A châng chuan kan ṭhut reng lai hian kan taksa ruh pakhat chu a rawn inher nghal mai ṭhin a ni lawm ni? Kan muhil dawn a, jerk nen kan harh dawn pawh a ni mai thei. Hetiang thil hi mi zawng zawngah a thleng tlangpui. Mahse he taksa ruh hring (muscle twitch) hi a awm chhunzawm zel a nih chuan, nitin hnathawhna a tibuai a nih chuan damdawi lam dinhmun engemaw zat chhinchhiahna a ni thei. Chuvangin vawiinah hian he ‘Myoclonus’ hi eng nge a nih, eng nge a thlen tih leh engtikah nge kan ngaihtuah tur tih hi han sawi ila.
Myoclonus chu eng nge ni?
A awlsam zawngin, Myoclonus hi taksa ruh pakhat emaw, a aia tam emaw, a rang thei ang bera, duh loh vanga, rei lo te chhunga a inher emaw, a hrual emaw a ni. Electric shock ang mai a ni thei a, second tlemte chhung pawh a daih thei bawk. Kut, ke, ke, kawr, hnungzang, a nih loh leh hmai ruh pakhat chauh a nghawng thei a, vawi khatah taksa peng engemaw zat a nghawng thei bawk.
Mi hrisel pawhin an nunah engtik lai pawhin hetiang hi a tawng thei a ni. Mahse, a châng chuan damdawi lam dinhmun khirh tak tak engemaw zat chhinchhiahna a ni thei bawk.
Myoclonus hi kawng lian pahnih in a awm thei a:
- Positive myoclonus: Hei hi taksa peng hrang hrangte inzawmkhawm nghal mai a ni.
- Negative myoclonus: Hei hi taksa peng hrang hrang (muscle relaxation) nghal mai a ni. Damdawi lamah pawh ``Asterixis'' an ti bawk. Kut bengchheng tak tak a ni tih hriat a ni.
Myoclonus natna thlentu berte chu engte nge ni?
Myoclonus hi a chhan tam tak a awm a. Ṭhenkhat chu a tam hle a, beisei a ni. Mahse a dangte chu kan taksaa system hrang hrang tichhe thei damdawi lam thil vang a ni thei. Mithiamte chuan heng chhan hrang hrangte hi chi li-ah an ṭhen a.
A chhan tlangpui, taksa lam thil (Physiological Myoclonus) .
Hengte hi myoclonus chi hlauhawm lo, kan taksaa thil kalphung pangngai avanga lo awm an ni. Hei hi hlauh tur a awm lo.
- Hiccups: Hei hi Myoclonus chi khat a ni bawk. Amaherawhchu ni hnih aia rei a awm reng chuan Doctor pan a tha ber.
- Sleep myoclonus/Hypnic jerks: Taksa a jerking nghal , i mut dawn lai emaw, i harh dawn emaw pawh nise. Hei hi mi tam tak tan chuan thil awmze nei tak a ni.
- Startle reflexes: Kan hlauhthawn thut emaw, mak kan tih emaw chuan kan taksa chu thunun theih lohvin a inher chhuak thin.
Myoclonus hi epilepsy avanga lo awm a ni
Heng muscle twitches te hi epilepsy condition thenkhat nen pawh a awm thei. Hetiang dinhmun hi `(myoclonic seizures)` ah hian a awm fo thin. `(Lennox-Gastaut syndrome)` leh `(juvenile myoclonic epilepsy)` ang chi natna nen pawh a inzawm thei bawk.
Damdawi lam natna dang (Secondary Myoclonus) chhinchhiahna angin .
Myoclonus hi natna dang chhinchhiahna anga lo awm a nih chuan ‘Secondary Myoclonus’ an ti thin. Hei hi thil tam tak a thlen thei a ni. A hnuaia table atang hian i zir belh leh ang u.
| A chhan (causative factor) a ni | Sawifiahna leh entirnan |
|---|---|
| Autoimmune natna te | Taksa invenna (immune system)-in a cell a beih nana natna. Entirnan: (Celiac natna) . |
| Taksa chhunga chemical inthlauhna | Kidney emaw liver emaw natna, thyroid lama harsatna, vitamin emaw mineral emaw tlakchhamna, leh electrolyte inthlauhna te . |
| Thluak natna (brain lesions) a awm | Oxygen tlakchhamna (cerebral hypoxia) emaw stroke avanga thluak tissue tihchhiat. |
| Thluak natna (degenerative thluak natna) te | Entirnan: (Alzheimer natna) , (Lewy body dementia) , leh (Parkinson natna) nena inzawm dementia . |
| Genetic lama harsatna (genetic disorder) a awm | DNA mutations avanga natna lo awm, nu leh pa atanga rochun theih. Entirnan: (Krabbe natna) , (Wilson natna) . |
| Infection awm thei te | Viral emaw bacteria emaw infection, thluak emaw nervous system emaw tichhe thei. Entirnan: (Herpes simplex virus) , (Lyme natna) .. |
| Nerve emaw spinal cord emaw hliam | Accident hian thluak leh taksa peng hrang hrangte inbiakpawhna a tibuai a, chu pengte chu a takin hna a thawk ta a ni. |
| Damdawi leh damdawi te | Hei hi Doctor-in a pek loh ruihhlo (zu, cocaine, heroin ang chi) ei avanga lo awm thei a ni. Doctor-in damdawi a pek, anti-epileptics, antidepressants , thisen sang damdawi, leh antibiotics te pawh a ni thei bawk. |
| Poison leh toxins te a awm | Lead, manganese, mercury te ang chi metal rit tak tak ei. Pesticides ang chi rimchhia (e.g. methyl bromide ). |
Myoclonus pawimawh tak a ni
Hei hi genetic condition a ni a, thlah khat atanga thlah dangah a kal zel a ni. A tlangpuiin chhiatna a thlen lo va, hun kal zelah a na zual lo. Mahse, zu in hian heng taksa ruh (muscle twitches) te hi a ti langsar deuh thei a ni.
Hetiang dinhmun hi ven theih a ni em?
Myoclonus hi thil thleng thut, vaukhânna awm lo a ni. Chuvangin a hmaa kan sawi tawh myoclonus chi hrang hrang, physiological leh essential myoclonus tia koh te hi chu ven theih a ni lo.
Mahse, natna dang (secondary) leh epilepsy (epileptic) avanga myoclonus condition te hi eng emaw chen chu kan control thei a ni.
- Ruihhlo hman loh tur: Doctor-in a pek loh damdawi hman loh tur. Tin, doctor-in damdawi a pek i ei hnua heng symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh. Nangmah tanpui turin an awm a, rorelsak turin an awm lo. Chuvangin i himna leh inenkawlna mumal tak atan i hman tawh zawng zawng hrilh hi a pawimawh hle.
- I nervous system humhim rawh: Helmet leh seat belt ang chi himna hmanrua hman hian i thluak leh i ruhro hliam a veng thei a ni.
- Nage chronic conditions: Epilepsy emaw thyroid disease ang chi chronic conditions i neih chuan i doctor thupek dik tak zawm hian myoclonus lo awm tur venna emaw tihtlem emaw a pui thei a ni.
Engtikah nge Doctor kan hmuh ang?
Spasticity tlanglawn tak chu enkawl a ngai lo. Mahse, heng taksa ruh (muscle spasms) te hi a awm reng a nih chuan, a bik takin nitin hnathawh emaw, i mut emaw a tibuai a nih chuan doctor pan ngei ngei tur a ni.
Rash pangngai ang thil hi hlauhthawn a ngai lo tih hre reng ang che. Mahse heng rashes te hi a awm reng a nih chuan thil pawi tak chhinchhiahna a ni thei a, chuvangin doctor thurawn lak hi a finthlak hle.
Poison i ei nia i rinhlelh chuan damdawi in Emergency Treatment Unit (ETU) ah kal nghal rawh. Colombo National Hospital-a National Poisons Information Center-ah pawh thurawn dil theih a ni bawk.
Myoclonus chi hrang hrang dang
Myoclonus chi dang engemaw zat a awm a, chu chu kum engemaw zat emaw, kawng bik emaw chauhvin a awm a ni.
Nausen piang tharte mutna myoclonus tha lo tak
Hei hi nau piang tharte tuar thei dinhmun a ni. Heng naute te hian an mut laiin an ke ruh emaw, an taksa emaw chu a rawn inher nghal zung zung thin. Hei hi a hmasa berah chuan epilepsy ang maia lang mah se, electroencephalogram (EEG)-ah chuan epileptic activity engmah a lang lo. Hei hian naute a tichhe lo va, a tlangpuiin thla 6 a tlin chuan a bo vek thin.
Beng lai takah myoclonus a awm
Hei hi i beng chhunga tensor tympani an tih muscle pakhat chu thunun theih loha a inzawm khawm lai a ni. A tlangpuiin, he ruh hi kan beng chhung lam venhimna atan kan inbiakna, kan ei emaw, kan nuih emaw hian a inzawm khawm thin. Mahse hetiang a nih chuan he ruh hi a hun dik lovah a inzawm khawm a, chu chuan beng chhungah click emaw popping emaw ri a siam fo thin. Hei hi a tithinur hle a, mahse a hlauhawm lo. Surgery emaw, hmanraw dang emaw hmanga enkawl theih a ni.
A rilru a buai em em a, a rilru a hah em em bawk a.
Opsoclonus hi mit kalna tur control tu muscle te duh loh vanga chetna a ni. OMS hi thil awm lo tak a ni a, mit inthlak leh taksa ruh inzawmkhawm te hi a awm dun a ni. A chang chuan kan immune system hian kan nervous system ngei pawh a rawn beih sual hian a thleng thin. Naupangteah chuan he immune response hi thluak cancer chi khat neuroblastoma an tih vang a ni thei. Puitlingah chuan he natna hi lung, hnute emaw, ovarian cancer emaw nen a inzawm thei a ni.
Palatal myoclonus tih hi a ni
Hei hi myoclonus chi khat a ni a, kan hmui chhunga soft palate thau te a nghawng a ni. Hei hian beng chhungah ‘click’ ri danglam tak a siam thei a ni. Hei hi rochun atanga lo chhuak emaw, thluak chhiatna chi khat emaw a ni thei. Hetiang dinhmun hi damdawi hmanga control theih a ni fo.
Take-Home Thuchah a ni
- Myoclonus hi taksa ruh (muscle twitch) nghal mai a ni. Twitching leh sleepwalking ang chi thil hi thil pangngai leh hlauhawm lo tak a ni.
- Mahse he taksa ruh hring (muscle twitching) hi a awm reng a, a lo awm fo a, a nasat a, a nih loh leh i nitin nun a tibuai a nih chuan damdawi lam thil dang chhinchhiahna a ni thei.
- Chutiang dinhmunah chuan ngaihthah suh la, doctor hmu ngei ang che.
- Enkawlna chu a chhanah a innghat a, chu chu i doctor chauhin a hre thei.
- Damdawi emaw thil dang emaw i ei tur chungchang dik taka i doctor nena inbiakna neih hi dik taka hriat theihna leh him taka enkawlna atan a pawimawh hle.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Eng natna atan nge Metoprolol Tartrate / Lopressor tablets hi pek a nih?
Hei hi khawvela ‘heart pill’ (Cardioselective Beta-blocker) hlawhtling ber leh thiltithei ber, a thawk chak ber a ni! ‘Tartrate’ a nih avangin a ei chuan taksaah a lut nghal vat thin. Doctor-te chuan ‘High Blood Pressure’ na tak, angina control nan an hmang a, a bik takin ‘Heart Attack’ hnu lawka damlo nunna chhanhimna tur first-line drug atan an hmang bawk.
💬 He instant heart pill (Metoprolol Tartrate) hian engtin nge thisen sang leh thinlung hahna a tihniam?
Heart attack a lo awm chuan thluak atanga thuchah ‘adrenaline (Epinephrine)’ a rawn thawn avang hian heart beat a chak zawk thin. He pill hi taksaa a luh meuh chuan oxygen tel lova thi tur thinlungah a kal nghal a, adrenaline kalna gate (Beta-1 Receptors) 100% chu a block/khar a, tharum hmangin a khar bawk. Thuchah chu a kal theihna tur kawng a awm loh avangin thinlung chu a slow mai a, chawlh laiin a thawk tan ta a ni. Tichuan thinlunga phurrit chu a tlahniam a, damlo chu thihna lakah a chhanchhuak ta a ni.
💬 Engvangin nge he damdawi (Lopressor) hi rang taka ei loh tur an tih? Eng nge a hlauhawmna (Black Box Warning)?
He pill hi thla tam tak i ei a, chutah ‘rang takin i chawlhsan’ a nih chuan, chu adrenaline receptor block zawng zawng chu thunun theih lohvin a inhawng nghal vek ang! Tichuan, minute engemaw zat chhungin heart attack na tak i nei ang a, i thinlung chu a tawp ang (Angina Exacerbation / Myocardial Infarction / Severe Tachycardia) chu chu thihna thlen thei khawpa thihna thlentu a ni! Tin, he pill hian i thinlung a ti slow lutuk thei a, luak chhuak/muthilh lutuk/mut theih lohna/chauhna a thlen thei bawk.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh