I hnungzang ah hian pinched nerves i nei em? Foraminal Stenosis chungchang hi han sawi ila!

Mi tam zawk chuan kan nun chhungin engtik lai pawhin hnungzang natna, kan kea kah na, kan ke ruh natna emaw, kan ke ruh natna emaw kan tawk tawh a ni. A châng chuan a chhan chu a awlsam hlein kan ngai a, mahse a takah chuan a hnung lamah hian thawnthu thuk zawk a awm thei. Foraminal Stenosis hi kan ruhroah a awm thei a, mahse mi tam takin an hre lo. Chuvangin, vawiinah hian a awlsam zawngin, i hriatthiam theih tur angin i sawi dawn nia.

A awlsam zawngin, foraminal stenosis chu eng nge ni?

I ruhro chu tube lian tak angin ngaihtuah rawh. Kan ruhro (spinal cord) hi he tube hmang hian a kal a. He spinal cord atang hian nerve te te lo chhuak a awm a, chu chuan kan taksa pum puiah thuchah a keng tel a, kan taksa peng hrang hrang te tihchet leh sensation min pe ang chi thil a ti thin. Chuvangin, heng nerve te hi ruhro atang hian foramen an tih khur te tak te hmangin an chhuak thin. A dik tak chuan, neural foramen . Foraminal stenosis chu chu khur chu chhan hrang hrang avanga a inkhar emaw, a tawi emaw a nih chuan a ni. Tui pipe a inkhar ang bawkin tui luang a harsa thin a, heng khur te hi a inkhar chuan nerve a hrual thin.

Kawngkhar pakhata electric wire a tlakbuak chuan eng nge thleng tih hi han ngaihtuah teh. Wire chu a chhe vek a, electric kal tha tur pawh a titawp mai thei. Chutiang chuan nerve compression a awm thin. Nerve kal tlanga thuchah kalte chu tihtawp a ni thei a, natna a thlen thei a, a châng chuan nerve chu a tichhe vek thei bawk.

Kan hnungzangah khawiah nge he natna hi a tam ber?

Kan ruhro hi section hrang hrangah then a ni. He natna, foraminal stenosis an tih hi heng section eng pawhah hian a awm thei a ni.

• Cervical Spine : Hei hi he natna hmuhna hmun tam ber pahnihna a ni.
• Thoracic Spine: He hmun hi a te deuh a ni.
• Lumbar Spine: Hei hi foraminal stenosis awmna hmun a ni.
• Sacral Spine: Ruh hnuai lam chiah a ni.
• Coccygeal Spine: Chu chu tailbone awmna hmun kan ti a.

Hei hi mi tam takin an vei thin natna a ni em?

Dik tak chuan he natna hi i ngaihtuah aiin a tam zawk a, a bik takin kum 55 chunglam zingah a tam zawk a, i upat deuh deuh chuan a vei nasa hle. Mahse mak tak maiin foraminal stenosis vei tam tak chuan symptom an nei lo. Zirna thenkhatah chuan kum 60 an tlin chuan mi 40% velin lumbar stenosis moderate an nei tih an sawi. Hei hi kum 80 an tlin chuan 75% velin a pung thei a, mahse, natna khirh tak tak nei pawhin mi 17.5% vel chauhvin symptoms an nei thin.

Foraminal stenosis natna lan chhuah dan chu engte nge ni?

A symptoms hi pinched nerve nen a inang hle . Hetiang dinhmun hi Radiculopathy kan ti bawk. A hnuaia chhinchhiahna pakhat emaw a aia tam emaw a awm thei:

• Natna: Hei hi a lan chhuah dan ber leh langsar ber a ni. Hnung leh kawng na chauh ni lovin, natna hi nerve hnuai lam atanga kut emaw ke emaw ah a radiate thei bawk.
• Numbness emaw tingling sensation (`Paresthesia`): "Electric shock" emaw, rulhut tlan kual ang mai emaw a ni thei.
• Numbness: A natna hmun chu a rilru a buai a, khawih pawh a hre thei lo .
• Muscle chak lohna emaw, thunun theih lohna emaw: I kut emaw, ke emaw a hrual ang maiin i inhria thei a, a nih loh leh rit phurh pawh i harsat phah thei bawk.

