I ke ruhte chu a hring leh a nghet lo niin i hria em? Upper Limb Spasticity chungchang hi han sawi ila

I kut, i elbow , a nih loh leh i kut zungtangte chu tlem a hrual a, ben harsa ang maiin i inhriat ngai em? A nih loh leh i kut chu thunun theih lohvin a chet emaw, a chet emaw ang maiin i hria em? Hei hi nangmah emaw i hriat mi emaw chungah a thleng a nih chuan vawiin a kan sawi mek dinhmun avang hian a ni thei. Hemi chungchang hi awlsam tak leh muangchangin i sawi ang u.

A awlsam zawngin, Upper Limb Spasticity chu eng nge ni?

Hei hi i kut ruh, a bik takin i taksa peng chunglam te chu duh lohna leh a nghet lo a nih chuan a ni. A châng chuan, heng ruhte hi thunun theih lohvin an inher emaw, an inher emaw thei bawk. Hei hi muscle spasm, a nih loh leh ‘spasm’ kan ti tlangpui.

Hetiang dinhmun hi kan taksa nervous system-ah chhiatna engemaw zat a awm chuan a lo awm thin. Hetiang hian han ngaihtuah teh: kan thluak leh kan ruhro (spinal cord) te hi kan taksa ruh (muscles)-a electrical signal thawn chhuaktu control center lian pahnih an ni. Stroke, natna emaw, accident emaw avanga heng control center-te hi a chhiat chuan, chu signal thawn dan chu a buai ta a ni. Telephone line hnathawk lai an tan ang mai a ni. Heng signal tihbuai avang hian taksa ruh te chu a tul lovah a insiam tan a, a inher chhuak tan thin.

Mahse lungngai suh, he natna enkawlna hi a hma aiin a hmasawn zawk hle. I taksa ruhte a inthlak danglam theihna tur leh kut thununna tichak thei tur enkawlna tam tak a awm a.

Hei hi a chhan berte chu engte nge ni?

Kan sawi tawh ang khan, hei hi a chhan ber chu kan nervous system, a bik takin thluak emaw, ruhro emaw tihchhiatna a ni. Kan taksa ruhte hian nerve atanga electrical signal an dawn hian an che thin. Heng signal te hi thluak leh ruhro atanga lo chhuak a ni. Chungte chu a chhiat chuan signal thawn chhuah dan chu a inthlak danglam thin. Heng erratic signals te hian taksa ruh te hi a tikhauh a, a ti twitch tir thin.

Hetiang chhiatna hi a thlen theih chhan lian tak tak engemaw zat a awm a:

• Stroke: Thluak lam panna thisen kalna kawng chu thisen zam avanga a inkhar emaw, a puak emaw a nih chuan stroke a awm thin. Hei hian thluak cell-te chu an mamawh oxygen leh thisen a hloh a, an thih phah a ni. Hei hian nervous system a tichhe thei a, hetiang dinhmun hi a thlen thei bawk.
• Damdawi lam thil thenkhat: He natna hi nervous system tichhe thei natna, ``Multiple Sclerosis`` leh ``Cerebral Palsy.`` te vang pawh a ni thei
• Hliam: Thluak emaw, ruhro emaw a hliam na takNervous system a chhe thei hle.

Hetiang natna lan chhuah dan hi engte nge ni?

A châng chuan heng chhinchhiahnate hi stroke emaw thluak hliam emaw a neih hnu kar tam tak, thla tam tak, a nih loh leh kum tam tak hnuah pawh a lang ṭhin. A hnuaia symptoms te hi fimkhur rawh.

Hriat reng tur chu enkawl loh chuan heng ruh te hi a nghet thei a, i kut chu hmun khatah a "khung" thei bawk. Hei hian nitin hna thawh a ti harsa hle thei a ni. Stroke emaw thluak hliam emaw i neih tawh chuan, .I taksa peng hrang hranga taksa ruh (muscle tightness, twitching), emaw, rilru hahna emaw i neih chuan doctor hnenah hrilh nghal rawh.

Engtin nge diagnosis hi siam a nih?

Hetiang dinhmunah hian nervous system lama tui doctor , emaw ``Neurologist'' emaw i hmuh a ngai ang.

Taksa lamah a enfiah hmasa ang che. I kut, i kekawrte, i kutphah leh i kut zungtangte i che thei leh i thunun theih dan a enfiah ang. I flexibility chu i joint bending leh stretching hmangin a test bawk ang.

Hei bakah hian doctor chuan zawhna tlem a zawt ang che. Entir nan:

• Eng muscle nge contraction hian a nghawng ?
• Hei hi engtikah nge a lo intan?
• Hetiang throbbing hi eng chen nge a awm thin?
• Thil tih hian he dinhmun hi a tiziaawm dawn em ni? A tipung dawn em ni?
• Natna emaw, rilru hahna emaw a awm em?
• Nitin hna thawh kawngah eng harsatna nge i neih?

I taksa ruh leh nerve te hnathawh that dan hriat nan electromyography (EMG) test i nei thei bawk. Hei hian chair-a ṭhut emaw, khumah mu emaw, i kut ruh (muscle)-ah electrode engemaw zat dah emaw a huam a ni. Heng electrode te hian a peng te te, needle ang chi te chu muscle chhungah a lut a. Chungte chu machine-ah wire hmanga inzawm a ni a, chu chuan taksa ruh leh nerve-te electrical activity a teh a ni. Doctor chuan i kut chu ben leh dinglam turin a ti ang che. Chumi hnuah chuan machine chuan activity chu a record ang. He test hi minute 30 atanga 60 vel a ni thei.

Enkawlnate chu engte nge ni?

Hei hi enkawl tum ber chu taksa ruhte chu a tul lo taka a tihkhauh loh nan leh i ke leh ke te zalen taka i chet theih nan a ni. Muscle a tight hma leh a natna a zual hmaa enkawl tan a pawimawh hle.

Doctor chuan i hriselna dinhmun leh i natna lan chhuah dan a zirin enkawl dan tur dik ber a ruat ang.

I dinhmun a ṭhat chuan enkawl zat pawh tihtlem theih a ni. Chuvangin, i doctor-in a pek dan dik taka zawm a pawimawh hle a, i thil tihdanglam i hmuh apiang chu i doctor hnenah hriattir a pawimawh hle.

Nangmah ngeiin i tih theih thilte

Enkawlna bakah hian i taksa ruh leh ruhte a inthlak danglam theih nan nangmah ngeiin i tih theih tur thil engemaw zat a awm bawk.

• A theih ang anga active takin awm rawh: Exercise hian taksa ruh a tizau a, flexibility a tipung bawk. Swimming leh chakna siamna exercise te hi a tha zual hle. Infiamna emaw, inchhung hna thawh emaw ang chi thilte pawh hian ke ruh nghet tak takte chu a tichak thei a ni.
• Mut tha: Chauhna a san chuan symptoms a na zual thei.
• Rilru hahdam takin awm rawh:Stress hian he natna hi a ti na zual thei a ni. Chuvângin, i rilru timuang thei tûr thil nuam tak ti la, chu chu lehkhabu chhiar te, kal kual te, a nih loh leh ngaihtuahna seng te ang chi hi a ni.