I taksa che vel thenkhat chu i thunun thei lo ang maiin i inhria em? Functional Movement Disorder chungchang hi han sawi ila.

A chang chuan i kut, i ke emaw, i taksa peng dang emaw chu i duh loh zawnga che angin i inhria em? A hrual emaw, a nghing emaw, a inher emaw pawh a ni thei. Heng thilte hi i thunun theih tak tak loh lai hian hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni. Vawiin hian heng symptoms thlen thei condition pakhat kan sawi dawn a ni. Chu chu functional movement disorder, emaw `(Functional Movement Disorder - FMD)` emaw a ni.

Functional Movement Disorder (FMD) tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, FMD hi i thluak in i taksa che vel a control danah harsatna a ni. A bik takin i thluak hian message a thawn leh dawn danah harsatna a awm a. Hei hian i duh loh zawnga chetna (involuntary movement an tih) a siam a, chu chu i thunun theih loh a ni. Entirnan, khur, jerking, twitching, muscle stiffness, leh kal harsa te hi a ni.

A pawimawh ber chu heng chetna pangngai lote hi i thluak, i ruhro, a nih loh leh i nervous system taksa lama chhiatna avanga lo awm a ni lo tih hi a ni . Dik tak chuan thluak scan leh thisen test-ah hian thil danglam a awm lo fo thin. Mahse, chu chuan harsatna i nei lo tihna a ni lo va, chutiang dinhmun chu a tak tak lo tihna a ni lo. Buaina chu i thluak hian movement nena inzawm signal a process danah a ni .

Ngaihtuah teh, computer hnathawk tha leh dik lohna nei lo a awm. Mahse computer chu a thawk tha lo a, a chhan chu software-a harsatna tenau a awm vang a ni. Taksa peng hrang hrang a tha a, mahse control system ah hian harsatna tlem a awm a.

Functional movement disorder hi Functional Neurological Disorders (FND) category lian zawka subcategory pakhat a ni a.

FMD natna lan chhuahna chu engte nge ni?

FMD symptom ber chu i chetna pangngai lo, i thunun theih loh nia i hriat hi a ni. Movement chi khat chauh i nei thei a, movement problem engemaw zat inzawmkhawm i nei thei bawk.

FMD movement hman tlanglawn tak tak thenkhat chu hetiang hi a ni:

• Dystonia ang chi chetna: Hei hi taksa ruh (muscles) a inthlak danglam (contract) a ni. I che repetitive thei a, i taksa a ti twisting thei bawk. Chungte chu natna nen a inzawm fo thin. Entîr nân, i kut zungtang hrual emaw, i ke ruhte chu chhûng lam hawia ben emaw, i hmai ruhte hrual emaw.
• Gait leh balance chungchang: Gait tih hian i kal dan a kawk a ni. Hei hian kea kal harsatna chi hrang hrang a huam thei. Entirnan, mi thenkhat chu fimkhur takin an kal thei a, "ice chunga kal ang maiin," thenkhat chuan an ke an hrual thei a, thenkhat chuan an khup an ben mai mai thei bawk.
• Jerking emaw myoclonus ang chi chetna:Chungte chu taksa peng hrang hrang inthlak danglam nghal leh rei lo te a ni. Entirnan, lu, kawr, ke ruh, kut leh ke hrual (jerking) te hi a ni.
• Muscle chak lohna: I hmai, i kut leh keah taksa chak lohna i nei thei a, chu chu hun kal zelah a lo thleng thei a, a kal zel thei bawk. Chumi awmzia chu chak lohna chu a lo thleng thei a, a kal leh mai thei tihna a ni.
• Tremors or shaking: Tremors hi taksa peng hrang hrangah, lu, kut leh keah a awm thei a ni. Hei hi FMD symptom langsar ber a ni.

