I mit leh i taksa a chak lo ang maiin i inhria em? Neuromyelitis Optica (NMO) chungchang hi han sawi ila!

A chang chuan i mit hmuh danah inthlak danglamna i hmu nghal em, a nih loh leh i taksa peng thenkhat chu a hlim lo emaw, nunna nei lo emaw angin i inhria em? I mit a na a ni mai thei, a nih loh leh kal harsa i ti em? Heng thilte hi chhan pakhat a awm thei a, vawiinah hian natna pakhat, tlem a awm lo, mahse kan zavaia kan hriat chian a pawimawh em em chungchang kan sawi dawn a ni. Chu chu neuromyelitis optica a ni a, a tawi zawngin `(NMO)` kan ti a ni.

Neuromyelitis Optica hi eng nge ni?

A awlsam zawngin sawi ila, Neuromyelitis Optica (NMO) hi hun rei tak chhunga awm thei, rei tak awm thei a ni. I mit hmuhna leh i taksa tihchet theihna a nghawng ber a ni. Kan taksa invenna system, immune system hian tihsual takin kan nervous system peng thenkhat chu a rawn bei tan ta niin han ngaihtuah teh. Chu chu autoimmune disorder kan tih chu a ni. Chuvangin, NMO hi chutiang natna pakhat a ni.

He natna hi hun kal zelah hming hrang hrangin an vuah a. A tirah chuan Devic natna tia koh a ni a, a sawi hmasak bertu French neurologist Eugene Devic hming chawiin. Mahse, kum 2015 khan international team of experts chuan Neuromyelitis Optica Spectrum Disorder (NMOSD) tiin an vuah a ni. Mahse, doctor tam zawk leh midangte chuan NMO tiin an la sawi reng a ni.

Tun hma chuan mithiamte chuan NMO hi multiple sclerosis (MS) chi khat, a awm lo hle niin an ngai a. Mahse, tunah chuan MS atanga hran, independent condition a ni tih a chiang ta.

Tute nge neuromyelitis optica (NMO) vei tam zawk?

Hetiang dinhmun hi hmeichhiaah a tam zawk. A tlangpuiin damlo 80% atanga 90% vel chu hmeichhia an ni. Kum 30 leh 40 inkar mi a nghawng tlangpui a, naupang tê tê tan NMO an vei hi a tlem hle a, chu chu a tlem hle tihna a ni a, damlo zawng zawng zinga 5% vel a ni.

Hnam leh chi hrang hranga miten NMO an nei thei a, mahse mi zawng zawng hi a nghawng dan inang vek a ni lo. African hnam chhuak, a bik takin Afro-Caribbean hnam chhuakte chu an hlauhawm zawk a ni. Asian hnam chhuakte pawh a nghawng thei bawk.

Hetiang dinhmun hi engtiang chiahin nge `(NMO)` tia koh a nih?

Dik tak chuan NMO hi natna hmuh tur awm lo tak a ni. Mi 100,000 zinga 0.3 leh 4.4 inkar a vei tlangpui. Chu chu khawvel pumah damlo 24,000 leh 350,600 inkar an awm thei tihna a ni.

He `(NMO)` hian engtin nge ka taksa a nghawng?

NMO hian engtin nge a nghawng che tih hriatthiam nan kan nervous system hi tlem tal hriatthiamna neih a \angkai hle. Kan nervous system hi thluak leh ruhro atanga siam a ni. Dik tak chuan, mit hmuh theihna tura min puitu mit nerve te pawh hi thluak chhunga awm an ni.

Thluak leh ruhro (spinal cord) kan lakkhawm hian central nervous system kan ti a. Tichuan, taksa pum puia nerve network inzar pharh chu peripheral nervous system an ti a.

Kan nervous system hian thluak lamah thu leh hla a phur lut a. Hei hi chemical leh electrical signal hmanga tih a ni. Heng signal te hi specialized cells neurons an tih kaltlangin an kal thin.

Neuron tin a pawimawh ber chu axon hi a ni. Hei hi neuron kut ang mai a ni. He axon zawh hian electrical signal a kalpui a ni. Axon tawp lamah hian synapse an tih hmun thenkhat a awm a. Hetah hian electrical signal te chu chemical signal a lo ni ta a ni. Heng synapse te hi neuron in neuron dangte nena inzawmna leh inbiakpawhna hmun a ni.

He axon chhehvelah hian myelin an tih, venhimna sheath te tak te a awm a. Hei hi chemical compound thau tak tak atanga siam a ni. Myelin sheath hian electrical signal te chu axon-ah a kal theih nan a pui a, axon tihchhiat a veng bawk. (NMO) hi demyelinating disease a ni a, myelin sheath tichhe thei a ni. Hei hi electrical wire-a plastic sheath i lakchhuah chuan a chhiat theih dan nen a inang hle. Myelin sheath hi lakchhuah a nih chuan awlsam takin axon chu a chhe thei a ni.

NMO avanga chhiatna hian hmun bik pahnih a neurons a nghawng ber a ni:

1. Optic nerve, i mit leh i thluak inzawmkhawmtu.

2. I ruhro (spinal cord) a ni. Hei hi nerve signal te thluak a thlen hmaa an khawlkhawmna hmunpui ber a ni.

NMO hian spinal cord level hrang hrang a nghawng thei a ni. Hei hian a nghawng spinal cord hnuaia nerve inzawm zawng zawng a nghawng thei a ni.

Neuromyelitis optica (NMO) natna lan chhuahna chu engte nge ni?

NMO symptoms hi "attack" angin a awm thin. Chumi awmzia chu symptoms a lo lang nghal a, rei lo te chhung a awm a, a bo leh ta tihna a ni. Heng attack te hi ni engemaw zat atanga thla engemaw zat thleng a ni thei. Heng attack te hi a na hle fo a, a chang chuan chhiatna nghet tak a thlen thei bawk. Chutiang a nih chuan attack a zawh hnuah pawh a nghawng chu a awm reng thei a ni.

NMO symptoms hi chi thum ah then theih a ni a, chungte chu:

• Optic neuritis: Heng symptoms te hi i mit pakhat emaw, mit pahnih emawa optic nerve a hring (inflammation) vang a ni.
• Myelitis: Heng symptoms te hi ruhro (spinal cord) a hring (inflammation) avanga lo awm a ni.
• Thluak hnathawh tihbuai: 1.1.Hengte hi NMO hian i hypothalamus emaw brainstem emaw a nghawng hian a thleng thin a, chungte chu kan taksa peng ber, automatic process control tu an ni.

Mit lam natna (Optic neuritis) a awm

Kan mit hian kan chhehvel atanga êng lo chhuak chu a la lut a, optic nerve hmangin thluak lamah signal a thawn chhuak thin. Thluak hian chu signal te chu a process a, mit hmuhna min pe a ni.

Optic neuritis-ah chuan mit nerve a lo hring chhuak thin. Chu lu laiah chuan hmun tam tak a awm loh avangin he hliam hian mit nerve chu pressure nasa tak a siam thei a ni. Ngaihtuah teh, kut emaw ke emaw kan hrual hian a rilru a na a, a na bawk. Chu chu optic nerve-a pressure a awm chuan a thleng thin.

Optic neuritis symptoms hian mit pakhat emaw, mit pahnih emaw a nghawng thei. A châng chuan mit pakhat a nghawng hmasa thei a, chutah chuan a dang emaw, mit pahnih chu a rualin a nghawng thei bawk. A lan chhuah dan chu:

• Mit na: He natna hi a pung thei a, a bik takin mit tihchet hian.
• Blurred vision: Hei hi i chau hunah a pung thei.
• Mit hmuhna hmun thenkhat emaw, a pum emaw: Mit pakhatah i mit hmuhna zawng zawng emaw, a then emaw i hloh thei (entir nan, i en lai lairil chu i hloh thei). I mit a fiah lo emaw, rawng i hmu thei lo emaw pawh a ni thei.
• Eng hniam takah hmuh harsa: Hei hian zan lama lirthei khalh ang chi thil tih a ti harsa thei hle.

Myelitis natna (Myelitis) a ni

Myelitis hi i ruhro (spinal cord) a inflammation a ni. He inflammation hian spinal cord leh a bul hnaia spinal nerve te chu pressure a siam thei a ni. Hei hian nerve signals te chu a then emaw, a block vek emaw a thlen thei a ni. Nerve signal chi hrang hrang a block vek chuan transverse myelitis an ti a.

Myelitis symptoms chu khawiah nge a hring tih leh eng spinal cord emaw spinal nerves emaw a nghawng tih ah a innghat. Swelling hian spinal nerves a pressure a nih chuan, chu nerve te chu thluak nena inzawm taksa peng hrang hrangah symptoms a awm ang. Spinal cord hi compress a nih chuan taksa peng zawng zawng, compression point hnuai lama spinal nerve nena inzawm zawng zawngah symptoms a awm vek ang.

Myelitis natna lan chhuah dan chu:

• Muscle chak lohna emaw paralysis emaw: Hei hian taksa peng hrang hrang, a natna hmun hnuai lam, ruhro (spinal cord) a nghawng a ni. I taksa peng hrang hrangte chu i thunun thei lo a, chu chuan kal emaw, ding emaw a ti harsa thei a ni. Cervical spinal cord-ah myelitis a awm chuan thawkna thau pawh a paralyze thei a, chu chuan thihna a thlen thei a ni.
• Spasticity: Hei hi thluak atanga control signal lo chhuak, taksa peng hrang hrangte’n an hloh a, anmahni chauha thil an tih tan hian a thleng thin. Chumi hnuah chuan ruhte chu thunun theih lohvin a nghet lo va, a inher chhuak ta a ni.
• Na:Myelitis hian ruhro (spinal cord) a pressure vangin natna a thlen thei a ni. Natna hi a hring chhuak ngei vang a ni thei a, a nih loh leh a nghawng nerve-in natna signal dik lo a thawn vang a ni thei bawk.
• Incontinence: Myelitis hian bowel leh bladder function control tu nerve signals a tibuai thei a, chu chuan urinary incontinence emaw bowel incontinence emaw a thlen thei a ni.
• Sexual dysfunction: Myelitis hian sexual function emaw organ emaw control tu nerve signal a tibuai thei a ni.

Thluak hnathawh tihbuai

Multiple sclerosis (MS) natnaah hian thluaka inthlak danglamna hmuh tur a awm fo laiin, NMO-ah chuan a tlem hle. Mahse, an lo awm tak tak chuan thluak hian taksa kalphung thenkhat a thunun dan chu a tibuai thei a ni. Heng tihbuai te hi hypothalamus emaw thluak bul emaw-ah a awm chuan harsatna lian tak, thihna thlen thei pawh a ni thei.

Brainstem hi thluak hnuai ber a ni. Lu hnung lamah, a hnuai lamah a awm. He part hi a pawimawh hle. Thluak leh ruhro (spinal cord) a thlunzawm avangin automatic process pawh a control thei bawk. Automatic process hi kan ngaihtuah lova thil thleng - thawk, thisen sang, thawk hah ang chi thil a ni.

NMO hian thluak bul a nghawng a nih chuan a lan chhuah dan te chu:

• Hiccups tihtawp theih loh.
• Tih theih loh khawpa natna (pruritus).
• Chhan hriat loha nausea leh luak chhuak.
• Hriatna hloh.
• Thil pahnih vawi khata hmuh (diplopia), mit chetna thunun loh (nystagmus), emaw mit control chungchanga harsatna dang awm.
• Hmai lam natna (facial palsy) a ni.
• Luak chhuak emaw, inher (vertigo) emaw tih hriatna.
• Taksa balance emaw coordination emaw lama harsatna (ataxia).
• Hmai nerve na (trigeminal neuralgia) a awm.

Hypothalamus hi thluak hnah chungah chiah a awm a. Taksa automatic process te pawh a control bawk. NMO-in a nghawng chuan taksa chhunga system dangte pawh a thawk tha lo thei bawk. Entirnan, NMO hian narcolepsy (nitin mut tam lutuk) symptoms a thlen thei.

Eng thilin nge neuromyelitis optica (NMO) hi a thlen?

Mithiamte chuan NMO a lo thanlen dan leh a lo thanlen chhan hi an la sawifiah kim thei lo. Tuna a chhan hriat emaw rinhlelh emaw chu:

• Immune system a thawk tha lo.
• Autoimmune emaw inflammatory emaw natna dang.

Immune system a thawk tha lo

NMO hi autoimmune natna a ni. Chumi awmzia chu keimahni taksa hriselna (immune system) hian kan taksa peng pakhat chu a rawn bei sual tihna a ni. Chutiang a nih chuan kan mit nerve leh/ emaw kan ruh (spinal cord) a bei thin.

Tunah hian NMO hi autoimmune form hriat lar pahnih a awm a:

• Aquaporin-4 (AQP4) antibody te hi a hnuaia mi ang hian a ni.`(AQP4)` hi nervous system chhunga cell thenkhat chunglam atanga protein awm a ni. A hnathawh chu cell chhunga tui luh leh chhuah tir hi a ni. `(AQP4)` antibodies te hian immune system chu he protein hi bei turin an hrilh sual a ni. Tichuan he protein awmna cell te hi a chhiat phah ta a ni. `(NMO)` vei zinga 80% aia tam chuan an thisenah heng `(AQP4)` antibodies te hi an nei a.
• Myelin Oligodendrocyte Glycoprotein (MOG) antibodies: MOG hi neurons chhehvela myelin sheath siam leh enkawltu protein a ni. MOG antibodies hian immune system chu he protein hi bei turin a hrilh sual a, chu chuan neurons chhehvela myelin sheath chu a tibuaitu a ni. NMO vei zinga 6.5% vel chuan an thisenah he antibody hi an nei a ni.

He immune system malfunction hi kan hriat loh chhan a awm fo thin. Mahse, data thenkhatah chuan he malfunction hi infection hnuah a awm thei niin a lang. NMO vei zinga 15% leh 35% inkar chuan NMO symptoms an neih hmain infection an nei tawh a ni. Mahse, hei hi finfiah tur chuan zirchianna neih belh a ngai a ni.

Tunah hian mithiamte chuan engvangin nge `(AQP4)` emaw `(MOG)` emaw (chu chu natna vei zinga 13.5% vel a ni) laka antibody nei lote chuan `(NMO) an vei tih an hre lo.` Chutiang case chu `(idiopathic)` tiin an classified a ni.

Tin, mithiam thenkhat chuan ``(MOG)`` antibody-related ``(NMO)`` hi a takah chuan natna hran niin an ngai bawk. Mahse, hemi chungchangah hian zirchian belh a ngai a, official-in natna hran anga pawm a la ni lo.

Autoimmune emaw inflammatory emaw natna dang

NMO hi a mah chauhin a awm thei a, mahse autoimmune emaw inflammatory condition dang nei teah a awm tam zawk. Mahse, heng dinhmunte hian NMO a thlen em tih hriat nan zirchianna tam zawk neih a ngai a ni.

Chutiang dinhmun chu:

• Lupus `(Lupus - systemic lupus erythematosus)`
• Celiac natna a ni
• Sjögren-a natna (syndrome) a ni
• Sarcoidosis natna (sarcoidosis) a ni
• Myasthenia gravis natna (myasthenia gravis) a ni
• Antiphospholipid natna a ni

Genetic factors atanga lo chhuak a ni

Mithiamte chuan NMO-ah hian genetic factors pawhin hmun a chang thei niin an ring. A chhan pakhat chu hnam thenkhatah he natna hi a tam zawk vang a ni. A dang pakhat chu NMO vei zinga 3% vel chu chhungkaw khatah an tlan a ni. NMO hi thlahtu natna a nih thu finfiahna awm lo mah se, NMO lo awm theihna tur genetic factors a awm thei.

Neuromyelitis optica (NMO) hi mi pakhat atanga mi dangah a kai theih em?

Tunah hian NMOSD emaw NMO emaw hi mi pakhat atanga mi dangah kai theih a ni tih finfiahna a la awm lo.

Engtin nge neuromyelitis optica (NMO) hi hmuhchhuah a nih?

Multiple sclerosis (MS) leh NMO inthlauhna pawimawh ber chu test thenkhatah chuan mi pakhatin NMO a nei em tih a finfiah thei a ni. Doctor chuan NMO a hriat theih nan a hnuaia mite hi a hmang thei ang:

• Thisen test: Doctor ten NMO an hriat theihna atana hmanraw pawimawh tak pakhat chu i thisenah AQP4 emaw MOG emaw antibodies a awm leh awm loh enfiah hi a ni. Thisen test hian NMO hi a nemnghet thei lo fo nain (a chhan chu case 13.5% velin antibodies hmuhchhuah theih an neih loh avangin), diagnosis siamna atan a tangkai hle.
• Magnetic Resonance Imaging (MRI) Scan: NMO hriatchhuah nan MRI scan hian a pui hle. Hetiang dinhmun hian i ruhro leh i central nervous system hmun dangte a tidanglam a, chu chu MRI scan hmangin a hriat theih a ni. Hengte hi MS-a thil danglam hmuh tlangpui nen chiang takin a thliar hrang thei a, chuvangin doctor-te chuan MS a ni lo tih an nemnghet thei a ni.
• Taksa leh thluak enfiahna: Heng test te hian NMO avanga chhinchhiahna leh chhinchhiahna awm thei te an zawng thin. Neurological exam hi a pawimawh hle a, a chhan chu i sense, reflexes, muscle movement, balance, leh facial functions lama harsatna awmte a hriat theih avangin.
• Mimal leh damdawi lam chanchin: Hetah hian doctor chuan i hriselna, natna lan chhuah dan leh i mimal leh damdawi lam chanchin kimchang a zawt ang che.

Test dang pawh tih theih a ni a, i doctor chuan damdawi lam thil dang tih loh chu a pawimawh hle niin a hria mai thei. I doctor chuan test a rawt dan leh a rawt chhan te a hrilh belh thei che a ni.

Engtin nge neuromyelitis optica (NMO) hi enkawl a nih? Damdawi a awm em?

NMO hi a dam kim thei lo. Mahse, zirchianna kalpui mek avangin he natna hi enkawl theih a ni. NMO hi autoimmune disease a nih avangin enkawlna kawng hrang hrang pahnih a awm a, chungte chu acute treatment leh long-term management te an ni.

• Acute treatment: Hei hian NMO attack avanga thil thleng nghal, a bik takin a hring chhuak enkawlna a ngaih pawimawh ber a ni. Hei hi corticosteroids (a nih loh leh doctor-in a tih angin swelling tihziaawmna damdawi chi dang) hmanga tih a ni tlangpui. Acute treatment hi a pawimawh hle a, a chhan chu attack avanga chhiatna awm reng theihna a tihziaawm vang a ni.
• Hun rei tak chhunga enkawl dan:NMO hi i immune system in i nervous system a rawn beih sual vang a ni. A enkawl danah chuan i immune system tihtawp emaw, tihdanglam emaw a tel a ni. Hei hian i nervous system a tihchhiat theihna a ti tlem a ni. Hei hian NMO attack venna kawngah a pui thei a, a tlem berah chuan a nasat dan leh a rei zawng a tihtlem thei bawk. Mithiamte chuan AQP4 antibodies nei leh nei lo tan pawh he enkawlna hi an rawt a ni.

Eng ang damdawi emaw, eng ang damdawi nge hman a nih?

NMO enkawlna atana pui thei damdawi leh enkawlna hrang hrang a awm a:

• Anti-inflammatory drugs: Heng damdawi te hian i nervous system a inflammation a ti tlem a. Hemi atana damdawi hman tlanglawn ber chu prednisone ang chi corticosteroid a ni. Doctor-te chuan heng damdawi hi thisen kaltlangin (IV) an hmang tan tlangpui. Damdawi ina i awm laia pek an ni. Damdawi in i chhuahsan hnuah i doctor chuan i ei ang chiah damdawiah a thlak thei che a ni.
• Plasma exchange (plasmapheresis): Steroid hian a puih loh chuan i doctor chuan plasma exchange tih hi a rawt thei ang. Hei hian i thisen atanga plasma lakchhuah a, matched donor atanga plasma hmanga thlak a huam a ni. I plasma thenkhat lakchhuah a, donor plasma hmanga thlak chuan plasma chhunga immune cell leh chemical marker (immune response tichaktu) thenkhat chu lakchhuah a ni. Hei hian i taksa immune response a ti tlem a, swelling a ti tlem bawk.
• Intravenous Immunoglobulin (IVIG): Hetiang tih dan hi IV hmangin i taksaah plasma inject a ni. Plasma i dawnah hian immunoglobulins a awm a. Chu chu plasma donor atanga antibodies awmna tihna a ni. Hengte hian i immune system angin i nervous system an bei lo.
• Immunosuppressants: Heng damdawi hi i ei fo tur a ni. Ṭhenkhat chu thisen kal tlanga (IV) pek an ni a, chu chu infusion clinic emaw, chutiang chi damdawi inah emaw pek a ni. Mi dangte chu pill angin an lo kal a, chu chu in lamah i ei thei bawk. Mi tam tak chuan heng pills te hi kum tam tak chhung an ei a ngai a, a chang chuan an dam chhung zawng pawh an ei a ngai bawk.

Enkawlna avanga side effect emaw complication emaw awm thei chu engte nge ni?

Enkawlnain a nghawng tha lo chu thil tam takah a innghat a, chu chu damdawi, i natna nasat dan leh i damdawi lam chanchin te a ni. Mahse, immunosuppressant damdawi hian side effect pakhat a langsar hle a, chu chu i immune response a ti tlem a ni.

I immune system hian ram dang atanga lo lut, virus, bacteria, fungi, leh parasites te lakah a venghim che a ni. Cell te chu an nungchang tha lo lo turin a veng bawk. I taksa cell-te nungchang dik lo an awm chuan immune system hna chu inrawlh a, tihchhiat a ni (cancer chu cell-te nungchang dik lo, immune system laka inthup, leh thunun theih loha an punna a ni).

Immunosuppressant damdawi ei hian NMO attack a veng thei a, mahse i taksain natna thenkhat a do theih loh phah thei bawk. Tin, tumor chi hrang hrang (cancerous leh noncancerous) i neih theihna a tipung thei bawk. Immunosuppressant damdawi i ei a nih chuan i natna hlauhawmna tihziaawmna turin fimkhur tur engemaw zat i nei tur a ni. Tin, natna hrik kai theih, COVID-19, influenza (flu), leh pneumonia te laka vaccine lak a ngai mai thei bawk a, chu chu i taksa hriselna a chak loh chuan a na thei a, a thihpui thei hial a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh ang? Enkawlna atanga dam leh theih nan eng chen nge a mamawh ang?

NMO enkawl dan leh dam leh hun tur hi a inang lo thei a, hei hi thil tam takin a nghawng avangin. Hemi chungchangah hian i doctor hi a tha ber a ni. I awmna hmuna hun bituk awm thei ber chu eng nge ni tih a hrilh thei che a, chutianga i tih theih dan tur chu a hrilh thei bawk che a ni.

Neuromyelitis optica (NMO) ka vei chuan eng nge ka beisei ang?

NMO i neih chuan he condition hi vaukhânna tam tak awm lovin a intan tih i beisei thei ang. Mi thenkhat chuan thawkna lam natna emaw, natna dang emaw an neih hmain an nei a, mahse chu chu hmun thuma ṭhena hmun khat vel (a tlem zawk pawh)-ah a thleng ṭhin.

NMO attack hian i mit nerve a nghawng avangin mit lamah harsatna a thlen thin. Mit na leh mit a fiah lo thei bawk. Ni engemaw zat emaw kar engemaw zat emaw chhungin an na zual tlangpui a, chutah chuan an peak leh thin. Mit nerve a chhiat nasat chuan heng symptoms te hi a awm reng thei a, mahse enkawlna hian a chhiat reng loh nan a pui thei a ni.

NMO hian i thluak hnuai lam - thluak stem - leh i ruhro (spinal cord) a nghawng a ni. I taksa automatic process te a tichhe thei a, chu chuan natna, luak chhuak, leh thunun theih loh hiccups te a thlen thei a ni.

Myelitis a nasat chuan ruhro (spinal cord) a pressure chuan a natna hmun emaw a hnuaia taksa peng zawng zawng emaw panna nerve signal a tibuai thei a ni. Hei hian taksa ruh a tichak lo thei a, a tichak lo thei a, a natna hmun hnuaiah chuan hriatna a hloh thei bawk. Hei hi thawkna control tu muscle te a nghawng a, paralysis emaw muscle chak lohna emaw a thlen chuan a pawi thei hle. Enkawl hmasak hian heng nghawngte hi a awm reng loh nan a veng thei a ni.

(NMO) hi autoimmune natna a ni. Chumi awmzia chu i immune system-in i taksa peng hrang hrang a rawn beih sual hian a thleng tihna a ni. Chutiang a nih chuan i immune system hian i nervous system a target a ni. Hetiang natna enkawlnaah hian i taksa hriselna (immune system) chu rei tak chhung tihtawp a ngai tlangpui. Vanduaithlak takin hei hian side effect angin natna hrik kai awlsam zawkin a siam thei a ni. Immunosuppressant damdawi ei thinte chuan an natna hlauhawmna tihziaawmna turin fimkhur a ngai a ni.

Neuromyelitis optica (NMO) hi eng chen nge a awm?

NMO hian attack a thlen a, symptoms a lang nghal tihna a ni. AQP4 emaw MOG emaw antibody nei tan chuan NMO hi dam chhung zawnga natna a ni. Tunah hian he natna vei te hian kum tam tak chhung, a chang chuan an dam chhung zawngin immunosuppressive drugs an ei a ngai a, chu chu attack an neih loh nan a ni.

NMO vei zinga 10% leh 20% inkar hian attack pakhat chauh an nei a, attack dang an nei ngai lo. Hei hi AQP4 emaw MOG emaw antibodies nei lote zingah a thleng tam zawk. Mahse, chiang taka hriat theihna tur a awm lo va, chuvangin i doctor chuan attack i neih theihna tur a tihziaawm nan heng damdawi te hi ei turin a rawt mai thei.

Neuromyelitis optica (NMO) hmalam hun tur chu eng nge ni?

Tun hma chuan NMO hi natna, prognosis tha lo tak a ni. Mahse, he natna immune origin chungchanga thil hmuhchhuah avang hian tunah chuan mithiamte chuan NMO hi enkawl theih a ni tih an hre ta a ni. He natna enkawltu damdawi hian a natna lo lang lehna rate chu 72% leh 88% inkarin a tihhniam a ni. Hetiang natna vei kum nga chhunga dam rei zawng hi 91% leh 98% inkar a ni.

NMO vei te hian attack tam tak an tawk thin te hian theihna thenkhat, mit hmuhna leh che vel te hi an hloh tam zawk thin. Mi 22% vel chu NMO nghawng atang hian an dam chhuak vek a, an theihna zawng zawng an nei leh ta a ni. 7% vel chu an dam leh ngai lo. A bak 71% chu a then tal chu an dam leh a, mahse nghawng chhunzawm zel an nei thei thung.

Engtin nge neuromyelitis optica (NMO) vei theihna hi ka tihziaawm theih ang? A veng thei ang em?

NMO hi beisei loh leh doctor-te la hriatthiam kim loh chhan vang a ni. Chuvangin, a vei theihna tur leh a vei theihna tur tihziaawmna tur kawng a awm lo.

Engtin nge ka in enkawl ang?

NMO hi manageable condition a ni. I doctor chuan i in enkawl dan tur a kaihruai ang che. I tih theih pawimawh tak tak thenkhat chu:

• I damdawi ei dik: NMO attack atanga i dam leh emaw, attack nei lova rei tak i kal tawh emaw pawh nise, i damdawi ei tur chu a tih angin i ei a pawimawh. Damdawi hian tuna attack avanga chhiatna thleng tur venna emaw tihtlem emaw a pui thei a, nakin lawka attack theihna a ti tlem thei bawk. Doctor nen inbia lovin he damdawi hi ei khap suh.
• Doctor hnenah a rawt angin hmu rawh:NMO i neih hunah Doctor hmuh nawn leh a pawimawh hle. Hei hian i doctor chuan i natnain nghawng a neih dan a enfiah thei ang. NMO i neih lai hian thisen test neih fo hi thil awmdan pangngai a ni. Hei hian i doctor chuan i immune system a thawh that dan a hmu thei ang. Chumi hnuah chuan i damdawi (te) chu a tul chuan thlak theih a ni.
• Hrisel taka awm theih nan fimkhur tur: Immunosuppressant damdawi i ei chuan i immune system-in i nervous system a beih theihna a ti tlem thei a ni. Vanduaithlak takin i immune system-in natna hrik, khawsik, flu, COVID-19, pneumonia, leh urinary tract infection (UTI) te a do theihna a tihtlem thei bawk. Kut sil fo tur (sahbawn leh tui emaw zu hmanga siam hand sanitizer emaw hmangin). I risk pum pui a zirin i doctor chuan vantlang hmaah mask vuah emaw, fimkhur dan dang emaw a rawt thei ang.

Engtikah nge ka doctor ka biak ang?

Immunosuppressant damdawi ei thinte chu natna tlanglawn tak tak, a tlangpuiin natna khirh lo tak tak pawh atanga natna an vei theihna a sang hle. Immunosuppressant eitu tu emaw chuan heng symptoms te hi a neih chuan a doctor a ko tur a ni:

• Chauhna nasa tak (a danglam bik taka chau emaw, chau emaw anga inhriatna) emaw, chak lohna emaw.
• Nausea leh luak chhuak.
• Beisei loh takin taksa rihna a inthlak thin.
• A tlangpui aia tam zun, hnungzang na, emaw, zun laiin na emaw, kang emaw (hengte hi zun kawng infection chhinchhiahna a ni).
• Upper respiratory tract infection chhinchhiahna, khuh, thawk hah, hnar luang, emaw, rilru na.
• Infection chhinchhiahna dang, khawsik, khawsik, leh taksa ruh na te.

Neuromyelitis optica `(NMO)` leh multiple sclerosis `(MS)` te hi eng nge an danglamna?

NMO leh multiple sclerosis (MS) te hi thil inang tam tak leh symptom inzawmkhawm tam tak nei an ni. Kum tam tak chhung chu mithiamte chuan NMO hi MS chi khat niin an ngai sual a. Mahse tunah chuan zirchiangtute chuan condition hrang hrang an ni tih an hre ta.

`(NMO)` leh `(MS)` inthlauhna ber chu laboratory test hian `(NMO)` thlentu antibodies te hriatchhuahna kawngah a pui thei a ni (antibody hi hmuhchhuah theih reng reng ni lo mahse). `(NMO)` leh `(MS)` enkawl dan pawh a inang lo va, `(MS)` enkawl dan thenkhat chuan `(NMO)` chhinchhiahna a tizual thei a ni.

A awlsam zawngin sawi ila, Neuromyelitis Optica (NMO) hi natna hlauhawm tak, hun rei tak chhunga awm thei a ni. I immune system ngeiin i central nervous system hmun bik a beih hian a thleng thin. Tun hma chuan multiple sclerosis (MS) natna chi khat, a awm lo hle nia ngaih a ni a, mahse tunah chuan natna hran anga hriat a ni ta. MS ang lo takin NMO vei tam zawk hi lab test hmanga finfiah theih a ni. Hei hian doctor-te chu rang taka hriatchhuah leh enkawl theihna a siamsak a ni.

Hriat reng tur pawimawh ber (Take-Home Message) .

Chuvangin, neuromyelitis optica (NMO) hi thumal hlauhawm tak angin a lang thei a, mahse tunah chuan a enkawlna tha tak tak a awm tih i hre reng tur a ni . Tun hma ang lo takin tunah hian he natna chungchang hi hriat tur tam tak a awm tawh a, chuvangin a natna lanchhuahna i hmuh tan veleh doctor pan vat a pawimawh a, a dik tak hriatchhuah a pawimawh bawk.

• I mit hmuhna lama inthlak danglamna, rilru hahna emaw, chak lohna emaw i tawn chuan ngaihthah suh. Doctor pan nghal rawh.
• `(NMO)` hi `(MS)` a ni lo. An pahnih enkawl dan pawh a inang lo. Chuvangin diagnosis dik tak neih a pawimawh hle.
• Tuna enkawlna hman mek hian NMO attack a control thei a, nakin lawka attack awm theihna a ti tlem thei bawk. Damdawi hi doctor-in a sawi ang chiah chiah ei a pawimawh.
• Immune system titawp thei damdawi i ei hian natna hrik laka inven nan fimkhur bik tur a ni.

He thu hi in tan a tangkai ngei ka beisei. Hemi chungchanga zawhna dang i neih chuan i doctor emaw midwife emaw zawt hreh suh. Hrisel takin awm rawh!

` neuromyelitis optica, NMO, nervous system, mit nerve, spinal cord, immune system, natna lan chhuah dan, myelin