No i lak lai te, ziak tur pen i lak lai te, mi pakhat hnena thil hmuhtir tura i kut i phar lai te pawh hian i kut a nghing em? Hei hi a zahthlak deuh thei a, a chang chuan a mualpho thei bawk. Mi tam tak chuan hei hi tar hun pangngaiah an ngai a. Mahse, Essential Tremor tih hming pu damdawi lam natna a ni thei bawk. Vawiin hian he thu hi chipchiar takin, i hriatthiam theih tur tawng awlsam tak hmangin kan sawi dawn a ni.
A awlsam zawngin Essential Tremor chu eng nge ni?
Essential Tremor hi movement disorder a ni a, nervous system a nghawng nasa hle. Kan taksa peng hrang hrang, a bik takin kan kut chu thunun theih lohvin a ti nghing thin. Tumruh takin i nghing chu i titawp thei lo. A tam zawkah chuan kut leh ke a nghawng a, mahse mi thenkhatah chuan lu, aw leh taksa peng dang a nghawng thei bawk.
A tir lamah chuan harsatna lian tak ni lo mah se, hun kal zelah he dinhmun hi a zual zauh zauh thei a ni. Chutiang a nih chuan nitin hna awlsam tak tak, ei leh in, leh incheina dik tak pawh thawk thei lo a ni thei. Hei hian mi tam tak a ti lungngai a, khawtlang hmachhawn pawh a zahpui hle.
Essential Tremor leh Parkinson natna hi eng nge an danglamna?
Mi tam tak chuan "kut inthlak" tih thumal an hriat hian an hlau a, "Aw, Parkinson's ka vei em ?" Heng pahnih hi khur chhuahna thlentu dinhmun ni mah se, an inkarah hian danglamna lian tak a awm. Eng nge an nih i han thlir teh ang.
| Comparison feature a ni | Essential Tremor a ni | Parkinson natna a ni |
|---|---|---|
| Tremors awm dan | Thiltih (e.g., no vawn, ziak) tih hian a thleng tlangpui. | I chawlh laiin (e.g., i kut chu i hip-ah dahin chair-ah i thut) laiin a thleng tlangpui. Activity a awm chuan tremor a tlahniam thin. |
| Taksa peng hrang hrang a nghawng | A tam zawk chu kut, lu leh aw a ni. | Vawi tam tak chu kut, ke, hnute leh hmai. |
| Symptom dang a awm bawk | Neurological symptom dang pawh hmuh tur a awm lo. | Symptom dang, chet slow, taksa khauh, leh balance lama harsatna te hi a awm fo. |
| Thlahtu | Chhuan khat atanga thlah khata rochun a nih a rinawm zawk (genetics). | A tlangpuiin thlah kal zel (generational inheritance) a tlem zawk. |
He natna hi tuin nge vei? Engtiang chiahin nge a hluar?
Essential Tremor hi tu chungah pawh a lo awm thei a, mahse i tar chhoh zel chuan a awm tam zawk. A bik takin thalai kum 10-19 inkar leh kum 50-59 inkar atanga tan a ni tlangpui.
A pawimawh ber chu chhungkaw hrang hrangah a kal thei a ni . Chuvang chuan "chhungkaw tremor" an ti fo thin. I nu, i pa emaw, i chhungte hnai tak emaw chuan he natna hi a neih chuan nang pawhin i vei theihna chance a sang zawk a ni.
Hei hi i ngaihtuah angin a tlem lo. Khawvel mihring 1% velin he natna hi an nei nia chhut a ni. Kum 60 chunglam zinga 5% vel chuan he natna hi an vei a ni.
Tremor awm dan leh a lan chhuah dan
Hetiang dinhmun chhinchhiahna ber chu thil tih nan i kut i hman hian a khur thin. He tremor hi chi hnih a awm thei a:
- Action Tremor: Hei hi a tam ber chi a ni. Thiltih (e.g., tui glass khata kut phar, document-a hming ziah) tih hian tremor hi a thleng tihna a ni.
- Postural Tremor: Hei hi taksa peng pakhatin dinhmun engemaw chen a vawn laiin a nghing a ni. Entirnan, i hmaa kutphah dinglam hawia i vawn laia i nghing.
Essential Tremor hian taksa sir lehlamah a nghawng tlangpui a, mahse a tam zawkah chuan taksa sir khat chu a dang aiin a nghing zawk thin. Kut bâkah, khur hian lu (khawi lehlamah emaw, chung leh hnuai lam emaw, a nghing ang chi), aw (aw nghing taka thusawi ang chi), leh hmai a nghawng thei bawk.
A pawimawh ber chu he khur hi a hlauhawm lo va, nunna atana hlauhawm a ni lo. Mahse, hun kal zelah i nunphungah nghawng lian tak a nei thei a, nitin hna thawh a harsat phah thei a ni .
Hei hi eng nge a chhan?
Doctor-te chuan hei hi a chhan chiang tak an la hmu lo a, mahse thluak hmun thenkhat, a bik takin chetna thununtu cerebellum-a inthlak danglamna avanga lo awm nia ngaih a ni.
Kan sawi tawh ang khan genetics hian hmun pawimawh tak a chang a ni. Hetiang natna vei zinga a chanve vel tan chuan rochun a ni. A awlsam zawngin, i nu leh pa zinga pakhatin he natna thlentu gene a neih chuan 50% velin i rochun theihna leh natna i neih theihna chance i nei a ni.
Hei hi natna hrik kai theih a ni lo. Midang hnen atangin i man thei lo va, mi dang hnen atangin i man thei hek lo.
Engtin nge hei hi i hmuh theih, Doctor?
I doctor chuan he natna hi a hriat chian ber tur chu i natna lan chhuah dan ngaihthlak a, neurological examination a tih hian a ni. He “yes” emaw “no” emaw hi finfiah nghal thei tur test bik a awm lo.
Chuvangin, doctor thil tum ber pakhat chu i khur theihna tur damdawi dang i neih loh nan a ni. Hei hian test engemaw zat a huam thei a, chungte chu:
- Thisen test : Hengte hian natna dang, thyroid harsatna leh Wilson natna te chu a paih chhuak thei a ni.
- CT scan emaw MRI scan: Hengte hi thluaka tumor emaw structural problem dang emaw a awm loh nan a pawimawh hle.
- Genetic testing: A then phei chuan hei hi hereditary factors rinhlelhna a awm chuan tih theih a ni.
Enkawlnate chu engte nge ni?
Essential tremor hi damdawi a awm lo a, mahse symptoms control thei tur leh i nun awlsam zawka siam thei tur enkawlna tha tak tak a awm.
- Damdawi: Damdawi hman tam ber chu beta-blocker `Propranolol` leh anti-epileptic damdawi `Primidone` ang chi te hi an ni. Chungte chuan khur nasa takin a tihziaawm thei a ni.
- Adaptive devices: Tremor control thei tur device hrang hrang a awm a, chung zingah chuan cutlery rit zawk leh tremor-canceling device te pawh a tel.
- Botulinum toxin injection te hi a hnuaia mi ang hian a ni.He vaccine hi khur tirtu taksa peng hrang hranga inject hian chu ruhte chu rei lo te chhung atan a tichak lo thei a, khur pawh a ti tlem thei bawk.
- Deep brain stimulation: Hei hi surgical procedure a ni a, thluak hmun bik pakhata electrical signal thawn chhuaktu hmanrua te tak te, khur tirna thlentu chu dah a ni. Hei hian tremors thlentu signal faulty te chu a block thin.
- Focused ultrasound: Hei pawh hi tunlai enkawl dan a ni. Hetah hian high-frequency sound wave te chu thluaka hmun tenau tak takah a kal a, chu chuan a ti nghing a, chu tissue chu a tichhia a ni.
Vaukhânna pawimawh tak
Mi ṭhenkhat chuan zu tlêmte in hian rei lo têah an khur a tiziaawm tih an hmu mai thei. Amaherawhchu, hemi atan hian eng chhan pawh nise zu hi damdawi atan hmang suh. Zu ruih ang chi harsatna lian tak a thlen thei a ni. Tin, zu hian chutiang atana hman damdawi thenkhat nen pawh a inzawm thei bawk. Chuvangin he thu hi i doctor nen rinawm takin sawi rawh.
Engtin nge i in enkawl ang?
Hetiang dinhmun nena nunpui lai hian nangmah tan thil tlemte i tih theih a awm.
1. I doctor hnenah rinawm rawh: I natna lan chhuah dan leh i nun a nghawng dan te doctor hnenah hrilh zak suh. Chumi hnuah chauh chuan enkawlna dik tak a pe thei ang che.
2. Damdawi ei tur chu a tih angin ei rawh: I damdawi ei tur chu Doctor-in a pek ang chiah chiah, a hun takah ei tur a ni. Nangmah chauhin i damdawi ei kha bansan suh. Damdawi thenkhat chu i ei loh thut chuan side effect a nei thei a ni.
3. I khur tipungtu thilte pumpelh rawh: I khur nasat hun tur chu zawng chhuak rawh. Mi tam tak chuan lungkhamna, hahna, leh lungkhamna ang chi thilte an neih laiin khur nasa zawk an nei thin . Tin, coffee ang chi caffeine awmna in tur hian hei hi a nghawng thei bawk. Hengte hi a theih ang angin inthiarfihlim rawh.
4. Technology atanga tanpuina dawng: A hmaa kan sawi tawh assistive devices te hian i nun a ti awlsam hle. Anmahni hi lo en ve teh.
Engtikah nge Doctor ka hmuh ang?
Sawifiah loh taka khur i neih chuan doctor pan ngei ngei tur a ni. Tin, damdawi i ei tawh a, i natna lan chhuah dan a zual zel a nih chuan, emaw, i damdawi ei avanga side effects i neih chuan doctor pan leh tur a ni.
Essential Tremor hi a tlangpuiin emergency treatment ngai a ni lo. Chuvangin ETU (Emergency Treatment Unit) pan a ngai tawh lo. Mahse, case bik i hriat chian ngai a awm chuan i doctor chuan a thurawn pe ang che.
Take-Home Thuchah a ni
- Essential Tremor hi neurological condition a ni a, thil engemaw i tih hian i taksa peng hrang hrang, i kut, i lu emaw, i aw emaw te chu thunun theih lohvin a nghing thin.
- Hei hi Parkinson natna aiin a danglam bik hle a, chuvangin i kut a nghing vang mai maiin Parkinson natna hi hlau suh.
- Dam vek theih ni lo mah se, a natna lan chhuah dante chu damdawi leh enkawlna dang hmangin uluk taka thunun theih a ni a, miten nun pangngai an hmang thei a ni.
- I khur chhan dik tak hriat theih nan leh i tana enkawlna tha ber dawng turin doctor thiam tak hmu ngei ang che.
- Zak leh thup suh. Hei hi khawvel hmun hrang hranga mi tam tak tuar thin a ni a, enkawl dan dik takah tanpuina i dawng thei bawk.
Essential Tremor, khur, kut nghing, Parkinson’s, thluak lam natna, Sinhala tawnga khur, khur nasa tak enkawlna
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