Back pain hi a thinrim hle a ni lawm ni? Eng hna pawh thawk thei lo, zan mut mut theih loh vang hian eng chen nge i tuar? A châng chuan damdawi ei leh thil chi hrang hrang tih pawhin a ti tlem lo. Chuvangin, i doctor-in, "Operation i neih a ngai dawn" a tih chuan, rang taka hlauhna nasa tak i neih chu thil pangngai a ni. Mahse minute khat chu nghak rawh. Tun hma ang lo takin tunah chuan hnungzang natna enkawlna changkang tak tak a awm tawh a, chu chuan taksa tan harsatna lian tham a thlen lo va, i dam thuai thei bawk. Chumi chu vawiinah hian han sawi ila.
Engvangin nge hengte hi ‘operation’ an tih pawhin an danglam?
Tun hma chuan hnungzang zai hi operation lian tak a ni. Incision lian tak leh kar tam tak khumah chawlh a ngai a ni. Mahse tunlai technology hmang hian doctor-te chuan heng surgery te hi incision tenau tak tak hmangin an ti thei a ni . Hei hi `Minimally Invasive Surgery` kan tih chu a ni.
A awlsam zawngin, surgeon-te chuan vertebrae inkar joint emaw disc emaw-a harsatna awmte siam ṭhat nân incision te te siam nân hmanraw bik an hmang a ni. Heng incision te hi a te hle a , a dam nghal vat thin .
Hetiang method hian taksa ruh leh nerve te a tichhe tlem hle a, chuvangin operation hnuah natna a tlem zawk . A tam zawkah chuan darkar tlemte chhungin khum atangin i tho leh thei.
Tin, he hmanrua hian thisen a chhuah tlem a, hliam a ti tlem a, natna kai theihna a ti tlem hle bawk.
Surgery hmain heng thilte hi i lo ti tawh em?
Mahse, surgery hi hnungzang natna hi a rang thei ang bera tihdam a ni lo tih hre reng ang che. Surgery chi hrang hrang kan hman hmain enkawlna dang kan enchhin ngei ngei tur a awm. I doctor pawhin heng thilte hi a hrilh ngei ang che.
- Rihna tihtlem : Taksa rihna a san chuan ruhroah pressure nasa tak a awm thin.
- Painkillers: Doctor-in a tih angin ``Nonsteroidal anti-inflammatory drugs - NSAIDs'' ang chi damdawi ei.
- Exercise dik tak: Physics therapist emaw doctor emaw thupek angin back strengthening exercise tih.
- Chawlh hahdam: Natna nasa tak a awm chuan a tul angin chawlh hahdam rawh.
- Steroid Injection: Natna leh hliam tihziaawmna tura injection bik pek thin a ni.
Heng thil i tih hnua i natna a reh loh chuan i doctor chuan `Minimally Invasive Surgery` tih hi a dawt leh tur atan a rawt thei ang.
Minimally invasive surgery tih tlangpui te chu engte nge ni?
He system hnuaiah hian surgery chi hrang hrang tih thin a awm a. Eng nge an nih leh eng nge an ken tel tih hi han thlir ila.
| Surgery chi hrang hrang (Procedure) 1.1. | A awlsam zawngin, hei hi eng nge thleng? |
|---|---|
| Discectomy tih a ni | Nerve pakhat press-tu spine vertebrae inkar bulging disc chu lakchhuah emaw tihtlem emaw. |
| Laminectomy tih a ni | Ruh (lamina) pakhat, spinal cord-a pressure awm chu lakchhuah a, pressure tihziaawmna tur. |
| Spinal Fusion a ni | Natna tihziaawm nan unstable joint chu a chhehvel joint nen screw emaw rod emaw hmangin an fix thin. |
Engtin nge heng surgery te hi an tih thin?
Surgeon chuan i hnungzangah incision te tak te tak a siam a, chuta tang chuan tube ang chi device (`tubular retractor`) chu spinal cord-ah a dah lut ang tih han ngaihtuah teh. He tube tawp lama camera te tak te emaw microscope emaw hmang hian operation room chhunga screen lian takah surgical site chu chiang takin a lang thei a ni. Hei hian doctor chuan he operation hi chiang tak leh chiang takin a ti thei a ni.
Spinal implant thar chungchang i zir dawn teh ang
A châng chuan, ruhro (spine) bent siamṭhat emaw, ruh nghet lo (unstable joints) tihngheh nân emaw chuan surgeon-te chuan hmanraw chi hrang hrang (implants) an hman a ngai ṭhin. Chung zingah chuan screw, rod, leh cage ang chi thil te pawh a tel.
Mahse stainless steel hi a hma angin hman a ni tawh lo. Tunlai implant hi titanium ang chi metal hmanga siam a ni a, chu chu a chak hle a, natna kai theihna a tlem hle. Implant thenkhat chu ruh thanna tichaktu hydroxyapatite ang chi thil hmanga siam a ni . Hei hian taksaah a in fit tha a, result hlawhtling tak a siam thei a ni.
Mahse, he surgery chi hi mi zawng zawng tan a tha lo tih hre reng ang che. I doctor chuan i mamawh tak tak em tih a enfiah ang che.
Nerve natna damdawi dang
I hnungzang natna hi nerve chhiatna avanga lo awm a nih chuan implant chi dang a awm. Spinal cord stimulator an ti a . Hei hian i hnute emaw, i pum emaw vun hnuaiah hmanraw te tak te dah a huam a ni. Electrical pulse a thawn hian natna i neih chu a titawp ang a, chu ai chuan, tingling sensation i nei zawk ang. Permanent implant i neih hmain i tan a tha em tih i en hmasa thei ang.
Heng zawng zawng hi tih a nih loh chuan, a natna chu a nasat avangin a thunun theih loh chuan, a hnuhnung ber atan intrathecal pain pump dah a ni. Hei hian natna tidamtu chak tak, morphine ang chi chu ruhro chhehvel hmunah direct-in a chhuah tir a ni.
Nakin lawka enkawlnate chu eng ang nge ni ang?
Medical science hi nitin hma a sawn zel a, nakin lawkah chuan hnungzang natna enkawlna mak tak tak a awm beisei a ni.
- Stem Cells: Tunah hian tissue chhia awmna hmunah stem cells inject a, a thar a lo thang lian thei a, natna tihziaawmna tur zirchianna kalpui mek a ni.
- 3-D Printing: He technology hmang hian damlo tinte ruhro nena inmil tur implant siam theih a ni.
- Nanotechnology: Scientist te chuan thil chi hrang hrang te tak te atanga siam gel chu ruhro hmun chhiaah inject a, ruh emaw, ruh emaw a siam thar theih leh theih loh an zirchiang mek a ni.
Hengte hi zirchianna stage-ah la awm mah se, nakin lawkah chuan hnungzang natna enkawlna chu a awlsamin a hlawk zawk dawn tih a chiang hle.
Take-Home Thuchah a ni
- I hnungzang natna an rawn pe a nih chuan operation turin luh hlau suh. Tunah chuan a hma aia hmasawn zawk, invasive lo zawk leh rang zawka dam lehna kawng a awm ta.
- Enkawlna dang zawng zawng (weight loss, exercise, damdawi) a hlawhchham phawt chuan surgery hi ngaihtuah a ni.
- Minimally Invasive Surgery hi enkawlna kawng a ni a, incision te te hmanga tih a ni a, a dam thuai a, operation hnua natna a tihziaawm bawk.
- Implant thar zawk (titanium ang chi) hman hian natna kai theihna a ti tlem a, result pawh a ti tha hle.
- I doctor chauhvin i tâna enkawlna ṭha ber chu a rêl thei a, chuvângin, i zawhna emaw, i ngaihtuahna emaw i neih apiang chu a hnênah inhawng takin sawi rawh.
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