Symptoms awmna hmun hi a pawimawh!

Doctor hian taksa chhunga khawiah nge heng symptoms te hi i neih tih hriat a pawimawh hle a, chutiang chuan a natna chu a hriatchhuah theih nan leh a enkawl thei ang. Kan ruhro hi `freeway` angin han ngaihtuah la, chuta nerve lo chhuakte chu `ramps` ang mai a ni. Thluak atanga thuchah, emaw taksa peng hrang hrang atanga thluak thlenga thuchah lo lutte hian he `kawngpui` hi a paltlang a ngai a ni. Chuvangin, i ke, i kut emaw hmun dangah emaw hetiang symptom i neih chuan doctor chuan spinal cord nerve eng level nge chu vun hmun (`dermatome`) nen chuan inzawm tih a hre thei ang. Hei hian buaina awmna hmun dik tak hriat theihna kawngah nasa takin a pui dawn a ni.

Engtikah nge a lan chhuah dan leh a lan dan

I doctor tan pawh i natna lan chhuah dan leh i thil tih dan hriat a pawimawh bawk. Entirnan, lumbar foraminal stenosis nei mi pakhatin natna a nei thei a, ding laiin a na zual a, a thut laiin a ti tha thei bawk. I natna lan chhuah dan (e.g., engtikah nge an lo intan, eng ang nge an nih, leh eng chen nge an awm tawh tih) diary-a ziah hian i doctor-in i dinhmun a hriatthiam theih nan leh a enkawl theih nan a pui thei a ni.

Engvangin nge foraminal stenosis hi a lo awm? A chhante chu engte nge ni?

Hei hi a chhan awm thei engemaw zat a awm. Mi thenkhat tan chuan chhan pakhat vang a ni thei a, thenkhat tan chuan chhan hrang hrang inzawmkhawm a ni thei bawk.

• Hliam : Hnung lam hliam, tlu avanga awm ang chiHeng nerve holes te hi scar tissue , herniated emaw bulging discs ("slipped discs" kan ti), leh spinal fractures ang chi thil te hian a compress thei a ni.
• Tar : Kan tar chhoh zel chuan kan ruh, kan ruh leh kan ruh (ligament) te hi a pianphungah a chhe vek thin. Hei hian foraminal stenosis vei theihna a tipung bawk.
• Musculoskeletal emaw inflammatory conditions : Hei hi degenerative disk disease , ankylosing spondylitis (chutah chuan ruh ruhte chu a inflamed a, a inzawm khawm), leh Paget’s disease of the bone
• Spine surgery: Hetiang dinhmun hi ruh surgery thenkhat hnuah pawh a awm thei bawk. A châng chuan, hnungzang natna zai a hlawhtlin loh chuan Persistent Spinal Pain Syndrome (PSPS) tih natna pawh a awm thei bawk.
• Growths or tumors: Spine-a lo thang lian, tumor emaw tumor (benign emaw malignant emaw) hian nerve a ti compress thei. Bone spurs (osteophytes) ("bone spurs" kan ti) pawhin heng hawnna te hi a block thei bawk.
• The natural structure of the spine: Spinal canal hi a pianphungah chuan ruh hnuai lam a kal chuan a tawi deuh thin. Hei hi lumbar region-a he natna hi a awm fo chhan pakhat a ni.
• Anatomy danglamna: Mi thenkhat chu pianpui an ni a, an ruhro hi a danglam deuh hlek a ni. An damlo tihna a ni hauh lo a, mahse foraminal stenosis an neih theihna a tipung thei a ni. Scoliosis ( ruh hring ( curvature of the spine) vei te pawh an hlauhawm hle.

Hei hian harsatna a thlen thei em?

