I fa pawhin chutiang bawk chu a ti reng em? (Stereotypic Movement Disorder) chungchang hi i zir dawn teh ang!

Naupang tê tê, nangmah ngei pawhin i fate pawh ni se, chutiang bawka an kut an beng, an lu an thing emaw, an taksa an nghing emaw pawh i hmu tawh ngei ang. Chûngte chu infiamna mai mai a ni em, a nih loh leh kan ngaihtuah tûr thil chhinchhiahna a ni em? Vawiin hian heng movement repetitive te hi kan sawi dawn a, a bik takin Stereotypic Movement Disorder (SMD) tih condition pakhat kan sawi dawn a ni. Lungngai suh, he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

`(Stereotypic Movement Disorder)` tih hi eng nge ni?

A awlsam zawngin, Stereotypic Movement Disorder hi naupangin thil tum chiang tak nei lovin a tih nawn fo thin, a tih nawn fo thinna dinhmun a ni . Think head-banging, body-shaking, etc. Heng chetna hian naupang thil tih dan pangngai a tibuai thei a, a chang chuan taksa tan a tichhe thei bawk.

He natna hi hriatchhuahna atana doctor-te hman kaihhruaina, Diagnostic and Statistical Manual of Mental Disorders (DSM-5) ang chuan heng chetnate hi damdawi dang emaw damdawi dang emaw hmanga sawifiah theih a nih loh chuan "SMD" an ti a ni.

Hetiang dinhmun hi kum 3 an tlin hmain a intan tlangpui a, a châng chuan puitlin thlengin a awm thei bawk.

`(Motor Stereotypies)` tih awmzia chu eng nge ni? Hei hi `(SMD)` nen a danglam em?

Ni e, an pahnih inkarah hian danglamna tlem a awm. `(SMD)` kan thlen hmain `(Motor Stereotypies)` tih awmzia hi han hrethiam ila. `(Motor Stereotypies)` tih hian chutiang chetna, chu chu a lan chhuah dan a kawk a ni. `(Stereotypic Movement Disorder)` tih hian chu dinhmun, chu chu natna a kawk a ni.

Doctor-te chuan ``Motor Stereotypies`` hi chi hnih ah an then a:

• Simple Motor Stereotypies: Hengte hi a tam hle. Naupang tê tête bakah puitlingah pawh hmuh theih a ni. Entirnan, kut zungtang hrual, ke tap, sam hrual, leh nail biting. Heng chetna awlsam tak takte hian nitin hnathawhna a tibuai lo va, lungngaihna nasa tak a thlen lo tlangpui. Chûngte chu kan naupan laia kan tih mai ni lovin, a châng chuan kan lo puitlin hunah pawh a ni.

• Complex Motor Stereotypies: Hengte hi thil buaithlak tak, thil tih nawn fo thin a ni. Entirnan, kut beng, taksa tihngheh, leh hmui leh hmai chet nawn fo te. Heng incheina buaithlak tak takte hi kum 3 an tlin hmain a intan tlangpui a, a châng chuan tleirawl thlengin a awm reng a, puitlin thlengin a awm reng thei bawk. Nitin hnathawhna tibuaitu an ni thei a, taksa tichhe thei an ni. Heng motor stereotypy complex tak takte hi SMD-ah hian hmuh tur a awm fo thin.

Tichuan, heng ``Motor Stereotypies'' chi hnih hi chi hnih ah then belh leh a ni:

• Primary Motor Stereotypies: Hengte hi a chhan bulpui awm lovin, chu chu neurodevelopmental disorder dang awm lovin a thleng thin.

• Secondary Motor Stereoty hrang hrang te chu: 1.1.Chûngte chu damdawi lam dinhmun dang pakhatah pawh a thleng thei a ni. Entirnan, naupang ``Autism Spectrum Disorder (ASD)`` emaw ``Developmental Delay`` emaw tih natna nei chuan heng chetna te hi a nei thei a ni.

A awlsam zawngin sawi ila, naupang `(ASD)` vei hian hetiang chetna hi a siam a nih chuan doctor-te chuan `(ASD)` ngeiah pawh an ngai a ni. Thenkhat chuan `(stimming)` an ti bawk. `(SMD)` tia koh tur chuan heng movement te hi a chhan chiang tak (damdawi lam dinhmun dang) a awm thei lo.

Stereotypic Movement Disorder hi engtiang chiahin nge a awm?

Researcher-te chuan SMD hi engtiang chiahin nge a hluar tih an hre chiang lo a, mahse a tlangpuiin natna hmuh tur awm lo anga ngaih a ni . Mahse, Motor Stereotypies chungchangah hian data engemaw zat a awm.

Complex Motor Stereotypies hi a tlem hle. Zirna hrang hrangah naupang 3% leh 4% inkar vel an nghawng tih hmuhchhuah a ni. Mahse, he zat hi naupang damdawi lam harsatna neiah chuan a tam zawk a ni. Entirnan, naupang hmasawnna lama harsatna nei zinga 61% leh autism spectrum disorder (ASD) nei naupang 88% chuan heng chetna khirh tak takte hi an nei thei a ni.

