Polio i vei tawh a, tunah chuan i taksa peng i hloh leh tawh em? He (Post-Post Syndrome) chungchang hi i zir chiang ang u!

Tun hmaa polio an tih natna kha i hre reng em? Nang pawhin i nei tawh a, dam leh harsa i ti hle mai thei. I dam leh a, kum tam tak chhung i chau leh chak lo tih i hriat chuan ``Post-Polio Syndrome'' tih natna lan chhuahna a ni thei. Hemi chungchang hi vawiinah hian awlsam takin sawi ila, i hriatthiam theih nan.

Post-Polio Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, ``Post-Polio Syndrome'' emaw ``PPS'' emaw chu a hmaa polio natna atanga lo dam tawh chuan kum engemaw zat chhung – kum 10, 20, 40 emaw chhunga taksa ruh chak lohna a neih leh hi a ni. Muscle te pawh a atrophied emaw, a shrunken emaw pawh a ni thei.

I hriat reng angin polio, a nih loh leh ``Poliomyelitis'' hi natna hrik ``Poliovirus'' tih atanga lo chhuak a ni. Mahse, mi thenkhat tan chuan natna khirh tak tak, paralysis leh a chang chuan thihna thlengin a thlen thei a ni.

He `(Poliovirus)` hi chi thum a awm a. Type 1, 2, leh 3 an ni a, tunah chuan type 2 leh 3 te chu khawvel atangin an bo ta a ni. Khawvel hmun thenkhatah chuan type 1 chauh hmuh tur a la awm. Tunah chuan Sri Lanka-ah chuan polio hi a bo tawh mai dawn a ni. Mahse tun hmaa hri kai tawhte chuan he `(PPS)` natna hi an nei thei a ni.

Tute nge ``Post-Post Syndrome'' vei tam zawk?

Hetiang dinhmun hi tun hmaa polio vei tawhte chauh a awm thin. Kum 10 emaw a aia rei emaw hnuah a lo lang tan tlangpui. A chang chuan kum 40 hnuah pawh a thleng thei.

Research atanga a lan dan chuan polio vei zinga 30% leh 40% inkar chuan he natna hi an nei thin. Tin, polio i lo vei tawh a, chu chu i ke ruhte a chak lo hle tihna a nih chuan PPS i neih chuan symptom na zawk i nei thei bawk.

``Post-Post Syndrome'' hi engtiang chiahin nge a awm?

Dik tak chuan tunlai hian `(Post-Post Syndrome)` hi a awm lo hle. A chhan chu tunah hian polio pawh a tlem hle a ni. Polio vaccine hian khawvel ram tam takah polio a ti bo tawh a, Sri Lanka pawh a ti bo tawh bawk. Amaherawhchu, polio natna vei ram engemaw zat an la awm avangin, tun hmaa polio vei tawh an la awm avangin, `(PPS)` damlote chu a chang chuan hmuh tur an awm thin.

`(Post-Post Syndrome)` natna lan chhuah dan chu engte nge ni?

``Post-Post Syndrome'' chhinchhiahna ber leh hmasa ber chu polio natna kai laia taksa peng chak lo tak takte chu zawi zawiin an chakna an hloh leh thin hi a ni. Heng symptoms te hi mi hrang hrangah a inang lo thei. Mi thenkhat chu a tam emaw a tlem emaw pawhin an tuar thei a ni.

Hengte hi a lan chhuah dan tlangpui thenkhat chu an ni:

• Zawi zawiin taksa ruh chak lo: Kut, ke emaw, taksa peng dang emaw, polio vanga chak lo deuh tawh chu zawi zawiin a chak lo leh ta tih hriatna.
• Chauhna: 1.1.Chauhna mai a ni lo va, tuar theih loh, hahna rilru hneh thei tak a ni. Hna tlemte thawh hnuah pawh i chau ang mai a ni.
• Muscle atrophy: Chumi awmzia chu muscle te chu a lo tlem zauh zauh a, a te zawk tihna a ni.
• Muscle na leh twitches: Muscle a na a, a chang chuan muscle te chu a zuang chho leh chho mai mai, a inher mai mai ang maiin a lang.
• Joint pain: Khup leh elbow ang chi ruh na a awm thei.
• Bone deformities: Entirnan, ruhro (spine) curvature (scoliosis) ang chi thil a awm thei.

Ngaihtuah teh, mi pakhat Nimal-a a awm a, a naupan laiin polio a vei a, a ke dinglam chu a chak lo deuh a ni. Kum tam tak chhung chu nun pangngaiin a hmang a. Mahse tunah chuan kum 50 a tlin meuh chuan a ke dinglam chu zawi zawiin a chakna a hloh leh ta niin a hria. Stairs flight a lawn emaw, hla vak lo a kal emaw chuan a chau hle tih a hria. Chutiang chuan a nghawng a ni.

Chu bakah, he ``(PPS)`` hian thawkna atana hman tur ruh emaw, ei tur atana hman tur ruh emaw a nghawng chuan thawk harsatna leh ei harsatna a awm thei bawk.

PPS natna khirh tak tak thenkhatah chuan a lan chhuah dan chu thluak lam natna Amyotrophic Lateral Sclerosis (ALS) nen a inang thei a ni. Mahse, hei hi ALS nen a inang lo tih hriat reng a pawimawh.

Eng thilin nge `(Post-Post Syndrome)` a thlen?

Scientist-te chuan Post-Polio Syndrome hi eng nge a thlen tih chiang takin an la hre chiang lo. Mahse, chumi chungchangah chuan theory pakhat a awm. Chu chu polio natna i dam leh chuan i taksa nervous system a lo danglam thin tihna a ni.

Hetiang hian han ngaihtuah teh, polio virus `(Poliovirus)` hian kan nerve cell thenkhat `(Neurons) a tichhe thin.` Heng nerve cell te hi taksa ruh hnathawh tir tura thuchah kengtu an ni. Chuvangin, polio a tawp chuan nerve cell chhia ai chuan nerve cell hrisel la awmte chuan hna an thawk tan ta zawk a ni. Heng nerve cell hrisel tak takte hian an branch lian ber `(Axons)` atang hian branch te te dang `(Dendrites)` an siam a, nerve cell chhia te control thin muscle fibers control chu an la ta a ni. Hnathawktu pakhatin midang hna a luah ang mai a ni.

Chuvângin, scientist-te chuan kum tam tak chhûng an theihna aia tam hna an thawh hnuah, a tîra hrisel tak nerve cell-te chu zawi zawiin an chak lo va, an chau ta hle niin an ngai a ni. Chu hnah te te (dendrites) te chu a lo tlem zauh zauh thin. Tichuan, a hmaa thawk tha tak takte pawh kha an chak lo leh tan ta a ni. Chu chu he ``PPS'' dinhmun, tuna a chhan nia ngaih a nih chhan pawh a ni mai thei.

`(Post-Post Syndrome)` hi natna hrik kai theih a ni em?

Ni lo, ``Post-Polio Syndrome`` hi mi pakhat atanga mi dang hnena kai theih natna a ni lo. Amaherawhchu, polio virus hi hri kai thei tak a ni. Chuvang chuan polio vaccine lak a, natna laka inven a pawimawh hle.

`(Post-Post Syndrome)` hi engtin nge kan hriat theih ang?

Tunah hian ``Post-Polio Syndrome'' a awm leh awm loh dik taka finfiah thei tur test bik a la awm lo.

Chu ai chuan doctor-te chuan taksa enfiahna hmangin, damdawi lam chanchin kimchang tak (tunah chuan polio i vei tawh em tih leh engtikah nge i vei tawh tih te), tuna i natna lan chhuah dante zawtin an hriat theih a ni. Damdawi lam thil dang avanga natna lanchhuahna a awm loh nan fimkhur an duh bawk.

I doctor chuan PPS a awm leh awm loh enfiah nan test eng emaw zat a ti thei a, natna dang a awm loh nan a ti thei bawk a, chungte chu:

• Spinal MRI (Magnetic Resonance Imaging) leh CT (Computed Tomography) scan: Hengte hian ruh leh a kaihhnawih nerve-a harsatna awm leh awm loh a enfiah thei a ni.
• Electromyogram (EMG) test: Hei hian ruh leh a thununtu nerve te electrical activity a test thin. Hei hian taksa chak lohna hi nerve problem vang nge muscles ngeia harsatna a awm tih hriat theih nan a pui thin.
• Muscle Biopsy: A chang chuan, taksa peng te tak te la in microscope hmangin an enfiah thin. Hei hian taksa peng hrang hranga inthlak danglamna hriatchhuahna kawngah a pui thei a ni.
• Spinal Fluid Analysis: I ruhro atanga tui tlemte lakchhuahna test a ni. Hei hian neurological problem dang a awm leh awm loh enfiah nan a pui thei a ni.

Engtin nge `(Post-Post Syndrome)` hi enkawl a nih?

Vanduaithlak takin tunah hian ``Post-Post Syndrome (PPS)`` tihdam kim thei tur damdawi bik a la awm lo. Chuvangin doctor te thil tum ber chu a natna lan chhuah dan control leh i ``Quality of Life`` tihchangtlun hi a ni.

PPS i neih chuan neuromuscular condition lama tui doctor pan a pawimawh hle.

