I mit chu a sir lam i hawi chuan mit pakhat a block em? Internuclear Ophthalmoplegia (INO) chungchang hi han sawi ila!

Khawthlang lam hawi i tum hian i mit pakhat chu chu lam hawi lovin kawng dang lam hawi ang mai a ni tih i hre ngai em, a nih loh leh i tawng tawh em? A nih loh leh mit pakhat chu a laiah a ding a, mit dang chauh chu a sir lamah a kal em? Hei hi thil tibuaitu leh nuam lo deuh a ni thei. Vawiin hian hei hi a chhan awm thei pakhat kan sawi dawn a, chu chu `Internuclear Ophthalmoplegia` emaw `(INO)` tih ang chi natna hi a ni. Lungngai suh, awlsam takin han sawifiah teh ang.

INO chu eng nge ni? (INO chu eng nge ni?)

A awlsam zawngin, `Internuclear Ophthalmoplegia (INO)` tih hi a sir lam hawi tum hian i mit pakhat (a chang chuan mit pahnih) chu chutiang lam hawia a inher kim lo tihna damdawi lam thumal a ni. Entirnan, dinglam hawi i tum chuan i mit veilam chu a laiah a ding a, i hnar a paltlang lo. A nih loh leh veilam hawi i tum chuan i mit dinglam chu a en ve tho.

He hming awmzia hi tlem han chhui chiang ila, "Internuclear" tih hian nerve center (nuclei) te thawhhona a kawk a ni. "Ophthalmoplegia" tih hian mit ruhte paralysis tihna a ni. Chuvangin, `(INO)`-ah hian kan mit chetna inzawmkhawmtu thluak atanga lo chhuak nerve pathway bik (`Medial Longitudinal Fasciculus` an tih) chu chhiatna engemaw zat a awm a ni. He nerve pathway hi in chhunga wiring system ang a ni. A hnathawh that hma loh chuan kan ngaihven vak lo va, thil engemaw a kalsual hunah chauh a hlutna kan hrechhuak thin.

INO hian mit pakhat chauh (unilateral INO) emaw, mit pahnih emaw chu a rualin a nghawng thei (bilateral INO).

Pawimawh: A châng chuan he ``INO'' dinhmun hi natna khirh tak, nunna atana hlauhawm tak, stroke ang chi chhinchhiahna a ni thei bawk. Nangmah emaw i hriat miin emaw heng mit inthlak danglamna te hi stroke symptoms (e.g., mitmeng tlak, kut emaw ke emaw a bengchheng, tawng harsat) te nen an neih chuan 911 i call nghal tur a ni a, damdawi inah i kal tur a ni.

Mi thenkhat chu INO atanga dam chhuak vek an ni. Mahse, mi thenkhat chuan an dam chhungin symptoms an nei thei a ni. Dam leh hun rei zawng hi INO awm chhan bulpuiah a innghat nasa hle.

INO natna lan chhuah dan chu engte nge ni? (INO natna lanchhuahna chu engte nge ni?)

A lan chhuah dan ber leh langsar ber chu mit pakhat chu a sir lam hawi hian a inher tha lo tih hi a ni. Chu bâkah, a hnuaia mite hi a thleng thei bawk:

• Double vision (Diplopia): Hei hi a bik takin a sir lam en hian a langsar hle. Mi thenkhat tan chuan han en hian a thleng thei bawk. Ngaihtuah teh, kawngpuiah i kal a, rang takin engkim chu pahnih-ah i hmu ta a nih chuan engtin nge ni ang? A nuam lo hle ang, a ni lawm ni?
• Mit hmuh fiah lo emaw, mitdel lo emaw: Hmanlai thil chiang tak takte chu a fiah lo angin a lang thei.
• Luak chhuak: Mit a thawh dun loh avangin balance issue a awm thei a, luak chhuak ang maiin a awm thei bawk.
• A châng chuan mit hmuhna lam hawi lo, mit inher chak tak (nystagmus) hmuh tur a awm thei bawk.

Engvangin nge INO hi a lo awm? A chhante chu engte nge ni?

Ka sawi tawh ang khan IOP hi kan mit che vel control tu nerve fiber tract Medial Longitudinal Fasciculus (MLF) tihchhiat vang a ni. He MLF hian kan lu leh mit (cranial nerve pathumna, Oculomotor nerve pawh telin) incheina control tu nerve te a keng tel a ni. Kan taksaah hian "cable system" complex tak ang mai a ni.

Mi thenkhat chuan stroke hnuah INO an nei a, chu chuan thluak a tichhia a ni. Brainstem hi a hnuai lama thluak awm, kan thluak leh spinal cord (spinal hnuai lama kal nerve fibers system) inzawmkhawmtu a ni. Hei hi kan central nervous system-a thil pawimawh tak a ni.

A chhan lian ber tlemte:

`(INO)` thlentu chhan ber thenkhat chu hetiang hi a ni:

• Multiple Sclerosis (MS): Hei hi nervous system tichhe thei natna a ni.
• Strokes: Stroke, thluak zung (brainstem) bik a nghawng thin.
• Hemorrhage: Thluak chhunga thisen chhuak.
• Arteriovenous Malformation (AVM): Thluak chhunga thisen kalna kawng hrang hrangte pianpui atanga lo piang chhuak a ni.
• Encephalitis: Infection hrang hrang, Lyme natna, HIV infection, leh Herpes Zoster (chickenpox leh shingles thlentu virus) avanga thluak a na .
• Traumatic Brain Injuries (TBI) hi lu hliam na tak avanga thluak hliam a ni .
• Autoimmune diseases: Taksa cell ngei bei thei natna, lupus leh Sjögren’s syndrome te.

Engtin nge INO hi hmuhchhuah a nih?

Doctor chuan INO hi a bik takin taksa enfiahna hmangin a hmuchhuak ang. I mit chu a en ang a, a che dan a en ang. A sir lehlamah, chung leh hnuai lam en turin an ti ang che. Hei hian mit pakhat chu mit dang nena inrem lo taka a kal leh kal loh hriat theih nan a pui ang.

A châng chuan, stroke emaw, lu hliam emaw ang chi natna i neih chuan, chutih laia test neih laiin he natna hi a awm palh a, a hriat chhuah theih a ni.

Eng test nge tih thin?

I doctor chuan a hnuaia scan pakhat emaw a aia tam emaw a tih a ngai mai thei a, chu chu Medial Longitudinal Fasciculus (MLF) an tih nerve pathway-ah chhiatna a awm leh awm loh hriat theih a ni:

• MRI scan (MRI - Magnetic Resonance Imaging) hmanga tihchhuah a ni .
• CT scan (CT - Computed Tomography hmanga enfiah) a ni.

Heng scan-te hian thu chiang tak a pe lo a nih chuan doctor chuan test dang neih belh a rawt thei ang:

• Thisen test: Hengte hian natna hrik emaw, thluak tichhe thei harsatna dang emaw a hriat theih.
• Spinal Tap / Lumbar Puncture: Hei hian i thluak leh i ruhro (cerebrospinal fluid) vel tui sample lak a ni. Hei hi hri kai hmuhchhuahna kawngah a \angkai hle.

INO enkawl dan tur chu engte nge ni?

(INO) enkawl dan chu a chhan a zirin a ni. I doctor chuan a natna chu a enkawl ai chuan a chhan bulpui ber chu a enkawl zawk ang.

Ngaihtuah teh, `(INO)` awm chhan chu stroke emaw, multiple sclerosis `(MS)` ang natna emaw a nih chuan hun rei tak enkawl a ngai mai thei – dam chhung zawng pawh a ni mai thei.

`(INO)` hi hri kai avanga lo awm a nih chuan hri kai enkawl a nih veleh `(INO)` dinhmun hi a tha tlangpui.

A châng chuan, natna lan chhuahna a awm reng chuan i doctor chuan i mit vêla ruhte tih hahdam nân botulinum toxin injection a pe thei che a ni. Hei hian double vision (diplopia) leh duh loh vanga mit hrual (nystagmus) tihziaawmna kawngah a pui thei a ni.

I doctor chuan eng enkawlna nge i mamawh tih leh enkawlna atanga i beisei theih turte a hrilhfiah ang che.

INO hi ven theih a ni em?

Dik tak chuan he natna hi ven kim a harsa hle a, a chhan chu a chhan (emergency, infection ang chi) te hi rang tak leh beisei loh taka lo awm a nih vang a ni.

Mahse a tlangpuiin, hmanrua hmanga hnathawh emaw, lu emaw mit emaw hliam thlen thei thil i tih hian mit venna leh invenna hmanraw dik tak i vuah a pawimawh hle. Hei hian INO thlentu pakhat, traumatic brain injuries venna kawngah kawng engemaw takah a kal dawn a ni.

Engtikah nge mit hi enfiah tur?

I mit leh mit i hmuh dan enfiah fo hian i mit doctor chuan harsatna eng pawh a hmu hmasa thei a ni. Mit enfiah tam dan hi i kum azirin a inang lo tlangpui:

• Kum 40 hnuai lam: Kum 5 emaw kum 10 emaw danah.
• Kum 40 leh 54 inkar: Kum 2 emaw kum 4 emaw danah.
• Kum 55 leh 64 inkar: Kum 1 atanga kum 3 danah. (A article hmasaah khan typo 55-54 a awm a, 55-64 tiin siamthat tur a ni)
• Mi kum 65 chunglam: Kum tin emaw kum 2 danah emaw.

Mahse, i thluak in i mit a thunun dan tichhe thei natna, zunthlum ang chi i neih chuan hei aia tam i mit enfiah a ngai mai thei. I mit doctor hnenah engzat nge i mit enfiah a ngaih tih zawt rawh.

INO nei hian eng nge a beisei theih ang?

INO hi a chang chuan hun eng emaw chen atana harsatna a ni thei a, mahse mi thenkhat chuan an dam chhungin symptom an nei thei. A hmasa berah chuan INO lo thanglian chhanah a innghat vek a ni. INO hi multiple sclerosis (MS) emaw autoimmune natna thenkhatah chuan rei tak a daih thei a ni.

Infection avanga `(INO)` vei te chu an natna a thianghlim hnuah an dam leh tlangpui a, hun rei tak chhunga nghawng a nei lo.

Stroke, thisen chhuak, emaw thluak hliam na tak i neih tawh emaw, multiple sclerosis (MS) i neih emaw chuan hun rei tak chhunga natna lan chhuahna i nei tam zawk. I mit leh mit a lo harh that leh that dan chu i thluak leh nerve-a thisen kalna chu eng chen nge tihtawp a nih tih ah a innghat a ni.

I beisei tur leh i natna lan chhuah dan tur enkawl dan tur hriat belh duh chuan i doctor nen inbia ang che.

Engtikah nge Doctor ka hmuh ang?

I mit emaw, i mit emaw a danglamna i hmuh veleh doctor rawn rawh.

Tin, a hnuaia symptoms te hi i neih chuan , damdawi in emergency room-ah kal nghal rawh:

• I mit i che thei lo a nih chuan.
• I mit hmuhna (total emaw partial emaw) i hloh nghal a nih chuan.
• Mit na tak i neih chuan.
• I mit hmaah flash thar emaw floater thar emaw i hmuh tan chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin hetiang zawhna hi zawt hreh suh:

• He effect hi eng chen nge ka mit ah a awm ang?
• Ka mit hmuh chu a danglam vek dawn em ni?
• Eng ang enkawlna nge ka mamawh?
• Nakin lawkah engzat nge ka mit ka enfiah ang?

INO leh Strabismus hi eng nge an danglamna?

(INO) hi Medial Longitudinal Fasciculus (MLF) an tih nerve pathway leh mit che vel control tu nerve te tihchhiat vang a ni.

Strabismus hi mit lam hawia dah reng theih lohna dinhmun eng pawh sawina tlangpui a ni. A tlangpuiin kan mit chetna thununtu ruh parukte hian an thawk dun a, mit pahnih chu kawng khatah an hawitir a ni. Strabismus vei te hian mit chetna control harsa an ti a, chu chu chutiang taksa ruhte tichhe thei dinhmun engemaw vang a ni. Chuvangin, strabismus hi neurological problem a ni a, strabismus hi a zau zawk, a tam zawkah chuan muscular condition a ni.

Pseudo-INO chu eng nge ni? (Pseudo-INO chu eng nge ni?)

`Pseudo-INO` ("false INO" tihna) pawh hian `(INO)` ang chi symptom a nei bawk. Mahse, mit tichhe thei dinhmun danglam tak a ni.

`Pseudo-INO` thlentu ber chu Myasthenia Gravis an tih natna a ni. He `(Myasthenia Gravis)` hian taksa pum puiah thau chak lohna a thlen thin. He chak lohna hian mit vel ruh a nghawng chuan mit chetna i thunun thei lo mai thei. Muscle chak lohna thar i neih chuan doctor pan rawh.

Take-Home Thuchah a ni

Internuclear ophthalmoplegia (INO) hi i mit incheina mumal taka a kal theihna a tichhe thei a ni. Damdawi lam natna khirh tak emaw, accident vang emaw a ni tlangpui. I natna lan chhuah chhan chu eng pawh ni se, i doctor chuan i tana enkawlna dik tak zawng turin a pui thei che a ni. He zin chhung hian i doctor hnenah zawhna i neih apiang zawh hreh suh. Damdawi lam pan vat a, enkawlna tha tak pek a nih chuan he natna hi enkawl theih a ni.

` internuclear ophthalmoplegia, INO, mit inher, mit pahnih, diplopia, stroke, cranial nerves