I fa hian Cerebral Palsy a nei em? He SDR surgery (Selective Dorsal Rhizotomy) chungchang hi i zir chiang ang u

Nu leh pa i nih angin i fain Cerebral Palsy a vei a, kea kal, tlan, zuang leh nitin hna thawk harsa a tih i hmuh hian engtiang chiahin nge i lungngaih? A bik takin naupangin a ke a khauh lutuk, chu chu a taksa ruh a khauh lutuk (spasticity) a tuar lai en chu a harsa hle a ni lawm ni? Vawiin hian chutiang naupangte tanpui thei tur special surgery chungchang kan sawi dawn a ni.

Selective Dorsal Rhizotomy (SDR) tih hi eng nge ni?

A awlsam zawngin sawi ila, Selective Dorsal Rhizotomy (SDR) hi Cerebral Palsy vei naupangte taksa ruh (muscle stiffness) (spasticity) tihziaawmna tura surgical procedure tih a ni.

Hei hian naupang ke ruh hnuai lam a sensory nerve fiber thenkhat, a ke ruh tikhauhtu chu thlan bik taka tan leh lakchhuah a huam a ni. Mahse, lungngai suh, he surgery hian naupang ke a ti paralyze dawn lo. Tin, ke chet dan pawh a nghawng dawn lo bawk.

Mahse thil pakhat hriat reng tur chu: He surgery atanga result tha ber hmuh tur chuan operation hnuah intensive physical therapy leh rehabilitation programme i neih a ngai a ni. Tin, he surgery hi naupang cerebral palsy nei zawng zawng tan a tha lo.

Eng dinhmun nge SDR surgery hmanga enkawl?

Doctor-te chuan he SDR surgery hi naupang cerebral palsy vei te taksa ruh (muscle stiffness) (spasticity) enkawlna atan an hmang thin.

Cerebral palsy ( CP ) hi naupangin an taksa ruh (muscle) a thunun theihna a tichhe thei a ni. Thluak chhunga chetna leh inremna thununtu peng hrang hrang tihchhiat avanga lo awm a ni. CP vei naupang tam tak chuan spasticity an tih hi an nei a . Chumi awmzia chu naupangin che a tum emaw, a châng chuan a ding reng emaw pawh ni se, taksa ruh ṭhenkhat chu a inzawm khawm nghal a, a nghet lo tihna a ni. Hei hian kea kal ang chi thil a ti harsa thei a, natna a thlen thei a, nitin hnathawhna a tibuai thei bawk.

SDR surgery hi naupang Spastic Diplegic Cerebral Palsy nei, ke pahnih chauh natna nei, leh Spastic Quadriplegic Cerebral Palsy nei, ke pali zawng zawng na taka natna vei te tan tih a ni ber.

Engtin nge he surgery hi a thawh?

Ngaihtuah teh, kan taksa peng hrang hrangte tightness pangngai chu spinal cord-a nervous system-a process pakhatin a thunun a ni. Hetah hian sensory nerve chuan ruh atanga thu hriatna a rawn keng lut a, chutah chuan motor nerve chu chu thauah chuan a kal leh a, a inzawm khawm tir ta a ni.

A tlangpuiin he kalphung hi kan thluak atanga thuchah lo lutte hian a thunun thin. Chu chu kan duh angin kan taksa ruhte kan thunun thei tihna a ni. Mahse, cerebral palsy-ah chuan thluak hian hei hi a thunun theihna a tlahniam a ni. Chuvang chuan taksa ruh thenkhat chu a inzawm khawm reng a, a nghet reng bawk.

SDR surgery hian he stiffness (spasticity) lutuk hi a ti bo thei a ni. Surgeon chuan he rilru natna thlentu sensory nerve rootlet pangngai lo chauh a thlang a, a tikehsawm thin. Hei vang hian function dang tichhe lovin a stiffness tihtlem theih a ni. Surgery an neih chhung hian heng nerve zawng zawng hi test vek a ni a, eng nerve nge hnathawk tha tih leh eng nerve nge harsatna awm tih chiang taka hriat theih a ni.

He stiffness hi a bo chuan a hnuaia taksa pengte chu a pangngaiin an thawk tan thei a ni. Tichuan, naupang chet dan, kea kal ang chi te chu a tha chho zel ang. Tin, he stiffness hi a awm reng chuan muscle scarring leh joint leh bone deformities (contractures) awm thei te chu he surgery hmang hian a veng thei bawk.

Naupang chu SDR surgery atan engtin nge kan buatsaih ang?

SDR surgery hi naupang zawng zawng tan a tha lo a nih avangin i fate chu a hlawkpui dawn em tih enfiah nan special screening process a nei ang. Hemi atan hian specialist doctor eng emaw zatin naupang hi an enfiah dawn a ni.