PPS natna lan chhuah dan enkawl dan tur thenkhat chu hetiang hi a ni:

• Exercise hahthlak lo: Exercise natna thlen lo emaw, hah lutuk emaw hian taksa ruh chakna a ti sang thei a, hahna zawng zawng a ti tlem thei bawk. Hengte hi eng nge an nih tih chu physiotherapist zawtin i hre thei ang.
• Cardiorespiratory endurance training: Hei hi hun rei tak exercise i neih chhunga i thinlung, lung leh taksa peng hrang hrangte thawhhona level tihsan nan a ni. Hetiang training i tan hmain i doctor nen in inbia ngei tur a ni.
• Mobility aids: Cane, walker, wheelchair, scooter ang chi thil hman hian kal a ti awlsam thei a, taksa ruh hahna a ti tlem thei bawk.
• Occupational therapy hmanga enkawlna: 1.1.Occupational therapist chuan in chhunga nitin hna (e.g., incheina, chaw siam) awlsam zawk nan i chhehvelah a tul angin a tidanglam thei a ni.
• Speech therapy: PPS avanga ei harsa i neih chuan speech therapist chuan a pui thei ang.
• Nunphung inthlâk danglamna: I doctor chuan ei leh in hrisel ei tûr te, i rihna thunun tûr te, mut ṭhat tûr te, leh zu in bân tûr te a fuih mai thei che a ni . Heng thilte hian symptoms enkawl nan a pui thei a, i hriselna zawng zawng a ti tha thei bawk.

Chu bâkah, psychotherapy hian nang leh i chhûngte chu PPS hmachhawn tûrin a ṭanpui thei bawk. Chutiang bawka tawk mek midangte nena inbiakna neih theihna tur leh i thil tawn te sawiho theihna tur support group-a tel pawh a \angkai thei bawk.

`(Post-Post Syndrome)` hi tihdam theih a ni em?

Ni lo, tuna thuthang awm dan chuan ``Post-Post Syndrome'' hi damdawi a awm lo. Enkawlna hian natna lan chhuah dan enkawl leh nun awlsam zawka puih a tum a ni.

`(Post-Post Syndrome)` hi engtin nge kan ven theih ang?

Polio laka invenna awmchhun chu polio vei loh hi a ni. Chutianga tih theih awmchhun chu polio vaccine lak hi a ni. Naupangte hi polio vaccine hi thla 2 an tlin atanga dose li pek an ni tlangpui. Naupan laia he vaccine hi i la lo a nih chuan puitlingah i la thei a ni.

Mahse, polio i vei tawh a, i dam tawh a nih chuan nakin lawkah PPS i vei loh nan engmah tih theih a awm lo. Scientist-te chuan polio vei tawh ṭhenkhatin PPS an vei laiin ṭhenkhatin an vei loh chhan hi chiang takin an la hre lo.

`(Post-Post Syndrome)` hi eng nge a hmalam hun?

Post-Polio Syndrome (PPS) hi mi hrang hrangah a thlir dan a inang lo. Eng taksa ruh nge a nghawng tih leh a natna lan chhuah dan a nasat danah a innghat.

PPS symptoms hian nangmah chauha thil tih a ti harsa thei a ni. Mahse, a hmaa kan sawi tawh, mobility aids leh occupational therapy ang chi thilte hian nasa takin a pui thei a ni.

PPS vangin i thawkna thau a chak lo a nih chuan, emaw, i ei theihna thau a chak lo a nih chuan i hriselna pum pui chu a hlauhawm zawk a ni.

``Post-Post Syndrome'' hian dam rei zawng a ti tawi em?

A tam zawkah chuan ``Post-Post Syndrome'' vei dam chhung hi a pangngai a ni. ``PPS'' hi nunna atana hlauhawm tak a ni a, a tlem hle.

`(Post-Post Syndrome)` chungchangah engtikah nge doctor i hmuh ang?

Tun hmaa polio i lo vei tawh a, kum tam tak hnuah i taksa ruhte chu zawi zawiin a chak lo leh ta ang tih i hriat chuan,Doctor hmu la, he thu hi sawipui ngei ang che.

PPS i vei tih hmuhchhuah a nih chuan i enkawl dan tur ruahmanna chu a thawk tha em tih hriat chian nan leh a tul anga tihdanglam theih nan i doctor i pan fo tur a ni.

A pawimawh ber chu Post-Polio Syndrome vei zawng zawng hi a inang vek lo. He natna hian engtin nge a nghawng tih chiang taka hriat theihna tur leh beisei tur chu neuromuscular diseases leh PPS lama tui doctor pan hi a ni. I tanpui turin an lo kal a ni.

Thil pawimawh hriat reng tur (Take-Home Message) .

Okay, chuvangin, kan sawiho atang hian `(Post-Post Syndrome)` chungchang hi hriatthiamna tha zawk in neih ka beisei. A tawi zawngin:

• ``(PPS)`` hi a hmaa polio vei tawhte zingah kum tam tak hnua taksa chak lohna (muscle weakness) natna a ni.
• Hei hi damdawi chiang tak awm lo mah se, a natna lan chhuah dan thunun tur leh nun awlsam zawka siam theihna tur thil tam tak i tih theih a awm.
• Exercise hahthlak lo, physical therapy, a tul chuan kea kalna atana puitu te, nunphung tha tihdanglam te hi a pawimawh hle.
• Heng symptoms te hi i neih chuan neurologist pan ngei ngei tur a ni.
• Nangmah chauh i ni lo tih hre reng ang che. Hetiang dinhmun hi enkawl thei tur leh nun tha thei tur mi an awm.

Hlau suh, a pawimawh ber chu hriattirna leh damdawi lam thurawn tul tak tak zawm hi a ni.

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