I kut emaw, i ke emaw chu a nghet lo va, a rawn inher chhuak nghal mai ang tih i hre ngai em? A nih loh leh i taksa ruhte chu hmun khatah a vawt a, chu chuan tihdik emaw, ben leh emaw a harsat phah niin i hria em? Hei hi i thunun theih loh thil angin i hria em? Hei hi a chhan chu spasticity , tunlaia kan sawi tur condition a ni thei. Vawiin hian hei hi eng nge a nih tak tak, engvangin nge a lo awm tih leh eng nge tih theih tih te chu awlsam tak leh zahawm takin kan sawi dawn a ni.
Spasticity hi eng nge ni tak tak?
A awlsam zawngin, spasticity chu kan taksa ruhte duh loh vanga tihkhauh, tihkhawtlai leh tihkhauh hi a ni. Hei hi duh loh zawng a ni a, kan duh angin kan thunun thei lo tihna a ni.
Hetiang hian han ngaihtuah teh. Kan taksa hi factory lian tak ang mai a ni. Thluak hi a head office a ni. Factory chhunga hnathawkte chu taksa ruh (muscles) te hi an ni. Head office-a boss (thluak) atanga message lo lutte chu nerve hmangin hnathawkte (the muscles) hnenah an thawn thin. Hetiang hian ‘Tighten this muscle’, ‘Relax this’ tih ang chi thuchah te hi an inthleng reng a ni.
Spasticity hi thuchah thawntu system-a chhiatna a awm hian a awm a, chu chu thluak, ruhro , a nih loh leh nerve -te pawh ni se. Hei hian thuchah a tibuai a ni. Either muscle te hian message dik tak an dawng lo emaw, message dik lo an dawng emaw, message an dawng tam lutuk emaw pawh nise. Chutah chuan taksa ruhte chu a nghet tan a, a inher a, thunun theih lohvin a nghet ta a ni.
Hei hi i sualna a ni lo. Spasticity hi taksa nervous system-a harsatna awm vang a ni a, tumruh taka thil tih a ni lo.
Hetiang natna lan chhuah dan hi engte nge ni?
Spasticity nei chuan symptom hrang hrang a nei thei. Mi thenkhat chuan an taksa ruh hi a rit hle niin an hria. Mi dangte chuan an taksa ruhte chu hmun khatah a vawt niin an hria. A châng chuan ruhte chu a spasm nghal a, chu chu a tikhauh nghal a, kut leh ke emaw, kut emaw a ti hrual tihna a ni.
Heng symptoms te hi a hnuaia table atang hian chiang zawkin i hrethiam ang u.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Posture pangngai lo (abnormal Posture) a ni | A kekawrte, kut, kutphah emaw, kut zungtang emaw, kawng mak tak maia ben emaw, inzawm emaw. |
| Jerky motion tih nawn leh thin | Kut emaw ke emaw rhythmic taka innghahna thunun loh. |
| Scissor hmanga tih a ni | Kal emaw, ding emaw hian ke chu scissors ang maiin a inzawm a, chu mi chuan a hre lo pawh a ni thei. |
| Reflexes tihpun lutuk | Normal reflexes, doctor-in i khup hammer te tak te hmanga a tap laia ke hrual ang chi hi chu nasa lutukin a thleng thin. |
| Muscle leh ruh tightness | Muscle te hi a tight fo a, ruh (e.g. elbows, knees) te hian bending emaw straightening emaw an harsat thin. |
| Natna emaw, piansualna emaw | Spasticity hian taksa peng natna hmunah natna a thlen emaw, chu hmun chu hun kal zelah a nghet reng thei emaw a ni. |
Hetiang dinhmun hi taksa khawi hmunah pawh awm thei mah se, ke ruh (muscle)-ah a awm tam ber. Kan thusawi control tu muscle te pawh a nghawng thei bawk a, thusawi mumal lo leh buaina a siam thei bawk.
A pawimawh ber chu he natna hi rei tak enkawl loh a nih chuan taksa ruhte chu a inzawm tlat thei a, ruhte chu hmun khatah a inkhar (contractures) thei bawk. Chuvangin symptoms i neih chuan doctor lam pan a pawimawh hle.
Spasticity awm chhan hi engte nge ni?
Kan sawi tawh angin, chutianga a thlen chhan ber chu thluak, ruhro , a nih loh leh nerve tihchhiatna a ni. Hetiang chhiatna hi chhan hrang hrang avangin a thleng thei a ni. Ṭhenkhat chu pianpui natna (congenital conditions) an ni.
A chhan lian ber ber thenkhat chu hetiang hi a ni:
- Stroke: Thluaka thisen kal a tihbuai avanga thluak cell a chhiat.
- Cerebral Palsy natna : 1.1.Nau neih lai emaw, pian hma emawa thluak chhiatna avanga lo awm tlangpui.
- Lu Injury: Accident ang chi thil avanga thluak a chhiat.
- Spinal Cord Injury: Spinal cord accident avanga ruhro a chhiat.
- Multiple Sclerosis (MS): Taksa taksa chakna (immune system) -in nerve vel a venhimna khuhna (myelin) a bei thin natna a ni.
- Amyotrophic Lateral Sclerosis (ALS): Natna pakhat, taksa ruh control tu nerve cells te zawi zawiin a tichhe thin.
- Thluaka oxygen tlakchham vanga chhiatna: Entirnan, tuiah a pil emaw, heart attack emaw a awm chuan.
- Genetic condition thenkhat: Entirnan, `Adrenoleukodystrophy` (thau chi hrang hrang tihchhiat lohna tur natna) leh `Phenylketonuria` (amino acid tihchhiat theih lohna).
Spasticity tipung thei thil (Triggers) .
Spasticity nei tawh tan chuan thil thenkhat chuan rei lo te chhung chu a natna chu a tichhe thei a ni. Chungte chu trigger an ti a. Chungte hriatchhuah leh pumpelh hian natna enkawlna kawngah kawng thui tak a zawh thei a ni.
- Sudden movement emaw posture inthlak danglam emaw
- Chau
- Khua lum lutuk emaw, khaw lum lutuk emaw
- Humidity sang tak awmna hmuna awm
- Hri kai theihna dang, zun kawng infection emaw pressure sores emaw te
- Rimtawng
- Thawmhnaw tight tak ha chungin
Spasticity nena nun chungchang
Nitin hnathawh hi spasticity hmanga tih hi a chang chuan thil harsa tak a ni thei. Kea kal te, thusawi te, hna awlsam tak tak thawh te pawh a harsa thei hle.
Mahse mak tak maiin, a chang chuan he stiffness hian hlawkna tlemte a nei thin. Ngaihtuah teh, mi a ding emaw, khum aṭanga ṭhutphaha a insawn emaw hian, ke nghet tak takte chuan chakna leh ṭanpuina tlem a pe a ni. Tin, kut zungtang khauh leh ben te hian a chang chuan thil pakhat man a ti awlsam thei bawk.
Mahse, he natna hian natna a thlen che emaw, i nitin nun nasa taka tibuaitu emaw a nih chuan, i doctor nen in inbia ngei tur a ni. Enkawlna chi hrang hrang a awm a, chung zingah chuan physiotherapy, braces, stretch, damdawi, leh a then phei chuan surgery te pawh a tel.
I spasticity tichhuaktu i zir a, chutiang chu pumpelh dan i zir chuan he natna hi hlawhtling takin i nung thei ang.
Thil pawimawh dang chu i spasticity tihpun i hriat thut chuan natna dang (urinary tract infection ang chi) chhinchhiahna a ni thei bawk. Chuvângin, heng inthlâk danglamnate zînga i hriat chuan damdawi lam thurâwn la nghâl rawh.
Kan tar chhoh zel chuan nerve kaltlanga signal kal chakna chu a pianphungah a tlahniam thin avangin, mi thenkhat chuan hun kal zelah an spasticity-ah hmasawnna engemaw zat an nei thei a ni. Mahse, thil danglam a awm chuan doctor hnenah hriattir a tha ber.
Take-Home Thuchah a ni
- Spasticity hi i taksa ruhte chu i thunun theih lohvin a nghet a, a inher chhuak thin. Thluak, ruhro emaw, nerve emaw tihchhiat avanga lo awm a ni.
- A lan chhuah dan tlangpui chu taksa ruh a nghet lo, a hrual, a dinhmun pangngai lo, leh ke na a ni.
- Stroke, cerebral palsy, leh spinal cord hliam ang chi natna te hi a chhan ber a ni thei.
- Stress, hnathawh tam lutuk, thawmhnaw tight tak tak, leh infection thenkhat te hian hun engemaw chen atan he natna hi a tizual thei a ni. Hengte hi pumpelh tum ang che.
- Spasticity avanga nitin hnathawhnaah natna emaw harsatna emaw i neih chuan doctor pan ngei ngei tur a ni. Hemi atan hian enkawlna tha tak tak a awm.
- I spasticity a lo pung nghal a nih chuan damdawi lam thurawn zawng nghal rawh, chu chu hriselna lama harsatna dang a awm theihna tur a nih avangin.
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