Mi tam zawk chuan kan nunah engtik lai pawhin hnungzang natna kan nei tawh a. Thil rit phurh a\angin, dinhmun dik lo taka ṭhut a\angin, a nih loh leh hah mai mai a\angin a ni thei. Mahse i hnungzang na chu nitin a zual zel a, khawsik leh khawsik i nei ang maia i inhriat chuan hnungzang natna pangngai mai mai angin ngaihthah suh. A chhan chu, a tlem hle nachungin, ruhro natna (spinal infection) chhinchhiahna a ni thei. Hengte hi a hlauhawm hle thei a, chuvangin hei hi i fimkhur ang u.
Heng spinal infection te hi engte nge ni?
A awlsam zawngin sawi ila, spinal infection chu spinal column emaw a chhehvela tissue emaw bacteria emaw fungi emaw avanga infection a ni. Kan ruhro hi ruh te tak te (vertebrae an tih) inzawmkhawm atanga siam a ni a, chu chu a chungah a inzawm khawm a ni. He natna hian ruh ruh te, ruh inkar disc te emaw, ruh vel a membrane te a nghawng thei a ni.
I vertebrae inkar space-ah infection i nei niin han ngaihtuah teh. I hnungzang na nasa tak, khawsik, taksa rihna tlahniam, leh zun harsa i nei thei. Hengte hi natna khirh tak tak an nih avangin ngaihtuahna i neih chuan doctor pan nghal a pawimawh a, chu chu diagnosis dik tak i neih theih nan a ni. Chutiang a nih loh chuan i ruhro leh a chhehvela thil awmte chu tihdanglam theih loh khawpin i tichhe thei a ni.
Tunah hian heng hri kai chi hrang hrang thenkhat hi han thlir ila.
1. Ruh natna (Osteomyelitis) a ni
Hei hi ruhro natna chi khat a ni a, puitlingah chuan a awm fo thin. A chang chuan `(Spondylodiscitis)` an ti bawk. Hei hi ruhro ruh, vertebrae tia koh te hian natna an kai hian a ni. Ruh inkar cushion (intervertebral discs)-ah pawh a darh thei bawk.
Hei hi eng chhan nge ni?
Hetiang dinhmun hi bacteria, parasite emaw fungi emaw ruhro chhunga lut vang a ni thei. Heng natna hrik te hi an luh theih dan kawng hrang hrang a awm a:
- Surgery: Entirnan, spinal surgery hnuah chuan chutih laia spinal metalwork dah luh hmangin infection a lut thei a.
- A chhehvel tissue atanga darh: Spine chhehvela tissue ah natna a awm chuan spinal cord ah a darh thei.
- Thisen hmanga darh: Taksa hmun dangah (e.g., vun, lung) natna chu thisen kal tlangin a kal thei a, ruhroah a awm thei a ni.
Eng nge a lan chhuah dan?
Hei hi a lan chhuahna ber leh a chang chuan hnungzang natna a ni a, a bik takin zanah a na zual a, chawlh hahdamna engmah nen a reh lo.Hei hi a specialty chu a natna nasa tak hi a ni. Nilengin hnathawh zawha zan mut i tum hian a na ber a ni.
He natna hi hriat chian a har fo thin a, a chhan chu a tlangpuiin a natna chauh a nih vang a ni. Mahse, infection hian spinal cord a compress a nih chuan, ke ruhte tihchak harsatna leh rilru hahna ang chi harsatna a thlen thei a ni.
Enkawl dan leh hriatchhuah dan
I doctor chuan he natna hi a rinhlelh chuan a hnuaia test te hi a order thei ang.
| Fiahna | Eng nge i en? (Chhan) |
|---|---|
| Thisen test a ni | Taksaah natna hrik awm leh awm loh enfiah (white blood cell count). |
| X-ray, CT scan, MRI scan te a awm bawk | Infection hi eng chen nge a darh tawh tih te, abscess a lo awm em tih te, ruh chhiatna a awm em tih te enfiah rawh. |
Heng test result atanga enkawl dan tur an ruat thin. Hei hi antibiotics rei tak hmanga enkawl theih a ni tlangpui. Mahse, harsatna dang, ruhro (spinal instability) ang chi a awm chuan operation neih a ngai mai thei.
