I naute kut chu a hlim hmel em? Erb-a Palsy a ni thei bawk. Kan sawi dun teh ang!

I nau piang thar kut pakhat chu a dang angin a che tha lo tih i hre ngai em? Tlem chuan nunna nei lo deuh, a sir lamah chak lo taka innghat a ni mai thei, a dik em? Chu chu an hmuh chuan nu emaw pa emaw chuan an hlauthawng leh an lungkham theih zia ka hrethiam. Mahse, lungngai suh. A tam zawkah chuan he natna hi Erb’s Palsy vang a ni thei a, chu chu kan sawi dawn a ni. Engkim hi a awlsam zawngin i hrethiam thei ang bera sawi ila.

A awlsam zawngin Erb-a Palsy hi eng nge ni?

Erb’s Palsy hi kan ke leh kan kutkawr nerve te a nghawng a, a natna hi a ni. Hei hian kut ruh (muscle) te chu a tichak lo emaw, an hnathawh a hloh emaw a ni.

Tunah chuan hetiang thil hi engtin nge a lo awm tih i lo en ang u. Kan hnungzang atanga kan kekawr bul atanga kan kut leh kut thlenga kal, cable te tak te ang maia nerve lian panga awmkhawm a awm a. He nerve network hi damdawi lamah chuan Brachial Plexus kan ti a. He nerve bundle hi kan kekawrte, kan kut leh kut ah te sensation thlentu a ni a, chu chu kan tihchet theihna tur thuchah a thawn bawk. Thluak atanga kut thlenga electrical message phur thei wire set ang maiin han ngaihtuah teh.

Eng emaw chhan vanga, a bik takin nau neih laiin, he nerve network (Brachial Plexus) hi a hrual emaw, a chhe emaw a nih chuan, chu thuchahte chu a kal tlang tha lo. Tichuan kut hnathawh a tichhe ta a ni. Hei hi Brachial Plexus Palsy kan tih chu a ni. Erb’s Palsy hi Brachial Plexus Palsy chi khat zingah chuan a tam ber a ni. Hetah hian chu nerve network chunglam nerve te chu a chhe vek a ni.

"Palsy" tih thumal hian taksa ruh hnathawh hloh vek emaw, a then emaw tihna a ni. Paralysis ang chi condition a ni.

Heng nerve te hi eng ang chhiatna nge thlen theih?

Brachial Plexus nerve tihchhiatna hi a inang lo. A nasat dan azirin chi li-ah then theih a ni. Hei hi chiang taka hriatthiam a pawimawh.

Erb’s Palsy hi tute nge vei tam ber?

Nausen piang thar tan

Hetiang dinhmun hi nau piang thar zingah kan hmu fo thin. He hlauhawmna hi a bik takin nau neih a harsat deuh chuan a sang hle. Ngaihtuah teh, a chang chuan naute lu a chhuah hnuah a kekawrte chu nu pelvis-ah a tang thin. Hei hi Shoulder Dystocia kan ti a ni. Tichuan doctor-te chuan naute lu chu a sir lamah tlem a tilt a, uluk takin naute chu an chhuah tir a ngai a ni. Chutih lai chuan kawr atanga kut (Brachial Plexus) thlenga kal nerve te chu an chhuhsak thei a ni. A châng chuan cesarean section neih lai pawhin hetiang dinhmun hi a awm theihna chance a tlem hle.

Puitling tan chuan

Hetiang dinhmun hi puitlingah pawh a awm thei a, mahse accident na tak avanga lo awm a ni fo.

• Motor chetsualna thleng thin
• Tlu na tak
• Infiamna (e.g. rugby) khelh laiin accident a awm thin.
• Hliam na tak, hliam emaw, silai kah emaw ang chi

Hetiang accident-ah hian brachial plexus nerve te pawh a chhe thei bawk.

Hetiang natna lan chhuah dan hi engte nge ni?

I naute hian Erb’s Palsy a vei a nih chuan heng symptoms te hi i hmu thei ang:

• Arm hanging limply: Arm natna chu taksa nena inmil takin limply parallel-in a innghat thei.
• Hmasawn harsa: Naute hian a kut chu a kekawr ipteah a chawi sang thei lo va, a kut chu a kekawr bul lamah a ben thei lo mai thei.
• Hriatthiamna hloh: A chang chuan kut emaw, kut emaw ah tingling emaw numbness emaw a awm thei.
• ‘Waiter’s Tip’ tih chu:Hei hi thil danglam tak a ni. Kut awmna chu hotel-a waiter-in customer hnen atanga tip beisei ang mai a ni a, a kut chu a hnung lamah a chelh a, a kutphah chu a han hawi chho lo va, hnunglam hawiin a hawitir zawk a ni. Kutphah chu hnunglam hawiin, kut zungtangte chu a chhung lam hawiin a ben deuh bawk.

Engtin nge doctor hian hei hi a hriat chian?

I naute chu doctor hnena i hruai hian an tih hmasak ber chu taksa enfiahna kimchang tak neih hi a ni . Doctor chuan naute kut chet dan te, thau chakna te, leh an rilru put hmang te uluk takin a enfiah ang.

Chu bakah, a hnuaia test te hi tih theih a ni a, chu chu a natna hmuhchhuah a nih leh nih loh finfiah nan leh a chhiatna a thlen dan dik tak hriat theih a ni:

• EMG (Electromyography): Hei hi taksa ruh leh nerve te hnathawh that dan hriat nan hman a ni. Nerve kal tlanga electrical signal kalte tehna hmang hian khawiah nge chhiatna a awm tih leh engtiang chiahin nge a nasat tih hriat theih a ni.
• MRI emaw CT scan: Heng imaging test te hian taksa chhungril thlalak chiang tak a la thei a, nerve-a chhiatna thleng dik tak a lantir thei bawk.
• X-ray test: A châng chuan nau neih laiin ke ruh a tliak nia rinhlelhna a awm chuan X-ray hmanga finfiah theih a ni.

Enkawlnate chu engte nge ni? Naute chu a dam leh ang em?

He zawhna hian i rilruah a rit hle tih ka hria. Thu lawmawm tak chu Erb’s Palsy vei naute tam zawk hi chu an dam kim vek a ni.

Enkawl dan tur chu nerve chhiatna nasat danah a innghat a ni.

1. Taksa lam enkawlna

Hei hi enkawlna pawimawh leh bulpui ber a ni. I naute chu kar 3 vel a nih chuan i doctor chuan physiotherapist hnenah a refer ang che . Chutah chuan i naute kut, a kut leh ke ruhte a nghet lo tur leh taksa ruh tichak turin special stretching leh range-of-motion exercise an zirtir ang che.

Hetah hian nu leh pa i nihna hi a pawimawh hle. Physics therapist-in exercise a zirtir che hi ni khatah vawi tam tak i naute chungah tih tur a ni a, hmangaihna leh ngaihsakna nasa tak nen. Hei hian permanent joint contracture a awm loh nan a pui thei a ni .

2. Tui hmanga enkawlna (hydrotherapy).

Hei hian tuiah exercise tih a kawk a ni. Tui a buoyancy avangin naute kut chu a rit lo niin a lang. Chuvang chuan awlsam tak leh natna nei lovin exercise an la thei a ni.

3. Botulinum toxin (Botox®) injection hmanga injection pek thin a ni

A then phei chuan i doctor chuan he enkawlna hi a rawt thei bawk. Hei hian a chhiat loh, thawk tha tak takte chu injection tlemte pek a, chu chuan rei lo te chhung chu a titawp thei a ni. Hei hian taksa chak lo zawkte chu hnathawh theihna leh chak zawkna hun a pe a ni.

4. Surgery tih a ni

Nausen tam zawk chuan zai an ngai lo. Mahse, i naute hian thla 6 a tlin meuh chuan kut hnathawh lamah hmasawnna lungawithlak tak a nei lo a nih chuan i doctor chuan operation neih a ngaihtuah thei ang.

• Nerve siamthat: Hei hi taksa peng dang (e.g., ke) atanga nerve hrisel tak lak a, nerve chhia ( nerve graft )-a dah emaw, nerve hrisel tak chu taksa chak lo tak nena inzawm ( nerve transfer ) emaw a ni.
• Muscle repair: A châng chuan taksa peng dang aṭangin taksa peng dang aṭangin taksa ruh emaw, a ṭhen emaw chu lak chhuah a ni a, chu chuan kut chhia chu a thawk ṭha leh thei a ni.

Hetiang dinhmun hi ven theih a ni em? Risk factors te chu engte nge ni?

Erb’s Palsy hi ven theih a ni lo va, nau neih hi thil buaithlak tak a nih avangin thil thleng tur hriat lawk theih loh a ni. Mahse, a nghawng thei tur risk factor thenkhat a awm.

• Nausen pian tirh atanga a rih zawng (kg 4 aia tam) a sang .
• Nu hian naupai laiin zunthlum a nei a.
• Nu rihna sang/thau lutuk.
• Nau neih hmaa shoulder dystocia nei tawh.
• Breech a piang.
• Oxytocin ang damdawi hman emaw, nau neih laiin epidural anesthesia lak emaw.

Heng risk factors te hi neih hian naute hian Erb’s Palsy a vei tihna a ni lo. Mahse, a hlauhawmna hriat chian a pawimawh hle.

Engtikah nge Doctor ka hmuh ang?

Hetiang neurological disorder atanga result tha ber kan hmuh theih dan tha ber chu a rang thei ang bera enkawl tan hi a ni. Chuvangin:

• I naute kut chet danah danglamna emaw, chak lohna emaw i hmuh chuan doctor hnenah hruai nghal rawh.
• Doctor-in a pek ni-ah clinic-ah kal ngei ngei tur a ni. Naute kal zel dan enfiah a pawimawh hle.
• In lama exercise i tih laiin harsatna i neih chuan, emaw, i naute dinhmun a chhe zual nia i hriat chuan phone la, doctor hnenah hrilh rawh. Nangmah ah engmah dah suh.