A tam zawkah chuan foraminal stenosis hian harsatna lian tham a thlen lo. Mahse, a châng chuan a hnuaia mite hi a thleng thei a ni:

• Chronic pain: Natna awm reng leh thunun harsa.
• Nerve natna bik, sciatica ang chi: ke hnuai lam pan thin natna na tak.
• Nerve chhiatna: Nerve chhiatna hi a awm reng thei.
• Nerve kaihhnawih-in a thunun taksa ruh chak lohna emaw, a chak lohna emaw: Ke ruh pakhat chu a chak lo thei.
• Urinary leh bowel incontinence: 1.1.Hei hi bladder leh bowels control tu nerve te compression vang a ni. Hetiang a nih chuan Doctor i pan nghal tur a ni.
• Natna avanga rilru lam harsatna: Lungkhamna , lungngaihna, etc.
• Taksa lama inhmang thei lo emaw, nitin hna thawk thei lo khawpa natna leh insiamrem theihna tlahniam.

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

Doctor chuan i natna lan chhuah dan a zawt hmasa ang che a, taksa enfiahna a nei ang. Chumi hnuah chuan MRI (Magnetic Resonance Imaging) scan an order thei a, chu chuan an natna hmuhchhuah chu an nemnghet thei a ni. MRI scan hian ruh, nerve leh muscle te chu chiang takin a lang thei a. Mahse, foraminal stenosis hi MRI-ah hmuh theih a ni a, mahse mi tam takin symptom an nei lo va, chuvangin MRI hi a ngai reng reng lo tih hre reng ang che. MRI (entir nan, pacemaker nei te) tan chuan CT (Computed Tomography) scan leh myelogram te hi a tha ber a ni. A châng chuan nerve lama harsatna zawngtu test dang pawh tih a ni thei bawk. Entirnan, electromyography (EMG) leh nerve conduction zirchianna . I doctor chuan i hriselna chanchin leh i mamawh dan a zirin test dang i mamawh leh tih loh a hrilh ang che.

Enkawlnate chu engte nge ni? Hei hi tihdam theih a ni em?

Foraminal stenosis hi enkawl theih a ni a, mi thenkhatah chuan siamthat vek theih a ni bawk. Enkawlna kawng hrang hrang a awm. Mahse, i hriselna dinhmun, stenosis awm chhan leh thil dang a zirin i tana tha tur enkawlna chu a inang lo thei. Hemi chungchangah hian i doctor hi thurawn pe tur che tha ber a ni. Symptoms i neih loh chuan a tam zawkah chuan enkawlna engmah a ngai lo. Conservative treatment hi a hmaa symptoms i neih chuan, natna ang chi hi ngaihtuah a ni tlangpui. Complication, urinary control hloh emaw muscle chak lohna emaw a awm chuan interventional treatment emaw surgery emaw a ngai tlangpui. Enkawlna hi chi thum ah then theih a ni a, chungte chu:

1. Conservative hmanga enkawl dan

Hengte hi enkawlna hmasa ber a ni tlangpui. Hei hian damdawi ei leh thiltih thlak danglam a huam tlangpui.

• Relative rest: He natna hi hliam leh hliam vang a nih chuan chetna tihtlem hian a pui thei. Mahse, khumah chawlh hahdam kim a tha lo tlangpui.
• Physical therapy: Hei hian taksa chakna leh inthlak danglamna a tipung thei a, natna lanchhuahnain nghawng a neih pawh a ti tlem thei bawk.
• Oral anti-inflammatory medications: Damdawi NSAIDs (Nonsteroidal anti-inflammatory drugs) te hian nerve vel a natna chu a tiziaawm thei a, natna lanchhuahna a tiziaawm thei bawk.
• Oral steroid damdawi: Hengte hi a hring tihziaawmna atan pawh pek thin a ni.
• Opioid damdawi ei: Hengte hi natna khirh tak tan hun rei lote chhung pek thin a ni. Mahse, ruihhlo ngawlvei hlauhawmna avangin pek chhunzawm zel an ni lo.

2. Inrawlhna hmanga enkawlna

Hengte hi conservative treatment aiin tlem a tam zawk. A châng chuan damdawi, steroid ang chi, a natna nerve-a injection hian a ṭanpui thei a ni. Heng injection te hi X-ray hmangin damdawi chu a hmun dik takah a kal em tih enfiah thin a ni. Heng injection te hian a chang chuan operation mamawhna a tikhawtlai thei a ni.

3. Surgery hmanga enkawlna

Tunah chuan spinal decompression surgery hi minimally invasive approach hmangin an ti fo thin . Chumi awmzia chu incision te te hman a ni a, chu chuan thisen chhuah, natna leh dam hun a ti tlem a ni. Surgery chi hrang hrang tih theih a awm a:

• Foramen surgery: Foraminotomy hi nerve chhuahna khur (neural foramen) tihzauh nan surgery a ni. Foraminectomy pawh chutiang bawk chu a ni a, mahse a chhehvel tissue thenkhat pawh a paih chhuak a, chu chuan a khur chu a lian zawk a ni.
• Facet joint surgery: Facetectomy tih hi facet joint pum pui lakchhuah a, spinal cord leh nerve-a pressure tihziaawmna a ni.
• Lamina surgery: Laminotomy chu vertebra atanga ruh leh soft tissue te tak te lakchhuah a, spinal cord emaw nerve emaw a pressure tihziaawmna a ni. Laminectomy chu vertebra lairil hmun lian tak lakchhuahna a ni.
• Bone spur lakchhuah: Bone spur (osteophytes) hian nerve a press a nih chuan lakchhuah hian pressure a ti tlem bawk ang.
• Spinal Cord Stimulator: Hei hian spinal cord hmun khatah electrical stimulator dah a ni. He stimulator hian spinal cord chhunga cell te hnenah electric current te tak te a thawn thin. He current hian chu cell te chuan natna signal an thawn thei lo. Hei hi surgery a hlawhtlin loh emaw, tih theih loh emaw a nih chuan a \angkai thei hle.

Enkawlna avanga harsatna/side effects awmte chu engte nge ni?

Enkawlna a tam em avangin harsatna leh side effect a inang lo. Tin, dam leh hun chhung leh enkawl hnua beisei tur chu mi hrang hrangah a inang lo thei bawk. I doctor chuan i side effects i neih theih dan leh i dam leh hun tur a sawifiah thei ber ang.

Foraminal stenosis lo awm hi ka tihtlem thei ang em, ka veng thei ang em?

Foraminal stenosis hi beisei loh taka lo awm a ni a, a chang chuan symptoms a lang lo. Chuvangin,Tunah hian hei hi ven dan tur leh a hlauhawmna tihtlem dan tur a la awm lo.

Foraminal stenosis ka neih chuan eng nge ka beisei ang?

Vawi tam tak chu he natna hi chhinchhiahna nei lo a ni. Mi thenkhat chu scan laiin chhan dang vangin an vei tih hmuhchhuah a ni. Mi dangte chuan an nei tih an hre ngai lo. Foraminal stenosis hian nerve symptoms engmah a lan hmain hnungzang a ti na thei a ni. Kar tlemte aia rei hnungzang na i neih chuan Doctor pan tur a ni. I doctor chuan i natna hi foraminal stenosis emaw thil dang vang emaw a nih leh nih loh a hre thei a, specialist hnenah a refer thei bawk. I natna lan chhuah dan na tak tak, rilru hahna, rilru hahna, emaw taksa ruh chak lohna i neih chuan – a bik takin i kut emaw ke emaw a nghawng chuan – a rang thei ang bera doctor pan rawh. I foraminal stenosis hi heng symptoms te thlen thei khawpa na a nih chuan nerve tihchhiat leh harsatna lian tham dang a thlen thei a ni.

Foraminal stenosis hi eng chen nge a awm?

Hei hi hun eng emaw chen atan emaw, chatuan atan emaw pawh a ni thei. Hun rei lote chhunga thil awm, hliam tenau avanga hliam ang chi a nih chuan a mah chauhin a bo thei. Mahse, natna khirh tak nena inzawm a nih chuan, emaw, operation hnua lo awm a nih chuan, emaw, i ruhro pianphung (natural shape) avanga lo awm a nih chuan, a awm reng a rinawm.

Foraminal stenosis hi eng nge a nih?

Foraminal stenosis tam zawkah chuan symptoms a awm lo. Stenosis na tak nei pawhin mi 17.5% vel chauhvin symptoms an nei thin. Symptoms i neih loh chuan lungkhamna tur a tlem hle (i doctor chuan i tih tur dik tak a hrilh ang che). Symptoms a awm tak tak chuan outlook chu a danglam thei. Symptoms na lo tak takte chu enkawlna hmangin enkawl theih a ni. Mi thenkhat tan chuan enkawlna hian natna lanchhuahna zual zel chu a thunun thei a ni. Foraminal stenosis a nasat chuan, a natna a zual zel loh nan leh/ emaw, nerve chhiatna nghet tak emaw, harsatna dang emaw a thlen loh nan, operation ang chi enkawl nghal a ngai tlangpui.

Foraminal stenosis ka neih chuan engtin nge ka in enkawl ang?

Foraminal stenosis i neih chuan a tlangpuiin symptoms i hriat tan hma chuan thil danglam bik tih emaw, tihdanglam emaw a ngai lo. I hnungzang natna i neih chuan a tir lamah chuan nangmah chauhin i enkawl tum thei ang. Mahse, kar engemaw zat hnuah a awm reng chuan doctor pan tur a ni.

Note: Natna hi kar tlemte aia rei a awm tawh chuan ngaihthah loh tur emaw, mahni chauha enkawl tum loh tur a ni. Hun kal zelah natna rei tak hian i taksa leh thluak hian natna signal process dan a tidanglam thei a, Central Pain Syndrome ang chi natna a thlen thei a ni.

I doctor chuan foraminal stenosis i nei tih a hriat chuan i in enkawl dan tur a kaihruai ang che a, enkawlna awm thei tur thlan kawngah a pui ang che.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

I hnungzang na tak, na tak, a bik takin hliam i neih chuan, emaw, i ruhro emaw, i nerve emaw-ah harsatna i neih theihna tur chhinchhiahna i neih thut chuan emergency room hnai ber pan rawh. Chutiang chhinchhiahnate chu:

• Ke pakhat emaw, ke pahnih emawa taksa ruh chak lo nghal.
• Zun emaw, ek emaw luang chhuak chu i thunun thei lo.
• Natna nasa lutuk, nitin hna i thawh theih loh khawpa na.

Foraminal stenosis hi engtiang chiahin nge a nasat?

Hei hi a tlangpuiin natna khirh tak a ni lo. Mi tam tak chuan symptom an neih loh avangin an nei tih pawh an hre lo. Nerve compression a nasat lutuk a, taksa ruh chak lohna, rilru hahna emaw, hriatna hloh emaw a thlen phawt chuan a pawi hle.

Spinal Stenosis leh Foraminal Stenosis hi eng nge an danglamna?

Foraminal stenosis hi ruh natna chi khat a ni a . Spine hmun bik a nghawng a, chu chu nerve te chu ruh atanga chhuakin taksa peng dang (neural foramen) panna kawngkhar a ni. Spinal stenosis hi neural foramen chauh ni lovin, ruhro hmun eng pawh a tawi thei a ni. A pahnih inzawmkhawm a ni thei bawk.

Foraminal Stenosis enkawlna tha ber chu eng nge ni?

Hemi enkawlna tha ber chu mi tin a inang lo thei. Mi pakhat tanpui thei enkawlna hian mi dang a pui lo mai thei. I doctor chuan i enkawlna tur awmte chu a hrilhfiah thei ber ang che, a bik takin i tanpui ber tur leh i thil tum leh mamawh nena inmil tur chu.

(In lama hruai tur thuchah)

Chuvangin, Foraminal Stenosis chungchanga i hriat tur pawimawh ber chu i ke ruh natna, rilru hahna, tingling, emaw sensation hloh ang chi symptoms i neih chuan ngaihthah mai mai suh. A pawimawh ber chu Doctor hmuh a, buaina chu eng nge ni tih chiang taka hriat chhuah hi a ni. A tam zawkah chuan he natna hi enkawlna tha tak tak Foraminal Stenosis an tih a awm thin. I hriat hmasak chuan harsatna lian tak leh nerve tihchhiat nghet tak a thlen hmain control leh tihdam theihna chance tha tak i nei a ni. Chutah chuan i nun tikhawtlai lovin i duhzawng thilte chu i ti thei tawh ang. Foraminal stenosis, hnungzang na, nerve compression, rilru hahna, ruhro, MRI, taksa lam enkawlna