I kut chu a bengchheng em ni? Brachial Plexus inhliam vang pawh a ni thei! Hemi chungchang hi kan sawi dawn em ni?

I kut chu i rilru a na, i chak lohna, a nih loh leh na tak tak i nei tawh ngai em? A châng chuan he natna hi i kekawr ipte aṭanga i kut zungtang thlengin i hre thei ṭhin. Hetiang thil a lo thlen hian a hlauhawm tak zet a ni lawm ni? Chuvangin vawiin hian heng symptoms awm chhan awm thei pakhat kan sawi dawn a ni. Chu chu Brachial Plexus an tih nerve network tihchhiatna a ni.

Brachial Plexus chu eng nge ni?

A awlsam zawngin sawi ila, brachial plexus hi i kawr atanga i armpit kal tlanga i kut hnuai lam pan nerve awmkhawm a ni. Cable te te inzawm khawm ang mai a ni. Heng nerve te hian i kephah, i kut, i kut leh i kut zungtangte chetna leh hriatna chu a thunun a ni. Entirnan, i kut chu a rawn inher nghal a, emaw, i lu leh i kawr chu a sir khatah a inher a, i kekawrte chu a sir lehlamah a inher a nih chuan he network of nerves hi a chhe thei a ni. Hliam tenau chu enkawl lohvin a dam thei. Mahse , a chhiatna a nasat zawk chuan i kut hnathawh dan tur siam that leh turin operation a ngai mai thei . Hetiang dinhmun hi nausen naupangteah pawh a awm thei a, a bik takin nausen pum chhungah emaw, nau piang lai emaw pawhin a awm thei bawk. `(Neonatal Brachial Plexus Palsy - NBPP)` kan ti a.

Brachial Plexus-ah hian eng nerve nge awm?

Tunah chuan Brachial Plexus siam dan hi han en ila. He network hi nerve lian panga atanga siam a ni a, chu chu i ruhro (spine) kawr atanga tan a ni a, chuta tang chuan a chhuak thin. Lui a inzar pharh ang bawkin heng nerve te pawh hi a inzar pharh a, kut zawng zawngah a darh vek a ni. Damdawi lamah chuan `(Plexus)` tih hian nerve, thisen kalna emaw, lymph vessel emaw hetiang taka inzawmkhawmna a kawk a ni. `(Brachial)` tih thumal hi ‘kut nena inzawm’ tihna a ni. Chuvangin brachial plexus hi nerve pawl pakhat, kut thlenga tlan thin a ni.

Heng nerve pangate hian hna bik an nei vek a. Ṭhenkhat chuan taksa ruhte an tichak a, ṭhenkhat chuan thluak lamah lumna leh khawih ang chi hriatna an keng tel bawk. I natna lan chhuah dan leh i enkawl dan tur chu eng nerve nge a chhiat leh a chhiat danah a innghat ang.

Nerve lian panga a inrawlh a, chungte chu:

• Axillary nerve: Shoulder movement leh stability a pui thin.
• Median nerve: Kut hmalam leh kut ruh te a ti flex a, kutphah leh kut zungtang te a ti flex bawk. Tin, kutphah, kutpui, index, middle, leh ring finger-a sensation atan pawh a pawimawh hle.
• Musculocutaneous nerve: Kut chunglam (e.g., biceps) thau tichaktu leh elbow bend leh forearm tihher nan a pui thin.
• Radial nerve: Kut hnunglam leh kut hmalam ruh (muscles) te activate-in elbow leh wrist a tizau thei a ni. Tin, kut hnung lama thumb, index finger, middle finger leh ring finger chanve te hriat theih nan a pui bawk.
• Ulnar nerve a awm chuan:Kut leh kut hmawr ruhte a tichak a, kut chetna tha tak takah a pui a ni. Ring finger thenkhat leh little finger-a sensation-ah pawh a inrawlh bawk.

Brachial Plexus natna chi hrang hrangte chu engte nge ni?