Move symptoms hmuh tur tlem zawk pawh a awm bawk:

• Chorea ang chi chetna: Hei hian zai, fidgeting, emaw, struggling mai mai ang maiin a siam thei che a ni.
• Parkinsonism ang chi chetna: Hetah hian chetna chu zawi zawiin a thleng tih hmuh theih a ni.
• Tic-like movement: Hengte hi rang tak, repetitive movement a ni a, muscle group tenau te pawh a tel a ni.

FMD nena inzawm hian symptom dang a awm fo bawk:

• Brain fog: Disoriented leh lu fiah lo anga inhria.
• Chauhna: Chau tih hriat reng reng.
• Migraines: Lu na na tak.
• Natna: Taksa peng hrang hranga natna.
• Mut chungchanga harsatna: Mut theih lohna emaw mut harsatna emaw.

Hengte hi FMD avanga lo awm direct a ni lo mai thei a, mahse heng symptoms te hi he natna nen hian hmuh tur a awm fo thin.

Mi tam tak tan chuan natna lan chhuah dan chu a intan nghal vek a ni . Chumi awmzia chu symptoms chu a na nghal vat tihna a ni. Mahse, mi thenkhat tan chuan symptoms chu a awm reng thei. Chumi awmzia chu a lan chhuah dan chu a danglam zawi zawi emaw, hun kal zelah a inthlak danglam thei emaw tihna a ni.

FMD awm chhante chu engte nge ni?

Tunah hian functional movement disorder thlentu ber chu movement control tu thluak network a malfunction vang niin an ngai a ni . Functional brain scan-ah chuan thluak hmun thenkhat chu overactive emaw underactive emaw a ni tih hmuhchhuah a ni a, chu chu mi chu a chawlh lai leh hna thenkhat a thawh lai pawhin a ni.

Network lian ber pakhat a awm a, chu chu "self-agency" network tih a ni. Hei hian i chetna i thunun thei tih hriatna a pe che a ni. Research atanga a lan dan chuan he network hian FMD vei te tan a thawk tha lo mai thei. Hei vang hian i chetna chu duhthusam anga lang mah se, i chetna chu thunun thei lo ang maiin i inhria a ni.

Chu bâkah, rilru put hmang, hriatna, leh hriatna hriatthiamna thununtu thluak network-te pawh a tel thei bawk.

FMD symptoms tichhuak thei triggers te chu engte nge ni?

``Triggers`` chu FMD symptoms tichhuaktu emaw, tizualtu emaw thilthleng emaw, stressful situation emaw a ni. Chungte chu:

• Hliam tenau, natna, operation emaw taksa lama harsatna emaw.
• Nunna tibuaitu lian tak, hmangaih tak boralna, hnathawhna hmuna nawrna, a nih loh leh rilru lama harsatna nasa tak awm ang chi.
• Environment inthlak danglamna lian tak, mimal inkara buaina emaw, mawhphurhna lian tak emaw.

A hnuaia thilte hian symptoms enkawl a harsat phah thei a, FMD hi a chronic thei bawk:

• I thluak hian a chetna danglam tak chu a "zir" thin. Hei vang hian trigger a awm tawh loh pawhin movement hi a chhunzawm thei a ni.
• Hmasawnna hlauhna. Hei hian chetna pumpelh a thlen a, lungkhamna a tipung a, rualbanlohna a tizual bawk.
• Chhungkaw emaw, healthcare provider emaw atanga tanpuina awm lo. Hei hian mahni chauhna leh beidawnna a thlen thei a ni.
• I natna hmuhchhuahnaah inrintawk lohna, damdawi lam test nawn leh emaw, enkawlna kal ai chuan natna dang zawn chhuah emaw.
• Natna chungchanga lungkhamna dang leh ngaihtuahna tam tak hi thubuai, rualbanlote dilna, emaw, hnathawkte zangnadawmna dilna ang chi thilte vang a ni thei.

Symptoms hi chhan pakhat vang ni lovin, thil hrang hrang inzawmkhawm vang a ni . He hriatthiamna hian enkawlna kalphung a kaihruai a, chu chuan zirna, siamthatna, rilru lam puihna, leh nunphung tihdanglamna lam a ngaihtuah a, chu chuan natna lan chhuah dan a tihtlem a, i hriselna zawng zawng a tichangtlung thei a ni.

FMD vei theihna tur risk factors te chu engte nge ni?

FMD hi puitlingah a tam ber a, kum 40 vel a ni a, mahse, naupang pawh tiamin, tu pawh a nghawng thei a ni.

A hnuaia thilte hi a awm chuan FMD vei theihna a sang zawk a ni:

• Migraine, natna rei tak nei, emaw nervous system chak lutuk nei.
• Lungkhamna, lungngaihna, emaw, tun hmaa thil rapthlak tak tak tawn tawh emaw.
• Naupan laia stress nasa tak tuar te, naupan lai hun tha lo tak neih te, emotional support dawn loh te.

Doctor-te hian engtin nge FMD hi an hriat theih?

Healthcare provider (doctor) chuan i natna lan chhuah dan leh i damdawi lam chanchin a zawt hmasa ang. Tichuan physical exam leh neurological exam an nei ang. Neurological exam neih chhung hian i reflexes, coordination, muscle strength, muscle tone, gait, leh i che thei ang chi thil te an check thei a ni.

Doctor-te’n FMD an hriat dan ber chu FMD-a danglam bik leh thluak lam natna dang a hmuh loh chhinchhiahna chiang tak tak zawn hi a ni a, taksa leh thluak enfiahnaah Heng chhinchhiahnate hian doctor-te chu test nasat ngai lovin a natna hmuhchhuah chu a nemnghet thei a ni.

FMD hi engtin nge enkawl a nih?

FMD hian thluak a tihchhiat reng loh avangin i thluak hian chetna "relearn" theihna a nei a ni.Enkawlna tum ber chu natna lanchhuahna tihtlem te, hnathawh that leh nunphung siam that te hi a ni.

I doctor chuan FMD enkawlna atan hian a hnuaia damdawi te hi a rawn rawt thei ang:

• Physical therapy: Hei hian chetna control, balance tihchangtlun leh chetna pangngai lo tihtlem a tum ber a ni.
• Occupational therapy: Hei hian nitin hna hrang hrang, incheina, chaw siam, leh ziaknaah a pui thin.
• Speech therapy: FMD hian i thusawi, i ei leh in, i ngaihtuahna a nghawng a nih chuan, speech therapist chuan hengte hi a ti \ha thei ang.
• Stress leh emotional management: FMD hi rilru lam natna a ni lo. Mahse, stress leh lungkhamna hian symptoms a ti na zual thei a, enkawl harsa a ti thei bawk. Therapist nena inbiakna chuan i rilru put hmang, ngaihtuahna leh nungchangte’n i natna lan chhuahna a nghawng dan hriatthiamna a pe thei che a ni. Therapy hian heng thilte hi hrisel takin i hmachhawn thei bawk.
• Nitin tih dan tur: Exercise neih fo te , ei leh in tha te, mut tam te hian i thluak hnathawh a pui thin.
• Inngaizawng reng: I duhzawng thilte chu ti zel la, i thlawptu mite nen hun hmang rawh.
• Damdawi: Damdawi hian FMD hi direct-in a enkawl lo. Mahse, natna dang, lungngaihna, lungkhamna, leh/ emaw, natna rei tak i neih chuan, chu chu enkawl nâna damdawi ei hian chutiang chhinchhiahnate chuan FMD enkawlna a tibuai lo tûrin a ṭanpui thei a ni.

Therapist zawng zawng hian FMD hi an hre vek lo a, chuvangin FMD enkawlna lama tawnhriat nei therapist hmuh a tha ber.

Enkawl hun chhung hi mi hrang hrangah a inang lo. I chetna pangngai lo chi leh i tana thil danglam bik dangteah a innghat a ni. Enkawlna hi kar tlemte atanga thla engemaw zat, a nih loh leh kum tam tak thleng pawh a ni thei. I healthcare team te hian hei hi ngaihtuahna tha tak an pe ang che. I treatment plan leh recovery process zawm tlat a pawimawh hle a, result tha ber i hmu thei ang.

FMD vei tan chuan eng prognosis nge a awm?

FMD vei te hian "ni tha" leh "ni tha lo," emaw, natna lan chhuah dan a pun emaw, a tlahniam emaw hun an neih hi thil awmze nei tak a ni.

FMD vei te hun rei tak chhunga an hlawhtlinna chungchanga zirchiannaah chuan result inang lo tak tak a awm a:

• Ṭhenkhat chu an dam chhuak vek.
• Mi dangte chuan hmasawnna nasa tak an hmuh laiin, a lan chhuahna chu a chang chuan a la lang leh thei tho.
• Mi ṭhenkhat tân chuan theihtâwp chhuah mah se, a lan chhuah dân chu a la awm reng thei a ni.

Damna dal thei thilte chu:

• I diagnosis chungchangah buai lutuk.
• Diagnosis tihkhawtlai a ni.
• Hmangaihte hnen atanga tanpuina tlakchhamna.
• Hriselna leh enkawlna dawn theihna tur daltu.
• FMD enkawlna lama tawnhriat nei doctor an neih loh.

Enkawlna hlawhtlinna chance tipungtu thilte:

• Taksa hriselna tha neih.
• Khawtlang nun \ha tak nun.
• Enkawlna a hlawk tih hmuh.
• Positive stress management technique hmanga enkawl.

Mithiamte chuan FMD chungchanga hriatna tihpun a nih chuan, stigma tihtlem a nih chuan, leh enkawlna dawn theihna a ṭhat chuan nakin lawkah result ṭha zawk a awm theih an beisei.

Functional movement disorder i neih chuan, emaw, i doctor-in i neih a rinhlelh chuan, a awmzia ngaihtuah buai leh lungkham hi thil pangngai tak a ni. I natna hmuhchhuah chungchangah hian ngaihdan buaithlak tak i neih chuan i doctor hnenah hrilh ngei ang che. I doctor hna chu tanpui che a ni a, rorelsak che a ni lo . I doctor chuan i ngaihtuahna leh hlauhthawnna chu a hrethiam a ni. I thusawi ngaithla a, ṭanpuina pein, leh a chinfelnate pein i rilru a hahdam theih nân a ṭanpui thei a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan kan sawi thin (Functional Movement Disorder - FMD) kha i hrethiam tawh hle. A pawimawh ber chu:

• FMD hi thluak in taksa chetna a control dan a inthlak danglam a, taksa lama thluak emaw nerve emaw a tihchhiat vang a ni lo .
• Scan leh thisen test hi thil pangngai ni mahse, he dinhmun hi a tak tak a nih avangin ngaihven a ngai a ni.
• Symptoms te chu enkawl theih loh anga ngaih ni mah se, enkawl dan dik leh siamthat a nih chuan dam lehna leh nunphung tihchangtlun theih a ni .
• I emotion leh stress ang chi thil hi ngaihven a pawimawh a, symptoms a nghawng thei a ni.
• Nangmah chauh i ni lo . Doctor, therapist leh i hmangaih tak takte hnen atangin tanpuina dawng rawh. I zawhna leh hlauhna te chu i doctor nen sawiho rawh.

He thu hi i tan a \angkai ngei kan beisei. Heng symptoms te hi i neih chuan, emaw, hriat belh duh i neih chuan doctor lam pan a tha ber.

` Functional movement disorder, FMD, thunun theih loh chetna, thluak lam natna, taksa enkawlna, rilru hriselna, thluak hnathawh