Khawsik pangngai leh lu na kan nei fo thin. Mahse a chang chuan he khawsik leh lu na hi a danglam deuhin a lang thei a, a na zawk deuh bawk. Chu chu thluak chhungah inflammation, chu chu swelling a awm hian a thleng thin . Vawiin hian hetiang dinhmun khirh tak hi kan sawi a, mahse a chungchang hriat a pawimawh hle. Chu chu encephalitis a ni . Hei hi thil awm lo tak ni mah se, naupang tê tê, tar leh taksa chak lohna nei te chu an hlauhawm zawk a ni.
Encephalitis hi eng nge ni?
A awlsam zawngin sawi ila, encephalitis hi i thluak tissue inflammation a ni. Hei hi a pawi hle thei a ni. I thluak hmun a inflamed a zirin, symptom chi hrang hrang i nei thei a, chu chu i nungchang inthlak danglamna, seizures , leh hriatna hloh te pawh a ni.
A tam zawkah chuan hei hi virus infection vang a ni. Entirnan, herpes simplex virus . Bacteria , fungi, parasite, damdawi thenkhat, leh a chang chuan autoimmune condition vang pawh a ni thei bawk.
A pawimawh ber chu a natna lan chhuah dan hriat chian a, enkawl vat vat hi a ni. Mild encephalitis vei tam zawk chu an dam vek thin.
Encephalitis leh meningitis inthlauhna
Mi tam tak chuan heng pahnih hi thluaka natna hrik awm ve ve an nih avangin an tibuaitu a ni. Kan thluak hi pillow angin han ngaihtuah teh.
- Encephalitis: Hei hian thluak chhunga lining a hring chhuak a ni. Chu chu thluak tissue ngei hi a ni.
- Meningitis: Hei hi thluak leh ruhro (spinal cord) vel venhimna meninges (meninges) inflammation a ni .
Heng dinhmun pahnihte hi hlauhawm tak ni thei mah se, natna chi hrang hrang pahnih an ni.
He natna hi kai theih a ni em?
Brain swelling an tih hi mi pakhat atanga mi dangah kai theih a ni lo va, a thlentu virus emaw bacteria emaw hian a kai thei a ni.Entirnan, herpes virus hi mi pakhat atanga mi dangah kai theih a ni. Chutiang bawkin naupang natna, measles leh mumps te pawhin encephalitis a thlen thin. Mahse tunah chuan vaccine kan dawng vek tawh a, chu hlauhawmna chu nasa takin a tlahniam ta a ni.
Hei hi a chhan berte chu engte nge ni?
Encephalitis hi a chhan tam tak a awm a. Table pakhatah han en ila.
| Chhanna category a ni | Entirna leh sawifiahna |
|---|---|
| Viral infection (a chhan tam ber) 1.1. |
|
| Hri kai dang (rare) . |
|
| Immune system lama harsatna (Autoimmune) 1.1. | Taksa mahni invenna system tihsual leh thluak cell te beih. |
A châng chuan doctor-te chuan hei hi a chhan chiang tak an hmu thei lo mai thei.
Encephalitis chi hrang hrang
Hei hi kawng lian pahnihin a lo thleng thei a ni.
1. Hri kai theih Encephalitis
Hei hi a tam ber chi a ni. He natna hrik, virus emaw bacteria emaw, thluaka direct-a lut a, infection a thlen hian a awm thin. Mite chu rulhut tamna hmun leh tui tlakchhamna hmuna chengte chu an hlauhawm zawk a ni. Hetiang chi hi a lo awm thuai thei a, a symptoms pawh a na nghal thei bawk.
2. Autoimmune Encephalitis natna a awm thei
Hei hi a buaithlak deuh a ni. Heta thil thleng hi pawn lam natna hrik a ni lo va, kan taksa hriselna (immune system) hian thluaka cell hrisel tak takte chu a bei sual a ni. Hei hi a lo thang zauh zauh a. Hetah hian neurological symptoms tam zawk i hmu thei a, chu chu confusion, memory problems, leh seizures te hi a ni. Hemi nena inzawm hian dinhmun bik engemaw zat a awm a (e.g. `Anti-NMDA receptor encephalitis`, `Hashimoto’s encephalopathy`).
Vaukhânna: A chi hnih hi nunna atana hlauhawm tak a ni thei. Nangmah emaw, midang emaw hian thluak lam natna khirh tak tak, thinrim lutuk, buai, seizures, emaw mut tam lutuk te an neih chuan damdawi in Emergency Department (ETU)-ah tihkhawtlai lovin kal rawh.
Eng nge a lan chhuah dan?
Ni engemaw zat chhungin natna lan chhuah dan chu a lang nghal emaw, zawi zawiin emaw a lang thei.
| Encephalitis natna lan chhuah dan | |
|---|---|
| Basic emaw mild emaw symptoms a awm thei | |
| - Chauh lutuk, chak lo anga inhria | - Khawsik (khawsik sang tak a ni thei) . |
| - Lu na na tak | - Eng leh thawm laka sensitivity |
| - A kawngah a nghet deuh | - Thinrimna, rilru hahdam lohna |
| Symptoms na tak tak (ETU-ah kal nghal rawh!) | |
| - Taksa hmun thenkhatah rilru hahna, che harsa | - Buhbuai, tawng harsa emaw, midang thusawi hriatthiam harsa |
| - Seizures awm thei | - Kawng hnih a thil hmuh (Double vision) . |
| - Thil hriatna hloh (Coma) . | - Nausen naupangteah chuan: Lu chunglam fontanel chu a bulh chhuak thin. |
Engtin nge hei hi i hmuh theih, Doctor?
I doctor chuan i symptoms te chu a zawt hmasa ang che, an tan ni atang khan. Tin, rulhut leh rulhut tamna hmunah i kal tawh em tih te, damlo tawh nen i inzawm tawh em tih te zawh a pawimawh bawk. Tichuan i taksa chu an enfiah ang a, a tul chuan hetiang hian test engemaw zat an ti ang.
- Thisen test: Infection a awm leh awm loh enfiah thin.
- Imaging test: CT scan emaw MRI scan emaw hmangin thluak ah hian swelling emaw harsatna dang emaw a awm em tih hriat theih a ni ang.
- EEG (Electroencephalogram): Hei hian thluaka electrical activity enin seizures a hriat theih nan a pui thin.
- Lumbar Puncture: Hei hi hlauthawng suh. Hei hian spinal cord atanga tui sample tlemte tak tak lak a, thluak lam hawia infection awm leh awm loh enfiah a huam a ni.
- Brain biopsy: Hei hi tih a tlem hle a, test dangin a chhan a hmuh theih loh chauhvin tih a ni.
Engtin nge enkawl a nih?
Encephalitis hi natna khirh tak a nih avangin damdawi inah dah leh enkawl a ngai tlangpui a, chutah chuan i heart rate, thisen sang leh thawk dan te enfiah reng a ni.
Enkawlna chu natna thlentu leh damlo dinhmun a zirin a ni.
- Steroids: Heng damdawi te hi thluaka swelling tihziaawmna atana pek a ni.
- Antiviral damdawi: Herpes ang chi virus i kai chuan `Acyclovir` ang chi damdawi pek i ni ang.
- Antibiotics: A chhan chu bacteria a nih chuan.
- Anticonvulsants: Seizures control.
- Autoimmune condition tan: Enkawlna bik `Immune globulin` emaw `Plasmapheresis` emaw ang chi.
- Khawsik leh lu na tan: Damdawi paracetamol ang chi.
A dam hnuah pawh therapy a ngai
Dam hnuah mi thenkhat chuan dam leh turin tanpuina an mamawh belh thei a ni.
- Physical therapy: Kal leh ding ang chi thil atan taksa ruh tichak leh rawh.
- Occupational therapy: Nitin hna thawh tur chu mahni inrintawkna neia tih zir rawh.
- Speech therapy: Thusawi harsatna hneh.
- Psychotherapy: Natna avanga rilru inthlak danglamna leh lungkhamna te enkawl.
Engtin nge he thil lakah hian i inven theih ang?
A tha ber chu he thil thlentu hrik te hi pumpelh hi a ni.
- Vaccine lak: I doctor-in a rawt vaccine zawng zawng chu a hun takah la vek rawh, a bik takin naupang tan.
- Thianghlim rawh: Sahbawn leh tuiin kut sil fo thin ang che. Midangte hnenah dish, cup, towel te insem suh.
- Thosi leh rulhut lakah inveng rawh:
- Thlasik leh zing hma takah thosi hi a tam ber. Heng hun lai hian i chhuak a nih chuan i taksa khuh thei thawmhnaw ha la.
- In kawngkaah screen dah rawh.
- Mosquito net hmang rawh.
- Tui a khawlkhawmna hmunte chu tifai thin ang che. Tyre hlui, coconut shell, leh pangpar bawm te hi dengue ang natna thehdarhtu rulhut ten an rulhut an dahna hmun a ni.
- Ramngaw hmuna kal tur chuan taksa pum huap tur thawmhnaw ha tur a ni.
Take-Home Thuchah a ni
- Encephalitis hi natna khirh tak a ni a, thluak tissue a lo hring chhuak thin. Hei hi khawsik pangngai a ni lo.
- A tam zawkah chuan a chhan chu virus infection a ni. Sri Lanka-ah pawh hian rulhut kaihhnawih natna, dengue ang chi te hi i hriat chian a ngai a ni.
- I hriat chian chuan natna khirh tak tak , seizures, mut tam lutuk, buaina, emaw, tawng harsat , damdawi in Emergency Department (ETU) ah kal nghal rawh.
- He natna kai theihna hi vaccine lak a, rulhut laka invenna hmanga tihziaawm theih a ni.
- Mi tam tak chu a hmaa hriat chhuah leh enkawl a nih chuan an dam chhuak vek a ni. Chuvangin, i symptoms chungchangah rinhlelhna i neih chuan doctor pan hun sawn suh.
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