Spinal cord injury chungchang hi i zir belh ang u.

Spinal cord pawimawhna hi kan hre vek a ni lawm ni? Kan taksaa thuchah kalna lian tak ang mai a ni. Chuti a nih chuan, he ruhro, chu chu `(Spinal Cord Injury)` tihchhiatna a awm chuan eng nge thleng ang? Hei hi a châng chuan dinhmun tenau tak, enkawl theih a ni thei a, a pawi deuh pawh a ni thei a, dam chhung zawng pawh a ni thei bawk. Hemi chungchang hi vawiin hian chipchiar tak leh awlsam takin i sawi dawn nia.

Spinal cord hi eng ang nge a nih?

A awlsam zawngin, ruhro (spinal cord) kal tlanga nerve fiber bundle chuan kan thluak leh kan taksa peng dang zawng zawng inkara thu hriatna a hrilhfiah a ni . Hei hi kan Central Nervous System (CNS) peng lian pahnih zinga pakhat a ni. A dang chu thluak a ni.

Kan nervous system hi highway system lian tak angin han ngaihtuah teh. Thluak atanga thuchah phur thei lane a nei a, chubakah thluak thlenga thuchah phur thei lane a nei bawk. Spinal cord hi kawngpui lian ber a ni. Spinal nerves nen a inzawm tlat a ni. Highway-a on-ramp leh off-ramp ang mai an ni. Heng off-ramp te hian taksa pum puia kal peripheral nerve te nen an inzawm a ni. Nerve signal te hi heng kawngpui dunga lirthei tlan ang mai a ni.

Tunah chuan spinal cord chhiatna chu highway khar ang mai a ni ta. Mahse, nun tak tak kawngpui khar ang maiin, detour a awm lo. Kawngpui khar atanga kal ngai message te hian an tumna hmun an thleng thei lo. A chhiatna a nasat chuan kawng khar chu a awm reng thei a ni. Chutah chuan paralysis ang chi symptom na tak tak a awm thin.

Engtin nge heng natnate hi an inthen?

Mithiamte chuan ruhro hliam hi chi hnih ah an then a, chu chu hliam hian ruhro a nghawng dan a zirin leh ruhro chhunga khawiah nge hliam a thlen tih a zirin a ni. Spinal cord injury (SCI) a awm chuan hliam na hmun hnuai lam khawi hmunah pawh nerve signal a tibuai thei a ni.

Hmun hrang hrangah:

Spine hi hmun hrang hrangah a inthen a. A nghawng chu ruhro hmun eng ber nge chhiat a zirin a danglam thei.

• Cervical Spine: Hei hi i kawngah a awm a, i lu bul atanga i shoulder level vel thlengin a awm a ni.
• Thoracic Spine: Hei hi hnungzang chunglam atanga rib cage hnuai lam deuhah a inzar pharh a.
• Lumbar Spine: Hei hi hnungzang hnuai lam a awm a ni. A hnute chung lam thlengin a inzar pharh a, mahse a ruhro chu chu aia sang deuhah a tawp thung.
• Sacral Spine: He hmunah hian nerve zung, hnute atanga tailbone thlenga kal te a awm a.

A nasat dan azirin:

A chhiatna nasat dan azirin chi hnih a awm a:

• SCI tling lo: Hei hi highway ang a ni a, lane thenkhat chauh khar a ni. Lane dangte chu hawn a nih avangin thil ṭhenkhat chu chhiatna thlenna hmun hnuaiah chhunzawm theih a ni.
• SCI kimchang: 1.1.Hetah hian chu kawngpui zawng zawng chu a inkhar vek a ni. Message engmah a lut thei lo. A tam zâwk chuan, hei hian chhiatna hmun hnuai lama theihna zawng zawng chu a bo vek tihna a ni a, chutah chuan paralysis pawh a tel a ni.

