Back Pain atan Surgery hi a tul tak tak em? (Herniated Disk) a ni.

I hnungzang na tuar theih loh i nei bawk em? I hnungzang atanga natna intan a, i ke hnuai lam thlengin a na mai thei. Mi thenkhat chuan 'electric shock ' ang maiin a awm an ti. Hei hi i vertebrae inkar disc a chhuak a, nerve a pinch vang pawh a ni thei. Damdawi lam hawi chuan he natna hi herniated disc kan ti a. He hming kan hriat hian mi thenkhat chu an hlauthawng a, "Aw, tunah chuan operation ka neih a ngai dawn a ni," an ti thin. Mahse mi zawng zawng hian operation an mamawh vek lo. Vawiin hian a zawng zawng hi han sawi ila.

A awlsam zawngin, herniated disc chu eng nge ni?

I ruhro chu ruh te tak te (vertebrae kan ti) set khat, a chungah dah khawm angin ngaihtuah rawh. Heng ruhte hi car chhunga ‘shock absorbers’ ang maia an inhnaih loh nan, heng ruh pakhat zel inkarah hian jelly ang chi thil khata khat cushion a awm a. Hei hi ‘disk’ kan tih chu a ni. He disk hian hmalam, hnunglam, leh kan ruhro awlsam taka kan inher theihna a ni.

Mahse, a châng chuan thil kan chawi dik loh chuan, accident-ah emaw, kan tar chhoh zêl chuan he disc pawn lam khuhna hi a chak lo va, a chhûnga jelly ang chi chu a bul chhuak chhuak ṭhin. Jam-a khat donut i hrual a, jam chu a chhuak ang mai a ni. Buaina hi disc lo chhuak chuan a bula nerve a press atang hian a intan thin . Chutah chuan tuar theih loh khawpa natna, ke ruh tliak, leh ke chak lohna ang chi symptoms a lo lang ta a ni.

Engtikah nge operation hi a tul tak tak?

Hei hi a pawimawh ber a ni. Herniated disc nei zawng zawng hian operation an mamawh vek lo. Dik tak chuan mi tam zawk chu thla engemaw zat chhungin chawlh hahdam te, natna damdawi te, leh taksa lam enkawlna te hmangin an dam leh thin. I doctor chuan heng nonsurgical treatment te hi a lo enchhin hmasa ang.

Mahse, operation ngaihtuah tur special case tlemte a awm. Eng nge an nih i han thlir teh ang.

Hei atan hian surgery chi hrang hrang tih ber berte chu engte nge ni?

Surgery tum ber chu nerve pinch tu herniated disc chu paih chhuakin nerve chu chhuah zalen a ni. Hei atan hian surgery chi hrang hrang lian tak tak a awm a.

Diskectomy tih a ni

Hei hi surgery neih tam ber a ni. Hetah hian surgeon chuan disc chhia chu a la chhuak a, nerve chu a chhuah tir ta a ni. Hei hi kawng hnih in tih theih a ni bawk.

• Open diskectomy : A hnunglam emaw, a kawngah emaw incision te tak te siamin disk chhia chu direct-in lakchhuah a ni.
• Microdiscectomy: Hei hian incision te tak te tak siam a, camera dahna tube te tak te dah a, disc chhia chauh lakchhuah a ni. Hetiang procedure hian recovery time a mamawh tlem zawk.

Laminotomy / Laminectomy tih a ni

A châng chuan, disc-a thlen theih nân, vertebra ruh nei ṭhenkhat, lamina an tih chu lak chhuah a ngai ṭhin. He lamina hi venhimna khuhna a ni a, ruhro (spinal cord) a venghim a ni. Hei hi a tlem berah lakchhuah hian nerve-a pressure a tihziaawm bawk.

• LAM inotomy hmanga siam a ni:Lamina atanga a tlem ber chu lakchhuah a ni.
• Laminectomy: Lamina tam zawk emaw, a zawng zawng emaw chu lakchhuah a ni.

Spinal Fusion a ni

Hei hi disc lakchhuah hnua a sir lehlama vertebrae pahnih fuse dan hming a ni. Hei hian ruh pahnih chu vawn tlat turin screw te tak te leh thir zungbun hman a huam a ni. Hei hian ruhro (spine stability) a ti sang a, nakin lawka natna lo awm leh tur a veng bawk.

Artificial Disk hmanga operation tih a ni

Hei hi mi tam zawkin an tih theih tur surgery a ni lo a, hnungzang hnuai lam disc thenkhatah chauh tih theih a nih avangin. Hetianga tih danah hian disc chhia chu lakchhuah vek a ni a, plastic emaw thir emaw atanga siam artificial disc hmanga thlak a ni.

Operation hnua dam leh hun chhung hi engtin nge ni?

Thu lawmawm tak chu herniated disc surgery tam zawk hi a hlawhtling hle. Damdawi dang aiin natna leh rilru hahna ang chi symptoms te hi a reh nghal vat thin. Operation i neih atanga kar tlemte chhungin danglamna lian tak i nei ang.

Mahse, rang taka dam leh tur chuan inpekna i mamawh bawk.

• Physiotherapy: Hei hi tih ngei ngei tur a ni. I doctor-in a tih angin i hnungzang chhehvela taksa ruhte tichaktu exercise hian i dam chakna a tipung ang.
• Kal: Zawi zawia kal tan hian hnungzang inthlak danglamna a siam tha thei a ni.
• Operation hnu kar hmasa berah heng thilte hi pumpelh tur a ni:
• Weight lifting a ni
• Rei tak thut chungin
• Vawi khatah bending emaw pulling emaw

I doctor chuan engtikah nge hnathawhna hmuna i kir leh theih ang a, engtikah nge i khalh theih ang tih a rel ang. A tlangpuiin office hnaah kar 2-4 vel chhungin i kir leh thei. Mahse, hna rit phurh emaw, machinery hman ngai emaw i neih chuan kar 6-8 tal nghah a ngai mai thei.

Risk a awm em? Eng nge a rah chhuah?

Surgery dang ang bawkin, hlauhawmna engemaw zat a awm. Herniated disc surgery hi a tlangpuiin a him hle nachungin, thil thleng tlemte chauh a awm a:

• Kaichhawng
• Nerve emaw thisen kalna kawng emaw a chhiat
• Thisen chhuak
• Spinal fluid a leak thin
• Transplanted parts chungchanga harsatna awm

Tin, mi tlemte chauh (5% vel) chuan operation hnuah herniated disc an nei leh thei bawk. A châng chuan, operation hian a natna chu a ti bo vek lo thei bawk.