I thluak chu zawi zawiin a lo reh em? (Brain Atrophy) - Hei hi i fimkhur ang u!

A chang chuan thil i theihnghilh thuai thin em? A nih loh leh ngaihtuahna leh thusawi harsa i ti em? I hnaih bertu mi pakhatin chutiang harsatna a neih chu i hmu tawh mai thei . Chutiang thil siam chhan lian tak pakhat chu thluak a lo tlahniam zauh zauh hi a ni. Doctor-te chuan he natna hi `Brain Atrophy` emaw `Cerebral Atrophy` emaw an ti a. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, a chhan chu hei hi hriat chian a pawimawh em em a ni.

He thluak tihtlem (`Brain Atrophy`) hi eng nge ni?

A awlsam zawngin, `Brain Atrophy` chu kan thluaka cell hloh, chu chu nerve cell (neurons) , leh chu cell inzawmna chak lo tihna a ni. Ngaihtuah teh, kan thluak hi khawpui, kawngpui te tak te tam takin a inzawm ang mai a ni. Heng nerve cell te hi chu khawpui chhunga in ang mai a ni a, a inzawmnate chu kawngpui ang mai a ni. `Brain Atrophy`-ah chuan heng in (cell) te hi a tlahniam a, kawngpui (connection) te chu a chhe vek a ni. Tichuan thluak volume pum pui pawh a tlahniam bawk.

Chutianga thluak a chhiat chuan kan ngaihtuahna , hriatrengna, leh nitin hna kan thawh theihnaah nghawng lian tak a nei thei a ni . He chhiatna hi a pun zel chuan harsatna a zual zel a ni.

`Brain Atrophy` hi chi hnih a awm a, chungte chu:

1. Focal `Brain Atrophy` : Hei hi thluak hmun bik pakhat chauh a chhiat lai a ni. Khawpui entirnan kan sawi tawh ang khan khawpui sir khata in tlemte chauh a chhe.

2. Generalized `Brain Atrophy` : Hemiah hian a chhiatna chu thluak pumpuiah a darh a. Khawpui chhung zawng zawngah in chim vek ang mai a ni.

Brain shrinkage hi tar chakna thil pangngai a ni em?

Dik tak chuan kan tar vek hian kan thluak cell-te hian cell engemaw zat an hloh a, kan thluak volume pawh a tlahniam deuh bawk. Chu chu thil pangngai a ni. Mahse, kum lama thil awm dan pangngai aia thluak cell hloh leh inthlak danglamna kan hmuh hian doctor-te chuan `Brain Atrophy` an ti thin . Hetiang dinhmunah hian thluak hi tar chakna pangngai aiin a chhe rang zawk a ni. Chu chu thluak chu beisei aia chak lo zawkin a chak lo tihna a ni.

Tute nge `Brain Atrophy` vei theihna chance sang zawk?

Thil engemaw tak chuan he natna hi a thlen theihna a tipung thei a, ``Brain Atrophy.'' An nihna hi han thlir ila:

• Kum upa lam: Kum upat deuh deuh hian he hlauhawmna hi a pung chho zel a ni.
• Chhungkaw history -a genetic diseases : Entirnan, `Huntington's disease` ang chi genetic diseases a awm chuan.
• Chhungkaw history-a thluak lam natna: Chhungkaw zinga mi pakhatin thluak lam natna Alzheimer natna a neih chuan.
• Lu emaw thluaka hliam: Hei hi lu hliam na tak i neih chuan a ni.
• Zu insualna (Alcohol use disorder): Zu ruihhlo ngaite tan.
• Meizial zuk: Meizial zu thinte tan pawh he hlauhawmna hi a sang zawk bawk.

`Brain Atrophy` leh `Dementia` hi inzawmna a awm em?

