Zing khat chu i harh a, i taksa sir khatah rilru hah leh mit hmuh lohna ang chi symptoms i neih a, chutah ni engemaw zat emaw, kar engemaw zat emaw hnuah chu zawng zawng chu a bo vek tih i ngaihtuah thei ang em? Tichuan thla tam tak chhung, kum tam tak chhung pawh harsatna i nei lo mai thei. Engkim chu a pangngaiin a kir leh vek. Tichuan rang takin symptom dang i nei a, kal harsa pawh a ni mai thei. Kan sawi tum chu hetiang hian symptoms pattern of symptoms lo awm leh chhuak thin condition kan sawi a ni. Hei hi damdawi lama RRMS kan tih chu a ni.
A awlsam zawngin RRMS chu eng nge ni?
RRMS hi `Relapsing-Remitting Multiple Sclerosis` tih tawifelna a ni. Hei hi `Multiple Sclerosis` (MS) chi khat a ni ber. Dik tak chuan MS vei mi 100 zinga 80-85 velin hetiang `RRMS` hi an nei a ni.
Awle, tunah hian he hming awmzia hi han en ila.
- Relapsing: Hei hian natna lan chhuahna a lo lang nghal emaw, a na zual emaw hun chhung a kawk a ni. Mi thenkhat chuan hei hi `flare-up` an ti bawk. He hun hi ni engemaw zat atanga kar tlemte thleng a ni thei.
- Remitting: Hei hian natna lan chhuah dan a reh zauh zauh a, a tlangpuiin emaw, a then emaw pawh nise, a pangngaia i lo kir leh hun chhung a kawk a ni. Hemi chhung hian symptom-free i ni thei.
A awlsam zawngin sawi ila, RRMS hi symptom flare-up hun chhung leh symptom relief hun chhung inkara inthlak danglam thin condition a ni.
MS hi autoimmune condition a ni a, kan taksa ngeia immune system, natna laka min vengtu system chuan kan central nervous system ngei pawh a rawn bei sual a ni. Nang leh i doctor tan chuan natna chi hrang hrang, RRMS hi dik taka hriat a pawimawh a, chutiang chuan i tana enkawl dan tur dik ber i hriat theih avangin.
RRMS-ah hian eng symptoms hmuh chhuah tlanglawn nge ni?
Heng symptoms te hi mi zawng zawngah a inang vek lo. Mi hrang hrangah an inang lo thei hle. A châng chuan heng symptoms engemaw zat hi a awm dun thei bawk. Chung zinga pakhat emaw, a aia tam emaw chu a lo lang leh thei a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Mit hmuh dan a inthlak danglam thin | Thil chi hrang hrang, mit hmuhna (blurred vision), mit hmuhna pahnih (double vision), rawng hrang hrang thliar hran theih lohna te, mit tihchet laia natna te. |
| Numbness emaw, hriatna hloh emaw | Kut, ke, hmai emaw taksa peng dang emawa rilru hah emaw, hriatna hloh emaw hriatna. |
| A rilru emaw, pum emaw vel 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. |
| Chau | Thil pangngai aia tam, tuar theih loh khawpa hahna nasa tak nei. Zan mut that hnuah pawh he hahna hi a reh lo mai thei. |
| Zun leh ril lama harsatna nei | Harsatna hrang hrang, zun tan harsatna, zun hmanhmawh (urinary urgency), leh zun control theih lohna te. |
| Electric shock ang maia hriatna. | Kawr hmalam pan a nih chuan electric shock ruh hnuai lam atanga tlan chhuak ang maia hriatna. (Lhermitte chhinchhiahna) . |
| Kal harsa leh balance harsatna | Kal laia tlu, balance hloh, taksa ruh chak lohna avanga kal harsa. |
| Muscle chak lohna emaw, a nghet lo emaw | Muscle chakna tlahniam emaw, a nghet lo (spasticity) emaw. |
| Ngaihtuahna leh hriatrengna lama harsatna | Thil ngaihtuah harsa, hriatrengna hloh, thumal hmuh harsa, etc. Hei hi ``brain fog'' an ti bawk. |
Mi thenkhat chuan an natna lan chhuah dan chu a reh vek tawh laiin, thenkhat erawh chuan natna lan chhuah dan (residual symptoms) thenkhat an nei thei thung. Chutiang hunah chuan i doctor-in a tih angin physiotherapy, damdawi emaw, Botox® ang chi injection emaw hmangin i natna lan chhuah dan tur a enkawl thei a ni.
Symptoms tichhe thei trigger a awm em?
Ni e, thil engemaw tak chuan i symptoms chu a lo lang leh thei a, a ti na zual thei bawk. Mahse heng `triggers` te hian mi zawng zawng hi a nghawng dan inang vek lo. Mi pakhat nghawngtu chuan mi dang a nghawng lo mai thei.
Trigger tlangpui thenkhat chu hetiang hi a ni:
- Stress: Stress lutuk hi symptoms awm chhan lian tak a ni thei.
- Temperature: Mi thenkhat tan chuan temperature sang, khawsik emaw, khawsik lutuk emaw hian natna lan chhuahna a ti na zual thei.
- Infection: Infection tenau, common cold emaw urinary tract infection emaw pawh hian MS symptom hlui a rawn lang leh thei a ni.
- Zuk leh hmuam hman dan: Meizial zuk hian natna a tizual thei a, natna lan chhuahna a tizual thei bawk.
- Vitamin D tlakchhamna: Zirchianna atanga a lan dan chuan vitamin D level hniam hian MS natna leh a symptom te a nghawng bawk.
Engvangin nge he MS hi a lo awm? Eng nge a chhan?
Dik tak chuan MS awm chhan dik tak hi hmuhchhuah a la ni lo , mahse zirchianna chuan thil engemaw zatin a thlen thei tih hmuhchhuah a ni.
Kan nerve te hi electrical wire angin ngaihtuah mai rawh. Heng wire te hi `insulation` ang chi, venhimna sheath-in a hual vel a ni. Hei hi `myelin` kan ti a ni. He myelin sheath hi message te chu nerve kaltlangin rang tak leh dik taka kal theihna tur a ni.
MS-ah hian kan taksa hriselna (immune system) ngei, natna laka min humhimtu sipaite hian he myelin sheath hi an rawn bei sual a ni. He attack hian myelin sheath a tichhia a ni. Tichuan nerve message transmission chu a tibuai ta a ni. Wire `insulation` a chhiat ang bawkin `short-circuit` a ni. Chutah chuan a hmaa kan sawi tawh symptoms te chu a lo lang ta a ni.
Environment factors, genetic predisposition leh virus infection Epstein–Barr virus ang chi te hian immune system hi hetiang hian a rawn bei sual thei niin an ngai.
Engtin nge RRMS hi hmuhchhuah a nih?
MS hmuhchhuah hi thil harsa tak a ni thei a, a chhan chu test pakhat chauh a awm loh avangin a natna hmuhchhuah a ni. I doctor chuan i natna lan chhuah dan te, i damdawi lam chanchin te, taksa enfiahna te, leh test dang engemaw zat result te chu a zirchiang ang a, chu chuan i natna hriat theihna tur a siam ang.
Chumi atana test tih tlangpui chu:
- MRI scan: Thluak leh ruhro (spinal cord) MRI (Magnetic Resonance Imaging) scan hmangin myelin sheath-a chhiatna (lesions) awmna hmunte chu a hriat theih a ni.
- Lumbar Puncture: Hei hian spinal canal-ah needle te tak te tak tak dahin cerebrospinal fluid tlemte lak a, MS tana protein bik, oligoclonal bands ang chi a awm leh awm loh enfiah a ni.
- Thisen test: Thisen test hi MS ang chi symptoms nei tur natna dang i neih loh nan tih a ni.
- OCT test: ``Optical Coherence Tomography`` hi natna nei lo test a ni a, mit hnunglam a optic nerve chu MS vangin a chhiat em tih enfiah thin a ni.
RRMS enkawl dan tur chu engte nge ni?
RRMS damdawi hi la awm lo mah se, tunah hian natna enkawl dan tur leh nun pangngaia nunpui thei tur enkawlna tha tak tak a awm a ni.
Enkawlna tum berte chu:
- Relapse awm zat tihtlem.
- Central nervous system chhiatna tihziaawmna.
- Natna avanga rualbanlote lo awm tan hun sawn hlat.
Chumi atana hman tur damdawi chu disease-modifying therapies (DMTs) an ti a. Heng damdawi te hi chi hrang hrangin kan hmu thei a.
- Injection: Vun hnuaiah emaw, taksa ruh chhungah emaw injection pek thin.
- Damdawi ei: Nitin emaw, ni ruat sa emawa pill anga ei thin damdawi.
- Infusions: Damdawi taksaa thisen kaltlanga pek chhuah, saline ang chi. Chungte chu thla khatah vawi khat emaw, thla engemaw zat danah emaw pek theih a ni.
DMT enkawlna dik tak hmuhchhuah a nih hnuah a rang thei ang bera tan a pawimawh a, heng damdawi te hian nakin lawkah nervous system tihchhiat a veng thei a ni. I doctor nen i tana tha ber tur leh a side effects chungchang chu zalen takin sawipui rawh.
I doctor zawh tur thil
RRMS hi hun rei tak chhunga awm a nih avangin i rilruah zawhna tam tak awm hi thil pangngai tak a ni. Doctor hmu tura i kal hunah heng zawhnate hi ziak la.
Symptom thar i neih chuan, i symptoms awmsa chu a na zual a nih chuan, emaw, i enkawlna atanga side effect i neih chuan, i doctor nen inbia ang che.
I doctor zawh theih zawhna ṭhenkhat chu:
- Eng ang MS nge ka neih?
- Eng enkawlna nge min rawt? Engati nge?
- Chu enkawlna chuan eng side effect nge a neih?
- Ka natna lan chhuah dan a zual thut (relapse) a nih chuan engtin nge ka tih ang?
- Engtin nge ka symptoms tipungtu triggers te hi ka hriat theih ang?
RRMS nena nun hi a harsa thei hle. Mahse, nangmah chauh i ni lo tih hre reng ang che. Enkawlna dik tak, nunphung thlak danglam te, leh i medical team te puihna te nen chuan nun tha tak, active takin i nung thei ang. A tul chuan rilru lam hriselna lama mithiam tanpuina dil pawh a \angkai hle thei bawk.
Take-Home Thuchah a ni
- RRMS hi Multiple Sclerosis (MS) chi khat zingah chuan a tam ber a ni.
- Hetah hian symptom flare-ups (relapses) hun leh symptom reduction (remissions) hun te chu a inthlak danglam thin.
- Dam kim theih ni lo mah se, tunlai hian natna hi uluk taka enkawl dan tur leh nervous system tihchhiatna tlem thei tur khawpa enkawlna (DMT) tha tak tak a awm a.
- Nakin lawka harsatna lo thleng tur ven nan a hmaa hriatchhuah leh enkawl a pawimawh hle.
- I natna lan chhuah dan te, i enkawl dan te, harsatna i tawh theih dan te chu i doctor hnenah sawi fo ang che.
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