I fate kawr chu a sir khatah a innghat em? Torticollis chungchang hi han sawi ila!

I naute lu chu a sir lehlamah a inher a, a nih loh leh an hmui chu a sir lehlamah a inher tih i hmu ngai em? A châng chuan, nu leh pate chu an fa tê chu chutianga a awm chuan an buai deuh ṭhin. Hei hi eng nge a chhan, hei hi thil pawi tak a ni em? Chu chu vawiin a kan sawi tur condition chu a ni a, torticollis an tih chu a ni. Hei hi nu tam takin an tawn theih thil a ni. Chuvangin, hlau lovin i zir belh zel ang u.

Torticollis hi eng nge ni?

A awlsam zawngin sawi ila, torticollis hi i naute kawr chhunga ruh (muscles) te hian an lu a tikehsawm a, a sir khatah a tilt a, a awm a ni. An kawr chu kawng danglam takin a inher ang maiin a lang thei. An lu chunglam chu a sir khatah a inher thei a, an hmui chu a sir lehlamah a inher thei bawk. Hei hi ‘wryneck’ an ti bawk. ‘Torticollis’ tih thumal hi Latin tawng ‘tortus’ atanga lo chhuak a ni a, a awmzia chu ‘twisted’ tihna a ni a, ‘collum’ tih atanga lo chhuak a ni a, a awmzia chu ‘neck’ tihna a ni. Chuvangin ‘twisted neck’ tihna a ni.

Hei hi a takah chuan naute leh naupang te zingah chuan a awm fo thin. A tlangpuiin ngaihtuahawm tur a ni lo. Torticollis hi chi hnih a awm a, chungte chu:

1. Congenital Torticollis: Hei hian he natna hi pian tirh lamah a awm tihna a ni.

2. Acquired Torticollis: Hei hi nau pian hnuah a awm thei a, a chang chuan naute pian atanga thla engemaw zat chhung emaw, a hnu lamah emaw a awm thei.

Congenital Torticollis chungchang tlem tal

He torticollis chi, congenital torticollis tia koh hi naute zingah torticollis chi khat awm tam ber a ni. A tha ber chu a tlangpuiin naute tan natna a thlen lo . I naute pian hnu kar tlemte hnuah chauh pawh i hre lo mai thei. Hetiang dinhmun hi i naute hian zawi zawiin an lu a thunun theih hunah chauh i hre thei a, chu chu an kawr a chak zawk tihna a ni.

Acquired Torticollis chungchang pawh i zir dawn nia.

A chi dang, acquired torticollis hi naute dam chhung thla li atanga thla ruk chhung emaw a hnu lamah emaw a awm tlangpui. A lo lang nghal thei a, a lo thang zauh zauh thei bawk. A châng chuan acquired torticollis hi a hlauhawm lo va, a mah chauhin a bo vek ang. Mahse, a chang chuan hriselna lama harsatna lian zawk chhinchhiahna a ni thei. Chuvang chuan fimkhur a pawimawh hle.

Torticollis natna lan chhuah dan chu engte nge ni?

Tunah chuan naute hian torticollis a neih chuan eng symptoms nge a lantir theih tih kan en ang. Heng symptoms te hi congenital type ah a tam zawk a, mahse acquired type ah chuan symptom dang pawh a awm thei bawk.

• I naute lu chu a sir khatah a tilt a , a hmui chu a sir lehlamah a hawi a. Hei hi a symptom ber a ni.
• Naute hian a lu leh a kawr hawi harsa a ti a.Hmathlir. Neck range of motion a limited ang mai a ni. Entîr nân, infiamna thil i kawhhmuh hian a kawr chu awlsam takin a sir khatah a hawi thei a, mahse a sir lehlamah chuan hawitir hreh rawh.
• Naute kekawr pakhat chu a dang aiin a sang zawk niin a lang .
• Neck muscle te chu a nghet emaw a tight emaw a ni .
• A châng chuan kawr ruhte chu a hring chhuak niin a lang.
• Naute kawr ruh pakhata lump te tak te, pea ang maia lian. Hei hi naute zawng zawngah a thleng vek lo va, thenkhat erawh chuan an thleng thei.
• Hmai lam hawi asymmetrical tak tak .

Acquired torticollis-ah chuan heng symptoms te hi symptom dang nen a inzawm thei a, entirnan:

• A chunga kan sawi tawh ang khan lu tilt leh kawr hawi harsa.
• A chang chuan hei hi kawng na nasa tak nen a inzawm thei bawk . Naute chu a tap fo thei a, a rilru a hahdam lo thei bawk.
• Lu a nghing.
• Lu na (hei hi naupang tê tête hnêna hrilhfiah harsa viau mah se, an nungchang a\angin i hre thei).

Engvangin nge he torticollis hi a lo awm? A chhante chu engte nge ni?

Okay, tunah chuan engvangin nge heng naupang te te chungah hian hetiang hian a awm tih i ngaihtuah mai thei. A chhan hi han en ila. Hei hi a chhan hi a chi hrang hrang a zirin a inang lo.

Congenital Torticollis awm chhan te

Congenital torticollis hi i naute kawr chhunga ruh pakhat, sternocleidomastoid muscle (SCM) tih a tawi vang a ni fo thin. SCM hi kan kawr sir lehlamah taksa peng lian tak tak pahnih a ni. Lu hnung lama sternum leh clavicle te nen an inzawm a ni. Ngaihtuah teh, heng ruhte hian kan kawr kan hawitir a, kan kawr kan ben a, kan lu chu a sir khatah kan tilt thei bawk. Chuvangin heng ruh pahnih zinga pakhat hi eng emaw vanga tih tawi a nih chuan a kawng chu chu lam hawiin a hrual ang a, a lu chu a lehlamah a inher ang.

Naute thenkhatah hian he taksa ruh hi a tawi chhan hi zirchiangtute chuan an la hre chiang lo. Mahse, a nih theih nia an ngaih chhan ṭhenkhat chu hetiang hi a ni:

• I naute pum chhunga a dinhmun hian hei hi a nghawng thei a ni. A pum chhungah hmun a awm loh avangin a sir khatah a tang thei a ni.
• Hei hi SCM muscle hmasawnna danglam tak a ni thei.
• Naute kawng ruh hian thisen a khawlkhawm (hematoma) , chu chu hliam tenau ang mai a ni thei a, a dam chhoh zel chuan a ruh chu a tawi thei bawk.
• Naute taksa ruh (muscle tissue) a thick dan pangngai lo (fibrosis) vang pawh a ni thei.
• Pian lama harsatna awm lo, Klippel-Feil syndrome , naute kawr chhunga ruhro (vertebrae) te chu a inzawm khawm vang a ni thei.

Acquired Torticollis awm chhan te

Acquired torticollis hi iNaupang rilru natna (swelling) nen . Hetianga a hring hian naupang ruh chunglam vel tissue te chu a tizau thin. Hei hian vertebrae te chu an awmna pangngai atanga tlem a chhuah tir thei a ni. Hei hian kawng ruh a ti na thei a, lu chu a sir khatah a tilt thei bawk.

He swelling hi a lo awm thei a ni:

• An infection , entirnan, rilru natna emaw tonsillitis emaw.
• Even an injury , a kawngah accident tenau tak pawh.
• A châng chuan a chhan hmuh theih a ni lo mai thei .

A chhan dang pawh a awm thei:

• Gastroesophageal reflux disease (GERD) hi chaw kawng chhunga acid lo chhuak a ni. Hei hi nausen tê têah pawh hmuh theih a ni.
• Mit hmuhna lama harsatna a awm . Mit pakhata mit hmuhna tha lo i neih chuan mit tha zawka hmuh theih nan i lu chu sir khatah i hawi a ngai mai thei.
• Damdawi thenkhat avanga reaction angin .
• Scar tissue avang hian.
• Kawr chhunga arthritis natna, cervical spondylosis an tih (hei hi puitlingah a awm fo a, naupangah a awm lo).
• Sandifer syndrome hi GERD nen hian neck muscle spasm a awm ve fo thin a ni.
• Grisel’s syndrome hi natna dang hmuh tur awm lo tak a ni bawk. Hei hi lu leh kawng infection hnu emaw, beng, hnar leh beng (ENT) surgery hnua lo awm thin complication a ni.

Engtin nge doctor hian torticollis hi a hriat theih ang?

I naute kawr chungchangah rinhlelhna i neih chuan hlauthawng suh la, naupang enkawltu emaw, general practitioner emaw pan hmasa phawt ang che. Doctor chuan naute taksa a enfiah hmasa ang . Naute lu chu eng chen nge a inher emaw, a tilt emaw tih a enfiah ang. A kawng chu uluk takin a hre bawk ang a, ruh hring emaw, tight emaw a zawng ang a, a hmaa ka sawi tawh pea ang chi lump chu a zawng ang. Naute kawr range of motion a check bawk ang.

A natna a nasat dan azirin, a nih loh leh a chhan dang rinhlelhna a awm chuan i doctor chuan test dang neih belh turin a ti thei bawk. Entir nan:

• A kawr X-ray hmangin . Hei hian kawr ruhte harsatna a awm leh awm loh a enfiah thei a ni.
• Lu leh kawng CT scan (Computed Tomography - CT scan) a ni .
• Lu leh kawr MRI scan (Magnetic Resonance Imaging - MRI scan) a ni . Heng scan chi hrang hrang hmang hian taksa ruh leh soft tissue te chiang zawkin a lang thei a ni.

Torticollis hi engtin nge enkawl a nih?

Thu lawmawm tak chu a tam zawkah chuan he natna, congenital torticollis an tih hi enkawl theih a ni.Stretching exercise leh position thlak danglam hmanga enkawl theih a ni. He thu i hriat hian i rilru a hahdam ang, a dik em?

I doctor emaw physiotherapist emaw chuan i naute kawr ruhte tihzauh dan tur a zirtir ang che. I tih tur chu zawi zawiin, i naute lu chu a sir lehlamah hawi let leh la, a sir lehlamah a kekawr lam hawiin tilt mai rawh. He torticollis exercise hi ni khatah vawi tam tak i tih tur a ni. Hun a kal zel a, zawi zawiin heng chetna te hi i tipung thei a ni. Pangpar khawih ang maia ngilnei leh hmangaihna nei angin ngaihtuah rawh. A na hma loh chuan press ngai suh.

Posture thlak danglam chungchang sawi ila:

• I naute mut tir (mut leh mut hma) hian i naute lu chu a lehlamah, chu chu a sir lam hawiin hawitir rawh. Mahse, i naute chu an pum chungah i mut tir ngai lo vang, hei hian sudden infant death syndrome (SIDS) a thlen theihna a tipung a ni. I naute chu chunglam hawiin mut tir fo ang che.
• I naute a harh lai te, i khelhpui lai te chuan inkhelhna thilte chu a lu chu a sir lehlamah a hawi thei tur angin dah la. Entirnan, i naute hian a lu dinglam hawi a duh lo a nih chuan veilam atangin i bia a, infiamna thilte chu i entir thei bawk.
• "Tummy time" tih hi i naute chu a harh laiin an pum lam hawia a hawi lai a ni. Hei hian kawng ruh tichak turin a pui a ni. Hei hi naute torticollis vei tan pawh a pawimawh hle.

Heng hmanrua te hian hna a thawk lo a nih chuan i doctor chuan specialist hnenah a refer ang che .

Physical therapy hman hmasak tur a ni. Specialist dangte chu:

• Physiatrist: Hengte hi Physical Medicine and Rehabilitation (PM&R) lama tui tak doctor an ni.
• Pediatric Neurologist: Hengte hi naupang thluak, ruhro, leh nerve disorder hrang hranga specialist doctor an ni.
• Orthopaedic Surgeon: Heng doctor te hi ruh, ruh leh ruh leh ruh leh ruh leh ruh leh ruh leh ruh leh ruh leh ruh leh ruh leh ruh leh ruh leh ruh (musculoskeletal system) lama tui tak doctor an ni. A chang chuan thla 6-12 chhung exercise lak hnua hmasawnna a awm loh chuan naute SCM muscle sei nan surgery neih a ngai mai thei. Mahse, hei hi a tlem hle.

Acquired torticollis hi a dinhmun a zirin enkawl a ni a, a natna lan chhuah dan tihziaawm nan a ni. Enkawlna atan hian:

• Infection a awm chuan antibiotics pek a ni.
• Botulinum toxin injection hmanga kawng ruh tight relax (hei pawh hi a awm lo).
• Heat therapy hmanga enkawlna .
• Massage tih hi a ni .
• Neck braces emaw, kawrfual emaw.
• Taksa lam enkawlna .

Torticollis hi ven theih a ni em?

Tunah hian congenital torticollis ven dan tur hriat a la ni lo. Nausen pum chhunga a awm laia thil thleng avanga lo awm a ni. Amaherawhchu, a hmaa inenkawlna chuan naute dinhmun a tizual loh nan a veng thei a ni. Nakin lawka zai ngaina a veng thei bawk.

"Torticollis exercise hi a rang thei ang bera tan tir la, chu chu naute pian atanga thla engemaw zat chhung (a tlangpuiin thla 2-3 chhungin) tihna a ni. Chutianga tih chuan hun rei tak chhunga harsatna awm theihna tur a veng thei bawk.

Acquired torticollis thlentu infection ang chi thilte pumpelh hian chutiang torticollis chi chu a vei theihna a ti tlem thei a ni.

Ka fa hian torticollis a vei a nih chuan eng nge ka beisei ang?

Torticollis hi nausen leh naupang te te zingah a awm fo thin. Naute kawr hrual mai mai leh a dinhmun thlak danglam mai mai hmanga enkawl theih a ni fo. Thla engemaw zat chhungin i naute dinhmunah hmasawnna nasa tak i hmu tur a ni. Enkawlna hi a hmaa tan a nih chuan, chu chu thla 6 hmasa berah nausen 90% aia tam chu an dam vek a, hun rei tak chhung harsatna an nei lo.

Torticollis natna avanga harsatna awm thei te chu engte nge ni?

Naute hian torticollis a vei a, enkawl tha a nih loh chuan taksa ruhte chu a che tha lo thei a, chu chuan hmai a tichhe thei/asymmetry . Chumi awmzia chu a sir khat chu a flat deuh thei tihna a ni a, mit leh beng pawh a inmil lo deuh thei tihna a ni.

Complication lian dang lo awm thei chu flat head syndrome a ni a, plagiocephaly tia hriat bawk a ni. I hriat angin naute lu ruh hi a nem hle a, a chhe awlsam hle bawk. Chuvangin, lu sir khat chu hmun pakhatah rei lutuk (entir nan, khumah, khum chhungah) press a nih chuan, chu pressure chuan chu lu sir chu a ti flat thei a ni. Hei hi naute torticollis vei te chuan an lu chu a sir khatah an vawn tlat hian a thleng thin.

Tin, enkawl loh chuan naute motor hmasawnnaah nghawng tlemte a nei thei bawk.

Engtikah nge Doctor ka hmuh ang?

Thla khat vel hnuah i naute dinhmun a ṭhat loh chuan in lama i kawr tihzauh exercise leh posture thlak danglamna hmanga i naute dinhmun a ṭhat loh chuan doctor pan leh ngei ngei tur a ni. Chumi hnuah chuan buaina siam ṭhat nân enkawlna dang a ngai em tih emaw, specialist hnêna i refer tûr nge tih emaw chu a rel thei ang.

Tin, chubakah, .

• Naute kawng na chu a zual deuh deuh niin a lang a nih chuan.
• Naute hian khawsik a neih chuan.
• Naute hian ei leh in a duh loh chuan.
• Symptom thar dang a lo lang a nih chuan.

Hetiang thilah hian a rang thei ang bera Doctor pan a tha ber.

Torticollis chi dangte tlem han zir ila.

Naute torticollis chungchang hi kan sawi tawh a, mahse puitling leh a chang chuan naupang kum upa zawk pawh a nghawng thei chi hrang hrang a awm bawk.

• Spasmodic Torticollis: Hei hi torticollis chi khat a ni a, puitlingah a awm thin. Cervical dystonia an ti bawk . Kawr ruhte a tihkhauh (spasm) thut avanga lo awm a ni. Hei hian lu chu na takin a sir khatah a tikehsawm a ni. Lu chu thunun theih lohvin hmalam emaw hnunglam emaw a tilt thei bawk. Hei hi damdawi nghet tak a awm lo. A chang chuan botulinum toxin injection hmanga enkawl a ni.

• Acute Torticollis: Hei hi thil lo thleng nghal mai a ni. Zing lama kawr khauh tak leh a sir khata na taka i thawh chuan chu chu a ni. Hetianga a nghet lutuk hian a kawng chu a sir khatah a tikehsawm a ni. Kawng hliam tenau emaw, taksa ruh natna tenau emaw avanga lo awm thei a ni. Hetiang dinhmun hi a tlangpuiin damdawi lam enkawlna a ngai lo. Pain reliever leh chawlh hahdamna hian symptoms a tiziaawm thei a ni.

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

I naute lu chu a sir khatah a innghat tih hmuh chu a buaithlak deuh thei. Mahse, naute tam zawkin an tawn thin torticollis hi a hrehawm lo tih hre reng ang che. Tin, a tlangpuiin neck stretching exercise leh posture thlak danglam hmanga enkawl theih a ni bawk.

A pawimawh ber chu he natna hi i hriat veleh doctor pan a, a rang thei ang bera enkawl tan hi a ni. Chutianga i tih chuan i naute chu hun rei tak chhung harsatna nei lovin a dam thuai thei a ni. In lama i tih exercise leh enkawlna dangte nena beisei angin hmasawnna i hmu lo a nih chuan doctor pan leh theihnghilh suh. Tichuan i naute hian enkawlna dang a mamawh leh mamawh loh a en thei ang. I ngaihtuahna leh hmalak vat hi i naute dam lehna tur damdawi tha ber a ni!

` Torticollis, wryneck, wryneck, congenital torticollis, acquired torticollis, SCM thau, naute hriselna, kawng exercise te