Tea no i vawn lai te, document pakhat i sign lai te, a thut mai mai lai te hian i kut chu tlem a lo nghing ang maiin i inhriat ngai em? Hei hi i chau emaw, tlem i hlauh lai emawa thil thleng niin i ngai mai thei. Mahse a awm reng chuan ' Essential Tremor ' tih dinhmun avang pawh a ni thei. He hming i hriat hian hlau suh. A zawng zawng hi awlsam tak leh chiang takin sawi ila.
Essential Tremor tih hi eng nge ni?
A awlsam zawngin Essential Tremor hi kan nervous system tichhe thei movement disorder a ni. Kan taksa peng hrang hrangte chu kan thunun theih loh khawpa rhythmic takin a ti nghing thin. Kut atang hian a intan fo thin . He khur hi i kut hmanga thil tih hian a langsar zawk.
Hei hi hmasawnna lam hawi dinhmun a ni. Chumi awmzia chu kum tam tak chhung chu kutah chauh ni lovin, lu, voice box (larynx), hmui, hmai, trunk, leh a chang chuan ke-ah te pawh a darh thei tihna a ni. But this often happens very slowly , kum tam tak chhung chu enkawlna engmah i mamawh lo mai thei.
A pawimawh ber chu he dinhmun hi nunna atana hlauhawm a ni lo. Tin, i dam chhung pawh a ti tawi lo bawk. Mahse, mi ṭhenkhat tân chuan ni tin hna , ei leh in, incheina, leh thuziak te tih a harsa thei a ni.
Eng thilin nge Essential Tremor hi a thlen?
Doctor-te chuan hei hi eng thil nge a thlen tak tak tih an la hre chiang lo a, mahse nervous system, chu chu thluak, ruhro emaw, nerve emaw atanga intan, thluak lam natna a nih an ring.
Tunah hian Essential Tremor vei zinga 50% vel chuan chhungkaw member dang he natna nei an nei bawk tih hriat a ni. Chumi awmzia chu hereditary link engemaw zat a awm tihna a ni. Amaherawhchu, gene pakhat atanga lo chhuak a ni tih erawh hriat a la ni lo. Hrilhfiahna leh boruak inzawmkhawm avanga lo awm a ni thei.
A awlsam zawngin kan thluak chhungah hian ‘Cerebellum’ tih hi a awm a. Hei hian kan taksa peng hrang hrangte chu a coordinate a, a fine takin a control bawk. Essential Tremor chungchangah chuan he cerebellum leh thluak hmun dangte inbiakpawhna inzawmnaah hian inthlak danglamna a awm niin an ngai.
Khîr chhan dang
Essential tremor hi tremor thlentu ber ni mahse, he tremor chi hrang hrang thlentu dang pawh a awm a, chuvang chuan a chhan dik tak hriat tumin doctor pan a pawimawh hle.
| Tremors tibuaitu thil dangte |
|---|
| Neurological natna dang Parkinson’s disease, multiple sclerosis, emaw stroke te pawh a awm thei. |
| Thyroid a thawk nasa lutuk. |
| Liver emaw kidney emaw hnathawh that lohna. |
| Stress nasa tak, lungkhamna emaw, hahna emaw. |
| Caffeine (tea, coffee) awmna in tur in tam lutuk. |
| Asthma leh rilru lam natna damdawi thenkhat. |
| Mercury leh lead ang chi toxin te, heavy metal leh pesticide te nena inzawmna. |
Essential Tremor natna lan chhuah dan ber berte chu engte nge ni?
Hetiang dinhmunah hian symptom lian tak tak i nei thei a, mahse mi zawng zawng hian heng symptom zawng zawng hi an nei vek dawn lo.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Kut ah chuan khur chhuak | Hei hi a lan chhuah dan tlangpui leh langsar ber a ni. |
| Aw ri a nghing | Thusawi laiin aw-ah khur ri hriat. |
| Lu a ti nghing | ‘Ni e’ emaw ‘ni lo’ emaw tih ang maia thunun theih loha lu nghing. |
| Incheina nen a pung zel | I chawlh lai aiin thil i vawn emaw, i ziah emaw ang chi thil i tih lai hian khur hi a langsar zawk. |
| Thil thenkhatah pung | Stress, thawhrim lutuk, caffeine leh damdawi thenkhat te hian rei lo te chhungin khur a tipung thei a ni. |
| Zu in tihtlem | Mak tak maiin mi thenkhat chuan zu tlemte in hian rei lo te chhungin an khur a tiziaawm tih an hmuchhuak (mahse hei hi enkawlna atan chuan a tha lo). |
Engtin nge doctor hian hei hi a hriat chian tak tak?
