Hetianga cervical spinal cord chhiatna hi i hria em? (Central Cord Syndrome - CCS) Hemi chungchang hi han sawi ila!

I rilru a buai nghal mai ngai em? Tlu tenau emaw, a kawr na tak hnua a thleng emaw pawh a ni thei. Vawiin hian kan sawi dawn a, chutiang bawka chhinchhiahna awm thei dinhmun kan sawi dawn a, a bik takin kan kawr chhunga ruhro (spinal cord) lai tak a chhiat avanga lo awm a nih chuan Doctor te chuan hei hi Central Cord Syndrome emaw CCS emaw an ti thin. Lungngai suh, awlsam takin han sawifiah teh ang.

Central Cord Syndrome hi eng nge ni tak tak?

A awlsam zawngin, `CCS` chu i kawr chhunga `cervical spinal cord`, i ruhro kal tlanga nerve cord lian ber, a lai takah chhiatna a ni . Ngaihtuah teh, spinal cord hian thluak atang hian kan taksa pum puiah thuchah a keng tel thin. Chuvangin he middle part hi a chhiat chuan chu messages flow chu a tibuai thin.

Hemiah hian kut lama kal nerve te hi a nghawng nasa ber a ni. Chuvang chuan kut ah chaklohna leh riltamna a awm thei a ni. A châng chuan, he nghawng hian ke pawh a nghawng nasa emaw a tlem emaw thei bawk. Mahse a tam zawkah chuan kut hi a tuar nasa ber a ni.

Hei hi incomplete spinal cord injury an ti bawk . Hei hian he natna vei zawng zawng hi an paralyze vek lo tihna a ni. Chumi awmzia chu ke leh ke zawng zawng hi a paralyze vek lo tihna a ni. Function level engemaw zat chu a la awm thei.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Hetiang dinhmun `CCS` an tih hi a kawr chhunga accident nghal vang a ni fo thin . Ngaihtuah teh, i kawr chhunga ruh te te `(vertebrae)` te a chhiat chuan , chu chuan spinal cord ah pressure nasa lutuk a siam thei a, `CCS` a thlen thei bawk.

Hetiang hlauhawmna hi kum 50 chunglam, kawr chhunga ruh natna vei te tan a sang hle a ni . Hei hi a chhan chu an kawngah spinal canal a narrowing (spinal stenosis) an nei thei a ni. Chutiang mite chuan tlu tenau a\ang pawhin an kawng a tichhe nasa zawk.

Ngaihtuah teh, kan khuaa putar pakhat, a kawng na (arthritis) tlem a nei rei tawh pawh a ni mai thei. Ni khat chu huana a kal laiin a tlu a, a tlu a, a kawr chu a na deuh a nih chuan he ``Central Cord Syndrome`` an tih hi a lo awm thei a ni.

Chu bâkah, a tlem hle a, CCS hi ruhro (spinal cord) lai takah tumor, thisen kalna kawng dik lo, emaw, ruhro (syringomyelia)-a tuiin a khat (syringomyelia) emaw avanga lo awm a ni thei bawk.

Acute Central Cord Syndrome hi eng nge ni?

Acute CCS hi CCS lo awm nghal, rang taka lo awm a ni. Hei hi hyperextension injury vang a ni fo a, chutah chuan i kawr chu hnunglam hawiin a ben nghal vek a ni.Car-a brake i tih nghal a, i kawr hnunglam hawia i paih ang bawkin, ``whiplash`` accident hian spinal cord lai tak a tichhia thei a ni.

• Car accident a awm thin
• Tlu (sang tak atanga tla, tlu) .

He `Acute CCS` dinhmun hi accident avanga lo awm thei a ni a, chu chu. Sawi tawh ang khan, a tlem berah, accident awm lo pawhin, tumor, thisen kalna lama harsatna, emaw, ruhro lai takah cavities emaw a awm thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan he `CCS` hi ruhro hliam kim lo chi khat a ni a, United States ang ramah pawh a awm fo thin . Kum tin spinal cord hliam nei thar tam tak an awm thin. Sri Lanka-ah pawh hetiang chetsualna avanga damdawi inah dah an awm bawk.

Central Cord Syndrome (CCS) vei hian eng nge i chungah thleng?

`CCS` condition ah chuan i thluak leh hliam na hmun hnuaia i taksa peng hrang hrangte inkara nerve message te chu a block thin . A awlsam zawngin, i thluak atanga thuchah ``i kut vawrh rawh'' leh ``i ke kha han chawi rawh'' tih ang chi te hi hmun dik takah a thleng lo.

Hei hian a bik takin i che vel control tu nervous system part, ``cortical spinal tract.'' Kan spinal cord hnuai lama kal nervous system hi a inrual hle a ni. Kut lam nerve te hi ruhro chhungah a awm a, ke lam nerve te chu pawn lamah a awm bawk. Chuvangin, ruhro (spinal cord) lai tak a chhiat chuan ke lam nerve aiin kut lam nerve te chu a chhe zawk a ni .

Chuvangin,

• Chak lohna, kut a bengchheng
• Numbness a awm
• Kea kal pawh harsatna i nei thei bawk.

Hei hian eng harsatna nge a thlen theih?

Mi thenkhat chuan CCS vei hian harsatna dang an tawk thei a, chung zingah chuan:

• Bladder problems : Zun control theih lohna emaw, zun chhuah theih lohna emaw.
• Bowel problems : Bowel movement control theih lohna.
• An thisen zam : a bik takin keah thisen zam.
• Thâwk lama harsatna : Kawr chunglam a chhiat chuan.
• Thisen sang hniam .
• Numbness leh chak lohna : Hei hi a key symptom a ni.
• Muscle spasticity: Ke ruhte chu a nghet a, ben emaw, dinglam emaw a harsa thin .
• Sudden high blood pressure (autonomic dysreflexia) : Hei hi natna hlauhawm tak a ni a, damdawi lam pan vat a ngai a ni.

Eng thilin nge hei hi a thlen?

CCS thlentu ber chu cervical spinal canal stenosis vei mi pakhat kawr a tihzauh thut (sudden hyperextension) a ni.Hei vang hian accident a lo thleng thin. Entirnan, tar pakhat chu a hmai hnuai lam a tlu a, an kawr a inthlak leh chuan hetiang hun lai hian hetiang hi a thleng thei a ni.

Eng nge a lan chhuah dan?

CCS-ah chuan thluak leh ruhro inkar nerve signal te chu a block a, chu chuan symptom hrang hrang a thlen thin. Hetiang dinhmun hriat theihna ber chu kut leh kut lama nerve signal awm lohna hi a ni .

Nerve signal block vangin kut leh kut ah hian symptoms a awm tlangpui a, mahse a chang chuan ke pawh a nghawng thei bawk. Hetiang hi i tawng thei a ni:

• Aching pain : kut ah, a chang chuan ke ah.
• Kang : Mi thenkhat chuan kang duhin an hria.
• Tingling : Hun engemaw chen chu electric shock ang maiin a awm a, chutiang chu a ni.
• Kut hmanga chetna tenau siam theih lohna (fine motor skills) : Entirnan, kawr button, pen chelh emaw, cup chelh emaw a harsa thei.
• I kut emaw i kut emaw ah a rilru a buai .
• Paralysis emaw chak lohna emaw .
• Muscle spasticity a awm a .
• Kal harsat .

Heng symptoms te hi i dinhmun emaw, hliam nasat dan emaw a innghat a ni. Mi thenkhat chuan hliam na hmun hnuaiah an hriatna an hloh thei a, zun insum theih lohna an nei thei bawk. Mi dangte chu kea kal thei lo tak tak emaw, kal dan lama harsatna nei emaw pawh an ni thei.

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

Heng natna lan chhuahna nei doctor i hmuh chuan taksa enfiahna a nei hmasa ang . I medical history leh accident i neih tawh zawng zawng pawh a zawt bawk ang.

Tichuan, doctor-te chuan CCS hi a dik tih finfiah nan special test engemaw zat an nei a. Chungte chu:

• CT scan : Hei hi kawr ruhte a chhiat leh awm loh leh ruhro (spinal canal) a zim em tih hriat nan hman theih a ni.
• Electromyogram (EMG) : Hei hian nerve kal tlanga message kal dan leh taksa ruhte hnathawh dan a teh a ni.
• MRI Scan : Hei hi ruhro chhiatna, lump, cyst, leh cavities te chiang taka hmuh theihna kawng tha ber a ni.
• X-ray : Hei hmang hian kawr ruh awmna hmun leh a ruh tliak te pawh a hriat theih bawk.

Chu bâkah, doctor-te chuan i kawr chu eng chen nge i sawn theih tih hriat nân i kawr chu flex leh extend tûrin test an ti thei bawk.

Enkawlnate chu engte nge ni?

CCS enkawl dan chu accident thlen chhan leh a chhiatna chi hrang hrangah a innghat a ni. Surgery ni lo leh surgical treatment pawh a awm vek.

Nonsurgical hmanga enkawlna te

Enkawlna hmasa ber enchhin tur chu:

• Immobilization : Hei hian i kawngah rigid collar dah a huam thei. I kut chu a awmna tur dik takah a awm theih nan splints pek i ni thei bawk.
• Damdawi : Natna leh hliam tihziaawmna turin steroid ang chi damdawi pek theih a ni.
• Occupational therapy : Hei hi a pawimawh hle. Hemi kawngah hian specialist-te chuan he natna nen hian nitin hnathawhna kawngah an pui che a ni. Entirnan, nerve pinched avanga kawr hak harsa i tih chuan tih dan awlsam tak tak an zirtir ang che, a nih loh leh i hman theih tur adaptive device chungchang an zirtir ang che. I nun pangngaia awm leh turin an pui ang che.
• Physical therapy : Hei hian i taksa peng hrang hrangte chakna leh inthlak danglam theihna tihpun nan exercise i tih a ni. Harsatna i neih chuan kalna tura puitu tur hmanrua pek i ni thei bawk.

Heng enkawlnate hi an tan hma poh leh dam theihna chance a sang zawk tih hre reng ang che.

Surgery ka mamawh dawn em?

A \henah chuan zai a ngai mai thei. Chung zingah chuan:

• ``compressed spinal cord`` i neih chuan, chu chu spinal cord-ah pressure a awm chuan chhuah tir rawh.
• I cervical spine chu a che dik lo emaw, a rit phur thei lo emaw (a nghet lo) a nih chuan .
• Tumor, thisen kalna kawng dik lo, emaw, ruhro (spinal cord)-a cavity (cavitation) a awm chuan.

Medical team chuan operation i mamawh leh mamawh loh chu an rel ang.

Eng chen nge a dam leh theih ang? (Lakletlehna)

Accident hnua enkawl rang tak takte chuan nerve function engemaw chen an nei leh thei zawk. Mahse, kum 65 chunglam tan chuan damna a slow thei a , a famkim lo thei bawk. Mi tin a inang lo.

Engtin nge he hlauhawmna hi tihziaawm theih ang? (Invenna) 1.1.

Lu hliam hnua lo awm nghal mai, acute CCS venna tur kawng chiang tak a awm lo. Mahse, i ruhro hliam laka venhimna tur thil i tih theih a awm a:

Acute Central Cord Syndrome (Acute CCS) vei theihna tihtlem nan:

• To reduce the risk of falls , i in chhunga hmun hnim leh hlauhawm tak takte chu hmuchhuak la, chuta tang chuan inveng rawh.
• Ladder-a hnathawh hunah leh hmun sang taka hnathawh hunah himna chungchangah fimkhur hle ang che .
• Contact sports leh taksa tihchaknaah invenna hmanrua (e.g. helmet) vuah thin ang che .

Cervical Spinal Stenosis tih loh nan:

Kum upat rualin hetiang hi a thleng thei a, mahse kan ruhro hi uluk taka enkawl a pawimawh:

• Exercise tih fo thin ang che .
• I thut dan leh i mut danah fimkhur rawh . Posture dik lo takah awm reng suh.
• Thil rit i chawi dawna i hnungzang ven nan dik takin chawi rawh.
• Posture hrisel tak vawng reng rawh .

Engtikah nge Doctor ka hmuh ang?

Hliam na tak i tuar emaw, accident i tawk tawh emaw a nih chuan damdawi lam thurawn zawng nghal rawh . Bik takin,

• I kut emaw, i ke emaw chet harsa a nih chuan, .
• I rilru hah emaw, chak lohna emaw i neih chuan, .

Damdawi inah kal nghal rawh, a chhan chu hetiang dinhmunah hian enkawl vat a pawimawh hle.

Central Cord Syndrome (CCS) ka neih chuan eng nge ka beisei theih ang? (Prognosis) tih a ni.

CCS vei tam zawk chuan nerve function level engemaw zat an nei leh thin. CCS hian i ke leh i zun kawng a nghawng a nih chuan chutiang hmunah chuan hmasawnna i hmu hmasa mai thei. Mahse, i kutah nerve signal a awm dan pangngaia a lo awm leh theih nan hun rei vak lo a la ngai thei .

CCS hi damdawi a la awm lo a, mi hrang hrangah result a inang lo. Mi ṭhenkhat chuan an kut, kut, leh ke-te chu an thawk ṭha leh vek tawh mai a, mahse ṭhenkhat chuan an dam chhung zawng kut chetna ṭha tak tak tih chu an harsat phah thei a ni.

Recovery time hi mi zawng zawng tan a inang lo. I kum leh i hliam emaw i dinhmun emaw nasat danah a innghat . A tlangpuiin kum 50 chunglamte chu naupang zawkte aiin an dam rei zawk.

Engtin nge ka in enkawl ang? (Mahni inenkawlna) .

CCS i neih chuan i doctor nen inbia la, i beisei tur leh i hmachhawn dan tur hriat belh rawh. As mentioned earlier , occupational therapy leh physical therapy hian chak taka awm theihna tur leh nitin hnathawh harsa tak takte hmachhawn dan tur ruahmanna siam turin a pui thei che a ni.

A pawimawh ber chu chak taka awm a, damdawi lam thurawn zawm a, rehabilitation programme-a tel kim vek hi a ni.

Take-Home Thuchah a ni

Central cord syndrome (CCS) hi i kawr (cervical spine)-a ruhro (spinal cord) a chhiat avanga lo awm a ni. Hei hian i taksa peng hrang hrang, a bik takin i kut thlenga kal nerve message te a nghawng a ni. Doctor-te chuan nonsurgical treatment leh surgery hmangin i kut, kut leh ke-a sensation leh function siam thatna tur a pui thei a ni. A hmaa hriatchhuah leh enkawl hian i dam theihna a tipung a ni. Chuvangin, i kawr hliam hnua i ke leh ke ruh tliak emaw, chak lohna emaw i neih chuan damdawi lam pan vat rawh.

` Central Cord Syndrome, CCS, Spinal Cord, Kawng lam natna, Numbness, Neurological Disorders, Spine, Numbness, Whiplash