I mit chu a kal leh zel, a chho leh a hnuai, a nih loh leh circle-a awm, thunun theih lohvin a kal tih i hre ngai em? I thil en chu a nghing emaw, a che emaw ang maiin i hria mai thei. Hei hi thil hlauhawm tak a ni thei. Mahse, lungngai suh. Vawiin hian he dinhmun hi kan sawi dawn a ni. Damdawi lamah chuan nystagmus kan ti a. Eng nge a nih, engvangin nge a lo awm tih leh eng nge i tih theih tih hi han thlir ila.
A awlsam zawngin, Nystagmus hi eng nge ni?
Nystagmus hi a awlsam zawngin kan mit chetna, thunun theih loh, rang tak, tih nawn fo thin a ni. Hei hi mit pakhatah emaw, mit pahnihah emaw a thleng thei. Heng mit chetna hi kawng hrang hrangah a awm thei.
- Side to side: Mit chu a sir lehlamah a kal chak hle a, car wiper ang maiin a kal chak hle. Hei hi horizontal nystagmus kan ti a.
- Up and down: Mit sang leh hnuai lam rang taka kal. Hei hi vertical nystagmus a ni.
- Circular: Mit chu circular motion-a che thei ang maia chetna a ni. Hei hi rotary nystagmus an ti a.
Heng movement te hi a pattern pawh a inang lo thei bawk.
- Jerk Nystagmus: Hei hi mit chu a sir lehlamah a sir lehlamah a inher nghal vat a, thil tihsual siamthat tum ang mai a ni.
- Pendular Nystagmus: Hei hi mit pahnih chu a sir lehlamah chakna inang taka an kal a, darkar hlui pendulum, a hnung leh hnung lama inher ang maia tlan chakna a ni.
Hetianga mit chetna thunun loh hian mit hmuhna , thuk zawng hriatna , taksa inthlauhna leh kut leh ke inrem danah harsatna a thlen thei a ni .
Nystagmus chi hrang hrangte chu engte nge ni?
Nystagmus hian naupang leh puitling a nghawng thei a ni. A natna intan kum a zirin chi hnih lian takah kan ṭhen a ni.
1. Pianpui emaw Nausen emaw Nystagmus
Hei hi a tam ber chi a ni. A hming ang ngeiin pian tirh lamah a awm thei a, a pian tirh thla engemaw zat chhungin a lo thang lian thei a, a tlangpuiin kar 6 leh thla 3 inkar a ni. A châng chuan rochun aṭanga lo chhuak a ni thei bawk. Mahse, a chhan chiang tak a awm lo. Naupang pianpui nystagmus nei te hian mit pahnih ah hian hetiang chetna hi an nei thin. Tin, mit hi a sir lehlamah a inher fo bawk. Heng naupangte tana harsatna ber chu mit hmuhna (blurred vision) a ni .
2. Nystagmus neih tawh
Hetiang chi hi nakin lawkah a lo awm thei a, a tlangpuiin thla 6 hnuah kum eng pawhah a lo awm thei. Puitlingah a tam zawk. Acquired Nystagmus hi a hnuaia awm natna dang chhinchhiahna a ni fo thin. Hei hian i thluak , i mit , emaw i beng emaw a tichhia tihna a ni.Hei hi damdawi lam thil avanga mit tichhe thei a ni. A chang chuan zu emaw ruihhlo hman vang emaw pawh a ni thei. Hetiang nystagmus vei puitlingte hian an sawi fo thin pakhat chu, "Doctor, ka thil hmuh te hi a che thei ang maiin a lang a, a nghing ang mai a ni," tih hi a ni.
Spasmus Nutans hi Acquired Nystagmus chi khat a ni a, naupangte zingah a awm thin. Naupang thla 6 leh kum 3 inkar ah a awm tlangpui. Mahse thu lawmawm tak chu he chi hi kum 2 leh 8 inkar ah hian enkawlna engmah awm lovin a mah chauhin a dam fo thin.
He dinhmun hi a pawi em?
Hei hi mi tam takin harsatna an neih a ni. Nystagmus ringawt hi a hlauhawm lo. Mahse, natna khirh tak dang, a bik takin thluak kaihhnawih natna lan chhuahna a ni thei . Entir nan:
- Thai
- Thluak natna (brain tumor) a awm
- Lu natna (lu trauma) a ni
- Toxicity a awm thei
- Thluak natna hrik (inflammatory diseases) a awm
Chuvangin, nystagmus symptom ngei pawh hi hlauhawm a nih loh laiin, a chhan bulpui (underlying medical condition) chu a na thei hle. Chuvangin heng symptoms te hi ngaihthah ngai lo a tha.
Nystagmus natna lan chhuah dan chu engte nge ni?
A lan chhuahna ber chu a hmaa kan sawi tawh angin mit chetna thunun theih loh hi a ni. Mahse, a chhan a zirin symptom dang engemaw zat a awm thei.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Oscillopsia natna (oscillopsia) a ni | I chhehvel khawvel chu a nghing a, a vibrate tih hriatna. I ding reng lai pawhin khawvel hi a vibrate ang maiin a lang. |
| Mit hmuh a fiah lo | Mit a che reng avangin hmun khatah thlalak chu focus a harsa hle. Chuvangin, vision a fiah lo. |
| Balance lama harsatna a awm | Kal emaw, ding emaw laiin i balance hloh ang maia inhriatna. I tlu dawn angin i inhria mai thei. |
| Vertigo a awm | Luak chhuak nasa tak, i inher leh inher ang maia hriatna. |
| Eng laka sensitivity nei | Eng êng tak ngaihtuah harsa leh thimah hmuh harsa. |
Engvangin nge hetiang hi a lo awm? Nystagmus hi engte nge ni?
Hei hi hrethiam tur chuan kan mit che dan hi tlem tal i neih a ngai a ni. Kan mit che vel hi system buaithlak takin a thunun a ni. Hei hian thluak , mit , leh vestibular system a huam a, chu chu beng chhungril lama balance control tu a ni . Camera tha tak a 'image stabilizer' ang mai a ni. Kan lu kan sawn pawhin kan thil hmuh chu he system hnathawh avang hian a nghet reng a ni. Nystagmus-ah hian khawi emaw laiah he inzawmnaah hian harsatna a awm a.
Nystagmus thlentu ber thenkhat chu hetiang hi a ni:
- Thluak emaw mit emaw hmasawnna lama harsatna.
- Retina emaw optic nerve emaw natna.
- Inner ear balance lama harsatna, Benign Paroxysmal Positional Vertigo (BPPV) leh Ménière natna te .
- Thai.
- Thluak natna (brain tumor) a awm.
- Mit emaw lu emaw hliam.
- Zu emaw ruihhlo thenkhat emaw hman.
- Albinism - Hei hi vunah pigment tlakchhamna a ni.
- Mit lama harsatna, hnai taka hmuh theih lohna emaw, astigmatism emaw ang chi.
- Damdawi thenkhat, a bik takin antiseizure damdawi te.
- Central nervous system tichhe thei natna, Multiple Sclerosis (MS) .
- Naupang tê tête mit lama harsatna nei. Entirnan, strabismus leh cataract ang chi natna te.
A châng chuan hei hi chhan chiang tak hmuh tur a awm lo. Idiopathic Nystagmus kan ti a .
Engtin nge hei hi kan hriat theih ang?
Nystagmus symptoms i neih chuan mit lam doctor-in i enfiah hmasa tur a ni.A ni mai thei. I mit chu uluk takin a enfiah ang a, i natna lan chhuah dante a zawt ang a, he thil nena inzawm thei mit natna dang a awm leh awm loh a enfiah ang.
Mahse a chhan zawng tur chuan specialist dang i pan a ngai mai thei.
- Neurologist: Thluak nena inzawm harsatna a awm leh awm loh enfiah thin ang che.
- Otorhinolaryngologist emaw ENT doctor emaw: Beng chhung lam balance a awm leh awm loh enfiah thin ang che.
A chhan dik tak hriat duh chuan a hnuaia test te hi i ti thei ang:
- Neurological exam kimchang tak neih a ni.
