Cauda Equina Syndrome hi i hre tawh em? Kan sawi dawn nia!

Oh my, a chang chuan hnungzang na kan nei thin, a dik em? Mahse hnungzang na thenkhat chu khelh nan a tha lo. Vawiin hian kan sawi dawn a, kan dinhmun hi a na deuh a, mahse hriat a pawimawh hle. Hei hi Cauda Equina Syndrome an ti a. Hei hi a takah chuan kan ruh hnuai lam nerve compression avanga emergency condition a ni.

Cauda Equina Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, Cauda Equina Syndrome hi kan ruhro bul hnaia nerve zung pawl pakhatin a inzawm khawmna a ni. Heng nerve zungte hi sakawr hmui ang maia lang a ni a, chuvang chuan ‘cauda equina’ tih hming hi Latin tawng atanga ‘sakawr hmul’ tih atanga lo chhuak a ni. Ngaihtuah teh, heng nerve te hi kan kea incheina leh hriatna tichaktu te, kan zun kawng leh kan intestines te hnathawhna atana puitu te hi an ni.

Heng nerve te hi kan in leh dawr chakna petu power line ang chiah a ni. Heng nerve te hian kan taksa pum puiah electric signal an thawn a, an dawng bawk. Thlipui lian takin a nuai thut a, thing hlui hnah pakhat a tla a, power line a rawn deng a nih chuan eng nge thleng ang tih han ngaihtuah teh? A tikehsawm ang a, chu lai hmuna in te chuan power a hloh dawn a ni lawm ni? Chutiang chuan cauda equina nerve chu a tikehsawm ta a ni. Tichuan kan ke, bladder, leh intestines-a kal ‘current’ chu a tawp ta a ni. Power company chuan rang taka lo kal a, thing chu an la chhuak a, line an siam that ang bawkin, hetiang dinhmunah pawh hian doctor-te chuan rang taka an rawn inrawlh a, a chilna chu an paih chhuak a ngai a, chuti lo chuan chhiatna nghet tak a thleng thei a ni.

Hei hi emergency a ni em?

Ni e, a dik tak zet! Cauda equina syndrome hi medical emergency anga ngaih a ni . Nunna atana hlauhawm lo pawh a ni thei a, mahse enkawl ṭhat loh chuan i taksa chu a tichhe vek thei a, paralysis pawh a thlen thei bawk. Chuvangin, heng symptoms te hi i neih chuan doctor pan nghal tur a ni . Surgery hmasak hian natna lan chhuah tam tak a tiziaawm thei a, chhiatna awm reng tur a veng thei bawk.

Hei hi chi hrang hrang a awm em?

Ni e, doctor-te chuan cauda equina syndrome chi hnih lian ber an hmuchhuak a:

1. Incomplete Cauda Equina Syndrome (CES-I): Hei hi zun emaw, zun emaw hmanhmawhthlakna i hloh hun a ni. Phên dangin sawi ila, toilet-a kal ngai angin i inhria lo. Mahse, bladder leh bowel control engemaw zat i la nei thei tho. Hetiang natna hian cauda equina syndrome vei zinga 40% vel a vei a ni.

2. Cauda Equina Syndrome (CES-R) natna chi khat:Hei hi zun leh/ emaw, zun (stool) retention emaw, incontinence emaw i neih lai a ni. Hei hian i zun theih loh emaw, zun chhuah kha i chawlhsan thei lo emaw tihna a ni. Hei hian mi 60% vel a nghawng a, a na ber a ni.

Hei hi engtiang chiahin nge a hluar?

Hetiang dinhmun hi a tam vak lo. Mithiamte chuan khawvel i en chuan kum khatah mi 30,000 zinga pakhat emaw, mi 100,000 zinga pakhat emaw vel a nghawng niin an sawi. Tin, spinal disc herniation zawng zawng zinga 3% vel chu cauda equina syndrome a ni tih an chhut bawk.

Heng chhinchhiahna hlauhawm tak takte hi engte nge ni?

Okay, tunah chuan cauda equina syndrome symptoms hi eng nge ni tih kan en ang. Chung zinga pakhat emaw a aia tam emaw i neih chuan damdawi inah i kal nghal a ngai ngei ang .

• Hnunglam leh/ emaw ke hnuai lam natna nasa tak (sciatica ang chi). A lo thleng nghal mai thei a, tuar theih loh a ni thei bawk.
• Ke ruh chak lohna. Ding emaw, kal emaw chu i harsat mai thei a, i ke pahnih chu a hrual ang maiin i inhria thei bawk.
• Ke hnunglam, hnute, hip area, leh inner thighs (saddle area)-a rilru hahna, kang, emaw tingling (paresthesia) ang chi hriatna danglam tak. Ke chu muthilh ang maiin a lang thei a, a hring vek thei bawk.
• Urinary leh/ emaw fecal incontinence a awm thei. I hriat lohvin zun emaw, bawlhhlawh emaw i leak thei.
• Zun chhuah harsa (urinary retention). Zun i duh viau nachungin i zun theih loh mai thei, a nih loh leh zawi zawiin i zun thei chauh a ni thei.
• Mipat hmeichhiatna lama inthlak danglamna rapthlak tak.

Heng symptoms te hi i hriat chian chuan Doctor pan nghal vat la, tihkhawtlai lohvin i hmu nghal ang. A chhan chu a hmaa enkawl hi a rah chhuah pawi tak laka invenna tha ber a ni.

Hetiang dinhmun nen hian i kal thei ang em?

Hei hi chiang taka sawi a harsa a, eng symptom nge i neih tih a innghat a ni. Mi thenkhat chuan he natna nen hian kal harsatna an nei lo mai thei. Mahse mi dangte tân, a bîk takin chak lohna nasa tak emaw, ke ruh tliak emaw an neih chuan kea kal chu thil harsa tak a ni thei. Chuvang chuan symptoms i neih tan veleh doctor pan nghal a pawimawh.

Eng thilin nge hei hi a thlen?

Cauda equina syndrome awm chhan ber chu ka sawi tawh ang khan kan ruhro hnuai ber (L1 to L5 vertebrae)-a awm cauda equina nerve zungte hi thil engemaw takin a compress vang a ni.

Hei hi a chhan ber chu herniated lumbar disk a ni . Heng jelly ang chi disc te hian vertebrae inkarah cushion angin hna an thawk thin. Disc a bulge chhuah chuan nerve roots a press thei a ni.

Chu bakah chuan heng nerve zungte hi an compress chhan dang engemaw zat a awm thei bawk:

• Infection: Entirnan, epidural abscess, discitis, leh meningitis te hi a ni.
• Lower back hliam a awm.
• Lumbar spinal stenosis: Hei hi ruhro chhunga nerve awmte kalna kawng (pasageway) tihtlem a ni.
• Postoperative lumbar spine surgery avanga harsatna awm thei.
• Thisen chu ruh vel (Spinal epidural hematoma) vel a awm.
• Spinal hemorrhages a awm thin.
• Spinal lesions emaw tumor emaw a awm thei.

Enkawl loh chuan eng harsatna nge awm thei?

He natna hi enkawl tha a nih loh chuan, emaw, enkawlna tihkhawtlai a nih chuan, chu nerve te chu a tichhe vek thei a ni. Chutiang a nih chuan harsatna lian tak tak, dam chhung zawnga harsatna a awm thei a, chungte chu:

• Mipat hmeichhiatna lama harsatna nei.
• Bladder emaw bowel control emaw hloh vek.
• Ke ruh a paralysis.

Chuvangin natna lan chhuah dan i hriat veleh damdawi lam thurawn lak a pawimawh zia kan sawi fo thin. Second khat pawh tikhawtlai suh!

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor chuan cauda equina syndrome chu taksa enfiahna, thluak enfiahna leh test thenkhat tih hmangin a hmuchhuak ang. Doctor chuan i medical history a zawt ang a, a hnuaia mite hi i tih theih leh theih loh a enfiah ang:

• Ding chhuak rawh.
• thu rawh
• Heels ha chungin kal rawh
• Tiptoes hmangin kal rawh
• Hmalam pan rawh.
• Hnunglam hawi rawh.
• A sir lamah chuan bend rawh
• I ke kha han phar la, han chawi sang rawh.

He thu hian i doctor chu i taksa dinhmun nghet, hriatna, chakna, reflexes, spinal alignment, leh range of motion te hriatna tha tak a neih theih nan a pui thei a ni. A châng chuan i doctor chuan i anal muscles dinhmun enfiah nân rectal exam pawh a ti thei a, heng nerve te hian chu hmun chu a nghawng bawk a ni.

Eng ang test nge i tih thin?

I doctor chuan i ruh, nerve roots leh spinal cord te en turin heng ang imaging test hi a ti thei ang:

• Magnetic Resonance Imaging (MRI): Hei hi he natna hriat theihna atana test tha ber a ni. Nerve leh soft tissue te chiang takin a lang.
• Computed Tomography (CT scan) hmanga tihchhuah a ni:MRI rang taka tih theih a nih loh chuan hei pawh hi hman a ni.
• Myelogram: Hei hi ruhro tuiah dye bik inject a, X-ray emaw CT scan emaw lak a ni. Nerve compression awmna hmunte chu chiang takin a lang thei.

Hei hi engtin nge i classified?

I doctor chuan i cauda equina syndrome chu acute emaw chronic emaw tiin a classified thei. He classification hian eng ang enkawlna nge i mamawh tih a hril ang.

• Acute cauda equina syndrome: A natna lan chhuah dan hi a intan nghal a, a zual nghal vat thin. I natna lan chhuah tirh atanga darkar 24 atanga darkar 48 chhungin operation i mamawh ngei ang.
• Chronic cauda equina syndrome: I natna lan chhuah dan hi a awm rei tawh hle. Enkawlna i zawn hmain hun rei tak chhung chu symptoms i nei tawh mai thei a, a nih loh leh symptoms avang hian nerve chhiatna nghet tak i nei thei bawk.

Enkawlnate chu engte nge ni?

Cauda equina syndrome natna lan chhuah nghal (acute) a awm chuan emergency surgery neih a ngai a ni . Surgeon chuan nerve zung pinched chu a normal leh theih nan a chhuah tir thin. He surgery hi lumbar laminectomy an ti a . A awlsam zawngin, pinched nerve (sliped disc ang chi) chhan chu a paih chhuak thin.

Operation hnuah doctor chuan hetiang hi a rawt thei ang:

• I zun leh ril control tihchangtlun nan damdawi ei thin ang che.
• I bladder empty turin tube i chhungah dah la (self-catheterization).
• Operation hnua chakna neih leh theih nan physical therapy exercise-ah te tel thin ang che.
• Nitin hnathawhna atana pui turin occupational therapy services la rawh.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Mi zawng zawng hi rate hrang hrangin kan dam leh vek. Operation hnu ni engemaw zat chhungin i hnute leh ke chu i hre leh thei. Amaherawhchu, i taksa a dam leh hma loh chuan thawhrimna nasa tak i pumpelh tur a ni a, kea kal pawh fimkhur taka tih tur a ni. Operation hnua i bladder leh bowels control leh theih nan kar tam tak, thla tam tak, kum tam tak pawh a ngai thei. I doctor chuan i beisei tur leh i dam lehna tur kawng zawh tur chu eng nge ni tih a hrilhfiah ang che. I enkawl danah dawhtheih a pawimawh.

Hei hi ven theih a ni em?

Cauda equina syndrome thlentu zawng zawng hi ven theih a ni lo. A chang chuan, accident leh cancer ang chi hi kan thunun thei lo. Mahse, disc slip i neih theihna tur thil i tih theih a awm a, chu chu a chhan ber a ni. Tips thenkhat chu hetiang hi a ni:

• Kekawr kekawr sang tak bun fo loh tur. Heng pheikhawk chi hrang hrangte hian i ruhro awmna dik tak chu a thlak danglam thei a ni.
• Zuk leh hmuam thil (cigarette ang chi) hman tawh loh tur. Hengte hian i vertebrae inkar disc te chu a tichak lo thei a ni.
• I taksa ruhte tichak rawh. I hnungzang leh pum ruh (core muscles) tichak thei exercise chungchang doctor zawt rawh.
• Weight i chawi dawnin uluk takin chawi thin ang che. Thil rit tak i chawi a ngai a nih chuan i khup kha ben la, i hnungzang chu dinglam hawiin dah la, i kawrfual chu ben ai chuan.
• Posture tha tak practice rawh. Posture tha tak neih hian ruhro (spine) a pressure a tihziaawm thei.
• Fan. I taksa chu a chang chuan han hrual la, a bik takin hun rei tak i thut hian.

Hei hian dam rei zawngah nghawng a nei em?

Cauda equina syndrome hian i dam chhung hi direct-in a nghawng lo. Chu chu a that thuai dawn lo che tihna a ni. Mahse, a natna lan chhuah dan leh harsatna awm thei te hian i nunphungah nghawng lian tak a nei thei a ni. Chuvang chuan natna lan chhuah dan i hriat veleh enkawl vat a pawimawh.

Engtin nge a hmalam hun chu?

