Hetiang hian i inhriat ngai em? Lei chunga thil tla chu lak chhuah tumin i lu i ben emaw, i kawr hmalam i ben mai mai emaw chuan, i ruhro atanga electric rawn tlan chhuak ang maia natna nasa tak i nei a ni. Electric shock ang mai a ni. Second tlemte chhungin bo mahse, a hriatna chu a hlauhawm deuh. Chu chu vawiinah kan sawi dawn a ni. Damdawi lam hawi chuan he symptom hi Lhermitte’s Sign an ti a.
Lhermitte-a chhinchhiahna chu eng nge ni tak tak?
A awlsam zawngin sawi ila, Lhermitte’s Sign hi na tak, electric ang maia natna, i ruhro chu a rawn tla thla nghal a, a chang chuan i kut leh keah a kap thla a, i kawr hmalam i ben chuan a kap thla nghal vek a ni. Hei hi i khuh emaw, i thawk hah emaw hian a thleng thei. Natna chu a lo thleng nghal a, second tlemte chhungin a bo vek. Mahse ni khatah vawi eng emaw zat a thleng thei.
A châng chuan i doctor chuan hei hi ``barber chair phenomenon'' tiin a sawi ang.
Mahse, he Lhermitte’s Sign an tih hi a hlauhawm lo va, nunna atana hlauhawm a ni lo tih hre reng ang che. Mahse, kan taksa chhunga thil dik lo thleng chungchang min petu signal pawimawh tak a ni.
Engvangin nge hetiang hian kan awm? Eng nge a chhan?
A chhan ber chu kan ruhro (spinal cord) chhunga nerve te hi eng emaw chen a chhiat vang a ni. Damdawi lamah chuan he chhiatna hi ``lesion'' emaw ``scar'' emaw kan ti thin. Doctor chuan i cervical spine-ah hetiang hliam hi i neih leh neih loh chu ``MRI'' scan hmangin a hre thei ang.
Kan nerve te hi electrical wire angin han ngaihtuah teh. Heng wire te hi venhimna sheath (insulation) hmanga ven a ni. Kan nerve chhehvela he venhimna (protective sheath) hi myelin an ti a. He myelin sheath hi thluak atanga thuchah lo lutte chu taksa peng dangah rang tak leh dik takin a kal thei a ni.
Eng emaw chhan vanga he myelin sheath hi a chhiat chuan ``demyelination'' an tih condition chu nerve chu a lang chhuak ta a ni. Chutih lai chuan i kawr ang chi hmun i ben chuan nerve chhia chu a tichak a, thluak lamah natna signal dik lo a thawn chhuak thin. Chu chu electrocut ang maia min siamtu chu a ni.
Eng damdawi lam dinhmun nge Lhermitte’s Sign hi a thlen theih?
Hetiang natna lan chhuah dan tlangpui leh a chhan ber chu multiple sclerosis (MS) a ni. Zirna hrang hrangah chuan MS vei mi pathum zinga pakhat vel chuan an dam chhungin vawi khat tal Lhermitte chhinchhiahna hi an tawng dawn tih hmuhchhuah a ni.
Chu bakah chuan hei hi nghawng thei chhan dang engemaw zat a awm bawk. A hnuaia table hian hei hi a sawifiah belh leh ang.
| Condition/A chhan | A sawifiahna awlsam tak |
|---|---|
| Multiple Sclerosis (MS) natna a awm thei lo. | Hei hi nervous system tichhe thei natna a ni. Chutiang a nih chuan taksa ngeia immune system hian nerve chhehvela myelin sheath chu a tichhia a ni. Hei hi a chhan tam ber a ni. |
| Vitamin B12 tlakchham vang a ni | Vitamin B12 hi nervous system hrisel tak neih nan a pawimawh hle. Taksa chhunga B12 level a hniam lutuk chuan nerve a tichhia thei a ni. |
| Disk a herniated a ni | Spine vertebrae (ruh) inkar jelly ang disc chu a bulge chhuak a, spinal cord emaw nerve emaw a press a ni. "Herniated disc" kan ti tlangpui. |
| Cervical spondylitis a awm thei | Kum upat chhoh zel chuan kawr chhunga vertebrae leh joint te a chhe lutuk avanga nerve compression a awm thin. |
| Spinal cord compression a awm thin | Tumor, accident emaw thil dang emaw avanga spinal cord-a pressure awm. |
| Vawk natna hrik (Shingles) . | A then phei chuan chickenpox thlentu virus hian a thawk leh thei a, nerve a nghawng thei bawk. |
| Radiation emaw chemotherapy emaw (Radiation/Chemotherapy) hmanga enkawl theih a ni. | Hei hi cancer tan radiation therapy hmanga side effect angin a thleng thei a, a bik takin kawr chhungah a thleng thei a ni. |
He natna thlentu hi engte nge ni?
He natna hi thiltih leh dinhmun thenkhat avang hian a lo lang nghal thei a ni.
- Kawng hmalam pan: Hei hi a trigger ber a ni.
- Khuh
- Crocodile man a ni
- Yawning zet mai
Tin, he symptom lo awm theihna hi a hnuaia mite hian a sang zawk bawk:
- I chau lai (Tired) .
- I stress lai hian
- Exercise i tih hian
- Hmun lum takah a awm chuan
Engtin nge doctor hian hei hi a hriat chian a, eng enkawlna nge a neih?
Lhermitte chhinchhiahna enfiah tur hian test bik a awm lo. Doctor chuan i sawi chhuah veleh a hre nghal mai ang. Doctor thil tum ber chu a natna lan chhuah chhan, chu chu a hnuaia damdawi lam dinhmun zawn chhuah a ni.
Chumi atan chuan, .
- Doctor chuan i symptoms te uluk takin a zawt ang che.
- Taksa enfiahna neih a ni ang. Spurling test ang chi test hi tih theih a ni a, chu chuan kawr natna thlentu nerve compression a awm leh awm loh enfiah a ni thei bawk.
- Imaging test atan refer i ni thei a, chu chu MRI scan . Hei hian hliam emaw, herniated disc emaw, spinal cord-a chhiatna dang emaw a awm leh awm loh chiang takin a tarlang thei a ni.
Enkawlna chungchang sawi dawn chuan he natna hi second tlemte chauh a awm avangin enkawlna bik a ngai lo mai thei. A pawimawh ber chu a chhan bulpui enkawl hi a ni.
Entir nan:
- A chhan chu MS a nih chuan a enkawl hian Lhermitte’s Sign a awm tlem phah ang.
- A chhan chu vitamin B12 tlakchham vang a nih chuan vitamin B12 pek hian he natna hi a tidam vek thei a ni.
- Disc herniated a nih chuan physical therapy emaw, surgery emaw pawh a ngai thei.
Chu bâkah, i doctor chuan he natna hi a enkawl theih nân a hnuaia mite hi a rawn rawt thei bawk ang:
- Nerve natna damdawi, entirnan `(Gabapentin)`.
- Neck brace hi neck movement tihtlem nan an vuah thin.
- Muscle relaxation exercise leh stretching tih nan physical therapist hnenah refer.
Engtikah nge Doctor ka hmuh ang?
A chunga kan sawi tawh ang khan electric shock ang maia natna i hriat chuan, a bik takin i kawr i ben hian ngaihthah suh.
- Nangmah hnenahI nunah hetiang thil hi a vawi khatna atana i hriat chuan doctor pan ngei ngei tur a ni.
- MS ang chi natna i neih tawh a, heng symptoms te hi a thar emaw a zual emaw a nih chuan doctor hnenah hrilh rawh.
- He natna hi a lan chhuah dan dang (e.g. ke leh ke ruh natna, kal harsa, mit hmuh dan inthlak danglam) nen a awm chuan damdawi lam thurawn zawng nghal rawh.
Hei hi nunna atana hlauhawm lo mah se, i taksa atanga signal pawimawh tak a ni. Chuvangin ngaihthah suh la, a chhan bulpui chu pawi takin awm rawh se.
Take-Home Thuchah a ni
- Lhermitte’s Sign hi hun rei lote chhunga electric ang maia natna, kawr hmalam pan a nih chuan ruhro hnuai lam a hriat thin a ni.
- He symptom hi hlauhawm lo mah se, ruhro (spinal cord) chhunga nerve te tihchhiatna chhinchhiahna pawimawh tak a ni.
- Hei hi a chhan ber chu Multiple Sclerosis (MS) ni mahse, a chhan dang, vitamin B12 tlakchhamna leh spinal disc herniation te pawhin hmun a chang thei bawk.
- Heng symptoms te hi i neih chuan ngaihthah suh la, a chhan dik tak hriat theih nan leh enkawl dan tur dik tak i hmuh theih nan i doctor pan nghal rawh.
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