Kan hmaiah, a bik takin kan hnar sir emaw, kan hmui chunglam emaw, ha na emaw, sinus infection emaw kan ngaihtuah vak lo a ni lawm ni? Mahse, hetiang thil hi thil awm lo tak tak, tlanglawn tak tak pawh hian enkawl ṭhat loh chuan nunna atana hlauhawm thei dinhmun khirh tak a thlen thei tih i hria em? Vawiin hian chutiang natna hmuh tur awm lo mahse hlauhawm tak pakhat, " Cavernous Sinus Thrombosis " chungchang kan sawi dawn a ni.
A awlsam zawngin, Cavernous Sinus Thrombosis hi eng nge ni?
Kan thluak hnuaiah, kan mit hnung lamah, hmun hrui te tak te a awm tih han ngaihtuah teh. Hei hi damdawi lamah chuan "Cavernous Sinus" kan tih chu a ni. Hei hian kan hmai atanga thisen hman tawh emaw, bawlhhlawh emaw phur chhuaktu vein lian tak a paltlang a, chu chu thinlung lam pan lehin a kal leh thin.
Chuvangin, Cavernous Sinus Thrombosis chu he thisen kalna chhungah hian thisen zam a lo awm a, a tlakbuak a ni. He thisen zam hian thisen kal dan a tikhawlo a, chu lai hmuna pressure a tisang bawk. He pressure hian thluak hi direct-in a nghawng a, thluak a tichhia a, a then phei chuan thihna thlengin a thlen bawk. Hei hi a pawi em em a, he natna vei zinga 30% vel chu an thi thin. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.
He dinhmun hlauhawm tak hi eng chhinchhiahna nge ni?
He natna lan chhuah dan hi a lo lang nghal a. Chung zinga pakhat emaw a aia tam emaw i neih chuan i ngaihtuah tur a ni.
A pawimawh ber chu, lu na nasa tak nen mit lama harsatna (swelling, redness , change in vision) a awm chuan ngaihthah ngai suh.
Heng symptoms te hi a hnuaia table atang hian chiang zawkin i hrethiam ang u.
| Symptom a ni | Hei hi eng ang nge a nih? |
|---|---|
| Lu na na tak | Lu na tuar theih loh. A châng chuan mittui tla chungin a lo thleng thei bawk. |
| Mit vel a inthlak danglam thin | Mit pakhat emaw, mit pahnih emaw a hring, a sen leh a hring. Mit pawh a chhuak chhuak angin a lang thei bawk. |
| Mitmeng a tla thla | Mit pakhat emaw, mit pahnih emawa mitmeng tla thla, mit hawn kim harsa tih hriatna. |
| Mit tiharh thei lo | Mit chunglam, hnuai lam emaw, a sir lam emawa sawn theih lohna. |
| Khawsik sang tak a nei | High fever leh malaise chhan hriat loh. |
| Hmai natna emaw, rilru hahna emaw | Hmai emaw mit vel emaw natna emaw, rilru hahna emaw. |
| Mit hmuhna lama harsatna a awm | Mit hmuh fiah lo, mit pahnih, mit hmuhna hloh vek emaw. |
| Buaina leh seizures te | Hriatrengna lama inthlak danglamna, agitation leh coma a awm thei. Seizures pawh a tlem hle. |
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Hei hi a chhan ber chu hri kai darh zel vang a ni. A tlangpuiin kan hmaiah, kan sinus-ah emaw, kan haah emaw natna a awm chuan kan thunun theih loh chuan natna thlentu bacteria chu thisen kal tlangin kan sawi tawh Cavernous Sinus-ah a lut thin.
"Hmai hlauhawm Triangle".
Doctor kan nih angin hmai kawngkhar atanga hmui kil thlenga hmai triangular area chu "danger triangle" kan ti thin. He lai hmuna thisen kalna kawngte hi thluak nen direct-in an inzawm a ni.Cavernous Sinus nen a inzawm a ni . Chuvangin , he hmuna pimple squeezing leh hliam thlen hi a hlauhawm hle thei. Chutianga i tih chuan vun chunglama hrik awmte chu thisenah lutin thluak chhehvel hmunah direct-a kal theihna chance a sang hle.
Infection a darh chuan kan taksa hian tihtawp a tum thin. Chu thawhrimna rah chhuah chu thisen zam (blood clot) a lo awm ta a ni. Mahse he thisen zam hi a hnu lama harsatna lian ber a ni.
Hei bakah hian chhan dang pawh a awm thei:
- Lu hliam na tak a ni.
- Mi thenkhat chuan thisen zam (blood clots) an neih theihna chance a sang zawk. Entirnan, hmeichhia naupai venna damdawi ei te, zunthlum thunun theih loh nei te , leh cancer vei te hi an hlauhawmna a sang deuh hlek a ni.
He natna hi hriat chian nan test neih thin
Heng symptoms neia damdawi ina i kal chuan doctor chuan a enfiah ang che a, he natna hi a rinhlelh chuan rang takin test engemaw zat nei turin a refer ang che.
- Brain scan: Hei hi a pawimawh ber a ni. CT scan emaw MRI scan emaw hmangin thisen zam leh thluaka pressure sang tih ang chi thil te chu a zawng thei a ni.
- Thisen test : Taksaah natna hrik a awm leh awm loh finfiah nan thisen test a ni.
- Lumbar Puncture: A chang chuan, he test hi tih theih a ni bawk a, natnain thluak leh ruhro a nghawng em tih hriat theih a ni.
Engtin nge enkawl a nih?
Cavernous Sinus Thrombosis hi damdawi lam thil pawimawh tak a ni. Chumi awmzia chu, natna lan chhuah dan a lan veleh damdawi in pakhata Emergency Department (ETU)-ah hun khawhral lovin i kal tur a ni tihna a ni. Damdawi in Intensive Care Unit (ICU)-ah enkawl a ni tlangpui.
Enkawlnaah hian thil tlemte a tel ber a:
- High-dose Antibiotics: Infection control nan antibiotics chak tak chu saline solution hmangin thisenah pek thin a ni.
- Thisen tithianghlimtu: Heng damdawi te hi thisen zam lian zel tur tihtawp nan leh thisen zam dang a lo awm loh nan pek thin a ni.
- Corticosteroids: Heng damdawi chi hrang hrangte hi thluaka swelling leh pressure tihziaawm nan pek thin a ni.
- Surgery: A châng chuan, infection lo chhuahna hmun (e.g., sinus cavity-a) aṭanga pus lak chhuah nân operation tenau tak neih a ngai thei bawk.
Heng enkawlnate hi an tan hma poh leh nunna chhanhim theihna chance a sang zawk thin. Chuvang chuan heng symptoms te hi hriat chian a pawimawh a, hetiang thil hi nangmah emaw, i hriatte emaw chungah a lo thleng a nih chuan hma lak vat a pawimawh hle.
Take-Home Thuchah a ni
- Cavernous Sinus Thrombosis hi a awm lo hle a, mahse nunna atana hlauhawm, thihna thlen thei a ni.
- Hei hi a chhan ber chu hmai, ha emaw, sinus-a natna hrik a darh dan thunun loh vang a ni.
- Hmai "danger triangle" (hnar bridge atanga hmui kil thlenga hmun)-a lo lang pimples te chu squeezing pimples te chu squeezing pumpelh tur a ni.
- Lu na tuar theih loh, mit hring leh sen, mit hmuh dan inthlak danglam, leh khawsik sang tak te hi vaukhânna chhinchhiahna a ni.
- Heng symptoms te hi i neih chuan medical emergency a ni. Damdawi in pakhata Emergency Department (ETU) ah kal nghal la, doctor rawn rawh.
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