Beng pakhatah hriatna hloh nghal mai rawh... chutah, kar engemaw zat emaw, thla engemaw zat emaw hnuah beng dangah pawh hriatna hloh nghal mai rawh. Chutih rual chuan i lu a na a, i beng chhung atang chuan ri ri reng reng a lo chhuak bawk... Hetiang thil hi thleng se, tu pawhin an hlau hle ang, a dik em? Vawiin hian heng symptoms thlentu condition pakhat kan sawi dawn a, chu chu a tlem deuh a, mahse hriat a pawimawh hle. Chu chu Autoimmune Inner Ear Disease, a tawi zawngin AIED a ni.
A awlsam zawngin, AIED chu eng nge ni?
Hei hi hrethiam tur chuan kan taksa invenna (defence system) chungchang tlem han sawi hmasa ila. Kan taksa hian immune system a nei a . Ram humhalhtu sipai ang mai a ni. He sipai sipai (immune cells) hna ber chu kan taksaa lut hrik, virus, leh bacteria ang chi hmelma zawng chhuak, man leh tihchhiat hi a ni.
Mahse, a chang chuan keimahni sipai ngei pawh hi a kal sual deuh thin. Kan cell hrisel, tha tak tak thenkhat chu "hmêlma" anga ngaihin an rawn bei tan ta a ni. Hei hi ‘autoimmune’ condition kan tih chu a ni.
Chuvangin, chu chu he natna AIED an tihah hian a thleng thin. Kan immune system hian kan beng chhunga cell nalh tak takte chu hmelma angin a ngai sual a, a bei a, a tichhia a ni. Hei hi thil awm lo tak a ni. Hriatna lama harsatna nei zinga 1% aia tlem chuan he natna hi an nei a ni. A bik takin hmeichhe kum chanve velah a tam hle.
Hemi chhinchhiahna berte chu engte nge ni?
AIED natna lan chhuah dan hi a tam em em avangin, a chang chuan natna dang nen pawh a inthlau thei hle. Mahse heng symptoms te hi hriat chian a pawimawh.
| Symptom a ni | A nihna |
|---|---|
| Hriatna hloh | Hei hi a symptom ber a ni. A tlangpuiin beng pakhatah a intan a, kar engemaw zat emaw, thla engemaw zat emaw chhungin beng dangah a darh leh thin. |
| Luak chhuak thei | Beng chhungril hian taksa balance control-na a pui bawk avangin a chhiat chuan luak chhuak ang maiin a awm thei a ni. |
| Beng chhunga ri ri hriat (Tinnitus) . | Beng chhung atanga ri chhuak, au thawm emaw, hum ri chhunzawm zel. |
| Vertigo a awm | Nangmah emaw i chhehvel thilte emaw inher ang maia hriatna, i ding reng pawh nise, luak chhuak nasa tak. |
| Beng chhungah a khat tih hriatna. | Beng chhungah thil pakhat a khat ang maia rit tih hriatna. |
Autoimmune natna dangte nena inzawmna
Hei pawh hi a pawimawh hle. AIED vei zinga 30% vel chuan taksa pum tichhe thei autoimmune condition dang an nei thei bawk. Entir nan:
- Rheumatoid Arthritis natna a ni
- Lupus a ni
- Scleroderma a ni
- Ulcerative Colitis a awm thei
- Sjogren’s Syndrome (mit vawt natna) .
Chumi awmzia chu immune system hian beng chauh ni lovin, taksa peng dangte pawh a bei thei tihna a ni.
He natna hi engtin nge i hriat chhuah?
Dik tak chuan AIED hi hriat a harsa deuh thei a, a chunga kan sawi tak symptoms te hi natna dang, beng natna ang chi, beng natnaah pawh hmuh theih a nih avangin. Thil tam takah chuan beng pakhatah hriatna hloh a intan a, beng dangah a darh hma loh chuan rinhlelh a ni lo thei.
Chuvangin heng symptoms te hi i neih chuan Doctor pan vat tur a ni. Beng, hnar, leh kawr lam mithiam (ENT Surgeon) pan a tha ber.
I doctor chuan natna hriat theih nan a hnuaia mi ang hian a ti ang:
1. Zawhna an zawt ang che: Thil chipchiar tak tak an zawt ang che, chu chu i hriselna chanchin te, i chhungte zingah he natna hi an vei tawh em tih te, i natna lan chhuah dan a lo intan dan te hi a ni.
2. Taksa enfiahna a ti: Beng, hnar leh kawr te uluk taka enfiah a ni.
3. Hearing Test: Engtiang chiahin nge i hriat theih tih hriat nan special test neih a ni ang.
4. Balance Test: Hei hian i beng chhungril leh i thluak a inbiak that dan a enfiah thei a ni.
5. Thisen Test (Thisen Hnathawh): .AIED hi chiang taka hriat theihna thisen test a awm lo a, mahse heng test te hian autoimmune reaction i tawk em tih hriatna engemaw zat a pe thei che a ni.
A tam zawkah chuan diagnosis hi 100% a finfiah theih loh pawh nise, doctor chuan a natna lan chhuah dan leh test result a zirin enkawlna tan a rel thei a ni. Hei hi a chhan chu enkawlna tihkhawtlai a nih chuan beng chhiatna chu a let leh thei lo mai thei a ni. Mi thenkhat tan chuan enkawl tan a nih hnua a natna lan chhuah dan a that chuan AIED a ni tih finfiah a ni.
Enkawlna atan eng nge i tih?
AIED enkawlna tum ber chu immune system tha lo control leh beng chhung lam tihchhiat belh zel tur ven hi a ni.
- Steroids: I doctor chuan steroid ang chi anti-inflammatory damdawi dose sang tak a pe hmasa thei ang. Hengte hi AIED tan a tangkai hle tih hmuhchhuah a ni. Mahse, side effect an nei thei a, chuvangin kar tlemte aia rei hman loh tur a ni.
- Immunosuppressant drugs: Steroids i chawlhsan hnuah i immune system "calm down" thei damdawi dang (e.g., Azathioprine, Methotrexate) te chu hun rei tak chhung pek theih a ni.
- Hearing Aids: Hriatna hloh i neih chuan a phuhruk nan hearing aid i hmang thei ang.
- Cochlear Implant: Hriatna lama harsatna nasa tak a awm chuan i doctor chuan cochlear implant hman a rawt thei ang. Hei hi electronic device te tak te, beng hnung lama vun hnuaiah surgery hmanga dah a ni. Beng chhungril lama nerve te chu a tichak a, aw chu signal-ah a chantir a, thluak lamah a thawn chhuak thin.
Medical science a lo thang chho zel a, nakin lawkah AIED tan hian damdawi tha zawk, side effect tlem zawk leh tunlai enkawlna gene therapy ang chi te a lo chhuak thei a ni.
Take-Home Thuchah a ni
- AIED hi natna hlauhawm tak a ni a, nangmah ngeiin i immune system hian i beng chhung lam a bei thin.
- Hriatna hloh nghal (a bik takin beng pahnih a nghawng chuan), luak chhuak emaw, beng ri emaw ang chi symptoms i neih chuan ngaihthah suh.
- Heng symptoms te hi i neih chuan a rang thei ang bera Doctor, a bikin ENT doctor pan tur a ni. Enkawl vat chuan chhiatna awm reng tur a veng thei a ni.
- Natna hriatchhuah hi a buaithlak thei hle a, chuvangin test leh enkawl dan tur dik tak neih theih nan damdawi lam thurawn lak a pawimawh hle.
- AIED hi natna pakhat chauh a ni lo va, i taksaa autoimmune natna dang chhinchhiahna a ni thei bawk.
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