Kan taksaah thil engzat nge thleng mek tih hi kan hriat loh pawhin i ngaihtuah ngai em? He thu i chhiar lai hian i thinlung a na a, i thawk a, i mit a chhing a. Heng zawng zawng hi i ngaihtuah a ngai lo a ni lawm ni? Heng zawng zawng hnuaiah hian kan taksa peng te tak te, mahse thiltithei tak, pawimawh tak a awm a. Vawiin hian chu "control room" chungchang kan sawi dawn a ni. Chu chu thluak (brainstem) emaw, sap tawnga kan sawi angin `(Brainstem)` emaw a ni.
A awlsam zawngin, thluak bul chu eng nge ni?
I thluak hi computer lian tak (`CPU`) ang maiin han ngaihtuah teh. Spinal cord chu chu computer inzawmkhawmtu cable network a ni. Tichuan, he computer leh cable network inzawmkhawmtu ber chu `Brainstem` a ni. Chu chu, hei hi i thluak leh i ruhro inkara thuchah thawn chhuaktu kawngpui lian ber a ni tihna a ni .
I thluak hnuai chiah, i luruh hnung lamah a awm a ni. Pangpar hnah ang mai a ni. He i thluak peng tlemte hian kan hriat loh pawhin kan nun min puitu thil tam tak a thunun a ni.
Chu chu eng nge a nih i en ang u?
- Thâwk: Hei hi thluak peng pakhat, ngaihtuah lova thawk chhuaktu a ni.
- Heart rate: Kan thinlung rate a control thin.
- Thisen sang: Thisen sang chu duhthusam level-a awm reng turin a pui.
- Taksa inthlauhna: He peng hnathawh avang hian kan kal emaw, kan tlan emaw hian kan inthlau tawk lo.
- Swallowing: Kan ei leh in tur dik taka ei turin min pui thin.
- Mit leh hmai chetna: mit inher kual, hmel lan dan thunun.
- Hriatna leh thlum.
- Mut leh harh chhuah: Hei hian muthilh tura min tir a, zingkar min tiharhtu chu a ni.
A awlsam zawngin i taksa ``auto-pilot'' system ang maiin a thawk a ni. I dam khawchhuahna atana i mamawh zawng zawng a enkawl a, engmah ngaihtuah ngai lovin.
Brainstem reflexes hi eng nge ni?
Reflexes hi kan ngaihtuah pawha lo thleng thin chhanna a ni. Environment inthlak danglamna nena insiamrem leh mahni invenna atan an pawimawh hle. Reflexes lian tak tak engemaw zat a awm a, chungte chu thluak bul (brainstem)-in a thunun a ni.
| Reflex a ni | Eng nge tih tur awlsam tak |
|---|---|
| Lung leh thisen kalna kawng (reflexes) te | Heart rate leh blood pressure hi a tul angin control a ni. |
| Gag reflex a ni | Thil pakhat chu kawr chhungah a tang a nih chuan rang takin hnawhchhuah a ni a, thawkna kawng pawh a venghim a ni. |
| Swallowing reflex a ni | Ei leh in tur ka atanga pum thlenga him taka kal theihna. |
| Pupillary light reflex a ni | Mit chunga ring dum chu êng êng takah a tlahniam a, thimah chuan a lian lehzual bawk. |
| Thluak lam thil (respiratory reflexes) te | Khuh leh thawk hah ang chi thil te control-in lung a ti fai reng a ni. |
Thluak zung (brain stem) peng lian pathum te
He hnah ang chi te tak te chhungah hian a then lian dang pathum a awm bawk. Heng hna pawimawh tak tak thawk tur hian an pathum hian an thawk ho thin a ni.
| Bung hrang | Hnathawh ber |
|---|---|
| Midbrain a ni | Hei hi a chung bera part awm chu a ni. Mit che vel, mit hmuhna leh hriatna control nan a pui thin. |
| Pons a ni | A laiah chuan a part chu. Hmai leh mit chetna, hmai hriatna, hriatna leh taksa inthlauhna te a inrualkhawm thin. |
| Medulla (medulla) chu a sei (medulla) a ni | A hnuai lam a awm chu. Hei hian nunna atana thil pawimawh ber berte chu a thunun a ni: thawk, thinlung na, thisen sang, leh ei leh in te. |
Tin, thluaka lo chhuak cranial nerve 12 zinga 10 chu he thluak bul nen hian an inzawm bawk. Chuvangin, thlum, hriatna, leh hmêl chetna ang chi thilahte a inrawlh nasa hle.
