Back na a awm em? Herniated disc a awm em? Eng nge a nih chiang takin i zawng chhuak ang u (Herniated Disk) .

Thil rit tak lak tumin i kun a, i hnungzang atanga electric shock tlan ang maia natna nasa tak i nei tawh em? A nih loh leh, zing i thawh tirh khan i kawr na tak tak, i lu tihher theih loh khawpa na emaw, zing i thawh tirh khan i kut atanga rawn tlan chhuak tingling sensation emaw i nei tawh em? Mi tam tak chuan kan nunah vawi khat tal he thil tawn hi kan tawng tawh a ni. A tam zawkah chuan "spinal cord sprain" emaw "slipped disc" emaw kan ti thin. Chuvangin vawiin hian mi zawng zawng nghawng thei dinhmun, damdawi lama ``Herniated Disk'' tia koh chungchang kan sawi dawn a ni. Lungngai suh, hei hi i ngaihtuah angin a hlauhawm lo. A bul lam pan ila, awlsam tak leh dik takin.

A awlsam zawngin, herniated disk chu eng nge ni?

I ruhro chu ruh te te (`vertebrae` kan ti) inzawmkhawm angin ngaihtuah rawh. Heng ruhte hi an inhnim tawn loh nan, car chhunga `shock absorbers` ang maiin, ruh inkarah hian cushion zungbun, mattress ang chi a awm a. Hengte hi `disks` kan tih te hi an ni. Heng disc te hian hmalam, hnunglam, leh twist awlsam takin kan ben thei a ni.

He disc hi donut ang mai a ni a, a chungah jam a awm. Pawn lam hnah khauh tak a nei a, a chhung lam chu jelly ang maia nem tak a ni. Hun a kal zel a, kan tar chhoh zel chuan, dinhmun tha lo nawn leh emaw, accident nghal mai emaw avang hian he disc pawn lam khauh tak hi a chak lo thei a, crack te tak te a lo awm thei bawk. Tichuan a chhunga jelly ang chi chu chu crack atang chuan a chhuak thei ta a ni. Chuvang chuan `(Herniated Disk)` emaw `(ruptured disk)` emaw kan ti a ni. Keini zingah chuan hei hi `slipped disk` emaw "slipped disc" emaw tia hriat a ni.

Hetiang taka disc atanga chhuak hian a bula awm spinal cord leh a chhuak nerve te chu a press a. Chutah chuan kan taksa peng hrang hrangah natna, rilru hahna, leh a chang chuan chak lohna ang chi symptoms kan nei tan thin.

Hetiang dinhmun hi ruhro khawi hmunah pawh awm thei mahse, hnungzang hnuai lam (lumbar spine) leh kawng (cervical spine)-ah a lang tam ber. Thoracic spine-ah hian a tlem hle.

Herniated disk ka nei em? Eng nge a lan chhuah dan?

A symptoms chu spine chhunga khawi hmunah nge disc a bulging tih ah a innghat. Hmun lian pahnihah hian engtin nge a awm tih han en ila.

Engvangin nge hetiang hi a lo awm? A chhan leh a hlauhawmna

Kan sawi tawh ang khan a chhan ber chu disc pawn lam casing a chak lo va, a chhunga jelly ang chi chu a leak chhuak ta a ni. Hei hi nghawng thei thil engemaw zat a awm.

A chhan ber chu:

• Tar: Kan tar chhoh zel chuan kan disc-a tui awm zat a tlahniam a, chu chuan a vawt deuh a, a ti hmin lo deuh bawk. Hei hian an tlakbuak tlem ber atang pawhin an rupture awlsam zawk a ni.
• Accident: Spine-a na taka vuakna, tlu nghal emaw, car accident emaw ang chi hian disc a tichhia thei a ni.
• Posture tha lo: Hun rei tak chhung hnungzang ben chunga hnathawh te, rit phurh dik loh te, etc. hian zawi zawiin disc-a pressure a ti sang thei a, a tichhia thei bawk. Office-a darkar tam tak thawk, a hnungzang bengchheng taka thawk mi pakhat kha han ngaihtuah teh. Chutiang mite chu an hlauhawm zawk.
• Thil rit phurh: Form mumal nei lova vawi khata rit phurh hi mi tam tak tan chuan he harsatna thlentu nghal a ni. Entirnan, gas cylinder emaw tui bucket emaw ang chi thil pakhat chawi turin i hnungzang i ben chuan hetiang hi a thleng thei.

Risk Factors: 1.1.

• Kum: He natna hi kum 30 leh 50 inkar te zingah a awm tlangpui.
• Gender: Hmeichhia aiin mipa hian he natna hi a let hnih velin an nei tam zawk.
• Meizial zuk leh hmuam:Meizial zuk hian disc-a thisen kalna a ti tlem a, chu chuan rang takin a tichak lo thei a, a tichhe thei bawk.
• Excess weight: Taksa rihna a san chuan discs, a bik takin hnungzang hnuai lam pressure a sang chho zel a.
• Heredity: I chhungkuaa mi tu emaw hian heng natna hi a neih chuan i vei tam zawk mai thei.
• Hnathawh: Taksa lama thawkrim, thil rit phur, lirthei khalh chhunzawm zel, a nih loh leh hmun khata ṭhute chu an hlauhawm zawk.

Engtin nge hei hi i hmuh theih, Doctor?

Hetiang symptom nei doctor i pan dawn chuan a tih hmasak ber tur chu zawhna a zawt che a, i taksa a enfiah hmasa phawt ang.

• Taksa enfiahna: Doctor chuan i natna hmun te, taksa ruh chakna te, reflexes te, leh i vun awm dan te a enfiah ang.
• Straight Leg Raise Test: He test-ah hian khumah mu turin an siam che a, a na lam ke chu khup ben lovin dinglam hawiin an chawi sang a ni. Chutianga tih lai hian ke hnuai lam natna a kal chuan herniated disk chhinchhiahna a ni thei.

Heng test neih zawh hian doctor chuan a natna hriat chian nan leh a chhiatna zau zawng tehna atan test eng emaw zat tih belh leh a rawt thei bawk.

• MRI scan (Magnetic Resonance Imaging): Hei hi disc dinhmun leh nerve compression a awm leh awm loh chiang taka hriat theihna tur a ni.
• X-ray: X-ray hian disc a lantir thei lo a, mahse ruh lama harsatna dang, herniated disc te enfiah nan a pui thei a ni.
• CT scan (Computed Tomography): Hei hian ruhro leh a chhehvel tissue te chipchiar taka thlalak a siam thei bawk.
• EMG leh Nerve Conduction Study: Heng test te hian nerve chhiatna zau zawng leh signal kal tlanga a kal dan tehna atan a pui thin.

Enkawlnate chu engte nge ni? In lama ka tih theih tur a awm em?

Hei hi a pawimawh ber a ni. Herniated disk nei mi 10 zinga 9 chu operation tel lovin an dam leh a, enkawlna awlsam tak hmangin an dam leh thin. Chuvangin hlauhna tur a awm lo.

In lama i tih theih tur thilte chu a tir lamah:

• Chawlh hahdam la: Natna a nasat em avangin ni khat emaw ni thum emaw chawlh la. Mahse khumah hian rei tak awm suh. Chutianga tih chuan taksa ruh a tikhauh thei a, a natna a tizual thei bawk. Nitin hna tenau te a theih ang anga tih tum ang che.
• Painkillers: I doctor hnenah natna tidamtu ibuprofen emaw acetaminophen emaw ang chi i dil thei ang.
• A lum emaw, a lum emaw a hmin:Natna ni hnih hmasa berah ice pack hi ruh-ah hnawih hian a hring leh a natna a tiziaawm thei a ni. Ni hnih emaw ni thum emaw hnuah chuan tui lum bottle emaw, tui lum bag emaw i taksa ruh hnawih chuan a hahdam ang a, natna a tiziaawm ang.

Damdawi lam enkawlna:

In lama enkawlna kar tlemte hnuah pawh a natna a reh loh chuan i doctor chuan hetiang enkawlna chi hi a rawt thei ang.

• Damdawi: Natna leh hliam tihziaawmna turin anti-inflammatory pain reliever emaw muscle relaxant emaw pek theih a ni.
• Physical Therapy: Hei hi enkawlna pawimawh tak a ni. Physics therapist chuan exercise bik leh stretch hrang hrang a zirtir ang che, chu chuan i hnungzang leh pum ruh a tichak ang a, i nerve-a pressure a tihziaawm ang.
• Spinal Injection: Natna a nasat chuan steroid `epidural` emaw `nerve block` emaw awmna injection chu ruh natna hmunah direct-in pek a ni. Hei hian rang takin natna leh hliam a tiziaawm thei a ni.

Engtikah nge operation tih a ngai?

Amaherawhchu, thla tam tak enkawlna dang an neih hnua a natna a reh loh chuan, a natnain nitin hna thawh theih lohna a siam a nih chuan, a nih loh leh ke ruh chak lohna a zual zel a nih chuan doctor chuan zai a ngaihtuah thei a ni.

A tlem hle a, herniated disc lian tak hian zun leh bawlhhlawh paihna control tu nerve te chu a compress thei a ni. Hei hian bladder emaw bowel control hloh a thlen chuan emergency a ni. Damdawi in pakhat emergency department (ETU) ah i kal nghal tur a ni. Hei hian emergency surgery a ngai mai thei.

Tuna surgery tih tam ber chu surgery tenau ``microdiskectomy'' an tih hi a ni.Hetah hian incision te tak te siam a ni a, microscope leh instrument te tak te hmangin disc piece lo chhuak chauh chu lakchhuah a ni.

Hetiang dinhmun lakah hian engtin nge i inven theih ang? Invenna hi a tha ber!

Hetiang dinhmun hrehawm tak hi pumpelh turin thil tam tak i tih theih a ni.

Doctor hmuh hun pawimawh ber berte chu engte nge ni?

In lama enkawlna atang hian tan theih ni mahse, hetiang thil thlengah hian doctor pan ngei ngei tur a ni.

• Natna avanga nitin hnathawh (e.g., hnathawhna hmuna kal) i tih theih loh chuan.
• Kar 4 emaw kar 6 emaw hnuah symptoms-ah hmasawnna a awm loh chuan.
• Symptoms a na zual zel a nih chuan.
• I kut, i ke, i kutphah, emaw, i kephah emaw a tingling, i rilru a buai emaw, i chak lohna emaw a pung zel a nih chuan.
• Ding leh kal harsatna i neih chuan.
• Damdawi in pan nghal tur: Zun emaw, ek emaw thunun theih lohna. Hei hi emergency a ni.