An nunah engtik lai pawha hnungzang natna nei lo mi hmuh a harsa khawp mai, a ni lawm ni? A châng chuan zing i thawh chuan i hnungzang chu a nghet hle niin a lang. A châng chuan thil rit tak i chawi laiin i hnungzang i ti chhe ṭhin. Amaherawhchu, hnungzang na hi a thinrim em em a ni. Chuvangin vawiinah hian hnungzang natna chungchang te, a enkawlna tur engte nge awm tih te, kan fimkhur a ngaihna te hi han sawi ila.
Engtin nge doctor hian he thil awm chhan hi a zawn chhuah theih ang?
I hnungzang natna avanga doctor i hmuh chuan a tih hmasak ber tur chu uluk taka enfiah che hi a ni. I hnungzang chu eng chen nge i ben theih tih te, i hnungzang ruhte hnathawh dan te, i nerve-ah harsatna a awm em tih te an enfiah ang. A châng chuan, thisen leh zun test pawh an nei thei a, chu chu natna dang (kidney lung emaw, natna hrik emaw ang chi) a awm loh nan an hmang thei bawk.
A tlangpuiin, i na reng a nih chuan, i hnungzang chu khawi emaw laiah a na a nih chuan, khawsik ruala natna i neih chuan, emaw, i kut leh kea tingling ang chi neurological symptoms i neih chuan doctor chuan special test atan a refer ang che.
A pawimawh ber chu heng test report result leh i natna i hriatte hi direct correlation a awm ngai lo. Chumi awmzia chu scan-ah hian danglamna lian tham i hmu lo mai thei a, mahse natna nasa tak i la nei thei tihna a ni. Chuvangin hlauthawng suh.
| Fiahna | Hemi kawngah hian eng nge i zawn? |
|---|---|
| X-ray hmanga tih a ni | Spinal fracture emaw harsatna dang emaw a awm leh awm loh enfiah thin ang che. |
| MRI emaw CT scan emaw hmanga tih theih a ni | Herniated discs leh muscle chhiatna te enfiah thin ang che. |
| Electromyogram (EMG) hmanga tih a ni. | Nerve leh muscle chhiatna dik tak hriatchhuah. |
In lama i tih theih tur enkawlna awlsam tak tak
Minor sprain emaw muscle strain emaw tan chuan tih hmasak ber chu ni khat emaw ni hnih emaw chhung chawlh hahdam hi a ni .
- Darkar 24-72 hmasa berah: A natna leh a hringna hmunah ice pack hnawih thin ang che. Hei hian a hring (swelling) a tihziaawm theih nan a pui ang.
- Ni hnih emaw ni thum emaw hnuah: A hring a reh tawh chuan a hmunah lumna ( heating pad ) hnawih a tha. Hei hian taksa ruh leh taksa peng hrang hrangte a ti hahdam ang a, natna a tiziaawm bawk ang.
- Painkillers: Doctor hnenah damdawi acetaminophen, aspirin, ibuprofen te i dil thei a.
- Mut dan: I hnungzang na reng reng i neih chuan mattress nghet deuhah mu rawh. I sir lama i mut chuan i khup inkar ah pillow dah la. I hnungzang chunga i mut chuan i khup hnuaia pillow dah hian i hnungzang tan hahdamna nasa tak a pe thei a ni.
Posture lamah pawh fimkhur ila.
Nitin i dinhmun ngaihtuah reng a pawimawh hle.
- Sit up straight: Chair-a i thut hian a theih ang anga ding takin thu rawh. Hei hian i hnungzang a pressure a tihziaawm ang.
- I dinhmun thlak fo rawh: Hmun khatah rei tak awm suh. Tho la, minute 20-30 danah kal kual la, i taksa chu tlem tal tizau rawh.
- Leia hnathawh hunah: Huan siam emaw, in sawh lai emaw chuan khup khat leia hna thawk tur a ni. A nih loh leh ṭhu chungin hna thawk rawh.
Exercise leh physical therapy hi a pawimawh hle mai!
Tun hma chuan mite chu khumah awm reng tur leh hnungzang natna avanga chawlh hahdam turin an ti thin. Mahse, tûnah chuan doctor-te chuan chutianga tih chuan ṭhatna aiin chhiatna a thlen tam zâwk niin an sawi. Khuma awm reng hian damna a tikhawtlai thei a, harsatna thar a thlen thei bawk.
Chuvangin, ni engemaw zat hnua kea kal ang chi thil awlsam tak tak atanga tan a tha ber. Tichuan zawi zawiin i exercise level pangngaiah i kir leh thei tawh ang.
Spine chhehvela pum leh hnungzang ruhte tihchak hian ruhro chu a ti nghet hle. Hei atan hian Pilates ang exercise hi a tha hle. Aquatic therapy hi hnungzang natna tihziaawmna tha tak a ni. Tui hian i rihna a thlawp a, exercise tih a awlsam phah hle. Yoga hian insiamrem leh chak zawk turin a pui thei che a, chubakah stress leh natna tihziaawmna atan pawh a pui thei bawk.
Taksa lam enkawlnaChumi atan chuan Physical Therapy (PT) pawh hi a tha hle. Physics therapist chuan i dinhmun ang zela enkawlna tur ruahmanna a ruahman ang.
| Enkawlna chi hrang hrang | Entirnan |
|---|---|
| Passive Physical Therapy - Therapist-in a tih tur | |
| Manual therapies te pawh a awm | Muscle massage, ruh inbuatsaihna. |
| Thildang | Heat/ice hmanga hnawih, electric hmanga tihchak, ultrasound hmanga tih a ni. |
| Active Physical Therapy - Nangmah ngeiin i tih tur thilte | |
| Insawizawi | Stretching exercise, taksa ruh tichaktu exercise, leh natna tihziaawmna exercise te. |
Damdawi leh enkawlna dangte
Painkiller pangngai hmanga natna chu a thunun loh chuan, i doctor chuan natna tidamtu chak zawk emaw, taksa ruh tihziaawmna emaw a pe thei ang . Amaherawhchu, heng damdawi thenkhatte hian muthilh tir thei che. Opioid painkillers hian addiction a thlen tam zawk bawk. Chuvangin, heng damdawi te hi i doctor-in a hrilh ang chiah khan ei fo a pawimawh hle a, i enkawlna hun chhung chauh ei tur a ni .
A chang chuan damdawi, antidepressant leh steroid injection te hi nerve natna enkawl nan an hmang thin. Heng injection te hian rei lo te chhung atan hahdamna pe mahse, natna thlentu chu chiang taka hriat theih nan leh taksa enkawlna pawh a awlsam phah thei a ni.
Surgery hi a hnuhnung ber a ni
A tam zawkah chuan hnungzang natna hian zai a ngai lo. A hnuhnung ber atan hman a ni. Surgery hi ruh chhunga disc a lo chhuak a, nerve a pinch a, ``Herniated Disk`` ang chi emaw, ruh chhunga natna khirh dang a awm emaw chauhvin ngaihtuah a ni. Chutiang thila surgery tih chi hrang hrang zingah chuan ``Diskectomy``, ``Laminectomy`` leh ``Spinal fusion`` te hi an ni. I doctor chuan hei hi uluk takin a hrilhfiah ang che.
Take-Home Thuchah a ni
- Back pain hi a tam hle a, chuvangin a tul lovah hlau suh.
- A hmasa berin in lama i tih theih tur treatment awlsam tak tak (rest, ice/heat) te hi han en teh.
- Khuma awm reng hian buaina a tizual thei a ni. A rang thei ang bera kea kal ang chi thil awlsam tak tak hmangin tan la rawh.
- Posture dik tak vawn reng leh exercise dik tak tih hian hnungzang natna lo awm leh tur a veng thei a ni.
- Damdawi eng pawh i hman hmain doctor rawn hmasa phawt ang che. Midang damdawi hmang ngai suh.
- Natna a nasat chuan, ni rei lote chhunga a reh loh chuan, i ke a tingling/faint tih hriat a nih chuan, emaw, i zun/feces control harsat a nih chuan doctor pan nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
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