I fate hian heng harsatnate hi a nei em? Cerebral Palsy chungchang hi han sawi ila

A châng chuan kan naupang tête hian kea kal, thusawi, ei leh in ṭha pawh an harsat ṭhîn, a dik em? Chutiang naupangte chu i hmu tawh mai thei. Hetiang dinhmun kan neih chhan pakhat chu Cerebral Palsy , a tawi zawngin CP kan ti a ni. He thu i hriat hian hlau suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Cerebral Palsy hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin sawi ila, cerebral palsy hi kan thluak hian kan taksa peng hrang hrangte nen a inbiak theih lohna a ni. Kan thluak hi kan taksa "control center" angin ngaihtuah rawh. He control center hian kan taksa ruhte hnena thuchah a thawn danah harsatna a awm a nih chuan, emaw, thluak hmun eng emaw zat a chhiat chuan taksa ruhte chu a thawk tha lo ang. Hetiang natna nei naupangte hian an taksa ruh (muscle) control harsa an ti thin . Chumi awmzia chu an ke ruhte tihchet, kal, tlan, emaw, an duh ang anga zuang emaw an harsat thei tihna a ni. Naupang ṭhenkhat chuan an kal kual theih nân wheelchair emaw, kekawrte emaw an hman a ngai mai thei. Mahse, hei hi naupang tinah a inang lo thei hle. Ṭhenkhat chuan nghawng an nei tlem hle mai thei a, ṭhenkhat erawh chuan nghawng na zawk an nei thei thung.

A pawimawh ber chu cerebral palsy natna hi nitin a zual zel a ni lo. Thluak chhiatna hi a zual lo. Mahse, chu chhiatna avanga harsatna lo thlengte chu naupang chu kan nunpui a ngai a ni.

Engvangin nge cerebral palsy hi a lo awm? A chhante chu engte nge ni?

Cerebral Palsy hi naupang thluak a lo thanlen lai a tihchhiat vang a ni tlangpui . Hei hi kawng thumah a thleng thei a, chungte chu: 1. Nausen pum chhunga a awm lai (Prenatal):

• Naupai laiin nuin a kai thin natna thenkhat - entirnan, rubella , cytomegalovirus (CMV).
• Naute hi thisen chi hrang hrang inang lo (Rh incompatibility) nei nuin a nghawng a ni.
• Nu natna khirh tak tak thenkhat chu uluk taka control theih a ni lo.
• Naupai laiin thluak thanlenna tichhe thei genetic factor emaw chromosomal abnormalities emaw.
• Nausen hnena oxygen supply tlahniam.

2. Pian lai (Perinatal): .

• Naupan lai tak (premature birth) piang. Naute kar 32 hmaa piangte chu a bik takin an hlauhawm hle.
• Nausen pianpui rihna hniam tak tak te.
• Nau piang laia thluaka oxygen tlakchham (birth asphyxia).
• Nau piang tam tak - twins ang mai.

3. Pian hnu kum engemaw zat hmasa berah (Postnatal): .

• Naupang thluak tichhe thei natna hrik - entirnan, meningitis emaw encephalitis emaw.
• Lu hliam - tlu emaw accident atanga emaw ang chi.
• Seizures control dik loh .
• A chang chuan thluaka thisen a chhuak thin.

Mahse, naupang thenkhat cerebral palsy vei chhan bik hmuh theih lohna hmun a awm . Chu chu kan hre reng tur a ni bawk.

Cerebral palsy chi hrang hrang a awm em?

Ni e, cerebral palsy hi chi hrang hrangah then theih a ni. Heng classification te hi thluak chhiatna hi khawiah nge a awm tih leh a taksa ruh (muscles) a nghawng dan a zirin a ni.

• Spastic Cerebral Palsy: Hei hi a tam ber a ni. Heng naupangte hian taksa ruh khauh tak, inthlak danglam thei lo an nei a. Rubber band-in an chelh ang mai a ni. Hei hian che a har a, an chau nghal vat thin.
• A châng chuan ke pahnih chauh a nghawng thei (Spastic Diplegia).
• A chang chuan taksa sir khat (kut emaw ke emaw) a nghawng thei (Spastic Hemiplegia).
• A chang chuan kut pahnih, ke pahnih, hmai thlengin a nghawng thei (Spastic Quadriplegia). Hei hi a na ber a ni.

• Dyskinetic Cerebral Palsy: Heng naupangte hian an chetna thunun harsa an ti hle. An kut leh ke, an hmai leh an ke ruhte chu duh loh zawng leh thunun theih lohvin an che a ni. Heng chetnate hi slow twitching (athetoid), rapid jerking (choreoathetoid) a ni thei a, a nih loh leh constant, rigid muscle tone, a inthlak nghal vek (dystonic) te pawh a ni thei bawk.

• Ataxic Cerebral Palsy: Hetiang chi hian balance leh coordination a nghawng ber a ni. Heng naupangte hian kal harsa an ti a, an tlu a, an nghing bawk. Thil tenau tak lak an tum hian target chu an hmu thei a, mahse chiang taka man an harsat thung.

• Mixed Cerebral Palsy: Naupang thenkhat chuan a rualin a chunga kan sawi chi hrang hrang zinga pakhat aia tam symptom an nei thei. Entirnan, spastic leh dyskinetic symptom pahnih an nei thei.

Naupangin eng enkawlna leh training nge a mamawh tih hriat nan he classification hriat hi a pawimawh hle.

Naupang Cerebral Palsy vei te hian engte nge a lan chhuah dan tlangpui ?

Heng symptoms te hi naupang pakhatah a inang lo thei hle tih hriat reng a pawimawh. Tin, heng chhinchhiahna pakhat emaw pahnih emaw neih mai mai hian naupangin CP a nei tihna a ni hauh lo. Amaherawhchu, hengte hi kan fimkhur a pawimawh hle.

• Muscle nena inzawm harsatna: 1.1.
• Muscle khauh lutuk emaw, loose lutuk leh floppy lutuk emaw .
• Limb control harsa, awkward posture.
• Tremors emaw, duh loh zawnga chetna emaw.
• Kal harsatna: Mi thenkhat chu ke ruh (toe walking) hmanga kal, scissoring gait nei, kal laiin an balance hloh.
• Thil te tak te vawn te, button button vuah te, leh ziak te ang chi fine motor skills tih harsa.

• Hmasawnna lama tihkhawtlai:
• Kum a zirin, kawr hawi, inher, thut, tlan, ding leh kal tihkhawtlai.
• Thusawi tan hun sawn, a nih loh leh thusawi slurred.

• Harsatna dang: 1.1.
• Chaw ei leh ei harsa (feeding harsatna).
• Drooling a awm.
• Epileptic natna (epileptic seizures) a awm thin.
• Mit emaw hriatna lama harsatna nei.
• Intellectual disability - Hei hian CP vei naupang zawng zawng a nghawng vek lo. Naupang thenkhat chuan finna pangngai emaw, a sang zawk emaw pawh an nei thei.
• Aw a inthlak thin.
• Zirna lama harsatna nei te.
• Ruh lama harsatna, scoliosis ang chi te.
• Constipation a awm fo thin.
• Natna - a bik takin taksa ruh (muscle tightness) vang a ni.

I fate hmasawnna tur ngaihtuah tur i neih chuan, a nih loh leh an kum nena inmil thil an ti lo niin a lang a nih chuan naupang doctor pan nghal a , thurawn la turin a tha ber.

Engtin nge he natna hi hriat chhuah a nih? (Diagnosis) tih a ni.

Cerebral palsy hriat theihna tur thisen vawi khat test a awm lo. Doctor-te chuan he natna hi hun kal zelah naupang thanlen dan, nungchang leh a natna lan chhuah dan te enfiahin an hmuchhuak thin. An tih ber chu a hnuaia mite hi an ni: 1. Developmental Monitoring: Naupang hmasawnna milestone-te enin a awm a. Entîr nân, naupang chu a ṭhut ṭan, a nuih a, a hrual ṭan kum. 2. Developmental Screening: Naupangin a kum nena inmil thiamna a nei em tih hriat nan test tawi te te an nei thin. 3. Medical leh Developmental Evaluations: Hei hi endikna thuk ber a ni.

• Naupang taksa ruh (muscle tone), reflexes, posture, leh movement pattern te uluk takin an enfiah thin.
• Nu naupai chungchang te, nau neih dan te, naupang hrisel hmasak dan te an zawt thin.
• A châng chuan thluak chhiat a awm leh awm loh enfiah nân MRI (Magnetic Resonance Imaging) scan emaw CT (Computed Tomography) scan emaw tih a ni thei bawk. MRI hian thluak structure tha tak tak te chu chiang takin a hmu thei a.
• Epilepsy vei nia rinhlelh a nih chuan EEG (Electroencephalogram) test tih theih a ni. Hei hian thluak electrical activity a teh a ni.
• Genetic condition dang emaw metabolic disorder dang emaw rinhlelh a nih chuan chutiang tan chuan test pawh tih theih a ni.

He diagnosis hi naupang dam chhung kum khatna emaw kum hnih emaw chhunga tih a ni tlangpui. Naupang thenkhat, natna khirh zawk neiah chuan kum 4-5 thlenga natna hmuhchhuah hi tihkhawtlai a ni thei.

Hetiang dinhmun hi enkawlna tur a awm em? Engtin nge naupang chu kan puih theih ang?

Cerebral palsy hi natna tihdam theih vek a ni lo. A chhan chu thluak chhiatna chu a let leh theih loh vang a ni. Mahse, lungngai suh! Enkawlna leh enkawlna hrang hrangte hian naupang nunphung nasa takin a tichangtlung thei a, nitin hna thawh a ti awlsam thei a, a famkima nun a pui thei bawk . Hei hi enkawlna pakhat mah a awm lo. Naupang tinte mamawh a inang lo avângin, doctor leh therapist-te chuan naupang tân chauh enkawlna ruahmanna siam tûrin an thawk ho a ni . Plan-ah hian a hnuaia mite hi a tel thei ang:

• Physical Therapy (PT): Hei hi a pawimawh hle. Exercise leh training hi taksa ruh tichak turin, kea kal theihna tihchangtlun nan, balance tihpun nan leh range of motion tihpun nan te pek a ni.
• Occupational Therapy (OT): Naupang chu nitin hna hrang hrang mahni inrintawkna neia thawk turin a pui thin. Entîr nân, incheina, ei leh in, infiam, leh thuziak. Tin, naupang chu a tul chuan adaptive equipment hman a zirtir bawk.
• Speech and Language Therapy: Thusawi lama harsatna nei naupangte chu chiang taka tawng thei tur leh an rilru put hmang sawi chhuah turin a pui thin. Chaw ei harsatna pawh enkawl a ni. Naupang thenkhat chu inbiakpawhna kawng dang (communication aids) hmang turin an zirtir bawk.
• Damdawi hman tur: 1.1.
• Muscle stiffness (muscle relaxants) tihziaawm.
• A tul lo taka chetna control.
• Epileptic states te chu control theih a ni.
• Natna tihziaawm rawh.
• Surgery: A châng chuan, taksa ruh (muscle stiffness) avanga ruh natna (joint deformities) siam\hat nan emaw, a kal theihna tur (mobility) tihchangtlun nan emaw surgery neih a ngai \hin. Mahse, mi zawng zawng hian zai an mamawh vek lo.
• Assistive Devices te chu: 1.1.
• Walkers leh crutches te chu kea kalna tura pui turin.
• Kekawrte bik (orthotics), braces te.
• Wheelchair hmanga siam a ni.
• Inbiakpawhna hmanrua.

Naupang cerebral palsy vei tan chuan early intervention hi a tha ber a ni. A hma thei ang bera natna hriatchhuah a, a tul anga enkawlna hna thawh tan hian naupang hmasawnna kawngah nasa takin a pui thei a ni.

Cerebral Palsy natna vei chungchang hi han sawi ila.

Cerebral Palsy hian naupang chauh ni lovin, chhungkaw pum a nghawng a ni. Mahse, thlawpna dik tak, hriatna, leh hmangaihna dik tak nen , heng naupangte hian mi dang ang bawkin nun hlim tak, hlawhtling tak, leh chhuanawm takin an nung thei a ni.

• Naupang theihna en rawh: CP vei naupang tan chuan "thil harsa" tih ngaihtuah ai chuan an tan "thil awm thei" zawng rawh. Chu thilte chu fuih rawh.
• Dawhtheihna leh hriatthiamna: Heng naupangte hian zir leh thil engemaw tih nan hun rei tak an hmang thei a ni. Dawhtheihna leh hmangaihnain tanpui ang che.
• Independence fuih rawh: I fa chu a theih ang anga mahni chauha thil ti turin fuih rawh. Hei hian mahni inngaihhlutna a tipung ang.
• Zirna: CP vei naupangte pawhin zirna lama chanvo an nei bawk. Sikul pangngaia kal thei naupang an awm a, zirna lama mamawh bik nei naupang an awm bawk. I fa chu zirna kawng dik thlang turin pui rawh.
• Khawtlang inpawhna: I fa chu naupang dangte nena inkhelhpui tur leh inpawh tawn turin fuih rawh. Hei hian an khawtlang nun thiamna a tipung ang.
• Nu leh pa angin mahni in enkawl rawh: CP vei naupang enkawl chu thil harsa tak a ni thei. Mahni rilru leh taksa hriselna ngaihtuah rawh. A tul chuan counseling zawng rawh. CP vei naupang nu leh pa dangte nena inbiakna pawh hi chakna nasa tak a ni thei bawk.

A tawp berah chuan hriat reng tur tlemte (Take-Home Message) .

• Cerebral palsy hi a than chhoh laia thluak a chhiat avanga taksa ruh control chak lohna a ni.
• He dinhmun hi nitin a chhe zual zel lo.
• Naupang tin hian natna lan chhuah dan a inang lo. Ṭhenkhat chuan nghawng na lo tak an nei thei a, ṭhenkhat erawh chuan nghawng na zawk an nei thei thung.
• I fate thanlenna a tlai emaw, taksa ruh nena inzawm harsatna emaw i hriat chuan doctor thurawn la nghal rawh.
• A hmaa hriatchhuah leh enkawl (early intervention) hi a pawimawh hle.
• Physics therapy, occupational therapy, leh speech therapy ang chi thilte hian naupang nunphung nasa takin a tichangtlung thei a ni.
• CP vei naupangte hian hmangaihna, thlawpna leh hun remchang dik tak an dawn chuan midang ang bawkin nun hlawhtling, hlim tak an hmang thei a ni.

I theihnghilh suh, nangmah chauh i ni lo. He zinkawngah hian doctor, therapist leh midang tam tak tanpui thei tur che an awm a. A pawimawh ber chu beiseina bansan lova i fa tana thawhrim hi a ni.

Cerebral palsy, CP, naupan lai natna, thluak lama harsatna, taksa ruh chak lohna, hmasawnna tlai lutuk