I fate chu i inbual lai emaw, i khelhpui lai emaw khan a hnuai lam i tickling tawh em? A ke ruh lian tak chu a chhuak a, a kut zungtang dangte chu mawi takin a inzar pharh tih i hmu ngai em? Hei hi thil thleng mai mai niin i ngai mai thei. Mahse a takah chuan doctor-te’n naute thluak leh nervous system hmasawnna enfiahna atana an hman thin chhinchhiahna pawimawh tak a ni. Vawiin hian he thil mak tak hi kan sawi dawn a ni.
Babinski Sign chu eng nge ni?
A awlsam zawngin, Babinski Sign hi chhanna a ni. A dik tak chuan, duh loh zawnga reflex . Chu chu, hriatna neia kan thunun thil a ni lo tihna a ni. Ngaihtuah teh, miin min rawn en thut a nih chuan kan mit kan chhing mai ang, a dik em? Kan hriat chian em em thil a ni lo. Hei pawh hi chutiang bawk chu a ni.
Doctor-in naute ke kephah, a kephah atanga a ke ruh lian thlengin, thil hrual (reflex hammer kutkawr ang chi) hmanga zawi zawiin a hnawih hian naute ke ruh lian chu chunglam hawiin a inbeng a, ke ruh dangte erawh chu fan ang maiin a inzar pharh thung. Chu chu Babinski sign kan tih chu a ni. He test hi Plantar Reflex Test an ti a .
Hei hi kum 1896 khan neurologist Joseph Babinski chuan a hmuchhuak hmasa ber a ni. Chuvang chuan a hming chawia sak a ni.
Engvangin nge naute te te hian he Babinski reflex hi an neih?
Tunah chuan, "Engvangin nge hei hi naute te tan chauh a nih?" A chhan chu a ngaihnawm khawp mai.
Kan thluak atanga spinal cord hnuai lam pan nerve pathway lian tak a awm a, chu chuan taksa chetna control tu message a keng tel a ni. Damdawi lam hawi chuan hei hi corticospinal tract (CST) an ti a. Colombo atanga Galle panna kawngpui lian ang maiin han ngaihtuah teh. He kawng hi thluak atanga thuchah "kut vawrh rawh" leh "i ke chawi rawh" tih ang chi te chu hmun remchangah a phur nghal vat thin.
Naute an pian hian he ``Corticospinal Tract'', kan 'highway' hi a la lo thang kim lo. Kawngpui carpet thar ang mai a ni a, hna pawh a la zo lo. Chuvangin thluak atanga thuchah lo lutte kal dan chu a danglam deuh hlek a ni. That’s because of the immaturity of the nervous system , ke kephah chu a tichak a, ke ruhte chu thluak atanga thuchah dawng turin a chho a ni.
Hei hian naute nervous system-ah thil dik lo a awm tih a tilang lo. Chu kum atan chuan thil pangngai tak a ni. Naute nervous system a lo thang lian tihna mai a ni.
Babinski Reflex leh Plantar Grasp Reflex hi eng nge an danglamna?
Naute a lo seilian chhoh zel chuan kan sawi tawh ``Corticospinal Tract'' chu a lo thanglian tha hle. Kan 'highway'-a hna zawng zawng thawh zawh vek ang mai a ni. Tichuan chu Babinski reflex chu a bo ta a, a hmunah reflex dang a lo thleng leh ta a ni. Plantar Grasp Reflex kan ti a .
Thil thleng chu i naute ke ruh hnuai lama i kut zungtang i dah chuan an kut zungtang chu hnuai lamah an curl ang a, i kut zungtang chu man ang maiin an inlan ang. Hei hi kum 2 kan tlin hnu leh puitlin thlenga kan chhanna a ni. Hei hian kan nervous system a lo thang tha hle tih a tilang a ni.
An pahnih inthlauhna chu light switch on leh off ang mai a ni:
- Babinski Reflex: Kut zungtangte chu a sang chho (switch on ang maiin).
- Plantar Grasp Reflex: Ke ruhte chu hnuai lam hawiin a inbeng (switch off ang maiin).
He inthlauhna hi sawifiah lehzual turin he chart hi han en ila.
| Mihring ziarang | Babinski Reflex a ni | Plantar Grasp Reflex a ni |
|---|---|---|
| Kut zungtang chet dan | Ke ruh lian tak chu a chho ta a . Ke ruh dangte chu a inzar pharh a. | All fingers are bent down , thil pakhat man ang maiin an che. |
| Kum mit hmuh dan pangngai | Pian tirh atanga kum 2 vel thleng. | Kum 2 hnuah, dam chhung atan. |
| Hei hian eng nge a awmzia? | Nervous system (a bik takin CST) hi a la lo thang zel a ni . (Hetiang kum ah hian hei hi thil pangngai a ni) | Nervous system hi a lo thang tha hle (he kum ah hian a pangngai). |
Engtikah nge he Babinski reflex hi a bo thin?
A tlangpuiin, he Babinski chhanna hi naute kum 2 vel a nih meuh chuan a bo vek thin . Mahse naute zawng zawng hian kum hnih an tlin meuh chuan an nei vek lo. Naute thenkhat chuan kum khat vel an tlin meuh chuan an hloh a, kan sawi tawh plantar grasp response (ke ruhte chu hnuai lam hawiin a inbeng) chu a lo lang tan ta a ni. Hei hi nausen hrang hrangah a inang lo deuh thei.
A pawimawh ber: Puitling emaw naupang kum 2 chunglam emaw pawhin he chhinchhiahna hi a neih chuan engtin nge ni ang?
Hei hi kan zavaia kan hriat chian a tul ber a ni.
Naupang kum 2 chunglam emaw, puitling tu emaw kephah i enfiah hian Babinski chhinchhiahna i hmuh chuan, chu chu ke ruh lian tak chu chawi sangin, ke ruh dangte chu a inthen darh a, chu chu thil danglam tak a ni
Hei hian chu mi central nervous system (CNS), chu chu thluak emaw, ruhro emaw- ah chhiatna emaw, harsatna emaw, natna emaw a awm thei tih a târ lang a ni . A bik takin, a hmaa kan sawi tawh Corticospinal Tract an tih nerve pathway-ah hian chhiatna engemaw zat a awm thei.
| Damdawi lam thil thenkhat, puitlingah Babinski chhinchhiahna thlen thei | |
|---|---|
| Thai | Thluak a thisen pek that loh vanga chhiatna. |
| Spinal Cord Hliam a awm | Accident avanga ruhro (spinal nerves) a chhiat. |
| Multiple Sclerosis natna a ni | Taksa ngeiin a taksain a tihchhiat nasat em emna dinhmun a ni. |
| Thluak Tumor a awm | Thluak chhunga cell than dan pangngai lo. |
| Meningitis natna (Meningitis) a awm | Thluak leh ruhro khuh tu membrane-a infection a ni. |
| ALS (Amyotrophic Lateral Sclerosis - ALS) natna hi a lo awm tawh a ni. | Muscle control tu nerve te chu zawi zawiin an chak lo chhoh zelna dinhmun a ni. |
Chuvangin, nangmah emaw, kum 2 chunglam i hriat emaw pawhin heng symptoms te hi i neih chuan ngaihthah suh. A tha ber chu doctor thiam tak hmuh nghal a, a tul anga damdawi lam thurawn leh test neih hi a ni.
Engtin nge doctor hian he test hi a tih?
I naute chu clinic-a a than dan enfiah tura i hruai lai khan doctor-in he test hi a tih hi i hmu tawh ngei ang. Test awlsam tak, hrehawm lo tak a ni a, second tlemte chhunga tih theih a ni.
1. A hmasain Doctor chuan naute pheikhawk leh socks te chu a phelh a, naute chu nuam takin a mut tir thin.
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3. Chutih hunah chuan doctor chuan naute ke ruhte chu uluk takin a en ang. A ke ruh lian chu a lam hawiin (dorsiflexed) a ni em tih leh ke ruh dangte chu a inzar pharh em tih a enfiah ang.
He test result hi `positive` emaw `negative` emaw a ni thei.
- Positive Babinski Sign: Hei hian ke ruh lian tak chu a chawi sang a, kut zungtang dangte chu a inzar pharh tihna a ni. Hei hi naute kum 2 hnuai lam tan chuan thil pangngai a ni . Mahse kum 2 chunglam tan chuan thil pangngai lo tak a ni.
- Negative Plantar Reflex: Hei hian ke ruhte chu hnuai lam hawiin a ben (plantar grasp), a nih loh leh chhanna a awm lo tihna a ni. Hei hi naupang kum 2 chunglam leh puitling tan chuan chhanna pangngai a ni .
Chuvangin, i naute inbual lai emaw, i inkhelh lai emawa he thil hi i hriat palh a nih chuan mak ti suh. I naute thluak leh nervous system te thawhhona leh thanlenna kawng mak takah a tel a ni. He test awlsam tak hian doctor te hnenah i naute hriselna chungchang tam tak a hrilh thei a ni.
Take-Home Thuchah a ni
- Babinski reflex, ke ruh lian tak chu ke kephah hrual a nih chuan a chung lam hawia a kalna hi naute kum 2 hnuai lam tan chuan thil pangngai leh hrisel tak a ni vek a ni
- Hei hian naute central nervous system (thluak leh ruhro) a lo thang tha hle tih a tilang a ni.
- Vawi tam tak chu naute kum 2 a tlin meuh chuan he chhanna hi a bo vek a, plantar grasp response hian a thlak ta a ni.
- He Babinski chhinchhiahna hi naupang kum 2 chunglam emaw puitling emaw ah hmuh a nih chuan thluak emaw, ruhro emaw a harsatna a awm tih chhinchhiahna a ni thei.
- Chutiang dinhmunah chuan hlauhthawn loh a pawimawh a, doctor pan nghal a, thurawn lak a pawimawh.
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