- Dr. C. Lalrampana
A KAMKÊUNA
Mizoram bik chauh thlir ila. Mizote zingah thazâm tha lo, thazâm nã an tam hle niin a lang. Tlema kal bãi deuh seih seih leh kal kun deuh hleu hleu tawh chuan “Ka nerve a nâ” an ti thei deuh zel niin a ngaih theih. A bikin zu ngawl vei leh ruih theih thil ti nasate zingah thazâm tha lo an tam bik hle. Nula tlangval thalai kum naupang tê tê zingah pawh hetiang harsatna nei hi an tam hle. Tunhma chuan kum 60 chunglamah chauh hetiang natna hi a awm emaw tih tur a ni a, mahse, tunah chuan kum nâupang zawkte natna emaw tih tawh mai turin thalai kum naupang zawk zingah an tam zawk mah niiin a lang.
THAZÂM CHU ENGE A NIH?
Pathian hian mihring taksa hi a siam ropui hle. Hriatna thazàm tereuh tê tê (nerve) hi kan lu atanga ke chhip ler/kut hmawr inkarah leh taksa pumpuiah hian trilion 7 (maktaduai vawi thuma inpuntir chhawng sarih) vel zet, network ang maia inphan chuat khawpin awmze nei tak siin a zam (wiring) chhuak vek a; heng hrui inthlung (arteries) zinga pakhat lek pawh hian a thawh tur a thawh that theih loh chuan khawii lai taksa pêng engemaw berah hian emaw a natna lang chhuak (symtom) a awm ngei ngei thin a ni.
Thazâm zawng zawng chhui sen rual a ni lo. Kan Thazâm laipui (meridian nerve) hi lu chhip lai taka inthenin ding lam leh vei lamah hrui panga (5) ve ve inthlungin kut leh ke zungtang chhip thlengin ding lam leh vei lamah a inzam chhuak vek a, an vaiin 7,200 lai an ni. Heng meridian nerve-te hian na hriatnate leh thil hriatnate chu thluakah thlenin a hmuamhma laiah a rawn lan chhuahtirleh thin a ni.
Thazâm nã kan tih tam ber hi neuralgia emaw neuropathic pain tih a ni a, cranial nerve te, sciatice nerve nã te, spine nerve nãte sawi tur tam tak a awm. Cranial nerve nã hi zunthlum, thisensang,, lu hliam, infections, strokes, leh brain tumors-te’n a thlen thin.
Thazãm natna (Nerve pain@neuralgia) hi natna chi khat a ni a, kah, hliam emaw, kang emaw ang maia hriat a ni fo. thluaka natna signal tura thuchah thawntu thazãm emaw, thluak ngei pawh tihchhiat emaw, hliam emaw avanga lo awm a ni. Thazãm natna hi enkawl harsa tak a ni thei. Nervous system hi network inthup tak a ni a, thluak leh luruh (central nervous system) atanga intan a ni. Heta tang hian thazâm (nerve) za tam tak chu taksa peng zawng zawng (peripheral nervous system)-ah a inzar pharh chhuak thin. Heng system-te hi an inzawm khawm chuan kan hriatna te, inbiakpawhna te, kan chetna te, kan duh loh zawng thil tih te, thãwk leh lung hnathawh te, hriattirna pekchhawn te, leh hna dang chhiar sen loh kan ngaih pawimawh lohte thlengin an thunun a ni. A châng chuan, natna emaw, hliam emaw, a nih loh leh genetic problem avângin thazãmte chu a chhe thei a ni. A nasat tak tak chuan hrehawmna leh lungngaihna nasa tak a thlen thei a, chak lohna a thlen thei a, nunphung pawh a tlahniam thei bawk. Thazâm (Nerve) dinhmun hi harsatna tlanglawn tak, carpal tunnel syndrome atanga harsatna khirh zawk, hliam na tak emaw, malignancy emaw avanga lo awm thlengin a awm thei. Neurologist-te hian nerve condition nuances tam tak hi an hre thuk hle a, an hriatna leh tawnhriat hmangin diagnosis dik tak leh personalized treatment an pe thei a ni. Hriatrengna hloh Seizures, tremors, emaw, thunun theih loha twitching emaw
Rilru lama harsatna neite thlengin an enkawl thin.
THAZAM NÂ LANCHHUAH DAN
Thazâm nâ hi chihrang hrangin a inlar chuak thin. A tlangpui chauh tarlang ila:
1.Foot drop: Hei hi ke hmalam chawi harsa leh rit lutûk thin hi a ni. Kheimit bâwr atanga kekâwn thlenga na thin hi a ni. Hei hian kal laiin ke a hrual thei a ni. Foot drop an tih hi ke emaw, ke ruh, thazãm emaw, taksa peng hrang hrang harsatna avanga lo awm thei a ni.
- Peroneal nerve hliam : Ke ruh; Fibular nerve hliam a awm a; Ke drop palsy a ni a; Fibular neuropathy (fibular neuropathy) a awm a; Peroneal neuropathy a awm bawk a; Ke chu a rit lúk thin a ni. Ke rit lûk thin hi hriselna lama harsatna hrang hrang vang a ni thei.
Ke rih chhan ber chu peroneal nerve hliam (injury) vang a ni. He thazãm hi fibular nerve an ti bawk a, hei hi sciatic nerve pêng pakhat a ni. Ke hnuai lam, leh ke ruhte chu chetna leh hriatna a pe a ni. Taksa chhunga thazãm leh tihrâwl tichhe thei dinhmun hian ke a tlakbuak thei a ni.
- Thazãm zung nâ (Nerve Root pain): Hei hi thazãm chhia emaw, ruha compress emaw atanga lo chhuak a ni. Thazãm hian taksa chetna leh hriatna thununtu thuchah chu thluakah a keng tel thin. Zangruh (Spine) chhunga thazãm pakhat a chhiat chuan natna a thlen thei a, sensitivity a tipung thei a, a rilru a buai thei a, taksa ruh a tichak lo thei bawk. Natna hi thazãm zung hrang hrang atanga lo chhuak a ni thei. Radicular pain tih hian thazãm zung pakhat atanga natna lo chhuak a ni thei. thazãm zung nâ chi hrang hrang chu:
Lumbar nerve pain (sciatica): Lumbar nerve na hi hnungzang leh ke natna inzawmkhawm a ni thei a, khup hnuai lam keah natna a na zual. A tlangpuiin disk slip vang a ni.
- Brachial neuralgia: Brachial neuralgia hi kawng thazâm atanga lo chhuak a ni a, kut natna a thlen emaw, kut atanga kut leh kut zungtang atanga radiate down emaw a ni. Nerve Root Pain natna lan chhuah dan hi kang emaw, hnungzang atanga lo chhuak leh taksa peng dang, thazãm chhia nena inzawm lam pan anga sawi a ni fo. Nerve Root Natna hi a hnuaia thil dang, nerve root compression emaw tihchhiat emaw avanga lo awm a ni fo thin. Nerve root nat chhan hrang hrangte chu:
Arthritis natna a ni a, Bone spurs Inflammatory natna a ni. Degenerative spinal conditions chu ruh natna (spinal stenosis) ang chite hi a ni. Herniated discs a awm bawk. Spondylosis natna (Spondylosis) a awm. Thil danglam, tumor, cyst, hernia, leh hematomas te Spinal injury emaw infection emaw a awm thei.
Neuropathy chi hrang hrang a awm a, chu chuan nerve hrang hrang leh taksa peng hrang hrang a nghawng a. Nerve pakhat tihchhiat chu mononeuropathy an ti a, hmun hrang hranga nerve pahnih emaw a aia tam emaw chhiatna chu multiple mononeuropathy an ti bawk. Nerve tam takah chhiatna a awm chuan, polyneuropathy an ti a ni.
THAZÃM NATNA DAMDAWI
Capsaicin, aspirin emaw lidocaine emaw awmna cream hman hian nerve natna a tihziaawm thei. Depression, seizure emaw insomnia enkawlna atana hman damdawite hi nerve natna tihziaawmna atan hman theih a ni bawk. Peripheral nerve hliam nei thenkhat chuan natna tihziaawmna atan corticosteroid injection an mamawh thei bawk. Tin heng damdawite hi hman thin a ni bawk. Gabapentin; Carbamazepine; Pregabalin; Amitriptyline; Oxcarbazepine; Anticonvulsant; Antidepressants; Capsaicin; Clonidine; Duloxetine; Ibuprofen; Lidocaine; Opioid; Phenytoin, Tramadol; Acetaminophen; Amiodarone; Topical medication; Valproate
Healthcare professional chuan taksa a khawng lutuk loh nan leh hna an thawh that theih nan physical therapy a chawh ve fo bawk thin. Mahse, heng damdawite hi doctor thiam rawn hmasa lo chuan ei mai mai loh tur a ni.
MAHNIA INENKAWLNA
Natural leh traditional method tam tak nerve natna lanchhuahna tihziaawm ve thei. Vitamin leh mineral-te a awm bawk. Peripheral neuropathy vei thenkhat chu mineral emaw vitamin emaw tlakchhamna vang a ni bawk. Herbal damdawi te. Meizial zuk bânsan, zu leh ruihhlo laka fihlim,
Tuiluma Inbual te,
Insawizawi,
Inngaihtuah muk (meditation)
Acupuncture hmanga inenkawlte, Yoga tih thinte hi a tha hle a ni. Heng bakah hian Thlai hring leh hnah nei te. Broccoli, spinach leh asparagus-te hian vitamin B an pai vek a, hei hi nerve siam thar leh nerve hnathawhna atana pawimawh tak a ni.
Thlai chi hrang hrang. Nitin thei pakhat tal ei thinte hian nerve chhia tihdam nan a pui tha hle. Zucchini. Summer squash chi khat, zucchini hi a takah chuan thei chi a ni. Sweet potato, Quinoa,
Butter thei (Avocado), Avenger, ashwagandha, khawizute hi a tha hle.
A TLÃNGKAWMNA
Thazãm natna hi a nasat tawh chuan damna tak tak a vang hle a, kalphung neia insawizawi te, ayurvedic, herbaliism leh conventional medicines- acetaminophen, aspirin, or NSAIDs- ibuprofen, Advil, Motrin, ketoprofen, or naproxen Antidepressants etc leh acupressure, acupuncture, reflexology, physiotherapy leh ei leh in (balance diet) thleng hian tan rual a ngai a ni ber mai. Chuvangin, mahni taksa theuh hi duat takin enkawl ila, ei leh in tur dik ei ila, rit lutuk, thau lutuk lo ila, ruihlo leh zuk leh hmuam lakah fihlim ila, din chet leh thut, mut, hnathawh dan thlengin uluk ila, rit lak leh chet dan chin tawk thiam bawk ila zangruh, kawngruh, ngum ruh tihliam thei khawpin che vak vak thin lo ila thazãm natna pumpelhna tha tak a ni e.