I hnungzang natna nasa tak i nei nghal em? Nge accident hnu emaw, tlu hnu emaw? Kan nu leh pate hian a chang chuan hmalam panin an inbeng a, an upat deuh deuh chuan an sanna an hloh thin tih i hmu ngai em? Hemi hnuaiah hian kan ngaihtuah ngai loh chhan pawh a awm mai thei. Chu chu ruhro (spine) a tliak (fracture) a ni. Hei hi "spinal fracture" kan ti tlangpui.
A awlsam zawngin, spinal fracture tih hi eng nge ni?
Kan ruhro hi ruh te tak te 33 atanga siam a ni a, chungte chu a chungah dah khawm a ni. Heng ruh pakhat zel hi vertebra an ti a . Chuvângin, heng vertebrae pakhat emaw, a aia tam emaw a chhe emaw, a chhe emaw chuan, chu chu spinal fracture kan ti a ni.
Hei hi chhan lian tak pahnih a awm a. Pakhat chu osteoporosis , ruh tihthianghlimna natna a ni. A dang chu ruhroa hliam, accident, tlu emaw, infiamna lama hliam emaw ang chi a ni.
A tam zawkah chuan heng ruh tliak chi hrang hrangte hi zai ngai lovin enkawl theih a ni. Thla engemaw zat chhung chu special brace i bun a ngai mai thei. Mahse, ruh tliak na tak tan chuan operation neih a ngai tak zet a ni.
Heng fracture chi hrang hrang hi a awm em?
Ni e, doctor-te chuan heng ruh tliak te hi chi hrang hrangah an ṭhen a, chu chu ruhro khawiah nge ruh tliak a awm tih leh engtin nge a tliak tih a zirin a ni.
Spine position hrang hranga thliar hran a ni
- Cervical spine fracture: Hei hi i kawr chhunga vertebrae-ah a thleng thin.
- Thoracic spine fracture: Ruh chunglam ruh (vertebrae) ruh tliak, kawr bul atanga ruh tawp thlenga inzar pharh a ni.
- Lumbar spine fracture: I hnungzang hnuai lam ruh (vertebrae) a tliak.
Ruh a tihchhiat dan azirin classification
Ruh a tliak dan azirin chi hrang hrang a awm a. Hengte hi a hrana i hriatthiam chuan hei hi i hrethiam zawk thei ang.
| Fracture chi hrang hrang | A awlsam zawngin, . | Vawi tam tak chu a chhan |
|---|---|---|
| Compression Fractures a awm thin | Vertebra tihchhiat ang mai a ni. Crack te te a lo awm ta a ni. | Osteoporosis (ruh hring) hi hun kal zelah zawi zawiin a lo awm fo thin. |
| Burst Fractures te chu a awm | A pressure nasa lutuk chuan vertebra chu a ti chhe vek a, a puak darh ta a ni. | Sudden, extreme impacts, hmun sang atanga zuang a, i kea tlak emaw, car accident na tak emaw. |
| Chance (Flexion/Distraction) a awm thei | Vertebrae te chu a inthen a, a chhe vek bawk. Burst fracture sir lehlamah ang mai a ni. | Car accident na tak takah a thleng fo thin. Hetiang dinhmun hi seat belt chu kawr vel a man a, taksa chunglam chu hmalam pan nghal a nih chuan a thleng thei a ni. |
Stable nge Unstable?
Hei pawh hi classification pawimawh tak a ni.
- Stable Fracture: Hetiang a nih chuan vertebra chu chhe tawh mahse a awmna hmun atang chuan a che lo. Chumi awmzia chu ruhro alignment a danglam lo tihna a ni. Hei hi operation ngai a tlem zawk.
- Unstable Fracture: Hei hi natna khirh ber a ni. Vertebra a chhe tawh a, a hmunah a awm tawh lo. Hei hian ruhro (spinal cord) a tihchhiat theihna a tipung a, chu chu ruhro (spinal cord) kaltlangin a kal a ni. Hei hi operation a ngai ngei ang.
Tu nge hlauhawm zawk?
Dik tak chuan tu pawhin tlu emaw, accident emaw avanga hetiang thil hi an nei thei a ni. Mahse mi thenkhat tan chuan a risk hi a sang deuh hlek a ni.
- Kum 50 chunglam tan, a bik takin hmeichhia tan.
- Osteoporosis (bone thinning disease) vei te hi an hlauhawm ber a ni.
- Cancer vei (a bik takin chemotherapy emaw radiation therapy emaw hmang mekte).
- Corticosteroid ang chi damdawi rei tak ei thinte tan.
- Hyperthyroidism (thyroid gland active lutuk) nei tan chuan.
- Ruh natna (Osteomyelitis) nei tan.
- Kidney natna, anorexia nervosa, leh vitamin D tlakchhamna ang chi natna nei tan.
- Meizial zu leh zu in nasa te pawh hi an hlauhawmna a sang zawk.
Spinal fracture hian eng symptoms nge a neih?
Mak tak maiin mi thenkhat chuan he natna hi an nei thei a, symptom nei lovin an nei thei a ni. Compression fracture, a bik takin ruh natna avanga lo awm zawi te hian natna a thlen lo thei. Mi thenkhat chuan an vertebra a chhe tih an hrechhuak chauh a, chu chu condition dang X-ray an neih hian a ni.
Mahse, symptoms a lo lang a nih chuan hetiang hian a lang thei.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Hnung lam natna | A natna rang tak, na tak. Kea kal emaw, che vel emaw hian a natna a zual thei. |
| Swelling emaw, natna emaw, tuar theih loh lutuk | Ruh tliak chu a hring thei a, khawih a na thei bawk. |
| Posture inthlak danglamna | A hmaa awm ngai lo forward bend (hunching) a intan. Hei hi (Kyphosis) kan ti bawk. |
| Numbness emaw, hriatna hloh emaw | Hnung lam a na a, chu natna chu kut emaw ke emaw hnuaiah a kal thei bawk. |
| A san zawng a tlahniam | Hun kal zelah a san zawng chu nasa takin a tlahniam thei (inches engemaw zat pawh a ni mai thei). |
| Zun/ bawlhhlawh control theih lohna | A hmaa awm ngai lo zun emaw, zun emaw control theih lohna. Hei hi symptom pawi tak a ni. |
Pawimawh tak: Accident na tak (trauma) i tawk a nih chuan, hnungzang na emaw, hliam na tak dang emaw i nei emaw nei lo emaw, damdawi in Emergency Department (ETU) pan nghal rawh. Hliam thenkhat chu a tir lamah a lang lo thei a, mahse a hnuah chuan a na hle thei.
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
Doctor hmu tura i kal hunah a rawn en hmasa phawt ang che. I hnungzang chu uluk takin a en ang a, i hnungzang na hmun, a hring, leh i dinhmun inthlak danglamna a awm leh awm loh a en ang. Khawiah nge a natna i hriat tih leh eng chen nge i lo neih tawh tih chiang taka hrilh a pawimawh hle.
Chumi hnuah chuan test eng emaw zat tih a ni thei a, chu chu a natna hmuhchhuah a ni a, chungte chu:
- X-ray: Hei hmang hian ruh tliak a awm em tih leh vertebrae te chu a hmun atanga a tlak chhuah dan hriat theih a ni.
- MRI scan: Hei hian ruhro vel, a bik takin ruhro (spinal cord)-ah chhiatna a awm leh awm loh chiang takin a hriat theih.
- CT scan: Hei hian operation a ngai a nih chuan ruh chhiatna chu chiang tak, chipchiar taka hriat theihna a siam a ni.
- Bone density test (DEXA scan): He test hi ruh natna i vei em tih leh a nasat dan hriat nan tih a ni.
Engtin nge enkawl a nih?
Ka sawi tawh ang khan spinal fracture zawng zawng hi operation a ngai lo. Enkawlna chu a ruh chi hrang hrang, a awmna hmun leh a chhan te a innghat a ni.
Surgery hmanga enkawl loh
- Bracing: I doctor chuan i ruhro chu hmun khatah a awm theih nan leh ruh tliak chu a dam tha theih nan a bik taka siam back brace bun turin a rawt mai thei. Hei hi thla engemaw zat hak a ngai tlangpui.
- Physical Therapy: Ruh vel a ruh (muscle) te tihchak nan exercise neih a pawimawh hle. Hei hian natna a tihziaawm bakah nakin lawkah ruh tliak dang a awm theihna a ti tlem bawk ang.
- Osteoporosis enkawl dan: Hetiang natna hi i neih chuan i ruh tichak turin damdawi, supplements calcium, leh vitamin D te pek i ni ang.
Surgery hmanga enkawl a ni
Fracture hian i spinal cord a tichhe thei a nih chuan, emaw, thla engemaw zat enkawl hnua i natna a reh loh chuan operation i mamawh mai thei. Surgery chi hnih hman tlanglawn ber chu:
- Vertebroplasty: Hetiang tih danah hian surgeon chuan vertebra ruh tliak tawhah cement bik a inject a. Hei hian ruh tichak turin a pui a ni.
- Kyphoplasty tih hi:Hei hi Vertebroplasty nen a inang hle. Mahse, cement an inject hmain balloon te tak te tak mai chu vertebra-ah dahin an inflated a, chu chuan ruh chhia chu a san zawng hmasaah a hruai kir leh a ni. Chumi hnuah chauh chuan cement chu an inject leh thin.
Heng surgery pahnih hi outpatient procedure a ni tlangpui a, mahse operation hnu kar 6 vel chu heavy lifting emaw strenuous exercise emaw i tih loh tur a ni.
Take-Home Thuchah a ni
- Back na hi ngaihthah ngai suh, a bik takin tlu hnuah emaw, i tar deuh deuh emaw chuan. Doctor hmu ngei ang.
- Osteoporosis hi natna ngawi reng a ni a, ruh a tichak lo hle. Risk group (kum 50 chunglam, a bik takin hmeichhia i nih chuan) i nih chuan i ruh density check tir hi a finthlak hle.
- Spinal fracture zawng zawng hi operation a ngai lo. Mi tam tak chuan brace leh physical therapy hmangin an dam kim vek a ni.
- I ruhte chu ei leh in tha (calcium, vitamin D) leh exercise dik tak hmangin nghet takin vawng reng ang che. Tin, tlu leh chetsualna laka himna tur ruahmanna siam bawk ang che.
- Accident na tak i neih chuan damdawi in Emergency Department (ETU) ah kal nghal mai la, eng ang pawhin hrehawm mah se. I nunna a chhanhim thei a ni.











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