Engvangin nge doctor chuan a khup chu hammer te tak te hmangin a tap? Heng 'reflex' te hi han sawi ila!

Doctor-in rubber mallet tlem hmangin i khup chu zawi zawiin a tap tih i hmu tawh em? Chutianga i tap chuan i ke chu a sang nghal vek a ni lawm ni? I ngaihtuah thil a ni lo, a thleng mai mai a ni. Chu chu ‘reflex’ kan tih chu a ni. Hei hi kan taksaah thil mak tak a ni tak zet a ni. Hemi chungchang hi vawiinah hian chipchiar deuhin sawi ila, kan thianpa nen kan inbia ang maiin.

‘Reflex’ tih hi eng nge ni tak tak?

A awlsam zawngin sawi ila, ‘reflex’ chu i taksain i thunun theih loh, i ngaihtuah ngai lo, thil tichaktu (pawn lam thil tihchak, aw, khawih ang chi) a chhanletna a ni. ‘Tunah hian ka ke ka chawi a ngai’ tih ngaihtuaha i tih hi a ni lo . A thleng mai mai a ni. Strict takin sawi ila, kan nervous system-ah hian a rang hle a, automatic process a ni.

Ngaihtuah teh, thil lum i khawih palh a nih chuan i thluak hian, "Aw, hei hi a lum a ni!" Chu pawh chu reflex a ni. Hetiang thil hi kan taksa himna atan a pawimawh hle.

Heng ‘reflexes’ te hi kan nei vek em?

Ni e, mi hrisel zawng zawng hian heng reflexes te hi an nei vek a ni. Mak tak mai chu, reflex tam tak neia piang kan ni. Nausen te tak te i en chuan hei hi i hrethiam hle ang.

• Entirnan, naute hmui chu i kut zungtang hmanga zawi zawiin i tap chuan, naute chuan a lu chu chu lam hawiin a hawi ang a, hnute hmin ang maiin a hmui chu a chelh ang. Hei hi ‘rooting reflex’ an ti a.
• Thil dang pakhat chu, naute kutah i kut zungtang i dah chuan naute chuan nghet takin a chelh ang. Chu pawh chu thil thleng mai mai a ni.

Chûng chhân lêtna tam tak chu kan naupan lai aṭang tawhin kan rilruah a zung kaih a ni. Ṭhenkhat chu kan lo puitlin chuan an bo vek a, ṭhenkhat erawh chu kan dam chhung zawngin an awm reng thung.

Engvangin nge heng ‘reflexes’ te hi kan tan a pawimawh em em? - Hriselna a pawimawh ber!

A tam zawkah chuan heng reflexes te hi kan taksa hi hlauhawm laka venhimna atana siam a ni. Kan taksa chhunga vengtu te tak te ang mai an ni.

• Thil lum atanga i kut lak chhuah: Ka sawi tawh ang khan, ember lum emaw, pan lum emaw i khawih palh a nih chuan, "Hei hi a lum" tih pawh i ngaihtuah hmain i kut chu i la chhuak nghal mai ang. Hei hi second khat aia rei lovah a thleng thin. Hei hian i kut chu a kang lo turin a chhanhim a ni.
• I mit chhunga thil a lo luh chuan mit khap: I mit chhungah thil lo lut thut takin i hriat chuan ngaihtuah pawh ngaihtuah lovin i mit i chhing thin, a dik em? Hei hian leivut leh rulhut ang chi thilte chu i mitah a luh loh nan a titawp a ni.
• Khuh leh thawk hah: Hengte hi venhimna reflex pawimawh tak pahnih an ni bawk. Kan thawkna kawngah thil tha lo a lut a nih chuan, entirnan, ei tur thenkhat a tlakbuak emaw, leivut ang chi a lut emaw chuan kan khuh chhuak thin. Chutiang bawkin thawk hah pawh a ni. Kan hnar chhungah hrik emaw, pollen emaw ang chi thil a lut a nih chuan, rang taka paih chhuah leh hnar tihfai nan kan thawk hah thin.
• Tlu dawn laia kut phar: A châng chuan kan tlu a, kan tlu a, instinctive takin kan kut kan phar a, lei kan man ṭhin. Hei hian kan lu ang chi thil pawimawh tak takte chu leia a tlak loh nan a venghim bawk.

