Heng symptoms te hi i nei em? Multiple Sclerosis (MS) chungchang hi han sawi ila!

A chang chuan i balance hloh emaw, i mit a buai nghal mai emaw ang maiin i inhria em? A nih loh leh i kal laiin i balance hloh ang maiin i inhria em? Heng thilte hi a liam mai mai em ni, a nih loh leh thil lian zawk bul tanna a ni em? Vawiin hian condition pakhat kan sawi dawn a, a buaithlak deuh a, mahse a fimkhur a pawimawh hle. Chu chu Multiple Sclerosis , a tawi zawngin MS a ni.

Multiple Sclerosis hi eng nge ni?

A awlsam zawngin, multiple sclerosis (MS) hi nangmah ngeiin i immune system-in i thluak leh i spinal cord , i central nervous system a beih theihna a ni. Hei hi autoimmune condition an ti a .

I taksa chhunga nerve awmte chu electrical wire angin ngaihtuah rawh. Heng wire te hian an chhehvel ah hian venhimna (protective sheath) an nei a ni lawm ni? Chutiang bawkin kan nerve cell-te pawhin myelin an tih, venhimna kawr an nei bawk. Heng myelin sheath te hian signal te chu nerve kaltlangin rang tak leh dik takin a kal theih nan a pui thin. He inbiakpawhna hi kan taksa kan hmuh, kan hriat leh kan tihchet zawng zawng atan a pawimawh hle.

Tunah chuan MS vei pakhat chunga thil thleng chu anmahni immune system-in heng myelin cell-te hi a bei sual a ni . Keimahni sipai ngeiin mahni ram an bei ang mai a ni. Hei hian myelin sheaths a tichhia a ni. Tichuan chu nerve message te chu a kal tha lo va, a laiah a tang lo va, kawng dik loah a kal lo bawk. Hetiang chhiatna hi thluak, ruhroah te, a chang chuan mit nena inzawm nerve-ah te pawh a thleng thei a ni.

Tunah hian MS hi damdawi a la awm lo . Mahse, a chhiatna tihziaawmna tur leh a natna lanchhuahna thunun theihna tur enkawlna tha tak tak a awm nual. Chuvangin lungngai suh.

MS chi hrang hrangte chu engte nge ni?

MS hian mi zawng zawng a nghawng dan a inang lo va, chuvangin doctor-te chuan i natna lan chhuah dan azirin chi hrang hrangah an ṭhen a. Hengte hi natna chi hrang hrang an ni lo va, natna lan chhuah dan chauh a ni.

A chi hrang hrang pali a awm a, chungte chu:

1. Clinically Isolated Syndrome (CIS): Hei hi MS natna lan chhuah hmasak ber a ni. Mahse MS a ni tih chiang taka finfiahna tur evidence a awm lo. Heng symptoms te hi myelin chhiat avanga lo awm a ni. CIS vei zawng zawng hian MS an vei vek dawn lo a, mahse nakin lawkah thenkhat chuan MS an vei mai thei.

2. Relapsing-Remitting Multiple Sclerosis (RRMS): Hei hi MS chi khat zingah chuan a tam ber a ni. MS vei zinga 85% vel chu he category-ah hian an tel a ni. Thil thleng chu symptom thar a lo lang nghal a, a nih loh leh symptom hlui a zual zel a ni. Hei hi "relapse" emaw "attack " emaw kan ti a ni. Tichuan, hun kal zelah heng symptoms te hi a tlahniam emaw, a bo vek emaw a ni. Hei hi "remission" an ti a.A hun ta.

3. Secondary Progressive Multiple Sclerosis (SPMS): RRMS vei tam tak chuan a tawpah SPMS an vei thin. Hetiang dinhmunah hian nerve chhiatna a pung zauh zauh a, symptoms pawh a na zual sauh sauh bawk. Relapses a awm thei a, mahse remission hun chhung, emaw symptom relief hun chhung chu a tawi zawk.

4. Primary Progressive Multiple Sclerosis (PPMS): Hetiang chi ah hian a tir atangin a natna lan chhuah dan a zual zauh zauh thin. RRMS angin relapse leh remission chiang tak a awm lo.

