I spinal cord hi khawi emaw laiah a tang em? Tethered Spinal Cord chungchang hi i zir dawn nia.

Nangmah emaw, i fa emaw chuan i hnungzang emaw, i kalna kawngah emaw, i rilru hahna, natna, a nih loh leh inthlâk danglamna i hmu em? A châng chuan i hnungzang hnuai lam vunah hian bump emaw bump te tak te i hmu tawh mai thei. Heng thilte chhan pakhat chu ‘tethered spinal cord’ an tih natna a ni thei. A hming hi a hlauhawm deuhin a lang thei a, mahse hei hi i hriat chian chuan harsatna tam tak chinfel theih a ni. Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

‘Tethered spinal cord’ tih hi eng nge ni?

A awlsam zawngin, kan ruhro , kan ruhro kal tlanga nerve fiber lian ber chu a tlangpuiin ruhro chhungah zalen takin a kal tur a ni. Tube chhunga wire awm ang maiin. Mahse, he ‘tethered spinal cord’ dinhmunah hian ruhro chu a pangngai lo takin ruh chhung lam bang emaw, tissue dang emaw-ah a inzawm tlat a ni.

Hmun khatah hrui i khih a, hmun dangah i hrual ang tih han ngaihtuah teh. Tichuan hrui chu a rawn chhuah ta a ni lawm ni? Hetah pawh hi chutiang chu a ni. Hetianga spinal cord a pinched hian, kan chhoh emaw, nitin hnathawh kan tih emaw hian spinal cord chu a inher tan thin. He pulling hian spinal cord a tichhe thei a , a chhunga kal nerve te thisen kal dan a tichhe thei bawk . Hei hi `(Tethered Cord Syndrome)` emaw `(Tethered Spinal Cord Syndrome)` emaw an ti bawk.

Kan ruhro (spinal cord) hi eng nge ni?

Hei hi dik taka hriatthiam theih nan chuan spinal cord chungchangah hian ngaihtuahna tlem i neih a ngai a ni. Spinal cord hi kan lu ruh bul atanga kan ruh lai tak thlenga kal, tissue thuk tak a ni. Kan taksa chhunga thil awm zawng zawng nena inzawm nerve signal, chetna leh hriatna te hi he ruhro (spinal cord) hmang hian a kal a. Phên dangin sawi ila, kan taksa control center ang mai a ni.

‘Tethered Spinal Cord’ leh ‘Spina Bifida’ hi eng nge an danglamna?

‘Spina Bifida’ tih natna hi i hre tawh mai thei. Hei hi pian tirh atanga awm thin condition a ni. Naupang ‘Spina Bifida’ vei te hian an pian tirh atangin ‘Tethered Spinal Cord’ an nei thei bawk.

Myelomeningocele hi spina bifida natna khirh tak a ni. Hei hi naute ruhro hnuai lam leh chu ruhro hmun chu nausen hun chhunga a lo thanglian tha lo a nih chuan a thleng thin. Tichuan, naute a pian chuan , ruhro chu a lang chhuak thei a, vunah a innghat thei bawk.

Spina bifida natna khirh lo zawk pawh a awm bawk. Entirnan, ``Spina Bifida Occulta'' tih hming pu dinhmun. Hei hian spinal cord tawp lama fatty tissue (lipoma) emaw, thickened filum (band of tissue) emaw avang hian spinal canal wall-ah a inzawm lo thei a ni.

Spina bifida vei naupangte chu an naupan laiin operation an nei fo thin a, chu chuan an cord an phelh thin. Mahse, a chang chuan operation hnuah scar tissue a lo awm thei a, cord chu ruhroah a inzawm leh thei bawk.Naupangte an lo puitlin chuan hei hian ruhro a tizau thei a, chu chuan ‘tethered spinal cord syndrome’ tih natna a thlen thei a ni.

A pawimawh ber chu ‘Spina Bifida’ an tih natna hi chiang taka hmuh theih loh pawh ni se, ‘Tethered Spinal Cord’ natna hi a awm thei tih hriatthiam a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Tethered Spinal Cord Syndrome hi open spina bifida vei te zingah a langsar ber a ni. Mithiam thenkhat chuan myelomeningocele vei naupang pahnih zinga pakhat vel chuan tethered spinal cord syndrome an nei dawn niin an chhut. Mahse, kan sawi tawh ang khan spina bifida chiang tak awm lovin a awm thei bawk.

‘Tethered spinal cord’ tih lan chhuah dan chu engte nge ni?

Hetiang natna lan chhuah dan hi mi hrang hrangah a inang lo thei hle. Naute thenkhat chuan an pian tirh atangin symptoms an nei thin. A tam zawkah chuan heng symptoms te hi naupang an lo puitlin deuh deuh hian a lang thin. A tlem berah chuan mi thenkhat chuan naupan laiin natna lanchhuahna engmah an nei lo thei a, nakin lawkah natna lanchhuahna an nei thei a, a hmaa an hriat loh avangin.

Naupang leh puitling pawhin he natna nena inzawm a hnuaia symptoms te hi an nei thei a ni:

• Kal harsa: Naupang chu kawng danglam takin a kal a nih chuan, a bik takin an kal tan tirh lai emaw, an kal danah inthlak danglamna a awm chuan emaw i ngaihtuah tur a ni.
• I hnungzang hnuai lam vun inthlak danglam: I hnungzang hnuai lam, hnute chung lam deuhah hian dimple te tak te i hmu mai thei. A nih loh leh, chu hmunah chuan sam a lo sei dan pangngai lo i hmu mai thei bawk. Tin, benign tumor, vun rawng danglam , a nih loh leh birthmark hemangiomas an tih te pawh i hmu thei bawk. A châng chuan, vunah hian mole ang chi te te (skin tags / acrochordons) i hmu thei bawk .
• Ke emaw hnungzang emawa rilru hah emaw, hriatna hloh emaw: I ke a hrual tih i hriat fo chuan, emaw, i ke chu hriatna hloh anga i hriat chuan ngaihven rawh.
• Ke emaw hnungzang natna nasa tak: He natna hi rectum emaw genital area-ah a darh fo thin.
• Scoliosis: Spine chu a sir khatah a inher anga lang a nih chuan.
• Urinary leh bowel control lama harsatna: Zun tam lutuk, zun vawn harsat, emaw bowel movement control harsat te.
• Spinal cord-a fluid-filled cysts (Syringomyelia): Hei hi scan hmang chauhin hriat theih a ni.
• Muscle Atrophy: A bik takin ke ruh te hi atrophied leh thin angin a lang a nih chuan.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak a tha ber.

‘Tethered Spinal Cord Syndrome’ hi engte nge ni?

He natna hi pianpui (pian tirh atanga awm) emaw, nakin lawka neih emaw pawh a ni thei.

Pianpui atanga lo chhuak: 1.1.

• Spinal cord tawp atanga tailbone (Sacrum) (Filum Terminale) thlenga tissue thickening pangngai lo hi a chhan ber a ni.
• Spina Bifida natna a awm.

Acquired causes te chu: 1.1.

• Spinal surgery hnua scar tissue awm thei.
• Infection awm thei te.
• Spinal trauma na tak a awm.
• Tumors a awm.

Researcher thenkhat chuan spina bifida ang chi condition-ah hian genetic factors pawhin hmun a chang thei niin an ngai. Myelomeningocele leh genes inzawmna hi hmuhchhuah ni mahse, tethered cord syndrome leh genes inzawmna chiang tak chu finfiah a la ni lo.

Engtin nge ‘tethered spinal cord’ hi kan hriat theih ang?

Hetiang dinhmun hi neurologist ten an hmuchhuak tlangpui thin . Nangmah emaw, i fa emaw chu a enfiah ang a, i natna lan chhuah dan a zawt ang. Chu bakah, a hnuaia imaging test te hi tih a ni fo ang:

• MRI (Magnetic Resonance Imaging) scan: Hei hi he natna hriat theihna atana hman tlanglawn ber a ni. Magnet leh radio wave hmangin ruhro, nerve leh a chhehvel tissue te chiang takin a hmu thei a ni.
• Myelogram: Hetah hian spinal cord (thecal sac) khuh tu sac-ah hian dye bik an inject a. Chumi hnuah chuan X-ray an la a, chu chu ruhro (spinal cord) hian a compress em tih an enfiah a ni.
• CT (Computed Tomography) scan: Computer bik leh X-ray hmanga taksa chhung lam en theih a ni. A chang chuan myelogram hnuah CT scan an ti a, chu chuan dye chu ruhro (spinal cord) vel a kal dan an enfiah thin.
• Ultrasound scan: Hei hian high-frequency sound wave hmangin taksa chhung lam a en thin. Naute naupang tak takte spinal column chhunga spinal cord a kal dan en nan hman a ni fo thin .

Engtin nge tethered spinal cord hi enkawl a nih ?

Hetiang natna enkawlna ber chu operation a ni. Surgery tih chi hi thil engemaw zatah a innghat a, entirnan:

• I `(Filum Terminale)` tih thuk zawng.
• Spinal cord a compress na hmun.
• Puitling nge naupang i nih?

He surgery hi tih a ni tlangpuiNeurosurgeon chu thluak leh ruhro surgery lama tui tak doctor a ni. A hnungzang hnuai lam ah hian incision te tak te a siam hmasa thin. Tichuan, surgical instrument hmangin uluk takin scar tissue chu an la chhuak a, spinal cord chu spinal cord atang chuan an chhuah zalen ta a ni.

‘Tethered spinal cord’ surgery hnuah eng nge thleng?

Operation hnuah chuan nangmah emaw i fa emaw chuan a hnu lawkah thil pangngai leh light tak takte chu i thawk leh thei tawh ang. Mahse, thil rit tak tak chawi ang chi thil hahthlak tak takte chu doctor-in a tih angin kar ruk atanga kar riat chhung emaw, a aia rei emaw chhung chu tih loh tur a ni. Hliam chu a dam tha turin hun i pek a ngai a ni.

Mi thenkhat chuan an hnathawh hloh tawhte an neih leh theih nan operation hnuah physical therapy emaw occupational therapy emaw an mamawh mai thei. He surgery hi nerve tihchhiat belh zel tur tihtawp nan tih a ni. Mahse, nerve chhiatna thleng tawh chu a siam tha kim thei lo mai thei. Chuvangin mi thenkhat chuan enkawl hnuah pawh taksa ruh chak lohna emaw, chetna lama harsatna emaw an nei chhunzawm zel thei.

Hetiang dinhmun hi ven theih a ni em?

Vanduaithlak takin, tethered spinal cord hi ven theih a ni lo. Mahse, enkawlna i hmuh hma chuan a natna lan chhuah dan chu i tidanglam thei a ni. Chuvangin, nangmah emaw i fa emaw hian heng symptoms te hi i nei nia i rinhlelh chuan doctor pan nghal rawh.

‘Tethered spinal cord’ dinhmun hi eng nge ni ang?

Enkawlna hmang hian mi tam zawk chu nun pangngaiin an hmang thei a ni. Tethered spinal cord enkawlna i dawn chak dan hian i dam leh theihna chance a hril a ni. Symptom thenkhat, chetna thunun harsa, rilru hahna, chak lohna te hi a bo vek lo thei a, a bik takin naupan laia operation tih a nih chuan.

Kei emaw ka fa emaw hian vawi khat aia tam operation kan mamawh dawn em?

Mi tam zawk tan chuan operation vawi khat chauh hi tethered spinal cord enkawl nan a tawk. Mahse, naupang panga zinga pakhat vel chuan vawi khat aia tam operation an mamawh thei a ni. Tethered spinal cord symptoms hi a tlangpuiin a lo thang chak (growth spurts) laiin a na zual emaw, a lo lang leh emaw thin. Chutiang hunah chuan naupang chu nasa taka a san hnuah operation dang a ngai thei bawk. Naupang kum 7 leh 12 inkar te chu operation dang an mamawhna a sang ber a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Nangmah emaw i fa emaw hian ‘tethered spinal cord’ condition i nei a nih chuan, emaw, i nei thei nia i ngaih chuan, i doctor hnenah heng zawhnate hi zawt la a tha ang:

• ‘Tethered spinal cord’ natna lan chhuah hmasak dan .Engnge?
• He natna hi hriat theih nan eng test nge tih thin?
• Hei hi enkawl dan tur engte nge ni?
• Enkawlna hnua natna lan chhuah leh theihna chance chu engzat nge ni?

‘Tethered spinal cord’ natna neiin nun pangngaia nun theih a ni em?

Awle. Mi tam tak chuan tethered spinal cord avanga enkawl hmasak an nih chuan nun pangngai an hmang thei a, dam chhung pawh a pangngai thei bawk.

Tethered spinal cord chu ruhro chu ruhro (spinal column)-a a inzawm dan pangngai lo a ni. Nangmah emaw i fain emaw he natna hi i nei tih an hriat chuan hlauhna i neih hi thil pangngai a ni a, mahse a hmaa enkawl hian natna lan chhuahna a tiziaawm thei a, a tidam thei hial a ni. He natna hi spina bifida nen a inzawm tlat a, chu chu piansualna a ni a, ruhro emaw ruhro emaw a lo thang tha lo. Tin, naupang tam tak myelomeningocele vei operation nei tawhte chuan a hnuah tethered spinal cord an nei thin. Nang emaw i fa emaw hian heng symptoms te hi i hriat chuan doctor pan nghal rawh.

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

Okay, chuvangin kan sawi tawh atang hian thil pawimawh tak tak thenkhat ka rawn tarlang ang:

• Tethered spinal cord hi ruhro (spinal cord) chu ruhroah a tang a, a inzawm khawm a ni.
• Hei hi pian tirh lamah a awm thei a , nakin lawkah pawh a lo thang lian thei bawk . Naupang spina bifida vei te hi an hlauhawm zawk.
• A lan chhuah dan a inang lo: hnungzang leh ke na, rilru hah, kal harsa, vun inthlak danglam, leh bladder/bowel control lama harsatna.
• MRI scan hi natna hriat theihna atana pawimawh tak a ni.
• Enkawlna ber chu surgery a ni. Hei hian nerve chhiatna chu a titawp a ni.
• Enkawlna i hmuh hma chuan i dam theihna chance a sang zawk. Symptom thenkhat chu a awm reng thei bawk.
• Lungngai suh! Inenkawlna mumal tak awm chuan nun pangngaiin i nung thei ang.
• Nangmah emaw, i fa emaw hian heng symptoms te hi i neih chuan hun khawhral suh la, Doctor pan rawh.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Spine, spinal cord, spina bifida, thluak lam natna, surgery, naupang hriselna, hnungzang na