Nammude Arogyam April 2018 | Page 50

Motor Neurons icoc¯nse amwkt]inIÄ¡v {]hÀ¯n¡m\pÅ \nÀt±i§Ä sImSp¡pw. akvXnjv¡¯nse skdn{_ tImÀs«Ivkn ImWs¸Sp¶ ]ncanU tImi§fn XpS§n kpjpav\bnse Anterior horn cellev Ahkm\n¡p¶ \mUok©bs¯bmWv F¶p hnfn¡p¶Xv. Cu tcmKmhØbn tcmK¯nsâ coXn A\p kcn¨v H¶pIn UMN _m[n¡s¸«Xnsâ, e£W§Ä Asæn LMN _m[n¡s¸«Xnsâ e£W§Â AXpasà ¦n Hcp an{ie£Wtam tcmKn {]ISn¸n¡mw. AXp hniZamb \yqtdmfPn¡Â UMN ]cntim[\bneqsS Isï ¯m\mhpw. cïn\pw {]tXyI e£W§fpïv. t]inIfpsS AhØ, dn^vvfIvkv dobm£³kvv CsXms¡ t\m¡n AXp a\Ênem¡m\mhpw. tUmÎÀamÀ Knee Hammer D]tbmKn¨v ap«n X«nbpw (Knee jerk) , DÅwImen s]³kntem atäm D] tbmKn¨v AaÀ¯n Npcïnbpw (Babinski reflex) dn^vfIvkpIÄ ]cntim [n¡mdpïtÃm. Hcp BtemN\bpw CÃmsX s]s«¶p {]Xn {]hÀ¯n¡p¶Xn\v Knee F¶p hnfn¡p¶Xv. Cu ]ncanU tImi§Ä¡v Btez Cell F¶pw t]cpïv. Dt{I\n b³ imkv{XÚ\mb hvfm-UnaÀ s_ävknsâ t]cnemWnXv Adnbs¸Sp ¶Xv. Cu ]ncanU tImi§fmWv kkvX\ PohnIfpsS akvXnjv¡ ¯nse skdn{_ tImÀs«Ivknsâ {]mYanI Dt¯PI bqWnäv. AXp t]mse kpjpav \bnse Anterior horn cell  XpS§n amwkt]inIfn Ahkm\n¡p¶ \mUn k©b\s¯bmWv LMN 50 \½p-sS B-tcm-Kyw | G{]n 2018 jerk reaction F¶v Cw¥ojn `mjm{]tbmKw Xs¶ Dïv. Imf s]äp F¶p tIÄ¡pt¼mÄ IbsdSp ¡pI F¶p ]dbp¶ t]mepÅ {]hÀ¯\w. AXmWv Npcp¡n]dªm  dn^vfIvkv F¶Xv. Cu tcmKw (ALS) hcpt¼mÄ \yqtdmWpIÄ £bn¨ncn¡p¶Xp sImïpw, kpjpav\bpsS hi§fnepÅ \mUn IÄ¡v IÃn¸v _m[n¡p ¶Xp sImïpw ktµi §Ä Xs¶ CÃmXmhp Itbm, ktµi§Ä ta hnemk¡mcmb amwk t]inIfn F¯mXncn¡p Itbm sN¿mw. AXp sImïp amwkt]inIÄ {]hÀ¯\clnXambn ZpÀºeamhpIbpw £bn¡pIbpw sN¿p¶p. CXns\bmWp Muscle Atrophy F¶p]dbp¶Xv. At¸mÄ F´p kw`hn ¡p¶p? Ne\tijn \jvSs¸Sp¶p, \S¡m\pw kwkmcn¡m\pw izkn ¡m\pw hngp§m\pw DÅ Ignhp \jvSs¸Sp¶p. C§s\ tcmKn Hcp Poh Ñhambn amdp¶p. aäp kmt¦XnI klmb§ fnÃmsX Pohn¡m³ ]äm¯ ØnXn. AXm bncp¶p Cu alm imkv {XÚsâ AhØ. \mUotImi§fpw \mUo Rc¼pIfpw hnZypXv XcwK§fpw Hs¡ tNÀ¶p sI«p]nWªp InS¡p¶ A\´XbmWo akvXn jv¡hpw \mUohyq lhpw.