Hetiang nerve natna (Neuropathic Pain) hi i nei em? Kan sawi dawn nia!

A châng chuan chhan hriat lohvin i taksaah natna mak tak tak emaw, rilru hahna emaw i nei ṭhin em? Electric shock ang maiin, a nih loh leh kang ang maiin, a nih loh leh pricking sensation ang maiin? Chûngte chu suangtuahna mai mai a ni lo. Hei hi nerve pain, a nih loh leh neuropathic pain . Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, mi tam tak a nghawng theih avangin.

Neuropathic Pain hi eng nge ni?

A awlsam zawngin sawi ila, nerve na hi kan nervous system a thawk tha lo emaw, a chhiat emaw avanga natna a ni. Kan taksa pum puiah hian he nerve network hi kan nei tih i hria em? Kan taksa pum puia thu hriatna kengtu wire ang an ni. He nervous system hi hmunpui pahnih ah a inthen a. Pakhat chu central nervous system a ni . Hei hian kan thluak, kan ruhro leh kan nerve te a huam a ni. A dang chu peripheral nervous system a ni . Heng nerve te hi kan taksa dang zawng zawngah a insem darh vek a, kan taksa peng te, kut zungtang te, leh kan chhungril taksa peng hrang hrang thlengin a darh vek a ni.

Chuvangin, thil engemaw takin heng nerve fiber te hi a tihchhiat chuan kan pain center-ah signal dik lo an thawn tan thin. Chutah chuan he tuar theih loh nerve natna hi kan hre ta a ni. A châng chuan nerve chhiatna hmun chauh ni lovin, kan central nervous system pawh a danglam thei a ni. Hei hi damdawi lam tawng chuan ``central sensitization'' an ti a.

`Neuropathy` tih thumal hi i hre tawh mai thei. Nerve pakhat emaw, a aia tam emaw hnathawh tihbuai emaw, tihdanglam emaw tihna a ni. Heng `neuropathy` natna zinga 30% vel hi zunthlum vang a ni tih i hria em . Amaherawhchu, natna dang za tam tak a awm a, hei hi a thlen thei a ni. Entirnan, natna hrik `shingles`, `HIV/AIDS`, leh zu ruih buaina te pawhin hei hi a nghawng thei a ni.

He nerve natna hi eng symptoms nge ni?

Nerve natna hi mi zawng zawng tan a inang vek lo a, mahse a lan chhuah dan tlangpui a awm a:

• Spontaneous pain: Hei hi a chang chuan kang, hliam na, electric shock ang maiin a awm thei. Mi thenkhat chuan rilru hahna emaw, "pins and needles" tih hriatna emaw an nei thei.
• Allodynia: Hei hi a mak deuh. Ngaihtuah teh, i vun atanga thli tleh nêm tak i neih chuan, emaw, mi pakhatin zawi zawiin a khawih che a nih chuan, emaw, a tlangpuiin engmah natna thlen lo thil i neih chuan, natna nasa tak i nei a ni. Chu chu allodynia chu a ni. A khawih pawha sensitivity nasa tak a ni .
• Hyperalgesia natna (Hyperalgesia) a ni.Hetiang thila thil thleng chu thil pakhat, a tlangpuiin a na deuh, needle te tak te hmanga hliam ang chi chu tuar theih loh khawpa natna a lo ni ta a ni. Chu chu, a na tur aia nasain a na tihna a ni .
• Hypoalgesia: Hei hi a kalh zawng a ni. Thil pakhat, a tlangpuiin a na thei ang, needle prick ang chi, chuan natna a ti tlem , a nih loh leh a hre lo pawh a ni thei.
• Dysesthesia: Hei hian chhan hriat lohvin thil danglam, nuam lo leh a chang chuan hrehawm tak tak i tawng tihna a ni. Mi thenkhat chuan an taksa chhungah rulhut an rawn inrawlh ang maiin an hria a, tui tla ang maiin an inhria thei bawk.
• Insomnia: Mi tam tak chuan he natna avang hian mut harsatna an nei thin. Mut a buai chuan a natna hian stress a tipung thei bawk.

Engvangin nge hetiang nerve natna hi kan neih? A chhante chu engte nge ni?

Hetiang nerve natna hi chhan hrang hrang a awm thei. A bulpui berte han thlir ila:

• Zu hman dan (Alcohol use disorder): Zu in tam lutuk te hian hetiang hian nerve tihchhiat leh natna an nei thei a ni.
• Diabetes Mellitus: Zunthlum hi Sri Lanka rama mi tam takin harsatna an neih a ni. Diabetes hi uluk taka control loh chuan nerve tichhe thei leh hetiang natna a thlen thei tih i hria em? Chuvang chuan zunthlum vei te hian an thisen sugar level, a bik takin an ke te hi an fimkhur reng tur a ni.
• Facial nerve conditions: A chang chuan he natna hi hmai nerve tichhe thei natna vang pawh a ni thei.
• HIV/AIDS: He natna hian nervous system a tichhe thei a, natna a thlen thei bawk.
• Central nervous system lama harsatna: Entirnan, natna hrik, stroke, Parkinson’s disease, leh multiple sclerosis (MS) te pawh hian nerve natna a thlen thei bawk.
• Complex regional pain syndrome: Hei hi nerve natna thlentu a ni bawk.
• Shingles: Measles natna hi a awm fo bawk. Naupan laia chickenpox vei tawhte zingah a awm thin. He hliam na tak, blisters nen hian a chang chuan thla tam tak emaw, kum tam tak emaw pawh a daih thei.

