I kut hnung lamah, a bik takin i kut hma lamah, a chhan i hmuh theih loh, itchy, burning sensation i nei em? A châng chuan tingling sensation, tickle emaw, jolt emaw ang chi i nei em? Eng ang pawhin i hrual pawhin a bo lovang? Tichuan he thuziak hi i tan a pawimawh hle ang. Vawiin hian mi tam takin an hriat loh, mahse mi thenkhat tan chuan a tithinur thei hle thei dinhmun kan sawi dawn a ni. Chu chu `Brachioradial Pruritus` a ni.
A awlsam zawngin Brachioradial Pruritus chu eng nge ni?
He hming hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin han sawi ila. `Brachioradial` tih hian i elbow atanga hnuai lam pan a, i kut ben theihna tura puitu (`brachioradialis muscle`) a kawk a ni. `Pruritus` tih hi damdawi hmanga "itching" tihna a ni.
Chuvangin `Brachioradial Pruritus` tih hi i kut hnunglam (kut hmalam)-a itchy, burning, tingling sensation tihna a ni. A pawimawh ber chu hei hi vun rawng a ni lo va, kai theih a ni lo bawk. A nihna takah chuan nerve problem a ni. Hetiang dinhmun hian kut pahnih a nghawng tlangpui a, mahse a chang chuan kut pakhatah chauh a awm thei.
Eng thilin nge he annoying itching hi a thlen?
Doctor-te chuan hei hi chhan lian pahnih inzawmkhawm vang niin an ngai.
1. Cervical Radiculopathy a awm thei
2. Ni ênga awm (Ultraviolet - UV Radiation) .
Heng zawng zawng hi a hranin han thlir ila.
1. Kawr chhunga nerve awm leh he itch inzawmna
I kawr (i cervical spine-a i ruhro an tih hmun) atang hian nerve pariat, C1 atanga C8 tia koh, chhuak a awm a. Heng nerve te hian sensation chu i kawr, i kekawrte, i kutphah leh i kut zungtang thlengin an keng tel a ni. C5 leh C8 inkar heng nerve zinga pakhat tal a pinch emaw a chhiat emaw chuan i kut ah hian sensation danglam tak tak (paresthesia) chi hrang hrang a thlen thei a ni. Chung zingah chuan tingling, numbness, kang, leh natna te pawh a tel.
Tui pipe a inkhar a, tui chuan a luang dan a thlak danglam a, nerve a pinch chuan a signal thawn te chu a tibuai a, kan thluak ah thu dik lo a thawn thin ang bawkin. Chuvang chuan chhan awm lova kut kan beng ang maiin kan inhria.
Kawr chhunga nerve pakhat chu a pinch theih chhan hrang hrang a awm a:
- Herniated disk: Jelly ang chi, ruh ruh (vertebrae) inkara tissue awm, a bulge chhuak a, nerve pakhat a press.
- Osteoarthritis: Kum upat deuh deuh chuan ruh te chu a chhe vek a, nerve kalna kawngkhar te chu a zim deuh thin.
- Disk natna (degenerative disk) natna a ni
- Nerve kalna kawng a tawi (foraminal stenosis) .
Vawi tam tak `Brachioradial Pruritus` vei te hian an kawr ah na an nei lo. Chuvang chuan an kawngah nerve problem an nei tih pawh an hre lo. Mahse, he natna vei te hian an kawr `MRI` scan ang chi test an neih hian mi tam tak chuan an ruhroah harsatna engemaw zat an nei tih hmuhchhuah a ni.
2. Ni eng (UV rays) hian engtin nge hei hi a nghawng?
A chhan dik tak chu la chiang lo mah se, zirchiangtute chuan UV rays, a nih loh leh ni êng hi heng natna lan chhuahna tizualtu lian tak niin an ngai. Hei hi chhan hrang hrang a awm a:
- Mi tam tak chuan ni chhuahnaah hian itching a pung tih an sawi .
- He natna hi thlasik lai hian a tam ber.
- Mi tam tak chuan thlasik lai leh ni laka an invenna (thawmhnaw kawr sei ha, sunscreen hman) hian natna lan chhuahna tlahniam an tawng tawh a ni.
A awlsam zawngin sawi ila, nerve problem vangin kawr chhunga nerve te chu a sensitive deuh tawh a ni. Ni `UV` êng chuan vun a rawn deng chuan chu nerve sensitive tak takte chu a tichak lehzual thei a, chu chuan he itching hi a thlen thei a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
He natna lan chhuah dan ber leh langsar ber chu kut hnunglam (ka hmai) a nat hi a ni. Mahse, symptom dang engemaw zat hmuh tur a awm bawk.
| Mizia / A nghawng dan | Hrilhfiahna |
|---|---|
| A symptom ber a ni | Forearm hnung lamah a na hle. |
| Hmun dang a nghawng thei te | Kut chunglam, kekawrte leh kawr. |
| Sensation dang a awm bawk | Itching bakah hian natna, stinging leh tingling i nei thei bawk. |
| Vun a inthlak danglam thin | He natna hian vun a ti na lo a, mahse a hrual fo chuan vun a tikehsawm thei a, vun a tikehsawm thei a, vun rawng a tidanglam thei (black or white spots). |
Pawimawh: 75% velin heng symptoms te hi kut pahnih ah a awm thin. Amaherawhchu, kut pakhatah chauh an lo awm thei a ni.
He natna hi tuin nge vei tam ber? (Risk Factor hrang hrang) 1.1.
- Gender: Hmeichhiain he natna hi mipa aiin a let thum zetin an vei tam zawk. Hei hi hmeichhiate hian an taksa pianphung avang hian cervical spine leh nerve-ah harsatna an tawk tam zawk vang pawh a ni thei.
- Kum: Kum chanve vel, kum 50-60 inkar velah hmuhchhuah a ni tlangpui a, mahse kum eng pawhah a awm thei.
- Skin color: He natna hi vun eng (white) nei te zingah a tam zawk .
- Nunphung: Pawn lama hun tam tak hmang thin, cycle khalh, kea kal, tuipui kama hun hmang thinte hian he natna hi an vei theihna a sang zawk.
Engtin nge hei hi i hmuh theih, Doctor?
I doctor i tlawh hunah i natna lan chhuah dan te, i damdawi lam chanchin te, leh i nunphung te a zawt ang che. Tichuan, i kut chu an enfiah ang a, vun natna dang (rash ang chi) a awm leh awm loh an enfiah ang.
He natna hriat theihna atana hman tlanglawn tak leh tangkai tak chu ice pack test hi a ni.
Doctor chuan i kut a itchy hmunah ice pack a dah ang. I itching chu a reh nghal vek a, chutah chuan ice pack i lakchhuah hnuah i itching chu a intan leh a nih chuan `Brachioradial Pruritus` a nih a rinawm hle.
A tlem hle a, i doctor chuan i ruhro leh i kawr chhunga nerve te enfiah nan MRI scan emaw X-ray emaw neih a rawt mai thei.
Hei hi eng enkawlna nge ni?
`Brachioradial Pruritus` hi enkawlna chi hrang hrang a awm a. A tlangpuiin heng enkawlna zinga pakhat emaw a aia tam emaw hi a natna lan chhuah dan control nan hman dun theih a ni.
| Enkawl dan tur | Sawifiahna leh entirnan |
|---|---|
| UV rays laka invenna | Hei hi a pawimawh ber a ni. Ni chhuahna hmuna i hun hman tlem te, sunscreen tha tak (SPF 30 aia sang) hman fo te, leh thawmhnaw kut sei tak ha te hian natna lan chhuahna nasa takin a tihziaawm thei a ni. |
| Damdawi ei tur | Nerve na leh harsatna damdawi thenkhat pawh hi a hlawk em em bawk. Entirnan: Damdawi `Amitriptyline`, `Gabapentin` ang chi te. Hengte hi i doctor-in a hrilh tur a ni. |
| Topical Damdawi hman thin | Itchy area-a cream leh lotion hnawih hian hun eng emaw chen chu a ti hahdam thei a ni. Entirnan , `Capsaicin` cream, `Corticosteroid` cream, leh `Antihistamine` cream te hi a ni. |
| Ice pack hmanga hnawih | Itching leh inflammation a nasat chuan ice pack hnawih hian a reh nghal thei. |
A tlem hle a, cervical spine-a harsatna a nasat chuan operation neih a tha mai thei.
Hetiang dinhmun avang hian eng harsatna nge awm thei?
He natna hian i nunna atan hriselna atana hlauhawm lian tak a thlen lo. Mahse, tuar theih loh khawpa vun a hrual reng chuan harsatna chi hrang hrang a thlen thei a ni.
- Vun abrasion leh hliam te.
- Vun thicking leh savun ang maia lang (`Lichenification`).
- Vun khauh tak (`Prurigo nodules`) a awm.
- Vun rawng a danglam (a dum - `Hyperpigmentation` emaw, a var - `Hypopigmentation` emaw).
- Eczema ang chi dinhmun.
Chuvangin itching control a pawimawh hle.
Engtikah nge Doctor i hmuh ang?
I kutah hian nitin hnathawhna tibuaitu, sawifiah theih loh khawpa natna i neih chuan doctor hmu ngei ang che. Mahni inenkawl suh.
Tin, enkawlna i tan hnua i natna lan chhuah dan a tha lo a nih chuan i doctor hnenah hriattir bawk ang che. I tana ṭha zawk enkawlna dang a rawn rawt thei mai thei.
Take-Home Thuchah a ni
- `Brachioradial Pruritus` hi vun natna a ni lo va, thluak lam harsatna a ni.
- Hei hi kawr chhunga nerve problem leh ni ênga awm vang a ni ber.
- Heng symptoms te control nan hian ni laka invenna (a bik takin sunscreen leh thawmhnaw kawr sei) hi a tha ber a ni.
- I kutah hian a na reng a, sawifiah theih loh i neih chuan damdawi lam thurawn la ngei ang che.
- Heng symptoms buaithlak tak takte hi enkawl dan dik tak hmangin hlawhtling takin a control theih a ni.
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