Thumal kan sawi chhuah dan dik tak, ei tur kan ei dan, a nih loh leh kan lei kan chhuah chhuah mai mai a, kan hmui kan hawn mai mai hian engtin nge kan thunun tak tak tih pawh i ngaihtuah ngai em? Heng zawng zawng hi kan lei hi a pawimawh ber a ni. Mahse lei hian a mah chauhin heng thilte hi a ti thei lo. Thluak atanga signal dik tak a dawn a ngai a ni. Vawiin hian chutiang signal pawimawh tak takte chu leiah rawn thlentu nerve bik kan sawi dawn a ni. Chu chu hypoglossal nerve, a nih loh leh `(Hypoglossal Nerve)` a ni.
Hypoglossal Nerve hi eng nge ni?
A awlsam zawngin, hei hi kan thluak atanga lo chhuak direct pair 12 zinga pakhat a ni. Damdawi lamah chuan heng nerve 12 te hi cranial nerves kan ti a. Kan taksa office bulpui ber thluak atanga special messenger 12 lo chhuak ang mai a ni. Chung zinga sawm leh pahnihna (12th cranial nerve) chu hypoglossal nerve a ni.
He hming awmzia chu Greek tawngin "hypo" tih awmzia chu "a hnuaiah" tihna a ni. "glossal" tih awmzia chu "lei" tihna a ni. Chu chu, a hming hian "leh hnuaia" awm nerve a kawk tihna a ni.
A pawimawh ber chu hei hi motor nerve a ni . Chumi awmzia chu sensation a keng lo va, movement a control zawk tihna a ni. He nerve hian thluak atanga lei ruhte hnena thupek thawn chhuaktu wire angin hna a thawk a, chu chuan "hetiang hian kal rawh," "hetiang hian contract rawh," leh "hma lam pan rawh."
He nerve hnathawh ber berte chu engte nge ni?
Ngaihtuah teh, chaw tui tak i ei lai a ni. Lei hian i ka chhunga chaw chu i sawn kual tir a, i che a, hmui nen a pawlh tha a, chutah chuan i kawr hnuaiah a thawn thla a, chu chu i ei tir tihna a ni. Tin, "ல, ர, ந, ன" tih ang chi letter kan lam hian engzat nge lei hi a che? Heng chetna zawng zawng, heng thiltih fiah lo zawng zawng hi he hypoglossal nerve atanga signal lo chhuak hian a thunun vek a ni.
He nerve hian min puih berte chu:
- Thusawi: Thusawi chiang takin sawi la, lei ruhte chu chiang takin tiche rawh.
- Chaw ei: I ka chhungah chaw ball siam la, i rilru lam hawiin nawr rawh.
- I ka chhungah thil sawn kual rawh: I ha i ei laiin i ha inkarah chaw i sawn kual a, i hmui i silfai laiin i hmuiah tui i sawn kual ang chi thil atan.
- I hmui hmangin aw hrang hrang siam rawh: He nerve hian mi thenkhat chu an lei hmanga ‘click’ ri an siam ang chi thil siam turin a pui bawk.
A awlsam zawngin, i lei hmanga i chetna eng pawh hi hypoglossal nerve hi a ni ber a ni.
He nerve hi kan taksa chhunga a kal dan (Anatomy) .
He nerve hi kan thluak bul atanga tan a ni a, chu chu spinal cord bul tanna bulah a ni. He hmun hi thluak (brainstem) kan ti a. Chuta tang chuan he nerve hian lei thlengin a kal thui hle.
Hei hi thluak atanga lei thlenga highway tlemte ang mai a ni. A kalna kawngah chuan:
1. A hmasa berin kan ruhro (spine) cervical part-ah kan chhuk thla a.
2. Tichuan, kawr chhunga thisen kalna kawng lian pawimawh tak tak pahnih (carotid artery leh jugular vein) chu uluk takin an paltlang thin.
