I kut leh ke chu a hring emaw, a kang emaw a ni em? Hei hi Small Fiber Neuropathy a ni thei!

I kut leh keah tingling sensation i nei ngai em, emaw, i kut leh keah rulhut rawn tlan kual vel ang maia kang i nei ngai em? Heng symptoms te hi thil thleng mai mai angin hnawl mai suh, a dik em? A chhan chu a chang chuan heng symptoms hnuaiah hian condition a awm thei a, chu chu ngaihven deuh a ngai a ni. Vawiin hian kan taksa chhunga nerve fiber te te a chhiat avanga lo awm thin Small Fiber Neuropathy (SFN) tih kan sawi dawn a ni.

Chuti a nih chuan, Small Fiber Neuropathy hi eng nge ni?

A awlsam zawngin, hei hi nerve natna a ni a, peripheral neuropathy category-ah a tel a ni. Hetiang dinhmun hi kan vunah nerve fiber te tak te, nalh tak tak te chu eng emaw chhan vanga a chhiat chuan a lo awm thin. Heng nerve fiber te te te hian kan taksa natna leh lum leh vawt chungchang hi thluaka signal thawntu an ni. Chuvangin hengte hi a chhiat chuan, a hmaa kan sawi tawh ang khan, kut leh keah hian rilru hahna leh kang natna a awm thei a ni.

Mahse, hei hian kut leh ke chauh a nghawng lo. Kan taksaa hna pawimawh tak tak, thisen sang leh thinlung chakna ang chite thununtu nerve fiber te tak te dangte pawh a nghawng thei bawk .

Heng SFN symptoms te hi a chang chuan a na hle thei a, i nunphungah pawh nghawng lian tak a nei thei bawk . Hei hi natna khirh tak, nunna atana hlauhawm tak ni lo mah se, a châng chuan natna khirh tak dang chhinchhiahna a ni thei bawk. Chuvangin doctor-te chuan he natna thlentu hi zawng chhuakin, enkawl an tum a, heng natna lan chhuah dan tur thunun nan damdawi pawh an pe bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan hei hi thil awm dan tlangpui a ni lo. Zirchianna pakhatah chuan khawvel puma mi 100,000 zinga mi 53 velin small fiber neuropathy an vei tih a tarlang. Mahse, zirchiangtute chuan chu chu a tam zawk thei niin an ngai. He natna vei zawng zawng hi uluk taka hmuhchhuah vek an ni lo niin an ngai. Chuvangin, kan ngaihtuah aiin he harsatna hi mi tam zawkin an nei mai thei.

Small fiber neuropathy (SFN) natna lan chhuahna chu engte nge ni?

Hetiang natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mahse, a hmaa a lan chhuah tam ber chu "pins-and-needles" na emaw kut leh ke a kang emaw a ni. Heng symptoms te hi a chang chuan a lo thleng a, a kal zel a, a chang chuan a awm reng a, a tam zawkah chuan hun kal zelah a na zual zel bawk.

Symptom dang hmuh theihte chu:

• Feeling dizzy , emaw, i muhil dawn ang maiin.
• I thinlung a thawk chak zawk ang maia inhriatna (heart palpitations) .
• Numbness a awm .
• Taksa hmun tlemteah natna, lumna leh vawt hriat theih lohna.
• Pum natna , chaw ei loh.
• A tlangpui aia tam thawmhnaw hak.

I kut leh ke chu thinga hliam ang maia i inhriat chuan, a nih loh leh mei alh ang maia i inhriat chuan, i ding mai mai lai pawhin a ti thinrim dawn em tih han ngaihtuah teh.

Engvangin nge small fiber neuropathy (SFN) kan neih? A chhante chu engte nge ni?

Mak tak maiin, small fiber neuropathy vei zinga a chanve vel chu chhan hriat lohvin a thleng a ni . Doctor-te chuan hei hi " idiopathic small fiber neuropathy" an ti a. Chu chu a chhan dik tak chu hmuh theih a ni lo tihna a ni.

Amaherawhchu, zirchianna chuan natna chi hrang hrang, thlahtu natna thenkhat, leh toxin thenkhat nena inhmuhna te pawhin hetiang hi a thlen thei tih hmuhchhuah a ni.

Hetiang dinhmun hi natna thenkhat vang pawh a ni thei.

Diabetes Mellitus hi he natna veitu ber leh tam ber a ni. Chumi piah lamah chuan a hnuaia natnate hian SFN hi a thlen theih a rinawm bawk:

• Zu hmansualna .
• Immune system chak lo vanga natna lo awm, entirnan , Celiac disease , Sarcoidosis , emaw Sjögren’s syndrome .
• Glucose metabolism tihchhiat (Glucose intolerance tihchhiat) .
• Natna hrik kai theih thenkhat, entirnan Hepatitis C emaw HIV (Human Immunodeficiency Virus) .
• Metabolic syndrome a ni a .
• Thyroid natna a ni .
• Sepsis hi natna khirh tak a ni.
• Vitamin B tlakchhamna.

Tin, rochan (hereditary condition) thenkhat vang pawh a ni thei bawk.

Kan cell-te nervous system kaltlanga electrical signal siam leh thawn chhuahna tura puitu gene-a genetic mutations hian SFN a thlen thei bawk. Hriselna atanga lo piang natna dang thenkhat chu:

• Ehlers-Danlos natna a ni
• Fabry natna a ni
• Chhungkaw amyloidosis a awm
• Pompe natna a ni
• Porphyria a ni
• Wilson natna a ni

Damdawi leh toxin thenkhat...

Damdawi thenkhat hman hian small fiber neuropathy vei theihna a sang thei bawk. Entirnan:

• Antibiotics thenkhat , entirnan , Metronidazole , Nitrofurantoin, leh Linezolid te an ni .
• Chemotherapy damdawi , Bortezomib , Thalidomide , leh Vincristine (Oncovin) te hi a ni.
• Tumor necrosis factor inhibitor te hi entirnan etanercept te hi an ni .

Symptoms ti na zualtu thilte chu engte nge ni? (Triggers) 1.1.

A tlangpuiin, heng symptoms tichhuak thei thilte chu boruak lum takin vun a rawn deng , emaw, puan phek pakhatin vun a hnawih emaw hi a ni. Ngaihtuah teh, zanah i mu a, khum puan chuan i ke a rawn hrual a nih chuan tuar theih loh khawpa natna leh natna i nei ang... Chutiang thil tenau tak pawh hian heng mite tan hian natna nasa tak a thlen thei a ni.

Hetiang dinhmun hian eng harsatna nge a thlen? Ka lungngai tur em ni?

Small fiber neuropathy hian natna i hriat theihna a ti tlem thei a ni. Entirnan, thil lum i khawih palh a nih chuan i hriat lohvin i kang thei zawk. Tin , i lu a ti buai thei bawk a , i kal dan pawh a nghawng thei bawk . Chuvangin, i tlu duh zawk a ni lawm ni? Chuvangin heng thilte pawh hi i fimkhur a ngai a ni.

Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.

Doctor chuan taksa a enfiah hmasa ang a , i medical history a zawt ang . Small fiber neuropathy dik taka hriat theihna tur test pakhat mah a awm lo. Mahse, test tih fo thin engemaw zat a awm a:

• Electromyography (EMG) : Hei hian nerve leh muscle te electrical activity a test thin.
• Genetic tests : Hrilhfiahna atanga lo chhuak a awm leh awm loh enfiah thin.
• Imaging test : CT scan emaw MRI scan ang chi thil .
• Nerve conduction study : Nerve kal tlanga signal kal chak dan en rawh.
• Skin biopsy - nerve fiber density test : Vun sample te tak te lak a, microscope hmanga enfiah a, nerve fiber engzat nge awm tih hriat a ni.
• Quantitative Sudomotor Axon Reflex Test (QSART) : Hei hian thawk hahna control tu nerve te hnathawh dan a test thin.

Chu bâkah, doctor-te chuan small fiber neuropathy thlen thei dinhmun dang, zunthlum ang chite pawh an test thei bawk.

Hei hi eng enkawlna nge ni? Dam theih a ni em?

He natna hi enkawl hian doctor-te chuan a natna avanga natna tihziaawmna lam an ngaihtuah ber a ni.Damdawi leh enkawlna dang a awm bawk. Small fiber neuropathy hi natna dang complication a nih fo avangin a hnuaia natna awm pawh enkawl a pawimawh hle .

Natna damdawi

Natna tihreh nan damdawi chi hrang hrang hman theih a awm a:

• Antiseizure damdawi thenkhat , Gabapentin , Pregabalin , leh Topiramate , te hian nerve natna tihziaawmna kawngah a pui thei a ni.
• Antidepressant thenkhat , amitriptyline , nortriptyline , leh desipramine te pawh hi nerve natna atan a tha hle.
• Topical anesthetics : Entirnan , lidocaine cream emaw capsaicin cream emaw. Chûngte chuan natna hmuna hnawih a nih chuan hahdamna a pe a ni.

Doctor-in a tih ang chiaha damdawi hman a pawimawh hle tih hre reng ang che.

Hetiang dinhmun nen hian eng nge i beisei theih ang?

Small fiber neuropathy hi a lo awm zauh zauh thin . A châng chuan symptoms a na zual thei a, kum tam tak chhung chu a awm reng thei bawk. Zirna pakhatah chuan small fiber neuropathy vei zinga 13% leh 36% inkar chuan a tawpah chuan large fiber neuropathy an nei a, hei hian nerve fiber lian tak tak a nghawng a ni Hei hian kutkawr bun ang maia khawih leh vibration tih ang chi hriatna hloh a thlen thei a ni.

Enkawlna hnua i prognosis chu i SFN awm chhan a innghat a ni. Entirnan, zunthlum i neih chuan i dam chhung zawngin zunthlum damdawi i ei a ngai dawn a ni. Chuvangin, i dinhmun leh enkawlnain i natna leh a lan chhuah dan dangte a thunun theih dan tur chu i doctor nen sawiho rawh.

Hei hian dam rei zawngah nghawng a nei em?

Ni lo, small fiber neuropathy ngei pawh hian i dam rei zawng a ti tawi lo vang . Mahse, a chhan bulpui, zunthlum emaw HIV emaw a awm chuan i dam rei zawng a nghawng thei a ni.

Engtin nge ka in enkawl ang?

I invenna atana i tih theih pawimawh ber pakhat chu small fiber neuropathy avanga natna lo awm thin hi enkawl hi a ni. I doctor chuan natna damdawi a pe mai thei a, mahse natna tihdamna program pawh i ngaihtuah duh mai thei . Chûng zîngah chuan counseling leh therapy, exercise, leh massage emaw physical therapy emaw te pawh a tel thei.

Engtikah nge Doctor ka hmuh leh ang?

Small fiber neuropathy symptoms hi hun kal zelah a danglam thei a, a na zual thei bawk. SFN i neih chuan i taksa peng khata intan a, hmun danga lo lang chhuak symptom i hmuh chuan doctor hnenah hrilh rawh. Entir nan:

• Tunah chuan ka ke "stick ang" na na hi ka kut ah pawh hian hriat theih ni ta se.
• Pain attack a tam tawh a nih chuan, a nih loh leh natna a na zual a nih chuan.
• Symptom thar a lo lang a nih chuan, luak chhuak emaw, kal harsa emaw te hi a ni.

Hetiang hunah hian doctor pan vat a tha.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh ngei ngei tur a ni tih hre reng ang che:

• Ka natna lan chhuah chhan hi eng nge ni?
• Ka symptoms te hi a zual zel dawn em ni?
• Eng enkawlna nge ka tan hian rawtna awm?
• Hetiang dinhmun hi ka nei reng dawn em ni?

Hêng zawhnate chhânna i hriat hian chiang takin a pe ang che.

Chuti a nih chuan, he thil atang hian eng nge kan hriat reng tur? (In lama hruai tur thuchah)

Small fiber neuropathy (SFN) hi natna rei tak a ni a, ke ruhte a ti na a, a kang a, a na a, chu chuan i nunphung a tichhe thei a ni. A hnuaia awm, natna khirh tak tak awm thei dang chhinchhiahna angin a lang fo thin.

Doctor-te chuan SFN hi a hnuaia awm dan enkawlin an enkawl thin. Tin, a natna leh a kaihhnawih natna dangte enkawlna atana puitu tur enkawlna leh programme te pawh a awm bawk. I kut leh kea natna emaw, kang emaw i neih chuan ngaihthah suh la, Doctor pan rawh. Heng symptoms te hi natna khirh tak chhinchhiahna hmasa ber a ni thei. Ngaihtuah buai suh, i natna hmuhchhuah leh enkawl hmasak i nih chuan i control theih tlangpui.

` Small Fiber Neuropathy, SFN, nerve na, tingling, rilru hahna, zunthlum, neuropathy