I ruhro ruh pakhat chu a tla thla em? Spondylolisthesis chungchang hi han sawi ila!

I hnungzang natna i nei fo em? Rei tak i din emaw, i kal emaw hian a na em? A chang chuan i ke atanga natna chu a tla thla ang maiin i hria em? Hei hi a chhan tam tak a awm a, mahse a hnung lamah hian i ngaihtuah ngai loh chhan a awm mai thei. I hnungzang ruh pakhat, vertebra pakhat chu a awmna tur hmun atanga a tlakbuak emaw, a tlakbuak emaw a nih chuan a ni. Damdawi lamah chuan he natna hi Spondylolisthesis kan ti a. A hming hi a mak deuhin a lang thei a, mahse hei hi thupui pawimawh tak, kan sawi tur leh kan hriatthiam a ngai a ni.

A awlsam zawngin, Spondylolisthesis chu eng nge ni?

I ruhro chu brick row pakhat, pakhat chunga dah khawm angin ngaihtuah rawh. Heng brick pakhat zel hi vertebra an ti a . Kan ruhroah hian heng vertebrae hi 33 vel a awm a. An inzawm tlat ni mah se, kan kal lai te, kan inbeng kang a, kan taksa kan che vel hian tlem an che thei a ni.

Tunah chuan spondylolisthesis chungchangah chuan he row-a brick pakhat, chu chu vertebra pakhat chu a nih tur aia hla deuhin a slip a, a hnuaia vertebra-ah pressure a siam a ni. Brick row khata brick pakhat tlem a rawn chhuak ang mai a ni. Hetianga a slip chuan a chhehvela nerve te chu a compress thei a ni. Chutah chuan hnungzang na leh ke hnuai lam natna ang chi symptoms a lo lang thin.

Hetiang dinhmun hi ruhro khawi hmunah pawh awm thei mah se, kan ruh hnuai lam, chu chu lumbar spine -ah a lang tam ber a ni. Tin, a chang chuan kawng (cervical spine) leh ruh chunglam (thoracic spine)-ah te pawh a awm thei bawk.

Spondylolisthesis chi hrang hrangte chu engte nge ni?

Spondylolisthesis hi a lo awm dan azirin chi hrang hrangah then theih a ni. Eng nge an nih i han thlir teh ang.

Engtin nge he natna hi i nei tih i hriat theih ang? Eng nge a lan chhuah dan?

Mi thenkhatin spondylolisthesis nei mahse symptom engmah an neih loh dan hi mak tak a ni.Pakhat. Spinal disc herniation hi a tlem hle (low-grade) a nih chuan nerve-ah pressure tam tak a siam lo thei a, chuvangin natna engmah i nei lo mai thei.

Mahse, symptoms a awm tak tak chuan hetiang hi a ni thei:

• Lower back pain: Hei hi a lan chhuah dan ber leh langsar ber a ni.
• Sciatica: Hei hi ke atanga natna, rilru hahna emaw, kang emaw, ke hnuai lam atanga radiate chhuak thin a ni. Sciatic nerve-a vertebra slipped press vang a ni.
• Back stiffness: Zing thawh emaw, rei vak lo ṭhut hnu emawa hnungzang a nghet lo tih hriat.
• Kal emaw, ding emaw harsatna: Minute tlemte aia rei ding emaw, kal emaw a na zual ang maia natna.
• Ke ruhroah rilru hah, chak lohna, a nih loh leh tingling sensation .

Natna awmna hmun hi slipped vertebra awmna hmun a zirin a danglam thei. A chang chuan a natna hi hnute emaw, kekawrte emaw thlengin a darh thei bawk.

Engvangin nge vertebrae hi hetiang hian an slip? Risk factors te chu engte nge ni?

Vertebra slipped chhan leh tute nge a hlauhawm ber tih hi han thlir ila.

A chhan ber chu:

• Tar: A chhan ber chu kum upat ruala ruhro chhunga disc te a chhe leh chhe thin vang a ni.
• Mi thenkhat chu ruhro (vertebrae) te tak te neia piang an ni: Hei hian an ruh tliak (fracture) a ti awlsam zawk.
• Sports injuries: He risk hi a bik takin hnungzang lama pressure emaw strain nasa tak siamtu sport (e.g. gymnastics, weightlifting, cricket-a fast bowling) khel thinte tan a sang hle.
• Naupangte zingah growth spurts: Naupang leh puitling naupangte an san chhoh thut laiin ruh a lo thang chak em avangin heng natna te hi a lo awm thei a ni.
• Accident: Tlu leh car accident ang chi thil avanga hnungzang hliam.

Tute nge risk sang zawk?

