Hetiang danglamna hi i mitmengah i hre ve em? Papilledema chungchang hi han sawi ila!

Do you sometimes get headaches , mit pahnih atanga i mit hmuhna hloh nghal ang maiin i inhria em? A nih loh leh a chang chuan thil pahnih ah i hmu thin em? Heng symptoms te hi i neih chuan papilledema an tih natna chhinchhiahna a ni thei. Ngaihtuah buai suh, awlsam takin sawi ila.

Papilledema chu eng nge ni?

A awlsam zawngin, papilledema chu i mit pahniha optic disc a lo hring chhuak a ni . Hei hi intracranial pressure sang vang a ni . Ngaihtuah teh, kan thluak chhehvelah leh ruhro hnuai lamah tui ang maia tui a awm a. Hei hi Cerebrospinal Fluid (CSF) kan ti a ni. He tui hi taksain a siam chhuak reng a, a la lut leh zel a ni. Hei hian kan thluak chu a rawn inher kual a, accident tenau lo thleng tur a venghim a ni. Car chhunga `shock absorbers` awm ang mai a ni. Tunah chuan he `CSF` fluid hi a insiam tha tawk lo va, a khawlkhawm a nih chuan, emaw, chhan dang vangin thluak chhungah a lo awm khawm a nih chuan, luruh chhunga pressure chu a pung zauh zauh thin. Hetianga pressure sang hian mit leh thluak inzawmkhawmtu optic nerve , chu a compress a, a zung, optic disc chu a ti hring chhuak thin. Optic disc hi mit chhunga optic nerve lutna hmun a ni. A tlangpuiin, luruh chhunga pressure a san chuan , bilateral papilledema a awm thin. Chumi awmzia chu mit pahniha optic nerve zungte chu a hring chhuak tihna a ni. Mahse, mit pakhat chauh (unilateral) a optic nerve root a lo hring a nih chuan `optic disc edema` kan ti thin. Hei hi luruh chhunga pressure sang vang a ni tlangpui. A pawimawh ber chu he papilledema an tih hi medical emergency anga ngaih theih a ni . A chhan chu luruh chhunga pressure sang hi thil pawi tak a nih avangin a chang chuan nunna atana hlauhawm thei a ni.

He papilloedema natna hian tute nge a nghawng ber?

He natna, papilloedema , tia koh hi hmeichhiaah a tam zawk. A bik takin hmeichhia kum 20 leh 44 inkar, body mass index (BMI) 25 emaw a aia tam emaw, a thau lutuk emaw, BMI 30 aia tam emaw, thau lutuk Chu pawla mi 100,000 zinga 13 vel chuan he natna hi an vei thei tih hmuhchhuah a ni. Mahse, United States ang ramah chuan he dinhmun hi chutiang chuan a awm lo. Mipui zawng zawng zinga mi 100,000 zinga pakhat aia tlem (0.9)-ah report a ni. Chuvangin, mi zawng zawng tuar thei natna a ni lo va, tu pawhin nei se, ngaihtuah tur a ni.

He papilloedema natna lan chhuah dan hi engte nge ni?

A chang chuan symptoms (asymptomatic) i nei lo thei bawk.Papilledema a awm thei. Mahse, a lan chhuah dan tlangpui engemaw zat hmuh theih a awm a:

• Lu na: Hei hi a lan chhuah dan ber a ni. Papilledema nena lo awm lu natna hi zing thawh hmasak ber emaw i mut lai emaw hian a hriat tam ber a ni . I lu chu chhungril atanga i hrual ang maiin a lang thei.
• Transient visual obscurations: Hei hi a lan chhuah dan chiang tak a ni. Vawikhatmah , hun rei lote chhung, second 5 atanga 15 chhung atan mit pakhat (unilateral) emaw, mit pahnih (bilateral) emaw chu a fiah lo va, a dum a, a dum ta a ni . Hei hi ni tlak laia thlain ni a khuh dan nen a inang a ni. Hei hi i dinhmun i thlak hian a thleng tam ber a, entirnan, i ding emaw, i thut emaw hian.
• Double vision (Diplopia): Luruh chhunga pressure sang hian mit tichaktu ruh control tu nerve te a nghawng thei \hin (cranial nerve palsy) . Hei hi thil pakhat pahnih anga a lan lai a ni.
• Nausea leh vomiting: Heng symptoms te hi lu na nen a awm thei bawk.
• Neurological symptoms dang : Mi thenkhat chuan kea kal harsatna leh ngaihtuahna inthlak danglamna an nei thei bawk.

He natna hi uluk taka enkawl a nih loh chuan hun kal zelah mit a chhe zauh zauh thei tih hre reng ang che.

Ngaihtuah teh, hmeichhe naupang pakhat Nimali a awm a. A thau lutuk deuh a ni. Thla eng emaw zat chu zing a thawh chuan a lu a na hle a. A chang chuan a harh veleh second tlemte chhung chu a mit a dum vek thin. Chauhna mai mai niin a ngai a. Mahse ni khat chu kawng hnih in thil a hmu tan ta thut mai. Chutah chuan a hlauthawng a, doctor hmu turin a kal ta a ni. Doctor chuan a mit a enfiah hnuah chauh papilloedema a vei tih a hrechhuak ta a ni.

Eng thilin nge papilloedema hi a thlen?

Kan sawi tawh ang khan papilledema hi luruh chhunga pressure sang vang a ni . Chuvangin, he pressure hi a san theihna chhan engemaw zat a awm a:

• Malignant hypertension : Thisen sang control theih loh i neih chuan , hei hi a chhan a ni thei.
• Tumors: Tumor chi hrang hrang thluak chhungah emaw, a chhehvela lo awm hian pressure a tisang thei a ni.
• Infection, bleeding, or swelling/inflammation of the thluak leh meninges: Thluak emaw thluak leh ruhro (meninges) khuh tu membrane-ah natna hrik, thisen chhuak, emaw inflammation a awm chuan chu chuan pressure a tisang thei bawk.
• Cerebral venous sinus thrombosis a awm thin chu: 1.1.Thluaka thisen kalna kawng (vein) lian takah thisen zam a lo awm chuan CSF tui luang chhuak tur pawh a tikhawlo thei a, pressure a tisang thei bawk.
• Iron-deficiency anemia: Hei pawh hi a chang chuan a inzawm tih hmuhchhuah a ni bawk.
• Damdawi thenkhat: Damdawi thenkhat hman hian hei hi a nghawng thei bawk. Entirnan, Retin-A leh Retinoids (vitamin A kaihhnawih damdawi), vitamin A ei tam lutuk, tetracycline antibiotics, COVID-19 infection, leh corticosteroids (steroid damdawi) te pawh he thil nen hian inzawm nia sawi a ni bawk.
• Idiopathic Intracranial Hypertension (IIH): A chang chuan luruh chhunga pressure a sang a, mahse a chhan chiang tak erawh hmuh tur a awm lo. ``Idiopathic`` tih thumal awmzia chu ``a chhan hriat loh vang a ni.`` He ``IIH`` natna hi hmeichhe naupang, thau lutuk zingah a tam hle.

Papilloedema hi thlahtute atanga lo chhuak a ni em?

Ni lo, papilloedema hi thlahtu natna a ni lo .

Migraine hian papilledema a thlen em?

Ni lo, papilledema hi migraine vangin a awm lo. Mahse, papilledema vei chuan lu na a nei thei a, chu chu migraine lu natna nen a inang thei a ni. Chuvangin eng nge a nih chiang taka hriat a pawimawh.

Engtin nge papilledema hi dik taka i hriat theih ang?

Lu na leh mitdel ang chi symptom i neih chuan doctor i hmuh chuan papilledema i nei tih hmuhchhuah a ni thei. I mit doctor chuan i mit a enfiah hmasa ang. Test bik a ti thei a, chu chu visual field testing . Chumi hnuah chuan i optic disc-a swelling a zawng mai thei. Optic disc a hring a nih chuan imaging examination atan refer i ni ang . Hei hi MRI (Magnetic Resonance Imaging) scan a ni fo thin . Hei hian thluaka tumor emaw thisen chhuah emaw a zawng thei a ni. A châng chuan i doctor chuan lumbar puncture (spinal tap) pawh a ti thei bawk . Hei hian luruh chhunga pressure awm leh awm loh leh cerebrospinal fluid (CSF)-a infection awm leh awm loh a enfiah thei a ni. Tin, thisen test pawh hi iron level ang chi thil te enfiah nan tih theih a ni bawk.

Engtin nge papilledema nasat dan hi an teh thin?

Doctor-te chuan Frisén scale an tih hmangin papilledema nasat dan an teh a. Stage engemaw zat a nei a.

• Grade 0: Optic nerve root hi a normal a, mahse a sir lam chu a fiah deuhin a lang thei.
• Grade V ang chi stage sang zawkah chuan:Optic nerve root pumpui chu a hring vek a, a bulging bawk. A hring hi a na em em a, nerve root-a thisen kalna leh chhuak chu chiang takin a lang lo.

A awlsam zawngin, heng stage-te hian a hring nasat zia a tilang a ni.

Papilloedema hi engtin nge enkawl a nih?

Papilledema enkawl dan hi a chhan a innghat a ni .

• Papilledema hi sawifiah theih loha intracranial pressure (IIH) tihpun avanga lo awm a nih chuan:
• I doctor chuan carbonic anhydrase inhibitor, acetazolamide -te chu a pe thei che a ni. He damdawi hian CSF fluid siam chhuah a ti tlem a, pressure a tihhniam bawk.
• Tin , taksa rihna hrisel tak i neih theih nan a pui bawk . Hei hi hun rei tak chhunga chinfelna a ni.
• Heng hmanrua te hian pressure a tihziaawm loh chuan doctor-te chuan luruh chhunga pressure tihziaawmna tur surgery tih dan tur an rawt thei a ni. Entirnan, shunt chu cerebrospinal fluid (CSF) chu hmun danga a chhuah theihna tur tube a ni.

• Papilloedema hi chhan dang avanga lo awm a nih chuan:
• Doctor chuan a chhan bulpui chu a enkawl ang . Entîr nân, thluaka natna hrik chu enkawl a ni ang a, thisen sâng chu a thunun ang a, infection chu damdawi hmanga enkawl a ni ang.

A pawimawh ber chu papilledema hi enkawl vat a ni a, a chhan chu enkawl loh chuan mit pakhat emaw, mit pahnih emaw a mit a hloh vek (mitdelna) a thlen thei a ni.

Papilloedema vei theihna hi a tlahniam thei ang em?

Ni e, thil thenkhat ngaihtuah hian papilloedema vei theihna i tihziaawm thei a ni:

• I thisen sang control (a bik takin thisen sang hlauhawm tak - `malignant hypertension` venna atan ).
• Taksa rihna hrisel tak vawng reng rawh . Thau lutuk hi a chhan pakhat a ni thei a, chuvangin i taksa rihna control a pawimawh hle.

Tin, mit enfiah fo hi a pawimawh hle bawk . Natna dang ang bawkin, a hmaa hriat chhuah chu a rah chhuah ṭha ber a ni .

Papilloedema ka neih chuan eng nge thleng?

Nang leh i doctor-in he natna hi in hriat hma chuan a rah chhuah chu a ṭha tlangpui . I doctor chuan a bulpui harsatna enkawl chu a ngaihtuah ber ang. Mahse, papilledema enkawl hi a pawimawh tih hre reng ang che, a chhan chu, mit hmuhna hloh theihna bakah hian thluak lam thil dang a thlen thei bawk.

Papilloedema leh a chhan awm thei chungchang hi engtikah nge doctor ka hmuh ang?

Lu na thar i neih a, a zual zel a, i rilru a na leh i luak chhuak bawk a nih chuan , damdawi lam pan nghal tur a ni . Tin, i mit hmuh danah inthlak danglamna i hmuh chuan, .A awm chuan doctor hnenah entir ngei tur a ni a, enfiah tir ngei ang che.

Papilledema leh Pseudopapilledema hi eng nge an danglamna?

Pseudopapilledema hi papilledema "dik lo" a ni . Hei hian optic disc chu a bulging angin a lantir bawk. Mahse, mit nerve hring (swelling) avanga lo awm a ni lo. Mi thenkhat chu an piang a, optic disc bulging tlem a awm thei a, a nih loh leh thil dang, optic disc drusen (optic disc-a calcium ang chi deposit) avanga lo awm niin a lang thei bawk. Papilledema thlentu hi a nasat theih avangin, mitdelna i neih chuan a rang thei ang bera doctor pan a pawimawh a, a bik takin lu na, luak chhuak emaw, luak chhuak emaw a awm chuan.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur? (In lama hruai tur thuchah)

Okay, tunah chuan kan sawi thin kha i hrethiam zawk ka beisei, Papilledema. Thil pawimawh ber berte hi han sawi nawn leh ila:

• Papilledema chu mit pahnih optic nerve roots a lo hring chhuak a , chu chu luruh chhunga pressure sang vang a ni .
• Lu na nasa tak (a bik takin zing lamah), hun eng emaw chen atana mit hmuh lohna, mit pahnih, luak chhuak, leh luak chhuak te hi rinhlelh theih a ni.
• Hei hi thil chi hrang hrang avanga lo awm thei a ni a, chung zingah chuan thluaka natna hrik, thisen sang, natna hrik, damdawi thenkhat, leh idiopathic hypertension (IIH) te pawh a tel.
• Natna hi a hmaa hriatchhuah a nih a, a chhan chu uluk taka enkawl a nih chuan mit hmuhna a humhalh theih a ni. Enkawlna a tlai chuan mit hmuhna a bo vek thei .
• Heng symptoms te hi i neih chuan hun khawhral suh la, doctor pan rawh .
• I taksa rihna hrisel tak neih leh thisen sang control hian he natna hi a tihziaawm thei a ni.

I mit hi a hlu em em a, chuvangin enkawl tha rawh. Thil danglam bik i hriat chuan ngaihthah suh. Damdawi lam thurawn lak nghal hi a finthlak.