Hei hi lu chhunga thisen zam hlauhawm tak a ni em? Hei hi Cavernous Sinus Thrombosis a ni thei ang em?

I hmaiah hliam tenau emaw, sinus lama harsatna i neih avangin lu na nasa tak i nei tawh em? Mit a hring leh hmuh harsa i nei tawh em? Heng thilte hi a chang chuan kan ngaihthah fo thin a, mahse a hlauhawm hle thei a, enkawl vat a ngai bawk. Vawiin hian mi tam takin an hriat loh natna khirh tak kan sawi dawn a, chu chu Cavernous Sinus Thrombosis tih a ni.

He cavernous sinus thrombosis hi eng nge ni?

A awlsam zawngin, Cavernous Sinus Thrombosis chu i lu chhunga hmun te te, a bik takin i mit hnunglam, i thluak hnuaia thisen zam a lo awm a, chu chu Cavernous Sinus an ti a ni. Heng sinus te hi lungpui te tak te angin ngaihtuah la, chutah chuan vein tam tak an inzawm khawm thin. I hmai leh thluak atanga thisen chhuaktu vein lian tam tak chu hengte hi a kal tlang a ni. I kawr chhunga vein lian tak jugular vein , pawh hi heng cavernous sinus te nen hian a inzawm tlat a ni. Chuvangin, heng vein zinga pakhatah hian thisen zam (infection avanga lo awm fo) a lo awm a nih chuan, chu thisen zam chuan i thluak atanga thisen chhuak chu a tikhawlo a ni. Hei hi a hlauhawm hle a, hun rei tak chhung i thluak, mit leh nerve te a tichhe thei a ni. Hei hi enkawl vat loh chuan nunna atana hlauhawm thei dinhmun a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan he Cavernous Sinus Thrombosis an tih hi a tlem hle. Chu chu hmuh fo thin thil a ni lo tihna a ni. Kum khata hri kai engzat nge awm tih chiang taka sawi a har a, a hniam em em a ni. Mahse thu lawmawm tak chu antibiotics hmuhchhuah a nih hnuah , he natna report hi a tlahniam hle a ni. Heng thisen zam thlentu ber natna hrik te hi antibiotics hmanga tihdam theih a nih avangin tunah chuan chu natna chu a na lo hle tawh a ni.

Hei hi eng symptoms nge ni? Engtin nge kan hriat theih ang?

Hemi chungchanga hlauhawm ber chu a natna lan chhuah dan hi a na zual thuai thei a ni. Simptom langsar ber pakhat chu lu na na tak hi a ni. Hei hi lu na pangngai ang a ni lo. Painkiller ei hnuah pawh a reh lo a, nitin a zual zel bawk. A lo thleng nghal thei a, nasa takin a lo lang thei a, ni engemaw zat chhungin zawi zawiin a pung thei bawk. He natna hi mit pakhat vel emaw, mit pahnih vel emaw, mit hnung lamah emaw hriat a ni tlangpui.

Heng symptoms te hi thisen zam avanga cavernous sinus chhunga pressure sang vang a ni. Heng symptoms te hi i nei em tih fimkhur rawh:

• Lu na na tak, na tak, damdawi ei hnu pawha reh ngai lo.
• Mit pakhat emaw a hnu lama mit pahnih emaw a hring a, a chang chuan mit bulh tak ang maiin a awm bawk.
• Mitmeng tlahniam, mit chu a chanvea khar ang maia (`droopy eyelids`).
• Mit pakhat emaw, mit pahnih emaw tihchet tumnaah natna nasa tak hriat.
• Mit pakhat emaw pahnih emaw che thei lo, a sir khata innghat.
• Mit hmuh fiah lo, mit fiah lo.
• Double hmuh a ni.
• Hmaiah, a bik takin mit chhehvelah rilru hah emaw, hriatna hloh emaw.
• A lum hle mai.
• Mi thenkhat chuan seizures an nei thei bawk.

Pawimawh tak: Enkawl loh chuan cavernous sinus thrombosis hi a zual zauh zauh thei a, damlo chu a buai a, a muhil thei bawk. Hei hian coma leh thihna thlengin a thlen thei a ni. Chuvangin, heng symptoms te hi i hriat veleh damdawi lam pan a pawimawh hle a, chu chu hetiang dinhmuna a lo kal hma hian a pawimawh hle.

Engtiang chiahin nge hetiang hi a lo thlen thuai?

A tlangpuiin, cavernous sinus thrombosis hi i hmai emaw lu vunah (entir nan, sinus, ha emaw, beng emaw)-a natna enkawl loh atanga ni 5 atanga ni 10 hnuah a lo awm thin. A chhinchhiahna hmasa ber chu lu na a ni. Mit symptoms (swelling, bulging ang chi) hi a lo lang nghal thei a, lu na hnu rei vak lovah a lo lang thei a, a lo awm zauh zauh thei bawk.

Eng thilin nge hei hi a thlen? Engvangin nge hetiang hi a lo awm?

Hetiang hian han ngaihtuah teh. I hmaiah hian lump te tak te i nei a, i hnar sir lamah emaw, i hmui chung lamah emaw pawh a ni thei. A nih loh leh ha na i nei a ni. I ngaihven vak lo va, ‘Thil tenau mai mai a ni a, a mah chauhin a bo mai ang’ tiin i ngaihtuah thin. Mahse, chu hmun tenau takah chuan bacteria infection chuan he dinhmun hlauhawm tak Cavernous Sinus Thrombosis tih hi a thlen fo thin. Chu chu, infection pakhat complication angin a lo thleng tihna a ni.

Thil thleng chu hei hi a ni: I cavernous sinus veins-a thisen chu a clot a, chu chu natna darh zel tur tihtawp tumin a ni. Taksa invenna mechanism a ni. Mahse he thisen zam hian natna darh zel tur a titawp ai chuan natna chu a man a ni. Tichuan thisen chu thluak atangin a luang chhuak tawh lo. Hei hian cavernous sinus chhunga pressure a ti sang a, a hmaa kan sawi tawh ang khan symptoms a siam a ni.

Hei hi a nghawng ber natna chi hrang hrangte chu:

• Sinus natna (sinusitis) a awm thei. Hnar chhehvela natna hrik awm.
• Hmai vun hnuaia boils emaw furuncles emaw lo awm thin, a bik takin hnar leh hmui chunglam vel a lo awm thin.
• Ha natna (Ha) a awm.
• Beng natna, a bik takin beng laihawl natna.

A tam zawkah chuan 70% velin a chhan chu bacteria `Staphylococcus aureus` vang a ni. Hei hi bacteria tlanglawn tak a ni. Chu bakah chuan bacteria chi dang leh fungi chi thenkhat te hian infection a thlen thei a, chu chuan cavernous thrombosis a thlen thei bawk. Tun hnaiah `COVID-19` infection kaihhnawih cavernous sinus thrombosis vei engemawzat an awm a.

A tlem hle a, he thisen zam hi lu hliam na tak avang hian a lo awm thei a, natna kai vang a ni lo.

Engtin nge doctor-te hian hei hi an hriat chian?

A natna lan chhuah dan chu mit natna, migraine emaw, thluak lam natna dang emaw ang chi natna dang nen a inang avangin hriat a harsa deuh thei.

Mahse, i natna lan chhuah dan a\angin, a bik takin tunah hian hmai emaw, sinus emaw natna i neih emaw, tun hnaia i vei emaw a nih chuan, i doctor chuan cavernous sinus thrombosis a ringhlel thei a ni.

Heng test zinga pakhat emaw a aia tam emaw hi a natna hriat chian nan tih theih a ni:

• Imaging test te pawh a awm.
• MRI (Magnetic Resonance Imaging): Hei hian thluak leh cavernous sinus area chiang takin a hmu thei a, hei hi thisen zam a awm leh awm loh hriat nan a pawimawh hle.
• `CT` (Computed Tomography) scan: Hei hian thisen zam leh hri kai chhinchhiahna a zawng thei bawk.
• MRV (Magnetic Resonance Venogram with MRI): Hei hi he natna hi hriat chian dan sensitive ber a ni. He MRV-ah hian doctor chuan i thisenah hian tui bik (contrast dye) a inject a. Chumi hnuah chuan MRI hian thisen kal dan leh thisen kalna kawng (veins) chhunga blockage awmte chu chiang takin a hmu thei a ni.
• Bacterial culture test a ni. I doctor chuan i thisen emaw taksa tui dang (i sinus atanga tui emaw, hliam atanga chhuak emaw) chu a test ang a, natna thlentu bacteria emaw, natna hrik dang emaw a awm leh awm loh a enfiah ang. Hei hian bacteria dik tak hriatchhuahna leh antibiotic dik tak pek theihna turin a pui thei a ni.
• Spinal tap / lumbar puncture hmanga tihdam theih a ni. He test hian thluak leh ruhro (meninges) khuh tu membrane-ah natna hi a darh tawh em tih a hriat theih. A neih chuan meningitis an ti a ni. Meningitis hi cavernous sinus thrombosis natna hlauhawm tak a ni. He test-ah hian doctor chuan i hnungzang hnuai lamah needle te tak te a dah a, spinal fluid sample a la a. Fluid hi bacteria leh natna lanchhuahna dang a awm leh awm loh enfiah thin a ni.

Pawimawh: Cavernous sinus thrombosis hi nunna atana hlauhawm, natna zual chak tak a nih avangin, doctor chuan a hriat chian kim hmain rinhlelhna atanga enkawlna a tan thei a ni. A chhan chu hetah hian second tin hi a chhiar tel vek a ni.

Hei hi eng enkawlna nge ni? Dam theih a ni em?

Ni e, enkawlna rang leh dik tak chuan he natna hi a thunun thei a, nunna a chhanhim thei bawk. Mahse, enkawlna a tlai chuan a natna a zual thei hle. Hospital-a intensive care unit (ICU)-ah dah i ni mai thei.Admit i ni ang. Tichuan doctor leh nursing staff te chuan nitin darkar 24 chhung uluk takin an lo vil thei ang che.

A hnuaia mite hi a enkawlna bulpui berte chu an ni:

• Antibiotics damdawi a ni. Hei hi a enkawlna ber a ni. I doctor chuan thisen zam thlentu natna chu tihlum turin high-dose intravenous (IV) antibiotics a pe tan ang che. Sawi tawh ang khan hei hi hun rei tak daih a nih avangin diagnostic test-in natna kai chhan dik tak (bacteria emaw fungus emaw) a hriat theih hmain antibiotics pek i ni thei. Safe side-a awm tur chuan broad-spectrum antibiotics pek i ni ang a, chu chuan bacteria chi hrang hrang (a bik takin S. aureus ang chi bacteria pangngai) a that thei a ni . A hnuah culture result a lo kir leh chuan antibiotic tha zawkah i thlak leh mai thei. Hetiang enkawlna hi damdawi inah kar engemaw zat i chhunzawm a ngai dawn a ni.
• Thisen tithianghlimtu (anticoagulants) te. Thisen tithianghlimtu (thisen tithianghlimtu) heparin ang chi hi pek i ni thei a, chu chu thisen zam a lian loh nan, zawi zawiin a hmin theih nan leh thisen zam thar a lo awm loh nan.
• Anticoagulants (thisen tithianghlimtu) hi thisen kaltlangin emaw, vun hnuaiah emaw pek theih a ni. Heng thisen tithianghlimtu te hi a tir atanga thla engemaw zat chhung chu pill angin i ei a ngai dawn a ni.
• Corticosteroid hmanga tihdam theih a ni. I doctor chuan i sinus chhunga pressure thlentu swelling leh inflammation tihziaawmna turin steroid a pe thei ang. Mahse, hengte hi hri kai control nan antibiotics i tan hnuah leh infection control theih a nih hnuah chauh pek thin a ni.
• Inzai. Thil engemaw takah chuan natna lo chhuahna hmun (e.g., sinus natna, ha hring) tihfai nan leh, hnim emaw, tui dang emaw a lo awm tawh zawng zawng paih chhuah nan operation neih a ngai thei bawk. Hei hian natna hrik chu rang zawkin a thunun thei a ni.

Hetiang hi a lo thlen chuan eng nge kan beisei ang? Eng harsatna nge a awm?

Antibiotics hmuhchhuah a nih hma hian cavernous sinus thrombosis hi a thihpui fo thin. Mahse tunah chuan medical science lama hmasawnna a awm avangin he natna vei zinga 70% aia tam chu an dam chhuak ta a ni. Chu chu hlawhtlinna ropui tak a ni.

Amaherawhchu, damchhuak mah se, mi tam takin harsatna an nei thei a, a chhan chu hei hi thluak leh nerve tichhe thei a nih vang a ni. Entirnan, cavernous sinus thrombosis atanga dam chhuak zinga 20% vel chuan mitdelna (mitdelna, mitdelna) leh thluak lam harsatna (hmêl natna, mit tihchet harsatna) an nei chhunzawm thei a ni.

