I hnungzang leh kawng na pawh i nei fo em? Degenerative Disk Disease vang pawh a ni thei!

A châng chuan hnungzang na, i kawng a na, a nih loh leh i kut hnuai lama kah na i nei ṭhin em? He natna hi i thut emaw, rit i chawi emaw, i khum atanga i tho emaw hian a na zual niin a lang em? Mi tam takin heng symptoms te hi an ngaihven vak lo. Mahse, hei hi kan tar chhoh zel a kan ruhroa thil thleng (natural changes) avanga lo awm a ni thei. Vawiin hian `Degenerative Disk Disease` tih hming pu dinhmun kan sawi dawn a ni. A hming hi natna ang maia ri mah se, natna tak tak a ni lo va, hun kal zelah kan ruhro chhunga disc te a chhe zel tih hming an vuah a ni.

Degenerative Disk Disease hi eng nge ni?

A awlsam zawngin, hei hi kan ruhro (spine) chhunga vertebrae inkar discs te wear and tear a ni. Kan ruhro hi ruh (vertebrae) te te, a chungah inzawm khawm ang maiin han ngaihtuah teh. Heng ruh chi hrang hrang inkarah hian car chhunga shock absorber ang maiin cushion a awm a. Hengte hi spinal disc kan tih te hi an ni . Rubber ang mai an ni a, a khauh deuh a, mahse a chhungah chuan jelly ang chi thil a awm thung.

Heng disc te hian kan ruhro chu awlsam taka ben, twist, leh weights lift turin a pui thin. Tin, kan tlan leh kan zuang hian kan ruhroa lo thleng thin shock leh vibrations te pawh an absorb a, kan thluak chu chhiatna lakah a venghim bawk.

Mi zawng zawng disc hi an upat deuh deuh chuan a chhe vek tawh. Hei hi thil pianpui tak a ni. Kan vun a hrual a, kan sam a rawn sen ang mai a ni. Mahse a chang chuan, he wear avang hian chu vertebrae te chu an inhnim tan thin. Chutah chuan natna chu a lo thleng tan ta a ni.

Hetianga lump sum pek hian harsatna dang a thlen thei a ni:

• Puitling scoliosis : A ruh chu a sir lam hawia inher chhuak.
• Herniated disk: Mi thenkhat chuan hei hi herniated disk, bulge emaw ruptured disk emaw an ti.
• Spinal stenosis : Spinal canal a tawi a, chu chu spinal cord kalna kawng a ni.
• Spondylolisthesis : Vertebra pakhat chu a dang chungah a tla thla a.

Hetiang natna hian ruhro (spine) hmun eng ber nge a nghawng ber?

Spinal stenosis hian kan hnungzang hnuai lam (lumbar spine) leh kan kawng (cervical spine) a nghawng ber a ni .

1. Lumbar Degenerative Disk natna

Kan ruhro hnuai ber, lumbar region kan tih hmunah hian vertebrae lian tak tak panga a awm a. Doctor te chuan L1 to L5 tiin an ko thin. Heng vertebrae tin inkarah hian disc a awm a. A tam zawkah chuan (90%) he disc herniation hi ruh hnuai lam a awm thin. Thil rit phur reng reng, emaw, hmun khata rei tak thut thin emaw kha han ngaihtuah teh. Hemi hmunah hian natna an tuar tam zawk.

2. Cervical Degenerative Disk natna a ni

Hei hi kan kawr (cervical spine)-a vertebrae pasarih inkar ligament awm vang a ni. He ligament hian kan kawr kan han han hawi chho leh a, a sir lehlamah kan en hian heng chetna zawng zawngah hian a pui thin. He hmuna ligament te a chhiat chuan, kan kawr kan hawi chuan, kan han hawi chho a, na tak tak kan hre thei a ni . A chang chuan he natna hi kan kut ah pawh a tla thla thei.

3. Multilevel Degenerative Disk natna a awm thei

Chumi awmzia chu ruhro hi hmun khat chauh a ni lo va, vertebrae engemaw zat, a nih loh leh level engemaw zat , a nghawng tihna a ni. Entirnan, hnungzang hnuai lam leh kawr lamah pawh herniated disc a awm thei.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan mi zawng zawng deuhthaw hian kum 40 an tlin hnuah hnungzang na engemaw zat an nei tan a, mahse, mi zawng zawng hian symptoms, chu chu natna tihna a ni. Hemi avang hian puitling 5% velin hnungzang na an nei thei.

Vertebral compression fracture natna lan chhuah dan chu engte nge ni?

A lan chhuah dan tlangpui chu kawng na leh hnungzang na a ni. Hetiang hian hrehawmna i tawk mai thei:

• Natna lo thleng leh bo thin a ni a, vawi khatah a ni lo. Kar tam tak emaw, thla tam tak emaw pawh a daih thei.
• Natna chu hnungzang hnuai lam atanga intan a, hnute hnuai lam pan thin.
• Thut emaw, hmalam pan emaw, thil rit tak chawi emaw hian a na zual thin.

He hrehawmna hi engtin nge a awm?

He natna hi a ni thei:

• Kawngpuiah emaw, hnungzang hnuai lamah emaw a awm thei.
• A rilru a na lo hle a, a hniam lo hle a, a na hle thei bawk .
• A hrual, a hliam, a nih loh leh a tikhawlo thei .
• A lo lang thei a, rei lo te chhung a bo a, a lo lang leh thei bawk.
• Thil engemaw tih hnuah, hmalam pan, inher, a nih loh leh thil rit tak chawi chhuah te hnuah a natna chu a nasa zual thei a ni.
• Hun kal zelah natna hi a zual zauh zauh thei.

Vertebral compression fracture awm chhan hi engte nge ni?

Kan sawi tawh ang khan hetiang swelling hi tar chakna atanga lo piang chhuak a ni. Hetiang dinhmun hian mi tam tak a nghawng a, a bik takin kum 40 an tlin hnuah chuan a natna hi mi zawng zawngin an tawng vek lo.

Heng avang hian natna i nei thei a ni:

1. Dry out: Kan vertebrae chhunga soft tissue hi a tam zawk chu tui a ni. Kan tar chhoh zel chuan he tui awm zat hi a pianphungah a tlahniam thin. Disc te chu a thim zawk a, shock pawh a absorb thei lo. Sponge a vawt chuan eng nge thleng tih han ngaihtuah teh. Chutiang chu a ni.

2. Ligament tear or crack: Accident tenau te, tlu te, leh lifting dik lo te hian heng ligament te hi tear te te emaw crack te a thlen thei. Heng crack te hi nerve bulah a awm fo thin. Hei hi mittui tla te tak te pawh ni se, a chhehvel nerve te nen inflammation a thlen thei bawk.Natna a thlen thei. A châng chuan disc pawn lam bang a chhe chuan a chhung lam chu a rawn chhuak thei bawk. Chu chu `Herniated disc` kan tih chu a ni. Hei hian a bula nerve pawh a press thei bawk.

Hetiang dinhmun thlentu risk factors te hi engte nge ni?

He natna hi kum 40 chunglamte zingah a tam ber a, mahse thil dang thenkhat chuan a vei theihna a tipung thei a ni:

• Accident: Tlu ang chi thil.
• Obesity: Taksa rihna a tipung.
• Gender: Hmeichhia hian symptoms an nei tam zawk.
• Meizial zuk.
• Taksa lama harsatna nei hna thawh: Thil rit phur fo leh an hnungzang tibuaitu hna thawk fo thinte tan.

Spinal stenosis vang hian damdawi lam harsatna dang neih theihna a awm em?

Ni e, disc chhe tawhte hian ruhro lama harsatna dang a thlen theihna a tipung thei a ni. Thil awm dan tlangpui thenkhat chu:

• Osteoarthritis natna a ni
• Scoliosis natna (Scoliosis) a ni
• Spinal stenosis a awm thin
• Spondylolisthesis a awm thin
• Nerve root compression avanga natna (Radiculopathy) .
• Spondylolysis ( ruhro hmun thenkhat a chhe ) .

Engtin nge doctor-te hian he natna hi an hriat theih?

Hetiang dinhmun hi hriat chian nan i doctor chuan i symptoms te a zawt hmasa ang che. Zawhna an zawt thei a, chungte chu:

• Engtik lai khan nge natna chu a lo intan?
• Khawiah nge a natna chu i hriat?
• Eng ang thil nge i tih hrehawm ber?
• Eng ang thil nge natna tihziaawm?
• Natna a intan hmain tlu ang chi accident a awm em?
• Symptom dang, rilru hahna emaw, hriatna hloh emaw ang chi a awm em?
• Eng chen nge i kal theih ang?