Heng chi lian pali bakah hian MS hi chi hrang hrang hmuh tur awm lo tak tak a awm a:

• Tumefactive Multiple Sclerosis: Hei hi multiple sclerosis chi khat a ni a, thluak hmun zau takah demyelination a thlen thin. Chungte chu tumor ang maiin a lang thei. Hei hi thluaka tumor a nih leh nih loh hriat nan biopsy lak a ngai mai thei.
• Balo’s Concentric Sclerosis: Hetiang dinhmunah hian MRI scan-ah hian myelin chhiatna hi concentric ring angin a lang a, chuvang chuan a hming hi a vuah a ni.
• Marburg Variant Multiple Sclerosis: Hei hi MS natna chi khat, a nasat em em a ni. Symptoms hi a kal chak hle a, enkawl loh chuan thihna thlen thei a ni.

MS hi engtiang chiahin nge a hluar?

United States ang ram hrang hranga zirchianna an neihah chuan puitling maktaduai khat vel chu MS vei an ni tih an hmuchhuak. Sri Lanka ramah pawh hetiang natna vei an awm bawk.

MS natna lan chhuah hmasak berte chu engte nge ni?

MS natna lan chhuah hmasak ber chu:

• Mit a inthlak danglam: Mit pakhata hmuh fiah lo, natna (hei hi optic neuritis an ti a), mit hmuh vawi hnih, leh mit hmuh lohna a awm thei.
• Muscle chak lohna: A tlangpuiin hmai emaw taksa sir khatah emaw, kawr hnuai lamah emaw a awm thin.
• Numbness emaw unusual sensations: Hei hi hmai emaw taksa sir khatah emaw, kawr hnuai lamah emaw a thleng thei bawk. Tingling sensation ang maiin a awm thei a, engmah lo ang maiin a awm thei bawk.

MS natna lan chhuahna dangte chu engte nge ni?

MS avanga natna lan chhuah dan tlangpui dang thenkhat chu hetiang hi a ni:

• Chauhna: Chauhna mai ni lovin, tuar theih loh, hahna nasa tak.
• Clumsiness a ni
• Luak chhuak thei
• Bladder function control harsa: zun tam, zun control theih lohna.
• Balance leh coordination hloh
• Cognitive function lama harsatna awmte: 1.1.Chu chu ngaihtuahna, hriatrengna, ngaihvenna, zirlai leh rorelna tlahniam tihna a ni.
• Mood inthlak danglamna: thinrimna, lungngaihna, lungkhamna.
• Muscle stiffness leh muscle spasms / tremors te a awm bawk

A pawimawh ber chu heng symptoms te hi mi hrang hrangah a inang lo. Ni khata i neih leh ni khata i neih chu a danglam thei. Heng symptoms engemaw zat hi i nei thei a, mahse vawi khatah a zawng zawng erawh a ni lo.

MS natna vei hi pangngai taka nun theih a ni em?

Hei hi sawi a harsa deuh a, a chhan chu "normal" tih hi mi hrang hrangah a inang lo. MS hmang hian periods of remission i nei thei . Chu chu i symptoms a bo a, i awm dan ang bawka i awm theih hun chhung tihna a ni. MS i vei pawh i theihnghilh thei a, i symptoms a lo lan leh hma loh chuan. He "normal" hi eng ang nge a nih tih leh engzat nge a hriat tih hi MS chi leh natna stage a zirin a danglam thei.

Eng thilin nge MS hi a thlen?

MS natna thlentu ber chu myelin (demyelination) tihchhiat vang a ni. Kan sawi tawh ang khan myelin hi i thluak leh i ruhro chhunga nerve cell (neurons) vel venhimna khuhtu a ni. I thluak leh i taksa dang inkara thuchah thawntu a ni a, mit hmuhna, hriatna leh chetna ang chi thilte a thunun a ni.

I immune system hna chu i taksa tana chhiatna thlen thei thil, bacteria leh virus ang chi laka venhim che hi a ni. Mahse MS-ah chuan i immune system chu a thawk nasa lutuk a, myelin hrisel (leh a chang chuan a hnuaia nerve cell awmte) chu hlauhawmah a ngai sual a ni. Immune system in he myelin hrisel tak hi a beih hian a tichhia a ni. Hei hi demyelination an ti a .

