I fa hian heng symptoms te hi a nei em? Hydromyelia chungchang hi i zir dawn teh ang!

I fa te hian lu na a phunnawi fo em? A nih loh leh, a rilru a hah emaw, a chak lo emaw? A châng chuan hengte hi natna tenau pangngai ang maiin kan ngai a, mahse heng chhinchhiahnate hi a la awm reng a nih chuan tlem tal ngaihtuah a tha. A chhan chu hengte hi naupang tê tête nghawng thei Hydromyelia tih hming pu, natna hlauhawm tak, mahse na tak thei tak chhinchhiahna a ni thei a ni. Chuvangin, vawiinah hian awlsam takin he thu hi sawi ila.

Hydromyelia chu eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin sawi ila, hydromyelia hi naupang tê tête zingah chuan central canal, spinal cord chhunga hmun zau tak, spinal cord chunglam, a tlangpuiin a zau lo tihna a ni. Hetiang hian han ngaihtuah teh: kan ruhro hnuai lama luang chhuak tube te tak te a awm a, chu chu central canal . Chu chu a zau chuan tuiin a khat bawm a siam a, chu chu syrinx .

He central canal hi a tlangpuiin tui bik cerebrospinal fluid (CSF) tih hmanga khat a ni. He `(CSF)` tui hian kan thluak leh ruhro (spinal cord) te chu hlauhawm hrang hrang lakah a venghim a, chubakah ei leh in mamawh a pe bawk. Chuvangin, chu `(syrinx)` chu a lo awm chuan he `(CSF)` fluid hi a pungkhawm thei a, harsatna tam zawk a siam thei a ni.

Tute nge hydromyelia vei? Thluak peng eng nge a nghawng?

He natna, hydromyelia tia koh hi thluak ventricle palina- ah a awm a ni . Hei hi thluak bul, thluak bul hnaihah a awm a ni . He ventricle palina hi central canal nen a inzawm a, chu chu spinal cord hnuai lam pan chhunzawm zel a ni. Hei hi tui dahnain pipe-a tui a pe ang mai a ni.

He central canal hi a chhungah hian cell chi khat `ependymal cells` tih hian a line a. Heng cell te hi thluak ventricles leh spinal cord central canal ah chauh hmuh tur a awm a ni. Hei hi hriat reng a pawimawh a, a chhan chu hei hi a hnua kan sawiho tur dinhmun dang atanga thliar hrang turin a pui a ni.

He natna (Hydromyelia) hi naupang thluak natna khirh tak tak neia piangte zingah hmuh tur a awm tlangpui . Entir nan:

• (Chiari malformation type II) : Hei hi pianpui (born in) thluak insiam dan, a bik takin thluak hnuai lam a inthlak danglamna a ni.
• (Dandy-Walker syndrome) : Hei hi pianpui lama harsatna awm lo tak a ni bawk a, thluak hnunglam (the cerebellum) lo thanglian zelnaah a awm thin.
• (Hydrocephalus) : Hei hi "thluak chunga tui awmkhawm" tih hi i hre tawh mai thei. Hetiang natna nei naupangte pawhin `(Hydromyelia)` an vei tam zawk bawk.

A tlem hle tihna a ni a, a tlem hle tihna a ni, he natna hi naupangteah pawh chhan dang vangin a awm thei bawk. Chutiang chhante chu:

• Thluak natna (brain tumor) a awm
• Thluak natna, entirnan, encephalitis
• Thluak hliam na tak tak

Chu chuan engtin nge naupang ṭhatna a nghawng?

Chu fluid-filled cyst kan sawi tawh, `(syrinx)` chu a lo thang lian tan chuan spinal cord-ah pressure a siam a ni. Balloon tuiin a khat ang maiin han ngaihtuah teh, a lo lian chhoh zel chuan a chhehvel thilte chu a nawr chhuak vek a ni lawm ni? Chutiang chu he mi nen hian a ni. Hetiang pressure hian spinal cord a nerve nalh tak tak te chu a ti hrual a , a ti chhe thin . Chutah chuan symptom hrang hrang a lo lang thin.

Hydromyelia leh Syringomyelia hi thil inang an ni em? Eng nge a danglamna?

Ni e, heng hming pahnih hi a inang hlein a ri. A natna lan chhuah dan pawh a inang hle. Heng pahnihah hian fluid-filled cyst (`cyst`-like growth`) chu spinal cord-ah a lo awm a, nerve cells a nghawng a ni. Mahse an pahnih inkarah hian danglamna tenau tak tak, mahse pawimawh tak tak a awm. Eng nge an nih i en ang u?

Hydromyelia chungchangah hian:

• Hei hian naute leh naupang te a nghawng ber a ni . Puitling tan chuan a vei hi a tlem hle.
• Chu fluid-filled sac (`syrinx`) chu spinal cord central canal chhungah a lo awm a.
• Chu cyst (`syrinx`) chhungah chuan a hmaa kan sawi tawh ang khan special ependymal cells te chu an awm a.

Syringomyelia chungchangah hian:

• Hei hi puitling zingah hmuh tur a tam ber .
• Fluid-a khat sac (`syrinx`) hi central canal pawnah a lo piang a, chu chu a kiangah (mahse central canal pawnah) a ni .
• He cyst (`syrinx`) chhungah hian ependymal cell a awm lo .

Heng inthlak danglamna te hi doctor-te tan chuan diagnosis dik tak an siam theih nan leh enkawlna tur dik ber tur an hriat theih nan a pawimawh hle.

Engvangin nge he hydromyelia hi a lo awm? Eng nge a chhan?

Dik tak chuan zirchiangtute chuan hei hi eng thil nge a thlen tih chiang takin an la chhui chhuak mek a ni . Chu chu "hei hi a chhan a ni" tih chiang taka sawi a harsa tihna a ni. Kan sawi tawh `(Chiari malformation)` leh `(Dandy-Walker syndrome)` ang chi condition nen inzawm nia hriat ni mahse, chu inzawmna chu engtin nge a awm tih zirchianna dang neih mek a ni.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

Naupang thenkhatah chuan syrinx hi a te hle a. Chutiang a nih chuan, symptoms a awm lo mai thei , a nih loh leh awm pawh ni se, harsatna lian tak a ni lo mai thei. Naupang chu a khelh dan pangngaiin a khel thei a, hna a thawk thei bawk.

Mahse, syrinx a lian lutuk chuan spinal cord-a nerve te chu a press thei a, neuropathic pain a thlen thei a ni . He natna hi kawng hrang hrangin hriat theih a ni:

• Taksa pum puiah kang ang maia hriat : mei alh ang mai.
• A natna rang tak , na tak, electric hnim hring emaw, chemte kah emaw ang chi .
• Numbness : A chang chuan nangmah ngeiin i kut emaw ke emaw hian i taksa a khawih tih i hre lo mai thei.
• Pin-and-needles emaw, tingling sensation emaw tih hriatna .

Heng nerve natna bakah hian symptom dang a awm thei bawk:

• Lu na fo : Hei hi lu na pangngai ang a ni lo, a na deuh deuh thei.
• Khua lum leh vawt laka sensitivity hloh : Hei hi a hlauhawm deuh a, naupang chuan a hriat lohvin thil lum a khawih a, a kang thei a, a nih loh leh khawsik a tawk a, harsatna a nei thei bawk.
• Muscle stiffness: Ke ruhte chu a nghet a , ben harsa tak a ni.
• Scoliosis : Naupang thenkhat chuan a sir khatah an ruhro (curved spine) an nei thei.
• An kut leh kea chak lohna : Naupang chuan inkhelh, tlan, zuang, kal a harsat phah thei.

I fa chu a inkhel a, rang takin, "Mommy, ka kut a ri a, rulhut an ei ang maiin a lang," tiin a tap nghal mai ang tih han mitthla teh. A nih loh leh, "Ka chau tawh a, ka ke pawh a hring vek tawh," an ti fo bawk. Hetiang thil hi bansan mai mai suh.

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

I fa hian heng symptoms te hi a neih chuan doctor i pan ngei ngei tur a ni. Doctor chuan hei hi hydromyelia a nih leh nih loh hriat nan test eng emaw zat a kalpui ang.

