I ding lai hian i ke a nghing em? I balance hloh ang maiin i hria em? Orthostatic Tremor pawh a ni thei!

I ding a, a bik takin rei tak i ding hnuah i ke a hrual emaw, a nghing emaw, i balance a hloh emaw ang maiin i inhriat ngai em? Mahse, mak tak maiin, i thut emaw, i kal emaw hian he harsatna hi a reh a nih chuan ``Orthostatic Tremor'' tih natna i nei thei a ni. Hei hi thumal mak tak tak hriat tur a ni mai thei, mahse awlsam takin sawi ila.

`(Orthostatic Tremor)` tih hi eng nge ni? A awlsam zawngin sawi ila...

A awlsam zawngin sawi ila, Orthostatic Tremor hi nervous system disorder awm lo tak a ni a, i ding laiin i ke ruh te chu a inzawm rang (shake) thin. He khur hian i din laiin i dinhmun a nghet lo thei a, i balance a hloh thei a, i tlu dawn ang maiin a awm thei bawk. Mahse mak tak maiin, he khur hi a tlangpuiin i kal emaw, i thut emaw, thil i rinchhan emaw hian a tlahniam emaw, a bo vek emaw a ni.

He natna hi kum 60 chunglam zingah a tam ber a, mahse zirchianna atanga a lan dan chuan kum 13 atanga kum 85 inkar mi tu pawh a nghawng thei a ni. Ngaihtuah teh, doctor-te chuan he natna hi ``Orthostatic Tremor'' an tih hi kum 1984 khan an hmuchhuak a, an sawifiah hmasa ber a, chuvangin chu chu natna thar tak a ni tihna a ni. Doctor ten an la zir nasa hle.

Hei hi eng symptoms nge ni? Engtin nge i ngaih?

`(Orthostatic Tremor)` vei te hian an report fo thin symptom ber chu ding chunga an hriat thin, unsteadiness hi a ni. Chu chu lei a nghing tih hriatna, emaw, an taksa a off balance tih hriatna emaw a ni. Mahse, ṭhut emaw, kal emaw hian he harsatna hi an hre lo. Ding atanga an thut a, an kal tan a, bang ang chi thilah an innghat emaw, an mut emaw chuan he nghing, chu nghet lo chu nasa takin a tlahniam emaw, a bo vek emaw a ni.

Hetiang dinhmun nghet lo tihziaawm nân, i ke ruhte hmanga lei i khawih ang maiin , hriat lohvin i ke chu tlem tal inṭhen i tum thei a ni . Bus emaw rel emaw-a ding a, i balance vawng reng tura i beih ang maiin han ngaihtuah teh.

A tam zawkah chuan i ding lai hian i ke a nghing chak hle tih i hre lo emaw, i hre lo emaw pawh a ni thei. Ka sawi tawh ang khan dinhmun nghet lo emaw, balance hloh emaw kha i hre mai thei. Mahse, i kut chu i kawrfual emaw, i hnute emaw-ah i dah chuan, i taksa ruhte chu a inzawm rang hle tih i hre thei a, chu chu wave ang maiin a ni . He innghahna hi a tlangpuiin a na lo. Mahse, hun kal zelah ke ruh natna a lo awm thei a ni.

``Primary Orthostatic Tremor'' (hei hi kan sawi leh ang) vei thenkhat chuan an ke bakah an kut emaw, an ke ruh emaw pawh a khur thei bawk. Mahse, neurological symptom dang an nei lo mai thei.

``Orthostatic Tremor'' nasat dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chu an ding veleh an nghing tan mai thei. Mi dangte tan chuan minute engemaw zat an din hnuah a nghing a intan thei bawk. Mi tam tak tan chuan hun kal zelah a nghing hi a pung zauh zauh thin.

Engvangin nge he `(Orthostatic Tremor)` hi a lo awm? A chhante chu engte nge ni?

Dik tak chuan doctor leh zirchiangtute chuan ``Orthostatic Tremor'' hi an la zirchiang mek a, chuvangin a chhan dik tak chu hriat a la ni lo. Mithiam thenkhat chuan tremor chi dang ``Essential Tremor'' an tih atanga lo chhuak a ni an ti. Mi dangte chuan ``Orthostatic Tremor'' hi thil danglam tak, independent condition a ni an ti.

A tam zawkah chuan he dinhmun hi random takin a thleng a, a chhan bik a awm lo. Mahse, chhungte zingah a thleng tih report a awm tlem hle. Entirnan, twins, unau emaw, nu leh pa leh fa emaw ah. Chuvangin, zirchiangtute chuan genetic factors, mutations ang chi te hian chanvo a nei em tih an enfiah mek a ni.

`(Orthostatic Tremor)` chi hrang hrang a awm em?

Ni e, doctor-te chuan `(Orthostatic Tremor)` hi chi hnih ah an then tlangpui a:

1. Primary Orthostatic Tremor: Hei hi idiopathic an ti bawk. Chumi awmzia chu a chhan dik tak hriat a ni lo tihna a ni. Primary orthostatic tremor nei te hian nervous system natna dang symptom an nei lo.

2. Secondary Orthostatic Tremor: Hei hi damdawi lam thil dang avanga lo awm a ni. Zirna hrang hrangah secondary orthostatic tremor hi damdawi lam thil chi hrang hrang avanga lo awm thei a ni tih hmuhchhuah a ni. Chung dinhmun thenkhat chu:

• Graves natna (Thyroid gland natna) .
• Lu natna (lu trauma) a ni
• `Multiple Sclerosis (MS)` (natna chi khat, nervous system tichhe thei) .
• `Parkinsonism` (Parkinson natna ang chi natna lan chhuahna) .
• Restless Legs Syndrome (ke ruh hahdam lohna thlentu) .
• Thluak hmun thenkhat (e.g., Pontine leh midbrain lesions) a chhiatna .
• Spinal cord natna (spinal cord) natna a awm
• `Stiff person syndrome` tih a ni
• Vitamin B12 tlakchham vang a ni

A pawimawh ber chu heng symptoms te hi i neih chuan doctor advice lak hi a ni. Mahni inhriatthiamna nei suh.

Engtin nge hetiang chiah hian i diagnose? (Diagnosis) tih a ni.

Orthostatic tremor hriat chian nan i doctor chuan i symptoms leh medical history te a zawt hmasa ang che. Tichuan, taksa enfiahna leh thluak lam enfiahna an nei ang a, engtin nge leh engtikah nge khur hi a lo awm tih an zirchiang ang.

Specialized center thenkhatah chuan `(Orthostatic Tremor)` diagnosis hi `Surface EMG (Electromyography)` hmangin an nemnghet a niTest pakhat ‘muscle electromyography’ tih a ni. Mahse, a chang chuan movement disorder specialist (Movement Disorders Specialists) te chuan clinical signs atanga thlirin hei hi an hre thei thin. ‘EMG’ test hian i ruh ruh leh a thununtu nerve te hriselna leh hnathawh dan a zirchiang thin. A bik takin, i ke vunah ‘sensor’ te te dah a, i taksa peng hrang hrangte electrical activity tehna a ni.

I doctor chuan test dang – thisen test leh imaging test (e.g., MRI scan) te pawh a rawt thei bawk a, chu chu i khur chhan ni thei dinhmun dang a awm loh nan a ni.

Vanduaithlak takin Orthostatic Tremor hi chutiang natna hlauhawm tak a nih avangin doctor-te chuan thil dang angin an hmu sual fo thin. A bik takin, Functional Tremor (Psychogenic Tremor tia koh bawk) nen hian an inthlau fo thin a , hei hi stress ang chi thil avanga lo awm thei movement disorder a ni. Chuvangin, diagnosis dik tak neih chu a harsa deuh thei.

Enkawlnate chu engte nge ni? Dam theih a ni em?

Orthostatic Tremor hi damdawi a awm lo. Mahse, i natna lan chhuahna control thei tur damdawi thenkhat a awm a, chu chu i nghing leh nghet lo tihziaawmna a ni.

Damdawi pek hmasak ber chu `Clonazepam` (`(Benzodiazepine)` class-a damdawi) a ni. Mahse, he damdawi hian mi zawng zawng tan hna a thawk lo. Chuvangin, damdawi dang dang pawh a awm a:

• `Gabapentin` tih a ni
• `Primidone` tih a ni
• `Propranolol` tih a ni
• `Pregabalin` tih a ni
• `Phenobarbital` tih a ni

Tremor chi dang tanpui thei enkawlna hian ``Orthostatic Tremor'' symptoms te pawh a pui thei bawk. Mahse, hei hi research stage-ah a la awm a ni. Chutiang enkawlnaah chuan:

• Thluak thuk tak tihchak (DBS) .
• Spinal Cord tihchakna (spinal cord) tihchakna

Researcher-te chuan Orthostatic Tremor hi nasa taka an la zirchian avangin clinical trial-ah i tel thei mai thei. Hei hi i tan duhthlan tur a nih leh nih loh i doctor zawt rawh.

Hetiang dinhmun hi engtin nge i nunpui? Eng nge i beisei theih ang?

Orthostatic Tremor hi ding lai hian harsatna a awm ber a, mahse i nunphung a nghawng thei a ni. Entîr nân, i ding tûr dinhmunte chu i pumpelh ṭan thei a, chu chu inbual te, line-a nghah te, in lama hna thawh te, a nih loh leh chaw siam te hi a ni. Hei hi a tithinur thei tak zet a ni.

Mahse, nitin nunphung engemaw zat tihdanglam chuan he natna hi a awlsam deuh thei a ni.Entirnan, bathroom-a shower seat hman te, line-a nghah a ngaih hunah wheelchair hman te. Occupational therapist chuan nitin hna awlsam zawka tih theih dan tur a zawng thei che a ni.

Hei hi thil awm lo tak a nih avangin, a chang chuan midang tan pawh he `(Orthostatic Tremor)` hi hriatthiam a harsa thei a, chutiang bawkin doctor-te tan pawh dik taka hriat a harsa thei bawk. Chuvang chuan i hmangaih tak takte thlawpna i hmuh a pawimawh hle. Rilru lama harsatna i neih chuan `(Orthostatic Tremor)`, `(Anxiety)`, emaw, khawtlang atanga inhlat taka awm ang maia i inhriat chuan rilru lam hriselna counselor, `(Psychologist)` ang chi te hmuh hreh suh. Chu chuan thlamuanna nasa tak a pe ang che.

Hei hi ven dan tur a awm em?

Vanduaithlak takin Orthostatic Tremor awm chhan dik tak hriat a nih loh avangin a venna tur engmah i tih theih loh.

Harsatna a lo thlen hunah chauh hian nghet taka ding thei leh lungawi lohna awm lova ding thei hi a hlut zia kan hre thei a ni. Orthostatic Tremor hi thil awm lo tak a nih avangin, dik taka hriat theihna tura zinkawng chu a rei thei hle. Nangmah ngeiin thu i sawi a ngai mai thei a, thu hriat tur i zawng a ngai mai thei. Mahse, diagnosis dik tak neih chu a phu hle. Damdawi leh mobility aids thenkhat hian Orthostatic Tremor hmanga nun a ti awlsam thei tih hre reng ang che.

A tawp berah chuan thil hriat reng tur

Awle, tunah chuan kan sawi tawh ``Orthostatic Tremor'' chungchangah hian ngaihdan engemaw tal in neih ka beisei.

Hei hi eng emaw chen chu thil buaithlak leh hmuh tur awm lo tak a ni a, mahse hriatthiamna leh thlawpna dik tak nen chuan hlawhtling taka nunpui theih a ni.

Thil hriat reng tur tlemte chu:

• I ke a nghing tih i hriat emaw, ding chungin i balance hloh ang maia i hriat emaw chuan ngaihthah suh. Doctor hmu rawh.
• Hei hi mild ``Orthostatic Tremor'' a nih leh nih loh chu doctor chauhvin a sawi chiang thei.
• Enkawlna hian symptoms a control thei.
• Nangmah chauh i ni lo. Chhungte, ṭhiante, leh a tul chuan rilru lam hriselna lama mithiamte hnen aṭangin ṭanpuina la rawh.

Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Hei hi a hrilhfiah thiam zawk che a ni.

` orthostatic tremor, tremor, ke ruh, ding harsa, balance hloh, neurological disorder, movement disorder