I kawr chhunga he thil mak tak hi i hria em? (Cervical Spine) Kan sawi dun dawn nia!

I kawr hi engtiang chiahin nge a pawimawh tih, engtiang chiahin nge mak tak maia duan a nih tih i ngaihtuah ngai em? Ngaihtuah teh, i lu dinglam hawi la, i hawi kual a, han hawi la, hnuai lam hawi la, "yes" ti turin i lu i thing a, "ni lo" ti turin i lu chu a sir lehlamah i vawm a... heng zawng zawng hi i kawr chhunga he complex structure hian a pui a ni. Vawiin hian i ruhro chunglam kan sawi dawn a, chu chu damdawi lam chuan cervical spine tia hriat a ni. Kan taksa engineering thilmak ang mai a ni!

Cervical spine chu eng nge ni?

A awlsam zawngin, i kawr chhunga i ruhro hmun chu cervical spine an ti a. Ruh te tak te pasarih, a chungah dah khawm a ni. Heng ruhte hi vertebrae an ti a . C1 atanga C7 thlenga number pek an ni.

Toy block tower ang maiin ngaihtuah la, pakhat chu a chungah a awm a. Mahse a complex zawk a, a chak zawk bawk.

Heng vertebrae pasarih zinga a hmasa pahnih (C1 leh C2) hi a danglam deuh hlek a ni.

• C1 vertebra: Hei hi Atlas an ti bawk. Greek thawnthua Atlas, khawvel hi a kekawrte chunga chelhtu kha i hre reng em? Amah ang bawkin he ruh hian i lu a ti sang thei a ni. Ring ang maia siam a ni a, i luruh hnuai lama support ang mai a ni.
• C2 vertebra: Hei hi Axis an ti a. Hei hi C1 atlas a inherna hmun a ni. "Ni lo" tih tur chuan a sir lehlamah i lu i vawn chuan atlas chu he axis-ah hian a inher ang maiin a lang. Mak a ni lo maw?

Heng vertebrae, C1 atanga C7 thlenga awmte hi a hnung lamah hian special joint facet joints an tih hmangin an inzawm khawm a ni. Heng joint te hian i kawr chu hmalam hawiin, hnunglam hawiin, a sir lehlamah i ben thei a ni.

He cervical vertebra vel hi taksa ruh, nerve, tendon leh ligament tam tak a awm a. Tin, vertebra pakhat chu a chungah a awm chuan an inkarah hian intervertebral disc an tih thil a awm bawk. Hengte hi car chhunga shock absorber ang mai an ni. Chu chu, kawr chhunga vibrations lo thlengte chu an absorb a, vertebrae te chu an inhnaih loh nan an veng tihna a ni.

Thil pawimawh dang chu i ruhro zawng zawngah, i kawr atanga hnuai lam, a laiah chuan ruhro (spinal cord) a awm a ni . He spinal cord hi thluak atanga thuchah taksa dang zawng zawnga thawn chhuaktu a ni a, taksa atanga thuchah chu thluak lam pan lehtu a ni. Kan taksa chhunga information pathway bulpui ang mai a ni.

Cervical vertebrae hnathawh ber berte chu engte nge ni?

Tlemte angin lang mah se, cervical vertebrae-in service a pek chu a nasa hle.

1. Spinal cord venhimna: Kan sawi tawh ang khan ruhro (spinal cord) hi ruhro (spinal cord) kal tlangin a kal a. Vertebra tin laiah hian khur lian tak a awm a, chu chu vertebral foramen an ti a ni.Heng khur zawng zawng hi an inzawm khawm chuan tube an siam ta a ni. Chu tube chu spinal cord chu a kal tlang a. Chuvangin, cervical vertebrae hian kawng chhunga spinal cord thenkhat tan venhimna tha tak a pe a ni.

2. Lu a thlawp a, a che thei: Lu pakhat chu pound 10 leh 13 inkar (kg 4.5 leh 6 vel) a rit a ni. He rit hi cervical vertebrae hian a thlawp a ni. Chu mai pawh ni lovin, i kawr chu hmalam (flexion) , hnunglam (extension) , a sir lehlamah i ben thei (rotation) , emaw i beng chu i kekawrte a khawih theih nan a sir lamah i ben thei bawk (lateral flexion) He part hian heng zawng zawng hi a pui a ni.

