Zing lama khum atanga i tho chuan i rilru a na a, i rilru a na bawk em? Rei vak lo ṭhut hnua i tho chuan i hnungzang dungah natna i nei em? Nge, i kawr hawi emaw, kal emaw a harsa em? Mi tam tak chuan hetiang natna hi kum upat deuh deuha thil thleng pangngaiah kan ngai a. Dik tak chuan kan taksa hi kum upat danin a inthlak danglam thin tih hi a dik a ni. Mahse vawiin hian he natna hnuaia damdawi lam chhan awm thei chungchang kan sawi dawn a ni. Chu chu intervertebral discs, a nih loh leh `Degenerative Disk Disease` tihchhiatna a ni.
Degenerative Disk Disease hi eng nge ni tak tak?
A hmingah chuan “natna” tih ni mah se, a takah chuan natna a ni lo. A awlsam zawngin, i tar chhoh zel chuan i ruhro (spine) chhunga vertebrae inkar disc te chu a chhe vek a, a lo awm thin. I ruhro chu ruh te te (vertebrae) inzawmkhawm angin ngaihtuah rawh. Heng ruhte hi an inhnim tawn loh nan a inkar ah hian rubbery cushion a awm a. Heng disc te hi spinal disc kan ti a .
Heng disc te hi car chhunga `shock absorber` ang mai an ni. Kan tlan, kan zuang, kan ben, a nih loh leh rit kan chawi hian kan hnungzang a pressure awm chu an hip lut a, kan ruhro chu an venghim bawk. Kan tar chhoh zel chuan heng disc te hi a chhe vek a, a vawt vek hi thil awmdan pangngai a ni. Hei hi mi zawng zawngah eng emaw chen chu a thleng thin.
Buaina chu he cushion hi a chhe vek atang hian a intan thin. Tichuan, ruhro ruhte chu an inhnim hrual tan ta a ni. Hei hi a natna thlentu chu a ni. Chu mai pawh ni lovin, he dinhmun hian harsatna dang a thlen thei bawk .
| Condition dang awm thei te | Hrilhfiahna awlsam tak |
|---|---|
| Puitling Scoliosis natna a ni | Spine chu a sir khatah hrual ang maiin a lang tan ta. |
| Herniated Disc a awm a | Herniated disc, a hnaih ber nerve te chu a nawr chhuak a, a press bawk. |
| Spinal Stenosis a awm thin | Spinal cord kal tlanga kalna kawng a tawi. |
| Spondylolisthesis a awm thin | Vertebra pakhat chu a dang nena khaikhin chuan hmalam emaw hnunglam emawa slip. |
Hetiang natna hian ruhro (spine) hmun eng ber nge a nghawng ber?
Hetiang dinhmun hian ruhro hmun hnih a nghawng ber a, chungte chu kan hnungzang hnuai lam leh kan kawr te an ni.
- Lumbar Degenerative Disk Disease: Kan hnungzang hnuai lam (L1 atanga L5) a vertebrae panga te hian taksaah rit ber an phur a. Chuvangin he hmuna disc awm theihna hi a sang zawk a ni. Dik tak chuan he natna 90% hi he hnungzang hnuai lam hi a ni. Hei hi i hnungzang natna leh i ke hnuai lam atanga radiate chhuak natna i neih chhan pawh a ni thei.
- Cervical Degenerative Disk Disease: Hetiang dinhmun hi kan kawr chhunga vertebrae pasarih inkar disc te a chhe lutuk hian a lo awm thin. Kawr chunglam, hnuai lam leh sir lam hawia na, chubakah kut hnuai lam hawia natna te hi he hmuna disc te hi a chhe vek hian a awm thin.
- Multilevel Degenerative Disk Disease: A chang chuan disk pakhat aia tam, chu chu kawr leh hnungzang hnuai lam disc te chu a rualin a degenerate thei a ni. Chumi hnuah chuan `Multilevel` condition kan ti ta a ni.
A pawimawh ber chu kum 40 chunglam zawng zawng hian an spinal disc-ah hian eng emaw chen chu a chhe thei a ni. Mahse, mi zawng zawng hian hrehawmna kan tawng vek lo. Za zela tlemte chauhvin an ti.
Hetiang natna lan chhuah dan hi engte nge ni?
A lan chhuah dan ber leh langsar ber chu hnungzang na leh kawng na a ni . He natna hi mi tin hian a hrang hrangin kan tawng thei a ni.