3. Chuta tang chuan kawr hnunglam a\angin a lo chhuak a, ka chhung hnuai lam, chu chu lei awmna hmun a thleng a ni.
4. A tawpah chuan thinghnah te te te chu an branch off a, lei chhunga ruh hrang hrangte nen an inzawm a, chung ruh hrang hrangte chuan thluak atanga thuchah an dawng vek a ni.
He kawngpui dungah hian khawi hmunah pawh accident, pressure, natna a awm chuan he nerve hnathawh hi a tibuai thei a ni.
He nerve hi eng natna nge tichhe thei?
Vanduaithlak takin damdawi lam dinhmun hrang hrang leh accident-in he nerve pawimawh tak hi a tichhe thei a ni. Chutiang a nih chuan lei hnathawh chu a chhe tan ta a ni. A chhan berte han thlir ila.
| Condition/A chhan | Nerve a nghawng dan |
|---|---|
| Thai | Thluak hmun khata thisen kal a reh chuan chu hmun thununtu nerve-te chuan hna an thawk tawh lo. He nerve control tu thluak peng hi a chhiat chuan lei hian hna a thawk tawh lo thei a ni. |
| Lu leh Kawng Cancer a ni | Kawng leh kawr ang chi hmuna cancer natna lo awm hian he nerve hi a compress thei a ni. He nerve hi cancer enkawlna atana surgery emaw radiation therapy emaw an tih lai pawhin a chhe thei bawk. |
| A rilru a buai em em a, a rilru a hah em em bawk a. | Hei hi motor neuron natna a ni. A awlsam zawngin sawi ila, thluak atanga taksa peng hrang hranga signal phurtu nerve te chu zawi zawiin a tichhe thin natna a ni. He natna hi a nasat chuan hypoglossal nerve pawh a thawk tha lo thei bawk. |
| Mut theih lohna (sleep apnea) a ni | He nerve hian kawr hnunglam ruh (muscles) te pawh a thunun bawk. Mut laiin heng ruhte hi an relax lutuk chuan lei chu a tla leh thei a, thawkna kawng a tikhawlo thei a ni. Hei hi bengchheng laia thawk a chawlhsan nghal chhan chu a ni. |
| Thluak natna (Encephalitis) . | Infection avanga thluak a lo hring a nih chuan a hring hian thluak bul hnaia he nerve hi a press thei a ni. |
| Accident na tak tak (Trauma) 1.1. | He nerve hi car accident, tlu emaw, accident na tak tak dang emaw avanga kawng hliam vangin a chhe thei emaw, a tikehsawm thei bawk. |
Thil chhiatna chhinchhiahnate chu engte nge ni?
Hypoglossal nerve a chhiat chuan a nghawng chu leiah direct-in a lang thin. A tam zawkah chuan he nerve hi a sir khatah chauh (dinglam emaw veilam emaw) a chhe thin. Hei hian lei sir lamah chak lohna a thlen thin .
A pawimawh ber leh hriat awlsam ber chu:
I lei i chhuah dik chuan a chhia lam hawiin a hruai chhuak ang . Entirnan, dinglam nerve a chhiat chuan i lei i chhuah chuan dinglam lam hawiin a hrual ang.
A chhan chu lei tha lam (khawi lam) a thau te chauh an nawr a, chu chuan lei chu a chak lo lam (ding lam) ah a nawr tir a ni.
A lan chhuah dan dangte chu:
- Thusawi harsa (Dysarthria): Thumal chu a slurred a, a ri dik thei lo.
- Chaw ei harsa (Dysphagia): Chaw ei emaw in tur emaw ei laiin i rilru a buai ang maia inhriatna.
- Atrophy of the tongue muscles: Hun a kal zel a, lei chhia lam ruh te chu nerve signal awm loh vangin a tlem zauh zauh a, a thim zual zel bawk.
- Fasciculations: Lei chunglam ruh te chu a inher a, rulhut in a tihbuai ang maiin a inher chhuak thin. Hei hi ALS ang natnaah chuan a tam hle.
