Hmun khata nerve pinched avanga natna i tuar bawk em? (Mononeuropathy) chungchang hi han sawi ila!

I kut emaw, i ke emaw hmun khatah hian a chang chuan rilru hah emaw, kang na emaw i nei thin em? Chumi kawngah chuan tlem chuan chak lo deuhin i inhria thei bawk. Heng symptoms te hi i neih chuan nerve pakhat tihchhiat avanga condition i nei thei a ni. Damdawi lamah chuan hei hi ``Mononeuropathy`` kan ti thin. A awlsam zawngin, hei hi i taksaa nerve pakhat chauh tihchhiatna a ni.

Hei hi eng nge ni `(Mononeuropathy)`? Eng thil chiah nge thleng?

I hria em, kan taksa hian thluak atanga taksa peng dang thlenga thuchah thawn chhuak thei cable te te a nei a, chu chu nerve an ti a ni. ``Mononeuropathy`` tih hi heng nerve pakhat tihchhiatna a ni. ``Peripheral neuropathy`` tih category lian zawkah a tel a ni.`` Chu chu thluak pawn lama nerve leh spinal cord tichhe thei dinhmun a ni.

I in chhunga electric wire ang maiin ngaihtuah rawh. A chhung lam chu thuchah kengtu ``axon'' an tih a nei a, pawn lam khuhna ``myelin sheath'' an tih chu a venghim bawk. Electric wire chhunga copper wire leh a chhehvela plastic awm ang mai a ni. He nerve hi pressure a awm chhunzawm zel a nih chuan, emaw, hliam a awm a nih chuan, emaw, inflammation a awm chuan, he myelin sheath emaw axon emaw hi a chhe thei a ni. Tichuan nerve kaltlanga thuchah lo lutte chu a slow thei a, a nih loh leh tihtawp vek pawh a ni thei. Chutah chuan a hmaa kan sawi tawh ang khan natna lan chhuahna, rilru hahna leh natna te chu a lo lang ta a ni.

Engtin nge `(Mononeuropathy)` hi a lo awm theih? Eng chi hrang hrang nge hman tlanglawn ber?

Dik tak chuan kan taksaa nerve pakhat chauh hi hetiang hian a chhe thei a ni. Mahse, vun hnaih emaw, ruh hnaih emawa tlan nerve te hi a nghawng tam zawk. Chung zinga ṭhenkhat phei chuan hming bik an nei. Heng hmingte hi i hre tawh mai thei:

• Carpal Tunnel Syndrome: Hei hi mi tam tak tan chuan harsatna tlanglawn tak a ni. Nilengin computer-ah i type emaw, kut hnathawh (sewing emaw carpentry emaw ang chi) i tih chuan i kutphah kal tlanga median nerve chu a compress thei a, i kut zungtang a ti na thei a, a na thei bawk.
• Sciatica: Hei pawh hi a tam hle. He natna nasa tak hi kan hnungzang atanga kan hnute kal tlanga kan ke hnuai lam pan thin nerve lian tak (the sciatic nerve) a compress chuan a thleng thin . A châng chuan thil rit tak kan chawi a, kan thut dik loh vang emaw, kan ruhro (vertebrae) inkar a herniated disc a awm vang emaw pawh a ni thei.
• Elbow-a Ulnar Nerve Entrapment awm dan:Table chunga an elbow nghah rengtu tan emaw, thil pakhatin elbow a nawr chuan he nerve hi a compress thei a, chu chuan finger te tak te leh ring finger chanve chu a ti hring thei a, a chak lo thei bawk. Hei hi `(Cubital Tunnel Syndrome)` an ti bawk.
• Radial Tunnel Syndrome: Kut chhunga nerve (radial nerve) compression avanga lo awm a ni .
• Kut chhunga nerve dang (`(Guyon’s Canal Syndrome)`): Hei hi ulnar nerve-ah pawh a hman theih a, mahse compression hi kutphahah a awm thung.
• Peroneal Nerve Problems: He nerve hi ke chu rei tak ben a nih chuan a compress thei a, khup a hliam a nih chuan a compress thei bawk. Hei hian ke chawi a harsat phah thei a ni.
• Axillary Nerve Problems: Hei hi ke ruh hliam vang a ni thei.
• Lateral femoral cutaneous nerve nena inzawm harsatna: He nerve hi compression hian kawr hnunglam a ti na a, a ti na bawk .

Hei bakah hian ``cranial mononeuropathies`` (cranial nerves nena inzawm mononeuropathies) chi khat a awm bawk. Chumi awmzia chu kan thluak atanga lo chhuak direct nerve 12 zinga pakhat chu a chhe tihna a ni. Entirnan ``Bell's Palsy`` (Bell's Palsy) tih hi a ni. Hei hian hmai chhunga nerve pakhat (``facial nerve`` - cranial nerve pasarihna) a nghawng a, chu chuan hmai sir khat chu a tla nghal vek a ni.

A châng chuan nerve pakhat aia tam, chu chu nerve pahnih emaw pathum emaw chu a rualin, taksa peng hrang hrangah a chhe thei a ni. Hei hi `multiple mononeuropathies` an ti a.

Ngaihtuah teh, American mi 40% chuan an dam chhungin engtik lai pawhin sciatica an nei dawn a ni! Bell’s Palsy hian mi 60 zinga 1 vel a vei a ni. Carpal Tunnel Syndrome hi kum khatah mi 1,000 zinga 3 velin an vei a ni. Chuvangin hengte hi chutiang thil mak a ni lo.

He `(Mononeuropathy)` hi eng nge a lan chhuah?

Nerve chhia a zirin natna lan chhuah dan a inang lo thei a, mahse a lan chhuah dan tlangpui chu:

• A natna hmuna rilru hahna .
• Natna emaw, kang emaw .
• "Ants tlan kual vel" emaw "pin leh needle" emaw ang chi sensation.
• A natna hmuna taksa ruh chak lohna. Chutianga a kal zel chuan taksa ruhte chu a tlahniam thei (muscle atrophy).

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan vat a pawimawh hle. Hei hi a chhan chu enkawl loh chuan a natna hi a na zual thei a ni. Chutiang a nih chuan:

• Natna rei tak a awm thei.
• Sense of touch chu a bo mai thei .
• Muscle chak lohna emaw paralysis emaw awm rengHetiang dinhmun hi a lo thleng thei a ni.

Engvangin nge he `(Mononeuropathy)` hi a lo awm? A chhante chu engte nge ni?

Hei hi chhan hrang hrang a awm thei. A bik takin:

1. Hliam tuar

Hei hi nerve direct injury vang a ni fo thin. A chhan chu hetiang hi a ni thei:

• Repeated motion / repetitive strain injuries: Nilengin computer keyboard-a type thin, emaw, thawmhnaw siamtu emaw, factory-a chutiang bawka kut hmang thin emaw han mitthla teh. Hetianga tih nawn leh hian chu nerve te chu a tichhe tlem thei hle.
• Joint pakhat overextension.
• Tisa chu nghet taka chelh chunga rei tak thut: Hriamhrei rit tak chu rei tak nghet taka chelh ang mai a ni.
• Ruh tliak avanga nerve pakhat a chhiat.
• Trauma (nerve hliam, hmanraw hriam tak hmanga hliam emaw, surgery emaw ang chi).
• Cancer tan pawh radiation therapy hmanga siam a ni thei bawk.

2. Nerve tihchhiatna (Nerve Compression) a ni

A hnuaia mite hian mononeuropathy a thlen thei a ni:

• Tumor-in nerve a press ang chi thil.
• A hring lutuk (edema).
• Cast fit tha lo: Cast chu a tight lutuk a, ke emaw, kut emaw a tliak chuan nerve a pinch thei.
• Crutch hmanga siam.
• Hmun khata thut, hunched over, rei tak chhung: a sir khata hawi a, huana hnathawh lai emaw, mut lai emawa i kut chu i hnuaia dah ang mai a ni.
• Khum chunga inkhung emaw, hmun khata rei tak awm emaw a nih chuan.

3. Hriselna Danglam

Natna thenkhat chuan ``Mononeuropathy`` a thlen thei bawk.`` Mahse, heng natna te hian nerve pakhat aia tam a nghawng fo thin.

• Zu in tam lutuk (`Zu hmansualna`).
• Autoimmune leh inflammatory conditions: Entirnan, Lupus leh Rheumatoid Arthritis ang chi natna te. Hengte hi taksa invenna (immune system) tha lo vanga lo awm natna a ni.
• Hri kai thenkhat: HIV (AIDS), Shingles (herpes zoster - chickenpox hnua lo awm thin).
• Diabetes Mellitus: Zunthlum vei te hian nerve tihchhiatna an nei tam zawk. Hei hi a chhan tlanglawn tak a ni.
• Vitamin leh nutrient tlakchhamna.

Engtin nge hei hi i hmuh theih, Doctor?

A tam zawkah chuan doctor chuan hetiang hian a zawt ang che:

• A natna lan chhuah dan ngaihthlak leh hriatna hmangin, .
• I natna hmasa (`medical history`) chungchang chipchiar taka hriatna hmangin, .
• Taksa enfiahna leh thluak lam enfiahna hmangin, .

He natna hi ``Mononeuropathy'' tia hriat theih a ni.

Mahse, hei hi chhan hrang hrang a awm theih avangin, a chhan chiang lo a nih chuan, emaw, i natna lan chhuah dan a nasat chuan i doctor chuan test dang neih belh turin a ti thei ang. Heng test te hian diagnosis chu a nemnghet thei a, a chhan bulpui pawh a hmuchhuak thei bawk. Entirnan:

• EMG - Electromyography: Hei hian i taksa ruh leh a inzawm nerve te hnathawh that dan a test thin.
• Nerve conduction study: Hei hian nerve kal tlanga thuchah kal chak dan a teh a ni. Nerve a chhiat chuan he speed hi a tlahniam a ni.
• Thisen test: Damdawi lam thil dang, zunthlum leh vitamin tlakchhamna te enfiah thin ang che.
• Imaging test: Ultrasound, MRI scan, CT scan ang chi test hmang hian nerve compression emaw tumor emaw a awm tih hriat theih a ni.

``Mononeuropathy'' hi eng enkawlna nge ni?

Enkawlna hi thil engemaw zatah a innghat a, chung zingah chuan:

• Eng nerve nge a chhiat?
• Eng nge a chhan?
• Engtiang chiahin nge dinhmun a chhiat?
• I symptoms te chu engte nge ni?

I doctor chuan i dinhmun atana enkawlna dik ber a rawn rawt ang che. Damdawi hman tlanglawn thenkhat chu hetiang hi a ni:

• Enkawlna tlangpui: chawlh hahdam, natna tihdamna damdawi hman.
• Splints bun: Hengte hi a natna hmun chu a kal theih loh nan hman a ni. Entirnan, Carpal Tunnel Syndrome vei tan chuan kutphah ah splint dah a ni.
• Steroid injection: Heng injection te hi nerve pinch na hmunah inject a, natna, hliam leh inflammation tihziaawm nan.
• Physical therapy: Hei hian exercise bik leh enkawlna dang hmangin nerve function siam that leh muscle tichak turin a pui a ni.
• Condition hnuaia awm enkawl dan: Hei hi zunthlum ang natna avanga lo awm a nih chuan chu natna chu control a pawimawh hle.
• Surgery: Enkawlna dangin a puih loh chuan nerve pinched chu chhuah tir turin operation neih a ngai mai thei.

Engtikah nge Doctor ka hmuh ang?

A chunga kan sawi tawh ang khan natna, rilru hahna, leh taksa ruh chak lohna te i tawng a nih chuan doctor pan a pawimawh hle. Enkawlna i tan hma poh leh hlawhtlinna i neih theihna chance a sang zawk.

Mononeuropathy i vei tih hmuhchhuah tawh i nih chuan i natna lan chhuah dan a zual emaw, natna lan chhuah thar a lo lang emaw chuan doctor hnenah hrilh rawh.

I doctor hnenah heng zawhnate hi zawh hi a \angkai thei ang:

• Eng ang ``Mononeuropathy'' nge ka neih?
• Hei hi eng nge a chhan?
• Eng enkawlna kawng nge ka neih? Eng nge i rawt?
• Hei hi a dam theih nan eng chen nge a la ngai ang?
• Ka dam vek dawn em ni, a then chauh ka dam leh dawn em ni?
• Hetiang thil hi a thlen leh loh nan eng nge ka tih ang?

Hetiang dinhmunah hian dam leh theihna chance engzat nge awm?

Hei hi mi tin a inang lo thei. Nerve chhia, a chhan bulpui leh nerve chhiatna nasat dan ang chi thil hrang hrangah a innghat a ni.

Hetiang dinhmun hi a na thei a, nitin hnathawhna a tibuai thei bawk. Mi thenkhat chuan heng symptoms te hi rei tak an tuar a ngai thin. Mahse, doctor-in a chhan a hmuh theih a, a enkawlna a hlawhtling a nih chuan ``Mononeuropathy`` hi hun eng emaw chen atan a awm thei a ni.

`(Mononeuropathy)` leh `(Polyneuropathy)` hi eng nge an danglamna?

Polyneuropathy chu i taksa chhunga nerve tam tak a ruala a thawh that loh vang a ni. Entirna pakhat chu Guillain-Barré syndrome an tih hi a ni a, chu chu a lo awm nghal mai a ni.

Mahse, `(Mononeuropathy)` tih awmzia chu i taksaa nerve pakhat chauh tihchhiat tihna a ni. A chang chuan `multiple mononeuropathy`, vawi khata nerve engemaw zat nghawng thei hi doctor tan chuan `(Polyneuropathy)` nen thliar hran a harsa deuh thei.

`(Mononeuropathy)` tih hming hi `(Carpal Tunnel Syndrome)`, `(Bell's Palsy)` emaw `(Sciatica)` tih ang chi hming hmangin i hre tawh mai thei. Heng zawng zawng hi thil inang vek a ni - nerve pakhat tihchhiat. A pawimawh ber chu, natna, rilru hahna, emaw, tingling ang chi symptom i neih chuan doctor pan nghal rawh. Chutiang chuan i dam thuai thei ang.

A tawp berah chuan thil hriat reng tur

Mononeuropathy hi hlauh tur a ni lo a, mahse ngaihthah tur pawh a ni lo. I taksa hmun khatah i rilru hahna, natna, emaw, chak lohna emaw i neih reng chuan ngaihthah mai mai suh. Doctor hmu nghal rawh. Diagnosis dik tak leh enkawl vat chuan i dam thuai thei a, nitin hnathawhnaah i kir leh thei bawk.

` Mononeuropathy, neuropathy, rilru hahna, nerve na, nerve compression, carpal tunnel syndrome, sciatica