Doctor in i khup chu hammer hmanga a tap chuan i ke chu a sang lo em ni? (Hyporeflexia) tih a ni.

Doctor-in rubber mallet te tak te hmanga i khup a tap lai i hmu tawh em? I khup i tap hian i ke chu a rawn chhuak leh tlangpui a, a dik em? Hei hi kan taksaa automatic defense response a ni. Mahse a chang chuan, chhanna kan hmu tlem hle emaw, kan dawng lo tak tak emaw a ni. Chu chu vawiinah kan sawi dawn a ni.

Hyporeflexia chu eng nge ni?

A awlsam zawngin Hyporeflexia hi kan taksa peng hrang hrangte reflex response tlahniam tihna a ni. A châng chuan he chhanna hi a bo vek thei a, chu chu areflexia kan ti a ni.

Hetiang hian han ngaihtuah teh: Reflexes hi i taksain thil tichhe thei thil laka a humhimna tur automatic system a ni. He chhanna hi nerve message thawn chhuahna kawng bik hmangin a thleng thin. Hei hi ‘reflex arc’ kan ti a. A ṭhen lian pathum a nei a, chungte chu:

1. Sensory part: Damdawi emaw stimulation emaw chungchanga information kengtu nerve.

2. Central part: Chu chu kan ruhro (spinal cord) a ni.

3. Motor part: Spinal cord atanga thupek dawnte hlen chhuak turin taksa peng hrang hranga thuchah thawn chhuaktu nerve.

He zinkawngah hian khawi emaw laiah chhiatna a awm a nih chuan, sensory nerve emaw, spinal cord emaw, motor nerve emaw pawh ni se, chu chhanna chu a thleng dik lo. Chu chu Hyporeflexia a lo awm hun a ni. Hei hi natna hran ni lovin, nervous system-ah harsatna a awm tih chhinchhiahna a ni tlangpui.

A tam zawkah chuan hyporeflexia vei hian harsatna lian tham a tawk lo. Mahse, neurologist tan chuan hei hi hriat theihna tur chhinchhiahna pawimawh tak a ni.

Engtin nge doctor hian hei hi a hriat chhuah?

Doctor-in i nervous system (neurological exam) a enfiah chuan ‘Deep Tendon Reflex’ (DTR) test an ti ang a, hyporeflexia a awm leh awm loh an enfiah ang. Chung zinga lar ber chu hammer test hi a ni a, chu chu kan hre vek a ni.

Khup enfiah dan tur

Doctor chuan rubber mallet hmanga i khup a tap chuan patellar tendon leh a kaihhnawih thigh muscle chu a hrual a. Chutih lai chuan "muscle pulled" tih thuchah chu sensory neurons hmangin spinal cord-ah rang takin a thawn chhuak ta a ni.

Chu chu spinal cord chuan a chhang nghal a, motor neurons kaltlangin chu muscle hnenah chuan thuchah a thawn let leh a, chu chu a inzawm khawm ta a ni. Chu contraction chuan i ke chu automatic in a zuang chho ta a ni.

Hyporeflexia i neih chuan i ke chu a che chak lo hle thei a, a che lo thei bawk .

Khup bakah hian hmun dang engemaw zatah chhanna test theih a ni.

Eng thilin nge hetiang hi a thlen theih?

Hyporeflexia hi a hmaa kan sawi tawh ‘reflex arc’-a khawi hmunah pawh chhiatna avanga lo awm thei a ni. Hei hi neurological disease leh condition lian tak tak engemaw zat a awm a, chungte chu:

• Peripheral Neuropathies: Hei hian kan thluak leh ruhro atanga lo chhuak nerve te tihchhiatna a kawk a ni. Kut leh ke ruh a ti na a, a ti na a, taksa ruh a tichak lo fo bawk.

• Guillain-Barre natna vei te hi:Hei hi autoimmune natna hmuh tur awm lo tak a ni. Heta thil thleng hi kan taksa hriselna (immune system) hian kan nerve (nerve) te hi a rawn bei a ni. Hetiang dinhmun hian nerve chhehvela ‘covering’ (myelin) chu a tichhia a, ni rei lote chhungin a hmasawn chak hle.

• CIDP (Chronic Inflammatory Demyelinating Polyneuropathy): Hei hi Guillain-Barre nen a inang a, mahse hun rei tak chhung chu zawi zawiin a thleng thin.

• Spinal Cord Injuries: Hetiang dinhmun hi ruhro emaw ruhro (spinal cord) a chhiat nasat chuan a thleng thei a, chu chu car accident emaw, tlu emaw a ni thei. A tir lamah chuan hyporeflexia awm thei mahse, hun kal zelah hyperreflexia a lo awm thei a, chutah chuan a chhanna chu hliam level aia hniam zawkah a pung thei a ni.

• ALS (Amyotrophic Lateral Sclerosis): Hei hi thluak lam natna zual zel a ni bawk. Mahse, hetiang a nih chuan hmuh tur awm fo chu a tlahniam aiin chhanna (Hyperreflexia) a pung zawk a ni.

• Lambert-Eaton Myasthenic Syndrome (LEMS): Hei hi natna awm lo tak a ni bawk. Nerve leh muscle inzawmna a nghawng a ni.

Hyporeflexia hi engtin nge enkawl a nih?

Hei hi direct treatment a awm lo. A chhan chu hei hi natna a ni lo va, natna hnuaia awm dang chhinchhiahna a nih vang a ni. Chuvangin Doctor-te tih dan chu he thil thlentu dik tak hriatchhuah a, a bulpui natna enkawl hi a ni.

Entirnan, Guillain-Barre syndrome hi special vaccine (IVIg) hmanga enkawl a ni a, chu chuan immune system emaw plasma exchange treatment emaw a target a ni.

Engtikah nge Doctor ka hmuh ang?

Hei hi zawhna pawimawh tak a ni. Mi thenkhat reflexes hi a pianphungah a chak lo deuh tih hre reng ang che. Harsatna dang a awm loh chuan harsatna lian tak a ni lo.

Mahse, he chhanna chak lo tak nen hian a hnuaia symptom dang i neih chuan i doctor i pan ngei tur a ni .

I chhungkaw doctor chuan a enfiah ang che a, a tul chuan neurologist hnenah test dang neih belh turin a refer ang che.