3. Thluak lama thisen phurtu thisen kalna kawng him siam: Cervical vertebrae-ah hian C1 atanga C6 thleng hian khur te te a awm a. Heng khur atang hian thisen kalna kawng vertebral arteries an tih te hian thluak lamah thisen an phur a. Hei hi ruh pum puia ruh chhunga thisen kalna tur khur nei awmchhun a ni.

I kawr chu busy junction angin ngaihtuah rawh. Khaw khatah chuan i lu chu sang takin a vawn a, a lehlamah chuan thuchah pawimawh tak tak leh thisen thluak thlengin a phur a, chu zawng zawng chu a humhim rualin a ni!

Cervical spine chhehvelah hian eng soft tissue pawimawh dang nge awm?

Vertebrae chauh ni lovin thil dang tam tak chu he system nen hian a inzawm tlat a ni.

Muscle te hi a ni

Neck movement leh stability-a puitu key muscle engemaw zat a awm a:

• Sternocleidomastoid: Hei hi beng hnunglam atanga kawr hmalam thlenga kal lehlam lehlamah a thau a ni. I lu chu a sir lehlamah i herh a, i hmui i chawi sang a, a thawktu a ni.
• Trapezius: Hengte hi triangular muscle pahnih an ni. Luruh bul atanga a kawr hnuai lam, thoracic spine zawhin an tlan a, shoulder blades-ah an inzawm a ni. Lu chu chawi sang turin an pui a, kawr hnunglam an ben a, lu chu dinglam leh vei lamah an herh a, kekawrte chu tlem an chawi sang bawk.
• Levator scapulae: He ruh hi cervical vertebrae hmasa pali leh shoulder blade chunglam ah a inzawm a. A shoulder blade chawi sang a, lu chu a sir lamah a tilt a, lu chu a herh tir bawk.
• Erector spinae: Hei hi taksa peng hrang hrang a ni a, dinglam hawia awm theihna tura puitu, kawr chu a rotate a, hnunglam hawia ben tir theitu a ni.
• Deep cervical flexors: Hengte hi cervical spine hmalam atanga tlan thla a ni. Anni hian kawng chu hmalam pan turin an pui a, serh ruh (cervical spine) a ti nghet thei bawk.
• Suboccipital muscles: Hei hi ruh pahnih pali a ni. Cervical vertebrae chunglam chu luruh bul nen an thlunzawm a ni. Lu hnunglam hawia tilt leh turn tir turin an pui thin.

Ligaments (ligaments) te

Ligaments hi ruh inzawmkhawmtu band ang a ni a, cervical spine a nghet reng theih nan a pui bawk. Ligament lian pathum a awm a, chungte chu:

• Anterior longitudinal ligament: Hei hi luruh bul atanga cervical vertebrae hmalam thlengin a kal a. A kawng chu hnunglam hawia a ben chuan a inzawm khawm thin.
• Posterior longitudinal ligament: Hei hi C2 vertebra atanga tan niin cervical vertebrae hnung lamah a tlan thla a. A kawng chu hmalam pan a nih chuan a inzawm khawm thin.
• Ligamentum flava: He ligament hian vertebra tin hnunglam chhung lam a khuh a, chu chu spinal cord kalna kawngah a ni. Hnunglam atanga ruhro (spinal cord) a venghim a ni.

Intervertebral Disk te chu a awm a

Kan sawi tawh ang khan hengte hi vertebrae inkar "shock absorber cushions" te an ni. Heng disc te hi cervical vertebrae pasarih inkarah hian paruk a awm a. Pressure leh shock chu kawr thlengin an absorb a, activity i tih laiin i kawr chu awlsam taka i ben leh turn theih nan an pui bawk.

Nerves a awm

Cervical vertebrae pahnih inkar atang hian nerve pahnih pariat chu hawnna te tak te (foramen) hmangin a chhuak thin. Chungte chu C1 atanga C8 thlenga vuah an ni. Heng nerve te hian kawr, kekawrte, kut leh kut ruhte chetna a thunun a, chubakah chutiang hmunah chuan hriatna a pe bawk.

• C1, C2, C3 nerves: Lu leh kawr hmalam, hnunglam leh sir lehlamah a inher dan a control. C2 nerve hian lu chunglam thlengin sensation a pe a, C3 nerve hian hmai sir leh lu hnung lamah sensation a pe bawk.
• C4 nerve: A kekawrte chunglam panna a control. Tin, diaphragm control tu nerve pakhat a ni bawk a, chu chuan thawk a ti thei bawk. C4 hian kawr, kephah leh kut chunglam hmun thenkhatah sensation a pe a.
• C5 nerve: Kan kekawrte deltoid muscles leh biceps te a control thin. Kut chunglam atanga elbow thlengin sensation a pe.
• C6 nerve: Kutphah extensor muscles a control a, biceps control-naah pawh a inrawlh bawk. Kut hmalam leh kutpui lam (forearm and thumb side) ah sensation a pe thin.
• C7 nerve: Triceps leh wrist flexor muscle te a control thin. Kut hnunglam atanga kut zungtang lai tak thlengin sensation a pe.
• C8 nerve: Kutphah a control thin. Kut leh kut hmawr kut zungtang tenau lam chu sensation a pe.

Spinal Cord a ni

Hei hi nerve tissue bundle a ni a, thluak hnuai lam atanga taksa kaltlangin a tla thla a ni. He spinal cord hmang hian a hmaa kan sawi tawh ang khan thluak leh taksa peng hrang hrangte inkarah hian thuchah a inthleng thin.

Cervical spine-ah hian eng natna nge lo awm thei?

Chutiang structure buaithlak takah chuan harsatna a awm thei em? Ni e, natna chi hrang hrang hi serh ruh (cervical spine)-ah te, a chhehvela soft tissue-ah te, leh nerve-ah te a awm thei a ni. Hlau suh, hengte hi fimkhur a pawimawh.

• Cervical Radiculopathy: Cervical vertebra-in nerve root a compression avanga natna a ni. Numbness, hriatna hloh, chak lohna leh natna a awm thei. Heng chhinchhiahnate hi kawr chhungah chauh a awm thei a, kut, kut leh kut zungtang zawng zawng thlengin a inzar pharh thei bawk. Hei hian a ti theiPinched nerve an ti bawk.
• Kawng na: Hei hi mi tam tak tan chuan harsatna awm fo a ni. Kawng na hi natna chi hrang hrang leh dinhmun hrang hrang avanga lo awm thei a ni. Natna chhe thei (e.g., osteoarthritis , spinal stenosis , herniated disc , pinched nerve), whiplash, stress, taksa thawhrimna, dinhmun tha lo, tumor, cyst, ruh spurs, meningitis , rheumatoid arthritis , leh cancer te hian kawng na a thlen thei vek a ni.
• Cervical Degenerative Disk Disease: Cervical spine chhunga "shock absorber" discs te tihchhiat a ni.
• Herniated Disc: Vertebrae inkar disc chhunga tear emaw leak emaw a awm.
• Cervical Osteophytes / Bone spurs: Cervical vertebrae pasarih zinga pakhatah pawh ruh dang a lo thang lian.
• Cervical Spondylosis: "Neck arthritis" tia koh bawk, ​​hei hi kum upat deuh deuha cervical spine-a vertebrae leh joint te a chhe zauh zauh thin a ni.
• Cervical Spinal Cord Injury: Servical vertebrae tihchhiatna. Hetiang hliam hi rang tak, chak taka vuak avanga lo awm a ni fo.
• Cervical Spinal Fracture: Ruh ruh tliak a ni. Osteoporosis vei chuan hliam tenau, compression fracture, burst fracture, emaw car accident emaw, sang tak atanga tlak emaw avanga fracture-dislocation a tuar thei a ni.
• Cervical Spondylotic Myelopathy: Servical region-a ruhro (spinal cord)-a pressure awm. Hei hi a chhan ber chu ruhro (spine ruh) a chhe lutuk a, chu chu ruh natna (osteoarthritis) a ni.
• Cervical Stenosis: Cervical region-a ruhro (spinal canal) a tawi. A hmun a tlem chuan ruhro emaw, a chhuahna nerve emaw chu a compress emaw, a pinch emaw thei a ni.
• Cervical Spinal Tumors leh Cancer: Spinal cord chhunga tissue lo thang lian lo. Chungte chu cancer ni lo (benign) emaw cancer (malignant) emaw pawh a ni thei.
• Meningitis: Meninges natna, thluak leh ruhro vel venna khuhna.
• Osteomyelitis: Ruh-a bacteria emaw fungal emaw infection a ni a, hetiang a nih chuan ruh ruh (vertebrae of the spine) a ni. Enkawl loh chuan vertebrae hi a thi thei a ni.

Heng natnate hi engtin nge an hriat chhuah?

I kawng lama harsatna i neih chuan i doctor chuan i medical history te, i damdawi ei te a zawt hmasa ang a, i symptoms te a zawt ang a, taksa enfiahna a nei ang a, chutah chuan test leh imaging study tul apiang a order ang.

Hei hian a huam thei ang:

• CT scan (Computed Tomography (CT) scan): Hei hian X-ray leh computer hmangin an enfiahna hmun "slices" te tak te tak tak an la thin. A pianzia, a lian leh te, a chhunga thil awmte leh a chhehvel ruhte a en thei a ni. Bone spurs, osteophytes, bone fusion, leh infection emaw tumor emaw avanga ruh tihchhiat ang chi thilte hriatchhuahna kawngah a pui thei a ni.
• MRI scan (Magnetic Resonance Imaging (MRI): Hei hian magnet lian tak, radio wave leh computer hmangin thlalak chipchiar tak tak a siam a, ruhro leh ruhro atanga chhuak nerve-a harsatna awmte, ruhro (spinal degeneration), slipped disc (disk herniation), infection, leh tumor te chu a hmuchhuak thei a ni.
• X-ray: Radiation tlemte hmangin ruh leh soft tissue thlalak a la thin. Anni hian ruh tliak, ruh natna, ruhro (spinal misalignment) leh ruh natna (arthritis) te an enfiah thei a ni.
• Electromyogram (EMG) leh Nerve Conduction Studies: EMG hian nerve leh muscle te hriselna leh hnathawh dan a teh thin. Nerve conduction study hian electrical impulse pakhatin nerve a kal chak dan a teh a. Heng test te hian nerve chhiatna a awm leh awm loh leh nerve chu khawiah nge a compress tih hriat theih nan a pui thei a ni.
• Myelogram: He imaging test hian vertebrae leh vertebrae, spinal cord leh spinal cord atanga chhuak nerve outline te inzawmna a enfiah thin. Thil pakhat, tumor, bone spur, emaw herniated disc emaw ang chi chuan ruhro, nerve, a nih loh leh nerve zungte a nawr a, natna, rilru hahna, a nih loh leh chak lohna a thlen a nih chuan a lantir thei a ni.

Cervical spine disorders hi eng enkawlna nge ni?

Cervical spine condition tam zawkah hian non-surgical leh surgical treatment a awm vek a. I enkawl dan tur i thlan chu i natna chhan leh a nasat danah a innghat ang.

Nonsurgical treatment te chu engte nge ni?

Accident emaw tumor emaw avanga lo awm lo kawng na tan chuan i doctor chuan less invasive treatment a rawt hmasa thei ang.

• Hahchawl.
• Ice emaw hot compress emaw a ni thei.
• Soft cervical collar: Collar hian kawng a pui a, a chetna a tikhawtlai bawk.
• Taksa tihchakna, natna tichhe thei emaw, natna tizual thei emaw tih loh.
• Taksa lam enkawlna.
• Damdawi: Muscle relaxant, natna tidamtu (e.g. paracetamol), leh anti-inflammatory (e.g. ibuprofen, naproxen) te.
• Steroid injection pek dan: 1.1.Steroid injection chi hnih a awm a, chu chu kawr leh/ emaw kut natna atan ngaihtuah theih a ni. Cervical epidural block chu steroid injection chu spinal cord chhehvel hmun (epidural space)-a inject a ni. Cervical facet joint block chu steroid chu facet joint te tak te capsule-ah inject a, chu chuan vertebrae te chu a che thei a ni.
• Medical branch block leh radiofrequency ablation: Hetiang enkawlna hi kawng natna rei tak nei thenkhatah chuan ngaihtuah a ni. A hmasa berin, ruhro (spine) facet joint nena inzawm nerve-ah local anesthetic an inject a. I natna a tlahniam chuan a dawt leh tur chu natna chu tihngheh a ni. Hei hi radiofrequency ablation tih technique hmanga nerve tihchhiat hmanga tih a ni. Natna tihziaawmna hi thla tam tak chhung a daih. Nerve a lo thang leh chuan a natna chu a lo let leh thei a ni.

Engtin nge cervical spine surgery atan ka tling em tih ka hriat theih ang?

Surgery atan i tling thei a, chu chu:

• Enkawlna dangin hahdamna a pe lo a nih chuan.
• I ruhro, kut leh/ emaw ke nena inzawm i symptoms te chu a na zual a nih chuan.
• Surgery neih theih khawpa hrisel i nih chuan.

Cervical spine condition hrang hranga surgical option te chu engte nge ni?

Surgery hman tlanglawn tak tak engemaw zat a awm a:

Cervical Spinal Decompression Surgery hmanga enkawl a ni

Hei hi thumal tlangpui a ni. Spinal cord emaw nerve roots emaw a pressure (compression) avanga symptoms tihziaawmna atana hmanraw hrang hrang a huam a ni.

• Cervical diskectomy: Surgeon chuan a bul hnaia nerve zungte pressure tihziaawmna turin disc thenkhat a la chhuak thin.
• Cervical laminotomy emaw laminectomy: Heng tihnaah hian surgeon chuan ruh kawng (spinal canal) ruh arch (lamina) atanga a tlem ber chu a la chhuak thin. Laminotomy-ah chuan lamina atanga a tlem ber chauh lakchhuah a ni. Laminectomy-ah chuan lamina pumpui chu lakchhuah a ni a, ruh lian zawng zawng, disc chi hrang hrang, leh ligament thickened te nen, a tul chuan lakchhuah vek a ni. Lamina lakchhuah hian spinal canal-a hmun a tipung a, pressure a tiziaawm bawk.
• Cervical foraminotomy emaw foraminectomy emaw: Heng pahnih hi nerve zungte ruhro atanga chhuahna kawngkhar lian zawka tihpun nan an ti a ni. Chu lai hmunah chuan ruh thenkhat chu lakchhuah a ni. Foraminectomy-ah chuan ruh tam tak lakchhuah a ni.
• Cervical corpectomy: He surgery-ah hian surgeon chuan vertebral body (vertebra hmalam lian tak) leh disc te chu a la chhuak a, chu chuan spinal cord-a pressure a tihziaawm a ni. A chang chuan, vertebrae te chu an fuse khawm a, cervical vertebrae te chu an stabilize thin.

Cervical Disk thlak danglamna Surgery neih a ni

Hei hian cervical disc natna nei chu lakchhuah a, artificial disc hmanga thlak a huam a ni. Hei hi cervical disc degeneration enkawlna atan an ti fo thin.

Cervical Spinal Fusion hmanga siam a ni

Hei hi surgical procedure a ni a, cervical vertebrae pakhat emaw a aia tam emaw a inzawm tlat a ni. Hei hian vertebrae inkara inherna a titawp a ni.

Spinal Cord Hliam tuar nan Functional Electrical Stimulation hman theih a ni

Hetiang tih dan hian electrical impulse te te hmangin taksa peng leh nerve bikte chu a tichak a, chu chuan taksa chunglam thau, cervical nerve-in a thunun thinte hnathawh chu a siam tha leh thin.

Minimally invasive cervical spine surgery neih theih a ni em?

I surgeon nen inbia ang che. Thil tam takah chuan minimally invasive spine surgery pawh tih theih a ni. Traditional open surgery angin vunah incision lian tak siam ai chuan minimally invasive surgery chu incision tenau pakhat emaw a aia tam emaw hmanga tih a ni. He procedure hi incision tenau hmanga tih a nih avangin, incision sei vawi khat hmanga tih ai chuan taksa ruh leh soft tissue te chhiatna a tlem zawk hle.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chuvangin, tunah chuan i kawr chhunga he cervical spine mak tak hi i hre tawh hle.

A awlsam zawngin sawi ila, i cervical spine hi i spine-a neck region a ni. Vertebrae hmasa pasarih (C1-C7) atanga siam a ni. I intervertebral discs, spinal cord, leh nerve, muscle, tendon leh ligament te a awm a ni.

Hei hian i lu rit zawng a thlawp a, i lu chu kawng hrang hranga kalpui turin a pui a, i ruhro (spinal cord) a humhim bawk. Condition tam takin hei hi a nghawng thei a, mahse vanneihthlak takin heng natna enkawlna tur hian non-surgical leh surgical treatment option tam tak a awm a ni.

I kawngah harsatna emaw, na emaw i neih chuan ngaihthah ai chuan doctor pan a, thurawn lak a tha zawk. Hrisel takin awm rawh!

` Cervical Spine, Kawng Na, Ruh, Spinal Cord, Neurology, Vertebrae te