A rilru a hah lutuk chuan a rilru a buai em em a.

Lu na tuar theih loh leh i mit hmuh dan inthlak danglam pawh i nei em? A chang chuan i beng a ri i hre emaw, i mitah thil pahnih i hmu emaw ang maiin i inhria em? Mi tam takin hei hi migraine pangngaiah ngai mah se, a chang chuan hei hi a chhan chu kan lu chhunga pressure tipungtu dinhmun bik a ni thei. Hei hi hlauhawm deuh angin lang mah se, uluk taka i hriatthiam a, a hun taka i enkawl chuan a thunun tha thei hle. Vawiin hian mi tam takin an hriat loh he dinhmun hi kan sawi dawn a, mahse hriat a pawimawh hle.

A awlsam zawngin, Idiopathic Intracranial Hypertension (IIH) hi eng nge ni?

He hming hi a buaithlak deuhin a ri a ni lawm ni? Thumal khata ṭhen darh ila, hrethiam ila.

• Idiopathic : Hei hi "a chhan hriat loh" tihna a ni. Chumi awmzia chu Doctor ten he natna thlentu dik tak hi zawn chhuah tumin an la bei reng tihna a ni.
• Intracranial: Hei hi "luruh chhungah" tihna a ni.
• Hypertension: Hei hian "thisen sang" tihna a ni.

A awlsam zawngin sawi ila, Idiopathic Intracranial Hypertension (IIH) hi a chhan hriat lohvin lu chhunga pressure tihpun a ni.

Ngaihtuah teh, kan thluak hi luruh chhunga thil awm mai a ni lo. A chhehvelah hian a humhimna tur tui bik a awm a. Hei hi Cerebrospinal Fluid (CSF) kan ti a. He CSF fluid hi kan thluak leh ruhro (spinal cord) te inhnaih leh inhnaih lo tura vengtu a ni. He CSF fluid hi kan taksa chhungah a lo chhuak reng a, taksa pawhin a la lut leh bawk. Tank tuiin a khat a, a sir lehlamah tui a luang chhuak ang mai hian.

IIH-ah chuan eng emaw chhan vangin he CSF fluid hi a siam tam lutuk emaw, taksaah a insiam leh tha tawk lo emaw a ni. Hei hian he tui hi luruh chhungah a awm khawm a, zawi zawiin pressure a ti sang chho ta a ni. He pressure sang hian kan thluak chauh ni lovin, kan mit hmuhna tura puitu optic nerve pawh a nghawng thei a ni.

IIH vei mi pakhatin eng symptoms nge a neih?

Hetiang natna vei hian symptom hrang hrang a nei thei a. Mahse hengte hi a lan chhuah dan ber leh langsar ber a ni. Hei hi chiang taka hrethiam turin table- ah han en ila.

Heng symptoms te hi natna dang ah pawh hmuh theih a nih avangin hetiang thil hi i tawn chuan doctor pan ngei ngei tur leh thurawn lak hi a tha ber.

Engvangin nge hetiang dinhmun hi a lo awm? Risk factors te chu engte nge ni?

Kan sawi tawh ang khan hei hi a chhan dik tak hriat a ni lo a, mahse doctor-te chuan he pressure hi CSF fluid phurna kawngpui a block vang emaw, thluaka vein lian tak tak (venous sinus) te a tawi vang emaw a ni thei niin an ngai.

Hetiang dinhmun hi tu chungah pawh lo awm thei mah se, mi thenkhat chuan an vei duh zawk. Tute nge an nih i han thlir teh ang.

• Hmeichhia: He natna hi mipa aiin hmeichhiaah a tam zawk a, a bik takin nau neih theih kum (kum 20-45 inkar) hmeichhiaah a tam zawk.
• Thau lutuk: Mite chu an san zawng avanga thau lutuk, chu chu Body Mass Index (BMI) 30 aia tam nei tihna a ni a, IIH vei theihna a sang zawk hle. Zirchiangtute chuan pum leh rilrua thau tam lutuk hian thluaka thisen a luang thla a harsat phah a, thluak chhungah tui a pungkhawm thei niin an sawi.
• Heredity: Zirchianna thenkhatah chuan chhungkaw zinga mi tu emaw chuan a neih chuan midang pawhin an neih theihna chance tlemte a awm tih an hmuchhuak. Mahse, hemi chungchangah hian zirchianna a la kal zel a ni.

Hei hi thil pawi tak a ni em? Complication a awm thei em?

Hei hi hlauhawm tak angin a lang thei a, mahse IIH hi a takah chuan nunna atana hlauhawm natna a ni lo. Chu chu a that lo tihna a ni.

Mahse, he thila harsatna lian ber leh pawi ber chu mit hmuh lohna awm reng hi a ni. Hei hi a chhan chu lu chhunga pressure sang hian kan mit nerve direct-in a nghawng vang a ni. He nerve hi rei tak a chhiat chuan siamthat theih a ni lo. Chuvangin, mit hmuhna hloh reng reng a awm thei a ni.

Engtin nge doctor hian he natna hi a hriat chian tak tak?

Doctor i hmuh chuan i natna lan chhuah dan a zawt hmasa ang che a, chutah chuan natna dang, chutiang bawka natna lan chhuahna nei thei chu a hriat loh nan test hrang hrang a ti ang.

• Mit enfiah: Mit lam doctor chuan i mit chu uluk takin a enfiah ang a, a bik takin mit nerve a hring leh hring loh a enfiah ang. I field of vision-a blind spot awm leh awm loh enfiah turin visual field test an ti bawk ang.
• Brain scan: CT scan emaw MRI scan emaw tih theih a ni a, chu chu a chhan lian dang, thluaka tumor ang chi a awm lo tih finfiah theih a ni.
• Spinal tap / Lumbar puncture tih hi a awm lo.Mi thenkhat chuan he hming an hriat hian an hlauthawng thin. Mahse hei hi diagnosis atana test pawimawh tak a ni. I tih tur chu i hnungzang hnuai lam ah needle te tak te dah la, chu CSF fluid kan sawi tawh kha tlem tal la chhuak la, a pressure chu teh rawh. IIH vei tan chuan he pressure hi a tlangpui aiin a sang zawk hle.

Heng test zawng zawng hi tih vek a nih a, chhan dang hmuh a nih loh a, CSF pressure pawh a sang chuan i doctor chuan IIH i nei tih a nemnghet ang.

Hei hi eng enkawlna nge ni?

IIH enkawlna hian tum lian pahnih a nei a. Pakhat chu thluak chhunga pressure tihhniam hi a ni. A dang chu mit hmuh lohna tur venna a ni. I natna nasat dan azirin i doctor chuan enkawlna pakhat emaw, a aia tam emaw a rawt thei ang.

Damdawi chi hrang hrang

Vawi tam tak chu damdawi hmanga enkawl tan a ni.

• CSF siam chhuah ti tlemtu damdawi: Taksain CSF tui a siam chhuah tlem nan damdawi acetazolamide emaw topiramate emaw pek thin a ni.
• Diuretics: Hengte hian zun hmanga taksa atanga tui tam lutuk paih chhuakin thisen sang a tihziaawm thei a ni.
• Painkillers: Lu natna control nan general painkiller pek thin a ni.

Naupai i nih chuan, naupai tum i nih chuan, naupai venna damdawi i ei a nih chuan i doctor hnenah i hrilh ngei tur a ni, damdawi thenkhat chu chutiang dinhmun atan chuan a tha lo thei a ni.

Inzai

Damdawi hmanga thunun theih loh, emaw, mit hmuhna tichhe thei khawpa natna khirh tak takah chuan zai a ngai mai thei.

• Shunt placement: Hei hian thluaka CSF fluid tam lutuk awmkhawm chu tube te tak te hmangin hmun dang, abdominal cavity-ah a luang lut phalsak a ni.
• Stent dah dan: Thluaka vein (venous sinus) a zim chuan a zau zawk nan mesh ang chi tube (stent) te tak te dah a ni. Hei hian thisen kal dan a ti tha a, pressure a tihhniam thei bawk.
• Optic nerve sheath fenestration: Hei hi mit surgery a ni a, optic nerve vel sheath-ah hian khur te te engemaw zat siam a ni a, chutah chuan CSF lo awm tawh chu a chhuak thei a ni.

Weight Management a ni

Hei hi natna lo lang leh tur enkawlna leh venna kawngah pawh a pawimawh hle. I BMI 30 aia tam a nih chuan i doctor chuan i taksa rihna tihtlem turin a fuih mai thei che. Research atanga a lan dan chuan i taksa rih zawng 5% atanga 10% chauh tihtlem hian IIH symptoms nasa takin a ti tha thei a ni. Hemi kawngah hian nutritionist nena thawhhona tha tak neih chu a \angkai thei hle.

Eng nge thleng leh ang? Engtin nge he thil hi ka nunpui theih ang?

A hmaa hriatchhuah a nih a, uluk taka enkawl a nih chuan IIH vei tam zawk chu nun pangngaiin an hmang thei a ni. Damdawi awm lo mah se, enkawl theih a ni.

Hei hian i dam chhung zawng i hmachhawn a ngai mai thei tihna a ni. A châng chuan a natna lan chhuah dan chu a bo thei a, a lo lang leh thei bawk. Chuvangin i doctor enkawl dan tur zawm a pawimawh hle a, a bik takin weight control hi a pawimawh hle.

IIH i vei tih hmuhchhuah a nih hnuah, i doctor leh mit lam doctor-te hnena i follow-up visit neih fo thin kha lo thlir ve suh. I mit venhim nan a pawimawh hle.