I kawr, i kekawrte, a nih loh leh i kutah natna emaw, i rilru natna emaw i nei em? Thoracic Outlet Syndrome (TOS) a ni thei ang em?

I kawr leh i kekawrte atanga intan a, i kut hnuai lam pan thin natna emaw, rilru hahna emaw i nei fo thin em? He natna hi i kut i han phar hian a na zual mai thei. Thil rit tak tak i chawi emaw, nitin hna i thawh emaw hian a ti thinrim hle thei. Mi tam tak chuan hei hi kawr natna pangngai emaw, ke ruh tliak emaw niin ngai mah se, kan sawi tam loh, mahse mi tam tak nghawng thei dinhmun avang pawh a ni thei. Vawiin hian thoracic outlet syndrome , emaw doctor-te’n an tih angin TOS chungchang hi han sawi ila.

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

Ngaihtuah teh, kan kawr leh kan rilru chunglam inkarah hian hmun zau tak a awm a, a bik takin kan ruh hnuai leh ruh hmasa ber chungah a awm a ni. He hmun hi `Thoracic Outlet` kan tih chu a ni. He hmun zim tak hmang hian kan kut lama kal nerve leh thisen kalna ( thisen kalna leh thisen kalna kawng) ber berte chu an kal tlang thin. Kawngpui zau takah motor tam tak kal ang mai a ni.

Tunah chuan han ngaihtuah teh, he hmun zau tak hi eng emaw chhan vanga a tawi lehzual emaw, a khauh zawk emaw a nih chuan eng nge thleng ang? Chu kawngpuiah chuan nerve leh thisen kalna kawngte chu a inzawm khawm tan a, a inkhar tan bawk. Chu squeezing avanga natna, hliam, leh rilru hahna ang chi symptoms te inzawmkhawm chu Thoracic Outlet Syndrome (TOS) kan tih chu a ni.

TOS chi hrang hrang lian ber ber a awm em?

Ni e, TOS hi he natna thlentu a zirin chi thum ah then a ni. Hei hi hriat a pawimawh a, a chhan chu a chi hrang hrangah enkawl dan a inang lo.

TOS natna lan chhuah dante chu engte nge ni?

Symptoms hi i kut leh i kutphah ah a lang ber. Symptom thenkhat chu a chi hrang hrang a zirin a danglam deuh thei.

• Kawng, ke, kut na : Hei hi a lan chhuah dan ber a ni. I kut i han phar chuan a na zual zel.
• Numbness leh tingling: Hetiang tingling sensation hi i hre thei a, a bik takin i kut zungtang leh i kutphah ah te.
• Kut chak lohna: Thil rit phurh emaw, thil nghet taka vawn emaw harsat.
• Kut hring : Hei hi a bik takin venous type-ah hmuh theih a ni.
• Kut rawng a inthlak: Kut chu a sen, a sen emaw, a sen emaw a ni thei. Hei hian thisen kal dan a tichhe tih a tilang a ni.
• Cold palms: Kut natna vei kutphah chu kut dang aiin a vawt zawk thei.
• Collarbone bula lump na tak : Hei hi nangmah ngeiin i hre thei mai thei.
• Muscle Atrophy: Pressure hi rei tak a awm chuan kut ruh thenkhat, a bik takin ke ruh lian bul hnaia thau te chu a lo tlem thei a, a lo tlem tawh niin a lang. Hei hi ``Gilliatt-Sumner kut'' an ti bawk.
• Arm-a pulse chak lo: Arterial type-ah chuan palpate a nih chuan kut natnaah pulse a chak lo emaw, a awm lo emaw a ni thei.

TOS vei chhan leh risk factors te chu engte nge ni?

Hei hi chhan hrang hrang a awm thei.

• Hliam: Car accident atanga whiplash ang chi kawng hliam te, emaw, kawr ruh tliak ang chi hliam te hian scar tissue leh swelling te hian hmun a ti tawi zual thei a ni.
• Poor posture: Hei hi a chhan pawimawh tak a ni. I khur reng a, i kekawrte chu hmalam hawia i beng (a bik takin computer hmaa i awm emaw, i phone i en emaw) chuan i kawr ruh (collarbone) chu a tlahniam deuh thei a, nerve leh thisen kalna kawng a pinch thei a ni. Shoulder muscle chak lo pawh hi a chhan a ni.
• Hmuh nawn leh (Repetitive stress): .He risk hi kut phar ngai movement ti reng thinte tan chuan a sang zawk a ni. Entirnan, tui chawi thiam te, baseball ang chi infiamna khel te, painter te, factory-a thawk te.
• Congenital abnormalities: Mi thenkhat chu an pianpuiah an kawr chhungah extra rib (cervical rib) an nei a. Hei hian hmun a ti tawi thei bawk.
• Obesity: Taksa rihna a san chuan collarbone leh a chhehvel thau te pressure a sang chho zel a. Hei pawh hi bengchheng thlentu a ni.
• Naupai: Naupai lai hian taksa ruhte chu a lo hrual a. Hetianga a lo chhuah chuan collarbone chu a che thei a, a hliam thei bawk.
• A chhan dang: A rilru chunglam emaw, kekawr chunglam emawa tumor awm te, stress lutuk leh depression te pawh hi a chang chuan a awm thei bawk.

Engtin nge doctor hian hei hi a hmuh theih?

Doctor i pan hunah i symptoms chungchang chipchiar takin zawhna a zawt hmasa ang che a, chumi hnuah taksa enfiahna a nei leh ang.

Neurogenic type hi hriat a harsa fo thin a, a chhan chu a natna lan chhuah dan hi kut natna leh natna thlentu natna dang, carpal tunnel syndrome, kawr leh hnungzang lama arthritis, leh nerve compression dangte nen a inmil lo thei a ni. Chuvangin, doctor chuan a chhan dik tak zawng turin heng zawng zawng hi a ngaihtuah vek a ngai a ni.

Mahse, venous leh arterial type (swelling, discoloration) symptoms chu a chiang a, rang takin hriat theih a ni.

A hnuaia test te hi diagnosis finfiah nan hman theih a ni:

• Positioning tests: Doctor chuan i kut leh lu chu position hrang hrangah a sawn ang a, i symptoms te chu a na zual em tih a en ang.
• Scalene muscle block: Kawr chhunga ruh pakhata anesthetic injection a ni. Hei hi a natna a reh em tih en nan an ti thin. Natna a reh chuan buaina chu a awm ngei a rinawm.
• Imaging test: X-ray, CT scan emaw MRI emaw hmangin nau piangsual, extra rib ang chi te chu a enfiah thei a ni. Ultrasound hmangin thisen kalna kawng a inkhar em tih enfiah theih a ni.
• Nerve test: Hengte hian neurological condition dang a awm loh nan a pui thin.
• Thisen kal dan test: X-ray test, dye bik, arteriogram emaw venogram emaw hmanga test hian thisen zam emaw, thisen kalna kawng chhia emaw dik takin a hmu thei a ni.

TOS enkawlna tur engte nge ni?

Enkawl dan tur chu TOS i neih chi hrang hrangah a innghat.

Neurogenic TOS tan chuan:

Hetiang chi tlanglawn ber hi a tlangpuiin operation a ngai lo.

• Physical therapy: Hei hi enkawlna pawimawh ber a ni.Hetah hian i kawr leh i ke ruhte tichaktu leh tizau thei exercise zirtir i ni ang. I dinhmun siam\hatna kawngah pawh an pui ang che. Mi tam tak chuan hei hi a hlawkpui hle niin an hria.
• Damdawi: Natna tihziaawmna tur `Ibuprofen` emaw `Naproxen` (doctor ten `NSAIDS` an ti bawk) ang chi leh taksa ruh tizautu damdawi te pek theih a ni.
• Botox Injection: Botox injection hi kawr hnuai lama ruh pakhatah inject hian a hmun chu a ti hahdam thei a, natna a tiziaawm thei bawk. A nghawng hi thla 3 vel a ni .

Venous leh Arterial TOS tan chuan:

Heng chi hnih hi zai a ngai tlangpui.

• Pakhatnaah chuan thisen zam a awm chuan enkawl a ni.
• Tichuan, surgical procedure thoracic outlet decompression an tih chu an ti leh a. Hetiang tih danah hian surgeon chuan compression awmna hmun chu a hawng a. Hei hian extra ribs, tissue dang emaw, compression thlentu muscle thenkhat emaw lakchhuah a huam thei. Thisen kalna kawng chhia te pawh an siam tha thei bawk.

In lama i tih theih thilte

Heng thilte hi enkawlna ruala tih hian hahdamna nasa zawk a pe ang che.

• I taksa rihna hrisel tak vawng reng rawh.
• I dinhmun (posture) kha ngaihtuah reng ang che. Hnathawh hmunah leh in lamah pawh i hnungzang dinglam hawn dan practice rawh.
• I kekawr ipteah bag rit tak tak phur loh tur.
• Hnathawh lai hian chawlh rei vak lo la, tho la, insiam rawh.
• Muscle naah heating pad hnawih thin ang che. Massage la rawh.
• Stress tihziaawmna turin relaxation exercise ti rawh.

TOS hi enkawl loha dah a nih chuan eng nge thleng ang?

TOS hi a rang thei ang bera enkawl a pawimawh hle. Chutiang a nih loh chuan harsatna lian tak tak a awm thei a, chungte chu:

• Kut natna leh hliam reng reng
• Nerve chhiatna awm reng
• Thisen kal dan tha lo avanga kut zungtang-a ischemic ulcer emaw gangrene emaw ang chi natna
• Thisen a chhuak thin. Thisen zam a lo chhuak a, lung chhunga thisen kalna kawng a block chuan ``pulmonary embolism`` an ti a, hei hi emergency pawi tak, nunna atana hlauhawm tak a ni.