I mit chu a sir khatah hawi a harsa em? Hei hi nerve parukna lama harsatna a ni em? Sixth Nerve Palsy chungchang hi i zir dawn teh ang!

I mit pakhat chu a sir lamah a awm ang maiin i inhria em, chu chu a chhuah chhuah harsa tihna a ni em? A nih loh leh engkim hi pahnih-ah i hmu nghal vek em? Hetiang thil hi a pangngai lo. Hei hi a chhan chu i cranial nerve paruknaah chak lohna engemaw zat a awm thei. Hei hi Sixth Nerve Palsy kan ti a. Lungngai suh, hemi chungchang hi chipchiar takin kan sawi dawn a ni.

Sixth Nerve Palsy hi eng nge ni?

A awlsam zawngin sawi ila, Sixth Nerve Palsy hi kan mit pawn lam (side) lam hawitirtu nerve bik tihchhiat avanga lo awm a ni. He nerve hi Abducens Nerve an ti bawk. Hei hian mit chetna a tichhe a, a inmil theih loh phah a ni.

Kan thluak nena inzawm tlat cranial nerve pahnih 12 a awm tih i hria em? Chu chu chi hrang hrang pahnih, a sir lehlamah pakhat, veilam leh dinglamah pakhat tihna a ni. He cranial nerve pair parukna hi kan mit chhunga lateral rectus muscle nena inzawm a ni a, chu chu mit pawn lam hawia tibuaitu muscle mai a ni He muscle hian mit veilam chu veilam a en theih nan leh mit dinglam chu dinglam a en theih nan a pui thin. Chuvangin, sixth nerve dysfunction-ah chuan he nerve kal tlanga signal kalte chu a tawp a, mit pawn lam hawitu muscle chu a chak lo emaw, a thawk thei lo emaw a ni.

A tam zawkah chuan he natna hian mit pakhat chauh a nghawng a (unilateral kan ti a), a chang chuan mit pahnih (bilateral) a nghawng thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Sixth Nerve Palsy hi a takah chuan chutiang chuan a awm lo. Khawvel pumah kum tin he natna vei thar 350,000 atanga 900,000 vel an awm thin. America ang ramah pawh kum tin hri kai thar 15,000 atanga 37,000 vel chauh an awm.

Hei hi tu pawhin an tipung thei a ni. Mahse a hlauhawmna chu a sang deuh hlek a, a bik takin kum 50 i tlin hnuah chuan he hlauhawmna hi i upat deuh deuh chuan a pung zual sauh sauh a ni. Zirchianna atanga a lan dan chuan kum 60 leh 75 inkar te hian hetiang hi an vei tam ber a ni.

Hei hi eng symptoms nge ni?

Tunah chuan Sixth Nerve Palsy natna lan chhuah dan hi eng nge ni tih i lo en ang u. A bulpui ber chu mit a che tha thei lo va, mit chu a inzawm khawm thei lo a ni. Hei vang hian symptom dangte pawh a lo lang ta a ni. Symptom thenkhat chu he nerve dysfunction vang chauh a ni thei a, chutiang titu damdawi lam thil dang nena inzawm symptoms pawh a awm thei bawk.

A lan chhuah dan ber chu hengte hi a ni:

• Strabismus: Mit natna chu pawn lam hawiin a hawi tha thei lo va, chu chuan mit chu midang nena inmil lo angin a lang thei a ni. Mit natna chu chhung lam hawiin a lang thei bawk (esotropia) .
• Mit pahnih hmuh theihna (Diplopia):Hei hi mi tam takin an hriat chian hmasak ber a ni. Thil hla tak tak en emaw, a nghawng lam en tum emaw hian mit hmuhna pahnih chu a pung zel a ni. A lehlamah (a nghawng lo lam) en chuan hei hi a tlahniam deuh (mit pakhat chauh a nghawng chuan).
• Fiah taka hmuh theihna tura dinhmun thlak danglam: Sixth nerve dysfunction nei, mit pakhat emaw, mit pahnih emaw lam hawi thei lote chuan chu lam hawi turin an lu emaw taksa emaw hawitir an practice thin. Hei hian mit hrual avanga double vision an neih loh nan a pui a ni.
• Nausea leh vomiting: Hengte hi mit hmuh dan inthlak danglam vanga lo awm thei symptom pahnih chauh an ni. He neurological dysfunction thlentu damdawi lam thil dang vang pawh an ni thei bawk.
• Natna: Mit na leh lu na hi rei tak i mit i strain emaw, hun rei tak mit lama harsatna i neih emaw hian a awm thei.

Engvangin nge he nerve parukna (Abducens Nerve) hi a thawh theih loh?

Awle, engvangin nge he nerve parukna (abducens nerve) hi hetiang hian a thawk tha lo? A chhan tam tak a awm thei. Hetiang dinhmun hi he nerve tichhe thei thil eng pawh avanga lo awm thei a ni. I hria em, he nerve thenkhat hi kan thluak chhungah a kal thin. Chuvangin, thluak tibuaitu natnate pawhin he nerve hi a nghawng thei bawk.

A châng chuan, a chhan dik tak chu hmuh theih a ni lo. Heng case te hi idiopathic kan ti a . Mahse a tam zawkah chuan Doctor ten a chhan zawngin an enkawl thei a ni. A chhan berte han thlir ila.

1. Hliam tuar

Khawi emaw laiah i lu i vuak a nih chuan, emaw, accident i tawk a nih chuan... he kan thluak hual veltu nerve parukna hi a chhe thei tih han ngaihtuah teh. Entir nan:

• Concussions leh Traumatic Brain Injuries (TBIs ) te hi a awm thei lo.
• Luruh a tliak
• Lu thlenga hliam lut thei, ralthuam na tak emaw, silai mu emaw atanga lo chhuak ang chi

2. Hri kai te

Virus leh bacteria ang chi microorganism te hian kan nervous system hi an rawn bei thei a. He nerve parukna pawh hi a nghawng thei bawk. Entir nan:

• Herpes zoster virus (hei hi shingles thlentu a ni) .
• Epstein - Barr virus (hei hi mononucleosis emaw ‘mono’ emaw thlentu a ni) .
• Meningitis ( meningitis ) a awm thei lo.
• Cytomegalovirus (CMV ) a ni a, a chhuak leh ta a ni.
• Lyme natna a ni
• Syphilis natna a ni
• Fungal emaw parasitic infection emaw a awm thei
• Beng natna ( otitis media ) a darh emaw, a nasat emaw chuan
• Mit vel tissue te natna leh a hring ( orbital cellulitis ) .

A châng chuan, hri kai laka invenna atana vaccine nung ṭhenkhat pek hian sixth nerve dysfunction na lo tak, hun eng emaw chen atan a thlen thei bawk. Chutiang a nih chuan amah chauhin a dam ang.

3. Circulatory lama harsatna awm

Kan thluaka thisen kal a tihbuai chuan he nerve parukna hi a nghawng thei a ni. Thisen kal a reh chuan ischemia an tih natna a awm thin. Chumi awmzia chu cell-in thisen an dawn tlem chuan an hnathawh a hloh tihna a ni. He ischemia hi a nasat emaw, rei tak a awm emaw chuan chu cell te chu an thi thin.

Sixth nerve dysfunction thlen thei Circulatory problems te chu:

• Sixth nerve a thisen pe chhuaktu thisen kalna kawng te tak te tak tak hmanga thisen kal chak lohna ( microvascular ischemia ) .
• Stroke leh Transient Ischemic Attack (TIAs ) te hi a awm thei lo.
• Thluak lama thisen zam (aneurysm) a awm
• Thluak chhunga thisen chhuak ( Intracranial hemorrhages ) .

4. Taksa system hrang hrang tichhe thei systemic, inflammatory leh metabolic condition te

Damdawi lam thil thenkhat, taksa system hrang hrang tichhe thei hian sixth nerve dysfunction a thlen thei emaw, a thlen thei bawk. Entirnan:

• Type 2 diabetes - Hei hi tunah hian kan ramah a hluar hle a ni lawm ni?
• Lung leh thisen zam natna
• Thisen sang ( Thisen sang - Hypertension ) .
• Wernicke-Korsakoff natna a ni
• Multiple sclerosis (MS ) natna hi a awm thei lo.
• Lupus natna ( Lupus - Systemic Lupus Erythematosus ) natna a ni.
• Amyloidosis natna a ni
• Sarcoidosis natna (sarcoidosis) a ni
• Thyroid natna te

5. Thisen lama harsatna, cancer leh tumor te

Thisen kalna kawng tichhe thei natna thenkhat chuan luruh chhungah pressure a tisang thei a, chu chuan nerve parukna chu a compress thei a, a tichhe thei bawk. Thluak chhunga tumor chi dang lo awm pawhin he nerve hi a compress thei bawk. Entirnan:

• Leukemia natna (Leukemia) a ni
• Lymphoma natna (Lymphoma) a ni
• Thluak natna (cancer leh benign) .
• Cancer te chu thluaka a metastasize thin

6. Neurological condition dangte

Nervous system nena inzawm natna dang tam tak hian he sixth nerve dysfunction hi a thlen thei a ni. Entirnan:

• Migraine leh cluster lu na
• Idiopathic intracranial hypertension (a chhan hriat loh avanga intracranial pressure sang) .
• Hydrocephalus (thluaka tui awm khawm) .
• Chiari malformation a ni
• Arteriovenous malformation (AVM ) 10. A rilru a hah lutuk chuan a rilru a buai em em a.
• Cerebrospinal fluid (CSF) a leak thin

7. Damdawi lam kalphung

Abducens nerve hi damdawi lam enkawlna emaw, tih dan emaw thenkhatin a nghawng thei emaw, a chhe thei bawk. Entirna thenkhat chu hetiang hi a ni:

• Spinal tap (Lumbar puncture ): Hei hian a chang chuan luruh chhunga pressure a tihhniam thei a, chu chuan sixth nerve dysfunction a thlen thei bawk. A tlangpuiin kan thluak hi cerebrospinal fluid (CSF) ah a float thin. He fluid level hi a tlahniam chuan thluak hi a tlahniam deuh thei a, thluak hnuaia tissue awm chu a press thei a, chutah chuan abducens nerve pawh a tel a ni.
• Epidural anesthesia : Hei hian a chunga kan sawi tawh ang khan ruhro atanga tui a paih chhuak bawk a, sixth nerve dysfunction a thlen thei bawk.
• Thluak surgery emaw radiation therapy emaw ang chi enkawlna: Hengte hian thluak hnai ber hmun a nghawng hian he nerve hi a tichhe thei bawk.

Hei hi eng risk factors nge awm?

Mi thenkhat chuan he sixth nerve dysfunction hi an vei theihna chance a sang zawk mai thei. Thil tam takah chuan a chunga kan sawi takte hi a chhan ber ni lo mah se, thil dangin he natna lo awm chhan hi a thlen thei a ni. Entirnan:

• Metabolic natna chi hrang hrang zunthlum ( Type 2 diabetes ) ang chi te .
• Circulatory system natna chi hrang hrang thisen sang ( Hypertension ) ang chi te .
• Inflammatory emaw autoimmune natna chi hrang hrang multiple sclerosis ang chi te

Hei hian eng harsatna nge a thlen theih?

Sixth nerve dysfunction avanga harsatna awm thei hi a chhan bulpui leh a enkawlnaah a innghat nasa hle. Chûngte chu a inang lo thei hle a, chuvângin, i doctor chuan i dinhmun atâna harsatna awm thei tûr leh chu chu i pumpelh emaw, tih tlem emaw tûra i tih theihte chu a hrilh ṭha ber thei che a ni.

A bik takin naupang tê tê chungah hetiang hi a thleng a nih chuan doctor-te’n ven an tum pakhat chu amblyopia an tih hi a ni. Hei hi ‘lazy eye’ kan ti bawk. Hemi a thil thleng chu naupang thluak chuan mit pakhat chauh a ngaihtuah tan a, mit dang atanga signal lo chhuak chu a ngaihsak lo. Tichuan mit hman loh chu a sir khatah a inthlak zauh zauh a, chu chuan a natna chu a ti na zual sauh sauh a ni.

Engtin nge hei hi hriat chhuah a nih?

Doctor , mit lam doctor , neurologist , emaw neuro-ophthalmologist te chuan Sixth Nerve Palsy natna hi a hriat theih nan kawng hrang hrang a hmang thei a ni. Heng hmanrua te hi:

• Visual testing: Doctor emaw mit lam doctor emaw chuan i mit i tihchet theihna chu kawng engemaw takin a test ang a, sixth nerve chauh hi a nghawng em tih a enfiah ang a, sixth nerve dysfunction hi a bul hnaia nerve dang, a bik takin mit chetna controltu nerve dysfunction nen a inzawm thei a ni.
• Lab test: Hengte hi lab test hmanga hriat theih tur condition i neih leh neih loh hriat theihna kawngpui ber a ni a, chu chu metabolic disease, thisen natna, infection te hi a ni. I thisen glucose emaw A1C level emaw an enfiah tlangpui. Tin, i thisena platelet , immune cell, a nih loh leh autoimmune natna tilangtu antibodies level ang chi thilte pawh an enfiah thei bawk.
• MRI scan (Magnetic Resonance Imaging - MRI): MRI scan hi sixth nerve dysfunction , a bik takin kum 50 hnuai lam tan chuan a pawimawh hle a, he test hian i lu chhunga tissue awmte, abducens nerve leh a chhehvel thluak tissue te pawh a tarlang chiang hle. Hei hian natna khirh tak emaw, hlauhawm tak, stroke, cancer, a nih loh leh tumor ang chite chu paih chhuah emaw, paih chhuah emaw nân a ṭanpui thei a ni.

Hei hi engtin nge enkawl a nih?

Hei hi enkawl dan hrang hrang a awm a, a tlangpuiin chi hnih ah an inthen a:

1. He thil tih loh chhan hi eng nge ni, engtin nge kan tihtawp ang?

2. He hnathawh that lohna avanga thil thleng enkawl leh a theih chuan a tul chuan a pangngaia siam leh.

A chhan ber chu a chhan a ni. Mahse thil dang pawhin hmun a chang ve tho. A tam zawkah chuan sixth nerve dysfunction hi a chhan bulpui enkawl a nih veleh a mah chauhin a reh thin. Hemi atana enkawlna tha ber tur hriatna kawngah hian thil tam tak a awm avangin, i doctor chuan i tana enkawlna tha ber berte chu a pe thei che a ni. I dinhmun leh mamawh bik angin thu hriatte chu a siam rem thei a ni.

Mi tam zawk tan chuan enkawlna tlemte emaw, engmah emaw a ngai lo. I dinhmun hi a tir lamah enkawl a ngai lo niin a lang a nih chuan, i doctor emaw, mit lama mithiam emaw chuan follow-up visit neih a rawt mai thei. Glaucoma enkawl hi a tul chuan enkawl a ngai chauh a ni. Mahse, glaucoma nghawng, a nih loh leh a lan chhuah dan enkawlna chu tih a ni fo.

Thiltih lohna avanga thil thleng enkawl hi a awlsam hle a, a tlangpuiin a natna lan chhuah dan tihtlem emaw tihtawp emaw lam ngaihtuah a ni. Chutianga ṭanpui thei enkawlna ṭhenkhat chu:

• Mit patch emaw filter emaw bun: Mit pakhat khuh hian a pahnih hi i hmu thei lo. Hei hi a chhan chu mit pakhat atanga hmuh theih chauh hi thluak thleng a nih vang a ni. I dinhmun azirin i doctor chuan a chang chuan emaw, engtik lai pawhin emaw mit patch vuah turin a rawt mai thei. Eyeglasses-a bun theih tur wearable filter a awm bawk a, light a filter avangin chutiang bawk chuan hna a thawk a ni.
• OnabotulinumtoxinA injection: He damdawi hian enkawl mek nerve kal tlanga signal kal lo turin hun eng emaw chen a block thei a ni. Mit inthlak danglamna tihziaawmna turin nerve thenkhat bulah inject theih a ni.
• Strabismus surgery neih dan tur chu:Sixth nerve dysfunction-a pui thei tur surgery engemaw zat a awm. Ṭhenkhat chuan lateral rectus muscle a chak loh chuan a control dan an ti tha zawk. Surgery dangte chuan i mit sir lehlama muscle thenkhat (muscle dang atanga signal dawngtu) chu la in he lateral rectus muscle ang hian hna thawk turin an nawr lui thin.
• Prism correction: Hengte hi thil te tak te, multi-layered device an ni thei a, i mitmeng lens-ah glue-in i glue thei bawk. A nih loh leh, i mittui tlakna lens te hi prism correction dahin siam theih a ni bawk. Prism chuan light a bend thin. Angle dik taka i ben chuan i mit chu a focus leh thil hmuh a awlsam phah a ni.

Surgery avanga harsatna/side effects awm thei

Strabismus surgery hian a chang chuan sixth nerve dysfunction hi a ti dik lo emaw, a tidik lutuk emaw thei bawk. Chutiang a nih chuan prism correction hmangin a danglamna chu siamthat theih a ni fo. Hei hian undercorrection chu a compensate thei a, overcorrection chu a tidanglam thei bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Enkawl hnua dam leh hun chhung hi mi hrang hrangah a inang lo. I doctor chuan i dinhmun bik a zirin i beisei tur a hrilh thei che a ni.

Enkawlna thenkhat chuan hna a thawk nghal a, natna lan chhuah dan atanga hahdamna a pe thin. Hei hi entirnan mitmeng vuah hi a ni. Mit pakhata hmuh theihna a tikhawlo a, a pahnih hian mit hmuhna a titawp nghal bawk. Prism siamthat hian hahdamna rang tak a pe thei bawk a, mahse a insiamrem kim theih nan ni emaw kar tam tak emaw a ngai thei - siamthat zat a zirin.

Sixth Nerve Palsy ka neih chuan eng nge ka beisei ang?

Sixth Nerve Palsy hi a tlangpuiin nunna atana hlauhawm lo mahse kan nitin nun a tibuai thei a ni. Sikul hnathawh te, hnathawh te, hobby te, leh social activities te a tibuai thei a ni. A nuam lo thei bawk. Luak chhuak, luak chhuak, leh lu na i nei thei.

Sixth nerve dysfunction symptoms i neih chuan, a bik takin i mit chu pawn lam hawia (or eng lam hawi pawhin) i hawi thei lo a nih chuan doctor i pan ngei tur a ni. A tam zawkah chuan hei hi harsatna tenau tak a ni. Mahse a chang chuan natna khirh zawk vang pawh a ni thei. I result tha neih theihna tur kawng tha ber chu diagnosis neih a rang thei ang bera enkawl tan hi a ni .

Sixth Nerve Palsy hi eng chen nge a awm?

Hei hi eng chen nge a daih tih hi a inang lo thei. Thil engemaw, migraine ang chi tan chuan darkar engemaw zat a daih thei. Condition dang tan chuan a rei zawk thei a, thla thum atanga thla ruk thleng a daih thei bawk. A then phei chuan a awm reng thei bawk. I doctor hi i chunga thil thleng thei tur leh a nghawng hun tihtlem nan emaw, a nghawng dan nena inmil tura i tih theih dan tur te sawipui tur tha ber a ni.

Hetiang dinhmun hi eng nge a thlir ang?

A pum puiin sixth nerve dysfunction awm theihna tur thlirna a tha hle. Mi tam zawk tan chuan hun eng emaw chen atana awm, a mah chauhva emaw, a chhan bulpui enkawlna emaw hmanga reh thei a ni.

Mahse, a then phei chuan natna khirh zawk avanga lo awm thei a ni. Hei hi a bik takin kum 50 hnuai lam mi pakhatah a awm a, leh/ emaw mit pahnih a nghawng a nih chuan a dik hle. Mahse, sixth nerve dysfunction symptoms i neih chuan doctor rawn la a tha fo. A hmaa hriatchhuah leh enkawl hian damna famkim leh hun rei tak (a awm reng thei) a nghawng danah danglamna a siam thei a ni.

Sixth Nerve Palsy hi a veng thei ang em?

Thil thleng thut leh beisei loh tak a ni. A thlentu damdawi lam dinhmun hnuaia awmte hian a thlen ngai lo va, a chhan chu a chhan pawh hmuh theih a ni lo. Chuvangin ven kim theih a ni lo. Mahse, chhan engemaw vanga a lo awm theihna tur tihziaawmna tur thil kan tih theih a awm. Entir nan:

• A tul hunah invenna hmanrua bun thin ang che: Lu hliam, a bik takin concussion leh traumatic brain injuries te hian sixth nerve dysfunction a thlen thei. Hetiang dinhmun venna atan hian invenna hmanrua – a bik takin helmet, lu venna, leh seat belt bun hi a pawimawh hle.
• I natna rei tak enkawl rawh: I natna thenkhat, type 2 diabetes leh thisen sang , te hi enkawl theih a ni. A tul chuan i doctor chuan kaihhruaina leh enkawlna kawng hrang hrang a pe thei ang.
• Infection ngaihthah suh: Infection symptoms i neih chuan ni engemaw zat hnuah a reh lo a nih chuan Doctor pan tur a ni. Bacterial infection hian natna a zual emaw, a darh zel loh nan antibiotics a mamawh a ni. Mahse, antibiotics hian virus-ah hna a thawk lo tih hre reng ang che, virus infection te hi anmahni chauhin emaw, supportive care nen emaw a thianghlim tur a ni.

Engtin nge ka in enkawl ang?

Sixth Nerve Palsy i neih chuan i doctor chuan a enkawl dan tur leh a chhan awm thei dinhmun (a awm chuan) te a kaihruai ang che. An thupek zawm hi a pawimawh hle a, a bik takin i symptoms enkawl danah chuan. Mit hmai tuamna, filter emaw, siamthatna hmanrua dang emaw vuah hi a pawimawh a, a chhan chu i dam leh thuai thei a, natna lanchhuahna nuam lo tak takte pawh a ti tlem thei bawk.

Engtikah nge ka doctor ka hmuh ang a, engtikah nge doctor thurawn ka lak ang?

I doctor-in a rawt angin follow-up visit i nei chhunzawm zel tur a ni a, chu chuan i dinhmun inthlak danglamna chu enfiah a, a tul chuan i enkawlna pawh siamrem tur a ni. Sixth Nerve Palsy hi emergency a ni lo a, mahse a natna hi a rang lama hriatchhuah leh enkawl ngai a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor zawh tur zawhna thenkhat chu hetiang hi a ni:

• Ka sixth nerve dysfunction chhan chu eng nge ni a, a chhan hriat theih emaw, a puitu thil emaw enkawl theih tur a awm em?
• Hei hian cranial nerve dang emaw, a bul hnaia tissue emaw a nghawng em?
• Eng symptoms nge ka beisei ang?
• Ka natna lan chhuah dan tihtlem nan eng nge ka tih theih ang?
• Tuna ka natna lan chhuahna nasatzia tihtlem thei emaw, ka dam chakna tikhawtlai thei emaw enkawlna a awm em?
• Hetiang thil hi a lo thleng leh tawh loh nan (recurrence) eng nge ka tih theih ang?

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

Chuvangin, he thusawi zawng zawng hnuah hian Sixth Nerve Palsy chu eng nge a nih i hrethiam mai thei. Hlauh tur a ni lo va, a tlangpuiin hun eng emaw chen atan a ni a, enkawlna hmanga tihdam theih a ni. Amaherawhchu, a hmaa kan sawi tawh angin, a châng chuan a chhan lian zawk a awm thei a ni.

Chuvangin, i mit chu sir khata hawi harsa i tih chuan, pakhat emaw pahnih emaw i hmuh chuan, a chunga kan sawi tak symptom dang eng emaw tal i neih chuan tihkhawtlai lohvin damdawi lam thurawn la rawh. A chhan zawng chhuakin a rang thei ang bera enkawl tan chuan i dam thuai ang a, hun rei tak chhunga harsatna i tawh loh nan a pui ang che. Tichuan he dinhmun nghawng hian a tihkhawtlai lohvin nunah thil pawimawh tak takte chu i ngaihtuah thei ang.

` Sixth Nerve Palsy, Abducens Nerve Palsy, Mit hrual, Double vision, Paralysis, Mit natna, Neurological diseases