Hun rei tak, emaw, rei tak, hereditary ATTR amyloidosis ang chi natna i neih chuan, chu chu enkawltu tur doctor leh healthcare professional team lian tak i mamawh a ni. Hei hi hATTR amyloidosis vei tan chuan a dik hle. Hei hi genetic condition a ni. Thil thleng chu i thinlung, kal, nervous system leh intestines ang chi organ pawimawh tak takah protein danglam tak amyloid an tih chu a lo awm khawm a ni. Chuvangin, he natna hian i taksa peng tam tak a nghawng avangin i hATTR healthcare team-ah hian specialist engemawzat an tel dawn a ni.
I hATTR amyloidosis medical team-ah hian tute nge awm?
Tunah chuan i healthcare-a puitu tur medical professional pawimawh tak takte kan en ang u. An pahnih hian i dinhmun chu a ṭha ber tûrin an ṭanpui ang che.
Neurologist a ni
hATTR-ah hian peripheral neuropathy an tih hi a awm fo thin. A awlsam zawngin, hei hi i kut, ke leh ke hnuai lam nerve tihchhiatna a ni. Hetiang symptoms hi i nei thei ang:
Natna a zual zel chuan i taksa ruhte chu a nghet lo thei a, a chak lo thei bawk a, chu chuan kea kal leh fine motor skills mamawh thil eng pawh tih a ti harsa thei a ni.
Neurologist chuan i peripheral nerve hnathawh dan uluk taka enfiah turin nerve conduction test ang chi test a ti ang. Hei hian neurological condition i neih leh neih loh leh a nasat dan tur a hriat theih nan a pui ang.
hATTR atana phalna pek tam tak hian i thluak lam natna enkawlna kawngah pawh a pui thei bawk. I doctor chuan nerve natna tanpui turin damdawi dang a pe thei bawk.
| Ruihhlo chi hrang hrang | Ruihhlo entirnan |
|---|---|
| hATTR enkawlna atana pawm tawh | A rilru a buai em em a, a rilru a hah em em bawk a, a rilru a buai em em bawk a. |
| Nerve natna damdawi | Amitriptyline, Duloxetine (Cymbalta), Gabapentin (Neurontin), Pregabalin (Lyrica) te hi a tha hle a ni. |
Cardiologist a ni
He doctor hian thinlung leh thisen kalna kawng natna a enkawl thin. hATTR nei te hi thinlung natna vei an tam hle. Hei hi a chhan chu thinlungah hian amyloid deposit a lo awm thei a ni. Hei hian a hnuaia dinhmunte hi a thlen thei a ni:
A pawimawh ber chu heng symptoms te hi fimkhur a, a tul chuan a rang thei ang bera damdawi lam thurawn lak hi a ni.
| Thinlung chunga nghawng a neih theih dan | Hrilhfiahna awlsam tak |
|---|---|
| Congestive Heart Failure a awm thin | Thinlung a chak lo va, lung leh tissue dangteah tui a pung khawm thin. |
| Hypertrophic Cardiomyopathy natna a ni | Heart muscle a thick deuh. |
| Coronary Lung natna a ni | Thinlung supply tu thisen kalna kawng (blockage) a awm. |
| Arrhythmia a awm | Lungphun mumal lo. |
| Syncope a ni | Luak chhuak emaw, muhil emaw. |
hATTR i vei tih hmuhchhuah i nih chuan i cardiologist chuan i thinlung hnathawh that dan enfiah turin test eng emaw zat a ti ang. Chûng zîngah chuan echocardiogram , MRI scan, minute 6 chhûnga kal test, leh thisen test te pawh a tel thei. I thinlung a chak lo a nih chuan, i natna enkawlna tur damdawi, diuretics, chi leh tui tihtlem te, leh pacemaker te pawh pek i ni ang .
Mit lam doctor
hATTR i neih chuan mit lam doctor pan fo a pawimawh. hATTR thlentu genetic mutations zinga 20% vel chuan mit a nghawng a ni. Hei hian symptoms a thlen thei a, chungte chu:
- Dark floaters (mit hmaa dots dum a lo inphah lai hmuh) .
- Mit a vawt
- Glaucoma emaw mit pressure sang emaw
- Vitreous opacity (mitkhuh luah khattu gel chiang tak chu a khuh) .
- Mit hmuhna dang a inthlak danglam thin
A tul chuan i mit doctor chuan glaucoma enkawlna atan trabeculectomy an tih surgery a ti thei ang. Mit atanga gel lakchhuah nan vitrectomy an tih surgery pawh a ti thei bawk.
Genetic Counsellor hna thawktu a ni
I doctor chuan hATTR i vei nia a rinhlelh chuan genetic counselor hnenah a refer ang che . Natna thlen thei gene mutation an test thei a ni. Tin, i chhungte hnai ber (nu leh pa, unau, naupang) mi pakhatin hATTR a vei tih hmuhchhuah a nih chuan test i neih ngei ngei tur a ni. Hei hi chhungkaw hnai tak takte hian he gene mutation hi an rochun theihna chance 50% an neih vang a ni. Genetic counselor chuan heng test te hi a hrilhfiah ang che a, result a luh veleh a sawipui ang che.
I medical team member pawimawh dangte
A chunga kan sawi tak specialist te bakah hian mi dang engemaw zatin i hriselna atan hmun pawimawh tak an chang a ni.
| Eizawn nana hmang | Engtin nge an ṭanpui theih che? |
|---|---|
| Nephrologist a ni | hATTR vei hmun thuma ṭhena hmun khat vel chuan an kal (kidney)-ah amyloid deposit an nei thei a ni. Kidney disease symptoms i neih hma chuan he specialist hi i pan a ngai lo mai thei. I primary care doctor chuan kum tin thisen test ( serum creatinine ang chi) hmangin i kal hnathawh dan a enfiah ang. Heng test te hi a pangngai lo a nih chuan nephrologist hnenah refer i ni ang. |
| Orthopaedic Specialist a ni | hATTR vei damlote chu carpal tunnel syndrome vei theihna a sang hle . Hei hi kutphah chhunga amyloid awm vang a ni thei. Mut laiin kut zungtang hrui leh exercise neih a tha thei. A nasat chuan zai a ngai mai thei. |
| Taksa/Hnathawh lama Therapist | hATTR hian kea kal a ti harsa thei a, nitin hna thawh a ti harsa thei bawk. Physical therapist leh occupational therapist te hian heng hnate hi awlsam zawka tih theih turin an pui thei che a ni. Zirna hrang hrangah chuan heng therapies te hi damdawi dang, damdawi ang chi nena inzawmkhawm chuan rah tha tak a chhuah thei tih a tarlang. |
| Primary Care enkawltu a ni | Specialist tam tak i hmu a nih pawhin i chhungkaw doctor emaw primary care doctor emaw hi i team-a thil pawimawh tak a ni. Kum tin i hriselna endikna a ti thei a, i damloh hunah a enkawl thei che a, i healthcare team "hruaitu" angin a che thei a, doctor dang zawng zawng nen pawh inbiakpawhna a nei thei bawk. |
Vawi tam tak chu hATTR amyloidosis enkawlna lama tui tak medical center emaw hospital lian takah i mamawh service zawng zawng i hmu thei ang. Hei hian i doctor zawng zawngte tan team anga thawhhona a awlsam phah a ni. I enkawlna inrem dan tur chungchangah i primary care doctor nen inbiakna neihpui rawh.
Take-Home Thuchah a ni
- hATTR amyloidosis hi natna khirh tak a ni a, taksa peng hrang hrang a nghawng a, chuvangin enkawl tur chuan thiamna hrang hrang nei doctor team a ngai a ni.
- I medical team-ah hian neurology, cardiology, ophthalmology, leh nephrology ang chi specialist-te pawh an tel thei.
- I primary care physician (chhungkaw doctor) hi he team pumpui inzawmkhawmtu key link a ni.
- I dinhmun, i enkawl dan, leh i ngaihtuahna eng pawh chu i medical team-te nen zalen takin sawipui rawh. Zawhna zawh hreh suh. I healthcare team-a member active tak i ni.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh