I nuih lai emaw, mi i biak lai emaw, emaw, i chau deuh lai emaw khan i mit emaw, i hmui emaw vel chu a rawn inher nghal vat tawh em? Hetianga i hmai sir khata taksa ruhte thunun theih loha inthlak danglam hian a ti thinrim deuh thei a, a ti mualpho thei bawk. Mi tam takin hei hi thil pangngai anga an ngaih laiin, a chang chuan medical emergency a ni thei bawk. Vawiin hian chutiang natna pakhat, Hemifacial Spasm (HFS) chungchang kan sawi dawn a ni.
Hemifacial Spasm hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Hemifacial Spasm (HFS) hi neurological condition a ni a, i hmai sir khatah duh loh zawnga taksa ruh (muscle twitches) a awm thin. Hei hi symptom a ni a, hun kal zelah a na zual zel.
A hming awmzia i en chuan “Hemi” tih awmzia chu “a chanve” tihna a ni. “Hmêl” tih awmzia chu “hma lam thil” tihna a ni. “Spasm” tih awmzia chu “muscle spasm” tihna a ni. Chuvangin “Hemifacial Spasm” tih awmzia chu “hmai hmun chanvea taksa ruh (muscle spasm)” tihna a ni.
Hetiang dinhmun hi puitling atanga tan a ni tlangpui a, kum 40 leh 60 inkar a ni a, doctor-te chuan peripheral movement disorder an ti. Chu chu kan thluak leh ruhro pawn lama nervous system chhunga awm, peripheral nervous system-a harsatna awm tihna a ni.
Hemifacial Spasm hi a tlem hle a, hmeichhiain mipa aiin a let hnih zetin he natna hi an vei tam zawk a ni.
Hetiang dinhmun hi chi hrang hrang lian ber ber a awm em?
Ni e, hei hi chi hnih lian tak a awm a, chu chu hun kal zelah a natna lan chhuah dan a zirin a ni. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.
| Hemifacial Spasm chi hrang hrang | Symptoms a lan chhuah dan |
|---|---|
| Primary Hemifacial Spasm atanga lo chhuak a ni | Hetiang chi ah hian mit vel muscle te chu a inher tan hmasa thin. Thla tam tak emaw, kum tam tak emaw a la ngai thei a, chu chu hmai hnuai lam ruhteah a darh thei a ni. |
| Secondary Hemifacial Spasm atanga lo chhuak a ni | Chutiang a nih chuan hmai chung leh hnuai lam pahniha taksa ruh (muscle twitching) chu a hun laia intan a ni. He twitching hi a tir lamah chuan lo thleng leh chhuak thei mahse, hun kal zelah a lo awm fo tan dawn a ni. |
Facial flushing hian eng symptoms nge a neih?
Hetiang dinhmun chhinchhiahna ber chu hmai sir khata taksa ruh (muscles) a inher chhuah hi a ni. Hei hi duh loh zawng (kan thunun thei lo) a ni. He twitching hi dinglam aiin veilam lamah a tam zawk. Mahse, a tlem hle a, he twitching hi hmai sir lehlamah a awm thei.
A symptom hmasa ber chu mitmeng hring hring atanga intan a ni tlangpui. Hei hi a lo thleng a, a kal zel bawk. Hun a kal zel a, a lan chhuah dan chu:
- Thunun loha mitmeng: Mitthilh ang mai a ni a, mahse kan thunun thei lo.
- Eyebrow lifting: Stroke vangin mitmeng chu a sang chho nghal mai thin.
- Lower facial swelling: Hei hian hmui chu a sir khatah a hruai thei a ni.
- Hmai sir khata taksa peng zawng zawng nghawng: A then phei chuan he inhnek hi a awm chhunzawm zel thei a, a tawp lo thei bawk.
A pawimawh ber chu he taksa ruh (muscle spasm) hi a na lo tlangpui. Amaherawhchu, vantlang hmaa i awm hian i rilru a ti nuam lo a, i mualpho thei bawk.
Heng symptoms te hi stress, hahna, ei leh in leh lungkhamna te hian a tizual thei a ni. Mak tak maiin heng attack te hi i mut lai pawhin a thleng thei bawk. Hei hian mi thenkhatah mut theih lohna a thlen thei hial a ni.
Symptom dang a awm bawk
Mi thenkhat chuan heng symptom lian ber berte bakah hian thil dang an tawng thei bawk.
- Beng chhunga "click" ri hriat.
- Beng a na.
- Hriatna lama harsatna (a bik takin secondary HFS-ah).
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Hemifacial spasm thlentu ber chu kan hmai nerve pakhat (cranial nerve pasarihna)-a hun rei tak pressure a awm vang a ni. Mahse, he pressure hi a chhan bulpui dang engemaw zat a awm thei bawk.
Kan hmai sir lehlamah hian nerve lian pahnih a awm a. He nerve hi kan thluak bul atanga intan a, hmai sir khatah a branch chhuak thin. Hmêl lan dân thununtu ruhte, kâa hmui hrual, mittui tlakna kawng, leh lei hma lam hmun thuma ṭhena hmun hnih-a thlum thlum ang chi thilte a thunun a ni.
HFS chi hrang hrang a zirin a chhan pawh a inang lo thei.
Primary Hemifacial Spasm awm chhan te
Hei hi a chhan tam ber a ni. Heta thil thleng hi thisen kalna kawng dik lo tak a ni.(blood vessel) a lo kal a, kan sawi tawh facial nerve chu a press a. He compression avang hian nerve venhimna khuhna (myelin sheath) chu a chhe zauh zauh thin. Tichuan nerve signal te chu a kal tha lo va, an kap sual a, taksa ruh te chu a inher tan ta a ni.
Secondary Hemifacial Spasm awm chhan te
Hei hi hmai nerve chu underlying condition emaw problem dangin a nghawng a nih chuan a ni. A chhan thenkhat chu:
- Facial nerve bula accident emaw hliam emaw a awm.
- Bell-a palsy natna a ni.
- Brainstem chhiatna, entirnan, multiple sclerosis emaw stroke emaw ang chi natna.
- Thluaka thisen kalna kawng lama harsatna, thluaka thisen kalna kawng (brain aneurysm) leh cancer nei lo thisen kalna kawng tumor (angiomas) te.
- Beng lama harsatna nei. Middle ear infection (otitis media), mastoiditis ang chi natna te.
- Tumors chu salivary glands (parotid glands)-ah a awm thin.
- Luruh hnungzang leh hnuai lam atanga lo awm thin structure problems.
Engtin nge doctor hian hei hi a hmuh theih?
Heng symptoms te hi i neih chuan Doctor i hmuh hunah taksa a enfiah hmasa ang che a, neurological exam a ti ang che.
Tichuan, i natna lan chhuah chhan dang hriat theih nan leh i HFS chhan dik tak hriat theih nan MRI scan neih a tha fo thin. Primary HFS-ah chuan MRI scan hian nerve-a thisen kalna kawng dik lo (abnormal blood vessel) chu a hmuchhuak thei tlangpui.
A châng chuan heng taksa ruh hring (muscle spasm) te hi hmai natna chi dang (e.g. blepharospasm) emaw, seizures emaw nen a inang thei bawk. Chuvangin, i doctor hian spasm chi dik tak a hriat theih loh chuan electromyography (EMG) test neih a rawt thei ang.
Hei hi eng enkawlna nge ni?
Enkawlna tum ber chu hmai sen tam leh nasat lutuk tihtlem a ni. Enkawl dan tur chu a natna chhan leh a nasat danah a innghat a ni. Enkawl dan tur pawimawh ber berte han thlir ila.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Botulinum toxin (Botox®) injection hmanga tihdam theih a ni | Hei hi first-line treatment hman tam ber a ni. Chu chu injection pek a ni a, chu chuan spasm thlentu taksa pengte chu hun engemaw chen a tichak lo thei a ni. Thla 3-4 vel a daih tlangpui a, chumi hnuah injection hi tih nawn leh a ngai a ni. |
| Damdawi ei tur (pills) . | Hengte hi Botox injection duh lo emaw, surgery nei thei lo emaw tan pek thin a ni. Chung zingah chuan damdawi, anticonvulsants leh muscle relaxants te pawh a tel. |
| Inzai | Hei hi HFS tan chuan solution awmchhun a ni. Surgical procedure Microvascular Decompression tih hian nerve press-tu thisen kalna kawng chu a paih chhuak a, pad a dah a ni. Hei hi natna khirh tak tan chauh a tha. |
Botox Injection (Botulinum Toxin Injection) hmanga tihdam theih a ni.
Botox injection hi HFS enkawlna atana first-line treatment anga ngaih a ni a, a chhan chu a thatna leh a side effect a hniam vang a ni. Injection atanga ni thum atanga ni ruk chhungin symptoms a tlahniam thei. Mahse, a nghawng chu thla thum atanga thla li vel a ni. Chumi hnuah chuan tics control nan injection i lak leh a ngai dawn a ni.
He injection hnuah hian side effect tenau te a awm thei a:
- Mit nasat lutuk
- Mitmeng a tla thla
- Hun eng emaw chen atan hmel chak lohna
Damdawi ei tur
Doctor chuan hetiang damdawi hi a pe thei a ni:
- Antiepileptics damdawi carbamazepine emaw gabapentin emaw te hi a ni.
- Benzodiazepines te chu clonazepam te hi a ni.
- Muscle relaxant, baclofen ang chi te.
Heng damdawi te hian heart rate tihziaawm thei mahse, mi zawng zawng tan a thawk tha lo. Tin, hun rei tak hman chuan side effects a thlen thei bawk a, chu chu mutthilh leh hahna te a ni.
Inzai
Kan sawi tawh ang khan HFS tihdam theihna awmchhun chu operation hmanga tihdam a ni. Mahse, doctor-te chuan a natna a nasat em em a, Botox injection a hlawk loh chuan chauh an rawt a ni.
Surgery tih tam ber chu microvascular decompression an ti a . Hei hian nerve atanga nerve compress tu thisen kalna chu chhuah tir a, an pahnih inkarah Teflon pad te tak te dah a huam a ni.
He surgery hi a hlawhtling a nih chuan HFS i tuar leh tawh ngai lovang. Mahse surgery dang ang bawkin risk engemaw zat a awm.
- Anesthesia avanga thil thleng (reactions).
- Hun eng emaw chen emaw, a awm reng emaw, hmai nerve tihchhiat.
- Hriatna lama harsatna nei.
- Cerebrospinal fluid (CSF) a leak thin.
Hei hi dinhmun hlauhawm tak a ni em? Ka hlau tur em ni?
Ni lo, Hemifacial Spasm ngei pawh hian i taksa hriselna atan a tichhe lo. Mahse, a châng chuan a thlentu damdawi lam dinhmun (e.g., thluaka tumor, thluak hnah chhiatna) chu a hlauhawm thei hle.
Chuvangin heng symptoms te hi i hriat veleh doctor pan a, a chhan dik tak i zawn chhuah a pawimawh hle.
Chu bakah, harsatna i tawk thei bawk a, chungte chu:
- Mut harsatna a awm.
- Rilru hriselna lama harsatna, midang nena inhlat, lungkhamna, leh lungngaihna te.
- Hun rei tak chhung chu thunun lohvin mit khar a ni. Hei hi a thlen chuan a hlauhawm thei a, chu chu lirthei khalh lai ang chi a ni.
Hemifacial Spasm hi a tibuaitu leh mualphothlak tak a ni. I taksa thunun thei lo anga inhriatna hi tu tan pawh a tha lo. Mahse thu lawmawm tak chu a enkawlna tha tak tak a awm a, chu chu Botox injection, damdawi, leh surgery te hi a ni. Facial spasm i neih fo a, a zual zel nia i hriat chuan doctor pan ngei ngei tur a ni. Test tul tak tak a ti ang a, enkawlna tur ruahmanna felfai ber a pe ang che.
Take-Home Thuchah a ni
- Hemifacial Spasm (HFS) hi neurological condition a ni a, i hmai sir khata ruh te chu thunun theih lohvin a inher chhuak thin.
- Hei hi thisen kalnain hmai nerve a press vang a ni fo a, mahse a chhan lian tham dang pawh a awm thei bawk.
- He natna hi a tlangpuiin hrehawm lo mah se, nitin nun leh rilru hriselna a nghawng thei a ni.
- Hei hi enkawlna tha tak tak a awm a, chu chu Botox injection, damdawi, leh surgery te hi a ni.
- Hetiang symptoms i neih chuan hlauhthawn loh a pawimawh hle a, doctor pan nghal a, a natna hriat chian leh enkawl dan tur dik tak i hmuh theih nan a pawimawh hle.
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