Mi pakhatin an hmaah an kut a phar chhuak a, rang takin an kut chu a tla thla a, chutah thunun theih lohvin a rawn chho leh leh ta tih i hmu ngai em? Butterfly-in a thla a phar ang mai a ni. Hei hi nangmah ngeiin i tawng tawh ngei ang. Hei hi tremor pangngai a ni lo. Damdawi lamah chuan Asterixis kan ti a. Natna tak tak a ni lo va, damdawi lam dinhmun chhinchhiahna a ni. Chuti a nih chuan engvangin nge hetiang hi a lo awm? Hei hi hlauh tur thil a ni em? Hemi chungchang hi awlsam tak leh chiang takin sawi ila.
Asterxis hi eng nge ni tak tak?
A awlsam zawngin, asterixis chu taksa ruh i hman lai (entir nan, kut hmalam i phar lai) a ni a, chu taksa ruh chu rei lo te chhung a hahdam a ni. Hei hi thluak atanga signal lo chhuak te chu rei vak lo a tihbuai vang a ni.
Bang pakhatah i nawr lut tih han mitthla teh. I kut ruhte chu second khat aia rei lovah a relax nghal a nih chuan eng nge thleng ang? I kut chu hmalam pan a, a awmna hmasaah a kir leh ta em ni? Asterxis hi chutiang thil chu a ni. Damdawi lama hemi hming kan vuah dang chu `(Negative myoclonus)` tih a ni. Hetah hian ``Negative'' hi ``tha lo'' tihna kawngah hman a ni lo. A tlangpuiin taksa ruh a inthlak chuan ``(Positive myoclonus)`` kan ti a, chu chu ``activity tihpun'' tihna a ni. Hetah hian thil thleng chu taksa ruh chak tawh chu rei lo te chhung a tawp a, chuvangin ``(Negative myoclonus)`` an ti a, chu chu ``activity tlahniam'' tihna a ni.
Hetiang dinhmun hi thluak direct-a nghawng nei harsatna avanga lo awm a ni thei a, a nih loh leh taksa hmun dangah (e.g., liver, kidney) harsatna avanga thluak nghawng thei secondary condition angin a awm thei bawk.
Engtin nge asterixis vei chu i hriat theih ang?
Asterixis hian taksa sir lehlamah a nghawng fo thin. Mahse, a chang chuan a sir khat chauh emaw, a sir khat aia tam emaw a nghawng thei. He symptom rual hian mut theih lohna, buaina, hmun leh hun hriatna hloh te pawh hmuh tur a awm bawk.
Hei hi doctor-in a enfiah dan tlangpui pahnih a awm a, chungte chu:
1. Palms-out method: I doctor chuan i kut chu i hmaah dinglam hawiin, i kutphah chu i lam hawiin, hmuh theih loh bang i dang ang maiin chelh turin a hrilh ang che. I kut zungtangte chu a zau zawngin a inzar pharh tur a ni. Hetiang dinhmun hi second 30 vel i vawn a, i kut chu a ‘flap’ nghal a, i thunun lohvin a rawn chho leh a nih chuan asterixis a ni thei.
2. Grip method: Hetiang method ah hian doctor kut chu i kut nen nghet taka chelh turin an ti che a. Chutianga i tih lai chuan i kut chu a chak lo va, a chak lo zauh zauh a nih chuan doctor chuan a hre mai ang.
A pawimawh ber chu heng test neih chhung hian Asterxis symptoms hi a lang nghal lo mai thei. Chuvangin doctor chuan chutiang dinhmunah chuan minute khat tal awm turin a ti mai thei che a ni.
Engvangin nge he Asterixis hi a lo awm? A chhan berte chu engte nge ni?
Asterixis hi a awm theih chhan hrang hrang a awm. A chhan ber chu kan taksa peng pawimawh tak takte hi a thawk tha lo a ni. Heng chhante hi eng nge ni tih i lo en ang u.
| Chhanna category a ni | Hrilhfiahna awlsam tak |
|---|---|
| Liver leh kidney lama harsatna nei | Kan thisen atanga toxins te hi liver leh kidney te hian an filter thin. Heng taksa peng hrang hrangte hian hna an thawk tha lo a nih chuan chu thil tha lo (toxins) te chu thisenah a pung khawm thin. Heng toxins te hian thluak a sensitive em em avangin thluak cell te a tichhe thei a, thluak hnathawh a tichhe thei bawk. Liver failure, kidney failure, leh cirrhosis ang chi dinhmunte hian hei hi a thlen thei a ni . |
| Thluak a chhiat phah | Thluak hliam emaw natna emaw hian thluak hmun thenkhatah chhiatna (lesion) a thlen thei a ni. Heng natnate hian taksa peng hrang hrangte a nghawng chuan asterixis a awm thei a ni. Chutiang hunah chuan a natna lan chhuahna chu taksa sir khatah chauh hmuh tur a awm tlangpui. |
| Damdawi lam thil dang | Hetiang dinhmun hi thisen chemical composition inthlak danglam vang pawh a ni thei. Entirnan: thisen sugar level hniam (hypoglycemia), potassium level hniam (hypokalemia), magnesium level hniam (hypomagnesemia), thinlung tha lo, leh thawk tha lo. Tin, taksaa copper khawlkhawmtu genetic disease Wilson disease an tih pawh hi a chhan a ni. |
Damdawi avanga Asterixis lo awm
A châng chuan, asterixis hi damdawi ṭhenkhat kan ei ṭhin side effect angin hun eng emaw chen atan a awm thei bawk. Hetiang hlauhawmna hi liver emaw kidney lama harsatna nei tan chuan a sang hle.
