I kut emaw, i ke emaw hmun khat chu a hring reng emaw, a na mai mai emaw tih i hre ngai em? A châng chuan chu kut emaw, ke emaw-ah chuan harsatna a awm niin kan ngai ṭhin. Mahse a chhan chu a takah chuan a hla zawk hle thei a, i ruhro atanga lo chhuak nerve-ah a awm thei. Vawiin hian he kan taksa ‘nerve map’ mak tak mai hi kan sawi dawn a ni. Damdawi lamah chuan hei hi dermatome kan ti a. Hei hi thupui ngaihnawm tak a ni a, eng nge a nih i en ang u.
A awlsam zawngin, dermatome chu eng nge ni?
Dermatome tih hi kan taksa vun hmun bik hming vuah a ni. Mahse vun area mai a ni lo. Heng hmun tin hi control a ni a, chu chu chu hmuna sensations (feelings) te chu kan ruhro (spinal cord)-a nerve bik pakhatin thluaka a phur tihna a ni.
Hetiang hian han ngaihtuah teh. I ruhro chu highway lian tak ang mai a ni. Information (nerve signal) te hi he kawngpui lianah hian a chho leh chhuk a, thluak leh taksa peng dang thlengin a kal a. He highway atang hian byway tlemte lut leh chhuak a awm a. Chu byways te chu kan ruhro atanga lo chhuak spinal nerve te an ni. Byway tin hi taksa peng bik pakhat nen an inzawm a ni. Chu vun hmun bik chu dermatome an ti a.
He inzawmna hian kawng hnih a thawk a ni.
1. Thluak atanga taksa dang: I kut i sawn duh hian i thluak atanga signal lo chhuak chu i ruhro hnuaiah a kal a, a remchan dan angin nerve kaltlangin i kut ruh (muscles) ah a kal a.
2. Taksa atanga thluak thleng: I kut chungah tui lum i paih chuan, chu sensation chu vun atanga nerve kaihhnawih kaltlangin ruhro thlengin a kal a, chuta tang chuan thluak thlengin a kal a, chu chuan "i kut a kang" tih i hriat phah a ni. Hei hi engkim hi a ni a, khawih, khaw lum, lum, leh natna te pawh a tel.
Chuti a nih chuan, engtin nge he dermatome map hi doctor tan a pawimawh?
Hei hi a pawimawh ber a ni. I taksa hmun dangah pawh i rilru a buai emaw, i natna emaw, i hriatna hloh emaw i neih chuan, i doctor chuan he dermatome map hmang hian harsatna awmna chu a hre thei ang.
I kutpui chu a hlim reng ang tih han ngaihtuah teh. I doctor chuan dermatome map a en chuan i kutpuiah sensation pe tu nerve chu sixth cervical vertebra (C6) a ni tih a hria a. Chutah chuan buaina chu i kutah ni lovin, i kawr chhungah a awm tih a ringhlel mai thei. I cervical vertebrae pakhat inkar disc chu a slip a, nerve chu a pressure a ni mai thei.
A awlsam zawngin, dermatome hi doctor-te’n i nervous system-a harsatna an hmuh theihna tura puitu roadmap ang a ni.
Engtin nge heng dermatomes te hi kan taksaah hian an awm?
Kan hmai tih loh chu kan taksa pum pui hi dermatome-in a khuh vek a ni. (Facial nerve te hi thluak nen direct-a inzawm a nih avangin ruhro (spine) kaltlangin an kal lo.) Hengte hi kan taksa vel belt ang mai a ni.
Hei hi hrethiam tur chuan kan ruhro peng hrang hrangte hi i zir hmasa ang u.
- Cervical Spine: Hei hi kawr chhungah a awm a. Vertebrae 7 leh nerve pair 8 (C1 atanga C8) a nei a.
- Thoracic Spine: Hei hi hnungzang chunglam leh a laiah a awm a. Vertebrae 12 leh nerve pahnih (T1 to T12) 12 a nei a.
- Lumbar Spine: Hei hi i hnungzang hnuai lamah a awm a. Vertebrae 5 leh nerve pahnih (L1 to L5) 5 a nei a.
- Sacral Spine: Hei hi ruhro leh hip ruh inzawmna hmun a ni. Vertebrae 5 (puitlingah an inzawm khawm) leh nerve pahnih (S1 to S5) 5 a nei bawk.
- Coccygeal Spine: Hei hi kan tailbone a ni. Vertebrae 4 vel inzawmkhawm atanga siam a ni. Nerve pahnih pakhat a nei a.
Tunah chuan heng nerve hrang hrangte hian taksa peng hrang hrang eng nge an inzawm tih i en ang u.
Cervical nerve nena inzawm dermatomes (Cervical Nerves - C1-C8) te hi a tha hle.
Kawng atanga lo chhuak nerve te hi lu, kawr, kekawrte, kut leh kut zungtang te nen an inzawm ber a ni.
| Nerve a ni | Skin Area inzawmkhawm |
|---|---|
| C2 | Lu hnunglam leh beng hnuai lam chin area. |
| C3 | A sir leh a hnunglam chu a kawrfual a ni. |
| C4 | Kawng hnuai lam, kekawr chung lam. |
| C5 | A kekawrte leh kut hnunglam. |
| C6 | Kutpui kutpui lam, chu kut zungtang leh kutpui. |
| C7 | Kut hnunglam lai tak, index finger leh middle finger. |
| C8 | Kut leh kut zungtang te tak te, ring finger leh kut zungtang te tak te. |
Thoracic Nerves (T1-T12) nena inzawm dermatomes 1.1.
Heng nerve te hi rilru, pum leh hnungzang nen an inzawm ber a ni. Taksa vel belt ang mai an ni.
| Nerve a ni | Skin Area inzawmkhawm |
|---|---|
| T1 | Arm chhung lam (armpit lam) a ni. |
| T2 | Armpit leh a rilru chunglam. |
| T4 | Nipple level a ni. |
| T6 | Chhung ruh lai tak (sternum) level hniam ber. |
| T10 a ni | Pelvis level a ni. |
| T12 | Groin area chunglam chiah a ni. |
Lumbar Nerves (L1-L5) nena inzawm dermatomes 1.1.
Heng nerve te hi hnungzang hnuai lam atanga lo chhuak te hi hip, ke leh ke te nen an inzawm tlat a ni.
| Nerve a ni | Skin Area inzawmkhawm |
|---|---|
| L1 | Groin area leh thigh chunglam. |
| L2 | Hma lam a thigh. |
| L3 | Thigh hnuai lam leh khup. |
| L4 | A chhung lam leh kekawrte. |
| L5 | Ke hnunglam, ke chunglam, leh ke ruh engemaw zat, ke ruh lian tak pawh a tel. |
Sacral & Coccygeal Nerves (S1-S5) te hi a tha hle a ni.
Heng nerve te hi hnute, ke hnunglam leh mipat hmeichhiatna hmun te nen an inzawm tlat a ni.
| Nerve a ni | Skin Area inzawmkhawm |
|---|---|
| S1 | Thigh leh hnute hnunglam, kephah leh ke ruh te tak te. |
| S2 | A kekawr hnunglam lai tak. |
| S3-S5-ah hian a awm | A hnute lai, a hnute leh a serh lai vel. |
Eng dinhmun nge dermatomes a nghawng?
Dermatome symptom chu a inzawm nerve emaw spinal cord emaw a harsatna avanga lo awm a ni. Chutiang harsatna lo awm thei chhan hrang hrang a awm a:
- Accident: Car accident, tlu, chil vuak, etc. avanga ruhro emaw nerve zung emaw a chhiat.
- Spinal tumor emaw cancer: Spinal tumor-a lo awm hian nerve compression a thlen thei.
- Infection: Bacterial emaw virus emaw infection avanga ruhro emaw nerve emaw a nghawng chuan nerve a ti hring thei a, a pinch thei bawk.
- Thisen pek tlem (Ischemia): Ruh leh nerve supply tu thisen kalna kawng a block.
- Congenital conditions: Nau piang laia ruhro (spinal deformities) awm thin, spina bifida ang chi.
- Herniated Disk: ‘Herniated disk’ an tih hi kan hre vek. Chutiang a nih chuan vertebrae inkar disc chu a bulge chhuak a, nerve pakhat a press a ni.
Dermatome nena inzawm harsatna a awm thei symptoms
Heng symptoms te hi chi thum ah then theih a ni.
| Symptom chi hrang hrang | Entirnan |
|---|---|
| Motor a ni | - Muscle chak lohna emaw paralysis emaw (Paralysis) . - Thunun theih loh taksa ruh inzawmkhawm - Taksa Atrophy (Muscle Atrophy) a awm |
| Sensory lam thil a ni | - Numbness a awm - Numbness a awm - Natna (kang, hliam na) . |
| Autonomic a ni | - A natna hmuna thawk hah lutuk emaw, thawk hah loh emaw - Zun emaw, ek emaw control harsat - Mipat hmeichhiatna hmansualna |
Heng harsatna chi hrang hrang hriat chian nan hian eng test nge tih thin?
I doctor-in i natna lan chhuah dan a ngaihthlak hnu leh a enfiah hnuah, a chhan dik tak hriat theih nan hetiang test nei turin an refer thei che a ni.
- CT Scan (Computed Tomography): Hei hian ruhro ruhte dinhmun a hriat chian theih nan a pui thei a ni.
- MRI scan (Magnetic Resonance Imaging): Hei hian ruhro ruh chauh ni lovin, ruhro, nerve leh cartilage disc te pawh chiang takin a la thei a ni.
- EMG test (Electromyogram): Hei hian nerve leh muscle te hnathawh dan a test a, chu chu electrical signal kal dan a ni. Hei hian nerve a chhiat leh chhiat loh chiang taka hriat theih nan a pui a ni.
Kan ruhro leh kan nerve venhim nan eng nge kan tih ang?
Dermatome hi kan ruhro hriselna chungchang a ni. Chuvangin ruhro hrisel taka vawn reng hi a pawimawh ber a ni.
- Hriselna atana hman tur: Lirthei a chuan laiin seat belt dik takin vuah tur a ni. Hmun sang taka hnathawh chuan safety harness vuah tur a ni.
- Thil rit i chawi dawnin fimkhur rawh: Thil rit i chawi dawnin , i hnungzang ni lovin i khup kha ben rawh . I hnungzang chu dinglam hawiin dah rawh. I hnungzang lama harsatna i neih chuan rit phurh loh tur.
- Tlu lakah inveng rawh: Kawngkhar, a bik takin bathroom leh stairs-ah te chu non-slip-in dah rawh. A tul chuan handrail dah rawh.
- I ruhte kha nghet takin vawng reng rawh: Calcium leh vitamin D tamna ei tur ei la, ruh tithianghlimtu natna, ruh natna (osteoporosis) ang chite hian ruh (vertebrae) te chu awlsam takin a tikehsawm thei a ni.
- Posture tha vawng reng rawh: Thut leh ding chungin i hnungzang dinglam hawi reng ang che . Hmun khatah rei tak awm suh. Tho la, darkar chanve danah vawi khat tal kal kual rawh.
He dermatomes concept hi kan taksa hi a complex leh mak tak maia design a nih dan entir nan a tha hle. Hetianga rilru hahna emaw, natna emaw i neih chuan ngaihthah suh la, i doctor hnenah thurawn dil ngei ang che .
Take-Home Thuchah a ni
- Dermatome chu kan ruhro chhunga nerve bik pakhatin a thunun vun hmun a ni.
- Taksa hmun thenkhata rilru hahna, natna emaw, hriatna hloh emaw hi spinal nerve lama harsatna vang a ni thei.
- He dermatome map hi doctor-te tan chuan thluak lam natna hriat theihna atan a pawimawh hle.
- Heng harsatna tam tak hi i hnungzang hriselna enkawl a, accident laka invenna hmanga ven theih a ni.
- I taksa hmun dangah pawh hriatna danglam tak (numbness, pain) i neih reng chuan ngaihthah suh la, doctor pan nghal rawh.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment