He hmêl natna tuar theih loh hi eng nge ni? (Trigeminal Neuralgia) tih hi a awm lo.

I ha i sil lai te, i ei lai te, a nih loh leh i nuih mai mai lai pawhin i hmai sir khatah electric shock ang maia tuar theih loh khawpa natna i nei tawh em? He natna hi second tlemte chhunga lo thleng leh bo thin hi a nasat em avangin nitin hnathawh pawh i ti thei lo. Nunna atana hlauhawm tak a ni thei. Chu chu vawiin a kan sawi tum chu a ni a, Trigeminal Neuralgia hi a ni.

Trigeminal Neuralgia hi eng nge ni?

A awlsam zawngin, hei hi i hmaiah nerve natna a ni. A dik tak chuan neuropathic pain a ni. Kan lu atanga kan hmai thlenga sensation phurtu main nerve a awm a, chu chu trigeminal nerve an ti a. He nerve hian main ‘wire’ angin hna a thawk a, chu chuan kan hmai leh lu-ah sensation a phur a ni. He natna hi thluak bul bula he nerve hi thil pakhatin pressure a siam hian a thleng thin.

Thil thleng fo chu he nerve thluaka a luhna bula thisen kalna kawng hian nerve chu a press a ni. Tichuan nerve chu ‘shorted’ a lo ni ta a, chhan hriat lohvin thluak lamah natna nasa tak signal a thawn chhuak ta a ni.

He hrehawmna hi engtin nge a awm? Eng nge a lan chhuah dan?

A lan chhuah dan ber chu hmai sir khatah natna rang tak, tuar theih loh, na tak a ni. He natna hi kawng hrang hrangin hriat theih a ni.

• Lightning-in a rawn nuai ang maia inhriatna
• Chemte ang maia natna na tak
• Natna a lo thlen chuan hmai ruh te chu a tense up nghal mai thei .

Heng natna khirh tak tak inkar hun chhung pawh hian mi thenkhat chuan hmai lama harsatna dang an nei thei bawk.

• Burning sensation a awm
• Thil pakhat a throbbing ang maia hriat (Throbbing) .
• Hmai a na hle
• Dull, natna awm reng (Dull achiness) .

Heng symptoms te hi engtin nge a awm tih a zirin trigeminal neuralgia hi chi hnih ah then theih a ni.

A tam zawkah chuan he natna hian hmai sir khat chauh a nghawng thin. Mahse, a tlem hle a, hmai sir lehlamah a nghawng thei (mahse a rualin a sir lehlamah erawh a nghawng lo). Mi thenkhat tan chuan hun kal zelah an natna chu a zual zauh zauh thei a, a natna chu a lo zual zel thei bawk.

Natna tipungtu triggers

Ngaihtuah teh, i nitin nunah i thil tih pangngai ber berte hi he hrehawmna rapthlak tak thlentu hi a ni thei. Hei hi he natna lungchhiatthlak ber a ni.

• Shaving, makeup vuah emaw, hmai sil emaw
• Ei leh in tui/in
• Ha sil, hmui silfai
• Thusawi, nui chungin
• Hmai a tikhauh deuh a, a bik takin hmui emaw, hmui emaw vel a tikhauh
• Thli tleh deuh hian hmaiah a rawn deng a.

A tha ber chu he natna hi mut laiin a awm lo tlangpui.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Trigeminal nerve pressure emaw chhiatna emaw a awm chuan a thleng tlangpui. Doctor-te chuan he natna hi he natna hi a chhan a\angin an thliar hrang \hin.

He natna hi tu nge vei thei ber?

• Thisen sang nei
• Meizial zuk
• Kum 50 chunglam a ni
• Hmeichhia nih (hmeichhia hian hetiang hi an nei tam zawk) .

Doctor, engtin nge hei hi i diagnose?

Doctor i pan hunah i symptoms leh medical history te a zawt hmasa ang che. Tichuan, i lu leh i kawng area an enfiah ang a, neurological exam an nei ang. Diagnosis chu i information pek danah a innghat fo thin.

• I natna awmzia (electric shock ang mai? Chemte hmanga kah ang chi?)
• Hmai natna awmna hmun dik tak
• Eng ang thil nge i tih thin a, chu chuan natna chu a ti tan thin?

A chhan dik tak, thisen kalna kawng a block em tih emaw, tumor ang chi thil a awm leh awm loh emaw hriat nân, MRI scan neihpui tûrin an ti mai thei che a ni .

Hei hi eng enkawlna nge ni?

Vanneihthlak takin he natna khirh tak hi enkawlna kawng hrang hrang a awm a. I tana tha ber tur enkawlna zawn nan hun engemaw chen a ngai mai thei.

Damdawi chi hrang hrang

Vawi tam tak chu doctor chuan damdawi a rawt hmasa ber thin.

• Antiseizure damdawi: Heng damdawi te hian thluaka natna signal thawn chhuah chu a tikhawlo a ni. Enkawlna hi damdawi `Carbamazepine` emaw `Oxcarbazepine` emaw hmanga tan a ni tlangpui. Hengte hi a tir lamah chuan \angkai hle mah se, hun kal zelah an thatna chu a tlahniam thei a ni. Damdawi dang `Gabapentin`, `Pregabalin`, `Lamotrigine` te pawh hman a ni.
• Baclofen: Hei hi taksa ruh tichaktu a ni.

Heng damdawi tin hian side effect engemaw zat a nei thei a, chuvangin nang leh i doctor hian i tan damdawi tha ber tur i thlang chhuak tur a ni.

Inzai

Surgery hi hetiang ang case-ah hian ngaihtuah a ni tlangpui:

• Damdawi hmanga a natna chu a thunun theih loh chuan.
• Secondary TN condition (e.g., tumor) a awm chuan.

Surgery chi hrang hrang a awm a, a hlauhawmna leh a chhuah dan pawh a inang lo.

• Microvascular decompression: Hei hi surgery hlawhtling ber a ni. Chu chu nerve-a thisen kalna kawngkhar chu surgery hmanga lakchhuah a, a inkarah ‘pad’ te tak te dah a ni.
• Radiosurgery: Hei hian natna signal block turin nerve root-ah radiation beam direct a ni. Results hmuh nan thla khat vel a ngai thei.
• Rhizotomy: Hei hi natna signal tihtawp nan tumruh taka nerve root tihchhiat a ni. Hei hi kawng hrang hrangin tih theih a ni. Mahse, hmaiah hian rilru hahna engemaw zat a hnutchhiah fo mai.

Enkawlna dang

Damdawi bakah hian thil dang pawhin natna thunun thei a ni.

• Botulinum toxin injection emaw nerve block emaw hian hun eng emaw chen a ti hahdam thei.
• Acupuncture hmanga tih a ni
• Biofeedback a ni
• Psychotherapy hmanga enkawlna
• Yoga leh Meditation te a ni

Hei hian eng harsatna dang nge a thlen theih?

Trigeminal neuralgia natna hi a nasat em avangin i rilru hriselna leh nitin nunah nghawng lian tak a nei thei a ni. Hetiang natna vei te hian:

• Lungngaihna
• Hlauhthawnna
• Khawtlang nunah inthiarfihlim

Tin, enkawlna atang hian harsatna a awm thei bawk. Entirnan, hun rei tak chhung anti-seizure damdawi hman hian ruh a ti thim (osteoporosis) a thlen thei a ni. Surgery hian hmai a ti na thei bawk.

Engtikah nge Doctor ka hmuh ang?

Tuman hrehawmna na tak, na tak nen nun an duh lo. Hmai natna nasa tak i neih chuan Doctor pan vat tur a ni. Hetiang natna hi i vei tih hmuhchhuah a nih chuan i enkawl dan tur ruahmanna a tha em tih hriat chian nan doctor pan fo a pawimawh.