Engtin nge thluak stem hi a chhiat theih ang?
Chutiang hmun pawimawh tak tihchhiat chu a hlauhawm hle. Thluak zung (brain stem) hi chhan hrang hrang avangin a chhe thei a ni.
- Stroke: Thluaka thisen petu thisen kalna kawngkhar a block emaw, a puak emaw a ni.
- Lu hliam na tak (Traumatic Brain Injury - TBI): Car accident leh tlu ang chi thil vang a ni.
- Thluak natna (brain tumor) a awm.
- Thisen a chhuak thin.
- Thluak natna (Encephalitis) a awm.
- Cardiac arrest a awm nghal.
Brainstem problem a awm chuan eng symptoms nge a neih?
Thluak zung hian thil tam tak a thunun avangin chuta harsatna awm chhinchhiahna chu a inang lo thei hle. Mahse, heng symptoms te hi a lo lang nghal a nih chuan emergency a ni thei .
| Symptom a ni | Awmzia |
|---|---|
| Balance hloh/luak chhuak | Ding, kal leh kal harsa a lo ni ta. |
| Chaw ei harsa | Ei leh in tur a tang ang maia inhriatna, in harsat. |
| Thusawi harsa | Thumal a inzawm khawm a, sawi chu a chiang lo hle. |
| Mit hmuhna lama harsatna a awm | Pahnih pahnihin ka hmu thei a, ka mit chu sawn kual a har khawp mai. |
| Stroke natna lan chhuah dan | Hmai emaw taksa sir khat chu a hring emaw, a tingling emaw a ni. |
| Thâwk harsa | Thâwk harsa a lo ni ta a, thawk dan pawh a danglam ta a ni. |
| Thil hriatna hloh emaw tihdanglam emaw | Vawikhatmah i muhil ang maiin i hria a, i hriatna chu a tlahniam ta. |
Nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan damdawi in Emergency Department (ETU)-ah tihkhawtlai lovin hruai la, hei hi nunna atana hlauhawm emergency a nih avangin.
Brainstem Thihna hi eng nge ni?
Hei hi thupui sensitive tak a ni. Brainstem death emaw Brain death emaw tih awmzia chu thluak stem hnathawh a chawlhsan tawh tihna a ni. Chumi awmzia chu nunna atana thil pawimawh ber ber, thawk leh thinlung thawk dan control tu center chu a tawp vek tawh tihna a ni.
Hetiang dinhmunah hian mi chuan hriatna a nei leh thei lo. Machine (`life support`) hmang chauhvin lungphu leh taksa hnathawh dangte chu rei lo te chhung chu a vawng reng thei a ni. Hei hi dan mithmuhah chuan thihna anga ngaih a ni.
Hliam i neih hnuah i dam thei ang em?
Hei hi mi tam takin harsatna an neih a ni. Brainstem chhiat hi thil pawi tak a ni. Amaherawhchu, hliam thenkhat chu tihdanglam theih a ni. A chhiatna a thlen dan te, a nasat dan te, leh enkawlna a dawn thuai danah a innghat a ni.
Damdawi lam pan hmasak hian chhiatna chu a ti tlem thei hle. Recovery process hi a rei thei a, a harsa thei bawk. Rehabilitation tam tak a mamawh a, chu chu physiotherapy leh occupational therapy te hi a ni. He zinkawngah hian i chhungte leh doctor-te puihna hi a pawimawh hle.
Take-Home Thuchah a ni
- Brainstem hi i taksa ‘autopilot’ ang a ni. He part hian nunna hnathawh pawimawh ber ber, thawk leh thinlung thawk te chu a thunun a ni.
- Simptoms, luak chhuak thut, ei harsa, tawng harsa, taksa sir khata hriatna hloh te hi ngai pawimawh rawh.
- Heng symptoms zinga pakhat tal i hmuh chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh. Hun hi a pawimawh ber a ni.
- Brainstem chhiatna nasa tak ni mah se, mi ṭhenkhat chu enkawl vat leh ṭha taka siam ṭhat an nih chuan an dam leh thei a ni.
- I taksaa heng inthlak danglamna te hi ngaihthah ngai suh. Ringhlelna i neih chuan doctor pan vat la, thurawn la rawh.
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