Ni engemaw zat chu, a chhe takzet a, i mit a chhe zual a, i taksa a chak lo hle bawk... Mahse, rei vak lo hnuah chuan heng zawng zawng hi a lo tha chho zel a ni. Hun engemaw chen hnuah heng symptoms te hi a lo lang leh thin. Hetiang thil tawn hi i tawng tawh em? Hei hi Multiple Sclerosis (MS) chi khat, RRMS awm dan a ni. Heng symptoms awm dan avang hian a chang chuan lungkhamna leh hlauhna nasa tak neih hi thil pangngai a ni. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.
RRMS chu eng nge ni mai?
RRMS hi `(Relapsing-Remitting Multiple Sclerosis)` tihna a ni. Hei hi `(Multiple Sclerosis)` emaw MS chi khat a ni ber. MS vei 100 zinga 80 atanga 85 velin he natna hi an nei a ni.
Hei hian a hmingah awmzia a nei a.
- Relapsing: Hei hian natna lan chhuahna thar lo lang nghal emaw, natna lan chhuah tawhte a zual zel emaw a kawk a ni. Hei hi ni engemaw zat atanga kar tlemte thleng a awm thei. Hei hi ``flare-up`` emaw ``exacerbation`` emaw an ti bawk.
- Remitting: Hei hi natna lan chhuah dan, a zual zel tawhte chu hun kal zelah a bo zauh zauh emaw, a reh vek emaw a ni. Hemi hun chhung hian natna lanchhuahna nei lovin nun pangngaiin i nung thei a ni.
Thlipui ang maiin han ngaihtuah teh. Vawikhatmah symptoms chu thlipui ang maiin a lo thleng a, i rilru a hahdam lo. Tichuan thlipui chu a reh a, chutah chuan rei vak lo chu a reh leh ta a. Chu chu RRMS nihna chu a ni.
He natna hi hetiang hian classified a ni a, chu chu nang leh i doctor-in natna kal dan tur hriatthiamna leh i tana tha ber enkawlna tur thlan nan a ni.
RRMS-ah hian eng symptoms hmuh chhuah tlanglawn nge ni?
RRMS natna lan chhuah dan hi mi hrang hrangah a inang lo thei hle a, mahse a lan chhuah dan tlangpui tlemte a awm. Eng nge an nih i han thlir teh ang.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Vision a danglam thin | Thil chi hrang hrang, mit hmuhna (blurred vision), rawng a lang tha lo, mit pahnih (double vision), mit tihchet huna natna te. |
| Tingling emaw, hriatna hloh emaw | Taksa hmun hrang hrang, kut, ke leh hmaiah te tingling sensation. A châng chuan, chutiang hmunah chuan sensation a awm lo thei bawk. |
| Chest/abdominal a tight | Miin i rilru emaw, i pum emaw velah nghet takin a kuah che ang maiin a lang. Mi thenkhat chuan hei hi "MS hug" an ti bawk. |
| Ngaihtuah theih loh khawpa hahna | Mut ṭhat hnu pawha i rilru hahna, sawifiah theih loh khawpa i rilru hahna. Hei hi hahdamna pangngai nen a danglam hle. |
| Zun leh ril lama harsatna nei | Buaina, zun a tul huna chawlhsan theih loh (urgency), emaw, zun duh huna tan harsatna (hesitation) te. |
| Electric shock ang maia hriatna. | I kawr hmalam i ben hian i ruhro hnuaiah electric shock a tla ang maiin i hria mai thei. |
| Kea kal harsatna leh taksa ruh lama harsatna nei | I kal laiin i balance a hloh a, i taksa ruh a chak lo a, a nih loh leh i nghet lo. |
| Hriatrengna leh ngaihvenna lama harsatna | Thil hriat reng a har a, thil pakhatah i rilru i pe thei lo. Hei hi ``Brain fog'' an ti bawk. |
Flare-up lai hian heng symptom engemaw zat hi a awm dun thei a ni. Mi thenkhat tan chuan remission lai hian heng symptoms te hi a bo vek thin. Mi dangte tan chuan symptom thenkhat chu a awm reng thei bawk. But don’t worry , heng natna lan chhuahna awm rengte hi enkawl dan tur a awm.
Eng thilte nge heng natna lan chhuahna a pun chhan?
A châng chuan thil ṭhenkhat chuan i natna lan chhuahna a tizual tih i hmu mai thei. Hengte hi ``Triggers'' kan ti a ni.Mahse, mi pakhat nghawngtu hian mi dang a nghawng lo thei tih hre reng ang che.
- Stress: Stress sang lai hian symptoms a lang thei.
- Temperature: Khua lum lutuk, a chang chuan khaw lum lutuk pawhin natna lan chhuahna a tipung thei.
- Infection: Infection tenau, khawsik emaw, zun kawng infection emaw pawh nise, MS symptom hlui chu a lo lang leh thei a ni.
- Meizial zuk: Zuk leh hmuam hman hian natna a tizual a.
- Vitamin D tlakchhamna: Taksaa vitamin D tlakchhamna hian a nghawng thei bawk.
Engvangin nge MS hi a lo awm? Eng nge a chhan?
MS awm chhan dik tak hi hriat a la ni lo a, mahse autoimmune condition anga ngaih a ni .
A awlsam zawngin kan taksa invenna (immune system) hian kan taksa peng hrisel tak takte chu a bei sual a ni. MS-ah chuan he attack hi kan central nervous system (brain leh spinal cord)-ah a ni.
A dik tak chuan thluak leh ruhro chhunga nerve vel venhimna khuhna chu a chhe hle. Hei hi ``Myelin'' kan ti a. Electric wire vel plastic sheath ang mai a ni. He sheath hi a chhiat chuan nerve message te chu a kal tha lo hle. Chutah chuan kan sawi thin symptoms te chu a lo lang ta a ni.
Research atanga a lan dan chuan hei hi genetic predisposition leh environmental factors Epstein-Barr virus te hian a nghawng thei a ni.
Engtin nge RRMS hi hmuhchhuah a nih?
MS hmuhchhuah hi a harsa thei hle a, a chhan chu test pakhat, chiang tak a awm loh vang a ni. I doctor chuan i natna lan chhuah dan te, i damdawi lam chanchin te, leh test engemaw zat result te chu thutlukna siam turin a hmang ang.
- MRI scan: Hei hian thluak leh ruhro chhunga nerve sheath (myelin) chhiatna hmun (hliam/hliam) te a zawng thei a ni.
- Lumbar Puncture: Hei hian spinal fluid ei a, MS ang chi oligoclonal bands chhinchhiahna zawng a huam a ni. Hengte hian thluak/spinal cord-ah inflammation a awm leh awm loh hriatna engemaw zat a pe thei.
- Thisen test: Hengte hian MS ang chi natna dang nei lote chu a paih chhuak thei a ni.
- OCT scan (Optical Coherence Tomography): Hei hi natna nei lo test a ni a, mit hnunglam (retina) a nerve te scan a ni. MS vangin mit nerve a chhiat leh chhiat loh a enfiah thei.
RRMS enkawl dan tur chu engte nge ni?
MS natna tidam kim thei tur damdawi hmuh chhuah ni lo mah se, .Tunlai hian natna thunun thei leh natna kal dan tidanglam thei damdawi tha tak tak a awm a.
Heng enkawlnate thil tum ber chu:
- Relapse awm zat tihtlem.
- Nervous system tihchhiatna thar tihtlem.
- Symptoms a zual zelna rate tihhniam.
Heng damdawi te hi chi hrang hrang a awm a, chung zingah chuan injection, oral medication, leh intravenous infusion, saline ang chi te pawh a tel.
Heng damdawi te hi ``Disease-Modifying Agents'' (DMTs) tia koh an ni tlangpui. Natna awm dan thlak danglamin, nakin lawka nervous system tihchhiat loh nan hna an thawk a ni. Chuvangin , a rang thei ang bera enkawl tan a pawimawh hle.
I doctor nen hian eng damdawi nge i tan a tha ber tih leh a side effects te chu zalen takin sawipui ngei ang che. Ani chuan solution tha ber a pe ang che.
He natna nen hian nun hi eng ang nge ni ang?
Hetiang natna khirh tak i nei tih i hriat hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse thudik tak chu MS nei pawhin nun rei tak, hlim tak leh hlawhtling takin i nung thei a ni.
Kum engemaw zat kalta chhung khan MS enkawlna kawngah hmasawnna nasa tak a awm a, hei vang hian natna kal zel dan tur control a awlsam hle.
Mi thenkhatin hun engemaw chen RRMS an neih hnuah chuan natna lan chhuah dan a pung zauh zauh a, mahse a lo let leh zat erawh a tlahniam thei a ni. Hei hi ``Secondary Progressive Multiple Sclerosis (SPMS)`` tih a ni. Mahse, a hma leh uluk taka enkawl chuan he natna hi ven theih emaw, tihkhawtlai emaw theih a ni.
Engtikah nge doctor i hmuh ang?
- Symptom thar i neih chuan emaw, i symptoms a na zual emaw chuan.
- Enkawlna hian side effect a neih chuan.
- Natna chungchanga zawhna leh ngaihtuahna i neih chuan.
Take-Home Thuchah a ni
- RRMS hi MS chi khat zingah chuan a tam ber a, a natna hi a lo lang leh a, a remission cycle a ni.
- Mi tin hian natna lan chhuah dan a inang lo. Mit lama harsatna, tingling, leh hah lutuk te hi a awm fo thin.
- Hei hi a chhan chiang tak awm lo mahse, autoimmune disease anga ngaih a ni.
- He natna hi tihdam kim theih ni lo mah se, tunlai hian he natna thunun tur leh nerve tihchhiat lohna tur enkawlna (DMT) tha tak tak a awm a.
- Nakin hun atan a hmaa hriatchhuah leh enkawl hi a pawimawh hle.
- I dinhmun, i enkawl dan leh zawhna i neih apiang chu i doctor nen zalen takin sawipui rawh.
- Natna khirh tak nena nun hi rilru lama harsatna a ni thei. A tul chuan rilru lam hriselna lama mithiamte puihna zawng hreh suh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh