Hun rei tak i ding emaw, hla vak lo i kal emaw hian hnungzang natna avanga hmalam pan i inhmu em? A nih loh leh i kawr atanga i kut hnuai lam atanga rawn chhuak tingling sensation emaw pain emaw i nei em? Mi tam tak chuan hei hi tar chakna pangngaiah an ngai a, mahse a chang chuan ruhro (spine nerve) pinched vang a ni. Damdawi lamah chuan hei hi spinal stenosis kan ti a. Ngaihtuah buai suh, vawiinah hian thumal awlsam takin engkim kan sawi dawn a ni.
Spinal Stenosis hi eng nge ni?
A awlsam zawngin sawi ila, spinal stenosis chu kan ruh chhunga hmun zau tak tihtlem a ni. Kan ruhro hi ring (vertebrae an tih) inzawmkhawm, a chungah dah khawm angin han ngaihtuah teh. Ring tin hian a inkar ah hmun an nei a, chu chu tunnel ang mai a ni. He tunnel hi spinal canal an ti a . Kan taksa peng pawimawh tak, spinal cord leh a atanga lo chhuak nerve te hian he tunnel hi an paltlang a ni.
Tunah chuan han ngaihtuah teh, eng emaw chhan vanga he tunnel hi a tawi a nih chuan eng nge thleng ang? Tui pipe a inkhar a, tui luangna tur hmun a tlahniam ang bawkin, he ruhro (spinal canal) hi a tawi chuan a chhunga ruhro leh nerve te tan hmun a awm tawk lo. Tichuan, chu nerve te chu a hrual tan a, a pinch a, a pressure bawk. Chu squeezing avang chuan hnungzang natna leh ke hnuai lam pan (sciatica) ang chi symptoms kan nei thin.
Hetiang dinhmun hi kum eng pawhah awm thei mah se, kum 50 chunglam zingah a tam ber .
Hetiang natna hian ruhro (spine) hmun engte nge a nghawng nasa ber?
He nerve compression hi ruhro hmun hnih ah hmuh tur a tam ber a:
- Lumbar Spinal Stenosis: Kan ruhro hnuai lam panga (L1-L5)-a awm thin a ni. Hei hi hnungzang natna chi khat a ni ber.
- Cervical Spinal Stenosis: Hetiang dinhmun hi kan kawr chhunga vertebrae pasarih (C1-C7) ah a awm thei.
Heng pahnih bakah hian he natna hi ruhro lai takah pawh a awm thei a, chu chu thoracic spine level-ah a awm thei bawk. Mahse, a tlem hle.
Hei hi eng symptoms nge ni?
Spinal stenosis hi hun kal zelah zawi zawiin a lo awm fo thin. Chuvangin, X-ray-a hmuh theih ni mahse, a tir lamah chuan symptom i nei lo mai thei. Mi tin hian natna lan chhuah dan a inang lo thei. Ni engemaw zat chu a na zawk thei a, a then erawh a tha zawk thei bawk.
A tlangpuiin, nerve pinch na hmun a zirin, i kawr, i hnungzang, i kut, i ke, i kutphah emaw, i ke kephah emaw-ah hetiang thil hi i hre thei a ni:
- Na
- Numbness a awm
- Lightning ang mai a ni(Tingling / "pin leh needle")
- Chaklohna
Spinal leh neck stenosis case-ah hian symptoms a danglam dan i en ang u.
| Symptom chi hrang hrang | Hrilhfiahna |
|---|---|
| Lumbar Spinal Stenosis natna lan chhuah dan | |
| Hnung lam natna | A hnungzang hnuai lam natna. |
| Ke hnuai lam atanga kal natna | Natna chu hnute atanga intan a, ke hnuai lam thlenga kal, a chang chuan kephah hnuai lam thlenga na. |
| Kea rit leh cramping awm | Kea rit tih hriat te, rei vak lo kal hnua i ke a hring vek ang maia hriat te, leh cramps te. |
| Numbness a awm | Tingling emaw, ke hnute, ke emaw, kephah emawa rulhut tlan ang maia hriatna. |
| Natna a pun leh a tlahniam hun te | Hun rei tak ding emaw, kea kal emaw, tlâng chhuk emaw hian a na zual hle . Hma lam pan emaw, chair-a thut emaw, stairs/hills-a chhoh emaw hian a natna a tlahniam thin. (Entirnan, hmalam pan chuan, supermarket-a trolley i nawr lai ang chi hian hnungzang natna a ti tlem a ni .) |
| Cervical Spinal Stenosis natna lan chhuah dan | |
| Kawng a na | Kawng a na. |
| Numbness leh chak lohna | Kut, kut, ke emaw, kephah emawa tingling emaw chak lohna emaw hriatna. |
| Taksa balance lama harsatna a awm | Kal laiin balance vawn harsat. |
| Kut fine motor skills lama harsatna awm | Kut hmanga ziak, kawr button bun, emaw, no vawn ang chi hna tha tak tak thawh harsa. |
Engvangin nge spinal stenosis hi a lo awm?
Hei hi a chhan lian ber pahnih a awm a.
1. Acquired causes: Hei hi a chhan tam ber a ni. Hetiang dinhmun hi kum upat ruala kan taksa inthlak danglamna ("wear and tear") avanga lo awm a ni.
2. Pianpui (Congenital causes): Mi thenkhat chu an pianpuiah chuan ruhro (spinal canal) a zim a. Hei hi a tlem khawp mai.
Kum upat ruala lo awm chhan ber (Acquired Causes) .
- Bone Overgrowth: Kan tar chhoh zel chuan kan ruhte chu a chhe vek thin. Hei hi osteoarthritis an ti a. Spine-a ruhkawrte a chhe chuan taksain ruh thar a siamin a chhang let thin. Heng ruh zung tharte hi ruhro (spinal canal)-ah an lo thang lian thei a, nerve-te chu an press thei a ni.
- Bulging emaw herniated discs: Kan ruhro chhunga vertebra tin inkarah hian jelly ang chi cushion a awm a. Heng disc te hi kan ti a. Kan tar chhoh zel chuan heng disc te hi a vawt a, a flatten a, an bang ah pawh crack a awm thei bawk. Tichuan a chhunga jelly ang chi chu a bulge chhuak thei (bulging or herniated disc) a, nerve te chu a press thei bawk.
- Ligaments thickening: Ligaments hi kan ruhro inzawmkhawmtu band ang chi a ni. Arthritis ang chi dinhmun avang hian heng ligament te hi hun kal zelah an thick thei a, spinal canal ah an bulge thei a, chu chuan nerve te tan hmun a ti tlem thei a ni.
- Thlipui ruh hliam: He canal hi accident avanga ruh tliak emaw, ruh tliak emaw avang hian a tawi thei bawk.
- Tumors: A tlem hle a, ruhro chhungah emaw, a chhehvelah emaw tumor hian nerve compression a thlen thei bawk.
Engtin nge hei hi i hmuh theih, Doctor?
Heng symptoms nei doctor i pan hunah chuan i symptoms te chu a zawt hmasa ang che. Tichuan taksa enfiahna a nei ang. I ruhro chu kawng hrang hrangah a ben ang a, a natna lo awm dan pawh a ngaihven ang.
Chu bâkah, buaina chu chiang taka hriat theih nân test engemaw zât kan rawt thei bawk:
- X-ray of the spine: Hei hian ruh inthlak danglamna, disc san zawng hloh, leh ruh spurs te a hriat theih.
- MRI scan (Magnetic Resonance Imaging): Hei hi thil nalh tak tak, nerve, disc, leh spinal cord te chiang taka hmuh theihna kawng tha ber a ni.
- CT scan (Computed Tomography): Hei hi X-ray aiin thlalak chipchiar zawka hmuh theihna test a ni. A châng chuan CT myelogram, tui bik (contrast dye) hmanga tih pawh a awm thei bawk.
Hei hi eng enkawlna nge ni?
Miin a hming an hriat hian, "Aw, ka zai a ngai dawn em?" Mahse spinal stenosis nei zawng zawng hian operation an mamawh vek lo. Mi tam tak chu nonsurgical treatment hmangin an dam thei a ni. I tana enkawlna tha ber chu i natna lan chhuah dan nasat dan te, i harsatna awmna hmun leh a chhan danah a innghat ang.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Nonsurgical Treatment te pawh a awm bawk | |
| In lama i tih theih thilte | Heat/Cold packs, doctor-in a tih angin exercise \ha tak tak. |
| Damdawi chi hrang hrang | NSAIDs hmanga natna leh hliam tihziaawmna. A châng chuan nerve natna damdawi gabapentin ang chi te pawh a awm ṭhin. Mahse, eng damdawi pawh i hman hmain doctor i zawt fo tur a ni tih hre reng ang che. |
| Taksa lam enkawlna | Hnung leh pum ruh tichaktu exercise hmangin ruhro chu puihna tha tak pe rawh. Nerve-a pressure tihziaawmna tur walking posture practice thin ang che. |
| Steroid Injection hmanga tihdam theih a ni | Pinched nerve chhehvela swelling leh natna tihziaawmna tura injection pek thin. |
| Inzai | |
| Engtikah nge surgery neih a tha? | Enkawlna dang zawng zawng a hlawhchham a, a natna lan chhuah dan a nasat em em hunah chauh zai hi ngaihtuah a ni. |
| Surgery chi hrang hrang lian ber ber | Laminectomy: Nerve te tan hmun tam zawk siam nan vertebra thenkhat lakchhuah. Spinal Fusion: Spinal a nghet lo a nih chuan vertebrae pahnih fuse khawm tur a ni. Hei hi a tawp ber anga ngaih a ni. |
Hetiang dinhmun hi pumpelh theih dan tur a awm em?
Tar chakna hi kan titawp vek thei lo nain, kan ruhro hriselna atana kan tih theih thenkhat a awm. Hengte hian spinal stenosis hlauhawmna tihtlem emaw, a kal zel dan tur control emaw a pui thei a ni.
- Ei leh in hrisel: Ruh a nghet theih nan calcium tamna ei tur ei thin ang che.
- Taksa rihna hrisel tak vawn reng: Taksa rihna a san chuan ruhro chungah pressure a sang chho zel a.
- Meizial zuk loh: Meizial hian kan thisen kalna kawng a tichhe a, chu chuan hnungzang natna a tizual thei a ni.
- Posture dik vawn reng: Thut, ding leh rit phurh lai hian i hnungzang dinglam pan a pawimawh hle.
- Exercise neih fo: Back leh core muscle, a bik takin abdominal muscle tichaktu exercise hian ruh hrisel a tichak thei a ni.
Engtikah nge Doctor ka hmuh ang?
I hnungzang emaw, i kawng emaw na thar i neih a, chubakah i kut emaw ke emaw a natna emaw, chak lohna emaw i neih chuan doctor pan ngei ngei tur a ni. Damdawi i ei tawh a, a puih loh chuan doctor hmu la, duhthlan tur dang sawipui rawh.
Rikrum!
Incontinence i neih thut a nih chuan, emaw, ke pahnih a hrual ang maia i hriat chuan emergency a ni. Chutiang a nih chuan , damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
Kan hnungzang leh kawr na hi kan nitin nunah daltu lian tak a ni thei. Mahse chanchin lawmawm tak chu a enkawlna tha tak tak a awm nual a ni. Chuvangin a natna lan chhuah dan ngaihthah ai chuan i doctor nen inbia la, i tana tha ber tur solution zawng rawh.
Take-Home Thuchah a ni
- Spinal stenosis hi kum upat ruala spinal canal tihtlem a ni.
- A lan chhuah dan ber chu hnungzang, kawr, kut leh ke-a natna, rilru hahna leh chak lohna te hi a ni.
- Lower back-a stenosis a awm chuan a lan chhuah dan tlangpui chu hmalam pan chuan a natna a tlahniam thin.
- Mi tam tak chuan operation ni lo enkawlna, exercise, physical therapy, leh damdawi te hmangin result tha tak an nei thei a ni.
- Enkawlna dang dawng lo, natna khirh tak takah chauh zai a ngai a ni.
- Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni a, a natna hriat chian leh enkawl dan tur dik tak a ni.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh