Ngaihtuah teh, i hriat mi pakhat chu accident a tawk a, chutah chuan an ke an che thei lo va, an hre thei lo bawk. Hei hi a hlauhawm tak zet a, a rapthlak tak zet a ni lawm ni? Hei hi ke pahnih leh a chang chuan pum hnuai lam hnathawh a hloh thinna a ni a, chu chu damdawi lamah Paraplegia kan tih chu a ni. Hei hi symptom anga ngaih ni mahse, a chang chuan natna angin a awm thei. Chuvangin vawiinah hian engkim hi i hriatthiam theih tur awlsam takin i sawi dawn nia.
Paraplegia hi eng nge ni tak tak?
A awlsam zawngin, Paraplegia chu i ke ruh (muscles) control theih lohna, chu chu paralysis tihna a ni. Hei hi a chhan ber chu kan nervous system tihchhiatna a ni a, a bik takin ruhro (spinal cord) kal tlanga ruhro (spinal cord) a tichhia a ni. He spinal cord hi ‘main cable’ ang a ni a, chu chuan kan thluak atanga kan taksa hnuai lam, a bik takin ke lam thlenga thuchah a thawn chhuak thin. He cable hi a chhiat chuan thluak atanga message lo lutte chu ke thlengin a thleng lo. Chu chu kein an hnathawh a hloh hun a ni.
Hetiang chhiatna hi a thlen dan azirin paraplegia chi hnih lian tak kan hmu thei.
| Hliam chi hrang hrang | Hrilhfiahna |
|---|---|
| Hliam tluantling | Chutiang a nih chuan ruhro (spinal cord) chu a chhe vek a ni. Chumi awmzia chu chhiatna hmun hnuai lam thil engmah chu hriat theih a ni lo va, a sawn thei lo tihna a ni. Tin, bowel leh bladder function-ah pawh control a awm lo. |
| Hliam tling lo | Hetah hian spinal cord hi a then a chhe tawh a ni. Chuvangin, chhiatna hnuaia hmun hrang hrangah hian sensation emaw movement emaw engemaw zat a awm thei. Amaherawhchu, chu mi chu a chetsual hmaa a chak ang kha a chak a nih chuan heng thilte hi tih theih a ni lo. |
Tin, he dinhmunah hian taksa peng hrang hrangte hnathawh dan a zirin chi hnih lian tak a awm bawk:
- Flaccid paraplegia: Hetah hian taksa ruhte chu nunna nei lo leh flaccid vek a ni. Tonus a awm lo.
- Spastic paraplegia: Hetiang dinhmunah hian taksa ruhte chu thunun theih lohvin a inzawm khawm thin. Ke chu a nghet a, a hrual thei bawk.
Engtin nge hnungzang hliam awmna hmun a zirin symptoms a danglam?
Hei hi thil pawimawh tak a ni. Paraplegia hian a nghawng dan chu ruhro (spinal cord) level a chhiat danah a innghat a ni. Kan ruhro hi hmun hrang hrangah a inthen a. Chungte chu cervical part, thoracic part, leh lumbar leh sacral part te an ni. Paraplegia hi a tlangpuiin thoracic (T), lumbar (L), emaw sacral (S) vertebrae tihchhiat vang a ni.
A hnuaia table hi en la, damage level a zirin effect a danglam dan i hmu ang.
| Hliam awmna hmun | Nghawng |
|---|---|
| T1 - T6 inkar ah hian thoracic nerves a awm | Paraplegia kimchang tak a awm thin. Ke, hip leh pum ruhte hian hna an thawk tawh lo. Sensation a awm lo. Bowel leh bladder control hloh a awm. Hetiang level a chhiatnaah hian khuh leh thawk thuk pawh a harsa thei bawk. |
| T7 - T12 inkar a thoracic nerve te | A chunga kan sawi ang chiah hian paraplegia condition kimchang tak a awm a, mahse rilru ruhte chu a nghawng lo. Chuvang chuan thawk harsatna a tlem phah thin. |
| Lumbar nerve te chu L1 - L2 inkar a ni | Hetah pawh hian ke a paralyze bawk. Mahse rilru leh pum ruhte chu a nghawng lo. Inkalpawhna atan wheelchair a ngai a ni. Bowel leh bladder control hloh pawh a awm thei bawk. |
| Lumbar leh sacral nerve te chu L3 - S5 inkar a ni | A hnungzang hnuai lam chhiatna hi a kim lo a nih a rinawm zawk. Hetiang level a chhiatnaah hian brace emaw, walker emaw hmangin i kal thei mai thei . Mahse, bowel leh bladder control lamah harsatna engemaw zat i nei thei. |
Paraplegia awm chhan berte chu engte nge ni?
Hetiang natna thlentu ber leh awm tam ber chu ruhro hliam hi a ni . Heng hliamte hi kawng hrang hrangin a thleng thei a ni.
- Car accident: Sri Lanka ramah hian Three-wheeler accident, bus accident, motor accident te hi a hluar hle.
- Falls: A bik takin hmun sang (thing, building) atanga lo chhuak. Tin, tarte ruh natna avang hian tlu mai mai pawhin ruhro a tichhia thei bawk.
- Hriamhrei na tak avanga hliam: Thil chi hrang hrang, hliam emaw, silai kah emaw ang chi.
- Sports accident: Rugby ang chi high-impact sports-ah te.
A pawimawh ber chu, hnungzang hliam i rinhlelh chuan eng thil vang pawha sawn emaw, chawi emaw tum suh. Chu chuan chhiatna a thlen belh leh ang. Ambulance ko nghal rawh (1990).
Heng accident bakah hian paraplegia hi damdawi lam thil dang vang pawh a ni thei:
- Spine tumors: Cancer emaw benign tumor emaw avanga spinal cord compression.
- Infection: Infection chu spinal cord emaw a chhehvel membrane-ah emaw a darh chhuak thin.
- Ischemia: Spinal cord-a thisen petu thisen kalna kawng a chhe emaw, a block emaw a ni.
- Congenital conditions: Nau piangsualna, ruhro (spina bifida) ang chi.
- Damdawi lam thil dang: Autoimmune natna, multiple sclerosis, transverse myelitis, leh Guillain-Barré syndrome te.
- Diabetes Mellitus: Zunthlum thunun theih loh vanga nerve tihchhiat.
- Hereditary conditions: Genetic natna, thlahtute atanga lo chhuak spastic paraplegia ang chi te.
Emergency-ah eng nge kan tih ang?
Hei hi i hriat reng tur part chu a ni. Paraplegia hi medical emergency a ni a, enkawl vat a ngai a ni.
Miin accident a tawk a, "Ka ke ka hre thei lo," a tih emaw, chutiang thil i hmuh chuan 1990 call nghal la, ambulance la rawh. Chu mi chu nangmah ngeiin chawi sang emaw, sawn emaw, thut tir emaw tum ngai suh. Trained professional an lo thlen hma chu nghak la, damlo chu damdawi inah uluk takin phur rawh. I tih theih awmchhun chu, kangmei emaw, puak emaw ang chi hlauhawm a awm nghal loh chuan damlo chu a hmun atanga lak chhuah hi a ni. Chutiang a nih loh chuan an awmna hmunah dah mai rawh. Hospital-a Emergency Treatment Unit (ETU)-a Doctor-te hian a tul ang ang an ti ang.
Paraplegia, Tetraplegia leh Hemiplegia te hi eng nge an danglamna?
Hêng thute hi ri inang mah se, awmzia pathum a nei a ni. He danglamna hi hriat a pawimawh.
| Dinhmun | A nghawngna hmun |
|---|---|
| Paraplegia (paraplegia) a ni | Ke pahnih (leh pum hnuai lam pawh a awm thei) hloh. |
| Tetraplegia (or Quadriplegia) natna (a nih loh leh Quadriplegia) . | Both arms and both legs , chu chu ke pali hloh vek tihna a ni. Hei hi spinal cord chu neck level-a a chhiat chuan a thleng thin. |
| Hemiplegia natna (Hemiplegia) a ni | Taksa sir khatah (khawi lamah emaw dinglam emaw) hriatna hloh. Hei hian kut, ke leh hmai sir khatah hriatna hloh tihna a ni. Hei hi thluak tihchhiat vang a ni tlangpui a, chu chu stroke ang chi a ni. |
Enkawlna chungchang sawi dawn chuan Paraplegia natna thlentu leh a chhiatna zau zawngah a innghat vek a ni. A châng chuan, surgery, physiotherapy, leh rehabilitation hmangin hmasawnna engemaw zat a awm thei bawk. Mahse, chhiatna ṭhenkhat chu a awm reng a ni. Mahse, i doctor hi enkawlna tur ruahmanna leh a hnua i tih tur dik ber tur thurawn petu ber tur che a ni.
Paraplegia hi nun tidanglam thei tak a ni. Mahse, damdawi lam thurawn dik tak, insiamthatna leh rilru chakna te nen chuan khawvelah hian he dinhmun nena inmil leh mahni inrintawkna nei, hlim taka nun hmang mi tam tak an awm a ni.
Take-Home Thuchah a ni
- Paraplegia chu ke pahnih hnathawh hloh a ni. Hei hi a chhan ber chu ruhro (spinal cord) tihchhiatna a ni.
- Accident avanga spinal injury i rinhlelh chuan damlo chu eng vang pawhin sawn suh. Ambulance call nghal rawh.
- Paraplegia hi accident bakah damdawi chi hrang hrang avanga lo awm thei a ni. Chuvangin paraplegia eng pawh hi doctor pan a pawimawh hle.
- Enkawl dan leh dam lehna tur chu a chhiatna chhan leh a nasat dan azirin a inang lo. Hemi chungchangah hian i doctor hi a tha ber a ni.
- Hei hi dinhmun harsa tak ni mah se, \anpuina \ha tak leh siam\hatna a awm chuan he dinhmun hi insiamrem a, nun hlawhtling tak neih theih a ni.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Paraplegia hi eng ang dinhmun nge ni?
Hei hi i ke ruh tliak mai mai a ni lo! ‘Paraplegia’ hi a lungchhiatthlak hle a, kawr hnuai lam ke pahnih, a nghet emaw, hun eng emaw chen emaw, 100% paralyzed (Complete paralysis) a lo awm a, i ke i che thei lo va, engmah i hre thei lo. He natnaah hian i ke i thunun thei lo mai ni lovin, i ril leh i ril (Bowel and bladder incontinence) pawh i thunun thei lo.
💬 Paraplegia (paraplegia) thlentu berte chu engte nge ni?
Hei hi a chhan ber chu thluak a ni lo va, ‘Severe spinal cord injury’ vang a ni! 1) Hei hi car accident avanga ruhro (Thoracic/Lumbar Spinal Cord) lai tak (Thoracic/Lumbar Spinal Cord) a chhe vek/ a chhe vek a, thing atanga a tlak vang emaw, kah a nih vang emaw (Trauma) a nih chuan a thleng thin. 2) Spinal cord chhunga ‘cancer’ lo thang lian (Spinal Tumors) chuan nerve a press chuan. 3) Neurodegenerative diseases (Multiple Sclerosis) leh, 4) Spinal stroke hian ke hnathawh a tichhe thei bawk.
💬 Paraplegia vei te hian eng hlauhawm nge an hmachhawn? Engtin nge an enkawl theih ang?
Hlauhawm ber chu an keah natna an nei lo (tui lumin a kang pawh nise). Chuvangin, an awmna hmun khata an awm chuan an hnute vun chu ruh hmuh theih thlengin a ro a, chu chuan ‘bedsores/pressure ulcers’ a thlen a, chuta tang chuan natna hrik darh (sepsis) vangin damlo chu a thi thei a ni (darkar 2 danah tihher a ngai). Hlauhawm dang chu urinary tract infection (UTI) na tak, urinary catheter nena lo awm hi a ni!
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