Taksa lama harsatna chi hrang hrang i tawk em? I kal thei lo thut mai a, i ke leh ke a khur a, seizure i nei a, tawng harsa i nei bawk. Mahse doctor tam tak i hmuh a, test leh scan pawh i neih hian i damlo lo tih an sawi vek? Hemi avang hian i lungngai hle em? I harsatna chu tumahin an hrethiam lo, midangte chuan che i ni an ti em? Chutiang a nih chuan lungngai suh. Nangmah chauh i ni lo. Vawiin hian thil tawn ang chi tawk tam takin an neih theih, mahse hriat harsa tak dinhmun kan sawi dawn a ni. Chu chu Functional Neurological Disorder, a tawi zawngin FND a ni.
A awlsam zawngin FND (Functional Neurological Disorder) tih hi eng nge ni?
I thluak hi computer hardware angin ngaihtuah rawh. Nervous system chu chu computer nena inzawm wire ang mai a ni. Chûng pahnihte chuan hna an thawk ṭha famkim a ni. Chumi awmzia chu CT scan emaw MRI scan emaw i tih chuan i thluak ah hian thil dik lo a awm lo tihna a ni. Engkim hi a hrisel a ni.
Chuti a nih chuan khawiah nge buaina chu?
Buaina chu computer-a software kal lai a ni. Chu chu thluak leh taksa inkara information phurtu messaging system-ah hian glitch tenau tak a awm tihna a ni. Thluak in taksa hnena thuchah a thawn te, thluak atanga taksain thuchah a dawn te hi a inthleng mumal lo. Phone signal a bo lai ang bawkin call a chhe a, a ri a distort bawk. He signal glitch avang hian i taksa hian a takin symptoms a lantir tan thin.
Hengte hi symptom tak tak a ni. Anmahni chu i suangtuah lo. Mahse pawn lam mi pakhatin hei hi a chhan a hmuh theih loh avangin i fake mai mai niin an ngai mai thei. Hei hi i tan chuan thil hrehawm tak a ni thei.
Hei hi tun hma chuan Conversion Disorder an ti thin. Engvangin nge a hming hi a inthlak?
Tun hma chuan doctor-te chuan hei hi rilru lam harsatna chauh niin an ngai a. Chu chu, stress, lungngaihna, leh traumatic experience ang chi thilte chu taksa symptom-ah "a inthlak" niin an ngai tihna a ni. Chuvangin ``Conversion Disorder'' an ti thin a ni.
Mahse tunah chuan zirchianna thar chuan chu aia buaithlak zawk a ni tih a hmuchhuak ta. Special scan, functional MRI (fMRI) ang chiah hian FND vei te thluak hnathawh dan a danglam tih hmuhchhuah a ni. Tin, FND vei zawng zawng hian traumatic event emaw traumatic brain injury emaw an nei vek lo bawk. Chuvangin hming hlui chu hman a ni tawh lo.
FND vei mi pakhatin eng symptom nge a neih theih ang?
FND symptoms hi a lo lang nghal mai thin. I nitin hnathawhna kawngah pawh an tibuai thei bawk. A châng chuan, a lan chhuahna chu i ngaihtuah chuan a na zual thei a, thil dang i ngaihtuah chuan a bo thei bawk.
Hetiang natna lan chhuah dan tlangpui thenkhat chu hetiang hi a ni.
| Symptom category hrang hrang a awm | Sawifiahna leh entirnan |
|---|---|
| Seizure ang chi state (PNES) 1.1. | Chungte chu epilepsy ang maiin a lang thei. Convulsion leh hriatna hloh a awm thei bawk. Mahse, thluak test (Electroencephalogram - EEG)-ah chuan a pangngai tih a lang. Chungte chu (Psychogenic Non-Epileptic Seizures - PNES) an ti a. |
| Taksa chetna lama harsatna a awm | Khing, taksa a nghing, kal harsa, taksa thunun theih loh. Heng thilte hi i thunun theih loh thil thleng ang maiin i hria. |
| Sense panga nena inzawm harsatna | Mit hmuh, hriatna, rim, ei leh khawih lama harsatna. Entîr nân, mit hmuhna fim lo, mit pahnih, hriatna tlahniam, emaw, taksa pêng ṭhenkhata rilru hahna te a awm thei a ni. |
| Ngaihtuahna leh hriatrengna lama harsatna | Brain fog, inbiak laiin i sawi tur chu rang taka theihnghilh, thusawi theihnghilh, thil pawimawh i dahna hmun theihnghilh. Thil ngaihtuah reng reng pawh a harsa thei bawk. |
| Luak chhuak leh balance | Lawng chhunga tui chunga awm ang maia inhriatna, luak chhuak tih hriat ai chuan. Ding chungin i balance i hloh mai thei. |
| Na | Taksa na, hliam na tak tak, kang natna. He natna hi a awm reng thei a, a lo thleng thei bawk. Migraine pawh a awm fo thei bawk. |
Chu bakah, heng features te hi i hmu thei bawk ang:
- Chauhna nasa tak leh chakna tlakchhamna nei reng.
- Thusawi harsa emaw tawng thei lo emaw .
- Muscle chak lohna emaw paralysis emaw ang chi dinhmun.
- Thil ei harsat .
Engvangin nge FND hi a lo thang lian? A nghawngtu thilte chu engte nge ni?
Doctor-te chuan FND hi eng nge a thlen tih chiang takin an la hre lo. Mahse thluak leh taksa inkara message thawn dan lama harsatna avanga lo awm a ni tih kan hria. Computer entirnan kan sawi tawh ang chiah kha hmang ila, hardware leh wiring te chu a tha vek a, mahse software ah hian "glitch" te tak te a awm.
He defect hian thluak hian message thawn leh dawn dan a tidanglam thin. Phên dangin sawi ila, thluak hian "program dik lo" a kalpui a ni. Enkawlnaah hian he program dik lo hi paih chhuakin thluak leh nervous system chu "retraining" a ni a, chutiang chuan thuchahte chu a kal tha leh thei ang.
A pawimawh ber chu, i taksaa engmah hi "a chhe" emaw, "siamthat theih loh khawpa chhia emaw" a awm lo. Buaina chu function chauh a ni.
FND symptoms awm theihna tur triggers
Thil thleng emaw, dinhmun emaw thenkhatah chuan FND symptoms a lo lang nghal thei a ni.
- Hri kai theihna chi hrang hrang
- Migraine natna (Migraine) a awm
- Taksa chetsualna emaw, hliam emaw
- Stress na tak emaw, thil rapthlak tak tak emaw a awm thei
A châng chuan hetiang trigger hnuah hian thluak chu chu symptom-ah chuan a "get stuck" thei a, hmun khata disc ruptured inher ang maiin. Mithiamte chuan he pattern hian FND a thlen thei niin an ngai.
Doctor-te hian engtin nge FND hi an hriat theih?
FND hmuhchhuah hi thil buaithlak deuh a ni a, a natna lan chhuah dan hi neurological condition dang tam tak nen a inang a, chuvang chuan an pahnih hi hriat chian a harsa hle.
Doctor tam tak i hmuh a ngai mai thei a, test pawh i neih tam a ngai mai thei. Hei hi zinkawng hahthlak tak leh lungchhiatthlak tak a ni thei. Ṭhenkhat phei chuan i natna hi "i rilruah a awm vek" tih pawh an hrilh mai thei. Mahse i doctor chuan i natna lan chhuah dan chu a tak tak a ni tih leh thil dik i ti tih a tichiang ang che.
A tlangpuiin, multidisciplinary team, neurologist, psychiatrist leh physical therapist te pawhin FND hi an hriat theih nan an thawk ho thin.
Diagnostic test te pawh a awm
I natna lan chhuah dan azirin i doctor chuan hetiang test hi a ti thei ang:
- Thisen test a ni
- CT scan a ni
- EEG test a ni
- Electromyogram (muscle activity tehna test) 1.1.
- Functional MRI (fMRI) hmanga tihchhuah a ni.
- Neurological exam kimchang tak neih a ni
Heng test zawng zawng hi i symptoms thlentu taksa lam thil dang (e.g., epilepsy, multiple sclerosis) te tihbo nan tih a ni. Test result zawng zawng chu a pangngai vek a, i symptoms te chu FND nen a inmil a nih chuan i doctor chuan FND a nih thu a nemnghet thei ang.
FND enkawlna tur engte nge ni?
FND hi natna khirh tak a nih avangin damdawi pakhat chauh hmanga tihdam theih a ni lo. Enkawlna chi hrang hrang inzawmkhawma enkawl a ni. A tum ber chu thluak leh taksa inkara signaling system siam that leh a ni.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Taksa lam enkawlna | Hei hi chetna lama harsatna (kal harsa, khur harsa) nei tan chuan a pawimawh hle. Heta i thil tih hi thluak chu a chetna dik takah retraining a ni. Phên dangin sawi ila, software program dik lo paih chhuah a, a dik install ang mai a ni. |
| Occupational Therapy hmanga enkawlna (Occupational Therapy) a ni | Nitin hna (e.g., dressing, cooking) mahni inrintawkna nei tura puih leh. |
| Thusawi hmanga enkawlna (Speech Therapy) a ni | Thusawi emaw, ei harsa emaw enkawlna. |
| Cognitive Behavioral Therapy (CBT) hmanga tihdam theih a ni. | I ngaihtuahna, i rilru put hmang leh i nungchangte a inzawm dan hriatthiamna a pe che a ni. Hei hian symptoms tizual thei ngaihtuahnate hriatchhuah leh enkawl dan tur a pui thei che a ni. |
| Damdawi ei tur | FND hi enkawlna bik a awm lo. Mahse, natna dang, lungngaihna, lungkhamna, a nih loh leh natna rei tak i neih chuan, i doctor chuan chu chu enkawl nân damdawi a pe thei a ni. |
FND nena awm chhung hian beiseina i nei thei ang em?
A theih ngei ang. FND hi nunna atana hlauhawm a ni lo. Mahse, i nunphungah nghawng lian tak a nei thei a ni.
Recovery hi mi zawng zawng tan a inang lo. Mi thenkhat chu an dam thuai thin. Mi dangte chuan hun an la a. A châng chuan symptoms a ṭha chho thei a, chutah chuan a lo lang leh thei bawk. Chu chu zinkawngah chuan a tel ve a ni. I hlawhchham tihna a ni lo.
Hlawhtling tur chuan a hnuaia mite hi a pawimawh a ni:
- A rang thei ang bera diagnosis dik tak neih.
- I doctor leh treatment team te nen inzawmna tha tak siam .
- Symptoms tichhuaktu stressor te hriatchhuah leh enkawl .
- Enkawlna tan thuai rawh .
He zinkawng zawh tur hian chakna i mamawh tih hre reng ang che. Mahse hetiang thlenga i lo thlen hian i chak zia a tilang chiang hle. Vawikhatah engkim i chingfel vek a ngai lo. Ke pen tlemte pawh ni se, damna zinkawngah a tel ve a ni.
Take-Home Thuchah a ni
- FND hi thluak leh taksa inbiak danah harsatna tak tak a ni. "I lu chhungah chauh" a ni lo.
- I symptoms, chu chu taksa lama harsatna i neihte hi 100% a tak tak a ni. I test report a normal vang mai mai chuan natna i nei lo tihna a ni lo.
- Diagnosis dik tak hmuh theih nan hun a duh thei a, mahse beidawng suh. Doctor dik tak hmuh a pawimawh.
- Enkawlnaah chuan thluak chu zirtir thar leh a ni. Chumi atan chuan physical therapy leh psychotherapy ang chi thil hi a pawimawh hle.
- Damna hi zan khat thil thuah a thleng lo va, a kalphung a ni. Ni tha leh ni tha lo a awm ang. Mahse beiseina nen hmalam pan zel rawh.
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