Heng brachial plexus hliamte hi kawng hrang hrangin a thleng thei a, chu chu hliam nasat dan azirin a awm thei a ni. He network chhunga nerve engemawzat hi thil thleng khatah degree hrang hrangin a chhe thei a ni.

• Stretch / Neuropraxia: Hei hi nerve pakhat chu tlem a hrual a nih chuan a ni. Hei hian nerve chhehvela venhimna khuhna chu a tichhe thei a ni. Hei hian nerve signals transmission a tibuai thei a, mahse a tam zawkah chuan a hnuaia nerve-ah hian chhiatna lian tham a awm lo. He natna hi a mah chauhin a reh thei , a nih loh leh physical therapy ang chi enkawlna awlsam tak hmanga enkawl theih a ni bawk.
• Rupture: Hei hi nerve pakhat chu a hrual nasat lutuk a, rang taka a then emaw, a pum emaw a inhnim pil chuan a ni. Heng hliam te hi operation hmangin siamthat theih a ni fo .
• Avulsion: Hei hi a na ber chi a ni . Hei hi nerve root leh spinal cord a inthen hun a ni. Heng hliamte hi a tlangpuiin hnathawh that leh nan operation neih a ngai thin .

Hei hi cervical radiculopathy nen a danglam em?

Mi thenkhat chuan hei hi ``Cervical Radiculopathy / Pinched Nerve'' ang chi hi niin an ngai mai thei. A lan chhuah dan chu inang deuh mah se, a takah chuan heng dinhmun pahnih hi a danglam hle.

Cervical Radiculopathy hi kawr chhunga vertebrae atanga nerve root lo chhuak chu a compress emaw inflamed emaw a nih chuan a lo awm thin a ni. Hei hian symptoms a thlen thei a, chu chu kawng na leh kawr ruh a tikhauh thei a ni.

Mahse, brachial plexus hliam hi a tlangpuiin nerve pinched emaw torn emaw vang a ni. Hei hian nerve zung tam tak a keng tel fo a , cervical radiculopathy ang bawkin kawng symptoms (na, stiffness) a thlen tam lo hle.

He natna hi tuin nge vei? Engtiang chiahin nge a hluar?

Dik tak chuan he brachial plexus disorder hi kum eng pawhah a awm thei a, mipa leh hmeichhia pawh nise. Nausen piang tharte pawh an pian hunah he natna hi an vei theihna a hlauhawm hle.

Mahse, tlangval kum 15 leh 25 inkar zingah a lang tam ber .

Kum tin mi engzat nge he natna hi vei tih chiang taka sawi a harsa a, mahse zirchiangtute chuan an pung zel niin an sawi. Hei hi high-energy sports-a tel tam lutuk leh high-speed car accident-a damchhuak an pun zel vang pawh a ni thei.

Ngaihtuah teh, hetiang accident atanga brachial plexus hliam 70% hi traffic accident vang a ni . Tin, chutiang accident zinga 70% chu motor emaw bicycle emaw accident a ni! Chu chu kawngpuiah kan fimkhur a ngaihzia kan hrethiam tihna a ni lawm ni?

He natna (Neonatal Brachial Plexus Palsy) hi nau piang tharte zingah kan sawi a nih chuan, a vaiin nau piang 1000 zingah naupang 2-3 chauhvin he natna hi an hmu thei a ni.

Eng nge a lan chhuah dan?

He natna lan chhuah dan hi nerve chhia chi hrang hrang leh a chhiat dan azirin a inang lo. Heng symptoms te hi hliam dang nen a inzawm thei bawk.

Puitling leh naupangte zingah a lan chhuah dan langsar ber berte chu:

• Kut chu nunna nei lovin a innghat niin a lang.
• Kut emaw kut emaw paralysis ang chi natna.
• Kut, kut emaw, kutphah emaw thunun harsa.
• Kut emaw kutphah emawa rilru natna emaw, hriatna hloh emaw .
• Kut, kutphah emaw, kutphahah emaw natna.