Kan ruhroah hian segment 31 a awm a (hengte hi `(Spinal Nerves)` pair 31 nen a inmil). Mithiamte chuan hengte sawina atan hian letter leh number inzawmkhawm an hmang thin. Letter hian ruhro segment a kawk a, number hian a inmil pawl a kawk bawk. Entirnan, C8 hi `(Cervical Spine)`-a group pariatna (leh a hniam ber) a ni.

SCI hi stage hnih a awm tlangpui. A hmasa ber chu a tir lama hliam a ni . Mahse, darkar engemaw zat emaw, ni engemaw zat emaw chhungin secondary injury a awm thei a ni. Hei hian ruhro (spinal cord) a ti hring thei a, a tichhe zual thei bawk.

Spinal cord hliam hi engtiang chiahin nge a awm?

Dik tak chuan spinal cord hliam hi chutiang chuan a awm lo. Khawvel pumah kum tin hetiang hliam hi mi 250,000 atanga 500,000 vel an awm thin.

United States-ah chuan kum tin traumatic SCI vei thar 18,000 vel an awm thin. Heng SCI vei thar zinga 78% vel chu mipa an ni. Hliam tuar lai hian kum zatve chu kum 43 vel a ni.

Hei hi eng symptoms nge ni? (Natna)

Spinal cord injury (SCI) symptoms chu eng nerve signal nge tihbuai tih a innghat a ni. Signal chi thum lian tak tak a nghawng thei a, chungte chu sensory, motor leh autonomic te an ni.

Sensory Symptoms a awm dan: 1.1.

Sensory signals hi kan thluaka information phurtu a ni. Kan chhehvel khawvel leh kan taksa chunga thil thlengte chu thluak hnenah an hrilh thin.

Kan spinal cord hian tactile signals a process ber a ni. Entirnan, temperature, pressure, vibration, leh surface texture ang chi thil te. Kan taksa dinhmun hriatna (proprioception) pawh a thunun bawk. Ngaihtuah teh, pindan thim takah i awm a, i kut chu i hmai lam hawiin i rawn hruai a, mahse i kut chu i hmai a rawn deng hmain i titawp thei a ni. Chu chu proprioception chu a ni.

Sensory symptoms entirnan: 1.1.

• Na
• Numbness a awm
• Pin leh needle emaw tingling sensation (`Paresthesia`) emaw a awm thei.

Motor Symptoms awm dan: 1.1.

Motor signal hi kan thluak atanga kan taksa ruh (muscle) thlenga kal a ni. Kan thluak hian heng signal te hmang hian kan taksa peng hrang hrang a sawn tir thin.

Motor symptoms te chu:

• Chak lohna - chakna hloh
• Paralysis - taksa ruh control theih lohna
• Thunun theih loh taksa ruh (Spasticity) .

Autonomic Symptoms a awm dan: 1.1.

Autonomic signals chu taksa thil kalphung, automatic-a thil thleng, kan ngaihtuah pawha kan ngaihtuah ngai lo control tu a ni. "Autonomic" tih thumal hi "automatic" tih nen a inang a, thil thleng tak tak tihna a ni.

Autoimmune symptoms te chu:

• Heart rate inthlak danglamna, a bik takinLung natna (Bradycardia) .
• Thisen sang inthlak danglamna, a bik takin thisen sang hniam (hypotension) .
• Taksa lum leh vawt inthlak danglam, a bik takin hypothermia
• Zun emaw, bawlhhlawh paih emaw control theih lohna (`Urinary Incontinence` emaw `Fecal Incontinence`) .
• Erectile Dysfunction a awm a, a rilru a buai em em bawk

Spinal cord hliam hi engte nge ni?

Spinal cord hliam chhan awm thei tam tak a awm. A bulpui ber thenkhat chu hetiang hi a ni:

• Motor Vehicle Crashes: Hei hi a chhan tam ber a ni a, SCI vei zinga 37% aia tam a ni.
• Tlu: SCI 31% vel chu tlu vang a ni.
• Tharum thawhna kaihhnawih Hliam: Thil chi hrang hrang, silai mu emaw, chem ang chi ralthuam na tak emaw avanga hliam. SCI vei zinga 15% vel chu he category-ah hian an tel a ni.
• Sports-related Injuries: Hengte hi SCI 8% vel an ni. Diving hi infiamna nena inzawm spinal cord hliam tam ber a ni.