Mahse, motor stereotypy awlsam tak tak hi a tam hle. Naupang pangngaia lo thanglian mek zinga 20% leh 70% inkar vel an nghawng thei a ni. Hei hian i ngaihtuah angin an hlauhawm lo tihna a ni.

`(Stereotypic Movement Disorder)` natna lan chhuah dan chu engte nge ni?

SMD vei naupang chuan nitin hnathawhna tibuaitu emaw, taksa tichhe thei emaw motor stereotypies a nei thei a ni. Entirna thenkhat chu:

• Kut a inbeng kang
• Taksa a ti nghing
• Lu a rawn beng a
• Kut zungtang emaw kut emaw chet chhunzawm zel
• Kawng leh hmai incheina chi khat siam (orofacial movements) .
• Mahni inhnek, mahni inhnek, mahni inhnek.
• Nail biting na tak a awm

Heng thil tih dan hi hetiang hun lai hian a awm fo thin :

• Stress a san chuan
• Lungkhamna a lo thlen hunah
• I hlim em em lai (excitement) .
• Thil engemaw i ngaihtuah em em lai (focused concentration) .
• Bored i tih hunah `(boredom)`

Mahse, ngaihvenna chu a dang a nih chuan heng nungchangte hi a tlahniam emaw, a bo emaw a ni tlangpui.

SMD vei naupangte hian heng movement te hi an tih hian an hlim a, "okay" an ti tih an sawi fo thin. Hei hi Obsessive-Compulsive Disorder (OCD) ang chi natna nen a danglam a ni. OCD-ah chuan movement te hi ngaihtuahna tibuaitu atanga anmahni tihbuai nan an ti thin. Mahse, SMD vei naupang chu heng chetnate ti lo tura tihtawp i tum chuan an thinrim thei a, an lungawi lo thei a, an lungawi lo thei bawk .

`(Stereotypic Movement Disorder)` awm chhante chu engte nge ni?

Zirchiangtute chuan Stereotypic Movement Disorder awm chhan dik tak hi an la hmuchhuak lo. Heng repetitive movement te hi neurological disease dang emaw neurodevelopmental disorder emaw nen a inzawm lo.

Mahse a tlangpuiin zirchiangtute chuan heng ``Motor Stereotypies`` te hi thluaka chemical thenkhat balance inthlak danglam vang a ni thei niin an ngai a, chu chu ``neurotransmitters`` kan ti a, entirnan ``dopamine``, ``acetylcholine`` leh ``GABA`` te hi .

Complex `(Motor Stereotypies)` nen hian genetic link a awm niin a lang. Chumi awmzia chu heng chetna nei naupang hian chhungkaw hnai tak (unaupa, unaunu, emaw nu leh pa) chu he natna nei a nei tam zawk tihna a ni. Mahse, gene bik erawh hmuhchhuah a la ni lo.

`(Stereotypic Movement Disorder)` hi engtin nge kan hriat theih ang?

Doctor-in i fa chu Stereotypic Movement Disorder (SMD) a vei tih a hriat theih nan heng zawng zawng hi a tlin vek a ngai a ni :

• Heng repetitive movement te hi kar li tal a daih tur a ni .
• Heng chetnate hian naupang inpawlna te, sikul hnathawh te, nitin thiltih te a tibuai tur a ni a, chuti lo chuan naupang chuan amah a tichhe tur a ni.
• Heng movement te hi damdawi lam chhan dang a awm thei lo.

A hmasa berin i fa doctor-in taksa a enfiah ang a, i fa medical history a zawt ang che. I fa natna lan chhuah dan te pawh an zawt ang a, entirnan:

• Engtikah nge he movement hi a lo intan?
• Heng thilte hi engzat nge thleng thin?
• Chûngte chu dinhmun emaw, boruak emaw ṭhenkhat avânga pung an ni em?
• Chûngte chuan naupang ni tin thil tih dânah engtin nge nghawng a neih?

Heng motor stereotypies buaithlak tak tak thlen thei thil dang, Autism Spectrum Disorder (ASD) te pawh hi paih chhuah a pawimawh hle. Hei hian evaluation leh test hrang hrang a mamawh thei.

I fa doctor pawhin test ṭhenkhat, thisen test ang chi, heng chetnate hi taksa lama chhan a awm leh awm loh en turin a rawt thei bawk.

`(Stereotypic Movement Disorder)` enkawl dan tur chu engte nge ni?

A tam zawkah chuan Stereotypic Movement Disorder hi enkawlna bik a ngai lo. Mahse, i fain heng chetna tihziaawmna tura tanpuina a mamawh a nih chuan, emaw, heng nungchang avang hian anmahni a tichhe a nih chuan, nungchang lama enkawlna Habit Reversal Training (HRT) tih hi a hlawk hle thei a ni. Hei hian a chetna nasatna leh a thlen tam dan tihtlem nan a pui thei a ni.

`(HRT)` an tih danah hian naupang chu heng chetna te hi a lo intan dawn huna chhinchhiahna awmte hre thei tur leh chu ai chuan nungchang dang ti turin zirtir a ni. Naupang chuan heng technique hmang hian a nungchang thunun a zir thin. Classroom-ah leh in lamah naupang zirtirtu leh nangmah hian heng nungchangte hi titawp theiin, naupang chu i hmuh veleh i ngaihtuahna a tibuaituah thei a ni.

I fa chu heng ``Motor Stereotypies'' avang hian mahni intihhlum (entir nan, an lu vuak emaw, anmahni inhnim emaw) a nih chuan, anmahni venhimna atan hmalakna bik neih a ngai mai thei. Hei hian ``helmet'' vuah tir emaw, picking tihtlem nan gloves vuah emaw pawh a huam thei. I fa doctor emaw ``Occupational Therapist'' emaw hnenah i fate nungchang nena inmil tur kawng bik chungchangah thurawn i dil thei ang.

Zirna hrang hrangah chuan damdawi thenkhat hian autism leh neurodevelopmental disorder dang nei naupangte chu complex motor stereotypies control turin a pui thei tih hmuhchhuah a ni. Mahse, heng damdawi te hian Stereotypic Movement Disorder tan a pui tih zirchianna erawh a la awm lo.

Ka fa hian `(Stereotypic Movement Disorder)` a nei a nih chuan eng nge ka beisei ang?

`(SMD)` nungchang hi tleirawl leh puitlin thlengin a la chhunzawm thei fo. Naupangin amah a tichhe lo chhung chuan heng nungchangte hi a pawi lo tih hre reng ang che. Hei hi anmahni khawvel hmachhawn dan mai a ni mai thei. Ni e, mi dangte nên a danglam thei a ni. Mahse, ‘dik lo’ a ni lo.

I fain heng chetna kawngah hian tanpuina a mamawh a nih chuan an doctor emaw, occupational therapist emaw pan rawh. I fate enkawl chungchanga thutlukna siamnaah thu sawi tur engemaw zat pek hian an taksa thunun thei tih a hriat theih nan a pui thei a, an rilru hriselnaah pawh nghawng tha tak a nei thei bawk.

Ka fa doctor hnenah eng zawhna nge ka zawh ang?

I fain Stereotypic Movement Disorder a neih chuan doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• "Engvangin nge, Doctor/Miss, ka fa hian he `(Stereotypic Movement Disorder)` hi a neih?"
• "Engtin nge ka fa hian natna dang a nei lo tih chiang taka kan hriat theih ang?"
• "Symptom dang ka ngaihven tur a awm em?"
• "Engtin nge ka fa Stereotypic Movement Disorder vei hi ka puih theih ang?"
• "Ka fa pui thei tur specialist eng ang nge awm?"

Stereotypic Movement Disorder hi ven theih a ni em?

Stereotypic Movement Disorder awm chhan dik tak hriat a nih loh avangin ven theih a ni lo.

Nu leh pa i nih angin i fate nungchang inthlak danglamna tlemte pawh i hmuh hian lungkhamna i neih hi thil pangngai a ni. ‘SMD’ hi a bulpui berah chuan hetiang ang movement repetitive, purposeless movement te classified dan mai a ni. I fa hian hemi kawngah hian tanpuina a mamawh thei a, a mamawh lo thei bawk. Amaherawhchu, a pawimawh ber chu i fate chhawmdawl hi a ni. I fa doctor hnen atangin tanpuina i dawng thei bawk. Zawhna zawh hreh suh la, i ngaihdan sawi chhuak rawh. I tanpui turin an awm reng a ni.

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

Okay, chuvangin kan sawi tawh atanga kan hriat reng tur pawimawh tak tak te chu hetiang hi a ni:

• Stereotypic Movement Disorder (SMD) hi thil tum chiang tak nei lovin a inang tlanga tih nawn fo thin a awm thin.
• Heng movement zawng zawng hi a serious vek lo. ``Motor stereotypies`` awlsam tak tak hi a awm fo thin.
• Heng chetnate hian naupang nitin nun a tibuai a nih chuan, anmahni a tichhe a nih chuan, naupangin hetiang hian a tuar a nih chuan damdawi lam thurawn zawng rawh.
• ``Habit Reversal Training (HRT)`` ang chi behavioral therapies te hian he natna hi control turin a pui thei a ni.
• A pawimawh ber chu naupang hriatthiam a, hmangaihna leh thlawpna pek a, heng chetnate hi a chhunga tel ve anga pawm hi a ni.

Hemi chungchanga zawhna dang i neih chuan i chhungkaw doctor emaw, naupang enkawltu emaw nen inbiakna neih hreh suh.

` Stereotypic Movement Disorder, chetna repetitive, motor stereotypies, autism, ASD, nungchang lama harsatna, naupang rilru hriselna, mahni intihhlum