Nausen piang thara natna lan chhuah dan:

• Naute kut chunglam, kut hnuai lam emaw, kut hnuai lam emawa chetna engmah hloh.
• A natna lam a Moro reflex/startle response hloh (i.e., naute chuan a mangang laiin kut a hmang lo).
• Naute chuan a kut chu a taksaah a chelh a, a elbow-ah a phar a.
• A natna lam a grip tlahniam.

Brachial plexus disorder awm chhante chu engte nge ni?

He brachial plexus nerve network hi a chhiat theih chhan lian tak tak engemaw zat a awm.

1. Tharum thawhna hmanga Trauma

Vawi tam tak chu he nerve network chunglam hi i kekawrte i hmet tlat chuan a chhe a, i kawr leh i lu chu i kekawrte hian a chung leh a sir lamah a hruai a ni. Motor accident ang maiin han ngaihtuah teh .

I kut chu i lu chungah na taka hrual nghal a nih chuan nerve network hnuai lam chu a chhe zawk a ni.

Chutiang accident entirnan:

• Lirthei chak tak accident, a bik takin motor accident .
• Falls a ni.
• Thil hrual lo (e.g. insualnaah) atanga direct blow.
• Infiamna thenkhatah chuan intlansiakna a awm thin (heng tam zawk hian hliam tenau a thlen thin a, ``burners'' emaw ``stingers'' emaw pawh an ti bawk).
• Hriamhrei hrual (e.g., hliam tuar) emaw, silai mu hliam (ballistic trauma) emaw avanga hliam.

2. Tumor awm thei

A châng chuan brachial plexus chhungah emaw, a bulah emaw tumor a lo awm thei a, a nih loh leh a chunga pressure siamtu tumor vang pawh a ni thei bawk.

Brachial plexus tibuaitu ber chu hnute cancer leh lung cancer a ni.

Hei bakah hian cancer, lymphoma leh melanoma te hi armpit chhunga lymph node-ah te a darh thei a, he nerve network hi a nghawng thei bawk.

3. Inflammation a awm

Kan taksa hi virus emaw bacteria emaw ang chi natna hrik in a rawn beih hian emaw, kan hliam emaw hian kan taksa hriselna (immune system) a thawk chhuak thin. Inflammatory cells te chu a chhuak thin. Hei hi a tul viau nachungin, a chang chuan he immune system hian haywire-in a kal thei a, tissue hrisel tak tak a bei thei bawk. A nih loh leh, natna hrik a chhanna chu a tam lutuk thei a, taksa tissue te a tichhe thei bawk.

`Parsonage-Turner Syndrome` (`(Brachial Neuritis)` tia koh bawk) an tih hi a awm lo hle a, brachial plexus inflammation hi ke ruh hliam chiang tak awm lovin a awm thin. A bul tanna chu kekawrte emaw, kutphah emaw natna nasa tak atanga tan a ni a, chu chu chak lohna leh rilru natnain a zui a ni.

4. Pian tirh laia hliam tuar

Nausen piang tharte hian an brachial plexus a tichhia thei a, chu chu an nu pum chhunga an awm lai emaw, nau neih harsat lai emawa trauma vang emaw a ni thei. Hei hi ``Neonatal Brachial Plexus Palsy (NBPP)`` an ti a. A hnuaia dinhmunte hi a lo awm thei a ni:

• Naute lu a chhuah a, a kekawrte a lo chhuah chuan a lu leh a kawr chu a sir khatah an hrual (hei hi `(Shoulder Dystocia)` an ti bawk).
• Naute lu hmasa ber nau neih laiin a kekawrte an hrual avangin.
• Breech delivery-ah chuan naute kut sang takah pressure an dah a.

Engtin nge hei hi i hriat chian? Eng test nge tih thin?

Heng symptoms te hi i neih chuan doctor in uluk takin a enfiah ang che, hei hi brachial plexus injury a ni em tih leh hliam dang a awm em tih a en ang. Hei hi a chhan chu a tam zawkah chuan heng hliamte hi accident na tak avanga lo awm a ni a, hliam dang pawh a awm thei bawk.

