Naupangin an taksa peng hrang hrang a hloh nghal em? He natna hmuh tur awm lo (Acute Flaccid Myelitis) chungchang hi i zir chiang ang u

I naupang tê chu a tlan kual a, a inkhelh lai chu han mitthla teh, rang takin an kut emaw, an ke emaw pakhat chu a ke a chhe ang maiin a lang. A nih loh leh an ke ruhte chu a chak lo lutuk a, ding nghet pawh an ding thei lo. Hetiang thil hmuh hian nu leh pa tu pawh a ti hlauhawm hle ang. Vawiin hian neurological condition hmuh tur awm lo mahse na tak tak, rang taka lo awm thei chungchang kan sawi dawn a ni. Hei hi Acute Flaccid Myelitis, a tawi zawngin AFM a ni.

Acute Flaccid Myelitis (AFM) hi eng nge ni tak tak?

A awlsam zawngin AFM hi kan nervous system tichhe thei natna khirh tak a ni. Kan ruhro (spinal cord) gray matter-ah hian inflammation, a nih loh leh swelling a siam thin.

Tunah chuan he grey matter hi eng nge ni tih i ngaihtuah mai thei. Kan taksa hi electrical circuit complex tak angin han ngaihtuah teh. Hemi control room ber chu thluak leh ruhro (spinal cord) a ni. He control room-a gray matter hi kan taksa peng hrang hrangte chetna control tu signal thawn chhuahna hmunpui ber a ni. Chuvangin AFM-a he hmun pawimawh tak hi a chhiat chuan thluak atanga signal thawn chhuah te chu taksa peng hrang hrangah a kal tha lo. Chumi avang chuan ke ruhte chu a chak lo thut a, a hlim lo va, reflexes te pawh a bo ta a ni.

Hei hi natna thar tak a ni. Doctor-te chuan kum 2014 khan natna hran angin an lo hmuchhuak a, chumi hma chuan hetiang symptoms a lo lan hian doctor-te chuan ``transverse myelitis'' ang chi neurological disease dang niin an ngai a.

AFM leh Guillain-Barré Syndrome (GBS) te hi eng nge an danglamna?

Mi tam takin AFM nena an buaipui natna dang chu `Guillain-Barré Syndrome` (GBS a tawi zawngin) a ni. Heng natna pahnih chhinchhiahna ber chu taksa ruh chak lohna a ni. Mahse an pahnih hian an danglam vek thung. Chu inthlauhna chu eng nge ni tih i en ang u.

Kan nervous system hi ram pum huapa electric sem chhuaktu network ang mai a ni ang tih han ngaihtuah teh.

• AFM-ah chuan chhiatna a thleng thin: he network-a powerhouse ber, spinal cord-a gray matter. Powerhouse ngei pawh a chhiat chuan electric a siam chhuak thei lo va, a thawn chhuak thei lo bawk.
• GBS chhiatna: Power plant atanga in lama electric phurh chhuahna wire te. Hengte hi peripheral nerve kan ti a. Wire a chhiat chuan power plant atanga electric thawn ni mahse, in lamah a thleng tha lo.

A awlsam zawngin, AFM hi central nervous system-a harsatna a ni . GBS hi peripheral nervous system a harsatna a ni a .

Heng symptoms te hi a darh danah pawh danglamna a awm bawk.

• GBS-ah chuan: Chak lohna hi ke atanga intan a ni tlangpui a, chumi hnuah zawi zawiin taksa chungah a kal chho leh thin.
• AFM-ah chuan: Chak lohna hi khawi hmunah pawh a intan thei a, kut pakhatah pawh a ni thei, ke pahnihah pawh a intan thei.

Thil pawimawh dang chu he natna hi a vei tam ber kum zat hi a ni. AFM vei zinga 90% chu naupang kum 1 leh 7 inkar an ni a, mahse puitlingah erawh a awm tlem hle. Mahse, GBS hi puitling kum 40 chunglam zingah hmuh tur a tam ber.

He natna hi engtiang chiahin nge a hluar? Tuin nge dawng thei ber?

AFM hi a awm lo hle a ni. United States ang ramah phei chuan kum tin mi maktaduai khat zinga pakhat aia tlem loin he natna hi an vei nia chhut a ni. Amaherawhchu, tun hnaiah hri kai hmuh zat erawh a pung tlem hle.

Kan sawi tawh ang khan he natna hi naupang tê têah a tam ber . Naupang kum 7 hnuai lam chu an hlauhawm zual hle. Hetiang hi naupangte chungah a thleng thei a nih avangin nu leh pa kan nih angin kan hriat chian a pawimawh hle.

AFM natna lan chhuah dan chu engte nge ni?

He natna hlauhawm ber chu a symptoms hi a lo lang nghal vek a ni . Heng symptoms te hi darkar tlemte chhungin emaw ni engemaw zat chhungin a lang thei a ni. I fain heng symptoms te hi a neih chuan ngaihthah suh.

Hei hi eng nge a chhan?

Hei hi doctor-te’n an la chhui chhuah theih loh zawhna chu a ni. AFM thlen chhan dik tak hi 100% in kan la chiang lo.

Mahse, zirchiangtu leh doctor tam tak chuan virus chi khat a inrawlh niin an ring . `Non-polio enteroviruses` group-a virus awmte hi a chhan nia rinhlelhna nasa tak a awm a.

AFM chhinchhiahna a lan hmain naupang tam tak chuan thawkna lam natna, khawsik, khawsik, leh khuh ang chi an nei tih hre reng ang che . Hei hian viral connection a awm nia rinhlelhna a tipung lehzual a ni. A bik takin AFM vei tam takah hian virus `Enterovirus D68` leh `Enterovirus A71` te hi hmuhchhuah a ni tawh a.

