I hnungzang na reng reng hi i tan harsatna a ni em? (Low Back Pain chungchanga rilru lam thil)

An nunah engtik lai pawha hnungzang natna nei lo hmuh a harsa khawp mai, a ni lawm ni? Mi thenkhat tan chuan ni hnih khat chhunga bo vek thin, thinrimna tenau tak mai a ni. Mahse mi dangte tan chuan nitin tihbuai reng reng a lo ni ta a ni. Chuvangin he natna hi a awm reng chuan i taksaah chauh a innghat lo va, i rilruah pawh nghawng a nei tan thin.

He natna leh rilru inzawmna hi eng nge ni?

Back pain a awm reng a, chu chu chronic pain a lo nih chuan taksa hriatna aiin a thui zawk a ni. I mood, i nitin nunah engkim a nghawng thei. Ngaihtuah teh, he hrehawmna hi i nunah harsatna zawng zawng a khawlkhawmna black hole ang a ni thei. "I hnungzang natna hi a ṭhat phawt chuan thil dang zawng zawng chu a ṭha vek ang," tiin i ngaihtuah mai thei.

Hetiang natna khirh tak nena nun hian nitin hna thawh tur ngaihtuah a ti harsa thei a, thil hriat reng a ti harsa thei a, ei duhna a hloh thei a, mut pawh a ti harsa thei bawk. Heng zawng zawng nen hian, "Tunah hian hna ka thawk thei ang em?", "Ka hnathawh tur ka thawk thei ang em?" Chuvangin hetiang hun lai hian mi thinrim, lungkhamna, leh lungngaihna pawh nei hi a awm fo thin.

Mi thenkhat chuan an hnungzang natna hi an ngaihtuah lutuk a, a nihna tak aiin a lian zawk leh a na zawk angin an lantir thin. Hei hi ‘catastrophizing’ kan ti a ni. I doctor-in i vertebrae inkar i disc-te chu a chhe tawh tih a hrilh che ang che, chu chu degenerative disc disease i nei tihna a ni. Tin, ‘Aw my, tunah chuan hna ka thawk thei tawh lo, in lamah ka awm reng a ngai dawn a, ni khat chu wheelchair-ah pawh ka tawp mai thei,’ tiin i ngaihtuah bawk. Hetiang thil tenau tak ngaihtuah hian a natna chu a tizual zawk mai ang.

He taksa leh rilru lama harsatna hian natna khirh tak nei zinga hmun thuma ṭhena hmun khat vel chu clinical depression a thlen thei a ni. Chutiang bawkin, lungngaihna enkawlna zawngtu zinga 75% vel chuan taksa lama natna lan chhuah dan, a bik takin natna an neih avangin an phunnawi a ni. Chuvangin kawng hnih a ni.

Natna leh lungkhamna (vicious cycle) chu

Hei hi i chhuah theih loh cycle ang mai a ni.

1. I hrehawm a ni.

2. Hei hian lungkhamna leh lungkhamna a thlen thin.

3. Chu pressure chuan i taksa ruhte chu a tikhauh zual sauh a.

4. Taksa tight hian natna a tizual.

He cycle hi cycle dang atanga tan theih a ni. Chu chu hlauhna leh pumpelh cycle chu a ni . Mite chuan natna tihpun emaw, hliam nawn leh emaw an hlauh avangin thiltih ṭhenkhat chu an pumpelh ṭan a ni. Entirnan, kea kal emaw, rit phurh emaw ang chi thil an pumpelh thin. Hetianga taksa tihchakna i pumpelh chhunzawm zel chuan i taksa chu a chak lo a, nakin lawka thil tih tur chakna i nei lo mai thei, i duh tak tak pawh nise.

He taksa leh rilru natna hi engtin nge kan enkawl ang?

Damdawi emaw, operation emaw hian i natna thlentu taksa lama harsatna chu a chinfel sak thei a ni. Mahse, lungkhamna emaw, lungngaihna emaw i vei a nih chuan, chu chuan buaina zawng zawng chu a chinfel sak dawn lo.

Back pain na lo leh na lo nei tan chuan professional supervised exercise program chu taksa leh rilru lama natna lan chhuahna kawngah a pui thei a ni. Chutiang programme siam tum ber chu hnungzang leh pum ruh, ruhro thlawptu tihchak a ni a, i hnungzang chungah harsatna siam lovin nitin thil tih dan tur, lifting leh bending te tih dan zirtir che a ni.

I hnungzang natna rei tak, na tak i neih chuan doctor pakhat chauh ai chuan specialist team tanpuina lak hi a tha ber fo thin. He team-ah hian i chhungkaw doctor, ruh lam doctor, taksa lam doctor, chronic pain specialist, physical therapist leh psychologist te pawh an tel thei. A pawimawh ber chu heng mite hian natna khirh tak enkawlna lama tawnhriat an nei vek a ni.

Thiltih leh thil tibuaitute thunun

I doctor nen inbiakna neih a pawimawh a, i taksa tihchakna level i hriat chian a pawimawh. Damlo hnungzang na hi chi hnih a awm a.

1. Sofa-a awm reng: "Ka hnungzang a na , chuvangin engmah ka ti thei lo," tia ngaihtuah thin leh khum atanga sofa atanga tho pawh lo.

2. Non-stop hnathawk mi: Natna eng pawh ni se, an tuar theih aia nasa zawka thawk, natna tihpunna tur chauha thawk thinte.

Heng hmanrua pahnih hian i hnungzang a ti tha lovang. Chuvângin, i tih theih aia tam hna thawk suh la, engmah ti lovin thu mai mai suh . Inthlauhna (balanced approach) neih a pawimawh.

I taksa ang bawkin i rilru a active reng a pawimawh. Distraction hian hrehawmna i tuar thei tih kan hria a. I natna nen room pakhatah chauh i tang a nih chuan i rilru a ti na zual thei. Chuvangin i rilru chu buaipui reng ang che. Ṭhiante nen inhmukhawm la, movie en la, kal kual rawh. Heng thilte hian i rilru chu hrehawmna atanga lak bo turin a pui thei che a ni.