2. Discitis natna (Discitis) a awm
A hmaa ka sawi tawh vertebrae pahnih inkarah hian jelly ang chi hmun a awm a. Hei hi intervertebral disc kan ti a. Car chhunga shock absorber awm ang mai a ni a, ruhroa pressure awm chu a absorb vek a ni. Discitis chu chu disc chu a kai a, a lo hring chhuak a ni. Doctor thenkhat chuan Osteomyelitis leh Discitis hi natna pakhat stage hnih a ni an ti .
Hei hi a chhan hrang hrang
Hei pawh hi infection a ni a, operation hnu emaw, mahni insiam emaw a lo awm thei bawk. A chhan ber chu bacteria `Staphylococcus aureus` vang a ni. Hei bakah hian bacteria chi dang `Streptococcus` te pawh a awm thei bawk.
Mi pakhatin zun kawng natna emaw, pneumonia emaw a nei tih han ngaihtuah teh. Heng natna hrik te hi thisen kaltlangin lu hnung lamah an awm thei a ni. Hetiang dinhmun hi natna dang, zunthlum vei te zingah a awm tam zawk.
Symptoms leh complication te
Discitis vei chuan a ruhro a sawn hian khawsik, khawsik, leh natna ang chi natna a nei thei a, chu chu taksa peng dang (ke ang chi)-ah a darh thei a ni. Hetiang dinhmun hi nausen leh naupang tê têah pawh a awm thei bawk. Spinal deformities leh neurological problems a thlen thei bawk.
Tihdamna
Hei hi antibiotics leh a chang chuan spinal bracing hmanga enkawl a ni bawk. Infection a nasat chuan surgery a ngai mai thei. He surgery hian debridement an tih mai a ni. Hei hian surgery hmanga lakchhuah leh tihfai tihna a ni.
3. Meningitis - thluak natna (inflammation) a awm
Meningitis, a nih loh leh kan hriat vek angin meningitis tih hi a ni a, uluk taka enkawl loh chuan a hlauhawm hle thei a ni. Thluak leh ruhro (spinal cord) vel a venhimna (protective membranes) a inflammation a ni. A darh chak thei hle.
Hei hi a chhan hrang hrang
Hriselna avanga lo awm chauh a ni lo. Damdawi thenkhat leh damdawi lam dinhmun thenkhat vang pawh a ni thei bawk. Mahse viral emaw bacteria emaw infection avanga lo awm a ni ber. A chhan chu eng pawh ni se, meningitis hi natna khirh tak a ni a, thluak a nghawng a ni.
Natna
Viral infection tlanglawn dang ang bawkin khawsik leh taksa na (myalgias) a awm hmasa thei. Tichuan, meningitis natna lan chhuah dan tlangpui chu a lo lang ta a ni.
| Meningitis natna lan chhuah dan | |
|---|---|
| Thil langsar ber berte | |
| |
| Thluak a nghawng (severe case) a nih chuan . | |
|
Diagnosis leh enkawl dan
Hei hi hriat chian nan doctor chuan thisen test leh throat swab a ti ang. Mahse test pawimawh ber chu cerebrospinal fluid (CSF) analysis a ni. Hei hian i ruhro atanga tui tlemte (lumbar puncture an tih) lak a, protein, glucose leh cell count te test a huam a ni . Hei hian natna kai chhan (bacteria emaw virus emaw) hriat theihna kawngah a pui thei a ni.
Bacterial meningitis hi damdawi lam emergency a ni! Damlo chu damdawi inah dah nghal tur a ni a, antibiotics leh corticosteroid pek tur a ni. Viral meningitis hi kar tlemte chhungin a mah chauhin a reh tlangpui. Antiviral damdawi hi a natna lan chhuah dan enkawl nan leh a tul chuan a natna enkawl nan pek thin a ni.
Take-Home Thuchah a ni
- Backpain pangngai ang ni lo, mahse khawsik, khawsik, leh taksa rihna tlahniam ang chi symptoms nena inzawm chu ngaihthah ngai suh
- Spinal infection hi a tlem hle nachungin a na thei hle.
- Osteomyelitis, Discitis, leh Meningitis te hi a chi hrang hrang a ni. An vai hian symptom hrang hrang an nei thei vek a ni.
- Doctor hmuh vat a, diagnosis dik tak neih hi a chhiatna awm reng tur venna kawng tha ber a ni.
- Nangmah chauhin enkawl ngai suh. Doctor thupek zawm fo ang che.
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