I hnungzang na hi natna mai a ni lo em ni? Pott-a natna / Spinal Tuberculosis chungchang hi i zir dawn teh ang!

A chang chuan hnungzang na i nei thin em? Ni engemaw zat hnuah a reh mai thei. Mahse, he hnungzang natna hi a awm reng a nih chuan, nang pawhin i rilru a hah a, ei duhna i neih loh chuan thil awlsam a ni lo mai thei. Vawiin hian ruhro nena inzawm natna, a nasat deuh a, mahse a enkawl dan tur dik taka enkawl a nih chuan tihdam theih a nih thu kan sawi dawn a ni. Chu chu Pott’s Disease, a nih loh leh Spinal Tuberculosis a ni.

Pott-a natna hi eng nge ni?

A awlsam zawngin, Pott’s Disease hi bacteria infection a ni a, i ruhro ruhte a nghawng a, chu chu vertebrae an ti a ni. A nihna takah chuan TB (TB) chi khat a ni. Mahse, lung chhungah chauh a ni lo va, extrapulmonary TB chi khat a ni . Ngaihtuah teh, lungah a intan hmasa a, chutah chuan ruhro lamah a kal leh thin.

Hei hian hun rei tak chhung hnungzang natna , kut leh ke ruh chak lohna a thlen thei a, enkawl dik loh chuan ruhro (spinal curvature) a thlen thei a, vertebrae a tichhia thei bawk. A \henah chuan hei hian nunna a tichhe thei a ni.

Doctor-te chuan hei hi Pott’s spine emaw tuberculosis spondylitis emaw an ti mai thei.

Potts natna hi engtiang chiahin nge a hluar?

Potts natna hi bone tuberculosis chi hrang hrang zingah chuan a langsar ber pawl a ni. Khawvel pumah kum 2022 chhung ringawt khan mi maktaduai 10.6 velin TB vei an hmu nia chhut a ni.

Potts natna lan chhuah dan chu engte nge ni?

Tunah chuan Pott’s Disease symptoms chu eng nge ni tih i lo en ang u.

• Back pain: Hei hi a symptom ber a ni.
• Kawng na: A chang chuan kawng na a awm thei bawk.
• Kut leh ke chak lohna: Nunna nei lo dinhmun ang maiin a inhria.
• Chaw ei chakna hloh
• Sawifiah loha taksa rihna tlahniam
• Khawsik

Spine-a ruh eng pawh, chu chu vertebra eng pawh a nghawng thei a ni. Vawi tam tak chu vertebra pakhat aia tam a nghawng thin. Heng symptoms i hriat theihna hmunte chu:

• Cervical ruhro (cervical spine) a ni
• Thoracic emaw dorsal spine emaw a ni
• Lumbar ruhro (lumbar spine) a ni

Engtin nge hetiang hi a lo thlen?

Potts natna hi Mycobacterium tuberculosis tih hming pu bacteria atanga lo chhuak a ni. Tuberculosis vei mi pakhat hnen atanga tui tla te te, a khuh emaw, a thusawi emaw atanga i thawk chhuah hian i lung chhungah a lut hmasa ber thin. Tichuan, natna chu i thisen kaltlangin i ruhro ruh thlengin a darh ta a ni.

Hei hi hri kai theih a ni em?

Tunah chuan he Potts natna hi a kai theih em tih i ngaihtuah mai thei.Ni lo, Potts natna hi mi pakhat atanga mi dangah direct-in a darh lo. Tuberculosis hi lung chhunga a awm chuan a darh thin. Chu chu hri kai mi pakhatin a khuh emaw, a tawng emaw a nih chuan boruakah a chhuak thei natna hrik hmangin a ni. Infection hi ruhroah a darh meuh chuan lung a chhuahsan vek tawh a ni.

Tu nge hlauhawm ber?

Tute nge Potts natna vei tam ber?

• Tuberculosis vei nena inzawmna hnai tak nei te tan.
• Mipui tamna hmuna chengte tan.
• Hriselna lama awlsam taka thawk thei lote tan.

Tin, hriselna lama harsatna thenkhat nei te pawh an hlauhawm zawk bawk. Entir nan:

• Malnutrition nei tan chuan .
• Ruihhlo ngaite tan (Substance use disorder).
• I immune system tichhe thei dinhmun nei te tan , HIV ang chi te tan .

Enkawlna pek loh chuan eng nge thleng? (Buaina awm thei) .

Hei hi uluk taka enkawl a nih loh chuan eng nge thleng ang? A hlauhawm takzet thei. Potts natna hian i ruhro ruhte a tichhe thei a ni. He bacteria hian ruhro chhungah inflammation leh pus-filled abscesses a siam thin. He inflammation leh abscesses hian ruhro ruh te chu a ti compress a, a chak lo a, a ti chhe bawk. Vertebrae hi a chhe thei a, a tlakbuak pawh a ni thei. Hei hian ruhro a ti nghet lo thei a ni. Hei hian hmalam panna (kyphosis) a thlen thei a, chu chu ruhro hmalam pan a, mi pakhat chu a hunched over ang maia siam a ni.

Chu mai ni lovin, harsatna dang pawh a awm thei a:

• Ding leh kal harsa.
• Nerve compression: Hei hian ke ruh chak lohna a thlen thei a, a ti na thei a, zun emaw ek emaw control theih lohna a thlen thei bawk.
• Paralysis pawh a awm thei bawk.
• He natna hi taksa peng dang (entir nan, thluak, kal) ah pawh a darh thei bawk .

Natna hi hriat hmasak a nih a, enkawl tan a nih chuan heng ang harsatna hi a tam zawkah chuan ven theih a ni.

Engtin nge hei hi i hriat chian?

Doctor-te hian engtin nge Potts natna hi an hriat theih? Doctor-in a enfiah hnuah i natna lan chhuah dan a zawh hnuah test tlemte an nei leh ang. Heng test te hi natna dang, symptoms inang nei te chu paih chhuah nan leh spinal TB a nih leh nih loh finfiah nan hman a ni.

• Tuberculosis skin test: Vun chunga test tenau tak tih thin a ni.
• Thisen test hmanga TB natna hrik hmuhchhuah a ni.
• Imaging test: Entirnan, ruhro X-ray , MRI (Magnetic Resonance Imaging) , CT (Computed Tomography) scan, emaw PET (Positron Emission Tomography) scan te.A scan a.

Potts natna lan chhuah dan hi natna tlanglawn dang engemaw zat nen a inang avangin, spinal TB hi a tlem avangin, a chang chuan hriat harsa tak a ni thei bawk. Tin, TB vei tamna hmuna chengte, mahse healthcare facility chhe tak takte chuan harsatna a thlen hma loh chuan enkawlna zawn an tikhawtlai thei bawk.

Enkawlnate chu engte nge ni?

Potts natna hi stage hrang hrangah enkawl a ni. Thla engemaw zat ei ngai damdawi a awm.

Damdawi hmanga tihdam theih a ni em?

I doctor chuan chemotherapy damdawi te chu a rawn rawt thei a, chungte chu:

• Isoniazid, Rifampicin, Pyrazinamide, Ethambutol leh/ emaw Streptomycin te hi thla hnih vel a awm thin.
• Chumi hnuah chuan Isoniazid leh Rifampicin te hi thla li atanga thla sawm leh pahnih dang ei theih a ni a, a aia rei pawh ei theih a ni bawk.

He damdawi hi doctor-in a hrilh ang chiaha hman a pawimawh hle. Damdawi pek hun ruat hmaa chawlhsan chuan enkawlna a thatna a ti tlem thei a ni.

A châng chuan, TB natna damdawi first-line hian hna a thawk lo. Hei hi damdawi-resistant TB an ti a. Chutiang a nih chuan i doctor chuan damdawi dang a rawt thei a, chungte chu:

• Kanamycin hman a ni
• Capreomycin hmanga siam a ni
• Pyrazinamide hmanga siam a ni
• Amikacin hmanga siam a ni
• Fluoroquinolone tih hi a ni

Heng damdawi-resistant tuberculosis damdawi te hian side effect a thlen thei a ni. I doctor chuan hengte hi a hrilh ang che.

Surgery a ngai mai thei em?

A châng chuan, i ruhro siam ṭhat nân, a lan chhuah dân tihtlem nân leh Potts natna khirh tak tak laka inven nân operation neih a ngai thei bawk. Surgery chi hrang hrang tih theih a awm a:

• Debridement: Spine chhehvela tissue chhia tihfai emaw lakchhuah emaw.
• Drainage: Spine-a pus-filled abscesses awm khawmte lakchhuah emaw, draining emaw a ni.
• Stabilization leh alignment: Tuberculosis hian vertebrae a tichhia thei a. Surgeon chuan ruh leh disc chhe tawhte chu a la chhuak thei a,/ emaw a siam ṭha thei bawk , ruhte chu a hmuna vawng reng tûrin plate leh screw a dah thei bawk.
• Fusion: Surgeon chuan vertebrae pahnih chu a nghetin a thlunzawm thei a, an che vel a tikhawtlai a, natna leh harsatna dang a veng thei bawk. Hei hian i taksa peng dang atanga ruh (bone graft) hman a huam thei.

Recovery rate hi engtin nge a awm?

A hmaa hriatchhuah a, enkawl hmasak a nih chuan Potts natna atanga dam leh theihna chance a tha hle. Potts natna vei leh a tir lama enkawlna dawngtu zinga 95% vel chu an dam leh thin niin an sawi .

Mahse, ruhro (spinal tuberculosis) a nasat phawt chuan, a nih loh leh enkawlna a chhân lêt loh a, ruhro a tichhia a nih chuan nunna atana hlauhawm a ni thei. I doctor chuan i dam theihna chance chu i kum, i immune system-in a chhan dan leh i hriselna tlangpui a zirin a teh ang.

Potts natna hi damdawi hmanga tihdam theih a ni a, mahse tihdam theih a ni ngai lo, a bik takin TB hi damdawi laka invenna chi a nih chuan a dam thei lo.

Potts natna hian dam rei zawng a ti tawi em?

Potts natna i neih hnua i dam rei zawng chu a inang lo thei hle. Natna hi a hmaa hriatchhuah leh enkawl a nih chuan i dam rei zawng a nghawng lo mai thei. Mahse, naupang tê tê, puitling kum 65 chunglam, leh taksa chak lohna nei tan chuan Potts natna rah chhuah chu a tlangpuiin a chhe zawk thei a, nunna atana hlauhawm pawh a ni thei.

I doctor chuan i dam rei zawng chu a hrilh thei ber che a, heng thilte hi a sawi tel thei bawk:

• I kum leh i hriselna tlangpui.
• Enkawl i tan tirh lai khan.
• Hri kai nasat dan.
• Complication i nei a.
• I taksa hian TB damdawi a dodal leh dodal loh.

Hei hi pumpelh dan tur a awm em?

Tuberculosis infection chi khat a nih avangin Potts natna hi pumpelh kim theih a ni lo. Mahse, TB natna i vei theihna tur tihtlem nan a hnuaia mite hi i ti thei ang:

• Active TB infection nei mi nen hun rei tak, hnai taka inbiak loh tur.
• Tuberculosis vei theihna hlauhawm tak i nih chuan, emaw, hri kai tamna hmuna i awm chuan, TB vei leh vei loh enfiah fo thin ang che.

Engtikah nge Doctor ka hmuh ang?

Tuberculosis infection hi lung (pulmonary TB) ah a intan hmasa ber thin. Pott’s syndrome symptoms hi a tlangpuiin natna hi lung atanga ruhro thlenga a darh hnuah a ni. Heng symptoms te hi i neih chuan doctor pan rawh:

• Kar hnih aia rei khuh.
• A rilru a na.
• Thisen i khuh chuan.
• Chauhna nasa tak a awm.
• Muscle chak lohna.
• Chaw chu a thlum lo.
• Khawsik leh khawsik i neih chuan.

Lung symptoms i nei lo mai thei, mahse TB i vei thei. Chuvangin spinal tuberculosis symptom i neih chuan doctor hnenah hrilh nghal rawh.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hian heng zawhnate hi i zawt thei ang:

• Potts natna ka nei em, a nih loh leh ka ruhro tichhe thei natna dang ka nei em?
• Eng enkawlna nge i rawt?
• Tuberculosis damdawi engtikah nge ka ei ang a, eng chen nge ka ei ang?
• Damdawi hian side effect a nei em?
• Surgery ka mamawh dawn em?

I hriat reng tur pawimawh ber berte

Pott natna hi hri kai harsa tak a ni thei. Symptoms hian hahdam taka ṭhut a harsat thei a, i taksa pengte a ti che a, natna nei lova nun a ti harsa thei bawk. I taksa atanga natna hrik chu a tihfai vek theih nan thla tam tak atanga kum tam tak chhung enkawlna a ngai thei. I ruhro siamthat nan operation pawh i mamawh mai thei. Heng zawng zawng hian i rilru a ti buai thei a, i dam leh hma loh chuan i hmangaih tak takte nen thil pangngaiah i tel thei lo thei bawk. Mahse, nangmah chauh i ni lo tih hre reng ang che. Doctor chuan Potts natna enkawl danah a pui thei che a, i dam theih nan a pui thei che a, nunna atana hlauhawm harsatna awm thei tur pawh a veng thei bawk.

` Potts natna, ruhro (spinal tuberculosis), hnungzang na, TB, TB, ruhro, vertebrae