Hei hi i kawr, i ke leh i kut natna thlentu a ni em? Thoracic Outlet Syndrome chungchang hi i zir dawn nia.

I kawr leh i kekawrte atanga i kut hnuai lam atanga lo chhuak natna mak tak emaw, rilru hahna emaw i nei fo thin em? I kut i han phar hian he natna hi a zual deuh niin a lang em? Mi tam tak chuan hei hi thil pangngaiah an ngai a, a nih loh leh i kawr chhunga vein te tak te i hrual mai mai niin an ngai a, mahse a chhan chu i ngaihtuah aiin a buaithlak deuh mai thei. Vawiin hian hetiang ang chi natna hi kan sawi dawn a, mahse mi tam takin an la hre lo. Chu chu Thoracic Outlet Syndrome (TOS) a ni.

A awlsam zawngin, Thoracic Outlet Syndrome (TOS) hi eng nge ni?

He hming hi a buaithlak deuhin a lang thei. Mahse, a awlsam zawngin i vawng ang u. Kan kawr leh kan rilru inkarah hian tunnel ang maia hmun te tak te a awm tih han ngaihtuah teh. A dik zawka sawi chuan, collarbone hnuai leh first rib chunglam space. He hmun hi damdawi lama ‘thoracic outlet’ kan tih chu a ni.

He tunnel hi a pawimawh hle a, a chhan chu kan kut ( brachial plexus )-a sensation leh movement pe thei nerve bundle lian tak (brachial plexus an tih), chubakah kut atanga thisen petu main artery ( subclavian artery ), leh kut atanga thisen phur kir leh thin vein lian tak ( subclavian vein ) te hian he hmun te tak te hi a paltlang thin a ni.

A tlangpuiin heng nerve leh thisen kalna kawngte hian he hmun hi engmah tikhawlo lovin an kal thei a ni. Mahse, eng emaw chhan vanga he tunnel hi a inkharkhip a nih chuan engtin nge ni ang? Chu chu, heng nerve emaw, thisen kalna kawng emaw hi a chhehvel ruh, ruh, etc.-in a tihbuai chuan eng nge thleng ang? Chu chu Thoracic Outlet Syndrome (TOS) kan tih chu a ni. He compression hian symptom tam tak a thlen a, chu chu kut natna, rilru hahna, leh kut natna te a ni.

TOS chi hrang hrang lian ber ber a awm em?

Ni e, TOS hi eng thilin nge he pressure thlentu a zirin chi thum ah then a ni. Hei hi chiang taka hriat hi enkawlna atan a pawimawh hle.

Venous leh arterial type pahnih hi a vaiin Vascular Thoracic Outlet Syndrome tia hriat a ni. A chi hnih hian operation a ngai tlangpui. Mahse, a tlangpui zawk Neurogenic type hian physical therapy hi a chhang tha fo thin.

TOS natna lan chhuah dante chu engte nge ni?

Symptoms chu nerve emaw thisen kalna kawng emaw compress leh compress a nih danah a innghat. Heng symptoms te hi a tlangpuiin a sir khatah (neck, upper chest, shoulder, arm, or hand) ah hmuh tur a awm.

A lan chhuah dan tlangpui:

• Natna: He natna hi i kut i chawi sang chuan a pung thei. Mi thenkhat chuan hei hi natna tlemte angin an ngai mai thei.
• Numbness: "pins and needles" tih hriatna a ni a, i kut a hrual lai ang chiah a ni.
• Numbness: Kut hmun thenkhatah hriatna hloh.
• Chak lohna: Kut emaw kut zungtang emaw chakna tlahniam, thil man harsat.
• Swelling or heaviness: Kut chu a hring thei a, a rit tih a hriat theih a, a bik takin vein a constricted chuan.
• Vun rawng a inthlak: Kut chu a sen emaw, a sen emaw a ni thei.
• Kut vawt: Artery a zim a, thisen kal a tlem chuan kut dang aiin kut a vawt zawk thei.
• Kut zungtang hliam dam tlai: Hei hi thisen kal tha lo vang a ni thei.

He natna hi heart attack nen a inzawm thei ang em?

Hei hi zawhna pawimawh tak a ni. TOS hian rilru chunglam natna a thlen theih avangin mi thenkhat chuan hei hi heart attack emaw angina emaw a ni tih an hlau mai thei. Mahse, an pahnih inkarah hian danglamna chiang tak a awm.

• TOS natna: A tlangpuiin kut natna i chawi chhuah hian a na zual thin . He natna hi kea kal leh exercise i tih hian a na zual lo.
• Angina pain: Hei hi thinlunga thisen tling lo vanga natna a ni. A tlangpuiin thawhrim laiin a na zual a, chu chu kea kal emaw, stairs chhoh emaw a ni . Chawlh hahdam chuan a tha chho zel. Thâwk harsa leh thawk hah ang chi symptoms te pawh a awm thei bawk.

