I kawngah ruh extra i nei em? (Cervical Rib) chungchang hi han sawi ila!

I kawr chhungah thil mak tak mai, emaw, i kut hnuai lama natna emaw, tingling sensation emaw i nei ngai em? I kut chu a chak lo deuhin i hria a, pen chelh harsa i ti mai thei bawk. Chûng thil hnung lamah chuan kan zînga tumahin kan hriat chian vak loh chhan a awm thei a, mahse hriat tlâk tak a ni. Chu chu vawiinah kan sawi dawn a ni.

Cervical rib tih hi eng nge ni? A awlsam zawngin...

Dik tak chuan he `(Cervical Rib)` hi i kawr area-a ruh dang kan neih loh, chu chu ruh chi khat a ni . Hei hi kan pianpui thil a ni. Mahse hei hi kan rilru chhunga ruhro ang a ni lo. A rilru chhunga ribs te hi a dinglam (horizontal) a ni a, mahse he `(Cervical Rib)` hi a chang chuan a dinglam deuh, a tilt deuh thei bawk. He extra bone hi kan kawr chhunga vertebra atanga tan a ni a, chu chu ruhro ruh hnuhnung ber atanga tan a ni a, kan rilru chunglam ruh hmasa ber thlengin a inzar pharh thei a ni.

Ngaihtuah teh, he ruh extra hian thil danglam tak a ti tak tak lo . Extra thil mai a ni.

A tha ber chu, hetiang `(Cervical Rib)` nei tam zawk hian harsatna leh natna an thlen lo . Mahse, mi thenkhat tan chuan kawr na, kut na, a nih loh leh kut chak lohna thlengin pen ang chi thil chelh harsa a ti thei.

He extra skeleton hi chi hrang hrang a awm em?

Ni e, doctor-te chuan `(Cervical Rib)` chi hrang hrang pali an hmuchhuak a. Eng nge an nih i en ang u:

• Type 1: Hei hi rib kimchang ang mai a ni. Chu chu kawr atanga intan a, kan rilru chhunga ruh hmasa ber thlengin a inzar pharh tihna a ni.
• Type 2: Hei hi vertebra tling lo a ni. Chu chu a tawp khat chu zalen a ni a, engmahah a innghat lo tihna a ni.
• Type 3: Hei pawh hi a kim lo a, mahse a free end chu fibrous band-ah a inbun a ni.
• Type 4: Hei hi ruh chhuak te tak te chauh a ni. A kawr chhunga vertebra hnuai ber atanga rawn chhuak tlem ruh spur te tak te ang mai a ni.

He sawifiahna hi damdawi lam deuha ngaih theih ni mah se, he classification hi i doctor hriat chian a pawimawh hle.

Cervical rib an tih hi engtiang chiahin nge a awm?

Hei hi a takah chuan thil awm lo tak a ni . Mipui zinga 1% aia tlem lo chu serh ruh pakhat (a chang chuan pahnih) neia piang an ni. Chubakah, he natna hi mipa aiin hmeichhiaah a tam zawk deuh .

Thil pawimawh dang chu `(Thoracic Outlet Syndrome)` tih natna vei zinga 30% velin he `(Cervical Rib)` hi an vei tih hmuhchhuah a ni. Chu `(Thoracic Outlet Syndrome)` chungchang chu tlem kan sawi leh ang.

Hetiang dinhmunah hian eng symptoms nge kan beisei theih ang?

A hmaa ka sawi tawh ang khan, .Mi tam zawk chuan symptom an nei lo . Mahse, symptoms a awm tak tak a nih chuan:

• Kawng emaw, kut na emaw: Hei hi a lan chhuah dan ber a ni. A kekawr bul atanga kut hnuai lam atanga chhuak natna a awm thei.
• Kawchhunga hnim hring ang maia inhriatna: I kut hmanga i khawih chuan kawr bul bul lama hnah te tak te ang maiin a awm thei.
• Kut emaw kut zungtang emawa rilru hah emaw, hriatna hloh emaw: Kut chu "muthilh" ang maiin a awm.
• Kut leh kut hmawr ruh chak lohna: Thil rit phurh emaw, thil nghet taka chelh emaw a harsa ta hle.
• Clawing: Kut zungtang leh kut zungtang tih loh chu a chhung lam hawiin a ben deuh thei a, chu chuan kut zungtang (clawed) ang maiin a lang thei.

A pawimawh ber chu, heng symptoms te hi i neih chuan `(Cervical Rib)` a nih a ngai lo. Chuvang chuan damdawi lam thurawn lak a pawimawh hle.

Mite tan pawh, natna lan chhuahna nei lote tan pawh, an dinhmun ṭha lo (entir nân, computer hmaa rei tak ṭhut emaw, sewing machine-a thawk mi pakhatin an kawr a hunch reng emaw) emaw , accident emaw, taksa chunglam nasa taka vuak emaw an neih chuan natna lan chhuahna a awm tam zâwk a ni

Engvangin nge hetiang hian kan kawngah hian ruh extra a lo awm?

Zirchiangtute chuan hei hi eng nge ni tih chiang takin an la chhui chhuak mek a ni. Mahse, tun dinhmunah chuan kan ruhro siam chhuahna atana mawhphurtu HOX genes an tih gene-a mutation awm vang nia ngaih a ni. A awlsam zawngin, nausen pum chhunga nausen a lo thanglian chuan cell thenkhat chu hmun dik lovah ruh ah an lo thang lian a, chu chuan he cervical rib hi a lo piang ta a ni.

Cervical rib vang hian eng harsatna nge awm thei?

He extra bone hian a chang chuan a bul hnaia nerve emaw thisen kalna kawng (a bik takin major artery subclavian artery an tih) chu a press thei a ni . He pressure hi harsatna tam zawk thlentu a ni.

A harsatna lian ber chu ``Thoracic Outlet Syndrome.`` tih a ni. Hei hi uluk taka enkawl loh chuan a hlauhawm thei hle.

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

Symptoms i neih chuan doctor-in a tih hmasak ber tur chu uluk taka a enfiah che hi a ni. Hei hian test bik ``Adson test`` ang chi te pawh a huam thei a ni.`` ``Adson test`` ah chuan i kut chu i phar a, i lu chu a sir khatah i hawi a, doctor chuan i kut chhunga pulse inthlak danglamna a enfiah thin. ``Subclavian artery`` chu compress a nih chuan pulse a chak lo thei.

Mahse a tam zawkah chuan he `(Cervical Rib)` hi chhan dang avanga test an tih laiin accident-a hmuhchhuah a ni . Entirnan, rilru `(X-ray)` emaw, kawr `(X-ray)` emaw lak hian hmuh theih a ni.

A chiang zawk tur chuan doctor-te pawhin hetiang test hi an hmang bawk:

• MRI (Magnetic Resonance Imaging) test: Hei hian ruh, ruh leh nerve te ang chi soft tissue te chiang takin a siam thei a ni.
• CT (Computed Tomography) scan: Hei hian taksa cross-sectional image a la thei bawk a, ruh structure pawh a hmu tha zawk bawk.
• Nerve conduction study: Hei hian i nerve te hnathawh that dan leh nerve impulse te a kal chak dan te a test thin.
• Electromyography (EMG): Hei hian i taksa ruh leh a thununtu nerve te hnathawh that dan a test thin.
• Evoked potential tests: Hengte hian thluaka nerve signals a kal that dan an test thin.

Mi zawng zawng hian heng test zawng zawng hi an neih a ngai dawn lo. I doctor chuan i natna lan chhuah dan leh i dinhmun a zirin eng test nge a dik tih a rel ang.

Hei hi eng enkawlna nge ni? I en ang u...

A hmasa berah chuan symptom i neih loh chuan enkawlna a ngai lo . Extra bone neih mai mai hi harsatna a ni lo.

Mahse, symptoms i neih chuan enkawl dan thenkhat chu hetiang hi a ni:

• Physical therapy: Hei hi enkawlna pawimawh tak a ni. Physics therapist chuan i kawr leh i ke ruhte tichak turin exercise a zirtir ang che, i dinhmun siam\hatna tur leh nerve compression tihziaawmna tur exercise a zirtir ang che. Hengte hi dik taka tih a nih chuan natna leh rilru hahna nasa takin a tihziaawm thei a ni.
• Damdawi: I doctor chuan i rilru hahna tihziaawmna tur muscle relaxers emaw, pain reliever emaw a pe thei che a, chu chu rei lo te chhung atan i rilru hahna tihziaawmna atan a ni.
• Cervical Rib Removal Surgery: Thoracic Outlet Syndrome tih natna i neih a, chutah chuan nerve emaw thisen kalna kawng emaw i hrual a, enkawlna dang pawhin a pui lo a nih chuan i doctor chuan he ruh tam zawk hi surgery hmanga lakchhuah a tum mai thei. A châng chuan, a natna lan chhuahna a awm leh loh nân, a ruh hmasa ber chu serh ruh (cervical rib) nen a rualin lak chhuah theih a ni.

Surgery zawng zawng ang bawkin hlauhawmna engemaw zat a awm a, chu chu thisen chhuah leh natna hrik kai te hi a ni. Surgery atanga a dam kim theih nan kar 9 vel a ngai tlangpui.

Cervical rib ka neih chuan eng nge ka chungah thleng ang?

Symptoms i neih chuan enkawl loh chuan a na zual thei . Tin, subclavian artery-ah thisen zam a lo awm thei bawk a, chu chu thluak lamah a kal thei bawk. Chuvangin a symptoms te hi ngaihthah suh.

Mahse, he `(Cervical Rib)` hi surgery hmanga lakchhuah tawhte chuan result tha tak an nei . An kut hnathawh chu a pangngaiin a kir leh a, symptoms pawh a lang leh tlem hle.

Hetiang dinhmun hi kan veng thei ang em?

Vanduaithlak takin hei hi pumpelh theih a ni lo a , a chhan chu nu pum chhunga thil thleng, kan pian hma pawha thil thleng a nih vang a ni.

Chuti a nih chuan engtin nge ka in enkawl ang?

A pawimawh ber chu i doctor thupek dik taka zawm hi a ni . Physics therapy leh damdawi ang chi non-surgical treatment te hian a puih loh chuan i doctor nen surgery hi i tan a tha em tih sawipui rawh. Hlau suh, i doctor chuan i dinhmun atana tha ber tur a hrilh ang che.

Engtikah nge Doctor ka hmuh ang?

`(Cervical Rib)` avanga symptoms i neih tan chuan doctor pan ngei ngei tur a ni .

Tin, operation i neih tawh chuan i doctor follow-up appointment-ah pawh kal ngei ngei tur a ni. I taksa a dam dan leh harsatna dang a awm leh awm loh an enfiah ang. Operation hnu kar engemaw zat chhung chu physical therapy i tih a ngai thei bawk.

Eng zawhna nge ka doctor emaw nurse emaw zawh tur?

Doctor i pan dawnin zawhna i neih thenkhat chu ziak la. Entirna thenkhat chu hetiang hi a ni:

• "Eng chi `(Cervical Rib)` nge ka neih?"
• "Enkawl ka ngai em?"
• "Eng enkawlna nge ka tan a tha ber?"
• "Hetiang hi ka fate lo thleng turah a thleng thei ang em?"

I hriatthiam loh thil a awm chuan zawh hreh suh. I dinhmun i hriat chian poh leh i hmachhawn a awlsam phah ang.

Vawiina kan sawi tawh (Take-Home Message) atanga hriat reng tur pawimawh tak tak te

Ngaihtuah teh, tun thleng hian i kawngah ruh dang i nei tih i hre lo. Mahse tunah chuan i kut ah natna leh rilru hahna i nei ta. He natna hi thil pangngai a ni lo va, chu chu i tuarpui a ngai lo.

A awlsam zawngin:

• `(Cervical Rib)` chu kawr chhunga ruh extra, non-functional a ni.
• Mi tam zawk chuan symptoms an nei lo a, mahse thenkhat chuan natna, bengchheng leh chak lohna an nei thei.
• Symptoms i neih chuan ngaihthah suh. Damdawi lam thurawn zawng nghal rawh.
• Physics therapy hmanga enkawl theih a ni a, damdawi hmanga enkawl theih a ni a, a tul chuan surgery hmanga enkawl theih a ni bawk.
• I dinhmun leh i enkawl dan chungchang chu i doctor nen zalen takin sawi la, zawhna zawt rawh.

Nangmah chauh i ni lo, heng dinhmun hmachhawn mekte tanpui thei doctor an awm. Chuvangin hlauthawng suh, information dik tak leh enkawlna dik tak dawng rawh.

` Cervical Rib, Cervical Rib, Kawngka Ruh Extra Bone, Kawng Na, Kut Na, Kut Rib, Thoracic Outlet Syndrome