain doctor nen inbiakna nei hmasa phawt ang che, a bik takin damdawi dang i neih chuan.
- Natna a reh hnuah doctor-in a tih angin exercise awlsam tak tak tan la. Hei hi hun rei tak chhunga hnungzang natna venna tha ber a ni.
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