A chhan tlangpui leh a puitu dangte:

• Ruh ti chhe thei dinhmun, entirnan, Osteopenia leh Osteoporosis.
• Spinal tumor, cancer (`(Spine Tumors)`) te pawh a tel.
• Fluid-a khat cyst emaw, ruh chhunga cavities emaw (`(Syringomyelia)`) a awm.
• Infection, ruhro beitu, a nih loh leh a chhehvela tissue te a hring chhuak a, ruhro a press tir thin infection te.
• Spinal cord-a thisen kal tlem (`(Ischemia)`).
• Nau piangsual, entirnan `(Myelomeningocele)` emaw `(Spina Bifida)` emaw.
• Immune system emaw allergy natna emaw, entirnan `(Guillain-Barré Syndrome)`, `(Multiple Sclerosis)`, `(Neuromyelitis Optica)` emaw `(Transverse Myelitis)` emaw a awm thei.
• Genetic dinhmun, entirnan `(Hereditary Spastic Paraplegia)`.
• Electric shock (electric current chu spinal cord bulah emaw, a bulah emaw a kal chuan).

Heng natna avanga harsatna awm thei te hi engte nge ni?

SCI hian harsatna na tak, a chang chuan a awm reng thei bawk. A tlangpui ber chu hliam hnuaia taksaa hnathawh a hloh vek emaw, a then emaw a ni. Hei hian paralysis chi hrang hrang a thlen thei a:

• Tetraplegia (a then chuan Quadriplegia an ti): Hei hi taksa chu a kawr atanga a hnuai lam a paralyze na a ni. Hei hi cervical spine a chhiat chuan a thleng thin. Thil chhiatna thlenna hmun azirin harsatna a awm thei.
• Paraplegia: Hei hi taksa hnuai lam chauh a paralyze lai a ni. Hei hi ruhroa thoracic, lumbar emaw sacral parts a chhiat chuan a thleng thin. Hetah pawh hian chhiatna thlenna hmun azirin harsatna a awm thei a, mahse a tlangpuiin taksa hnathawh dan chu rilru atanga a hnuai lam thlengin a nghawng thung.

Harsatna dang awm thei:

• Autonomic dysreflexia (T6, i.e. thoracic nerve paruknaah emaw a chung lamah emaw chhiatna a awm chuan).
• Spinal (Neurogenic) atanga lo chhuak a ni.
• Neuropathic Pain natna a ni.
• Pneumonia (`(Pneumonia)`) a ni.
• Zun kawng natna (`(Urinary Tract Infections)`).
• Ke leh lungah thisen a chhuak thin.
• Pressure natna (`(Pressure natna)`).
• Sepsis (thisen avanga rimchhia).
• Thihna (a bik takin ruhro chunglam a chhiat chuan).

I doctor hi i tawrh theih tur harsatna chungchang sawi belh turin mi tha ber a ni. Chutiang harsatnate hriatchhuah dan leh chhan dan tur a hrilhfiah bawk ang che.

Engtin nge spinal cord injury dik taka kan hriat theih ang? (Diagnosis) tih a ni.

Doctor chuan ruh natna (spinal disorder) a hriat theih nan kawng hrang hrang a hmang tlangpui a:

