Hei hi i hnungzang na chhan a ni thei ang em? Vertebrogenic Low Back Pain chungchang hi i zir dawn nia

Tuna kan ramah hian mi tam takin, kum eng pawh ni se, hnungzang natna hi harsatna an nei a ni lawm ni? Kan ngaihdan tlangpui chu hnungzang natna hi slipped disc emaw arthritis vang emaw a ni. Mahse, a chang chuan damdawi emaw, physical therapy emaw i ei tam pawhin, hnungzang natna a reh lo. A chhan chu kan ngaihdan a ni lo mai thei. Vawiin hian tun hnaia medical science-in a hmuhchhuah back pain chi khat bik kan sawi dawn a, chu chu `` vertebral pain '' tih hi a ni.

A awlsam zawngin, Vertebrogenic pain chu eng nge ni?

Hei hi hrethiam tur chuan kan ruhro hi han ngaihtuah hmasa ila. Kan ruhro hi ruh te tak te (vertebrae) inzawmkhawm atanga siam a ni a, brick inzawm khawm ang mai a ni. Heng "brick" inkarah hian kan hriat vek disc chu a awm a.

Mahse he thawnthua pawimawh ber chu vertebra tin chungah leh hnuai lama thut special protective layer hi a ni. Hei hi cartilage leh ruh atanga siam layer te tak te a ni. Damdawi lam hawi chuan hei hi vertebral endplate an ti a. Tun hma chuan Doctor-te chuan hnungzang natna thlentu ber chu disc problem vang niin an ngai a. Mahse zirchianna thar chuan heng endplate te hi a chhiat chuan an chhunga nerve kalte chu a compress thei a, natna nasa tak, rei tak daih thei a thlen thei tih hmuhchhuah a ni.

Hei hi disc lama harsatna nen pawh a inzawm thei bawk. Zirchiangtute chuan disc pakhat a lo chhe tawhna hmunah chuan a chung leh a hnuai lam ruhro (spinal cord)-ah inthlak danglamna a awm tih an hmuchhuak. Chutiang hmunah chuan natna phurtu nerve fiber a tam zawk bawk. Mahse chutiang chu engtin nge a awm tih chiang takin an la chhui chhuak zel a ni.

Hetiang dinhmun hi eng chhan nge ni?

Kan endplate te hi a chhiat theih chhan tam tak a awm. Hei hi kum upat ruala lo awm natural wear and tear vang a ni thei a, accident vang pawh a ni thei bawk.

Hei hi mi zawng zawngah a thleng vek lo a, mahse mi thenkhat chuan he natna hi an vei theihna chance a sang deuh hlek a ni.

• Kum 40 aia upa nih: He hlauhawmna hi kan tar chhoh zel chuan taksaa pianphung inthlak danglamna dangte nen a pung chho zel a ni.
• San zawng: Mi sang tak takte chuan an ruhroah pressure nasa zawk an nei thei.
• Obesity: Taksa rihna a san chuan ruhroah load a pung a, facet joint te chu a chhe awlsam zawk a ni.
• Meizial zuk: Meizial zuk hian thisen kalna kawng a ti zim a, ruhro hmun thenkhatah thisen kal a ti tlem a ni. Hei hian damna a tikhawlo a ni.
• Taksa hnathawh rit tak tak: Thil rit tak tak chawi emaw, an hnungzang tihbuai emaw, in sak ang chi hna thawktute chu an hlauhawm zawk.
• Chhungkaw chanchin : I chhungkuaa mi tu emaw chuan hnungzang natna (chronic back pain) a neih chuan i genetic influence vang pawh a ni thei.

Engtin nge a symptoms te hi kan hriat theih ang?

He natna hi hnungzang natna dang nen chuan a danglam deuh hlek a ni. Nang pawhin heng symptoms te hi i nei em tih en rawh.

Engtin nge hei hi i hmuh theih, Doctor?

Thla 6 aia tam i hnungzang natna i neih a, standard treatment hmanga a ṭhat loh chuan i doctor chuan he natna hi a ringhlel mai thei (Vertebrogenic pain). Diagnosis siam nan a hnuaia step te hi tih a ni ang:

1. I chanchin zawh che: I chhungkuaah hian hetiang hian hnungzang lama harsatna nei an awm em, a natna chu eng ang nge a nih?

2. Taksa endikna: Hmalam leh sir lamah bawkkhup turin an ti ang che a, a natna a pun lehzual hun enfiah turin an ti bawk ang che.

3. Natna dang telh loh: Test dang, a chhan dang, disc problem emaw tumor emaw a awm leh awm loh enfiah a ni.

4. MRI scan: Chhanna hnuhnung ber leh chiang ber chu MRI (Magnetic Resonance Imaging) scan atanga lo chhuak a ni. Hei hian ruhro (spine) thlalak chiang tak tak a la thei a ni.

MRI-ah chuan i doctor chuan natna thlentu endplate-a inthlak danglamna chiang tak a hmu thei a. Hengte hi Modic changes an ti a . A chi hnih a awm a, chungte chu:

• Modic type 1: Ruhroah hian a hring leh a hring a awm a.
• Modic type 2: Ruh hring hrisel tak ai chuan ruhro sen thau (fatty yellow bone marrow) hmuh tur a awm.

Engtin nge enkawl a nih?

Pakhatnaah chuan i doctor chuan standard treatment, painkiller (NSAIDs), muscle relaxants, leh physical therapy te a rawt ang.

Mahse, he enkawlna thla 6 vel hnuah pawh hmasawnna a awm loh chuan enkawl dan bik ngaihtuah theih a ni. Basivertebral Nerve Ablation tih a ni a .

Basivertebral Nerve Ablation tih hi eng nge ni?

A awlsam zawngin kan taksa peng hrang hrang thlenga natna signal phurtu nerve ber chu ``basivertebral nerve.`` a ni.He enkawlna hian he nerve hi natna lo chhuahna vertebrae-a a luhna hmunah a tichhia a, natna signal te chu thluaka a kal loh nan a titawp a ni.

Hei hi operation lian tak a ni lo. Anesthesia pek i ni dawn a, chuvangin natna engmah i nei lovang. Surgeon chuan i hnungzang nana vunah hian incision te tak te a siam ang a, chuta tang chuan instrument te tak te chu ruhro chhungah a dah lut ang. Tichuan, lumna hmangin nerve an tichhe ang.

Chumi ni vek chuan i haw thei tlangpui. Back surgery dang aiin a dam hun chhung hi a tawi zawk. Research atanga a lan dan chuan he enkawlna hian kum 5 emaw a aia rei emaw chhung natna nei lo turin a pui thei che a ni.

Engtikah nge Doctor ka hmuh ang?

I hnungzang natna chu kar tlemte aia rei a nih chuan, a na zual zel a nih chuan, a nih loh leh enkawlnain a puih loh chuan doctor pan ngei ngei tur a ni .

A bik takin a hnuaia mite hiRed flag chhinchhiahna a awm chuan damdawi lam thurawn la nghal rawh :

• Ke ruh natna emaw chak lohna emaw
• Ding leh kal harsa
• Duh loh vanga zun emaw ek emaw a chhuah (hei hi emergency pawi tak a ni a, damdawi in emergency room (ETU) -ah kal nghal rawh) .
• A taksa rihna tlahniam nghal
• Khawsik