Fractured spine tih hi eng nge ni? - Hemi chungchang hi awlsam takin sawi ila.

"Broken spine" tih chanchin hi i hre tawh em? Accident emaw, hmun sang atanga tlak emaw hnuah pawh kan hre tawh ngei ang. Tin, kan upat deuh deuh chuan pi leh pute thenkhat chu hmalam pan deuh, chu chu hunchback tih kan hmu tawh ngei ang. Heng pahnih hi damdawi lam chuan ‘fractured spine’ an ti a. He hming hriat hi a hlauhawm deuh thei a, mahse hlau suh. Spine fracture zawng zawng hi a na lo vek. Vawiin hian engkim, a chhan, a natna lan chhuah dan leh a enkawl dan te, awlsam takin i hriatthiam theih tur angin kan sawi dawn a ni.

Fractured spine chu eng nge ni tak tak?

A awlsam zawngin kan ruhro hi ruh sei tak pakhat a ni lo. Ruh te te (‘vertebrae’ kan tih) 33, a chungah dah khawm, tower ang mai a ni. He tower hi kan ding thei a, kan ben thei a, kan inher thei bawk. Chuvangin, heng vertebrae pakhat emaw, a aia tam emawa fracture emaw break emaw chu fractured spine kan tih hi a ni. Mite chuan hei hi "broken spine" emaw "broken back" emaw an ti fo thin.

Hei hi a chhan ber chu ruh natna leh trauma, tlu te, infiamna lama hliam emaw, car accident te hi a ni.

A tha ber chu heng ruh tliak tam zawk hi chu operation a ngai lo. Thla engemaw zat chhung chu special brace i bun a ngai mai thei. Mahse, ruh tliak na zawk chuan siamthat nan operation a ngai mai thei.

Spinal fracture chi hrang hrangte chu engte nge ni?

Doctor chuan i ruh tliak chu thil engemaw zat hmangin a classified ang. Chu chu ruh chhunga khawiah nge a tliak tih te, ruh chu engtin nge a tliak tih te, ruh tliak te chu a hmuna awm lo (stable nge unstable) tih te a ni. Hengte hi pakhat hnu pakhatin han thlir ila.

Break a thlenna hmun a zirin

Kan ruhro hi hmunpui pathum ah a inthen a. Heng hmun eng pawhah hian fracture a awm thei.

• Cervical spine fracture: Hei hi i kawr chhunga vertebrae-ah a thleng thin.
• Thoracic spine fracture: Ruh chunglam ruh tliak, kawr atanga ruh tawp thlenga inzar pharh a ni.
• Lumbar spine fracture: Ruh hnuai lam ruh tliak, mi tam tak hnungzang natna thlentu a ni.

Ruh a tihchhiat dan azirin

Hei hi a pawimawh deuh a ni. A hmuh tam ber chu chi thum a awm a.

A chhe lai stability hmangin (Stable vs Unstable) .

Hei hi doctor-te ngaih pawimawh ber a ni.

• Stable Fracture: Hetah hian ruh a chhe a, mahse a ruh chu a inthlak lo. Hmun dik takah an awm a ni. Hei hian enkawl a ngai a, mahse zai a nih a rinawm loh.
• Unstable Fracture: Hei hi fracture chi khat na ber a ni. Ruh tliak te chu an awmna atang chuan a inthlak ta a ni. Hei hian ruhro (spinal cord) a tihchhiat theihna a tipung a, chu chu ruhro (spinal cord) a pawimawh hle a ni . Hetiang fracture hi operation a ngai ngei ang.

He natna hi tuin nge vei tam ber?

Dik tak chuan tu pawhin accident avanga ruh tliak an nei thei a ni. Mahse mi thenkhat chu an hlauhawm zawk.

• Hmeichhia leh kum 50 chunglam te chu an hlauhawm zawk.
• Osteoporosis (ruh hloh natna) i nei a.Chutiang a nih chuan spinal fracture (a bik takin compression fracture) a awm theihna a sang hle. Mi pakhat nei tawh chuan a let nga velin a nei tam zawk.

Tin, a hnuaia hriselna lama harsatna nei te pawh hi an hlauhawmna a sang hle bawk:

• Cancer (a bik takin chemotherapy emaw radiation therapy emaw i dawng a nih chuan) .
• Hun rei tak chhung corticosteroid hmang tawhte
• Hyperthyroidism natna (Hyperthyroidism) a awm
• Ruh natna (Osteomyelitis) .
• Kal natna
• Anorexia (Anorexia Nervosa) nena inzawm rilru lam natna .
• Vitamin D tlakchhamna
• Meizial zu leh zu in nasa te pawh hi an hlauhawmna a sang zawk.

I hnungzang i tihchhiat hian taksaah eng nge thleng? I kal thei em?

I ruhro ruh i tihchhiat hian i tan a pangngaia i kal kual a, hna tangkai tak tak thawh a harsa thei hle. Hei hi natna vang pawh a ni thei.

Vawi tam tak chu i doctor chuan i ruhro a dinglam theih nan brace bik a pe thin. Hei hi hak a nuam lo deuh thei a, mahse ruh tliak chu a dam tha tur chuan a pawimawh hle.

Symptom tenau tak tak nei mah la, ni engemaw zat chhunga i hnungzang na a reh loh chuan, a na zual a nih chuan, a nih loh leh a lo hring chhuak a nih chuan doctor i pan ngei tur a ni. Accident i tawk tawh a nih chuan ETU (Emergency Treatment Unit) ah i kal nghal tur a ni.

Spinal fracture hian eng symptoms nge a neih?

Mak tak maiin compression fracture thenkhatah hian symptoms a awm lo. A bik takin ruh natna hian kea kal laiin natna a thlen lo thei. Mi thenkhat chuan an ruhroah ruh tliak hlui an nei tih an hmuchhuak chauh a, chu chu natna dang avanga X-ray an lak hian a ni.

Mahse, symptoms a awm tak tak chuan a hnuaia table-a kan hmuh ang hian a ni thei.

Engtin nge doctor hian hei hi a hmuh theih?

Doctor hmu tura i kal chuan zawhna a zawt hmasa ang che a, taksa enfiahna a nei ang. I hnungzang an enfiah ang a, i hnungzang natna, a hring emaw, a pianzia a inthlak emaw an zawng ang. Khawiah nge natna i hriat tih leh engtikah nge a lo intan tih chipchiar taka hriat a pawimawh.

Tichuan, an diagnosis finfiah nan test eng emaw zat an order ang.

• X-ray enfiahna: 1.1.Hei hian ruh tliak a awm em tih emaw, ruh chi hrang hrang a kal kual em tih chiang takin a hmu thei a ni.
• MRI scan: Hei hian ruh ruh chauh ni lovin, a chhehvela tissue nem tak tak, a bik takin ruhro (spinal cord) a chhiat leh chhiat loh a enfiah thei a ni.
• CT scan: Hei hian operation a ngai a nih chuan ruh chhiatna chu chiang tak, chipchiar taka hriat theihna a siam a ni.

Chu bakah, ruh density test (Bone Density Test emaw DEXA scan) neih tir i ni bawk ang. Hei hian ruh natna i neih leh neih loh leh a nasat dan a hril thei a ni.

Hei hi eng enkawlna nge ni?

Enkawlna chu i ruh tliak chhan, i ruh tliak chi leh i ruhro hmuna a awm danah a innghat a ni.

Surgery hmanga enkawlna ni lo

Thu lawmawm tak chu a tam zawkah chuan zai a ngai lo. Enkawlna hman tlanglawn ber berte chu:

• Bracing: I ruh tliak chu a dam tha tawk hma loh chuan i ruhro chu a dinglam theih nan brace bik pek i ni ang. Hei hi thla engemaw zat a daih tlangpui.
• Physical therapy: Ruhro vel a taksa ruhte tichak turin exercise bik an nei thin. Hei hian natna a tihziaawm thei a, nakin lawka ruh tliak tur venna atan a pui thei bawk.
• Osteoporosis enkawl dan: Osteoporosis i neih chuan i ruh tichak turin damdawi emaw supplement emaw, calcium ang chi emaw a pe thei ang.

Inzai

Fracture hian i spinal cord a tichhe thei a nih chuan, emaw, thla engemaw zat enkawlna dang i neih hnua i natna a reh loh chuan operation i mamawh mai thei. Surgery chi hnih a awm a, chu chu tih tam ber a ni.

• Vertebroplasty: Hetiang tih danah hian surgeon chuan ruh chakna tichak turin vertebra ruh tliak tawhah hian liquid cement bik a inject a.
• Kyphoplasty: Hei hi a hmaa tih tawh nen a inang a, mahse cement a inject hmain surgeon chuan vertebra chhungah balloon te tak te a thun a, a inflate thin. Hei hian ruh compressed leh shrunken chu a san zawng dik takah a chawi leh ta a ni. Chumi hnuah chauh chuan cement chu an inject leh thin.

Heng surgery pahnih hi ni khatah tih a ni tlangpui a, in lamah i haw thei bawk (outpatient procedures). Mahse, operation hnu darkar 24 vel khumah chawl la, kar 6 vel chu thil rit phurh loh tur a ni.

Engtin nge a risk tihziaawm theih ang?

Spinal fracture hi hliam na tak a nih avangin ven kan tum vek tur a ni.

• Lirthei-a i chuan dawnin seat belt dik takin vuah fo ang che. Lap belt leh shoulder belt pahnih hi tih ngei ngei tur a ni.
• Infiamna khelh hunah himna atana hmanraw tul tak tak ha thin ang che.
• In lamah emaw, hnathawhna hmunah emaw i tlu leh tlu thei tur angin thil dah suh. Thil felfai leh felfai takin vawng reng ang che.
• A chunga thil awm zawng zawng thleng tur chuan ṭhutphah emaw, dawhkan emaw-ah chuan chho suh. Ladder remchang tak hmang rawh.
• Ruh hrisel ei leh in leh exercise tih dan tur vawng reng ang che. Calcium tamna ei tur, vitamin C, leh D. Exercise, kea kal, jogging, leh weight lifting te hian ruh a tichak a.
• Kum 50 aia tam i nih emaw, chhungkaw history-a ruh natna (osteoporosis) i neih chuan i doctor nen bone density test neihpui dan tur sawipui rawh.
• Kal harsatna i neih emaw, tlu hlauhawm emaw i nih chuan tiang emaw, kea kalna emaw hman zak suh.