Lu na na tak leh mit na em? Tolosa-Hunt Syndrome a ni thei!

I mit i sawn lai hian lu na leh natna nasa tak i nei nghal em? A nih loh leh i mit i thunun thei lo ang maiin i inhria em? Hetiang symptoms i neih chuan Tolosa-Hunt Syndrome tih hming pu, vawiinah hian kan sawi dawn a ni. Ngaihtuah buai suh, i hriatthiam theih tur awlsam takin engkim kan sawi dawn a ni.

Tolosa-Hunt Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, Tolosa-Hunt syndrome hi a awm lo hle. I mit i tihchet hian lu na nghal, na tak leh na tak a thlen a, a nih loh leh i mit tihchet theihna a hloh bawk. Heng symptoms te hi i dam chhung zawngin a lo thleng thei a, a lo thleng thei bawk. I in chhungah sawm loh mikhual i neih ang mai a ni. I ni chu an titawp a, i rilru a hahdam lo. Mahse vanneihthlak takin heng mikhualte hi an rawn kal kual fo lo.

Research atanga a lan dan chuan he natna thlentu hi mit hnung lama hring (swelling) a ni thei a, hei hi kan taksa immune system (inflammation) atanga lo chhuak a ni.

I doctor-in he natna hi hming dangin a ko tih i hre tawh mai thei. Entir nan:

• `(Mit lam natna)`
• `(Recurrent Ophthalmoplegia)` (A lo lang leh tihna a ni)
• `(Mit lama harsatna nei)`

Eng hming pawh ni se, a awmzia chu a inang fo thin: Tolosa-Hunt syndrome.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi a takah chuan a tlem hle . Khawvel hmun hrang hranga statistics i en chuan zirchianna atanga a lan dan chuan mi maktaduai khat zinga pakhat velin Tolosa-Hunt syndrome an vei a ni. Chuvangin hei hi mi zawng zawng tuar thei natna a ni lo.

Tolosa-Hunt syndrome natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi a lang thut tlangpui. A lan chhuah dan tlangpui chu:

• Lu na na tak: Hei hi lu na pangngai ang a ni lo. He natna hi hmai chunglam, a bik takin mit vel (a `periorbital headache`) ah hriat a ni. Mi thenkhat chuan natna khirh tak angin an hre thei a, chemte kah ang maiin an hre thei bawk. Mi dangte chuan natna dull emaw, dull ache emaw angin an ngai mai thei.
• Double vision: Thil pakhat i en chuan thil hrang hrang pahnih angin a lang. Mit pahnih hian an focus tha lo ang mai a ni. Hei hi symptom buaithlak tak a ni.
• Mit leh hmai vêla ruhte chak lohna emaw, sawn theih loh emaw: Mit chu sawn a harsa ṭhin a, a châng chuan a sir khatah pawh a che thei lo. Hmai ruh (muscle) te pawh a nghawng thei bawk.
• Chronic fatigue: Nilengin i chau thei a, eng ang pawhin mut pawh nise i hahna chu i paih bo thei lo ang maiin i awm thei.

Heng thil pawimawh tak takte bakah hian thil dang thenkhat pawh hmuh tur a awm bawk:

• Mit atanga chhuak (proptosis): Mit pakhat emaw pahnih emaw chu hmalam pan deuhin a lang thei.
• Mitmeng chunglam a tlak (ptosis): .Mit pakhat emaw, mit pahnih emaw mitmeng chunglam chu a sang thei lo thei a, a tlakbuak angin a lang thei bawk.
• Vision loss: Mi thenkhat chuan mitdelna tlem an nei thei bawk.

Heng symptoms te hian hmai sir khat chauh a nghawng fo thin. Tin, an rawn lang nghal thei bawk a, ni rei lote chhungin anmahniin an bo thei bawk (spontaneous remission). Mahse, an lo lang leh thei tho.

Eng thilin nge Tolosa-Hunt syndrome hi a thlen?

Dik tak chuan eng thil nge hetiang hi a thlen tih chiang takin kan la hre lo . Mahse doctor leh zirchiangtute chuan thil theih nia an ngaih thil lian pahnih a awm a, chungte chu:

1. Abnormal autoimmune response: Hei hi kan immune system – natna laka min vengtu system-in kan taksa hrisel tak takte a rawn beih sual hian a ni. Tolosa-Hunt syndrome-ah chuan he attack hi mit hnung lama hmun sensitive tak tak pahnih ah a thleng thin. Pakhat chu ``Cavernous Sinus`` , cavity ang chi hmun a ni a, thluaka thisen pe thei vein leh nerve pawimawh tak tak a awm a ni. A dang chu ``Orbital Fissure`` , mit nena inzawm nerve leh thisen kalna kawng hawnna a ni. Kan taksa hriselna (immune system) hian heng hmunte hi a bei a, chutah chuan a hring chhuak thin.