Surgery hian i nerve roots-a pressure awm chu a tiziaawm thei a ni. Enkawlna i hmuh hma chuan nerve chhiatna nghet tak i veng thei a ni. Vanduaithlak takin surgeon-te chuan nerve chhiatna a thlen tawh chuan an reverse thei lo. Operation hnuah i doctor chuan surgery kal dan tur a enfiah ang che a, i treatment plan-a i hmalakna tur dang chu eng nge ni tih a hrilh ang che. Eng pawh ni se, natna kal zel, bladder/bowel control hloh, emaw, taksa ruh chak lohna emaw enkawl turin hun rei tak chhung rehabilitation i mamawh ngei ang.

Incontinence, sexual dysfunction, emaw cauda equina syndrome nena inzawm harsatna dang neia nun hi thil awlsam a ni lo. Hetih hun chhung hian i lungkham a, i lungngai a, i lungkham thei bawk. Sikul hnathawh te, hnathawhna te, leh ṭhiante leh chhûngte nêna inlaichînna te a nghawng thei bawk. I medical team chuan i nitin nunphung tihdanglamna leh he dinhmun hi insiamrem turin an pui thei che a ni. Mental health counselor hmuh emaw, support group-a tel emaw pawh i duh thei a, chutiang bawka thil tawn tawh midangte nena inzawmna siam i duh thei bawk. Nangmah chauh i ni lo tih hre reng ang che.

Engtikah nge doctor i hmuh ang?

Heng cauda equina syndrome symptoms te hi i neih chuan hospital emergency department ah i kal nghal tur a ni :

• I hnungzang hnuai lam natna nasa tak (rang takin emaw, a awm reng emaw).
• Zun emaw, zun chhuah emaw control harsa emaw, tih loh emaw.
• Kal harsa, ke ruh chak lohna.
• Kawngkhar chunglam, hnute emaw, mipat hmeichhiatna hmuna rilru hahna emaw, thil danglam tak tak emaw a awm.

A rang thei ang bera enkawlna dawn hian hun rei tak chhunga harsatna i tawh theihna tur a ti tlem thei a ni.

I doctor zawh tur zawhna

I doctor hnenah hetiang zawhna hi zawt hreh suh:

• Eng ang cauda equina syndrome nge ka neih?
• Acute nge chronic?
• Engtiang chiahin nge operation ka mamawh ang?
• Eng chen nge surgery hi a la ngai ang?
• Operation hnuah eng chen nge damdawi inah ka awm a ngai dawn?
• Herniated disk ka nei em? Nge thil dang a ni em?
• Operation hnuah ka dam lehna tur chu eng ang nge ni ang?

Cauda equina syndrome symptom i neih chuan emergency room-ah kal hreh suh. Hlauhawm tak ni thei mahse, enkawlna i hmuh hma poh leh i taksaah chhiatna nghet tak (bladder/bowel control hloh, paralysis ang chi) i tawk tlem zawk thin.

A tawp berah chuan hriat reng tur pawimawh ber berte

Okay, chuvangin Cauda Equina Syndrome hi natna khirh tak a ni a, mahse a tam zawk chu enkawl vat chuan control theih a ni .

• Symptoms ngaihven rawh: A bik takin ke ruh natna, chak lohna, emaw, hnungzang natna bakah bladder/bowel control inthlak danglam i neih chuan ngaihthah suh.
• Hei hi emergency a ni tih hrethiam rawh: Hei hi medical emergency a ni. Enkawlna tihkhawtlai hian nerve chhiatna nasa zawk a thlen thei.
• Doctor hmu vat rawh: Natna lan chhuah dan i hriat veleh damdawi inah a rang thei ang bera kal thin ang che.
• Enkawl hnua dam leh hun: Operation hnuah pawh a dam kim theih nan thla tam tak, kum tam tak pawh a ngai thei. Hemi chhung hian i bladder chu kut hmanga tihthianghlim ang chi thil i tih a ngai mai thei. Doctor nen zun leh ek chhuah chungchang sawipui zak suh. I medical team chuan i nitin nun insiamrem leh enkawl danah a pui ang che.
• Rilru hriselna pawh a pawimawh: Hetiang dinhmun nena kan khawsak hian rilru hriselna hi taksa hriselna ang bawkin a pawimawh a ni. A tul chuan mental health counselor hnen atangin thurawn la la, a nih loh leh support group-ah tel ve rawh.

He thu hi i tangkaipui ngei kan beisei. Hrisel takin awm rawh!

Cauda Equina Syndrome, Hnung na, Nerve compression, Ke ruh, Zun control, Emergency surgery te a awm