I naupang tê chu a rawn inher ṭan nghal em? Hei hi Infantile Spasms kan tih hi a ni em? I zawng chhuak ang u!

I naupang tê chu a rawn inher leh a nghet lo tih i hmu ngai em? Hei hi ni khatah vawi tam tak a thleng mai thei. Hei hi thil pangngai a ni em tih emaw, naute nghawng thei dinhmun bik a ni em tih emaw i ngaihtuah mai thei. Chu chu vawiinah kan sawi dawn a ni. Hetiang dinhmun hi (Infantile Spasms) an ti a. Eng nge a nih, engvanga lo awm nge a nih, a natna lan chhuah dan te, engtin nge a hriat theih ang tih te, a enkawl dan tur te i lo en ang u.

Hei hi eng nge ni (Infantile Spasms)?

A awlsam zawngin, (Infantile Spasms) hi epilepsy chi khat a ni a , naute kum khat hnuai lam, chu chu thla 12 hnuai lam a ni . Epilepsy hi i naute thluak electrical activity-a harsatna pangngai lo avanga lo awm (neurological disorders) a ni. Heng (Infantile Spasms) te hi a lo awm hian naute taksa, a bik takin a pum, lu, kawr, kut leh ke te chu a nghet nghal a, a chet ang maiin a lang.

Heng inzawmnate hi hun rei lote chhung, second khat emaw, second hnih emaw vel a ni . Mahse series-ah an awm thei a, chu chu contraction pakhat a lo thleng a, chutah second 5 emaw 10 emaw hnuah a dang emaw, cluster-ah emaw a awm thei tihna a ni. Naute pakhatin a zawnin vawi tam tak a kick lai han mitthla teh. A tam zawkah chuan heng contraction te hi naute mut atanga an harh hnuah a lo awm thin .

Thil lungchhiatthlak tak chu, he natna vei naute tam tak hian an thanlenna kawngah harsatna an nei tawh mai thei a, a hnuah pawh an nei thei bawk. Chu chu naute hian an kum nena inmil thil a ti tlai tihna a ni.

(Infantile Spasms) leh (West Syndrome) hi eng nge an danglamna?

Tunah chuan he West Syndrome'' hi eng nge a nih i ngaihtuah mai thei. A chang chuan Doctor te pawhin hetiang hian an ko thin. West Syndrome'' hi symptom engemaw zat awmna a ni. Chu chu:

• He Infantile Spasms'' kan sawi hi kan nei a.
• Thluak electrical waveform-ah hian thil danglam tak (Hypsarrhythmia) tih a awm a. (Hei hi (EEG) test hmanga hmuhchhuah a ni a, a hnuah kan sawi leh ang).
• Hmasawnna tlai emaw, a hmaa theihna awmsa hloh (developmental regression) a awm.

Amaherawhchu, nausen (Infantile Spasms) vei zawng zawng hian (West Syndrome) an nei vek lo.

Spasm leh seizure hi eng nge an danglamna?

Ni e, hei hi zawhna pawimawh tak a ni. (Infantile Spasms) hi a takah chuan seizure chi khat a ni. Seizure chu thluak cell inkara electrical activity rang tak, thunun theih loh a ni. Hei hian hun engemaw chen chhung chu taksa ruh a tikhauh thei a, chetna, nungchang a tidanglam thei a, hriatna lama danglamna danglam tak a thlen thei bawk. Seizure zawng zawng hi a inang vek lo.

Seizure kan ngaihtuah hian kan ngaihtuah fo thin tonic-clonic emaw grand mal seizures te nen khaikhin chuan heng infantile spasm te hi a tawi zawk hle. Infantile spasm hi second khat emaw second hnih emaw vel a ni a, mahse cluster-ah a lo awm thin. Seizure chi dang hi second 30 atanga minute hnih vel thleng khawi hmunah pawh a awm thei.

Infantile Spasms leh Startle Reflex hi eng nge an danglamna?

Hei hi nu leh pa tam tak tibuaitu a ni bawk a, a chhan chu Infantile Spasms'' lo lang dan hi naute inhnim hrual tlangpui nen a inang thei a ni.

Naute chu thawm ri nasa tak an hriat emaw, an che nghal mai emaw hian an mangang tlangpui (Moro reflex an ti bawk). Chutah naute chuan an lu chu hnunglam a thlak a, an kut leh ke chu zau takin a phar a, an lu chu chunglam hawiin a han her kual a. A châng chuan an ṭap thei a, chutah chuan an kut leh ke chu an taksa lamah an hruai kir leh mai thei.

Mahse (Infantile Spasms) ah chuan chutiang pawn lam thil a awm lo . Chu chu, a ri emaw, thil dang emaw avanga spasm te hi a awm lo tihna a ni. A dang chu (Infantile Spasms) hi cluster hrang hranga lo awm a ni . Chu chu pakhat a lo kal a, chutah pakhat a lo kal leh a, pakhat a lo kal leh tihna a ni. Spasm pangngai chu chutiang chuan a daih lo. Tin, spasm a lo awm chuan naute mit chu a roll up thei a, a nih loh leh a mitmeng a ti hrual ang maiin a lang thei bawk . Hengte hi spasm pangngaiah chuan a tam lo hle.

Kum engzat nge nausen spasm hi a intan?

Doctor-te sawi dan chuan (Infantile Spasms) 90% chu nausen thla 12 hnuai lam, chu chu nausen kum khat hnuai lam atanga hmuhchhuah a ni. Kum li leh thla sarih inkar vel a ni tlangpui . Mahse, a chang chuan naupang thla 12 chunglam pawhin hetiang spasm hi an nei thei bawk. Chutiang a nih chuan (Epileptic Spasms) tiin a thliar hrang a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi thil awm dan tlangpui a ni lo va, mahse awm lo pawh a ni lo. Naute 2,000 atanga 4,000 zinga pakhat vel chu he natna (Infantile Spasms) hian a vei thei niin an chhut.

Infantile Spasms hi eng symptoms nge ni?

Heng contraction te hi a lo thlen hian i naute taksa chu a nghet nghal a, a nih loh leh a jerk nghal bawk. Second tlemte chauh a daih. Naute chuan an hnungzang a arch thei a, a kut, a ke a ben thei a, hmalam a pan thei bawk. Kan sawi tawh ang khan heng contraction te hi cluster-ah an lo awm a, pakhat hnu pakhatin second 5-10 chhung break an nei a ni.

Kick emaw, kick tlemte emaw hnuah naute chu a buai thei a, a tap thei bawk. Mahse chutiang chu a thleng ngai lo.

A chang chuan heng (Infantile Spasms) te hi a fiah lo hle thin . Anmahni chu awlsam takin kan hre lo pawh a ni thei. Chutiang chhinchhiahna fiah lo tak takte chu:

• I mit chu a rawn roll a.
• Pum natna.
• Chin che vel.
• A nui suk a.
• Lu a bu nghat a.

Naute thluaka thil dik lo avanga khur a nih chuan taksa peng khat chauh a nghawng fo thei. A nih loh leh lu emaw mit emaw chu a sir khatah hrual ang maiin a lang thei bawk.

A pawimawh ber chu he kick hi naute mut atanga a harh hnuah a thleng tam ber a ni . Naute mut laiin a awm tlem hle.

Heng kick te hi a tan hnu rei vak lovah i nauteah hian inthlak danglamna dang i hmu thei ang:

• Hmasawnna atana thil pawimawh tak tak, rolling over, thut, khup, leh babbling te chu a bo ta a ni.
• Mi dangte nena inpawh tawnna a tlahniam a, nuih pawh a tlahniam bawk .
• Hlauthawng reng, a nih loh leh ngawi reng reng.

A theih chuan i naute hian heng spasms te hi a neih hunah videotape la . Chumi hnuah chuan i pediatrician hnenah i entir thei ang. Heng Infantile Spasms'' te hi hriat hmasak a pawimawh hle. I naute hian heng spasms te hi a nei nia i hriat chuan a rang thei ang bera doctor pan rawh.

Nausen spasm hi eng chen nge a awm theih?

Naute hian ni khatah seizure 100 thleng a nei thei. Mahse naute tin hian a nghawng dan a inang lo. Chuvângin, i naute chu ni khatah vawi khat emaw, vawi hnih emaw chauh pawh ni se, seizures a nei tih i hriat chuan, a rang thei ang bera doctor biak a ṭha ber .

Infantile Spasms hi engte nge ni?

Nausen hnim hring (nausen spasm) thlentu awm thei tam tak a awm. Scientist-te chuan hriselna lama harsatna awm thei 200 chuang an hmuchhuak tawh a ni. Mahse, hmun thuma ṭhena hmun khat vêlah chuan doctor-te chuan a chhan dik tak an hmu thei lo.

He stroke hi naute thluak hmun tlemtea thil danglam vang a ni thei a, a nih loh leh thluak pumpuiah harsatna awm vang a ni thei bawk.

A chhan lian ber thenkhat chu:

• Brain damage or infection: He stroke hi thluak hliam chi hrang hrang avanga lo awm thei a ni. A chhan ber chu (Hypoxic-ischemic encephalopathy) (chu chu thluak hian oxygen emaw thisen emaw a hmu rei lo tihna), (Meningitis) (meningitis), leh (Perinatal stroke) (naute naupai lai leh a pian hnu thla khatna chhunga stroke awm tihna a ni).
• Brain Development Problems: Hei hi naute chu nausen pum chhunga a lo thanglian zel laiin central nervous system (brain leh spinal cord)-a thil danglam engemaw zat a awm vang a ni thei. Entirnan, (Focal cortical dysplasia), (Lissencephaly), (Holoprosencephaly) leh (Aicardi syndrome) ang chi natna te hi a ni. Naute thluaka thisen kalna kawng dik lo ((Arteriovenous malformations)) vang pawh a ni thei.
• Gene mutations: Tunah chuan scientist-te chuan gene mutations tam tak chu nausen spasm nen an inzawm tir ta a ni. Entirna thenkhat chu Trisomy 21 (Down syndrome), Tuberous sclerosis, Miller-Dieker syndrome, leh CDKL5 tlakchhamna natna te hi a ni.
• Metabolic conditions: Inborn errors of metabolism (IEM) pawhin he natna hi a thlen thei bawk. Hengte hi kan ei tur tichhetu leh chakna siamtu metabolic pathways tikhawlotu genetic conditions an ni. A tlem hle a, vitamin B6 tlakchhamna hian hetiang dinhmun hi a thlen thei bawk.

Engtin nge Infantile Spasms hi hmuhchhuah a nih?

I naute doctor chuan i naute natna lan chhuah dan leh damdawi lam chanchin a zawt ang che a, taksa enfiahna pawh a nei ang.

Chumi hnuah i naute chu pediatric neurologist emaw epileptologist emaw hnenah hruai theih a ni. Naute hian infantile spasms a nei em tih finfiah nan electroencephalogram (EEG) an ti ang. A chhan hriat tumin test dang pawh an ti thei bawk.

Infantile Spasms hi chhan za tam tak a awm theih avangin doctor tan chuan a chhan zawn chu a harsa deuh thei a ni.

Diagnostic test te hi engte nge ni?

Doctor hian Infantile Spasms'' a awm leh awm loh finfiah nan Electroencephalogram - EEG'' test a ti ber a ni.

EEG hian i naute thluaka electrical signal awmte chu a teh a, a record bawk. EEG an tih hian technician pakhatin naute lu vunah hian thir plate te (electrode) a dah a. Heng electrode te hi machine nen an inzawm a ni. Machine hian naute thluak hnathawh dan tur chu doctor hnenah a pe a. EEG laiin naute hian seizure a neih chuan a tha ber a, seizures inkar hun chhung hi record theih a ni. Doctor-te chuan EEG pattern bik, hypsarrhythmia an tih chu an zawng a. He pattern hi a chiang hle. Hei vang hian doctor-te tan chuan nausen natna (infantile spasm) dik taka hriat a awlsam fo thin.

