I hnungzang pawh a na em? Herniated disc a ni em? (Herniated Disk) - Hemi chungchang hi i hre chhuak ang u!

A chang chuan kan ngaihtuah ngai lo. TV hmaa ṭhutphah aṭanga tho chhuah tum a, hnungzang aṭanga inṭan a, ke hnuai lam pan ṭhin natna khirh tak, hliam na tak i hriat lai kha han mitthla teh... Hetih lai hian mi tam tak chuan, "Oh my, ka disc pakhat chu a slip em?" Dik tak chuan a theih hle. Vawiin hian mi tam tak tibuaitu ' Herniated Disc ' emaw 'Slipped Disc' an tih hi han sawi ila.

Disc jump tih hi eng nge a awmzia tak?

Hei hi hrethiam tur chuan kan ruhro (spine) insiam dan hi tlem han zir hmasa ila. Kan ruhro hi ruh te tak te 33, a chungah dah khawm a ni. Hengte hi vertebrae kan ti a . Heng vertebrae tin inkarah hian jelly ang maia cushion nem tak a awm a. Chu chu intervertebral disc, a nih loh leh ‘disk’ kan tih chu a ni.

He disc hian a hnathawh ber chu ‘shock absorber’ angin a thawk a, chu chu kan hnung leh hnung lama kan inbeng kang a, kan rit kan chawi a, kan kal lai hian kan ruhro (spine)-a shock lo thleng chu a hip lut a ni.

He disc hian layer pahnih a nei a.

1. Inner core (Nucl EUS Pulposus): Hei hi a chhunga a nêm, jelly ang deuh a ni.

2. Outer Cover (Annulus Fibrosus): Hei hi jelly ang deuha a chhehvel pawn lam ring chak deuh, fibrous deuh deuh a ni.

Entîr nân, eng emaw chhan vanga thil rit tak chawi nghâl a, a ben dik loh emaw, kum upa lam avânga inthlâk danglam emaw a nih chuan, he pawn lam khuh chak tak hi a hrual emaw, a chhe emaw a, a chhûnga jelly ang chi thil chu a chhuak chhuak a ni. Chu chu ‘herniated disc’ kan tih chu a ni. He jelly ang chi thil chhuak hian a bula awm spinal cord emaw, a chhunga nerve lo chhuak emaw chu a press a ni. Chutah chuan tuar theih loh natna, rilru hahna leh chhinchhiahna dangte chu a intan ta a ni.

Herniated Disk leh Bulging Disk hi thil inang an ni em?

Mi tam tak chuan condition pahnih hi an ti buai hle. A lan chhuah dan inang viau mah se, an pahnih inkarah hian danglamna chiang tak a awm. A awlsam zawngin sawi ila, bulging disc chu disc pawn lam khuhna chu a chhe lo va, kum upat dan azirin a inthlak a, tyre flat ang maia pawn lam a bulge a ni. Herniated disc -ah chuan pawn lam khuhna mittui leh a chhunga jelly chu a leak chhuak thin.

He inthlauhna hi table pakhatah han thlir ila.

Hemi chhinchhiahna berte chu engte nge ni?

A chang chuan herniated disc hian symptom a nei lo thei bawk. Mahse, mi tam tak chuan symptoms an nei ve tho. Heng symptoms te hi herniated disc awmna hmun (back emaw neck emaw ah) leh nerve a pressure nasat danah a innghat a ni.

A lan chhuah dan tlangpui chu:

• Numbness or tingling: Kut emaw ke emaw-a nerve pinched leh a kalna kawngah tingling sensation.
• Sharp, burning pain: Kap natna i nei thei a, electric shock ang maiin.
• Muscle chak lohna : Natna hmunah hian taksa chak lohna a awm thei. Entirnan, ke chawi harsat.
• A lan chhuah dan chu taksa sir khatah chauh a awm: A tam zawkah chuan he natna leh rilru hahna hi dinglam emaw veilam emaw chauh a ni.

Disc chu a hnungzang hnuai lam (Lumbar Spine)-ah a slip a nih chuan:

Natna hi hnungzang a\angin a in\an thei a , a hnute, a kekawrte, leh a hnute a\angin ke thlengin a kal thei a ni . Hei hi ‘sciatica’ an ti bawk.

Kawng (cervical spine)-a disc a tlakchhiat chuan:

Natna hi kawng atanga tan a ni a , kekawr bul atanga kut leh kut zungtang thlengin a kal thei a ni .

Doctor pan vat vat a ngaih hunah!

