I naute piang thar i silfai emaw, a diaper i thlak emaw hian a hnungzang hnuai lam, a hnute inhnaih tawnna hmun chungah chiah hian hliam te tak te a awm tih i hmu ngai em? Nu leh pa thenkhat chuan hei hi an hmuh hian an hlau deuh thin. “Aw, doctor, hei hi natna chi khat a ni em?A chhungril lamah thil dik lo a awm em?” an ngaihtuah a. Hei hi hlauh tur thil tak tak a ni em? Hei hi vawiina kan sawi tum chu a ni.
A hnung lamah ‘dimples’ chi hnih hmuh tur a awm
A hmasain, a hnungzang hnuai lam atanga lo lang dimple chi hnih a awm tih hi i hrethiam ang u. An pahnih hian pianpui ni mah se, an pahnih inkarah hian danglamna lian tak a awm.
| Mihring ziarang | Sacral Dimple (a hnute chunga dimple awm) . | Back Dimples a awm |
|---|---|---|
| Hmun | Spine midline-ah a awm a, a hnute pahnih inzawmna hmun kil chung lamah chiah a awm a ni. | A hnungzang hnuai lam, spinal column sir lehlamah awm. |
| A zat | A tlangpuiin beat pakhat chauh hmuh tur a awm. | Pair, chu chu pahnih anga ngaih an ni. |
| Hriselna lama nghawng a neih dan | A tam zawkah chuan chhiatna a awm lo va, mahse a tlem hle a, a hnuaia ruhro (underlying spinal problem) chhinchhiahna a ni thei. | Condition hlauhawm tak a ni lo tak zet. A pangngai tak a ni. |
Sacral dimple hi kan ngaihtuah tur em ni?
A awlsam zawngin sawi ila, nau piang thar zinga za zela tlemte chuan he `Sacral Dimple` hi an nei a ni. Chung zinga a tam zawk chu a hlauhawm lo va, vunah hliam tenau te chauh a awm. Chuvangin hei hi i hmuh hian hlauthawng tur a awm lo.
Mahse, a chang chuan a bik takin a hring nen hian symptom dang a awm chuan doctor chuan tlem tal chhui belh a duh mai thei.
Doctor nena inbiak hun tur chu engte nge ni?
I naute `Sacral Dimple`-ah hian heng thilte hi a awm em tih enfiah rawh:
- Bump chhehvelah sam tuft thenkhat a awm chuan.
- Mole ang chi hmun te tak te (skin tag) vun chungah a lo sang tawh a nih chuan.
- Chu hmunah chuan vun rawng danglam a awm a nih chuan, entirnan, hmun sen a awm.
- A khur chu a thuk lutuk emaw, a hnuai lam chiang taka hmuh theih loh emaw a nih chuan.
Heng symptoms te hi i hmuh chuan khawngaihin hlau suh la, i naute chu i chhungkaw doctor emaw pediatrician emaw hnenah entir la, chu chu hrilh rawh.
Heng symptoms te hi a lo awm hian i doctor chuan underlying spinal emaw nerve root problems a awm leh awm loh a enfiah duh mai thei. Hengte hi dinhmun a tlem hle.
1. Tethered Cord Syndrome: Hei hi ruhro (spinal cord) chhunga nerve root chu a chhehvel tissue-in a tang a, zalen taka a kal theih loh nan a ni. Hetiang natna nei naupang hian a tawpah chuan a ke a ti na thei a, zun leh ek control a harsat phah thei bawk (`bowel incontinence`).
2. Spina Bifida: Hei hi ruhro (spinal cord) a lo pian hian ruhro (spinal cord) vel a khar kim lo tihna a ni. Mahse, natna awm lo tak `Spina Bifida Occulta` tih chu `Sacral Dimple` nen hmuh tur a awm. Hetiang dinhmunah hian ruhro (spinal cord) chu a khar kim lo a, mahse ruhro (spinal cord) erawh a nghawng lo. Vawi tam tak chu, symptoms a awm lo.
Doctor-in hei hi a rinhlelh chuan a tlangpuiin ultrasound scan hmangin ruh chhunga dinhmun chiang takin an hmu thei a ni.
Practical tip: I naute ``Sacral Dimple`` chu a thuk deuh a nih chuan bawlhhlawh leh thawmhnaw a awm khawm a, natna hrik a thlen thei. Chuvangin i naute i sil apiangin tuiin uluk takin silfai thin tur a ni tih hre reng la, fai leh vawt takin dah thin ang che.
A hnunglam sir lehlamah dimples awmte chu engtin nge ni ang?
Hengte hi ngaihtuah buai a ngai lo tak zet a ni. Hrisel lohna nei lo tak tak leh taksa hnathawh dan pangngai tak an ni.A dik tak chuan heng cramps te hi vun leh a hnuaia pelvic bone (pelvis) inzawmkhawmtu ligament te vang a ni.
Hming mawi tak – “Dimples of Venus” pawh an nei. Tunhma zawng zawngah chuan nunphung tam takah chuan mawina, nau neih theihna leh vanneihna chhinchhiahna anga ngaih an ni. Chuvangin nangmah emaw i fain emaw i neih chuan hlauhna ni lovin hlimna lam a ni.
Hengte hi siam thar theih a ni em?
Heng spinal deformities chi hnih hi `congenital` a ni a, kan pian tirh hian a awm tihna a ni.
Chuvangin `Back Dimples` neia piang i nih loh chuan exercise emaw method dang emaw hmangin i siam thei lo.
A chhan chu, contraction awmna hmunah hian muscle a awm lo. Exercise hmang chauhvin taksa ruh (muscle) kan tipung thei a ni.
Mahse, `Back Dimples` i neih tawh chuan exercise hmangin a lang tha zawkin a langsar zawk thei bawk. I hnungzang hnuai lam leh pum chhunga thau tul lo i tihtlem a, chu hmuna thau i tihchak chuan (`core strength exercises`) an dimples te chu a tha zawk ang a, a langsar zawk ang. Tin, heng exercise te hian hnungzang natna tihziaawmna atan a pui hle bawk .
Exercise thenkhat chuan back dimples a ti tha zawk thei
Pawimawh: Exercise eng pawh i tan hmain warm up hmasa phawt ang che. Exercise i tih laiin natna i neih chuan titawp nghal rawh.
- Adductor Stretch: Ke pakhat chu hmun sang takah dah la, chu chu dawhkan ang chiah a ni. Tunah chuan chu ke lam pan chuan i kawr atang chuan inhnukdawk rawh. A theih chuan i ke ruhte chu i kut hmangin khawih tum ang che. Hetiang dinhmun hi second 20-30 chhung vawng reng ang che. Vawi thum ti leh rawh.
- Glute Stretch: Table-ah chuan i ke pakhat chu 90-degree angle-ah (table chungah ankle) ben la. Tunah chuan hmalam pan la, i hnungzang chu dinglam hawiin dah rawh. Hetiang dinhmun hi second 20-30 chhung vawng reng ang che. Vawi thum ti leh rawh.
- Supine Hip Twist (Physioball nen): Exercise ball lian tak (`physioball`) chungah hmai lam hawiin mu rawh. I khup leh i hip te chu 90 degree ah ben la, ball chungah dah rawh. Tunah chuan zawi zawiin i hips chu a sir lehlamah rotate la, ball atanga tla lovin. Vawi khatah vawi 10-20 vel tih leh tur a ni.
Take-Home Thuchah a ni
- I naute hnute chunga sacral dimple hi a tlangpuiin a hlauhawm lo vek a, chuvangin a tul lovah ngaihtuah buai suh.
- Mahse, vun rawng nena inzawm thil eng emaw, sam sei, vun inthlak danglam emaw, vun atanga lump lo chhuak emaw i hmuh chuan hlauthawng suh la, i doctor hnenah sawipui rawh.
- Back dimples hi a hlauhawm lo tak zet a, taksa lam thil pangngai tak a ni.
- Exercise hian back dimples thar a siam thei lo a, mahse back dimples awm tawhte hmel a ti tha thei a ni.
Sacral Dimple, Back Dimples, Back Dimples, Naute hnungzang Dimples, Spina Bifida, Tethered Cord Syndrome, Naupang hriselna, Venus-a Dimples
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