Multiple Sclerosis (MS) - I taksain amah leh amah a inbeih hian

I taksa sir khatah i rilru a buai nghal mai em, a nih loh leh i mit pakhatah chuan i mit a fiah lo deuh em? A châng chuan chhan awm lovin i chau lutuk emaw, i lu a buai emaw ṭhin em? Heng thilte hi a lo thleng a, a kal zel bawk a, chuvangin i ngaihven vak lo mai thei. Mahse hengte hi tunlaia kan sawi tur Multiple Sclerosis, a nih loh leh MS tih natna chhinchhiahna hmasa ber a ni thei. Ngaihtuah buai suh, engkim hi awlsam takin kan vawng ang.

A awlsam zawngin, he MS hi eng nge ni?

Kan ram defence force te ang bawkin kan taksa pawhin natna laka min vengtu immune system a nei tih han ngaihtuah teh. A hna ber chu taksaa lut hrik leh virus ang chi hmelma te hriatchhuah leh tihchhiat a, kan hriselna vawng reng hi a ni.

Mahse MS an tih dinhmunah chuan thil mak tak mai a thleng thin. Kanmahni invenna system, immune system hian kan cell tha thenkhat chu hmelma angin a ngai sual a, a bei tan ta a ni. A bik takin, he attack hian kan thluak leh kan ruhro (Central Nervous System) vel a nerve fibers te chu a target a ni.

Heng nerve fiber te hi electric wire ang mai an ni. Electrical wire hian a chhehvelah plastic sheath a nei a, chu chuan current a chhuah loh nan leh a luang chhuak tha lo. Chutiang bawkin kan nerve fiber-te pawhin myelin an tih, venhimna kawr an nei bawk. He myelin sheath hi thluak atanga taksa peng dangte hnena signal rang leh dik taka thawn chhuah nan a pawimawh hle.

MS vei chuan immune system a nei a, chu chuan myelin sheath a bei thin. He attack hian myelin sheath a tichhia a ni. Tichuan, wire, plastic sheath stripped ang maiin thluak atanga message lo lut chu a kal tluang lo. Message te chu a slow a, a buaithlak a, a chang chuan a tawp vek bawk. I hriat chhuah chhinchhiahnate chu chu thuchah inbiakpawhna a tihbuai vang a ni.

MS chi hrang hrangte chu engte nge ni?

MS hian mi zawng zawng a nghawng dan inang vek lo. A lan chhuah dan leh a kal zel dan azirin chi liah then a ni. Natna pakhat chi hrang hrang pali angin han ngaihtuah teh. I doctor chuan eng type nge i neih tih a hrilh ang che.

Heng chi lian ber berte bakah hian MS chi hrang hrang hmuh tur awm lo zawk a awm a, a tlangpuiin a natna lan chhuah dan na zawk leh rang zawk a awm thin.

MS natna lan chhuah hmasak ber leh langsar ber berte chu engte nge ni?

MS symptoms hi mi hrang hrangah a inang lo hle. Tin, mi pakhatah pawh nitin a natna lan chhuah dan nasat dan a inang lo thei bawk. A chhan chu symptoms hi nervous system chhunga khawiah nge chhiatna a thlen danah a innghat a ni.

A tir lama hmuh theih symptoms

• Mit a inthlak danglam: Mit pakhata mit hmuh lohna, rawng hmuhna hloh, mit tihchet laiin na (hei hi ``Optic Neuritis'' an ti a), mit hmuhna pahnih.
• Muscle chak lohna: Chak lohna, a tlangpuiin taksa sir khatah (e.g., kut veilam leh ke veilam) emaw, kawr hnuai lamah emaw hriat a ni.
• Numbness emaw unusual sensations: Taksa, ke leh kut lehlamah chhan hriat loha tingling, prickling, emaw burning sensation.

Hun kal zelah symptoms a lo langsar zual zel

• Chauhna: Hei hi hahna pangngai mai a ni lo. A nasa em em a, eng ang pawhin mu mah la, i chau hle a, ni khat chu i hmang thei lo.
• Kal harsa leh balance hloh: Kal laiin tlu, off balance leh tlu mai tur ang maia inhria.
• Luak chhuak: Room chu a inher ang maia hriat.
• Muscle spasms: Ke emaw kut emaw a thau te chu a tight a, a na bawk.
• Zun leh ek thunun harsa: zun chhuah duhna, zun thunun theih lohna.
• Ngaihtuahna harsatna: hriatrengna hloh, ngaihtuahna seng harsa, leh thumal zawn harsa tih ang chi thil.
• Rilru inthlak danglamna: Chhan awm lova lungngaihna (depression), lungkhamna nei.

Engvangin nge MS hi a lo awm? Risk factors te chu engte nge ni?

Dik tak chuan scientist te hian mi pakhat immune system hian hetianga a chetsual tan chhan hi 100% chiahin an la hre lo. Mahse hei hi a thlen thei nia an ngaih risk factor engemaw zat an hmuchhuak a ni.

