I kawr chu duh loh zawngin a inhnukdawk em? (Cervical Dystonia) chungchang hi i zir dawn teh ang!

A châng chuan i kawr chu mak tak maiin a khauh a, a na a, i lu chu a sir khatah i hrual a ni em? A nih loh leh, i kawr ruhte chu a hrual nghal a, chu chuan thunun theih lohvin i lu a ti nghing che em? Chûngte chu kawng hrual awlsam tak mai a ni lo mai thei. Vawiin hian kawr nena inzawm neurological condition i hriat loh mai theih, mahse mi thenkhat a nghawng thei chungchang kan sawi dawn a ni. Hei hi Doctor ten `(Cervical Dystonia)` an tih chu a ni.

Cervical Dystonia chu eng nge ni?

A awlsam zawngin sawi ila, cervical dystonia hi neurological condition a ni a, kan thluak leh nervous system-a harsatna awm vangin kan kawr chhunga thau te chu thunun theih lohvin a inzawm khawm thin. Kawngkhar ruhte chu a nalh deuh deuh a, anmahni tune-a an zai ang mai a ni.

Heng ruhte hi an inzawm khawm chuan an chawlh hahdam ai chuan an tight zawk thin. Hei hian i dinhmun pawh a tidanglam thei a ni. I lu leh i kawr chu a pangngai lo takin a che tan thei a, rang taka a hrual emaw, a hrual emaw ang maiin a che thei. Hei hi thil hrehawm tak a ni thei a, nitin hna i thawh theihna a tibuai thei bawk.

Cervical dystonia hi natna pawl lian zawk zinga mi a ni a, ``Focal Dystonia.`` Focal Dystonia tih hian taksa hmun khat chauha taksa peng hrang hranga taksa ruh (muscle spasm) thlentu natna a kawk a ni. A châng chuan i doctor chuan ``Spasmodic Torticollis`` tiin a sawi thei bawk.`` Hming pahnih emaw pathum emaw hmanga koh ni mah se, a dinhmun inang chiah a ni.

Cervical dystonia chi hrang hrang a awm em?

Ni e, chi lian tak pahnih hriat theih a ni. Heng chi hnih hi a chhan a zirin an thliar hrang a ni:

1. Primary cervical dystonia: Hetiang a nih chuan , natna thlen chhan dik tak hriat a ni lo. Condition lo awm mai mai a ni.

2. Secondary cervical dystonia: Hetiang a nih chuan a chhan hriat theih a ni. Chumi awmzia chu damdawi lam thil dang vang emaw, damdawi ei avanga side effect vang emaw, accident vang emaw a ni thei tihna a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Cervical dystonia hi ``Focal Dystonia`` category-a natna langsar ber pakhat a ni. United States-ah ringawt pawh hian mi 60,000 velin he natna hi an vei nia chhut a ni. Sri Lanka-ah pawh hetiang damlo hi an awm thei a, underdiagnosis vangin statistics a hniam zawk mai thei.

Cervical dystonia natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun hian i control theih loh movement a siam thin. A lan chhuah dan ber chu:

• Muscle spasms: Kawr chhunga thau te chu a nghet nghal a, lung ang maiin a awm a, a thlamuang thei lo. A châng chuan taksa ruhte chu a inher emaw, a che emaw ang maiin a lang thei.
• Tremors: Taksa peng hrang hrang, kut leh ke ang chi, thunun theih loha nghing. Hetianga nghing hi kawr chhungah pawh a awm thei bawk.

Heng chetna thunun loh hian i dinhmun a tidanglam thei a ni. Posture chu i ding lai emaw, i thut lai emawa i taksa i vawn dan a ni. Cervical dystonia hian heng posture inthlak danglamna hi a thlen thei a ni:

• I lu rotating: I lu chu i hriat loh pawhin a sir khatah i hawitir mai thei.
• Lu hmalam, hnunglam emaw, a sir lam emaw tilt: Lu chu sir khatah tilt ang maiin.
• Kawng leh lu hmalam emaw, hnunglam emaw, a sir lam emaw ben: Kawr dik taka vawn reng chu a harsa ta hle.

Heng chetna hian ke leh kawr a ti na thei bawk a, chu chu inflammation nen a inzawm thei bawk . Mi thenkhat chuan lu na an nei bawk . Hetiang thil hmanga nitin hna thawh a harsat theihzia hi han ngaihtuah teh.

Engvangin nge cervical dystonia hi a lo awm?

Dik tak chuan doctor-te chuan damlo zawng zawngah cervical dystonia awm chhan dik tak hi an la hre lo. Mahse zirchianna chuan kan thluak hmun pakhat ``Basal Ganglia'' an tih a hnathawh that loh vang a ni tih a tarlang. He ``Basal Ganglia'' hmun hian kan taksa peng hrang hrangte incheina a thunun a ni. Chutah chuan harsatna a awm chuan signal dik lo chu kawr chhunga thau (muscles)-ah a thawn a, chu chuan hna a thawk tha lo hle.

Secondary cervical dystonia hi a hnuaia thil awmte avang hian a lo awm thei a ni.

• Psychiatric damdawi thenkhat side effect angin .
• Thluak hliam na tak a awm avangin (Traumatic brain injury) .
• Neurological condition dang, Parkinson natna ang chi te nen .
• Genetic mutations chu `GNAL`, `THAP1`, `CIZ1` emaw `ANO3` tih te hi a ni. Hengte hi a buaithlak deuh a, mahse a theih tho.

Tute nge he natna vei theihna sang zawk?

He natna hi kum eng pawhah lo awm thei mah se, mi thenkhat chu an hlauhawm zawk a ni:

• I chhungkuaa mi tu emaw hian he natna hi a lo vei tawh a nih chuan (genetic link a awm thei).
• Damdawi `(Dopamine antagonists)` emaw `(Antipsychotics)` tih emaw i ei a nih chuan.
• Thluak hliam i neih tawh chuan.

He natna hi hmeichhia leh kum 30 leh 60 inkar zingah a tam ber a, mahse chu chu midangin an kai thei lo tihna erawh a ni lo.

Cervical dystonia avanga harsatna awm thei te chu engte nge ni?

Heng symptoms te hian i nitin nunah nghawng lian tak a nei thei a ni. Hna thenkhat thawh a harsat phah thei hial a ni. Natna, khur leh taksa ruh tliak hian i kawr, i hmui, i kut leh i taksa peng dik taka che a harsa thei a ni. Thusawi, ei leh in, leh taksa inrem lohna ang chi thilte pawh a ti harsa thei bawk.

Thil na tak ṭhenkhatah chuan, i sam hrual emaw, ha sil emaw ang chi hna awlsam tak, awlsam taka i tih theih ṭhin pawh i thawk thei lo mai thei. Hei hian lungngaihna a thlen thei tak zet a ni.

Enkawl loh chuan he natna hian kawr bakah taksa hmun dangah natna leh taksa ruh (dystonia) a thlen thei a ni . Chuvang chuan natna lanchhuahna i neih chuan damdawi lam pan vat a pawimawh hle.

He natna hi engtin nge an hriat chhuah?

Doctor-in a enfiah ang che a, i natna lan chhuah dante a zawt ang che, he natna hi i vei em tih a hriat theih nan. I medical history leh chhungkaw medical history te pawh an zawt ang . Hei hian i chhungte zingah he natna hi an vei tawh em tih hriatchhuah tihna a ni.

Mi zawng zawng hian MRI scan emaw electromyography (muscle fibers electrical activity tehna) ang chi test an mamawh vek lo. Mahse, doctor chuan heng test-te hi a ti thei a, chu chu spinal cord compression emaw, nerve tihchhiat emaw a rinhlelh chauhvin a ni .

Cervical dystonia hi eng enkawlna nge ni?

Hei hi enkawl dan hrang hrang a awm a. Enkawlna zawng zawng hian mi zawng zawng tan hna a thawk vek lo. I tana tha ber tur zawng turin enkawlna engemaw zat i enchhin a ngai mai thei.

Heng enkawlna chi hrang hrang hi a tam ber a:

• Botulinum toxin injection: Hengte hi kawr ruh natna nei te hnena injection pek thin a ni.
• Damdawi ei: Natna tihziaawmna tur leh taksa ruh natna tihziaawmna tura damdawi pek thin.
• Physical therapy: Exercise leh hmanraw dang hmangin kawr ruhte tichak a, chetna a tichak bawk.
• Deep brain stimulation surgery: Hei hi surgery buaithlak deuh a ni a, mi zawng zawng tan a tul lo va, special case-ah tih a ni.

Mi thenkhat chuan an hmui vawn emaw neck brace emaw cervical collar emaw bun hian an symptoms a tiziaawm tih an hmu bawk . Chungte chu sensory tricks an ti a.

A pawimawh ber chu i doctor nen thawk hovin i tana tha tur enkawlna tur zawn hi a ni.

Botulinum toxin enkawlna hian engtin nge hna a thawh?

Mi tam takin `(Botox®)` tih hming hi an hre tawh a. `(Botulinum toxin serotype A)` tih hming pu a ni. Chutiang bawkin `(Botulinum toxin type B)` hi cervical dystonia enkawlna atan pawh hman a ni.

He `(Botulinum toxin) hian a tih chu a nghawng kawr ruh (dystonic neck muscles) hnathawh a tichak lo a ni. Tichuan, chu ruhte chu a ṭul lovin an inzawm khawm tawh lo.

Doctor chuan he damdawi hi i kawr ruh dik takah a inject a. Damdawi hman dan tur hriat nan kar khat vel a la ngai thei. Mahse, he damdawi hian thla hnih atanga thla thum vel a nghawng a ni.Chumi hnuah chuan symptoms a lo lang leh thei a, chuvangin symptoms control nan vaccine pek nawn a ngai mai thei.

He vaccine hian side effects a nei thei a, chungte chu:

• Chaw ei harsat
• Injection na hmuna natna
• Kawnga chak lohna hriatna

Heng thilte hi mi zawng zawng chungah a thleng lova, mahse a thleng thei tih hriat a tha.

Cervical dystonia tan hian eng damdawi dang nge pek thin?

Damdawi ei tur atan hian a hnuaia chi hrang hrangte hi hman tlanglawn tak a ni:

• `Dopaminergic agents` (e.g. `Levodopa`) te hi a tha hle a ni.
• Anticholinergic agents (entir nan Benztropine, Trihexyphenidyl) te hi a tha hle.
• `Baclofen` tih a ni
• `Clonazepam` tih a ni

Heng damdawi te hian side effects a thlen thei bawk a , chu chu hriatrengna lama harsatna leh hahna te a ni . Chung zawng zawng chu doctor nen sawiho a, i tana tha ber tur enkawl dan tur thlan a pawimawh.

Cervical dystonia awm theihna tur chu eng nge ni?

Cervical dystonia hi dam chhung zawnga natna a ni. Mahse, i dam chhung a nghawng lo. A châng chuan hun kal zelah natna lan chhuahna chu a zual zauh zauh thei a, a nih loh leh plateau a ni thei bawk.

A tha ber chu, enkawlna dik tak i neih chuan nang leh i doctor hian heng symptoms te hi i enkawl thei a, chuvangin harsatna awm lovin i duhzawng thilte chu i ti leh thei a ni.

Cervical dystonia hi `(Botox)` hmangin a dam kim thei em?

No. Cervical dystonia hi damdawi kimchang a la awm lo. Botulinum toxin (Botox) hian a natna lan chhuah dan chu rei lo te chhung chauh a thunun thei a, damdawi a ni lo.

Cervical dystonia ven dan tur a awm em?

Vanduaithlak takin tun dinhmunah he natna lo awm tur ven dan tur hriat a la awm lo.

Engtikah nge Doctor ka hmuh ang?

Heng thilte hi i hriat chuan doctor pan rawh:

• I kawr chhunga sa chu a hrual emaw, a tight emaw ang maia i hriat chuan.
• Cervical dystonia i vei tih hmuhchhuah a nih tawh a, a enkawlnain side effect a neih chuan emaw, a symptoms a na zual zel a nih chuan.

Hetiang hunah hian doctor thurawn lak vat a pawimawh hle.

Ka doctor hnenah eng nge ka zawh ang?

Doctor hmu tura i kal hian zawhna hrang hrang i zawt thei ang:

• Ka chhungkuaa mi tu emaw hian he natna hi a vei tawh a nih chuan kei pawhin ka vei theihna hlauhawmah ka awm em?
• Eng enkawlna nge min rawt?
• Enkawlna hian side effect a nei em?
• Surgery ka mamawh dawn em?

Heng zawhnate bakah hian rinhlelhna emaw zawhna i neih chuan doctor hnenah zawt la.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Cervical dystonia hi natna nuam lo leh hrehawm tak a ni thei tak zet a ni. I kawr chhunga ruh (muscles) te chu a hahdam theih loh avangin i lu chu duh loh zawngin a che thin. Hei hian a hmaa i hlim thin thilte tih a ti harsa thei a, nitin hna thawh pawh a ti harsa thei bawk.

Mahse, nangmah chauh i ni lo tih hre reng ang che. Hei hi enkawl dan tur a awm. I doctor chuan i symptoms enkawlna tha ber zawng turin a pui thei che a ni. Tichuan i dam leh thei tawh ang. Chuvangin symptoms i neih chuan doctor pan hlau suh.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Cervical Dystonia, Spasmodic Torticollis, Kawng Na, Neuropathy, Taksa Insiam, Botox, Enkawlna