I hnungzang pawh a na em? He hnungzang natna mak tak (Vertebrogenic Low Back Pain) hi i zir dawn teh ang?

Tunlai mi tam takin an harsatna lian ber pakhat chu hnungzang natna hi a ni. A chang chuan hei hi i ngaihtuah tur a ni lo tih i ngaihtuah mai thei a, mahse a takah chuan hnungzang natna chi hrang hrang, a bik deuh deuh a awm a, chu chu hnungzang natna tlanglawn dangte nen a danglam tihna a ni. Chuvangin, vawiin hian chutiang hnungzang natna chi khat bik kan sawi dawn a ni. Chu chu dik taka hriatna chuan nasa takin a ṭanpui ang che.

He Vertebrogenic Low Back Pain an tih hi eng nge ni?

A awlsam zawngin, Vertebrogenic Low Back Pain hi i ruhro chhunga vertebral endplates tihchhiat vang a ni. Tunah chuan heng vertebral endplates te hi eng nge an nih i ngaihtuah mai thei.

Ngaihtuah teh, i ruhro chu ruh te te, a chungah dah khawm a ni a, chu chu vertebrae kan ti a ni. Vertebra dang pakhat chungah a awm chuan a inkarah hian mattress ang chi thil a awm a, chu chu intervertebral disc , a nih loh leh disc mai mai kan ti a ni. He disc hian ruhro chu a hnunglam leh hnunglam a ben theihna tur a ni a, kan zuang leh tlan lai hian hnunglam a shock lo thleng te pawh a absorb bawk. Chu vertebra leh disc inkarah chuan, venhimna khuhna ang maia awm, vertebral endplates tia koh, membrane te tak te pahnih a awm a. Chuvangin, hengte hi engti kawng pawhin a chhiat chuan, chuta tang chuan he hnungzang natna bik hi a intan thin.

Engvangin nge hei hi hnungzang natna dang nen a danglam?

Ni e, hei hi a danglam deuh. A tlangpuiin hnungzang natna kan ngaihtuah hian hliam avanga thil thleng emaw, arthritis ang chi emaw kan ngaihtuah thin. Mahse he (Vertebrogenic) hnungzang natna thlentu ber chu a hmaa kan sawi tawh ang khan vertebral endplates tihchhiat vang a ni.

Tun hma chuan doctor-te chuan hnungzang natna awm reng chhan chu degenerative disc disease emaw, arthritis emaw niin an ngai fo thin. Mahse a hnuah zirchiangtute chuan kan vertebrae chhungah hian natna hre thei nerve a awm tih an hmuchhuak a, an thinrim chuan natna a awm thei tih an hmuchhuak ta a ni. Chu thil hmuhchhuah nen chuan hnungzang natna thlentu dang a awm thei tih a chiang ta a ni. Chumi awmzia chu hnungzang natna zawng zawng hi degenerative disc disease emaw arthritis emaw avanga lo awm a ni lo tihna a ni .

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan he (vertebrogenic) hnungzang natna hi mi engzat nge awm tih chiang taka sawi a harsa hle. America ang ramah hian mi maktaduai 30 chuang zetin an hnungzang natna (persistent back pain) chi khat emaw an nei niin an sawi. Mahse, engzat nge he (vertebrogenic) condition hi nei tih erawh hriat chian a la ni lo. Hei hi a chhan chu doctor-te chuan hnungzang natna 20% vel chauh a chhan dik tak an hmu thei a ni. A dang 80% chu non-specific back pain anga classified an ni.

Hei hi eng symptoms nge ni?

Hetiang (vertebrogenic) hnungzang natna vei te hian an hnungzang lai takah kang, hrual natna an sawi fo thin. Thuk tak, shooting pain ang maiin a lang. Mi thenkhat tan chuan he natna hi referred pain . Chu chu a natna chu a lo chhuahna hmun aiin hmun danglam takah a awm tihna a ni.

Vawi tam tak chu he natna hi a pung zel a:

• Hmun khata rei tak i thut lai hian .
• Taksa lama i thawhrim lai hian .
• Hma lam i ben hunah .

Heng symptoms te hi degenerative disc disease nen a inang em em a, doctor pawhin a chang chuan pakhat chu a dang nen a ti sual thei a ni. Chu bâkah, mi ṭhenkhat chuan a rualin he natna pahnih hi an nei thei a ni .

Disk issues nena lo awm feature dang

I hnungzang hnuai lam vertebral endplates a chhiat a, disc degenerated i neih chuan symptom dang i nei thei bawk. Chutiang hunah chuan:

• I taksa peng hrang hrangah tingling i nei thei.
• Hmun thenkhatah chuan a numb .
• Ke ruh leh ke ruh chak lohna .

Heng symptoms te hi disc hian a herniate thei a, a bul hnaia nerve te a impinge thei a ni. Hei hi a thleng fo lo va, a thleng thei tho.

Eng thilin nge hei hi a thlen?

Kan sawi tawh ang khan he (vertebrogenic) hnungzang natna thlentu ber chu vertebral endplates tihchhiat a ni. Chuvangin, heng endplate te hi a chhiat chhan tam tak a awm thei a ni:

• Nitin inhmeh lo: Machine hman atanga i inhmeh lo ang mai a ni.
• Thau lutuk: Taksa rihna a san chuan ruhro pawhin chu rit chu a phur a ngai a ni.
• San zawng tihsan: Mi sang zawkte pawhin an hnungzangah pressure tlem an nei thei bawk.
• Taksa lama harsatna nei hna: Thil rit phur, hun rei tak ding leh dinhmun inang hnathawkte chu hlauhawmna sang zawk an ni.
• Chhungkaw zinga mi tu emaw chuan lu na reng reng (Family history): Genetic influence a awm thei bawk.
• Meizial zuk: Meizial zuk hian taksa chhunga thisen kalna kawngte a nghawng thei a, heng hmun thlenga thisen kal zat pawh a ti tlem thei a ni.
• Trauma emaw tlu emaw: A nghawng nasa tak chuan heng hmunte hi a tichhe thei bawk.

Engtin nge doctor hian hei hi a hriat chian?

Doctor hnungzang na neia i kal chuan a tih hmasak ber tur chu taksa enfiahna kimchang a pe che a ni.Pakhat. I hnungzang an hre ang a, eng position nge na ber tih hriat nan kawng hrang hrangah bend leh twist turin an ti ang che. Tin, i symptoms te leh i chhungte zingah hetiang hian back problem nei an awm em tih te an zawt bawk ang che.

Tichuan, i doctor chuan i hnungzangah thil dik lo a awm nia a hriat chuan, imaging test neih a ti mai thei . Back pain atana tih hmasak ber chu i hnungzang X-ray hi a ni . Thu hriat a zirin doctor chuan thu belhchian dawl zawk a mamawh mai thei. Chutiang a nih chuan CT scan (Computed Tomography scan) emaw , MRI scan (Magnetic Resonance Imaging scan) emaw a order thei a ni. MRI scan-ah hian ruhro (bone marrow inflammation) leh vertebral endplate-a inthlak emaw, tihchhiat emaw a awm fo thin.

Enkawlnate chu engte nge ni?

Thu lawmawm tak chu he (vertebrogenic) hnungzang natna hi enkawlna hrang hrang a awm a ni. Doctor chuan i tana tha ber tur enkawlna tur thlang turin a pui thei che a ni.

• Nonsteroidal anti-inflammatory drugs (NSAIDs): Hengte hi natna leh hliam nana kan ei tlangpui a ni. Entirnan, aspirin, ibuprofen leh naproxen te hi a ni. Hengte hi doctor-in a tih angin i hmang tur a ni.
• Physical therapy: Hei pawh hi enkawlna pawimawh tak a ni. Physics therapist chuan i hnungzang tichaktu leh natna tihziaawmna tur exercise leh stretch bik a zirtir ang che. Hengte hi dik taka i tih chuan hahdamna nasa tak i hmu ang.
• Muscle relaxers: A then phei chuan i ruhro vel muscle te a tight chuan heng damdawi chi hrang hrangte hi relax turin pek theih a ni. Mahse, mutthilh tir thei che leh hman chhunzawm zel a nih chuan ruihhlo ngawlvei a nih theih avangin doctor-te chuan hun rei lote chhung chauh an pe tlangpui.
• Intracept® procedure (basivertebral nerve ablation): Thla ruk vel chhung chu enkawlna dang (massage, physical therapy ang chi) i lo enchhin tawh a, i hnungzang natna chu a reh lo ang u. Chutiang a nih chuan doctor chuan Intracept® tih hming pu tih dan bik a rawt thei a ni. Hei hian instrument tha tak tak hmanga vertebra chhunga natna thlentu nerve lian ber (basivertebral nerve) tihchhiat (ablate) nan lumna hman a huam a ni. Hei hian chu nerve atanga natna signal lo chhuak chu thluak lama kal chu a titawp a, natna chu a tlahniam ta a ni.

