I fa te hian stroke a nei em? (Pediatric Stroke) Ngaihtuah buai suh, hei hi i fimkhur ang u!

Puitlingte hian stroke an nei thei tih kan hre vek tawh . Mahse, a tlem hle nachungin, kan naupang tê, nau piang thar aṭanga naupang kum 18 hnuai lam thlengin, he natna hi an nei thei tih i hria em, chu chu Pediatric Stroke an ti a ni. He thu i hriat hian i lungkham deuh a nih pawhin lungngai suh. Hemi chungchang hi dik taka hriattir i nih chuan thil tulte chu rang takin i ti thei ang.

Pediatric Stroke hi eng nge ni?

A awlsam zawngin sawi ila, stroke hi kan thluak hmun khata thisen kal a tihtawp avanga lo awm a ni. Kan water heater tui a tlakchham huna thil thleng ang mai a ni. Thluak hian a oxygen supply chu thisen atang hian a hmu thin. Chuvangin thisen kal a reh chuan thluak cell te chu an thi tan thin. Hei hi nunna atana hlauhawm emergency a ni.

Hei hi puitling bakah naupangte chungah pawh a thleng thei. Naupang kum 18 hnuai lam a lo awm chuan ' Pediatric Stroke ' kan ti a, a danglamna a awm bawk:

• Perinatal strokes: Naute thenkhat chu he natna hi neiin an piang thin.
• Ni 28 hmasa bera thil thlengte: Chu chu nausen piang tharte chunga thlengte tihna a ni.
• Tin, chutah chuan kum 18 thlenga thlengte chu: hengte hi ‘naupang stroke’ kan tihte hi an ni.

A chhan chu thinlung natna, thisen zam harsatna, etc. A chang chuan thluaka oxygen tihtlem avanga accident avanga lo awm a ni thei a, a nih loh leh pianpui natna thenkhat vang pawh a ni thei bawk

Polio chi hrang hrangte chu engte nge ni?

Puitling ang bawkin kan naupang tête pawhin paralysis chi thum an nei thei a:

• Hemorrhagic stroke: Hei hi thluaka thisen kalna kawng a puak a, thisen a chhuah chuan a thleng thin. Tui pipe puak leh tui chhuak ang maiin han ngaihtuah teh.
• Ischemic stroke: Hei hi thisen zam hian thluaka thisen kalna kawng a tikhawlo a, thisen kal dan a tikhawlo a ni. Leilung hnim hringin tui pipe a block ang mai a ni.
• Transient Ischemic Attack (TIA): Hei hi ‘mini stroke’ ang a ni. Thisen zam chu thluaka thisen kalna kawng khatah rei vak lo a tang a, chutah chuan a chhuak a, thisen kal chu a pangngaiin a awm leh ta a ni. A symptoms hi rei vak lo a awm a, chutah chuan a reh leh thin. Mahse hei hi major stroke a awm theih thu hriattirna pawimawh tak a ni bawk.

Hei hi engtiang chiahin nge a hluar?

Dik tak chuan naupangte zingah stroke hi a tlem hle . Chuvangin a tul lovah hlauhthawn a ngai lo. Zirchiangtute sawi dan chuan kum tin naupang kum 18 hnuai lam 100,000 zinga pakhat emaw pahnih emaw ah he natna hi a awm thin. Nau piang thar 3,500 zinga pakhat vel chuan perinatal stroke an nei thei a ni . Mahse a zat dik tak sawi a har a, a chhan chu a chang chuan hriat chian a harsa thin.

Polio natna lan chhuah dan chu engte nge ni? Engtin nge an hriat theih ang?

Puitlingte’n stroke an neih huna an tawn \henkhat chu naupang zawkah pawh a awm thei bawk. Heng symptoms te hi:

• Nungchang emaw ngaihtuahna emaw a inthlak nghal zung zung a .
• Hriatna leh hmuhna a inthlak danglam thin.
• Taksa sir khata chak lo anga inhria emaw, chak lohna emaw (Hemiparesis) .
• Thusawi leh hriatthiam harsa (Aphasia) .
• Chaw ei harsa (Dysphagia) .
• Kal lai chuan a sir khatah i inher a, awkward takin i kal ang maiin a lang (ataxia) .

Ngaihtuah teh, i fain a khelh zawhah a thusawi a sawisel nghal a, emaw, a kut leh ke a che thei lo ang maia a inhriat chuan... Chutiang hunah chuan doctor thurawn i dil nghal tur a ni.

Mahse, naupang tê tak tê, a bîk takin nau piang thar leh naupang tê tê, tawng thiam lote chuan heng chhinchhiahna langsar tak takte hi an lantir lo mai thei. Chu ai chuan, hetiang thil hi an hmu mai thei:

• Seizures a awm thin. Hei hi naupang tê tête paralysis chhinchhiahna langsar ber a ni.
• Lu na na tak ka nei a.
• Luak chhuak, luak chhuak.
• Chauhna leh mutthilh reng reng.
• Chhan awm lovin khawsik.

Heng symptoms te hi natna dang ah pawh a awm thei a, chuvangin stroke anga ngaih nghal a harsa hle. Mahse hetiang thil hi i hmuh chuan, a bik takin fit ang maia i hriat chuan doctor pan ngei ngei tur a ni.

Engvangin nge naupang tête chu paralysis an neih? A chhante chu engte nge ni?

Stroke hi thluaka thisen kal a tihtawp chuan a thleng tlangpui. Hei hi thisen zam (ischemic stroke) emaw, thluak chhunga thisen kalna kawng puak (hemorrhagic stroke) vang emaw a ni thei.

Naupang tê têteah hian he natna hi a awm chhan chiang tak tak a awm a:

• Thluaka thisen kalna kawng hrang hranga pianpui thil dik lo thenkhat: Entirnan , Arteriovenous Malformation (AVM) tih natna . Hetiang dinhmunah hian thluaka thisen kalna kawngte chu a inzawm khawm a, chu chuan a puak darh a, thisen a chhuah tam zawk thin. Hengte hi pianpui natna a ni fo thin.
• Congenital heart disease: Nausen thenkhat chu an piang a, thinlung lam harsatna engemaw zat an nei a. Heng thinlung natna te hian stroke vei theihna a tipung thei bawk.
• Thisen kaihhnawih natna: Entirnan , naupang Sickle Cell Disease an tih natna nei te hian thisen zam an nei tam zawk. Tin, thisen zam awlsam lo tura venna natna (e.g. Hemophilia ) te pawhin thluaka thisen a chhuah tir thei bawk.

Paralysis vei theihna tur risk factors te chu engte nge ni?

Naupang thenkhat chu midang aiin paralysis vei theihna chance a sang deuh thei bawk. Chutiang risk factors te chu:

• Lung natna (Arrhythmias) .
• Pianpui thinlung natna(Pianpui thinlung natna) .
• Pian tirh atanga thluaka oxygen tlakchham (Cerebral hypoxia) .
• Zunthlum.
• Thisen sang a sang.
• Obesity tih awmzia chu lian lutuk tihna a ni.
• Thisen a inzawm awlsamna (Thrombophilia) emaw, thisen a inzawm awlsam lohna (Hemophilia) .
• Lu emaw kawng emaw hliam na tak (Traumatic Brain Injury - TBI) .
• He risk hi naupang genetic condition thenkhat nei tan pawh a sang deuh hlek a, entirnan , Down syndrome .

Paralysis avanga harsatna awm thei te chu engte nge ni?

A tam zawkah chuan naupang stroke nei tam zawk chuan an dam kim vek thin. Chu chu thu lawmawm tak a ni. Mahse, thluak hmun eng ber nge stroke-in a nghawng tih a zirin naupang thenkhat chuan inthlak danglamna nghet tak an nei thei a ni.

• Entîr nân, kan ngaihtuahna leh thusawi dânah chak lohna awm reng a awm thei .
• Paralysis-in a nghawng taksa lamah chak lohna awm reng a awm thei.
• Mit hmuhna lama inthlak danglamna awm reng pawh a awm thei bawk.
• Tin, naupang stroke nei tawhte pawhin an naupan laiin epilepsy an vei theihna a sang hle bawk.

Chuvangin enkawlna zawng thuai leh dik taka rehabilitation programme-a tel hi a pawimawh em em a ni.

Polio hi engtin nge an hriat theih? Eng test nge tih thin?

Dik tak chuan, naupang tê tête paralysis hmuhchhuah chu a châng chuan a harsa deuh thei a ni . A chhan chu, a hmaa kan sawi tawh ang khan a natna lan chhuah dan hi a lang chiang lo fo. Chuvangin naupang thenkhat chuan enkawlna an dawng nghal lo mai thei. A châng chuan doctor-te chuan naupang ṭhanlenna tihkhawtlai an hmuh hian an hre chhuak a, ‘Aw, he naupang hian paralysis a lo nei tawh mai thei,’ tiin an ngaihtuah ṭhin.

Diagnosis siam tur chuan doctor chuan i fa natna lan chhuah dan a zawt hmasa ang che. Tichuan naupang chu an enfiah ang. Chu bakah, a hnuaia test te hi an ti thei bawk:

• CT scan (Computed Tomography scan): Hei hian lu thlalak a la a, thluaka thisen a chhuak em tih emaw, thisen zam in thluak hmun thenkhat a tichhia em tih emaw a en thin. Hei hi fiahna rang tak a ni.
• CT angiogram: Hei hian thinlung, thisen kalna kawng leh thluaka thisen kal dan a enfiah thin.
• MRI scan (Magnetic Resonance Imaging): Hei hi stroke hriat theihna atana test sensitive ber a ni. MRI hian doctor-te chuan thluak insiam dan leh thisen kalna kawngte chu chiang takin a hmu thei a ni.
• MRA (Magnetic Resonance Angiogram): Hei hian thisen kal dan a en bawk.

Heng test lian ber berte bakah hian test dang pawh tih a ni a, paralysis awm chhan zawn nan leh complication dang (a bik takin seizures) lo awm thei te zawn nan:

• Echocardiogram (Echo): Hei hian naute thinlung insiam dan a enfiah thin.
• EEG (Electroencephalogram) tih hi a awm a: 1.1.He test hi naupangin fit a nei em tih chiang taka hriat nan an ti thin.
• Thisen test: Thisen lama harsatna, sickle cell natna emaw, thisen zam tichhe thei thil dang emaw a awm leh awm loh enfiah thin ang che.
• Genetic testing: He test hi paralysis thlentu genetic condition nia rinhlelh a nih chuan tih a ni.

Nausen paralysis hi engtin nge enkawl a nih?

Paralysis hi nunna atana hlauhawm emergency a ni. Chuvangin naupang pakhatin paralysis chhinchhiahna a lan chuan tihkhawtlai lova damdawi in emergency room hnai ber panpui tur a ni a, a nih loh leh 1990 ah call tur a ni a, enkawl tan hun tur hi a pawimawh hle.

Paralysis chi hrang hrang a zirin enkawl dan a inang lo:

• Thisen zam (ischemic stroke) avanga stroke tan: Doctor-te chuan thisen zam tihthianghlim nan damdawi (thrombolytics) an pe fo thin a, a chang chuan thrombectomy tih hmangin thisen zam chu an paih chhuak a, thluaka thisen kal dan tur a siam tha leh thin.
• Thluaka thisen chhuak avanga stroke (hemorrhagic stroke) tan chuan: Thisen chhuah tihtawp nan operation neih a ngai mai thei.

Hospital tin hian kalphung bik an nei a, chu chu Stroke Protocol an ti a, chu chu naupang stroke tan chuan zawm a ni. Hetiang hian natna hi hriatchhuah a ni a, a rang thei ang bera enkawl tan a ni.

Heng enkawlna lian ber berte bakah hian doctor-te chuan damdawi dang an hmang thei a:

• Anticoagulant damdawi hman tur .
• Naupangin fit a neih chuan a control theih nan antiseizure damdawi pek an ni ang.

A dam leh theih nan eng chen nge hun a duh? Engtin nge rehabilitation hi a awm?

Naupang tin hi an dam dan a inang lo va, hun hman dan pawh a inang lo. Stroke a neih hnuah naupang chu pediatric stroke rehabilitation program-ah a kal a ngai mai thei. Naupang natna lan chhuah dan azirin specialist team atangin enkawlna an dawng thei a ni. Chung zingah chuan:

• Naupang neurologist pakhat chuan .
• Naupang rilru lam doctor pakhat .
• Thisen, ruhro leh lymphatic system natna hrang hranga thiam doctor (Pediatric hematologist) .
• Naupang neurosurgeon pakhat a ni.
• Physical therapist – Taksa natna lam chu exercise la.
• Speech-language pathologist (SLP) – thusawi leh ei leh in lamah a pui thin.
• Occupational therapist – Nitin hna thawh tur chu nangmah chauhin tih dan tur practice la.

Polio natna damchhuah theihna chance engzat nge awm?

Naupang polio chungchanga zirchiangtute’n an hmuhchhuah angin, a natna hmuhchhuah a rei poh leh hriselna lama nghawng a nei nasa zawk a ni.Naupang tam tak, ischemic stroke nei tawhte chu an damchhuak. Mahse, stroke dang an neih leh theihna tur hlauhawm an ni thei a, a bik takin thinlung natna emaw, thisen zam harsatna emaw an neih chuan.

Polio hi ven theih a ni em?

Cerebral palsy hi chhan hrang hrang avangin a awm thei. Ṭhenkhat chu pianpui natna (congenital conditions) an ni. Chuvangin pianpui natna thenkhat kan ven theih dan tur a awm lo. I fain damdawi lam harsatna a neih chuan i doctor nen sawiho la, i fa hrisel taka vawn dan tur thurawn la rawh.

I fa hian Arteriovenous Malformation (AVM) , Congenital heart disease , emaw Sickle Cell Disease ang chi natna a neih chuan doctor-te chuan chutiang natna chu an enkawl ang. Heng enkawlnate hian nakin lawka stroke vei theihna a tihziaawm thei a ni. Naupang thenkhat chuan stroke vei theihna a sang zawk em tih hriat nan surveillance test neih fo a ngai thei bawk.

Naupai lai hian risk a awm em?

Ni e, a chang chuan naute hian a pian tirh emaw, a pian hnu rei vak lo emawa thisen zam a lo awm avangin stroke (perinatal strokes) a nei thei bawk. Naupai laiin nuin a neih ṭhenkhat chuan naute tan pawh a hlauhawmna a tipung thei bawk. Entirnan:

• Naupai laia zunthlum vei.
• Preeclampsia hi thisen sang natna a ni.
• Membrane a hun hmaa a rupture .

Chuvangin naupai laiin harsatna awm thei tur tih tlem dan tur doctor nen inbiakna neih a pawimawh hle.

Ka fate paralysis hlauhawmna tihtlem nan eng nge ka tih theih ang?

I fain stroke a vei theih dan tur chu i doctor nen sawiho rawh. Naupang thenkhat chu thisen zam lo turin damdawi pek an ni a, chu chuan stroke venna atan a pui thei a ni.

Chu bâkah, i fa chu stroke aṭanga a dam chhoh chuan i doctor thupêk chu dik takin zawm rawh. Damdawi zawng zawng chu a pek angin pek vek tur a ni. Naupang chu:

• Exercise tha tak leh active taka awm a ngai a ni.
• Chaw tha tak tak i ei a ngai (cholesterol sang leh zunthlum vei theihna control).
• Mut tam a ngai a ni.

Engtikah nge i fa chu doctor hnenah i hruai ang? Engtikah nge Emergency Department (ETU) ah i kal ang ?

Stroke a neih hnuah i fa chu specialist team atanga enkawl a ngai mai thei. I fa chu doctor nena appointment zawng zawngah hruai vek tur a ni. I fa hriselna emaw, hmasawnna emaw chungchangah harsatna i neih chuan, a bik takin natna lan chhuahna thar i hmuh chuan i doctor ko nghal rawh.

I fain stroke chhinchhiahna a lan chuan 911 call emaw, damdawi in hnai ber pan nghal emaw rawh. Stroke hi emergency a ni. Enkawlna hmuh vat chuan i fa hriselna tihchangtlunna kawngah kawng thui tak a zawh thei a ni.

Kan hriat reng tur pawimawh ber berte

Okay, chuvangin kan sawiho atang hian Pediatric Stroke chungchang hi in hriatthiam ka beisei. Hei hi thil thleng tlem tak a ni tih hre reng ang che. Mahse, a thleng a nih chuan hmalak vat a pawimawh.

• Naupang tê tête paralysis symptoms hi puitlingte nen a danglam thei. A bik takin, natna hrik, nungchang inthlak danglam nghal, leh taksa sir khata chak lohna ang chi thilte chu hre reng ang che .
• Heng symptoms te hi i hriat chuan doctor pan hmasa phawt la, 1990 ah call rawh.
• I fain risk factor eng emaw, thinlung natna emaw, thisen kaihhnawih natna emaw a neih chuan i doctor nen sawiho fo la, a tul anga enkawlna dawng rawh.
• Hlau suh. Awareness hi chakna lian ber a ni. I fa tana i tih theih tha ber chu heng thilte hi hriat chian hi a ni.

` Naupang Stroke, Paralysis, Stroke, Naupang enkawl, Thluaka Thisen chhuak, Thisen zam, Nau piang thar, Naupang hriselna