Ni e, `Brain Atrophy` leh `Dementia` (a tlangpuiin hriatrengna hloh thlentu natna, theihnghilh thlentu natna kan ti tlangpui) inkarah hian inzawmna nghet tak a awm a ni. Dik tak chuan `Dementia` hi thluak a tichhe lutuk a ni. `Dementia` tih hi ngaihtuah thiamna nasa taka tichhe thei, nitin nun tichhe thei dinhmun pawl hming tlangpui a ni .

Dementia chi khat awm tam ber chu Alzheimer natna a ni .

`Brain Atrophy` hian tawng harsatna (`Aphasia`) a thlen thei em?

Ni e, chu chu a theih. Alzheimer’s natna ang chi neurodegenerative natna avanga aphasia (thusawi leh hriatthiam harsa) vei te pawhin ‘Brain Atrophy’ tih natna an nei bawk. Hei hi thluak peng hrang hrang, tawng siam chhuah leh hriatthiamna kawnga inrawlh te a chhiat lai a ni.

`Aphasia` natna nasat dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan mi hming, hmun leh thil hming hriat reng harsa an ti thin. Mi dangte chu mi dangte nên an inbiak pawh theih loh tak tak pawh a ni thei. Entîr nân, i sawi duh thute chu i hmu thei lo ang maiin i inhria thei a, mi pakhatin a sawi chu i hrethiam lo mai thei bawk. Hengte hi `Aphasia`-a thil thlengte chu a ni.

Brain shrinkage (`Brain Atrophy`) hi engte nge ni?

Brain Atrophy hi thil chi hrang hrang avanga lo awm thei a ni. Natna chi hrang hrang, neurodegenerative diseases, infection, leh accident na tak tak te hian a thlen thei a ni. A chhan lian ber ber thenkhat han thlir ila:

• Cerebral palsy natna a ni
• Encephalitis ( thluak natna ) .
• `HIV` leh `AIDS` tih te a ni
• `Huntington natna` a ni
• `Leukodystrophies` (thil var tihchhiatna) .
• `Multiple sclerosis natna a awm`
• ` Stroke` a ni
• Syphilis natna a ni
• Thluak hliam na tak (TBI) .
• Alzheimer natna a ni

Hetiang hi chhan tam tak a awm thei.

`Brain Atrophy` natna lan chhuah dan chu engte nge ni?

`Brain Atrophy` symptoms hi thluak peng eng nge a chhiat dan azirin a inang lo. Tin, symptoms hi a na lo atanga a nasat thlengin a awm thei bawk.

A tlangpuiin `Brain Atrophy` hi damdawi lam harsatna hrang hrang nena lo awm thin a nih avangin a lan chhuah dan pawh a inang lo hle. Symptoms chi hrang hrang langsar tak tak hmuh theih tlemte han thlir ila:

`Aphasia` (thusawi leh tawng lama harsatna) ah chuan:

• Thusawi harsa.
• Thuziak harsat.
• Thumal awmzia hrethiam thei lo.

`Dementia` (hriatrengna hloh/hriatrengna hloh) a awm chuan:

• Hallucinations: Thil awm lo tak tak i hmuh emaw, i hriat emaw ang maia inhriatna .
• Ṭawng thiamna hloh.
• Hriatrengna lama harsatna : Ngaihtuah teh, i hnaih em em tu emaw, i nu emaw, i pa ngei pawhin a hre lo che a ni mai thei. A nih loh leh, nitin hna awlsam tak, tea siam ang chi pawh theihnghilh a ni a, i tanpui theih loh hmel hle.
• Mod leh mize inthlak danglamna: Thinrim, buai, emaw, ngawi renga awm nghal mai.
• Thutlukna dik siam theihna tlahniam.

`Seizures` (epileptic seizures) a awm chuan:

• Ka chhunga a thlum thlum emaw, metallic emaw a awm.
• Convulsions : Taksa a nghing leh a chet chhuak.
• Thil hriatna hloh.
• Taksa a nghing chhunzawm zel.
• Toothpick a ni.

`Brain Atrophy` hi engtin nge kan hriat theih ang?

Brain Atrophy i vei em tih hriat nan, emaw, a chhan bulpui dang a awm em tih hriat nan i doctor chuan a hnuaia mi hi a zawt tlangpui ang che:

• I natna lan chhuah dan: Engtik lai khan nge an tan hmasak ber? Eng chen nge an lo awm? Hun kal zelah an chhe zual tawh em?
• I medical history: Tun hmaa eng natna nge i neih tawh?
• Chhungkaw hriselna chanchin: I chhungte hian eng damdawi lam dinhmun nge an neih?

I doctor pawhin i thluak hnathawh dan enfiah turin test hrang hrang a ti ang. Heng test-te hian a hnuaia mite hi a zawng thei a ni:

• Balance leh inremna siam.
• Mit che vel.
• Ṭawng thiamna.
• Hriatrengna chakna.
• Buaina chinfel thiam.

Brain Atrophy hi MRI-ah hmuh theih a ni em?

Ni e, `Brain Atrophy` hi `MRI (Magnetic Resonance Imaging)` test hmangin chiang takin a lang thei. `MRI` hi kan thluak thlalak chipchiar tak tak hmuh theihna test a ni.

CT (Computed Tomography) scan hmangin thluak atrophy a hriat theih bawk. Mahse, MRI hian thluak hmun bik pakhata focal damage hmuhchhuahna kawngah a sensitive zawk a ni.

`Brain Atrophy` enkawlna tur engte nge ni?

Dik tak chuan `Brain Atrophy` hi enkawlna pakhat chauh a awm lo. Hei hi a chhan chu natna pakhat aia tam chhinchhiahna a nih theih vang a ni. Chuvangin, doctor-te chuan a hnuaia natna lan chhuah dan tur enkawlna atana pui turin enkawlna an ruahman a ni. I enkawlna ruahmannaah hian a hnuaia mi pakhat emaw, a aia tam emaw a tel thei ang:

• Damdawi chi hrang hrang: 1.1.Natna hnuaia awm leh symptom control te hnenah.
• Physical leh occupational therapy: Taksa hnathawh dan leh nitin hnathawh awlsam zawka siam.
• Counselling: Rilru hriselna leh rilru lam enkawlna.
• Speech therapy: Thusawi leh tawng lama harsatna nei tan.
• A then phei chuan operation .

Entirnan, stroke i neih chuan emergency treatment (thisen tithianghlimtu ang chi) leh stroke rehabilitation pek i ni ang.

`Brain Atrophy` ven nan eng nge kan tih theih ang?

Kan tar chhoh zel chuan thluak volume a inthlak dan pangngai a nih dan kan sawi tawh a. Mahse, nunphung hrisel tak tak i neih chuan thluak tihchhiatna thlentu hlauhawm ṭhenkhat chu i tihtlem thei a, i ni tin nun pawh i ti ṭha thei a ni .

• Chaw tha, cholesterol tlem ei rawh: Entirnan, Mediterranean diet. Thlai, thei, legumes, sangha leh olive oil ei tam zawk rawh.
• Nitin aerobic exercise ti rawh: Ni khatah minute 30 tal kea kal, tlan, cycle khalh ang chi thil tih tum ang che.
• Mut tha: Ni khatah darkar 7-8 vel mut a pawimawh.
• Stress control dan hrisel zawng rawh: Stress level sang hi thisen sang, thinlung natna leh stroke nen a inzawm tih an sawi. Meditation, yoga, leh hobby-a inhmang ang chi thilte hian stress tihziaawmna kawngah a pui thei a ni.
• Thisen sang, cholesterol sang, leh zunthlum control nan i damdawi pek te ei thin ang che.
• Meizial zuk bânsan: Hei hi support group-a tel emaw, mi pakhata counseling zawn emaw hmangin ṭanpui theih a ni.
• Zu in tlem.
• Hetiang natna hi i vei theihna tur risk sang zawk i nih chuan, chutiang risk factors te enkawl dan tur chu i doctor nen sawiho rawh.

"Rilru hrisel chu taksa hrisel takah a nung a ni," an ti. Chuvangin, kan thluak hriselna pawh kan enkawl a ngai a ni.

`Brain Atrophy` hi eng nge a hmalam hun?

A tam zawkah chuan `Brain Atrophy` avanga thluak chhiatna hi a awm reng thin . Chumi awmzia chu chhiatna chu vawi khat a lo awm tawh chuan tihdanglam a harsa tihna a ni. Mahse, lungngai suh. I doctor-te nêna thawhhona hmangin, a hnuaia awm dinhmun chu i enkawl thei a, a lan chhuah dân ṭhenkhat chu i thunun thei bawk . Hei hian nun tha zawk, famkim zawk i neih theih phah ang.

Engtikah nge doctor i hmuh ang?

I ngaihtuahna, hriatrengna, leh i rilru put hmangah inthlak danglamna emaw, i rilru hahna emaw i neih chuan doctor pan nghal rawh.Hengte hi natna lan chhuah dan tlangpui a nih avangin, a natna chu eng nge ni tih chiang taka hriat theih nan uluk taka enfiah a pawimawh hle.

Brain atrophy thlentu dinhmun tam takah chuan, enkawl hmasak tan chuan natna lan chhuah dan a tihziaawm thei a, i nunah nghawng a neih tlem phah thei bawk .

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

`Brain Atrophy` hian `Stroke` (paralysis) a thlen chuan a hlauhawm thei hle. A hnuaia symptoms te hi a lo intan nghal a nih chuan `Stroke` a ni thei. Chutiang a nih chuan 1990 ah call nghal la, damdawi inah i kal tur a ni:

• Balance hloh.
• Mit pakhat emaw, mit pahnih emawa mitdel emaw, mit hmuh lohna emaw.
• Mi pakhat thusawi hriatthiam harsa.
• Kal theih lohna.
• Kut, hmai emaw, ke emaw a natna emaw, chak lohna emaw a awm.
• Luak chhuak nasa tak.
• Lu na na tak.
• Thusawi thiam lo (dysarthria).

Seizure a awm chuan emergency treatment a ngai em?

Seizure zawng zawng hi emergency medical treatment a ngai lo tlangpui. Mahse, a hnuaia mi pakhat emaw, a aia tam emaw a lo awm chuan damdawi inah i kal nghal tur a ni:

• Seizure hi minute nga aia rei a nih chuan.
• Tui chhunga awm laiin seizure i neih chuan.
• Hei hi i seizure hmasa ber a nih chuan.
• Seizure i neih laiin i hliam a nih chuan.
• Thâwk harsa i neih emaw, hriatna i neih leh theih loh emaw a nih chuan.
• Seizure hmasa ber hnuah seizure dang a awm leh chuan.
• Hriselna dang, zunthlum emaw thinlung natna emaw i neih chuan.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

`Brain Atrophy` emaw `Cerebral Atrophy` emaw chu thluak cell te hloh a, thluak thenkhat emaw, a pum emaw a ti tlem a ni. Hei hi chhan tam tak a awm thei a, a chhiatna nasat dan pawh a inang lo thei bawk. Mi ṭhenkhat chuan hriatrengna lama harsatna na lo tak tak an neih laiin, ṭhenkhat chuan thusawi emaw, lehkha chhiar emaw pawh an harsat thei a ni.

A pawimawh ber chu heng symptoms te hi i neih chuan a rang thei ang bera doctor pan la, diagnosis dik tak i hmu ang a, i duh ang treatment plan i tan ang. Tichuan i symptoms te chu i ti tlem thei a, i nitin nun i ti tha thei bawk. Hlau suh, doctor thurawn zawm reng la, nun hrisel takin nung rawh.

` Brain shrinkage, thluak atrophy, hriatna hloh, hriatrengna hloh, thluak lam natna, dementia, Alzheimer's