- Natna chu a lo thleng thei a . Kar tam tak emaw thla tam tak emaw a daih thei a, chutah chuan a bo thei bawk.
- Natna hi hnungzang hnuai lam atanga hnute leh ke thlengin a radiate thei .
- Thut emaw, hmalam pan emaw, thil rit tak chawi emaw hian natna chu a nasa zual sauh sauh a ni .
- Mi thenkhat tan chuan kea kal emaw, ding emaw hian a na hi a tlahniam thin.
He hrehawmna hi engtin nge a awm?
| Nature of pain | Hrilhfiahna |
|---|---|
| Hmun | Kawngpuiah emaw, hnungzang hnuai lamah emaw a awm thei. |
| Intensity a ni | A natna chu a na lo thei a, a na lo thei a, a na thei bawk. |
| Engtin nge a awm tih | A hliam na tak, a na, a nih loh leh a khauh ang maiin a lang thei. |
| Hun | Natna hi a intan thei a, a tawp thei bawk a, chu chu a kal zel lo tihna a ni. |
| Hun remchang tihpun | Thil rit tak tak, ben, twist, a nih loh leh chawi chhuah ang chi thil engemaw tih hnuah a natna chu a nasa zual thei a ni. |
| Hun kal zelah | Hun kal zelah natna hi a zual zauh zauh thei. |
Engvangin nge heng disc te hi an hak? A chhan engte nge ni?
Kan sawi tawh ang khan a chhan ber chu tar a ni . Mahse heng disc te hi an upa chhoh zel chuan eng nge thleng thin tih hi ngun zawkin han thlir ila.
1. Disc atanga vawt chhuak: Kan ruhro (spinal discs) lai tak hi jelly ang a ni. A tam zawk chu tui a ni. Kan tar chhoh zel chuan he jelly-a tui awm zat hi a pianphungah a tlahniam thin. Sponge a vawt chuan a tlahniam ang bawkin heng disc te pawh hi a thim zawk a, an tlem bawk. Tichuan `shock absorber` anga an thawh theihna a tlahniam ta a ni.
2. Disc-a tear emaw crack emaw:Nitin nunah accident tenau te, dinhmun tha lo leh thil rit phurh hian heng disc pawn lam khuhnaah hian mittui te te a siam thei a ni. Heng mittui te hi nerve bulah a awm fo thin. Hei vang hian mittui te te pawh hian natna a thlen thei a ni. A châng chuan he mittui hi a lian a, disc pawn lam bang a puak chuan a chhunga jelly chu a leak chhuak thei a, nerve pakhat a press thei bawk. Hei hi `Herniated disc` kan ti a.
Hetiang dinhmun lo awm theihna tipungtu thilte
Tar hi a chhan ber ni mah se, thil ṭhenkhat chuan heng disc-te hi a chhe zual thei a, natna hlauhawmna a tipung thei bawk.
- Accident: Tlu ang chi accident hian disc a tichhia thei.
- Obesity: Taksa rihna a san chuan ruhro (spine) a pressure a sang a, chu chuan disc te chu a ti chhe rang zawk thei a ni.
- Gender: Hmeichhia hian mipa aiin heng symptoms te hi an nei tam zawk.
- Meizial zuk: Meizial zuk hian disc-a thisen kalna a ti tlem a, chu chuan a vawt a, a chhe nghal vat thin.
- Taksa lama harsatna nei hna: Thil rit phur fo emaw, an hnungzang tihbuai fo emaw hna thawktute chu an hlauhawm zawk.
Engtin nge doctor hian he natna hi a hriat theih ang?
I hnungzang natna avanga doctor i pan hunah i symptoms te a zawt hmasa ang che. Entir nan:
- Engtik lai khan nge natna chu a lo intan?
- Khawiah nge a natna chu i hriat?
- Eng ang thilin nge natna chu a tizual?
- Eng thilin nge natna tihziaawmna tura pui?
- Natna a lo chhuah hma khan accident a awm em?
- Natna rual hian ke ruh natna emaw, chak lohna emaw ang chi chhinchhiahna dang a awm em?
- Eng chen nge vawi khatah i kal theih ang?
Tichuan, Doctor in a enfiah ang che. Hetih lai hian i nerve function (reflex hammer hmanga i khup tap ang chi), pain point (i hnungzang hmun thenkhat press hmanga), leh muscle chakna te chu test theih a ni.
Hetiang dinhmun hi nemnghet turin i doctor chuan X-ray, CT scan, MRI ang chi scan neih a rawt fo ang. Heng scan te hian i spinal discs dinhmun leh an awmna hmun chu chiang takin a hmu thei a ni.
Hei hi eng enkawlna nge ni?
Mi tam tak chuan hnungzang na an neih chuan operation an neih a ngai ngei ang tiin an ngai. Mahse chu chu thudik a ni lo. Mi tam tak chuan non-surgical treatment hmangin hahdamna an hmu thei a ni. Doctor chuan chutiang enkawlnaah chuan refer a tum hmasa ang.
Surgery hmanga enkawlna ni lo
- Physical Therapy: Hei hi enkawlna pawimawh tak a ni. Hnung leh pum ruh tichaktu exercise te, trained physical therapist kaihhruaina hnuaia stretching exercise te hian natna nasa takin a tiziaawm thei a ni.
- Damdawi: Doctor chuan natna tidamtu leh natna dotu damdawi, NSAID, paracetamol, nerve natna damdawi, steroid te a pe thei a ni.
- Steroid injection: Natna a nasat chuan spinal nerve, disc emaw joint emaw-ah steroid injection hian a hring leh natna a tiziaawm thei a ni.
- Radiofrequency Neurotomy: Hei hi electrical wave hmanga thluaka natna thlentu nerve te deactivate a ni. Hei hian natna tihziaawmna a pe bawk.
In lama i tih theih thilte
- Exercise: I hnungzang ruhte chu low-impact exercise, tui chawi leh kea kal te tih hmangin i tichak thei a ni.
- Hot and cold therapy: Tui lum bottle emaw ice pack emaw minute 10-15 vel hnawih hian natna leh hliam a tiziaawm thei a ni. A pahnih hi i alternate thei bawk.
- Stretching: Nitin yoga ang chi gentle stretching exercise tih hian posture a siam tha thei a, stiffness a ti tlem thei bawk.
Inzai
Doctor chuan surgery ni lo enkawlnain a tihdam loh chuan, a natna a awm reng a, ke ruh natna ang chi symptom a awm chuan chauh operation tih a rawt thei a ni.
Surgery chi hrang hrang a awm a. Chung zingah chuan `Diskectomy` (disc hmun thenkhat lakchhuah), `Laminectomy` (nerve-te luh theihna tura vertebra thenkhat lakchhuah), leh `Spinal fusion` (vertebrae pahnih emaw a aia tam emaw inzawmkhawma inzawmkhawm, stabilize) te an ni. I doctor chuan eng surgery nge i tan a tha ber tih a rel ang.
Hetiang dinhmun hi a zual zel loh nan ven theih a ni em?
Ni e, i ti thei ngei ang. I nunphungah inthlak danglamna tenau te siam hian heng disc te hi a ti chhe thei a, a natna chu a thunun thei bawk.
- I taksa nena inmil tur taksa rihna hrisel tak vawng reng rawh.
- Meizial i zu a nih chuan vawiin hian bansan rawh.
- Exercise neih fo la, a bik takin i hnungzang leh pum ruh tichaktu exercise la.
- Posture dik tak vawng reng rawh. Thut, ding leh thil rit i chawi lai hian i hnungzang chu dinglam hawiin dah la.
- Thil rit i chawi dawnin fimkhur rawh. I khup ben a, i hnungzang dinglam hawiin weights chawi rawh.
- Hmun khatah rei tak awm suh. Office-a hnathawk i nih chuan tho la, darkar chanve danah tal i kal kual thin.
Take-Home Thuchah a ni
- Degenerative Disc Disease hi natna a ni lo va, tar ruala lo awm thin natural condition a ni.
- Mi zawng zawng plate chhe tawh mah se, mi tlemte chauhvin natna an nei thin.
- A lan chhuah dan ber chu hnungzang emaw, kawng na emaw a ni. He natna hi thut emaw, ben emaw hian a zual thei hle.
- Mi tam tak chu surgery ni lo enkawlna, nunphung thlak danglam, taksa enkawlna, leh damdawi hmanga enkawlna hmangin an dam thei a ni.
- Heng symptoms te hi i neih chuan nangmah chauhin thutlukna siam suh, mahse doctor thiam tak pan ngei ngei tur a ni a, a natna hriatchhuah leh enkawl dan tur dik tak i hmu ngei ang.
Hnung na, kawng na, vertebrae, degenerative disk natna sinhala, hnungzang na sinhala, spinal disk
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