Tichuan, Doctor in a enfiah ang che. X-ray, CT scan, emaw MRI scan ang chi imaging test pawh a ti thei bawk . Heng test te hian doctor hnenah i ruh dinhmun leh a awm dan tur a hriat chian tir thei a ni.

Taksa enfiahnaah hian a hnuaia thilte hi hmuh theih a ni:

• Nerve function: Hammer te tak te (reflex hammer) hmangin khup a tap thin. Chhanna a awm tlem chuan nerve chu a pinch emaw, a chhe emaw thei.
• Pain levels: I hnungzang leh kawr hmun thenkhat chu an khawih ang a, an press ang a, i natna engzat nge i hriat tih an hmu ang.
• Chakna: Muscle chak lohna emaw atrophy emaw a enfiah thin. Hei hi nerve chhiatna emaw, degeneration emaw chhinchhiahna a ni thei bawk.

Spinal fusion hi eng stage nge awm?

Doctor-te chuan he natna hi an hriat chian hunah stage lian pali an sawi a:

1. Hnathawh that lohna:I vertebrae te chu a chhe tan ta. Symptoms na lo tak tak i nei mai thei.

2. Dehydration: Ruh chu a vawt tan a, a san zawng leh a flexibility a hloh thin. Hetiang dinhmunah hian kawng leh hnungzang natna a pung thei.

3. Stabilization: Hetih lai hian ruhro hian a insiamrem a tum thin. Hei hian spinal stenosis (spinal canal narrowing) leh natna nasa tak ang chi dinhmun a thlen thei a ni.

4. Collapse: Spine chhunga vertebrae te chu an compress nasa hle a, ruh chhunga ruh (vertebrae) te chu an inhnim tan thin. Vertebrae chhia hian nerve a ti compress a, natna nasa tak a thlen thin.

Hei hi engtin nge enkawl a nih?

A tam zawkah chuan doctor-te chuan noninvasive treatment options an rawt hmasa ang. I enkawlnaah hian:

• Physical therapy: Physical therapist trained kaihhruaina hnuaia chakna leh tihchakna exercise-a tel. Hei hian ruhro chhehvel thau te a tichak a, natna a tiziaawm bawk.
• Damdawi: Natna tidamtu leh natna dotu damdawi (NSAIDs), acetaminophen, neuromodulation damdawi, emaw steroid ang chi thil.
• Steroid injection: I spinal cord, nerve emaw joint emaw-ah damdawi inject a, inflammation leh natna tihziaawmna tur.
• Radiofrequency neurotomy: Electrical wave hmanga natna phurtu sensory nerve te hal a, natna signal thluak thleng tur tihtawp a ni.

In lama mahni in enkawl dan

Mi thenkhat chuan in lama damdawi hmangin natna laka hahdamna an hmu thei. Hengte hian hun rei lote chhunga natna tihziaawmna kawngah a pui thei a, mahse natna khirh tak nei tan chuan hun rei tak chhunga chinfelna tur a ni lo. Heng thilte hi i lo enchhin thei ang:

• Taksa tihchak: Kal leh tui chawi ang chi exercise low-impact hian hnungzang ruh a tichak a, natna a tiziaawm thei bawk.
• Hot and cold therapy: Ni khatah vawi li minute 10-15 chhung ice pack leh heating pad inthlak danglam hian a hring leh natna a tiziaawm thei a ni.
• Stretching: Nitin yoga ang chi gentle stretching exercise tih hian posture a ti tha a, stress a ti tlem thei bawk.
• Traction: A chang chuan traction hian symptoms a tihziaawm bakah tension a tiziaawm thei bawk. Mahse, hei hi damdawi lam thurawn hnuaiah chauh tih tur a ni.

Vertebrae siamthat nan surgery neih a ni

Mi tam zawk chuan he natna hi operation an mamawh lo. Mahse, non-surgical treatment engemaw zat i lo enchhin tawh a, natna leh/ emaw chak lohna i neih chhunzawm zel chuan surgery hi a tha hle mai thei.