Doctor chuan brachial plexus nena inzawm nerve group tinte chu a enfiah ang a , khawiah nge chhiatna a thlen tih leh engtiang chiahin nge a nasat tih hriat a tum ang

Nausen piang tharin heng symptoms te hi a lan chhuah chuan doctor chuan naute hian an kut leh ke a che thei em tih leh Moro reflex an nei em tih a enfiah ang.

He natna hi dik taka hriat theih nan leh harsatna dang a awm leh awm loh enfiah tur chuan doctor chuan test engemaw zat a ti thei a, chungte chu:

• X-ray: Hengte hian ruh ang chi thil nghet tak tak chiang takin a hmu thei. X-ray hmangin kawr, rilru, kekawrte leh kutphah te chu a tliak leh tliak loh enfiah thin a ni.
• CT Myelogram Scan: Hei hian ruhro (spinal nerve) vel ah tui bik inject a, X-ray leh computer hmanga taksa chhung lam thlalak chiang tak siam a ni. Hei hi spinal cord (`(Avulsion)`) atanga nerve root a lo chhuak em tih hriat nan test tha ber nia ngaih a ni. Doctor thenkhat chuan hei bakah hian MRI scan an ti thei bawk a, hei aiah pawh hian an ti thei bawk.
• Electrodiagnostic exam: Heng zingah hian `(Electromyogram - EMG)` leh `(Nerve Conduction Studies)` tih test te a tel. Hengte hian nerve signal kal dan leh taksa peng hrang hranga signal awm dan a teh a ni. Heng test te hian brachial plexus hliam a awm tih a finfiah thei a, hliam awmna hmun a hmu thei a, hliam nasat dan a hriat theih bakah nerve damna rate a teh thei bawk. Initial exam hi hliam atanga kar 3-4 hnuah tih thin a ni tlangpui. Tichuan, thla 2-3 chhungin tih nawn leh a ni a, nerve a dam tawh em tih en a ni.

Nausen piang tharin heng symptoms te hi a neih chuan X-ray hmangin an collarbone a tliak em tih hriat theih a ni. Hei hi a chhan chu ``Pseudoparalysis'' tih natna a awm a, chutah chuan naute chuan a kut chu a ruh tliak leh natna vangin a ti che thei lo va, nerve tihchhiat vang a ni lo.

Enkawlnate chu engte nge ni?

Hetiang brachial plexus hliam hi accident na tak hnuah a thleng tlangpui avangin mi tam tak chuan hliam na tak dang an nei bawk . Entîr nân, thisen kalna kawng chhia, kekawr, kut, hnungzang emaw, ruh ruh tliak emaw, lung tlu, ruhro chhia emaw, thluak hliam emaw. Chuvangin, medical team hian brachial plexus hliam enkawlna an tan hmain heng nunna atana hlauhawm hliamte hi an enkawl hmasa ang.

Hei hi i enkawl hian neurologist, neurosurgeon, hand surgeon, physical therapist, occupational therapist, leh i chhungkaw doctor (Primary Healthcare Provider) te chu team angin an thawk ho thin.

Enkawl dan tlangpui pahnih a awm a, chungte chu non-surgical treatment leh surgical treatment te an ni.

Nonsurgical hmanga enkawl a ni

Brachial plexus hliam tam zawk, a bik takin a tenau te chu kar tlemte atanga thla engemaw zat chhungin operation tel lovin a dam leh thin . Nerve hliam mahni chauha dam chuan thau leh nerve hnathawh kawngah rah tha tak a nei fo thin.

I doctor chuan operation tel lova i dam theihna chance tha tak a awm nia a hriat chuan operation a ngaihtuah hmain hliam a dam hma chu a nghak mai thei.

I doctor chuan i hliam a dam laiin i ruh leh ruhte a khauh loh nan physical therapy a rawt thei ang. I kut leh ke i chawlh a ngai bawk ang a, thil hahthlak tak tak i tih loh a ngai bawk ang.

Surgery hmanga enkawl a ni

Nerve chu a mah chauhin a dam lo a nih chuan, emaw, kut leh kutphah hnathawh tur mamawh tak nei leh thei tura a dam tha tawk lo a nih chuan doctor-te chuan zai a rawt a ni.

A pawimawh ber chu, hliam nasat dan azirin, operation hnuah pawh, i kut emaw, i kutphahah emaw, hliam hmaa i hnathawh ang kha i nei lo thei a, a nih loh leh function kimchang i nei lo thei tih hriat a ni

Neurosurgeon-te chuan nerve hliam enkawlna atan hian kawng hrang hrang an hmang a, chu chu hliam chi hrang hrang, a nasat dan leh a awm rei dan azirin a ni.

• Nerve siamthat: Hetiang tih danah hian surgeon chuan nerve chhe tawh tak takte chu a inzawm leh thin. Hei hi chemte tan ang chi, hliam na tak tak tan chuan rang takin tih a ni.
• Nerve graft tih hi: 1.1.Hetiang tih danah hian surgeon chuan i taksa peng dang atang hian nerve hrisel tak a la a, a severed nerve tawp pahnih inkarah a sew thin. He grafted healthy nerve hian scaffold ang maiin hna a thawk a, hliam tuar nerve tawp pahnih chu a lo thanglian dun thei a ni.
• Nerve transfer: He surgery hi kawr chhunga nerve tissue hnathawk thei a awm loh chuan transplant tur a awm loh chuan tih thin a ni. Hetiang tihnaah hian surgeon chuan donor nerve hrisel tak chu a tikehsawm a, hliam tuar nerve nen a thlunzawm a ni. Hei hian nerve chu paralyzed muscle hnenah signal a thawn thei a ni.

Nausen piang thar enkawlna

Naute piang tharin brachial plexus hliam tenau a neih chuan doctor chuan naute kut chu massage leh range-of-motion exercise tih a rawt thei ang.

A chhiatna a nasat chuan, emaw, kar hmasa berah a dam lo a nih chuan, naute chu naupang neurosurgeon hnenah refer a ngai mai thei. Thla 3-9 chhunga naute chakna a that loh chuan zai an ngaihtuah mai thei.

Surgery-ah hian harsatna a awm em?

Surgery dang ang bawkin heng surgery te hian hlauhawm engemaw zat a keng tel thei a ni. Entir nan:

• Anesthesia nena inzawm harsatna.
• Kaichhawng.
• Thisen chhuah tam lutuk.

Chu bakah, damdawi lama harsatna dang (e.g. zunthlum, thisen sang) i neih chuan a hnuaia harsatnate hi i neih theihna a sang thei bawk:

• Natna rei tak (`(Natna rei tak)`).
• Thisen a chhuak thin.
• Lung natna.
• Thai.

Eng chen nge tihdam a ngaih?

Nerves te hi a dam zawi zawi hle . Chuvangin brachial plexus hliam atanga dam leh nan hun a duh a ni. Thla engemaw zat chu hmasawnna i hmu lo mai thei.

A pawimawh ber chu rilru tha tak pu a, i enkawlna ruahmannaah inpek hi a ni.

Occupational therapist chuan i kut nghawng nei lo hmanga nitin hna (ei leh in sil ang chi) tih zir turin a pui thei che a ni.

I ke, i kutphah, i kutphah leh i kut zungtang te a khauh loh nan leh i taksa ruh (muscle atrophy) a awm loh nan physical therapy i chhunzawm zel a ngai bawk ang.

I kut leh/ emaw i kutphah hnathawh chu hliam hmaa a awm dan angin a lo kir leh kim lo a nih chuan, i nunah (hnathawh, nitin hnathawh) a tul anga inthlak danglamna siam turin rilru chakna tha leh insiamrem theihna neih a pawimawh hle bawk.

Eng thil nge he thil hi a thlen theihna tipung?

He brachial plexus disorder vei theihna tipungtu thil engemaw zat a awm a:

• Infiamna thenkhat khelh, a bik takin contact sports (e.g. football, rugby, wrestling) khelh.
• Reckless driving leh speeding hmanga lirthei khalh.

