I taksa thiltih dan hi a rang lutuk em? Hyperreflexia chungchang hi han sawi ila!

Doctor-in rubber mallet te tak te hmangin i khup chu zawi zawiin a tap tih i hmu tawh em? Chutah chuan i ke chu automatic in a jerk ang, a dik em? Hei hi thil pangngai a ni. Mahse a chang chuan he jerk, emaw he reaction (reflex) hi a thleng rang lutuk a, a chak lutuk bawk. Chu chu damdawi lamah Hyperreflexia kan tih chu a ni. He hming hi natna khirh tak ang maia lang mahse hlauh tur a awm lo. Vawiin hian he thu hi awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.

I en hmasa ang, he reflex hi eng nge ni?

A awlsam zawngin, reflex chu thil thleng mai mai, kan thunun theih loh thil a ni. Hengte hi kan taksain min venhimna atana a neih automatic mechanism a ni. Ngaihtuah teh, rulhut ang chi thil i mit lam pana a thlawh chuan i mit chu a inkhar nghal vek a ni lawm ni? Conscious taka i tih a ni lo. Taksa hian chhiatna thleng thei laka invenna atana a tih thin a ni. Chutiang reflex tho chu thil lum kan khawih hian rang takin kan kut kan hnungtawlh chhan pawh a ni. Hengte hi kan dam khawchhuahna atan a pawimawh hle.

Chuvangin, Hyperreflexia chu chutiang automatic reaction te chu a thlen tam lutuk, emaw, a na lutuk emaw a ni. I khup chu hammer hmanga i tap hian i ke a hrual tlem hi thil pangngai a ni. Mahse i ke chu i beisei aia rang zawk, hmalam pan mai tur ang maia a chet chuan chu chu Hyperreflexia a ni thei.

Engvangin nge hetiang hi a lo awm? Hyperreflexia hi engte nge ni?

Hei hi chhan hrang hrang a awm a. Ṭhenkhat chu nervous system nena inzawm a ni a, ṭhenkhat erawh chu a inzawm lo.

Nervous system lama harsatna (Upper Motor Neuron Lesions) 1.1.

Hei hi a chhan ber leh a tam ber chu kan thluak atanga thuchah (spinal cord) thlenga thawn chhuaktu nerve cells (motor neurons) te tihchhiat a ni. Damdawi lam hawi chuan hei hi Upper Motor Neuron (UMN) lesion an ti a. A dik tak chuan kan thluak hi taksa chetna leh thiltih dan control tu ber a ni. He thluak atanga thu lo lutte hi ruhro (spinal cord) kaltlangin taksa peng hrang hrangah a kal thin. Heng thuchahte kengtu kawngpui dunga khawi emaw laiah chhiatna emaw, tihbuai emaw a awm chuan, thiltih dan (reaction) thununna chu a buai ta a ni. Tichuan reactions te chu a chak lutuk ta a ni.

UMN chhiatna a awm chuan Hyperreflexia nen hian symptom dang engemaw zat a awm thei bawk. Chungte chu Upper Motor Neuron Syndrome an ti a. Heng symptoms te hi:

- Muscle chak lohna

- Muscle stiffness (Spasticity) - Muscle thenkhat tihkhauh leh inzawmkhawm nghal.

- Clonus - Rhythmic, taksa ruh inzawmna (muscle contraction) thunun theih loh.

A hnuaia damdawi lam dinhmunte hian hetiang UMN chhiatna leh hyperreflexia hi a thlen thei a ni.

Nervous system nena inzawm lo chhan dang

• Anxiety Disorders: Anxiety emaw panic disorder emaw i neih chuan i taksa chu ‘fight-or-flight’ dinhmunah a ding a ni. Hei hian i taksa ruh leh i reflex te chu a ti sensitive lutuk thei a ni. Hei hian hyperreflexia a thlen thei bawk. Mahse, a awm reng lo va, a lo kal a, a kal zel bawk. Lungkhamna emaw, stress emaw i neih hunah a tam zawk.
• Hyperthyroidism: Kan kawr chhunga thyroid gland a thawh tam lutuk chuan taksain thyroid hormone tam lutuk a siam chhuak thin. He hormone hian kan taksaa cell tin te hnathawh a ti chak a, nerve cell te pawh a ti chak bawk. Hei hian reaction a ti chak bawk. Enkawlna dik tak a awm chuan Hyperreflexia natna hi a bo vek a ni.

