I taksaah hian persistent numbness leh tingling i nei em? CIDP (CIDP) chungchang hi han sawi ila

A chang chuan kut pakhat emaw ke pakhatah emaw kan tingling a, rei vak lo hnuah a mah chauhin a bo thin, a dik em? Mahse, han ngaihtuah teh, i kut leh ke chu chakna a hloh zauh zauh a, i rilru a buai ṭan a, thla hnih aia rei chhûnga natna chu a lo zual zauh zauh a nih chuan? Hei hi CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) tih hming pu neurological condition hmuhnawm tak pakhat a ni. A hming hi a buaithlak deuh nachungin, awlsam takin i hrethiam ang u. He natna hi eng emaw chen chu hmuh tur awm lo mah se, mi zawng zawngin kan hriat chian a pawimawh hle.

A awlsam zawngin CIDP chu eng nge ni?

CIDP hi hun rei tak chhunga kan awm thin a ni a, kan immune system ( natna laka min humhimtu system ) hian kan nerve ngei pawh a rawn bei sual a ni. A bik takin, nerve chhehvela venhimna khuhna ( myelin an tih) chu a tichhia a ni. He khuhna hi electrical wire vel plastic sheath angin han ngaihtuah teh. He sheath hi a chhiat chuan nerve te hian thluak leh taksa peng dang ah message a thawn tha lo. Chu chu taksa peng hrang hranga chak lohna leh rilru hahna ang chi symptoms thlentu a ni.

He natna hi kum eng pawha awm thei mah se, puitling leh mipa zingah a tam zawk.

CIDP leh Guillain-Barre syndrome (GBS) te hi eng nge an danglamna?

Guillain-Barre syndrome ( GBS ) tih hi i hre tawh ngei ang. Heng natna pahnihte hian nerve a nghawng a, symptoms inang an nei bawk. Mahse an pahnih inkarah hian danglamna chiang tak a awm.

• Guillain-Barre Syndrome (GBS): Hei hi natna kai atanga ni engemaw zat hnuah a intan nghal tlangpui a, pum na ang maiin a intan thin. Mahse enkawl a nih chuan a dam thuai a rinawm zawk.
• CIDP: Hei hi hun rei tak chhunga awm thei a ni a, thla tam tak chhungin natna kai engmah nen inzawmna nei lovin a lo awm thin. GBS hi enkawl loh chuan CIDP-ah a kal thei lo.

CIDP natna lan chhuah dante chu engte nge ni?

CIDP symptoms hi mi zawng zawng tan a inang vek lo. CIDP i neih chi hrang hrang a zirin an danglam thei. A tlangpuiin, hah lutuk, rilru hahna, leh natna i nei thei. Hei hian i reflexes a ti slow thei a, i kut leh ke a tichak lo thei bawk.

A lan chhuah dan ber leh hmuh theih hmasa ber chu thla hnih emaw a aia rei emaw chhunga taksa ruh (muscle mass) a pung zauh zauh hi a ni.Muscle chak lohna . He chak lohna hian taksa peng lehlamah a nghawng a ni. A bik takin:

• Hips leh thighs te
• A kekawrte leh kut chunglam
• Kut a ni
• Ke

He symptom lian ber bakah hian symptom dang pawh hmuh tur a awm thei:

• Muscle atrophy: Muscle te chu a tlem a, a te zawk thin.
• Paresthesia: Kut zungtang a hring emaw, a hring emaw a awm.
• Kal harsa: Inthlauhna hloh leh kal tha thei lo.
• Neuropathic pain: Nervous system lama harsatna avanga natna nasa tak a awm.
• Weakened responses (Deep tendon problems): Doctor-in khup chu hammer te tak te hmanga a tap chuan a chhanna chu a bo a, ke chu a hrual ang maiin a awm.

A tlem hle a, ei harsatna (dysphagia) leh hun eng emaw chen atana double vision (diplopia) te pawh a awm thei bawk.

CIDP chi hrang hrang a awm em?

Ni e, CIDP hi symptoms a zirin chi hrang hrangah then theih a ni. He information table hian ngaihtuahna chiang tak a pe ang che.

Tin, doctor-te chuan natna hi a awm dan a zirin chi thum-ah an then a:

• Progressive: Hun kal zelah symptoms a zual zauh zauh.
• Recurrent: Symptoms a lo lang a, a bo a, a lo lang leh thin.
• Monophasic: He natna hi dam chhungin vawi khat chauh a awm thin. Kum 1-3 vel hnuah a reh leh thin.

Eng thilin nge CIDP hi a thlen? Hri kai theih a ni em?

CIDP hi a chhan dik tak hi hriat a la ni lo a, mahse nerve leh nerve roots inflammation vang a ni tih kan hria. Sawi tawh ang khan hei hian nerve chhehvela myelin sheath a tichhia a ni.

Engtin nge diagnosis hi siam a nih?

CIDP chungchangah hian test bik a awm lo. Chuvangin, i doctor chuan i symptoms (engtik atanga tan nge, i rilru put hmang) te chu a zawt hmasa ang a, chutah chuan taksa enfiahna a nei ang a, i nerve-a thil dik lo awm dik tak hriat theih nan test tlemte a rawt ang a, natna dang pawh a paih chhuak ang.

Heng test-ah hian:

• Thisen leh zun test a ni.
• Nerve conduction study leh Electromyogram (EMG): Hengte hian nerve leh myelin sheath chhiatna an zawng thin.
• Lumbar puncture: Spinal cord atang hian tui tlemte lakchhuah a ni a , protein level sang tak a awm leh awm loh enfiah a ni a, hei hi CIDP-ah hian a awm fo thin.
• Nerve biopsy: Nerve atanga tissue te tak te la chhuakin microscope hmangin an enfiah thin.
• MRI scan: Nerve zung a hring em tih a enfiah thei.

Enkawlna kawng hrang hrangte chu engte nge ni?

Mi tam takin enkawlna an mamawh a ni. Enkawlna an tan hma chuan a dam kim theihna chance a sang zawk.

Damdawi chi hrang hrang

• Corticosteroids: Hei hi steroid-type damdawi a ni a, inflammation a tiziaawm a, immune system hnathawh a control bawk.
• Immunotherapy: Heng damdawi te hian immune system in myelin a beih loh nan a titawp thin.
• Biologics: Tun hnaia damdawi chi thar pawm Vyvgart ang chi damdawi pawh hemi atan hian hman a ni bawk.

Enkawlna bikte

• Intravenous immunoglobulin (IVIG): Mi hrisel thisen atanga lak chhuah antibodies concentrated form injection pek i ni. Hei hian i immune system a thawk tha lo chu a control thei a ni.
• Plasma exchange (PE): Hei hian i thisen lak a, machine bik hmanga thawn a, thisen plasma-a antibody tha lo awm chu lakchhuah a, chumi hnuah thisen thianghlim i taksaah inject leh a ni.
• Stem cell transplant: He enkawlna hmuh tur awm lo takah hian stem cell hrisel tak tak te chu immune system "reset" turin transplant a ni.

Damdawi dangte thlawptu

• Physical therapy: Hei hian chakna hloh tawhte neih let lehna kawngah te, kea kalna tur te, leh balance tihchangtlunna kawngah te a pui hle.
• Occupational therapy: I dinhmun karah pawh nitin hna awlsam zawka thawh dan tur a zirtir che a ni.
• Exercise leh diet: Exercise tlem lutuk hian chakna i neih theih nan a pui thei che a ni. Mahse exercise hi i doctor emaw physical therapist emaw enkawlna hnuaiah chauh tih tur a ni. Ei leh in inthlau tak hian a tul lo taka taksa rihna a tipung thei lo.

CIDP nena nun leh hmalam hun thlir dan

CIDP diagnosis i dawn chuan i rilru a buai hle mai thei. Chu chu thil pangngai a ni. I doctor nen inbiak reng a, i natna lan chhuah dan leh i enkawl dan te sawi dun a pawimawh.

Tin, natna enkawl dan tur leh rilru lam hahdamna hmuh theihna turin professional tanpuina zawn a pawimawh hle bawk. I chhungte, i thiante leh i medical team te hi he zinkawngah hian chakna petu ropui tak an ni ang.

Outlook erawh chu i kum, natna chi hrang hrang, enkawl hma dan leh i taksain enkawlna a dawn danah a innghat a ni.Thu lawmawm tak chu enkawl a nih chuan mi 90% vel chu an dam leh thin. Mi thenkhat chuan symptoms an lo let leh thei bawk. Mahse, CIDP hian dam rei zawng a ti tawi tlangpui lo.

CIDP, neuropathy, rilru hahna, taksa ruh chak lohna, myelin, Guillain-Barre syndrome, immunotherapy, autoimmune natna, CIDP sinhala