A châng chuan i kut zungtangte chu a hrual nghal mai thei a, a nih loh leh i ke hnuaiah natna nasa tak i nei thei bawk. Vawiin hian hetiang rilru hahna hi hmun khat, taksa sir khata awm mai mai hi kan sawi dawn a ni. Hetiang hi i tuar rei tawh a ni mai thei. Chuvangin medical science-ah hian hei hi eng nge an tih, engvangin nge hetiang thil hi a lo awm tih leh eng nge tih theih ang tih i lo en ang u.
A awlsam zawngin Mononeuropathy hi eng nge ni?
Mononeuropathy tih thumal i hriat chuan natna khirh tak niin i ngai mai thei. Mahse a awmzia chu a awlsam khawp mai. "Mono" tih chu "pakhat" tihna a ni a, "Neuro" tih awmzia chu "nerve" tihna a ni a, "pathy" tih awmzia chu "natna" tihna a ni. A awlsam zawngin sawi ila, mononeuropathy chu kan taksa chhunga nerve pakhat tihchhiat a nih chuan a ni.
Kan taksa hi building lian tak angin han ngaihtuah teh. He building control room ber chu thluak leh ruhro (spinal cord) a ni. He control room atang hian building chhung hmun tinah electrical message phur thei wire system a awm a. Chu wire system chu kan nervous system a ni. Mononeuropathy-ah chuan thil thleng chu he system of wire-ah hian wire pakhat chauh a chhia a ni.
He chhiatna hi kawng hnih in a thleng thei.
1. Nerve chhehvela venhimna khuhna (wire chhehvela plastic sheath ang chi) tihchhiat. Hei hi `(Myelin sheath)` kan ti a.
2. Nerve cell chhung ngeia hmun thenkhat (``Axon'') tihchhiat.
Eng ang chhiatna pawh ni se, nerve kal tlanga message kalte chu a kal tha lo hle. Chumi avang chuan natna, rilru hahna, leh taksa ruh chak lohna ang chi thil kan nei tan thin.
He natna hian eng nerve nge a nghawng tam ber?
Dik tak chuan kan taksaa nerve pakhat chauh hi hetiang hian a chhe thei a ni. Mahse nerve thenkhat chu an awmna hmun a zirin a chhe zawk (a bik takin vun hnaih emaw ruh hnaih emawa tlan nerve) an awm. Chung dinhmun thenkhat phei chuan hming bik an nei bawk. Heng hmingte hi i lo hre tawh mai thei.
| Nerve leh condition a nghawng | A sawifiahna awlsam tak |
|---|---|
| Median Nerve a ni (Carpal Tunnel Syndrome) (Carpal Tunnel Syndrome) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk. | Hei hi computer-a type-a hun tam tak hmang, puan siam, cycle khalh, a nih loh leh an kutphah tichhe reng thei hna dang thawktute zingah a awm fo. Kut zungtang, kut zungtang, kut zungtang leh kut zungtang lai takah te tingling leh na an nei thin. |
| Sciatic Nerve a ni (Sciatica) tih a ni. | Kan khuaah chuan hei hi ‘Riri Yakage natna’ an ti bawk. A lan chhuah dan ber chu natna nasa tak a ni a, hnunglam atanga hnute kaltlangin ke hnunglam thlengin a kal a ni. Hei hi thil rit tak chawi emaw, hmun dik lo taka thut emaw hnuah a thleng thei a ni. |
| Ulnar Nerve a ni (Ulnar Nerve Entrapment tih hi a awm lo) . | Desk-a i elbow dah chunga rei tak i thawh hian i kut zungtang te tak te leh i ring finger chanve vel chu a tingling ang maiin i hria em? Chu chu he nerve hi a compress vang a ni. |
| Radial Nerve a ni (Radial Tunnel Syndrome) tih hi a awm lo. | Kut chunglam a pressure avanga lo awm a ni. A chang chuan kutphah tihdik a harsa thei bawk. |
| Peroneal Nerve a ni | He nerve hi ke pakhat hrual chunga rei tak ding a, khup na taka vuak hian a tichhe thei bawk. Hei hian ke ruh chawi thei lo (foot drop) a thlen thei a ni. |
| Hmai Nerve a awm (Bell-a Palsy a ni) . | Hei hi thluak atanga lo chhuak direct nerve (`(Cranial Nerve)`) a nghawng a ni. Vawilehkhatah hmai kil khat chu nunna nei loin a awm a, hmui kil khat chu a hnuai lam a lo inher ta a ni. Hei hian mi tam takin hlau mah se, enkawl theih natna a ni fo. |
A pawimawh ber chu a chang chuan taksa hmun inzawm lo nerve pahnih emaw a aia tam emaw chu a rualin a chhe thei a ni. Hei hi ``Multiple Mononeuropathy'' an ti a.
Hei hi eng symptoms nge ni?
Symptoms chu eng nerve nge a nghawng tih leh a chhiatna zau zawngah a innghat , mahse symptoms tlanglawn thenkhat a awm.
- Numbness leh tingling: A natna hmuna hriatna hloh tlem emaw, hloh vek emaw. Anesthesia pek che ang maiin a lang.
- Natna emaw, kang emaw: Natna chu kang, hliam emaw, electric shock emaw ang maiin a awm thei.
- Pin leh needles sensation: Hei hi a lan chhuah dan tlangpui a ni. "Pin leh needle" kan ti a. Hei hi damdawi lam hming chu ``Paresthesia`` tih a ni.
- Muscle weakness: A inmil nerve-in a control muscle te chu a chak lo ta a ni. Entîr nân, kuta nerve a chhiat chuan i kut hmangin thil i man nghet thei lo mai thei a, thil i thlak thei bawk. Hun a kal zel a, heng ruh te hi a hring thei bawk (Muscle Atrophy).
Heng symptoms te hi i neih chuan a pangngai angin ngaihthah suh. Doctor hnenah thurawn dil ngei ngei tur a ni. Enkawlna a tlai chuan natna rei tak a thlen thei a, hriatna a hloh reng thei a, a nih loh leh paralysis a thlen thei bawk .
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Mononeuropathy thlentu hi chi thum a awm a.
1. Hliam tuar
Hei hi a chhan tam ber a ni: nerve pakhat direct damage.
- Movement inang siam chhunzawm zel: Entîr nân, nilengin a type ang chiaha type ṭhin emaw, thawmhnaw siamna hmuna kut hman dan inang emaw hmang emaw.
- Joint pakhat overstretching: Hei hi a chang chuan a thleng thei a, infiamna khelh lai pawhin a thleng thei bawk.
- Fracture: Kut emaw ke emaw ruh a tliak chuan chu ruh bula nerve tlan chu a chhe thei a ni.
- Surgery emaw, hmanraw hriam tak hmanga cut emaw: Surgery neih laiin emaw, accident-ah emaw nerve a tikehsawm thei.
- Cancer tan radiation therapy: Heng enkawlnate hian nerve a tichhe thei a ni.
2. Nerve tihchhiatna (Nerve Compression) a ni
Nerve chu a chhehvel tissue emaw thil dang emaw avanga compressed a ni.
- Tumor lo awm: Nerve bulah tumor a lo piang a, a press thei bawk.
- Excessive swelling (`Edema`): Hliam emaw, damdawi lam thil dang emaw avanga hliam hian nerve a ti compress thei.
- A tight cast: Cast (limb chhe tawh khuhna atana hman) chu a tight lutuk chuan a chhunga nerve te chu a compress thei a ni.
- Crutch hman dik loh:Crutch rit zawng chu armpit-ah direct-a dahin hman a nih chuan armpit hnuaia tlan nerve te chu a compress thei a ni.
- Posture tha lo: Huanah hun rei tak khup chunga hnathawh te, i ke cross te, emaw, dawhkan chunga i elbows hunch te hian nerve pinched a thlen thei.
3. Hriselna Danglam
Mononeuropathy hi damdawi lam thil engemaw vang pawh a ni thei a, mahse heng natna hian nerve pakhat aia tam a tichhe thei zawk.
- Diabetes: Zunthlum hi thunun theih loh a nih chuan thisen sugar level sang chuan hun kal zelah nerve a tichhe thei a ni.
- Immune system natna: Lupus leh Rheumatoid Arthritis ang chi natnaah te hian kan taksa ngeiin kan taksain nerve a bei thei a.
- Infection thenkhat: HIV leh herpes (`Shingles`) ang chi natna hian nerve a tichhe thei.
- Vitamin tlakchhamna: Vitamin tlakchhamna, a bik takin B group-a awmte hian nerve function a tichhe thei a ni.
- Zu insualna (Alcohol use disorder): Hun rei tak zu in nasa hi nerve-ah toxic a ni.
Engtin nge hei hi i hmuh theih, Doctor?
A tam zawkah chuan doctor tawnhriat ngah tak chuan i natna lan chhuah dan ngaihthlak a , i enfiahna hmangin he natna hi a hre thei a ni.
- I damdawi lam chanchin zawh: Doctor chuan i damdawi lam natna dang (zunthlum ang chi), i hnathawh dan, leh tun hnaia accident i tawh zawng zawngte a zawt ang.
- Taksa leh nervous system enfiah: I taksa ruh chakna, i hriatna leh i reflexes te enfiah a ni.
Mahse, a châng chuan a chhan a chiang lo a nih chuan, a nih loh leh a lan chhuah dan a nasat chuan doctor chuan test bik ṭhenkhat chu finfiah belh turin a rawt thei a ni.
- EMG (Electromyography): Hei hi electrical signals nerve atanga i muscle thlenga kal dan en nan tih a ni.
- Nerve Conduction Study: Hei hian nerve pakhata electrical signal a kal chak dan a teh a ni. Nerve a chhiat chuan he speed hi a tlahniam thin.
- Thisen test: Zunthlum, vitamin tlakchhamna emaw, damdawi lam thil dang emaw enfiah nan.
- Imaging Tests: Ultrasound, MRI emaw CT scan emaw hmangin tumor emaw, thil dang emaw avanga nerve chu a compress em tih enfiah turin an ti thei che a ni.
Hei hi eng enkawlna nge ni?
Enkawlna chu nerve chhiatna chi hrang hrang, a chhan leh i natna lan chhuah nasat danah a innghat a ni. I doctor chuan i tana tha ber tur enkawlna a ruat ang.
- Chawlh hahdam leh natna tihdamna: A tir lamah chuan enkawlna awmchhun chu nerve tichhe thei thil tih loh leh natna tidamtu ei hi a ni.
- Splints te chu:A bik takin Carpal Tunnel Syndrome ang chi dinhmunah chuan kutphah a che thei lo turin splint hman a tha. Hei hian nerve chu chawlhna a pe a ni.
- Steroid injection: Steroid injection hi nerve vel a hring chhuak tihziaawmna tur leh pressure tihziaawm nan pek theih a ni.
- Physical therapy: Physical therapist kaihhruaina hnuaia exercise bik tih hian taksa ruh a tichak a, natna a tihziaawm a, ruhkawrte a tichak lehzual thei bawk.
- A hnuaia awm enkawl dan: He natna hi zunthlum avanga lo awm a nih chuan zunthlum hi uluk taka control a pawimawh hle.
- Surgery: Enkawlna dangin a puih loh chuan, nerve chu nasa takin a compress a nih chuan, compression tihziaawm nan surgery tenau tak neih a ngai mai thei.
Take-Home Thuchah a ni
- Mononeuropathy hi kan taksaa nerve pakhat chauh tihchhiatna a ni. Hei hi hlauh tur dinhmun pawi tak a ni lo va, ngaihthah tur pawh a ni lo.
- A lan chhuah dan ber chu taksa hmun khata tingling, natna, inflammation, leh taksa ruh chak lohna te hi a ni.
- Hmun khata hnathawh chhunzawm zel te, accident te, nervous tension te, leh damdawi lam dinhmun, zunthlum ang chi te hi chutiang chhan ber a ni thei.
- Symptoms a intan veleh doctor pan vat a pawimawh hle. Enkawlna an tan hma chuan a dam kim theihna chance a sang zawk.
- He natna hi chawlh hahdamna, natna tidamtu, taksa lam enkawlna leh a chang chuan operation hmanga hlawhtling taka enkawl theih a ni.
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