Car-ah i chuang a, rang takin brake chu na takin i vawm a, a nih loh leh infiamna i khelh laiin i tlu ang tih han ngaihtuah teh. I lu chu a rawn inher chhuak leh nghal zat a ni lawm ni? I kawr na leh khauh lutuk... Aw, tuar a har khawp mai. A tam zawkah chuan he dinhmun hi "sprained neck" kan ti thin. Hei hi damdawi lam thumal chu Whiplash emaw Neck Strain emaw a ni. Hetiang dinhmunah hian thil thleng chu a kawr chhunga thau leh ruh nena inzawm ruh (tendon) te chu a inzawm khawm a, a chhe nghal vek a, chu chu a rawn inher nghal vat a ni.
Hetiang dinhmun hi car accident-ah chauh a awm lo. Football ang chi contact sports khel thinteah pawh a awm fo thei bawk. A chang chuan condition pahnih `Neck Strain` leh `Neck Sprain` te hi kan buaipui thin. An pahnih inkarah hian danglamna tlem a awm. `Strain` chu taksa ruh emaw `tendon` emaw hliam a ni. `Sprain` chu ruh inzawmkhawmtu ligament-a hliam a ni. Mahse, a danglamna chu i hre lo mai thei. A chhan chu a chhan, a lan chhuah dan leh a enkawl dan pawh a inang hle a ni.
Whiplash natna lan chhuah dan chu engte nge ni?
Whiplash natna hi vawi khat chauh a ni lo. Heng symptoms te hi i nei em tih en rawh:
- Kawng na tak, a khauh, leh kawr hawi harsat . Kawng ruhte chu lung atanga siam ang maiin knotted angin a lang thei .
- Lu chu a sir lam, hmalam leh hnunglam hawia ben hian natna.
- Kawngkhar sir lam en tura kawr hawi laia natna emaw, a nghet lo emaw.
- Kawngkhar hmun engemaw chen khawih emaw, press emaw a tenderness .
- Lu na, lu vun atanga intan, chu chu kawr chunglam atanga tan a, hmai lam pan a ni.
A châng chuan he natna hi accident hnu lawkah a lo thleng ṭhin. Mahse mi thenkhat tan chuan kawr a na tan theih nan ni khat emaw ni hnih emaw a ngai thei. Chuvangin tlem tal fimkhur a ngai a ni.
Pawimawh tak: A chang chuan hetiang kawng hliam hian concussion a thlen thei bawk. Concussion hi natna khirh tak a ni. Chuvangin, i kawng na , lu na zual zel, chak lohna, tawng harsa, luak chhuak, luak chhuak, mut tam lutuk, emaw hriatna hloh i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.
I doctor chuan uluk takin a enfiah ang che, i natna chhan dik tak a hriat theih nan. Harsatna dang a awm loh nan X-ray leh CT scan (Computed Tomography scans) ang chi test a order thei bawk.
Whiplash enkawl dan tur chu engte nge ni?
Thu lawmawm tak chu he dinhmun hi hun kal zelah a mah chauhin a reh fo thin. Mahse a dam thuai theih nan thil i tih theih a awm.
| Enkawl dan tur | Eng nge tih tur |
|---|---|
| Ice a lo hmin ta | I hliam hnuah a rang thei ang bera i kawngah ice hnawih thin ang che. Hei hian natna leh hliam a tiziaawm ang. Minute 15 vel, darkar 3-4 danah ni 2-3 chhung hnawih thin ang che. Ice chu puan te tak te in khuh la, vun a tihchhiat loh nan. |
| Natna tihdamna damdawi | I doctor-in a rawt phawt chuan painkillers chauh ei thin ang che. Non-steroidal anti-inflammatory drugs (NSAIDs) paracetamol, ibuprofen, emaw naproxen te hian natna a tiziaawm thei a ni. Amaherawhchu, heng damdawi te hian side effect a nei thei a, chuvangin doctor thurawn tel lo chuan ei suh. Damdawi dang i ei emaw, damdawi lam harsatna dang i neih emaw chuan i ei hmain doctor zawt hmasa phawt ang che. |
| Neck Collar a ni | Doctor-in a rawt chuan i kawng thlawp turin neck brace emaw cervical collar emaw chauh hmang ang che. Mahse, hengte hi bun chhunzawm zel a tha lo. Hei hian kawng ruh a tichak lo thei a ni. Hun rei lote chhunga hman a tha ber a, chu chu ni khatah darkar 2-3 vel hman a ni. |
| Moist heat a kang | Ni 2-3 hmasa ber ice i hnawih hnuah chauh , leh a hring a reh hnuah, a kawr chhungah lumna hnim hnawih rawh. Tui lum-a towel hnim emaw, tui lum taka inbual emaw pawh i hmang thei bawk. |
| Taksa lam enkawlna | Mi tam tak chuan physical therapy hi an hlawkpui hle. Physics therapist chuan i kawr ruh tichak leh tihchak nan exercise a zirtir thei che a ni. |
| Enkawlna dang | Thil na tak tak thenkhatah chuan i doctor chuan trigger-point injection emaw cervical facet steroid injection emaw ang chi enkawlna a rawt thei bawk. A tlem berah chuan enkawlna dang a hlawhchham chuan radiofrequency ablation (RFA) tih damdawi hman theih a ni. Ultrasound therapy leh massage pawh a \angkai thei bawk. |
Kawng natna a reh theih nan eng chen nge a ngaih?
Whiplash hliam nasat dan azirin dam leh hun chhung hi a inang lo . Thil awmdan pangngai chu ni rei lo te chhungin a dam leh ang. Mahse, natna khirh tak tak ṭhenkhat chu a dam theih nan kar tam tak emaw, a aia rei emaw a ngai thei. Mi zawng zawng hi a rate hrang hrangin kan dam leh thin tih hre reng ang che.
I acute symptoms a reh tawh chuan i doctor chuan rehabilitation exercise tan tir turin a hrilh mai thei che. Hengte hian i kawr ruhte a tichak ang a, a tizau bawk ang. Hei hian i dam chak zawk ang a, a lo lang leh theihna tur a ti tlem bawk ang. Amaherawhchu, Doctor nen inbia hmasa lovin exercise engmah tan suh.
Hmanhmawh ngai suh. I dam kim hmaa hna rit tak tak emaw, infiamna nasa tak emaw lama i kir leh chuan, i kawng natna rei tak i nei thei a, i chak lohna chu i nei reng thei a ni.
I thiltih pangngaia i kir leh hmain heng thilte hi hrehawm nei lovin i ti thei em tih en hmasa phawt ang che:
- I kekawr bul lehlam lehlamah natna leh khauh lohvin i en thei em?
- I lu chu na leh hah lohvin hmalam leh hnunglam hawiin i ben kim thei em?
- I lu chu a sir lehlamah i ben thei em, natna leh khauh loh pawh?
Heng thilte hi i tih theih tawh chuan doctor chuan hna pangngaiah kir leh turin a phalsak ang che.
Whiplash hi ven theih a ni em?
Accident a thlen loh nan ven a har khawp mai. Chu chu a dik a ni. Mahse, a hlauhawmna tihziaawmna tur thil i tih theih a awm.
- I kawr ruhte a chak leh a inthlak danglam theih nan exercise la. Hei hi a pawimawh hle a, hetiang dinhmun hi i lo nei tawh a nih chuan.
- Nilengin hmun khata thut (e.g., office hnathawk) te chu darkar khatah vawi khat tal thovin, kawr hrual emaw, exercise tlem emaw an tih tur a ni. Hei hian kawr ruh (neck muscles)-a thisen kal dan a ti tha ang a, a khauh pawh a ti tlem ang.
Take-Home Thuchah a ni
- Whiplash hi accident, tlu emaw, infiamna emaw avanga lu a chet nghal vat avanga kawng ruh hliam a ni.
- Accident hnu lawkah emaw, ni khat emaw ni hnih hnuah emaw symptoms a lang thei.
- Lu na nasa tak, chak lohna, leh tawng harsa tih ang chi symptoms i neih chuan kawng na i neih chuan concussion chhinchhiahna a ni thei. ETU ah kal nghal rawh.
- A tam zawkah chuan he natna hi chawlh hahdam, vur leh enkawlna awlsam tak hmanga tihdam a ni.
- Damdawi leh exercise lak danah i doctor thupek zawm fo ang che.
- I dam kim hma loh chuan hna rit tak tak emaw, infiamna lamah emaw tlan chak suh.
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