Zingkar i harh hnu lawkah emaw, hnathawhna hmuna ni rei tak i thawh hnu lawkah emaw, i hnungzang chunglam, i kawr hnuai lam chauh leh i ruhro chung lam deuhah natna, i tight emaw, kang emaw i nei thin em? Low back pain chungchang hi sawi vek mah ila, upper back natna hi kan nitin hnathawhna kawngah daltu lian tak a ni thei bawk. Chuvangin, vawiin hian engvangin nge hetiang hi a lo awm tih te, eng nge tih theih ang tih te, engtikah nge doctor kan hmuh ngei tur tih te kan sawi dawn a ni.
A awlsam zawngin, he upper back hi eng nge an tih?
Ngaihtuah teh, kan ruhro hi ruh sei tak pakhat a ni lo. Beads hrui ang mai a ni a, ruh te te (heng vertebrae kan ti) inzawmkhawm atanga siam a ni. Kan hnungzang chunglam, chu chu kawr atanga rib cage tawp thlengin chutiang vertebrae 12 a awm a. Damdawi lamah chuan he hmun hi Thoracic Spine tiin kan sawi thin.
Heng vertebrae tin hi rib pahnih nen an inzawm a ni. Heng ribs te hi an rawn kal kual a, kan rilru lai tak (sternum) a ruh flat tak nen an inzawm a, kan rib cage an siam thin. A hna ber chu kan thinlung leh lung ang chi taksa peng pawimawh tak takte venhim hi a ni. Chumi avang chuan kan hnungzang chunglam chu kan kawr leh hnungzang hnuai lam angin a ben leh twist lo. Tlem a stable deuh a ni. Chuvang chuan upper back pain hi back pain aiin a tlem zawk. Mahse, a lo awm chuan a buaithlak deuh thei.
Chuti a nih chuan, engvangin nge he upper back hi a na?
Hetiang natna hi chhan hrang hrang a awm thei. Ṭhenkhat chu kan thil tih emaw, kan sawi emaw avanga lo awm dinhmun awlsam tak a ni a, ṭhenkhat erawh chu damdawi lam thila ngaihsak deuh deuh a ngai thung.
| Chhan | A awlsam zawngin... |
|---|---|
| Muscle strain leh sprain te a awm bawk | Hei hi a chhan tam ber a ni. Thil rit tak tak chawi dik loh emaw, hrual nghal emaw, exercise tih dan thar tan emaw chuan hnungzang he hmuna thau, ruhro, a nih loh leh ruh (ligament) te chu a tichhe thei a ni. |
| Posture tha lo tak | Hriat loha kan tih fo thin a ni. Nitin computer hmaa hunched over-a hnathawh te, i phone en reng te, leh lirthei khalh laiin hmun khata thut te ang chi thilte hian i ruhro chu a tul lovah pressure a siam thei a, chu chuan hun kal zelah natna a thlen thei a ni. |
| Disc lama harsatna a awm | Kan ruh pahnih inkarah hian jelly ang chi hmun (disk) a awm a, chu chu ‘shock absorber’ ang maiin a thawk a ni. Hei hian a slip chhuak thei (slipped disk) a, a bula nerve pakhat chu a press thei bawk. A pinch thei bawk. Hei hi (Herniated disk) kan ti a. |
| Fractures a awm | Spinal cord hliam hi tlu nasat emaw, car accident emaw avanga lo awm thei a ni a, chu chu a na hle thei a ni. |
| Arthritis natna a ni | He natna hi kum upat ruala ruhkawr tichhe thei natna vang pawh a ni thei. Osteoarthritis hi a bik takin a awm fo thin. |
He hrehawmna hi eng ang nge a nih?
Upper back na hi mi zawng zawng tan a danglam thei. Heng symptoms te hi i nei em tih en rawh:
- Natna nasa tak, kang emaw, hliam emaw ang chi.
- A throbbing, stabbing pain lo thleng leh chhuak thin.
- Muscle-a tight leh tightness awm thin.
- Electric shock ang chi natna, nerve pakhata hnuai lam emaw, a sir lam emawa kal .
- Tingling, tickling sensation emaw, natna hmuna chakna tlakchhamna emaw .
Engtin nge hei hi i hmuh theih, Doctor?
Hetiang natna nei doctor i pan chuan zawhna engemaw zat a zawt hmasa ang che a, chipchiar takin a hrilhfiah ang che.
Engtik lai khan nge natna chu a lo intan? Khawiah nge a na ber? Eng thil pawh tih hian a natna chu a reh thei em? Eng thil tih hian nge a natna chu a tizual? Eng hna nge i thawh? Chutiang thil chu.
Tichuan, Doctor in a enfiah ang che. I kut leh ke chu chawi sang leh ben turin an ti ang che, a natna chu a danglam em tih en turin. I taksa ruh chakna leh reflexes te pawh an test thei bawk.
A châng chuan, a chhan dik tak hriat nân test ṭhenkhat tih belh a ngai mai thei.
| Fiahna | Hemiah hian eng nge i hmuh? |
|---|---|
| Spine X-ray hmanga enfiah a ni | Ruh awmna hmun, ruh tliak, ruh tliak ang chi thilte chu i enfiah thei a ni. |
| MRI Scan (Magnetic Resonance Imaging) hmanga tihchhuah a ni. | Hei hian ruh chauh ni lovin, thil nalh tak tak, taksa ruh, disc leh nerve te pawh chiang takin a hmu thei a ni. |
| CT Scan (Computed Tomography) hmanga tih a ni. | Hei hian ruhro (spine) atanga three-dimensional (3D) image hmuh theihna a siam a, ruh leh a chhehvel tissue te ngun taka zirchian theihna a siam bawk. |
| EMG (Electromyography) hmanga tih a ni. | He test hian nerve chhiatna (neuropathy) a awm leh awm loh enfiah nan a pui thin. Hei hi symptoms i neih chuan numbness ang chi i neih chuan tih theih a ni. |
| Thisen Test a ni | Damdawi lam thil dang, natna thlentu a awm leh awm loh hriat nan a pui a, chu chu arthritis chi hrang hrang a ni. |
He natna hi engtin nge tih theih ang?
Thu lawmawm tak chu a tam zawkah chuan he hnungzang natna hi in lama thil awlsam tak tak i tih theih hmangin a thunun theih a ni.
- Painkillers: Doctor-in a tih angin natna tidamtu acetaminophen leh non-steroidal anti-inflammatory drugs (NSAIDs) te i hmang thei ang. Mahse, i doctor nen i tana tha ber tur leh a hman dan tur chungchang sawi dun hi a him ber tih hre reng ang che.
- Heating pad: 1000 a ni.Tui lum bottle hnawih hian taksa ruh (muscle stiffness) a tihziaawm bakah thisen kal dan a titha bawk.
- Ice packs: Ice pack hi i hnawih thei a, a natna leh a hring tihziaawmna tur a ni.
- Chawlh hahdam: Ni khat emaw ni hnih emaw chhung chu natna tipung thei thil tih a\angin inthiarfihlim rawh.
- Medical massage: Mi trained hnen atanga massage lak hian taksa ruh a ti hahdam thei a ni.
In lama natna tihziaawmna kawng dang
- Exercise: I hnungzang chunglam ruh tichaktu leh tizau thei exercise tih hi a pawimawh hle. Mahse, natna i neih chuan doctor emaw physiotherapist emaw rawn la, eng exercise nge i tana tha ber tih hriat tumin.
- Posture tha: Thut leh ding nghet chu tih danah siam rawh. Slouch emaw, hmalam pan emaw suh. I office chair leh desk chu i tan nuam takin siam rawh.
- Stress tihziaawm: I stress hian taksa ruh a tight thin. Hemi atan hian thawk thûk tak leh ngaihtuahna seng ang chi thilte hian a ṭanpui thei a ni.
Engtikah nge Doctor i hmuh ang?
A tam zawkah chuan he natna hi ni rei lo te chhungin a reh mai dawn a, mahse a chang chuan kan ngaihthah tur a ni lo. Chungte chu natna khirh tak chhinchhiahna a ni thei.
| Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. |
|---|
| - Kar khat vel hnuah a natna a reh loh chuan. |
| - I ke emaw, i hnute emaw-ah tingling, numbness, chak lohna i neih chuan. |
| - Tuar theih loh khawpa natna emaw, taksa ruh (muscle spasms) i neih chuan. |
| - He natna hi natna lan chhuah dan thar , khawsik, taksa rihna tlahniam, emaw, bowel emaw bladder control theih lohna te nen a awm chuan . |
Heng symptoms te hi i neih chuan Doctor rawn pan nghal mai tur a ni.
Take-Home Thuchah a ni
- Upper back natna thlentu ber pahnih chu taksa ruh (muscle strain) leh posture tha lo a ni.
- A tam zawkah chuan he natna hi in lamah chawlh hahdam, hot/cold application, leh exercise awlsam tak hmanga enkawl theih a ni.
- Kar khat aia rei a na a nih chuan, rilru hah a lo awm a nih chuan, emaw, khawsik ang chi natna dang pawi tak a awm chuan doctor pan nghal tur a ni.
- Ding nghet taka awm te, exercise lak te, leh stress tihziaawmna te hian he natna chi hrang hrang venna kawngah hian kawng thui tak a zawh thei a ni.
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