I fate kekawr pakhat chu a dang aiin a sang deuh tih i hmu ngai em? A nih loh leh an ding nghet taka an ding chuan an hnungzang chu a sir khatah tlem a inher niin a lang em? Nu leh pate hian hetiang thil an hmuh hian tlem an lungkham a, an lungkham deuh hi thil pangngai a ni. Thil tam takah chuan medical science-a scoliosis an tih natna avanga lo awm thei a ni. Chuvangin, he thu hi chiang takin, leh awlsam takin, vawiin hian han sawi ila.
A awlsam zawngin, scoliosis chu eng nge ni?
Scoliosis hi kan ruhro (spine) chu a dinglam (straight) ni lovin a sir lamah a inher (curve) thin a ni. Kan ruhro hi straight pole angin han ngaihtuah teh. Scoliosis-ah chuan ruhro chu "C" emaw "S" emaw angin a inher chhuak thin.
He curvature hi mi thenkhat tan chuan a tlem hle thei a, thenkhat tan chuan a langsar zawk thei bawk. Amaherawhchu X-ray-in a curvature chu degree 10 aia tam a nih thu a hriat chuan doctor-te chuan scoliosis an ti thin.
Hetiang dinhmun hi kum 10 leh 15 inkar vel a ni ber a, chutih lai chuan naupangte chu an thang chak hle a ni. Mipa aiin hmeichhiaah a tam zawk a , enkawlna an mamawh zawk bawk . Thil tam takah chuan a chhan chiang tak hmuh tur a awm lo.
Scoliosis vei tan eng symptoms nge a neih?
Nangmah emaw, i fa emaw hian scoliosis i nei a nih chuan heng thilte hi i hrechhuak mai thei.
| Pawn lam thil a awm | Taksain a hriat chhuah symptoms |
|---|---|
| I ding nghet a i hnungzang hmuh theihna tur khum neih. | Low back na a awm. |
| A kekawrte chu a level inang lo (pakhat chu chawi sangin pakhat chu tihhniam a ni). | Back stiffness a awm. |
| Shoulder blade pakhat chu a dang aiin a rawn lang chhuak zawk. | Nerve compression avanga ke na leh ke natna. |
| Ribs chu a sir khat aiin a sir dang aiin a chhuak tam zawk. | Chau. |
| Hip chu a sir khatah a tilt emaw, hip ruh chu a san zawng inang lo emaw a ni. | Upper back na a nasat chuan thawk harsa. |
A pawimawh ber chu naupang tam tak, an naupan lai atanga scoliosis vei te hian natna engmah an nei lo. Chuvangin heng symptoms te hi a hrehawm loh avangin ngaihthah suh. Mahse, i fain hnungzang natna nasa tak a neih chuan a chhan dang a awm leh awm loh en turin doctor i pan ngei tur a ni.
Engtin nge dik takin scoliosis i vei tih i hriat theih ang?
Hei hi hriat chian nan hian test eng emaw zat a awm.
Basic test (Adam-a Forward Bend Test) a ni a, a khelh danah a khel tha hle.
Hei hi test hmasa ber a ni. Doctor chuan nangmah emaw i fa emaw chu i kawr atanga 90 degree angle vela hmalam pan turin a ti ang a, i ke chu a inzawm tlat ang a, i khup pawh a ben ang. Hma lam i kun chuan doctor , hnunglam atanga en chuan i hnungzang chu a arch em tih te, i shoulder blades te chu a level em tih te, leh i ribs te chu a sir khatah a rawn chhuak em tih te chu awlsam takin a hmu thei a ni.
Confirmation test neih a ni
A chunga kan examination atang hian rinhlelhna a awm chuan doctor chuan X-ray a order ang.
- X-ray : Hei hi spinal stenosis degree dik taka tehna atan hman a ni. He tehna hian enkawlna a mamawh leh mamawh loh a hril a ni.
- CT scan emaw MRI scan: A châng chuan, doctor chuan a hrual chhan chhui chian belh nân CT emaw MRI scan emaw neih a rawt thei bawk. CT hian ruh a en thei a, MRI hian spinal cord ang chi soft tissue te a en thei bawk.
Pulling levels a ni
- 10-24 degree: Scoliosis na lo tak a awm
- 25-39 degree: A rilru a buai em em a, a rilru a hah em em bawk a
- 40 degree aia sang: Scoliosis na tak
Scoliosis chi hrang hrangte chu engte nge ni?
Scoliosis hi a lo awm dan azirin chi hrang hrangah then theih a ni.
| Lampang | Hrilhfiahna awlsam tak |
|---|---|
| Idiopathic Scoliosis natna a ni | Hei hi a tam ber chi a ni. "Idiopathic" tih awmzia chu "a chhan hriat loh" tihna a ni. 80% vel ah chuan a chhan chiang tak hmuh tur a awm lo. |
| Congenital Scoliosis natna a ni | Hei hi pianpui (congenital condition) a ni a, nausen pum chhunga a seilian laiin ruhro (vertebrae) ruh (vertebrae) te chu a lo pian that loh vang a ni. |
| Neuromuscular Scoliosis natna a ni | Hei hi cerebral palsy emaw, nervous system natna dang emaw avanga lo awm a ni. Muscle chak lohna hian ruhro (spine) chu a thlawpna a hloh a, a hunched over thin. |
| Scoliosis tihchhiatna (Degenerative Scoliosis) a ni | Hei hi puitlingah a awm thin a, a bik takin kum 65 kan tlin hnuah a awm thin a, kan tar chhoh zel chuan kan ruhro (spine) vertebrae inkar disc te a chhe thin vang a ni. |
Enkawlnate chu engte nge ni?
Enkawlna chu a hnungzang nasat zia te, damlo kum leh a na zual zel leh zual zel lohah te a innghat a ni.
1. Enfiahna : 1.1 .
A hring (degree 25 aia tlem) a nih chuan, a bik takin naupang chu a la thang lian a nih chuan doctor chuan thla 4-6 danah enkawl ngai lovin lo haw leh turin a rawt thei ang. Hemi chhung hian X-ray an la ang a, a hring a na zual em tih an en ang.
2. Scoliosis Brace: 1. A rilru a hah lutuk chuan a rilru a buai em em a.
I fa chu a la thang lian a, scoliosis hniam lam (25-40 degrees) a neih chuan, i doctor chuan scoliosis dang venna atana pui turin brace hman a rawt thei ang. Plastic a siam a ni a, thawmhnaw hnuaiah an ha thin. Ni khatah darkar 16-23 vel a ha thei. Thil pangngai tih lai emaw, infiamna khelh lai emaw pawhin a ha thei.
3. Surgery tih tur: 1.1 .
Spine curvature a nasat (40-50 degree aia tam) emaw, brace vuah chung pawha curvature a san zel chuan operation neih a tha. Surgery tum ber chu curvature a san belh zel loh nan tihtawp a, a theih ang anga ruhro tihdik hi a ni.
- Spinal Fusion: Hetiang tihnaah hian surgeon chuan ruh chi hrang hrang emaw, chutiang chi emaw hmangin ruhro chhia chu a fuse khawm thin. Thir rod leh screw (hardware) hmanga inzawm khawm an ni.
- Expandable Rod: Hei hi naupang tê tê, la ṭhang chho zelte tan tih a ni. Rod chu ruhroah an bun a, naupang a lo seilian chhoh zel chuan thla engemaw zat danah rod sei zawng chu an siamrem thin.
- Vertebral Body Tethering: Hei pawh hi hmanraw thar a ni. Screw chu ruhro pawn lam kil khatah dahin, chuta tang chuan hrui nghet tak an chhuah a ni. Hei hian a sir lam chu a lo thang lian zel a, a sir lehlam chu a lo thang lian thei a, chu chuan ruhro chu a ti dinglam a ni.
Bag rit tak tak chawi emaw, thut dik loh emaw hian scoliosis a thlen lo tih hre reng ang che. Hengte hian hnungzang natna a thlen thei a, mahse scoliosis thlentu direct a ni lo. Tin, a ven dan tur bik a awm lo bawk.
Scoliosis natna hi engtin nge kan nun theih ang? Exercise hian a pui em?
Scoliosis i neih hian i nun chu a pangngaiin i hmang thei lo tihna a ni lo.
- Exercise: Tui leh kea kal ang chi exercise hi i hnungzang ruh tichak turin a tha hle. Physiotherapist i hmu thei bawk a, i dinhmun nena inmil exercise i zir thei bawk. I doctor hnenah eng exercise nge i tan a tha tih zawt rawh.
- Taksa rihna hrisel: Taksa rihna hrisel tak vawn reng hian ruh chungah a tul lo taka stress a veng thei a ni.
- Posture tha: A theih phawt chuan ding leh thut ding chungin practice thin ang che.
- Damdawi lam enfiahna: Doctor-in a scheduled check-up-a kal chu bansan suh.
Enkawl loh chuan a chang chuan hun rei tak chhung hnungzang na leh thawk harsatna (a nasat chuan) ang chi harsatna a thlen thei a ni. Chuvangin rinhlelhna i neih chuan damdawi lam thurawn lak a tha ber.
Take-Home Thuchah a ni
- Scoliosis hi ruhro chu a sir lam hawia inher chhuak a ni. Kum naupan lai atanga hriat chhuah a ni fo.
- I fa kekawrte a inthlau a, a sir khatah a hip a rit emaw, a hnungzang na anga lang emaw a nih chuan doctor pan nghal rawh.
- Thalaite zinga scoliosis lo awm thin hi a na lo fo thin a, chuvangin a natna lan chhuah dan hi ngaihthah suh, na lo pawh nise.
- Scoliosis vei zawng zawng hi operation a ngai lo. Enkawlna chu a curvature nasat dan leh kum a zirin a innghat.
- Enkawlna leh enkawl dan dik tak a awm chuan, scoliosis vei chu nun pangngai tak, active takin a nung thei a ni .
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