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কোমর ব্যথার কারন ও কিছু কথা

নাজনীন নাহার, লেখক ও সাংবাদিক ১১:৩১ মিঃ, জানুয়ারি ৯, ২০২২ Views : 17

wcV I †Kvgi e¨_v GKwU LyeB mvavib (common) mgm¨v| bvix cyiæl wb©we‡k‡l G mgm¨v bvB Ggb gvbyl LyeB Kg| GK M‡elYvq †`Lv †M‡Q c„w_exi cÖvq 80 kZvsk gvbyl Rxe‡bi †Kvb bv †Kvb mgq wcV I †Kvgi e¨_vq †fv‡M| wcV I †Kvgi e¨_v gvby‡li ¯^vfvweK Rxeb hvÎv e¨nZ K‡i, gvby‡li Kg©N›Uv Kwg‡q w`‡q

Drcv`b ÿgZv n«vm K‡i| d‡j cvwievwiK, mvgvwRK I A_©‰bwZK Ae¯’v I RvZxq A_©bxwZ‡Z †bwZevPK cªfve c‡o| GUv nj we‡k¦i me‡P‡q †ekx PvKzix m¤ú„³ AÿgZvi(job related disability) KviY| ‡ekxi fvM †Kvgi e¨_vi kvixwiK KviY wKš‘ ¸iæZi bq| gvby‡li RxebvPiY c×wZ(life style), ¯^vfvweK Kg©Ae¯’vb(working posture) Gi Ab¨Zg KviY| Aí wKQz msL¨K †ÿ‡Î †Kvgi e¨_vi wbw`©ó KviY cvIqv hvq| G ¸‡jvi g‡a¨ wKQz msL¨K KviY cÖvYNvwZ, wKQz msL¨K †ÿ‡Î mgq gZ e¨e¯’v bv wb‡j gvbyl cs¸Z¡ eiY Ki‡Z cv‡i| ZvB †Kvgi e¨_v n‡j wPwKrm‡Ki civgk© †bqv Riæix|


†Kvgi e¨_vi KviY eûwea| Gi g‡a¨ wb¤oewjwLZ ¸wj cÖavb|

1| Aw¯’ I †ckx msক্রান্ত RwUjZv 

2| স্নাqyweK KviY

3| AvNvZ RwbZ mgm¨v

4| g~ÎZ‡š¿i RwUjZv

5| ¯¿x RbbZwš¿q RwUjZv

6| gvbwmK mgm¨v


Aw¯’ I †ckx সংক্রান্ত RwUjZv

†Kvgi e¨_vi me‡P‡q eo KviY Aw¯’ I †ckx msক্রান্ত RwUjZv| wc‡Vi I †Kvg‡ii gvsk‡ckx †U‡b aiv, †Kvg‡ii nv‡oi ÿq, eqm RwbZ nvo e„w×, nv‡oi ev gvsk †ckxi cÖ`vn, nv‡oi wUDgvi ev K¨vÝviI †Kvgi e¨_vi GKwU ¸iæZ¡c~Y© KviY| Aw¯’ I †ckx RwbZ KviY mg~n wbম্নiæc-

1. Ankylosing spondylitis

2. Sprains and strains

3. Scoliosis

4. Kyphosis,

5. Arthritis

6. Fibromyalgia

7. Bone tumor- Plasmacytoma,

multiple myeloma, Secondary etc.

8. Bone Tuberculosis (Pott’s

disease)


স্নাevqyweK KviY

†Kvgi e¨_vi Avi GKwU AZxe ¸iæZ¡c~Y© KviY nj স্নাevqyweK RwUjZv| †Kvg‡ii †giy`‡Ûi nv‡oi g‡a¨ †h স্নাevqyy ev bvf© _v‡K Zv hw` †Kv‡bv Kvi‡Y Pv‡c c‡o

ev স্নাevqy hw` cÖ`vn ev wUDgvi আক্রান্ত nq Z‡e Zxeª ‡Kvgi e¨_v n‡Z cv‡i| †Kvgi e¨_vi wPwKrmvq hZ Acv‡ikb nq Zvi †ekxi fvMB nq ¯oevqyweK RwUjZv Kvi‡Y| স্নাqyweK †h mg¯Í †iv‡Mi Kvi‡Y ‡Kvgi e¨_v n‡Z cv‡i Zv wb¤oeiæc-

(1) Lumbar disc herniation(PLID)