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Heng point pahnihte hi research stage-ah an la awm a, chuvangin a chhan chiang tak sawi a harsa hle.

Hei hi eng risk factors nge awm?

Thil engemaw tak chuan Tolosa-Hunt syndrome symptoms neih theihna a tipung thei a ni. Chungte chu `triggers` an ti a. Chung zingah chuan:

• Viral infection neih a nih chuan .
• A thluak hliam na tak a ni .
• Taksa khawi hmunah pawh tumor neih, a bik takin lu area-ah.
• Thisen kalna kawng (dilation or bulge) (aneurysm) ang chi natna.

Mi zawng zawng hian heng thilte hi an neih vang mai maiin he syndrome hi an nei vek dawn lo va, mahse a hlauhawmna chu tlem a sang thei hle.

Hei hian eng harsatna nge a thlen theih?

A tam zawkah chuan Tolosa-Hunt syndrome hi nunna atana hlauhawm tak a ni lo. Mahse, a nasat deuh deuhah chuan i mit hmuhna a nghawng thei a ni. Hei hi mit hnung lama ``Cavernous Sinus'' leh ``Orbital Fissure''-a swelling chu ``Optic Nerve'', mit hmuhna min petu ber nerve-ah a darh chuan a thleng thin. Chutiang a nih chuan mitdelna emaw, mitdelna dang emaw a awm thei a ni. Chuvangin symptoms a lan veleh enkawl vat a pawimawh.

Engtin nge hei hi hriat chhuah a nih?

Doctor chuan i natna lan chhuah dan uluk taka a ngaihthlak hnuah, a enfiah hnuah, i medical history kimchang a lak hnuah a hrechhuak ang. Hei hi thil buaithlak deuh a ni a, heng symptoms te hi damdawi lam thil dangah pawh hmuh theih a nih avangin.

Chuvangin, thisen test leh imaging test te hi a diagnosis tih finfiah nan leh symptom inang nei condition dang (entir nan, thluaka tumor emaw infection) te chu paih chhuah nan an ti thin. Chumi atana hman tur imaging test lian pahnih chu:

• Computed Tomography (CT) scan: Hei hian X-ray leh computer hmangin i taksa chhunga tissue nem leh ruh te chu three-dimensional (3D) image a siam a. Hei hian cavernous sinus area-a swelling ang chi thil zawng turin a pui thei a ni.
• Magnetic Resonance Imaging (MRI): Hei hian magnet lian tak, radio wave leh computer hmangin i taksa chhung lam, a bik takin thluak leh mit hmunte chu chiang takin a la thei a ni. CT scan aiin a chipchiar zawk.

Doctor-te chuan heng scan te hi mit hnung lama ``Cavernous Sinus`` leh ``Orbital Fissure'' an tih hmuna hliam awm leh awm loh chiang takin an zawng thin.`` Heng test te hian a chhan dang a awm lo tih finfiah nan a pui bawk.

Tolosa-Hunt syndrome hi engtikah nge hmuhchhuah a nih tlangpui?

He natna hian kum eng pawh a nghawng thei a, mahse kum 40 vel a ni tlangpui .

Hei hi engtin nge enkawl a nih?

Hei hi hun rei lote chhunga `(Steroid)` chi damdawi hmanga enkawl a ni. A bik takin `(Corticosteroids)` chi damdawi hman a ni. Heng damdawi te hian an tih chu chu swelling (`inflammation`) chu a tihziaawm a ni. A chhan chu, i natna lan chhuah chhan ber chu mit hnung lama he natna hi a ni.

He damdawi ``Corticosteroids'' an tih hi i ei hian a hring a tlahniam a, nerve-a pressure a reh a, i natna lan chhuah dan pawh a reh nghal vat bawk.

Enkawlna hian side effect a nei em?

Ni e, damdawi dang ang bawkin `(Corticosteroids)` hian side effect engemaw zat a nei thei. Chuvangin he damdawi hi i tan hmain doctor nen in sawiho hmasa phawt tur a ni. Tichuan, chumi chungchâng hriatthiamna chiang tak i nei thei ang. Side effect awm thei thenkhat chu:

• Ke a hring chhuak
• Ei duhna a tipung
• Mood a inthlak danglam thin
• Bruising awlsam tak
• Tlem a fiah lo deuh

Hengte hi mi zawng zawngah a thleng lo va, a tam zawkah chuan damdawi ei khap a nih veleh a reh mai thin.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Hei hi chanchin tha ber a ni. Steroid damdawi hi a pek angin i ei hnuah hun rei lote chhungin, ni khat emaw ni thum emaw chhungin hahdamna nasa tak i nei tan thei a ni. A natna chu a reh a, i mit tihchet a awlsam a, chutiang chhinchhiahna tibuaitu chu zawi zawiin a bo ta vek a ni.

Ngaihtuah teh, enkawlna i hmuh loh chuan ni 15 atanga ni 20 chhungin a natna lan chhuah dan chu a reh thei a ni. Mahse, chutiang rei chu i tuar duh lo. Tin, a natna lan chhuah dan a bo hnuah pawh beisei loh takin a lo lang leh thei bawk. Chuvangin inenkawlna lak a tha ber.

Hei hi dinhmun pawi tak a ni em?

Tolosa-Hunt syndrome hi nunna atana hlauhawm tak a ni lo. Amaherawhchu, symptoms a awm chuan nitin hna pangngai thawh a harsa thei hle a, a bik takin lu na na tak leh mit lama harsatna nei te nen chuan a harsa thei hle.

Mahse, enkawlna nen chuan prognosis a tha hle. Steroid hian darkar 24 atanga 72 chhungin symptoms a tihziaawm avangin i dam thuai ang a, i hnathawh pangngai chu i thawk leh thei tawh ang.

Tolosa-Hunt syndrome hi a dam kim thei ang em?

Vanduaithlak takin he natna hi damdawi a la awm lo. Enkawlna hian symptoms control leh tihtlem thuai tum a ni. Symptoms a lo lang leh thei a, chuvangin enkawl a ngai mai thei.

Hei hi ven theih a ni em?

Tun dinhmunah he natna laka inven dan tur hriat a la awm lo. A chhan chu, a hmaa kan sawi tawh ang khan a chhan dik tak hriat a la ni lo a, a ven dan tur sawi a har hle.

Engtikah nge Doctor i hmuh ang?

Tolosa-Hunt syndrome symptoms i neih nia i hriat chuan – lu na nghal, na tak, mit vel na, mit pahnih, mit tihchet harsatna te – doctor pan nghal ngei ang che. Tikhawtlai suh.

Chumi hnuah doctor chuan i natna lan chhuah dan enkawlna atan hun rei lote chhunga steroid a pe ang. Chûngte chuan hna an thawk thuai avângin i dam thuai ang a, i nun pangngaiah i kir leh thei tawh ang.

I doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin hetiang zawhna thenkhat hi zawh a tha ang:

• Tolosa-Hunt syndrome hian ka mit hmuhna a nghawng thei em?
• Hei hi enkawlna atan steroid ka ei a ngai tak tak em?
• Engtin nge `(Steroid)` damdawi ka ei ang? Eng chen nge ka lak ang?
• Heng enkawlnate hian eng side effect nge a neih? An laka inven nan eng nge ka tih ang?
• Symptoms a lo lang leh a nih chuan engtin nge ka tih ang?

Hetiang zawhna zawh hian natna chungchang leh a enkawl dan tur hriatthiamna tha zawk i nei ang.

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

Tolosa-Hunt Syndrome hi a lo awm nghal a, a natna lan chhuah dan chu a nuam lo hle. Lu na na tak chuan i nitin hna thawh a ti harsa thei hle. Vision pawh a nghawng thei bawk. Heng symptoms te hi dam chhung zawngin a lo thleng thei a, a kal zel thei bawk.

Mahse, hei hi nunna atana hlauhawm a ni lo tih hre reng ang che, enkawl dan pawh a awm.Hun rei lote chhunga steroid hman hian ni khat atanga ni thum chhungin natna lanchhuahna a tihziaawm thei a ni. Chuvangin, natna lanchhuahna a lo lan veleh Doctor i pan vat a, inenkawlna i hmuh chuan i dam thuai thei a, i duhzawng thil tihnaah i kir leh thei bawk. Hlau suh, i doctor nen eng thil pawh sawipui rawh.

` Tolosa-Hunt Syndrome, Lu na, Mit Na, Double Vision, Steroids, MRI, CT scan, Mit natna, Cavernous Sinus