Mi pakhatin hriat lohvin a taksa a tikhauh tih i hmu ngai em? Decerebrate Posturing chungchang hi han sawi ila

I hnaih bertu pakhatin a hriatna a hloh nghal a, a taksa pum pui chu thingpui huan ang maia a dinglam a, an ke leh ke te chu mak tak maia inkharkhip a nih lai kha han mitthla teh... Chu chu engtiang chiahin nge hlauhawm leh thinlung ti na tak? Hei hi medical science-a hriat lar natna khirh tak chhinchhiahna a ni. Hei hi Decerebrate Posturing an ti a. He hming hi i hriat chuan a buaithlak deuhin a lang thei a, mahse vawiinah hian awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.

He Decerebrate Posturing hi eng nge ni?

A awlsam zawngin sawi ila, hei hi natna a ni lo va, symptom a ni zawk. Kan thluak, a bik takin thluak zung (brainstem) chu nasa taka a chhiat chuan taksa peng hrang hrangte chu a duh loh zawngin a inzawm khawm a, taksa chu a dinhmun pangngai lo (abnormal posture) a nei ta a ni. Hei hi Decerebrate Posturing an ti a. Hei hi hmutu chuan tumruh takin hetiang hi an ti niin a ngai mai thei a, mahse a takah chuan thuneihna an nei lo.

A pawimawh ber chu he kut zungtang lantir tu hi a hriat loh reng a, deep coma -ah a awm reng a ni . Chu chu thusawi emaw, khawih emaw hmanga tiharh theih an ni lo tihna a ni. Damdawi inah chuan doctor-te chuan coma-a awm damlo nasat dan tehna Glasgow Coma Scale an tih test an tih hian he thiltih hi an ngaihven hle a ni.

Hetiang dinhmun hi a awm tlangpui. Taksa sir khatah chauh emaw, a sir lehlamah emaw hmuh theih a ni.

Eng thilin nge he dinhmun pawi tak hi a thlen?

Ka sawi tawh ang khan hei hi a chhan ber chu thluak zung (brainstem) tihchhiatna a ni. Brainstem hi kan thluak leh kan ruhro (spinal cord) inzawmkhawmna kawngpui (bridge) a ni. He part hian dam khawchhuahna atana thil pawimawh ber ber, thawk leh thinlung thawk dan te a thunun a ni. Chuvangin, hei hi tihchhiat hi thil pawi tak a ni.

Decerebrate posturing awm chhan awm thei thenkhat chu hetiang hi a ni:

• Lu hliam na tak: Traumatic Brain Injuries (TBI) hi car accident leh tlu ang chi thil avanga lo awm.
• Stroke: Thluaka thisen pe chhuaktu thisen kalna kawng khar emaw, a chhe emaw.
• Thluaka thisen chhuak: Thisen sang ang chi thil avanga thluak chhunga thisen chhuak (Intracranial Hemorrhage).
• Brain Tumors: Cancer emaw benign tumor emaw lo awm, a bik takin thluak stem-a lo awm.
• Infection na tak: Thluak tibuaitu natna hrik, meningitis emaw encephalitis emaw ang chi.
• Intracranial Hypertension: Thluak chhunga pressure sang lutuk chu thluak hring ang chi thil vang a ni.
• Thluak lama oxygen tlakchhamna: Cerebral Hypoxia hi tuiah pil emaw, heart attack emaw ang chi thila thluaka oxygen supply tihtawp a nih chuan a awm thin.
• Damdawi lam thil dang: Reye’s syndrome leh Hydrocephalus (thluaka tui awmkhawm) ang chi natna.

Hei hi engtin nge enkawl a nih?

Entirnan, a chhan chu thluak natna a nih chuan antibiotics pek a ni ang. Thluaka thisen chhuak a awm chuan a tihtawp emaw, pressure tihziaawm emaw nan operation a ngai mai thei.

Heng damlote hi hriatna nei lo an nih avangin anmahni chauhin thawk an la thei lo mai thei. Chutiang hunah chuan intensive care unit (ICU)-ah dahin, ventilator-ah dah an ni.Kan inzawm tlat a, nun chhawmdawlna atana mamawh supportive treatment zawng zawng kan pe vek a ni.

Hei hi chhan tam tak a awm avangin enkawl dan pawh a inang lo. Chuvangin, i damlo enkawl dan tur chu i doctor chauhvin a sawifiah tha ber thei ang.

Hetiang dinhmun hi ven theih a ni em?

Decerebrate posturing lo awm hi direct-in kan veng thei lo nain, a thlentu natna leh accident lakah kan inveng thei a ni . Chu chu kan tih theih ṭha ber a ni.

• Hriselna atana hmanraw bun: Lu hliam hi chetsualna thlentu ber a ni. Chuvangin , bicycle leh motor khalh dawnin helmet dik takin vuah tur a ni . Lirtheia i kal dawnin seat belt vuah ngei ang che .
• Natna rei tak enkawl: Zunthlum, thisen sang, epilepsy ang chi natna i neih chuan doctor thupek zawm la, i damdawi ei tur dik tak ei la, uluk takin enkawl rawh.
• Nunphung hrisel: Ei leh in inthlau tak ei te, taksa rihna tha tak neih te hian stroke ang chi natna lakah a veng thei a ni.
• Infection enkawl vat rawh: I beng, hnar leh mit ah natna i kai chuan "a pawi lo" tih mai mai suh. A châng chuan, heng natna hrik te hi thluak lamah a darh thei a, natna khirh tak tak a thlen thei bawk. Chuvangin, doctor hmu nghal la, enkawl rawh.
• Ruihhlo leh zu in loh tur: An hman hian thluak hriselna a nghawng tha lo thei bawk.

Engtikah nge damdawi lam thurawn i lak ang?

Hei hi ngaihtuah phak loh a ni.

Ambulance (1990 ang chi) ko nghal emaw, a rang thei ang bera damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai emaw rawh. Second khat pawh tikhawtlai suh.

Hetiang dinhmunah hian i hmangaih tak hmuh chu a hlauhawm hle a, a harsa hle tih ka hria. Hetiang natna vei tam tak dam khawchhuah lohna hmun a awm laiin, chutiang chu a ni ngai lo. Tunlai damdawi lam hmasawnna avang hian hetianga thlentu dinhmunte hriatchhuah leh enkawl dan thar a lo chhuak ta a ni. Chuvang chuan beiseina neih leh doctor-te nena thawhhona tha tak neih a pawimawh hle.