An nunah engtik lai pawha hnungzang natna nei lo hmuh a harsa khawp mai, a ni lawm ni? A châng chuan, hliam tenau , thil rit tak chawi avânga rilru hahna, a nih loh leh, rang taka, sawifiah theih loh hnungzang natna pawh hi a tithinur hle thei a ni. A tam zawkah chuan ni rei lo te chhungin a reh mai thin a, mahse hnungzang na thenkhat chu kan ngaihven ngai thil dang chhinchhiahna a ni thei. Chuvangin vawiinah hian hnungzang natna thlentu te, a hriat theih dan tur te, eng damdawi nge awm tih te kan sawi dawn nia.
A hmasain kan ruhro siam dan hi han en ila.
Kan ruhro hi beads string angin ngaihtuah mai rawh. Ruh te tak te 33 a nei a , chu chu vertebrae an ti a . Heng ruhte hi a chungah an inzawm khawm a, kan ruhro (spine) a siam a ni. Heng ruhte inkarah hian jelly ang maia nghet deuh, intervertebral disc an tih hmun a awm a. Hei hian car-a shock absorber angin hna a thawk a, kan tlan lai, kan zuang a, thil rit kan chawi hian pressure chu a absorb a, kan ruhro chu a chhiat loh nan a venghim a ni.
Kan taksa pumpui thunun thei nerve pawimawh tak , ruhro (spinal cord) hian he ruhro zawng zawng hi a kalpui a ni.
Kan ruhro hi hmunpuiah then theih a ni:
- Cervical vertebrae: Kawr chhunga ruh 7 awm.
- Thoracic vertebrae: Kawr leh hnungzang hnuai lam inkar ruh 12 awm.
- Lumbar Vertebrae : Kan hnungzang hnuai lam ruh chak ber 5. Hei hi hnungzang natna tam zawk lo chhuahna hmun a ni.
- Sacrum leh Coccyx: Ruh hnuai lama ruh inzawmkhawm (fused ruh) te.
Engvangin nge hnungzang natna kan neih?
Back na hi chhan tam tak a awm thei a, pakhat emaw pahnih emaw chauh ni lovin. A châng chuan a chhan chu a awlsam hle.
- Accident : Tlu, car accident ang chi thil.
- Muscle Strains: Hei hi i rit i chawi dik loh a, rang taka i twist chuan a thleng thei.
- Sports accident: Infiamna khelh laiin hliam a awm.
- Bad posture : Hun rei tak chhung hmun khata thut, a bik takin hnungzang tichhe thei zawnga thut.
Heng chhan awlsam tak takte bakah hian a chhan dang tam tak a awm a, chu chu herniated discs leh arthritis te hi a ni.
Doctor hian engtin nge natna a hriat chian?
I hnungzang natna avanga doctor i pan dawnin, a natna chungchang te, a lo intan dan te a zawt hmasa ang che a, uluk takin a enfiah ang che. Tichuan, a ṭûl chuan a chhan dik tak hriat nân hetiang test hi a ti thei ang.
| Fiahna | Hemiah hian eng nge i hmuh? |
|---|---|
| X-ray hmanga tih a ni | Ruhro awmna hmun, ruh zung, tumor, leh ruh tliak te ang chi thil te i enfiah thei bawk. |
| CT Scan hmanga tih a ni | Herniated disc emaw spinal stenosis ang chi dinhmun chiang takin a lang thei. |
| MRI Scan a ni | Disc, nerve zung leh ruhro (spinal cord) te chiang takin a tarlang thei a ni. Surgery hmaa hman a ni fo. |
Spine-a awm thin special condition pahnih
Back pain thlen thei condition bik tam tak a awm laiin, vawiinah hian a bik takin pahnih kan sawi dawn a ni. Chûngte chu i hre tawh mai thei.
1. Spondylolisthesis tih a ni
He thila thil thleng hi a awlsam hle. Kan ruhro (vertebral RA ) vertebra pakhat chu a hnuaia awm chungah hmalam emaw hnunglam emaw a tlan chhuak a. Brick pakhat chu a inzawm tlat, a kal leh haw ang mai a ni. Hei hi ruh hnuai lam ber ah a thleng fo thin.