- Ear exam a ni.
- Mit che vel record tu test bik, Electronystagmography (ENG) leh Video-nystagmography (VNG) te .
- Brain imaging test, CT scan (Computed Tomography scan) emaw MRI (Magnetic Resonance Imaging) emaw te hi a ni.
- Genetic test hmanga pianpui nystagmus thlentu genetic defects hriat theihna.
Nystagmus hi eng enkawlna nge ni?
Hei hi enkawl dan tur chu nystagmus awm chhan bulpuiah a innghat vek a ni. Chu chu, a symptom chauh ni lovin, a chhan bulpui kan enkawl tihna a ni.
A hnuaia dinhmun enkawl dan
Acquired Nystagmus-ah chuan a bulpui ber kan hriatchhuah a, kan enkawl hian Nystagmus natna lanchhuahna chu a tlahniam emaw, a bo vek emaw thei a ni. Entirnan, Nystagmus hi beng chhung lama harsatna avanga lo awm a nih chuan, chu chu enkawl chuan luak chhuak leh mit hrual a tiziaawm ang.
Glasses emaw contact lens emaw hman tur a ni
I mit a lo ṭhat deuh deuh chuan mit che rang tak chu eng emaw chen chu i thunun thei a ni. Chuvangin i doctor chuan glasses emaw contact lens emaw hman a rawt mai thei. Lens chi khat prism lens tih pawh an pe thei bawk . Chungte chuan i mit hmuh theihna tura a tihbuai (strain) a ti tlem a ni.
Damdawi chi hrang hrang
Puitlingah hian nystagmus natna lanchhuahna tihziaawmna tur damdawi engemaw zat a awm. Entirnan, Gabapentin , Baclofen , leh Onabotulinumtoxina (Botox®) te hi a ni. Hengte hi i tan a \angkai em tih i doctor chuan a rel ang.
Mit ruh surgery neih a ni
Hei hi tih a tlem hle. He surgery-ah hian mit tichaktu ruh (muscles) awmna hmun tihdanglam a ngai a ni. He surgery hian nystagmus hi a tidam kim thei lo a , mahse mit tihchet a awlsam phah thei a ni. Hei hian chiang taka hmuh theih nan i lu hawi leh tilt tamna a ti tlem a ni.
Vision correction surgery neih a ni
Nystagmus natna distance vision lama harsatna i neih chuan LASIKHetiang ang laser surgery hi a \angkai thei hle. He surgery hian nystagmus a tidam dawn lo tih hre reng ang che. Mahse, i mit a lo ṭhat deuh deuh chuan nystagmus symptoms chu a tlahniam thei a ni.
Engtikah nge Doctor i hmuh ang?
Hei hi a pawimawh hle. I mit hmuhna lama inthlak danglamna, mit tichhe, balance lama harsatna, emaw, coordination lama harsatna i hmuh chuan doctor pan nghal rawh.
Nystagmus hi damdawi lam natna khirh tak chhinchhiahna hmasa ber a ni thei tih hre reng la, chuvangin diagnosis neih a, enkawlna tan thuai a pawimawh.
Nystagmus i vei tih hmuhchhuah a nih tawh a, i natna lan chhuah dan a na zual zel a nih chuan i doctor hnenah hriattir rawh.
Take-Home Thuchah a ni
- Nystagmus hi mit chetna rang, tih nawn leh, thunun theih loh a ni.
- Hei hi pian tirh atangin a awm thei a, a hnu lamah pawh a lo thang lian thei bawk.
- He symptom chauh hi hlauhawm lo mah se, a thlentu damdawi lam dinhmun (e.g. stroke, brain tumor) chu a na thei hle.
- I mit hmuhna lama inthlak danglamna, luak chhuak, a nih loh leh balance lama harsatna i neih chuan ngaihthah ngai suh. Damdawi lam thurawn zawng nghal rawh.
- Enkawlna chu nystagmus awm chhan a innghat a ni. Enkawlna hian natna lan chhuah dan a thunun thei a, nun a ti awlsam thei bawk.
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