• Physical Exam: Doctor chuan a chhiatna zau zawng hriat theihna tur clues emaw evidence emaw zawng turin hetiang hian a ti thin.
• Neurological Exam: Hei hi i nervous system hnathawh dan bik enfiah nan tih a ni. Hei hian i kut leh ke i tihchet theih dan enfiah te, i chakna test te, leh i sensation leh reflexes te enfiah te a huam a ni.
• Imaging Scan: Entirnan, computed tomography (CT) scan leh magnetic resonance imaging (MRI) scan te hi a ni. CT scan hi a rang a, ruh chhiatna emaw harsatna emaw i neih chuan doctor hnenah a lang thei. MRI scan hian hun rei zawk a la a, mahse ruh, soft tissue leh nerve ang chi thil chipchiar tak tak thlalak a siam chhuak thin.
• Diagnostic Test: Entirna atan Electromyography (EMG) leh Nerve Conduction Test te hi a ni. Chungte chuan taksa peng hrang hranga electrical signal thawn chhuah te chu an teh a ni. Hei hian nerve emaw spinal cord emaw tihchhiat avanga signal tihbuai na hmunte hriatchhuahna kawngah a pui thei a ni.

Hei hi eng enkawlna nge ni? (Tihdamna)

`(SCI)` enkawl dan hi a inang lo hle. Ngaihtuah hmasak tur chu accident vang nge ni lo tih hi a ni. `(SCI)` chu accident avanga lo awm a ni tih rinhlelhna a awm chuan medical emergency a ni fo thin. `(SCI)` thlentu dang \henkhat chu damdawi lam emergency a ni bawk. Chutiang emergency-ah chuan:

• Infection: Hengte hi enkawl loh chuan a thihpui thuai thei.
• Thisen kal tlem (`Ischemia`): Thisen kal dan siam\hat hi nunna chhanhimtu, hmanhmawh taka ngaih pawimawh a ni.
• Autoimmune Conditions: Guillain-Barré Syndrome ang chi an lo awm nghal chuan enkawl vat lohvin harsatna lian tak tak a awm thei.

Accident avanga spinal cord hliam enkawl dan:

Fimkhur reng la, ruhro (spinal cord) emaw, hliam dang emaw a tihchhiat belh loh nan theihtawp chhuah rawh. Training nei lo leh thiamna nei lote chuan ``SCI'' nei thei mi chu an sawn emaw, an sawn emaw tur a ni lo. A danglamna awm chhun chu hliam tuar chu lakchhuah a nih loh chuan thihna emaw, hliam na tak emaw a thlen theihna tur hlauhawm a awm chuan (entir nan, car accident leh kangmei chhuahnaah).

Accident avanga SCI lo awm chu emergency medical personnel ten an endik hmasa ber thin. An thil tum ber chu spinal cord tihchak loh leh spinal cord tihchhiat belh zel tihtlem emaw ven emaw a ni (chutih rualin emergency condition dang pawh enkawl bawk).

Damdawi inah chuan accident avanga SCI awm chu Intensive Care Unit (ICU)-ah enkawl a ni tlangpui a, a chhan chu heng hliamte hi a nasat em avangin. SCI enkawl hian a hliam hi direct-a enkawl a ni fo. Ṭanpui theih dân kawng tam tak a awm a:

• Surgery: Surgery tum ber chu ruhro chunga pressure tihziaawm hi a ni. Tin, a chhehvel hliam avanga ruhro (spine compressed) avanga chhiatna thlengte pawh a siam tha thei bawk.
• Damdawi: Steroid ang chi damdawi hian ruhro vel a hring leh inflammation a tiziaawm.
• Traction: Hei hian hmun khata awm reng turin a pui a, (SCI) vel a incheina a ti tlem thei hle.
• Splints, Braces, Halos: Traction ang bawkin hengte hian SCI chhehvel hmun chu a ti nghet thei hle. Mahse, Traction ang lo takin i kal kual laiin i ha thei.

Research hmanga enkawl dan: 1.1.

Researcher-te’n an ngaihtuah mek experimental treatment tam tak pawh a awm bawk. Chung zinga ṭhenkhat chu:

• Induced Hypothermia: I taksa lumna tihhniam hian spinal cord-a tissue tihchhiat a tihziaawm thei a, swelling leh inflammation a tihziaawm thei bawk. Hman lar lo mah se, a hmanna a pung zel a ni.
• Neuroprotective Treatments: Hengte hi damdawi emaw, damdawi dang emaw, a tir lama chhiatna thleng hnua chhiatna dang tihkhawtlai emaw, venna emaw a ni.
• Neuroregenerative Treatments: Hengte hi damdawi emaw, spinal cord emaw nerve tissue chhia siamthat leh siamthatna tura puitu te an ni.

Thil hlauhawm lo avanga harsatna awmte enkawl dan:

Non-acidental spinal cord injury (SCI) enkawl dan pawh a inang lo thei hle. A chhanah an innghat nasa hle a, mahse thil dang pawhin hmun a chang thei bawk. I doctor hi i tana tha tur enkawlna chungchang sawipui tur leh a chanchin kimchang zawk hrilh tur che tha ber a ni.

Hun rei tak chhunga enkawlna leh puihna:

``(SCI)'' vei chuan hliam a neih hnu kar emaw thla engemaw zat emaw chhung chu enkawlna dang a mamawh thei a ni. Enkawlna chi hrang hrang chu kum tam tak chhung, dam chhung zawng pawhin a chhunzawm thei a ni. Entirna thenkhat chu:

• Physical or Occupational Therapy: Heng therapy chi hrang hrangte hian chakna siam turin a pui thei che a, i hliamte nghawng chu a enkawl thei a, chutianga insiamrem dan tur a zir thei bawk.
• Speech Therapy: Upper spinal cord hliam nei te chuan speech therapy hi an hlawkpui thei a ni. Chaw ei leh inbiakpawhna kawngah a pui thei a ni.
• Mental Healthcare: Traumatic brain injury (SCI) hi rilru lama harsatna, taksa lama nghawng a neih aia nasa zawk a ni. Thil thleng ngei pawh hi rilru lama harsatna thlentu a ni thei. Tin, SCI vei te hian post-traumatic stress disorder (PTSD) an nei thei a, mahni intihhlum theihna an nei sang thei bawk.
• In-home Care and Support: SCI na zawk nei te, a bik takin upper spinal cord hliam nei te hian in lamah enkawl leh puihna an mamawh thei a ni. Hetiang enkawlna hi in lama hriselna lama service hrang hrang hmanga pek theih a ni.

Spinal cord hliam hi ven theih a ni em? (Invenna) 1.1.

`(SCI)` hi thil thleng mai mai, beisei loh taka thil thleng a ni fo thin. Mahse, chu hlauhawmna tihziaawmna tur thil i tih theih a awm. Anni chu:

• Hriselna atana hmanraw leh invenna tur rawt (e.g. seat belt, lirtheia chuang laiin helmet) hmang fo ang che .
• Fimkhur tak leh him takin lirthei khalh rawh.
• A theih phawt chuan tlak loh tur (e.g., kawngkhar chhunga thil hnim hring awmte chu paih chhuak la, hmun sang taka hnathawh hunah fimkhur rawh).
• Silai hman hunah engtik lai pawhin fimkhur hle ang che.
• A hnuai lam i hmuh theih lohna hmunah chuan zuang emaw, dive emaw ngai suh.
• Damdawi, ruihhlo leh zu hman dik loh hi pumpelh rawh.

Spinal cord hliam ka neih chuan eng nge ka beisei theih ang?

I beisei theih tur chu i hliam nasat dan te, hliam tuarna hmun te, enkawlna i dawn dan te leh thil dang tam takah a innghat a ni. I doctor chu i beisei theih tur chungchang hrilh belh tur chea mi tha ber a ni. I dinhmun leh dinhmun bik ang zela thu hriat tur a pe thei a ni.

Heng symptoms te hi eng chen nge a awm?

A chhiatna tihtlem nan enkawl hmasak i nih chuan SCI hian nghawng a nei tlem hle a, dam leh theihna chance i nei tha zawk bawk. Mahse, i ruhro (spinal cord) hi i taksa hmun danga nerve angin a lo piang thar leh lo. Chuvangin SCI hi a awm reng fo - mahse a awm reng lo. I natna lan chhuah dan hi eng chen nge a awm dawn tih hriatna tha ber chu i doctor hi a ni.

Hetiang dinhmun hi eng nge a thlir ang?

SCI vei te hmalam hun tur chu a chiang lo fo thin a, chu chu chhiatna level leh a zau zawng a zirin a ni a, mahse SCI vei te enkawlna kawngah hmasawnna nasa tak a awm a ni. Outlook a chiang lo fo chhan te chu:

• Harsatna awm theihna: Spinal cord injury (SCI) nei chuan a hliam avanga harsatna a thlen theihna a sang hle. Chung zingah chuan pneumonia, zun kawng infection, constipation, thisen zam, vun lama harsatna, pressure sores, leh thil dang tam tak a tel.
• Rilru hriselna nghawng: SCI neih hian taksa hriselna chauh a nghawng lo. Rilru hriselna lamah pawh nghawng lian tak a nei bawk. SCI neih hian depression ang chi natna a thlen theihna a tipung a ni. Mahni intihhlum theihna a tipung bawk.
• Cost: SCI vei tam tak chuan hun rei tak enkawl emaw, assistive devices hman emaw an mamawh a ni. Chûngte chu a man a to thei hle. Tin, i ṭanpui thei tur thilte hmuh chu thil harsa tak emaw, hun khawhralna emaw a ni thei bawk.

Engtikah nge doctor i hmuh ang? Engtikah nge emergency treatment a ngai?

Engtik lai pawhin accident avanga spinal cord injury (SCI) i tuar thei nia i ngaih chuan damdawi lam pan vat a ngai a ni. Enkawlna tihkhawtlai hian i hliam leh enkawlna rah chhuah chu a tichhe thei a ni. Tin, spinal cord hliam thlentu natna khirh tak i neih i rinhlelh chuan a rang thei ang bera doctor pan tur a ni.

SCI i neih chuan i doctor chuan i enkawlna hmasa ber hnuah follow-up visit neih a rawt ang. Doctor rawt angin i hmu tur a ni.

SCI vang hian harsatna tam tak a awm a, emergency medical treatment mamawh a ni. I hliam nasat dan, hliam awmna hmun leh thil dang a zirin harsatna awm thei chu a inang lo thei hle. Chuvangin, eng symptom emaw harsatna bik emaw i neih theih, emergency treatment ngai tih hriatna tha ber chu i doctor hi a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Nangmah emaw, i hmangaih tak emawin SCI i neih chuan i doctor zawh duhna tam tak i nei thei a ni. Entirna thenkhat chu hetiang hi a ni:

• Khawiah nge chhiatna chu?
• Engtiang chiahin nge a chhiatna chu a nasat?
• He chhiatna hian eng theihna nge a nghawng?
• A chhiatna chu a awm reng dawn em ni?
• A chhiatna siam\hat thei emaw, a zual zel loh nan emaw enkawlna a awm em?
• He chhiatna avanga harsatna awm thei te chu engte nge ni?
• Damdawi lam pan ngai thei tur eng symptom nge ka fimkhur tur?
• Eng ang enkawlna leh rawngbawlna nge mamawh ang?
• Ka awmna hmunah hian pawl emaw pawl emaw, tanpui thei tur an awm em?

Kan sawiho tawh a\anga hriat reng tur pawimawh ber berte (Take-Home Message) .

Spinal Cord Injuries (SCI) hi mi pakhatin a tawn theih thil na tak leh nunna atana hlauhawm ber pawl a ni. An nghawng chu nun tidanglamtu a ni fo.

Mahse, medical science lama hmasawnna leh zirchianna kalpui mek a nih avangin heng hliamte hi enkawlna tha zawk neih beisei a ni. Chumi awmzia chu heng hliam tuar tam tak hian an hliamte nghawng danah an insiamrem thei a, nun pangngaia an awm theih nan an enkawl thei tihna a ni. Beidawng miah suh. Damdawi lam thurawn leh puihna dik tak zawn a pawimawh.

` Spinal Cord Injury, SCI, Spine, Nervous System, Paralysis, Hnung lam natna