Khawi emaw laiah i khup i vuak ang tih han ngaihtuah teh. Rei vak lo hnuah chuan a hmun chu a lo hring chhuak ta a ni lawm ni? Chu chu thil pangngai a ni. Damdawi engemaw zat kan dah a, ice pack kan dah mai thei a, a dam leh ta a ni. Mahse, i thluak a hliam a, i thluak a lo hring chhuak a nih chuan engtin nge ni ang? Chu chu thil pawi tak, nunna atana hlauhawm tak a ni. A chhan chu kan thluak hi luruh chak tak, ruh nei chhungah a awm a ni. Chuvangin khup ang maia hring chhuak tur chuan hmun a nei tam lo. Hetianga hmun awm lohna hian thluak a ti hrual a, harsatna lian tham a thlen thei a ni.
Brain Swelling hi eng nge ni?
A awlsam zawngin sawi ila, thluak edema hi eng emaw chhan vanga thluak tissue chhungah tui a awm khawm a, thluak a ti na a ni. Hei hi damdawi lamah chuan hming engemaw zatin an ko thin.
- Cerebral edema a awm thin
- Intracranial pressure sang tak a awm
Chutianga thluak a lo hring chuan luruh khauh chhunga hmun chu a tlem lehzual a ni. Hei hian thluak chhunga pressure, Intracranial Pressure (ICP) tia hriat chu nasa takin a tipung a ni. Hetiang pressure a san chuan thluaka thisen phurtu thisen kalna kawng nalh tak takte chu a lo hring chhuak tan thin. Chumi hnuah thluak chuan a mamawh oxygen leh nutrients chu a dawng tawh lo. Hei hian thluak cell te a tichhe thei a, a thihpui thei hial a ni. Chu bakah, thluaka tui dangte chhuahna kawngte pawh he hliam hian a tikhawlo thei a, chu chuan natna chu a ti na zual hle bawk.
Hei hi balloon tui khat chu bawm tenau zawka dah a, hrual ang mai a ni. Balloon chu a puak mai thei, a dik em? Chutiang bawk chu thluak lamah pawh a thleng thin.
Eng thilin nge thluak a ti na?
Thluak natna thlentu pakhat chauh a awm lo a, mahse thil tam takin a thlen thei a ni. A chhan hrang hrang a awm a, lu hliam atanga natna chi hrang hrang thlengin . Heng chhante hi eng nge ni tih ngun zawkin han thlir ila.
| Chhan | Hrilhfiahna A awlsam |
|---|---|
| Thluak hliam natna (TBI) . | Lirthei chesual, tlu, lu-a vuak na tak, emaw, beihpui thlakna ang chi thil avang hian thluak hi a chhe thei a, a hring thei bawk. Hei hi luruh ruh a tliak a, thisen kalna kawng a chhiat chuan a thleng thei bawk. |
| Ischemic Stroke a awm thei | Hei hi stroke chi khat a ni ber. Thluaka thisen kalna kawng khat thisen zam a lo tihkhawtlai hian a thleng thin. Thisen kal a reh chuan thluak cell te chu an thi tan a, chu chuan a hring chhuak thin. |
| Hemorrhagic Stroke a awm thei | Thluaka thisen kalna kawng pakhat a puak a, thisen a chhuak tan ta a ni. He thisen hian thluak chhungah a khawlkhawm a, pressure a ti sang a, a hring chhuak thin. Thisen sang hi a chhan ber a ni. |
| Infection awm thei te | Viral emaw bacteria emaw infection hian thluak a ti na thei a ni. Entirnan: Meningitis - thluak khuhtu membrane inflammation, Encephalitis - thluak ngei pawh a hring, Toxoplasmosis - parasite avanga natna hrik. |
| Thluak Tumors a awm | Thluak chhunga tumor lo awm chuan a chhehvela thluak tissue a press a, cerebrospinal fluid luang chhuak a tikhawlo thei a ni. |
| Hmun sang tak takah | Mi thenkhat chuan tuipui atanga feet 4900 aia sang (e.g., Nuwara Eliya chunga tlangram hmun) an kal hian he natna hi an nei thei a ni. Hei hi High-Altitude Cerebral Edema (HACE) an ti bawk. |
Brain swelling symptoms te chu engte nge ni?
Brain swelling symptoms hi a lo lang nghal vat thin. Heng symptoms te hi a chhan leh a hliam nasat dan azirin a danglam thei. A hnuaia mi pakhat emaw, a aia tam emaw i tawng thei ang:
- Lu na na tak
- Kawng na emaw, a khauh emaw
- Nausea emaw, luak chhuak emaw
- Luak chhuak thei
- Thâwk lak dan mumal lo
- Mit hmuh hloh emaw, mit hmuh dan inthlak danglam emaw (thil pahnih hmuh ang chi) .
- Hriatrengna hloh
- Kal harsat
- Thusawi harsa, tongue-tie
- Stupor, i chhehvela thil thleng hriat lohna dinhmun
- Seizures a awm thin
- Thil hriatna hloh
Pawimawh tak: Heng symptoms zinga pakhat tal i hmuh chuan medical emergency anga ngaih tur a ni. Damlo chu damdawi in hnai ber Emergency Department (ETU)-ah tlai lovin hruai rawh.
Engtin nge doctor hian he natna hi a hriat theih ang?
Damdawi in i kal hunah doctor-te chuan i natna lan chhuah dan leh a chhan nia rinhlelh dan a zirin test eng emaw zat an ti ang.
- Taksa enfiahna: A hmasa berin doctor chuan i lu, i kawr leh i taksa chu uluk takin a enfiah ang.
- Neurologic exam: I hriatna, i mit hmuhna, i balance leh i reflexes te enfiah a ni.
- CT scan: Hei hian thluak na hmun leh a zau zawng chu rang takin a hre thei a ni.
- MRI scan: Hei hian thluak tissue chungchang chiang zawk, chipchiar zawkin a tarlang thei a ni.
- Thisen test: Thisen test hi a chhan dang, natna hrik awm leh awm loh enfiah nan tih a ni.
- Lumbar puncture: A then phei chuan he test hi thluak chhehvela cerebrospinal fluid awmte chu infection emaw harsatna dang emaw a awm leh awm loh enfiah nan an ti thin.
Brain swelling enkawlna tur engte nge ni?
Brain swelling enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu thluak mamawh oxygen leh thisen pek hi a ni. A dang chu luruh chhunga pressure tihhniam leh a hring control a ni. Hei hian damdawi leh surgery hmanga enkawlna inkawp a ngai mai thei. Enkawlna tan hma chuan dam leh theihna leh dam kim theihna chance a sang zawk.
| Enkawl dan tur | A sawifiahna awlsam tak (Eng nge a tih) . |
|---|---|
| Oxygen hmanga enkawlna | Thisenah oxygen level tha a awm reng theih nan ventilator hmangin oxygen tam zawk pek a ni. |
| Thisen chhunga tui (IV Fluids) . | Saline ang chi thil hi thisen sang a tlahniam loh nan thisenah (IV) pek thin a ni. Amaherawhchu, tui \henkhat chuan a hring (swelling) a tipung thei a, chuvangin doctor-te chuan hengte hi uluk takin an pe \hin. |
| Damdawi ei tur | Damdawi chi hrang hrang pek a ni a, chu chu a hring tihziaawmna atan te, thisen zamte tihthianghlim nan te, taksa chhân lêtna thunun nan emaw a ni. |
| Ventriculostomy tih a ni | Hei hi surgical procedure a ni. Luruh ah khur te tak te siamin, thluak chhungah plastic tube dahin, a tui tam lutuk chu paih chhuakin pressure a tihhniam a ni. |
| Inzai | Hei hian pressure tihziaawmna turin luruh thenkhat chu hun eng emaw chen lakchhuah (decompressive craniectomy) , thisen chhuak artery siamthat emaw, thluaka tumor lakchhuah te a huam a ni. |
Brain swelling hnuah hian hun rei tak chhung nghawng a nei em?
Ni e, a châng chuan concussion hnuah pawh hun rei tak chhûng nghawng a nei thei bawk. Heng nghawngte hi thluak chhiatna nasat dan leh thluak a chhiat danah a innghat a ni.
- Mut harsatna a awm
- Ngaihtuahna leh ngaihtuahna seng harsa
- Lu na fo thin
- Lungngaihna
- Thusawi harsa
- Taksa chetna nena inzawm harsatna
- Zun control harsat
I medical team chuan heng harsatnate hi hmachhawn turin an pui ang che. Harsatna ṭhenkhat chu hun kal zelah a ṭha chho zauh zauh thei a, ṭhenkhat erawh chu enkawl chhunzawm zel a ngai thei a ni.
Take-Home Thuchah a ni
- Brain swelling hi natna hlauhawm tak a ni a, enkawl vat a ngai a, luruh chhunga pressure a san avangin.
- Lu hliam, stroke, infection, leh thluaka tumor te hi a chhan ber a ni thei.
- Lu na nasa tak, luak chhuak, luak chhuak, mitdel, emaw hriatna hloh ang chi symptoms i neih chuan damdawi in Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- A hun taka leh a remchan dan anga enkawl chuan nunna a chhanhim thei a, hun rei tak chhunga nghawng a neih pawh a ti tlem thei bawk. Chuvangin heng symptoms te hi ngaihthah ngai suh.
- He hlauhawmna hi thil awlsam tak tak, helmet hman te, seat belt hman te, thisen sang control te, meizuk loh te hmangin a tihziaawm theih a ni.
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