Cervical spinal cord compression (Cervical Myelopathy) chungchang hi i zir dawn a ni.

Zing lamah a chang chuan i kawr khauh tak leh na takin i lu hawi harsa ti takin i tho thin em? A nih loh leh i kut chu a hrual emaw, chak lo emaw angin i inhria em? A châng chuan heng thilte hi ni khat emaw ni hnih emaw chhung a daih a, chutah chuan a bo mai thei. Mahse heng symptoms te hi a awm reng chuan Cervical Myelopathy an tih natna chhinchhiahna a ni thei. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

Cervical Myelopathy hi eng nge ni?

A awlsam zawngin, Cervical Myelopathy chu i kawr chhunga ruhro (spinal cord) a compress a ni. Tui pipe chu a compress a, tui a luang a chawlhsan ang bawkin kan spinal cord a compress chuan a chhunga nerve message kal tlangte chu a tawp ta a ni. He compression hi chhan hrang hrang avangin a thleng thei a ni. Kawng hliam vang emaw, tumor vang emaw, herniated disk vang emaw pawh a ni thei.

Hei hi a chi khat zawk a awm a, chu chu Cervical Spondylotic Myelopathy . Hei hi kan tar chhoh zel chuan a thleng fo thin. Kan taksa dang ang bawkin, kawr ruh, disc leh ligament te chu zawi zawiin an chak lo va, an inthlak danglam thei tawh lo. Heng inthlak danglamna te hi he dinhmun thlentu a ni. In hlui bang chu tlem a chak lo deuh ang mai a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan hei hi Cervical Spondylotic Myelopathy an tih chu a ni. Khawvel ram thenkhat statistics i en chuan kum tin heng symptoms nei hian mi sang tam tak damdawi inah dah an ni. Hetiang dinhmun hi Sri Lanka-ah pawh a awm lo. Hei hi kum 40-50 chunglam zingah a tam hle.

Hei hi eng symptoms nge ni?

Okay, tunah chuan cervical myelopathy natna hian eng symptom nge i neih theih tih hi han en ila. Hengte hi mi hrang hrangah a inang lo deuh thei a, mahse a lan chhuah dan tlangpui thenkhat a awm a:

• Kawng na emaw, a nghet lo emaw: Hei hi mi tam zawkin an hriat hmasak ber a ni. An kawrfual an ti na mai mai ang mai a ni lo va, natna awm reng, a chang chuan a pung zel bawk.
• Kut leh kut zungtang hrual emaw, tingling emaw: Hriselna ang maiin a lang thei a, a nih loh leh rulhut an rawn inher kual ang maiin a lang thei bawk. Hei hi kut pakhat chauh emaw, kut pahnihah emaw a thleng thei.
• Kut leh kut ruh chak lohna: Tun hmaa thil awlsam tak tak tih chu i harsat phah mai thei. Entîr nân, tui bêl i hawn emaw, thil rit tak i chawi emaw hian i kutah chak lo takin i inhria thei a.
• Kal laiin balance hloh, kal harsa: Leiah i ke pen tha lo ang maiin a awm thei a, a nih loh leh i tlu leh tlu ang maiin i inhria thei bawk. Ṭhenkhat tân chuan an kal dân pawh a danglam thei bawk.
• Fine motor thiamna lama harsatna: 1.1.Chumi awmzia chu, entîr nân, hna tê tê, nalh tak tak, kawr button vuah te, pen hmanga ziak te, cutlery hman te, a nih loh leh kawngkaa chabi dah te hi a harsa ta tihna a ni. I kuta thil awmte chu leiah a tla mai mai ang mai pawh a ni thei.

Engvangin nge hei hian ke pawh a nghawng?

Tunah chuan, 'Kawngah harsatna a awm a nih chuan engvangin nge ke pawh a nghawng?' Hetiang hi a ni. Kan ruhro (spinal cord) hi kan taksa pum puia kal chhuak nervous system-a kawngpui lian ang mai a ni. He kawngpui dungah hian thluak atanga thuchah lo lutte chu kut, ke leh taksa hmun dang zawng zawngah a kal thin. Chuvangin, he kawngpui lian hi a kawngah a jam a nih chuan ke thlenga thuchah tla thla te pawh a tibuai thei bawk. Hmun khata telephone wire a chhe vek ang mai a ni a, line pumpui chu a thawk tawh lo.

Eng thilin nge hei hi a thlen?

Okay, tunah chuan cervical spinal cord compression awm chhan hi han en ila. Hei hi nghawng thei thil thenkhat chu hetiang hi a ni:

• Bone Spurs: Kan tar chhoh zel chuan kan vertebrae-ah ruh spur te te (spines ang chi) a lo awm thei a. Chungte chuan ruh (spinal cord) a compress thei a ni.
• Herniated Disk: Kan vertebrae inkar disc hi jelly ang chi cushion a ni. A chang chuan a bulge chhuak thei a, spinal cord-ah a press thei bawk.
• Congenital narrowing of the spinal canal in the neck (Narrow Cervical Canal): Mi thenkhat chu he canal hi a tawi deuh a, an piang thei bawk. Chutiang a nih chuan, a danglamna tlemte pawh hian awlsam takin compression a thlen thei a ni.
• Rheumatoid Arthritis: Hei hi inflammatory condition a ni bawk a, ruhkawr a tichhe thei bawk. Tin, kawr chhunga ruh (joint) te pawh a nghawng thei a, ruhro (spinal cord) a compress thei bawk.
• Spondylolisthesis: Hei hi vertebra pakhat chu a dang chungah hmalam a pan a ni. Hei hian spinal cord a compress thei bawk.
• Spinal Degeneration: Hei hi a hmaa kan sawi tawh Cervical Spondylotic Myelopathy thlentu ber a ni. Kum upat rualin ruhroah hian inthlak danglamna a awm thin.
• Spinal Stenosis: Chhan hrang hrang avanga ruh kawng (spinal canal) a tawi.
• Traumatic Injury: Hetiang dinhmun hi kawr hliam na tak, car accident emaw, tlu emaw vang pawh a ni thei.
• Tumor: Spinal cord chungah emaw, a bulah emaw tumor lo awm chuan spinal cord a compress thei.

A bik takin Cervical Spondylotic Myelopathy hi kan tar chhoh zel chuan kan kawr chhunga kan ruhro (spine) a pianphung inthlak danglamna avanga lo awm a ni. Hun kal zelah kan in kawngkhar leh tukverh te a chhe zel ang bawkin kan ruhro peng hrang hrangte hnathawh leh insiam dan pawh a inthlak danglam thin. Hei hian spinal cord tan kawng a ti tawi a, pressure a siam a ni. Hei hi tar chakna pianphung a ni.

Hetiang hi tuin nge nei tam zawk?

He natna, Cervical Myelopathy tia koh hi kum eng pawhah a awm thei a, mahse zirchianna thenkhatah chuan kum 30 chunglam, a bik takin Asian hnam chhuak zingah a tam zawk tih hmuhchhuah a ni.

Cervical Spondylotic Myelopathy hian tu pawh a nghawng thei a, mahse mipa leh kum 40 chunglam ah a tam zawk a, kum 64 vel a ni.

Enkawl loh chuan eng nge thleng ang?

He natna hi uluk taka enkawl a nih loh chuan a natna lan chhuah dan chu a zual zawi zawiin a zual thei a ni. Chutiang a nih chuan harsatna hrang hrang:

• Natna nasa tak a ni.
• Bowel leh Bladder Dysfunction: Hei hian ek chhuah harsatna, zun leh control hloh tihna a ni.
• Nerve Damage: Hei hi a awm reng thei.
• Kal harsa: Inthlauhna hloh, tlu fo, leh kea chak lo lutuk.
• Kut zungtang, kut leh kut hman tlem: I kut hmangin hna i thawk thei lo mai thei.
• Paralysis: A nasat chuan taksa peng thenkhat chu a paralyze thei.

Chuvangin hetiang symptoms i neih chuan ngaihthah loh a, damdawi lam thurawn lak nghal a pawimawh hle.

Engtin nge hei hi i hmuh?

Okay, tunah chuan heng symptoms te hi i neih chuan engtin nge doctor hian cervical myelopathy hi a hriat theih ang?

A hmasain doctor chuan i symptoms te a zawt ang che a, medical history a la ang. Tichuan, taksa enfiahna leh thluak lam enfiahna an nei ang. Hemi chhung hian i balance, reflexes leh fine motor skills te an test thei a ni. A theih chuan i kal dan pawh an enfiah thei a, i natna lan chhuah danin a nghawng dan che an hmu thei bawk.

Chu bakah, i ruh chhung lam en turin special imaging test engemaw zat i nei thei bawk. Chung zingah chuan:

• X-ray: Hei hi ruh chhunga inthlak danglamna awm leh awm loh enfiah nan hman theih a ni a, chu chu ruh zung (bone spurs) ang chi hi a ni.
• MRI Scan: Hei hian soft tissue te, spinal cord, discs, leh nerve roots te dinhmun chiang takin a hmu thei a ni. Compression awmna hmun dik tak leh a zau zawng chu i hre thei ang.
• CT scan: Hei hian ruh awm dan chipchiar takin a tarlang thei bawk.
• Myelogram test: 1.1.Hetah hian thil bik pakhat chu ruhro (spinal canal)-ah dahin X-ray emaw CT scan emaw an ti thin. Hei hian spinal cord compression area te chu chiang takin a hmu thei a ni.

A dam kim thei ang em?

Mi tam takin zawhna pakhat chu, a dam kim thei ang em? Dik tak chuan cervical myelopathy thlentu zawng zawng hi damdawi kimchang a la awm lo. Mahse, operation hian natna lan chhuah dan nasa takin a tihziaawm thei a, natna a zual zel tur chu a titawp thei a, harsatna a awm loh nan a veng thei bawk. Amaherawhchu, enkawl hnuah pawh kum upat dan azira inthlak danglamna avang hian nakin lawkah chuan ruhro hmun dang a nghawng thei a ni. Chumi awmzia chu a \hen khat chu siam\hat a nih pawhin a \hen dangin harsatna a neih theihna chance a awm tihna a ni a, a bik takin i upat deuh deuh chuan.

Enkawlnate chu engte nge ni?

Okay, tunah chuan hei hi eng treatment nge awm tih kan en ang. Enkawlna chi hnih a awm a, chungte chu:

1. Nonsurgical Management tih a ni

2. Surgery hmanga enkawlna

Doctor chuan a natna lan chhuah dan control nan non-surgical methods a lo enchhin hmasa ber thin. Mahse, hei hi i symptoms nasat dan leh a chhan a zirin a danglam thei.

Nonsurgical Management tih a ni

Cervical myelopathy na lo tak nei tan chuan doctor-te chuan a hnuaia mi ang hian an rawt thei ang:

• Neck Brace bun: Hei hian kawng a ti hahdam a, a tul lo taka kawr chetna a control bawk.
• Physical Therapy: Hei hi a pawimawh hle. Physics therapist chuan i kawr ruh tichak turin exercise a zirtir ang che, i flexibility tihpun nan leh i dinhmun dik tak a siam ang.
• Damdawi ei: 1.1.
• Nonsteroidal Anti-inflammatory Drugs (NSAIDs): Entirnan, ibuprofen leh naproxen te hi a ni. Chungte chuan natna leh hliam a tiziaawm.
• Corticosteroids: Hengte hi anti-inflammatory chak tak an ni. Hun rei lote chhung atan pek theih a ni.
• Pain Relievers: Natna tidamtu general paracetamol emaw a chak zawk emaw i pe thei.

Mahse, heng operation ni lo enkawlnate hian natna lan chhuahna a\angin a tidam nghal thei a, mahse hun rei tak chhung chu a tizau lo va, ruhro (spinal canal) a tizau lo bawk tih hre reng ang che.

Surgery hmanga enkawl a ni

Cervical Myelopathy natna hi a nasat chuan a awmzia chu:

• Natna nasa tak a awm chuan, .
• Muscle te a chak lo a nih chuan .
• Ke ruh leh ke ruh (limbs) a awm reng chuan, .
• Kal leh balance lama harsatna i neih chuan .
• Hna nalh tak tak thawh a harsat chuan, .

I doctor chuan spinal cord decompress turin operation neih a rawt mai thei.

I surgeon-in a rawt surgery chi chu i natna lan chhuah dan, hriselna tlangpui, leh kum a zirin a inang lo thei. Thil thlan theih ṭhenkhat chu:

• Diskectomy: Hei hian herniation thlentu disc thenkhat emaw, a zawng zawng emaw lakchhuah a ni.
• Disk Replacement: Disk lakchhuah tawh thlak nan artificial disk dah a ni.
• Laminectomy: Ruhro (spinal cord) tan hmun tam zawk siam nan vertebra hmun thenkhat ‘lamina’ an tih chu lakchhuah a ni.
• Laminoplasty: ‘Lamina’ lakchhuah lohvin ruhro (spinal cord) tan hmun siam turin a siam thar leh thin.
• Spinal Fusion: Hei hi vertebrae pakhat emaw a aia tam emaw fuse-a stabilize dan a ni . Hei hi discectomy nen hian tih a ni fo thin.

Surgery hmain, surgeon chuan a hlauhawmnate chu a hrilhfiah ang che, chutiang chuan thutlukna dik tak i siam thei ang.

Surgery zawhah chuan rei vak lo chawlh hahdam a ngai dawn a ni. I doctor-in a tih hma loh chuan thil rit tak tak chawi emaw, thil hahthlak tak tak tih emaw i pumpelh tur a ni. I doctor chuan i in enkawl dan tur leh engtikah nge check-up tura lo haw leh tur tih chiang takin a hrilh ang che.

Nakinah eng nge thleng dawn? (Hmuh dan tur) .

Cervical myelopathy i thlir dan chu i natna chhan ah a innghat a ni. Mild case te chu non-surgical treatment hmanga enkawl theih a ni a, surgery hian rah tha tak a chhuah tlangpui.

Mahse, enkawl loh chuan cervical myelopathy hi a zual thei hle. A nasat chuan nerve chhiatna awm reng, tihdanglam theih loh a thlen thei a ni. Hei hian harsatna nasa tak a thlen thei a, chu chu natna nasa tak leh chet harsatna a thlen thei a ni.

Chuvangin cervical myelopathy symptoms i neih chuan Doctor pan nghal tur a ni. I tana enkawlna tha ber ber zawng turin an pui ang che.

Hetiang dinhmun hi eng chen nge i dam theih ang? Engtiang chiahin nge a kal chak ang?

Mi thenkhat chuan he natna hi eng chen nge i dam theih ang tih an zawt a, engtiang chiahin nge a kal chak tih an zawt bawk. Mild cases hian i dam chhung a nghawng lo a, mahse a symptoms hian i quality of life a tichhe thei a ni. A nasat chuan nerve chhiatna nghet tak emaw, paralysis emaw ang chi harsatna a awm thei. Chuvangin mi tinte prognosis hi thil tam tak a zirin a inang lo ang a, an hriselna tlangpui leh kum pawh a inang lo ang. I doctor hi i dinhmun chungchang sawipui tur tha ber a ni.

Hei hi engtiang chiahin nge a na zual tih pawh a chhan a zirin a inang lo.Entîr nân, chu natna chu accident hnuah a lo awm nghâl thei a, a nih loh leh i tar chhoh zêl chuan zawi zawiin a lo awm thei bawk. I doctor chuan i symptoms leh imaging test te chu a en ang a, engtiang chiahin nge a na zual ang tih leh complication i neih theihna tur chu ``Prediction'' a pe ang che.

Hei hi ven theih a ni em?

Cervical myelopathy thlentu zawng zawng hi ven theih a ni lo. A bik takin kan tar chhoh zel a taksaa thil thleng (natural changes) avanga spinal cord compression lo awm thin, cervical spondylotic myelopathy ang chi te hi ven a harsa hle. Mahse, accident avanga hliam i tuar theihna chu i ti tlem thei a ni. Thil tih dan him zawm a pawimawh a, thil hlauhawm tak tak, thil hlauhawm tak tak tih loh a pawimawh bawk.

Engtikah nge Doctor ka hmuh ang?

Cervical myelopathy symptoms i neih chuan a hmaa kan sawi tawh ang khan i kawng na, i rilru a hah, i chak lo, leh kal harsa i nei a nih chuan doctor i pan ngei tur a ni. Chumi hnuah chuan i spinal cord-ah compression a awm em tih test an nei ang.

Cervical myelopathy i vei tih i hriat tawh chuan, i natna lan chhuah dan a na zual a nih chuan, emaw, enkawlna avanga side effect i neih chuan doctor hnenah hrilh rawh.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• Ka kawngah khawiah nge he throbbing hi a thleng?
• Eng ang enkawlna nge i rawt?
• Enkawlna hian eng side effect nge a neih?
• Surgery ka mamawh tak tak em?
• Operation hnuah a dam leh theih nan eng chen nge a duh?

I tan in lama hruai tur thuchah pawimawh ber

Kan ruhro (spinal cord) hian taksaah hmun pawimawh tak a chang a. Beisei loh takin accident vang emaw, kan tar chhoh zel avanga pianphung inthlak danglamna avang emaw hian he ruhro hi pressure hnuaiah kan dah thei a ni. Kawngpui emaw, kawngpui emaw hman fo ang bawkin hun kal zelah a chhe vek a ni. Tin, an hnathawh that theih nan maintenance leh care an mamawh bawk. Kan taksa pawh chutiang bawk chu a ni. He enkawlna hi a pawimawh hle a, a bik takin he Cervical Myelopathy natnaah hian.

Doctor chuan i natna lan chhuah dan tur a enkawl thei che a, i ruhro (spinal cord)-a pressure tihziaawmna tur a ni. Hei hian operation a ngai mai thei. Kawng zai tur ngaihtuahna hi a hlauhawm thei hle a, mahse i medical team te chuan an theihtawp an chhuah ang che, i venhim nan leh harsatna i tawh loh nan. Chuvangin, symptom i neih chuan ngaihthah suh la, doctor pan nghal rawh. Enkawl hmasak hian result tha zawk a thlen thei.

` Kawng na, Cervical Spondylotic Myelopathy, Spinal Cord Compression, Kut natna, Spine, Neuropathy, Kawng na, Cervical Spondylotic Myelopathy, Spinal Cord Compression