Hun engemaw chen chu hnungzang na i nei tawh em? He natna hi a chang chuan zanah a zual zel em? Hetiang natna hi hahna leh dinhmun tha lo vangin thil pangngaiah kan ngai fo thin. Mahse a chang chuan, a hnung lamah hian chhan lian zawk a awm thei. Vawiin hian thupui pakhat kan sawi dawn a, chu chu a pawi deuh hlek a, mahse kan hriat vek tur a ni. Chu chu ruhroah, emaw, ruhroah emaw, ‘Spinal Tumors’-ah emaw tumor lo awm tihna a ni.
A awlsam zawngin, spinal tumor chu eng nge ni?
Spinal tumor chu i spinal column emaw, i spinal cord emaw chhunga emaw, a chhehvela cell awm dan pangngai lo taka lo piang chhuak a ni. Kan taksa hmun dangah tumor a lo awm thei ang bawkin.
Hei hi tlem tal hrethiam tur chuan kan ruhro hi han thlir ila.
- Spine/Backbone: Hei hi tower ang chi ruh (vertebrae) inzawmkhawm atanga siam, kan luruh atanga kan hnute thlenga kal a ni. Kan taksa ding thei tura chakna petu a ni.
- Spinal Cord: Hei hi kan thluak atanga cord ang chi, kan thluak atanga tla thla, nerve fiber tam tak atanga siam a ni. Kan sawi tawh ang khan ruhro (spinal cord) hian a venghim a ni. He ruhro (spinal cord) hmang hian thluak atang hian thuchah chu taksa dang zawng zawngah a kal a, taksa atanga thluak thlengin thuchah a thleng bawk.
Tunah chuan heng hmun pahnih hi a pawimawh zia i hrethiam ta a ni lawm ni? Chuvangin hetiang hmun pawimawh takah hian tumor a lo awm a nih chuan ngaihtuah tur a ni.
Heng tumor te hi benign emaw malignant emaw pawh a ni thei . Mahse, cancer vei lo anga ngaih mai chu a tha lo. A chhan chu, cancer ni lo tumor thenkhat pawh a lian thei a, spinal cord emaw nerve emaw a press thei a, harsatna lian tak a thlen thei a ni.
Heng tumor te hi siam dan kawng hnih a awm.
Spinal tumor siam dan tlangpui pahnih a awm. Hei hi hriatthiam a pawimawh hle bawk a, inenkawlna atan pawh a pawimawh hle.
1. Primary Spinal Tumors: Hei hi ruhroa lo awm hmasa ber a ni. Chumi awmzia chu tumor chu ruhroah a intan tihna a ni. Chungte chu a tlem hle.
2. Metastatic emaw Secondary Spinal Tumors: Hei hi a tam ber a ni. Heta thil thleng hi taksa hmun dangah (entir nan, lung, hnute, prostate) cancer cell intan tawhte chu thisen kal tlangin an kal a, ruhro (spinal cord)-ah an awm a, chutah chuan tumor-ah an lo thang lian ta a ni.
A awlsam zawngin sawi ila, ruhroa tumor tam tak hmuhchhuah hi a takah chuan ruhro atanga intan a ni lo va, taksa hmun dang atanga lo darh cancer a ni zawk.
Spinal tumor hi engtin nge i classified?
Doctor-te chuan heng tumor te hi chi hrang hrangah an then a. Hei hian natna hi dik taka hriatthiam a awlsam phah a, a enkawl dan tur tha ber pawh a hriat theih phah a ni.
Spine chhunga awmna hmun a zirin
Kan ruhro hi section hrang hrangah then a ni. Tin, tumor awmna hmun azirin an thliar hrang bawk.
| Spinal area a ni | A awlsam zawngin, . |
|---|---|
| Cervical vertebrae a awm thin | Kawngpui area |
| Thoracic a ni | Chest level-ah, mid-back-ah a awm |
| Lumbar vertebrae (Lumbar) te hi a awm a. | A hnungzang hnuai lam |
| Sacrum tih a ni | Spine hnuai ber, hip ruh inkar |
Heng tumor te hi thoracic leh lumbar region-ah hmuh tur a tam ber.
Spinal cord bula awmna hmun a zirin
Hei hi a thuk deuh a, mahse hriatthiam a pawimawh.
- Intramedullary: Heng tumor te hi spinal cord chhung ngeiah an lo piang chhuak thin. Hengte hi eng emaw chen chu a tlem hle.
- Intradural-extramedullary: Spinal cord chhehvelah hian membrane ang maia khuh (dura) te tak te a awm a . Heng tumor te hi chu khuhna chhungah chuan an lo thang lian a, mahse spinal cord pawnah erawh an lo piang thung.
- Extradural: Hengte hi spinal cord pawnah an lo chhuak thin . Chu chu ruhro (vertebrae)-ah a ni. Spinal tumor tam zawk hi chu hetiang chi hi an ni.
Back na hi a symptom ber a ni!
Spinal tumor symptoms hi thil tam takah a innghat a ni. Tumor awmna hmun, a lian leh te, a chi hrang hrang hian hei hi a nghawng thei a ni. Tumor te tak te thenkhatah chuan symptom engmah a lang lo thei. Mahse, tumor chu a lian a, a bula nerve-te a press tan chuan symptoms a lang thei.
Heng symptoms te hi a bik takin ngaihven rawh:
| Symptom a ni | A chungchang sawifiahna |
|---|---|
| Hnung lam natna | Hei hi a symptom langsar ber a ni . He natna hi hnungzang natna pangngai nen a danglam a ni. Natna a san chuan, a bik takin zanah , ngaihtuah tur a ni. Hmuh, khuh emaw, exercise lak emaw hian a na a tizual thei a ni. He natna hi natna tidamtu pangngai hmangin a reh lo mai thei. |
| Radicular natna (radicular natna) a ni | I hnungzang atanga i hip, i ke leh i kut thlenga kal natna nasa tak i nei thei. Miin chemte hmanga a chil che ang maiin a lang thei. |
| Numbness leh hriatna hloh | Kut, ke, leh rilru ang chi hmuna rilru hahna emaw, chutiang hmuna khawih, lum emaw, vawt emaw hriatna hloh emaw. |
| Muscle chak lohna | I taksa peng hrang hrangah chakna i hloh thin. Kal harsa i nei a, thil i chawi thei lo va, i kal laiin i tlu fo thei bawk. |
| Bowel leh bladder control hloh | Incontinence i nei thei a, chu chu symptom pawi zawk a ni. |
| Spine pianzia a inthlak danglam | Tumor lian thenkhat chuan scoliosis ang chi natna a thlen thei. |
A pawimawh ber chu, i hnungzang natna awm reng, enkawl dan pangngaia a ṭhat loh chuan, a bik takin zan lamah, doctor i pan ngei tur a ni Tun hmaa cancer i lo vei tawh a nih chuan hei hi a pawimawh zual hle.
Engtin nge natna hi kan hriat theih ang? (Diagnosis) tih a ni.
Doctor i pan hunah i symptoms te ngun takin a ngaithla ang. Tichuan a enfiah ang che. Neurological examination a ti ang a, chu chuan i taksa ruh chakna, i hriatna leh i reflexes te a enfiah ang.
Chu bakah, a hnuaia test te hi a diagnosis finfiah nan tih theih a ni bawk:
- Imaging Test (scan) te chu: 1.1.
- MRI scan: Hei hi spinal tumor zawn dan tha ber leh dik ber a ni. MRI hian ruhro, nerve leh a chhehvel tissue te chu a chiang hle a ni.
- CT scan: Hei hian ruhro ruh awm dan hriatthiamna tha zawk a pe thei a ni.
- X-ray: A chang chuan X-ray hi test hmasa ber atan tih theih a ni.
- Biopsy: Hei hian tumor atanga tissue te tak te tak tak lak a, microscope hmanga enfiah a ni. Hei hian tumor hi cancer a nih leh nih loh leh eng chi nge a nih tih chiang takin a hril a ni.
- Bone Scan: He test hi taksa hmun dang atanga ruh ah cancer a darh nia rinhlelhna a awm chuan tih theih a ni.
- Thisen Test: Cancer chi thenkhat chuan thisen chhunga thil thenkhat (e.g. calcium) level a tidanglam thei a ni. Thisen test hian hei hi a enfiah thei bawk.
Enkawlnate chu engte nge ni?
Enkawl dan tur chu mi tin a inang lo ang. A chi, a lian leh te, a awmna hmun leh i hriselna zawng zawngah a innghat. Enkawlna atana thil tum ber chu:
- Natna tihziaawmna.
- Spinal cord leh nerve hnathawh humhalh emaw tihchangtlun emaw.
- Nunphung leh dam rei zawng tihpun.
Specialist hrang hrang atanga doctor team te chu enkawl turin an inkhawm tlangpui.
Enkawl dan tlangpui engemaw zat a awm a:
1. Surgery: A theih phawt chuan, a bik takin tumor hian nerve a press a nih chuan, surgery hmangin tumor zawng zawng emaw, a then emaw paih chhuah a ni. Cancer ni lo tumor thenkhat chu lakchhuah vek a nih chuan a dam thei. Mahse, ruhro chhunga awm tumor thenkhat chu nerve tichhe lovin lakchhuah vek a harsa hle.
2. Radiation Therapy hmanga enkawlna: 1.1 .Hei hian high-energy rays (X-ray ang chi) hmanga cancer cell tihchhiat emaw, tumor tihtlem emaw a huam a ni. Tumor a lo tlem chuan natna leh symptom dangte a tlahniam thin.
3. Chemotherapy: Hei hian taksain cancer cell thattu damdawi pek a huam a. Hengte hi pill emaw injection emaw angin pek theih a ni.
4. Stereotactic Radiosurgery: Hei hi surgery a ni lo. Tumor-ah chauh radiation beam chiang tak, targeted, high-dose pe thei technique a ni. Hei hian a chhehvela tissue hrisel tak takte chu a tichhe tlem hle.
5. Monitoring: Cancer ni lo, symptomatic, tumor te tak te thenkhat i neih chuan i doctor chuan enkawl lo turin a rel mai thei a, mahse MRI scan pangngai hmangin tumor chu a lo than chhoh dan en mai tur a ni.
Damdawi in pan vat vat ngai dinhmun
Spinal tumor enkawl i nih a, symptom thar i neih emaw, symptom awmsa a zual emaw chuan Emergency Department (ETU) hnai ber pan nghal rawh.
Eng enkawl dan pawh ni se, i doctor leh i medical team-in an rel ang. Chuvangin, internet-a i thil chhiar emaw, midangte thusawi emaw atanga i enkawl dan tur chu nangmah ngeiin thutlukna siam suh. I zawhna zawng zawng chu i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- I hnungzang natna pangngai nen a danglam a, a bik takin zan lamah , leh natna tidamtu pangngai ei pawhin a chhang lo a nih chuan ngaihthah suh.
- Back pain hi rilru hahna, chak lohna, emaw zun/feces control harsat emaw a awm chuan emergency a ni. Damdawi lam pan nghal rawh.
- Spine-a tumor lo awm zawng zawng hi cancer a ni vek lo. Benign tumor pawh a awm bawk. Mahse nerve press-in chhiatna an thlen thei bawk.
- Taksa hmun danga cancer vei tawhin hnungzang natna thar a neih chuan an doctor hriattir nghal a pawimawh hle , cancer darh zel chhinchhiahna a nih theih avangin.
- A hmaa hriat chhuah leh enkawl dan dik chuan rah tha tak a chhuah fo thin. Chuvangin a natna lan chhuah dan hi hlau suh, rinhlelhna i neih chuan doctor pan la, checkup la.
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