1. Neurological exam : A hmasa berin Doctor chuan naupang chu uluk takin a enfiah ang. Naupang natna lan chhuah dan leh a nasat dan te a zawt ang che. Naupang kal dan te, a tlan dan te, a zuang dan te, a ke leh ke a tihsan leh a tihhniam dan te, a taksa ruh chakna te, leh a hriatna te a en ang.

2. MRI scan : Hei hi he natna hi hriat chian dan pawimawh ber leh dik ber a ni. MRI scan hian ruhro leh thluak chipchiar takin a la thei a ni. Hei hian fluid cyst (syrinx) a awm leh awm loh, a lian zia leh ruhroah thil danglam dang a awm leh awm loh chiang takin a hmu thei a ni.

3. Electromyography (EMG) : He test hi a chang chuan tih theih a ni bawk. Nerve leh muscle hnathawh dan tur ngaihtuahna a pe thei. A bik takin, hei hi Syringomyelia ang chi natna dang aiin a danglamna a siam thei a ni.

Cyst te tak te hi hydromyelia a ni thei ang em?

Ni e, hei hi zawhna pawimawh tak a ni. MRI-ah chuan ventricle palina-ah cyst te tak te, slit ang maia lang pawh ni se, chu chu Hydromyelia a ni thei bawk. Cyst hi a te hle a nih pawhin symptoms a la nei thei tho .Chuvangin, hetiang tumor te tak te pawh dik taka hriat theih leh hriat theih nan hian doctor tawnhriat ngah tak, neurology lama tui tak a ngai a ni.

Hei hi eng enkawlna nge ni? (Tihdamna)

Hydromyelia enkawl dan chu naupang natna lan chhuah dan leh a nasat danah a innghat a ni. Naupang zawng zawng hi enkawl dan inang vek an ni lo.

• Mild or no symptoms : I fain symptoms a neih tlem lutuk a nih chuan, emaw symptoms a neih loh chuan enkawlna a ngai lo mai thei . Mahse, doctor chuan i fa chu a enfiah chhunzawm zel ang a, danglamna a awm leh awm loh a en reng ang.
• Disturbing symptoms : Muscle stiffness leh chak lohna ang chi symptoms te hian i fate nitin hnathawh a tibuai a nih chuan physical therapy hian hahdamna nasa tak a pe thei a ni. Physics therapist chuan i fate chu i fate tana tha tur exercise leh taksa ruh tichaktu technique te a zirtir ang.
• Symptoms moderate leh severe : Symptoms chu a nasat em em a, chu chu naupangin natna leh hrehawmna nasa tak a tawk tihna a nih chuan operation neih a ngai fo thin

Surgery ka mamawh em? Eng ang surgery nge tih ang?

Symptoms a nasat chuan operation hi a solution tha ber a ni fo thin. Hei hian naupang thluak CSF (cerebrospinal fluid) chu a pianphung anga a chhuah theih nan shunt dah a huam a ni.

He `shunt` hi a nalh em em a, tube te tak te ang mai a ni. `Fourth ventricle`-a `CSF` tui tam lutuk lo awm tawh chu taksa hmun dang (a tlangpuiin abdominal cavity)-a kal theihna tur kawng a siam a ni. Hei hian `syrinx` chhunga pressure a tihziaawm bakah symptoms a ti tlem bawk.

He shunt surgery hi neurosurgeon hmanga tih a ni. Hun eng emaw chen emaw a awm reng emaw pawhin symptoms a tihziaawm thei . Mahse, naupang thenkhat chuan an dam chhungin shunt pakhat aia tam an mamawh thei a, shunt awmsa siamthat nan operation an mamawh thei bawk.

Hetiang thil thleng tur hi ven dan tur a awm lo em ni?

Vanduaithlak takin hydromyelia hi a chhan dik tak hriat a la ni lo va, chuvangin tunah hian ven dan tur chiang tak a la awm lo . Kan sawi tawh ang khan congenital (present at birth) condition dang nen a inzawm fo thin a, chuvangin chutiang underlying conditions chu ven theih a nih loh chuan hei pawh hi ven a harsa hle.

Hydromyelia vei naupang hmalam hun chu eng nge ni? (Prognosis) tih a ni.

Hei hi nu leh pa tinte zawhna lian ber a ni. `(Hydromyelia)` vei naupang hmalam hun tur chiang taka sawi a harsa a, a chhan chu naupang hrang hrangah a inang lo.

• Naupang tlemte takah chuan natna lan chhuahna chu a mah chauhin a reh emaw, enkawlna engmah awm lovin, a nih loh leh a level inangah a nghet thei emaw a ni . Mahse hei hian kum tam tak a daih thei.
• Naupang tam tak chuan shunt an neih hnuah an natna lan chhuah danah hahdamna nasa tak an nei thin. Mahse , a chang chuan a symptoms hi a lo lang leh thei . Chu chu natna hlui chu rei lo te hnuah a lo let leh thei tihna a ni.
• Chuvangin, doctor pan chhunzawm zel a, i fa chu enfiah tir (neurological exams) leh a tul chuan MRI scan neih tir a pawimawh hle. Hei hian symptoms a lo let leh emaw, shunt-a harsatna a awm leh awm loh emaw hriat hmasak a pui ang.

Hydromyelia vei naupang nitin nun chu eng ang nge ni?

He natna hian naupang nitin nun a nghawng dan hi a natna lan chhuah dan a nasat danah a innghat vek a ni.

• If the symptoms are very mild , naupang chu a nitin hnathawh dan pangngai angin a kal thei. Harsatna tenau engemaw zat a awm thei a, mahse a buaithlak reng reng lo mai thei.
• Mahse symptoms moderate to severe a awm chuan naupang leh chhungkaw tan nun hi a harsa deuh thei a ni :
• Natna : Hei hi a lo thleng thut thei a, a bo nghal thei bawk. Engtikah nge a lo thlen dawn tih leh engtin nge a lo thlen dawn tih i hriat theih loh avangin naupang chu a hlauthawng reng thei a, a lungawi lo thei bawk.
• Muscle stiffness or weakness : Hei hian naupang chu a che a, a khelh a, a ke a, a kal a, a sikul hnathawh a ti harsa thei a ni. Naupang dangte nêna nuam an tih thiltih chu an pumpelh thei a ni.
• Lu na : Lu na fo hian naupang chu a ti thinrim thei a, a rilru a hahdam lo va, sikul hna pawh a thawk lo thei bawk.

Hetianga naupang enkawl tur hian nu leh pate hian dawhtheihna, hriatthiamna leh chakna nasa tak an mamawh a ni. Doctor thupek zawm a pawimawh hle a, physical therapy ang chi thilte uluk taka tih a pawimawh hle a, naupang chu rilru lam puihna pek a pawimawh hle.

Kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin, kan sawi tawh atang chuan hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• Hydromyelia hi thil awm lo mahse ngaihtuahawm tak a ni a, naupang tê tête chu ruhro (spinal cord) central canal-ah fluid-filled sac (syrinx) a lo awm a ni.
• Hei hi a chhan dik tak hriat a nih loh avangin ven dan tur a awm lo.
• Naupang tin hian natna lan chhuah dan a inang lo. A bulpui ber chu inflammation, numbness, ke ruh chak lohna, lu na, leh lum/vawt hriat theih lohna te hi a ni.
• He natna hi MRI scan hmang chauhin dik taka hriat theih a ni.
• Enkawlna chu a lan chhuah danah a innghat. Mi thenkhat chuan enkawlna an mamawh lo mai thei a, thenkhat chuan physical therapy an mamawh thei a, thenkhat chuan shunt surgery an mamawh thei bawk.
• A pawimawh ber chu i fain heng symptoms pakhat emaw a aia tam emaw a nei nia i rinhlelh chuan hlauthawng suh la, doctor thiam tak, a bik takin neurologist rawn nghal rawh. Naupang hriat hmasak hian naupang enkawlna mamawh pek leh an nunphung tihchangtlunna kawngah nasa takin a pui thei a ni.

Hemi chungchanga zawhna dang i neih chuan i doctor nen inbia ngei ang che. He thu hi i tan a tangkai ngei ka beisei!

`Hydromyelia, ruhro, thluak, fluid cyst, syrinx, CSF, naupang natna, thluak lam natna, shunt surgery