I ruhroah thisen kalna kawngah harsatna i nei em? Spinal Arteriovenous Malformation (AVM) chungchang hi i zir belh ang u!

A chang chuan hnungzang na i nei thin em? A nih loh leh, kut emaw, ke emaw-ah rilru hah emaw, chak lohna emaw i nei em? Hengte hi random thil mai a ni lo mai thei. Vawiin hian kan sawi dawn a, hriat tur awm lo, mahse a pawimawh hle thei dinhmun kan sawi dawn a ni. Chu chu ruhro chhunga thisen kalna kawng a ni a, chu chu damdawi lam hawi chuan `(Spinal Arteriovenous Malformation)` emaw `(AVM)` emaw an ti a ni.

Hei hi eng nge ni `(Spinal AVM)`?

A awlsam zawngin, Spinal AVM chu thisen kalna kawng (thisen kalna kawng) te chu i ruhro (i ruhro chhunga nerve cord) vel emaw, a chungah emaw a inzawm khawm leh inzawmkhawmna a ni. Hetiang thil hi engtin nge a lo awm tih i hria em? Kan taksa hian arteries (thinlung atanga oxygenated thisen phur chhuaktu veins) leh veins (thin hman tawh thisen hman tawhte thinlunga phur kir lehtu veins) a nei a. A tlangpuiin, heng thisen kalna kawng leh thisen kalna kawngte hi thisen kalna kawng ṭha tak tak, capillaries , system hmanga inzawmkhawm a ni. Heng capillaries te hi kan ruhro leh a chhehvel tissue te hnena oxygen sem darhtu an ni.

Mahse, he `(AVM)` dinhmunah hian artery pakhat chu vein nen direct-in a inzawm a ni. A inkar a capillary system chu bypass a ni. Ngaihtuah teh, kawngpui lian atanga traffic jam-in kawngpui tenau takah a divert nghal a, chu chu kawngpui lian takah a inzawm leh ang. Chumi avang chuan eng nge thleng? Spinal cord-a cell-te mamawh oxygen a tlem phah hle. Tin, he inzawmna pangngai lo hian thisen kalna kawng a ti lian thei a, pressure a tidanglam thei a, a châng chuan a puak thei bawk . Chutiang a nih chuan thisen chhuah tam lutuk `(Hemorrhage)` a awm thei a, chu chu nunna atana hlauhawm tak a ni thei . Mahse lungngai suh, he natna laka invenna tur enkawlna a awm. A châng chuan doctor-te pawhin hei hi `(Spinal Arteriovenous Shunt)` an ti bawk a, i hriat tawh angin.

`(Spinal AVM)` chi hrang hrangte chu engte nge ni?

Tunah chuan `(Spinal AVM)` chi hrang hrangte chu engte nge ni tih kan en ang. A nihna takah chuan thisen kalna kawng chhiatna chi nga a awm a, chu chu ruhroah hian a awm a ni. Chung zingah chuan `(Spinal Arteriovenous Malformations - AVM)` leh `(Spinal Arteriovenous Fistulas - AVF)` te an tel a ni. Heng pahnihah hian artery leh vein inkarah inzawmna pangngai lo a awm a. Mahse, `(AVM)` hi ruhro (spinal cord tissue) chhungah a awm a. `(AVF)` hi `(Dura mater)` -ah a awm a, chu chu ruhro (spinal cord) hualtu khuhtu membrane-ah a awm a.

Heng chi hrang hrang panga te hi hetiang hi a ni:

• Type I: Dural AVF: Hei hi ruhro (dura mater) pawn lam khuhnaah a awm a.
• Type II: Intramedullary glomus AVM: Hei hi ruhro chhungah a awm a.
• Type III: Intramedullary juvenile AVM: Hei hi ruh chhung leh a chhehvel tissue-ah te a darh thei a ni. Naupang leh tleirawl puitlingah a tam ber.
• Type IV: Perimedullary AVF: Hei hi ruhro (spinal cord) vel tissue-ah a awm a.
• Type V: Extradural AVF: Hei hi dura mater pawn lama space-ah a awm a.

