I hmai sir khat emaw, i hmui emaw, i hmui emaw a hrual a, engmah i hre thei lo ang maiin i inhriat ngai em? Ha enkawltuin anesthetic a pek ang mai a ni. Thil hlauhawm tak a ni thei. A châng chuan mak tak maia kan mut lai te, ha zai zawh hnu emaw, hliam tenau kan neih hnuah emaw a thleng ṭhin. Mahse, a chang chuan he hmai natna hi natna khirh zawk chhinchhiahna a ni thei. Chuvangin vawiin hian i hmai a hrual chhan leh chu mi chungchanga i hriat tur te kan sawi dawn nia.
A hmasain, engvangin nge numbness a awm tih hi i hrethiam ang u?
A awlsam zawngin kan taksa hi nerve an tih wire te tak te network atanga siam a ni. Heng nerve te hian kan thluak atang hian kan taksa peng zawng zawngah thuchah an phur a, chubakah hriatna (natna, lum, khawih) te pawh thluak lamah an phur kir leh bawk. Kan hmai atanga thluak thlenga sensation phurtu leh hmai ruh (facial muscles) control thei nervous system bik a awm.
Chuvangin he nerve hi chhiatna a awm a nih chuan, a compress a nih chuan, a hnathawh a chhiat chuan chu nerve controlna hmun chuan sensation a hloh ta a ni. Chu chu numbness kan tih chu a ni.
Hmai natna thlentu berte chu engte nge ni?
Hmai natna hi chhan hrang hrang a awm a. Ṭhenkhat chu a na lo hle a, mahse ṭhenkhat chu damdawi lam pan vat ngai emergency a ni thei bawk .
Stroke leh TIA a awm
Hei hi kan zavaia kan hlauh ber tur leh kan ngaihtuah ber tur a ni. Stroke hi medical emergency a ni!
Stroke hi kan thluaka thisen leh oxygen phurtu thisen kalna kawng a inkhar emaw, a puak emaw hian a thleng thin. Chumi hnuah chuan thluak cell te chu oxygen tlakchham vangin an thi tan ta a ni. Hei hi vaukhânna chhinchhiahna ber pakhat chu hmai sir khata rilru natna emaw a tlakbuak emaw hi a ni .
A châng chuan ‘mini stroke’ an tih natna a awm ṭhin. Damdawi lam hawi chuan ``Transient Ischemic Attack - TIA'' kan ti a. Hetiang a nih chuan stroke ang chiah chiah (hmai natna, tawng thiam lo) a awm a, mahse thisen zam chu a hmin rang avangin minute tlemte chhungin a bo vek thung.
Mahse, TIA hi stroke lian tak a awm tih hriattirna chak tak a ni tih hre reng ang che. Chuvangin heng symptoms zinga pakhat tal i neih chuan damdawi in pakhat Emergency Department (ETU)-ah tlai lovin kal rawh. Stroke neih lai hian second tin hi a chhiar tel vek.
Bell-a Palsy a ni
Hei hi mi tam takin stroke anga an ngaih sual thin condition a ni bawk. ``Bell's Palsy'' ah chuan kan hmai chetna control tu nerve ber (facial nerve) chu a lo hring chhuak thin. Hei hian hmai sir khata ruhte chu a tichak lo va, chu lam chu a tla thla niin a lang. Mitmeng leh hmui kil khat chu a tla thla a.
Mahse stroke leh hei hi a danglamna ber chu Bell’s palsy hian hmai natna aiin taksa ruh chak lohna a huam tlangpui. Tin, he natna hi darkar emaw ni emaw chhungin a lo awm a, kar tlemte chhungin enkawl lohvin a reh vek fo bawk. Mahse, heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni a, a chhan chu stroke nge Bell’s palsy tih chu nangmah ngeiin i rel thei lo.
Shingles - Herpes Zoster natna a ni
Naupan lai khan chickenpox i vei tawh em? Chickenpox thlentu virus tho hi he natna hi ``Shingles`` an tih hi a ni bawk.Chickenpox tihdam a nih hnuah pawh he virus hi a muhil reng a, kan nerve cell-ah a inthup reng a ni. Kum tam tak a liam hnuah, taksa invenna a chak loh chuan he virus hi a thawk leh thei a ni.
Hei hi virus hian a inthupna nerve-ah a kal a, chu nerve-in vun a supply na hmunah chuan hliam na tak tak a siam a ni. Heng hliam te hi a lo lan hma ni 1-5 vel ah chuan vun hmunah kang, i hrual, na, leh vun natna te i nei thei. Hei hi hmai sir khatah emaw, mit vel emaw a thleng fo thin.
| Damdawi lam dinhmun | Thil langsar ber berte | Eng nge tih tur |
|---|---|---|
| Stroke/TIA a awm thei | Hmai sir khatah rang taka rilru hah/muthilh, tawng thiam lo, kut leh ke/ke hloh, leh mit hmuh dan inthlak danglam. | Emergency Department (ETU) ah kal nghal rawh! Hei hi emergency a ni. |
| Bell-a Palsy a ni | Hmai sir khata ruh chak lo leh tlak, mit khar harsa, hmui kil atanga hmui chhuak. Hriselna a tlahniam. | Stroke a nih loh nan doctor hmu rawh. |
| Shingles a ni | Hmai sir khatah rilru hah, kang leh na. Ni engemaw zat chhungin blister na tak tak a lo awm thin. | Doctor hnenah inenkawlna pe rawh. |
Chhan dang
A chunga kan sawi chhan berte bakah hian thil dang engemaw zat avang hian hmai natna pawh a awm thei bawk.
- Multiple Sclerosis (MS): Hei hi nervous system tichhe thei natna a ni. Hetah hian kan taksa ngeia immune system hian nerve chhehvela venhimna khuh chu a bei a. Hmai emaw taksa peng dang emawa rilru hahna hi MS natna lan chhuah hmasak ber leh langsar ber pakhat a ni.
- Brain Tumor: Hmai hriatna control tu nerve bulah benign emaw malignant tumor a lo thang lian a nih chuan chu nerve chu a press a, hmai a ti na thei a ni.
- Brain aneurysm: Hei hi thluaka thisen kalna kawng a chak lo va, balloon ang maia a bulge chhuak thin a ni. A lo thanglian zel chuan nerve a press thei a, hmai sir khata natna leh mit na ang chi symptoms a thlen thei bawk. Aneurysm a rupture chuan medical emergency a ni bawk.
- Hemiplegic Migraine: Hei hi migraine chi khat hmuh tur awm lo tak a ni. Lu na nasa tak nen hian taksa sir khatah (hmai, kut, ke) chu a rilru a buai emaw, a chak lo emaw a awm bawk.
Chuti a nih chuan, eng nge ka tih ang?
Facial numbness i neih chuan hlauthawng suh. Mahse, ngaihthah bawk suh.
A bîk takin, i hmai a hring, i tawng thiam lo, i mit a fiah lo, i luak chhuak nghal a, i taksa sir khatah chak lohna i nei a, a nih loh leh lu na nasa tak i neih chuan , hengte hi stroke chhinchhiahna a ni thei. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
A dang dangah chuan, chu chu lump chauh a awm a nih chuan ni engemaw zat hnuah a bo lo a nih chuan, a na zual a nih chuan, a nih loh leh symptom dang (e.g., vun natna) a lo lang a nih chuan, i chhungkaw doctor hmu ngei tur a ni a, hei hi i sawipui ngei tur a ni. A enfiah ang che a, a tul chuan test dang emaw, specialist emaw hnenah a refer ang che.
Take-Home Thuchah a ni
- Facial numbness hi nerve tihchhiat emaw, compression emaw avanga lo awm a ni.
- Hmai rilru na tak tak chu thusawi thiam lo, taksa sir khata chak lohna, emaw, hmai rilru hahna ang chi chhinchhiahnate nen a inzawm a nih chuan, chu chu stroke chhinchhiahna a ni thei Damdawi inah kal nghal rawh!
- Damdawi dang, shingles leh Bell’s Palsy te pawhin hmai a ti na thei bawk.
- A chhan eng pawh ni se, hmai natna a awm reng emaw, a lan dan dang nen a lo awm emaw chuan ngaihthah a hlauhawm hle.
- Hlauthawng lo turin a pawimawh hle a, a rang thei ang bera doctor pan a , diagnosis leh enkawlna mumal tak neih a pawimawh hle.
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