• Kum 50 chunglam (a bik takin degenerative type) tan.
• Hmeichhia tan.
• Infiammi tan (a bik takin infiamna, hnungzang ben fo leh zuang chhuak ngai te tan).
• Chhungkaw history-a he natna emaw ruh kaihhnawih natna nei tawhte tan.

He dinhmun hi engtin nge dik taka hriat theih ang?

Heng symptoms te hi i neih chuan i tih hmasak ber tur chu doctor pan hi a ni . Doctor chuan zawhna a zawt ang che a, i hnungzang a enfiah ang.

I doctor hnenah natna a lo chhuah tirh te, natna tizual thei thil chi hrang hrang i tih te, heng natna lan chhuah hma hian accident i tawk em tih te i hrilh tur a ni.

Chumi hnuah chuan doctor chuan natna hriat chian nan test eng emaw zat a rawt ang:

• Back X-ray: Hei hian vertebra a slip em tih leh engzat nge a slip tih hriat theih nan a pui thei a ni.
• CT scan (Computed Tomography scan) hmanga enfiah a nih chuan:Hei hian ruh awm dan chiang zawk a pe thei a ni.
• MRI (Magnetic Resonance Imaging) scan: Hei hian vertebrae inkar disc leh nerve te a chhiat leh chhiat loh enfiah nan a pui thei a ni.

A rilru a buai em em a, a rilru a hah em em bawk a. Degree of spinal stenosis (Grades) .

X-ray zawhah doctor chuan i vertebrae te chu an slouched zat a zirin grade khatah a classified ang.

• Low-grade (Grade I leh Grade II): Hei hian slippage tlem a awm tihna a ni. Mi tam zawk chuan he level hi an nei a. Hei hi a tlangpuiin operation a ngai lo.
• High-grade (Grade III leh Grade IV): Hei hian slippage nasa tak a awm tihna a ni. Hetiang hunah hian zai a ngai mai thei a, a bik takin a natna a nasat chuan.

Hei hi eng enkawlna nge ni?

Spondylolisthesis vei tam tak chuan nonsurgical treatment hmangin an symptoms te chu an enkawl tha thei hle.

Engtikah nge operation tih a ngai?

Spondylolisthesis vei zawng zawng hian operation an mamawh vek lo. A bik takin low-grade condition a nih chuan, a symptoms a na lo a nih chuan operation tel lovin i nung thei mai thei.

Mahse, heng hunah hian i doctor chuan operation ngaihtuah turin a rawt thei ang:

• Spondylolisthesis grade sang tak i neih chuan.
• Natna a nasat em avangin i ding thei lo va, i kal thei lo bawk a nih chuan.
• Enkawlna dang (non-surgical) hmanga enkawl chung pawha symptoms a ṭhat loh chuan.

Surgery hi a tlangpuiin spinal fusion tih a ni . Hei hian slipped vertebra leh a hnuaia vertebra te chu fuse in ruh pakhat siam a ngai a ni. Hei hian chu hmun chu chakna leh nghet zawk a pe a ni. Nerve-a pressure tihziaawmna turin spinal decompression tih surgery i neih a ngai bawk.

Hetiang dinhmun nena nun dun hian eng nge i hriat tur?

Spondylolisthesis i vei tih hriat a nih hnuah chuan chawlh hahdam, damdawi leh taksa enkawlna ang chi enkawlna hmangin kar tlemte emaw thla engemaw zat chhungin i natna lan chhuah dan chu a lo tha leh tur a ni. Mahse, heng enkawlnate hi natna tihziaawmna tur leh i hnathawh dan pangngaia puitu tur chauh a ni tih hre reng ang che, slipped vertebra chu a hmuna dah leh tur a ni lo. Surgery chauh hian a slipped vertebra chu a hmunah a dah leh thei a ni.

Infiammi i nih chuan natna nei lova him taka i che theih hma chu infiamna atanga chawlh hahdam a ngai mai thei. I khelh tan leh hmain i doctor nen inbiakna neih hmasak phawt ang che.

Engtikah nge Doctor i hmuh duh?

Ni engemaw zat aia rei hnungzang natna i neih chuan, a nih loh leh nitin hnathawh tibuai thei khawpa na i neih chuan a rang thei ang bera doctor pan rawh. He natna hi a hriat hma chuan enkawl leh tihdam a awlsam zawk.

Emergency Treatment Unit (ETU)-a kal hun tur chu:

• Accident i tawk tawh a nih chuan , tlu emaw, car accident emaw ang chi.
• I keah feeling i hloh emaw, i zun emaw, i bawlhhlawh emaw control harsa i tih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh. Hengte hi emergency pawi tak tak a ni.