I fa te thluak hi a dik lo em ni? Porencephaly chungchang hi i zir dawn teh ang.

Doctor ten i naute thluak hmasawnna lama harsatna an neih thu an hrilh che hian phurrit lian tak i neih hi thil pangngai a ni. A châng chuan, chu thute, chu dinhmunte chu kan tân chuan hnam dang a ni hle. Awle, Porencephaly tih hi a awm a, chu chu i hre lo mai thei, mahse hriat a pawimawh hle. Hemi chungchang hi awlsam takin, i hriatthiam theih tur angin han sawi ila, okay?

He porencephaly an tih hi eng nge ni tak tak?

A awlsam zawngin sawi ila, porencephaly hi thil awm lo tak a ni a, naupang thluak hemisphere-ah hian tuiin a khat sac emaw cyst emaw, cyst emaw a lo awm a, chu chu a chhiat vang a ni. Hetiang chhiatna hi naute pum chhunga a la awm lai emaw, a pian hnu rei vak loah emaw a thleng fo thin. Ngaihtuah teh, kan thluak hi thil buaithlak tak a ni. Khawi emaw laiah cyst a lo awm chuan thluak hmasawnna leh hnathawh dan pangngai a nghawng thei a ni. Hei hian naupang thenkhat chu tawng harsatna emaw thluak lama harsatna dang emaw a thlen thei a ni .

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan, he Porencephaly an tih hi a tlem hle a, a tlem hle . Khawvela naupang engzat nge nei tih hi statistics dik tak a la awm lo. Mahse hmeichhe naupang leh mipa te pawh a nghawng dan inang tlangin a nghawng thei a ni.

Porencephaly chi hrang hrang lian ber ber a awm em?

Ni e, hei hi chi hnih lian tak a awm.

• Acquired Porencephaly: Hei hi a tam ber a ni. Naupang thluak than chhoh laia thluak a tihchhiat avanga lo awm a ni.
• Genetic Porencephaly: Hei hi thil awm lo tak a ni. Genetic mutation vang pawh a ni thei .

Engvangin nge kan fa chungah hetiang hian a lo awm? A chhan engte nge ni?

Hei hi chhan hrang hrang a awm a. Heng chhante pawh hi a hmaa kan sawi tawh chi hnih a zirin a inang lo.

Genetic avanga thil thleng

A tlem hle nachungin, he dinhmun hi gene thenkhat (entir nan, gene `COL4A1` emaw `COL4A2` emaw) inthlak danglamna, emaw, genetic mutations avanga lo awm thei a ni. Heng genes te hi kan taksa chhunga tissue hrang hrangte structural strength pe thei protein siamna atan an pawimawh hle. Chuvangin, heng genes-ah hian chhiatna a awm chuan tissue structure a nghawng thei a, thluaka cyst sawi tawh ang chi thil a siam thei bawk.

Acquired Causes te chu a ni

Hei hi a tam ber chi a ni. Heta thil thleng chu naute thluaka thisen kal dan pangngai chu a titawp a ni. Hei hi stroke , thluaka oxygen tlakchhamna , emaw thluaka thisen chhuak ang chi thil vang a ni thei. Hetiang chhiatna hi naute pum chhunga a awm lai emaw, a pian lai emaw, a pian hnu rei takah emaw a thleng thei a ni.

Thluak hian oxygen a tlakchham emaw, thisen a chhuah emaw chuan thluak tissue pangngai aiah fluid-filled cavities (cysts) a lo awm tam zawk thin. Hei hi a bik takin a hnuaia risk factors te hi i neih chuan a ni :

• Naupai laiin zu emaw ruihhlo emaw hman. Hei hi pumpelh tur a ni ngei ang.
• Naupai laia zunthlum vei. Hetiang dinhmun hi i neih chuan i doctor thupek dik takin i zawm tur a ni.
• Naupai laiin nu-ah natna hrik a awm.
• Nausen pian hnua natna hrik lo awm.
• Nau neih laiin trauma (trauma) a awm thin.
• Thluak a thisen supply tichhe thei thil dang chu thisen lama harsatna thenkhat leh metabolic diseases te a ni .

A châng chuan, doctor-te chuan a chhan bulpui ber chu cyst awmna hmun, a lian leh te, leh a darh zau zia a zirin an hre thei a ni.

Hetiang natna lan chhuah dan hi engte nge ni? Engtin nge kan hriat chian?

Porencephaly symptoms hi naupang hrang hrangah a inang lo thei. Tin, a natna lan chhuah dan a nasat dan leh engtikah nge a tan tih pawh a inang lo. Neurological deficits hi thluaka cyst awmna hmun leh a lian ziaah a innghat a ni. Hei hi stroke nen a inang a ni.

Heng a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Thusawi leh tawng tihkhawtlai. A châng chuan, naupangte chuan an lo upat deuh deuh chuan thu sawi thiamna an hloh thei a.
• Taksa hmasawnna tihkhawtlai. Entirnan, kea kal tan a tlai.
• Cognitive development tihkhawtlai a ni.
• Khawtlang hmasawnna tihkhawtlai.
• Taksa lian leh te nena inzawm lu lian emaw, te emaw.
• Muscle tone tlahniam (Hypotonia). Naute taksa chu a hlim hle mai thei.
• Taksa chak lohna.
• Sensory information process-naah harsatna a awm. Entîr nân, miten khawih emaw, ri emaw an chhân lêt dân inthlâk danglamna.
• Seizures a awm thin. Hei hi fit tia kan hriat chu a ni.

A pawimawh ber chu heng mizia zawng zawng hi naupang tinah a awm vek lo tih hi a ni. Naupang thenkhat chuan heng mize pakhat emaw pahnih emaw chauh an nei thei a, thenkhat erawh chuan engemaw zat an nei thei thung.

Hei hian eng harsatna dang nge a thlen theih?

A then phei chuan he porencephaly hian thluak leh ruhro vel a tui awmte chu a tichhe vek a, chu chu a awmzia a niCerebrospinal fluid (CSF) kalna channel te chu a block thei a ni. Hei hian tui chu a tipung a, thluak vel ah pressure a siam thin. Hei hi hydrocephalus an ti a . He pressure hi a san chuan symptom awmsa te chu a na zual thei a, symptom thar a lo lang thei bawk. Entirnan, lu na, luak chhuak, leh mit lama harsatna a awm thei.

Tin, porencephaly hian seizures a thlen theih avangin heng naupangte hian epilepsy an vei tam zawk bawk . Naupang ṭhenkhat chuan muscle spasticity , an nei thei bawk a , chu chu an taksa ruhte a nghet lo va, a nghet lo va.

Engtin nge doctor-te hian hei hi an hriat chian?

Vawi tam tak chu porencephaly vei naupangte hian an pian hnu lawkah he natna hi an lantir thin. Naupang tam tak chu kum khat an tlin hmain he natna hi an vei tih hmuhchhuah a ni. A chang chuan heng cyst te hi naute chu nausen pum chhunga a la awm laiin prenatal ultrasound scan -ah hmuh theih a ni. Chutiang a nih chuan doctor chuan naute pian hmain a natna chu a hre thei a ni.

Diagnosis tih chian nan doctor chuan i fa thluak thlalak chipchiar tak a en a ngai ang. Chutianga tih theih nan chuan nangmah emaw i fa emaw hian hetiang test hi neih a ngai mai thei:

• Ultrasound hmanga scan a ni.
• CT scan a ni.
• MRI scan a ni.

Hei hi enkawl dan tur a awm em? Engtin nge enkawl a nih?

Dik tak chuan porencephaly hi damdawi chiang tak a awm lo. Mahse, a nghawng dan tur enkawl dan kawng hrang hrang a awm. Enkawlna hian a tum ber chu neurological impairment lo awm thin tihziaawmna a ni.

Entirnan, kan sawi tawh ang kha, hydrocephalus i neih chuan thluak vel a tui tam lutuk lo awm tawh chu paih chhuah theih a ni.

Naupang tanpui thei tur enkawlna thenkhat chu hetiang hi a ni:

• Anti-seizure damdawi a ni. Fit tan dan tur control rawh.
• Muscle tightness tihchakna tur damdawi.
• Natna tihziaawmna tur damdawi.
• Physical therapy: Taksa ruh (muscles) a tichak a, chetna a ti awlsam bawk.
• Thusawi hmanga enkawlna. Thusawi harsatna hneh rawh.
• Occupational therapy: Nitin hna thawh tur chu nangmah chauhin tih dan tur practice la.
• A chang chuan cyst lakchhuah nan surgery pawh tih theih a ni.
• Cerebrospinal fluid tam lutuk chhuah chhuahna tur surgery pawh tih theih a ni a, chu chuan cerebrospinal fluid tam lutuk chu paih chhuak thei a ni.

A pawimawh ber chu heng enkawlna zawng zawng hi naupang tin tan a ngai vek lo. Doctor ten naupang dinhmun a zirin enkawl dan tha ber tur an ruat ang.

Hetiang dinhmun nei naupang tan hian hmalam hun chu eng ang nge ni ang? (Prognosis) tih a ni.

Hei hi sawi harsa deuh a ni. A chhan chu porencephaly vei naupang thenkhat chuan neurological problem thenkhat an nei thin. Mahse naupang thenkhat chu harsatna awm lovin pangngai takin an khawsa thei a ni. A natna lan chhuah dan nasat dan hi mi pakhatah a inang lo hle.

Naupang hmalam hun chu thluaka cyst lian leh te, an awmna hmun, cyst awm zat leh naupang tinte nghawng danah a innghat a ni. Mahse, a hmaa hriat chhuah leh enkawlna leh enkawlna \ha tak tak a awm chuan naupang tam tak chuan nun hlawhtling leh rahbi thar an nei thei a ni.

Porencephaly hi ven theih a ni em?

Hetiang dinhmun hi ven theih reng a ni lo. A chhan chu, thlahtu (genetic factors) avanga thil awmte hi kan thunun a harsat avangin. Mahse, naupai hrisel tak neih hian i naute hian he natna hi a vei theihna tur chu eng emaw chen chu a ti tlem thei a ni.

Naupai lai hian zu leh ruihhlo hmansual loh a pawimawh hle. Gestational diabetes i nei a nih chuan i doctor thupek chu uluk takin zawm tur a ni. Tin, hri kai lakah pawh inven i tum tur a ni.

Genetic Porencephaly hi a chang chuan nu leh pa zinga pakhatin mutated gene a keng tel a nih chuan naupang hnenah a kai thei a ni . Genetic testing hian nangmah emaw i kawppui emaw hian gene hi in keng em tih hriat theih nan a pui thei a ni. Genetic counselor nena inbiakna hian i fate hnena gene pek chhuah theihna tur hlauhawmna i hriatthiam theih nan a pui thei che a ni.

Doctor i hmuh hun dang eng nge ni?

I fa chu porencephaly vei nia hriat emaw, a vei nia rinhlelh emaw a nih chuan a hnuaia symptoms te hi a lo awm emaw, a zual emaw chuan doctor i pan nghal tur a ni:

• Lu na
• Luak chhuak
• Balance emaw coordination emaw lama harsatna awm
• Seizures/fits a awm thei
• An taksa peng eng pawh paralysis
• Vision a danglam thin

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor hnenah zawhna hetiang hi i zawt thei ang:

• Fa dang kan neih chuan chu naupang pawhin porencephaly a vei theihna chance engzat nge awm?
• Kan chhungkua tan genetic testing neih hi a tha em?
• Ka fa hian a thluak atanga cyst emaw, tui tam lutuk emaw paih chhuah nan operation a mamawh dawn em?
• Ka fate hmasawnna tlai lutuk tuar thei tura pui thei tur therapies tha ber berte chu engte nge ni?

A tawp berah chuan nu leh pate sawi tur chu hetiang hi a ni... (Take-Home Message)

Porencephaly hi a awm lo hle a ni. Hetiang natna nei naupangte hian taksa leh rilru lama harsatna an nei thei a, a chang chuan a na lo hle a, a then chu a na hle bawk. Mahse, a hmaa natna hriatchhuah a nih a, a tul anga enkawlna leh enkawlna a awm chuan naupang tam tak chu nun tha tak, hlim tak leh hlawhtling takin an nung thei tih hre reng ang che. Nangmah chauh i ni lo va, doctor te, therapist te leh mi dang tam tak te chu nang leh i fa tanpui turin an awm reng a ni. A pawimawh ber chu beiseina bansan lova, i fate mamawh hmangaihna, enkawlna leh \anpuina pek hi a ni.

Porencephaly , thluak natna, naupang natna, genetic natna, thluak lam natna, hmasawnna tlai lutuk