Zingkar i thawh hian a chang chuan i rilru a hah a, i rilru a na em? A nih loh leh thil rit tak i chawi hnuah ‘chit’ i nei a, hna engmah i thawk thei lo em ni? Dik tak chuan hnungzang natna hi kan ramah chauh ni lo, khawvel hmun hrang hranga mi tam tak zingah pawh harsatna awm fo a ni. Chuvangin i hlauthawng hmain chiang tak leh awlsam takin sawi ila.
Back pain symptoms te chu engte nge ni?
Back pain hi mi zawng zawng tan a inang lo. A chhan a zirin a danglam thei. Hetiang hi i tawng thei a ni:
- I hnungzang a kang ang maia hriatna .
- A natna reng reng , dull ache ang mai a ni.
- A squeeze ang maiin a lang .
- Sharp stab ang maiin a lang .
- Electric ang maia ke hnuai lam pan thin natna .
- Ka rilru a na hle a, ka hnungzang pawh a na hle bawk.
He natna bakah hian symptom dang a awm thei bawk. Entir nan:
- Muscle stiffness emaw hnungzang na emaw .
- Ke ruh natna, hriatna hloh emaw, kea nunna nei lo anga inhriatna emaw.
- Muscle spasms a awm thin. Hei hi a hrual tlem atanga natna nasa tak thlengin a awm thei.
A châng chuan he natna hi hnungzang aṭanga inṭanin, hnute, hip emaw, ke emaw thlengin a kal thei ṭhin. Hmun thenkhatah (ding, ben) ah natna hi a pung thei a, hmun thenkhatah chuan a tlahniam thei bawk a, chu chu mut lai ang chiah hian a ni.
Back pain chi hrang hrang lian ber ber
Doctor-te chuan hnungzang natna hi a awmna hmun a zirin an thliar hrang tlangpui.
- Upper leh middle back pain: Hei hi kawr bul atanga ruh tawp thlenga natna hriat a ni.
- Lower back pain: Hei hi mi tam takin an tawn tam ber a ni. Hei hi a chhan chu hnungzang hnuai lam hian kan taksa rit ber a phur a ni. Tin, thil rit tak tak kan chawi emaw, kan inbeng emaw hian he hmun hi pressure nasa ber a ni. Chuvangin he lai hmunah hian hliam a tam zawk.
Hei bakah hian a natna hun chhung a zirin classified a ni bawk.
| Natna chi hrang hrang | Hun bituk |
|---|---|
| Acute Back Pain a awm | Kar 4 aia rei lo a daih. |
| Subacute Back Pain a awm | Kar 4 leh kar 12 inkar a daih. |
| Chronic Back Pain a awm | Kar 12 chuang a chhunzawm zel. |
Hnung natna thlentu berte chu engte nge ni?
Back natna thlentu ber chu strains leh sprains a ni . Gas cylinder rit tak chu rang takin i chawi chhuak a, a nih loh leh thil pakhat la turin i bawkkhup ang tih han mitthla teh. Hei hi hetiang hunah hian a thleng thei a ni.
- Strains: Hei hi hnungzang ruh emaw tissue emaw tihchhiat vang a ni. Hei hi thil rit tak chu vawi khata i chawi chhuah vek hian a thleng thei a, a nih loh leh hmun khata rei tak i thawh lai pawhin a thleng thei bawk.
- Sprains: Hengte hi ruhro ruh inkar ligament tihchhiat vang a ni. Heng hliamte hi beisei loh taka i hrual hian a thleng thei a, chu chu i tlu ang chi hi a ni.
Hetiang hliam i neih hian i hnungzang a khauh ang maiin i inhria thei a, i che chuan natna a pung a, i kal thei lo va, i bawkkhup thei lo bawk .
Chhan dang pawi tak a awm thei ang em?
Awle. Back pain hi strain awlsam tak aiin a chhan na zawk vang a ni thei.
Spine-a structure lama harsatna awm
Chungte chu ruh ruh, vertebrae inkar disc emaw, a chhehvel thau emaw a harsatna a ni.
- Arthritis: Ruh natna leh ruhkawr a chhe vangin hnungzang na leh nghet lo a awm thei. Entirnan `(Osteoarthritis)` tih te hi a ni.
- Degenerative Disk Disease: Natna hi hnungzang hnuai lam a awm a. A hnute leh ke hnuai lam thlengin a kal thei.
- Fractured Spine: Accident atanga lo awm thei. Kea kal lai hian a na zual thin.
- Herniated Disk: Hei hi mi tam takin "slipped disk" an tih chu a ni. Hei hi disc a bulge chhuak a, a bula nerve a press na hmun a ni a, chu chuan sciatica tih natna a thlen a ni. Hei hian electric ang maia natna a thlen thei a, chu chuan ke pakhat chu hnunglam atanga a kap thla thei a ni. A châng chuan, hei hian natna khirh tak "Cauda Equina Syndrome" tih a thlen thei a, chu chu emergency treatment a ngai a ni.
- Scoliosis: Ruhro chu a sir lam hawia inher chhuak. A nasat chuan natna a thlen thei.
