I thawmhnaw i hrual lai te, thli a tleh lai te, a nih loh leh i ṭhian pakhatin zawi zawiin i kekawr iptea a fawh lai emaw hian tuar theih loh khawpa natna emaw, kang emaw i nei em? Natna thlen tak tak lo khawih nasat lutuk atang pawhin natna nasa tak i neih chuan he natna hi i nei thei a ni. Vawiin hian he thil mak tak, mahse a tlanglawn em em, mi tam tak vei, allodynia natna hi kan sawi dawn a ni.
Allodynia hi eng nge ni tak tak?
A awlsam zawngin sawi ila, allodynia chu thil pangngaia natna thlen lo thil atanga natna hriatna a ni. Sava hmul pakhatin i vun a khawih lai han mitthla teh. Kan normally feel a very gentle, pleasant sensation , a dik em? Mahse allodynia vei tan chuan natna khirh tak ang mai a ni a, chemte kah ang mai a ni.
Hei hi damdawi lam chuan neuropathic pain tia hriat a ni . Chumi awmzia chu i vun lama harsatna a ni lo va, thluaka natna hriatna phurtu nervous system-a harsatna a ni zawk tihna a ni. Condition dang symptom a ni fo bawk. Entirnan, zunthlum, herpes, fibromyalgia, leh migraines ang chi natna te nen hmuh tur a awm tlangpui.
Allodynia vei tam tak chuan an vun chu "a sensitive hle a, ni zungin a kang ang maiin" an ti. Mi thenkhat tan chuan he natna hi chemte, needle emaw, kang ang maia hriat theih a ni a, vun a kang ang maiin a awm thei.
Allodynia chi hrang hrangte chu engte nge ni?
He dinhmun hi a lo awm dan azirin chi thum ah then theih a ni. Hei hi dawhkan hmangin i hrethiam ang u.
| Allodynia chi hrang hrang | A awlsam zawngin hetiang hi a thleng thin (A awmzia awlsam tak) . |
|---|---|
| Allodynia chak tak a ni | Vun chunglama thil a che vel a natna. Entirnan, thawmhnaw rubbing rubbing, bedsheet taksa vuak. |
| Tactile Allodynia a awm a | Khawih emaw, pressure emaw tlem lutuk avanga natna. Entirnan, mi kut vawn, miin i lu khawih. |
| Thermal Allodynia a awm thin | Temperature inthlak danglamna tlem avanga natna. Entirnan, AC room atanga i chhuah dawn emaw, tui lum tlain i vun a khawih lai emaw hian. |
Engvangin nge hetiang hi kan chungah a lo thlen? Eng nge a chhan?
Hei hi a chhan ber chu kan nervous system natna processing a chhiatna vang a ni. Hei hi `Central Sensitization` kan ti a.
I taksa hi high-security zone angin ngaihtuah la, i nervous system chu a security system a ni. Thil lum tak i khawih hian i nervous system chhunga sensor te chuan i thluak ah signal an thawn a, "Hlauhawm!" Chutih lai tak chuan security system chu a off a, natna i nei a, i kut chu i hrual chhuak ta a ni. Hei hi thil kalphung pangngai a ni.
Mahse damdawi lam dinhmun emaw, accident emaw, damdawi thenkhat emaw chuan he defense system hnathawh hi a tibuai thei a ni. Tichuan, hlauhawm a awm loh lai pawhin alarm chu a ri tan ta a ni. Rukru lo kal lovin security alarm a ri ang maiin. Thawmhnaw pakhat taksa chunga hnawih chu hlauhawm a ni lo a, mahse nervous system buai tak chuan "hlauhawm" tiin a hrilhfiah dik lo a, thluak lamah natna signal a thawn chhuak thin. Chu chu allodynia state-ah chuan a thleng thin.
Allodynia thlen thei dinhmun
- Diabetes kaihhnawih neuropathy
- Fibromyalgia natna a ni
- Migraine natna (Migraine) a awm
- Post-herpetic neuralgia (herpes natna kai hnua natna) .
- Multiple Sclerosis (MS) natna a awm thei lo.
- Complex regional pain syndrome (CRPS) a awm a, a chhuak leh ta a ni.
- Trigeminal neuralgia (TN) a awm thei lo.
- Zu in hmansualna
- Vitamin D emaw vitamin B tlakchhamna
- Cancer enkawlna thenkhat (Chemotherapy, Radiation therapy) .
- Accident hnua nerve chhiatna (e.g., deep cut) emaw, operation (e.g., kut leh ke lakchhuah) emaw
Engtin nge hei hi i hmuh theih, Doctor?
Hetiang symptoms i report hian i doctor-in a tih hmasak ber tur chu i medical history kimchang zawt la, a enfiah che a ni.
- Eng ang nge a natna chu a hriat? (Stinging? Kang?)
- Engtikah nge a pung ang?
- Natna tihziaawmna turin eng nge i tih?
- Damdawi dang eng nge i ei thin?
Hetiang zawhna an zawh hnuah chuan natna nasatna chu 0 atanga 10 thlenga rate turin an ti ang che, chumi hnuah chuan eng nge a chhan dik tak hriat tumin test thenkhat an ti mai thei.
- Thisen test (e.g. Thisen chhiar kim) .
- Zun test a ni
- MRI emaw CT scan emaw hmanga test a ni
- Nerve hnathawh dan tehna test - EMG (Electromyogram) leh NCS (Nerve Conduction Study) te chu a ni.
He natna hi damdawi a awm lo em ni?
A awm ngei ang. Enkawlna atana pawimawh ber chu allodynia thlentu dinhmun hnuaia awmte hriatchhuah leh enkawl hi a ni. Entirnan, zunthlum avanga lo awm a nih chuan zunthlum hi uluk taka thunun a pawimawh hle.
A chhan hmuh theih loh emaw, a bulpui natna enkawl chung pawha natna a awm reng chuan natna enkawl dan hrang hrang a awm. I doctor chuan i tana tha ber tur treatment plan a thlang ang.
| Enkawl dan tur | Hemi chungchang hi i zir chiang ang u. |
|---|---|
| Damdawi ei tur | Nerve natna damdawi bik a awm. Hemi atan hian damdawi Pregabalin, Gabapentin, leh antidepressant thenkhat te hi hman a ni tlangpui. Migraine avanga allodynia awm tan Triptans ang damdawi hi pek thin a ni. |
| Topical Damdawi hman thin | A natna hmunah hian cream, lotion emaw patch emaw a awm a. Entirnan, lidocaine leh capsaicin awmna ointment te hi a ni. Hengte hian vun chunglam chu hun engemaw chen a ti ti na a, natna a tiziaawm bawk. |
| Taksa lam enkawlna (PT) . | Hei hi ‘desensitization’ an tih process a ni. Therapist chuan i vun chu zawi zawiin a khawih hmasa ang a, zawi zawiin pressure a ti sang ang. Hun a kal zel a, i nervous system chuan khawih a thiam tawh ang a, a natna chu a reh tawh ang. |
| Counselling & Therapy hmanga enkawl a ni | Natna nei reng reng hi rilru hahthlak tak a ni thei. Hei hian a thlen thin stress leh anxiety te enkawl nan counselling hi a pawimawh hle. Cognitive Behavioral Therapy (CBT) ang chi hmanrua te hian natna hmachhawn dan tur a zirtir che a ni. |
| Injection te pawh a awm | Nerve Block ang chi injection hmangin natna thlentu nerve emaw nerve fiber emaw chu hun eng emaw chen deactivate theih a ni. |
| Inzai | Enkawlna dang a hlawhtling lo a nih chuan Spinal Cord Stimulation ang chi surgery neih pawh ngaihtuah theih a ni. Hei hian thluaka natna signal a thlen loh nan spinal cord-ah hmanraw te tak te dah luh a huam a ni. |
Hetiang dinhmun hi a veng thei lo em ni?
Allodynia hi natna dang chhinchhiahna a nih avangin ven kim theih a ni lo mai thei. Mahse, allodynia thlentu natna ber berte lo awm theihna tur chu kan tihtlem thei a ni.
- Stay active: Exercise neih fo hian stress a ti tlem a, migraine a ti tlem a, zunthlum control turin a pui bawk.
- I taksa rihna hrisel tak vawng reng rawh: Thau lutuk hi zunthlum vei theihna tur hlauhawmna lian tak a ni.
- I chhungkaw chanchin hre reng ang che: I chhungkuaa tu pawhin zunthlum, MS, fibromyalgia ang chi natna an neih chuan i doctor nen sawiho rawh.
- Vaccine lak: Herpes virus laka invenna atana vaccine lak tur tulte lak dan tur chungchangah doctor thurawn la rawh.
- Chaw inthlau tak ei: Vitamin tlakchham loh nan thei leh thlai tamna ei tur.
A pawimawh ber chu, hetiang natna hi i tawng a nih chuan ngaihthah suh. "Hei hi rilru lama harsatna mai a ni" tiin ngaihtuah suh. Hei hi damdawi lam dinhmun dik tak, enkawl ngai tak a ni.
Natna tuar, i fa emaw, i hmangaih tak emaw chelh thei lo, thawmhnaw pawh inbel thei lo chu engtiang chiahin nge a harsat? Chuvangin heng symptoms te hi i neih chuan, a bik takin i nitin nun a tibuai a nih chuan doctor pan ngei ngei tur a ni.
Take-Home Thuchah a ni
- Allodynia chu a tlangpuiin natna thlen lo, khawih atanga natna nasa tak hriatna a ni.
- Hei hi rilru lam harsatna a ni lo va, nervous system-a chhiatna (Neuropathic Pain) avanga natna tak tak a ni.
- Vawi tam tak chu, hei hi damdawi lam thil dang, zunthlum, fibromyalgia, emaw, migraine emaw ang chi chhinchhiahna angin a thleng thin.
- Heng symptoms te hi i neih chuan ngaihthah suh la , i doctor hnenah a chhan zawng chhuakin enkawl ngei ngei tur a ni.
- He natna hi natna thlentu natna hnuaia awm chu enkawl a, natna tihdamna hmanrua hmanga hlawhtling taka control theih a ni.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Cholestyramine Resin / Questran powder hi eng natna atan nge hman?
Hei hi cholesterol pill (Statin) pangngai a ni lo! Hei hi damdawi chi khat (Bile Acid Sequestrant) a ni a, ‘bad cholesterol (High LDL)’ tihziaawmna atana pek a ni. Doctor-te pawhin thin natna/biliary obstruction avanga ‘taksa/vun a tuar theih loh itching (Pruritus)’ tihtawp nghal nan leh diarrhea condition na tak tak thenkhat control nan an hmang bawk.
💬 He powder (Cholestyramine) hian tui nena i in hian engtin nge cholesterol tha lo chu a tihthianghlim/a lo pung zel tur chu a titawp?
Kan thin hian nitin cholesterol thar a siam a, ‘bile acids’ a siam chhuak a, chu chu intestine-ah a kal a, liver-ah recycle leh a ni. He damdawi hi i in hian intestine-ah a kal a, chu ‘bile’ chu sponge ang maiin a absorb a, a clog up a, i stool hmangin a pass chhuak thin. Bile a tlakchham chuan liver hian i thisena cholesterol/LDL awm chu a hip lut a, bile thar siam mai loh chu duhthlan tur dang a nei tawh lo. Chu bile chuan i taksa a hrual loh nan a titawp ang che.
💬 He damdawi (Questran) ei lai hian eng hlauhawm ber ber leh hlauhawm ber nge fimkhur tur?
Buaina lian ber chu hei hian ‘Constipation’ na tak a thlen thin hi a ni! Mi thenkhat chuan fecal impaction pawh an nei thei. Hlauhawm ber dang chu hei hi intestines-a a awm lai hian ‘pill dang (Painkillers, Thyroid, Vitamins)’ i ei apiang chu thisenah a lut lo vang! Chuvangin damdawi dang pawh hi ei hma darkar khat emaw, ei hnu darkar 4 emaw vel ei tur a ni.
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