He natna hi in lama enkawl theih a nih tlangpui laiin, damdawi lam pan vat ngai a awm bawk. Hengte hi red flag chhinchhiahna angin kan ngai a.

Hliam i neih hnua a hnuaia chhinchhiahna pakhat emaw a aia tam emaw i neih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal rawh.

• Kut emaw ke emaw a chak lohna nasa tak .
• Khawsik emaw natna hrik nei emaw .
• Rectum emaw genital area-a hriatna hloh.
• Bladder emaw bowel emaw a thawk tha lo. Hei hi dinhmun pawi tak a ni.

Hetiang symptoms hian spinal cord nasa takin a tichhia tih a tilang a ni. Chuvangin hun khawhral lovin doctor pan a pawimawh hle .

Engtin chiah nge doctor hian hei hi a hmuh?

Heng symptoms te hi i neih chuan a tha ber chu Doctor pan a ni. A tih hmasak ber tur chu taksa enfiahna uluk tak a pe che a ni.

• Natna chungchang ka zawt che a ni.
• I hnungzang emaw, i kawr emaw natna hmunte chu an press ang.
• Khum chunga mu turin siam i ni ang a, i ke emaw, i kut emaw chu kawng hrang hrangah i kal tir ang.
• Khup leh ke ruh (ankle reflexes) a test thin.
• I ke leh kut ruh chakna a test thin.
• A chang chuan i kephah leh i kephah chungah kal turin an ti thin.

A tam zawkah chuan he taksa enfiahna hmang chauh hian he natna hi hriat theih a ni. Mahse, i doctor chuan natna thlentu dang (e.g., ruh tliak emaw, tumor emaw) hriat loh nan emaw, nerve chipchiar tak tak chu hriat chian nan emaw test ṭhenkhat a ti thei a ni.

Test dang neih belh leh a ni

• X-ray: X-ray pangngaiah chuan herniated disc a lang lo ang a, mahse ruhroah harsatna dang, ruh tliak ang chi a awm leh awm loh a enfiah thei a ni.
• CT scan: Hei hian X-ray aiin ruhro leh a chhehvel thil awmte chu chiang zawkin a hmu thei a ni.
• MRI scan hmanga enfiah:Herniated disc hriat theihna atana test tha ber leh dik ber chu MRI hi a ni. Disc awmna hmun, a chhunga awm dan leh eng nerve nge compress tih chiang takin a hmu thei a ni.
• EMG leh NCS test: Heng test te hi nerve-ah chhiatna a awm em tih leh engtiang chiahin nge a tight tih hriat nan hman a ni. ``Electromyogram (EMG)`` ah chuan needle ang chi thil te tak te chu taksa ruh chhungah dahin a electrical activity chu teh a ni. ``Nerve Conduction Studies (NCS)`` ah chuan electric signal te tak te chu nerve ah thawn a ni a, a kal chak zawng chu teh a ni. Hei hian nerve chhiatna a awm leh awm loh chiang takin a hrilh thei che a ni.

Hei hian a tidam ang em? Engtin nge ka dam thuai theih ang?

Ni e, thu lawmawm tak chu mi tam zawk tan chuan herniated disk condition chu kar tlemte emaw thla khat emaw thla hnih emaw chhungin a mah chauhin a reh ang. Taksa hian mahni tihdam theihna a nei a.

Heng thilte hian dam thuai turin a pui ang che:

1. Chawlh hahdam: Natna tipung thei thil (heavy lifting, back-straining activities) te chu pumpelh vek tur a ni. Mahse, nilengin khumah awm suh. Thil tih awlsam tak tak, kea kal tawi te hi a tha.

2. Damdawi: I doctor-in a tih angin natna tidamtu damdawi leh anti-inflammatory drugs te hi ei tur a ni.

3. Cold and hot compress: Ni hnih hmasa berah chuan na leh hliam tihziaawmna turin ice pack i hnawih thei. Chumi hnuah chuan tui lum bottle hnawih la, taksa ruhte a ti hahdam ang.

4. Physiotherapy: Doctor thurawn angin physiotherapist kaihhruaina hnuaiah hnungzang leh pum ruh tichak turin exercise tih a pawimawh hle. Hei hian nakin lawkah he natna hi a lo awm leh tawh loh nan a veng thei bawk. Natna a tlahniam chuan exercise chauh i tih tur a ni tih hre reng ang che. Natna a zual chuan titawp nghal rawh.

Natna a awm reng chuan i doctor chuan steroid injection a pe thei che a, enkawlna dangah pawh a refer thei che a ni. Surgery hi a na ber leh enkawlna dangin a puih loh chuan chauh ngaihtuah a ni.