Natna pangngai pawh tuar theih loh i hmu em? Hyperalgesia chungchang hi han sawi ila!

Kitchen-a hnathawh laiin i kutah kang tlem i nei ang tih han ngaihtuah teh. A nih loh leh cricket khelh laiin scratch te tak te i nei bawk. Hetiang hunah hian natna tlem tal hriat hi thil pangngai a ni. Mahse, chu hrehawmna tê tê chu tuar theih loh, a nasat lutuk a, au chhuah duhna i neih chuan engtin nge ni ang? Chu chu tunlaia kan sawi tum dinhmun, `Hyperalgesia` hi a ni. Hei hi natna aiin symptom a ni zawk. Hemi chungchang hi chipchiar deuhin han sawi ila .

Hyperalgesia chu eng nge ni mai?

Natna hi a takah chuan kan taksa peng hrisel, pangngai tak a ni. Warning bell ang mai a ni. Natna hian thil dik lo a awm tih min hrilh a, kan taksaah thil dik lo a awm tih min hrilh a. Natna kan hriat hian automatic-in kan chhang let a, natna chu tihtawp kan tum a ni. Hrehawmna kan neih loh chuan accident na tak engzat nge kan tawrh theih ang tih han ngaihtuah teh.

Hyperalgesia hi natna chu a tlangpui aia nasa zawka hriat theihna a ni a, a nih tur lai pawhin a natna a ni. A awlsam zawngin, natna chhanna a tipung a ni. Hei hi chhan hrang hrang vang a ni thei a, a tam zawkah chuan enkawl dan tur dik tak hmanga thunun theih a ni.

Hyperalgesia leh Allodynia hi eng nge an danglamna?

Heng thumal pahnih hi eng emaw chen inang mah se, heng dinhmun pahnih inkarah hian danglamna chiang tak a awm a ni. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.

A danglamna chu i hrethiam em? Hyperalgesia-ah chuan natna hi thil na tur atanga lo chhuak a ni a, mahse a na hle. Allodynia-ah chuan natna hi thil na lo tur atanga lo chhuak a ni.

He thil Hyperalgesia an tih hi engtin nge kan taksaah a lo awm?

Hyperalgesia hian kan taksain natna signal a siam chhuah leh a process dan a tidanglam thin. Hei hi kawng pawimawh engemaw zatah a thleng thei a ni:

• Natna hriat theihna tur threshold chu tihhniam a ni: Thil pakhat, a tlangpuiin nuam lo anga ngaih thil chu a natna a thlenna threshold chu he dinhmunah hian nasa takin a tlahniam a ni. Chumi awmzia chu thil tenawm ber pawhin natna a thlen thei tihna a ni.
• A chhanna chu a chak zual sauh sauh a: Kan taksa natna dawngtu te chu a tlangpui aia tam leh thawkrim zawk an ni. Hei hian natna chu a ti na zual hle.
• Natna signal a tawp lo: Natna thlentu tihbo a nih hnuah pawh natna receptor te chu hypersensitive an ni a, thluak lamah natna signal an thawn chhunzawm zel a ni.

Hei hi chi hnih ah then theih a ni:

1. Primary hyperalgesia: Hei hi hliamna hmun chauha natna hriat a nih chuan a ni. Entirnan, ni zungin a kang vun hian hliamna hmunah a na zawk.

2. Secondary hyperalgesia: Hei hi hliam awmna hmun nena inzawm lo, hliam awmna hmuna natna hriat a ni. Hei hi kan nervous system-in natna signal a process dan a inthlak vang a ni.

Hyperalgesia thlentu tlangpui chu engte nge ni?

Tunah chuan he dinhmun hi kan taksa natna receptor te hypersensitive an nih vang a ni tih kan hre ta. Hei hi a chhan awm thei tam tak a awm.

• Kang (ni kang te pawh tel) .
• Insect, reptile emaw rannung dang emaw atanga chil emaw, seh emaw
• Cancer natna vei te
• Damdawi thenkhat hun rei tak hman avanga harsatna awm thei (hei hi a hnuaiah hian kan sawi dawn a ni)
• Zunthlum vanga nerve chhiatna (Diabetic Neuropathy) .
• Immune system natna (e.g. Lupus, Multiple Sclerosis) te hi a tha lo hle.
• Nervous system tichhe thei natna hrik (e.g. Shingles, Herpes virus) .
• Migraine ang chi dinhmun te
• Natna khirh tak tak, `Complex regional pain syndrome` ang chi te
• Pawn lam hliam chi hrang hrang (ruh tliak, taksa ruh tliak, nerve hliam ang chi) .

Natna tihdamna damdawi (Opioid-induced hyperalgesia - OIH) avanga natna tihpun .

Hei hi ngaihven tur pawimawh tak leh pawimawh tak a ni. Opioid painkillers (a chak deuh) rei tak hman hian a chang chuan side effect `Opioid-induced hyperalgesia (OIH)` tih a awm thei. Chumi awmzia chu natna tihziaawmna tura natna tihdamna damdawi ei avang hian taksain natna a hriatna a tipung a, chu chuan natna chu a tizual zawk tihna a ni.

Hei vang hian doctor-te chuan hun rei tak chhunga opioid painkiller pek hi vawi hnih an ngaihtuah thin. Miin OIH a vei chuan doctor chuan a tlangpuiin damdawi dose chu a tihhniam zauh zauh a, chutah chuan a titawp vek ang. Hei hi vawi khatah tih theih a ni lo va, side effect hlauhawm tak a thlen theih avangin. Chuvangin hei hi doctor thurawn leh enkawlna hnuaiah chauh tih tur a ni.

Hyperalgesia enkawl dan tur chu engte nge ni?

Enkawlna chu hyperalgesia awm chhan leh chi hrang hrangah a innghat a ni. Enkawlna pakhat emaw, enkawlna hrang hrang emaw hman theih a ni. I dinhmun atana damdawi tha ber chu i doctor chauhvin a hre ang.

Damdawi hman tlanglawn thenkhat chu hetiang hi a ni:

• Damdawi: Hemi atan hian damdawi chi hrang hrang hman a ni. Entirnan, `Acetaminophen` (Paracetamol), `NSAIDs` (Nonsteroidal anti-inflammatory drugs), `Antidepressants`, epilepsy damdawi thenkhat, leh local anesthetics `Lidocaine` te.
• Nerve ablations: Hei hian natna signal dik lo thawn chhuaktu nerve te chu hun eng emaw chen tihtawp a huam a ni. Hei hi radiofrequency ablation hmangin emaw, Botox ang chi chemical inject hmangin emaw tih theih a ni.
• Nerve blocks: Natna signal thluaka a thlen loh nan nerve chhungah anesthetic drug inject.
• TENS (Transcutaneous electrical nerve stimulation): Vun chunglam atanga electric current tlemte tak tak pe chhuakin natna signal control dan a ni.

Doctor hmuh hun tha ber berte chu engte nge ni?

Thil tenawm tak, ni chhuahna pangngai ang chi atanga natna lo chhuak chu ni engemaw zat hnuah a reh tlangpui. Mahse, a natna chu a nasat em avangin a tuar theih loh a, nitin hna thawh theih lohna a siam a nih chuan , emaw, a natna chu kar tam tak chhung a awm reng a nih chuan , doctor i hmuh a ngai tih chhinchhiahna a ni ngei ang.

A bik takin, kangmei nasa tak (second degree emaw a aia sang), emaw, lu, hmai emaw, mipat hmeichhiatna lama kang emaw a nih chuan doctor thurawn lak a pawimawh hle. I natna a nasat lutuk a, Emergency Department (ETU) pan a ngai a nih chuan i doctor pawhin a fuih ang che.

Hetiang natna vei te hian natna hi an fake lo va, an natna chu an act out lo. An taksa natna processing-ah harsatna a awm avangin natna chu a nasa em em a ni. Chuvangin nangmah emaw i hriat mi emaw hian hetiang natna danglam tak, na tak hi i tawk a nih chuan a tha ber leh him ber chu damdawi lam thurawn lak hi a ni.