Stairs atanga kan chhuk emaw, dawhkan chunga ei tur kan en emaw, kan phone-a thil kan chhiar emaw hian kan mit chu awlsam takin a tla thla thin tih i ngaihtuah ngai em? Heng thilte hi kan ti fo thin a, mahse a hnung lama thil thleng mak tak chu kan ngaihtuah ngai lo a ni lawm ni? Dik tak chuan kan thluak atanga lo chhuak ‘wire’ te tak te, mahse pawimawh tak, nerve pakhat hian he hna thawk tur hian min pui thin. Vawiin hian he hero te tak te, trochlear nerve chungchang kan sawi dawn a ni.
He Trochlear Nerve hi eng nge ni?
A awlsam zawngin sawi ila, trochlear nerve hi i thluak atanga signal rawn thawn chhuaktu nerve a ni a, chu chuan i mit chhunga muscle bik pakhatah signal a thawn chhuak thin. Strict takin sawi ila, motor nerve a ni. Chumi awmzia chu thluak lamah sensory information a phur lo va, thluak atanga thuchah chu a kal theihna tur hmun remchang takah a phur zawk tihna a ni. Kan in chhunga switch atanga light a current luang chu wire kaltlangin a kal ang bawkin.
Kan lu chhungah hian heng main nerve pahnih pair 12 a awm a. Hengte hi cranial nerves kan ti a. Chung nerve zinga palina chu trochlear nerve a ni. Chuvangin fourth cranial nerve an ti bawk a, doctor-te chuan a tawi zawngin (CN IV) an ti bawk. Chung nerve pahnih kan nei a, pakhat chu mit dinglam tan a ni a, pakhat chu mit veilam tan a ni. An pahnih hian hna inang an nei a.
He nerve hi eng nge thleng tak tak?
Trochlear nerve hian hna lian ber pakhat chauh a nei a. Chu chu kan mit chunga superior oblique muscle-a che turin signal thawn a ni. He nerve leh he muscle hi an thawk dun a, hetiang hian kan ti thei a ni:
- Hnung lam hawi rawh: Kawngpuiah i kal laiin hnuai lam i hawi a, stairs atanga i chhuk laiin, a nih loh leh chaw ei laiin i plate i han en thla ang tih han ngaihtuah teh. Heng thil pahnih inzawmkhawm hian i mit a ti hniam fo thin.
- I mit chu chhung lam hawiin: Hei hian i mit chhung lam hawi turin a pui bawk.
- Mit chu pawn lam hawi rawh: Hei hian mit chu hnar atanga hawi chhuakin pawn lam hawiin a pui bawk.
‘trochlear’ tih hming hi Latin tawng ‘trochleae’ atanga lak a ni a, a awmzia chu ‘pulley’ tihna a ni. Hei hi a chhan chu he nerve control tu superior oblique muscle hian mit nena a inzawm hmain pulley ang maia thawk tissue loop a paltlang thin vang a ni. Tuikhuah atanga tui lak chhuah laiin hrui chu pulley chungah a kal tlang ang bawkin. Hei vang hian mit che vel hi a control theih em em a ni.
Mit tiharhtu nerve dang pawh a awm bawk. Chutiang pawh chu hriat reng a tha:
- Mit kalna (CN III) .
- Abducens nerve (CN VI) atanga chhuak a ni.
- Facial nerve (CN VII) - Hei hian mitmeng khar nan a pui ber.
Kan lu chhungah hian khawiah nge he nerve hi a awm?
He nerve hian muscle pakhat chauh control mahse, chu muscle hmuhchhuah atanga he nerve thlenga zinkawng hi a rei deuh hlek a ni. Khualzin thui tak a kal ang mai a ni. He zinkawng hi kan thluak bul atanga tan a ni. Chuta tang chuan main stop pali kal tlangin mit a thlen thlengin a kal a.
1. Trochlear nucleus: Hei hi nerve bul tanna a ni. Chu chu thluak hnaih ber a ni. Brainstem chung berah a awm a.
2. Ambient cistern: Chumi hnuah chuan he nerve hi thluak hual veltu protective membrane (meninges) bulah a kal a. He part hi hei hi an ti a.
3. Cavernous sinus: Hei hi kan lu ruh lai takah cavity ang maia awm a ni. Nerve pawh hian hei hi a paltlang thin.
4. Orbit: A tawp berah chuan mit chu orbital cavity-ah a lut a, chu chu mit awmna lu ruh ruh chhungah a lut a. Hei hi nerve chu a kalna tur, superior oblique muscle nena inzawmna hmun a ni.
Trochlear nerve a chhiat chuan eng nge thleng ang?
He nerve hi a chhiat chuan i mit che leh mit hmuhna a nghawng nghal vek a ni. Doctor-te chuan he natna hi fourth nerve palsy emaw trochlear nerve palsy emaw an ti a. Hetiang dinhmun hi a lan chhuah dan tlangpui engemaw zat a awm.
| Symptom a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Mit pahnih hmuh theihna (Diplopia) . | Hei hi a symptom ber a ni. Vawi khata thil pahnih hmuh. Hei hi a bîk takin hnuai lam hawi lai te, stairs chhuk lai te, a nih loh leh lehkhabu chhiar lai te hian a lang chiang thei hle. |
| Lu chu a sir khatah tilt | Double vision pumpelh nan mi tam tak chuan an hriat lohvin an lu chu a nghawng lo mit lam hawiin an tikehsawm a. Hei hian vision thenkhat chu siam that leh a tum a ni. Nausen te tak te hian he natna hi a neih chuan a kawr khauh tak, torticollis an tih ang mai a ni thei. |
| Mit inthlak danglamna (Strabismus) . | Mit pakhat chu kawng khata hawi ai chuan, a dang lam hawi ang maiin a lang. Hei hi strabismus an tih natna nen a inang a ni. |
| Hmai lam asymmetry a awm | Hei hi he natna neia piangte zingah hmuh tur a tam ber. Hmai lai tak (midfacial hypoplasia) a lo thang chakna tlahniam ang maiin a lang thei. |
He nerve tihchhiat chhante hi engte nge ni?
Trochlear nerve hian luruh chhungah kawng thui tak a nei a, chu chuan cranial nerve dang aiin hliam a tuar awlsam zawk a, a bik takin lu natna avanga hliam a tuar awlsam zawk a ni .
- Lirthei chetsualna (a bik takin motor chetsualna) .
- Boxing ang chi infiamna te
- Falls a ni
A châng chuan ngaihtuah phak loh khawpin lu-a vuakna tlemte pawh hian he nerve hi a tichhe thei a ni.
A chhan dang tam lo zawk pawh a awm bawk:
- Thisen kalna kawng lama harsatna, a bik takin zunthlum (microvascular disease) ang chi natna avanga lo awm thin .
- Nerve bulah thluaka tumor lo thang lian vanga nerve compression a awm thin.
- Intracranial pressure a sang chho zel.
Nausen thenkhat chu he nerve chungchangah hian harsatna neiin an piang thin. Congenital fourth nerve palsy an ti a.
Engtin nge kan nerve te hi kan hrisel theih ang?
Congenital cause ang chi thil hi kan veng thei tak tak lo. Mahse, lu hliam pumpelh a, a tlangpuiin nervous system hriselna ngaihtuah hian thil tam tak kan ti thei a ni.
Lu hliam hi i veng ang u!
- I in boruak hi him takin siam rawh: I in chhungah naupang tê tê i neih chuan an tlu thei a, an lu a tawrh theihna hmunte chu fimkhur hle ang che. Tar i neih chuan a bik takin a tlu thei leh tlu theihna hmun (e.g., bathroom) ngaihtuah rawh.
- Seat belt leh helmet: Lirthei a chuang dawnin seat belt vuah fo tur a ni. Naupangte chu car seat dik takah phur rawh. Bicycle emaw motor emaw khalh dawnin standard ruat sa helmet vuah ngei ngei tur a ni.
- Infiamna khelh hunah himna: Rugby leh boxing ang chi contact sports khelh hunah invenna hmanrua \ha tak ha rawh.
Nervous system hi a tlangpuiin hrisel takin vawng reng ang che
- Chaw tha tak tak: Vitamin D leh vitamin B12 te hian nervous system hrisel tak a siam aA pawimawh hle mai. Chuvangin hengte awmna ei tur (sangha, artui, bawnghnute, thlai) te hi i eitur ah telh la.
- Chronic disease management: Zunthlum leh thisen sang hi natna lian pahnih, nerve tichhe thei a ni. Heng natnate hi i neih chuan doctor thupek zawm la, uluk takin enkawl rawh.
- Meizial zuk bansan rawh: Meizial zuk hian nerve-a thisen kal a ti tlem a ni. Chuvângin, zu in bânsan tûrin ṭanpuina zawng rawh.
- I taksa rihna hrisel tak vawng reng rawh: I taksa nena inmil taksa rihna hrisel neih hi hriselna zawng zawng atan a pawimawh hle.
- Stress tihziaawmna: Meditation, kea kal, leh yoga ang chi thilte hian stress tihziaawmna kawngah a pui thei a ni.
Engtikah nge Doctor ka hmuh ang?
If you experience any of the symptoms we discussed earlier, especially if you feel like you're seeing two things when you look down , or if you have to tilt your head to see clearly, don't just assume it's okay. A rang thei ang bera Doctor rawn pan rawh.
I doctor chuan a enfiah ang che a, a tul chuan mit lam doctor emaw, neurologist emaw hnenah a refer ang che. Test tul tak tak an run ang a, hei hi eng nge ni tih leh eng nge i tih tur tih an hrilhfiah ang che.
Kan taksa peng te ber pawh hian chanvo pawimawh tak a nei tih hre reng ang che. Trochlear nerve pawh hi chutiang bawk chu a ni. Chuvang chuan kan taksa hi kan enkawl a, a signal min pekte hi kan ngaihven a pawimawh hle.
Take-Home Thuchah a ni
- Trochlear nerve hi cranial nerve pawimawh tak a ni a, kan mit chu hnuai lam leh sir lamah a kal tir thei a ni.
- He nerve chhiatna thlentu ber chu lu hliam hi a ni. Chuvangin i lu venhim hi dah pawimawh ber fo ang che.
- A lan chhuah dan ber chu hnuai lam hawi emaw, hmuh fiah tur chuan lu tilt a ngai emaw a nih chuan double vision (diplopia) a ni.
- Heng symptoms te hi i neih chuan ngaihthah suh la, doctor lam pan nghal rawh.
- Diabetes leh thisen sang ang chi natna khirh tak takte control tha taka dah te, meizuk loh te, nunphung hrisel tak zawm te hian i nerve zawng zawng a hrisel vek theih nan a pui ang.











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