A chang chuan i kut chu tlem a lo nghing ang maiin i inhria em? Tea no khat chelh lai emaw, thil ziah tum emawa kut inthlak hi thil pangngai a nih laiin, a chang chuan natna khirh zawk chhinchhiahna a ni thei bawk. Chu chuan i rilru a hahdam lo thei a, i mualpho thei a, i rilru a ti buai thei bawk. Chuvangin vawiin hian he tremor hi, a nih loh leh damdawi lama `(Tremor)` tia hriat chu, thu awlsam takin han sawi ila.
Tremor hi eng nge ni tak tak?
A awlsam zawngin, tremors chu i taksa peng pakhat , i thunun theih loh, i duh loh zawnga, rhythmic movement a ni . An khur emaw, an inhnim hrual emaw ang maiin an awm thei. Mi thenkhat tan chuan an nem hle mai thei a, thenkhat tan erawh chuan nitin hna pawh thawk thei lo khawpa na an ni thei.
He khur hi taksa hmun khat emaw a aia tam emaw-ah a awm thei. Kut ah hmuh tur a tam ber. Mahse, heng hmunah te hian a awm thei bawk:
- Kut a ni
- Ke te
- Lu, kawng emaw, hmai emaw
- Aw (vocal cords) 1.1.
- Thinrem
Dik tak chuan kan taksaah hian khur te tak te, hriat theih loh tluk zet kan nei vek a. Hei hi ``Physiologic Tremor'' an ti a. I hmaa i kut i phar chuan a reh kim lo tih i hmu ang. Hei hi thil pangngai a ni. Mahse, coffee i in lai te, i chau lai te, i lungkham lutuk lai te hian he khur pangngai hi tlem a langsar zawk thei.
Tremor hi nitin nun a tihbuai chuan medically significant a ni . Entîr nân, i ei leh in, i incheina, i kal theihna, a nih loh leh document i sign theihna a nghawng a nih chuan i ngaihtuah tûr thil a ni.
Tremor chi hrang hrang te chu engte nge ni?
Doctor-te chuan tremor hi chi hnih lian takah an ṭhen a, chu chu a lo awm dan azirin a ni. Hei hi chiang zawka hrethiam tur chuan a hnuaia table hi en la.
| Tremor chi hrang hrang | Engtin nge chu chu a lo thlen? (Engtin nge a lo awm?) |
|---|---|
| Chawlh hahdam Tremor | Hei hi taksa peng pakhat chu a chawlh hahdam vek a, rit engmah awm lovin a awm thin. Chair-ah i thu a, i kut chu chair armrest-ah i nghat a, i kut chu a khur tan ang tih han ngaihtuah teh, chu chu hetiang chi hi a ni. |
| Action Tremor tih a ni | Hei hi i taksa ruh hmanga thiltih i tih hian a thleng thin. Entirnan, i kut i phar emaw, i hmuiah tui glass khat i rawn ken emaw hian i kut a khur a nih chuan he chi hi a ni. |
Action Tremor tih chi hrang hrang
Functional tremor hi subtype engemaw zatah then leh a ni a:
- Postural Tremor: Hmun engemaw chen vawn laia tremor awm. Entirnan, i hmaa kut i phar chhuah hunah.
- Isometric Tremor: Taksa ruh (muscle) a hrual a, a che thei lo a, a che thei lo. Entirnan, bag rit tak tak chu a hmun khata i vawn laiin.
- Kinetic Tremor: Movement siam huna tremor awm thin. Entirnan, i kut i phar a, i hnar khawih tum hian.
Eng thilin nge he khur hi a thlen theih?
Tremor hi symptom a ni a, natna a ni lo va, chuvangin chhan tam tak a nei thei a ni.
- Zu in leh zu in lohna symptoms te.
- Thluak natna hrik .
- Damdawi thenkhat i ei thin.
- Damdawi lam harsatna thenkhat enkawl theih. Entirnan: Thyroid chak lutuk (Hyperthyroidism), Thisen sugar hniam (Hypoglycemia), Calcium emaw magnesium emaw tlakchhamna.
- Nervous system nena inzawm natna, Parkinson natna leh Multiple Sclerosis (MS) .
- Thai .
- Lu hliam na tak (Traumatic Brain Injuries) .
Damdawi thenkhat, khur tirtu
Damdawi thenkhat hian khur a siam thei a, khur awm tawh pawh a tipung thei bawk.
- Asthma damdawi ei thenkhat (e.g. Albuterol) .
- Rilru natna thenkhat damdawi (e.g. Lithium, Fluoxetine) .
- Cholesterol sang tan Atorvastatin hman a ni
- Corticosteroid hmanga tihdam theih a ni
- Lung natna tan amiodarone a ni
Pawimawh tak: Hetiang damdawi hi i ei a, i khur a nih chuan nangmah chauha ei kha bansan ngai suh. I doctor nen thurawn dil turin inbia ngei ang che.
Engtin nge doctor hian he natna hi a hriat theih ang?
Doctor khur chhuak i hmuh chuan zawhna tlem a zawt hmasa ang che a, taksa enfiahna a nei ang.
- Lirnghing chu a intan thut em, a nih loh leh zawi zawiin a pung?
- Taksa peng engte nge a nghing?
- Thil tih ṭhenkhatah emaw, chawlh laiin emaw, khur hi a pung em?
- Coffee leh stress ang chi thil nen a pung em, thil dang i ngaihtuah hian a tlahniam em?
Tichuan, neurological exam neih a ni ang. Hei hian i balance leh reflexes te a test ang a, i tremor awm dan tur a hriat belh ang.
A chhan dik tak hriat tumin test dang engemaw zat tih theih a ni bawk:
- Thisen test a ni
- Zun test a ni
- EMG leh Nerve Conduction chungchang zirchianna
- CT emaw MRI emaw hmanga thluak scan
Major Tremor Syndrome a awm thei
Doctor-te’n tremor pattern atanga an hriat chian damdawi lam thil pawimawh engemaw zat a awm.
| Syndrome a ni | Sawifiahna leh mizia |
|---|---|
| Essential Tremor a ni | Tremor condition awm tam ber. A symptom ber chu action tih laiin kut pahnih a khur a ni. Neurological symptom dang a awm lo. Lu, aw leh ke a nghawng thei bawk. |
| Cerebellar Tremor tih hi a ni | A tlangpuiin a slow , large tremor. Thiltih i tih zawh dawn (e.g., kawngkhar hawn) hian tremor chu a na zual sauh sauh a ni. Thluak cerebellum tihchhiat avanga lo awm a ni. |
| Dystonic Tremor a ni | A irregular, jerky tremor a ni. Kut emaw, ke emaw an sawn chuan a tawp thei. Thluak basal ganglia tihchhiat avanga lo awm a ni. |
| Orthostatic Tremor a ni | Ding chungin ke ruhte chu rang taka inzawm khawm. Hei hi thut emaw, kal emaw hian a tawp thin. Hei hi thil awm lo tak a ni. |
| Parkinsonian Tremor a awm thin | Parkinson vei zinga 70% aia tam ah hmuh tur a awm. Symptom hmasa ber pawh a ni thei bawk. Chawlh laiin hmuh tur a tam ber (Resting Tremor). Kut pakhat emaw sir khatah emaw a intan a, a hnuah a sir lehlamah a darh thei bawk. |
| Hnathawh (Psychogenic) Tremor | Hei hi eng chi pawh a ni thei. A intan nghal a. I ngaihtuah chuan a pung a, thil dang i ngaihtuah hian a tlahniam bawk. Psychological factors avanga lo awm thei a ni. |
Tremors enkawlna tur engte nge ni?
Enkawlna chu a khur chhan bulpuiah a innghat a ni. Thluak chhiatna avanga khur hi tihdam kim a harsa hle. Mahse, damdawi, damdawi, a nih loh leh damdawi lam thil dang avânga khur chu thunun theih emaw, tihdam theih emaw a ni fo ṭhîn.
- Essential Tremor: Propranolol ang chi damdawi hmanga control theih a ni. A nasat chuan `(Botox®)` injection emaw `(Deep Brain Stimulation)` ang chi enkawlna hman a ni.
- Parkinsonian Tremor: Parkinson natna damdawi, Levodopa ang chi hmanga control theih a ni.
- Dystonic Tremor: Damdawi, Botox® injection, leh Deep Brain Stimulation ang chi enkawlna te hman a ni.
- Functional Tremor: Taksa lam enkawlna leh rilru lam enkawlna hi a pawimawh hle.
In lama i tih theih thilte
Damdawi lam enkawlna bakah hian khur leh khawsak awlsam zawk nan heng thilte hi i lo enchhin thei bawk ang:
- Coffee leh zu ang chi thilte hian i khur a tipung a nih chuan tihtlem emaw, titawp emaw rawh.
- Nitin hnathawh awlsam zawk nan special cutlery ang chi assistive devices hmang ang che.
- Thawmhnaw inbel awlsam tak tak thlang la, buttons ai chuan Velcro nei thawmhnaw te hi thlang rawh.
- Stress tihziaawm rawh . Meditation leh music ngaihthlak ang chi thilte hian a pui thei a ni.
- Mut tam rawh . Mut tlakchhamna hian khur thenkhat a ti na zual thei.
- Nangmah ang bawka thil tawk mekte nen support group-ah tel ve rawh. Rilru chakna nasa tak a pe ang che.
Engtik lai pawhin doctor hmuh i duh chuan
Hetiang hi i hriat chuan doctor pan ngei ang:
- Hun kal zelah tremor a pun chuan .
- Nitin hnathawhna a tibuai a nih chuan .
- Hei hian stress leh lungkhamna a siam che a nih chuan.
- Neurological symptom dang (e.g. hriatrengna inthlak danglam, taksa chakna tlahniam) a awm chuan khur bakah.
Tu tan pawh an taksa thunun theih loh ang maia inhriat hi a nuam lo. Chuvangin tremor i neih hian hlauhna i neih hi thil pangngai a ni. Mahse, a chhan dik tak hriat tur chuan doctor pan a ngai tih hre reng ang che. Test tul tak tak a run thei a, enkawlna tur ruahmanna dik tak a pe thei bawk.
Take-Home Thuchah a ni
- Tremor hi natna a ni lo va, a symptom a ni. A chhan tam tak a nei thei.
- Khhîr zawng zawng hi natna khirh tak chhinchhiahna a ni vek lo va, a chhan dik tak hriat chian a pawimawh hle.
- Damdawi khur tirtu i ei a nih chuan damdawi lam thurawn tel lo chuan i ei tawh ngai lo ang.
- Tremor control leh symptoms enkawl dan tur enkawlna tha tak tak a awm.
- I khur tur i ngaihtuah a nih chuan tihkhawtlai suh la, i doctor rawn la, thurawn la rawh.











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