Sports khelh leh lirthei khalh lai hian himna lam fimkhur fo la , hetiang ang accident hi pumpelh tum ang che.

Nausen piang tharte he natna vei theihna tipungtu (Neonatal Brachial Plexus Palsy - NBPP):

• Breech hmanga pek chhuah a ni.
• Nu thau lutuk.
• Naute pangngai aia lian zawk nih.
• Naute lu a chhuah hnua a kekawrte lakchhuah harsat (Shoulder Dystocia).

Nakinah eng nge thleng dawn? (Prognosis) tih a ni.

He hliam hnua i prognosis (or prognosis) hi thil engemaw zatah a innghat a ni:

• Nerve chhiatna chi leh a nasat dan (`(Avulsion)`, tear, pull).
• Nerve chhia tih hi eng nge i sawi tum?
• Hliam dang i nei em?
• Hliam i tuar hnuah engtiang chiahin nge i enkawlna.
• Physics therapy leh recovery treatment dangte i tih hi eng ang taka nge.

Avulsion leh rupture-ah chuan, surgery hmanga a hun taka nerve inzawm leh a nih loh chuan taksa ruh hnathawh leh hnathawh leh theihna a awm lo tlangpui

Nerve stretch (neuropraxia) hliam tuar tam zawk chuan operation tel lovin an nerve function 90% - 100% an nei leh thin .

Hetiang natna vei nausen piang tam zawk hi thla 3-4 chhungin an dam vek thin . Hemi hun chhunga naute dam leh lote tan hmalam hun a tha vak lo. Chutiang hunah chuan nerve avulsion an nei tawh mai thei.

Engtikah nge Doctor ka hmuh ang?

Brachial plexus hliam i neih tawh chuan i dam chhung zawnga i nerve dam leh hnathawh dan enfiah turin i medical team te nen inhmuh fo a ngai dawn a ni.

Tin, rehabilitation plan i neih chuan i physical therapist nen in inhmu fo tur a ni. Heng enkawlnaah hian rah tha ber chhuah theihna turin inpekna nena tel a pawimawh hle.

Nerve te hi a dam theih nan hun a duh thin. Brachial plexus hliam hnuah, a bik takin operation hnuah, dam hun chhung hi a rei fo thin. Taksa chakna neih leh theihna tura rehabilitation program siam tur chuan inpekna nasa tak a ngai a ni. Hei hi a harsa deuh thei a, mahse, rilru ṭha tak pu reng a pawimawh . I thiante leh chhungte hnenah tanpuina dil rawh. I doctor te pawhin tanpui turin an inpeih reng a, enkawlna tur ruahmanna tha ber pe turin an inpeih reng bawk.

A tawp berah chuan hei hi hre reng ang che.

Chuvangin, vawiin a kan sawi tawh brachial plexus disorder hi kan kut leh kut hnathawh tichhe thei khawpa natna khirh tak a ni.

• Hei hi accident, tumor, inflammatory conditions, leh nau piangsual vang a ni ber .
• I kut a natna, chak lohna, natna, emaw, thunun theih lohna ang chi symptoms i neih chuan doctor i pan ngei tur a ni .
• Enkawlna a awm a, mahse dam lehna tur chuan hun leh inpekna tam tak a ngai a ni . He zinkawngah hian physiotherapy hi i thian tha ber a ni.
• A chhan thenkhat (a bik takin accident) hi ven theih a ni. Hriselna lam ngaihtuah reng ang che.
• Nausen piang thar kut a che lo a nih chuan Doctor hnenah hrilh nghal tur a ni.

He thu hi in tan a tangkai ngei ka beisei. Hetiang thil hi i tawng tawh a nih chuan lungngai suh. Damdawi lam thurawn leh enkawlna dik tak i neih chuan nang pawhin he natna hi i hneh thei a ni.

` Brachial Plexus, Brachial Plexus Injury, Nerve Disorders, Kut a bengchheng, Kut hloh, Nerve Injury, NBPP