I lu sir khat chu a na hle em? Paroxysmal Hemicrania pawh a ni thei!

I lu sir khatah, a bik takin i mit chhehvelah tuar theih loh khawpa natna i nei fo em? Hetiang lu natna chi khat, a intan nghal a, rei vak lo hnuah a reh a, a lo lang leh leh thin hi i buaipui em? Chutiang a nih chuan hei hi i tan thil pawimawh tak a ni mai thei. He natna hi Paroxysmal Hemicrania kan ti a ni. A hming hi a buaithlak deuh mai thei a, mahse he thila thil thleng hi i hrethiam mai ang u.

Paroxysmal Hemicrania chu eng nge ni?

A awlsam zawngin, paroxysmal hemicrania hi lu natna nasa tak, a intan nghal a, lu sir khatah chauh a awm a ni . A tam zawkah chuan i mit hnung lamah a natna chu i hre thin. Imagine, without any warning , i lu-ah natna rang tak, inthen darh tak, chu pawh chu a sir khatah chauh.

Heng lu natna te hi a lo awm hian "lu na natna" kan nei kan ti thin. A natna leh a lan chhuah dan dangte chu wave-in a lo thleng thin. Heng natna thlipui te hi minute tlemte atanga minute 30 thleng a daih thei a ni. Mi thenkhat chuan ni khatah vawi tlemte chauh heng attack te hi an nei thei. Mahse, mi thenkhat chuan ni khatah vawi 40 thleng heng attack te hi an nei thei a, vawi khatah minute hnih atanga minute sawmthum vel a daih thei bawk. Chutiang ni chu a harsat êm êm ang tih han ngaihtuah teh.

A pawimawh ber chu, hei hi lu natna bulpui ber a ni . Chumi awmzia chu, lu na hi a hnuaia awm thil dang avanga lo awm a ni lo tihna a ni. Buaina chu lu na tak tak hi a ni.

Thu lawmawm tak chu he lu natna hi paroxysmal hemicrania an tih hi enkawlna a awm a ni. I doctor chuan a enkawl theih nan a pui thei che a ni.

Paroxysmal hemicrania chi hrang hrangte chu engte nge ni?

He lu na hi chi hnih a awm a, chungte chu:

1. Chronic type : Hetiang chi ah hian kum khat emaw a aia rei emaw chhung chu nitin deuhthaw lu na a awm thin . A châng chuan natna lan chhuah lohna hun a awm a, mahse thla thum aia rei lo a ni. Chumi awmzia chu he harsatna hi i nunpui reng a ngai tihna a ni.

2. Episodic type : Hetiang type-ah hian lu na inkarah hian chawlh rei tak (thla thum aia rei) a awm thin . Chumi awmzia chu rei vak lo hnuah lu na a intan leh thei tihna a ni.

Tunah chuan heng chi hnih inthlauhna hi i hrethiam tawh mai thei.

He lu na hi eng chhinchhiahna nge ni?

Paroxysmal hemicrania chhinchhiahna ber chu lu na a ni. Tin, mizia bik engemaw zat a nei bawk a:

• A na chu lu sir khatah chauh a awm. A pawimawh ber chu he natna hian a sir a thlak lo tih hi a ni. A na a nih chuan a sir khatah chauh a na.
• Lu na symptoms hi a intan nghal a. Natna chu vaukhânna awm lovin a lo thleng ṭhin.
• A natna hi hun rei lote chhung, minute 30 vel a ni.
• Nitin lu na a awm fo thei.

He lu na rapthlak tak nen hian, i lu lam hawi vek a, a naSymptom dang engemaw zat a lang thei bawk. Anni chu:

• Mit a sen vek.
• Mit atang chuan mittui a rawn chhuak a.
• Hnar hrual emaw hnar luang emaw .
• Chu lam chu a thawmhnaw hak.
• Flushing a ni .
• Restlessness emaw, buaina emaw. I rilru a hahdam lo mai thei.
• Mitmeng a hring emaw, a tla emaw (mit chu a tikehsawm ang maiin).

Heng symptom zawng zawng hi lu natna nen hian a sir khatah a lang vek a ni.

Paroxysmal hemicrania i neih hian engtin nge i awm?

Heng lu na nei te hian an lu sir khata natna hi hetiang hian an sawi tlangpui thin:

• Sharp : Chemte hmanga kah ang mai.
• Intense : Tuar theih loh khawpa nasa.
• Squeezing : Miin i lu a hrual ang maiin a lang.
• Throbbing : Lu chu thinlung rhythm angin chhungril lamah a beng ang maiin.

Lu na inkarah hian natna a awm loh lai pawhin lu natna lam chu a danglam deuhin a lang thei. Hei hi a ni thei:

• Dull ache : Kawng na ang maiin a na.
• A bruised feeling `(Sore)` : A khawih chuan a na ang maiin a lang.
• Tenderness : Khawih a nih chuan natna hriatna.

Ngaihtuah teh, hna i thawh lai a, rang takin i lu sir khat chu nasa takin a na tan a nih chuan, eng chen nge i nitin hnathawh a tihbuai ang? Chu chu he dinhmun hian a challenge a ni.

Eng thilin nge he lu na hi a thlen?

Dik tak chuan mithiamte chuan paroxysmal hemicrania thlentu hi eng nge ni tih chiang takin an la hre lo . Mahse, a then phei chuan doctor-te chuan lu leh/ emaw kawr natna leh heng lu natna te hi inzawmna a awm tih an hmuchhuak a ni. Chumi awmzia chu lu-a vuakna emaw, kawr chhunga vuakna emaw ang chi thilin a tichhuak thei tihna a ni. Mahse hei hi mi zawng zawng tan chuan a awm lo.

Paroxysmal hemicrania thlentu (trigger) te chu engte nge ni?

Triggers chu symptoms thlentu emaw, ti na zualtu emaw thil a ni. Paroxysmal hemicrania-ah chuan lu natna hi lu ben, kawr hawi, emaw, kawr hmun thenkhata pressure pek ang chi thilte atanga lo chhuak thei a ni Entirnan, mi thenkhat chuan an kawr chu a sir khatah an hawi a, an en reng hian he natna hi an nei thei a ni.

Hemi atan hian tute nge hlauhawm ber?

Paroxysmal hemicrania hian tu pawh a nghawng thei. Mahse, hmeichhiate hian he lu na hi an nei tam zawk. Naupang leh puitling tleirawl aiin puitlingah a tam zawk bawk. Mahse, a pum puiah chuan a awm lo hle . Chumi awmzia chu mi zawng zawng a nghawng lo tihna a ni.

Engtin nge hei hi hriat chhuah a nih?

Doctor chuan i natna lan chhuah dan uluk taka a enfiah hnuah paroxysmal hemicrania a ni tih a hmuchhuak ang. A hmasain, taksa enfiahna a nei ang . I lu natna i hriatna hmun, lu na i neih fo tawhna leh heng symptoms te hi eng chen nge i neih tawh tih chiang takin i doctor hnenah i hrilh a ngai dawn a ni.

I doctor chuan lu natna journal ziak turin a ti mai thei che . Hei hian i natna lan chhuah dan te, engtikah nge a lo awm tih te, leh i rilru put hmang te chu a record thei ang. Hei hian i doctor chuan i dinhmun a hriat chian theih nan a pui ang.

Test dang neih belh chuan i doctor chu a lan chhuahna ang chi natna dangte chu a paih chhuak thei a ni. Hei hian thisen test emaw, MRI (magnetic resonance imaging) scan ang chi imaging test emaw pawh a huam thei . MRI hian thluak chhunga harsatna dang a zawng thei a ni.

Engtin nge paroxysmal hemicrania hi enkawl a nih?

He lu natna enkawlna atana damdawi hman ber chu Indomethacin a ni . Hei hi damdawi pawl pakhat Nonsteroidal Anti-inflammatory Drug (NSAID) tih zingah a tel a ni. Taksa a inflammation tihziaawmna leh natna tihziaawmna hmangin hna a thawk a ni.

Mahse, Indomethacin hian side effect tenau tak tak a nei thei a ni. A tam ber chu luak chhuak, luak chhuak, leh chaw kawng lama harsatna (thinlung natna leh pum na ang chi) te hi a ni . I doctor chuan eng side effect nge fimkhur tur tih a hrilh ang che.

A châng chuan heng side effects vang emaw, thil dang vang emaw pawhin i doctor chuan i paroxysmal hemicrania enkawlna atan damdawi chi dang a thlang thei bawk. Enkawlna dangte chu:

• NSAID dang (e.g., aspirin, naproxen, diclofenac) .
• COX-2 titawptu (e.g., celecoxib, rofecoxib) te hi a ni.
• Calcium channel tikhawlotu (e.g. , verapamil, flunarizine) te hi a ni.

Doctor chuan eng damdawi nge i tan a tha ber tih a rel ang.

Hetiang dinhmun atang hian eng nge kan beisei theih ang? (Hmuh dan tur) .

Paroxysmal hemicrania hi lu natna chi khat enkawl theih a ni. Doctor chuan indomethacin ang chi damdawi hmangin a control thei che a ni. I tana tha tur damdawi dose dik tak hmuh nan hun engemaw chen a ngai mai thei. Chuvangin lungngai suh.

NSAIDs rei tak i hman hian side effect thenkhat a awm thei. Chuvangin, i doctor chuan i hriselna zawng zawng enfiah tur leh i natna lan chhuah dan thar emaw, a zual zel emaw enfiah turin follow-up visit atan i doctor i hmuh fo a ngai tih a hrilh ang che. I enkawl dan tur emaw, i rilru put hmang emaw chungchangah ngaihtuahna i neih chuan i doctor hnenah hriattir ngei ang che .

Paroxysmal hemicrania hi a veng thei ang em?

A chhan dik tak hriat a nih loh avangin paroxysmal hemicrania ven dan tur chiang tak a la awm lo .

Paroxysmal hemicrania ka neih chuan eng nge ka beisei ang?

Paroxysmal hemicrania hian i rilru hriselna leh rilru hriselna a nghawng thei a ni . Natna nasa tak nena nun chu thil harsa tak a ni thei. Ni khat chhunga vawi tam tak lu natna lo chhuak nghal mai i neih chuan khum atanga tho chhuak leh nitin hnathawh theihna a tibuai thei a ni. Heng lu natna atanga tihbuai te hian i tang thei a, a tawp ngai lo ang maiin i inhria thei bawk.

"Aw, ka chungah eng thil nge thleng? Engvangin nge hetiang hian ka chungah a thlen? He natna hi a reh ngai lo ang em?" Mahse, nangmah chauh i ni lo tih hre reng ang che.

Doctor chuan heng lu natna te hi enkawl turin a pui thei che a, i dam chhung zawngin a enkawl thei bawk. Chuvangin chak taka awm reng a, enkawlna zawn a pawimawh.

Engtikah nge Doctor ka hmuh ang?

Lu na fo, na tak, a sir khata na i neih a, a chhan dik tak i hriat loh chuan , doctor i pan ngei tur a ni. Diagnosis hmuh thuai hian enkawlna i tan tir thei a ni.

Paroxysmal hemicrania i neih tawh chuan, symptom thar i neih chuan, symptoms awmsa a na zual a nih chuan, emaw, i damdawi ei avanga side effect i neih chuan , i doctor hnenah hriattir rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hian zawhna hrang hrang i zawt thei ang:

• "Doctor, ka tan enge inenkawlna tha ber?"
• "He damdawi hi eng chen nge ka ei ang a, eng chen nge ka ei ang?"
• "He damdawi atang hian eng side effect nge ka beisei ang?"
• "He lu na hi enkawl hnuah a rawn let leh thei ang em?"

I dinhmun hriatthiamna chiang tak nei turin heng ang zawhnate hi zawt rawh.

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

Lu na nasa tak chuan i ni khat chhung chu a tikhawtlai thei a ni. An ti thinrim takzet. Hnathawh tur, lehkhabu chhiar emaw, ṭhiante leh chhungte nena hun hman emaw i duh mai thei a, mahse paroxysmal hemicrania lu na hian ruahmanna dang a nei a ni. Mahse, vanneihthlak takin i doctor hian heng lu natna te hi a enkawl thei che a ni.Tichuan, hrehawmna awm lovin i nun pangngaiah i kir leh thei tawh ang. Chuvangin, beiseina chu bansan ngai suh. Damdawi lam thurawn dik tak zawng rawh.

` Lu na, paroxysmal hemicrania, lu na, indomethacin, NSAID, lu na enkawlna, thluak lam natna