Heng mite hian naupang chu an enfiah vek a, team angin SDR surgery hi naupang tan a tha em tih an rel a ni. Chu bakah, test dang engemaw zat tih theih a ni bawk:

• Surgery hnua enkawlna tur ruahmanna siam turin physical leh occupational therapist-te chuan naupang chetna leh thiltih dan chu video-in an la thin.
• Neurological condition dang a awm loh nan thluak MRI neih a ni.
• Neurosurgeon nen inhmukhawm la, surgery avanga hlauhawmna leh a dam leh dan tur sawifiah rawh.
• Naupang tan anesthesia hi a him em tih enfiah turin anesthesiologist nen inhmukhawm rawh .

Surgery neih chhung hian eng nge thleng?

Hengte hi SDR surgery neih chhunga step hrang hrang awm tlangpui chu a ni.

1. Anesthesia: Anesthesiologist chuan naupang chu anesthesia a pe thin. Hei hian naupang chu a muthilh tir a, operation neih chhungin natna a nei lo.

2. Incision: Neurosurgeon chuan naupang hnungzang hnuai lam lai takah incision te tak te a siam thin.

3. Nerve exposure: Chu incision hmang chuan ruh ruh leh ruhro khuh tu membrane (dura) inkarah "window" te tak te siam a ni a, a hnuaia nerve fiber te chu a lang chhuak ta a ni.

4. Nerve separation: A dawtah chuan motor nerve leh sensory nerve te chu a inthen a. Motor nerve te hi a chhiat loh nan venhim a ni.

5. Nerve testing: Electrode hmangin sensory nerve tihchak nan technique pakhat electromyography (EMG) an ti a. Hei hian eng nerve pangngai lo nge spasticity thlentu tih leh eng nerve pangngai nge tih chiang taka hriat theih nan a pui thei a ni.

6. Nerve cutting: 1.1.Tichuan, sensory nerve pangngai lo hmuhchhuah zinga percentage engemaw zat chu a cut chhuak ta a ni. Nerve cut zat hi naupang hrang hrangah a inang lo.

7. Incision suturing: Nerve cutting zawh hnuah incision chu layer khat hnu layer khatin closed back sutured a ni.

8. Recovery room: Surgery neih zawhah naupang chu Intensive Care Unit (ICU)-ah enfiahna hnuaiah dah a ni.

He surgery hi darkar li emaw darkar nga emaw vel a ni tlangpui.

Surgery hnuah eng nge thleng? Tin, a hlawknate chu eng nge ni?

Surgery zawhah naupang chu ni nga vel damdawi inah a awm a ngai dawn a ni. Darkar 24-48 hmasa berah chuan naupang chu khumah a awm reng a ngai dawn a ni. Ni engemaw zat chhungin taksa enkawlna (physical therapy) tan a ni ang.

Naupang ke chauh tichhe thei CP (Spastic Diplegic CP) nei tan a thatna:

• Kea kal leh kal theihna tihchangtlun.
• Stamina tihpun.
• Tlu tihtlem leh balance tha zawk.
• Thut leh ding dinhmun tha tak.
• Spasticity avanga natna tihziaawmna.

Spastic Quadriplegic CP nei naupangte tana hlawkna:

• Hun rei zawk nuam zawka thut theihna.
• Potty seat hman theihna tur.
• Wheelchair mahni inrintawkna nei thei.

Tin, ruh a nghet lo zawk avangin enkawltute tan naute diaper thlak a, chaw pek a awlsam phah bawk.

He surgery hian eng hlauhawmna nge a neih?

Surgery dang ang bawkin SDR hian risk tenau tak a nei a.

Hun rei lote chhunga harsatna awm thei:

• Kaichhawng
• Thisen chhuak
• Cerebrospinal fluid (CSF) a leak thin

Harsatna awm reng (a tlem hle):

• Khawih avanga rilru natna (hyperesthesia), a chang chuan natna nen a inzawm thin.
• Zun control theih lohna (urinary incontinence).
• Bowel control hloh (bowel incontinence) tih hi a ni.
• Chak lohna emaw, a hmaa kal theihna hloh emaw.

Ngaihtuah buai suh, i fa medical team chuan operation hmain heng hlauhawm zawng zawng hi uluk takin an hrilhfiah ang che.

Recovery time leh physical therapy pawimawhzia

Operation hnuah taksa lam therapy leh occupational therapy hi a pawimawh hle. He rehabilitation program hi surgery result neih theih nan a pawimawh hle.

Physics therapist chuan naupang ruh chakna, tihzauh leh tihchangtlun nan exercise a ti ang. Occupational therapist hian naupang chu in leh sikulah mahni inrintawkna nei zawk turin a pui ang.

I fain damdawi in a chhuahsan hmain therapist te chuan in lama i tih tur exercise leh treatment te chiang takin an hrilhfiah ang che. Heng enkawlnate hi kar khatah ni engemaw zat thla 3-6 chhung i tih a ngai dawn a ni.

I fa zai hnua harsatna awm thei, hliam natna emaw, zun control theih lohna emaw i hmuh chuan doctor ko nghal rawh.