TV i en lai chuan i tho dawn a, natna khirh tak chuan i ruhro chu lightning ang maiin a rawn kap thla a. A nih loh leh, lei atanga thil lei tur bag i lak laiin i hnungzang ah ‘click’ ri i hre a, chuta tang chuan i che thei lo tihna a ni. Hetiang thil hi i tawng tawh em? Mi tam tak chuan hei hi "slipped disc" an ti. Damdawi lamah chuan he natna hi herniated disc kan ti a. Eng nge a nih tak tak, engvangin nge a lo awm tih leh eng nge tih theih ang tih hi han thlir ila.
A awlsam zawngin, herniated disc chu eng nge ni?
Hei hi hrethiam tur chuan kan ruhro chungchang tlem kan hriat hmasak a ngai a ni. Kan ruhro hi ruh te tak te 24, vertebrae an tih, a chungah a inzawm khawm a ni. Heng ruhte inkarah hian car-a shock absorber ang maiin, intervertebral disc an tih, cushion nem tak a awm a.
He disk hian hmun hnih a nei a:
1. A chhung lam: Jelly ang maia nem hle. Hei hi `(Nucl EUS Pulposus)` an ti a.
2. Pawn lam: He jelly hi ``Annulus Fibrosus`` an tih, khuhna khauh tak, chak takin a hual vel a ni.
Herniated disc chu eng emaw chhan vanga (entir nan, accident, thil rit tak chawi), disc pawn lam khuhna khauh tak chu a phelh a, a chhunga jelly chu a leak chhuak a ni. Jam-a khat donut hrual a, jam chu a luang chhuak ang maiin han ngaihtuah teh. Jelly lo chhuak chuan a bul hnaia ruhro emaw, a chhuahna nerve emaw a tihbuai chuan, tuar theih loh khawpa natna, rilru hahna, leh chak lohna ang chi chhinchhiahna a lo lang ṭan a ni.
‘Herniated Disk’ leh ‘Bulging Disk’ hi thil chi hrang hrang pahnih a ni em?
Ni e, heng dinhmun pahnih hi a danglamna tlem a awm. Mi tam takin an pahnih hi tibuai mah se, a chhan leh a lo awm dan erawh a inang lo. A natna lan chhuah dan pawh a inang thei hle.
A awlsam zawngin, herniated disk-ah chuan disc khuhtu mittui leh jelly chu a rawn chhuak chhuak a. Disk bulging-ah chuan disc chu a chhe lo va, kum upa lam emaw thil dang vang emaw chuan a flatten out zawk a, a chhuak vek a ni.
He inthlauhna hi a hnuaia table atang hian chiang zawkin i hrethiam ang u.
| Hrilhfiahna | Herniated Disk a ni | Bulging Disk a ni |
|---|---|---|
| Chhan | Vawi tam tak chu accident emaw, stress nasa tak vang emaw a ni. | Kum upat ruala lo awm zauh zauh thin degenerative condition. |
| Engtin nge a nih | Disc pawn lam khuhna chu a phelh a, a chhunga jelly chu a luang chhuak bawk. | Disc chu a flattened a, a chhuak vek (no tear). |
| Disk a nghawng zat | Disk pakhatah a nghawng fo thin. | Disk tam tak chu a rualin a nghawng thei a ni. |
| Kum a tam ber | Kum 30-50 inkar (mipa zingah a tam zawk). | Kum 40 hnuah a tam ber. |
Hei hi eng symptoms nge ni?
A chang chuan herniated disc hi asymptomatic a ni thei bawk . Mahse, a tam zawkah chuan symptoms a awm ang. Heng symptoms te hi herniated disc awmna hmun leh nerve compression zau zawngah a innghat a ni.
A lan chhuah dan tlangpui chu:
- Natna nasa tak, kang, electric shock ang maia natna.
- Natna hmun leh a kaihhnawih kut emaw ke emaw-a rilru hah emaw, tingling emaw.
- Natna hmun vel a taksa ruh chak lohna.
- Vawi tam tak chu heng symptoms te hi taksa sir khatah chauh a lang thin.
A natna awmna hmun a zirin
- Lumbar Spine: Hei hi ruh natna chi khat a ni ber . Natna hi hnungzang hnuai lam atanga tan a ni a, .A hnute hnuai lam thlengin, kekawr hnunglam hnuai lam thlengin a radiate thei a, a chang chuan ke thlengin a radiate thei bawk. Electric shock ang maiin a lang . He natna bik hi ‘Sciatica’ kan ti bawk.
- In the neck (Cervical Spine): A natna hi kawr atanga tan a ni a, kekawr bul atanga kut thlengin a darh thei a, a chang chuan kut zungtang thlengin a darh thei bawk .
He natna hi hnathawh lai te, ding lai te, ṭhut lai te, a bik takin khuh emaw, thawk hah emaw hian a zual thin. Hei hi chutih lai chuan pinched nerve-a pressure a san vang a ni. I chawlh laiin a natna hi a reh deuh tlangpui.
Emergency Symptoms awm thei te
He natna hi in lamah enkawl theih ni mah se, a hnuaia chhinchhiahnate hi i neih chuan emergency chhinchhiahna a ni thei . Chutiang hunah chuan damdawi in pakhat Emergency Department (ETU) ah i kal nghal tur a ni.
- Kut emaw ke emaw natna, chu hmunah chuan chak lohna nasa tak nen.
- Khawsik emaw, natna hrik emaw neih.
- Mipat hmeichhiatna hmun emaw, hnute chhehvel emawa hriatna hloh.
- Bowel emaw bladder function control theih lohna (Bladder emaw bowel dysfunction).
Hengte hi ruhro (spinal cord) tihchhiatna nasa tak chhinchhiahna a ni thei a, chuvangin ngaihthah ngai suh.
Engtin nge hei hi i hmuh theih, Doctor?
Heng symptoms te hi i neih chuan a tha ber chu Doctor pan a ni.
1. Taksa Exam
A hmasain doctor chuan i natna chungchang a zawt ang che a, a enfiah ang che. He exam chhung hian, .
- Hnunglam emaw, kawr emaw natna hmunte chu an press thin.
- Khumah mu la, i ke tihdik leh ben ang chi thil ti turin an hrilh ang che.
- Khup leh ke ruh chhunga nerve function (reflexes) te a test thin.
- Kut leh ke ruh chakna te chu test a ni.
- I kekawrte leh ke ruhte chunga kal turin a hrilh che a ni.
A tam zawkah chuan he taksa enfiahna hmang hian natna hi dik takin a hriat theih a ni.
2. A tul chuan test dang
A châng chuan, i doctor chuan damdawi lam thil dang hriat loh nân emaw, a pinch nerve dik tak hriat nân emaw test dang neih belh tûrin a rawt thei a ni.
- X-ray: Herniated disk hi X-ray pangngaiah hmuh theih a ni lo a, mahse a natna hi chhan dang, fracture emaw tumor emaw avanga lo awm a nih leh nih loh hriat theih nan a pui thei a ni.
- MRI Scan: `(Magnetic Resonance Imaging)` hi test a ni a, magnetic field hmanga ruh leh discs 3D image chiang tak tak siam a ni. Hei hi herniated disc awmna hmun dik tak leh eng nerve nge a press tih hriat theihna tha ber a ni.
- CT Scan hmanga tihchhuah:Computerized Tomography (CT) hi X-ray tam tak lakkhawm hmanga ruhro cross-sectional image siamna hmanrua a ni.
- EMG/NCS: `(Electromyogram and Nerve Conduction Studies)` tih hi nerve a chhiat emaw, a irritated emaw hriat theihna atana hman thin a ni. Hei hian electrical signal te tak te tak tak te chu taksa peng leh nerve te hnena thawn a, an hnathawh dan tehna a huam a ni.
Eng chen nge a dam theih ang? Enkawlnate chu engte nge ni?
Hei hi hlauhawm tak angin lang mah se, thu lawmawm tak chu herniated disc condition tam zawk hi kar tlemte emaw thla engemaw zat emaw chhungin anmahni chauhin an dam a, operation ngai lovin an dam chhuak thin.
Dam chak zawka i tih theih tur thilte:
1. Chawlh hahdam: Natna tipungtu thil, rit chawi, ben, leh hmun khata rei tak awm reng te hi pumpelh tur a ni.
2. Damdawi: Doctor-in a sawi angin natna tidamtu damdawi leh anti-inflammatory drugs i ei thei.
3. Cold leh hot pack: Ice pack hi ni hnih hmasa berah natna leh hliam tihziaawmna atan a tha hle. Ni hnih hnuah chuan hot pack hmangin taksa ruhte i ti hahdam thei ang.
4. Physical Therapy: Natna a reh hnuah i doctor chuan physical therapist hnenah a refer ang che. I hnungzang leh pum ruh tichaktu leh dinhmun dik tak zirtirtu exercise hian he natna hi a lo awm leh tawh loh nan a pui thei a ni.
Heng enkawlna awlsam tak takte hian hahdamna a pe lo chauhvin doctor chuan steroid injection emaw, a tlem berah chuan operation emaw a rawt thei a ni.
Take-Home Thuchah a ni
- I kut/ke hnuai lam atanga radiate chhuak, shooting emaw burning pain nena inzawm, hnungzang emaw kawng na nasa tak i neih chuan herniated disc a ni thei.
- Vawi tam tak chu, he natna hi chawlh hahdamna, natna tihdamna awlsam tak, leh taksa lam enkawlna hmanga tihdam vek a ni.
- I ke/kut a na lo a, i rilru/intestinal control i hloh a, i genital area-ah sensation i hloh a nih chuan hengte hi emergency a nih avangin damdawi in Emergency Department (ETU) ah i kal nghal tur a ni.
- Online-a mahni inhriatchhuah ai chuan, thurawn leh enkawlna dik tak dawng turin doctor pan fo ang che.
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