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Engtin nge hei hi i hmuh theih, Doctor?

Doctor chuan neurological exam kalpui mek zingah hyperreflexia a test ang che. Hei hi kan hriat vek test a ni a, chutah chuan rubber mallet te tak te hmangin i khup an tap thin. Hei hi Deep Tendon Reflex (DTR) examination an ti a .

He test chhung hian a theih ang anga thlamuang leh hahdam taka awm a pawimawh hle. I ngaihtuah emaw, i tensing up emaw a nih chuan a result a dik lo mai thei. Chuvang chuan doctor chuan hetiang thil a tih hma hian a chang chuan thil dang a sawipui ang che, i ngaihtuahna tihbuai nan.

Khup bakah hian doctor chuan hmun dang engemaw zatah reflexes a test thei bawk.

• Elbow hnunglam a ni
• Kut crook chhungah chuan
• Kut leh ke ruh

Hyperreflexia leh Autonomic Hyperreflexia hi thil hrang hrang pahnih a ni em?

Awle. Hêng hming pahnih hi eng emaw chen inang mah se, heng dinhmun pahnih hi a danglam vek a ni . He danglamna hi chiang taka hriatthiam a pawimawh hle.

Autonomic Hyperreflexia (Autonomic Dysreflexia tia hriat bawk) hi damdawi lama emergency pawi tak, nunna atana hlauhawm tak a ni. Upper spinal cord hliam (T6 thoracic vertebra chunglam) nei damlote zingah a lang tam ber. Autonomic nervous system overreaction a ni a, chu chuan thisen sang a tisang nghal a, nasa takin a tisang a ni. A lan chhuahna ber chu lu na tak, na tak a ni. Hei hi Emergency Department (ETU) pan a ngai a ni.

Mahse he thuziak-a kan sawi tur hyperreflexia hi ruhkawr chhunga thil tih chak (accelerated reaction) mai a ni. Natna chhinchhiahna a ni a, chutih lai chuan nunna atana hlauhawm thil a ni lo.

Hei hi eng enkawlna nge ni?

Enkawlna chu a chhan bulpui (underlying condition)-ah a innghat vek a ni. Chu a bulpui ber chu enkawl chu tum ber a ni.

• MS leh ALS ang chi neurological condition tihdam theih lohah chuan natna enkawl nan enkawlna hman a ni. Hyperreflexia hi a awm reng a, mahse damdawi thenkhat emaw physiotherapy emaw hian a natna lanchhuahna nasatzia a tiziaawm thei a ni.
• Hyperthyroidism leh Anxiety ang chi condition te hi damdawi hmangin a control vek thei a ni. He natna hi enkawl a nih chuan Hyperreflexia symptom pawh a bo vek ang.

Engtikah nge Doctor ka hmuh ang?

Nangmah chauhin hyperreflexia i nei em tih hriat a harsa thei. Doctor-in a enfiah che hian a hriat chhuah a ni tlangpui.

Mahse, a hnuaia symptoms te hi i neih chuan chhungkaw doctor pan ngei ang che.

• I taksa ruh chak lohna i hriat chuan.
• I taksa peng hrang hrangah stiffness (spasticity) i neih chuan.
• A ke ruhte chu thunun theih loha a nghing chuan (clonus).
• Thil tenawm ber pawha lungkhamna leh lungkhamna i neih chuan hei hi Anxiety emaw Hyperthyroidism emaw vang a ni thei.

I doctor chuan a tul angin test a ti ang a, a chhan a hre ang a, a tul chuan neurologist hnenah a refer ang che.