I ruhro lairil lam hi i zir dawn em ni? - Chu chu Thoracic Spine tihna a ni!

I ruhro hi engtiang chiahin nge a pawimawh tih i ngaihtuah ngai em? He ruhro hi chakna min pe a, min ding reng a, kan ruhro venghimtu hmun engemaw zat a awm a. Vawiin hian a bik tak, a sei deuh deuh kan sawi dawn a ni. Chu chu thoracic spine , emaw kan hnungzang chung leh lai tak a ni.

Thoracic Spine hi eng nge ni tak tak?

A awlsam zawngin, i ruhro (i ``Spine'' emaw ``Backbone'' tia hriat bawk) hi ruh te tak te, inzawmkhawm, i luruh bul atanga i hnute bul atanga i tailbone thlenga kalkhawm a ni. Hei hian i ruhro (spinal cord) a venghimtu chu a ni.

Tunah chuan he ruhro hi a peng lian pathum a awm ta a:

• Cervical Spine: Hei hi i kawr chhunga ruhro peng a ni.
• Thoracic Spine: Hei hi vawiin a kan sawi tum chu a ni a, i hnungzang chung leh a lai. A dik tak chuan i kawr hnuai lam atanga i rib cage hnuai lam thlengin a inzar pharh a ni. Hei hi ruhro sei ber a ni.
• Lumbar Spine: Hei hi i ruh hnuai lam a ni a, "lower back" tia hriat a ni.

Chuvangin, thoracic spine hi ruh te tak te 12 atanga siam a ni a, chu chu vertebrae . Chungte chu T1 atanga T12 (T hi `Thoracic` tihna a ni) tih label an ni. Heng vertebrae te hi block te te, a chungah dah khawm angin ngaihtuah rawh. Chungte chu an inzawm khawm chuan i ruhro chu an siam a ni. Heng ruhte inkarah hian cushion ang bawkin, intervertebral disks an tih hmun nêm tak tak a awm a. Hengte hian i ben leh twist theihna a siam a, i ruhroah shock te pawh an absorb bawk.

Thil dang chu, he thoracic spine chhehvelah hian thil tam tak a awm a , chu chu taksa ruh , nerve , tendon (hengte hi ruh leh ruh inzawmkhawmtu an ni), leh ligaments (hengte hi ruh inzawmkhawmtu an ni). Heng zawng zawng hian a thawk dun a, i che tha thei a, i taksa chu a nghet thei bawk. I ruhro (spinal cord) hian he ruhro zawng zawng hi a laiah a kal a. Wire ang maiin he spinal cord hian thluak atanga taksa dang zawng zawngah thuchah a phur a, taksa atanga thuchah chu thluak lamah a phur kir leh thin.

Thoracic spine hian eng hlawkna nge min pek?

He thoracic spine hian kan taksa tana service a pek hi thil tenawm tak a ni lo. Heng hnate hi han en teh:

• Spinal cord leh nerve venhimna: Vertebrae te chu a chungah an inzawm khawm chuan a laiah khur lian tak (`(vertebral foramen)`) an siam a. Heng khur zawng zawng hi an inzawm khawm a, ruhro (spinal cord) tan chuan tube ang maia kalna tur kawng a siam a ni. Hei hian spinal cord sensitive tak takte tan venhimna a pe a ni.
• Ribs nena inzawmna:Thoracic vertebrae danglamna pakhat chu i ruh (`(ribs)`) te chu an lo kal a, an inzawm khawm thin hi a ni. Mahse, a hnuai lama rib pahnih chu hetiang hian an inzawm lo.
• Chest leh abdomen thlawp: I thoracic spine hian i rib cage chu stability a pe a. A lehlamah i rib cage hian i thoracic spine chu a support a ni. Heng pahnih hi an inzawm khawm chuan i thinlung leh lung ang chi taksa peng pawimawh tak takte chu an humhim a ni. Thil mak tak chu heng ruhkawrte hi a chak hle a, heng taksa peng hrang hrangte hi a venghim a, mahse i thawk (inhale leh exhale) hian i che thei bawk.
• Taksa inher phalsak: A hmaa ka sawi tawh vertebrae inkar soft disc (`(intervertebral disks)`) te hi i hnungzang chakna hloh lovin i ben leh twist thei a ni. Spine pumpui zingah chuan thoracic spine hi a tam ber (`(rotation)`) a inher theihna hmun a ni. Mahse, hmalam pan (`(flexion)`) leh hnunglam (`(extension)`) te hi he hmunah hian tlem a tlem hle.

I hria em? Kan ruhro hian a pianphungah curve pathum a nei a. Cervical spine leh lumbar spine chu chhung lam hawiin "C" angin a inher a (`(lordosis)`). Mahse, he thoracic spine vertebrae te hi an inzawm khawm chuan "backward C" (`(kyphotic curve)`) ang maia hnunglam hawia chhuak curve an siam a ni. Heng curve te hi kan balance a, kan ding nghet tur chuan a pawimawh hle.

Thoracic spine atang hian eng nerve nge chhuak?

Kan sawi tawh ang khan thoracic spine hian vertebrae 12 (T1-T12) a nei a. Heng vertebrae pakhat zel tan hian spinal cord atang hian nerve a chhuak thin. Heng nerve te hi i taksa peng thenkhatah sensation leh movement pe tu an ni. Eng nge an nih i en ang u.

• T1 leh T2 nerve: Heng nerve te hi i rilru chunglam atanga i kut leh kut zungtang thlengin a kal a. T1 nerve hi i kekawr iptea nerve (``brachial plexus'') network pakhata tel a ni. He network hian spinal cord atanga i kut leh kut zungtang thlengin movement leh sensory message a keng tel a ni.
• Nerve T3 atanga T5: Heng nerve te hi i rilru bang ah a kal thin. Heng nerve te hi an inzawm khawm chuan i rib cage, lung, diaphragm leh thawkna atana puitu taksa peng hrang hrangte chu an thunun a ni.
• T6 atanga T12 thlenga nerve: Heng nerve te hian i pum leh hnungzang ruh te a nghawng a. Heng nerve te bakah hian taksa ruh thenkhat te hian i balance leh posture vawng reng turin a pui a, i khuh theih nan a pui bawk.

Thoracic spine nena inzawm taksa peng pawimawh tak takte chu engte nge ni?

Thoracic spine-a spinal cord atanga lo chhuak nerve te hian i thluak leh taksa peng lian engemaw zat inkarah thuchah a thawn chhuak thin. Heng taksa peng hrang hrangte hi:

• Chuap
• Thinlung
• Thin
• Intestine te tak te

Tin, kan sawi tawh ang khan thoracic spine leh rib cage te hian i lung leh thinlung chu shield ang maiin an venghim a ni.

Thoracic spine hi eng atanga siam nge ni?

He section pawimawh tak siamtu thil pawimawh thenkhat hi han thlir ila:

• Vertebrae: Spine pumpui chhunga vertebrae 33 zinga 12 chu thoracic spine-ah a awm a ni. Chungte chu a chungah an inzawm khawm a, chu chuan spinal canal a siam a ni. Heng vertebrae te hi an che thei a, chu chuan hmun hrang hrangah kan kal thei a ni.
• Facet joints: Hei hi vertebrae inzawmkhawmna joint a ni. Heng ruhkawrte hian tissue hnim hring, cartilage an tih chu an nei a. Hei hian vertebrae te chu awlsam takin a in slide thei a ni. Heng facet joint te hian twist leh turn theihna a siam a ni. Taksa tan pawh flexibility leh stability an pe bawk.
• Intervertebral discs: Hengte hi kan sawi tawh a. Vertebrae inkar cushion flat, round tak tak an ni. Shock absorber (‘shock absorber’) angin an thawk a ni. Disc tin hian a lai tak, jelly ang maia nem leh a chhehvel ring flexible tak a nei a.
• Spinal cord leh nerve: Spinal cord hi nerve fiber bundle khat a ni a. Lu lallukhum atanga ruhro bul thlengin a kal a ni. He ruhro atang hian a sir lehlamah nerve pahnih 31 vel a chhuak thin. Thoracic spine atang chauh hian nerve pahnih 12 a chhuak thin. Heng nerve te hian thluak atanga taksa peng hrang hrangah thuchah an keng tel thin.
• Soft tissues: Ligaments hian vertebrae te chu a thlunzawm a, ruhro chu a hmunah a awm reng theih nan a pui thin. Muscles hian support a pe a, hnungzang tihchakna kawngah a pui bawk. Tendon hian ruhte chu ruh nen a thlunzawm a, ruhro (spine) a tihchak theih nan a pui bawk.

Thoracic spine natna thlentu tlangpui chu engte nge ni?

Thu lawmawm tak chu thoracic spine hi cervical leh lumbar spines angin a hliam awlsam lo va, a na lo bawk a , a chhan chu a hmun dang aiin a nghet deuh a, a nghet zawk bawk.

Mahse, i hnungzang chunglam leh laihawl natna i neih chuan a chhan hrang hrang a awm thei. Hei hi a chhan chu he hmunah hian ruh, nerve, muscle, ligament leh tendon inzawmkhawm tam tak a awm vang a ni. A chhan lian ber ber thenkhat han thlir ila:

• Muscle irritation emaw tension: Hei hi hmun dik lo taka thut leh hun rei tak thut avanga lo awm a ni fo . Hei hian taksa ruh a tikhauh thei a, a ti na thei bawk.
• Ligament sprains: Thil engemaw a thleng nghal a, chu chu a hnungzang chunglam a inher ang chi hi a ni a, chuta ligament te chu a huam chin aia sangin a inzawm thei a ni. Chuti chung pawh chuan hrehawmna a awm ngei ang.
• Trauma: Tlu emaw, hnungzang na taka vuak emaw hian natna a thlen thei. Mahse, thoracic spine hi ruh hmun dang aiin a chak zawk avangin he hmuna ruh pakhat (``fracture'') tihchhiat nan hian chakna nasa tak a ngai a ni. Tin, ruh hliam hian thoracic nerves a nghawng thei bawk a, natna a thlen thei bawk.
• Overuse injuries: Incheina inang, entirnan, lifting, bending, twisting i tih nawn fo hian hliam tenau (`(micro-injuries)`) a awm thei a, hnungzang na a thlen thei bawk.

Hei bakah hian thoracic spine pain hi spine nena inzawm tlat condition vang pawh a ni thei:

• Spinal tumors: Spinal tumor hi khawi hmunah pawh lo awm thei mahse, a tam zawk chu middle leh lower back-ah a lo awm thin. Anni hi cancer pakhat, ruhro hmun danga darh tawh (metastatic cancer) zinga mi an ni fo thin. Malignant (cancerous) emaw benign (non-cancerous) emaw pawh nise, spinal tumor chhinchhiahna ber chu hnungzang natna a ni. He natna hi a tlangpuiin dull, aching pain a ni. He natna hi zanah a na zual thei a, mut a tibuai thei bawk.
• Spinal fractures: Spinal fracture dang aiin thoracic spine fracture hi a tam lo hle nachungin , osteoporosis (ruh hloh thlentu natna) vei te chu an ruh a chak loh avangin an hlauhawm zawk a ni. Osteoporosis vei chuan a thoracic vertebra chu a twist nghal emaw, a thawk nasat emaw chuan a tichhia thei a ni.

Thoracic spine-a inthlak danglamna, a nih loh leh ‘degenerative changes’ te chu engte nge ni?

Heng ``spinal inthlak danglamna'' te hi spinal osteoarthritis , spondylosis, leh degenerative disk disease te pawh an ti bawk. A awlsam zawngin, kan tar chhoh zel chuan vertebrae inkar soft disc te chu a chhe vek a, a vawt a, a te deuh deuh bawk. Tichuan vertebrae inkar hmun a tlahniam a, harsatna hrang hrang a thlen thin.

Mahse, heng inthlak danglamna te hi thoracic spine aiin neck (cervical spine) leh lower back (lumbar spine) ah a thleng tam zawk a ni.

Thoracic spine tichhe thei natna tlanglawn tak takte chu engte nge ni?

Thoracic spine-a vertebrae, spinal cord emaw nerve roots emaw direct-a nghawng thei dinhmun engemaw zat a awm a:

• Kyphosis: Hei hi ruhro hmalam panna a ni a, chu chuan "hunchback" emaw hmalam hawia slung posture a siam thin. Hei hi thoracic spine vertebrae te chu wedge ang maia an lo awm hian a thleng thin. Kyphosis chi hrang hrang a awm a, chung zingah chuan congenital kyphosis, postural kyphosis, leh Scheuermann’s disease te pawh a tel.
• Pediatric leh adolescent scoliosis: Hei hi naupang ruhro sir lam hawia inher emaw, a inher emaw a ni. Scoliosis hi a na lo atanga na tak thlengin a awm thei. Scoliosis hian thoracic spine a nghawng tam ber. Puitling pawhin scoliosis an nei thei bawk.
• Thoracic radiculopathy a awm a, a natna chu:Hei hi thoracic spine (upper back)-a nerve root pakhat a compress a, taksa pum puiah natna, rilru hahna, leh/ emaw hriatna hloh ang chi symptoms a awm chuan a thleng thin. Mahse, thoracic spine-ah hian radiculopathy hi a awm lo hle.

Hei bakah hian, ruh chhunga khawi hmunah pawh awm thei, chu chu thoracic spine-a awm thei dinhmun dangte chu:

• Bone spurs / Osteophytes: Hengte hi ruh atanga lo chhuak thang lian tak tak an ni.
• Herniated disk: Vertebrae inkar a herniated disk a awm.
• Myelopathy: Ruhro (spinal cord) nasa taka tihkhawtlai a nih chuan natna lan chhuahna (symptoms) awmkhawmna a ni.
• Osteomyelitis: Vertebrae-a bacteria emaw fungal emaw atanga natna kai a ni.
• Spinal cord hliam: Hei hi accident rang tak, na tak avanga thleng a ni fo.
• Spinal stenosis: Spinal cord kalna kawng a tawi.

Thoracic spine-a hliam tam ber chu eng nge ni?

Vertebral compression fractures (VCFs) hi thoracic spine hliam tam ber a ni . Spine chhunga vertebra pakhat chu a compress a, a crush chuan an lo awm thin. Hei hian natna nasa tak a thlen thei a, ruhro a tichhe thei a, a san zawng a hloh thei bawk.

Heng fracture te hi a bik takin lower thoracic spine ah a awm fo thin. Osteoporosis leh accident tenau avanga lo awm an ni fo. Mahse, ruh natna nei loteah pawh accident na tak (car accident ang chi) emaw, ruh natna (spinal tumor) hnuah pawh a awm thei bawk.

Thoracic spine nerve hliam hi engte nge ni?

Thoracic spine-a nerve emaw spinal cord emaw a chhiat chuan a natna lan chhuah dan chu a chhiatna awm dan (a famkim leh kim lo) leh thoracic spine-a khawiah nge chhiatna a thlen tih a innghat a ni.

A lan chhuahna ber chu natna, chak lohna, leh/ emaw, rilru hahna a ni a, chu chu kut, ke, a nih loh leh ruh vel thlengin a chhuak a ni .

Chu bakah, a hnuaia symptoms te hi a awm thei bawk:

• Kut emaw ke emawa hriatna tlahniam emaw, hloh vek emaw.
• Thâwk harsa.
• Mipat hmeichhiatna emaw, hnute emaw vel a hriatna hloh.
• Zun emaw, ek emaw control harsa.
• Ek khal.

Pawimawh: Accident hnua heng symptoms zinga pakhat tal i neih chuan doctor thurawn lak nghal a pawimawh hle.

Engtin nge doctor-te hian thoracic spine natna hi an hriat theih?

A hmasain i doctor chuan i damdawi lam dinhmun te, i damdawi ei te a zawt ang a, i natna lan chhuah dan te a zawt ang a, a enfiah ang che. Tichuan, test leh scan tul apiang an order ang.

Heng test-ah hian:

• CT scan (Computed Tomography - CT scan): Hei hian X-ray leh computer hmangin taksa chhung lam chipchiar takin thlalak a la thin.
• MRI scan (Magnetic Resonance Imaging - MRI): Hei hian magnet lian tak, radio wave leh computer hmanga thlalak chipchiar tak tak lak a ni. Spinal cord, nerve leh disc-a harsatna awmte zawn chhuahna kawngah a \angkai hle.
• X-ray: Hengte hian ruh leh soft tissue thlalak a la a.
• EMG (Electromyogram - EMG) leh Nerve conduction zirchianna: Heng test te hian i nerve leh muscle te hriselna leh hnathawh dan a enfiah thin.
• Myelogram: Hei hi special imaging test a ni a, vertebrae leh discs, spinal cord leh nerve te inzawmna a enfiah thin.

Thoracic spine natna enkawl dan tur chu engte nge ni?

Thoracic spine tichhe thei dinhmun tam takah hian non-surgical treatment (entir nan, physical therapy, epidural steroid injection (ESIs)) bakah surgery hmanga enkawlna a awm bawk.

I enkawlna tur chu i dinhmun chhan, a nasat dan leh i hriselna zawng zawngah a innghat ang. Nang leh i doctor chuan i tana enkawlna tur ruahmanna tha ber tur chu in thawk ho ang.

Engtin nge ka thoracic spine hi ka hrisel theih ang?

I ruhro hrisel taka awm theih nan thil engemaw zat i tih theih a awm a:

• Mut laiin i hnungzang chawlh hahdam rawh: Mattress leh pillow nuam tak thlang rawh. Mut lai hian i ruhro chu natural taka aligned turin bei rawh.
• I hnungzang leh pum ruhte tichak rawh: Heng ruh (`(core muscles)`) te hi an chak chuan ruhro tanpui tha tak an pe a ni.
• Posture tha vawng reng la, rei tak thut tihtlem: Ding leh thut lai pawhin posture tha tak vawng reng ang che. Hun rei tak thut loh tur. Chawlh hahdam fo la, tho rawh.
• Kekawr tha ha rawh: Kekawr tha chuan i ruhro a inmil reng theih nan a pui thin.
• I ruhte kha nghet takin vawng reng rawh: I ei leh in ah vitamin D leh calcium tam tak ei la. Hei hi ruh natna nei emaw, hlauhawma awm emaw tan chuan a pawimawh hle.

Engtikah nge thoracic spine chungchangah doctor i hmuh ang?

Kan sawi tawh ang khan thoracic spine hi ruh hmun dang (neck leh lower back ang chi) aiin a chhe awlsam zawk a, a na lo zawk bawk.

A tam zawkah chuan upper leh middle back na hi hun eng emaw chen avanga lo awm a ni a, chu chu muscle strain emaw ligament strain emaw a ni.

Mahse,

• I hnungzang chunglam leh/ emaw, i hnungzang laiah natna nasa tak, na tak i neih chuan , .
• A nih loh leh a natna a lo zual zauh zauh chuan , .
• A bik takin cancer history i neih chuan doctor pan nghal a pawimawh hle , he hmunah hian spinal tumor a lo awm tam zawk avangin.

Tin, chetsualna, tlu emaw, car accident emawa i hnungzang i hliam a nih chuan damdawi in pan nghal a pawimawh hle.

A tawp berah chuan hriat reng tur tlemte (Take-Home Message) .

Thoracic spine hi i ruhro atana thil pawimawh tak a ni. A hmun dang aiin a nghawng tlem zawk nachungin, i hnungzang chunglam emaw, i hnungzang laiah emaw natna awm reng i neih chuan ngaihtuah a pawimawh hle. Doctor pan a, examination neih a, natna thlentu dik tak hriat a tha ber. Tichuan enkawlna dik tak i hmu thei ang. I ruhro enkawl la, hrisel takin awm rawh!

` Spine, Thoracic Spine, Thoracic Spine, Hnung lam natna, Nerves, Vertebrae, Spinal Cord te a awm bawk