A châng chuan chhan awm lovin i taksaah natna nasa tak i nei em, kang, electric shock, pin leh needle ang chi te? I thawmhnaw hak pawh hian i taksaah a hnawih a, i tuar thei lo khawpa na a ni mai thei? Heng thilte hi random thil mai a ni lo. Hengte hi damdawi lama ‘Neuropathic Pain’ an tih natna bik a ni thei a, chu chu kan nervous system-a harsatna engemaw zat avanga lo awm a ni. Hei hi lu na emaw hnungzang na pangngai ang a ni lo, a danglam a ni. Chuvangin vawiinah hian he thu hi awlsam takin, kan thianpa nen kan inbia ang maiin, i hriatthiam theih dan tur angin sawi ila.
A awlsam zawngin, neuropathic pain chu eng nge ni?
Okay, hei hi hrethiam tur chuan kan taksa chhunga nervous system chungchang tlem kan hriat hmasak a ngai a ni. Kan nervous system hi ram pum huapa telephone wire network angin han ngaihtuah teh. He network hmunpui ber pahnih chu kan thluak leh kan ruhro hi a ni . Hei hi central nervous system kan ti a. Heng main center atang hian taksa kil tinah thuchah phur thei wire te tak te tam tak a awm a, chung zingah chuan kut, ke, kut zungtang leh chhungril lam taksa peng hrang hrang te pawh a tel a ni. Hengte hi peripheral nerves kan tih te hi an ni.
Tunah chuan he telephone network-a wire ṭhenkhat a chhiat emaw, a thawk ṭha lo emaw a nih chuan eng nge thleng ang tih han ngaihtuah teh? Message te hi a kal tlang tha lo a ni lawm ni? Message dik lo a rawn thawn a ni mai thei. Chu chu neuropathic pain-ah pawh a thleng thin. Kan nerve fiber te a chhiat chuan chu nerve chhia chuan kan thluak ah signal dik lo a thawn tan a, chu chu "na" tih thu dik lo a ni. Natna awm chhan dik tak a awm loh lai pawhin heng signal dik lo avang hian natna i nei thei a ni.
Hei hi a hming dang chu neuropathy a ni . Nerve pakhat emaw a aia tam emaw hnathawh dan tihdanglam emaw tihbuai emaw a ni. Hetiang dinhmun hi zunthlum vei zinga 30% thlengin a awm thei a ni. Tin, natna dang engemaw zat, entirnan, chickenpox hnua shingles, HIV/AIDS, leh zu insualna te hian he neuropathic pain hi a thlen thei bawk.
He hrehawmna hi engtin nge i ngaih? Eng nge a lan chhuah dan?
Neuropathic pain hi natna chi khat chauh a ni lo. Kawng hrang hrangin hriat theih a ni. Mi thenkhat tan chuan tuar theih loh khawpin a na zual zel a, thenkhat tan erawh chuan a lo kal a, a kal zel thung. Hriatthiam awlsam zawk nan heng symptoms te hi table-ah han en ila.
| A lan chhuah dan (Medical Term) 1.1. | A awlsam zawngin, hei hi a hriat dan chu a ni |
|---|---|
| Mahni insiam natna (spontaneous pain). | Natna lo thleng nghal leh chhan hriat loh. Kangmei chhuak ang maiin a awm thei , hliam tuar ang maiin a awm thei a , electric shock ang maiin a awm thei bawk . Tin, tingling emaw "pins and needles" sensation emaw pawh a awm thei bawk. |
| Allodynia a ni | A tlangpuiin natna thlen lo thil pawh hian natna nasa tak a thlen thei. I taksaah khum puan a hnawih , i thawmhnaw hak chuan i vun a khawih , emaw, mi pakhatin zawi zawiin a khawih che emaw angin ngaihtuah rawh. |
| Hyperalgesia natna (Hyperalgesia) a awm | Thil pakhat, a tlangpuiin natna thlentu, hling te tak te, beisei aia nasain a na a, natna lian tak ang maia hriat a ni. |
| Hypoalgesia natna (Hypoalgesia) a awm | Hei hi a lehlamah a ni. Thil hrehawm tur atanga hrehawmna tlem zawk hriat . Entirnan, needle hliam na tak tak hriat loh. |
| Dysesthesia natna (Dysesthesia) a awm thin | Sawifiah loh, mak tak, nuam lo, emaw, hrehawmna emaw. I vun hnuaiah thil pakhat a tlan chhuak tih i hre mai thei a , tui lak chhuah ang maiin . |
| Mu thei lo | Hetianga natna reng reng hian zan mut a ti harsa thei hle. Mut tlakchhamna hian natna bakah hian lungkhamna leh lungkhamna a thlen thei bawk. |
Engvangin nge hetiang natna hi a lo awm? A chhan berte chu engte nge ni?
He neuropathic pain hi a chhan pakhat mah a awm lo. A chhan tam tak a awm thei. A thawhhlawk ber berte chu han thlir ila.
- Diabetes: Kan sawi tawh ang khan neuropathic pain thlentu ber leh awm tam ber chu zunthlum hi a ni. Hun rei tak chhunga thisen sugar level sang chuan nerve a tichhe thei a ni.
- Zu insualna (Alcohol use disorder): Hun rei tak zu in tam lutuk hian nerve a tichhe thei bawk a, he natna hi a thlen thei bawk.
- Shingles: Hei hi chickenpox thlentu virus ang bawka lo awm a ni. Chickenpox a dam hnuah pawh virus hi kan nerve cell-ah a muhil thei a, kum tam tak hnuah a thawk leh thei a, he natna nasa tak hi a thlen thei a ni.
- HIV/AIDS: HIV virus ngei hian nerve a tichhe thei a, a damdawi ei thenkhatte pawhin hetiang hi a thlen thei bawk.
- Central nervous system natna: He natna hi thluak leh ruhro tichhe thei natna, stroke, Parkinson’s disease, leh multiple sclerosis (MS) te vang pawh a ni thei.
- Complex regional pain syndrome: Accident hnua kut emaw ke emaw natna nasa tak, rei tak nei.
- Hmai nerve dinhmun: Entirnan, trigeminal neuralgia.
Heng bakah hian chhan dang a awm bawk:
- Cancer enkawlna: Cancer dona damdawi thenkhat, cisplatin, paclitaxel, leh vincristine te, leh radiation therapy te hian nerve a tichhe thei a ni.
- Amputation: Ke emaw, ke emaw operation hmanga lakchhuah a nih hnuah , a ke lak chhuahna hmuna natna hriatna chu phantom limb pain an ti a.
- Spinal nerve compression: Natna hi spinal disc prolapse ang chi condition avanga nerve compression vang a ni thei.
- Surgery emaw accident emaw: Surgery emaw accident emaw avanga nerve chhiatna.
- Tumors: He natna hi cancer emaw, tumor pangngai emawin nerve a press vang pawh a ni thei.
Engtin nge doctor hian he natna hi a hriat theih ang?
Hetiang symptoms chungchang i sawi hian i doctor-in a tih hmasak ber tur chu chipchiar taka sawifiahna a dil che a ni.
- I medical history zawt rawh.
- Uluk taka enfiah (physical exam) i ni ang.
- I sawi natna chi hrang hrang (kang, hliam, emaw, rilru hahna ang chi) a zirin doctor chuan hei hi neuropathic pain a ni em tih ngaihtuahna a nei thei a ni.
Tichuan, doctor chuan a natna chhan bulpui chu zawn chhuah a tum ang. Chumi awmzia chu zunthlum vang emaw, natna dang vang emaw, damdawi vang nge ni tih hriat tumin test a kalpui thei tihna a ni.
Hei hi eng enkawlna nge ni?
Neuropathic pain enkawl hi a buaithlak deuh a, a chhan chu natna pangngai ang a nih loh vang a ni. Enkawlna chu i natna chhan bulpui leh i natna lan chhuah danah a innghat a ni. Enkawlna atana thil tum berte chu:
- A hnuaia dinhmun enkawl dan: Entirnan, nerve pakhata tumor press chu surgery hmanga lakchhuah. Zunthlum vei tan chuan thisen sugar level control.
- Natna tihziaawmna: Natna tihziaawmna leh tihdamna pe che.
- Nitin hnathawh chhunzawm zel tura tanpui: Natna avanga tihkhawtlai tawh hnathawh chhunzawm leh tura tanpui.
- Nunphung tihchangtlun: Natna nena nung tha tura inbuatsaih.
Vawi tam tak chu he natna hi enkawlna kawng khat hmanga thunun a harsa a, chuvangin enkawlna kawng hrang hrang inzawmkhawm hman a ni tlangpui.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Over-the-counter natna tidamtu (OTC pain reliever) . | Damdawi acetaminophen leh ibuprofen te hi neuropathic pain tan chuan a tangkai ngai lo. |
| Antiseizure damdawi hman tur | Heng damdawi te hian nerve kal tlanga natna signal kal thin te a tibuai a, natna a tiziaawm thei niin an ngai. Neuropathic pain tan pawh an tangkai hle. |
| Antidepressant damdawi a ni | Lungkhamna leh lungngaihna hian natna a tizual thei a ni. Heng damdawi te hian natna a tiziaawm a, rilru hahdamna a tipung bawk. |
| Topical treatment te pawh a awm bawk | Cream, ointment emaw, lidocaine emaw capsaicin emaw awmna patch te chu a natna hmunah direct-in hnawih theih a ni. |
| Nerve block a ni | Natna thlentu nerve emaw nerve root bula injection chuan rei lo te chhungin natna a ti reh thei a ni. |
| Taksa lam enkawlna | Exercise leh massage hian natna, rilru hahna leh hahdam lohna a tiziaawm thei a ni. Hei hian taksa ngeia natural painkillers te pawh a tichak bawk. |
| Inzai | A châng chuan, nerve chhia siam ṭhat emaw, chhuah emaw, paih chhuah emaw hmangin natna chu tihziaawm theih a ni. |
| Psychological counseling pek a ni | Counselling hian natna khirh tak nena nunpui avanga lungkhamna lo awm thinte hmachhawn kawngah a pui hle thei a ni. |
A pawimawh ber chu i doctor chuan i tana tha ber tur enkawlna tur a rel tur a ni . Thu hriat atanga damdawi lak mai mai suh.
Heng enkawlnate hian i natna a thunun loh chuan i doctor chuan enkawlna hmasawn zawk, spinal cord stimulation ang chi te pawh a hrilhfiah bawk ang che.
He natna hi ven theih a ni em?
Hei hi ven theih reng a nih loh laiin, a hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm.
- Meizial zu kha bansan rawh. Meizial zuk hian thisen kalna kawng a tichhe a, chu chuan nerve-a thisen kal chu a ti tlem thei a ni.
- I duh ang exercise routine siam rawh. Nitin exercise hian thisen kal a titha a.
- Ei leh in hrisel ei rawh. Thlai thar, thlai, legumes, whole grains, leh lean proteins tamna ei tur ei rawh.
- Zu in hi tihtlem rawh.
- Zunthlum i vei a nih chuan i thisen sugar level enfiah fo la, uluk takin enkawl rawh. I ke chu a bik takin enkawl rawh.
Engtikah nge doctor i hmuh ang?
A hnuaia symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.
- I taksa peng thenkhat chu a rilru a buai a nih chuan
- I rilru a buai em em reng a nih chuan
- I taksa ruh a chak lo tih i hriat chuan
- I taksa ruh (muscle twitching) thunun theih loh (twitching) i neih chuan .
- I kuta thil awmte chu leiah a tla reng a nih chuan
Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?
Natna nasa tak, rilru hahna, emaw, chak lohna nasa tak i neih chuan, chu chu nerve chhiatna nasa tak chhinchhiahna a ni thei. Chutiang a nih chuan i damdawi in hnai ber Emergency Department (ETU) ah i kal tur a ni. Heng symptoms te hi a pawi hle bawk:
- Thinlung thawk chak emaw, mumal lo emaw.
- Toilet hman dan inthlak danglamna, zun harsatna ang chi .
- Luak chhuak emaw, hriatna hloh emaw.
Thutawp atan chuan neuropathic pain hi nunna atana hlauhawm tak a ni a, nitin hnathawh a harsat phah thei a ni. Mahse, i nunpui thei lo ang tih ring suh. Enkawlna dik leh natna enkawl dan dik tak nen chuan natna chu i thunun thei a, nun tha tak i hmang thei bawk. A pawimawh ber chu a rang thei ang bera Doctor pan a, a natna chu tuar mai mai ni lovin.
Take-Home Thuchah a ni
- Neuropathic pain chu natna hriatna hmuna hliam vang ni lovin, nervous system a chhiat emaw, a thawk tha lo emaw avanga natna a ni zawk.
- He natna hi kawng hrang hrangin hriat theih a ni a, kang, chil chhak emaw, tingling emaw te hi a ni. A châng chuan thawmhnaw taksaah a hnawih tih hriatna pawh hi a na thei hle.
- Zunthlum hi a chhan ber a ni a, mahse shingles, accident leh natna dang engemaw zat pawhin he natna hi a thlen thei bawk.
- Hei hi ‘magic’ damdawi pakhat mah a awm lo. Hlawhtling taka rah chhuah tur chuan damdawi te, taksa lam enkawlna te, leh rilru lam counseling te pawh i inzawm khawm a ngai a ni.
- Nerve natna awm reng emaw, na tak emaw i neih chuan ngaihthah ngai suh. I doctor nen pawh hemi chungchang hi sawipui ngei ang che.
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