Heng symptoms te hi i neih chuan a tha ber chu doctor pan hi a ni . Doctor chuan i medical history te, i chhungte zingah tu emaw chuan an nei tawh em tih te a zawt ang che a, chutah chuan taksa enfiahna a nei ang.
Neurological exam, a bik takin nervous system nena inzawm hian a hnuaia mi hi a zawng thei ang:
- I taksa ruh chakna leh dinhmun.
- Reflexes (Reflexes) te chu .
- Taksa inthlauhna.
- I che leh chawlh lai hian engtin nge i awm?
- A rang leh a nghing zat.
Tin, thisen test leh zun test te pawh a awm thei bawk a, chu chuan a khur chhan ni thei dinhmun dang a awm lo thei bawk. A châng chuan thluak scan pawh a ṭha thei bawk.
Essential Tremor hi eng enkawlna nge ni?
A hmasa berah chuan i khur hian nitin hnathawhnaah nasa takin a tibuai lo a nih chuan enkawlna engmah i mamawh lo mai thei. Mahse, i nunphung a nghawng a nih chuan enkawlna engemaw zat a awm a, hei hian a pui thei ang.
Damdawi ei tur
Tremor control thei damdawi chi hrang hrang a awm a. I tana tha ber tur zawng turin chi hrang hrang tlemte i enchhin a ngai mai thei. A pawimawh ber chu heng damdawi zawng zawng hi doctor enkawlna hnuaiah chauh hman tur a ni.
| Enkawlna level | Damdawi chi hrang hrang (entirnan) . |
|---|---|
| First-line therapies - hman tam ber | |
| 1. 1. A rilru a hah lutuk chuan a rilru a buai em em a | Propranolol (Hemangeol, Inderal) a ni a, a man hi a to hle. |
| 2. 2. A rilru a hah lutuk chuan a rilru a buai em em a | Primidone (Mysoline) tih hi a awm a. |
| Second-line therapies te pawh a awm bawk | |
| - . | Damdawi chi hrang hrang Alprazolam (Xanax), Atenolol, Gabapentin (Neurontin), Topiramate (Topamax) te a ni. |
Enkawlna dang
- Adaptive devices: Mi thenkhat chuan kutphah rit leh cutlery rit zawk ang chi thil hmangin tremor an control thei.
- Botulinum toxin injection: He injection hi lu emaw aw emaw a khur thin tan chuan a tangkai thei hle.
- Deep Brain Stimulation (DBS): Hei hi surgery hmanga tih a ni. Hetiang tih danah hian thluak hmun thalamus an tihah electrode te tak te tak te dahin, chu chuan khur tirna a thlen a, chu chu hmanrua te tak te (pacemaker ang chi) nen an inzawm a, chu chu rilru vun hnuaiah dah a ni. He device hian thluaka electrical message kal dan pangngai lo chu a control thei a, tremors chu 70%-90% velin a ti tlem thei a ni.
- MRI hmanga kaihhruaina hmanga ultrasound focused:Hei hi technology thar a ni. Surgery tel lo chuan high-intensity ultrasound beams chu MRI machine puihnain thluak thalamus-a cell inzawmte tihchhiat turin an kaihruai a ni.
Take-Home Thuchah a ni
- Essential tremor hi a awm fo a, mahse nunna atana hlauhawm lo, nervous system condition a ni.
- Chumi chhinchhiahna ber chu hnathawh laiin kut, lu, aw emaw a khur nasa lutuk hi a ni.
- Hemi nen hian hereditary link a awm thei a, mahse i chhungkuaa tumahin an neih loh pawhin i la nei thei tho.
- I khur hian nitin hna thawh a harsat phah a nih chuan hlauthawng suh la, doctor pan rawh . Hei hi thunun tur hian enkawlna tha tak tak a awm nual.
- Doctor thurawn tel lo chuan mahni inhriatthiamna leh damdawi ei ngai suh.
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