• Genetic influence: I chhungkuaa mi tu emaw, a bik takin nu leh pa emaw, unau emaw chuan MS a vei a nih chuan, i vei theihna chance chu mipui zawng zawng aiin a sang deuh hlek a ni. Mahse chu chuan i tipung ngei ang tihna erawh a ni lo.
• Viral infection: Zirchianna atanga a lan dan chuan virus thenkhat, a bik takin Epstein-Barr Virus nena inzawmna hi MS lo awm theihna nen a inzawm a ni.
• Vitamin D tlakchhamna: Ni ênga kan hmuh theih vitamin D level hniam nei te chu MS vei theihna a sang zawk.
• Meizial zuk: Meizial zu thinte hian MS vei an hlauhawmna a sang mai ni lovin, he natna hi an vei chak zawk bawk.
• Kum leh mipa leh hmeichhia: MS hi kum 20 leh 40 inkar ah hmuh chhuah a ni ber a, mipa aiin hmeichhiaah a tam zawk bawk.

Engtin chiah nge he natna hi hmuhchhuah a nih?

MS hmuhchhuah hi thil buaithlak tak a ni a, thisen test leh scan bik a awm loh avangin. Chu ai chuan, doctor chuan i natna lan chhuah dân chu ngun takin a ngaithla ang a, taksa enfiahna a nei ang a, natna dang i neih loh nân test hrang hrang a nei ang.

I chhungkaw doctor chuan MS i vei theih a rinhlelh chuan a nei ngei angNeurologist hnenah refer i ni ang a, ani chuan specialized test engemawzat a ti thei ang.

• MRI scan (Magnetic Resonance Imaging): Hei hi MS natna hriat theihna atana test pawimawh ber a ni. Thluak leh ruhro chhunga myelin sheath chhiatna hmun (lesion emaw plaques emaw) chiang takin a hmu thei.
• Evoked Potential (EP) test: Hei hian nerve-a message kal chak dan a teh a ni. Myelin a chhiat chuan he speed hi a tlahniam thin.
• Lumbar Puncture: Hei hian i ruh (spinal cord) chhehvela tui awm sample tlemte tak tak (cerebrospinal fluid) chu i ruhro atanga lak chhuah a, test a huam a ni. MS i neih chuan he fluid ah hian protein bik hmuh tur a awm.
• Thisen test: Hengte hi MS ang chi natna dang (e.g., vitamin tlakchhamna thenkhat, autoimmune natna dang) i neih loh nan tih a ni.

Ngaihtuah buai suh, he process hian hun engemaw chen a la duh thei. Diagnosis dik tak chu enkawlna dik tak neih hmasak ber a ni.

MS enkawl dan tur chu engte nge ni?

Sawi hmasak ber tur chu MS hi damdawi a la awm lo . Mahse, lungngai suh. Tunah chuan natna thunun thei, natna lan chhuah dan enkawl thei, natna zual zel pawh nasa taka tikhawtlai thei damdawi tha tak tak a awm tawh a ni.

Enkawlna hi chi hrang hrangah then theih a ni:

1. Natna tidanglam thei damdawi (DMTs) .

Heng damdawi te hian i immune system in i myelin sheath a beih dan a thlak danglam a ni. Hei hian relapses tihtlem nan a pui thei a, chhiatna thar a tihziaawm thei a, hun rei tak chhunga harsatna awmte pawh a control thei bawk. Injection, pill, emaw intravenous infusion angin an lo thleng thin. I doctor chuan eng DMT chi nge i tan a tha ber tih a rel ang.

2. Relapse Management Damdawi

RRMS vei chuan a natna lan chhuah dan (relapse) a neih nghal chuan, nervous system-a inflammation tihziaawmna turin damdawi chak tak tak, corticosteroids ang chi chu thisenah pek a ni. Hei hian symptoms atanga rang taka dam leh turin a pui thin.

3. Symptoms enkawl dan tur

MS natnain nitin nunah nghawng a neih tihziaawmna turin enkawlna chi hrang hrang a awm a.

• Physical Therapy: Taksa tichaktu, balance tihchangtlun, kal harsatna tihziaawm.
• Occupational Therapy: Nitin hna (e.g., incheina, chaw siam) awlsam zawka thawk turin a pui che a ni.
• Mental health counseling: MS ang chi natna rei tak nena kan nun laia stress leh depression lo awm thei te enkawl.
• Damdawi bik: 1.1.Damdawi hran hran pek a ni a, hahna, taksa ruh khauh, natna, leh zun insum theih lohna te.

MS natna vei hian nun pangngai, hlim taka awm theih a ni em?

Ni e, a ni ngei ang. MS hi dam chhung zawnga natna awm ni mah se, thi tura hremna a ni lo. Tûn laia enkawlna changkang tak takte hmang hian MS vei tam tak chu nun pangngai, thawkrim leh hlim takin an nung a ni.

Dik tak chuan, harsatna engemaw zat i hmachhawn a ngai dawn a ni. Kal tur chuan tiang ang chi assistive device i hman a ngai mai thei. I nitin nunphungah inthlâk danglamna engemaw zat i siam a ngai mai thei. Mahse inenkawlna dik, nunphung hrisel leh rilru nghet tak i neih chuan heng harsatnate hi i hneh thei a ni.

• Ei leh in hrisel ei rawh.
• Exercise neih fo (Doctor-in a tih angin).
• Meizial zuk loh vek tur a ni.
• Chawlh hahdam la, mut tawk rawh.
• Stress tihziaawm tum ang che.

Heng thilte hian natna kal zel dan tur thunun nan nasa takin a pui a ni.