I thisen zam ah natna emaw, tightness emaw i nei em? He nerve natna chungchang hi han sawi ila.

I ke emaw, i kut emaw-ah hian tingling, prickling, emaw, kang emaw i nei ngai em? Chûng thilte chu thil tenawm tak angin lang mah se, i taksa nervous system aṭanga signal lo chhuak a ni thei a ni. He nervous system hi thawk atanga i taksa ruh control thlengin lum leh vawt hriatna thlengin a inrawlh a ni. Chuvangin heng nerve te hi a chhiat emaw, a na emaw a nih chuan i nunah nghawng lian tak a nei thei a ni. Chuvangin, vawiinah hian he thu hi chipchiar deuhin han sawi ila.

I en hmasa ang u, heng nerve te hi eng nge ni?

A awlsam zawngin sawi ila, nervous system hi kan taksa vel a information phurtu ‘wire system’ a ni. Hmun hnihah a inthen a. Pakhat chu Central Nervous System a ni a . Hei hian kan thluak leh ruhro (spinal cord) a huam a ni. A dang chu Peripheral Nervous System a ni . Hei hian thluak leh ruhro atanga thuchah chu taksa peng dang zawng zawngah a keng tel a ni.

Kan taksaah hian nerve chi thum a awm a, chungte chu:

1. Autonomic nerves: Hengte hi kan taksaa thil ‘automatic’ awmte thununtu an ni. Kan hriat chian loh thilte ngaihtuah teh, kan heart rate , thisen sang, thawmhnaw, leh chaw ei dan ang chi te. Heng nerve te hian heng thilte hi automatic-a thleng turin a pui thin.

2. Motor nerve: Heng nerve te hian kan chetna a thunun a, chu chu kan kut leh ke kan chet dan te, kan kal dan te, etc. Heng ‘motor’ nerve te hian thluak atanga thuchah te chu taksa peng hrang hrangah a phur a, chu chuan chutiang chetna chu a thlen thin.

3. Sensory nerves: Heng nerve te hian kan vun leh taksa ruh atanga kan hriat thin - natna, khawih, leh lumna ang chi te chu thluak leh ruhro lamah a phur kir leh thin. ‘Messenger’ ang maiin.

Nerve chhiatna chhinchhiahnate chu engte nge ni?

Nerve chhiatna chhinchhiahna hi eng nerve chi nge a chhiat tih leh khawiah nge a chhiat tih a zirin a inang lo. Nerve chi hrang hrang tihchhiatna symptoms i en ang u.

A châng chuan mi pakhat hian a rualin heng neuropathy chi hnih emaw pathum emaw symptoms a nei thei a. Entirnan, i keah chak lohna i nei thei a, chubakah kangmei chhuak i nei thei bawk.

Engvangin nge heng nerve te hi an chhiat? A chhante chu engte nge ni?

Nerve chhiatna thlentu hi 100 chuang a awm. A chhan hrang hrang a zirin symptom leh enkawl dan pawh a inang lo thei. A chhan ber thenkhat chu hetiang hi a ni.

• Zunthlum: Nerve tihchhiatna thlentu lian ber leh tam ber chu zunthlum a ni. Zunthlum vei zinga 70% vel chuan nerve tihchhiat engemaw zat an nei a. Natna hi thunun a nih loh chuan he dinhmun hi a zual zel ang. Hei hi diabetic neuropathy kan ti a.
• Autoimmune natna: 1.1.Kan taksa hriselna (immune system) ngeiin kan nerve (nerve) a beih thin natna. Entirnan natna chi hrang hrang Multiple Sclerosis, Guillain-Barré syndrome, leh Lupus te hi a ni.
• Cancer: Tumor-in nerve a press emaw, cancer chi thenkhatin taksaa ei leh in lama harsatna a thlen hian nerve chhiatna a awm thei. Tin, cancer enkawlna atana chemotherapy leh radiation hmanga enkawlna thenkhat avanga side effect angin nerve natna hi a awm thei bawk.
• Compression/Trauma: Nerve chhiat hi nerve pinched, hliam na tak, Carpal Tunnel Syndrome ang chi condition vang a ni thei.
• Nutritional deficiencies: Vitamin tlakchhamna, a bik takin vitamin B6 leh B12 te hian nerve chak lohna, natna, leh inflammation a thlen thei. Hetiang dinhmun hi zu in tam lutuk teah pawh a awm thei bawk.
• Zu leh Toxic substance: Hun rei tak chhunga zu in tam lutuk hi nerve tihchhiatna thlentu lian tak a ni. Tin, thil tha lo tak tak, lead, arsenic, leh mercury te ei hian nerve a tichhe thei bawk. I tum loh taka thil tha lo i ei nia i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center-ah zawh nghal rawh.
• Natna hrik kai: Hri kai thenkhat, Lyme natna, herpes virus, HIV, leh Hepatitis C te hian nerve a tichhe thei a.
• Damdawi side effects: HIV damdawi thenkhat leh cancer damdawi thenkhat chemotherapy te hian side effect angin nerve pain a thlen thei.

Hei hi eng enkawlna nge ni?

A tam zawkah chuan nerve chhiatna hi tihdam kim a harsa hle. Mahse, natna lan chhuah dan control thei tur leh nun awlsam zawka siam thei tur enkawlna tam tak a awm. A pawimawh ber chu symptoms a intan veleh Doctor pan vat hi a ni. Enkawlna i tan hma poh leh chhiatna awm reng tur i ven theihna a sang zawk.

Enkawlna hian a hmasa berah chuan nerve natna thlentu underlying condition enkawl hi a ngaih pawimawh ber a ni.

• Zunthlum i neih chuan i thisen sugar level kha control la .
• Nutritional deficiency a awm chuan vitamin mamawh pek tur a ni.
• Hetiang dinhmun hi damdawi avanga lo awm a nih chuan doctor nen inbia la, damdawi chu thlak rawh.
• Physical therapy emaw surgery emaw hmanga natna chi hrang hrang, pinched nerve ang chi.
• Autoimmune natna damdawi pek.

Natna tihdamna damdawi

I doctor chuan i natna tihziaawmna turin heng ang damdawi hi a pe thei ang:

• Painkiller hman tlanglawn tak tak.
• Depression damdawi thenkhat, Amitriptyline leh Duloxetine (Cymbalta) te.
• Epilepsy (seizures) damdawi thenkhat. Hengte hi epilepsy damdawi ni mahse, nerve natna tihreh nan pawh a tangkai hle. Entirnan: Gabapentin (Neurontin) leh Pregabalin (Lyrica) te hi a ni.
• Skin cream chi hrang hrang. Entirnan: Capsaicin leh Lidocaine awmna cream.

Enkawlna dang

Damdawi bakah hian doctor chuan enkawlna hrang hrang a rawt thei bawk a, chungte chu:

• Physical therapy: Exercise leh massage hian taksa ruh chak lohna a veng thei a, ruhkawr tha tak a vawng reng thei bawk.
• Surgery: Nerve pinched emaw accident emaw avanga natna awm tan chuan surgery hi a solution tha ber a ni thei.
• Nerve Block: Nerve na tak chhehvela numbing drug inject hian natna signal thluak thleng tur chu rei lo te chhung atan a titawp thin.
• TENS (Transcutaneous Electrical Nerve Stimulation): Electrical signal te te hmanga natna control thei hmanrua a ni.
• Enkawlna dang: Acupuncture, meditation, leh vitamin thenkhat (damdawi lam enkawlna hnuaia) ang chi thilte pawhin mi thenkhat tan hahdamna a pe thei bawk. Mahse, damdawi dang i tan hmain i doctor nen inbiakna neih hmasak phawt ang che.