I hnungzang a tight nghal em? Back spasms chungchang hi i zir dawn teh ang!

I hnungzang ruhte chu hrual emaw, tihkhauh emaw ang maia natna nasa tak i tawk tawh em? A chang chuan a nasat em avangin nitin hna pawh i thawk thei lo. Thil tibuaitu tak a ni thei. Hei hi back spasm kan ti tlangpui a, a nih loh leh medical terms , back spasms . Chuvangin vawiinah hian he thu hi tlem tal sawi ila.

He back spasm hi eng nge ni?

A awlsam zawngin, back spasm chu i hnungzang ruhte chu a rang taka, thunun theih loha tihkhauh emaw, tihkhawtlai emaw a ni. I ke ruh a rawn inher ang mai a ni a, mahse tun tum chu i hnungzang a ni. Heng ruhte hi a inkhauh chuan a chang chuan natna tlemte ang maiin a awm thei a, mahse a tam zawkah chuan a na hle thei a ni.

Kan hnungzang ruh hi hmun pawimawh pathum ah then a ni a, chungte chu intrinsic/deep muscles, superficial muscles leh intermediate muscles te an ni. Heng ruh zawng zawng hi a tight thei a, mahse a tam zawk chu hnungzang hnuai lam ruh ah a awm. Mahse, heng ruh tight tak takte hi hnungzang chunglam, hnungzang laihawl emaw, a pahnih emaw hmun apiangah a awm thei tih hre reng ang che.

Heng hnungzang natna hi engtiang chiahin nge a awm?

Dik tak chuan, i ngaihtuah aiin hnungzang natna hi a tam zawk. Survey-a a lan dan chuan mi zaa 80 vel chuan an dam chhungin engtik lai pawhin hnungzang natna an nei thin. Chuvangin, hnungzang natna leh hnungzang natna dangte hi na tak ni mah se, khawtlang zinga mi tam takin an tawn fo thin a ni. Nangmah chauh i ni lo, hetiang natna vei mi dang tam tak an awm bawk.

Engtin nge he hnungzang natna hi a intan?

Hei hi mimal tak pawh a ni thei. A châng chuan vaukhânna awm lovin a inṭan thei a, rang takin natna nasa tak a nei bawk. I hna pangngai i thawh laiin mi pakhatin a rawn man nghal mai ang tih hi ngaihtuah rawh. Mi dangte tan chuan hnungzang a tight deuh emaw, a hrual emaw angin a intan thei a, zawi zawiin natna nasa takah a lo awm leh thei bawk. Thlipui tleh hmaa thli nêm tak ang mai a ni.

Tu nge back spasms nei tam zawk?

A tlangpuiin mi thenkhat chuan he natna hi an vei theihna chance a sang zawk.

• Infiammi: Taksa exercise nei fo thin tan, a bik takin hnungzang tibuaitu infiamna lama inhmang fo thin tan.
• Heavy lifter: Nitin nunah emaw, hnathawhna hmunah emaw thil rit phur fo thin tan. He risk hi a nasa zawk a, weight an chawi dik loh chuan.
• Hnung lam harsatna dang nei te: Hnung lam harsatna dang (e.g., hnungzang na, slipped discs) nei tawhte pawhin heng strain te hi an nei tam zawk.

Hnung natna hian taksa peng dang a nghawng thei em?

Ni e, a chang chuan hnungzang hliam avanga natna hi "radiate" thei a ni.A ti thei. Chu chu, a na hi i hnungzang atanga intan pawh ni se, chu aia nasa zawkin a kal thei a, i ke, i hip, i hnute, etc. ah te hriat theih a ni a, thing zung chu a hnah thlengin a kal thei ang bawkin he natna hi i hnungzang atang pawhin hmun dangah a darh thei bawk.

Back na hi natna khirh tak chhinchhiahna a ni em?

Hei hi mi tam takin an hlauh em em a ni. Kawng khauh hi Multiple Sclerosis ang natna chhinchhiahna a ni lo. Mahse, a châng chuan heng kawr khauh tak takte hi damdawi lama harsatna dang dang chhinchhiahna a ni thei bawk. Entir nan:

• Gallstones a awm
• Ankylosing Spondylitis ang chi ruh natna (inflammatory joint) a awm thei.

Chuvangin, hnungzang na i neih fo a nih chuan, emaw, a na lutuk a nih chuan damdawi lam thurawn lak a pawimawh hle.

Hnung natna hi nau neih chhinchhiahna a ni em?

Ni lo, nau neih tura i inbuatsaih hian i hnungzang ruh ni lovin i nausen pum chhungah (contraction) i hre thin. Mahse, mi thenkhat chuan nau neih laiin hnungzang hnuai lam natna an nei thei a, chu chu thil danglam tak a ni.

Engvangin nge heng back spasms te hi a lo awm? A chhan thenkhat han thlir ila.

Hei hi chhan hrang hrang a awm thei. Pakhat hnu pakhatin han thlir ila:

1. I taksa ruh hmang tlem

Tunah chuan en teh, chutiang bawk chuan kan thu a, hna kan thawk fo thin. Office chair-ah emaw, in lama computer hmaah emaw. Tichuan kan hnungzang ruhte hian exercise mumal tak an nei lo. An hman \hat loh chuan zawi zawiin an chak lo \hin. Machine hman loha dah bo ang mai a ni. Hnathawh tur i kal thut hian buaina a lo chhuak thin. Muscle chak lote chu tlem a inher lutuk a nih chuan, emaw, phurrit rit tak i chawi nghal a nih chuan, hetiang chiah hian tightness hi a awm thei a ni. Chutiang bawkin posture tha lo taka thut pawh hi a ni . I hnungzang chu a thlawp tha loh chuan, leh i hunched over lai pawhin heng muscle te hi a tul lo taka pressure hnuaiah dah a ni. Pum ruh chak lote pawhin hnungzang chungah rit a siam belh bawk.

2. I taksa ruh hman tam lutuk

Sawi tawh angin taksa ruh hman tam lutuk pawh hi harsatna a ni. Hetiang dinhmun hi infiammi leh weight lifter-ah a awm fo thin. I thawhrim a, i thawhrim lutuk chuan taksa ruh (muscle strain) leh hliam i tuar thei a ni. Muscle strain hi a takah chuan muscle fibers tihchhiatna a ni. Hei hian inflammation a siam a, chu chuan natna leh rihna a thlen thei a ni. Rubber band i hrual lutuk chuan a chhe ang mai a ni.

3. Ei leh in chungchang

Hei hi mi tam takin an ngaihtuah ngai loh thil a ni. I taksaa tui tlem (dehydration) , emaw i ei leh in a minerals potassium leh calcium tlakchhamna hian taksa ruh a ti na thei bawk. Hengte hi taksa ruh hnathawhna atan a pawimawh hle.

4. Rilru/rilru lam hriselna chungchang

Mak ti suh, nangmah ngeiin rilru lama harsatna i neihte pawh hi hnungzang natna thlentu a ni thei bawk. Lungkham lutuk leh stress lutuk hian i taksa ruh a ti buai thei a ni. Chutianga a kal zel chuan i hnungzang ruhte pawh a tight thei bawk.

5. Accident emaw hliam emaw (Trauma) .

Spine-a accident eng pawh, tlu emaw, car accident emaw hian ruh chhunga taksa ruh, ruh leh disc te a tichhia thei a, chu chuan hetiang compression hi a thlen thei a ni.

Pawimawh: A châng chuan, hnungzang natna hi a hnuaia awm natna khirh zawk chhinchhiahna a ni thei. Chuvangin hetiang thil hi hriat chian a tha:

* (Epidural abscess) - Pus-a khat lump, ruhro vel a lo awm

* Gallstones a awm

* (Stiff person syndrome) - natna hmuh tur awm lo tak, taksa ruhte a nghet zauh zauh thin

* (Ankylosing spondylitis) - natna chi khat, ruh ruh natna thlentu

* Kal (kidney) ah lung a awm

* Kal natna a awm

* Tumor - ruhro nena inzawm

Tin, a hnuaia natna nei te hian hnungzang hliam ang maia natna an nei thei a, mahse hnungzang hliam dik tak a ni lo thei bawk:

• Spinal arthritis natna a ni
• Spine-a disc slip emaw herniated emaw (Herniated disk) .
• Spinal stenosis a awm thin
• A ruhro (spine) a curvature: (scoliosis) emaw (lordosis) emaw .
• Spondylolysis emaw spondylolisthesis emaw - ruhro (spine vertebrae)-a chhiatna thenkhat

Back pain hi stress vangin a awm thei em?

Ni e, a ti thei ngei ang. Kan sawi tawh ang khan stress leh lungkhamna hian taksaah muscle tension a thlen thei a ni. Kan hriat lohvin kan taksa ruhte kan tikhauh ang mai a ni. Heng harsatnate hi i neih fo chuan doctor nen inbiakna neih a pawimawh a, a tul chuan therapist hmu turin referral lak a pawimawh bawk.

Chhung natna hi hnungzang na vang a ni thei ang em?

Hei hi zawhna pawimawh tak a ni. I rilru natna i neih chuan hnungzang hliam mai maiah ngai suh. I rilru a na a nih chuan emergency room-ah i kal nghal ngei tur a ni. Thil pawi tak, heart attack ang chi chhinchhiahna a ni thei. Back pain hi a chang chuan hip leh ke-ah a darh thei a, mahse rilruah a darh hi a awm lo.

Back strain hian eng symptoms nge a neih?

Back strain avanga sensations hi mi hrang hrangah a inang lo thei.

• Mi ṭhenkhat chuan an hnungzang a tight thei a, a nih loh leh dull ache .
• Mi dangte chuan an taksa ruhte chu a hrual ang maiin an hria mai thei.
• Mahse a tam zawkah chuan, hei hiNatna na tak leh hrehawm takah a lo thang lian thei a ni. A châng chuan he natna hi a na lutuk a, a tichak lo thei a, che thei loin a siam thei bawk.

Fimkhur rawh! I hnungzang na nen a hnuaia symptoms te hi i neih chuan doctor pan nghal rawh:

* Bladder emaw bowel control hloh

* Kut emaw ke emaw ruh chak lohna

* I taksa sir khatah odd sensations, numbness emaw chak lohna emaw a awm

* Balance leh coordination hloh

* Limb/limb pakhata hriatna hloh

Hengte hi natna khirh tak chhinchhiahna a ni thei a, chuvangin ngaihthah suh.

Eng chen nge hnungzang na hi a awm theih ang?

Hei hi blockage awm chhan leh a nasat danah a innghat a ni.

• I hnungzang ruh i hman tam lutuk a, i tightness a neih chuan ni engemaw zat hnuah a reh thei .
• Mahse taksa ruh (muscle strain) ang chi condition a nih chuan a dam theih nan kar tlemte chhung a la ngai thei.

Doctor-te hian engtin nge hnungzang natna hi an hriat theih?

Doctor i hmuh hunah i symptoms te a zawt hmasa ang che. Damdawi i ei tur eng pawh a zawt ang che. I medical history kimchang pawh zawh i ni thei bawk. Tun hmaa accident emaw, i hnungzang hliam emaw i neih tawh zawng zawng sawi tel ngei ang che. A tam zawkah chuan doctor chuan i sawi lan symptoms a zirin a natna chu a hre thei a ni. A châng chuan test dang neih belh a ngai mai thei a, mahse doctor-in a rel ang.

Doctor chuan eng zawhna nge a zawh theih che?

• "Engtin nge natna chu a awm? Eng ang natna nge ni?" (e.g., hrual, kang, emaw, rilru na emaw?)
• "Khawiah nge a na tak tak? Hnunglam chunglam, a laiah nge a hnuai lam?"
• "I zun emaw, i ek emaw i thunun thei tawh lo em ni?"
• "He blockage hi eng chen nge a awm tawh? Eng chen nge a lo awm tawh?"
• "I kawr ah hian a nghet lo tih i hria em?"
• "I taksa khawi hmunah pawh rilru hahna emaw, hriatna hloh emaw i nei em?"
• "Concussion i neih chuan i balance hloh a, kal harsa i ti em?"
• "Tunah hian eng damdawi nge i ei?"

Hetiang zawhnate chhânna chiang tak pêk hian doctor chu natna dik tak hriat theihna kawngah nasa takin a ṭanpui ang.

Engtin nge hnungzang natna hi kan enkawl ang?

Tun hma chuan doctor-te chuan hnungzang na a awm chuan khumah chawlh hahdam turin an fuih thin. Mahse tunah chuan chu method chu a recommend tawh lo.A chhan chu hmun khata awm reng hian taksa ruh a tichak lo zual thei a ni. Chu ai chuan doctor thurawn angin hengte hi i ti thei zawk ang:

• Ice/lumna: 1.1.
• Ice pack emaw tui lum bottle/heating pad emaw hmangin hnungzang na hmunah hnawih thin ang che.
• Hengte hi vunah direct-a hnawih loh tur. Towel emaw pillowcase emaw-ah khuh la, minute 20-30 vel dah la. Tichuan minute 20-30 vel la chhuakin hnawih leh rawh.
• Ni hnih emaw ni thum emaw chhung chu ice hnawih la, inflammation tihziaawm nan a tha ber. Tichuan, lumna hmangin taksa ruhte chu a tizau thei a ni.

• Over-the-counter natna damdawi: 1.1.
• Over-the-counter painkiller Paracetamol (e.g. Panadol®), Ibuprofen (e.g. Brufen®, Advil®, Motrin®) emaw Naproxen (e.g. Naprosyn®, Aleve®) te hi doctor-in a tih angin i hmang thei ang. Hengte hian natna leh inflammation tihziaawmna kawngah a pui thei a ni.

• Muscle ti hahdamtu: 1.1.
• A châng chuan i doctor chuan taksa ruh tichaktu (e.g. Cyclobenzaprine, Metaxalone, Methocarbamol) a pe thei bawk.
• Hengte hi i ei a nih chuan zanah (mut hmain) ei a tha ber a, muthilh tir thei che a ni. Tin, heng damdawi ei lai hian lirthei khalh emaw, machine rit tak tak emaw hmang suh.
• He damdawi hi ni 3 (darkar 72) aia rei lo ei tur a ni tlangpui. A hman chhunzawm zel a tha lo.

• Taksa lam enkawlna: 1.1.
• I doctor chuan physical therapist hnenah a refer thei che a, ani chuan i hnungzang ruh tichak turin exercise te, stretches te, leh relaxation technique te a zirtir thei che a ni. Hei hian hun rei tak chhung chu hnungzang lama harsatna a tihziaawm thei a ni.

Muscle relaxants hian side effect a nei em?

Ni e, heng damdawi te hian side effect engemaw zat a nei thei bawk. A bik takin:

• Rilru tibuai
• Mutthilh theih lohna

Chuvangin he damdawi hi i ei dawnin a kaihhnawih thupekte hi ngun takin chhiar thin ang che. Engzat nge i ei tur tih te, engtikah nge i lak tur tih te, leh lirthei khalh chungchanga thupek eng nge awm tih te enfiah rawh.

Back pain hi enkawl loh chuan eng nge thleng?

A chang chuan hnungzang natna hi a mah chauhin a reh thei. Mahse a na chhanah a innghat a ni. Enkawl loh chuan a natna chu a zual thei a, a tam zawk a, nitin hnathawhna a tibuai thei bawk. Chuvangin i dinhmun enkawlna tur ruahmanna tha ber chungchang doctor nen inbiakna neih a tha ber.

Engtin nge heng hnungzang natna te hi i ven theih ang?

Back pain hi 100% velin a veng thei lo. Mahse, a hlauhawmna tihziaawmna tur thil kan tih theih a awm a:

• Exercise neih fo: I hnungzang leh pum ruh tichaktu exercise, a bik takin.
• Posture tha: Thut, ding leh thil rit i chawi lai hian i hnungzang dinglam hawi reng tur a ni.
• Stress management: Meditation, yoga, leh hobby ang chi thil tih hmangin stress tihziaawm rawh.
• Hun rei tak ṭhu suh: Tho la, insiam la, minute 30 danah tal kea kal rei rawh.
• Thil rit i chawi dawnin fimkhur rawh: I khup kha ben la, i chawi dawnin i hnungzang chu dinglam hawiin dah rawh. Vawi khatah i hnungzang ben chungin chawi chhuak suh.