Thil pakhat hriat reng tur chu AVM a rupture chuan AVF aiin a symptoms a na zawk thei tlangpui. Hei hi a chhan chu AVM chu tissue chhungah direct-in a rupture a, chutih laiin AVF erawh chu dura mater chhungah a awm tlangpui a, chu chuan venhimna engemaw zat a pe a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hetiang dinhmun hi engtiang chiahin nge `(Spinal AVM)` tia koh a nih? Dik tak chuan thisen kalna natna zingah chuan a tam ber a ni. Mahse, mi engzat nge nei tih chiang taka sawi a har. Hei hi mi tam takin symptom an neih hma loh chuan an nei tih an hriat loh vang a ni. A châng chuan natna dang test-naah accident-a hmuhchhuah a ni. Chuvangin, natna hlauhawm takah ngaih a ni tlangpui .

`(Spinal AVM)` a lan chhuah dan chu engte nge ni?

`(Spinal AVM)` symptoms hi thisen kalna kawng inzawmkhawm (tangled mass of blood vessels) hian spinal cord nerve roots leh spinal cord ngei a press vang a ni. Damdawi lamah chuan hetiang pressure hi `(Myelopathy)` kan ti thin. A lan chhuah dan tlangpui chu:

• Hnung lam natna .
• Muscle chak lo emaw, a nghet lo emaw (kawr, kut leh keah).
• Ke ruh, rilru hahna hloh, emaw kea hriatna mak tak tak awm .
• Lu na .
• Balance hloh, kal harsa .
• Zun leh bawlhhlawh control harsat .

Heng symptoms te hi AVM chi hrang hrang, a nasat dan leh ruhro chhunga a awmna hmun a zirin a inang lo. Entirnan, AVM hi i hnungzang chunglam emaw, i rilruah emaw a awm a nih chuan, i rilru, i kekawrte, i hnungzang, i kut leh keah natna lanchhuahna a awm thei. I hnungzang lai emaw, i hnungzang hnuai lam emaw a nih chuan a natna lan chhuah dan chuan i pum hnuai lam, i hnungzang emaw, i ke emaw a nghawng thei a ni.

Heng symptoms te hi taksa sir khatah emaw, a sir lehlamah emaw a lang thei. A châng chuan hun kal zelah an pung zauh zauh tih i hmu thei a, a nih loh leh an lo kal leh chhuak thei bawk. Mi thenkhat chuan spinal AVM hi symptoms nei lovin an nei thei tih hre reng ang che.

Mahse, natna lan chhuah tan veleh doctor pan vat a pawimawh. Sudden, na tak back nain ang chi hi AVM a rupture tih chhinchhiahna a ni thei. Hei hi medical emergency a nih avangin enkawlna zawng nghal rawh.

Engtikah nge symptoms a lo intan?

Heng `(AVM)` symptoms te hi kum eng pawhah a lang thei. Mahse, mi tam zawk chuan kum 15 leh 60 inkarah symptom an nei a, `(AVM)` chi hrang hrang a zirin a danglam thei bawk. A tam zawkah chuan heng `(Spinal AVM)` dinhmun hi pianpui a ni . Chumi awmzia chu nausen hian heng thisen kalna kawngte hi a pum chhunga a la awm laiin harsatna a nei a ni thei tihna a ni. Mahse, a chang chuanHetiang dinhmun hi puitling (acquired) hnuah pawh a awm thei bawk.

`(Spinal AVM)` awm chhante chu engte nge ni?

Doctor ten he `(Spinal AVM)` hi eng nge a thlen tih chiang takin an la hre lo .

Congenital `(Spinal AVM),` zirchiannaah chuan embryonic period (nausen pum chhunga a lo thanglian lai) hian ruhro vel a thisen kalna kawngte chu a danglamin a lo thang lian tih hmuhchhuah a ni. Entirnan, thisen kalna kawng a inthlak danglam vang pawh a ni thei a, chu chu a tikhawlo lo thei a ni.

Pian hnuah, acquired ``Spinal AVM`` hi accident, surgery, emaw, spinal cord-a hliam chi dang emaw hnuah a thleng thei a ni .

Hei hian eng harsatna nge a thlen theih?

`(Spinal AVM)` avanga harsatna awm thei te hi a chang chuan nunna atana hlauhawm thei a ni . A bulpui berte chu:

• Hemorrhage: AVM hi a puak thei a, taksa chhungah thisen a chhuak tan thei.
• Ischemia: Hei hi thisen supply tihtawp a nih chuan a ni. Hei hian taksa peng hrang hrang mamawh oxygen leh nutrients a tihtlem phah a ni. Hei hian cell-te chu a thawk tha tawh lo thei a, hun kal zelah chhiatna a pungkhawm thei bawk.
• Paralysis: Spinal cord a chhiat chuan paralysis a thlen thei a, chu chu taksa peng thenkhat che thei lo a ni.

Engtin nge `(Spinal AVM)` i neih leh neih loh i hriat theih ang?

Engtin nge doctor hian spinal AVM hi a hriat theih ang? Taksa an enfiah hmasa ang che , chutah chuan neurological exam an nei leh ang . Chu bâkah, specialized imaging test ṭhenkhat pawh an order thei bawk .

Heng imaging test te hian AVM lian tham leh spinal cord-a a awmna hmun hriat theih nan a pui thei a ni. I doctor chuan hetiang test hi a hmang thei ang:

• Magnetic Resonance Imaging (MRI) hmanga enfiah a ni.
• Magnetic Resonance Angiography (MRA) test (hei hian thisen kalna kawng a enfiah bik)
• Myelogram leh CT (Computed Tomography - CT) hmanga enfiah a ni.

Tin, ruh emaw, taksa chak lohna emaw i neih chuan nerve conduction test leh electromyography (EMG) test te pawh tih theih a ni bawk.

Engtin nge `(Spinal AVM)` hi enkawl a nih?

`(Spinal AVM)` enkawl dan tlangpui engemaw zat a awm a:

• Embolization tih hi: 1.1.Hetah hian surgeon chuan tube (catheter) te tak te tak hmangin thisen kalna kawng a nghawng a, thisen chhuah chu a titawp emaw, a inzawmna pangngai lo chu a khar emaw a ni.
• Surgery: Surgeon chuan AVM chu a paih vek a, thisen kalna kawngte chu a kal tha thei a ni.
• Stereotactic radiosurgery: Hetah hian high-energy radiation beam te chu AVM awmna hmunah chiang takin an kal a, thisen kalna kawng inzawmna pangngai lo chu a tichhia a, a khar bawk.

I doctor chuan i dinhmun atan eng damdawi nge tha ber tih a hrilhfiah ang che. AVM lian leh te leh a awmna hmun hian enkawlna him ber leh hlawk ber a hril dawn a ni. Tin, a enkawlna avanga a side effects te pawh a hrilh ang che a, chutiang chuan thutlukna dik tak i siam thei ang.

`(Spinal AVM)` natna tam zawkah chuan a chunga kan sawi tawh ang harsatnate ven nan surgery neih a ngai thin. Operation ni thlengin i doctor chuan i natna lan chhuah dan control nan leh i rilru hahdam theih nan painkiller emaw, enkawlna dang emaw a pe thei che a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

Operation hnuah chuan natna leh lu na ang chi symptoms atang hian hahdamna i nei tan ang. Mahse, a dam kim theih nan hun rei zawng chu i doctor-in a rawt surgery chi hrang hrang a zirin a inang lo ang. Kar tlemte chhung a daih thei tlangpui. Operation hnuah pawh i taksa ruh tichak tur leh i balance tihchangtlun nan physical therapy emaw occupational therapy emaw i mamawh thei bawk.

Hetiang dinhmun hi eng nge a thlir ang?

Spinal AVM hi surgery hmanga enkawl theih a ni. A rah tha ber chu a natna hi a hmaa hriatchhuah leh enkawl a nih chuan a ni a, chu chu harsatna a thlen hmain a ni. Mahse, hei hi a awlsam ngai lo. A chang chuan spinal AVM awm mahse symptoms a lang nghal lo thei. Enkawl loh chuan harsatna lian tak, nunna atana hlauhawm tak tak, paralysis leh thisen chhuah te a thlen thei a ni.

Spinal AVM surgery hi engtiang chiahin nge a hlawhtlin?

Spinal AVM surgery hi a tlangpuiin a hlawhtling thin . Zirna pakhatah chuan embolization leh surgical removal treatment te chu 74% leh 88% in a hlawhtling tih hmuhchhuah a ni. He zirchianna vek hian enkawl zinga 70% chuan an natna lanchhuahna chu an reh a ni.

Mahse, operation result chu thil tam takah a innghat a, chu chu i hriselna tlangpui, AVM lian leh te, leh a awmna hmun te hi a ni. I doctor chuan i dinhmun chungchangah thurawn a pe thei ber che a ni.

Spinal AVM leh naupai lai

`(Spinal AVM)` hmanga naupai hlawhtling tak neih theih ni mah se, harsatna a thlen theihna a sang hle.. AVM hi a chhe thei a, natna nasa tak leh paralysis a thlen thei a ni. Hei hi nu leh nausen piang lai tan pawh nunna atana hlauhawm tak a ni thei. Chuvangin, i doctor chuan i dinhmun enkawl dan him ber tur leh naupai hrisel tak atana inbuatsaih dan tur a hrilh ang che.

Hei hi ven theih a ni em?

Tunah hian he natna (Spinal AVM) hi ven dan tur hriat a la ni lo . Heng dinhmunte hi eng thilin nge a thlen tih hriat tumin zirchianna dang neih mek a ni.

Engtikah nge Doctor i hmuh a ngaih?

`(Spinal AVM)` symptoms i neih chuan doctor pan ngei ngei tur a ni .

A chang chuan AVM chu a puak nghal thei bawk. Hei hi medical emergency a ni. A hnuaia symptoms te hi i neih chuan damdawi in emergency room-ah kal nghal rawh:

• Sudden, tuar theih loh hnungzang na.
• Vun dum, khawsik, thawk hah.
• Thâwk harsa.
• Heart rate a sang chho zel.
• Nausea emaw, luak chhuak emaw.
• Taksa a balance hloh.
• Buaina, hriatrengna hloh.
• Kawng sawn emaw, hawi emaw harsatna.
• Lu na na tak.
• Thil hriatna hloh.

Zawhna i doctor zawh tur

I doctor zawh tur zawhna thenkhat chu:

• Ka `(Spinal AVM)` hi khawiah nge a awm?
• Eng enkawlna nge i rawt?
• Enkawlna hian eng side effect nge a neih?
• Operation hnuah a dam leh theih nan eng chen nge a duh?
• AVM hi lakchhuah a nih hnuah a thang leh thei ang em?
• Ka chhungte hnai tak zinga pakhatin Spinal AVM a neih chuan genetic testing pawh ka nei tur em ni?

I hriat reng tur pawimawh ber chu!

Symptoms a lo lang nghal a, taksa chetna leh taksa chakna inthlak danglamna te pawh a awm chuan thil hlauhawm tak a ni thei. Thil mak tak i hriat chuan doctor pan ngei ngei tur a ni . Back pain nasa tak hi thil dik lo lian tak a awm tih chhinchhiahna lian tak a ni tlangpui. He natna, spinal arteriovenous malformation (AVM) tia koh hian nunna atana hlauhawm harsatna a thlen thei a ni . Chuvangin, natna chu hriatchhuah leh enkawl a nih hma chuan a rah chhuah a tha zawk . Surgery hian heng thisen kalna kawng dik lo hi a siam tha thei a ni.

` Spinal AVM, spinal cord, thisen kalna kawng, hnungzang na, AVM, thisen chhuah, surgery