I fate kut leh ke chu a duh loh zawngin a inher em? Sydenham Chorea a ni thei ang em?

I fa te hian an taksa peng leh taksa chu mak tak maiin a tichei tan ta thut mai em? A sawi lai hian a chang chuan a bengchheng em? A nih loh leh, a nuih a za nghal a, a hmel a siam chhuak tih i hmu em? Nu leh pa i nih angin heng thilte hi i hmuh hian hlauhna nasa tak i neih hi thil pangngai tak a ni. Mahse heng zawng zawng hi chhan a awm thei. Vawiin hian chutiang dinhmun pakhat chu kan sawi dawn a ni. Chu chu `Sydenham Chorea` an tih dinhmun a ni.

`Sydenham Chorea` tih hi eng nge ni?

A awlsam zawngin sawi ila, `Sydenham Chorea` hi naupangte zingah nervous system-a movement disorder a ni. A bik takin bacteria infection `(Group A beta-hemolytic Streptococcus)` an tih vang a ni. Ni e, ni e, i lo guess dik a, hei hi strep throat leh rheumatic fever thlentu bacteria tho kha a ni.

Tunah chuan, "Engtin nge ril infection nen hian hetiang hi a awm theih ang?" Hetah hian thil thleng chu... Kan taksa immune system hi natna laka min humhim turin a awm a. Mahse, he `(Streptococcus)` bacteria hi taksaah a luh chuan naupang thenkhat immune system chu a buai deuh thin. Chumi awmzia chu bacteria chauh beih ai chuan tihsual takin thluak hmun hrisel thenkhat pawh a bei tan tihna a ni. Hei hi thluak peng hrang hrang, chetna thununtute tan chuan a dik hle.

Greek tawng "Chorea" tih awmzia chu "lâm" tihna a ni. Chuvangin he hming hi heng naupangte hian an tawn, an zai ang maia an taksa peng hrang hrangte chu an duh loh zawnga, rang tak leh inthlau lo taka an jerking leh jerking atanga lo chhuak a ni. Thil na tak tak thenkhatah chuan heng chetna hian naupang nitin hnathawhna pawh a tibuai thei a ni.

Hetiang dinhmun hi naupangte chu ``strep throat'' emaw ``rheumatic fever emaw an neih hnuah a thleng tlangpui a ni.'' Hei hi naupangte zingah pawn lam thil avanga chorea vei tam ber a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan North America leh Europe ang ram changkang zawkah chuan tunah chuan Sydenham Chorea vei hi a tlem hle. A chhan chu chu ramteah chuan rilru natna (throat infection) tan antibiotics pek nghal a nih vang a ni. Mahse, keini ang ram changkang zawkah chuan he dinhmun hi hmuh tur a la awm a, a chhan chu a chang chuan enkawl dan a inang lo va, mi zawng zawng hian enkawl vat an dawng vek lo.

Hetiang hi tuin nge nei tam zawk?

Naupang kum 5 leh 15 inkar ah hmuh tur a tam ber a , mipa aiin hmeichhiaah a tam zawk bawk. Naupang kum 5 hnuai lam emaw, puitlingah emaw a tlem hle.

Hei hian eng harsatna dang nge a thlen theih?

Sydenham Chorea vei naupangte hi PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) tih hming puin an hlauhawm hle. PANDAS hi autoimmune neuropsychiatric disorder a ni a, streptococcal infection nena inzawm a ni. Mahse, strep infection hian PANDAS a thlen tak tak em tih chungchangah hian doctor-te zingah inrem lohna a la awm reng a ni. PANDAS vei naupangte hian natna lan chhuahna te chu:

• Nungchang inthlak danglam leh ngaihsak loh.
• Obsessive-compulsive tak tak a awm.
• Sudden, unnatural movement emaw sound emaw (tics) lo chhuak.

Chu mai ni lovin, kan immune system-in he streptococcus infection a chhan dan hian taksa peng dang, vun, ruh leh thinlung te pawh a nghawng thei a ni. Entir nan:

• Arthritis natna a ni
• Thinlung chhungril lam natna (endocarditis) .
• Lung valve natna

Pawimawh: Hei vang hian naupang Sydenham Chorea vei chu cardiologist-in enfiah turin an fuih a ni.

`Sydenham Chorea` awm chhan dik tak chu eng nge ni?

Kan sawi tawh ang khan hei hi a chhan ber chu `(Group A beta-hemolytic Streptococcus)` natna hrik kai avanga immune system-in a chhan dan dik lo vang a ni. A awlsam zawngin, kanmahni invenna sipaite (immune cells) te hian kan thluak hmun thenkhat chu an rawn bei sual a ni. A bik takin thluak chhunga chetna control tu area. `Sydenham Chorea` vei thisenah hian `Sydenham Chorea` vei thisenah `(antibodies)` (antibodies) bik hmuh a ni.

`Sydenham Chorea` natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi naupang taksa khawi hmunah pawh a awm thei. A châng chuan an lo lang thut a, naupang a chau hunah a na zual thei bawk.

Taksa pianphung: 1.1.

• Kawng leh taksa chu tum nei lovin, rang takin, leh random takin a inher leh inhnim hrual kual vel a. Hei hi i hmuh chuan naupang chu a rilru hahdam lo leh misual tak niin a lang.
• Hnathawh kawngah theih lohna, kut atanga thil tla.
• I kutah thil pakhat nghet taka chelh harsa.
• I kut chu i rawn hrual khawm a.
• Restlessness a awm.
• Hmel lan dan inthlak danglam nghal (hmei hrual tlem ang mai).
• Kal laiin tlu leh tlu.

Thusawi harsatna: 1.1.

• Thusawi slurring, bengchheng.
• Thusawi chhuak thut, au thawm, etc.

Rilru leh rilru lam mizia: 1.1.

• Lungkhamna, hlauhna.
• Thil ngaihtuah harsa tak a ni.

Ngaihtuah teh, naupang Amila tih hming pu chu sikul atanga a lo haw chuan a nu chuan a kutziak chu a hma aia a buai zawk tih a hmu a, a ziah laiin a kut a nghing bawk. Class-ah pawh zirtirtuin kal tur a tih chuan a ṭhu ngawih ngawih ngawih ngawih a, a zai mai thin. In a lo haw chuan buhfai chu spoon hmangin a hmuiah pawh a dah tha thei lo va, a luang chhuak ta a ni. Hetiang thil i hmuh chuan damdawi lam thurawn i lak ngei ngei tur a ni.

Engtikah nge symptoms a lo intan?

Hei hi a special case deuh a ni. Thlarau natna (strep throat) emaw, rheumatic fever emaw a neih hnuah pawh symptoms a lang nghal lo. Naupang thenkhat chuan thla 6 vel an tlin hma chuan heng `Sydenham Chorea` symptoms te hi an nei tan lo thei .

Engtin nge hei hi i diagnose?

Doctor chuan i fate chu an natna lan chhuah dan a zawt ang a, tun hmain Group A beta-hemolytic Streptococcus infection an lo kai tawh em tih a zawt ang. Hei hian tun hnaia an rilru na, vun natna, emaw, ruh natna emaw an nei em tih an zawt ang tihna a ni.

Tichuan, thisen test hmangin strep bacteria laka antibody a awm leh awm loh enfiah theih a ni. Hei hian diagnosis siamna kawngah nasa takin a pui thei a ni. I fain Sydenham Chorea a vei tih finfiah a nih chuan heart test (a tlangpuiin echocardiogram) pawh tih theih a ni a, chu chuan heart valve a chhiat loh emaw, endocarditis ang chi condition emaw a enfiah thei bawk.

Sydenham Chorea hi engtin nge enkawl a nih?

I fa enkawlna tha ber chu a natna lanchhuahna nasat danah a innghat ang. A chang chuan a natna lan chhuah dan a na lo hle a nih chuan enkawlna bik a ngai lo mai thei. Amaherawhchu, Doctor chuan naupang chu a vil chhunzawm zel dawn a ni.

`Sydenham Chorea` na tak leh na tak enkawl dan:

Naupang natna lanchhuahna na tak leh na tak nei te chuan damdawi ei hian hlawkna an hmu thei a ni.

• Steroid-type damdawi: Hengte hian taksa atanga antibody siam dik lo te chu a paih chhuak thei a ni.
• Damdawi dang: A chang chuan damdawi dang pek belh a ngai thei bawk. Heng damdawi te hi natna dang atan hman ber ni mahse, Sydenham Chorea tan pawh him takin hman theih a ni. Chung zingah chuan:
• Anticonvulsants: Entirnan damdawi valproic acid leh carbamazepine te hi a ni. Chungte chuan nerve impulse stabilize turin a pui thin.
• Antipsychotics: Entirnan, haloperidol. Chungte chuan tics, jerking movement leh rang taka au thawm te chu a control thei a ni.
• Dopamine depleters: Hei hi entirnan Tetrabenazine an tih damdawi hi a ni. Hei hian duh loh zawnga chetna a thunun a ni.

Heng damdawi zawng zawng hi prescription chauha lei theih a ni tih hre reng ang che. Damdawi lam thurawn tel lo chuan heng damdawi te hi hmang ngai suh.

Hetiang dinhmun hi ven theih a ni em?

Ni e, eng emaw chen chu. ``Strep throat`` (throat infection) leh ``rheumatic fever`` (rheumatic fever) te hi a hun taka leh a hun taka enkawl (antibiotics) hian ``Sydenham Chorea`` vei theihna a ti tlem thei a ni.

Tin, chubakah, .I fain Sydenham Chorea a vei a nih chuan doctor-te chuan naupang chu puitling a nih hma (kum 21 emaw a aia upa emaw pawh ni thei) antibiotics pek chhunzawm zel turin an rawt thei a, hei hian strep infection a neih leh loh nan leh thinlung natna a vei theihna a ti tlem thei a ni. Hun rei tak chhunga thil tum chu thinlung natna avanga lungphun (heart valve) tihchhiat reng theih lohna tur a ni.

`Sydenham Chorea` vei naupangte hmalam hun eng nge ni? (Prognosis) tih a ni.

He thu hi i hriat chuan i lawm hle mai thei. Naupang tam zawk hi thla 3 atanga thla 6 chhungin an dam kim vek. Mahse, a tlem lutuk chuan kum 2 thleng symptoms an nei thei.

Thil dang pakhat chu, a chang chuan heng symptoms te hi naupan lamah a lo lang leh thei a, a bik takin hmeichhiain hormone `(estrogen)` awmna birth control pill an ei emaw, nau an pai emaw hian a lo lang leh thei a ni. Chuvang chuan `Sydenham Chorea` i lo vei tawh a nih chuan doctor hnenah hriattir a pawimawh hle.

Hetiang dinhmun nen hian nitin nun hi engtin nge a awm?

Naupang natna lan chhuah dan (moderate to severe symptoms) nei te chuan nitin hna thawh chu an harsat phah thei a ni. Hêng duh loh zawnga chetnate hian sikul hnathawh te, infiamna te, leh ṭhiante nêna inhmuhna te a tihbuai nasatzia hi han ngaihtuah teh. Sydenham Chorea natna vei harsatna pakhat chu a natna lan chhuah dan a lo lang nghal thei a, nitin a wax leh a tlahniam thei a ni. Hei hian naupan lai thil tih dan pangngaia tel a harsat phah thei a ni.

Sydenham Chorea hi acquired neurological disorder a ni a, Group A beta-hemolytic Streptococcus kai hnua lo awm a ni. Ram changkang zawkah a tam ber a, naupangte hian strep infection an neih chuan antibiotic treatment mumal tak an dawng lo. Hlawhtling taka enkawl hnuah pawh naupang tlemte chuan nakin lawkah lung natna leh harsatna dang an nei thei a ni. Mahse, naupang tam zawk chu an dam vek a, harsatna an nei lo.

Thuhmahruai angin hre reng ang che (Take-Home Message) .

• Sydenham Chorea hi kan taksa invenna (immune system)-in bacterium (streptococcus) a chhan dan dik lo avanga lo awm a ni a, chu chuan ril infection leh rheumatic fever a thlen thin.
• Hei hi naupang kum 5-15 inkar, a bik takin hmeichhe naupang zingah hmuh tur a tam ber.
• A duh loh zawnga taksa peng hrang hrang chetna, tawngkam mumal lo, leh nungchang inthlak danglam te ang chi natna lanchhuahna a awm thei.
• Thlarau natna enkawl vat leh dik taka enkawl hian hei hi a veng thei a ni.
• Naupang tam zawk hi chu an dam vek a, mahse hun rei tak chhung damdawi lam enkawl a pawimawh a, a chhan chu thenkhat chuan lung natna ang chi harsatna an nei thei a ni.
• I fa hian heng symptoms te hi a neih chuan hlau suh la, doctor thiam tak pan nghal rawh. I fa chu a rang thei ang bera hriatchhuah leh enkawl chuan a dam thuai thei a ni.

Hemi chungchanga zawhna dang i neih chuan i chhungkaw doctor emaw naupang enkawltu emaw nen inbiakna neihpui ngei ang che. Anni hian hrilhfiahna leh tanpuina dang an pe thei ang che.

`Sydenham-a chorea, strep throat, rheumatic fever, thluak lam harsatna, chetna lama harsatna, naupang enkawlna, antibiotics