I kut emaw, ke emaw i che thei lo thut mai emaw, i taksa peng pakhatin zawi zawiin a hnathawh a hloh tawh ang maia i hriat chuan eng ang nge ni ang tih i ngaihtuah ngai em? Ngaihtuah harsa tak a ni lawm ni? Damdawi lamah chuan he kan taksa ruhte duh ang anga kan tihchak theih lohna hi `` Paralysis '' kan tih hi a ni. Hei hi kan nervous system-a harsatna engemaw vang a ni. A chhan chu, nerve hian kan taksa ruhte hi a che a ngai tih signal a pe a ni. So, when you get paralyzed , i taksa peng thenkhat chu i che thei lo. Hemi chungchang hi chipchiar deuhin han sawi ila , okay?

Paralysis chu eng nge ni tak tak?

A awlsam zawngin, paralysis chu i taksa chhunga thau awmte chu a duhthusamin, chu chu i duhthusam anga thunun theih lohna a ni. Hei hi kan nervous system vang a ni. Kan thluak atanga kan taksa peng hrang hranga thuchah thlentu cable angin han ngaihtuah teh. He cable chhungah hian khawi emaw laiah harsatna a awm chuan message chu a kal tha lo hle. Chu chu taksa ruhte hnathawh a chawlhsan hunah a ni a, chu chu paralysis tihna a ni . He paralysis hian taksa peng eng pawh a nghawng thei a ni. Tin, chutianga tih theih dan tlangpui pahnih a awm bawk:

• Partial paralysis / Paresis: Hei hi taksa ruh thenkhat i thunun theih hun a ni a, mahse thenkhat chu thunun harsa tak a ni. A paralyze kim lo a, mahse a chak lo hle niin a lang.
• Complete paralysis: Chutiang a nih chuan a hmuna taksa ruh engmah i control thei lo.

Tin, nervous system chhiatna hmun azirin paralysis hi chi hnih ah then theih a ni bawk:

• `Flaccid paralysis`: Hetah hian i taksa ruhte chu a chak lo hle a, a hring vek bawk a, puan nunna nei lo ang mai a ni.
• Spastic paralysis: Hei hi taksa ruhte a nghet a, a inher fo (spasticity) a ni. A dik tak chuan, taksa ruhte chu an duh angin an inzawm khawm a, an inzawm khawm mai mai a ni.

Paralysis hi engtiang chiahin nge a awm ?

United States-ah chauh pawh hian mi maktaduai 5.4 vel, a nih loh leh mi sawmnga zinga pakhat velin paralysis chi khat emaw an nei tih i hria em? Chanchin tha eng emaw zat a awm. Mi thenkhat chuan he paralysis hi rei lo te chhung atan an nei a , hun kal zelah, zawi zawiin emaw, an dam leh vek emaw a ni. Entirnan, `Bell's palsy` an tih condition-ah chuan hmai ruhte chu rei lo te chhungin a paralyze a, mahse an dam leh fo thin. `Palsy` hi paralysis leh shaking thlentu a ni. Amaherawhchu, ` Permanent paralysis` tih awmzia chu i taksa ruhte i thunun thei tawh lovang tihna a ni. Chu chu, condition chu i reverse thei lo tihna a ni.

Paralysis chi hrang hrangte chu engte nge ni?

Hei hi paralysis-in a nghawngna hmun a zirin kan thliar hrang bawk.

• Localized paralysis awm thei : 1.1.Hei hian taksa hmun tlemte a nghawng a ni. Hetiang dinhmun hi hmai, kut, ke emaw, vocal cord-ah emaw hmuh tur a tam ber.

• Generalized paralysis: Hei hian taksa hmun zau tak a nghawng a. Hei hi a nghawng dan azirin then belh leh a ni:
• `Diplegia`: Hei hi taksa hmun khat chu a sir lehlamah a paralyze a nih chuan a ni. Entirnan, kut pahnih emaw, ke pahnih emaw, hmai sir lehlamah emaw.
• `Hemiplegia`: Hei hi taksa sir khat a paralyze vek lai a ni. Chu chu, kut leh ke pahnih chu a sir khatah a awm tihna a ni. Ngaihtuah teh, mi pakhatin `Stroke` a nei a, a dinglam a paralyze ta ang u, chutiang chu a ni.
• `Monoplegia`: Hemiah hian kut pakhat emaw, ke pakhat emaw chauh a paralyze a ni.
• Paraplegia: Hei hi ke pahnih paralysis a ni. A chang chuan pum hnuai lam pawh a nghawng thei bawk.
• Quadriplegia (or Tetraplegia): Hei hian ke pali zawng zawng leh a tam zawkah chuan trunk hloh a huam a ni. Quadriplegia vei te pawhin an kawr atanga hnuai lam atanga an chetna zawng zawng an hloh thei bawk.

Paralysis natna lanchhuahna chu engte nge ni?

Paralysis i neih chuan a pawimawh ber chu i taksa a natna hmun, a then emaw, a zawng zawng emaw i sawn theih loh vang a ni. A châng chuan, hliamna hmun a zirin, chu hmuna hriatna hloh chu a thleng thei bawk . Mi thenkhat chu paralysis neia piang an ni a, entirnan cerebral palsy ang chi natna nei an ni. Stroke leh spinal cord hliam hian paralysis a thlen nghal thei . Thil thenkhatah chuan zawi zawiin paralysis a thlen thei bawk . Chutiang hunah chuan natna lan chhuahna te chu i nei thei a:

• Zawi zawiin sensation leh muscle control a tlahniam a.
• Muscle a ti na hle.
• Ke ruh chhunga tingling emaw numbness emaw.

Paralysis awm chhante chu engte nge ni?

Kan sawi tawh ang khan paralysis hi kan nervous system-a harsatna awm vang a ni. Kan nervous system hi kan taksa message center ang mai a ni. Thluak atanga signal te chu taksa pum puiah a phur a, a tih tur a hrilh bawk. Chuvangin he nervous system-ah hian thil a chhiat chuan chu thuchahte chu taksa ruh (muscles)-ah a thleng dik lo. A tam zawkah chuan traumatic injury emaw medical condition emaw avanga taksa ruh leh nerve tichhe thei a ni. Stroke leh spinal cord injuries te hi paralysis thlentu ber pahnih an ni. A chhan dang pawh a awm a, chungte chu:

• Nau piang lai hian dinhmun thenkhat a awm a, entirnan `Spina bifida`.
• Autoimmune natna teAutoimmune natna hi keimahni taksa chakna (immune system) ngeiin keimahni taksa laka hna a thawhna natna a ni. Entirnan: Multiple sclerosis (MS) leh Guillain-Barré syndrome te.
• Thluak hliam, traumatic brain injury leh cerebral palsy ang chi te.
• Neurological natna, entirnan, Amyotrophic lateral sclerosis (ALS) te hi a ni.

Paralysis avanga harsatna awm thei te chu engte nge ni?

Paralysis hian kan thawk tha leh heart rate a nghawng thei a ni. A natna hmuna taksa system dangte pawh a nghawng thei bawk. Paralysis chi hrang hrang a zirin:

• Thâwk harsa, khuh leh pneumonia .
• Thisen zam leh deep vein thrombosis ( DVT ) a awm.
• Thusawi emaw ei harsat ( Dysphagia ).
• Depression leh Lungkhamna .
• Mipa zingah erectile dysfunction leh mipat hmeichhiatna lama harsatna dang a awm.
• Thisen sang (Autonomic dysreflexia) emaw, thisen sang (Orthostatic hypotension) leh lung natna.
• Urinary incontinence leh bowel control theih lohna.
• Pressure injury / Khum natna leh thisen rimchhia (Sepsis).

Pawimawh: Mi zawng zawngin heng harsatnate hi an tawk vek dawn lo a, mahse doctor thurawn i lak thuai theih nan hriat reng a pawimawh.

Engtin nge paralysis hi kan hriat theih ang?