I surgeon chuan heng spinal decompression surgery chi hrang hrang zinga pakhat hi a ti thei ang:

• `Diskectomy`: Nerve compression tihziaawmna turin vertebral disc thenkhat lakchhuah.
• Foraminotomy: Nerve zung chhuahna khur lian zawka siam turin tissue leh ruh lakchhuah a ni.
• Laminectomy: A hnungzang hnuai lam ruh te tak te, lamina of a vertebra an tih chu lakchhuah a ni.
• Osteophyte lakchhuah: Ruh zung (osteophytes ) lakchhuah .
• Spinal fusion: Ruhro pahnih emaw a aia tam emaw inzawmkhawmna, ruhro (spinal stability) tihpunna.

Engtin nge he dinhmun hi a chhe zual zel loh nan kan ven theih ang?

He spinal degeneration hi nunphung tihdanglamna engemaw zat siamin i veng thei a, i titawp thei bawk. Chung zinga ṭhenkhat chu:

• I tan taksa rihna hrisel tak vawn reng.
• Meizial zuk loh emaw, bansan emaw. Meizial zuk hian a takah chuan he dinhmun hi a tichhe hle.
• Taksa exercise neih fo la, chakna leh insiamrem theihna tihpun.

Spinal tap man pek hian full recovery a awm thei ang em?

Hetiang natna avanga operation nei tam tak chuan hun rei tak chhung natna tihziaawmna an nei thin . Mahse, operation hnuah pawh i hnungzang chak leh hrisel taka awm theih nan exercise i chhunzawm zel tur a ni a, stretching exercise i tih tur a ni.

Mi tam tak chuan an natna chu hun rei tak chhung chu nonsurgical, at-home treatment hmangin an enkawl thin. I hnungzang natna na lo leh na lo tak i neih chuan a thunun theih nan enkawl chhunzawm zel i mamawh mai thei.

A pawimawh ber chu i doctor thupek dik taka zawm a, exercise neih fo hi a ni.

Spinal stenosis ka neih chuan eng nge ka pumpelh ang?

Hetiang dinhmun hi i neih chuan hengte hi pumpelh a tha ber:

• Meizial zuk: Meizial in hian i natna a tizual thei a, i enkawlna hlawhtlinna a ti tlem thei bawk.
• Weight lifting: Weight lifting hian a bik takin i tih fo chuan i hnungzang ruhte chu a ti buai nasa hle.
• Zu in: Zu in tam lutuk hian hnungzang natna a tipung a ni.
• Hun rei tak thut: Hun rei tak, sofa-ah emaw, desk hmaah emaw thut hian hnungzang natna a tizual thei a ni. Chuvang chuan tho leh vak kual fo hi a pawimawh hle.
• Taksa tihchakna nasa tak nei:High-impact sports leh exercise te, jumping leh sprinting te hi i hnungzang ah a harsa thei hle. Chu ai chuan kea kal leh tui chawi ang chi exercise low-impact te chu han ti ve teh.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi zawh a tha ang:

• Ka cervical vertebrae a chhe chhan ber chu eng nge ni thei ang?
• Engtin nge he dinhmun hi a chhe zual zelna rate hi kan tihkhawtlai theih ang?
• Ka natna tihziaawmna tur non-surgical treatment tha ber berte chu engte nge ni?
• Surgery ka neih loh chuan eng nge thleng ang?
• Operation hnua natna lo kir leh tawh lo turin engtin nge kan ven theih ang?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Degenerative Disk Disease (DDD) hi kan ruhro chhunga disc awmte tihchhiatna a ni. Vanduaithlak takin hei hi tar chakna pianphung a ni. Heng disc te hi a chhe zel a, a tlangpuiin hnungzang na leh a tikhauh thin. Mi thenkhat chuan in lama damdawi, lum leh vawt therapy hmangin an natna an tihziaawm thei. Natna a nasat chuan ruhro injection emaw, surgery emaw hmangin a \angkai thei.

I hnungzang emaw, kawr emaw natna i neih chuan ngaihthah lovin damdawi lam thurawn lak a pawimawh. Spine specialist chuan i tan eng treatment nge tha ber tih i ngaihtuah thei ang. I natna hmuhchhuah hma poh leh enkawlna i dawn theihna chance a sang zawk tih hre reng ang che!

` Hnung na, Kawng na, Cervical Spondylosis, Degenerative Disk Disease, Ruh, Nerve Na, Physical Therapy