Khawi emaw laiah kan lu kan vuak hian, "Aw, bump te tak te chauh a ni a, chu chu a pawi lo," tiin kan ngaihtuah fo thin a ni lawm ni? Mahse a chang chuan, a bik takin kan lu kan vuak nasat deuh hian kan lu ruh chhunga chhiatna chu kan hmu lo. Chutih lai chuan hlauhawm tak, nunna atana hlauhawm tak pawh a lo awm thei a ni. Hei hi Subdural Hematoma an ti a . A awlsam zawngin, hei hi lu chhungah, thluak vel a thisen a inkhawm hun a ni. Hemi chungchang hi chiang takin, awlsam takin han sawi ila.
Subdural Hematoma hi eng nge ni?
Subdural hematoma chu thluak chhunga thisen chhuak a ni. A bik takin kan thluak venghimtu membrane layer inkara thisen awmkhawm a ni. Hei hi lu hliam vangin a thleng fo thin.
Kan thluak hi lunghlu hlu tak angin han ngaihtuah teh. Chu lunghlu vêlah chuan a vênhim nân cushion ang chi khuhna a awm a. Chutiang bawkin kan thluak venghimtu tur hian membrane layer lian pathum a awm a. Chungte chu `(meninges)` kan ti a.
- Dura mater: Hei hi luruh hnuaia pawn lam ber, nghet tak a ni.
- Arachnoid mater: Hei hi a lai tak, a layer nalh tak, rulhut (spider’s web) ang chi a ni.
- Pia mater: Hei hi thluak chhungril ber a ni.
Subdural hematoma hi lu-a vuakna avanga heng layer inkar thisen kalna kawng te tak te a tihchhiat hian a awm thin. Chumi hnuah chuan ruptured vessel atanga thisen chu outer dura mater leh inner arachnoid mater inkar hmunah a khawlkhawm thin a ni . Hetiang thisen inzawmkhawm, thisen zam siamtu hi subdural hematoma an ti a. Hei hi natna khirh tak a ni a, Traumatic Brain Injury (TBI) category-ah a tla a ni.
Chutianga thisen zam lo awm chuan thluak chu a nawr tan ta a ni. Hei hian thluak hnathawh a tibuai a ni. Hei hi emergency medical treatment mamawhna a ni.
Subdural Hematoma chi hrang hrangte chu engte nge ni?
Doctor-te chuan he natna hi a lan chhuah chak dan, thisen chhuah zat leh thluak chhiatna a thlen dan a zirin an thliar hrang a ni. He classification hi enkawl dan tur tehnaah a pawimawh hle.
| Lampang | Symptoms lo awm tan hun | A sawifiahna awlsam tak |
|---|---|---|
| Nasa tak | Minute tlemte atanga darkar tlemte chhungin | Hei hi a hlauhawm ber leh rang ber type a ni . Lu hliam na tak hnuah symptoms a lang thin. Thisen kal dan hi a rang a, chuvangin thluaka pressure a sang chak hle. Enkawl vat loh chuan hriatna hloh, paralysis, a nih loh leh thihna thlengin a thlen thei a ni. |
| Subacute a ni | Darkar tlemte atanga ni engemaw zat emaw, kar tlemte emaw thlengin | Symptoms a lo lang zauh zauh. Lu hliam hnuah ni hnih atanga ni thum chhung, a chang chuan kar khat thleng pawh a lang thei. Hetiang dinhmun hi concussion nen a awm thei . |
| Chronic a ni | Kar tlemte atanga thla engemaw zat thleng | Hetiang chi hi kum 65 chunglam ah a tam ber a, thisen a chhuak nasa hle a, trickle ang mai a ni. Chuvangin, natna lan chhuah nan kar tam tak emaw, thla tam tak emaw a la ngai thei a ni. A chang chuan symptoms a lo lan hian i lu i vuak tih pawh i hre lo mai thei. |
Hetiang natna lan chhuah dan hi engte nge ni?
Lu hliam hnuah symptoms a lang nghal thei a, a nih loh leh hun kal zelah a lang thei bawk. A chunga kan sawi tawh chi hrang hrangah a innghat.
A lan chhuah dan tlangpui
- Lu natna awm reng, na tak: Hei hi `(Acute)` type-ah chuan a na zual hle.
- Nausea leh vomiting: Chhan awm lova luak chhuak.
- Thusawi harsa (Dysarthria): Thumal hi a slurred a, a bengchheng ang maiin a lang.
- Mit a inthlak danglam: Mit a fiah lo, mit pahnih a hmu thei.
- Luak chhuak: I lu a inher ang maia hriat.
- Kal harsa leh balance hloh: Kal laiin staggering.
- Taksa sir khata chak lohna: Kut emaw, ke emaw chu a hring emaw, a chak lo emaw a ni.
A bik takin chronic type-ah hian symptoms hmuh tur a awm
- Memory loss: Tun hnaia thil thleng theihnghilh.
- Buaina: Khawiah nge i awm tih leh engtik lai nge tih i hre thei lo.
- Nungchang inthlak danglamna: Thinrimna leh buaina chhuak nghal.
Nausen te te tanChutiang a nih chuan an lu ruh chu a la nem reng avangin thisen a pun zel avangin an lu ruh chu a lian thei a ni .
A natna a nasat huna lo awm thei symptoms
Lu chhungah thisen a lo pungkhawm a, pressure a san chuan symptoms a na zual thei bawk.
- Paralysis a awm
- Seizures a awm thin
- Thâwk harsa
- Thil hriatna hloh
- Coma ah a awm
Hriat tur pawimawh tak chu a chang chuan lu hliam hnuah pawh symptoms a awm nghal lo. Mahse, ni engemaw zat hnuah symptoms a lo lang nghal thei a ni. Chuvangin lu hliam i neih chuan "Ka tha e" tih mai mai chu a hlauhawm hle.
Subdural Hematoma hi engte nge ni?
A tam zawkah chuan he natna hi lu hliam vang a ni. Entir nan:
- Bathroom-a tlu leh tlu leh i lu vuak.
- Bicycle, three-wheeler, car accident-a lu hliam.
- Football emaw rugby emaw ang chi infiamna i khelh laiin i lu vuak.
- Assault avanga lu hliam.
Tute nge risk sang zawk?
Accident hnuah tu pawhin he natna hi an nei thei a, mahse mi thenkhat chu an hlauhawmna a sang zawk.
- Kum: Kum 65 chunglam leh naupang te te hi an hlauhawm zawk. Kan tar chhoh zel chuan kan thluak hi a pianphungah a tlahniam deuh thin. Hei hian luruh leh thluak inkarah gap tlem a siam a. Hei hian thluaka kalna thisen kalna kawng nalh tak takte chu a tizau thei a ni. Tlu tlemte pawh nise, heng thisen kalna kawng (stretched blood vessels) te hi awlsam takin a chhe thei a, thisen a chhuak thei bawk. Naupang tê tête kawr ruh chu a chak loh avângin, an tihnghing lutuk (shaken baby syndrome) hian he natna hi a awm thei a ni.
- Thisen tithianghlimtu damdawi ei thinte: Lung natna leh stroke ang chi natna enkawlna atana hman thin, anticoagulants ang chi damdawi te hian thisen zam a titawp thin. Heng damdawi ei mi tu emaw chuan an lu a rawn deng chuan thisen chhuah chu chawlhsan lovin a chhunzawm thei a ni.
- Damdawi lam dinhmun thenkhat: Thisen zam tichhe thei natna, hemophilia ang chi nei te chu an hlauhawm hle.
- Zu in tam lutuk: Hun rei tak chhunga zu in tam lutuk hian thin (liver) a tichhe thei a ni. Liver hian thisen zamna atana mamawh protein a siam chhuak a. Liver a chhiat chuan chu protein te chu siam chhuah a ni tawh lo va, thisen chhuah theihna a tipung a ni.
Engtin nge doctor hian hei hi a hmuh theih?
Lu hliam neia damdawi in i kal hunah chuan Doctor-in uluk takin a enfiah hmasa ang che. Zawhna a zawt ang che:
- Eng symptom nge i neih?
- Engtin nge leh engtikah nge i lu i vuak?
- Eng natna dang nge i neih?
- Eng damdawi nge i hman?
Tichuan, subdural hematoma nia rinhlelhna a awm chuan lu scan tura tih a ni ang.
- CT scan (Computed Tomography scan): Hei hian rang takin lu chhung lam thlalak a la thei a, thisen a chhuah leh awm loh enfiah theih a ni. Hei hi emergency-ah tih a ni tlangpui.
- MRI scan (Magnetic Resonance Imaging scan): Hei hian thlalak chiang zawk, chipchiar zawk a la thei. Hei hian thisen chhuahna zau zawng leh kum engzat nge a nih tih hriat theih nan a pui thei a ni.
Engtin nge enkawl a nih?
Emergency-ah chuan damdawi ina Emergency Treatment Unit (ETU) -a doctor-te chuan i thawk leh thisen sang chu an ti nghet hmasa ang. Tichuan, thisen chhuah zat leh i natna lan chhuah dan nasat dan a zirin enkawl dan tur a ni ang.
- Surgery: Thisen zam lian tak a awm a, a natna lanchhuahna a nasat chuan zai a ngai tlangpui. Hei hi neurosurgeon ten an ti thin a ni .
- Craniotomy: Hei hian a chhunga thisen zam lo awm tawh chu paih vek turin luruh hmun tlemte chu rei lo te chhung lakchhuah a ni. He surgery hi acute hematomas tan tih a ni ber.
- Burr holes: Hei hian luruh chhungah khur te tak te tak tak pakhat emaw a aia tam emaw siam a, chuta tang chuan tube te tak te dah a, zawi zawiin thisen chu chhuah tir a ni. Hetiang method hi chronic hematomas tan hman a ni ber.
- Surgery tel lova enfiah: A chang chuan thisen zam a tlem hle a, symptom a awm loh chuan surgery a ngai lo. Doctor chuan damdawi inah enfiah turin a dah ang che. Damdawi an pe ang che a, thisen zam chu a lo hmin em tih enfiah nawn lehin an ti ang.
Eng chen nge a dam theih ang?
Hetiang dinhmun atanga dam leh hun chhung hi mi hrang hrangah a inang lo. Mi thenkhat chu kar tlemte chhungin an dam vek. Mahse mi thenkhat, a bik takin thluak chhiatna nasa tak nei te chu an dam kim lo mai thei.
Operation hnua hriatrengna lama harsatna emaw, chak lohna emaw i neih chhunzawm chuan rehabilitation i mamawh mai thei.
- Physical therapist: Kal leh balance neih ang chi thilah te tanpui thin.
- Occupational therapists: Mite chu nitin hna hrang hrang mahni inrintawkna neia thawk turin zirtir thar leh rawh (incheina leh ei leh in ang chi).
- Speech-language pathologists: Thusawi emaw, ei leh in emaw harsatna enkawl.
Hetiang dinhmunah hian harsatna a awm em?
Enkawl loh chuan thisen zam lian tak takte hian coma leh thihna thlengin a thlen thei a ni. Chu bakah, hetiang ang harsatna hi a awm thei bawk.
- Brain herniation: Hei hi thluaka pressure a san em em a, thluak hmun thenkhat chu an awmna pangngai atanga lo chhuak a ni. Hei hi a hlauhawm hle mai.
- Rebleeding: Operation hnua thisen chhuah leh theihna a awm a, a bik takin kum upa lam tan chuan a hlauhawm hle.
- Seizures: Mi thenkhat chuan enkawl leh dam hnuah pawh seizures an nei thei.
Take-Home Thuchah a ni
- I lu i vuak hian "Engmah pawi tak a ni lo" tih mai mai suh. A bik takin tar emaw, naupang te emaw, thisen tihthianghlimna damdawi ei thin i nih chuan doctor pan ngei ngei tur a ni.
- Lu na reng reng, luak chhuak, tawng harsa, taksa sir khata chak lohna, emaw, buaina emaw ang chi symptom i neih chuan hun khawhral lo la, damdawi in Emergency Department (ETU) pan nghal rawh.
- Enkawlna zawng i tihkhawtlai poh leh i thluak hian chhiatna a thlen nasa zawk a ni. Chuvângin, damdawi lam thurâwn dîl vat chuan i nunna emaw, i hmangaih tak nunna emaw a chhanhim thei a ni.
- Doctor thupek dik takin zawm rawh. I dam chhoh lai hian i lu vuak lo turin fimkhur rawh.
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