Doctor chuan imaging test, MRI ang chi hmangin he myelin chhiatna hi a awm tih finfiahna a zawng thei a ni. Chu chu hliam, hliam, a nih loh leh plaque an ti mai thei . Myelin a chhiatna hmunah chuan nerve cell inkara message te chu a kal tha lo hle. Chu chu MS natna lanchhuahna thlentu a ni.

Mi thenkhatin MS an vei chhan hi mithiamte chuan an la hre chiang lo hle a, mahse zirchianna atanga a lan dan chuan heng thilte hian MS vei theihna a tipung thei a ni:

• Meizial zuk
• Toxins nena inzawmna: Entirnan, secondhand smoke, pesticides nena inzawmna.
• Vitamin D level hniam lutuk
• Virus nena inzawmna: Entirnan, Epstein-Barr virus emaw mononucleosis emaw .
• Naupan laia thau lutuk
• Genetic predisposition: 1. A rilru a hah lutuk chuan a rilru a buai em em a.Chumi awmzia chu i chhungkuaa mi tu emaw hian he natna hi a vei a nih chuan, emaw, natna vei duhtu gene i neih chuan i vei theihna a sang zawk tihna a ni.

Tute nge MS vei theihna chance sang zawk?

MS vei theihna i nei sang zawk thei a, chu chu:

• Kum 20 leh 40 inkar i nih chuan.
• Northern European ancestry i neih chuan.
• Hmeichhia i nih chuan (hmeichhia hian MS an vei tam zawk).

Mahse, MS hian tu pawh a nghawng thei tih hre reng ang che. A tlem berah chuan naupangte pawh a nghawng thei bawk .

MS vang hian eng harsatna nge awm thei?

MS symptoms a zual emaw, a na zual emaw a nih chuan, complications te chu:

• Ṭanpuina tel lova kal harsa .
• Bowel emaw bladder emaw control hloh .
• Hriatrengna hloh .
• Mipat hmeichhiatna lama harsatna nei .
• Depression leh lungkhamna .

Engtin nge MS hi hmuhchhuah a nih?

MS hi chiang taka hriat theihna tur test pakhat mah a awm lo. Chu ai chuan, doctor chuan taksa enfiahna, thluak lam enfiahna, leh test dang engemaw zât a neih hnuah MS i vei tih a sawi chhuak ang .

Examination neih chhung hian i doctor chuan i symptoms leh medical history te a hre belh ang. Test-naah hian thisen test te, i thluak leh i ruhro MRI (Magnetic Resonance Imaging) scan te, leh i ruhro tui enfiah te a tel thei a ni .

MS hi chiang taka hriat theih nan hun engemaw chen a ngai thei. I hriat chian hmain doctor vawi tam tak i hmuh a ngai mai thei. Hei hi a chhan chu MS natna lan chhuah dan hi natna tlanglawn dang engemaw zat nen a inang thei a ni. Diagnosis tihkhawtlai chu a lungchhiatthlak thei a, diagnosis dik tak neih chuan i doctor chuan i symptoms te chu uluk taka enkawl turin a pui thei a ni.

MS hi eng test nge hman thin?

Diagnostic test hian i doctor chu MS ang chi natna dang nei lo turin a pui a ni. Test-ah hian:

• Thisen test leh zun test
• Magnetic Resonance Imaging (MRI) hmanga enfiah a ni
• Optical Coherence Tomography (OCT) test: Hei hian mit nerve a chhiat leh chhiat loh a enfiah thin.
• Lumbar Puncture: Hetah hian ruhro atanga ruhro tui sample lak a ni a, enfiah a ni.
• Evoked Potential (EP) test: Hei hian nerve impulse kal chak dan a teh a ni.

Tuin nge MS hi a hmuhchhuah?

I primary care provider-in MS i vei theih a rinhlelh chuan neurologist hnenah an refer ang che . Neurologist chu nervous system natna enkawlna lama tui, thluak leh ruhro (spinal cord) te a ni.

MS hi a dam kim thei em?

Vanduaithlak takin tunah hian MS hi tihdam kim theih dan tur a awm lo .

MS enkawl dan tur chu engte nge ni?

Multiple sclerosis enkawlna tum ber chu chhiatna nasa zawk tihtlem te, natna lan chhuah dan control te, leh harsatna lo thleng tur ven hi a ni . I enkawl dan tur ruahmannaah hian:

• Damdawi chi hrang hrang
• Taksa lam enkawlna, hnathawhna lama enkawlna emaw, thusawi hmanga enkawlna emaw
• Rilru hriselna lama counselling pek a ni

Symptoms enkawl dan dangte chu natnain a nghawng dan azirin a inang lo. Chung zingah chuan:

• Glasses vuah emaw, mit lama harsatna nei damdawi ei emaw .
• Muscle Tremors tan thluak thuk tak tihchakna .
• Kea kal harsatnate tanpuitu hmanrua , tiang, kea kalna emaw, wheelchair emaw hman.
• Seizure damdawi emaw, natna damdawi (e.g. , gabapentin emaw nortriptyline emaw ).
• Cognitive symptoms tan donepezil ang chi damdawi te.
• Therapies dang acupuncture leh yoga te pawh a awm thei .

MS attack laiin i taksain damdawi thenkhat a dawng tha lo a nih chuan i doctor chuan plasma exchange (plasmapheresis) . Hei hian hun rei tak chhunga attack dang thleng tur venna aiin attack awm tawh atanga chhiatna tihtlem nan a hlawk zawk.

I doctor nen pawh clinical trial i tel theihna tur a awm leh awm loh i sawi thei bawk a, clinical trial chu MS leh natna dang enkawlna thar, damdawi thar emaw, damdawi awmsa hman dan thar emaw zawng tura mi test a ni.

Multiple sclerosis natna damdawi

Multiple sclerosis damdawi hian natna lo lang leh fo thinna a ti tlem thei a, thluak leh ruhroa natna/hliam thar lo awm tur a ti tlem thei a, natna kal zel dan a tikhawtlai thei bawk. MS damdawi chi hrang hrang hman tlanglawn ber chu:

1. Natna tidanglam thei damdawi (DMTs):DMTs hian relapse i neih zat a tihtlem a, MS natna a ti hniam a, i thluak leh i ruhroah hliam thar a lo awm loh nan a veng bawk. U.S. Food and Drug Administration (FDA)-in hun rei tak chhunga MS enkawlna atana a pawmpui damdawi engemaw zat a awm a.

2. Relapse management damdawi: Attack na tak tan chuan damdawi corticosteroid ( methylprednisolone ang chi) te hian i immune system a titawp a, rang takin i vun a ti tlem bawk. Heng damdawi te hian attack hnuah i dam leh hun a tikhawtlai thei a ni. I nerve cells chhehvela myelin sheath chhiatna pawh an ti tlem bawk. I doctor chuan heng damdawi te hi IV (intravenously) hmangin a pe thei che a ni. Attack na tak takte hun rei lote chhunga enkawlna dangte chu IV immunoglobulin therapy emaw plasma exchange emaw a ni.

MS tan DMT te a awm

MS atana hman tlanglawn DMT leh an pek dan te chu hetiang hi a ni:

• I vunah injection: Beta interferon, glatiramer acetate, emaw ofatumumab emaw.
• Vein (IV) chhunga infusion: Alemtuzumab, natalizumab, rituximab, ocrelizumab, emaw ublituximab emaw.
• Damdawi ei tur: Cladribine, dimethyl fumarate, diroximel fumarate, monomethyl fumarate, fingolimod, siponimod, ponesimod, ozanimod, emaw teriflunomide emaw a ni thei.
• Stem cell thlak danglam a ni

Multiple sclerosis hi a veng thei ang em?

Tunah hian MS laka inven dan tur hriat a la awm lo .

MS symptom flare-up te hi engtin nge kan tihtlem theih ang?

Flare-up, relapse, leh attack i neih zat tihtlem dan tha ber chu disease-modifying therapies (DMTs) ei hi a ni .

Tin , nun hrisel tak neih a pawimawh bawk . Thutlukna i siamte hian natna zual zelna tikhawtlai turin a pui thei a ni. Hrisel taka awm tur chuan i doctor chuan a hnuaia mite hi a rawn rawt thei ang:

• Chaw tha tak tak ei.
• Mut tam tawk neih.
• Taksa tihchakna mumal tak neih.
• Zuk leh hmuam thil hman loh.

Natna khirh tak hmachhawn chu rilru lama harsatna a ni thei. MS hian a chang chuan i mood leh memory a nghawng thei. Neuropsychologist emaw rilru lam hriselna lama counselor emaw a niHnathawhho hi hun rei tak chhunga natna enkawlna atana thil pawimawh tak a ni.

MS hi eng nge a hmalam hun?

Multiple sclerosis hi dam chhung zawnga natna a ni a , damdawi a nei lo . Mahse, tuna enkawlna hman mekte hian symptoms enkawlnaah leh flare-ups awm tamna tihtlem nan a tangkai hle. Enkawlna awm emaw enkawl loh emaw pawh nise, MS hi hun kal zelah chak lohna a thlen thei a, chu chuan tanpuina tel lova nitin hna thawh a harsat phah thei a ni. I care team te hi i MS zinkawng zawng zawngah tanpui turin an awm a, harsatna awm lo tur venna tur leh i nunphung tihchangtlun nan hma an la thin.

Multiple sclerosis hian i dam chhung a nghawng em?

MS natna vei hian nun pangngaia nun i beisei thei. Zirna hlui zawkah chuan MS hian i dam rei zawng chu kum 10 velin a ti tawi thei tih hmuhchhuah a nih laiin, enkawlna kawng hrang hranga hmasawnna a awm avangin hei hi nasa takin a lo tha chho ta a ni. A tlem berah chauh hian MS hi a thihpui thei a ni.

MS vei hian nun pangngai a hmang thei ang em?

Awle. MS hi hriatchhuah leh enkawl dan harsa tak a ni thei a, mahse i care team chuan i kalna apiangah an pui ang che. Damdawi awm lo mah se, MS natna nen hian nun hlim tak leh thawkrim takin i hmang thei a ni. Damdawi atanga therapy thlengin i taksa leh rilru hnathawh that theihna tur kawng a awm. Chutiang thil tawn tawh midangte nena inzawmna siamsak thei tur support group pawh an awm.

Engtikah nge Doctor i hmuh ang?

Hetiang symptoms i neih chuan doctor i pan tur a ni:

• Khua lum lutuk avanga sensitive lutuk anga inhria.
• I dinhmun nghet lo emaw, off balance emaw i tih chuan.
• Thil hriatreng harsa.
• A bik takin i kut emaw ke emaw a natna emaw, tingling emaw i neih chuan.
• Sudden vision a danglam ta.
• I kut emaw ke emaw ah chak lohna i hriat chuan.

MS i vei a, symptom thar i neih chuan emaw, symptom awmsa a zual chuan doctor hnenah hrilh rawh.

I doctor hnenah eng zawhna nge i zawh tur?

I doctor hnenah heng zawhnate hi i zawt mai thei:

• Eng ang enkawlna nge i rawt?
• Physical therapy hi engzat nge ka kal tur?
• Damdawi i pek tawhte hian side effect a nei em?
• Engtikah nge damdawi hi ka ei ang a, eng chen nge ka ei ang?
• Eng symptom nge ka fimkhur tur?
• Hriselna tha neih dan tur thurawn min pe thei ang em?
• Support group i recommend theih tur a awm em?

Take-Home Thuchah a ni

Multiple sclerosis (MS) hi natna lungchhiatthlak tak, nunna atana hlauhawm tak a ni. Symptoms chu a lo lang nghal thei a, a na zual thei bawk. MS hian i balance i hloh chuan accident i neih theihna a tipung thei bawk.

Mahse, nangmah chauh i ni lo. Doctor chuan i dinhmun enkawl dan tur leh nitin hnathawhna hmun him taka chhunzawm turin a pui thei che a ni. Natna a lo zual zel chuan i nunphungah inthlak danglamna tenau te i siam a ngai mai thei a, chu chu kea kalna tur hmanrua emaw, glasses vuah emaw a ni thei. Mahse MS vei tam tak chu an care team puihnain nun famkim leh active takin an hmang thin. I enkawl dan tur, symptoms emaw complications chungchanga zawhna i neih chuan i doctor te zawt hreh suh. Hriatthiamna leh puihna dik tak dawn hi MS natna hlawhtling taka nun theihna kawng tha ber a ni.

` Multiple Sclerosis, MS, Neurological Disease, Myelin, Thluak, Spinal Cord, A lan chhuah dan, Enkawl dan, Autoimmune Disease, Multiple Sclerosis