Hetiang ang protective reflexes avang hian hriat lohvin hlauhawm tam tak lakah kan chhanchhuak a ni.

Doctor chuan a khup a tap tih hian eng nge a sawi tum? - Chu 'khup hrual' chu!

Okay, tunah chuan chu knee tapping thil ka sawi tawh kha han sawi leh ila. Chu rubber mallet te tak te hmanga i khup a tap avanga doctor in a tih chu ‘Patellar Reflex’ an tih hi a ni. Hei hi ‘Knee-jerk reflex’ an ti bawk. Hei hi a takah chuan ‘Deep Tendon Reflex’ (DTR) chi khat a ni.

Tunah chuan hei hi engtin nge a kal dawn tih i en ang u.

1. Doctor chuan khup hnuai lam chiaha awm, ``Patellar Tendon`` tih hming pu tendon bik chu zawi zawiin a tap a. Tendon chu ruh leh ruh inzawmkhawmtu tissue chak tak a ni.

2. Hetianga i tap hian chu tendon leh a thigh area-a muscle lian tak (quadriceps muscle) inzawm chu a inzawm nghal vek a.

3. Muscle chu a hrual tawh tih thuchah chu nerve kaltlangin kan ruhro thlengin a kal chak hle. Kan ruhro (spinal cord) hi kan ruhro (spinal cord) kal tlanga nerve cord lian ber a ni.

4. Spinal cord hian he thu hi a dawn hnu chuan chu thigh muscle hnenah chuan message rang tak tak dang a thawn leh a, "contract" turin a hrilh leh a ni.

5. Chu ruh chu a inzawm nghal a, kan ke chu a zuang chho nghal mai thin.

Heng zawng zawng hi mit khap kar chhungin a thleng vek! Ngaihtuah hun pawh i nei lo.

Engvangin nge heng ‘DTR’ emaw deep tendon reflexes te hi kan tan a pawimawh?

I ngaihtuah mai thei, "Engvangin nge hetiang thil hi khup chunglam atanga kal kan neih?" Hetiang deep tendon reflexes (DTR) te hi kan tan chuan a pawimawh hle.

• I inthlauhna vawng reng rawh: I ding lai hian hmalam i hawi tlem chuan i khup chu tlem tê chauh a ni mai thei tih han ngaihtuah teh. Chutiang a nih chuan i tlu mai thei, a dik em? Chutih lai tak chuan knee-jerk reflex chu a kick lut a, i khup chu a tidik a, tlu lo turin a pui bawk. Hei hi hriat lohvin a thleng thin.
• Nervous system hnathawh dan enfiah: Doctor-te chuan heng ang reflexes te hi kan nervous system – chu chu thluak, ruhro leh nerve dangte – a thawk tha em tih an enfiah thin. Heng reflexes te hian hna an thawk tha a nih chuan chu thuchah phurtu nerve pathways ah hian harsatna a awm lo va, an hrisel tihna a ni.

Hei chauh hi khup check dan tur a ni em?

No. Doctor-te chuan heng deep tendon reflexes (DTR) te hi khup tih loh hmun dang engemaw zatah an test thin.

• Triceps reflex a ni
• Biceps leh Brachioradialis reflexes te hi a awm a
• A kutphah chu a dik.
• Ankle jerk reflex a ni

Doctor chuan hmun tina awm reflexes atang hian nervous system level hrang hrangte chu a hre thei a ni.

Heng ‘reflexes’-ah hian danglamna a awm a nih chuan engtin nge ni ang?

A châng chuan heng reflex-te hi a chak lutuk thei a, a tlahniam lutuk thei a, a awm lo vek thei bawk . Chutiang inthlâk danglamna a awm chuan, doctor hnênah nervous system-a harsatna awm chungchâng hriattîrna a pe thei a, chu chu thluak lam harsatna, vitamin tlakchhamna, a nih loh leh damdawi lam thil dang a ni thei bawk.

Entirnan, nerve thenkhat a chhiat chuan a chhiatna level nena inzawm reflexes te chu a chak lo thei a, a bo thei bawk. Chutiang bawkin thluak chunglam emaw, ruhro (spinal cord) chunglam a harsatna a awm chuan reflexes thenkhat chu a nih tur aia chak zawk emaw, rang zawkin emaw a thawk thei a ni.

Chuvangin doctor chuan a enfiah hunah heng reflexes te hi a ngaihven ang che. I hriselna zawng zawng chungchangah thu pawimawh tak tak an hrilh thei a ni.

Nitin nunah ‘reflexes’ tih entirnan thenkhat han en leh ila.

Kan sawi tawhte bakah hian kan taksa hian reflex dang tam tak a nei a.

• I mit chhunga mitmeng chu êng i hmuh chuan a inzawm khawm thin: Ni chhuahna hmun atanga pindan thim takah i kal thut a, a nih loh leh pindan thim atanga i chhuah thut chuan i mit chhunga mitmeng chu a inzawm khawm thin a ni lawm ni? Eng a tam lutuk chuan mit chhunga êng lut zat chu a constrict a, a control bawk. Thim lamah chuan a lian a, êng tam zawk a luh tir thin. Hei hi mit venhimna ‘reflex’ a ni bawk.
• Swallowing reflex: Kan ka chhunga chaw kan dah hian ei hi a tam zawk chu automatic process a ni.
• Gag reflex: Thil pakhatin kan hnungzang a rawn deng hian kan rilru a na hle a ni lawm ni? Thil hlauhawm tak takte chu kawchhung hnuai lama kal tur a titawp a ni. Mi thenkhat chuan ha an sil hian hetiang hi an hre tha hle mai thei.
• Sivering: Kan khawsik hian kan taksa a khur thin, a dik em? Heat siam chhuahna tur reflex a ni bawk. Muscle te hi an inzawm khawm a, an relax chak hle a, heat hi a lo awm thin.

Hetiang thil i ngaihtuah hian kan taksa hi mak tak maia duan a nihzia i hrechhuak thin a ni lawm ni?

‘Reflexes’ chungchanga kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvang chuan vawiin hian reflexes chungchang kan sawi nasa hle. Tunah chuan an chungchang hi i hrethiam tawh niin ka hria. A tawi zawngin, hriat reng tur pawimawh tak takte chu hetiang hi a ni:

• ‘Reflex’ hi taksa chhân lêtna a ni a, chu chu automatic leh instant-a lo awm, kan thunun theih loh a ni.
• Chung zinga tam tak chuan kan taksa chu hlauhawm laka humhim turin a pui a (e.g., kan kut chu lumna atanga sawn, kan mit a thil a lo luh chuan mit tidel).
• Doctor-te’n khup an tap a, ‘knee-jerk’ an hmuhchhuah chu ‘deep tendon reflex’ (DTR) an ti a.
• Heng DTR te hi test hian kan nervous system hriselna chungchang ngaihtuahna kan nei thei a ni.
• Reflexes-ah hian inthlak danglamna (a pung emaw, a tlahniam emaw) a nih chuan damdawi lam dinhmun chhinchhiahna a ni thei. Chuvangin hengte hi medical examination neih lai hian a pawimawh hle.

Chuvangin, a dawt leha doctor-in chu rubber mallet te tak te hmanga i khup a tap leh hunah chuan, "Aw, hei hian ka DTR a check a ni lawm ni? Hei hi ka nervous system a thawk tha em tih enfiah a ni," tih i hre reng ang. Kan taksaah hian thil mak leh pawimawh tak a ni tak zet a ni. Zawhna dang i neih chuan zak lo la, Doctor zawt rawh.

` Reflexes, nervous system, DTR, deep tendon reflexes, khup-jerk reflex, patellar reflex, automatic-a chhanna te