I ruhro chu a sir khatah a inher em? Levoscoliosis leh dextroscoliosis (scoliosis chi hrang hrang) chungchang hi i zir dawn teh ang!

Mi thenkhat hnungzang chu a sir khatah a ben deuh tih i hmu ngai em? A nih loh leh, i fain school bag a ken laiin a ke pakhat chu a dang aiin a sang zawk niin a lang em? Darthlalang i en hian i hnungzangah danglamna tlem i hmu tawh mai thei. Heng thilte hi a chhan chu ruh (spine) curvature vang a ni thei a, chu chu damdawi lam hawi chuan `(Scoliosis)` an tih natna a ni. Vawiin hian `(Scoliosis)` chi hnih, `(Levoscoliosis)` leh `(Dextroscoliosis)` chungchang kan sawi dawn a ni. Lungngai suh, hei hi a tlangpuiin harsatna lian tham a ni lo, mahse hei hi hriat chian a pawimawh hle.

Levoscoliosis leh Dextroscoliosis te hi eng nge ni?

A awlsam zawngin `(Levoscoliosis)` leh `(Dextroscoliosis)` te hi `(Scoliosis)` chi hnih a ni. Kan vai hian kan ruhroah hian natural curve engemaw zat kan nei vek a. Kan sir atanga min en chuan kan kawr chu hmalam a inher a, kan rilru chu hnunglam a inher a, kan hips te chu hmalam a inher tih i hmu ang. Hengte hi ruh hrisel tak awmna hmun (natural positions) a ni. Mahse, `(Scoliosis)`-ah chuan ruhro chu a sir khatah a inher a, chu chu veilam emaw dinglam emaw a ni. ‘S’ emaw ‘C’ emaw ang mai a ni.

• Levoscoliosis chu i ruh chu veilamah a inher a , i ruh chu "C" letter ang maia siam a ni.
• Dextroscoliosis hi i ruhro (spine) dinglamah a inher chhuah hian a ni . Hei hi levoscoliosis nen a inkalhin a ni. I ruhro curve chu inverted "C" emaw, veilam sir awm lohna circle emaw ang maiin a lang thei.

A tam zawkah chuan, natna hi a na lo , ``Levoscoliosis'' emaw ``Dextroscoliosis'' emaw a nih chuan enkawlna bik a ngai lo. Mahse, doctor chuan thla engemaw zat danah i ruhro chu a curvature a na zual em tih a enfiah ang. A chhan chu a chang chuan curvature a na zual chuan enkawl a ngai dawn a ni.

Engtin nge heng dinhmunte hian kan taksa a nghawng?

A bulpui ber chu ruhro (spine) hian a neih anga lang unnatural curve hi a ni. `(Levoscoliosis)` natna hian ruh hnuai lam a nghawng tlangpui a, chu chu `(Lumbar spine)` a ni. `(Dextroscoliosis)` natna hian `(Thoracic spine)` a nghawng tam ber. Mahse, heng curvature te hi ruhro hmun eng pawhah a awm thei tih hriat reng a pawimawh.

Hetianga stretching hi a nasa tawk a nih chuan a tul lovah hnungzang ruhte a ti na thei a, a nih loh leh ruhro chhunga nerve te pawh a ti na thei bawk.

A tlem hle a, mahse a strain a nasat chuan , ruhro chhehvela taksa peng hrang hrangte a tichhia thei. Entir nan:

* Thinlung

* Chuap

* Spinal cord a ni

Hetiang dinhmun hi a thleng tam lo hle nachungin, hriat chian a tha.

Scoliosis leh hnungzang hmun hrang hrang

Kan sawi tawh ang khan `(Levoscoliosis)` leh `(Dextroscoliosis)` te hian kan ruhro hmunpui pathum zinga eng pawh hi a nghawng thei a ni:

• Cervical spine : Hei hian i kawr chhunga ruh awmte a kawk a ni.
• Thoracic spine : Kawr atanga ruh tawp thlenga ruh chunglam.
• Lumbar spine : Ruh hnuai ber a ni.

Heng dinhmunte hi engtiang chiahin nge a awm?

Scoliosis hi a takah chuan chutiang chuan a awm lo. Mipui 5% aia tlem loin a nghawng a ni. Naupang tê têah pawh a tam ber .

Hei hi han ngaihtuah teh: Scoliosis hi chhungkaw hrang hrangah a kal thei. Chu chu, scoliosis vei zinga 30% vel chuan chhungkaw member (nu leh pa, unau, emaw pi leh pute) pawh an nei ve tho tihna a ni. Dextroscoliosis (right-sided scoliosis) hi levoscoliosis (left-sided scoliosis) aiin a tam zawk deuh.

Tute nge levoscoliosis leh dextroscoliosis vei?

Heng dinhmunte hian tu pawh a nghawng thei a, naupang tê tê aṭanga puitling thlengin a nghawng thei a ni. Mahse, scoliosis hi naupang tê têah hmuh a ni ber . Hmeichhia te hian mipa aiin he natna hi an nei tam zawk.

Scoliosis hi naupang leh puitling naupangte chu thoracic spine-ah a awm tlangpui. Puitlingah chuan lumbar spine-ah a awm tam ber.

Heng natna lan chhuah dante hi engte nge ni?

Scoliosis hian natna lanchhuahna langsar tak tak a thlen tam lo hle a, chu chu a dinhmun inthlak danglam ang chi hi a ni. A tam zawkah chuan natna leh hrehawmna a thlen lo . Dik tak chuan doctor-in a hriat chhuah hma chuan i nei tih pawh i hre lo mai thei.

A tlangpuiin, i dinhmun inthlâk danglamna chu mi dang tân hriat awlsam ber a ni . Entir nan:

• I kekawrte chu a level lo .
• Miin i ruhro a en chuan chiang taka hmuh theih curve .
• I thut emaw, ding emaw hian i hips chu a level a inang lo .

Scoliosis chi khat na lo tak i neih chuan test bik neih loh chuan hriat a harsa mai thei.

Levoscoliosis leh dextroscoliosis te hi engte nge ni?

Heng dinhmunte hi chhan hrang hrang a awm thei a:

• (Idiopathic scoliosis): Hei hi a tam ber a ni.Lampang. ``Idiopathic'' tih awmzia chu "a chhan hriat loh" tihna a ni. Chu chu a chhan bik hmuh a la ni lo tihna a ni. Mahse, chhungkuaa a kal duh avangin genetic basis a nei nia rin a ni.
• Congenital scoliosis: Hei hi nau piangsualna awm lo tak a ni . Chu chu nausen chu ruhroah chhiatna neiin a piang tihna a ni.
• Degenerative scoliosis: Hei hi kan tar chhoh zel chuan ruh leh ruh ruhte a chhe lutuk vang a ni . Hei hi puitlingten scoliosis an vei chhan ber a ni.
• Neuromuscular scoliosis: Hei hi ruhro puitu ruh leh nerve-a thil danglam vang a ni. Entirnan, Cerebral Palsy, Spina Bifida, leh Muscular Dystrophy ang chi natna nei te tan a awm thei.

Scoliosis leh posture chungchanga ngaihdan dik lo

Mi tam tak chuan thut dik loh emaw, slouching emaw hian scoliosis a thlen niin an ngai. Hei hi a dik lo tak zet a ni. Posture tha lo hian scoliosis a thlen ngai lo. Dik tak chuan, dinhmun tha lo leh rit phurh dik loh ang chi thil hian i hnungzang hriselna leh i dinhmun a tichhe thei a, mahse hnungzang na a thlen lo.

Tin, naupang tê leh naupang tête pawhin infiamna emaw, bag rit phurh emaw aṭangin scoliosis an nei lo. Hei hi nu leh pa tam tak ngaihdan dik lo a ni bawk.

Engtin nge levoscoliosis leh dextroscoliosis te hi an hriat theih?

Doctor chuan taksa enfiahna hmangin scoliosis a nei tih a hmuchhuak tlangpui.

I kawr phelh turin an ti ang che a, i kekawrte chu thlak la, hmalam pan turin an ti ang che. Hei hi Adam’s forward bend test an ti bawk. Hei hian i ruhro chu chiang takin a hmu thei ang a, scoliosis avanga curve pangngai lo awm leh awm loh a enfiah thei bawk ang. He test hian kyphosis, scoliosis ang chi natna hriat theihna a pui thei bawk.

School-ah hian naupangte chu scoliosis an nei leh awm loh an screen fo thin. I fate sikul-in hetiang thil hi a hmuh chuan an hriattir ang che, chumi hnuah chuan i fate doctor pangngai hnenah i kal thei ang a, a tul angin hma i la thei ang.

He natna hi hriat theih nan eng test nge tih thin?

Doctor chuan i ruhro a enfiah bâkah, scoliometer an tih hmanrua pawh a hmang thei bawk. Hei hi kut chhuak hmanrua a ni a, ruler leh level inzawmkhawm ang mai a ni. Doctor chuan i ruhroah scoliometer chu a dah a, chu chuan curvature pangngai lo a awm leh awm loh a enfiah thin. Hei hian mit chauha tih theih aia dik zawkin curvature awmna leh a kalna tur dik tak hriat theihna a siam a ni.

Scoliosis chhinchhiahna i hmuh chuan, taksa enfiahna emaw, scoliometer emaw hmangin, i taksa chhunga thil thleng dik tak hriat theih nan imaging test vawi engemaw zat neih a ngai mai thei. Chung zingah chuan:

• X-ray hmanga tih a ni
• MRI test `(MRI)` tih a ni
• CT scan a ni

Heng test te hnuah hian doctor chuan ``Levoscoliosis'' emaw ``Dextroscoliosis'' emaw i nei tih a sawi chhuak ang a, chu chu i ruhro sir a inher dan azirin a ni.

Levoscoliosis leh dextroscoliosis te hi engtin nge enkawl an nih?

Scoliosis enkawl hi natna tihdamna a ni lo. Hun kal zelah a natna a zual zel loh nan tihtawp hi ngaih pawimawh ber a ni. I scoliosis a na lo a nih chuan i scoliosis enfiah nan thla li atanga thla ruk danah doctor i pan chauh a ngai mai thei. Chumi hnuah i doctor chuan i ruhro chu a enfiah ang a, curvature-a inthlak danglamna awm apiang chu a teh ang. A na zual lo a nih chuan enkawlna dang i mamawh tawh lo mai thei.

Mahse, scoliosis hi a danglam chhunzawm zel a, ruhro curvature a san chuan enkawlna kawng hrang hrang a awm a:

• Bracing: Hei hian a bik taka siam brace (corset ang chi) bun a huam a ni. Hei hian ruhro (spine) chu a pui a, strain dang a veng bawk. Brace hi a tlangpuiin armpit atanga waist thlengin a inzar pharh thin. I doctor chuan eng chen nge i hak tur tih leh eng chen nge i hak tur tih a hrilh ang che. Mi tam zawk chuan ni khatah darkar 20 tal an hak a ngai a ni.
• Scoliosis surgery: Scoliosis surgery neih a ngai tlem hle. Curvature a nasat emaw, hun kal zelah a na zual emaw chuan i doctor chuan spinal fusion surgery neih a rawt thei ang . I ruhro tidik tur leh curvature tihziaawm nan bone grafting i mamawh thei bawk. I surgeon emaw doctor emaw chuan eng surgery nge i mamawh tih te, eng chen nge a daih dawn tih te, leh eng chen nge a dam theih dawn tih te a hrilhfiah ang che.
• Schroth method: Scoliosis natna thenkhat chu physical therapy method bik Schroth method an tih hmangin enkawl theih a ni. Hei hi naupang scoliosis tan hman a ni tlangpui. I doctor emaw, physical therapist emaw chuan i fa chu a insiam dan te, a dinhmun siam\hat dan te, leh thawk dan tur te a zirtir ang. Heng chetna te hian i fa hnungzang vel a thau te chu a tichak a, ruhro chu natural curve zawka siam turin a pui bawk.

Engtin nge ka in enkawl ang?

`(Levoscoliosis)` emaw `(Dextroscoliosis)` emaw i neih chuan nitin nunah inthlak danglamna lian tham i siam a ngai lo mai thei. I doctor hnenah kal fo la, i ruhro (spine) a danglamna a awm leh awm loh enfiah mai rawh.

Hetiang natna i neih vang mai maia exercise emaw, infiamna emaw i chawlhsan a ngai lo. Dik tak chuan, active taka awm hian i ruhro chhehvel thau te a tichak thei a, scoliosis hian i taksa a nghawng dan a ti tlem thei bawk. Mahse, i scoliosis siamthatna tur operation i neih tawh chuan i dam hma chuan taksa tihchakna thenkhat i pumpelh a ngai mai thei. Hemi chungchang hi i surgeon emaw doctor emaw nen inbia ang che.

I hnungzang a inthlak danglamna i hmuh chuan, a bik takin i taksa peng hrang hranga natna emaw, rilru hahna emaw ang chi symptom thar i neih chuan i doctor hnenah hrilh nghal rawh.

Levoscoliosis emaw Dextroscoliosis emaw hi ka veng thei ang em?

Dik tak chuan `(Levoscoliosis)` leh `(Dextroscoliosis)` te hi ven theih a ni lo .

Kan sawi tawh ang khan `(Idiopathic scoliosis)` awm chhan hriat a la ni lo. `(Degenerative scoliosis)` hi kum upat avanga taksaa inthlak danglamna nen a awm thin. `(Congenital scoliosis)` leh `(Neuromuscular scoliosis)` te hi hriselna lama harsatna dang avanga lo awm a ni a, chutiang pawh chu kan ven theih loh thil a ni fo thin. Chuvangin, he dinhmun hi a lo thlen hian i sualnaah ngai suh.

Levoscoliosis emaw Dextroscoliosis emaw ka neih chuan eng nge thleng ang?

Hetiang dinhmun hian i nunah nghawng lian tham a neih a rinawm loh. Scoliosis vei tam zawk chuan an ruhro (spine) a danglamna lian tham a awm loh nan an doctor pan fo a ngai chauh a ni.

Technically chuan i dam chhung zawng scoliosis natna nen i nunpui a ngai dawn a ni. Mahse, i ruhro chu a lo thang tawh lo tihna a ni a, chu chu a curve theih tawh lohna hmun a thlen tawh chuan nakin lawkah chuan enkawlna bik i mamawh tawh dawn lo.

Enkawlna i mamawh a nih pawhin, i ruhro a lo nghet tawh chuan, brace emaw, operation emaw hnuah pawh, i dam kim thei a ni.

Engtikah nge ka doctor ka hmuh ang?

Doctor nen engzat nge i hmuh tur tih sawipui rawh. ``Levoscoliosis`` emaw ``Dextroscoliosis`` emaw vei tam zawk chuan thla li atanga thla ruk danah an ruhro enfiah tir an ngai thin.

Doctor hnenah eng zawhna nge ka zawh ang?

• Eng ang scoliosis nge ka neih?
• Nakin lawkah engzat nge ka ruhro check ka mamawh ang?
• `(brace)` ka dah a ngai em?
• Nakinah surgery ka neih a ngai dawn em ni?

Nangmah emaw, i fa emaw hian hnungzang lama harsatna i nei tih hriat chu a hlauhawm thei hle. Mahse, scoliosis hi natna awm lo, natna nei lo, enkawl ngai lo a ni. Nang emaw i fa emaw hian scoliosis i nei emaw, levoscoliosis emaw dextroscoliosis emaw pawh nise, hun rei tak chhunga harsatna awm theihna chance a tlem hle.

I hnungzang emaw, i ruhroah emaw inthlak danglamna i hmuh chuan emaw, i fate kekawrte emaw, a hip emaw a level lo ang tih i hriat chuan doctor nen inbia ang che.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Okay, chuvangin i hriat reng theih nan kan sawi tawh thil pawimawh tak tak thenkhat chu hetiang hi a ni:

• Levoscoliosis leh Dextroscoliosis hi scoliosis chi hnih a ni a, chu chu ruhro chu a sir khatah a inher a ni.
• This is usually not a serious problem , a bik takin a hring a tlem a nih chuan.
• A pawimawh ber chu medical checkup neih fo a , a hring a pung em tih en a ni.
• Stretching a san chuan bracing leh physical therapy (Schroth method) ang chi enkawlna a awm bawk. Surgery neih a ngai lo.
• He dinhmun hi tihtawp theih a ni lo , chuvangin sualna nei suh.
• Nun pangngai nei la, thawkrim la, damdawi lam thurawn zawm rawh.

Hetiang thil hi nangmah emaw, i fain emaw rinhlelhna i neih chuan, a tha ber chu doctor pan a, thurawn lak hi a ni tih hre reng ang che. Tichuan i rilru a hahdam thei tawh ang.

` Hnung na, scoliosis, levoscoliosis, dextroscoliosis, hnungzang, ruhro, hnungzang hnuai lam na