Back pains hi a mah chauhin a dam thei em?

Ni e, a chang chuan a thleng thei. Mahse, a lo let leh thei. Chuvangin a chhan zawng chhuakin enkawl a pawimawh.

Engtikah nge hna pangngaiah ka kir leh theih ang?

Hei hi i dinhmun a zirin a danglam bawk ang. A dam leh theih nan ni engemaw zat emaw, kar tlemte emaw a ngai thei. I doctor nen inbia la, i tana tha tur recovery plan siam rawh. Hmanhmawh suh, i taksa a dam chhoh zel chuan dawhthei mai rawh.

Back pain nen hian eng harsatna dang nge awm thei?

Heng thilte hi hnungzang natna avanga lo awm a ni tih hi a dik lo a, mahse a chang chuan a awm dun thei a ni:

Natna dangte chu:

• Hnunglam na
• Kawngkhar na
• Arm na a na
• Lu na
• Hip na a na
• Buttock na a ni
• (Sciatica) - nerve natna, ke hnuai lam atanga tlan chhuak

A khauh lutuk: 1.1.

• Kawngkhar a nghet lo
• Spine a nghet lo

Thil awmdan dang:

• Ke chak lohna
• A ruhro (spine) curved tak a ni
• Numbness a awm
• Tingling a ni

Engtikah nge Doctor ka hmuh ang?

Back pain leh hnungzang natna dang tuar a ngai lo. Doctor nen i symptoms chungchang sawi la, enkawlna dik tak hmu rawh.

Hei hi emergency a ni em? Hetih lai hian 911 (or Sri Lanka rama emergency number) ah call rawh:

* Natna avanga che pawh i che thei lo a nih chuan.

A chang chuan hnungzang na hi natna khirh tak chhinchhiahna a ni thei tih hre reng ang che. A hnuaia symptoms te hi a ruala i neih chuan , doctor hmu la emaw emergency room-ah kal nghal rawh:

• Zun emaw, bawlhhlawh emaw control theih lohna.
• Kut emaw ke emawa taksa ruh chak lohna.
• Taksa sir khatah hriatna mak tak tak, rilru hahna emaw, chak lohna emaw hriatna.
• Balance hloh, coordination tlahniam.
• Kut, ke, taksa peng pakhata hriatna hloh.

Emergency room-a kal tur nge kal loh tur tih ngaihtuah ai chuan kal a, check out neih a tha zawk. Chutiang chuan thil pawi tak a ni lo tih i chiang thei ang.

Ka doctor hnenah hnungzang natna chungchangah eng nge ka zawh ang?

• "Ka tan enge inenkawlna tha ber?"
• "Ka hnungzang na hian natna khirh tak ka nei tih a tilang em?"
• "Ka stress avanga tanpuina dawng turin counselor ka hmu tur em ni?"
• "Muscle relaxant ei ka tum tur em ni?"

A tawp berah chuan take-home message

Hriat tur pawimawh ber chu natna i neih lai pawhin (a hman tam lutuk vang a nih loh chuan) a theih ang anga active taka awm a pawimawh. Tho la, minute 30 danah stretch rawh. Kar khatah ni thum tal exercise la. Natna tihziaawmna turin over-the-counter pain reliever ei la, doctor-in a rawt chuan muscle relaxant ei la, massage pawh ti bawk ang che. I doctor nen i symptoms chungchang sawipui fo la, chutiang chuan enkawlna tha ber i hmu thei ang.

Tin, hnungzang na hi a chang chuan natna khirh tak chhinchhiahna a ni thei tih pawh theihnghilh suh. A kaihhnawih symptom dangte pawh hre reng ang che. A bik takin i taksa sir khatah numbness/loss of sensation i nei a, i chak lo a, i bowel/urine control i hloh a nih chuan damdawi in pan nghal rawh. Hlauthawng suh, fimkhur zawk rawh. Damdawi lam pan vat chuan harsatna tam tak a veng thei a ni.

` Hnung na, hnungzang na, taksa ruh na, hnungzang na, hnungzang na, ruh na