I fa chuan mit a fiah lo, a kal laiin a balance loh, a nih loh leh a ke ruh a tingling tih a hrilh nghal che em? A châng chuan hengte hi thil pangngaiah kan ngai a, mahse hengte hi MS , a nih loh leh Multiple Sclerosis tih natna lan chhuahna a ni thei bawk. He hming i hriat hian hlau suh. A pawimawh ber chu a chanchin kimchang taka hriat chian a ni. Vawiin hian naupang MS chungchang hi a awlsam zawngin, i hriatthiam theih dan tur angin kan sawi dawn a ni.
MS hi eng nge ni mai?
A awlsam zawngin, naupangte zingah MS hi autoimmune condition a ni a, anmahni immune system-in anmahni taksa a bei thin . Naupang central nervous system a nghawng ber a, chu chu thluak leh ruhro (spinal cord) a ni.
Kan taksa invenna (immune system) hi ram venghimtu sipai angin han ngaihtuah teh. He sipai hna chu taksa chhunga lut hrik leh virus ang chi hmelma te do a, min venhim hi a ni. Mahse MS vei naupang taksaah chuan he sipai hian tihsual tenau tak an nei a ni. Taksa peng tak tak, nerve vel venhimna khuh chu hmelma niin an ngai a, an bei tan ta a ni.
He venhimna khuhna hi myelin an ti a . Electric wire chhehvela plastic sheath ang bawkin he myelin sheath hian message te chu nerve chhungah rang tak leh awlsam takin a kal theih nan a pui thin. Chuvangin, immune system hian he myelin sheath hi a tihchhiat hian thluak atanga taksa dang hnena thuchah lo lutte chu a kal tlang tha lo hle. Wire-a plastic sheath chu a hlihsak chuan short circuit ang mai a ni. Hei hian taksa ruh chak lohna , hahna, hriatrengna lama harsatna, kal harsatna, leh mitdelna ang chi symptoms a thlen thin.
A pawimawh ber chu tun dinhmunah MS hi damdawi tluantling a la awm lo nain, a natna lan chhuah dan control thei leh naupang nung tha thei tur enkawlna tha tak tak a awm a ni.
Naupangte zingah hian MS chi hrang hrang lian ber ber a awm em?
Ni e, naupang zingah hian main type hmuh tur a awm.
Naupang 98% vel chuan relapsing-remitting MS tih chi khat an nei a. Hei hi symptoms flare-up hun chhung a awm a, chu chu remission hun chhung a awm bawk.
Hetiang hian han ngaihtuah teh. Kar \henkhatah chuan naupang chu kal a harsat thei a, a chau thei bawk. Mahse enkawl a nih chuan a dinhmun chu a ṭhat deuh ang. Thla engemaw zat hnuah chuan mit lama harsatna a lo awm leh thei a ni. Hetiang hian natna hi a kal zel a, symptoms a lang chhuak a, a bo vek bawk.
Primary progressive MS hi MS chi khat a ni a, naupangte zingah a tam lo hle. Hun kal zelah a natna lan chhuah dan a zual zauh zauh thin.
Hriat hmasak ber tur symptoms te chu engte nge ni?
Doctor-in MS a rinhlelh hian a hmaa a lan chhuah dan tlemte a awm a, chu chu a bik takin an ngaihven a ni. Nang tan pawh, nu leh pa angin, hengte hi i hriat chian a pawimawh hle.
| A lan chhuah hmasak ber | A awlsam zawngin sawifiah a ni |
|---|---|
| Mit lam natna (Optic neuritis) a awm | Mit hmuh fiah lo, a chang chuan hloh, mit pakhat emaw, mit pahnih emaw a na. Naupang pawhin rawng chi hrang hrang a hmu lo thei bawk. |
| Transverse myelitis a awm bawk | Spinal cord (spinal chhunga nerve trunk) infection hian ke ruhte chu a tichak lo thei a, a tichak lo thei a, hriatna a hloh thei bawk. |
Symptoms langsar dangte
Heng a tir lama a lan chhuah bakah hian natna dang engemaw zat hmuh tur a awm thei bawk.
- Ke leh ruh emaw taksa emawa rilru hahna emaw, rilru hahna (Paresthesia) .
- Luak chhuak thei
- Kal laiin balance hloh leh tlu.
- Chau
- Muscle chak lohna
- Tremors a awm
- Thil ngaihtuah leh hriatreng harsa
- Double vision emaw blurred vision emaw a ni thei
Heng symptoms zawng zawng hi naupang tinah a awm vek dawn lo tih hre reng ang che. Heng symptoms te hi naupang hrang hrangah a inang lo thei. A châng chuan ni khata symptom awm chu a dawtah a awm lo thei bawk.
Engvangin nge naupangte hian MS hi an vei? Eng nge a chhan?
Kan sawi tawh ang khan hei hi a chhan ber chu demyelination . Hei hi immune system-in nerve chhehvela protective myelin sheath a tihchhiat palh hian a ni. He chhiatna hian nerve-ah ‘scars’ te te a siam thin. Doctor te chuan heng lesions emaw plaques emaw an ti thin . Hengte hi MRI scan-ah hmuh theih a ni.
Researcher-te chuan engvangin nge immune system hian hetiang thil hi a tihsual tih chiang takin an la hre lo a, mahse hei hi a thlen thei tur risk factor engemaw zat an hmuchhuak a ni.
- Vitamin D tlakchhamna: Naupai laiin nu taksaah vitamin D level a tlahniam.
- Viral infection: A bik takin Epstein-Barr virus kai .
- Meizial zuk (exposure to smoking): Naupai laiin nuin secondhand smoke a tawn.
- Thau lutuk
Hengte hi risk factors chauh a ni. An nei zawng zawng hian MS an nei vek lovang.
Engtin nge doctor-te hian he natna hi dik taka an hriat theih?
MS hmuhchhuah hi thil buaithlak tak a ni thei a, a chhan chu a natna lan chhuah dan hi natna dang tam tak nen a inang thei a ni. Chuvangin doctor chuan a natna hriat theihna turin step engemaw zat a zawm ang.
A hmasa berin naupang chu uluk taka enfiah a ni ang a, nang leh i fa chu an natna lan chhuah dante zawt in ni ang. Tichuan, natna dang a awm loh nan leh MS hriat theihna turin test eng emaw zat neih a ni ang.
| Fiahna | A awlsam zawngin sawifiah a ni |
|---|---|
| Thisen leh zun test a ni | MS ang chi natna dang emaw, natna dang emaw a awm leh awm loh enfiah rawh. |
| MRI scan a ni | Hei hi fiahna pawimawh ber a ni. Thluak leh ruhro (spinal cord)-a myelin-a ‘lesion’ emaw, chhiatna emaw a awm leh awm loh chiang takin a hmu thei a ni. |
| Lumbar puncture a awm | Hetah hian ruhro (spinal area) chu a numbed a, cerebrospinal fluid tlemte chu needle nalh tak hmangin an la a, an enfiah thin. MS-ah chuan he fluid-ah hian protein bik hmuh tur a awm. |
| Evoked potential (EP) test hmanga tih a ni | Nerve hmanga electrical message kal chak dan tehna test. He speed hi myelin a chhiat chuan a tlahniam thin. |
Hetiang kalphung hian hun engemaw chen a la ngai thei. Rilru lamah chuan tlem a ti buai thei che a ni. Mahse, i fate tana enkawlna dik ber neih a, enkawlna dik ber i tan a pawimawh hle.
MS enkawl dan tur chu engte nge ni?
MS hi damdawi a la awm lo. Mahse, natna thunun thei tur, a lan chhuah tam lohna tur leh naupang nun pangngaia nunpui thei tur enkawlna tha tak tak a awm nual.
- Disease-Modifying Therapy (DMT): Heng damdawi te hian immune system-in myelin a tihchhiat a tihtlem bakah natna kal zel dan tur a control a ni. Hemi atan hian Fingolimod , FDA-in naupang kum 10 chunglam tan a pawmpui pill hi hman a ni.
- Therapeutic treatment dang: Heng treatment te hian symptoms enkawlna kawngah a pui hle.
- Occupational therapy: Nitin hna awlsam zawka thawk turin a pui thin.
- Physical therapy: Taksa chakna leh kea kal harsatna tihziaawmna atan a pui.
- Speech therapy: Thusawi emaw, ei leh in emaw harsatna a awm chuan enkawl an ni.
- Neuropsychology testing leh therapy: Hriatrengna leh ngaihvenna ang chi harsatnaah a pui thin.
MS hian ka fa sikul hnathawh a nghawng dawn em?
MS vei naupang thenkhat chuan hriatrengna, zirlai leh ngaihvenna kawngah harsatna an nei thei. Hemi chungchang hi i fa zirtirtute nen inbiak fo a pawimawh hle. Neuropsychological testing hmangin i fa chakna leh chak lohna te hriat theih a niChutianga tih chu a \angkai hle bawk. Hei hmang hian naupang chu sikulah an mamawh bik tanpuina i pe thei a ni.
Mahse a pawimawh ber chu MS vei naupang tam zawk hi an thiante nen an inkhel a, an zir a, an awm dan pangngaiin an awm a ni. Naupang dangte tih ang zawng zawngah an inhmang thei vek a ni. Chuvangin hlauh lutuk a ngai lo.
Engtikah nge Doctor ka hmuh ang?
I fain MS nena inzawm thei symptoms eng emaw zat a neih chuan, ke ruh pakhata rilru hah emaw, mit hmuhna inthlak danglam emaw te hi thil tenawm takah ngaih suh. A rang thei ang bera i fate doctor pan a, he thu hi sawipui a pawimawh hle.
Natna hi a hriat hma chuan enkawlna a tan thuai thei a, hun rei tak chhunga harsatna awm thei tur venna chance a sang zawk bawk.
Diagnosis hnuah pawh i fain symptom thar a neih emaw, an symptoms a zual emaw chuan doctor hnenah hriattir nghal tur a ni.
Take-Home Thuchah a ni
- MS hi immune system lama harsatna a ni a, natna hrik kai theih a ni lo. Chuvang chuan naupang pakhat atanga naupang dangah a kai thei lo.
- Naupang zinga MS chi khat awm tam ber chu relapsing-remitting MS a ni a, chutah chuan symptoms a lo awm a, a kal zel bawk.
- I fain mitdel, kal harsa, emaw, rilru hahna ang chi symptoms a report chuan ngaihthah suh la, doctor thurawn la nghal rawh.
- MS hi tihdam kim theih ni lo mah se, enkawlna \ha tak takte chuan natna hi a thunun thei a, naupang chu naupang dangte ang bawkin nun chak leh hlim tak nei turin a pui thei a ni.
- Nu leh pa, zirtirtu leh doctor-te hnen atanga tanpuina leh hriatthiamna dik tak chuan naupangin he zinkawng a zawh theihna chu nasa takin a tichak ang.
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