I thluaka vein pakhatah thisen zam i nei em? (Cerebral Venous Sinus Thrombosis - CVST) A chungchang hi i zir chiang ang u.

Nitin a zual zel ang maia lu natna nasa tak i nei tawh em? A nih loh leh seizure ang chi natna i nei nghal em? Chûngte chu a châng chuan thil pawi tak chhinchhiahna a ni thei. Vawiin hian hetiang thil thleng thei dinhmun bik pakhat kan sawi dawn a, chu chu thluaka thisen kalna kawng lian takah thisen zam a ni.

Cerebral Venous Sinus Thrombosis (CVST) hi eng nge ni?

A awlsam zawngin, Cerebral Venous Sinus Thrombosis , a tawi zawngin CVST tih hi i thluaka thisen kalna kawng lian tak, thisen kalna kawng (vein) chhunga thisen zam (blood clot) a ni. Hei hi thil awm lo tak a ni a, mahse stroke hriat chhuah zawng zawng zinga 1% vel a ni.

I thluaka thisen kalna kawng lian takah thisen zam a lo awm chuan thisen chu kawng dik lovah a luang tan lo tih han ngaihtuah teh. Hei hian thluak chhunga pressure a tipung a, thluak a ti hring chhuak thin. Hei hi tui pipe a block a, tui a back up tir ang mai a ni.

Hetiang thisen zam hi i thluaka sinus-ah a lo awm thei tlangpui:

• Transverse sinus a ni
• Sagittal sinus a sang zawk
• Sagittal sinus hnuai lam
• Sigmoid sinus a awm thin
• Cavernous sinus a awm
• I cortex-a sinus thuk tak takte

He (CVST) natna hian tute nge a nghawng ber?

Hetiang dinhmun (CVST) hi hmeichhiaah a tam zawk . Kum 40 leh 50 inkar ah a tam ber a, mahse kum naupang zawkah a awm thei a, nausen ah pawh a awm thei .

A hnuaia condition emaw risk factors emaw i neih chuan CVST i vei theihna a sang zawk:

• Nephrotic syndrome - Hei hi kal (kidney) nena inzawm a ni.
• Cancer natna vei te.
• Vasculitis - Hei hi thisen kalna kawng a inflammation a ni.
• Sarcoidosis natna (sarcoidosis) a ni.
• Thau lutuk.
• Covid-19 (COVID-19) hri kai a ni.
• Thrombophilia - Hei hi inherited condition a ni a, i thisen chu awlsam takin a inzawm khawm thin.
• Liver natna.

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CVST hi engtiang chiahin nge a hluar?

CVST hi a takah chuan a awm lo hle a ni . Zirchiangtute chuan kum tin mi maktaduai khatah mi pahnih (2) atanga mi sawm leh panga (15) inkar vel a nghawng niin an chhut. Naupang leh nausen maktaduai khat zinga pasarih (7) velin kum tin CVST an vei nia chhut a ni bawk. Chuvangin i hmu thei, chutiang chuan a awm lo.

CVST hian ka taksaah eng nghawng nge a neih theih?

CVST vang hian harsatna engemaw zat a awm thei. Anni chu:

• Mit hmuhna hloh.
• Intracerebral hemorrhage (hemorrhage) - chu chu thisen kalna kawng puak atanga thisen chhuak tihna a ni.
• Lu na na tak.
• Kaih.
• Stroke ang chi natna a ni.

CVST natna lan chhuah dante chu engte nge ni?

CVST symptoms hi thisen zam nasat dan leh thluaka a awmna hmun a zirin a danglam thei .

A lan chhuah dan tlangpui chu:

• Zawi zawiin a pung chho zel a, lu na na tak (hei hi a lan chhuah dan tlangpui a ni).
• Seizures a awm thin.
• Rilru dinhmun danglam leh/ emaw neurologic deficit thar, thluaka thisen chhuak lian tak a awm ang chi.

CVST awm chhante chu engte nge ni?

CVST thlen thei thil engemaw zat a awm a:

• Naupai a nih avangin .
• Naupai venna damdawi (oral contraceptives) hman.
• Accident na tak (trauma) engemaw tak tawn.
• Thisen chu awlsam taka tichhe thei khawpa inherited condition neih, entirnan, thrombophilia.
• Infection (entir nan, COVID-19 infection) lo awm dan.

