Ngaihtuah teh, accident rang tak hnuah mi pakhat chu a kawr atanga a hnuai lam thlengin a paralyze a, a che thei lo va, engmah a hre thei lo... Kut pahnih, ke pahnih, taksa pum pui chu a paralyze vek a ni. Hei hi natna khirh tak a ni a, damdawi lamah chuan Quadriplegia kan ti thin. He thu hi hriat a hlauhawm hle thei a, mahse nang leh i hmangaih tak takte tan he thu hi dik taka hriattir in nih hi a pawimawh hle thei a ni. Chuvangin, he thu hi chipchiar takin, awlsam takin han sawi ila.
A awlsam zawngin Quadriplegia chu eng nge ni?
Quadriplegia hi paralysis natna a ni. A dik tak chuan, taksa chu a kawr atanga a hnuai lam, chu chu kut leh ke pahnih, a thunun theihna hloh vek tihna a ni. Hetiang dinhmun hi kan thluak atanga taksa peng dang thlenga thuchah thlentu kawngpui lian ber spinal cord tihchhiat vang a ni.
Hei hi hming dang a awm a, chu chu Tetraplegia . Heng hming pahnihte hian awmzia a inang vek. Quadri tih awmzia chu Latin tawngin "pali" tihna a ni a, Tetra tih awmzia chu Greek tawngin "pali" tihna a ni. Plegia tih awmzia chu "paralysis" tihna a ni. Chuvangin hming pahnih awm mahse, a dinhmun chu a inang vek a ni.
He Quadriplegia dinhmun hi kawng hnih in kan hmu thei a:
1. Complete Quadriplegia: Hei hi ruhro (spinal cord) chhiatnain thluak atanga thuchah lo lutte chu a titawp vek a ni. In chhunga main switch off ang mai a ni. Tichuan, a taksa peng hrang hrangah chuan chetna, hriatna, leh thununna a awm lo.
2. Incomplete Quadriplegia: Hei hi ruhro (spinal cord) tihchhiatnain message-te a titawp vek loh lai a ni. Message thenkhat chauh hi tihtawp a ni. Main switch-a wire loose ang maiin. Hei hian ke ruhte a ti nghing deuh thei a, hriatna engemaw zat a thlen thei a, a nih loh leh bowel leh bladder hnathawh dan engemaw chen a thunun thei bawk.
Tin, paralyzed muscles hnathawh dan azirin chi hnih ah then a ni bawk:
- Flaccid Quadriplegia: Hetah hian taksa ruhte chu thiltihtheihna nei lo, tlu leh nunna nei lo an lo ni ta vek a ni .
- Spastic Quadriplegia: Hetiang dinhmunah hian taksa ruhte chu thunun theih lohvin a inher a, a nghet lo. Chumi awmzia chu taksa ruhte hian an thunun tur angin an thunun thei lo nachungin an inzawm khawm nghal vek tihna a ni.
Engtin nge ruhro (spinal cord) a chhiat dan azirin a nghawng chu a danglam?
Kan ruhro kawng (neck part) hi Cervical Spine (C-Spine) an ti a. Chuta tang chuan vertebrae 7 leh spinal nerve pair 8 a chhuak a. Damlo chunga nghawng a neih dan hi hliam san zawng a zirin a danglam nasa hle. Hliam hi ruhro sang zawkah a awm chuan a nghawng a na zual thin.
| Spinal cord hliam awmna hmun | A nghawng theih dan |
|---|---|
| C1 atanga C2 thleng | Kawng leh ke palite chu a paralyze vek vek a ni. Thâwk thununtu taksa pengte pawh chu a thawk thei lo. Chuvangin artificial ventilation pek nghal a nih loh chuan thihna a thleng thei a ni. Autonomic nervous system, thawmhnaw, thisen sang control, leh bowel leh bladder control te pawh hi a tawp ta a ni. |
| C3 atanga C4 thleng | Hei hi a ni fo thin. Mahse, C4 bula chhiatna a awm chuan thawk theihna engemaw zat a awm thei. Mahse, damlo chuan khuh pawh a khuh theih loh avangin pneumonia ang chi natna hrik kai theihna a sang hle. |
| C4 atanga C8 thleng | Kut leh kut zungtang hnathawh hloh dan hi a inang lo thei hle. Spine-a chhiatna a hniam poh leh kut hnathawhna humhim theihna chance a sang zawk. |
Quadriplegia awm chhan berte chu engte nge ni?
Hei hi a chhan ber chu traumatic spinal cord injury (SCI) vang a ni. Kan ramah pawh hetiang thu hi kan hre fo thin.
- Car accident: A bik takin seat belt vuah loh te, three-wheeler accident te, lirthei atanga paih chhuah avanga accident te.
- Tlu: Hmun sang atanga tla, thing atanga tla, tlu (a bik takin kum upa lam, ruh hring avanga hlauhawmna sang zawk).
- Tharum thawhna: silai hmehpuah, thal kah, pawikhawihna nasa tak.
- Sports accident: Rugby, football, leh diving ang chi infiamna hun laia thil thleng.
Heng accident bakah hian quadriplegia hi damdawi lam thil dang vang pawh a ni thei:
- Tumors chu ruhro chhungah emaw, a chhehvelah emaw a lo awm thin.
- Spine chhunga natna hrik awm.
- Spinal cord supply tu thisen kalna kawng a block.
- Pian tirh atanga harsatna awm thei (e.g. Cerebral Palsy, Spina Bifida).
- Autoimmune natna te chu Guillain-Barré Syndrome, Multiple Sclerosis, Transverse Myelitis te hi a ni.
Mi pakhatin hnungzang a hliam nia i rinhlelh chuan engtin nge i tih ang?
Pawimawh tak: Mi pakhat chu a hnungzang emaw, a kawngah emaw hliam a tuar nia i rinhlelh chuan eng thil vangin pawh tichhe suh, chawi sang suh, hrual suh. Chutianga tih chuan hliam tenau chu chak lohna lian takah, chatuan atan a chantir thei a ni.
Hei hi i tih tur chu a ni:
1. Kum 1990 ambulance service chu call nghal rawh.
2. Damlo chu trained medical personnel an lo thlen hma loh chuan a ngawi reng ang.
3. Damlo chu thihna hlauhawma awm nghal, kangmei ang chiah a nih chauhvin hmun him lamah, fimkhur takin, an kawr leh hnungzang ben lovin an sawn tur a ni. Mahse hei hi tih tur dang a awm loh chuan tih tur a ni.
Damdawi inah hruai i nih veleh doctor-te tih hmasak ber chu a chhiatna a zual zel loh nan tihtawp tum a ni. Hei hian a kawngah collar dah leh damlo chu special board-ah a che thei lo thei bawk. A tul chuan ruhroa pressure tihziaawmna tur emaw, ruh tliak set emaw turin operation nghal a ngai mai thei. Heng zawng zawng hi i doctor in a ruat vek a ni .
Chutiang dinhmun râpthlâk tak lo thleng tûrin eng nge kan tih theih?
Quadriplegia thlentu ber chu accident a ni a, himna dan zawm hian he hlauhawmna hi nasa takin a tihziaawm thei a ni.
- Hriselna hmanrua bun: Lirthei chhunga i awm apiangin seat belt vuah thin ang che . Bicycle emaw motor emaw i khalh a nih chuan helmet tha tak ha la .
- Tlu laka inveng rawh: Bathroom-a tlu lo turin hma la la, a bik takin in chhungah tar an awm a nih chuan. Handrail dah tur a ni. Hmun sang taka hnathawh hunah safety harness hmang thin ang che.
- Tuiah i zuang lut dawnin fimkhur rawh: Tuiah hian i kawr chu hmun hriat lohah emaw, tui thuk takah emaw zuang suh. Hei hian ruhroah chhiatna nasa tak a thlen thei a ni.
- Ruihhlo leh zu in loh tur: Hengte hi hman a nih chuan accident thlen theihna a sang hle.
Transient Quadriplegia tih hi eng nge ni?
A châng chuan, a bik takin infiammiah chuan ruhro (spinal cord) hliam hian hun eng emaw chen chu ke ruhte chu a tichak lo thei a ni. Hei hi ``Transient Quadriplegia'' an ti a. Chutih lai chuan ke ruhte chu a bengchhengin a bengchheng a, ke ruhte chu che thei loin a awm ta a ni. Hei hi minute 10-15 chhungin a reh tlangpui a, mahse a chang chuan ni hnih vel a la ngai thei. Hetiang a nih chuan emergency anga ngaih a nih avangin damlo chu damdawi in Emergency Department (ETU)-ah refer nghal a pawimawh hle.
Take-Home Thuchah a ni
- Quadriplegia chu serh ruh (cervical spine) a chhiat avanga taksa peng pali hloh vek a ni. Hei hi a famkim emaw, a famkim lo emaw pawh a ni thei.
- Mi i rinhlelh chu a hnungzang emaw, a kawr emaw hliam tuar nia i hriatte chu tichhe ngai suh. 1990 call nghal la, ambulance ko rawh.
- Hetiang dinhmun thlentu accident tam zawk hi chu ven theih a ni. Seat belt, helmet, tlu laka invenna te hi a pawimawh hle.
- Dam theihna chance, dam rei zawng leh enkawl dan tur chu hliam awm dan leh a thlenna hmunah a innghat vek a ni. Thu dik ber hriat duh chuan i doctor nen inbia ang che.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh