I lu a buai nghal em? Vestibular Neuritis chungchang hi i zir dawn teh ang!

I hloh a, rang takin mi â ang maia i luak chhuak ta a nih chuan engtin nge ni ang? I ding thei lo hle a, i khur tih i hre thei a, i luak chhuak thei bawk... Hei hi thil hlauhawm tak a ni. Chutiang rang taka luak chhuak nasa tak thlen thei dinhmun chu tunlaia kan sawi tum chu a ni, Vestibular Neuritis. Ngaihtuah buai suh, engkim hi awlsam takin kan vawng ang.

Vestibular Neuritis hi eng nge ni tak tak?

A awlsam zawngin, hei hi kan beng chhung lam nena inzawm nerve inflammation emaw swelling emaw a ni. Kan beng chhungril lamah hian nerve bik tak a awm a, chu chu Vestibulocochlear nerve an ti a ni.He nerve hnathawh ber chu kan taksa balance leh kan lu kan herh huna kan lu awm dan chungchang thluaka information thawn hi a ni

Ngaihtuah teh, i kal emaw, i lu i herh emaw, i tlan emaw hian i tlu lo a ni, a chhan chu he nerve hian thluak lamah thu dik tak a thawn a ni. Tunah chuan Vestibular Neuritis ah hian he nerve hi a lo inflamed chuan thluaka kal signal te chu a tibuai thin. Telephone line chhia ang mai a ni. Tichuan thluak hian taksa dinhmun leh a che vel dan chu a hrethiam thei lo. Chutah chuan kan luak chhuak nasa hle (vertigo) , kan inher chhuak a, kan balance lo bawk.

Hetiang dinhmun hi kum eng pawha awm thei mah se, naupang tê têah chuan a tlem deuh hlek a ni.

Hei hi eng symptoms nge ni? Engtin nge a awm?

Hetiang dinhmun hi a tlangpuiin stage hnih a awm thin. Pakhatnaah chuan natna lan chhuahna na tak tak, a intan nghal mai theihna phase a awm a, chutah chuan a natna lan chhuah dan chu a reh deuh deuhna phase a awm bawk.

1. Acute Phase (a lo awm nghal mai) .

Hei hi hun harsa ber a ni. Hei hi ni engemaw zat, kar khat pawh a daih thei. Symptoms chu a lo lang nghal a, a na hle.

2. Chronic Phase tih a ni

Acute phase a zawh hnuah kar engemaw zat emaw thla engemaw zat emaw chhung chu a natna lan chhuah dan a reh thei. Hemi chhung hian symptoms i tawn te chu a danglam deuh ang.

Heng stage pahnih symptoms hi chiang takin i thliar hrang ang u.

Heng symptoms te hi mi hrang hrangah a inang lo thei tih hre reng ang che. I rilru put hmang, i natna thlentu leh nerve tihchhiat nasat dan te a zirin an danglam thin.

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Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Doctor te chuan Vestibular Neuritis thlentu ber chu virus infection vang niin an ngai . He virus hian beng chhung lam a nghawng nghal thei a, taksa hmun danga virus infection avanga side effect a ni thei bawk.

Khawsik kan neih a, kan hnar leh kan hnar a lo hring ang bawkin, virus thenkhat chuan kan beng chhungril lama balance siamtu nerve te chu a ti hring thei a ni. Chu chu hetah hian thil thleng a ni.

Eng virus chi nge hetiang hi thlen thei?

• Flu (Influenza) a awm thei.
• Covid-19 a awm tawh lo.
• Herpes virus (Herpes simplex virus - khawsik natna thlentu virus) .
• Hepatitis natna a ni
• Polio natna a awm
• Measles natna a ni
• Mumps a awm

He natna hi kai theih a ni em?

No. Vestibular Neuritis hi kai theih a ni lo. Chumi awmzia chu a neitu bula awm atang hian i hmu thei lo tihna a ni. Mahse, a thlentu virus chu a kai thei . Entirnan, mi pakhatin flu virus atanga Vestibular Neuritis a vei chuan chu mi chuan flu virus chu midang hnenah a kai thei a ni.

Engtin nge doctor hian hei hi a hriat theih?

Hetianga luak chhuak nasa tak i neih chuan i tih hmasak ber tur chu Doctor pan a ni. Hei hi otolaryngologist (ENT) a ni tlangpui a, beng, hnar leh beng lama harsatna nei te a ni. A châng chuan, neurologist emaw, audiologist emaw pan a ngai mai thei.

The first and most important thing the doctor will do is to make sure that other serious medical conditions are not the cause , heng symptoms te hi natna khirh tak dang ah pawh a awm thei a ni.

Eng natna nge hnawhchhuah hmasak ber?

• Stroke: Hei hi a hlauhawm ber a ni. Thluaka thisen petu thisen kalna kawng a inkhar emaw, a puak emaw chuan a thleng thin.
• Lu hliam.
• Thluak natna (brain tumor) a awm.
• Migraine lu na.

Heng thilte hi a awm lo tih chian nan i doctor chuan MRI (Magnetic Resonance Imaging) scan ang chi thil ti turin a ti thei che a ni.

Chutiang thilte chu paih chhuah a nih hnuah chuan Vestibular Neuritis tih finfiah nan test eng emaw zat an nei leh a ni.

• Hriatna test neih a ni.
• Balance test thei test bik (Vestibular test battery) te.

Hei hi eng enkawlna nge ni?

Vestibular neuritis enkawl huna tum ber chu i symptoms control a, rang taka dam leh theihna tura puih hi a ni.

Hei hi enkawlna chi hnih a awm a, chungte chu:

1. Damdawi chi hrang hrang

2. Vestibular rehabilitation therapy hmanga enkawl a ni

Damdawi chi hrang hrang pek

• Nausea leh vomiting damdawi: Hei atan hian Ondansetron (Zofran®) ang chi damdawi pek thin a ni. I luak chhuak nasa hle a nih chuan damdawi inah dah a ngai mai thei a, tui tlakchham loh nan saline pek a ngai mai thei.
• Luak chhuak tihziaawmna damdawi: Damdawi Meclizine leh Diazepam (Valium®) ang chi hi pek thin a ni. Mahse, doctor-te chuan hengte hi ni thum aia tam a zawna hman chu a ṭha lo niin an sawi . A chhan chu i ei chhunzawm zel chuan he dinhmun thara thluak hian a insiamrem theih nan a tlai tawh mai thei.
• Inflammation tihziaawmna damdawi: Corticosteroids an tih damdawi hi nerve-a hliam tihziaawmna atan pek thin a ni.
• Antiviral damdawi: Hei hi herpes virus avanga lo awm nia rinhlelhna a awm chuan Acyclovir ang chi antiviral pek theih a ni.

Vestibular Rehabilitation Therapy hmanga enkawl a ni

Mi thenkhat chuan kar tlemte aia rei chu luak chhuak leh balance hloh an nei thin. Hei hi physical therapy exercise hi a pawimawh em emna hmun a ni.

Hei hian i thluak chu he dinhmun thara insiamrem tûr leh inthlauhna nei leh tûra zirtîrna a huam a ni. Physiotherapist bik trained chuan i mit, beng leh ke hnathawh dan a enfiah ang a, i tana tha tur exercise hrang hrang a siam ang. Heng exercise te hi dik taka tih hian i dam leh thuai ang.

I luak chhuak nasa hle a, i luak chhuak nghal a nih chuan in lamah awm suh la, damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh . A chhan chu stroke a nih leh nih loh finfiah hmasak a pawimawh a, nunna chhanhim a pawimawh bawk.

He dinhmun hi a dam theih nan eng chen nge a la ngai ang?

Hemi atan hian hun bituk chiah a awm lo. Mi tin a inang lo hle. Mi thenkhat chu kar khat vel chhungin an dam vek thin. Mi dangte chuan thla tam tak chhung chu natna lan chhuahna an nei thei a, a tlem berah chuan kum tam tak chhung pawh an nei thei bawk. Nerve chhiatna zau zawng leh i taksain a chhan danah a innghat a ni.

A tha ber chu mi tam zawk chu kar tlemte chhungin an dam vek thin. I natna lan chhuah dan a ṭhat loh emaw, a awm reng emaw a nih chuan, i doctor nen enkawlna dang chungchang sawipui rawh.

Vestibular Neuritis leh a ang chi hrang hrangte inthlauhna

Condition dang pahnih, symptom inang nei pawh a awm bawk. An inthlauhna hi tlem han zir ila.

• Vestibular Neuritis vs. Labyrinthitis: Heng pahnih hi an inang hle. Vestibular Neuritis ah chuan balance nena inzawm nerve chauh a inflamed thin. Mahse, Labyrinthitis-ah chuan balance nena inzawm leh hriatna nena inzawm part pahnih hi a inflamed vek a ni. Chuvangin Labyrinthitis vei chuan hriatna hloh emaw, beng ri (tinnitus) bakah luak chhuak a nei thei bawk.
• Vestibular Neuritis vs. BPPV: BPPV (Benign Paroxysmal Positional Vertigo) pawh hi natna tlanglawn tak a ni a, luak chhuak thei a ni. Mahse, nerve vang a ni lo. BPPV hi kan beng chhungril a calcium crystal te te, a chhuak a, hmun dangah a kal vang a ni. Chutiang a nih chuan, a bîk takin kan lu chu a sir khata kan hawi emaw, khumah kan inhnim pil emaw hian a luak chhuak a ni .