- Spinal Stenosis a awm thin: 1.1.Nerve compression hian hnungzang na a thlen thei a, ke a rit thei a, a ti na thei bawk.
Taksa chhunga natna dang avanga hnungzang natna
A chang chuan harsatna chu hnungzang ah a awm lo a, mahse a na chu hnungzang ah a awm thin.
- Kidney infection emaw lung emaw: Natna hi hnungzang sir lamah a radiate thei. Urinary tract infection leh fever ang chi symptoms te pawh a awm thei bawk.
- Gallbladder infection: Pum dinglam chunglam natna, hnungzang thlenga radiate thei.
- Hmeichhia tan bik chhan: Uterine fibroids emaw endometriosis ang chi natna hian hnungzang hnuai lam natna a thlen thei bawk.
A pawimawh ber chu hnungzang natna hi thil awlsam tak angin lang mahse, a chang chuan natna khirh tak chhinchhiahna a ni thei. Chuvangin rinhlelhna i neih chuan Doctor pan a tha ber.
Engtin nge a chhan dik tak i hriat?
Doctor i hmuh chuan a enfiah ang che a, i natna chungchang zawhna a zawt ang che. (Entîr nân, engtin nge a awm? Eng chen nge a lo awm tawh? Eng thilin nge a ti na zual?) Tichuan, a ṭûl chuan, a chhan hriat theih nân hetiang test hi an ti thei ang:
- X-ray test neih a ni
- MRI emaw CT Scan emaw hmanga tih theih a ni
- Neurological test (EMG) hmanga tihdam theih a ni.
- Thisen Test neih a ni
In lama hnungzang natna tihziaawm theih dan
Backpache awlsam tak, rang tak tan chuan doctor i hmuh hmain heng thilte hi i lo enchhin thei ang.
- Tui lum bottle hnawih: Hei hian i taksa ruh a tension chuan hahdamna a pe thei.
- Ice pack hnawih: Hei hi darkar 48 hmasa berah a tha ber a, a hring emaw, natna nasa tak emaw a awm chuan.
- Exercise light: Mi tam tak chuan hnungzang na an neih hian khumah awm reng tur niin an ngai. Mahse thil tam takah chuan zawi zawia kal leh light stretch tih hian a natna a tiziaawm thei a ni. Mahse, a natna a san chuan exercise kha bansan rawh .
- Painkillers: Hun eng emaw chen atan over-the-counter NSAID paracetamol emaw ibuprofen emaw i hmang thei. Mahse, i hman chhunzawm zel dawn a nih chuan doctor rawn hmasa phawt tur a ni .
Hetiang hunah hian doctor i pan ngei ngei tur a ni!
Heng symptoms te hi hnungzang na nen i neih chuan in lamah awm lo la, doctor pan nghal suh.
| Doctor hmuh hun tur | |
|---|---|
| 1. 1. A rilru a hah lutuk chuan a rilru a buai em em a. | Natna nasa tak leh tuar theih loh a nih chuan. |
| 2. 2. A rilru a hah lutuk chuan a rilru a buai em em a. | Kar khat vel hnuah a natna a reh loh chuan. |
| 3. A rilru a hah lutuk chuan a rilru a buai em em a. | I taksa rihna a tlahniam nghal a nih chuan. |
| 4. 4. A rilru a hah lutuk chuan a rilru a buai em em a. | Symptom dang a awm chuan khawsik, zun kawng infection, zun chhunga thisen a awm chuan. |
| 5. A rilru a hah lutuk. | I khuh nen i rilru leh hnungzang na i neih chuan. |
Rikrum! Heng symptoms te nen hian hnungzang na i neih chuan ETU ah kal nghal rawh!
A hnuaia symptoms te hi natna khirh tak chhinchhiahna a ni thei . Chung zinga pakhat tal chu hnungzang na a awm chuan hun khawhral suh la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh .
| Damdawi ina dah nghal ngai Red Flags | |
|---|---|
| 🚨 tih a ni | Zun emaw, bawlhhlawh emaw control theih lohna. |
| 🚨 tih a ni | Ke pahnih emaw, hnute emaw-ah hriatna hloh (numbness) a awm . |
| 🚨 tih a ni | I ke a chhuak ang maia hriat , kal harsa. |
| 🚨 tih a ni | Hnung lam natna kaihhnawih khawsik na tak, luak chhuak, leh pum na tak tuar theih loh. |
Take-Home Thuchah a ni
- Back pain hi a tam em em a, chuvangin a tul lovah hlau suh.
- Back pain tam zawk hi taksa ruh natna (simple muscle strain) vang a ni a, a tlangpuiin ni engemaw zat emaw, kar tlemte emaw chhungin a reh thin.
- Natna i neih laia khumah awm reng ai chuan zawi zawia che vel hi a tha zawk fo. Mahse hemi chungchang hi doctor hnenah zawt rawh.
- Warning signs i neih chuan khawsik, ke ruh natna, emaw zun control hloh bakah hnungzang na i neih chuan emergency a ni. Damdawi inah kal nghal rawh.
- I hnungzang na i rinhlelh chuan, mahni inenkawl tum ai chuan, a chhan dik tak zawng chhuakin, enkawlna dawng turin doctor thiam tak pan hi a finthlak ang.
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