I ke ruh, a bik takin ke ruhte chu rhythm inangah a inher reng angin i hria ngai em? Doctor pakhatin i ke a enfiah a, chunglam hawia i ben chuan a hrual tih a hmu mai thei. Hei hi damdawi lama "clonus" kan tih chu a ni. He thu i hriat hian hlauthawng suh. Hei hi natna a ni lo va, kan taksa, a bikin nervous system-ah thil dik lo a awm tih chhinchhiahna a ni thei. Chuvangin, vawiin hian he thu hi awlsam tak leh chiang takin sawi ila.
Clonus hi eng nge ni tak tak?
A awlsam zawngin, clonus hi reflex pangngai lo a ni . Reflex chu thil thleng mai mai, kan thunun theih loh thil a ni. Thil lum takin kan kut a khawih chuan automatic-a kan kut kan lak chhuah ang maiin han ngaihtuah teh. Reflex a ni. Chûngte chuan kan taksa chu hlauhawm lakah a venghim a ni.
Doctor-in neurological exam a tih hian heng reflexes te hi an test thin. Rubber mallet hmanga khup an tap lai kha i hmu tawh mai thei. Chumi hnuah chuan ke chu normal reflex angin hmalam a pan ta a ni.
Clonus hi taksa ruh pakhat chu a hrual nghal a, rhythmic takin a inher chhuak thin. Drum vuak ang mai a ni. Hei hi ke ruh (ankle joint)-ah hmuh tur a tam ber. Doctor chuan i ke chu nasa takin a ben a nih chuan clonus vei chuan a ke chu a tikehsawm lehzual ang. A châng chuan hei hi a mah chauhin a tawp ang a, a nih loh leh doctor-in kea pressure a tihbo hma loh chuan a inher chhunzawm zel ang.
Clonus hi natna a ni lo va, a hnuaia awm natna dang chhinchhiahna a ni zawk.
Hetiang dinhmun hi ke ruh chauh ni lovin hmun dangah pawh a awm thei.
- Khup a ni
- A kutphah a ni
- Kut zungtang
- Khabe
Clonus hi hyperreflexia tih hming pu condition pakhat a ni a . Chumi awmzia chu reflexes te hi a tlangpui aia nasa lutuk, rang zawk leh chak zawka activate an ni tihna a ni. Hei hian kan central nervous system , chu chu thluak emaw, ruhro emaw-ah harsatna a awm tih a tilang a ni.
Clonus leh myoclonus hi eng nge an danglamna?
Heng hming pahnih hi a inang deuh avangin mi thenkhat tan chuan a buaithlak mai thei. Mahse, an pahnih inkarah hian danglamna lian tak a awm. Table pakhatah han en ila.
| Mihring ziarang | Clonus a ni | Myoclonus a ni |
|---|---|---|
| Hmalam dan (nature of movement) a ni | Rhythmic, sawi nawn fo thin | Sudden, rei lo te, irregular twitch |
| Chhan | Muscle stretch avanga trigger a ni | Vawi tam tak chu a takin a thleng thin |
| Entirnan | Ankle enfiah laiin ke chu flex chhunzawm zel. | Hiccups, mut laiin harh nghal mai. |
Neurological condition thenkhatah chuan an pahnih hian hmuh dun theih a ni.
Eng thilin nge clonus hi a thlen?
Clonus awm chhan ber chu upper motor neuron lesion vang a ni . Hei hi thumal buaithlak tak angin a lang thei a, mahse kan thluak atanga kan taksa peng hrang hranga thuchah thawn chhuaktu upper motor neuron cells te chu spinal cord kaltlangin an chhiat tihna mai a ni. He chhiatna hian thluak atanga thuchah lo lutte chu a thunun theih loh phah a, overactive reflexes a siam thin.
Hetiang chhiatna thlen thei hi condition engemaw zat a awm a:
- Stroke: Thluaka thisen kal dan a tichhe.
- Brain tumor: Cancer emaw thluaka a than dan pangngai emaw.
- Traumatic brain injury: Accident avanga lu a chhiat.
- Thluak natna: Thluak natna, meningitis emaw encephalitis emaw ang chi.
- Spinal cord injury: Ruhroah hliam na tak a awm.
- Cerebral palsy: Naupan laia thluak tihchhiatna avanga natna.
- Multiple Sclerosis (MS): Natna pakhat, nerve vel khuhna tichhe thei natna a ni.
- ALS (Amyotrophic Lateral Sclerosis): Natna pakhat, motor nerve ti chak lo zauh zauh.
- Serotonin Syndrome natna vei te hi:Damdawi thenkhat chuan taksaa serotonin level a tisang lutuk thei a ni. Hei hi dinhmun hlauhawm tak a ni thei.
Doctor-in clonus i neih a rinhlelh chuan a chhan hriat nan test eng emaw zat neih a rawt ang.
- Thisen test a ni
- Thluak leh ruhro (spinal cord) MRI scan
- Nerve kalpui dan zirchianna
- Spinal tap / Lumbar puncture tih a ni
Engtin nge enkawl a nih?
Clonus hi a chhan bulpui (underlying condition) a zirin enkawl a ni. A chhan ber chu a chhan enkawl hi a ni . Entirnan, infection a nih chuan antibiotics pek thin a ni. Chutih rual chuan clonus symptoms nasat lutuk tihziaawmna turin enkawlna pawh pek a ni bawk.
Clonus control dan tur enkawlna
- Cold compress: Zirna hrang hrangah chuan towel-a khuh ice pack ang chi thil hi a natna taksa peng chungah hnawih hian rei lo te chhung atan a natna chu a thunun thei tih hmuhchhuah a ni. Amaherawhchu, hetianga i tih hma hian doctor nen inbiak hmasak phawt a pawimawh.
- Damdawi: Hemi atan hian taksa ruh tizautu, baclofen leh tizanidine te hi hman a ni.
- Botulinum toxin (Botox®) injection: He injection hi taksa ruh natna hmunah direct-in pek a ni. Hun engemaw chen chu taksa ruh a tichak lo va, a hrual pawh a titawp bawk. A nghawng hi thla thum vel a ni tlangpui.
Engtikah nge Doctor ka hmuh ang?
Clonus i neih leh neih loh chiang taka hriat a harsa thei. Doctor-in a nemnghet a ngai a ni.
Mahse, a hnuaia symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.
- Muscle stiffness (spasticity) i hriat chuan .
- I taksa ruh chak lohna i hriat chuan.
- Kal dan inthlak danglam emaw, kal harsatna emaw a awm chuan.
- I taksa peng pakhata ruh (muscle) te chu thunun theih lohvin a inher chhuak ang maia i hriat chuan.
Hengte hi nervous system lama harsatna awm hmasa ber a ni thei. Chuvang chuan a chhan hriat chian nan Doctor pan hmasak a pawimawh hle. Hetiang chi khur hi accident hnua emaw, paralysis symptoms (thusawi harsa, hmai sir khat tlak) a awm chuan damdawi in Emergency Department (ETU) pan nghal a pawimawh hle
Take-Home Thuchah a ni
- Clonus chu taksa ruh pakhat chu a tense laiin a rhythmic twitching control loh a ni.
- Hei hi natna a ni lo va, thluak emaw, ruhro emaw-ah harsatna a awm tih tilangtu chhinchhiahna pawimawh tak a ni.
- Hei hi stroke, spinal cord hliam, leh multiple sclerosis (MS) ang chi natna vang a ni thei.
- I taksa peng hrang hrangah thil danglam tak, a nghet lo, a chak lohna i hmuh chuan ngaihthah ngai suh. Doctor hmu nghal rawh.
- Enkawlna chu a chhan bulpuiah a innghat a, natna lan chhuah dan enkawl dan hrang hrang a awm bawk.
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