I naupang tê chu rang takin a rawn inher, a nghet , a nih loh leh an lu a thing tih i hmu ngai em? A chang chuan heng thilte hi a zawnin vawi tam tak a thleng thin. Nu leh pate hian heng thilte hi an hmuh hian hlauhna nasa tak an neih hi thil pangngai a ni. Hengte hi spasm pangngai emaw, thil pawi tak emaw a ni em tih i ngaihtuah mai thei. Vawiin hian ‘Infantile Spasms’ kan sawi dawn a, hei hi nausen natna khirh tak a ni a, heng natna lan chhuah dan hi a ni. Hei hi ‘West Syndrome’ an ti bawk.
Heng spasm te hi eng ang chiah nge ni?
Heng convulsions, emaw seizures te hi a rei vak lo. Second tlemte chhungin an tawp thin. Mahse, hemi chungchangah hian thil danglam tak a awm. Cluster hrang hrangah an lo kal thin . Chu chu pakhat a tawp veleh pakhat dang a lo thleng tihna a ni.
Heng khur hian a chang chuan a fiah lo hle thei bawk. Hun dangah chuan an na hle thei bawk. I naute hian hun hrang hrangah chi hnih hi a tawng thei a ni.
- In a subtle movement: Naute chu a lu a ti nghing niin a lang thei.
- In a severe shock: Taksa chu a nghet nghal thei , kut chu a sir lamah a paih chhuak thei a, khup chu pum lam hawiin a ben thei bawk. A nih loh leh lu chu hnunglam hawiin a kut leh ke te chu a ding nghet thei bawk.
- A chang chuan heng khur hian taksa peng khat chauh a nghawng thei.
- Naute chu a inzawm hma emaw, a hnu emaw pawhin a tap thei.
Symptom dang i neih theih te
Heng jerk bakah hian i naute taksa peng hrang hrangah hian jerk emaw, twitch emaw fiah lo tak tak i hmu thei bawk. Doctor-te chuan hei hi ‘Myoclonus’ an ti a. Hei hi kawng lian pahnihin a thleng thei.
| Myoclonus chi khat a ni | Eng thil nge thleng? |
|---|---|
| Positive Myoclonus a ni | Spasm hi taksa ruh a tihkhauh nghal vang a ni. |
| Negative Myoclonus a ni | Spasm hi taksa ruhte a relax nghal vat vang a ni. |
Hei hi nausen a ni.Thil tumruh tak a ni lo . Kan mut dawn laia kan harh thut ang mai a ni a, chu chu naute thunun theih loh thil a ni.
West Syndrome hian naute autonomic nervous system a nghawng thei bawk. Hei hian kan control theih loh thil, kan heart rate leh kan pupils dilation ang chi te a thlen thin. Chuvangin heng symptoms te hi seizure a awm pawhin hmuh theih a ni.
- Naute vun chu a sen emaw, a sen emaw a ni.
- Thawmhnaw hak
- Mit mitmeng (pupil) tihzauh
- Mit atang chuan mittui a rawn chhuak a
- Thâwk lak chakna sang emaw tihhniam emaw
- Heart rate sang emaw tihhniam emaw
Hei hian naute thanlenna a nghawng dawn em?
Ni e, hei hi thil pawimawh tak a ni. Naute a lo puitlin chuan a thanlenna kawngah thil pawimawh tak tak a paltlang thin. Thil chi hrang hrang, rolling over, i aw hriat chian, leh a kâa thil dah te. Mahse West Syndrome vei naute chuan heng milestone te hi a thlen theih nan naute pangngai aiin hun a duh rei zawk thei. Doctor te chuan hei hi delayed development an ti a .
Thil ngaihtuahawm zawk chu a chang chuan naute hian an thil zir tawhte chu a theihnghilh thei thin . Entîr nân, naute ṭhut ṭhat tawh chuan a ti leh thei tawh lo tih i hmu mai thei. Hei hi developmental regression an ti a . Hetiang thil i hmuh chuan ngaihthah suh .
Thluak chhungah eng inthlak danglamna nge thleng?
I naute thluak chhungah electric activity a awm reng a. Hetiang thiltih hi a pangngai lo a nih chuan seizures a thlen thei a ni. I doctor chuan i naute thluak hnathawh dan tehna atan EEG (Electroencephalography) test a ti thei ang.
Hei hian naute lu-ah sticker ang chi ‘electrode’ dahin, machine-ah thlunzawm a, thluaka electrical wave pattern record a huam a ni. Infantile Spasms vei naute EEG record-ah hian ‘Hypsarrhythmia’ an tih, special, chaotic pattern hi hmuh tur a awm fo.
Chu bakah, doctor chuan thluak scan, CT (Computed Tomography) leh MRI (Magnetic Resonance Imaging) te pawh a rawt thei bawk. Heng thlalakte hian thluak a lo thang tha em tih leh thluaka chhiatna, natna hrik emaw, hliam emaw a awm leh awm loh hriat theih nan a pui thei a ni.
Eng thilin nge hetiang dinhmun hi a thlen?
A awlsam zawngin, naute thluak tichhe thei thil eng pawh hian nausen rilru natna (infantile spasm) a thlen thei a ni. A chhan thenkhat chu naute pian hmain a awm a, a then erawh chu a pian hnuah a awm thung.
| Chhan | A sawifiahna tawi |
|---|---|
| Tuberous Sclerosis natna (Tuberous Sclerosis) a awm thei | Hei hi a chhan tam ber a ni. Genetic condition pakhat a ni. Cancer ni lo tumor hi thluak, vun leh kal ang chi hmunah a lo awm thin. |
| Genetic dinhmun (genetic) a awm | Down Syndrome ang chi natna te. |
| Thluak hliam | Nau neih lai emaw, pian hnu emawa thluak hliam. |
| Thluak chak lohna | Nausen pum chhungah thluak insiam dan mumal takin a insiam lo. |
| Oxygen tlakchhamna | Pian tirh atanga thluaka oxygen supply a tlahniam. |
| Thluak natna a awm | Infection, meningitis emaw encephalitis emaw ang chi te. |
| Vitamin B tlakchhamna | A bik takin vitamin B6 tlakchham vangin. |
A châng chuan doctor-te chuan hei hi a chhan chiang tak an hmu thei lo . Mahse thil pakhat chu a chiang. Naute hnena vaccine pek leh he natna hi inzawmna a awm tih finfiahna a awm lo. Chuvangin a tul lovah hlau suh.
Engvangin nge doctor i hmuh vat ang?
Hei hi a pawimawh ber a ni. He thuziaka kan sawi tak i naute pianphungah hian a khur, a khauh , a nih loh leh a danglamna dang i hmuh chuan, rei lo tein naupang enkawltu hnenah hruai nghal rawh.
Hengte hi nausen a tihbuai thin ang chi thil awlsam tak a ni lo. Hei hi natna khirh tak a ni a, thluak a nghawng a ni. Naute hmalam hun atana thluak thanlenna atan hian a hmaa hriatchhuah leh enkawl hmasak hi a pawimawh hle.
Diagnosis siam nan doctor chuan thisen leh zun test te, EEG te, thluak scan te, leh meningitis ang chi infection awm leh awm loh enfiah nan lumbar puncture te pawh a ti thei a ni.
Take-Home Thuchah a ni
- I naute chu a rawn inher chhuak nghal a, a taksa a ti nghet a , a lu chu cluster-ah a tilt a nih chuan ngaihthah suh.
- Hengte hi twitch pangngai a ni lo a, mahse natna khirh tak, damdawi lam pan vat ngai chhinchhiahna a ni thei.
- I naute hmasawnna a tlahniam nia i hriat emaw, a thil zir tawhte a theihnghilh ang maia i hriat chuan (thut, nuih ang chi) doctor hnenah hrilh nghal rawh.
- A chhan chu eng pawh ni se, naute thluak thanlenna atan chuan a hmaa hriatchhuah leh enkawl a pawimawh hle.
- He natna leh vaccine te hi inzawmna finfiah a awm lo. Chuvangin, damdawi lam thurawn anga i naute in a dawn tur vaccine te chu skip suh.
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