I fa te hian taksa khauh tak, mak tak maia khauh tak a nei em? Spastic Cerebral Palsy a ni thei ang em? Hemi chungchang hi han sawi ila!

I naute taksa chu a khauh deuh tih i hmu ngai em, a nih loh leh a ke ruhte chu mak tak maiin a nghet hle tih i hre ngai em? A kal tan tirh hian a ke chu chhung lam hawiin a inbeng a, scissor ang maiin a kal tih i hre ngai em? A nih loh leh a lo puitlin chuan naupang dangte aiin a hnufual deuh niin a lang em? Hengte hi Spastic Cerebral Palsy tih hming pu natna chhinchhiahna a ni thei. Ngaihtuah buai suh, hemi chungchang hi chipchiar takin kan sawi dawn a ni.

Spastic Cerebral Palsy hi eng nge ni?

A awlsam zawngin sawi ila, Cerebral Palsy hi thluak leh nervous system tichhe thei, thluak lam natna chi khat a ni. Hei hian taksa chetna leh dinhmun thunun a ti harsa hle. Spastic Cerebral Palsy hi cerebral palsy chi khat a ni ber a . Hetiang dinhmunah hian naupang taksa ruhte chu a nghet lo (hei hi ``Spasticity'' kan tih chu a ni) a, a inthlak danglam thei lo. A châng chuan he khauhna hi a nasat chuan a na thei hle. Tin, naupang chuan rang takin, thunun theih loh khawpin a taksa ruh a ti na thei a, a nih loh leh a taksa a ti na thei bawk.

Ngaihtuah teh, i naute chuan infiamna pakhat man tumin a kut a phar chuan a kut a chet a, a man thiam lo. A nih loh leh a kal lai hian leiah a ke nghat tlat ai chuan a ke ruh chunga kal a tum zawk thin. A châng chuan, ball ang chi thil pakhat man tûra a kut a phar thut chuan a hrehawm hle mai thei. Hetiang dinhmunah hian hetiang thil hi hmuh tur a awm.

Spastic Cerebral Palsy chi hrang hrangte chu engte nge ni?

Spastic Cerebral Palsy hi chi thum a awm a. Eng nge an nih i en ang u.

Spastic diplegia/diparesis a awm thei

Hei hian naupang ke a nghawng ber a ni . Hip leh ke ruh te chu a tight a, kal a harsa hle. Naupang thenkhat chu an ke chu chhung lam hawia hrual a, an khup khawih (scissors ang chi) hmanga kal i hmu tawh mai thei. Chu chu hetiang dinhmunah hian a thleng thin. Hei hi ‘scissoring gait’ kan ti bawk.

Spastic hemiplegia/hemiparesis a awm thei bawk

Chutiang a nih chuan, a lan chhuah dan chuan naupang taksa sir khat chauh a nghawng a ni . Chu chu dinglam emaw, veilam emaw tihna a ni. Chumi lam a kut, ke emaw, kut leh ke pahnih emaw chu a nghawng thei a ni.

Spastic quadriplegia/quadriparesis a awm thei a ni

Hei hi natna chi khat na ber a ni. Kut pahnih, ke pahnih, leh hmai a nghawng a ni . Naupang thenkhat chuan symptom dang an nei thei bawk a, chu chu zirlai harsatna (cognitive delay) leh seizures te hi a ni.

Spastic Cerebral Palsy natna lan chhuah dan chu engte nge ni?

Okay, tunah chuan naupangin hetiang dinhmunah hian eng symptom nge a lantir theih tih hi han en ila.

• Muscle tight tak tak te
• Muscle khauh tak, flexibility tlahniam
• Muscle na a na
• Duh loh vanga taksa ruh inthlak emaw, spasm emaw

Heng symptoms te hian ke ruh natna chu a ti jerkily hle a, a smooth lo hle bawk. Heng symptoms te hi naupang thenkhatah chuan a na lo thei a, thenkhatah chuan a na zawk .

Spastic Cerebral Palsy natna lan chhuah hmasak berte chu engte nge ni?

A châng chuan naupan lai aṭanga hriat theih chhinchhiahna a awm ṭhin. I doctor chuan i naute a enfiah hunah hengte hi a bik takin a ngaihven ang.

• Limbs-a tone tihpun ( hei hi doctor endik laiin hriat theih a ni) .
• Joints fully extend harsa
• Hmasawnna lama thil pawimawh tak takte tihfel hun sawn hlat (entir nan, crawling, walking, grasping something) .
• Coordination lama harsatna
• Kal harsatna emaw, kal dan danglam tak emaw (entir nan, kea kal laiin i khup i knock khawm) .
• Tiptoes chauh hmanga kal

Engvangin nge Spastic Cerebral Palsy hi a lo awm?

Hetiang dinhmun hi a takah chuan thluak kawng hrang hrang, taksa ruh leh chetna thununtu a chhiat vang a ni. He chhiatna hi thluaka oxygen tlakchham vang te, thluak hliam vang te, emaw , a tlem hle a, genetic change (DNA inthlak danglamna) vang pawh a ni thei.

Naupai lai emaw, nau neih lai emaw, nau neih hnu rei vak lovah thluak chhiatna emaw, oxygen tlakchhamna emaw a awm theihna tur dinhmun engemaw zat a awm a:

• Thluak lama thisen kal chak lohna (e.g., ``ischemic stroke'' an tih natna) .
• Thluaka thisen chhuak (e.g., hemorrhagic stroke an tih natna) .
• Infection avanga thluak chhiatna
• Thluak hliam na tak (TBI) .

Tin, naupang pakhatin Spastic Cerebral Palsy a vei theihna a sang deuh bawk a, chu chu:

• Hun hmaa nau neih
• Nau piang rit lo
• Jaundice na tak, enkawl that loh
• Naupai laiin nu, nausen emaw, nausen emaw a nghawng thei natna
• Nausen pum chhunga fa engemaw zat neih, twins emaw triplet emaw (Multiples) .
• Naupai laia harsatna (entir nan, natna khirh tak tak, nausen pum (placental abruption emaw uterine rupture)) .
• Thluak tichhe thei chemical tha lo (toxic chemical) nena inzawmna (entir nan, tuifinriat thila mercury awm rei tak) .

Spastic Cerebral Palsy vang hian eng harsatna dang nge awm thei?

Hetiang dinhmun hian naupang ruh (muscle) chauh a nghawng lo. Harsatna dang pawh a awm thei bawk. Chung zingah chuan:

• Thusawi leh inbiak pawh harsa
• Zirna thiamna nena inzawm harsatna (Intellectual disability) .
• Seizures a awm thin
• Mit hmuhna hloh
• Hriatna hloh

Spastic Cerebral Palsy hi engtin nge an hriat theih?

He natna hi nausen emaw, naupan lai emaw atanga hmuhchhuah a ni tlangpui. Diagnosis hmasa ber chu i doctor emaw midwife emaw chuan i naute taksa a enfiah hmasa phawt tur a ni.

Doctor chuan i fa taksa ruh chakna, che vel, motor skill leh coordination te a enfiah ang. I fa chu an kum nena inmil takin a lo thanglian em tih pawh a zawt ang che (e.g., a kekawrte nge a kal emaw).

Eng ang test nge he natna hi a nemnghet?

Taksa enfiahna atanga spastic cerebral palsy hi a chhan awm thei tih a hriat chuan i doctor chuan thluak chhiatna hmunte enfiah turin imaging test a ti thei ang. Tin, chutiang bawka chhinchhiahna awm thei dinhmun dangte chu paih chhuah tumin test an ti thei bawk.

• MRI (Magnetic Resonance Imaging) hmanga enfiah a ni
• CT scan (`(CT scan - Computed Tomography scan)`) hmanga tih a ni.
• Thisen test a ni
• Genetic testing neih a ni

Spastic Cerebral Palsy hi engtin nge enkawl a nih?

Hetiang dinhmun enkawl tum ber chu naupang chetna tihchangtlun hi a ni. Dam vek theih ni lo mah se, a natna lan chhuah dan chu thunun theih a ni a, naupang chu nun tha tak nei turin a pui thei a ni.

Enkawlna atan a hnuaia mite hi hman a ni:

• Hun kal zelah taksa peng (muscle tightness) a san loh nan nitin in lama stretching exercise neih thin a ni
• Taksa lam enkawlna, hnathawhna lama enkawlna, leh/ emaw thusawi hmanga enkawlna te
• Kut emaw ke emaw chu hmun khata vawn tlat chungin taksa ruhte tichak turin special braces, casts, emaw splints hman
• Walker emaw wheelchair emaw ang chi tanpuina hmanrua hman
• Muscle stiffness leh spasm tihziaawmna damdawi (`(Baclofen)`, `(Diazepam)`, `(Clonazepam)`, `(Dantrolene)` leh `(Tizanidine)` te ang chi)
• Botulinum toxin injection (Botox® tia hriat bawk) hian taksa ruh a ti hahdam thei a ni.
• Intrathecal baclofen therapy hi damdawi hi ruhro (spinal cord)-ah direct-a pek a ni.
• Selective dorsal rhizotomy, taksa ruh tichak lo tura surgery tih a ni

Medical team chuan i fa tana enkawlna tur tha ber tur chu an ruat ang. Hei hi naupang tinah a inang lo thei.

Spastic Cerebral Palsy vei naupang dam rei zawng chu engzat nge ni ang?

A tam zawkah chuan Spastic Cerebral Palsy hian naupang dam chhung hi direct-in a nghawng lo. Mahse, a symptoms a nasat a, enkawl tha a nih loh chuan , a lo awm thin complications te hian naupang dam chhung a nghawng thei fo thin. He natna hi damdawi awm lo mah se, enkawl a nih chuan naupang chu nun tha tak a hmang thei tih hre reng ang che.

He dinhmun hi hun kal zelah a zual zel em? (Hmasawnna lam a ni em?)

Spastic Cerebral Palsy hi natna zual zel a ni lo. Chumi awmzia chu naupan laia a nghawng tawh taksa ruh ang chiah kha a hnu lamah pawh a la nghawng reng tihna a ni. Muscle thar a nghawng lo. Mahse, enkawl loh chuan hun kal zelah a natna ruhte chu a nghet lo zual thei a ni.

Enkawlna hi a pawimawh hle a , a chhan chu taksa ruh khauh tihtlem hian naupang hnathawh (kal, thawmhnaw thlak, leh thil man te ang chi) nasa takin a pui thei a ni. Natna a tiziaawm thei bawk. Naupang hian he natna hi a neih theih nan a dam chhungin medical team puihna a mamawh dawn a ni.

Engtikah nge Doctor ka hmuh ang?

I fain Spastic Cerebral Palsy a vei thei tih hriat hmasak i hmuh chuan doctor pan nghal rawh. I fate chetna leh thanlennaah inthlak danglamna emaw, tihkhawtlai emaw i hmuh chuan ngaihtuahawm hle ang che.

Doctor hnenah eng zawhna nge ka zawh ang?

I fa dinhmun i hriat hunah zawhna tam tak i nei mai thei. Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• "Ka fa diagnosis hriatthiamna min pui thei ang em?"
• "Eng ang enkawlna nge i rawt?"
• "Enkawlna tumte chu eng nge ni?"
• "Enkawlna hian side effect a nei em?"
• "Eng chen nge physical therapy emaw occupational therapy emaw ka tih ang?"
• "Surgery hian ka fa symptoms a ti tha ang em?"

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

Spastic Cerebral Palsy hi naupang leh an chhungte tan chuan harsatna lian tak a ni thei a, a chhan chu naupang thluak leh taksa ruhte inbiakpawhna mumal tak a neih loh vang a ni. Heng symptoms te hian naupang him tak leh mahni inrintawkna neia a kal kual theihna a nghawng thei a ni.

Mahse, tihdam theih ni lo mah se, vanneihthlak takin enkawlna chi hrang hrang enkawl theih a awm. Physical therapy, occupational therapy, speech therapy leh damdawi te hian naupang nunphung a titha thei a ni. I fa medical team te nen in inzawm reng a ngai dawn a ni. Hemi chungchangah hian nangmah emaw, i chhungte emaw in zawhna i neih chuan Doctor zawt hreh suh.

` Spastic Cerebral Palsy, Spastic Cerebral Palsy, Cerebral Palsy, Muscle Stiffness, Spasticity, Naupang Neurology, Incheina lama harsatna, Naupang hmasawnna