Kan lu hi a hlu em em a, a sensitive em em bawk a ni lawm ni? Mahse, a châng chuan infiamna kan khelh emaw, kan tlu emaw, accident dang kan tawh emaw hian hliam tenau leh lu-ah hliam tenau kan nei thei a. Kan lu hi vawi khat emaw vawi hnih emaw chauh ni lovin, a chhunzawm zel a, kum tam tak chhung chu kan thluak a tichhe thei tih i hre tawh mai thei. Chu chu tunlaia kan sawi tur, chronic traumatic encephalopathy, a tawi zawngin CTE emaw, hun rei tak chhunga awm thei dinhmun pakhat a ni.
CTE (Chronic Traumatic Encephalopathy) tih hi eng nge ni?
A awlsam zawngin sawi ila, CTE hi thluaka natna a ni a, lu-a vuak leh vuak nawn leh thin avanga lo awm a ni. I thluak peng hrang hrang hnathawh dan leh inbiakpawhna a tidanglam thei a ni. Machine hnathawk ṭha famkim, rang taka haywire-a kal ang mai a ni. A chhiat nasat dan leh thluak peng hrang hrang a nghawng dan azirin a pawi hle thei a ni.
CTE tih hming awmzia hi tlem han then ila:
- Chronic: Hei hian CTE hi hun rei lote chhunga lo awm leh bo mai mai a ni lo va, hun rei tak chhunga awm thei a ni tihna a ni .
- Traumatic: Hei hian hliam emaw, trauma emaw nen a inzawm tihna a ni .
- Encephalopathy: He thumal hi Greek tawng pahnih atanga lak chhuah a ni. He thumal awmzia chu "thluak natna" tihna a ni.
Chuvangin, heng zawng zawng hi han dahkhawm ila, CTE hi hun rei tak chhunga thluak natna, lu hliam nawn fo avanga lo awm a ni tih kan hrethiam a ni.
Tute nge CTE vei theihna chance sang zawk?
Lu-a vuak nawn fo tawh apiangah CTE hi a lo awm thei a ni. Mahse, zan khat thil thuah a thleng lo. Mi tam tak tân chuan natna lan chhuahna a lan chhuah theih nân kum tam tak, kum sâwm tam tak pawh a ngai thei a ni. A tlangpuiin CTE vei te hian kum tam tak chhung chu lu-ah vuakna an tawk nawn fo thin. He risk hi professional athletes te tan chuan a sang hle.
Ngaihtuah teh, boxing, MMA (mixed martial arts), rugby, leh football ang chi infiamna khel thinte hi. Vawi engzat nge lu-ah an vuak? Tin, sipai thenkhat chu puak ang chi thil an hmachhawn a ngaih avangin hlauhawmah an awm bawk.
Mahse hei hi a ni. School level-a infiamna khel zawng zawng hian an tipung vek lo. CTE vei nia hriatte kum zat chu kum 42-43 vel a ni. Chu chu a hnu deuhah chauh a lang tihna a ni.
Tute nge hlauhawm ber tih hi tlem tal chiang zawkin kan en chuan:
- Combat sports: Boxing, mixed martial arts (MMA), bakah traditional martial arts taekwondo leh judo te pawh hi an hlauhawm hle.
- Contact sports khel thinte: a bik takin football (American), ice hockey, leh rugby ang chi infiamna te .
- Kawngpuiah thil ti thin mi: cycle khalhtu, rollerblading, skateboarding (helmet an bun loh chuan a hlauhawmna a sang zawk).
- Sipai mi: Puak leh chutiang bawka thluak hliam na tak tuar te.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Dik tak chuan mithiamte chuan CTE hi engtiang chiahin nge a hluar tih an hre lo. A chhan pakhat chu tunah hian mi pakhatin a dam laiin natna hi a nei tih 100% a chiang thei tur a awm lo. Doctor-te chuan an ringhlel thei a, mahse autopsy an neih laiin thluak enfiah lovin an sawi chiang thei lo.
What’s more, CTE symptoms hi thluak natna dang Alzheimer’s disease leh frontotemporal dementia te nen a inang hle a, chuvangin a chang chuan an pahnih hi thliar hran a harsa thei bawk.
CTE natna lan chhuah dante chu engte nge ni?
CTE symptoms hi zawi zawiin a lo lang tlangpui a, hun kal zelah a pung zauh zauh thin. Engtikah nge an tan tih chiang tak leh engtiang chiahin nge an hmasawn chak tih sawi a harsa hle.
A lan chhuah dan tlangpui thenkhat chu:
- Thil pakhat ngaihtuah leh ngaihtuah harsa (hei hi ``mild cognitive impairment'' kan ti bawk).
- Lu na fo thin .
- Hun rei lote chhunga hriatrengna hloh (eng thil tih leh sawi tak kha hre reng thei lo).
- Nungchang inthlak danglamna: Thinrim nghal mai, puak thei khawpa thinrim ang chi thil.
Hei bakah hian symptom dang a lang thei bawk:
- Depression (lungngaihna, eng thil pawh ngaihven lo).
- Hnathawh tur ruahmanna fel tak siam leh tihhlawhtlin harsa (`(Executive dysfunction)`).
- Thusawi slurring, thusawi slurring.
- Ke ruh leh taksa peng hrang hranga khur leh taksa ruh chetna thunun theih loh (``Parkinsonism'' tia koh bawk, Parkinson natna lan chhuah dan nen a inang).
- Kal laiin balance hloh ang mai a ni a, staggering ang mai a ni.
- Ke leh ke leh ke ruh inzawmna hloh (`(Ataxia)`).
- Aggressive behavior a tipung.
- Mahni intihhlum tumna, mahni intihhlum tumna emaw, intihhlum tumna emaw.
Pawimawh: Nangmah emaw, i hriat miin emaw heng ngaihtuahnate hi i neih chuan tanpuina zawng nghal rawh. Doctor emaw, ṭhian emaw, emergency number emaw call rawh.
Eng thilin nge CTE hi a thlen?
CTE lo awm chhan lian ber pahnih a awm a.
1. Lu hliam nawn fo thin:
Hei hi CTE thlentu ber nia ngaih a ni. A pawimawh ber chu hliam zawng zawngah hian mi pakhat chu `knock out` a ngai lo.Kum tam tak chhung chu bump leh hliam tenau te pawh a pungkhawm a, chu chuan he dinhmun hi a siam thin. Hammer hmanga bang vuak nawn leh ang maiin han ngaihtuah teh. Hit khat hian thil tam tak a ti lo ang, mahse i hit tam poh leh wall hian chhiatna a ti tam zawk ang.
2. Thluak chhunga proteins inzawm khawm (misfolded proteins) awmkhawm:
Protein hi kan taksaah hian chemical molecule pawimawh tak a ni. Heng protein te hi hna pakhat zel atan a mamawh vek a ni. Kan thluaka protein chi khat bik ‘tau’ an tih hi a awm a. He ‘tau’ protein hian thluak cell te tanpuitu hna a thawk a ni.
Protein pakhatin hna a thawh that theih nan a pianzia dik takah a awm a ngai a ni. Chabi chu lock chhunga dah a ngai ang bawkin. Mahse, heng lu-a hliam nawn fo avang hian heng `(tau)` protein te hian an pianzia an thlak a, hna dik tak an thawk tawh lo. Tichuan heng `(tau)` proteins inrem lo tak takte hi thluak hmun hrang hrangah an awm khawm tan ta a ni. Bawlhhlawh ang maiin. Chutiang chuan, heng `(tau)` protein te hi pattern bik anga an pungkhawm i hmuh chuan tunah hian CTE hi autopsy neih laiin a dik tih finfiah a ni.
Engtin chiah nge CTE hi hmuhchhuah a nih?
Hei hi thil buaithlak deuh a ni. Tunah hian mi pakhatin a dam laiin CTE a nei tih 100% chiang taka finfiah theih a ni lo. A tih theih awmchhun chu thih hnua thluak tissue sample lak a, microscope hmanga enfiah a ni.
Mahse, doctor-te chuan mi pakhat symptoms, lu hliam history, taksa leh thluak test te an en a, "He mi hian CTE a nei mai thei" tiin an lo chhut thei a ni. Chu chu ``presumptive diagnosis'' kan ti a ni.
Doctor-te chuan CTE an rinhlelh hian, natna dang awm lo turin test hrang hrang an ti ṭhin. Heng test te hian CTE hi direct-in a hriat theih loh laiin, a chhan dang pawh a awm lo thei a ni. Heng test hrang hrangte hi:
- CT scan hmanga tih a ni
- MRI scan a ni
- PET scan hmanga tih a ni
- Test-ah chuan ruh atanga tui lak a ni (hei hi ``Lumbar puncture'' emaw ``Spinal tap'' emaw an ti) .
Hei hi enkawl dan tur a awm em? Dam theih a ni em?
Vanduaithlak takin tun dinhmunah CTE damdawi a la awm lo. Hei hi thluak chhiatna nghet tak a ni.
Mahse, a lan chhuah dan thenkhat chu enkawl theih a ni. Entirnan, hriatrengna lama harsatna te, nungchang inthlak danglamna te, leh lungngaihna te enkawlna a awm a. Chu enkawlnate chu eng nge ni a, engtin nge an pek tih chu thil tam takah a innghat ang a, chutah chuan i natna lan chhuah dan leh i hriselna chanchin te pawh a tel ang. Chuvangin, hemi chungchanga thurawn pe tur che chu i doctor hi a tha ber a ni.
Chu bâkah, thluak hrisêlna tlangpui tâna hlâwk thei nunphung ṭhenkhat a awm a, chu chu zawm a pawimawh bawk.
Engtin nge a hlauhawmna chu tihziaawm theih ang? A veng thei ang em?
CTE pumpelh vek tur chuan i tih turA tha ber chu a theih ang anga lu hliam leh concussion hlauhawmna tihziaawm hi a ni. Chutiang ti tur chuan thil awlsam tlemte kan tih theih a awm a:
- Hrisel takin khel rawh: Football leh rugby ang chi infiamna nasa tak i khelh hunah chuan himna hmanrua (helmet ang chi) dik tak i bun ngei ngei tur a ni. Tin, intlansiak hlauhawm tak tak pumpelh a, mahni emaw midang emaw hlauhawma dah lovin khelh a pawimawh bawk.
- Hliam neiin khel suh: Lu hliam hnuah pawh i rilru a buai lo a nih pawhin, "Ka tha e, ka tha e," tih ngaihtuahna hmanga khelh hi a hlauhawm hle. Concussion hian hriatna i hloh tihna a ni hauh lo. Concussion i neih a, lu-ah i vuak leh chuan a hlauhawm hle thei.
- Wheel pahnih i khalh dawnin helmet vuah rawh: Bicycle i khalh dawn emaw, rollerblading emaw, skateboarding i khalh dawn emaw chuan helmet vuah ngei ang che. Lu hliam leh concussion hlauhawmna nasa takin a tihziaawm thei a ni.
- Seat belt vuah: Car accident hi infiammi ni lo zingah concussion thlentu lian ber a ni. Seat belt vuah hian accident-a lu hliam hlauhawmna a tihziaawm thei a ni.
CTE vei chuan eng nge a beisei theih ang?
Kan sawi tawh ang khan CTE hi thluak natna (degenerative brain disease) a ni. Chu chu hun kal zelah symptoms a na zual tihna a ni. Hei hian kum tam tak, kum sawm tam tak pawh a daih thei. Tunah hian mithiamte chuan thluak hnathawh a tlahniam theih nan eng chen nge hun a duh dawn tih chiang taka sawi theih an nei lo.
Hetiang dinhmun hi eng chen nge a daih ang?
CTE hi a awm reng a, dam chhung zawnga awm thei a ni.
Hetiang dinhmun hi eng nge a thlir ang?
Tuna zirchianna leh hriatthiamna atanga a lan dan chuan CTE ngei pawh hi direct-a thihna thlen thei a ni lo. Mahse, hriselna lama harsatna dang a thlen thei a, chu chuan i hriselna leh nunphung a tichhe thei a ni. Entîr nân, ei leh in, inbual, leh incheina ang chi hna i thawk thei lo mai thei. Chutiang mite chu hun rei tak enkawlna hmunah an awm a ngai fo a, chutah chuan damdawi lam thawktu an awm a ni.
Natna a zual zel chuan ei harsa (dysphagia) a awm thei a, chu chuan pneumonia leh thawk lama harsatna a thlen theihna a tipung thei a ni.
Engtin nge i in enkawl ang?
Natna a lo chhuah tirh lamah chuan doctor kaihhruaina hnuaiah i in enkawl thei a ni. I doctor chuan i natna lan chhuah dan tur enkawl nan nunphung thlak danglam dan tur a hrilh ang che. Amaherawhchu, natna a zual zel chuan mahni chauha thil tih a harsat phah thei a ni. Vanduaithlak takin i natna lan chhuah dan chu a level engemaw chen a thlen chuan nangmah chauha nun theih loh i hmu mai thei.
I duh anga thil thleng tur i duh chuan eng nge i tih ang?
A tir lamah CTE (or similar degenerative brain disease) i vei tih hmuhchhuah i nih chuan i doctor, chhungte leh i rintlak, i tana thutlukna pawimawh tak siam thei tur te nena inbiakna neih a pawimawh hle. He inbiakna hian nangmah ngeiin thu tlûkna i siam thei lo a nih chuan eng nge i ngaihven tih an hriat theih nân a ṭanpui thei a ni.
Hetiang inbiakna hi a buaithlak deuh a, a buaithlak deuh thei bawk. Mahse, tlai ai chuan neih vat a tha zawk. Chutiang chuan i duhzawngte chu i hmangaihten an hre lawk thei ang. Guess-in an awm tawh lovang.
Chu inbiakna bâkah chuan i duhzâwng leh thu tlûknate chu ziakin i neih a ṭha bawk. Hei hian dan anga documents, mahni in enkawl theih loh emaw, i hriselna chungchanga thutlukna siam theih loh emaw a nih chuan eng nge i tih ang tih te pawh a huam thei. Mi tam tak chuan hetiang document siam nan hian ukil an hmang thin.
Engtikah nge Doctor ka hmuh ang?
I ngaihtuahna, hriatrengna, ngaihtuahna, emaw, i rilru put hmang emaw, i nungchang emaw a inthlak danglam tih i hriat chuan doctor pan ngei ngei tur a ni.
Engtikah nge emergency room-ah i kal ang?
Mahni intihhlum tumna (mahni intihhlum tumna telin) emaw, midangte tihnat tumna emaw i neih chuan tanpuina zawng nghal rawh. Tin, chutiang hlauhawma i hriatte i rinhlelh chuan a rang thei ang bera hriattir la.
Hetiang dinhmunah hian tanpuina dawng tur chuan:
- Sri Lanka rama mahni intihhlum venna hotline (e.g. Sumitrayo 1333, CCCline 1926).
- I awmna hmuna rilru lam hriselna lama service pek.
- 1990 (Suvaseriya) emaw 119 (Police Emergency Number) emaw a ni thei. Heng number-te hi call-in emergency-a mi pakhat tanpuina dil theih a ni.
Post-concussion syndrome (PCS) leh CTE te hi eng nge an danglamna?
Mi thenkhat chuan "Post-concussion syndrome (PCS)" leh "Chronic Traumatic Encephalopathy (CTE)" te hi thil inangah ngai mahse, hengte hi natna hrang hrang pahnih a ni.
- PCS `(Post-concussion syndrome)`: Hei hi lu hliam `(concussion)` hnua lo awm thin a ni. Kar tlemte, thla engemaw zat a daih thei a, mahse thluak a dam chhoh zel chuan a bo vek a ni. Hun rei tak chhung PCS natna a awm bawk a, mahse chutiang a nih chuan kan sawi tawh `(tau)` protein chu thluaka a awm dan pangngaiin a khawlkhawm lo.
- CTE (Chronic Traumatic Encephalopathy): Hei hi thluaka natna awm reng, zual zel a ni a, protein tau chu a dik lo taka a awm khawm vang a ni.
A tawp berah chuan hei hi hre reng ang che.
CTE hi natna khirh tak a ni a, lu-a vuak nawn fo avanga lo awm thei a ni. Kum tam tak a la ngai thei a, thluak tichhe rengtu leh hun kal zelah a zual zel thei natna a ni. Tunah hian damdawi a la awm lo.
Amaherawhchu, hei hi veng turin kan tih theih tur a awm. A pawimawh ber chu lu-a vuakna na tak, vawi tam tak kan tawh loh nan kan inven hi a ni. A bik takin infiamna emaw, thil hlauhawm tihnaah emaw invenna hmanrua hman leh himna dan zawm a pawimawh hle.
He natna chungchangah hian zirchianna a la kal zel a. Nakin lawkah chuan he natna lo awm dan chungchangah hian thil tam zawk hmuhchhuah a ni mai thei a, enkawlna thar pawh hmuhchhuah a ni mai thei bawk. Chuvangin kan lu venhim turin i fimkhur vek ang u.
` CTE, thluak natna, lu hliam, concussion, tau protein, infiamna lama hliam, thluak lam natna











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