A chang chuan kut emaw, ke emaw i tihchet tum hian lungpuiin a rawn deng ang maiin a nghet nghal mai thin tih i hria em? A nih loh leh, i ding reng lai pawhin i taksa ruhte chu a inher chhuak a, a na ang maiin i hria em? Hei hi mi tam takin an tawn thin, mahse eng nge a nih chiah an hre lo. Damdawi lamah chuan hei hi Spasticity kan ti a. Ngaihtuah buai suh, vawiinah hian engkim hi awlsam takin kan sawi dawn a, i hriatthiam theih tur angin.
A awlsam zawngin Spasticity chu eng nge ni?
Spasticity hi kan taksa peng hrang hrangte incheina control tu system a disorder a ni. Ngaihtuah teh, kut kan ben tlangpui hian taksa ruh pawl khat chu a nghet (contract) a, taksa ruh pawl dang chu a hahdam thung. Tug-of-war ang mai a ni a; a sir khat chu a hrual chuan a sir dang chu a hahdam tur a ni. Hetiang kalphung hi kan central nervous system, thluak leh ruhro (spinal column chhunga nerve cord) te hian a thunun a ni .
He central nervous system hi eng emaw chhan vanga a chhiat chuan chu muscle te hnena signal system chu a tibuai thin. Chutah chuan thil thleng chu kut pakhat i tihchet tum hian taksa ruh tight tur leh muscle lo chhuak tur te chu a rualin an tikhauh vek a ni. Hei hian che a ti harsa a, taksa ruh a tikhauh a, natna a thlen thei bawk.
Mi thenkhat tan chuan he natna hi a na lo thei a, taksa ruh tight tlem vang chauh a ni thei. Midang tan chuan a ke ruh chu a nghet lutuk a, thunun theih loh khawpa natna a thlen thei a, chu chuan natna nasa tak a thlen thei bawk.
| Mihring ziarang | Hrilhfiahna awlsam tak |
|---|---|
| Muscle tone tihpun (Hypertonia) . | I ding mai mai lai pawhin i taksa ruhte chu a nghet a, a hlim lo. |
| Muscle spasms a awm thin | A rilru a buai em em a, a rilru a hah em em bawk a, a rilru a buai em em bawk a. |
| Clonus a ni | Ankles ang hmuna rang tak, khur ang maia jerk series. |
| Posture pangngai lo (abnormal Posture) a ni | Kut leh ke ang chi ke leh ke te chu kawng mak takin an ben a, an inzawm khawm a. |
| Natna leh hrehawmna | Muscle tightness leh spasms avanga natna. |
| Contract hmanga tih a ni | Muscle te chu a nghet a, ruh te chu lung atanga siam ang maiin hun engemaw chen chhungin a inzawm tlat thin. |
| Nitin hnathawh tur tihbuai | Thil awlsam tak tak, inchei te, inbual te, mahni chauha chaw ei te pawh tih harsa. |
Spasticity awm chhan hi engte nge ni?
Ka sawi tawh ang khan hei hi a chhan ber chu kan central nervous system, chu chu thluak emaw, ruhro emaw tihchhiatna engemaw zat a ni. Hetiang chhiatna hi chhan awm thei engemaw zat a awm.
- Spinal cord injury: Accident avanga ruhro chhiatna .
- Multiple Sclerosis (MS): Natna chi khat, nerve sheath tichhe thei a ni.
- Cerebral Palsy: Naupan laia thluak chhiat avanga natna awm.
- Stroke: Thluaka thisen kal a tihbuai avanga thluak cell a chhiat.
- Thluak emaw lu emaw hliam: Accident avanga lu chunga nghawng.
- Amyotrophic Lateral Sclerosis (ALS): Natna a ni a, zawi zawiin chetna control tu nerve cell te a tichak lo.
- Spasticity hi genetic condition dang engemaw zat vang pawh a ni thei bawk.
Spasticity hi engtin nge enkawl a nih?
A tha ber chu he natna hi enkawl dan tur tam tak a awm a ni. Spasticity hi tihdam kim theih a nih loh laiin, symptoms enkawl dan tur, natna tihziaawmna tur leh i nun awlsam zawka siam turin thil tam tak i tih theih a ni.
Hei hi enkawl dan tha ber chu mi pakhat chauh ni lovin, multidisciplinary team of doctors te nen thawhhona tha tak neih hi a ni. He team-ah hian neurologist, physiatrist, physical therapist, leh occupational therapist te pawh an tel thei.
Surgery hmanga enkawlna ni lo
Hengte hi enkawlna hmasa berte an ni.
- Physical therapy: Hei hi a bik takin taksa ruh tight tak takte tan stretching leh strengthening exercise te, kal leh ding dan training te a ni.
- Occupational therapy: Hei hian nitin hna, incheina, inbual, leh chaw siam te chu nangmah chauha i thawh theih nan i kut ruhte chu exercise i tih a ni.
- Speech therapy: Spasticity hian i hmai, i hmui leh i rilru ruhte a nghawng a nih chuan, he therapy hian thusawi leh ei harsatnate chu a hneh thei a ni.
- Damdawi: Taksa tih hahdamna atana hman theih damdawi a awm. Entirnan, damdawi chi hrang hrang `(Baclofen)`, `(Tizanidine)`, `(Diazepam)` te. Mahse, hengte hian a chang chuan side effects, mutthilh leh chak lohna te a thlen thei a ni. Chuvangin , heng damdawi te hi doctor-in a pek ang chauha hman a pawimawh hle.
Botox injection hmanga enkawl a ni
Ni e, `(Botox®)` i hriat tawh ang kha a ni. Hei hi cosmetic treatment mai ni lovin, spasticity enkawlna tha tak a ni bawk. Hetah hian i tih tur chu he injection hi direct-in tight muscles-ah inject a ni. Tichuan, chu ruhte chu a relax ta a ni. Hei hian a nghawng chu thla 3 vel a ni.
Surgery (surgery) tih a ni.
Hengte hi natna a nasat zawk hunah hman a ni tlangpui.
- ITB Therapy: Hei hian pum vun hnuaiah pump te tak te surgery hmanga dah a ni a, chu chuan damdawi pakhat ``(Baclofen)`` tih hming pu dose bik chu spinal nerve chhehvel tuiah direct-in a chhuah tir thin. Ka ei aiin side effect a nei tlem zawk.
- Selective Dorsal Rhizotomy (SDR): Hei hi surgery harsa deuh deuh a ni. Hemiah hian harsatna thlentu nerve zungte chauh thlan chhuah leh cut a ni. Hei hian ke ruh na tak chu a tihziaawm thei a ni.
- Orthopaedic surgery: Spasticity avanga ruh leh ruh (joint) nghet leh nghet lo tawhte siam\hat lehna tur surgery a ni.
Engtikah nge doctor i hmuh ngei ang?
Hei hi a pawimawh hle.
Hetiang hian a hmaa harsatna nei lovin i taksa ruh (muscle tightness and twitching) i tawk nghal a nih chuan thluak emaw, ruhro emaw tihchhiatna chhinchhiahna a ni thei a, chuvangin doctor pan nghal vat rawh.A tul chuan Emergency Treatment Unit (ETU) ah kal rawh.
Spasticity i nei tih i hriat tawh chuan a hnuaia thilte hi a lo thlen chuan i doctor nen inbia ang che:
- Nitin a stiffness leh cramping a pung zel a nih chuan.
- Natna a zual chuan.
- Nitin hna thawh kawngah harsatna i neih belh zel a nih chuan.
Take-Home Thuchah a ni
- Spasticity hi taksa ruhte chu thunun theih loha tihkhauh leh inzawmkhawm, thluak emaw, ruhro emaw tihchhiat vang a ni.
- Hei hi a nasat dan chu hrehawmna tlemte atanga nitin hnathawh theih lohna tur natna nasa tak thlengin a awm thei.
- Lungngai suh. Enkawlna hlawhtling tak tak a awm nual a, physical therapy atanga surgery thlengin.
- I medical team nena inbiakna hmang hian i tan enkawlna tur ruahmanna tha ber i siam thei ang.
- Symptom thar i neih emaw, i dinhmun a zual emaw chuan doctor thurawn la hmasa phawt ang che.
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