I kawngah hian lump a awm em? He natna hmuh tur awm lo (Klippel-Feil Syndrome) chungchang hi zir rawh

I naute kawr chu a tawi deuh ang maiin i inhria ngai em, a nih loh leh a hawi let harsa deuh ang maiin i inhria ngai em? A nih loh leh mi pakhatin i kawr hnunglam a sam a hniam lutuk tih a hrilh che em? Hengte hi a chang chuan kan ngaihven vak loh thilte a ni a, mahse damdawi lam natna hmuh tur awm lo tak, Klippel-Feil Syndrome (KFS) tih chhinchhiahna a ni thei. Ngaihtuah buai suh, engkim hi a awlsam leh chiang takin kan sawi dawn a ni.

A awlsam zawngin, Klippel-Feil Syndrome (KFS) hi eng nge ni?

Hei hi kan ruhro ruh tichhe thei thil awm lo tak a ni. A awlsam zawngin, kan kawr chhunga vertebrae pahnih emaw a aia tam emaw chu kan pian tirh atanga an inzawm khawm a, ruh pakhat siamna dinhmun a ni. Hei hi Klippel-Feil Syndrome an ti a.

Ngaihtuah teh, kan ruhro hi ruh sei tak pakhat a ni lo. Ruh te tak te 33 inzawmkhawm chain ang a ni. Heng joint te hi vertebrae kan ti a. Hei hi KFS natnain a nghawng tlangpui kawng chhunga vertebrae 7 hmasa ber a ni. Heng ruhkawrte hi an inzawm khawm chuan kawr chetna a tlem hle.

Hetiang dinhmun hi pian tirh atanga awm thin thil a ni. Mahse, mi thenkhat tan chuan a nalh em em a , nakin lawkah chhan dang avanga X-ray ang chi thil lak a nih chauhvin hmuhchhuah a ni.

Hetiang natna vei zingah hian symptom pathum hmuh tur a awm a, chungte chu:

• Kawng tawi: Hei hian a chang chuan hmaiah asymmetry tlem a siam thei.
• Kawr hnunglam hairline hi a hniam zawkah a awm a.
• Kawng leh ruhro pawh a tihchet theihna tlem.

Hetiang dinhmunah hian eng symptom dang nge hmuh theih?

KFS hian mi tin a nghawng dan hi a inang lo hle. Vertebrae fused a pun zel chuan symptoms pawh a pung thei bawk. Kawng hawi harsat bakah hian thil dang tam tak hmuh tur a awm thei.

A hnuaia table-ah hian he natna nena inzawm thei symptom thenkhat tarlan a ni.

Engtin nge doctor-te hian he natna hi an hriat theih?

Vawi tam tak chu heng symptoms te hi naute nau neih hmaa a checkup lai hian hriat theih a ni. Chumi hnuah chuan doctor chuan a natna zau zawng leh taksa peng dang, mit, beng, kal leh thinlung te a nghawng em tih hriat nan test tlemte dang neih belh leh a rawt ang.

Chumi atana hman test thenkhat chu:

• X-Ray: Hei hian ruhro, kawr leh ke ruhte chu chiang takin a la thei a ni.
• MRI scan: Hei hian vertebrae te chu eng chen nge an inthlak danglam tih te, an inkarah gap a awm em tih te, leh spinal cord hian eng effect nge a neih tih te ngun takin a hriat theih nan a pui a ni.
• CT scan: Hei hian X-ray technology leh computer technology hmangin taksa cross-sectioned image a hmu thei a ni.
• Genetic testing: A chang chuan heng test te hi he natna thlentu genetic marker te hriatchhuah nan an ti thin.
• EOS imaging: Hei hian taksa thlalak pathum (3-D) a la thei.

He natna hi naute zingah hmuhchhuah a nih fo avangin, nu naupai lai ultrasound scan atang pawhin a hriat theih a ni.

Engvangin nge hetiang hi a lo awm?

Hei hi engvanga lo awm nge tih chiang taka sawi a har khawp mai. Naute pian tirh lamah chuan ruhro (spinal cord) siamtu embryonic tissue chu a inthen tha tur a ni. Eng emaw chhan vangin he inthenna hi a thleng dik lo va, vertebrae te chu a inzawm khawm a, chu chuan KFS a siam a ni.

Mi tam tak tan chuan thil thleng mai mai a ni a, a chhan hriat theih a ni lo. Mahse, a then phei chuan chhungkaw hrang hranga kal zel, genetic condition a ni thei. Doctor te chuan KFS hi multifactorial condition a ni an ti . Chumi awmzia chu genetic cause leh environment factor dang inzawmkhawm vang a ni thei tihna a ni.

Engtin nge enkawl a nih?

Tunah hian Klippel-Feil Syndrome hi damdawi a la awm lo. Mahse, natna lan chhuah dan control thei, harsatna tih tlem thei, leh nun pangngaia i awm theihna tur enkawlna tam tak a awm. I enkawlna chi hrang hrang chu i natna lan chhuah dan leh i spinal fusion zau zawngah a innghat ang.

Enkawlna hi kawng hrang hranga specialist team-in an ruahman tlangpui. Hei hian naupang enkawlna, surgery, ruh lam, thluak lam, leh rilru lam enkawlna lama specialist-te pawh a huam thei a ni.

• Mild condition tan: I natna a na lo a nih chuan i doctor chuan cervical collar emaw brace emaw bun a rawt thei a, natna damdawi leh NSAID te pawh a rawt thei bawk.
• Natna khirh tak tan: Natna khirh tak, spinal stenosis avanga nerve compression ang chi a awm chuan siamthat nan operation neih a ngai mai thei. Tin, thinlung, kal, emaw mit/beng lama harsatna dang a awm chuan chu pawh chu enkawl a ngai dawn a ni.

Kum upa lam pan zel pawhin doctor nena inbiak reng a pawimawh a, follow-up visit neih fo a pawimawh bawk. Symptom thar awm leh awm loh enfiah reng hian harsatna awm thei te chu a hmain i hmuchhuak thei a, i enkawl thei bawk.

KFS nena nun leh a hlauhawmna te

Hetiang natna vei mi ruhro, a bik takin a kawng hi hliam a tuar nasa hle. Chuvangin he natna hi i neih chuan infiamna (e.g. rugby, contact sports) emaw, kawng hliam thlen thei thil dang emaw tih loh a pawimawh hle. Thil engemaw a thleng a, chu chu car accident emaw, tlu emaw ang chi a ni a, chu chuan harsatna awm tawhte chu a tizual thei a ni.

Damdawi lam thil dang pawh KFS nena inzawm hian a awm thei bawk.

• Scoliosis natna: 1.1.Spinal stenosis hi vertebrae a lo thang dan pangngai lo vang a ni thei.
• Spinal Stenosis: Hun a kal zel a, ruh (spinal canal) chu a tawi a, chu chuan ruh (spinal cord) a tikhawlo (compressed) thin. Hei hian nerve a tichhia thei a ni.
• Osteoarthritis: Hun a kal zel a, ruh inzawmna hmun ruh (joint wear and tear) a awm thei.

Heng zawng zawng karah hian KFS hi a hmaa hriatchhuah a nih a, uluk taka enkawl a nih chuan mi tam zawk chuan nun hlawhtling, hlim tak an hmang thei a ni. A pawimawh ber chu Damdawi lam thurawn zawm a, i taksa enkawl hi a ni.