I fa hian natna lan chhuah dan danglam tak a nei nghal em? ADEM (Acute Disseminated Encephalomyelitis) chungchang hi han sawi ila.

I fa chu ni hnih emaw ni thum emaw chhung chu khawsik na lo tak a nei tawh a, tunah chuan a dam deuh tawh tih han ngaihtuah teh. Mahse, rang takin khawsik rualin naupang nungchang a danglam a, kal a harsat a , a thusawi chuan a thusawi chu a hlim lo hle bawk. Nu leh pa tu pawhin hetiang thil an hmuh hian hlauhthawn hi thil pangngai tak a ni. Hetiang symptoms nei thei, natna awm lo mahse pawi tak ADEM hi tunlaia kan sawi tum chu a ni.

ADEM chu eng nge ni tak tak?

A awlsam zawngin ADEM (Acute Disseminated Encephalomyelitis) hi inflammatory condition awm lo tak a ni a, thluak leh ruhro a nghawng a ni. Sinhala tawng chuan acute disseminated encephalomyelitis kan ti thei a, mahse chu thumal chu a buaithlak deuh avangin ADEM tih hming kan hmang ang. Hetiang dinhmun hi naupang zingah hmuh tur a tam ber.

Kan nerve te hi electric wire ang mai a ni. Heng nerve fiber te hian an chhehvelah hian venhimna khuh an nei a. Hei hi myelin kan ti a . Electrical wire-a plastic sheath ang mai a ni. He myelin sheath hian nerve message te chu rang tak leh dik taka kal theihna a siam a ni. ADEM-ah chuan kan taksa ngeia immune system hian tihsualin he myelin sheath hi a bei a, a tichhia a ni. Hei hian thluak leh ruhro (spinal cord)-a nerve message inthlunzawmna a tibuai a ni.

A natna lan chhuah dan chu na tak ni mah se, a tha ber chu a enkawlna a awm a, mi tam zawk chuan an dam kim vek a ni .

ADEM natna lan chhuah dante chu engte nge ni?

ADEM symptoms hi a lo lang nghal thei a, a zual nghal vat thei bawk. Naupang chuan heng symptoms zinga pakhat emaw, a aia tam emaw a nei thei a ni.

ADEM vei chhan leh hlauhawmna

Doctor te chuan ADEM hi autoimmune disease a ni an ti . Chumi awmzia chu kan taksa ngeia immune system hian kan cell leh tissue hrisel tak takte chu a bei sual tihna a ni. Keimahni sipai ngeiin mahni ram an bei ang mai a ni.

He immune system disorder lo awm chhan dik tak hi hriat a la ni lo va, mahse naupangin virus infection tlanglawn tak, khawsik, flu, a nih loh leh pum na a\anga a dam leh hnuah a thleng fo \hin

A tlem hle a, vaccine thenkhat an dawn hnuah ADEM hi report a ni. Mahse, zirchianna chuan vaccine leh ADEM inzawmna dik tak a la finfiah lo. A châng chuan, heng chhinchhiahnate hi chhan hriat lohvin a lo awm thei bawk.

Risk factors te chu engte nge ni?

• Kum: ADEM vei zinga 80% aia tam chu naupang kum 10 hnuai lam an ni a, a bak zawng chu naupang upa zawk an ni.
• Gender: Hmeichhia naupang aiin mipa naupangin an vei tam zawk.
• Khua: Ram thenkhatah chuan thlasik leh thlasik lai hian hri kai an tam zawk.

ADEM leh MS (Multiple Sclerosis) hi eng nge an danglamna?

ADEM nen a lan chhuah dan inang natna dang chuMultiple Sclerosis (MS) natna a ni. Natna pahnih hian myelin sheath a tichhe vek a ni. Chuvang chuan an pahnihah hian taksa ruh chak lohna, rilru hahna, leh mit lama harsatna te ang chi symptoms hmuh theih a ni. Mahse an pahnih inkarah hian danglamna chiang tak a awm.

Engtin nge ADEM hi hmuhchhuah a nih?

ADEM hriat theihna tur test pakhat mah a awm lo. I doctor chuan i natna lan chhuah dan chu uluk takin a enfiah ang a, chutiang bawka natna dang nei chu paih chhuah a tum ang. Chumi atan chuan test lian pahnih hman a ni.

1. MRI scan dan tur: 1.1.Magnetic field leh radio wave hmanga thluak leh ruhro chipchiar taka thlalak siamna test. ADEM-a thluak chhiatna hmuh chu MS-a hmuh theih chhiatna nen a danglam a ni. ADEM-ah chuan chhiatna hi a zau zawk mai thei.

2. Lumbar Puncture: Hei hian ruhro atanga cerebrospinal fluid tlem te te lak chhuah a, test na tur needle te tak te hmanga test a ni. ADEM-ah chuan fluid hian thisen var a tipung thei a ni. MS-a protein hmuh tur thenkhat chu ADEM-ah hmuh tur a awm lo.

Heng test te hian thluaka natna hrik, meningitis ang chi te pawh a paih chhuak thei bawk.

ADEM enkawl dan tur chu engte nge ni?

Enkawlna tum ber chu thluak leh ruhroa inflammation awm chu rang taka control a, immune system-in a tihsual chu tihtawp a ni. Hei hian naupang chu kar khat emaw kar hnih emaw chhung damdawi inah dah a ngai a ni.

• Corticosteroids: Mi tam zawk chuan steroid dose sang tak, thisen kal tlanga pek (IV) hmangin enkawlna an tan thin. Hei hian darkar tlemte chhungin i fa chu a dam leh thei a ni. Ni engemaw zat hnuah chuan damdawi chu kar engemaw zat chhung chu pill emaw syrup emaw-ah zawi zawiin a tlahniam ang.
• Enkawlna dang: Steroid damdawi hi naupang tan a tha lo emaw, a hlawk lo emaw a nih chuan, taksa hriselna timuangtu enkawlna dang a awm bawk.
• Plasmapheresis: Hemiah hian machine pakhatin naupang thisen a la a, antibody tha lo tak takte chu a filter chhuak a, thisen thianghlim chu taksaah a thawn kir leh thin.
• Intravenous Immunoglobulin (IVIG): Mi hrisel tak tak atanga antibody an hmuh chu vein hmangin naupang hnenah pek a ni a, chu chuan naupang taksa hriselna (immune system) hnathawh a thunun a ni.

Damdawi in a chhuahsan hnuah naupang chuan physical therapy, occupational therapy, speech therapy emaw a mamawh thei a ni.

Engtin nge a hmalam hun chu?

Hei hi a pawimawh ber a ni. ADEM vei naupang tam zawk chu an dam chhuak vek. Mahse, he recovery process hi a slow thei hle. A dam kim theih nan kar 4-6 emaw kum khat emaw pawh a ngai thei.

A châng chuan, naupangte chu an natna lan chhuah dân zawng zawng aṭangin an dam chhuak lo thei bawk. Mit lama harsatna emaw, taksa ruh chak lohna emaw ang chi thil an nei chhunzawm zel thei. Sikul kal pawh a nghawng thei bawk.

A tam zawkah chuan (vawi 10 zinga 8) ADEM hi vawi khat chauh a thleng thin. Mahse a tlem berah chuan thla engemaw zat chhungin a thleng leh thei. A tlem berah chuan naupang ADEM vei chuan a hnuah MS a vei thei a ni. 2% aia tlem loah chuan ADEM hian thihna a thlen thei a ni. Chuvang chuan symptoms a lan veleh doctor thurawn lak a pawimawh em em a ni.