Engtin nge doctor hian he natna hi dik taka a hriat theih ang?

AFM hmuhchhuah hi a harsa deuh a, a chhan chu a tlem hle a, a hmaa kan sawi tawh ang khan thluak lam natna dang GBS, transverse myelitis, leh polio te nen pawh a inang hle.

Chuvangin, hei hi AFM nge natna dang a nih leh nih loh finfiah nan Doctor hian test eng emaw zat a tih a ngai dawn a ni.

• Taksa endik leh thluak enfiah: A hmasa berin Doctor chuan naupang chu uluk takin a enfiah ang. An taksa peng hrang hranga chak lohna te, taksa ruh dinhmun te, leh reflexes awm dan te an enfiah ang.
• MRI scan: Hei hi AFM hriat theihna atana test pawimawh leh tangkai ber a ni. Thluak leh ruhro (spinal cord) MRI scan hian ruhro (spinal cord) gray matter-a AFM-a thil thleng, inflammation ang chi, a danglamna chu chiang takin a lang thei a ni.
• Spinal Tap/Lumbar Puncture: Hei hian hnungzang hnuai lam ah needle te tak te dahin, spinal cord vel a tui tlem te (cerebral spinal fluid - CSF) lakchhuah a ni. He tui hi infection emaw inflammation emaw a awm leh awm loh test theih a ni.
• Nerve leh taksa ruh hnathawh test: Test bik neih theih a ni a, chu chu nerve conduction study, nerve kal tlanga signal kal chak dan tehna leh electromyography, taksa peng hrang hrangte electrical activity tehna te hi a ni.

Doctor chuan heng test zawng zawng a\anga thu hriatte chu a thlunzawm a, thutlukna hnuhnung ber a siam ta a ni.

AFM enkawlna tur a awm em?

Vanduaithlak takin AFM tidam vek thei tur damdawi mumal tak a awm lo . Natna thar a nih avangin doctor leh scientist ten a damdawi tha ber tur an la zirchiang mek a ni.

Chuvangin, enkawlna tum ber chu natna lan chhuah dan thunun a, naupang chu a tha thei ang bera dam leh tura tanpui hi a ni.

• Physical Therapy leh Occupational Therapy: Hei hi enkawlna atana thil pawimawh tak a ni. Heng therapies te hian taksa peng chak lote exercise a pe a, taksa ruh chakna a siam thar leh a, naupang chu mahni inrintawkna neia hna thawk turin a zirtir bawk.
• Enkawlna dang: A then phei chuan peripheral nerve surgery ang chi thilte hian taksa ruh (muscle wasting) venna kawngah a hlawhtling tih hmuhchhuah a ni. Mahse, hengte hi damlo pakhat tan a remchan leh remchan loh chu neurologist-in a rel ang.

A theih chuan he natna chungchanga tawnhriat nei neurologist hnuaia enkawl hi a tha ber.

Natna lo awm tur leh harsatna awm thei te chu eng nge ni?

AFM hi natna thar a nih avangin zirchiangtute chuan a lo awm tawh chuan hun rei tak chhunga a nghawng tur chu eng nge ni ang tih chiang takin an la sawi thei lo. Mahse thil hriat a\angin a chhuah dan chu mi hrang hrangah a inang lo thei hle.

• Zawi zawiin an dam leh: Naupang tam tak, physical therapy ang chi enkawlna kalpui mekte chu hun kal zelah eng emaw chen chu an dam zauh zauh thin. Muscle chakna a pung zauh zauh a.
• Damna tluantling: AFM vei zinga 10% aia tlem chuan damna famkim an nei. Mi tam tak chuan eng emaw chen chu chak lohna an nei chhunzawm zel mai thei.

Harsatna lian tham tak tak awm thei

• Respiratory Failure: Hei hi a hmaa kan sawi tawh complication hlauhawm ber a ni. Thâwkna lama ṭanpuitu ruhte a chak lo a nih chuan damlo chu a mah chauhin thawk a la thei tawh lo vang. Chutih hunah chuan ventilator-ah an inzawm a ngai dawn a ni. Hetiang dinhmun hi AFM vei hmun thuma ṭhena hmun khat velah a awm ṭhin.
• Neurological complication dangte chu:Harsatna lian tak tak, nunna atana hlauhawm tak tak, taksa lum leh thisen sang inthlak danglam dan pangngai lo, leh thinlung thawk mumal lo te pawh a awm thei a ni.

Hei hi pumpelh dan tur a awm em?

AFM thlen chhan dik tak hriat a nih loh avangin ven dan tur chiang tak a awm lo. Mahse, virus infection avanga lo awm nia rinhlelh a nih ber avangin virus laka invenna atana kan zawm tlangpui hriselna kalphung zawm hi a pawimawh hle.

• Sahbawn leh tuiin kut sil fo thin ang che. I fate chu uluk taka kut sil turin zirtir la, a bik takin chaw ei hma te, bathroom hman zawh te, damlo enkawl hnuah te.
• Kut sil loh hmanga hmai, mit, hnar leh hmui khawih loh tur.
• Damlote lakah inthiarfihlim rawh.
• I fa chu a kum dik takah vaccine mamawh zawng zawng pe rawh.
• Hmun khawih fo thin (kawngkhar, dawhkan) te chu disinfectant hmangin silfai thin ang che.

Heng hriselna lama tih dan awlsam tak takte hian kan fate chu AFM chauh ni lovin, natna hrik kai theih dang tam tak lakah a humhim thei a ni.