Tin, COVID-19 vaccine an dawn hnuah mi tlemte chauh CVST vei nia hriat a ni bawk. Mahse, hei hi thil thleng tlem tak a ni tih hriat reng a pawimawh .

Doctor-te hian engtin nge CVST hi an hriat chhuah?

I doctor chuan CVST i neih leh neih loh hriat nan thluak imaging test a hmang ang. Harsatna awm lo turin rang taka diagnosis a pawimawh .

CVST hriat theihna atan eng test nge hman thin?

CVST hriat theih nan i doctor chuan imaging test a ti thei a, chungte chu:

• Thluak MRI (magnetic resonance imaging) test chu contrast dye hmanga tih a ni.
• Dye hmangin thluak CT (Brain CT - computed tomography) scan a ni.
• Magnetic Resonance Venography (MRV), CT Venography (CT venography) emaw Cerebral Angiography (Cerebral Angiography) emaw hmanga enfiah a ni thei bawk.

Chu bakah, thisen test, hypercoagulability panel ang chi te pawh tih theih a ni a, clotting disorder a awm leh awm loh enfiah theih a ni bawk.

CVST hi engtin nge enkawl a nih?

CVST enkawl dan kawng hrang hrang a awm a, chungte chu:

• Anticoagulants : Entirnan, heparin. Hengte hi naupai lai pawhin pek theih a ni.
• Thrombolytics (clot tichhe thei damdawi).
• I thisen zam chu natna hrik avanga lo awm a nih chuan antibiotics pek tur a ni .
• A nasat em em chuan thisen zam (Thrombectomy) lakchhuahna tur operation (Thrombectomy) an ti thin .
• Acetazolamide emaw damdawi dang hmanga i thluak chhunga pressure (intracranial pressure) tihziaawmna tur.
• Seizure a awm chuan antiepileptic damdawi pek thin a ni.

I CVST awm chhan a zirin thla thum atanga thla 12 chhung chu warfarin (e.g. Coumadin®, Jantoven®) emaw direct oral anticoagulant (e.g. Rivaroxaban, Apixaban emaw Dabigatran) emaw i ei a ngai mai thei. Thrombophilia ang chi natna nei te chuan dam chhung atan warfarin an ei a ngai mai thei.

Enkawlna avanga harsatna emaw, a side effect emaw chu engte nge ni?

Warfarin i ei a nih chuan a dose dik tak i ei a pawimawh hle . Chuvangin i doctor chuan i thisen zam chu a enfiah fo ang. I dose pek hi i tichhe thei tur thisen zam lo awm tur tihtawp nan a tawk tur a ni a, mahse i kut emaw i ke emaw i tan chuan thisen chhuah i tihtawp theih loh khawpa sang tur a ni lo. Chuvangin balance dik tak i zawn a ngai a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

Heparin i dawn chuan IV emaw injection emaw hmangin a thawk tan nghal vat thin . Warfarin hian kar khat vel a daih thei a, chuvangin i doctor chuan heparin hi a thawk tan hma loh chuan a ei chhunzawm zel ang che. Chumi hnuah chuan heparin ei kha i bansan thei a, warfarin chauh i ei thei bawk.

A nih loh leh, i doctor-in direct oral anticoagulant a thlan chuan darkar tlemte chhungin i thisen chu i duh angin a tithianghlim thei a ni. Thisen zam chu a lo hmin tan a, thluak chhunga pressure a tlahniam chuan zawi zawiin i rilru a hahdam tan ang.

Engtin nge CVST vei theihna ka tihtlem theih ang?

Naupai laiin CVST i nei tawh a nih chuan a hnua naupai laiin anticoagulant ei hian he hlauhawmna hi a tihziaawm thei a ni.

Oral contraceptives pawh hi CVST vei theihna tur risk factor a ni. Chuvangin, naupai venna damdawi hman loh hian he hlauhawmna hi i tihziaawm thei a ni. Chu ai chuan progestin-only birth control method i hmang thei bawk.

Birth control pill ei laiin meizuk hian CVST vei theihna a tipung bawk . Heng pahnih hi pumpelh hian CVST venna kawngah a pui thei a ni.

(CVST) ka neih chuan eng nge ka beisei ang?

Tun hma chuan CVST vei zinga 50% vel chauh an damchhuak thin. Mahse tunah chuan dinhmun a tha tawh hle.Tunah chuan he natna avanga thihna hi a hniam hle a, 5% leh 10% inkar a ni. Hei hi imaging technology hmasawn tak leh enkawl dan hmasawn tak vang a ni.

Mahse, CVST hi a lo lang leh thei . Chuvangin i doctor chuan thisen tihthianghlimna damdawi (anticoagulants) a pe ang che.

(CVST) condition hi eng chen nge a awm?

(CVST) hi darkar khat atanga kar tam tak thleng a daih thei. I dinhmun hi heng zinga pakhatah hian a tla mai thei:

• Acute: Darkar 48 thleng a ni.
• Subacute: Darkar 48 aia rei, mahse ni 30 thleng. (Hei hi a tam ber chi a ni.)
• Chronic: Thla khat emaw a aia rei emaw chhung a daih.

(CVST) dinhmun thlirletna chu eng nge ni?

CVST vei te tan diagnosis leh treatment dik tak dawng te tan chuan hmalam hun a tha hle . Mahse, CVST hi a hmaa hriatchhuah leh enkawl loh chuan thihna thlen thei a ni. Chuvang chuan symptoms a lan veleh doctor thurawn lak a pawimawh hle.

Engtin nge ka in enkawl ang?

CVST i neih hnuah i doctor chuan thisen zam dang i neih loh nan a veng duh ang. Hei hian anticoagulant emaw “blood thinner” emaw warfarin ang chi i ei chhunzawm a ngai dawn tihna a ni.

Hei hian thisen zam hlauhawm tak lakah a venghim che a, mahse nitin hliam tenau tak atanga thisen chhuah theihna a tipung a ni. Chuvangin, chemte ang chi thil nalh tak tak i hman hian fimkhur hle tur a ni . Razor pangngai hmang lovin electric razor hman a him zawk mai thei.

Engtikah nge ka doctor ka hmuh ang?

Thisen tithianghlimtu (anticoagulants) i ei lai hian doctor i pan fo tur a ni (thla engemaw zat danah pawh a ni mai thei) . Warfarin dose i ei loh chuan doctor ko nghal rawh.

CVST i neih atanga thla thum atanga thla ruk hnuah i thluaka thisen zam awm dan enfiah nan CT scan emaw, dye hmanga MRI emaw i neih leh a ngai mai thei.

Engtikah nge emergency room-ah ka kal ang?

Warfarin i ei a, heng thisen chhuahna chhinchhiahna te hi i neih chuan 1990 (Sri Lanka emergency ambulance service) ah call nghal la, a nih loh leh damdawi in hnai ber emergency department ah a rang thei ang bera kal rawh :

• Thisen chhuahna tihtawp theih loh .
• Lu natna nasa tak a ni .
• Khuh, luak emaw, ek chhuah emaw laiin thisen sen hring hring .

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• Engvangin nge he (CVST) natna hi ka neih?
• Eng chen nge ka enkawl a ngai dawn?
• CVST ka vei leh theihna tur risk chu eng nge ni?

CVST hi a lo lang leh thei a, chuvangin follow-up appointment zawng zawng chu doctor hnenah neih vek a pawimawh . CVST a lo awm leh tawh loh nan damdawi i ei zat dik tak i ei tih chian an duh ang. Thisen tithianghlimtu i ei a nih chuan hliam thlen thei thil tih pawh i pumpelh tur a ni. Nitin thil hman, chemte leh scissors te pawh hian thisen a chhuah tir thei a ni. Chuvangin electric razor ang chi dang him zawk hman hi a tha hle.

Chuti a nih chuan, he thawnthu atang hian eng thuchah nge kan hriat reng tur ?

A awlsam zawngin sawi ila, CVST hi thil awm lo mahse na tak a ni a, thluaka thisen kalna kawng khatah thisen zam a lo awm thin. Lu na nasa tak, na zual zel leh seizures ang chi symptoms i neih chuan doctor pan nghal rawh . A hmaa hriatchhuah leh enkawl chuan result tha zawk a awm thei. Thisen tithianghlimtu hi a enkawlna bulpui ber a ni. Heng damdawi ei lai hian thisen chhuah chungchangah pawh fimkhur tur a ni. I damdawi ei tur chu i doctor-in a hrilh ang chiaha ei a pawimawh a, i doctor-te nen pawh i enkawl zui zel a pawimawh. Nangmah chauh i ni lo tih hre reng la, i doctor pawh biak tur leh pui turin a awm reng a ni.