Coma-a awm chu mak tak maiin a hunch over em? Hei hi Decorticate Posturing chungchang a ni.

I hnaih bertu, damdawi in intensive care unit-a awm pawh ni thei, hriat loh laiin a kut leh ke mak tak maia inzawm khawm chu i hmu ngai em? Tu pawhin an kut leh ke chu elbow-ah an ben a, an kut chu fist-ah an inzawm a, an ke chu a zau zawngin an inzar pharh tih hmuh chuan an hlau ang. Hei hi i hmuh hian mangang leh hlauhna nasa tak i neih hi thil pangngai a ni. Vawiin hian he natna hi kan sawi dawn a, damdawi lama symptom na tak anga ngaih, ‘Decorticate Posturing’ an tih hi a ni.

A awlsam zawngin, Decorticate Posturing hi eng nge ni?

Hei hi tumruh taka tih a ni lo va, epileptic vei pakhatin seizure a neih laiin a ke ruhte a jerking ang chi hi a ni. Decorticate posturing hi taksa ruhte chu reflexively tense a, thluak chhiatna nasa tak emaw, tihbuai emaw avanga taksa chu hmun khatah a ben a ni. Hei hi taksain automatic-a a insiam (posture) ang mai a ni.

Hetiang natna vei hi a tlangpuiin a hriat loh vek a ni. Chumi awmzia chu eng ang pawhin kan sawi emaw, kan insawn emaw pawh ni se, an chhang lo tihna a ni. Doctor-te chuan he posture hi ‘Glasgow Coma Scale’-ah hian chhinchhiahna pawimawh tak atan an hmang a, hei hian coma-a awm damlo nasat dan tehna a ni.

Hetiang pose-a taksa dinhmun hi ngun zawkin han thlir ila.

Hetiang dinhmun hi taksa sir khatah chauh emaw, a sir lehlamah emaw hmuh theih a ni.

Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?

Decorticate posturing hi thluak hmun bik a chhiat chuan a thleng thin. Thluak hi taksa peng hrang hrang (organ complex) tak a ni. Kan taksa peng hrang hrang kal tlangin a thunun a ni. Hetiang dinhmun hi thluak hmun hrang hrang a chhiat vang a ni ber:

• Cerebral Cortex: Hei hi kan thluak hrual, pawn lam ber a ni. Hei hi kan hnathawh sang zawk tam zawk, ngaihtuahna leh thutlukna siamna hmun a ni.
• Thalamus: He thluak peng, thluak lai takah awm hi major junction ang a ni. Thluak hmun hrang hrang inkara signal relay turin a pui thin.
• Upper Midbrain: Brainstem hi taksa peng pawimawh tak a ni a, chu chuan kan thluak leh kan ruhro (spinal cord) a thlunzawm a ni. Thâwk leh thinlung thawk ang chi hna pawimawh tak takte control nan pawh a pawimawh hle.

Tunah chuan eng damdawi lam dinhmun nge hetiang chhiatna thlen thei hi i lo en ang u:

• Lu hliam na tak: Traumatic Brain Injuries (TBIs) hi car accident leh tlu ang chi thil avanga lo awm.
• Stroke: Thluaka thisen kalna a block emaw, thluaka thisen kalna kawng a puak emaw.
• Intracranial Hemorrhage: Thluak chhunga thisen chhuak .
• Brain Tumors: Cancer emaw benign tumor emaw avanga thluak hmun thenkhata pressure awm.
• Brain infection: Thluak infection, meningitis, encephalitis, emaw malaria a nasat em avangin.
• Luruh chhunga pressure sang (Intracranial Hypertension).
• Thluak lama oxygen tlakchham (Cerebral Hypoxia).
• Ruihhlo hman tam lutuk.
• Lead rimchhia a awm.
• Thisen sugar level a hniam hle (Hypoglycemia).
• Hepatic encephalopathy (liver failure avanga thluaka toxicity) a awm.

He natna hi engtin nge enkawl a nih?

Heta kan hriatthiam tur pawimawh ber chu decorticate posturing hi enkawlna hran a awm lo tih hi a ni a, a chhan chu natna a ni lo va, a hnuaia dinhmun dang, na zawk, a na zawk chhinchhiahna a nih vang a ni.

Chuvangin, doctor-te chuan an ngaihtuahna chu he natna thlentu dinhmun hnuaia awm enkawlnaah an dah a ni. Entir nan:

• Brain infection a nih chuan antibiotics \ha tak tak pek a ni ang.
• Brain tumor a nih chuan surgery emaw, enkawlna dang emaw hman a ni.
• Thisen thlum a hniam chuan rang takin thisen sugar level a siam tha leh thin.

Hêng damlote hi an hriat loh avângin, anmahni ṭanpuitu enkawlna pêk a pawimawh hle . Entirnan, mahni chauha thawk harsa an tih chuan ventilator-ah an thlunzawm thin. Nutrition tul tak chu nasal tube emaw saline emaw hmangin pek thin a ni.

I hmangaih tak pakhatin he natna hi a tawk a nih chuan, i doctor chauhvin i tih dan tur leh enkawl dan tur tha ber berte chu a hrilhfiah thei ber ang che.

Decorticate leh Decerebrate Posturing hi eng nge an danglamna?

Posture dang pawh a inang deuh a, mahse a na zawk nia sawi a ni. A hming chu Decerebrate Posturing tih a ni. Doctor zir tawh chuan an pahnih inthlauhna chu hre thei mah se, a châng chuan damlo chuan an pahnih hi a inthlak danglam thei a ni.

A danglamna ber chu hei hi a ni mai:

A tlangpuiin decerebrate posturing hian thluak bul a tichhia nasa zawk tih a tilang.

Hetiang dinhmun hi siam\hat theih a ni ang em?

Hei hi mi zawng zawng rilrua zawhna lian ber a ni. Decorticate posturing i hmuh hian hlauhna nasa tak i neih hi thil awmdan pangngai a ni. Hei hi natna khirh tak a ni tih chu a dik a ni.

Dam theihna chance chu a thlentu natna bulpui, thluak chhiatna zau zawng leh enkawlna dik tak an dawn thuai danah a innghat vek a ni. Entirnan, thisen sugar tlahniam ang chi thil avanga lo awm a nih chuan enkawl vat chuan a dam kim theihna chance a sang hle.

Tunlai medical science hmasawn tak nen hian thluak tibuaitu natna tam tak chu hlawhtling taka enkawl theih a nih avangin beiseina bânsan vek a ngai tawh lo.

Hetiang dinhmun hi ven theih a ni em?

Hetiang thil thlentu thenkhat hi kan thunun thei lo nain, a hlauhawmna tihtlem nan thil tlemte kan tih theih a awm a:

• Natna rei tak enkawl: Zunthlum emaw thisen sang emaw ang chi natna i neih chuan i doctor thupek leh damdawi te dik takin zawm tur a ni.
• Hriselna atana hmanraw bun: Lu hliam hi a chhan ber a ni. Chuvangin , bicycle leh motor khalh dawnin helmet dik takin vuah tur a ni. Lirthei-a i kal dawnin seat belt hmang thin ang che.
• Ei leh in inthlau tak ei la, exercise la: Heng thilte hian stroke ang chi natna vei theihna a tiziaawm thei a ni.
• Infection enkawlna dawng vat rawh: I beng, hnar, emaw, i rilruah natna i neih chuan a bo mai ang tih ring suh. A chang chuan heng natna hrik te hi thluak ah a darh thei a, hetiang dinhmun khirh tak hi a thlen thei bawk. Chuvangin, damdawi lam thurawn zawng vat rawh.