Kan nitin nunah hnungzang natna tawk lo hmuh a har khawp mai, a ni lawm ni? A châng chuan he natna hi thil tê tê chawi a\angin, thut dik loh a\angin, a nih loh leh accident tenau tak a\angin a lo awm thei bawk. Mahse hnungzang na zawng zawng hi a inang vek lo va, a chhan pawh a inang lo. Chuvangin vawiin hian he hnungzang natna hi eng nge a nih, a chhan, a lan chhuah dan leh a enkawl dan chipchiar tak leh awlsam takin i sawi dawn nia.
A hmasain kan ruhro siam dan hi han en ila.
A awlsam zawngin kan ruhro hi kan lu ruh atanga kan pelvis thlenga ruh te te, a inzawm khawm a ni. Heng ruh te te hi `vertebrae` kan ti thin. Kan ruhro hi heng vertebrae 33 atanga siam a ni. Hemi chungchanga thil pawimawh ber chu kan taksa pum pui control tu spinal cord hian heng vertebrae te hi a paltlang a, a humhim a ni.
Ngaihtuah teh, heng vertebrae te hi a chungah an inzawm khawm hian an inhnim pil lohna tur thil a awm a ngai a ni lawm ni? Chuvangin vertebrae pahnih inkarah hian intervertebral disk an tih cartilage chi khat a awm a ni. Car chhunga shock absorber angin a thawk a, kan tlan leh kan zuang hian kan hnungzang a pressure awm chu a absorb a ni.
Kan ruhro hi hmunpuiah then theih a ni:
- Cervical vertebrae: Kawr chhunga vertebrae 7 awm.
- Thoracic vertebrae: Kawr leh hnungzang hnuai lam inkar a awm vertebrae 12 te an ni.
- Lumbar Vertebrae : Kan hnungzang hnuai lam a vertebrae chak ber leh lian ber 5 an ni.
- Sacrum leh Coccyx: Ruh hnuai lam tawp ber ruh te.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor hnenah i hnungzang na i kal chuan zawhna (medical history) a zawt hmasa ang che a, i dinhmun hriat chian nan a enfiah ang che. Tichuan, a ṭul chuan a chhan dik tak hriat nân heng ang test ṭhenkhat hi a ti thei ang.
- X-ray examination: Hei hian ruh ruhte insiam dan, an dinhmun nghet lo (a hnim hring ang chi), tumor, a nih loh leh ruh tliak te a enfiah ber a ni .
- CT scan: Hei hian natna chi hrang hrang, herniated disc emaw spinal stenosis emaw a hriat theih.
- MRI scan hmanga enfiah:Hei hi disc leh nerve roots te chipchiar taka en theihna test tha ber a ni. Surgery hmaa ruahmanna siam nan hman a ni fo.
Back pain chi hnih bik i hmuchhuak ang u.
Back pain thlentu tlangpui tam tak awm mahse, vawiinah hian natna pahnih, a bik deuh deuh leh damdawi lam enkawl ngai kan sawi dawn a ni
1. Spondylolisthesis (vertebrae a tlu) .
He hming hi a hlauhawm deuhin a ri a ni lawm ni? Mahse hriatthiam a awlsam khawp mai. Thil thleng chu vertebra pakhat (‘vertebra’) chu a hnuaia vertebra chungah hmalam emaw hnunglam emaw a tlan lut a ni. Brick inzawm khata brick pakhat chu hmalam pan deuh deuh ang maiin han ngaihtuah teh. Hetiang dinhmun hi hnungzang hnuai lam (lumbar spine)-ah a awm tam ber.
Hei hi vertebra-a pianpui chak lohna vang emaw, accident avanga stress fracture vang emaw, infiamna khelh laiin emaw, infection avanga vertebrae chak lo vang pawh a ni thei.
Hetiang natna lan chhuah dan hi engte nge ni?
| Symptom a ni | Hrilhfiahna |
|---|---|
| Lower back na a awm | A natna hi a zual thei a, a bik takin kea kal emaw, rei tak ding emaw hian. |
| Muscle tightness leh stiffness a awm bawk | Hnunglam leh hamstring muscle-a tightness hriatna. |
| Buttocks area ah natna a awm | A natna chu hnute thlengin a darh thei. |
| Ke hnuai lam atanga natna darh chhuak | Sliped vertebra hian nerve roots a compress avangin a natna chu ke hnuai lamah a kal thei a ni. |
| Muscle chak lohna | I keah chak lohna i nei thei. |
Spondylolisthesis enkawl dan
Hei hi enkawlna tha ber pakhat chu physical therapy hi a ni . Hnung leh pum pui puitu ruhte a tichak a ni. I doctor chuan natna atan nonsteroidal anti-inflammatory drugs (NSAIDs) acetaminophen emaw ibuprofen emaw a pe thei ang. A natna a nasat chuan epidural steroid injection pek theih a ni.
Chu bakah, i doctor chuan neuropathic pain leh muscle relaxants damdawi bikte pawh a ngaihtuah thei bawk. Amaherawhchu, zunthlum ang chi damdawi lam harsatna i neih chuan steroid i ei dawnin fimkhur a ngai a, hei hian hun eng emaw chen i thisen sugar level a tisang thei a ni. Chuvangin doctor nen engkim sawipui rawh. Heng enkawlnate hian a puih loh chuan nerve-te tan hmun tam zawk pek theihna tura operation (decompressive laminectomy) emaw, spinal fusion (spinal fusion) emaw pawh ngaihtuah theih a ni.
2. Cervical Radiculopathy (kan kawng chhunga nerve pinched) .
Hei hi kawr chhunga cervical vertebrae atanga nerve root chhuak chu a compress a nih chuan a lo awm thin a ni Miin tui pipe a ke a pen a, tui luang a tlahniam ang bawkin, nerve chu a compress chuan a kal tlanga signal kalte chu a tawp ta a ni.
Thalai zingah hetiang dinhmun hi a thlen chhan ber chu an kawr chhunga disc a ruptured vang a ni a, chu chuan a chhunga thil lo chhuak chuan nerve chu a ti compress ta a ni. Kum upa lam tan chuan normal degenerative changes emaw, tar chakna nena lo awm arthritis emaw avang hian nerve hi a compress thei a ni.
Cervical Radiculopathy natna lan chhuah dan
- A lan chhuahna ber chu natna a ni a, chu chu kawr, rilru, kekawrte, leh kutphah thlenga darh a ni .
- I kut emaw, i kut zungtang emaw-ah chuan a rilru a buai emaw, a hrual emaw a awm thei.
- I kut ah hian taksa ruh chak lohna i nei thei.
- Mi thenkhat chuan balance leh coordination hloh an nei thei , a bik takin kut ah.
Cervical Radiculopathy enkawl dan tur
Hei hi natna tidamtu leh physical therapy te hi a enkawlna bulpui ber a ni. Physical therapy-ah hian cervical traction zawi zawia tih te, exercise te, leh natna tihziaawmna atana hmanraw dangte a tel a ni. I doctor chuan steroid injection emaw epidural emaw pawh a rawt thei bawk.
A pawimawh ber chu nerve compression vangin kut ah motor chak lohna nasa tak a awm a nih chuan pressure tihziaawm nan operation neih a ngai mai thei.
Take-Home Thuchah a ni
- Back pain hi thil awlsam taka ngaih tur a ni ngai lo. A chhan tam tak a awm thei a, chuvangin a chhan dik tak zawn chhuah a pawimawh.
- Natna a nasat lutuk a, ke hnuai lam a pan a, ke ruh natna emaw, chak lohna emaw a awm chuan nangmah ngeiin enkawl tum ai chuan doctor pan ngei ngei tur a ni .
- I doctor-in
X-raylehMRIa pek ang chi test te hi natna hriat theihna atan a pawimawh hle. Skip suh. - Physical therapy hi hnungzang natna enkawlna tha tak leh him tak a ni. Exercise dik tak hmanga ruhro chhehvel thau te tihchak hian hun rei tak chhunga hahdamna a thlen thei a ni.
- Damdawi lam harsatna dang, zunthlum emaw thisen sang emaw i neih chuan hnungzang natna damdawi eng pawh i hman hmain doctor hnenah hriattir hmasa phawt ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh