I chhungte emaw i hriat emaw zingah SMA, emaw Spinal Muscular Atrophy nei an awm em ? Hun kal zelah engtin nge hei hi a danglam ang tih leh a natna lan chhuah dan a zual zel dan tur chu i ngaihtuah mai thei a, i hlau pawh a ni mai thei. Dik tak chuan he natna kal zel dan hi mi hrang hrangah a inang lo hle. SMA chi li zinga eng nge i neih, engtik atanga a lan chhuah tirh nge a nih tih leh chutih laia taksa thanlenna level i thlen danah a innghat a ni. Hemi chungchang hi vawiinah hian awlsam tak leh chiang takin sawi ila.
SMA natna hi engtin nge a kal zel?
He natna hian taksa lai tak, hnungzang leh hip te a nghawng ber a ni. Hei hi taksa lairil atanga hla zawka taksa ruh (kut zungtang leh ke ruh ang chi) aiin a langsar zawk.
Hetiang hian han ngaihtuah teh, i ke ruh, ding thei tura puitu i ke ruh te chu i ke ruh aiin a chak lo zawk thin. Tin, i kea chak lohna chu i kut hmaah a langsar zual bawk.
Mi thenkhat chuan an kutah chakna hloh zauh zauh an nei thei bawk. Mahse, hun kal zelah chakna vawng rengtu chu kut te hi a ni tlangpui. Kut chu chak lo mah se, nitin hna , computer hman ang chite chu an la thawk thei tho mai thei.
SMA avanga harsatna lian dang lo awm chu curved spine a ni a , chu chu medically chuan scoliosis kan ti a ni . SMA vei naupang tam tak chuan an naupan laiin he natna hi an nei thin. Hei hi a chhan chu ruhro (spine) thlawptu thau (muscles) te chu a chak lo zauh zauh thin a ni.
Scoliosis hian thawk harsatna a thlen theih avangin hemi chungchang hi doctor nen inbiakna neih fo a, a tul anga thupek zawm a pawimawh hle.
Scoliosis vei chuan a hnuaia symptoms te hi a nei thei a ni.
- Shoulders leh hips level inang lo.
- A ke pakhat chu a dang aiin a lian zawk emaw, hmalam a rawn chhuak emaw a ni.
- Hip pakhat chu a dang aiin a sang zawk.
Hetianga ruhro (spine) curvature hian harsatna leh natna a thlen thei a ni. Curve a nasat chuan lung a compress thei a, thawk pawh a nghawng thei bawk. Doctor-te chuan naupang a lo puitlin hma loh chuan operation nei lovin special brace hmangin a natna hi enkawl an tum tlangpui. Mahse, hun kal zelah ruhro (spine) curvature chu a na zual thei a, chuvangin he thila thawk emaw, chetna lama harsatna lo awm apiang chu i doctor-in a ngaihven hle ang.
A hnua thil thleng tur chu SMA i neih chi hrang hrangah a innghat.
SMA chi hrang hrang leh an nihna
SMA hi chi li-ah then a ni a. Chungte chu natna lan chhuah tan kum leh damlo taksa chakna sang ber a zirin an thliar hrang a ni. Type tin hi a hranin han en ila.
| SMA Type a ni | Kum lama natna lan chhuah tanna | Key features leh hmalam pan zel tur |
|---|---|---|
| Type 1 a ni (Werdnig-Hoffmann natna) tih a ni. | Pian tirh emaw thla 6 hma emaw | A na hle mai. Enkawlna tel lo chuan ṭhut emaw, lu thunun emaw a har. Bawnghnute hnute pek emaw, ei tur ei emaw a harsa hle. Mi pakhat chu pum atanga thawk chhuak ang mai a ni. Thluak lam natna khirh tak tak a awm fo thei. |
| Type 2 a ni | Thla 6 leh 18 inkar | A thu thei a, mahse tanpuina tel lovin a kal thei lo. An upat deuh deuh chuan ṭhut tûr pawhin ṭanpuina an mamawh mai thei. Tremors hmuh tur a awm thei. |
| Type 3 a ni (Kugelberg-Welander natna) (Kugelberg-Welander natna) a ni. | Thla 18 hnuah emaw, kum naupang takah emaw | Ka kal thei. Mahse hun a kal zel a, ka tlu fo thin a, stairs lawn leh chhuk chu a harsa thin. Leia mut hnua tho leh chu a har khawp mai. |
| Type 4 a ni | Kum 20-30 inkar (puitling) . | Vang. Symptoms hi a lo lang zawi zawi hle. Puitlingte chu an kal thei a, mahse an upat deuh deuh chuan taksa chak lohna a awm thin. |
Type 1 chungchang tlem tal
Hei hi SMA natna khirh ber a ni. Werdnig-Hoffmann natna an ti bawk. Pian tirh emaw, thla 6 hmasa berah emaw hmuhchhuah a ni. Muscle chak lohna hi a kal chak hle. Enkawlna tel lo chuan naupang chu a thu thei lo ang a, a ding thei lo bawk ang.
Naute chu hnute hnek leh ei harsat avangin chaw tha lo a ni thei. Naute thenkhat chu an pum atanga thawk chhuak angin a lang thei . Hei hi a chhan chu rilru chhunga thawkna thau (respiratory muscles) te hian hna an thawk tha lo a, chuvang chuan diaphragm chauh hmangin an thawk thin. Hei hian thawk lama harsatna nasa tak leh natna hrik a thlen fo thei a, a chang chuan nunna atana hlauhawm tak a ni.
Type 2 chungchang tlem tal
Hetiang chi hi thla 6 leh thla 18 inkar ah hmuhchhuah a ni. Naupang pakhatah natna a zual zel dan hi a inang lo hle. Type 2 vei naupangte chu a tir lamah chuan puihna tel lovin an thu thei a ni. Mahse, an tleirâwl an tlin meuh chuan ṭanpuina tel lova ṭhut chu a harsa mai thei.
Tin, heng naupangte hian tanpuina tel lovin step tlemte aia tam an kal thei lo bawk. Vawi tam tak chu an kut zungtangte chu a khur (tremors) tan thin. Doctor-in khup chu hammer te tak te hmanga a tap chuan tendon reflex pawh a bo thei.
Type 3 chungchang tlem tal
Hei hi Kugelberg-Welander syndrome an ti bawk. Thla 18 vel atanga hmuhchhuah a ni tlangpui a, mahse a chang chuan tleirawl lai atanga a lan chhuah tan theih a ni.
Hetiang SMA chi hi a lo kal zel dan hi naupangin a chetna a zir zat a zirin a innghat a ni. Heng naupangte hian kea kal dan an zir thei a ni. Mahse hun a kal zel a, an tlu fo tan a, stairs lawn pawh an harsat a, mut atanga tho pawh an harsat bawk. SMA chi dang ang bawkin an taksa ruh a chak loh avangin thawkna lam natna an vei awlsam zawk.
Type 4 chungchang tlem tal
Hei hi SMA chi khat hmuh tur awm lo ber a ni. Kum 20 emaw 30 emaw vel atanga hmuhchhuah a ni. Natna hi a zual zawi zawi hle. Hetiang chi vei te hi puitling angin an kal thei a, mahse an upat deuh deuh chuan taksa chak lohna hi a pung zauh zauh thei.
Take-Home Thuchah a ni
- Spinal Muscular Atrophy (SMA) hi natna a ni a, hun kal zelah taksa ruh a tichak lo hle. Mahse, thluak a nghawng lo. Damlo finna leh hriatna chu a pangngai reng a ni.
- Nangmah emaw i fa emaw SMA i neih chi hian natna chu engtiang chiahin nge a rang ang tih leh a nasat dan tur a hril a ni.
- Thâwk harsa leh scoliosis hi SMA nena inzawm natna tlangpui a ni. Chûngte chuan ngaihven bik leh damdawi lam enkawlna a ngai a ni.
- Natna enkawl dan tur te, a hun taka clinic kal tur te, leh thupek pekte zawm tur te nen doctor nen thawhhona tha tak neih a pawimawh hle.
- Tunlai enkawlna hian SMA vei te nunphung leh dam rei zawng nasa takin a tichangtlung a, chuvangin beiseina hi bansan ngai suh.
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