I taksa ngeiin i thluak a rawn beih hian? (Autoimmune Encephalitis) A chungchang hi i zir chiang ang u.

I taksa ngeia invenna, immune system , chuan nangmah ngeiin i thluak dodalna a thawh tan chuan eng nge thleng ang tih i ngaihtuah ngai em? Tlem chuan a hlauhawm deuhin a ri a ni lawm ni? Chu chu vawiin a kan sawi tur chu a ni a, Autoimmune Encephalitis (AE) an tih chu a ni. A awlsam zawngin, kan taksaa sentinel ang maia thawk kan immune system-in kan thluaka cell hrisel tak takte leh an inkara thuchah kengtu thilte a rawn beih sual hian eng nge thleng ang. Kan in security guard-in rukru anga ngaiin min rawn bei ang mai a ni.

Chuti a nih chuan he autoimmune encephalitis hi eng nge ni?

Awle, tlem han sawifiah leh ila. Autoimmune Encephalitis (AE) hi natna pakhat chauh a ni lo va, natna chi khat a ni. Chûng zînga pakhatah chuan i thluak chhûngah inflammation , a nih loh leh swelling a awm a. Hei hi a chhan chu, a hmaa kan sawi tawh ang khan, i immune system chuan i thluak nerve cell hrisel tak takah protein leh neurotransmitter thenkhat chu a bei sual a ni . Ngaihtuah teh, kan thluak hi computer system complex tak ang mai a ni. Heng nerve cell leh neurotransmitter te hi a chhunga wire leh signal ang mai an ni. Chuvangin, immune system-in a beih chuan system pumpui chu a hawire vek a ni. Hei vang hian hriatrengna hloh, seizures, leh psychosis ang chi symptoms te hi a awm thin.

Hei hi eng symptoms nge ni? Engtin nge kan hriat chian?

Autoimmune encephalitis chi hrang hrang a awm avangin a lan chhuah dan pawh a inang lo thei hle. Tin, heng symptoms te hi a lang nghal lo. Kar khat atanga thla tam tak chhungin an lo thang zauh zauh thin. Nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan doctor lam pan vat a pawimawh.

I tawn theih ṭhenkhat chu hetiang hi a ni:

• I hriatna (cognitive abilities) chu a tlahniam zauh zauh ang maia inhriatna. I thluak a slow deuh ang mai a ni.
• Memory lama harsatna a awm. Thil thar hriat reng a har a, thil hlui pawh i theihnghilh mai thei.
• Rilru tibuai. Khawiah nge i awm tih leh eng nge i tih tih i hre thei lo.
• Seizures a awm thin. Hengte hi standard epilepsy damdawi hmanga control a harsa fo thin.
• Incheina pangngai lo. Entirnan, hmui leh hmai chetna, a nawn leh nawn leh thin, taksa ruh a inthlak danglam, leh thil tlemte pawh a startle response (`exaggerated startle response`).
• Thusawi harsa (aphasia). Thumal siam leh ngaihdan sawi chhuah harsa.
• Kea kal laiin balance hloh (ataxia) emaw, coordination lama harsatna emaw a awm. Zu rui ang maiin i kal mai thei.
• Rilru lama harsatna (`Psychosis`) a awm.Hei hian thil tak tak ni lo (hallucinations) hmuh, hriat leh hriat te a huam thei. Delusions leh paranoia a thlen thei bawk a, chu chu mi dangte’n an tihnat tum che nia rinna dik lo a ni.

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan Autoimmune Encephalitis i nei tihna a ni hauh lo. Mahse, heng symptoms te hi i neih chuan doctor thiam tak pan nghal a, check out nghal a tha ber.

Hei hian eng harsatna dang nge a thlen theih?

Autoimmune encephalitis hi enkawl that loh chuan harsatna a thlen thei a, chuvang chuan natna hi hriatchhuah a, a rang thei ang bera enkawl tan a pawimawh hle.

• Ngaihtuahna lama harsatna awm reng (`Cognitive impairment`).
• Hun rei tak chhunga epileptic state (`status epilepticus`) a awm.
• Coma ah a awm.
• Thihna pawh a thleng thei. Mahse hei hi enkawlna zawn loh emaw, enkawlna tihkhawtlai emaw a nih chuan a thleng tam zawk.

Engvangin nge hetiang hi kan neih? A chhan engte nge ni?

Zirchiangtute chuan autoimmune encephalitis hi kan immune system hian kan nerve cell chunglam emaw, a chhunga protein bikte laka antibody a siam hian a lo awm niin an ngai. Heng antibodies te hian chu protein te chu an binding a, hnathawh an titawp thin. Hei hian thluaka inflammation a thlen thin.

Autoimmune condition tam tak ang bawkin kan immune system hian hetiang hian cell hrisel tak tak a beih chhan hi hriat chian a la ni lo. A then phei chuan autoimmune encephalitis (AE) hi cancer nen a awm thei bawk. Doctor-te chuan hei hi paraneoplastic AE an ti a. Thil dangah chuan herpes simplex virus ang chi natna hrik te pawhin a thlen thei bawk. Mahse, mi tam zawk tan chuan AE thlentu hriat tur a awm lo.

He natna vei theihna hlauhawm ber chu tute nge ni?

Heng thilte hi i neih chuan autoimmune encephalitis i vei theihna a sang deuh hlek a ni:

• Cancer i vei emaw, a thar i neih chuan, a bîk takin small cell lung cancer, thymoma, leh ovarian cancer te .
• Cancer natna atana immune therapies (immune checkpoint inhibitor) thenkhat i ei tawh a nih chuan .
• Tun hmaa thluaka natna (infectious encephalitis) i neih tawh chuan .

Mahse, heng risk factors zinga pakhat mah awm lo pawhin autoimmune encephalitis (AE) hi a lo awm thei tih hriat reng a pawimawh.

He natna hi engtin nge an hriat chhuah? Eng test nge mamawh?

Doctor-te chuan autoimmune encephalitis hi hun engemaw chen chhunga symptoms lo lang leh test result-a i thluak chhunga inflammation awm dan a zirin an enfiah thin.

He `AE` natna ang chiah hian natna dang tam tak a awm avangin test engemaw zat i neih a ngai mai thei. A châng chuan diagnosis hmuh theih nan kar tam tak a ngai thei bawk. Ngaihtuah buai suh, doctor ten i tana tha ber an rawn ti ang che.

Hengte hi AE hriat theihna atana test leh hmanraw hman thenkhat chu an ni:

• Taksa enfiah leh i medical history kimchang lak.
• Nervous system nena inzawm examination bik (`Neurological exam`).
• Thil hriatna (cognitive test) te.
• Thisen test a ni.
• Thluak (brain imaging test) a ni. Entirnan, thluak MRI scan (`Brain MRI`).
• Test pakhatah hian cerebrospinal fluid (`Spinal tap`) lak a ni.
• EEG (Electroencephalogram) hmanga enfiah a ni. Hei hian thluak electrical activity a teh a ni.

I doctor chuan damdawi lam thil dang hriat loh nan test dang neih belh a rawt thei bawk.

Hei hi eng enkawlna nge ni?

Autoimmune encephalitis enkawlnaah hian thil tum lian tak pahnih a awm a, chungte chu: immune system tihtawp (immunosuppression) leh tumor, a awm chuan paih chhuah te hi a ni.

First-line therapy hmanga enkawl a ni

Heng enkawlnate hian thluaka inflammation tihziaawmna hmangin hna a thawk a ni.

• Corticosteroids - Hei hi damdawi chak tak, inflammation tihziaawmna tur a ni.
• IV immunoglobulins (IVIG) - Hengte hi antibody hrisel tak tak awmna solution a ni. Intravenous-in pek an ni.
• Plasmapheresis - Hei hi i thisen atanga antibody tha lo tak tak lakchhuah a, thisen thianghlim tawh chu i taksaah a rawn kir leh thin a ni.

He enkawlna hi a hlawhtling lo a nih chuan engtin nge ni ang?

First-line treatment-in duhthusam a chhuah loh chuan doctor-te chuan enkawlna dang an ngaihtuah thei a, chungte chu:

• Rituximab - Hei hi monoclonal antibody chi khat vaccine a ni.
• Cyclophosphamide - Hei hi chemotherapy damdawi atan pawh hman a ni.

Tumor a awm chuan engtin nge ni ang?

Tumor i nei tih hmuhchhuah a nih chuan, i medical team chuan surgical removal leh/or chemotherapy . Hei hian i AE condition damna tikhawtlai turin a pui thei a ni.

Symptoms enkawl dan tur

AE symptoms control nan damdawi dang i mamawh mai thei:

• Antiseizure damdawi hman tur- Epileptic seizures tihtlem emaw ven emaw.
• Lungkhamna leh lungngaihna enkawlna damdawi. Entirnan , antidepressant leh anxiolytics te hi a ni.
• Rilru lama harsatna (`psychosis`) a awm chuan, chu mi atan chuan damdawi (`Antipsychotic medications`) pek a ni.

Chu bâkah, physical therapy, occupational therapy, leh/ emaw speech therapy te hian i dam lehna tikhawtlai thei hle.

He natna hi eng chen nge tihdam theih a nih?

Autoimmune encephalitis (AE) enkawlna hlawhtlinna hi mi hrang hrangah a inang lo. Mi thenkhat chuan enkawl ni hmasa berah an chhang tha hle. Mi dangte chuan kar tam tak emaw, thla tam tak emaw chhûng enkawl an ngai mai thei.

I taksain enkawlna a dawn dan tur dik tak chu doctor tan chuan sawi lawk a harsa hle. Mahse i dinhmun chu uluk takin an enfiah ang a, an hriattir zel ang che. Doctor ten an pui ang che tih ring tlat ang che.

He natna vei tan hian eng prognosis nge a awm?

A tlangpuiin autoimmune encephalitis hi a hmaa hriatchhuah leh enkawl a nih chuan hun rei tak chhunga harsatna awm thei leh a lo let leh theihna a tlem thei a ni.

Mahse AE hi mi zawng zawng tan a inang lo. Damdawi lam harsatna dang, cancer ang chi i neih chuan i thlirna pawh a nghawng thei a ni. I medical team chuan i beisei tur chu a tha hle thei che a ni.

Hei hi dam chhung zawnga natna a ni em?

A tam zawkah chuan autoimmune encephalitis hian enkawlna a dawng tha a, a dam tha leh thin. Mahse, mi thenkhat tan chuan hei hian hun rei tak a daih thei a ni. Tin, AE hi a lo kir leh thei bawk (relapse), a bik takin i cancer hian enkawlna a dawng tha lo a nih chuan.

Autoimmune encephalitis hi natna khirh tak a ni a, damdawi lam pan vat a ngai a ni. A chhan chu chi hrang hrang a awm avangin symptoms a inang lo thei a, diagnosis pawh hian hun engemaw chen a la ngai thei bawk. Mahse, i medical team te chuan he natna hi an hriat theih nan an thawk ho ang a, a rang thei ang bera enkawlna an tan ang tih hre reng ang che.

A tawp berah chuan thil hriat reng tur

Autoimmune Encephalitis tih hming hi a hlauhawm deuh thei a, mahse a hriat chian chuan a symptom a lo lang a nih chuan rang taka hma la turin a pui thei a ni.

• Hemi a thil thleng chu nangmah ngeiin i immune system hian i thluak a rawn bei a ni.
• Hriatrengna lama harsatna, rilru buai, epilepsy, chetna pangngai lo, tawng harsa, leh rilru lam inthlak danglamna te a awm thei.
• Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.
• Natna hriat chian a, a hmaa enkawl tan a pawimawh hle.
• Enkawlna a awm a, mi tam tak an dam leh thin.
• A chang chuan natna hi a lo awm leh thei a, chuvangin damdawi lam thurawn zawm a pawimawh.

Hemi chungchangah hian nangmah emaw i hriat miin emaw zawhna dang i neih chuan doctor biak pawh hlau suh. An tanpui che hi an lawm zawk hle.

` Autoimmune Encephalitis, Thluak natna, Immune system, Hriatrengna hloh, Epilepsy, Rilru natna