Chutiang bawkin taksa peng khata chak lohna hi stroke chhinchhiahna a ni thei bawk. Mahse, stroke hian a sir khatah hmui a tla thla a, tawng harsa a, mit a tidanglam thei bawk.

Eng thilin nge TOS hi a thlen?

Doctor-te chuan TOS awm chhan hi chi thum-ah an ṭhen a.

A châng chuan, pianpui hlauhawmna (e.g., extra rib) awm mah se, accident emaw, hun rei tak chhûnga thil tih dik loh emaw a thlen hma chuan symptoms a lang lo thei.

Hei hi dinhmun pawi tak a ni em? Enkawl a nih loh chuan eng nge thleng ang?

Ni e, TOS hi enkawl loh chuan harsatna lian tak a thlen thei a, a bik takin thisen kalna kawng (blood vessel constriction) angin.

• Thrombosis: Kut chhunga thisen zam hi thisen zam a lo awm thei a, hei hi thisen kalna kawng a zim vang a ni. He thisen zam hi a lo chhuak a, lungah a awm chuan natna khirh tak, nunna atana hlauhawm tak, pulmonary embolism , a thlen thei a ni.
• Chronic swelling and pain: Kut natna leh natna awm reng.
• Tissue thihna (Gangrene): Artery pakhat a block a, kut lama thisen kal chu a tawp vek a nih chuan kut zungtang chhunga tissue te chu a thi thei a ni.
• Hliam dam lo: Kut zungtang hliam hi thisen kal that loh avangin a dam lo thei.
• Permanent nerve damage: Hun rei tak chhung nerve compression hian permanent damage a thlen thei.

Engtin nge doctor hian TOS hi a hriat theih ang?

TOS hmuhchhuah hi a châng chuan a harsa deuh thei a, a chhan chu a natna lan chhuah dan chu natna dang tam tak nen a inang thei a ni. I doctor chuan i symptoms te a zawt hmasa ang che a, a enfiah ang che.

He taksa enfiahna neih chhung hian doctor chuan chetna thenkhat tihsak turin a ti ang che. Entir nan:

• I kut chu chawi sang la, an kutphah chu flex leh extend turin hrilh rawh (Elevated Arm Stress Test).
• I kawr chu kawng hrang hranga herh turin an ngen che a ni.

I doctor chuan heng thil tih lai hian natna emaw, rilru hahna emaw ang chi symptoms i neih leh neih loh te, leh a lo awm dan te en hian hei hi a hre thei ang.

Chu bakah, a hnuaia test te hi a diagnosis finfiah nan leh condition dang tihbo nan order theih a ni bawk:

• Chest X-ray: Extra rib (cervical rib) a awm leh awm loh enfiah thin ang che.
• CT scan emaw MRI scan: Kawr leh rilru chhunga thil awmte chu khawiah nge a compress tih chiang taka hriat nan, chubakah nerve leh thisen kalna kawngte pawh a compress a ni.
• Electromyography (EMG) / Nerve Conduction Study: Nerve hnathawh leh chhiatna a enfiah thin.
• Angiography (MRA or CT Angiography): Thisen kalna kawnga thisen kal dan leh blockage emaw thisen zam emaw a awm leh awm loh enfiah nan.

TOS enkawlna tur engte nge ni?

Enkawlna chu TOS i neih chi hrang hrang, i natna lan chhuah nasat dan leh a chhan a innghat a ni.

1. Physical Therapy: Hei hi Neurogenic TOS enkawlna hmasa ber leh pawimawh ber a ni. Physics therapist chuan i kawr leh i ke ruhte tichak turin exercise bik a zirtir ang che a, i insiamrem theihna a tipung ang a, i dinhmun dik taka i awm theih nan a pui ang che. Mi tam tak tan chuan he enkawlna hian natna lanchhuahna nasa takin a tihziaawm thei a ni.

2. Damdawi chi hrang hrang:

• Painkillers: I doctor chuan natna control nan NSAIDs ang chi painkillers a pe thei ang.
• Anticoagulants: Thisen kalna kawngah thisen zam a lo awm tawh emaw, a lo awm theihna tur hlauhawma awm emaw a nih chuan thisen tithianghlimtu damdawi pek thin a ni. A châng chuan, a hmin chu a hmin theih nân special injection (thrombolytic therapy) pek theih a ni bawk.

3. Surgery tih tur: 1.1 .

• Arterial leh venous TOS (thisen kalna kawng chi hrang hrang) hi harsatna lian tham a thlen theihna a san avangin operation a ngai fo thin.
• Neurogenic TOS vei, physical therapy hmanga enkawlna dawng lote tan pawh surgery neih ngaihtuah a ni.
• Surgery-ah hian nerve emaw thisen kalna kawng emaw compression chhan chu paih chhuah a ni. Entirnan, extra rib lakchhuah emaw, taksa ruh tight tak tak tihtlak emaw (decompression surgery).

I doctor chuan operation i mamawh leh mamawh loh te, eng nge a huam tih te, leh a hlauhawmna te chipchiar takin a hrilhfiah ang che.