I taksaah hian chetna mak tak tak, thunun theih loh i tawng bawk em? Movement Disorders chungchang hi han sawi ila!

A châng chuan i taksa peng ṭhenkhat chu a inher, a nghing, a nih loh leh thunun theih loha che ang maiin i inhria em? I kut, ke, a nih loh leh i hmel lan dan thunun harsa i nei mai thei. Heng thilte hi vawi khat emaw vawi hnih emaw thleng se a pawi lo, mahse heng chetna pangngai lo i neih reng chuan chetna lama harsatna a ni thei. Vawiin hian he thu hi chipchiar zawkin sawi ila, kan sawi dawn em ni?

Heng movement disorder te hi engte nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, movement disorder hi kan nervous system-a harsatna awm avanga taksa chetna pangngai lo a lo awm thinna a ni. Scenario awm thei pahnih a awm. Pakhat chu taksa chetna chu a tul lovah a pung (entir nan, jerking, shaking, twsting). A dang leh chu taksa chetna chu a tul aia tlem a lo ni a, a nih loh leh zawi zawiin a thleng thin.

Ngaihtuah teh, kan chetna apiang, kut chawi sang emaw, ke hmalam dah emaw, thusawi tura kan hmui hawn emaw pawh ni se, a buaithlak hle. Central Nervous System, kan thluak leh ruhro , bakah Motor Nerves leh kan Skeletal Muscles te pawh huam tel, heng zawng zawng hi a inzawm khawm vek a ni. Chuvangin, heng chetna control tu thluak peng hrang hrangah chhiatna a awm a nih chuan, emaw, an hnathawh danah harsatna a awm a nih chuan, heng chetna lama harsatna te hi a lo awm a ni.

A pawimawh ber chu heng movement disorder te hi a danglam vek a ni. Ṭhenkhatin taksa peng khat chauh a nghawng thei a, ṭhenkhat erawh chuan taksa pum pui a nghawng thei thung. A châng chuan ziak ang chi hna awlsam tak takte chu an tibuai thei a, mahse a châng chuan kea kal leh inherna ang chi thilah nghawng lian tak an nei thei a ni.

A châng chuan, taksa chetna tibo vek thei dinhmun, paralysis ang chi, emaw, taksa ruh tichak lo thei natna, muscular dystrophy ang chite hi he incheina lama harsatna chi hrang hrangah hian a tel lo va, a chhan chu incheina lama harsatnaah hian duh loh zawng, thil danglam tak tak chetna a awm ber a ni.

A tlangpuiin chetna pangngai lo chi hnih a awm!

Heng kan sawi tak chetna danglam tak takte hi hmunpui pahnih-ah then theih a ni.

1. Hyperkinetic Movement: Hei hian movement a tam lutuk tihna a ni.

2. Hypokinetic Movement: Hei hian movement a tlem a, a slow tihna a ni.

Movement disorder thenkhatah chuan chi hnih hi hmuh tur a awm thei a, pakhat chauh a awm thei bawk.

1. Hyperkinetic Movement hi eng nge ni?

"Hyper" tih hian "excessive" tihna a ni a, "kinetic" tih hian "movement" tihna a ni. Hei hian a tul lo taka chetna a pung tihna a ni. Chûngte chu duhthlanna emaw, duhthlanna nei lo emaw pawh a ni thei.

Hyperactive movement chi hrang hrang hetiang hi a ni:

• Akathisia: Hei hi rilru hahdam lohna a ni a, thut emaw, awm reng emaw a harsa hle. Hetiang dinhmun hi rilru lam natna damdawi thenkhat, a bik takin ``Antipsychotic`` emaw ``Neuroleptic`` damdawi te avanga lo awm thei a ni.
• Ataxia: Hei hi taksain balance leh coordination a hloh a, chu chuan chetna nghet lo, awkward tak tak a thlen thin. A châng chuan, chu mi chu zu rui ang maia kal ang maiin a lang thei hial a ni. ``Ataxia`` hi natna hran a ni thei a, natna dang chhinchhiahna a ni thei bawk.
• Chorea, Athetosis leh Ballism te chu:
• Chorea: Hei hi thunun theih loh, sawi lawk theih loh taksa ruh chetna a ni. I zai emaw, hahdam lo taka i che vel ang maiin a lang thei. Hei hi Huntington natna ang chi natnaah hmuh tur a awm tlangpui.
• (Athetosis): Hei hi kut leh ke te chu zawi zawiin, a inthlak danglam a, rulhut ang maia che vel a ni.
• (Ballism): Hei hian kut emaw, ke emaw rang taka thlak ang chi, rang taka tharum thawha chetna a huam a ni.
• Dystonia: Hei hi taksa ruhte chu a inzawm reng emaw, a inthlak danglam emaw a, a danglamna, a tam zawkah chuan a chetna emaw, a dinhmun a sawi nawn fo thinna a ni. Hei hi cerebral palsy leh neurodegenerative condition thenkhatah pawh hmuh theih a ni. Kawr chu a sir khata hrual emaw, kut chu awkward taka ben emaw kha han ngaihtuah teh.
• Myoclonus: Hei hi rang taka, thunun theih loh muscle twitch emaw jerk emaw a ni. A chang chuan kan mut laiin kan harh thut a, chutiang chu a ni. Mahse damdawi lam dinhmun a nih chuan a thleng fo thei.
• Spasticity: Hei hi taksa peng hrang hrangte chetna a tibuai a, kan che tum emaw, kan ding mai mai emaw hian taksa ruh thenkhat chu a nghet nghal zung zung thin. Hei hian chetna a tibuai thei a, thusawi leh kalna a nghawng thei bawk.
• Stereotypies: Hei hi thil inzawmkhawm, patterned movement a ni a, taksa sir lehlamah a nghawng fo thin. Anni chu a inang emaw, a inang hle emaw a thleng fo thin. Entirnan, rocking, clapping, rocking, leh stiffening. Hengte hi autism spectrum disorder leh Rett syndrome ang chi condition-ah te hmuh theih a ni.
• Tics: Hengte pawh hi pattern pakhata lo awm, repetitive, rhythmic movement an ni bawk. Simple `(tics)` hi a te a, taksa ruh tlemte chauh a awm a, chu chu mit khap, mitmeng, kawng hrual, emaw, rilru tihfai te hi a ni. Complex `(tics)` hi a rei lo thei a, taksa ruh tam zawk a huam thei bawk. Entirnan, zuang, thumal emaw, thumal emaw thenkhat sawi. Heng `(tics)` te hi `(Tourette's syndrome)` tih hming pu dinhmun pawimawh tak a ni.
• Tremor: A rilru a buai em em a.Hei hi taksa peng hrang hrang thunun theih loha a nghing thinna a ni. He tremor hi taksa ruhte a tihkhauh leh tih hahdam nawn fo vang a ni. Hei hi kut, ke, lu leh aw ang chi hmunah a thleng thei a ni.

2. Hypokinetic Movement hi eng nge ni?

"Hypo" tih awmzia chu "tlem" tihna a ni. Chumi awmzia chu chetna a tlem zawk, a slow hle tihna a ni. Hei hian hriatna neia kan chetnate a nghawng tlangpui.

• Parkinsonism: Hei hi hypoactive movement disorder chi khat ber a ni. Thluak natna engemaw zat, chet slow, rigidity, tremor, emaw balance lama harsatna thlentu a kawk a ni.

Parkinsonism, neurodegenerative disorder hi Parkinson natna nen hian hmuh tur a tam ber a ni . Mahse, natna dang, multiple system atrophy, corticobasal degeneration, progressive supranuclear palsy, leh Lewy body dementia te nen pawh a awm thei bawk.

Hei bakah hian Parkinsonism hi lu hliam fo te, toxins te, rilru lam natna thenkhat damdawi ei te, thluak hmun thenkhata thisen kal tlem vang te pawh a ni thei bawk.

• Bradykinesia: Hei pawh hi zawi zawia kal a ni. Movement a tan tawh chuan a slow emaw, a chanve vel a tawp emaw a ni. Hei hi Parkinson natna chhinchhiahna lian tak a ni .

Movement disorder chi hrang hrang lian tak tak

Movement disorder chi hrang hrang a awm a. Chung zinga tlemte han thlir ila:

• Essential tremor: Hei hi taksa peng hrang hrang, a bik takin kut leh kut te, thunun theih loha a innghah hian a ni. Lu leh aw ang chi hmun a nghawng thei bawk.
• Huntington natna: Hei hi genetic disease a ni. Thluak a nghawng a, kut, ke leh hmaiah te chetna (chorea) thunun theih loh a siam thin. Hun kal zelah symptoms a zual zel.
• Multiple system atrophy (MSA): Hei hi natna hmuh tur awm lo tak a ni. Thluak hmun thenkhat chu zawi zawiin a chhe vek a. Hei hian ``Ataxia`` leh ``Parkinsonism`` ang chi natna a thlen thei a ni.
• Parkinson’s disease: Hei hi thluaka natna a ni a, chu chuan chetna thunun theih loh, balance leh coordination lama harsatna a thlen thin. Tin, hriatna (cognitive decline) a thlen thei bawk.
• Periodic limb movement disorder (PLMD): Hei hi mut laiin ke leh ke, a bik takin ke te chu a che nawn fo thinna a ni. Hei hian mut a tibuai thei a ni.
• Progressive supranuclear palsy (PSP): Hei hi neurodegenerative natna hmuh tur awm lo tak a ni bawk. Thluak hmun thenkhat a tichhe thin. Kal, ngaihtuahna, ei leh in leh mit chetna a nghawng a ni.
• Ke rilru hahdam lo (RLS):Hei hi mut harsatna a ni. Ke (a nih loh leh a chang chuan kut emaw taksa pum emaw) tihchet duhna do theih loh a ni. Chu chu thil mak tak tak, pulling sensation, thil che tih hriatna, rilru hahna emaw, kang emaw ang chi te nen a inzawm a ni.
• Rett syndrome: Hei hi genetic condition hmuh tur awm lo tak a ni a, thusawi, kut hnathawh thiamna leh inremna siam thiamna a nghawng a ni.
• Tardive dyskinesia: Hei hi hun rei tak chhunga antipsychotic damdawi thenkhat hman avanga lo awm thei a ni. A duh loh zawnga chetna a thlen thei a, chu chu facial tics leh lip smacking te a ni.
• Tourette syndrome: Hei hi nervous system lama harsatna a ni. Thil che leh thawm (tics) rang tak, danglam tak a siam thin. Tin, lungkhamna, attention deficit hyperactivity disorder (ADHD), leh a chang chuan obsessive-compulsive disorder (OCD) te nen pawh a inzawm thei bawk.
• Wilson natna: Hei hi genetic condition hmuh tur awm lo tak a ni bawk. Taksa, a bik takin thin leh thluaka copper a pung tam lutuk vang a ni. Muscle stiffness, trerms, leh control loh taka che vel a awm thei.

Movement disorder awm tam ber chu engte nge ni?

Movement disorder langsar ber pahnih chu Parkinson natna leh essential tremor te hi an ni.

Movement disorder a awm hian eng symptoms nge a neih?

Movement disorder symptoms hi a inang lo hle. Movement disorder zawng zawngah hian chetna pangngai lo a awm vek a. Movement disorder thenkhatah hian symptom dang, ngaihtuahna leh rilru inthlak danglamna te pawh a awm thei bawk. Heng symptoms te hi a na lo atanga na tak thlengin a awm thei a, nitin hnathawhna a tibuai thei bawk.

A lan chhuah dan tlangpui thenkhat chu:

• Thil tih dan thunun loh - jerking, twitching, shaking, leh twisting ang chi te.
• Balance leh coordination lama harsatna awm.
• Motor hnathawh thenkhat, ziak, ei leh in, leh thusawi te harsatna.
• Kal harsa emaw, kal dan inthlak danglam emaw.
• Limbs leh trunk-ah rigidity a awm.

Heng chetna pangngai lo hian taksa peng pakhat emaw, hmun engemaw zat emaw a nghawng thei a ni. Entir nan:

• Limbs (limbs) te
• Kut leh kut zungtang
• Ke leh ke ruh
• Hmai ruh (muscle) te
• Lu leh kawr
• Trunk leh posture te
• Aw

Engtin nge movement disorder ka nei tih ka hriat theih ang?

Kan taksa ruh (muscle twitches), mut laiin rang taka inher (hypnic jerk), leh hiccups ang chi duh loh zawnga chetna te kan nei vek a ni. Mahse, heng symptoms te hi a awm reng chuan movement disorder chhinchhiahna a ni thei. I fa emaw, i fa emaw chet danah inthlak danglamna awm reng i hmuh chuan doctor pan nghal a pawimawh a, a natna hriatchhuah leh enkawl a pawimawh.

Movement disorder awm chhante chu engte nge ni?

Movement disorder hi kan chetna thununtu thluak hmun thenkhat a chhiat emaw, a thawk tha lo emaw avanga lo awm a ni tlangpui. Heng a then te hi:

• Motor cortex hmasa ber: 1.1.Hei hi kan thluak hmalam (frontal lobe)-a ribbon ang maia awm a ni. Kan rilru hmanga kan movement siamte intan tir turin a pui thin. A chhiat chuan spasticity, myoclonus, leh fine movement lama harsatna a thlen thei.
• Basal ganglia: Hengte hi kan thluak peng hrang hrang, kan thluaka thuk taka awmte an ni. Anni hian duhthusam anga taksa peng hrang hrangte insiam tan leh thunun turin min pui a, duh loh zawnga chetna kan thunun a, kan dinhmun inthlak danglamna pawh kan inrualrem bawk. Hengte chhiatna hian `(Chorea)`, `(Athetosis)`, `(Dystonia)`, leh `(Parkinsonism)` ang chi dinhmun a thlen thei a ni.
• Cerebellum: Hei hi kan thluak hnunglam, a hnuai lama awm a ni. Kan chetna a inrualrem a, kan ke leh ke te chu mumal tak leh dik takin a kal tir a, balance kan neih theih nan min pui bawk. A chhiat chuan coordination a bo thin.
• Thalamus: Hei hi egg ang maia siam a ni. Thluak chhung thuk takah, a sir lehlamah a awm a ni. Kan taksaa chetna leh hriatna lama thu lo lut zawng zawngte kal tlangna hmunpui (center) ang a ni. A chhiat chuan khur leh chetna lama harsatna a awm thei.

Heng thluak peng hrang hrangte hi a chhiat theihna tur dinhmun thenkhat chu hetiang hi a ni:

• Genetic dinhmun leh mutations te.
• Thluak hliam na tak.
• Infection awm thei te.
• Toxins te pawh a awm.
• Metabolic disorders, pian tirh atanga lo awm emaw, a hnu lama lo awm emaw.
• Stroke leh thisen kalna lam natna.
• Damdawi thenkhat side effects.

Movement disorder thenkhat chu a chhan bik pakhat vang a ni thei. Mahse, a tam zawkah chuan heng dinhmunte hi thil hrang hrang inzawmkhawm vang a ni. Movement disorder thenkhat awm chhan dik tak hi hriat a la ni lo.

Engtin nge movement disorder te hi kan hriat theih ang?

Movement disorder hi a buaithlak a, dinhmun dang a entawn theih fo avangin, i medical team chuan test hrang hrang an nei fo ang a, chu chu diagnosis a ni. A hmasa ber chu zawhna chipchiar tak zawh che a, taksa enfiahna tih leh neurological exam tih hi a ni.

I natna lan chhuah dan azirin heng test te hi tih theih a ni:

• Thisen test: Incheina lama harsatna engemaw zat hriat theihna tur, a nih loh leh a chhan dang enfiahna tur.
• Electromyography (EMG): Taksa leh a thununtu nerve te hriselna enfiah thin.
• Electroencephalogram (EEG): Thluak electric hnathawh dan en rawh.
• Lumbar puncture: Cerebrospinal fluid enfiah thin ang che.
• Muscle biopsy: Nerve leh muscle lama harsatna awmte thliar hrang nan.
• Nerve conduction study: Electrical current pakhatin muscle a thlen hmaa nerve chhunga a kal chak dan a teh thin.

Doctor-te pawhin imaging test hmangin movement disorder an nei tih an hmuchhuak bawk. Chûngte chuan thluak, ruhro emaw, nerve emaw a en thei a ni. Entirnan:

• CT scan (CT scan - Computed tomography) hmanga tih a ni.
• MRI scan (MRI scan - Magnetic resonance imaging) hmanga enfiah a ni.

Movement disorder te hi eng enkawlna nge ni?

Movement disorder enkawl dan hi a disorder a zirin a inang lo. Movement disorder tam tak hi a dam kim thei lo. Chuvangin, enkawlna tum ber chu a natna lan chhuah dan thunun hi a ni. Mahse, chetna lama harsatna thenkhat, damdawi avanga lo awm (Parkinsonism) te hi tihdam theih a ni.

Enkawl dan tur thenkhat chu hetiang hi a ni:

• Damdawi: Damdawi chi hrang hrang a awm a, chu chuan movement disorder symptoms control-na atan a pui thei a ni. Entirnan, muscle relaxants hian spasticity a pui thei a ni. Dopaminergic damdawi hian Parkinson natna leh restless leg syndrome a tidam thei a ni. Antianxiety damdawi hian dystonia a tidam thei a ni. Tin, natna hrang hrang atana hman tur bik damdawi a awm bawk.
• Physical therapy: Hei hian taksa che vel dan a titha thei a ni. Physical therapist-te chuan chet harsa ti thei symptoms, natna, rilru hahna, leh hahdam lohna te chu enkawl turin an pui thin.
• Occupational therapy: Hei hian nitin hna thawh theihna a tichak a. Occupational therapist chuan ding, thut, him taka inher leh hmanraw chi hrang hrang hmangin i hna thawk turin a pui che a ni.
• Mobility aids: Hrisel zawka i kal kual theih nan leh i zalenna tipung turin cane, walker, leh wheelchair ang chi thil i hmang thei bawk.
• Speech therapy: Hei hian thusawi thiamna, tawng thiamna leh ei leh in thiamna a tipung a ni.
• Psychotherapy: Hei hian rilru hrisel lo, ngaihtuahna leh nungchang hrisel lote hriatchhuah leh tihdanglamna tura puih a huam a ni. Movement disorder hian rilru lam harsatna, depression leh anxiety te a thlen fo thin. Psychotherapy hian hei hi a pui thei a ni.
• Botulinum toxin (Botox®) injection: `(Dystonia)` emaw `(Spasticity),` emaw i neih chuan heng injection te hian taksa ruh a ti hahdam thei a ni.
• Deep brain stimulation: Hei hi Parkinson’s disease na tak, dystonia leh tremor dang nei te thluak surgery tih a ni. Duh loh vanga chetna a tihziaawm thei.
• Clinical trials: Hei hi zirchianna chi khat a ni a, damdawi lam harsatna bik atana test leh enkawlna thar zir chianna a ni. Clinical trial i tel theihna tur a awm thei bawk.

Movement disorder nei chuan eng ang thil tawn nge a hmachhawn tur?

Movement disorder nei zawng zawng hi a nghawng dan inang vek an ni lo. A tha ber chu i dinhmun zirchiangtu leh enkawltu specialist te nen inbiakna neih hi a ni.

Doctor team tanpuina i mamawh mai thei. Chûng zîngah chuan:

• Neurologist te an ni
• Neurosurgeon te an ni
• Physiotherapist te an ni
• Occupational therapist te an ni
• Thusawi thiamte
• Psychologist te pawh an awm

Chutiang mite chu telh theih an ni.

Engtin nge keimah leh ka fa ka enkawl ang?

Nangmah emaw i fa emaw hian chetna lama harsatna i neih chuan i nunphung tihpun nan damdawi lam enkawlna tha ber zawn a pawimawh hle.

Tin, nang leh i chhungte tan pawh support group-a tel ve chu a \angkai thei bawk a, chutah chuan chutiang thil tawn tawhte nen in inhmu thei ang.

Engtikah nge Doctor ka hmuh ang?

I chet dan pangngaia inthlak danglamna i hmuh chuan, emaw, nitin hnathawhna tichhe thei harsatna i neih chuan doctor pan nghal rawh. I doctor-in movement disorder a hriat chian hma chuan enkawlna i tan thuai thei ang.

Movement disorder i neih tawh chuan heng thil thlengah pawh hian doctor rawn la:

• I medical team-in i tan appointment an ruahman hunah: Heng appointment-a kal hian i medical team-te chu i dinhmun enfiahin i enkawlnaah a tul anga tihdanglamna tur a siamsak a ni.
• I natna lan chhuah dan inthlak danglamna i hmuh chuan: Heng inthlak danglamna te hi i dinhmun enkawltu leh enkawltu medical team tan chuan thu pawimawh tak a ni thei.
• I enkawlna atanga nghawng tha lo i hmuh emaw, i enkawlna a that dan a inthlak emaw chuan: I tana enkawlna dik tak hmuh nan hun rei tak a la ngai thei a, a nih loh leh hun kal zelah i damdawi hman tangkai dan a tlahniam thei bawk. I enkawlna a hlawhtlin loh chuan, emaw, side effects buaithlak tak tak i neih chuan i healthcare team hnenah hrilh rawh.

I medical team chuan i hriat chian zawk tur symptoms te, chubakah engtikah nge medical advice i lak nghal tur tih te an hrilh thei che a ni.

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

Movement disorder nei nia hriat a nih chuan a buaithlak thei hle. Chu chu thil pangngai a ni. Mahse, nangmah chauh i ni lo tih hre reng ang che. I healthcare team chuan i tana tha tur treatment plan zawng turin an pui thei che a ni. I mamawh tanpuina i hmuh ngei a pawimawh a, i hriselna pawh i ngaihtuah reng a pawimawh bawk. Tin, i healthcare team te pawhin an thlawp reng che tih theihnghilh suh. Enkawlna leh enkawl dan dik tak nen chuan heng dinhmunte hi nun tha tak i hmang thei a ni. Hlau suh, huaisen rawh!

` Incheina lama harsatna, Parkinson natna, essential tremor, thluak lam natna, thluak lama harsatna, chet dan pangngai lo, taksa ruh lama harsatna nei