Entirna thenkhat chu hetiang hi a ni:
- Antiepileptic damdawi: a bik takin phenytoin. Chumi avanga Asterixis lo awm chu "phenytoin flap" an ti bawk. Damdawi gabapentin, valproate, carbamazepine te pawh a awm thei bawk.
- Barbiturates a awm bawk
- Benzodiazepines te pawh a awm
- Antibiotics thenkhat
- Lithium (rilru inthlauhna atana hman thin damdawi) .
- Metoclopramide (ril\amna damdawi) .
Hei hi engtin nge enkawl a nih?
Asterixis symptom hi direct cure a awm lo. Doctor-te chuan a chhan zawn chhuah an tum a, chumi ang chuan enkawl an tum a ni.
Entir nan:
- A chhan chu thin (liver problem) a nih chuan enkawl a ni ang.
- A chhan chu kal lama harsatna a nih chuan enkawl a ni ang.
- A chhan chu damdawi hman a nih avanga a side effect a nih chuan doctor chuan damdawi thlak emaw tihhniam emaw a rel ang.
Chuvangin asterixis i vei chuan a chhan dik tak zawng chhuakin enkawl tan hi a pawimawh ber a ni. Hei hi mahni chauha in lama enkawl theih thil a ni ngai lo.
Enkawl loh chuan eng hlauhawmna nge awm?
Asterixis ngaihthah a hlauhawm ber chu damdawi lama harsatna lian tak, nunna atana hlauhawm thei a thlen thei a ni. Enkawl loh chuan thluak a tichhe reng thei a, ngaihtuahna hloh te, kalna te, leh ke leh ke hman te pawh a tichhe thei a ni.
Asterixis hian ke emaw, ke ruh emaw a nghawng chuan a tlu nghal thei a, chu chuan hliam na tak a thlen thei a ni.
Engtikah nge damdawi lam thurawn i lak nghal ang?
Asterxis symptoms i nei tih rinhlelhna tlemte pawh i neih chuan doctor pan ngei ngei tur a ni.
Mahse, a hnuaia symptoms te hi i neih chuan medical emergency ah ngai rawh :
- Asterixis symptoms te nen rilruah buaina a awm chuan.
- Disorientation (hmun, hun, emaw identity hloh) i neih chuan.
- Rilru inthlak danglamna dang a lan chuan.
Heng symptoms te hian thluak hnathawh hian nasa takin a nghawng tih a tilang a ni. Chuvangin, chutiang thil thlengah chuan , damdawi in pakhata Emergency Treatment Unit (ETU) pan vat a pawimawh hle.
Take-Home Thuchah a ni
- Asterixis hi natna a ni lo. Liver, kidney, thinlung emaw thluak emaw tichhe thei dinhmun khirh tak a awm tih hriattirna a ni.
- Nangmah emaw, i hriat emaw chuan he kut zungtang hrual chhinchhiahna hi i neih chuan ngaihthah ngai suh. Doctor pan vat rawh.
- He symptom hi buaina, mut theih lohna emaw, hriatna lama harsatna emaw a awm chuan emergency a ni. Emergency Department (ETU) ah kal nghal rawh.
- He natna hi doctor-in a hriatchhuah leh enkawl chauh tur a ni. Mahni inenkawl emaw, inhriatchhuah emaw tum loh tur.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Macitentan (Opsumit) tablets hi eng natna atana damdawi bik tak tak pek a ni em?
Hei hi damdawi pangngai a ni lo! Hei hi damdawi hlawhtling tak (Endothelin Receptor Antagonist) a ni a, ‘Pulmonary Arterial Hypertension (PAH) natna hlauhawm tak a ni a, chu chu thinlung atanga lung lam panna thisen kalna kawngte chu a zim/a nghet a, chu thisen kalna kawng chhunga thisen sang chu a sang lutuk a, a puak a, damlo chu a thi ta a ni. ‘Natna kal zel tur a tikhawtlai’ a, dam chhung a ti rei zawk a, a natna lan chhuah dan chauh ni lovin!
💬 I lung chhunga thisen zam vanga i thih lai hian engtin nge heng pills (Macitentan) ei hian i veins i dilate/natna i control?
Kan taksa chhunga chemical hlauhawm tak ‘Endothelin-1’ an tih hian lung chhunga thisen kalna kawngte chu a inzawm khawm a, a khauh (Fibrosis) turin thupek a ni! He pill hi thisenah a luh meuh chuan chu chemical chu thisen kalna chhunga receptor (ETA leh ETB receptor pahnih - Dual block) te nena inzawmna chance 100% a block a ni. Chu mai ni lovin, he damdawi hian lung chhunga cell awmte (Tissue penetration) a luhchilh avangin thisen kalna kawng a thick loh nan a titawp bawk.
💬 He damdawi (Opsumit) ei hmeichhia/mipa ‘Black Box Warnings’ te hi engte nge ni?
Hlauhawm ber chu hei hi ‘Nu naupai’ tan khap tlat a ni! Hei hi i in laiin nau i pai a nih chuan naupang chu a piang lo (Major Birth Defects) a ni ngei ang a, a chhungah a thi ngei ang (nu te chu REMS program hnuaiah an awm tur a ni). Tin, hei hian mipaah ‘Decreased sperm count / Infertility’ a thlen ngei ang! Tin, mi thenkhat hemoglobin (Anemia) hi a tlahniam nasa hle a, thisen tlakchhamna a thlen thei bawk.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh