A châng chuan i kut emaw, i ke emaw-ah kang emaw, i hrual emaw, hnim hring emaw i nei ṭhin em? Bedsheet hian i ke a rawn deng pawhin tuar theih loh khawpin natna i nei em? Heng thilte hi thil random mai maiah i ngai a nih pawhin, hei hi damdawi lam chhan a awm thei. Vawiin hian Small Fiber Neuropathy (SFN) tih natna pakhat kan sawi dawn a, chu chuan heng symptoms te hi a thlen thin. Hei hi hming sei deuh mahse, awlsam takin i hrethiam ang u.
Small Fiber Neuropathy (SFN) hi eng nge ni?
A awlsam zawngin sawi ila, Small Fiber Neuropathy (SFN) hi peripheral nervous system natna a ni. Okay, chu chu a buaithlak deuhin a ri a ni lawm ni? I tichhia ang u.
Kan taksa hi electrical wiring system ang maia nerve network-in a khuh niin han ngaihtuah teh. Nerve fiber te tak te, sam te tak te, sam aia thuk lo tak tak a nei a. Hengte hi kan vunin thluaka a hriat thin lumna, khaw lum, leh natna ang chi hriatna kengtu an ni. SFN chu chu nerve fiber te tak te te chu eng emaw chhan vanga a chhiat chuan a ni.
Heng nerve te hi a chhiat chuan hna a thawk tha lo. Thluak lamah signal dik lo an thawn tan thin. Chuvang chuan chhan awm lovin i kut leh keah kang, hliam emaw, tingling emaw natna i nei thin.
Hetiang dinhmun hian vun chhunga nerve chauh ni lovin, kan taksaa hnathawh pawimawh tak tak (entir nan, thisen sang, heart rate) control tu nerve nalh tak tak dangte pawh a nghawng a ni. SFN hi nunna atana hlauhawm a ni lo a, mahse a chang chuan natna khirh tak dang chhinchhiahna a ni thei bawk.
Hemi chhinchhiahna berte chu engte nge ni?
SFN natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mahse a lan chhuah dan tlangpui, a bik takin a tir lamah chuan kut leh ke na a ni. He natna hi a chang chuan a lo thleng a, a kal zel a, a chang chuan a awm reng bawk. Hun kal zelah a na zual thei bawk.
A lan chhuah dan ber chu eng nge ni tih i lo en ang u.
| Symptom a ni | Hrilhfiahna A awlsam |
|---|---|
| Stinging emaw, kang emaw natna | Kut leh kea kang, hnim hring hring. Hei hi a lan chhuah dan tlangpui a ni. |
| Luak chhuak emaw, muhil emaw | Ding chhuah laiin luak chhuak emaw, lu hah emaw, muhil pawh a ni thei. Hei hi a bik takin thut atanga tho chhuah hian a thleng thei a ni. |
| Palpitations a awm | I thinlung a na zual tih hriat, emaw, i thinlung a na zawk ang maia inhriatna. |
| Numbness a awm | Hmun thenkhatah chuan rilru hahna leh hriatna hloh. |
| Natna leh temperature sensation hloh | Taksa hmun tenauah lumna, khaw lum emaw, natna emaw hriatna hloh. Entirnan, thil lum i khawih pawhin engmah i hre lo mai thei. |
| Pum a na | Chhan awm lovin pum na emaw, cramp emaw. |
| Hriselna lama inthlak danglamna | A tlangpui aia tam thawk hah emaw, thawk hah lohna tak tak emaw pawh a ni thei. |
Engvangin nge Small Fiber Neuropathy (SFN) hi a lo awm?
Hei hi zawhna pawimawh tak a ni. SFN vei zinga a chanve velah chuan a chhan hmuh tur a awm lo . Doctor-te chuan he natna hi ``Idiopathic Small Fiber Neuropathy'' an ti a, chu chu "A chhan hriat loh SFN" tihna a ni.
Mahse, a chanve dang awm thei tur thil engemaw zat a awm.
Damdawi lam thil dang vangin
Vawi tam tak chu SFN hi natna dang side effect a ni.
- Zunthlum: SFN thlentu ber leh awm tam ber chu zunthlum a ni. Hun rei tak chhunga thisen sugar level control loh chuan heng nerve nalh tak takte hi a tichhe thei a ni.
- Glucose intolerance tihchhiat: Hei hi zunthlum hmahruaitu a ni. Hetah pawh hian nerve a tichhe thei a ni.
- Immune system lama harsatna nei: 1.1.Natna hrang hrang, Celiac disease, Sjögren’s syndrome, leh Sarcoidosis te hian taksa ngeia immune system te hian heng nerve te hi a rawn bei thei a ni.
- Infection: Infection Hepatitis C emaw HIV emaw hian SFN a thlen thei bawk.
- Vitamin B tlakchhamna: A bik takin Vitamin B12 tlakchhamna hian nerve a tichhe thei a ni.
- Zu in hmansualna
- Thyroid natna a ni
- Metabolic natna (Metabolic syndrome) a ni
Rochun natna (herited disorders) a awm
A châng chuan he dinhmun hi genetic factors vang pawh a ni thei. Chumi awmzia chu i chhungkuaa tu emaw chuan a nei a, nang pawhin i hmu thei tihna a ni. `Fabry disease` leh `Familial amyloidosis` te hi chutiang entirnan thenkhat chu an ni.
Ruihhlo leh toxin thenkhat avang hian
Heng nerve te hi kan damdawi ei thenkhat side effect angin a chhe thei bawk.
- Cancer natna atana chemotherapy damdawi thenkhat
- Antibiotics thenkhat (e.g. metronidazole, nitrofurantoin) .
- Damdawi `tumor necrosis factor inhibitor` ang chi te hi a ni
Hei hian eng harsatna nge a thlen?
SFN vang hian harsatna lian ber pahnih a awm a.
1. Natna hriatna hloh: Hei hi a hlauhawm ber pakhat chu natna hriatna hloh hi a ni. Stove-a bêl lum i khawih laiin han mitthla teh, mahse a lumna i hriat loh chuan i kut i hal thei a ni. Chutiang accident thlen theihna chance a sang hle. Chuvang chuan SFN vei tan chuan an ke leh ke te chu hliam an neih leh neih loh enfiah fo a pawimawh hle.
2. Tlu: Luak chhuak, kea kal harsa, leh inthlauhna hloh hian tlu hlauhawmna a tipung.
Engtin nge doctor hian hei hi a hmuh theih?
I natna lan chhuah dan i sawi zawh chuan i doctor chuan a enfiah ang che a, zawhna a zawt ang che. SFN finfiah nan test pakhat chauh a awm lo a, chuvangin test eng emaw zat neih a ngai mai thei.
- Skin biopsy: Hei hi he natna hriat theihna atana test pawimawh ber a ni. Hetah hian vun te tak te tak (millimeter 3 vel) lak a ni a, microscope hmangin an enfiah a, nerve fiber tha tak takte chu engtiang chiahin nge an dense tih an hmu a ni.
- Quantitative sudomotor axon reflex test (QSART): Hei hian thawk hahnaah inrawlh nerve te hnathawh dan a test thin.
- Electromyography (EMG) leh Nerve conduction zirchianna: Heng test-ah hian nerve fiber lian tak takte hnathawh dan an en tlangpui. Heng test te hi SFN ah hian a pangngai fo thin. Mahse, neurological condition dang tihbo nan an pui hle.
- Thisen test: Thisen test hi a chhan bulpui, zunthlum, vitamin tlakchhamna, leh thyroid lama harsatna nei te zawn nan an ti thin.
- Genetic test: He test hi thlahtute atanga rinhlelhna a awm chuan tih theih a ni.
Enkawlnate chu engte nge ni?
Doctor-te chuan enkawl chhung hian thil tum lian pahnih an ngaihtuah ber a ni.
1. A chhan bulpui enkawl: Hei hi a pawimawh ber a ni. Zunthlum vang a nih chuan zunthlum hi a thunun tha hle tihna a ni. Vitamin tlakchhamna a nih chuan a tul angin vitamin pek a ni. A chhan chu uluk taka enkawl a nih chuan nerve tihchhiatna chu tihtawp emaw, tihtlem emaw theih a ni.
2. Natna leh a lan chhuah dan dangte thunun: Nerve natna thunun nan damdawi bik a awm a.
Pawimawh: Hetiang nerve natna chi hrang hrang tan hian natna tidamtu hman tlanglawn (Paracetamol leh Ibuprofen ang chi) hi a tha vak lo. Chuvang chuan doctor-in damdawi a pek chauh hman a pawimawh.
Damdawi chi hrang hrang hman ber thenkhat chu a hnuaiah hian tarlan a ni.
| Damdawi chi hrang hrang | Entirna leh note te |
|---|---|
| Antiseizure damdawi hman tur | Hengte hi epilepsy natna atana hman thin damdawi ni mahse, nerve natna tihreh nan pawh a tangkai hle. Entirnan: `Gabapentin`, `Pregabalin` tih te hi a ni |
| Antidepressant damdawi a ni | Hengte hi lungngaihna atana damdawi pek ni mah se, nerve tihchhiatna avanga natna tihreh nan pawh hlawhtling takin an hmang bawk. Entirnan: `Amitriptyline`, `Nortriptyline`, `Desipramine` tih te hi a ni |
| Topical anesthetics hmanga tihdam theih a ni | Cream, gel emaw plaster emaw vunah hnawih thin. Chungte chuan natna hmun chu a ti numb a, natna a tiziaawm bawk. Entirnan: `Lidocaine`, `Capsaicin` tih te hi a ni |
Engtikah nge Doctor ka hmuh ang?
He thuziaka kan sawi tak symptoms te hi i neih chuan, a bik takin i taksa peng hrang hranga kang, natna, emaw, tingling emaw i neih chuan, thil thleng mai mai angin ngaihthah mai mai suh la, doctor hmu ngei ang che. A chhan chu zunthlum ang chi natna khirh tak, enkawl theih a nihna chhinchhiahna a ni thei a ni.
Doctor-in SFN a vei tih a hriat tawh chuan a hnuaia inthlak danglamna i hmuh chuan doctor hmu leh rawh:
- Tunah hian ka ke natna chu ka kutah a darh ta se engtin nge ni ang?
- Natna a tam emaw, a nasat dan emaw a san chuan.
- Symptom thar a lo lang a nih chuan, luak chhuak emaw, kal harsa emaw te hi a ni.
Doctor i hmuh hunah a hnuaia zawhnate hi i zawt thei ang.
- "Engvangin nge heng symptoms te hi ka neih?"
- "Heng symptoms te hi a zual zel dawn em ni?"
- "Eng enkawlna tha ber ber nge ka neih theih?"
- "Hetiang dinhmun hi kumkhuain ka nei dawn em ni?"
Take-Home Thuchah a ni
- Small Fiber Neuropathy (SFN) hi kan vun chhunga nerve fiber te tak te te tihchhiat avanga lo awm a ni.
- A lan chhuah dan ber chu kang, rilru hah, leh kut leh kea hliam na tak tak te hi a ni.
- Vawi tam tak chu he natna thlentu ber chu zunthlum thunun theih loh a nih avangin heng chhinchhiahnate ngaihthah hi a hlauhawm thei hle.
- Heng symptoms te hi i neih chuan a rang thei ang bera doctor pan la, a chhan zawng chhuakin enkawl dan tur dik tak i dawng ang.
- A chhan bulpui enkawl leh natna thunun pahnih hi enkawlnaah hian a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh