I lu i vuak nasat em? Lu hliam chungchang chiang takin i zir ang u!

Kan nitin nunah hian a chang chuan kan lu kan bum hi thil awmze nei tak a ni. A chang chuan kan ngaihven vak lo pawh a ni. Naupang tê tê chu an inkhelh laiin a tlu a, an lu a deng thei a, a nih loh leh kitchen-a hna engemaw kan thawh laiin kan lu chu cupboard-ah kan vawm thei bawk. Mahse, a chang chuan bump tenau tak pawh hi hliam na takah a chang thei. Chuvangin, vawiinah hian heng lu hliam te hi kan sawi dawn a, chu chu `(Head Injury)` tihna a ni.

Lu hliam chu eng nge ni?

A awlsam zawngin, lu hliam chu i lu, chu chu i luruh leh thluak tihchhiatna chi hrang hrang a ni .

A tam zawkah chuan heng hliam te hi tenau te an ni a , ni engemaw zat chhungin an dam leh thin . Mahse, lu hliam ṭhenkhat, a bîk takin i luruh chhûnga thisen chhuak emaw, i thluak tihchhiat emaw chuan harsatna nasa tak a thlen thei a ni .

Kan lu chu open cupboard-ah kan deng vek tawh emaw, cricket kan khelh laiin ball-in kan vuak vek tawh bawk. A tam zawkah chuan ni engemaw zat chawlh hian i keah a ding leh ang. Mahse, i lu i vuak hian, a bik takin i natna nasa tak i neih a, i lu a hah a, i lu a hah a, a nih loh leh i rilru a buai deuh a nih chuan, doctor hmu a, enfiah tir chu thil tha lo a ni ngai lo. A chhan chu thil thenkhat chu pawn lam atanga hmuh tur a awm lo mai thei a, mahse chhungril lamah chuan harsatna a awm thei a ni.

Lu hliam chi hrang hrangte chu engte nge ni?

Doctor-te chuan lu hliam hi chi hnihah an ṭhen a, chungte chu:

1. Lu khar (closed head injuries): Hengte hi i lu ruh tichhia lovin chhungril atanga lo awm hliam te an ni . Hengte hi hliam kan hmuh tam berte chu an ni. Ngaihtuah teh, i bike atangin i tlu a, i lu chu leiah i tla a, mahse i lu ruh chu a chhe lo va, thisen pawh a chhuak lo. Mahse, concussion tenau tak i nei thei.

2. Open head injuries: Hei hi thil pakhatin i luruh a luhchilh a, i thluaka a luh hian a ni . Hei hian accident na tak a mamawh tlangpui. Entirnan, car accident emaw, lu-a vuak emaw ang chi thil nalh tak.

Heng chi lian pahnih bakah hian lu hliam chi hrang hrang engemaw zat a awm bawk. Eng nge an nih hi han thlir ila:

• Concussions: Hei hi lu hliam chi khat a ni ber. Ngaihtuah teh, i lu i vuak nasat chuan thluak chu luruh chhungah a rawn inher chhuak nghal a. Chutah chuan concussion a lo awm ta a ni. Luruh chu a chhe lo, mahse thluak hnathawh dan chu rei lo te chhungin a nghawng thei a ni.
• Luru ruh tliak: A hming ang bawkin hengte hi luruh ruh tliak a ni. Chungte chu crack te tak te atanga a nasat lutuk thlengin a awm thei a, a chi hrang hrangah a inthen thei bawk.
• Lu vun hliam emaw hliam emaw: Lu vun a hliam emaw, a hliam emaw . Hengte hian thisen a chhuah thei a, a chang chuan stitches a ngai bawk.
• Thluak hliam natna (TBI): 1.1.Hei hi dinhmun pawi zawk a ni. Thluak tihchhiatna, chak taka vuakna a ni. Concussion aiin a na zawk thei a, hun rei tak chhung pawh nghawng a nei thei bawk.

Lu hliam chhinchhiahnate chu engte nge ni?

Lu hliam chhinchhiahna hi mi hrang hrangah a inang lo thei. Tin, hliam awm dan leh a lo awm dan azirin a natna lan chhuah dan pawh a inang lo. Hliam tenau thenkhatah chuan hliamna hmun chu minute engemaw zat a na thei a, chutah chuan a mah chauhin a bo thei bawk. A nih loh leh, lu hliam avanga shock leh natna chu a reh hnuah chuan a symptoms chu engmah symptoms nei lovin a bo thei bawk.

Mahse, lu hliam na zawk chhinchhiahna kan hriat a ngai a ni . Thil chi hrang hrang zawng rawh:

• Lu na: Lu na na tak, awm reng a ni.
• A lump or swelling: Lu khawih laia hriat theih tur lump emaw swelling emaw.
• Bruises: Lu emaw hmai emaw a hliam.
• Thisen chhuak: Lu vun, hnar, beng atanga thisen chhuak.
• Stiff neck: Kawng sawn harsa.
• Beng emaw hnar atanga tui thianghlim lo chhuak: Hei hi cerebrospinal fluid (CSF) a ni thei a, chu chu thluak vel tui a ni. Hei hi chhinchhiahna hlauhawm tak a ni .
• Luak chhuak: A inher chhuak tih hriatna.
• Nausea leh vomiting: Pum natna leh luak chhuak.
• Rilru lam natna: Thil ngaihtuah harsa, hriatrengna lama harsatna, fog-a awm ang maia inhriatna.
• Mit emaw mit hmuhna emaw a inthlak danglam: mit a zau a, mit a fiah lo, mit pahnih a mit a lian lo (anisocoria).
• Thil hriatna hloh: Muhil, hriat lohna nei lo tlu.
• Seizures : Fit ang maia lo awm seizure .

Pawimawh: Lu hliam hnua heng chhinchhiahna pakhat emaw, a aia tam emaw i neih chuan damdawi lam thurawn zawng nghal rawh .

Lu hliam hnuah eng chen nge symptoms a lan theih ang?

Lu hliam tam takah chuan symptoms a lang nghal lo . A bik takin, a hmaa kan sawi tawh lu khar hliamteah chuan a tir lamah chuan symptoms hmuh tur a awm lo mai thei. A châng chuan a lan chhuah theih nân dârkâr tam tak, ni tam tak, a nih loh leh kar tam tak pawh a la ngai thei .

Chuvangin, lu hliam emaw, accident emaw i nei tih i hriat a, chutah chuan chhinchhiahna mak tak tak (a chunga kan sawi tawh zawng zawngte) i neih tan chuan, a lo lang nghal lo a nih pawhin, doctor i pan ngei tur a ni emaw, damdawi in i pan ngei tur a ni

Lu hliam avanga harsatna awm thei te chu engte nge ni?

Luruh chhunga thisen chhuak, subdural hematoma an tih chu lu hliam avanga harsatna hlauhawm tak a ni thei . Luruh chhungah thisen a awm khawm chuan thluak chungah pressure sang zawk a siam thei a, thluak a tichhe thei a ni.

Tin, lu hliam vanginIntracranial hemorrhage, thluak chhunga thisen chhuak (stroke ang chi) pawh a awm thei bawk.

Heng harsatnate hian hun rei lote chhung emaw, thluak a tichhe reng thei a ni. Entirnan, mi thenkhat chuan lu hliam tenau an neih hnuah hun rei lote chhung hriatrengna hloh an nei thei a, accident thlen dan pawh an hre lo mai thei. Lu hliam na zawk hian thluak hnathawh a tichhe vek thei. Hei hian hriatrengna lama harsatna awm reng te, rilru hriselna lama harsatna te, a nih loh leh taksa peng hrang hrangte tihchak theihna hloh te a thlen thei a ni .

A nasat ber lai chuan lu hliam hi thihna thlen thei a ni a, a bik takin thluak chhunga thil pawimawh tak tak, thinlung leh lung ang chi control tu te a chhiat chuan a thihpui thei a ni.

Lu hliam hi engte nge ni?

Eng chakna emaw, a tlakna emaw chuan lu a ti na thei a ni. Thil pakhatin i lu a rawn deng ang tih i ngaihtuah mai thei, a nih loh leh i lu hian thil pakhat a rawn deng thei bawk. Ni e, chu chu a chhan tam ber a ni. Mahse, chu mai ni lovin , i taksa chu a rawn inher nghal vat chuan i lu pawh a rawn inher leh nghal vat thei bawk .

Lu hliam thlentu tam ber chu:

• Tlu: Kum upa lam leh naupang tê tête chu tlu an tam hle. Tin, hmun sang tak atanga tlak pawh hi a pawi thei hle bawk.
• Car accident: Car, bike leh three-wheeler accident-ah hian lu hliam hi a tam hle.
• Tharum thawhna: thil chi hrang hrang, pawngsual, thal kah, silai hmehpuah.
• Infiamna lama accident: Lu hliam hi infiamna nasa tak, rugby, boxing, leh cricket-ah te a awm thei.

Tute nge risk sang zawk?

Tu pawhin lu hliam an nei thei a, mahse mi thenkhat chu an hlauhawmna a sang deuh hlek a ni:

• Kum 65 chunglam leh naupang kum 4 hnuai lam (tu pawh tlu hlauhawmna sang zawk nei).
• Taksa lama harsatna nei hna (e.g. construction industry-a) hnathawkte .
• High-impact sports khel thin player te.

Engtin nge doctor-te hian lu hliam hi an hriat theih?

Doctor chuan taksa enfiahna, thluak enfiahna, leh test dangte hmangin lu hliam a nei tih a hmuchhuak . Accident hnua damdawi in emergency room (ER)-a hruai i nih chuan chuta doctor-te chuan an hmuchhuak ang.

I doctor chuan i lu leh i kawng a enfiah ang. I natna lan chhuah dan leh engtikah nge an lo intan tih an zawt ang che. I hliam hnu eng chen nge i symptoms a lo lang a, i hliam chhan dik tak i hriat chuan chu pawh chu hrilh bawk ang che.

Doctor chuan lu hliam a hriat theih nan hetiang test hi a hmang thei ang:

• Concussion test: Hriatrengna leh ngaihtuahna ang chi thil a test thin.
• CT scan (`CT scan - computed tomography scan`): Hei hian luruh chhunga thisen chhuah leh ruh tliak ang chi thil chiang takin a hmu thei.
• MRI (magnetic resonance imaging hmanga thil tih a ni): 1.1.Hei hian thluak leh a chhehvel tissue te chipchiar taka thlalak a siam thei bawk.
• X-ray: Luruh a tliak em tih enfiah thin ang che.
• Thisen test: Thil awm dan thenkhat hriatchhuah.

Lu hliam enkawl dan tur engte nge ni?

I lu hliam chi leh a nasat dan a zirin i doctor chuan enkawlna a pe ang che. Lu hliam eng pawha thil pawimawh ber chu luruh chhunga thisen chhuah leh pressure build-up ven hi a ni . Hei hi i thluak i humhim dan leh harsatna i ven dan a ni.

Hliam tenau nei tam zawk chuan an natna lan chhuah dan chu in lamah chawlh hahdam leh taksa tihchakna nasa tak tih loh hmangin an enkawl thei a ni . Natna damdawi ei hi i tan a him a nih chuan i doctor chuan over-the-counter (OTC) damdawi paracetamol ang chi a rawn rawt thei ang. A tam zawkah chuan NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) ang chi damdawi hi lu hliam hnuah ei loh tur a ni a, a chhan chu luruh chhunga thisen chhuah theihna a tipung thei a ni.

Hliam bik, concussion emaw, luruh tliak emaw i neih chuan, i doctor chuan a chipchiar zawngin a hrilhfiah ang che a, chu hliam enkawl dan tur leh chu hliam dam leh hun tur pawh a hrilhfiah ang che.

Lu hliam na tak emaw, na tak emaw (a bik takin traumatic brain injuries (TBI) emaw open head injuries) nei te chuan a chhiatna siamthat nan leh luruh chhunga thisen chhuah leh pressure control nan operation an mamawh thei a ni. I doctor emaw surgeon emaw chuan eng surgery nge i mamawh tih leh dam leh theih nan eng chen nge a rei dawn tih a hrilh ang che.

Lu hliam hnuah physical therapy i mamawh mai thei. Physics therapist chuan i kawr ruh tichak turin exercise a pe ang che. Hei hi whiplash ang chi case-ah chuan a pawimawh hle.

Lu hliam hnuah eng nge i tih loh tur?

I doctor emaw surgeon emaw chuan lu hliam hnua i tih loh tur tih a hrilh ang che.

Hei hi concussion atanga dam leh hunah a pawimawh hle . Thiltih eng pawh hi ngaihtuahna tam tak mamawh a nih chuan concussion symptoms chu a lo lang leh thei a ni. I doctor chuan ni engemaw zat chu hnathawhna hmuna kal lo turin a ti thei che a, i fa chu sikul kal lo turin a ti mai thei bawk. I doctor chuan i natna lan chhuah dan a reh hma loh chuan hna emaw, sikul hna emaw i thawh leh theih hun tur chu a hrilh ang che.

Infiamna lama tlan let leh tum suh la, heroic mai mai ang maia hnathawh tum suh. I taksain damna a mamawh hun pek hi chak lohna chhinchhiahna a ni lo.

Lu hliam i neih chuan eng nge beisei tur?

Mi tin taksa hian lu hliam hi a chhân lêt dan a inang lo.

Mi thenkhat chuan hliam an dam leh theih nan kar tlemte an hmang thei a, mahse lu hliam thenkhat chu a pianphung anga dam nan thla tam tak (a nih loh leh a aia rei pawh) a ngai thei.

Nitin hna pangngai i thawh leh hmain i doctor nen inbiakna neihpui hmasa phawt ang che. I doctor-in a him a tih hma loh chuan exercise, training, sport-ah kir leh tawh suh.

Lu hliam hi engtin nge kan ven theih ang?

Lu hliam hi beisei loh hunah a thleng fo thin. An tan ruahmanna kan siam loh avangin engtik lai pawhin an dang thei lo. Mahse, heng himna atana thurawn tlangpui te hi zawm hian i hlauhawmna chu i tihtlem thei ang:

• Thiltih leh infiamna zawng zawngah himna hmanraw \ha tak tak bun la, a bik takin helmet emaw, lu khuhna tur venna emaw bun rawh. Bicycle khalh lai leh sak hna thawh laiin helmet hman ngei ngei tur a ni.
• I lirthei khalh dawnin seat belt vuah fo ang che.
• I in emaw, hnathawhna hmun emaw chu thil tlu thei thilin tibuai suh.
• Thil sang tak i pan dawnin hmanraw dik tak emaw, ladder emaw hmang fo ang che. Chair-ah emaw, dawhkanah emaw lawn suh.

Engtin nge ka lu hliam hi a nasat em tih ka hriat theih ang?

Dik tak chuan lu hliam eng pawh hi a na thei hle a, a chhan chu chu hliam chuan i thluak emaw, a chhehvela thisen kalna kawng emaw a tichhe em tih i chiang thei ngai lo. Lu hliam i neih a, symptoms i neih chuan (a tan nghal lo a nih pawhin) doctor pan emaw damdawi inah emaw i kal ngei ngei tur a ni. Doctor chauhvin lu hliam chu uluk takin a hmuchhuak thei a, i thluak a nghawng em tih a nemnghet thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• Eng ang lu hliam nge ka neih?
• Eng ang test nge ka tih ang?
• Surgery ka mamawh dawn em?
• Ka lu a dam theih nan eng chen nge a la ngai ang?
• Damdawi him tak tak ka ei theih turte chu engte nge ni?

Kum tam tak hnuah lu hliam vangin i thi thei ang em?

Ni e, a thleng thei. Lu hliam hian thihna a thlen thei emaw, mi pakhat thihna thlentu emaw a ni thei a, a thlen hnu kum tam takah pawh. Hei hi lu hliam nawn fo tawh (a bik takin `Concussions` emaw `Traumatic Brain Injuries` chi dang) te chungah a thleng tlangpui.

Lu hliam nawn fo hian `Chronic Traumatic Encephalopathy (CTE) tih natna a thlen theihna a tipung a ni.` (CTE) hian i thluak hmun hrang hrang hnathawh dan leh inbiakpawhna a nghawng a ni.

Lu hliam hi bump tenau atanga nunna atana hlauhawm emergency thlengin a awm thei. Nitin hliam tenau te hian enkawlna bik a mamawh lo mai thei a, mahse , natna, hliam, emaw, natna dang emaw a thlen chuan ngaihthah suh.

A châng chuan, harsatna lian tham tak tak chu a te aṭanga inṭan theih a ni a, hun kal zelah a na zual thei bawk. I hlauhthawn a ngai lo va, mahse i lu leh thluak hriselna nen pawh chance i la duh lo bawk. Simptom emaw, danglamna emaw i hmuh chuan damdawi in pan a tha ber.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Lu hliam hi kan ngaih pawimawh zawng zawng a ni thei. "Aw, a bump tlem hle mai," tih hi ngaihtuah a awlsam hle. Mahse, vawiin a kan sawi tawh ang khan lu hliam thenkhat chu a na thei hle a, symptom thenkhat pawh ni tam tak a la ngai thei bawk.

Chuvangin, heng thilte hi hre reng ang che:

• Khawi emaw laiah i lu i vuak a, a bik takin nasa takin i vuak chuan ngaihven rawh.
• Lu na, luak chhuak, luak chhuak, mitdel, emaw hriatna hloh ang chi symptoms i neih chuan doctor pan nghal vat rawh.
• I beng emaw hnar emaw atanga tui chiang tak lo chhuak i neih chuan emergency a ni! Damdawi inah kal nghal rawh.
• Puitlingte chuan naupang tê tête an lu an vuak chuan an fimkhur hle tur a ni.
• Lu hliam ven nan hian himna dan (helmet, seat belt hmangin) zawm tum ang che.

I lu hi i thil neih hlu ber a ni. I enkawl hi i mawhphurhna a ni. Ringhlel i neih chuan damdawi lam thurawn dil hreh ngai suh!

` Lu hliam, Lu hliam, Lu hliam, Concussion, Luruh tliak, Traumatic Brain Injury, Brain Injury