%is%lf;F thjj;jpw;fhd rpfpr;irfs; vit?
%isKlf;F thjj;ijf; Fzg;gLj;j KbahJ vdpDk; rpfpr;irfs; Foe;ijapd; ,aYikfspy; Kd;Ndw;wj;ij Vw;gLj;Jk;. thjk; Kiwahff; ifahsg;gLk; gl;rj;jpy; mNdfkhdtu;fs; XusT rhjhukhd tho;f;ifj; juj;ij mila KbfpwJ. mj;Jld; vt;tsT J}uk; rpfpr;irfis Kd;$l;b Muk;gpf;f KbfpwNjh mt;tsT J}uk; Foe;ijfs; mgptpUj;jpf; FiwghLfspypUe;J tpLgLtJld; jkf;F nra;a KbahJ NghFk; nraw;ghLfisr; nra;tjw;fhd NtnwhU Kiwiaj; Njbf; fw;Wf;nfhs;sTk; KbfpwJ.
%isKlf;F thjKs;s gps;isfs; midtUf;Fkhd xU rpfpr;ir Kiw ,y;iy. Neha; kw;W %isKlf;F thjj;jpd; tif epu;zak; nra;ag;gl;l gpd;du; kUj;Jtj;Jiwiar; Nru;e;j xU FOtpdu; Foe;ijapd; ngw;NwhUld; Nru;e;J rpfpr;irf;fhd jpl;lk; xd;iw tFg;gu;. xt;nthU Foe;ijf;Fk; Fwpg;ghd FiwghLfis ,dk; fz;L> gps;isapd; tho;f;ifj; juj;ijg; ghjpf;Fk; Kf;fpa Cdq;fisf; ifahs;jNy ,j; jpl;lj;jpd; Nehf;fkhFk;.
,ad;Kiw rpfpr;ir (Physical therapy). Foe;ij gpwe;J XupU tUlq;fspy; my;yJ Neha; epu;zak; nra;ag;gl;l cld; Muk;gpf;Fk; ,r; rpfpr;ir KiwNa %isKlf;F thjr; rpfpr;irfspy; kpf Kf;fpakhdjhFk;. rpy Fwpj;j clw;gapw;rpfs; (resistive, strength training)> nraw;ghLfs; Nghd;wit jir typik> rkepiy> clypaf;fk; Nghd;wtw;iwg; NgZtJld; jirfs; nfhOtpf;nfhs;tijj; jLf;fTk; cjTk;. KlePf;F cgfuzq;fs; vdg;gLk; ,izg;Gfs; rpytw;wpd; cjtpAld; ,af;fj;ij mjpfupj;J ,Og;gpdhy; ghjpf;fg;gl;l jirfis tpupthf;fTk; KbAk;.
njhopy;Kiw rpfpr;ir (Occupational therapy). clypd; Nky; gFjpapd; ,af;fj;jpy; ftdk; nrYj;jp Foe;ijapd; epiyia rPuhf;fp ,ad;wtiu clypaf;fj;ijg; ngw;Wf;nfhLf;Fk; rpfpr;ir KiwahFk;. md;whl nraw;ghLfisr; nra;tjw;fhd Gjpa topfis- cilazpjy;> ghlriy nry;yy; Nghd;wit- ,r; rpfpr;irahsu;fs; fw;Wf;nfhLf;fpd;wdu;.
nghOJNghf;F rpfpr;ir (Recreation therapy). tiujy;> fyhrhu nraw;ghLfs;> tpisahl;L Nghd;wtw;wpy; <LgLtjd; %yk; %isKlf;F thjj;jhy; ghjpf;fg;gl;ltu;fspd; cly; typik kw;Wk; mwpTj;jpwid tpUj;jp nra;Ak; rpfpr;ir MFk;. nghOJNghf;F rpfpr;ir ngw;Wf;nfhs;Sk; Foe;ijfspd; ngw;Nwhu; jk; gps;isfspd; Ngr;R> Rakjpg;G> kw;Wk; cs ed;dpiy vd;git Kd;Ndw;wk; mile;Js;sij mtjhdpf;fpd;wdu;.