(2) Spondylolisthesis

(3) Spinal cord tumor

(4) Sciatica

(5) Spinal stenosis

(6) Spinal abscess


AvNvZ RwbZ mgm¨v

‡Kvgi I wc‡Vi AvNvZ Gi Kvi‡Y †giæ`‡Ûi nvo I †ckx AvNvZ cÖvß n‡j , nvo †fs‡M †M‡j ev RvqMv †_‡K m‡i †M‡j †Kvgi e¨_v n‡Z cv‡i|


g~ÎZ‡š¿i RwUjZv

g~ÎZ‡š¿i bvbvwe` †iv‡M †Kvgi e¨_v n‡Z cv‡i †hgb wKWwbi cv_i, Bb‡dKkb, g~ÎZ‡š¿ cÖ`vn BZ¨vw`|


¯¿x RbbZwš¿q RwUjZv

¯¿x RbbZ‡š¿i bvbvwe` mgm¨vqI †Kvgi e¨_v n‡Z cv‡i †hgb

Miscarriage, Postmenopausal

syndrome, Premenstrual syndrome,

Endometriosis, Cervical dysplasia,

Pelvic Inflammatory Disease etc.


gvbwmK mgm¨v

gvbwmK Aw¯’iZv, D‡ØM, mvgvwRKgvbwmK (psycho-social) mgm¨v †Kvgi e¨_vi Avi GKwU ¸iæZ¡c~Y© KviY| GwU mKj eq‡m n‡Z cv‡i| Z‡e we‡kl K‡i Kg eqmx †g‡q‡`i †ÿ‡Î Gi nvi †ekx|


†ivM wbY©q

‡ivMxi we¯ÍvwiZ BwZnvm wb‡q wKQz cixÿv wbwiÿv Ki‡j †iv‡Mi KviY Rvbv hv‡e| ‡ivMxi BwZnv‡mi g‡a¨ Rvb‡Z n‡e e¨_v kyay ‡Kvg‡i _v‡K bvwK cv‡qI hvq, ‡Kvb Ae¯’vq e¨_v †ekx nq, †kvqv Ae¯’vq bvwK `vov‡bv ev emv Ae¯’vq| †Kv‡bv AvNv‡Zi NUbv Av‡Q wKbv, mv‡_ R¡i Kvwk Av‡Q wKbv, cÖkÖve cvqLvbvi wbqš¿Y wVK Av‡Q wKbv| kix‡ii Ab¨ †Kv_vqI †Kv‡bv wUDgvi ev K¨vbmvi Av‡Q wK-bv Rvbv Riæix| ‡h me †ivMx‡`i e¨_v ‡Kvgi †_‡K cv‡qi w`‡K hvq Zv‡`i bv‡f©i Dci Pvc _v‡K| †m me †ivMx‡`i `ªæZ wPwKrm‡Ki civgk© †bqv Riæix| †h me †ivMx‡`i †Kvgi e¨_vi mv‡_ R¡i, Kvwk, AiæwP BZ¨vw` _v‡K Zv‡`i nv‡oi hÿv nIqvi m¤¢vebv _v‡K| wW¯‹ nvwb©qv(PLID), hÿv, wUDgvi ev nvo fvsMvi Kvi‡Y †Kvg‡ii bvf© Pv‡c c‡o †M‡j hv‡K e‡j canal stenosis, cÖkÖve cvqLvbvi wbqš¿Y bó n‡q †h‡Z cv‡i| cÖkÖve cvqLvbvi wbqš¿b GKevi bó n‡q †M‡j Zv Avi mn‡R wd‡i Av‡m bv| `ªæZ Acv‡ikb K‡i bvf©‡K Pvcgy³ Ki‡Z nq| ZvB †Kv‡bv †Kvgi e¨_vi †ivMx cÖkÖve cvqLvbvi mgm¨v Abyfe Ki‡j `ªæZ wPwKrm‡Ki civgk© †bqv AZ¨šÍ Riæix| eq¯‹ gvby‡li †ÿ‡Î nv‡oi RwUjZv †ekx _v‡K| nv‡oi ÿq ev nv‡oi e„w× †Kvgi e¨_vi GKwU eo KviY| mvavibZ: G·-‡i, Gg Avi AvB, wKQz i³ cixÿv, AvjUªvm‡bvMÖvg Ges wKQz we‡kl cixÿv Kiv nq| G‡Z †iv‡Mi KviY †evSv hvq|


wPwKrmv

‡Kvb †ivMx †Kvgi e¨_vq fzM‡j Zv‡K cÖ‡g †Kvb wPwKrm‡Ki civgk© wb‡Z n‡e e¨_vi KviY wbY©‡qi Rb¨| e¨_vi KviY wbY©q bv K‡i wPwKrmv ïiæ Ki‡j KL‡bv KL‡bv †ivMx cs¸ n‡q †h‡Z cv‡i| hw` †Kv‡bv ¸iæZi KviY cvIqv bv hvq Z‡e wKQz mvavib wbqg †g‡b Pj‡j Ges wKQz e¨vq¨vg Ki‡j †Kvgi e¨_vi Dckg cvIqv hvq| wbq‡gi g‡a¨ †hgb fvix KvR bv Kiv, wcV I †Kvgi evKv K‡i KvR bv Kiv, †kvqvi mgq †giæ`Û †mvRv †i‡L †kvqv, emvi mgq wcV †mvRv †i‡L emv, bxPz RvqMvq bv emv BZ¨vw`| wPwKrmK wKQz wbw`©ó e¨vq¨vg wkwL‡q w`‡j †m¸‡jv wbqwgZ Ki‡j †ekxi fvM †ÿ‡Î e¨_v Dckg nq| wKQz wKQz †ÿ‡Î †_ivcx(physiotherapy) wPwKrmv w`‡Z nq| Aí wKQz †ÿ‡Î †hLv‡b ¯oevqy ev bvf© hw` Pv‡c _v‡K ev Ab¨ †Kv‡bv fv‡e আক্রান্ত nq †m me †ÿ‡Î Acv‡ikb cÖ‡qvRb n‡Z cv‡i| †h me †ÿ‡Î nvo fvsMv ev nv‡oi wUDgvi _v‡K †m me †ÿ‡Î Acv‡ikb Kiv‡Z n‡e| bv‡f©i wUDgvi _vK‡jI Acv‡ikb Kiv‡Z n‡e|

‡Kvg‡ii Acv‡ikb Gi †ÿ‡Î ‡ekxifvM gvby‡li GKUv fzj avibv Av‡Q, Gme Acv‡ikb Gi ci gvbyl fv‡jv nqbv| K_vUv †gv‡UI mZ¨ bq| mwVK fv‡e Acv‡ikb Gi wb‡`©kbv †g‡b Acv‡ikb Ki‡j †ivMx m¤ú~b© my¯’ n‡q hvq| Z‡e Acv‡ikb cieZ©x mg‡q †ivMxi cybe©vmb cÖwK&ªqv cÖ‡qvRb| G mgq wKQz wbqg †g‡b Pj‡Z nq, wKQz wbw`©ó e¨vqvg Ki‡Z n‡e Ges cÖ‡qvR‡b †_ivcx w`‡Z n‡e| Acv‡ikb Gi Rb¨ mgq wba©viY LyeB Riæix| Acv‡ikb mgq gZ Kiv ‡M‡j djvdj fv‡jv n‡e| ‡`ix K‡i Acv‡ikb Ki‡j ev bvf© ev স্নাqyweK m¤úyY© Kvh©KvwiZv nvwi‡q †djvi ci Acv‡ikb Ki‡j Avkvbyi~c djvdj cvIqv bvI †h‡Z cv‡i| wKQz Acv‡ikb Riæix wfwˇZ Ki‡Z n‡e| ‡hgb Cauda equine syndrome. Gme †ÿ‡Î Acv‡ikb Ki‡Z n‡e 72 N›Uvi g‡a¨ bZzev cÖkªve cvqLvbvi mgm¨v n‡Z cv‡i|


cÖwZ‡iva

Avgiv hw` †`nfswM mwVK ivL‡Z cvwi, ˆ`bw›`b RxebvPib c×wZ (life style), ¯^vfvweK Kg©Ae¯’vb (working posturemwVK ivL‡Z cvwi, gvbwmK fv‡e cÖdzjø _vK‡Z cvwi Ges m‡e©vcwi a~gcvb cwinvi Ki‡Z cvwi Z‡e †Kvgi e¨_v †_‡K A‡bKLvwb gy³ _vK‡Z cvie|



Aa¨vcK Wv: †gv: Rv‡n` †nv‡mb

Gg.we.we.Gm, Gd.wm.wc.Gm(mvR©vix), Gg.Gm(wbD‡ivmvR©vix)

Aa¨vcK, wbD‡ivmvR©vix

b¨vkbvj Bbw÷wUDU Ae wbD‡ivmv‡q‡Ým GÛ nmwcUvj,

‡ki-B-evsjv bMi, XvKv