Back pain hian bladder leh bowel control a hloh thin em? He dinhmun hlauhawm tak (Cauda Equina Syndrome) hi i hrechiang ang u

I hnungzang natna i nei fo em? I ke hnuaiah pawh tingling sensation i nei mai thei. Mahse han ngaihtuah teh, he hnungzang natna nen hian zun emaw, ek chhuah emaw i harsat nghal a, a nih loh leh i thunun thei lo em ni? Hei hi i ngaihthah mai mai theih thil a ni tak tak lo. Hei hi natna khirh tak, emergency medical condition, emergency surgery ngai a ni thei. Hei hi vawiina kan sawi tum chu a ni.

Cauda Equina Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, hei hi a awm lo hle a, mahse a na hle. Kan ruhro hnuai lam, a nih loh leh kan ruhro hnuaiah hian nerve zung bundle a awm a. He nerve bundle hi sakawr hmui ang maia siam a nih avangin Latin tawngin "Cauda Equina" an ti a. Heng nerve te hian kan ke, ke leh pelvic organ-a taksa peng hrang hrangah thuchah an thawn a, an dawng bawk.

Cauda Equina Syndrome (CES) hi eng emaw chhan vanga he nerve bundle hi compress a nih chuan a lo awm thin. Hei hi surgical emergency anga ngaih a ni . Enkawlna a tlai chuan nerve chhiatna chu a let leh thei lo mai thei. Hei hian ke pahnih chu a ti paralyzed vek thei tihna a ni , bladder leh bowel control pawh a bo vek theihna a awm bawk.

Hetiang dinhmun hi a lo awm nghal thei (acute) emaw, hun kal zelah (chronic) a lo awm thei bawk. Amaherawhchu, natna lan chhuah veleh Doctor pan vat a pawimawh.

Cauda Equina Syndrome hi engte nge ni?

Hetiang dinhmun hi puitlingah awm tam ber mah se, naupang piansualna nei emaw, an ruhro hliam na tak tuar emaw pawh a awm thei bawk. A chhan ber chu:

• A hnungzang hnuai lam a herniated disc, nerve pakhat press a awm hi a chhan ber a ni.
• Spinal stenosis a awm thin .
• Spine-a tumor emaw cancer emaw a awm.
• Infection, hliam, thisen chhuah, emaw ruhro ruh tliak te.
• Accident na tak atanga ruhro hliam (e.g., car accident, sang atanga tlu, silai kah hliam).
• Nau piangsual, entirnan, arteriovenous malformation (AVM) te.
• Back surgery hnua complication awm thin.
• Spinal anesthesia avanga harsatna awm thei.

Red Flag Hetiang natna lan chhuah dan

Heng symptoms te hi natna dang nen a inang em avangin hriat harsa tak a ni thei. Mahse a hnuaia "Red Flag Symptoms" pakhat emaw a aia tam emaw i neih chuan damdawi in Emergency Department (ETU) ah kal la, doctor pan nghal rawh.

Engtin nge doctor hian hei hi a hmuh theih?

Damdawi in i kal hunah doctor chuan i natna lan chhuah dan chu uluk takin a ngaithla ang. Tichuan i taksa chu a enfiah ang a, a bik takin i kea chakna, reflexes leh sensation te chu a enfiah ang.

Mahse he natna hi chiang taka finfiah tur chuan MRI scan neih a ngai tak zet a ni. MRI hian ruhro leh nerve te chu three-dimensional (3D) in a la thei a ni. Chu chuan nerve compression awmna hmun dik tak chu a finfiah thei ta a ni. MRI awm lohna hmunah chuan X-ray emaw CT scan emaw myelogram an tih pawh tih theih a ni.

Engtin nge enkawl ang? I hmanhmawh a ngai em?

Hetiang dinhmun hi hmuhchhuah a nih chuan enkawlna chu operation tih nghal a , pinched nerve chu chhuah tir a ni. He surgery hi lumbar laminectomy an ti a .

Surgery bakah hian a chhan a zirin enkawlna dang pawh pek theih a ni:

• Swelling tihziaawmna turin steroid (corticosteroids) damdawi dose sang tak pek a ni.
• A chhan chu natna hrik a nih chuan antibiotics pek a ni.
• A chhan chu cancer natna a nih chuan operation hnuah radiation therapy emaw chemotherapy emaw pek theih a ni .

Operation hnuah pawh nerve tihchhiat nasat dan azirin a dam kim lo mai thei. Mahse, bladder leh bowel control ang chi thilte chu a pangngaia a lo kir leh theih nan kum tam tak a ngai thei.

CES nena khawsa - Eng nge i hriat tur?

Operation hnua chhiatna awm reng a awm chuan a danglamna nen nun dan i zir a ngai dawn a ni. He zinkawngah hian taksa leh rilru lama puihna hi i tan a pawimawh hle.

Hemi chungchang hi i chhungte hriattir la, an tanpuina la rawh. Professional hrang hrang hnen atangin tanpuina i dil thei bawk a, chungte chu:

• Taksa lam enkawltu (physical Therapist) a ni
• Occupational Therapist hmanga enkawltu a ni
• Sex Therapist a ni
• Counsellor emaw Psychologist emaw a ni thei

I zun emaw, i bawlhhlawh emaw control-naah harsatna i neih chuan heng thilte hian a pui thei ang:

• Ni khatah vawi thum atanga vawi li vel catheter hmangin i bladder chu empty vek rawh.
• Urinary tract infection laka inven nan tui tam tak in la, fai takin awm rawh.
• A tul chuan glycerin suppositories emaw enemas emaw hmang la, chu chuan stool pass turin a pui ang che.
• Protective pads vuah tur a ni.

Heng zawng zawng hi i doctor nen zalen takin sawiho rawh. I mamawh kaihhruaina a pe ang che.