Doctor hmu tura i kal chuan a enfiah ang che a, accident i neih tawh zawng zawng a zawt ang che. I paralysis chu zawi zawiin a lo awm a nih chuan, eng chen nge he harsatna hi i neih tawh tih a zawt ang. Hriat belh duh chuan i doctor chuan a hnuaia test pakhat emaw a aia tam emaw a order thei ang:

• X-ray test: Ruh a tliak a, nerve a chhiat em tih hriat nan.
• Imaging test: CT scan emaw MRI emaw hmangin Stroke, thluak chhiatna emaw, ruhro chhia emaw chhinchhiahna en theih a ni. Full-body imaging scan hian ruh, ruh leh tissue te a en thei a.
• Myelogram: Hei hian ruhro leh nerve a chhiat leh chhiat loh a enfiah thin.
• Electromyogram (EMG): Hei hian nerve leh muscle te electrical activity a test thin.
• ``Spinal tap (Lumbar puncture) tih hi a awm lo a ni.Hei hian spinal fluid ei a, infection, inflammatory conditions, leh multiple sclerosis (MS) ang chi natna te enfiah a huam a ni.

Paralysis atanga dam leh theih a ni em?

Dik tak chuan tun dinhmunah hian permanent paralysis damdawi a la awm lo. Mahse, Bell’s palsy ang chi temporary paralysis condition te hi enkawl lohvin hun kal zelah a reh fo thin. A \henah chuan hmasawnna engemaw zat hmuh tur a awm a, a bik takin kum khatna chhung hian.

Engtin nge paralysis hi enkawl emaw, enkawl emaw a nih?

Paralysis enkawlnaah hian physical therapy, occupational therapy, leh speech therapy te a tel tlangpui. Heng rehabilitation services te hi miten an paralysis an insiamrem theih nan tanpui te, exercise pek te, nitin hna an thawh theih nan adaptive leh assistive device te pek te a ni. Hengte hian paralysis vei te chu mahni inrintawkna neia nung turin a pui thei a, nunphung tha zawk an nei thei bawk. Enkawlna dangte chu paralysis awm chhan leh a nghawng danah a innghat a ni. I doctor chuan rehabilitation bakah hian a hnuaia mi hi a rawn rawt thei ang:

• `Adaptive equipment`: Mite chu mahni inrintawkna neia ei leh in tur leh lirthei khalh thei tura puitu hmanrua.
• Chhawmdawlna hmanrua: Wheelchair, Scooter, Crutches leh Canes te.
• Orthotic/prosthetic hmanrua: Entirnan, braces te.
• Voice-activated technology: Computer, lighting system leh telephone hmang rawh.
• Paralysis avanga harsatna awm thei enkawlna, entirnan, spasticity leh urinary problems te.

Paralysis hi engtin nge kan ven theih ang?

Spinal cord hliam hi paralysis thlentu lian ber a ni. Chuvangin, spinal cord hliam i neih theihna tur tihtlem nan i tih theih tur thenkhat chu hetiang hi a ni:

• Lirthei a chuang dawnin seatbelt vuah fo ang che. Naupang tête hian car seat emaw booster seat emaw an hmang dik em tih enfiah rawh.
• Tui chhunga i zuang luh hmain tui thuk zawng enfiah hmasa phawt ang che .
• Zu rui leh ruihhlo rui chunga lirthei khalh suh , zu rui nen pawh zin chhuak suh.
• Infiamna i khelh emaw, thil dang i tih emaw hian himna dan zawm tur a ni . Entirnan, infiamna emaw, bike khalh emaw hian helmet vuah thin ang che. Gymnastics ang chi thil i tih hunah mi pakhatin puih tir la, a tulna hmunah cushioning mat hmang bawk ang che.
• Lu , kawr, leh hnungzang hliam nei nia i ngaih mi chu sawn ngai suh. 1990 (Sri Lanka-a awm a nih chuan) emaw, emergency service remchang emaw call nghal rawh.

Paralysis vei tan chuan eng prognosis nge ni?

Paralysis nena nun zir chu thil harsa tak a ni thei. I nun te, i thil tih te, leh i inngaihtuahna te pawh a tidanglam thei a ni. Heng inthlak danglamnate hian rilru lam harsatna leh lungngaihna a thlen thei a ni. Chuvangin i doctor nen tanpuina dawn chungchang sawipui la, taksa leh rilru lamah pawh. Hun leh insiamthat a nih chuan paralysis vei tam tak chu an dinhmun a zirin an insiamrem thin. Mi tam tak chuan an paralysis nen hian independent, active life an hmang thin. Quadriplegia (kawng pali hloh vek) vei te hian an dam chhungin midangte tanpuina an mamawh fo thin a, mahse an rilru chu an la thawkrim thei tho.

Stroke avanga harsatna awm thei tihziaawmna turin nunphung hrisel neih hi a pawimawh hle. A tlangpuiin i theihna nena inmil exercise thlan a, exercise routine neih reng a tha.

Engtikah nge Doctor ka hmuh ang?

Stroke symptoms i neih chuan, emaw, mi pakhatin lu , kawr, emaw hnungzang emaw hliam a tuar nia i ngaih chuan 1990 i call nghal tur a ni. Tin, a hnuaia dinhmunte hi doctor thurawn zawng nghal bawk ang che:

• Thâwk harsa, ei harsa, tawng harsa.
• Ke leh ke ruh emaw thil dang emaw ang maiin a awm.
• Muscle chak lohna (a awm reng emaw, lo kal leh kal emaw pawh a ni thei).
• Vawikhatmah i taksa ruhte a ti che thei lo.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• He paralysis hi hun eng emaw chen atan nge a awm reng ang?
• Mobility engemaw zat ka nei leh dawn em ni? Chutiang a nih chuan eng chen nge a daih ang?
• Ka tan enge inenkawlna tha ber?
• Eng ang mobility emaw assistive devices emaw hian min pui thei ang?
• Complication symptoms hi ka ngaihtuah tur em ni?

Paralysis hi nun tidanglam thei a ni. Hun eng emaw chen atana ke ruh tliak pawh hian i duhzawng thil tih theihna a nghawng thei a ni. Paralysis a lo awm nghal a nih chuan nunphung inthlâk danglamna lian tham tak takte nena insiamrem chu thil harsa tak a ni thei. I doctor chuan rehabilitation leh mental health service i neih theihte chu a kaihruai thei che a ni. Paralysis vei tam tak chuan assistive devices leh an hmangaih tak takte puihna hmangin active life an hmang thin. Chuvangin chak taka awm reng a pawimawh.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan thil awlsam tak tak i hriat reng tur thenkhat han sawi ila.

• Paralysis chu taksa ruh (muscle) thunun theih lohna a ni. Hei hi nervous system lama harsatna awm vang a ni.
• Hei hi a then emaw, a famkim emaw pawh a ni thei a, hun eng emaw chen emaw, a awm reng emaw pawh a ni thei bawk.
• Stroke leh spinal cord injury hi a chhan ber a ni a, mahse natna dang leh hliam te pawhin a nghawng thei a ni.
• Paralysis hriat theihna tur test hrang hrang a awm a, eng nge an nih tih chu doctor-in a rel thin.
• Permanent paralysis damdawi chiang tak awm lo mah se, rehabilitation services, physical therapy leh occupational therapy te hian nunphung a tichangtlung thei a ni.
• Paralysis venna tha ber chu accident , a bik takin spinal cord tichhe thei te hi pumpelh hi a ni.
• Paralysis neia nun chu thil harsa tak ni mah se, ṭanpuina leh enkawlna dik tak a awm chuan mi tam tak chuan nun chak tak an nei thei a ni.
• Paralysis chhinchhiahna i hmuh chuan doctor pan nghal rawh. Enkawlna rang tak hian danglamna nasa tak a thlen thei a ni.

Chuvangin, he thu hi in tan a tangkai ngei ka beisei. Nangmah emaw i hriat miin emaw he natna chungchangah hian zawhna i neih chuan a tha ber chu doctor biak hi a ni. Ngaihtuah buai suh, tanpui thei tur mi tam tak an awm!