Pawimawh: Heng enkawlna zawng zawng hi doctor thurawn leh enkawlna hnuaiah chauh tih tur a ni. Damdawi engmah ei lo la, mahni chauhin exercise la suh.

Hetiang dinhmun atanga dam leh tur hian eng chen nge a mamawh ang? (Hmuh dan tur) .

Vertebrogenic Back Pain vei tan chuan a hma aia enkawl dan tur a tam zawk. Chu chu thil tha tak a ni. Mahse, diagnosis dik tak hmuh theih nan hun rei tak a la ngai thei . Tin, a dik i hmuh hma loh chuan enkawlna engemaw zat i enchhin a ngai mai thei bawk. Enkawlna dik i hmu nghal lo mai thei.

Statistically chuan he (vertebrogenic) back pain enkawlna hlawhtling ber chu a hmaa kan sawi tawh ang khan (basivertebral nerve ablation) hi a ni . Mahse, insurance hmanga he enkawlna hi i hmuh duh chuan enkawlna hman tlanglawn dang (painkiller, physical therapy ang chi) a hlawhchham tih i finfiah hmasa phawt a ngai mai thei. Hemi kawngah hian i doctor chuan a pui thei che a, enkawl laiin natna tihziaawm dan tur a zirtir thei bawk che a ni.

Engtin nge hetiang thil hi i ven theih ang? (Invenna) 1.1.

He (vertebrogenic) hnungzang natna hi kan taksa chhe zawnga thil awm reng a nih fo avangin, pumpelh vek a harsa hle Mahse, kan hlauhawmna tihtlem nan thil tlemte kan tih theih a awm a:

• I san zawng atan taksa rihna hrisel tak vawng reng rawh: I taksa rihna a san chuan i hnungzang pressure a sang chho zel a.
• Exercise neih fo: Core strengthening exercise tih hi a pawimawh hle a, a bik takin hnungzang leh pum chhehvela exercise tih hi a pawimawh hle.
• Stretch regular: Hnathawh hmun khata rei tak ṭhut ngai hna i neih chuan tho la, i taksa chu tlem tal han hrual la, i che vel a, darkar khatah vawi khat tal chu a tha ang.
• Meizial zuk loh tur: Meizial hian taksa damna a tibuai thei a ni.

Engtikah nge Doctor ka hmuh ang?

Backache awlsam tak chu ni engemaw zat emaw kar khat emaw chhungin a reh tur a ni. Mahse, heng symptoms zinga pakhat tal i neih chuan , doctor i pan ngei ngei tur a ni :

• Kar hnih emaw kar thum emaw hnua a reh loh hnungzang na .
• Damdawi ei emaw, chawlh hahdam emaw hnu pawha reh ngai lo hnungzang na .
• I hnungzang natna chu zawi zawiin a zual zel ang tih i hriat chuan .
• I kut emaw ke emaw a tingling , numbness , emaw chak lohna ang chi symptoms i neih chuan.
• Ding rawh, kal harsa i tih chuan .
• Symptom dang i neih chuan khawsik leh taksa rihna tlahniam bakah hnungzang na i neih chuan.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Back pain hian kan nitin nunah nghawng lian tak a nei thei a ni. Hnathawh tur te, inchhung hna kan thawh lai te, infiamna kan khelh lai te chauh ni lovin, kan ṭhut mai mai lai pawhin a tithinur hle thei a ni. A bik takin hetiang natna nghet tak, enkawlna pangngaia reh lo kan neih hian a lungchhiatthlak hle thei a, a chang chuan beiseina pawh a nei lo thei bawk.

Hriat reng tur: I hnungzang lai takah pawh kang, hrual na i neih chuan Vertebrogenic Low Back Pain a ni thei. Chuvangin, hlau lo la, lungngai suh, mahse i natna lan chhuah dan dik tak leh enkawlna tha ber chu eng nge ni tih hriat tumin doctor nen inbia ngei ang che. A rang thei ang bera enkawl dan dik i tan chuan he natna hi i paih bo thei ang a, i hnathawh chu nuam i ti leh thei tawh ang!

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