I keah chak lohna emaw, tingling emaw i nei nghal em? I kal laiin i balance a hloh a, i tlu fo em? I ke pianziaah pawh inthlak danglamna engemaw zat i hmu thei bawk. Heng thilte hi hahna pangngai angin hnawl suh. A chhan chu hengte hi Charcot-Marie-Tooth (CMT) tih hming pu, genetic neurological condition bik chhinchhiahna a ni thei a ni. A hming hi a buaithlak deuh viau nachungin hlauh tur a awm lo. Vawiin hian he natna hi, a natna lan chhuah dan te, a chungchanga tih theih dante chu awlsam tak leh friendly takin i sawi dawn nia.
Charcot-Marie-Tooth (CMT) natna hi eng nge ni?
A awlsam zawngin, CMT hi kan thluak pawn lam nerve leh kan ruhro (spinal cord) tichhe thei natna a ni . Heng nerve te hi peripheral nerves kan ti a. Heng nerve te hian kan thluak atanga kan taksa peng hrang hrangah thuchah a keng tel a, kan ke leh ke atanga hriatna (heat, cold, pain) te chu thluak ah a rawn keng kir leh thin. CMT-ah chuan heng nerve te hi a chhe vek a.
He hming mak tak hi kum 1886-a he natna hmuchhuak hmasa ber doctor pathum (Jean-Martin Charcot, Pierre Marie, leh Howard Henry Tooth) hming atanga lo chhuak a ni. Tin, `(hereditary motor leh sensory neuropathy)` leh `(peroneal muscular atrophy)` an ti bawk. Hei hi a takah chuan natna pakhat chauh a ni lo va, natna chi hrang hrang, genetic factors avanga lo awm a ni. Tun thlengin CMT chi hrang hrang 90 chuang hmuhchhuah a ni tawh.
A pawimawh ber chu hei hi natna hrik kai theih a ni lo tih hi a ni. Chumi awmzia chu thawk hah emaw, khawih emaw hmangin mi pakhat atanga mi dangah a darh thei lo tihna a ni.
CMT natna hi eng nge thlen?
He natna hi kan genes a genetic mutation avanga lo awm a ni . Hei hi nu leh pa atanga fate hnena inthlunzawm thin thil a ni. Kan nervous system hi telephone wire network angin han ngaihtuah teh. Thluak hi a hub ber a ni. Chuta tang chuan kan kut leh ke ruh te chu "stretch" leh "stretch out" turin thuchah a thawn thin. CMT-a thil thleng chu heng telephone wire, a nih loh leh nerve te hian hna an thawk tha lo a ni.
He genetic defect hian nerve te hian message dik tak leh rang taka an thawn chhuah theih loh phah a ni. Hun a kal zel a, heng nerve te hi a chak lo zauh zauh a, a chhiat phah a, a bo thei hial a ni. Hei hi taksa ruh chak lohna leh hriatna hloh ang chi natna lan chhuah hun a ni.
He natna lan chhuah dan tlangpui engte nge ni?
CMT symptoms hi naupan lai emaw tleirawl lai emaw atang hian a lang tan tlangpui . Heng symptoms te hi ke leh ke ah hmuh hmasak ber a ni.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Ke pianzia a inthlak danglam | Ke chunglam chu a tul lovah high arched a ni. Tin, ke ruhte chu a laiah a ben a, hammer ang maiin a siam bawk. Hei hi ``hammertoes`` kan ti a. Hei hian kal a ti harsa a, pheikhawk bun hian hliam, blister leh callus a siam thei bawk. |
| Kal harsat | Kal laiin ke chu lei atanga chawi chhuah a harsa ta hle. Hei hi ``foot drop'' an ti a, hei hian ke chu leiah a hruai a, a nih loh leh ``slapping'' gait nen i kal a ngai a ni. |
| Muscle chak lohna | Hun a kal zel a, a bik takin ke hnuai lam ruhte chu a hring a, a chak lo bawk. |
| Sensation hloh leh balance lama harsatna awm | Ke leh kut ah tingling emaw numbness emaw a awm thei. Taksaah balance neih a harsa ta hle. |
Natna a zual zel chuan heng symptoms te hian kut leh ke ruh te pawh a nghawng thei a ni. Mahse, he natna vei te hi an dam rei thei tlangpui a, an dam rei thei bawk .
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
Nangmah emaw i fa emaw hian heng symptoms te hi i neih chuan a tha ber chu doctor pan hi a ni . I doctor chuan neurologist, nervous system lama tui doctor hnenah a refer thei che a ni.
Natna hriat theih nan test eng emaw zat an nei a, chungte chu:
- Chhungkaw damdawi lam chanchin : I chhungkuaah hian heng natna lanchhuahna hi an nei tawh em tih zawt rawh.
- Taksa enfiahna: 1.1.Knee-jerk reflex ang chi test an ti a, chu chu khup chu hammer te tak te hmanga tap a ni. Heng reflexes te hi CMT vei te tan chuan a chak lo hle. Tin, an kephah chunga kal turin an ti a, taksa chak lohna an test bawk.
- Nerve Conduction Velocity test: Hei hi vunah electrode te te dahin electrical current te tak te tak thawnin nerve ten message an conduct chak zia tehna a ni. Hetiang speed hi CMT damlote tan chuan a slow hle.
- Electromyography (EMG): Muscle pakhatah needle te tak te tak te dahin, action i tih lai hian muscle electrical activity chu teh a ni a, chu chu i kut zungtang hrual ang chi hi a ni.
- DNA test: Thisen sample lak a ni a, CMT thlentu genetic defects a awm leh awm loh enfiah a ni. Mahse, test-in a chhiatna a hmuh loh vang mai mai chuan CMT a awm lo tihna a ni lo, a chhan chu natna thlentu gene zawng zawng hi hriat chhuah a la ni lo.
CMT enkawlna tur engte nge ni?
Vanduaithlak takin CMT hi damdawi a la awm lo . Mahse, natna lan chhuah dan thunun thei leh nun tha tak nei thei tur enkawlna tam tak a awm.
A pawimawh ber chu natna enkawl dan hi a ni. Chutianga tih dan chi hrang hrang a awm a.
- Physical Therapy: Hei hi a pawimawh hle. Muscle tihchakna leh stretching exercise hi therapist kaihhruaina hnuaiah tih a ni. Exercise-a ruh (joint)-a rit dah lo, tui chawi leh cycle khalh te hi a tha hle. He enkawlna hi a tir lamah tan a pawimawh hle , taksa ruh a chak loh hmain.
- Occupational Therapy: He therapy hian natnain kut a tihbuai hunah a pui a, nitin hna (ei leh in, inchei) tih a harsat phah bawk. Grip tichak tur leh thil awlsam zawka siam turin thiamna a zirtir thin.
- Assistive Devices: Leg braces leh custom footwear te hian kal a ti awlsam thei a, taksa tan pawh a pui tha zawk bawk.
- Damdawi: Painkiller leh damdawi dangte hi taksa ruh natna leh nerve natna ang chi thil atan a awm a. Hemi chungchang hi i doctor nen inbia la, a dik zawk i thlang tur a ni.
- Surgery: A then phei chuan ke ruh natna nasa tak leh ruh natna awmte siamthat nan operation neih a tha thei. Mahse, surgery hian nerve chhiatna a siam tha thei lo.
He natna hian harsatna dang a thlen thei em?
Ni e, CMT hian a chang chuan hriselna lama harsatna dang a thlen thei.
- Thâwk harsa leh ei harsa: Hei hi a tlem deuh. Mahse, diaphragm control tu muscle te a nghawng a nih chuan thawk mumal lo turin harsatna i nei thei a ni. Hetiang a nih chuan Doctor pan nghal tur a ni. Emergency a ni thei.
- Infection: Ke hian sensation a neih tlem avangin a chang chuan scrape leh hliam tenau te pawh hriat lohvin a awm thin. Heng hliamte hi uluk taka enkawl a nih loh chuan a kai thei a ni. Chuvangin, i ke hi enfiah fo a, fai taka vawn reng a pawimawh hle .
- Hip Dysplasia: Hip joint hi a awm tha lo a nih chuan CMT hian a ti na zual thei a ni.
- Naupai laia hlauhawmna: CMT vei hmeichhiate hian naupai laiin harsatna engemaw zat an neih theihna chance a sang deuh hlek a ni.
Take-Home Thuchah a ni
- Charcot-Marie-Tooth (CMT) hi nu leh pa atanga rochun, genetic neurological disease a ni a, a natna hi a ni. Hri kai theih a ni lo.
- A lan chhuah dan ber chu taksa ruh chak lo zauh zauh, a bik takin ke leh kea awm, kal harsa leh hriatna hloh te hi a ni.
- Dam vek theih ni lo mah se, taksa lam enkawlna, puitu hmanrua, leh enkawl dan dik tak hmang chuan nun tha tak, famkim tak a awm thei a ni.
- Heng symptoms te hi i neih chuan hlau lo la, tihkhawtlai lo la, doctor rawn la, diagnosis mumal tak nei rawh.
- A bik takin i ke enkawl a pawimawh hle a, tihfai fo a pawimawh a, hliam a awm leh awm loh enfiah a pawimawh hle.











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