Harsatna dang awm thei chu:

• Lu na tak tak a awm fo thin.
• Mit pakhat emaw, mit pahnih emawa mit hmuhna hloh vek.
• Epileptic seizures awm reng.
• Meningitis (thluak khuh tu membrane-a natna hrik awm).
• Sepsis (thisenah natna kai darh zel).

Thil dang pakhat chu cavernous sinus thrombosis i neih hian thisen zam hlauhawm dang, i kea thisen zam ( Deep Vein Thrombosis - DVT ), i lung chhunga thisen zam ( Pulmonary Embolism - PE ), emaw i thluak hmun danga thisen zam lo awm ( Stroke ) te i neih theihna a hlauhawm hle.

Chuvangin, i dinhmun avanga harsatna awm thei turte chu doctor hnenah inhawng taka sawi a pawimawh hle. Tin, a theih phawt chuan i ven theih nan harsatna awm thei tur hriattirna hriat a pawimawh bawk.

Engtikah nge damdawi lam thurawn i lak nghal ang?

Heng symptoms te hi i neih chuan doctor thurawn la nghal vat la:

• Lu na na tak, natna tidamtu damdawi ei hnuah pawh a reh lo va, a zual zel bawk.
• Lu na hi i mut emaw, i khur emaw a na zual zel tur natna nen a inzawm chuan.
• Mit pakhat emaw, mit pahnih emaw a na, a hring, a sen, emaw, a hring emaw a hriat tan chuan.
• Natna nasa tak, chak lo tak, mut hah lutuka i inhriat chuan.
• Thâwk harsa i neih chuan.
• Khawsik sang, khawsik, leh khur chhuak i neih chuan.

Hetiang symptoms hian emergency situation a awm thei tih a tilang a ni.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

I doctor-in he natna hi i nei tih a hrilh che chuan i lungkham hle mai thei. Mahse, i rilru a hahdam theih nan leh i dinhmun leh i enkawl dan chiang taka i hriat theih nan, i doctor hnenah heng zawhnate hi zawh theihnghilh suh:

• Eng chiah nge ka neih? Hei hi engtiang chiahin nge a pawi?
• Eng ang enkawlna nge ka mamawh? Eng chen nge a daih ang?
• Heng enkawlnate hian eng side effect nge a neih?
• Eng chen nge damdawi inah ka awm a ngai dawn?
• He thisen zam avang hian hun rei tak chhung harsatna ka neih theihna chance engzat nge awm? Eng nge an nih? An ven theih ang em?
• Heng harsatnate avang hian ka nitin nunah eng inthlak danglamna nge ka neih ang?
• Hetiang dinhmun ka neih leh theihna chance hi engzat nge ni? Engtin nge ka tih ang?
• In ka haw hnuah eng thil nge ka enkawl ngai?

Heng zawhnate chhanna hi i tan a pawimawh hle ang.

A tawp berah chuan thil hriat reng tur

Sinus infection emaw, i hmaiah hliam tenau emaw ang chi thil tlanglawn tak hian nunna atana hlauhawm thisen a tichhe thei tih hriat chu a hlauhawm thei hle. Cavernous sinus thrombosis — natna hrik i neih avanga i hmai emaw lu emawa thisen zam lo awm — hi a takah chuan thil awm lo tak a ni. Chuvangin, i lu na emaw, i mit na emaw hi thil pawi zawk chhinchhiahna a nih a rinawm loh. Thil pawi lo zawk chhinchhiahna a ni thei.

Mahse, hriat reng tur pawimawh ber chu natna hrik eng pawh – eng ang pawhin tenau angin lang mahse – rang tak leh dik taka enkawl hi a ni. A bik takin hmai, hnar, ka leh mit hmuna natna hrik awmte lakah fimkhur hle ang che. Chutiang enkawl vat chuan hetiang natna khirh tak lo awm tur venna kawngah hian kawng thui tak a zawh thei a ni. Chuvangin, natna lan chhuah dan danglam tak tak i neih chuan, a tenau deuh pawh ni se, damdawi lam thurawn lak hi a finthlak hle ang. I taksain signal a pek che kha ngaihven rawh!

` Cavernous Sinus Thrombosis, Thluaka thisen zam, Lung infection, Hmai natna, Lu na na tak, Mit a hring, Antibiotics, Neurological disorders