Nu emaw, pa emaw i nih angin i fa chu a lo seilian zauh zauh tih i hmuh hian, milestone pakhat hnu pakhat a paltlang lai i hmuh hian i hlim ber a ni lawm ni? Mahse, a châng chuan i naute chu a inher, thut leh ding chhuak ang chi thila a tlai hian i hlauthawng deuh ṭhin. A tam zawkah chuan hengte hi thil pangngai ni mahse, a chang chuan hei hi “ Cerebral Palsy” ang chi damdawi lam thil a awm thei bawk. Ngaihtuah buai suh, vawiin hian thumal awlsam takin engkim kan sawi dawn a ni.
A awlsam zawngin, cerebral palsy (CP) tih hi eng nge ni?
Cerebral Palsy, a tawi zawngin CP kan tih hi naupang chetna, balance , leh taksa ruh hnathawhna tichhe thei natna chi khat a ni. "Cerebral" tih hian thluak nena inzawm thil tihna a ni. "Palsy" tih hian taksa ruh chak lohna emaw harsatna emaw a kawk a ni.
Hetiang dinhmun hi kan taksa chetna thununtu thluak peng chu a lo thanglian loh vang emaw, pian tirh emaw, naupan lai emawa chu peng chu a chhiatna a awm chuan a lo awm thin. A tam zawkah chuan naupang chu hetiang dinhmun hi neiin a piang thin. "Congenital CP" kan ti a ni. Mahse a tlem hle a, he natna hi pian hnua thluak tihchhiat vang pawh a ni thei.
CP hi a na lo atanga na tak thlengin a awm thei. Naupang thenkhat chuan kal leh tawng harsa an nei thei. Naupang tam zawk hian an finna lamah harsatna an nei lo. Mahse, naupang thenkhat chuan rilru lama harsatna an nei thei a ni.
CP chi hrang hrangte chu engte nge ni?
CP hi naupang che vel dan azirin chi paliah then theih a ni.
| CP type a ni | Hrilhfiahna awlsam tak |
|---|---|
| Spastic CP a ni | Hei hi a tam ber chi a ni. Muscle te chu a tight hle a, a khauh hle ... rubber band nghet taka i vawn ang maiin ngaihtuah rawh. |
| Dyskinetic CP a ni | Hetah hian taksa ruhte chu thunun theih lohvin an che a, slow twitching motion emaw, rang taka jerk emaw pawh a ni thei. |
| Ataxic CP a ni | Hei hi a tlem hle. Buaina ber chu balance leh coordination lama harsatna a ni. Kal lai hian limping sensation a awm thei. |
| Mixed CP a ni | Heng naupangte hian a rualin a chunga kan sawi chi hrang hrang zinga pakhat aia tam mizia an nei thei a ni. |
Spastic CP chungchang tlem tal
Hei hi a tam ber chi a ni. Tin, hmun thumah then a ni bawk:
- Spastic Diplegia: Hei hi ke ruh ruhte a nghet berna a ni. Hip leh ke ruh te chu a nghet a, chu chuan khup chu chhung lam hawiin a kal a, ke chu scissors ang maiin a cross a, chu chu kal tum a ni. Hei hi “scissoring” an ti bawk.
- Spastic Hemiplegia: Hei hian taksa peng khat (dinglam emaw veilam emaw) chauh a nghawng a ni. Chumi lam a kut leh ke chu a sir lehlamah aiin a tawi deuhin a hring deuh thei bawk. Hei hian naupang thenkhat chu an ke ruh hmanga kal an tum thin . Ṭhenkhat chuan ruhro (curved spine) (scoliosis) an nei thei bawk.
- Spastic Quadriplegia: Hei hi spastic CP natna khirh ber a ni. A taksa peng pali, taksa leh hmai zawng zawng a nghawng vek a ni. Seizure leh tawng harsatna a awm thei bawk.
Engvangin nge hetiang dinhmun hi a lo awm?
CP awm chhan dik tak hriat chian a harsa fo thin. Mahse, thluak hmasawnna pangngai tibuaitu eng thil pawh avanga lo awm thei a ni. Heng thilte hi nausen pian hma emaw, a pian lai emaw, a pian hnuah emaw a thleng thei a ni.
A chhan lian ber berte chu:
- Naupai laia nu hri kai: German measles (Rubella), chickenpox (Chickenpox) ang chi natna.
- Nau piang hma: Naute kar 37 hmaa piangte chu an hlauhawm zawk.
- Nau piang laia harsatna awm thei: Nau neih harsat vangin naute thluak chu oxygen tlakchham (asphyxia) a ni thei. Mahse, hei hi a hmaa ngaihtuah angin chhan awmze nei tak a ni lo.
- Naupan laia thluak natna: Thluak natna, bacterial meningitis ang chi.
- Genetics: Genetic change thenkhat hian thluak hmasawnna a nghawng thei a.
- Jaundice na tak: Nau piang hnua bilirubin level a sang hle a, enkawl loh chuan thluak a tichhe thei a ni.
Hei hi eng symptoms nge ni? Engtin nge i hriat chian?
CP symptoms hi naupang hrang hrangah a inang lo va, chuvangin a pawimawh ber chu i fate hmasawnna milestones a tlai deuh hi a ni. Mahse, delay zawng zawng hi CP a ni vek lo tih hre reng ang che. Thil ngaihtuah tur i neih chuan doctor nen inbiakna neih a tha ber.
CP hi hun kal zelah a na zual lo. Chumi awmzia chu thluak chhiatna a pung lo tihna a ni. Mahse, naupang a lo upat deuh deuh a, an tih tur (kea kal ang chi) a tih theih loh chuan symptoms chu a langsar zual sauh sauh a ni.
| Naupang kum zat | Features fimkhur tur a awm |
|---|---|
| Naute thla 6 hnuai lam |
|
| Naute thla 6 chunglam |
|
| Naute thla 10 chunglam |
|
Engtin nge CP hi hmuhchhuah a nih?
I fa naupang enkawltu doctor chuan clinical checkup apiangin i fate hmasawnna chu a enfiah ang. I fa chet dan te, a taksa ruh (muscle tone) leh a dinhmun te uluk takin an en ang.
Thil ngaihtuah tur i neih chuan i doctor chuan i fa chu pediatric neurologist hnenah a refer thei ang. Diagnosis finfiah nan a hnuaia test te hi a ngai thei bawk:
- Brain scan : MRI (Magnetic Resonance Imaging) scan emaw CT (Computed Tomography) scan emaw hmanga thluak insiam dan en theih a ni. MRI hian thlalak chiang zawk a siam thei.
- EEG (Electroencephalogram): CP vei naupang thenkhat chuan seizures (epilepsy) an nei thei. He test hian thluak electrical activity a teh a ni.
- Thisen test: Thisen test hi CP ang chi symptoms nei genetic emaw metabolic condition dang awm leh awm loh enfiah nan an ti thin.
Enkawlnate chu engte nge ni?
CP hi a dam kim thei lo. Amaherawhchu, uluk taka enkawl leh enkawl a nih chuan naupang chu nun tha ber nei turin tanpui theih a ni. Enkawlna tan hma chuan a rah a tha zawk. Hei hian mi tam tak team a huam a, chung zingah chuan doctor te, physiotherapist te, occupational therapist te, speech therapist te, leh mi dangte pawh an tel a ni.
Enkawl dan tlangpui: 1.1.
- Physical Therapy : Hei hi a pawimawh hle. Exercise hi taksa ruh tichak turin, flexibility tihpun nan leh balance tihchangtlun nan pek thin a ni.
- Occupational Therapy: Naupang chu nitin hna (e.g., incheina, ei leh in, ziak) mahni inrintawkna neia thawk turin a pui thin.
- Speech Therapy: Thusawi, ei leh in leh inbiakpawhna chiang tak neih theih nan a pui thin.
- Damdawi: Damdawi hi taksa ruh (muscle relaxants) tihziaawmna tur, natna control nan leh seizures control nan te pek thin a ni. A châng chuan taksa ruh chhunga Botox injection hian hun eng emaw chen chu a tichak lo thei a ni.
- Surgery: A then phei chuan ruhro (orthopaedic surgery) hi taksa ruh inzawmkhawm nasa tak takte tihzauh emaw, ruh awmna siam that emaw a ngai mai thei.
- Mobility Aids: Hemi atan hian kea kal, kekawrte, wheelchair, leh brace/splint hrang hrang te hian a pui thei a ni.
Hetiang dinhmun hi ven theih a ni em?
CP hi 100% vela ven theih ni lo mah se, a hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm.
- Naupai laiin hrisel taka awm: Naupai hmain vaccine tul (a bik takin Rubella) lak thin ang che. Naupai laiin ei leh in tha tak nei la, zu leh zu in loh vek tur a ni.
- Naupai hmaa enkawl dan dik: Naupai i nih i hriat ni a\angin damdawi inah regular taka kal a pawimawh hle.
- Infection laka invenna: Naupai lai leh nausen pian hnua natna laka invenna.
- I fa himna enkawl: I fa lu-a hliam awm thei (tlu ang chi) chu ven rawh.
Take-Home Thuchah a ni
- Cerebral palsy (CP) hi thluak tihchhiatna avanga chetna a nghawng a ni. Hun kal zelah a na zual lo.
- I naute thanlenna tur milestones a tlai emaw, an che vel chungchangah ngaihtuahna i neih emaw chuan hlau lo la, tihkhawtlai suh, i doctor nen inbia ang che.
- CP hi tihdam kim theih ni lo mah se, physical therapy, damdawi leh enkawlna dangte hian naupang chu nun tha tak, active tak tak nei turin a pui thei a ni.
- CP vei naupang chuan kan hmangaihna, hriatthiamna leh puihna dik tak a mamawh a ni. An theihnate fuih hi kan mawhphurhna a ni.
Cerebral Palsy, CP, Naupang enkawlna, Thluak lama harsatna, Hmasawnna tlai, Taksa lam enkawlna, Spasticity
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