Doctor chuan he khur chhan hriat nan test dang neih belh a ti thei ang:

• Magnetic resonance imaging (MRI) scan of the brain: MRI scan hi natna nei lo test a ni a, i naute thluaka tissue leh structure te chu chiang takin a hmu thei a ni. MRI hian magnet lian tak, radio wave leh computer hmangin heng thlalak chipchiar tak takte hi a siam a ni. X-ray a hmang lo. MRI hian i doctor chu i naute seizures awm chhan a hriat theih nan a pui thei a ni.
• Genetic leh metabolic test: I naute MRI hi a pangngai a nih chuan i doctor chuan test dang, genetic leh metabolic test te chu a ti fo ang a, a seizures awm chhan zawn chhuah a tum ang. Heng test-naah hian thisen, zun emaw, ruhro tui emaw sample lak a ngai tlangpui.

Infantile Spasms hi engtin nge an enkawl?

Enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu stroke tihtawp emaw control emaw hi a ni . A dang chu stroke thlentu enkawl a ni , a theih chuan.

Seizures tihtawp emaw enkawl dan tur enkawl dan tlangpui chu:

• Adrenocorticotropic hormone (ACTH) hmanga siam chhuah a ni a:ACTH hi i pituitary gland atanga hormone siam a ni. I taksain stress a dawn danah nghawng lian tak a nei a ni. ACTH a chhuah chuan adrenal glands te chu an tichak a, "stress hormone" cortisol an siam chhuak thin. ACTH hi seizure enkawlna atana hman thin a ni a, synthetic hormone a ni. Injection angin pek a ni. Dose hmasa tlemte chu damdawi inah pek thin a ni. Chumi hnuah chuan doctor chuan i naute chu a side effect awm thei leh awm loh uluk takin a enfiah ang. ACTH injection hi kar ruk vel a chhunzawm dawn avangin i doctor chuan i naute chu in lama injection pek dan tur a hrilh ang che.
• Oral prednisolone: ​​He damdawi hi adrenal glands atanga siam corticosteroid hormone siam chhuah a ni. Nausen spasm enkawlna atan a thawk tha hle. ACTH hmuh harsat lai pawhin hman theih a ni.
• Vigabatrin (Vigabatrin - Sabril®): Hei hi mittui tlakna damdawi a ni. Pill emaw liquid emaw angin ka hmanga pek a ni.

I naute hian heng hormonal treatment emaw Vigabatrin emaw a chhan loh chuan enkawlna dang a awm a:

• Ketogenic diet a ni.
• Anticonvulsant damdawi dang.
• Infantile Spasms awm chhan hi thluaka hmun khata harsatna awm (focalized lesion) a nih chuan epilepsy surgery neih a tha.

Infantile Spasms hi a chang chuan enkawl harsa tak a ni thei. Naupang thenkhat chuan enkawlna kawng khat emaw, enkawlna vawi hnihna emaw an tih nawn leh a ngai mai thei. Enkawlna neih chhung zawng hian naute thluak hnathawh dan chu EEG test nawn leh a, enkawlna hian a thawk tha em tih enfiah a ngai mai thei.

Doctor-in naute fussiness chhan a hmuh theih chuan a theih chuan chu chhan chu an enkawl tur a ni. Hei hian surgery emaw targeted therapy emaw a awm thei a, chu chu underlying genetic emaw metabolic condition emaw a ni thei.

Infantile Spasms-ah hian hmasawnna tihkhawtlai leh regression hi a awm fo thin. Naute medical team chuan a theih ang anga hmasawnna atana pui thei tur therapies an rawn rawt ang.

Infantile spasms enkawlna hian eng side effect nge a neih?

Adrenocorticotropic hormone (ACTH) hmanga enkawlna hian side effect engemaw zat a nei thei a:

• Thisen sang (Hypertension).
• Immune system chak lohna ((Immunosuppression)).
• Swelling (hmaiah a awm fo).
• Restlessness leh thinrimna.
• Pum leh/ emaw intestinal ulcer awm thei.
• Zun atanga glucose paih chhuah.

Vigabatrin enkawlna avanga nghawng tha lo awm thei te:

• Hmuh theihna hmun (field of vision) chu tihdanglam theih loh khawpa tihtlem.
• Thinrimna.

Heng side effects te avang hian i naute doctor chuan a biak ang che a, enkawlna tha ber tur a ngaihtuah ang. Tin, i naute chu uluk takin an enfiah ang a, heng side effects te hi a awm em tih an enfiah bawk ang.

Infantile Spasms hi eng prognosis nge ni?

He dinhmun, a nih loh leh prognosis hmalam hun hi thil engemaw zatah a innghat a ni:

• (Infantile Spasms) awm chhan.
• A chhan chu enkawl theih a ni em?
• Engtiang chiahin nge naute chu a natna hmuhchhuah a nih a, enkawl tan a nih.
• Naute hian kick tan hmain developmental milestone a thleng tawh em tih.

Naupang nausen riltam zinga 50% vel chuan hun rei tak chhung an thanlenna leh an thluak lam harsatna an nei thei a ni. Spasms te hi a tawp a nih pawhin naupang tam tak chuan seizure chi dang leh epilepsy an nei thei a ni.

Mahse, rang tak leh hlawhtling taka hmuhchhuah a, enkawl a nih chuan a pumpui thlirna chu a tha thei a ni . Naupang, seizures lo awm hmaa hmasawnna lama thil thleng (developmental milestones) te chu a pangngaiin an lo thanglian thei a ni.

Engtin nge ka fa nausen riltam (infantile spasms) nei hi ka enkawl ang?

I naute hian Infantile Spasms'' a neih chuan doctor thupek zawm la, a tanpui tur a ni:

• Damdawi zawng zawng chu a pek angin pek vek tur a ni.
• Hmasawnna tehfung leh enkawlna te en rawh.
• Follow-up medical visit zawng zawngah kal rawh.

Infantile Spasms hian hriatna, thluak lam, leh/ emaw hriatna lama harsatna a thlen thei a ni. Infantile Spasms vei naupang tam tak chuan hmasawnna lama harsatna an nei a, an dam chhungin nitin hnathawhnaah tanpuina an mamawh mai thei.

I naute medical team chuan i zawhnate chu an chhang thei a, tanpuina an pe thei bawk che. I awmna hmuna support group-te emaw, online emaw-ah emaw an hruai thei bawk che a ni.

Engtikah nge ka fa doctor hnenah infantile spasms chungchangah ka hmuh ang?

I fa chu Infantile Spasms a vei tih hmuhchhuah a nih chuan an medical team te chu an hmuh fo a ngai ang a, chu chu enkawlna a thawk tha em tih hriat chian a ngai ang. Tin, enkawlna hun chhung zawnga thluak hnathawh dan enfiah turin electroencephalogram (EEG) test an neih a ngai dawn bawk.

I naute hian Infantile Spasms a nei nia i ngaih a, mahse a la hriat loh chuan a rang thei ang bera doctor pan a pawimawh hle .

I naute chu a che dan pangngai lo emaw, a hmasawnna tur milestone a tlin loh emaw hian lungkhamna i neih hi thil pangngai a ni. I naute hi i hre chiang ber . I naute hian spasm a nei nia i ngaih chuan - a rang thei ang bera, a khauh, a hrual, a tam zawkah chuan cluster-a awm - doctor hnenah a rang thei ang bera sawipui rawh. A theih chuan spasm video la rawh. Doctor hnenah i entir thei bawk. Infantile Spasms'' hriat hmasak hian result tha zawk a thlen thei .

He thawnthu atang hian kan hriat reng tur thil (Take-Home Message) .

Okay, chuvangin kan sawi tawh atanga kan hriat reng tur tlemte chu hetiang hi a ni:

• Infantile Spasms hi epilepsy na tak chi khat a ni a, naute thla 12 hnuai lam a awm thin.
• I naute chu a hrual nghal a, a nghet lo a nih chuan, a bik takin a harh hnuah cluster-ah , chu chu ngaihthah suh .
• Hei hi naute startle reflex pangngai nen a danglam hle.
• A theih chuan a contraction te chu video-ah la la, doctor hnenah entir rawh .
• A hmaa hriatchhuah leh enkawl hian naute hmalam hun atana nghawng lian tak a nei thei a ni.
• I naute nungchang, nuihzatthlak leh thanlennaah inthlak danglamna i hmuh chuan chu chu i doctor nen pawh sawipui rawh.
• Hei hi nu leh pa pahnih tan chuan thil buaithlak tak a ni thei. Chuvangin, doctor thupek dik taka zawm chungin, nangmah tan pawh support la rawh. Lungngai suh, Doctor ten an pui ang che.