Ngr;R kw;Wk; nkhop rpfpr;ir (Speech and language therapy). Ngr;ir my;yJ njspthfg; Ngriy mjpfg;gLj;jy;> czT cl;nfhs;Stjpy; cs;s gpur;rpidfis jPu;j;jy;> njhlu;ghlYf;fhd Gjpa topfis mikj;Jf;nfhLj;jy;- irif nkhop> fzpdp kw;Wk; Fuy; cUthf;Fk; tpNrl njhlu;ghly; fUtpfs;> jkJ Njitfis kw;wtu;fSf;F mwpaj;juntd md;whl tho;Tld; rk;ge;jg;gl;l nghUl;fis mlf;fpa tpNrl njhlu;ghly; gyif- Ngd;w nraw;ghLfis cs;slf;fpa rpfpr;ir Kiw.
czT cl;nfhs;sy; kw;Wk; vr;rpy; tbjYf;fhd rpfpr;irfs;. tha;> jhil> ehf;F gFjpj; jirfspd; fl;Lg;ghL Fiwthf ,Ug;gjhy; czTl;nfhs;sy;> ghdq;fis mUe;Jtjpy; rpukq;fs; fhzg;gLk;. vdNt %isKlf;F thjKs;s Foe;ijfSf;F ,r; rpfpr;ir Kf;fpakhdjhFk;. mj;Jld; czTj; Jzpf;iffis Rthrf; FshapDs; GftpLjy;> Ngh\hf;fpd;ik> ePz;lfhy EiuaPuy; Neha;fs;> mbf;fb Vw;gLk; EiuaPuy; njhw;W Neha;fs; Nghd;w gpur;rpidfSk; ,f; Foe;ijfspy; mjpfkhff; fhzg;gLk;.
kUe;Jr; rpfpr;ir
tha; %y kUe;Jfs;. ,Wf;fkhd> mjpf ,af;fKs;s jirfisj; jsu;j;Jtjw;F diazepam, baclofen, dantrolene sodium, tizanidine Nghd;w kUe;Jfs; nfhLf;fg;gLfpd;wd. rpy kUe;JfSf;F epj;jpiuj; J}f;fk;> ,uj;j mOj;jj;jpy; khw;wk;> ,ug;gig rpijtiljy; Nghd;w gf;ftpisTfs; ,Uf;f tha;g;gpUg;gjhy; njhlu;e;j fz;fhzpg;G mtrpakhfpwJ. gutyhd ,Og;G thjk; cs;s Foe;ijfs; my;yJ kpff; Fiwe;j mstpNyNa jirj; Jbg;G Fiwf;fg;gl Ntz;ba gps;isfSf;F tha; %ykhd kUe;Jfs; nghUj;jkhf ,Uf;Fk;.
Botulinum Toxin (BT-A) %isKlf;FthjKl;gl ,Og;G thjj;Jld; njhlu;Gila FiwghLfs; cs;s gps;isfSf;F ,k; kUe;J Crp kUe;jhf toq;fg;gLfpwJ. ,k; kUe;jhdJ euk;Gfs; jirfis mjpf nraw;ghLfSf;Fj; J}z;Ltijf; fl;Lg;gLj;Jtjd; %yk; nfhOtpAs;s jirfisj; jsu;thf;FfpwJ. ,k; kUe;J fpl;lj;jl;l 3 khjq;fSf;Fr; nraw;gLk;. gf;f tpisTfs; kpfTk; FWfpa fhyj;jpw;Nf fhzg;gLtJld; ghuJ}ukhdit my;y. Crp kUe;J Vw;Wk; NghJ Vw;gLk; typ kw;Wk; rpy Ntisfspy; Vw;gLk; ,Nyrhd fhr;ry; vd;git kl;LNk gf;f tpisTfs; MFk;. ,ad;Kiw rpfpr;ir> nghUj;jkhd KlePf;F cgfuzq;fs; vd;gtw;Wld; Nru;j;J toq;fg;gLk; NghJ BT-A Crp kUe;jpd; gad; mjpfkhFk;.
Intrathecal Baclofen. gf;nshngd; vDk; jirfisj; jsu;thf;Fk; gjhu;j;jj;ij Ks;se;jz;ilr; #oTs;s jputj;jpy; ntsptpLk; gk;gp xd;W clypy; GFj;jg;gLk;. gf;nshngd; MdJ Ks;se;jz;bYs;s euk;GZf;fspd; nraw;ghl;ilf; Fiwf;fpwJ. ,jdhy; cly; KOtJk; jir ,Og;Gf; FiwfpwJ. rpy Neuq;fspy; jirj; Jbg;G Nkhrkhf ,Ug;gpd; mjw;F Vw;wgb ,g; gk;gpia rup nra;a KbAk;. gf;nshngd; gk;gpahdJ kpfTk; fLikahd jir tpiwg;G cs;stu;fSf;Fk; fl;Lg;gLj;j Kbahj jir ,af;fk; cs;stu;fSf;Fk; nghUj;jkhf ,Uf;Fk;.
rj;jpu rpfpr;ir
vd;G rj;jpu rpfpr;ir. elj;jy;> cyhtpj;jpupjy; kpfTk; fbdkhfTk; typAld; $bajhfTk; ,Uf;Fk; NghJ vd;G rj;jpu rpfpr;ir gupe;Jiuf;fg;gLk;. %isKlf;F thjKs;s gyUf;F mtu;fs; elf;Fk; tpjj;ij rup nra;tJ kpfTk; Kf;fpakhFk;. Njitahd mstpYk; FWfpajhf ,Uf;Fk; jirfisAk; jir ehu;fisAk; rj;jpu rpfpr;irahsu;fshy; ePskhf;f KbAk;. ,jd; %yk; typ FiwtNjhL ,af;fKk; mjpfupf;Fk;. jir ehu; rj;jpu rpfpr;ir Foe;ijfSf;F rpWtajpy; tha;g;ghf ,Ue;jhYk; fhyk; nry;Yk; NghJ gpd;tpisTfs; fhzg;glyhk;. gps;isapd; taJ kw;Wk; clypaf;fj;jpd; msitg; nghWj;J vd;G mWit rpfpr;irfs; gpd; Nghlg;glyhk;. %is Klf;F thjKs;stu;fspd; Ks;se;jz;L Cdq;fis jpUj;Jtjw;F my;yJ XusT rup nra;tjw;Fk; rj;jpu rpfpr;irfs; cjTk;. midj;J eil njhlu;ghd gpur;rpidfSf;Fk; rj;jpu rpfpr;ir KbthfhJ. eil gFg;gha;nthd;iw nra;j gpd;dNu kUj;Jtu;fs; rj;jpu rpfpr;iriag; gupe;Jiug;gu;.
euk;G mWit rpfpr;ir. selective dorsal rhizotomy (SDR) MdJ ghuk;gupa rpfpr;ir Kiwfs; midj;Jk; gydspf;fhJ NghFk; gl;rj;jpy; mjpf typf;Fk; jir ,Og;G thjj;jpw;Fk; epthuzkhf nra;ag;gLk; mWit rpfpr;ir MFk;. rj;jpu rpfpr;ir epGzu; mjpf nraw;ghLila euk;Gfisf; fz;Lgpbj;J Ks;se;jz;bd; mbNahL Jz;bg;ghu;. ,J nghJthf if> fhy;fspy; mjpf tpiwg;ghd jirfisj; jsu;j;jpf; fLkikahd typiaf; fl;Lg;gLj;Jk; Nehf;fpy; nra;ag;gLk;. rpy Ntisfspy; mjpf nraw;ghLila rpW ePu; igiar; rupnra;aTk; Nkw;nfhs;sg;gLk;. GyZzu;T Fd;Wjy;> jirfs; czu;tpsj;jy;> my;yJ Jz;bf;fg;gl;l euk;G rkpf;iQ nfhLf;Fk; if fhy;fspy; mrhjhuz czu;T Nghd;wit gf;f tpisTfs; MFk;.
cjtp cgfuzq;fs;
fzpdpfs;> fzpdp nkd; nghUs;> Fuy; cUthf;Fk; fUtpfs;> glg; Gj;jfq;fs;> Nghd;w cjtp cgfuzq;fs; %is klf;F thjKs;s gps;isnahd;wpd; njhlu;ghly; tpUj;jpf;F kpfTk; cgNahfkhdit. kw;Wk; tPl;bYk; Ntiy ,lq;fspYk; cs;s cjtp cgfuzq;fs; %isKlf;F thjKs;stu;fs; jkJ md;whl nraw;ghLfis ,ad;wtiu nra;tjw;F cjtpahf mikAk;.
Kl ePf;F cgfuzq;fs; jirj; jsu;T my;yJ ,Wf;fj;ijr; rkhspj;J Fwpg;gpl;l egu; cyhtpj; jpupAk; tha;g;ig mjpfg;gLj;Jk;. Braces, splint Nghd;w ,izg;Gfs; jir njhlu;ghd FiwghLfis ntspg;Gw mOj;jj;jpd; cjtpAld; rup nra;J epw;wy;> elj;jy; Nghd;w md;whl nraw;ghLfis ,yF gLj;Jk;. NtW rpy Kl ePf;F cgfuzq;fs; jirfis ePskhf;fy;> %l;Lf;fis rupahd ,lq;fspy; nghUj;jp itj;jy; Nghd;w njhopy;fisr; nra;fpd;wd. Rakhf cyht Kbahjtu;fs; rf;fu ehw;fhypfs;> kpd;rhuj;jpy; ,aq;Fk; ];$l;lu;fs; Nghd;wtw;iw cgNahfpf;fpd;wdu;. G+jf; fz;zhbfs;> ngupa mr;rpyhd Gj;jfq;fs; kw;Wk; fzpdpfs;> %f;Ff; fz;zhbfs; Nghd;wit fz;ghu;it Fiwghl;bw;fd rpy chfuzq;fshFk;. Nfl;ly; fUtpfs;> njhiyNgrp xyp ngUf;fpfs; vd;git nrtpg;Gyd; FiwghLilatu;fSf;F cjtpahf ,Uf;Fk;.
ghuk;gupa rpfpr;irfSf;F NkYk; tYT+l;lf; $ba rpfpr;irfs; kw;Wk; khw;Wr; rpfpr;irfs;
gy %is Klf;FthjKs;s gps;isfs; Nkw; $wpa rpfpr;ir tifapy; VNjDk; xd;iwj; njhlu;fpd;wdu;. fl;Lg;ghl;Lf; FOf;fSld; nra;ag;gl;l kUj;Jt gupNrhjidfspy; ,r; rpfpr;irfs; gydspg;gjhff; fhl;lg;gltpy;iy. ,jdhy; tof;fkhd kUj;Jt Kiwfspy; ,it Nru;j;Jf;nfhs;sg;gltpy;iy. vdpDk; tha;nkhop Kyk; gutpa rpy fijfs; ,it gyd; jUtjhff; $Wfpd;wd. Hyperbaric oxygen therapy, resistance clw;gapw;rpapd; NghJ mzptjw;fhd tpNrl Milfs;> rpy tif kpd; rpfpr;irfs;> rpy clypaf;fq;fisg; xU ehspy; gyKiw nra;tjw;Fg; gps;isfSf;F cjTjy;> tpNrlkhd fw;wy; Af;jpfs; Nghd;wit ,t;tifr; rpfpr;irfspy; mlq;Fk;. mj;Jld; jhtu cw;gj;jpg;nghUl;fs; Nghd;w Nkyjpf Ngh\hf;F czT tiffs; gps;is cl;nfhs;Sk; Vida kUe;JfSld; Nru;e;J xt;thikia cUthf;Ftjhy; gf;f tpisTfs; Vw;glyhk;. %is Klf;FthjKs;s gps;isfspd; ngw;Nwhu; jhk; ngw;Wf;nfhs;Sk; midj;J rpfpr;irfisg; gw;wpAk; jkJ kUj;JtUld; fye;jhNyhrpf;f Ntz;Lk;.
Stem cell therapy (jz;Lf;fyd; rpfpr;ir). ,J jw;NghJ %isKlf;F thjj;jpw;Fg; nghUj;jkhd rpfpr;ir KiwahFkh vd Muag;gl;Lf;nfhz;bUf;Fk; rpfpr;ir KiwahFk;. Muhl;rpfs; Muk;g fl;lq;fspNyNa ,Uf;fpwd. kdpju;fSf;F ,r; rpfpr;ir Kiw ghJfhg;ghdjh vd;W KbTfisg; ngWtjw;f mjpf vz;zpf;ifapyhd kUj;Jtg; gupNrhjidfs; Njitg;gLfpd;wd. jz;Lf; fyd;fs; rpije;Js;s euk;GfisAk; %isapd; gFjpfisAk; GJg;gpf;Fk; vd tpQ;Qhdpfs; ek;Gfpd;wdu;;. %isKlf;FthjKs;s Foe;ijfSf;F njhg;Gs; nfhb ,uj;jj; jz;Lf; fyd;fs; nrYj;Jtjhy; Foe;ijapd; ghJfhg;G> ,r; rpfpr;iria cly; Vw;Wf;nfhs;Sk; jd;ik vd;gtw;iw cWjpg;gLj;Jk; Ma;Tfs; nkw;nfhs;sg;gLfpd;wd.