I kut leh keah hian i kawr emaw, i hnungzang emaw natna nen hian a chang chuan i rilru a buai emaw, nunna nei lo emaw i ni em? A châng chuan i kal laiin i balance hloh ang maiin i inhria em, a nih loh leh hna nalh tak tak, kawr button siam ang chi tih harsa i nei em? Heng symptoms te hi i neih chuan a chhan chu i ngaihtuah aiin a na zawk mai thei. Vawiin hian ' myelopathy ' tih natna pakhat kan sawi dawn a, chu chuan heng symptoms te hi a thlen thin.
Myelopathy hi eng nge ni?
A awlsam zawngin, myelopathy hi kan ruhro (spinal cord) a compress a nih chuan a lo awm thin a ni . Ngaihtuah teh, spinal cord hi nerve cable pawimawh tak a ni a, kan thluak atanga kan ruhro hnuai lam thlengin a kal a ni. Kan taksa ‘cable’ ber ang mai a ni. Thluak atanga thuchah lo lutte chu taksa peng hrang hrang telin taksa pum puiah a kal a, taksa hriatnate chu he ruhro hmang hian thluak lamah a kal leh thin. He ‘cable’ hlu tak hi humhim turin a chhehvel ruh, ruhro leh tissue hmanga siam khuhna a awm a, chu chu spinal canal an ti a ni.
Eng emaw chhan vanga he spinal canal chhunga hmun hi a tawi a, spinal cord a compress tan chuan thuchah inbiakpawhna a tibuai a ni. Chu chu myelopathy kan tih chu a ni.
Mi tam tak chuan myelopathy leh myopathy tih hi condition pahnih hi an ti buai hle a ni . Mahse an pahnih hian an danglam vek thung. Myelopathy hi spinal cord a nerve te a nghawng thin a ni . Myopathy hi taksa ruh tichhe thei natna a ni .
Myelopathy hi spinal cord-a khawi hmunah nge a awm tih a zirin chi hrang hrangah then a ni.
| Myelopathy chi hrang hrang | A nghawngna hmun |
|---|---|
| Cervical Myelopathy natna a ni | Neck area-a spinal cord a nghawng. (Hei hi a tam ber chi a ni.) |
| Thoracic Myelopathy natna a ni | Thoracic level-ah chuan, chu chu a hnungzang lai leh chunglam a spinal cord a nghawng tihna a ni. |
| Lumbar Myelopathy natna a ni | A hnungzang hnuai lam a nghawng. Hei hi thil awm lo tak a ni a, a chhan chu a tlangpuiin spinal cord hi hetiang hian a tlan hniam lo. |
Myelopathy hi engte nge ni?
Spinal cord hi a compress theih chhan hrang hrang a awm. A chhan ber pahnih chu arthritis leh spondylosis an tih natna te hi a ni . Chûngte chu kan tar chhoh zêl a, kan ruhro, a nih loh leh ruhro (vertebrae) a chhe zauh zauh vâng a ni. He wear and tear hian ruh pianzia a thlak danglam thei a, spinal canal a ti tawi thei bawk. A bik takin kawng a lo awm thin hi Cervical Spondylotic Myelopathy an ti a .
Chu bâkah, chhan dang pawh a awm:
- Bone spur: Ruh te tak te chu vertebra atanga rawn chhuakin spinal cord emaw a atanga branch chhuak nerve te chu a press thei a ni.
- Accident: Myelopathy hi ruhro hliam, tlu emaw, car accident emaw avanga lo awm nghal thei a ni. Hei hi acute myelopathy kan ti a ni .
- Damdawi lam thil dang: Neurodegenerative diseases, rheumatoid arthritis , spinal tumors, emaw Parkinson’s disease te pawhin hun kal zelah myelopathy a lo awm zauh zauh thei bawk. Hei hi chronic myelopathy an ti a .
Myelopathy natna lan chhuah dan chu engte nge ni?
Myelopathy symptoms hi a lo lang zauh zauh thin. A tir lamah chuan nêm lo mah se, hun kal zelah an pung thei a ni. I hmuh tur symptom lian ber berte chu:
- Kawr, hnungzang, kut leh kea natna .
- Ka taksa peng hrang hranga rilru hahna, kang emaw, hriatna hloh emaw hriatna .
- Kal laiin balance hloh , i inthlak danglam ang maia inhria.
- Taksa chetna inrualrem harsa.
- Kut hnathawh \ha tak tak, ziak, kawr button bun, a nih loh leh pheikhawk hrui khih harsa .
- Kut leh kea natna leh chak lohna hriatna.
- Natna a lo zual zel chuan, thunun lohvin i zun leh ek i hmu thei a ni .
Heng symptoms te hi i neih chuan ngaihthah suh . Damdawi lam thurawn lak nghal a pawimawh.
Engtin nge myelopathy hi dik taka i hriat theih ang?
Doctor hmu tura i kal hian a tih hmasak ber tur chu i natna lan chhuah dan ngaihthlak a, taksa enfiahna a tih hmasak ber tur a ni. Chumi hnuah chuan test eng emaw zat neih an rawt thei a, chu chuan diagnosis tih finfiah a, condition dang pawh paih chhuah a ni thei bawk.
| Damdawi lam enfiah a ni | Chuta tang chuan eng nge beisei? |
|---|---|
| X-ray hmanga enfiah a ni | Harsatna dang, ruh tliak emaw, ruh tliak emaw a awm leh awm loh enfiah thin ang che. |
| MRI scan (Magnetic Resonance Imaging) hmanga tihchhuah a ni. | Hei hi fiahna tha ber a ni. Engkim chiang takin i hmu thei a, chutah chuan ruhro, nerve leh vertebrae inkar disc te pawh a tel. Spinal cord hi khawiah nge a awm tih leh engzat nge a compress tih chiang takin i hre thei ang. |
| Myelography hmanga thil tih a ni | He test hi MRI machine chhunga lut thei lo (entir nan, pacemaker nei) tan tih a ni. Spinal cord-ah hian special liquid (dye) inject a ni a, real-time X-ray (fluoroscopy) hmangin spinal cord-a harsatna awmte hriat theih a ni. |
| Electric hmanga Test neih a ni | Electromyogram (EMG) ang chi test hian nerve hnathawh dan leh taksa ruhte’n an chhan dan an enfiah thin. |
Myelopathy enkawl dan tur chu engte nge ni?
Enkawlna chu myelopathy i neih chi hrang hrang, a chhan leh i natna lan chhuah nasat danah a innghat a ni.
Surgery hmanga enkawlna ni lo
A hmasa berah emaw, a lan chhuah dan a na lutuk lo a nih chuan i doctor chuan non-surgical treatment a rawt thei ang.
- Physical Therapy: Heng exercise te hian hnungzang leh kawr ruh te a tichak a, ruhro (spinal cord) a pressure tihziaawm nan a pui bawk.
- Neck brace: Hei hian neck movement tihtlem nan a pui a, natna a tiziaawm a, natna a zual zel loh nan a pui bawk.
- Damdawi: Natna leh hliam tihziaawm nan NSAIDs (Non-steroidal anti-inflammatory drugs) ang chi natna tidamtu damdawi pek thin a ni. A chang chuan a natna a nasat chuan steroid injection chu a natna hmunah direct-in an pe thin.
Surgery hmanga enkawl dan tur
Symptoms a nasat chuan, a bik takin bladder emaw bowel control a hloh a nih chuan, emaw, tumor emaw ruh peng ang chi thil lak chhuah a ngai a nih chuan operation hi a solution tha ber a ni. Surgery hian ruhro (spinal cord)-a pressure a tiziaawm thei a, a awm reng thei bawk.
| Surgery neihna hmun hming | Eng thil nge thleng mai mai |
|---|---|
| Laminectomy tih a ni | Vertebral bone (lamina) atanga spinal cord compression thlentu thenkhat chu lakchhuah a ni a, chu chuan spinal cord chu a zalen reng thei a ni. |
| Laminoplasty tih a ni | Ruh chu la chhuak vek lovin a sir khatah hinge siam a ni a, kawngkhar hawn ang maia hmun a siam a ni. Hei hi kawr ruh tan chauh tih a ni. |
| Spinal Fusion a ni | Vertebrae pahnih emaw a aia tam emaw chu an inzawm khawm a, chu chuan ruhro chu a ti nghet hle. Hei hian natna nasa takin a tiziaawm a ni. |
Enkawl hnua dam lehna
Myelopathy natna atana pawimawh ber chu natna hi hriat hmasak a enkawl tan hi a ni . A chhan chu ruhro (spinal cord) hi nasa taka tihkhawtlai a nih chuan nerve-te tihchhiat leh theih loh a awm thei a ni.A thleng thei. Chuvangin, ke ruhte chetna pawh hi a bo vek thei a ni. Chuvangin, he thuziaka kan sawi tak symptoms i neih chuan hlau suh la, doctor pan la, a chanchin hriat tumin i hmu ang. Enkawlna rang tak i neih chuan i nunphung chu a tha hle thei a ni.
Take-Home Thuchah a ni
- Myelopathy hi taksa ruh lama harsatna a ni lo va, ruhro (spinal cord) compression avanga nerve lama harsatna a ni.
- Kawng emaw, hnungzang emaw natna, rilru hahna, chak lohna, kal harsa, emaw, kut hnathawh tha tak tak thawh harsat te ang chi symptoms te chu ngaihthah suh.
- Heng symptoms pakhat emaw a aia tam emaw i neih chuan a rang thei ang bera doctor pan la, thurawn la rawh.
- A hmaa hriatchhuah leh enkawl chuan nerve chhiatna awm reng tur a veng thei a ni.
- A chhan leh a nasat dan azirin exercise leh damdawi atanga operation thlengin enkawlna tha tak tak a awm a.
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