Hei bakah hian chhan dang a awm bawk:

• Chemotherapy damdawi: Cancer damdawi thenkhat, cisplatin, paclitaxel, vincristine te hian nerve a tichhe thei bawk.
• Radiation therapy: Cancer tan pawh radiation therapy hmangin nerve natna a thlen thei bawk.
• Kawng leh ke pakhat hloh `(Amputation):`Limb pakhat chu surgery hmanga lakchhuah a nih chuan phantom limb pain a awm thei. Hei pawh hi nerve pain a ni.
• Spinal nerve compression emaw inflammation: He natna hi kan ruh chhunga nerve te hi compress a nih chuan a awm thei bawk.
• Trauma emaw surgery emaw, a rah chhuah nerve chhiatna: Accident lian tak emaw, surgery emaw hnuah nerve chhiatna a awm thei.
• Nerve press tu tumor: Taksa hmun dangah tumor a lo piang a, nerve a press chuan chu chuan natna a thlen thei bawk.

Doctor-te hian engtin nge hei hi an hriat?

Doctor i hmuh hunah i medical history an zawt hmasa ang a, chutah chuan physical exam an nei leh ang. Doctor chuan nerve chhiatna i neih a rinhlelh chuan nerve natna nena inzawm symptoms an zawng ang. Chumi hnuah chuan a chhan bulpui ber chu zawn chhuah an tum ang. A châng chuan thisen test leh scan an tih a ngai mai thei bawk.

Hei hi eng enkawlna nge ni?

Tunah chuan he nerve natna enkawlna tur hi han thlir ila. Dik tak chuan hei hi enkawl dan tur chu a chhan bulpui leh i natna lan chhuah danah a innghat a ni. I doctor chuan i tana tha ber tur treatment plan a siam ang.

Enkawlna tum berte chu:

• Natna hnuaia awm enkawl dan: Entirnan, nerve-a tumor pressing a awm chuan radiation therapy emaw surgery emaw hmangin tumor chu tihtlem theih a ni.
• Natna tihziaawmna .
• Functionality vawng reng rawh .
• I nunphung tichangtlung rawh .

Vawi tam tak chu, he nerve natna hi control nan hian enkawlna pakhat chauh ni lovin, enkawlna inzawmkhawm a ngai thin. Heng enkawlnate hi a hnuaia mi ang hian a ni thei:

Damdawi chi hrang hrang

• Over-the-counter (OTC) natna tidamtu: Damdawi acetaminophen leh ibuprofen te hian natna tlemte thenkhatah a pui thei a ni.
• Antiseizure damdawi: Engvangin nge heng damdawi te hian nerve natna atan hna a thawh that em em tih hi hriat chian a ni lo a, mahse mi thenkhat chuan a pui hle niin an hria. Heng damdawi te hian taksa natna signal a tibuai niin an ngai.
• Lungngaihna dona damdawi: 1.1.Tunah chuan, ‘Aw, nerve na ka nei a, engvangin nge depression damdawi min pek?’ tiin i ngaihtuah mai thei. Dik tak chuan lungkhamna leh lungngaihna hian nerve natna a tizual thei a ni. Tin, antidepressant thenkhat chuan nerve natna tihziaawmna turin a pui tih hmuhchhuah a ni bawk. Chumi awmzia chu heng damdawi te hian natna leh lungkhamna te pawh a rualin a ti reh tihna a ni.
• Topical treatment: Cream, ointment emaw, lidocaine emaw capsaicin emaw awmna patch te chu a natna hmunah direct-in hnawih theih a ni. Chûngte chuan hun eng emaw chen chu natna tihziaawmna a pe a ni.

Enkawlna dang

• Nerve blocks: Hengte hi injection anga pek thin enkawlna a ni. Natna nei nerve emaw nerve group emaw bulah pek thin a ni. Hei hian hun eng emaw chen atan natna a tihziaawm thei bawk.
• Physical therapy: Hei hian nerve natna avanga rilru hahna leh lungawi lohna a tihziaawm thei a ni. Tin, taksain natural pain-relieving chemicals a siam chhuah theih nan a pui thei bawk. Hei hian massage technique hrang hrang leh exercise hrang hrang a huam a ni.
• Surgery: A then phei chuan surgery hian nerve natna a tiziaawm thei bawk. Surgeon chuan nerve thenkhat chu a chhuah zalen thei a, a siam tha thei a, a paih chhuak thei bawk.
• Psychological counseling: Damdawi lam enkawlna bakah hian psychological counseling pawh i hlawkpui thei bawk. Hei hian nerve natna avanga stress awm thin chu i hmachhawn thei a ni.

Heng enkawlnate hian i nerve natna a tihziaawm loh chuan i doctor chuan spinal cord stimulation, peripheral nerve stimulation, emaw thluak stimulation ang chi enkawlna a rawt thei ang. I doctor chuan heng enkawlnate thatna leh that lohna a sawipui ang che.

Nerve natna laka inven dan tur a awm em?

Nerve natna hi kan veng thei reng reng lo nain, a hlauhawmna tihtlem nan thil tlemte kan tih theih a awm a:

• Meizial i zuk chuan bansan rawh. Hei hi i tih theih tha ber a ni.
• I duh ang exercise tih dan pangngai siam rawh.
• I ei tur ah thei thar, thlai, legumes, whole grains, leh lean proteins (nga leh vawk ang chi) tam tak telh la.
• Zu i in chuan khap tlat ang che.
• Zunthlum i vei a nih chuan i thisen sugar level enfiah fo la, i ke pawh a bik takin enkawl la. Hliam te tak te pawh hi harsatna lian tak a lo ni thei.

He dinhmun hi engtiang chiahin nge a pawi? Nakinah eng nge thleng dawn?

Nerve natna enkawl hi a chang chuan a harsa thei a, mahse a tlangpuiin nunna atana hlauhawm a ni lo.Rehabilitation bakah hian i rilru, khawtlang leh rilru lama i hriselna te tanpui hian rah tha ber i hmu thei a ni. Hetah hian a pawimawh ber chu natna control leh i nunphung tihchangtlun hi a ni a, pain specialist puihnain, a chunga kan sawi tawh ang hian.

Engtikah nge Doctor kan hmuh ang?

Nerve chhiatna nei tih hriat theihna symptom i neih chuan doctor pan rawh:

• Numbness a awm
• Tingling a ni
• Muscle chak lohna
• I taksa chu thunun theih lohvin a inher ang maia inhriatna (Uncontrolled twitching) .
• I kuta thil awmte chu leiah a tla fo a nih chuan `(Frequently dropping objects)`

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Natna nasa tak, rilru hahna emaw, chak lohna emaw i neih a, a zual thuai ang tih a hriat chuan emergency room hnai ber pan nghal tur a ni. Hengte hi nerve chhiatna nasa tak chhinchhiahna a ni thei. Symptom na tak dangte chu:

• Heart rate chak tak emaw, mumal lo emaw
• I inbual dan inthlak danglamna (e.g., zun harsatna) .
• Luak chhuak emaw, muhil emaw

He natna hi a tlangpuiin engtin nge a awm?

Mi tam tak chuan nerve natna hi chil chhak, hliam emaw, kang emaw angin an sawi. Ṭhenkhat phei chuan electric shock ang maiin an inhria thei bawk.

Nerve natna chi hrang hrang awm tam ber chu eng nge ni?

Nerve natna chi hrang hrang awm mahse, zunthlum kaihhnawih neuropathy hi a vei zawng zawng zinga 30% chauh a ni.

Nerve natna hi a lo thleng thei a, a lo thleng thei bawk a, a nih loh leh natna awm reng, tuar theih loh a ni thei bawk. A na lo emaw, na tak emaw pawh a ni thei. Taksa peng eng pawh a nghawng thei. Nerve natna hi a tlangpuiin hlauhawm lo mah se, i nunphungah nghawng lian tak a nei thei a ni. Nerve natna nasa tak i neih chuan, emaw, natna a reh loh chuan doctor pan ngei ngei tur a ni. A chhan chu a zawng chhuak thei a, i tana enkawlna dik tak chu a hrilh thei che a ni.

A tawp berah chuan hriat reng tur pawimawh ber ber (Take-Home Message) .

Okay, chuti a nih chuan, vawiin a kan sawi tawh atang hian neuropathic pain chungchang hi i hrethiam zawk ngei ka beisei.

A pawimawh ber chu heng symptoms te hi i neih chuan doctor pan tur a ni a, ngaihthah mai mai tur a ni lo. A châng chuan, hei hi a hnuaia dinhmun dang chhinchhiahna a ni thei bawk. Chuvangin a chhan dik tak zawn chhuah a, a rang thei ang bera enkawl tan a pawimawh hle.

Nangmah chauh i ni lo tih hre reng ang che. Hetiang dinhmunah hian doctor leh enkawlna hrang hrang a awm nual a. Hlau suh, chak takin awm la, hei hi hmachhawn rawh.

` Nerve na, neuropathic pain, Neuropathic Pain, Nerve natna, Zunthlum, Numbness, Inflammation