I kut leh keah natna leh tingling i nei em? Hemi chungchang hi han sawi ila! (Peripheral Neuropathy) tih hi a awm a.

A châng chuan hmun khata rei vak lo kan ṭhut hnua kan ding chhuak hian kan kut leh ke chu a hrual a, a dik em? Hun rei vak lo hnuah a bo leh mai thin. Mahse, i kut leh keah tingling sensation i nei fo em, a nih loh leh pin leh needle ang maia na i nei fo em, a nih loh leh a chang chuan kang i nei fo em? Tichuan hei hi tingling sensation pangngai mai ni lovin thil dang a ni thei. Vawiin hian ‘Peripheral Neuropathy’ an tih natna pakhat, heng natna lanchhuahna thlentu chungchang kan sawi dawn a ni. Hei hi hming hlauhawm deuh mahse, i hriat chian chuan enkawl chu i ngaihtuah angin a harsa lo.

A awlsam zawngin, Peripheral Neuropathy chu eng nge ni?

He hming hi a buaithlak deuh a, chuvangin i hrethiam hmasa phawt ang u. Kan taksa nervous system hi hmunpui pahnih ah a inthen a. Pakhat chu Central Nervous System a ni a . Kan thluak leh ruhro (spinal cord kal tlanga nerve lian ber) a huam a ni. Hei hi kan taksa ‘Head Office’ ang a ni.

A dang chu Peripheral Nervous System a ni . Hei hian main office atanga chhuak, chu chu thluak leh ruhro atanga chhuak, taksa pum puia darh zawng zawng a huam vek a ni. Main office atanga ram pum huap telephone wire system ang mai a ni. Heng nerve te hian kan kut, ke, hmai leh kut zungtang thlengin hriatna leh thuchah a phur a, a thlen bawk.

Chuvangin, Peripheral Neuropathy hi ‘head office’ pawn lama nerve awmte, chu chu peripheral nervous system nerve-te dinhmun emaw tihchhiatna emaw a ni. Hei hi chhan tam tak a awm theih avangin a natna lan chhuah dan hi mi hrang hrangah a inang lo thei hle.

He natna hi tuin nge vei tam zawk?

Peripheral Neuropathy hian tu pawh a nghawng thei a, kum, mipa leh hmeichhia, chi hrang hrang thliar lovin. Mahse, mi thenkhat chu an hlauhawm zawk. A bik takin, .

• Diabetes Mellitus vei tan chuan .
• Kum upat deuh deuh hian he natna hi vei theihna a sang chho zel a ni. Khawvel pumah kum 45 chunglam zinga 5% leh 7% velin peripheral neuropathy chi khat emaw an nei nia chhut a ni.
• Hriselna lama natna thenkhat nei tan.

Engtin nge heng nerve te hi an chhiat?

Hei hi hrethiam tur chuan kan neurons siam dan hi tlem kan hriat a ngai a ni. Neuron chu electric wire ang maiin han ngaihtuah teh.

• Axon: Hei hi electrical cable-a copper wire ang chi a ni. Hei hi thuchahte a kalna hmun a ni.
• Myelin Sheath: Hei hi copper wire vel a plastic insulation a ni. Thuchah chu a kal chak zawk a, leak awm lovin a pui a, axon pawh a humhim bawk.

Peripheral Neuropathy hi kawng hnih a awm thei a, chungte chu:

1. Demyelinating Neuropathy: Hei hi electric wire-a plastic insulation a hmin ang mai a ni. Hei hian message kal chakna a ti hniam a, message te chu a inzawm khawm ta a ni.

2. Axonal Degeneration: Hei hi copper wire ngei pawh a chhiat dan nen a inang. Hei hi a tam ber chi a ni. Kan taksaa nerve sei ber berte hi ruhro atanga kan ke ruh tawp thlengin a kal a. Chuvangin hetiang chi chhiatna a lo thlen hian ke leh ke hi a tuar hmasa ber a ni.

Hei hi eng symptoms nge ni?

Symptoms tam tak a awm thei. Nerve chhiat chi hrang hrangah a innghat a ni. A châng chuan nerve pakhat chauh a nghawng thei a, a nih loh leh vawi khatah nerve tam tak a nghawng thei bawk. Symptoms chi 3 a awm ber.

Eng thilin nge hetiang hi a thlen theih?

Peripheral Neuropathy hi a chhan tam tak a awm thei. A châng chuan, a chhan engmah hmuh theih a ni lo. Hei hi ‘Idiopathic Neuropathy’ kan ti a. A chhan langsar zualte chu:

• Diabetes (Type 2 Diabetes): Sri Lanka leh khawvel hmun hrang hranga peripheral neuropathy thlentu ber leh awm tam ber chu uncontrolled diabetes a ni. Hun rei tak chhunga thisen sugar level sang hian nerve nalh tak takte a tichhe thin.
• Vitamin tlakchhamna: Vitamin thenkhat, a bik takin vitamin B12, B1, B6, B9 (folic acid), leh vitamin E tlakchhamna hian nerve a tichhe thei a ni. Vitamin B6 ei tam lutuk hian nerve a tichhe bawk.
• Zu in tam lutuk: Hun rei tak chhunga zu in tam lutuk hian direct-in nerve a tichhe thin.
• Infection: Virus thenkhat (e.g. HIV, herpes zoster) leh bacteria infection te hian nerve a tichhe thei a ni.
• Autoimmune Diseases: Guillain-Barré syndrome, lupus, leh rheumatoid arthritis ang natnaah te hian kan taksa ngeia immune system hian nerve a bei thin.
• Damdawi leh toxins thenkhat: Cancer damdawi thenkhat, antibiotics thenkhat, leh toxins agrochemicals leh heavy metals (lead, mercury) te nena inzawmna.
• Trauma: Accident emaw surgery emaw avanga nerve direct a tihchhiat.
• Genetic Conditions: Natna rochun Charcot-Marie-Tooth natna ang chi te.
• Damdawi lam natna dang: kal natna, thin natna, cancer (tumor nerve a press), leh thisen kalna kawng lama harsatna.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i hmuh hian i natna lan chhuah dan te, i damdawi lam chanchin te, i chhungte zingah hetiang natna hi an nei tawh em tih te zawhna tam tak a zawt hmasa ang che. Tichuan physical exam a ti ang a, i neurological function (sensation, muscle strength, reflexes) a test ang.

Chu bakah, hetiang test hmang hian a chhan chiang taka hriat theih a ni bawk:

• Thisen test: Zunthlum, vitamin tlakchhamna, kal hnathawh, leh taksa hriselna lama harsatna te hriatchhuah nan.
• Nerve Conduction Study (NCS) leh Electromyogram (EMG): Hengte hian nerve-a thuchah kal chak dan leh taksa peng hrang hrangte electrical activity a teh a ni. Hei hi nerve chhiatna a awm leh awm loh leh a awmna hmun hriatna atan a pawimawh hle.
• Nerve Biopsy: A chang chuan, vun te tak te te chu nerve nalh tak atanga lak chhuah a ni a, microscope hmangin an enfiah thin.
• MRI scan a ni.

Hei hi eng enkawlna nge ni?

Enkawlna chu i peripheral neuropathy awm chhan a innghat a ni.

1. A chhan bulpui enkawl dan:

• Zunthlum i vei chuan: A pawimawh ber chu i thisen sugar level tha taka control hi a ni.
• Vitamin tlakchham vang a nih chuan: Vitamin a kaihhnawih pe rawh.
• Immune system natna avanga lo awm a nih chuan: Damdawi pek tur pek tur.
• Damdawi pakhat avanga lo awm a nih chuan: I doctor chuan damdawi thlak leh tihtawp loh tur a rel ang, a theih chuan.

2. Symptoms control dan: 1.1 .

• Natna damdawi: Nerve natna hi natna tidamtu pangngaiin a reh lo. A tan damdawi bik a awm. Epilepsy leh depression damdawi thenkhat chu a tlem berah pek theih a ni a, chu chuan nerve natna nasa takin a thunun thei a ni.
• Ointments leh Patches: Cream leh patch thenkhat chu a natna hmunah hnawih theih a ni.
• Physical Therapy: Exercise leh enkawlna dangte hian taksa ruh a tichak a, balance a tichak a, natna a tiziaawm bawk.
• Kekawr leh hmanraw bik: I doctor chuan kea hriatna tlahniam nei te tan hliam venna atan kekawr bik hman a rawt thei ang. Kea kal harsatna nei te chuan tiang ang chi hmanrua an hman a ngai mai thei.

Engtikah nge damdawi lam thurawn kan zawn nghal ang? (ETU-ah engtikah nge kal tur)

Peripheral neuropathy hi nunna atana hlauhawm nghal ni lo mah se, a lan chhuah dan ṭhenkhat chu natna khirh tak chhinchhiahna a ni thei. Nangmah emaw, i hriat miin emaw a hnuaia symptoms te hi an neih chuan hospital emergency department (ETU) hnai ber pan nghal rawh.