I mit che vel a danglam em? Hei hi nerve palina tan chuan harsatna a ni thei! (Fourth Nerve Palsy / Trochlear Nerve Palsy tih hi a awm lo) .

Mit pakhat chu a dang aiin a sang deuh niin i hria ngai em? A nih loh leh, a bîk takin hnuai lam i hawi lai te, lehkhabu i chhiar lai te, a nih loh leh stairs-a i chhuk lai te hian kawng hnih-a thil i hmu ang maiin i inhria em? Hei hi i chungah a thleng tawh a nih chuan i cranial nerve palina-ah harsatna a ni thei. Chumi chungchang chu tawi te tein han sawi ila.

He nerve palsy palina hi eng nge ni? (Fourth Nerve Palsy emaw Trochlear Nerve Palsy emaw) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

A awlsam zawngin sawi ila, Fourth Nerve Palsy (or Trochlear Nerve Palsy) hi kan thluaka nerve palina (trochlear nerve tia koh bawk)-ah chhiatna a awm a, chu chuan mit leh mit hmuhna sang leh hnuai lama harsatna a thlen a ni. Mit pakhat chauh a nghawng tlangpui (unilateral) , mahse a chang chuan mit pahnih (bilateral) a nghawng thei bawk.

Camera ang maiin han ngaihtuah teh. He camera hi a chunglam, a hnuai lam leh a sir lam pan tura min puitu taksa peng te te a awm a. He nerve palina hian hna a thawk tha a nih chuan mit chhunga taksa peng bik (`superior oblique muscle`) a thunun chuan hnuai lam hawi turin min pui thin Tin, he nerve leh muscle hian kan mit chu hnar hnaih zawk leh hnar atanga hla zawka hruai turin min pui bawk. Chuvangin, he nerve-ah hian harsatna a awm a nih chuan, chutih lai chuan heng mit hmuhna leh mit chetna lama harsatna hi a lo chhuak thin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan, he nerve palina dysfunction hi chutiang chuan a awm lo . Statistics atanga a lan dan chuan America ang ram ah hian kum khatah mi 100,000 zinga mi 5 vel ah he natna hi a lo awm thin. Chu chu kum khatah damlo thar 17,100 vel a awm tihna a ni. Sri Lanka-ah pawh hetiang natna vei hi an awm thei a, mahse statistics dik tak hmuh a harsa hle.

Hei hi eng symptoms nge ni?

Okay, tunah chuan he nerve palina hi harsatna a awm chuan eng symptom nge a awm tih kan en ang.

• Thil pahnih hmuh, a bik takin chunglam emaw hnuai lam emaw (`vertical diplopia`): Hei hi a lan chhuah dan ber a ni. Thlalak pakhat chunga thlalak dang hmuh ang mai a ni. Mi thenkhat chuan hetiang hi an nei reng a, thenkhat erawh chuan kawng engemaw zat an en hian chauh an nei thung.
• Twisted or twisted vision (`torsional diplopia`): Khawvel hi tlem a inher ang maiin a lang thei. Thil bang leh kawngkhar ang chi chu dinglam ni lovin a inher deuhin a lang thei.
• Hnung lam hawi laia mit hmuhna lama harsatna: Hei hian mi tam tak a nghawng a ni. Entir nan:
• Lehkhabu i chhiar hian vawi khatah lehkha pahnih pathum i hmu thei a, a nih loh leh i buai phah thin.
• When I go down the stairs , step ka hmu tha thei lo va, ka balance hloh ang maiin ka hria.
• Chaw i ei lai hian i plate-a thil awm chu i hmu tha thei lo mai thei.
• Mit che leh mit lama harsatna awm lo turin i lu chu a sir khatah tilt:Hei hi hriat lohvin a thleng fo thin. I mit chu hmun khata dah i tum chuan i lu chu a sir khata i khin chuan i mit a fiah zawk a, i taksa pawhin a thiam tawh bawk. A châng chuan, naupan lai aṭanga i lu nghah ṭhin i neih chuan chu pawh chu a chhan a ni thei bawk.
• Strabismus (crossed eyes): Hei hi mit hian kawng khata a kawhhmuh loh hun a ni. Strabismus hi kawng hrang hrangin a lang thei a, chu chu cranial nerve palina a thawh that loh chuan a ni:
• `Hypertropia`: Mit pakhat chu chunglam hawi a ni. Entu tan chuan mit pakhat chu a dang aiin a sang zawkin a lang.
• `Esotropia`: Mit pakhat emaw pahnih emaw chu chhung lam (hnar lam hawia hawi) a ni. "Mit crossed" kan ti a.

Pawimawh: Nangmah emaw, i fa emaw hian heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. Hengte hi ngaihthah mai mai tur thil a ni lo.

Engvangin nge he nerve dysfunction palina hi a lo awm?

He dysfunction hi eng condition emaw event emaw avanga lo awm thei a ni a, chu chuan nerve palina a tichhe thei a ni. A châng chuan, doctor-te chuan a chhan chiang tak an hmu thei lo. Hei hi ``idiopathic fourth nerve palsy`` kan ti a.

Pianpui atanga lo chhuak (`Congenital Fourth Nerve Palsy`) .

Vawi tam tak chu, he nerve palina hnathawh that lohna chhan ber chu pianpui natna a ni . Mahse zirchiangtute chuan engvangin nge a thlen tih chiang takin an la hre chiang lo. Doctor-te chuan hei hi `congenital superior oblique palsy` an ti bawk.He `superior oblique` hian a chunga kan sawi tak fourth nerve-in a control theih muscle a kawk a ni.

Hetiang natna vei tam tak hi nerve palina (`trochlear nerve`) bo neia piang an ni a, a nih loh leh chu nerve-in a thunun `superior oblique` muscle chu a chak lo (`atrophied`) emaw a ni. Mi dangte chuan fourth nerve hrisel tak an nei a, mahse chu muscle tendon chu a thawk tha lo hle.

Hetiang dinhmun hi a pian tirh atangin awm mah se, a châng chuan naute hian natna lan chhuahna a nei lo thei a, a nih loh leh chhinchhiahna fiah lo tak tak chauh a nei thei bawk . Heng symptoms te hi an lo upat deuh deuh chuan a lang zau zauh zauh thin. Chuvangin, pian tirh atanga he natna vei tam tak hi an naupan lai emaw, puitling naupan lai emaw hian hmuhchhuah an ni.

Lu hliam vangin

Kan nerve palina chu lu chhungah hla tak a kal avangin lu hliam vangin a chhe zawk a ni . Acquired fourth nerve dysfunction hi car accident leh boxing ang chi infiamna vang a ni ber. Chutiang hunah chuan lu chu a rawn inher nghal vat a, a tawp (`whiplash` motion) chuan nerve a tichhe thei a ni. Mahse, a chang chuan lu hliam tenau anga lang pawh hian `trochlear` nerve a tichhe thei a ni.

Chhan dang a awm em?

Ni e, hriselna lama harsatna dang pawh a awm a, chu chuan nerve palina a tichhe thei a, a tichhe thei bawk. Heng chhante hi a tam lo hle a, mahse hriat chian a pawimawh hle:

• Thisen kalna natna: Thisen kalna kawng a chhiat, a bik takin zunthlum ang chi natna avang hian .
• A chhehvela tumor atanga pressure: Entirnan, thluaka tumor chi hrang hrang lo awm (meningioma ang chi).
• Luruh chhunga pressure sang (`Intracranial pressure sang`).
• `Lyme natna`: Tick atanga kai theih natna a ni.
• Guillain-Barré syndrome: Hriselna lama taksa peng hrang hrang (nervous system) tichhe thei natna.
• Shingles (herpes zoster) hi chickenpox hnuah a awm thin.
• Thluak surgery neih laiin accident-a hliam tuar.

Engtin nge hei hi i hriat chian?

Doctor-te chuan he nerve dysfunction palina hi i symptoms enin, test awlsam tlemte, i mit hmuhna leh mit chetna en ang chi te hmangin an hre thei tlangpui.

Hei hi chiang taka hriat theih nan mit doctor (ophthalmologist) emaw neurologist emaw i pan a ngai mai thei. Doctor chuan eng mit lama harsatna nge i neih tih a zawt ang che a, kawng engemaw zat i en chuan a dam lehzual em tih a zawt ang che. Thil chi hrang hrang en tir chein, an hmel lan dan tur sawi turin an ti ang che.

Lu hliam hnua i natna lan chhuah dan a lo awm chuan i doctor chuan thluak MRI scan ang chi thil a rawt fo ang .

Enkawlnate chu engte nge ni?

I tana tha tur treatment chu i nerve palina dysfunction chhan ah a innghat ang. Hliam emaw chhiatna emaw avanga lo awm a nih chuan thla ruk chhungin a dinhmun chu a mah chauhin a lo tha chho fo thin a, chu chu nerve a dam chhoh zel avangin .

Nerve palina a dam hma chuan double vision siamthat nan prism eyeglasses i vuah a ngai mai thei. Hengte hian a puih loh chuan mit natna chungah eye patch bun hian a pui thei bawk.

Thla ruk hnuah pawh i natna lan chhuahna a ṭhat loh chuan i doctor chuan operation neih a rawt thei ang . Hei hian a tlangpuiin superior oblique muscle chak lo tawh chu mit muscle dang active zawka thlak a ngai thin. Hei hian mit chetna lama harsatna awmte siamthatna kawngah a pui thei a ni.

I doctor chuan heng enkawlna kawng hrang hrang leh a chipchiar zawng zawng hi i dinhmun nena inzawm a nih angin a hrilhfiah ang che.

Eng chen nge a dam leh theih ang? / Nakin hun chu eng nge ni?

Acquired fourth nerve dysfunction tam zawk hi chu hun kal zelah a takin a reh a, a tlangpuiin thla ruk chhungin a reh thin . Surgery neih a ngai lai pawhin hlawhtlinna rate hi a tlangpuiin a tha hle.

Mahse, i doctor chuan i dinhmun bik a zirin i beisei tur ngaihtuahna ṭha ber a pe thei che a ni.

Hei hi ven theih a ni em?

Fourth nerve dysfunction thlentu thenkhat, pianpui atanga lo chhuak te hi ven theih a ni lo. Mahse, lu hliam laka invenna hmangin nerve palina tihchhiatna tur tihtlem nan hma kan la thei a ni. Chung zingah chuan:

• Lirthei i chuan dawnin seatbelt hmang fo la , i fa tan car seat him tak hmang bawk ang che.
• Bicycle emaw motor emaw khalh laiin helmet vuah emaw, intlansiakna neia infiamna khelh emaw.
• I in chhungah naute te tak te emaw, naupang tê tê emaw i neih chuan, an tân in chhûng boruak chu `childproof` tih a pawimawh . Hei hian an tlu theihna hmun emaw, hlauhawm taka an lu an vuak theihna tur hmunte tihtlem tihna a ni.
• I hmangaih tak takte balance issue nei emaw tlu hlauhawmna sang tak nei te tan chenna hmun him siam .

Engtikah nge Doctor ka hmuh ang?

Doctor follow-up visit neih reng a pawimawh. Hei hi i dinhmun an enfiah theih nan leh a tul chuan i enkawlnaah an tihdanglam theih nan a ni. Fourth nerve dysfunction hi emergency a ni lo. Mahse, uluk taka enfiah leh enkawl ngai natna a ni.

Thil engemaw a kalsual hma loh chuan kan vision hi kan ngaihtuah vak lo fo thin. Hetiang thil a lo thlen hian nun hi a buai deuh thei a ni. Mahse thu lawmawm tak chu enkawl theih leh hun eng emaw chen atan a ni fo . Mahse, a rang thei ang bera doctor pan a pawimawh a, a natna hriatchhuah leh enkawl a pawimawh. Chumi hnuah chuan i doctor chuan i nerve palina a dam hma loh chuan thil chiang taka hmuh theihna tur vision aids a rawn rawt thei ang che a, a tul chuan enkawlna dang i pe thei bawk ang.

Chuvangin, kan hriat reng tur pawimawh thenkhat chu hetiang hi a ni:

Okay, kan sawi tawh atanga kan ngaihtuah tur pawimawh tak takte chu hetiang hi a ni:

• Fourth Nerve Palsy hi a hnuai lam en tura puitu nerve natna a ni.
• A lan chhuah dan ber chu thil pahnih pahniha hmuh (a bik takin hnuai lam hawi hian) , mit hmuhna fiah lo, leh mit hmuh dan siamrem turin lu tilt hi a ni.
• Hei hi a chhan chu pianpui a ni thei a, a nih loh leh lu hliam ang chi thil vang pawh a ni thei bawk .
• Symptom i neih chuan doctor pan ngei ngei tur a ni. Nghak mai mai suh.
• Vawi tam tak chu he dinhmun hi hun kal zelah a tha chho zel a , a nih loh leh enkawlna hian rah tha tak a chhuah thei bawk.
• Hetiang dinhmun thlentu thenkhat hi lu hliam pumpelh hian pumpelh theih a ni.

Chuvangin, nangmah emaw, i hriat emaw hian heng symptoms te hi i neih chuan hlau suh la, doctor thurawn la rawh. I hriat hma poh leh i dam thuai thei.

` Fourth Nerve Palsy, Trochlear Nerve Palsy, mit pahnih, diplopia, strabismus, mit chetna, cranial nerve, congenital palsy