Vaukhânna: Heng chhinchhiahnate hi kawng emaw lu natna nasa tak nen a inzawm a nih chuan, kawr chhunga thisen kalna kawng lian tak (``internal carotid artery``) tihchhiatna chhinchhiahna a ni thei. Chutiang hunah chuan damdawi in Emergency Department (ETU) pan nghal a pawimawh hle .
Engtin nge doctor hian hei hi a check ang?
Hetiang symptom nei doctor i pan chuan taksa enfiahna awlsam tak a ti hmasa ang.
- I lei chu hmalam pan turin an ti che a: Hetah hian lei chu a sir khatah an hrual em tih an enfiah thin.
- I lei chu i hmuiah press turin an ti che a: I lei chu i hmui sir khatah hmet turin an ti che a, doctor chuan pawn lamah a kut a dah a, a pressure zat chu a enfiah thin. A lehlamah chakna tehkhin a ni.
- Lei hi enfiah a ni: Lei ruhte chu uluk takin atrophy emaw fasciculations emaw a awm leh awm loh enfiah a ni.
Hetianga endik hmasak a nih hnuah hian a natna lan chhuah chhan dik tak hriat theih nan test dang neih belh tura tih a ni thei bawk.
- MRI scan (Magnetic Resonance Imaging): Hei hian thluak chhiatna, tumor emaw, chhiatna dang emaw enfiah nan a pui a ni.
- Spinal Tap / Lumbar Puncture: He test hi thluak emaw spinal cord-ah natna hrik emaw cancer cell emaw rinhlelhna a awm chuan tih theih a ni.
Enkawl dan leh engtin nge he nerve hi kan humhim ang?
Hypoglossal nerve chhiatna enkawlna chu a chhan bulpuiah a innghat a ni . Chumi awmzia chu nerve ngei enkawl ai chuan a hnuaia dinhmun enkawl hi a pawimawh zawk tihna a ni.
Entir nan:
- A chhan chu paralysis a nih chuan paralysis kaihhnawih enkawlna leh rehabilitation pek a ni.
- A chhan chu cancer a nih chuan enkawlna kawng hrang hrangah surgery, radiation therapy, emaw chemotherapy emaw a ni.
- A chhan chu infection a nih chuan antibiotics emaw damdawi dang emaw a remchan dan anga pek a ni ang.
Engtin nge he nerve hlu tak hi kan humhim ang?
A chhan \henkhat, accident ang chi hi kan tan chuan ven a harsa hle. Amaherawhchu, natna tam tak kan tihziaawm thei a ni. Hei hian indirect takin heng nerve te hi a humhim a ni.
- Nunphung hrisel: Ei leh in inthlau tak ei leh exercise neih fo hian stroke leh thisen sang neih theihna a ti tlem thei a ni.
- I taksa rihna hrisel tak vawn reng: I taksa rihna control hian sleep apnea vei theihna a ti tlem thei a ni.
- Meizial leh zu in loh tur: Heng tih dan pahnih hi lu leh kawng cancer thlentu lian ber a ni.
- Chronic disease management: ALS ang natna i neih chuan doctor thupek dik tak zawmin i enkawl thei ang.
Take-Home Thuchah a ni
- Hypoglossal nerve hi thluak atanga lo chhuak nerve bik a ni a, chu chu kan thusawi, ei leh in leh lei chetna zawng zawng atana pawimawh tak a ni.
- He nerve hi a chhiat chuan lei sir khat chu a chak lo thei a ni. A lan chhuah dan ber chu lei chu hmalam i dah chuan a chhia lam hawiin a hruai ang.
- He nerve hi natna khirh tak tak, stroke, cancer, accident na tak tak, leh ALS te hian a tichhe thei a ni.
- Thusawi emaw, ei emaw harsatna i neih chuan, i leiah a rilru a buai emaw, a chak lo emaw a nih chuan, emaw, i lei chu a sir khatah a inhnukdawk ang maia i hriat chuan, tihkhawtlai lovin doctor pan rawh .
- Nunphung hrisel tak zawm hian he nerve tichhe thei natna tam tak lakah i inveng thei a ni.
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