A chhan: Hei hi a chhan awm thei engemaw zat a awm. Pianpui chak lohna emaw, accident avanga ruh tliak emaw, infiamna avanga stress fracture emaw, natna hrik kai emaw pawh a ni thei.
Natna:
- Lower back na a awm
- Hnung leh a chhehvel taksa ruhte a nghet leh tight
- Buttocks area ah natna a awm
- Ke hnuai lama kal natna (hei hi ruh slip-in nerve roots a press vang a ni) .
- Ke ruh chak lo emaw, tingling emaw a awm
Tihdamna:A tam zâwk chuan, he dinhmun hi physical therapy , ruhro vêla ruhte tichaktu hmanga thunun theih a ni. I doctor chuan natna tidamtu (NSAID) paracetamol emaw ibuprofen emaw naproxen emaw chu natna atan a pe thei ang. A chang chuan epidural steroid injection an pe thin. Nerve natna atan damdawi bik gabapentin leh pregabalin te pawh pek theih a ni bawk.
Heng enkawlnate hian hahdamna a pe lo a, nitin hnathawhna tibuai thei khawpa natna a nasat chuan decompressive laminectomy (nerve-a pressure tihziaawmna tura surgery) tih hi ngaihtuah tur a ni.
2. Cervical Nerve Pressure (Cervical Radiculopathy) tih hi a awm lo.
Hei hi hnungzang lama harsatna aiin kawng lama harsatna a ni zawk. Heta thil thleng hi kan kawr chhunga cervical vertebrae pakhat atanga nerve root lo chhuak chu eng emaw chhan vangin a compress a ni.
A chhan: Thalaiteah chuan hei hi disc ruptured vang a ni fo thin a, a chhuak chhuakte chu nerve-ah an press a ni. Mi an lo upat deuh deuh chuan ruh natna emaw, natna dang emaw avanga lo awm thei a ni bawk.
Natna:
- A lan chhuahna ber chu natna kawr, rilru, kekawrte, leh kutphah thlenga chhuak a ni .
- Kut zungtang tingling emaw numbness emaw hriatna.
- Kut ruh chak lohna.
- Kut hnathawh tha tak tak thawh harsa (coordination awm lohna).
Enkawlna: Hei hian natna tidamtu, taksa lam enkawlna, leh steroid damdawi (oral emaw injectable emaw) te pawh a huam tel bawk. Physical therapy hmanga enkawlnaah hian cervical traction nem tak leh natna tihziaawmna tura exercise tih te a tel.
Hetah pawh hian nerve nasa taka a compress a, kut ah chak lohna a awm chuan pressure tihziaawm nan operation neih a ngai mai thei. He thutlukna hi i doctor leh surgeon ten an siam ang.
Engtikah nge hnungzang na vangin doctor i hmuh ang?
Backache awlsam tak chu ni engemaw zat hnuah a bo tur a ni. Mahse a hnuaia "red flag" te hi i neih chuan doctor pan nghal rawh. Emergency Department (ETU) ah i kal a ngai mai thei .
- Accident emaw tlu emaw hnua natna nasa tak.
- Kea tingling leh chak lohna a pun zel chuan.
- I ril emaw i zun emaw control harsa i tih chuan.
- Chhan awm lova i thau tihtlem a nih chuan, emaw, khawsik i neih chuan.
- Zanah a natna a zual emaw, chawlh hnuah pawh a reh loh chuan.
- Cancer vei tawh mi pakhatin hnungzang natna thar a neih chuan.
Take-Home Thuchah a ni
- Back na hi a tam hle nachungin i ngaihthah ngai lo tur a ni.
- Back pain hi a tam zawkah chuan posture tha lo pumpelh leh rit phurh hunah technique dik tak hmanga ven theih a ni.
- Spondylolisthesis leh Cervical Radiculopathy hi natna pahnih, ngaihven bik a ngai a, nerve pawh a huam thei.
- I ke ruh tliak, chak lohna, zun control harsat ang chi symptom na tak tak i neih chuan emergency a ni. Doctor hmu nghal rawh.
- I natna chhan dik tak zawn chhuah a, a enkawlna tur dik ber hmuh a pawimawh hle. Chuvangin, rinhlelhna atanga enkawl lo la, damdawi lam thurawn zawm zawk tur a ni.
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