I lu i vuak fo em? CTE chungchang hi han sawi ila! (Chronic Traumatic Encephalopathy natna a ni) tih a ni.

Sports fan i ni em? Rugby emaw boxing emaw ang chi infiamna i khel mai thei. A nih loh leh i naupan lai atang tawh khan i tlu leh i lu i beng reng mai thei bawk. Lu-a hit tlemte hi a tha laiin, kum tam tak chhunga impact repeated hi a tha lo. Vawiin hian hun rei tak chhunga lu hliam avanga thluak hliam na tak, awm reng tur chungchang kan sawi dawn a ni. Chronic Traumatic Encephalopathy, a tawi zawngin CTE tih a ni.

A awlsam zawngin CTE chu eng nge ni?

CTE hi kan thluak tibuaitu a ni. Hun rei tak chhunga lu vuak nawn leh hliam emaw, hliam emaw avanga lo awm a ni. Chutiang a lo thlen chuan kan thluaka nerve cell, kan ngaihtuahna, hriatrengna, leh chetna thununtu cell te tak te te chu an thi tan emaw, a chhe vek emaw a ni. Hei hi medical science-ah chuan neurodegeneration an ti a.

I thluak chu wire te tak te (nerve cell) maktaduai tam tak inzawmkhawma siam circuit complex tak angin ngaihtuah rawh. CTE hmang hian heng wire te hi zawi zawiin an kang vek thin. He chhiatna hi hun kal zelah a pung zel a, i nungchang, ngaihtuahna leh rilru put hmangah inthlak danglamna lian tak a thlen thei a ni.

CTE natna lan chhuahna awm thei te chu engte nge ni?

CTE symptoms hi thluak tichhe thei natna dang nen a inang thei hle. Kan nun kawng pathum a nghawng ber a, chungte chu: kan ngaihtuahna te, kan rilru dinhmun te, leh kan taksa chetna te hi a ni. Hei hi chiang zawka hrethiam turin heng chipchiar tak takte hi han thlir ila.

A châng chuan heng inthlâk danglamnate hi nangmah ngeiin hriatthiam a harsa thei a ni. I chhungte leh i thiante chuan, "I nihna ang kha i ni lo" emaw, "I nungchang a danglam tawh" emaw an ti mai thei. Chutih hunah chuan thinrim suh. He thu hi hmangaihna leh ngaihsakna avanga an sawi a ni tih hre reng ang che.

Engvangin nge CTE hi a lo awm? Tute nge risk sang zawk?

Kan sawi tawh ang khan CTE thlentu ber chu lu hliam nawn fo hi a ni. Mi thenkhatin an neih a, thenkhatin an neih loh chhan hi zirchiangtute chuan an la chhui chhuak mek a ni. Mahse thil pakhat chiang tak chu CTE vei zawng zawng deuhthaw hian kum tam tak chhung chu lu natna (head trauma) an nei tawh a ni.

Zirchiangtute chuan hei hi kan thluaka protein chi khat tau proteins an tih chu a aggregation dik lo vang niin an ngai. A awlsam zawngin, heng tau proteins te hi kan nerve cell te pianzia petu leh an nghet taka awm theihna tura puitu framework ang mai an ni. Mahse lu-a kan vuak nawn fo hian he framework hi a chhe vek a, tau proteins te chu an inzawm khawm a, nerve cells te chu a tichhe a, a that ta a ni.

Tu nge hlauhawm ber?

• Infiamna thenkhat khel thin tan: A bik takin rugby, American football, boxing, leh mixed martial arts (MMA) ang chi infiamna khel thinte tan.
• Sipai hna thawk mekte tan: Training lai emaw, indona hmuna lu hliam a awm theih avangin.

Engtin nge CTE i vei tih chiang taka i hriat theih ang?

Hei hi natna a buaithlak ber a ni. Tunah hian mi pakhatin a dam laiin CTE a nei tih 100% chiang taka hriat theih a ni lo. CTE finfiah theihna awmchhun chu mi pakhat thih hnua thluak atanga tissue sample lak chu microscope hmanga enfiah a ni. Hei hi `autopsy` an ti a.

Doctor chuan he thutlukna siam tur hian thudik engemaw zat a khawlkhawm a:

• Taksa enfiahna pek i ni ang.
• Nervous system nena inzawm examination bik an nei thin (Neurological exam).
• I natna lan chhuah dan leh i nungchang inthlak danglamna te ngun takin kan ngaithla ang.
• I medical history an zawt ang a, a bik takin lu hliam i neih chuan an zawt ang.

Heng symptoms nei zawng zawng hian CTE an nei vek lo a, chutiang symptoms nei thei tur condition dang tam tak a awm avangin. I doctor chuan chutiang dinhmunte chu paih chhuah tumin test ṭhenkhat a kalpui duh mai thei.

• Thisen test a ni
• CT scan a ni
• MRI scan a ni
• PET hmanga scan a ni
• Lumbar puncture a awm

Enkawlna a awm em? Eng nge tih theih ang?

CTE vanga thluak chhiatna hi tihdanglam thei tur damdawi leh enkawlna a awm lo. Mahse, i symptoms te enkawl dan tur leh i nun awlsam zawk nan thil tam tak i tih theih a awm. I doctor chuan enkawlna hrang hrang a rawt thei ang:

• Cognitive behavioral therapy: Stress leh lungkhamna ang chi thil enkawl nan a pui thin.
• Occupational therapy: Nitin hnathawh awlsam zawk nan hmanrua leh tanpuina a pe thin.
• Physical therapy: Taksa balance leh movement nena inzawm harsatna awm thei te tan a pui thin.
• Speech therapy: Thusawi emaw, ei leh in emaw harsatnaah a pui thin.

CTE chungchanga zirchianna hi a la kal zel a, chuvangin i doctor hnenah enkawlna thar atana clinical trial chungchang zawt rawh.

Engtikah nge Doctor ka hmuh ang?

Lu hliam i neih nia i hriat chuan doctor pan ngei ngei tur a ni. Ngaihthah suh, a bik takin hei hi i hliam hmasa ber a nih loh chuan. Doctor hnenah vawi engzat nge i lu hliam tih hrilh rawh.

I doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• Engtiang chiahin nge CTE ka neih theih ang?
• Infiamna khelh chhunzawm emaw, taksa tihchakna emaw tih chhunzawm zel chu ka tan a him em?
• Nakin lawkah eng ang therapy nge ka mamawh ang?
• Eng symptom emaw, inthlak danglamna emaw nge ka hriat bik tur?

CTE nena kan nun hian eng nge beisei tur?

CTE hi dam chhung zawng, a awm reng tur a ni. Natna zual zel a ni bawk. Chumi awmzia chu hun kal zelah symptoms te chu a na zual thei tihna a ni. Mahse heng inthlak danglamnate hi a thleng zawi zawi hle a, kum tam tak emaw, kum sawm tam tak emaw chhung pawh a ni thei.

CTE hi direct-a nunna atana hlauhawm a ni lo. Mahse, natna a zual zel chuan harsatna a awm thei a, chu chu nitin hnathawh harsat ang chi te hi a ni. Natna a tawp berah chuan mahni inrintawkna neia ei leh in, inbual leh incheina tur tanpui a ngai mai thei.

He natna chungchang i hriat hian hlauhna leh buaina i neih hi thil pangngai a ni. Mahse, nangmah chauh i ni lo. Doctor leh rilru lam hriselna lama mithiamte chuan nang leh i chhungte chu he natna hi i hmachhawn theih nan an pui thei che a ni.