I thluak thenkhat chu i luruh chhungah a rawn chhuak thla em? Chiari Malformation chungchang hi i zir dawn teh ang!

A chang chuan lu na leh kawng na i nei thin em? A nih loh leh, i balance hloh ang maiin emaw, i tlu ang maia i kal kual emaw ang maiin i inhria em? Heng thilte hi random mai mai a ni lo mai thei. Vawiin hian condition pakhat, a buaithlak deuh a, mahse mi tam takin an hriat loh chungchang kan sawi dawn a ni. Chu chu Chiari Malformation a ni. Ngaihtuah buai suh, awlsam takin sawi ila.

Chiari Malformation chu eng nge ni?

A awlsam zawngin, Chiari malformation hi i luruh hnunglam, a hnuai lama thluak tissue te chu a hnuai lam atanga i ruhro (spinal cord) zawhin a lo thang lian thinna a ni. I luruh chu in angin ngaihtuah rawh. A châng chuan chu in chhungah chuan i thluak in fit theihna tur hmun a awm lo. Chutiang a nih chuan i thluak thenkhat, a bik takin i cerebellum chu i luruh bul lama natural opening - foramen magnum kan ti a - chu a nawr thla a, i spinal cord lam pan chuan a hnuai leh hnuai lam a pan a ni.

I cerebellum hi i thluak pawimawh tak a ni. Thil tam tak a thunun a, chutah chuan i taksa ruh chetna, i dinhmun, i inthlauhna, i thusawi, leh i inremna te pawh a tel . Chuvangin, he natna hian cerebellum a nghawng chuan a kaihhnawih symptoms a lo lang tan thin. Entirnan, balance hloh ang chi thil te.

Hetianga thluak thenkhat chu hnuai lama an nawr chuan luruh bul a press a. Hei hian cerebrospinal fluid (CSF) kal dan a tikhawlo a ni. He tui hian i thluak leh ruhro a venghim a, ei leh in leh chemical te a tifai a, bawlhhlawh a paih chhuak bawk. Chuvangin he tui luang chhuak hi tihbuai a nih chuan harsatna chi hrang hrang a awm thei a ni.

Chiari Malformation chi hrang hrangte chu engte nge ni?

Hetiang dinhmun hi chi hrang hrang lian tak tak a awm a. Eng nge an nih i en ang u:

• Chiari malformation type 0: Hei hi a tlem hle. Hetiang chiah hian i cerebellum hmun thenkhat chu i luruh hnuai lama hawnna (foramen magnum) ah hian a chhuak tlem hle emaw, a chhuak lo emaw a ni. Mahse, eng emaw chen chu congestion a awm. Symptoms hi i luruh bul hnaia cerebrospinal fluid (CSF) a luang chhuak dik lo vang a ni.

• Chiari malformation type I: Hei hi a tam ber a ni. Hei hi cerebellum hnuai lam chu luruh bul lama hawnna (foramen magnum) chhunga a nawr na hmun a ni. I spinal cord hian a tlangpuiin he hawnna hi a paltlang thin. Type I vei thenkhat chuan symptom an nei lo mai thei. Tleirawl puitling emaw, nakin lawkah emaw natna lan chhuah dan a lang thei.

• Chiari malformation chi hnihna: 1.1.Hei hi embryonic stage-ah a thleng a, chu chu naute chu nausen pum chhunga a lo thanglian lai a ni. Hetah hian cerebellum leh thluak stem te hi a lo thang lian a, chu chuan luruh chhungah pressure a siam thin. Hetiang chi hi spina bifida natna khirh tak, myelomeningocele nen a awm dun fo thin. Myelomeningocele hi naute pian hmaa ruhro leh ruhro (spinal canal) khar tha lo a ni. Nau piang hnuah ruh hi surgery hmangin khar a ni a, mahse paralysis ang chi condition a awm thei.

• Chiari malformation type III: Hei pawh hi a tlem hle a, Chiari malformation chi khat na ber a ni. Chutiang a nih chuan cerebellum leh thluak zung thenkhat chu luruh hnung lama hawnna pangngai lo (foramen magnum ni lo) hmangin a chhuak chhuak thin. Chu bâkah, thluak emaw, ruhro emaw vêla membrane ṭhenkhat pawh he inhawng aṭang hian an rawn chhuak bawk. Hei hian luruh hnung lamah a hring a, chu chu encephalocele an ti a ni. Type III hian natna khirh tak, nunna atana hlauhawm tak a thlen a, naupan lai atanga tan a ni. Hêng naupangte hian thluak lam harsatna, zir thiam lohna, leh seizures an nei thei a ni . Hei hian operation a ngai fo thin.

• Chiari malformation type IV: Hei pawh hi a tlem hle. Hei hi cerebellum ngei pawh a lo thanglian kim lohna hmun, a nih loh leh a hmun thenkhat a bo lohna hmun a ni. Hetiang chi hi a na hle bawk a, nausen lai hian nunna atana hlauhawm tak a ni tlangpui.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Zirna hrang hrangah chuan United States-ah ringawt pawh mi 1,000 zinga 1 velin Chiari Malformation an nei thei tih a tarlang. Mahse, he natna hi a tam zawk mai thei a, a chhan chu mi thenkhatin symptoms an neih loh vang emaw, symptoms an neih loh vang emaw a ni thei.

Chiari Malformation neih hi eng ang nge ni ang?

Chiari Malformation i neih chuan symptoms i nei thei ang:

• Lu na hi na tak, hliam na tak, a bik takin lu hnunglam, kawr emaw, kekawrte emaw a na a ni. He natna hi khuh emaw thawk hah emaw hian a na zual thei .
• Balance leh coordination lama harsatna awm. I kal laiin i nghing mai thei a, thunun theih loh ang maiin i awm thei.
• Luak chhuak leh vertigo (i chhehvel a inher ang maia hriat).
• Muscle chak lohna.
• Kut emaw ke emaw a hring emaw, kut zungtang, kephah emaw, hmui emaw a kang emaw.
• I thinlung hian beat (palpitations) a skip ang maia inhriatna.
• Mut theih lohna leh hahna rei tak.

Chiari Malformation chhinchhiahna dangte chu engte nge ni?

Heng natna lan chhuah dan tlangpui dang thenkhat chu hetiang hi a ni:

• Mit danglamna: Mit pahnih hmuhna, mit hmuhna fiah lo, mit chetna danglam tak, leh êng laka hriatna.
• Hriatna lama harsatna: Beng a ri (tinnitus) emaw, hriatna hloh emaw.
• Chaw ei harsatna: luak chhuak, luak chhuak, i rilru a inkhar ang maia inhriatna, ei leh in leh thusawi harsat.
• Scoliosis natna (Scoliosis) a ni.
• Zun emaw, bawlhhlawh emaw control theih lohna.
• Fainting a ni.
• Mut laiin thawk harsa (sleep apnea).

Pawimawh: Heng symptoms te hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptoms an nei lo a, thenkhat chuan symptoms na lo tak tak an nei a, thenkhat chuan symptoms na tak tak an nei bawk. Mi thenkhat chuan an pian tirh atangin symptoms an nei thei. Mi dangte chuan a hnuah, an naupan lai emaw, an puitlin hunah emaw symptoms an nei thei bawk. Hun kal zelah symptoms pawh a wax thei a, a tlahniam thei bawk.

Chiari Malformation awm chhante chu engte nge ni?

Hetiang dinhmun hi i thluak hnuai lam chu spinal canal emaw foramen magnum (thluak leh spinal cord inzawmna hmun)-ah i nawr lut a ni. Hei hi a chhan ber chu i thluak leh i ruhro (spinal cord) structural development a dik lo vang a ni. Chumi awmzia chu cerebellum awmna hmuna luruh lian zawng chu beisei aia tlem a ni tihna a ni. Hei hian chu thluak hmun chu pressure a siam a, chu chuan cerebellum chu beisei loh hmunah a hnuai lam hawiin a tipung a ni. Hei hi nausen lo piang chhoh lai hian a thleng fo thin.

Chiari malformations hi a tam zawk chu pianpui a ni. Mahse, nakin lawkah symptoms a lang thei. Hei hi i chhungte atanga lo rochun tlangpui genetic mutation vang a ni thei a, naupai hnua random taka thleng pawh a ni thei bawk.

Mahse, a tlem hle a, he natna nei lo piang lo chuan a hnu lamah Chiari malformation a nei thei a ni. Chutiang hunah chuan luruh emaw, ruhro emaw pianzia chu a hnuaia thil awmte avang hian a danglam thei a ni:

• Thluak natna (brain tumor) a ni.
• A cyst a ni.
• Thisen chhuak (Hematoma) a ni.
• Hydrocephalus natna a ni.
• Intracranial hypertension emaw pseudotumor cerebri emaw a ni thei.

A châng chuan Chiari malformation hi hriselna dinhmun dang, a hnuaia awmte nen a awm thei a, chungte chu:

• Goldenhar natna hi a ni.
• Achondroplasia a awm thin.
• Connective tissue dinhmun, Ehlers-Danlos syndrome ang chi te.
• Spina bifida a awm.

Chiari Malformation vei theihna tur risk factors te chu engte nge ni?

Hetiang dinhmun hian tu pawh a nghawng thei a, mahse i chhungkuaa mi pakhatin a neih chuan Chiari malformation i nei tam zawk.

Chiari Malformation hian eng harsatna nge a thlen?

Chiari malformation hian hriselna lama harsatna lian tak a thlen thei a, hmasawnna a tikhawtlai thei bawk. Harsatna awm ṭhenkhat chu:

• Hydrocephalus: Hei hi nunna atana hlauhawm tak a ni. Hei hi i thluak chhunga cerebrospinal fluid (CSF) a lo awm khawm hun a ni. Hei hi CSF hian a drain tha thei lo a nih chuan a thleng thin. CSF a lo pun chuan luruh chhunga pressure a sang chho zel a ni. Hei hian cognitive functioning problem a thlen thei a , lu pianzia a tidanglam thei bawk . Enkawl loh chuan nunna atana hlauhawm a ni thei. He harsatna hi Chiari malformation type II-ah hmuh tur a tam ber.

• Syringomyelia leh Hydromyelia: I thluak leh ruhro inkar cerebrospinal fluid (CSF) chu a luang tha lo a nih chuan ruhro chhungah a lo pungkhawm thei a ni. Hetianga tui tam lutuk hian ruhro a tichhe thei a, a natna lan chhuahna a thlen thei a, chu chu incheina leh inthlauhna lama harsatna, natna, taksa chak lohna, taksa ruh hring, rilru hahna, lum leh vawt laka invenna tlahniam, leh bladder leh bowel control hloh te a ni

• Tethered cord syndrome: Naupang myelomeningocele (spina bifida chi khat na tak) vei piangte chu an lo upat deuh deuh chuan tethered cord syndrome vei theihna a sang hle. Hei hi an spinal cord chu spinal surgery hnua scarring avanga spinal cord-ah a inzawm tlat chuan a thleng thin. Hetiang dinhmun hian nerve a tichhe zauh zauh thei a, chu chuan taksa hnuai lam leh ke ruh a tichhe thei a ni. Bowel leh urinary function pawh a nghawng thei bawk.

Tin, Chiari malformation symptoms hian i mood a tichhe thei a, a bik takin mut theih lohna emaw, lu na nasa tak emaw i neih chuan. Mi thenkhat chuan depression ang chi natna an nei thei bawk . Hetiang dinhmun hian i rilru a nghawng a nih chuan i doctor emaw, mental health counselor emaw nen inbia ang che .

Engtin nge Chiari Malformation hi hmuhchhuah a nih?

Doctor chuan taksa enfiahna kimchang a neih hnuah he natna hi a hmuchhuak ang. I doctor chuan i kut leh kea i chezia, i balance leh i sensation te a enfiah ang . Hei bakah hian naupangte hriatrengna lama harsatna, zirlai harsatna, leh hmasawnna tlai lo chhinchhiahna te an zawng dawn a ni.

I natna hriat chian nan doctor chuan i thluak leh i ruhro chipchiar taka thlalakna tur imaging test a ti ang. Chûng zîngah chuan:

• MRI (Magnetic Resonance Imaging) scan: Hei hian tissue nem leh ruh te chiang takin a hmu thei. Doctor hnenah i thluak, i ruhro leh i thluak tui (CSF) te hmuh theih nan a pui thin. Cerebellum chu spinal canal-ah eng chen nge a luh tawh tih pawh a hmu thei bawk.
• Cine MRI: Hei hi MRI pangngai nen a inang a, mahse doctor chuan luruh bul vel a cerebrospinal fluid (CSF) flow pattern a hmu thei a ni.
• CT (Computed Tomography) Scan: CT scan hian luruh bul leh ruhro ruh lama harsatna awmte hriatchhuah nan a pui a ni.
• X-ray: Luruh leh kawr ruhah thil dik lo awm leh awm loh enfiah nan X-ray lak a ni.

A châng chuan, Chiari malformations hi prenatal ultrasounds -ah pawh hmuh theih a ni a, chu chu sound wave hmanga soft tissue lem siamna test a ni.

Chiari malformation symptoms i neih loh chuan a chhan inzawm lo va imaging test i neih hian he natna hi i nei tih hmuhchhuah a ni thei.

Chiari Malformation hi engtin nge enkawl a nih?

I doctor chuan i natna lan chhuah dan nasat dan a zirin enkawlna ruahmanna a siam ang. Symptoms i neih loh chuan enkawlna a ngai lo. I doctor chuan i hriselna chu MRI scan pangngai hmangin a enfiah ang.

Lu na emaw, kawng na emaw ang chi symptom na lo tak tak tan chuan hengte hi i lo enchhin thei ang :

• Painkiller emaw damdawi emaw ei hian natna lan chhuah dan control nan a pui thin.
• Massage therapy emaw physical therapy emaw-a tel.
• Taksa tihchakna tihtlem, weight lifting.
• Hriatna emaw, mitdel emaw tan chuan hriatna hmanrua emaw, glasses emaw ang chi hmanrua hman.

Chiari malformation surgery tih a ni

Chiari malformation na tak takah chuan operation neih a ngai mai thei. Surgery tih theih hrang hrang a awm a:

• Craniectomy: Surgeon chuan i luruh atanga ruh te tak te a la chhuak a, chu chuan thluaka pressure a tiziaawm a, cerebrospinal fluid (CSF) a kal theih nan a pui bawk.
• Posterior fossa decompression: Hei hi Chiari malformation enkawlna atana hman tlanglawn ber a ni. Surgeon chuan thluaka pressure tihziaawmna tur leh thluak tan hmun tam zawk siam nan luruh hnunglam (posterior fossa an tih) a la chhuak thin.
• Laminectomy tih a ni:Chiari malformation nasat dan azirin surgeon chuan i ruhro khuh tu ruh tlemte chu a la chhuak ang a, chu chuan cerebrospinal fluid (CSF) a luang chhuak leh ang a, spinal cord tan hmun tam zawk a siam ang.
• Duraplasty: He decompression surgery-ah hian surgeon chuan dura (i thluak pawn lam membrane) chu a hawng a. Tichuan, surgeon chuan membrane lian zawka siam turin patch a siam a, chu chuan thluak tan hmun a siam tam zawk a ni. Hetiang tih hian a hmun a ti lian a, thluak chunga pressure a tihziaawm bawk.
• Electrocautery: Hmun tam zawk siam nan leh cerebrospinal fluid (CSF) luang chhuak thei turin surgeon-te chuan electric tlemte hmangin i thluak hmun tlemte, cerebellar tonsils an tih chu an tihtlem sak a ni. Heng tonsils te hi thluak emaw nerve emaw tichhe lovin an tlahniam thin.
• Shunt dahna: Hydrocephalus i neih chuan i surgeon chuan i luruh chhungah shunt, a nih loh leh tube a dah ang a, chu chuan extra cerebrospinal fluid (CSF) chu a la khawm ang. He tui hi i luruh leh thluak atang hian a chhuak ang a, i taksa hmun dangah a khawlkhawm ang.

Enkawlna hian side effect a nei em?

Enkawlna i tan hmain i doctor chuan i hriselna chungchangah thutlukna dik tak i siam theih nan enkawlna avanga nghawng tha lo a neih dan tur a sawipui ang che. Surgery zawng zawng hian risk a nei vek. I thluak leh luruh surgery hian risk sang zawk a keng tel a, a chhan chu incision leh procedure te hi thluak hnaih tak a nih vang a ni. I upat deuh deuh chuan operation tam zawk neih a ngai mai thei bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Nang leh i doctor-in enkawlna ruahmanna i thlan dan azirin, natna tidamtu damdawi i ei hnuah emaw, therapy i kal hnuah emaw, natna lan chhuahna na lo tak takte aṭangin hahdamna in hmu nghal thei a ni. Surgery atanga dam lehna tur hian kar tlemte atanga thla engemaw zat chhung a daih thei. I natna lan chhuah dan chu a bo emaw, operation hnuah nasa takin a tlahniam emaw tih i hmu mai thei.

Chiari Malformation hi natna khirh tak a ni em?

A chang chuan Chiari malformation hi a pawi hle thei a, mahse engtik lai pawhin a ni lo. A tam zawkah chuan naute hi Chiari malformation neia piang an ni. Mahse, a lan chhuah dan chu a langsar lo va, a natna hi a tlai deuh thei a, naupan lai emaw, puitling emaw, doctor-in a chhan inzawm lo vanga imaging test a tih chuan a ni thei.

Chiari malformation hi damdawi kimchang awm lo mah se, surgery ang chi enkawlna hian i natna lan chhuah dan a thunun thei a, i dam tha thei a, nunna atana hlauhawm harsatna a veng thei bawk.

Hetiang dinhmun nen hian hmalam hun tur eng nge ni?

I thlirna chu Chiari malformation nasat dan leh chi hrang hrangah a innghat a ni. I doctor leh care team te nen thawhhona tha tak neih a pawimawh. I natna lan chhuah dan an enfiah thei a, i tana enkawl dan tur tha ber an ruat thei bawk.

Chiari Malformation vei dam rei zawng chu engzat nge ni ang?

Chiari malformation i vei tih hriat a nih hnua symptoms i neih loh emaw, symptoms na lo tak tak emaw chauh i neih chuan dam rei zawng pangngai i nei a rinawm Symptom na tak tak leh Chiari malformation chi thenkhat chuan thihna a thlen thei. I doctor nen i hriat hnua i beisei tur chungchang sawipui rawh.

Chiari Malformation hi a veng thei ang em?

Tunah hian hetiang dinhmun hi ven dan tur hriat a la awm lo.

Naupai i tum a nih chuan i doctor nen hriselna tha neih dan tur sawipui rawh. I doctor chuan folic acid ang chi vitamin ei fo turin a rawt mai thei . Hei hian naute spina bifida vei neih theihna a ti tlem thei a ni. I doctor chuan genetic testing pawh a rawt thei bawk , chutiang chuan genetic condition nei naute i neih theihna tur risk i hrethiam thei ang.

Engtikah nge Doctor ka hmuh ang?

Chiari malformation symptoms i neih chuan doctor pan la, i symptoms a na zual a nih chuan doctor pan rawh. Chiari malformation nei naupang i neih a, an kum nena inmil growth milestone an neih loh chuan an doctor nen inbia ang che. Operation hnuah, natna kai chhinchhiahna an lantîr a nih chuan, natna nasa tak, hliam, a nih loh leh surgery hmanga hliam dam lo , i doctor ko rawh.

Rikrum! Nangmah emaw, i hmangaih tak emawin a vawi khatna atana seizure i neih chuan local emergency services emaw 1990 emaw call nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

• Eng chi Chiari malformation nge ka neih?
• Eng ang enkawlna nge i rawt?
• Hetiang dinhmun hi enfiah tur hian engzat nge MRI scan neih a ngai?
• Surgery neih i rawt em?
• Enkawlna hian side effect a nei em?
• Hetiang hian ka fate lo thleng turah a thleng dawn em ni?

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

Chiari malformation hian mi zawng zawng a nghawng dan a inang lo. Symptoms i nei lo tak tak thei a, a nasat em avangin i nitin thiltih a nghawng vak lo thei bawk. Mi dangte chuan natna lan chhuahna na tak, a châng chuan chak lohna nei thei an nei thei a, operation an mamawh bawk. Thu lawmawm tak chu he natna chi hrang hrang enkawlna a awm a, chu chuan natna lan chhuahna tihtlem a pui thei a, nunna atana hlauhawm harsatna pawh a veng thei bawk.I natna lan chhuah dan a ṭhat loh emaw, a zual emaw, operation hnua natna hrik ang chi harsatna i neih chuan doctor chu koh ngei ngei tur a ni. Lungngai suh, damdawi lam thurawn leh puihna dik tak nen chuan he natna hi hlawhtling takin i nung thei ang.

` Chiari Malformation, Thluak Natna, Cerebral Palsy, Lu na, Thluak lam natna, Cerebrospinal Fluid