jw;NghJ ele;JtUk; Muhl;rpfs; vit?
%is Klf;F thjj;jpq;fhd Gjpa fhuzq;fs;> Mgj;Jf; fhuzpfs;> ,Wf;fkhd jirfis ,yFgLj;Jtjw;fhd kUe;JfSk; mtw;iw toq;Fk; KiwfSk;> jir kw;Wk; vd;Gfspy; cs;s FiwghLfis eptu;j;jp nra;tjw;F nra;ag;gLk; cau; njhopy;El;gj;Jld; $ba rj;jpurpfpr;irfs;> Foe;ij tapw;wpypUf;Fk; NghJ %is rpijtiltjw;fhd fhuzq;fs; vd;git midj;Jk;; nra;ag;gl;l Muhl;rpfshNyNa vkf;fj; njupate;jd vdyhk;.
%is tpUj;jpapd; Muk;g fl;lj;jpNyNa Fog;g;fs; Vw;gLtjhNyNa MNdf Foe;ijfSf;F %isKlf;F thjk; Vw;gLfpwJ vdg; gy tpQ;Qhdpfs; ek;Gfpd;wdu;. %isapy; cs;s euk;Gf; fyq;fs; Vida %isf; fyq;fSld; njhlu;Gfis Vw;glj;Jtjpy; vt;thW rpwg;gpay;Gld; njhopw;gLfpd;wd vd Ma;tjpy; ,tu;fs; Mu;tk; fhl;Lfpd;wdu;. mj;Jld; %isapd; rhjhuz tsu;r;rpf;Fj; jilahf ,Uf;Fk; fhuzpfisj; jLg;gjw;fhd topfisAk; fz;Lgbf;f Kidfpd;wdu;.
%isKlf;F thjj;jpw;Ff; fhuzkhd %isapd; Fiw tpUj;jp my;yJ FiwghLfs; rpy kugpay; FiwghLfshy; Vw;gLfpd;wd. %isKlf;F thjKs;s gps;isfs;> mtu;fspd; ngw;NwhuplkpUe;J DNA khjpupfisr; Nrfupj;J ,t;thwhd FiwghLfSf;Ff; fhuzkhd [Pd;fisf; fz;Lgpbf;Fk; Kaw;rpfs; eilngWfpd;wd. Kf;fpakhf euk;gf;fyq;fs; Njhw;Wtpf;fg;gLk; ,lq;fspypUe;J Gyk; ngau;e;J euk;G kz;lyj;jpd; ntt;NtW ,lq;fspy; nrd;W gjpAk; nraw;ghL (neural migration) mlq;fyhf %isapd; tpUj;jpapy; Vw;gLk; mrhjhuzq;fs;> FiwghLfSf;Ff; fhuzkhd [Pd;fisf; fz;Lgpbg;gjpy; tpQ;Qhdpfs; Kidg;ghf cs;sdu;.
%isKlf;F thjj;ijj; Njhw;Wtpf;ff; $ba mrhjhuzkhd ,urhadj; jputpaq;fis ntsptpLk; typg;G> %isapy; ,uj;jf;frpT> Rthr kw;Wk; ,uj;Njhl;lg; gpur;rpdfs; Nghd;w nraw;ghLfis tpQ;Qhdpfs; njhlu;e;J mtjhdpj;J tUfpd;wdu;. %isapy; ,uj;jf; frpT Vw;gLk;NghJ> euk;Gf; fyd;fs; xd;Nwhnlhd;W njhlu;ghly; itj;Jf;nfhs;s cjTk; FOuNkw; vd;Dk; ,urhadg; gjhu;j;jk; mjpf mstpy; ntsptplg;gLfpwJ. ,jdhy; euk;Gfspd; nraw;ghL kpfTk; mjpfkhfpf; fyq;fs; ,we;JtpLfpd;wd. clYf;F rhjhuzkhf cjtpahf ,Uf;Fk; ,urhadg; gjhu;j;jq;fs; mrhjhuz msit vl;Lk; NghJ vt;thW Mgj;jhf khWfpwJ vd;W Muha;e;J ,e;j tpisTfisj; jLg;gjw;fhd kUe;Jfis jahupf;Fk; tha;g;Gfs; fpl;Lk;.
Muhl;rpahsu;fs; %isiag; glq;fs; vLf;Fk; Af;jpfs; (neuro imaging)> %isapd; nraw;ghLfis mtjhdpj;jy; (neurobehavioral test) vd;gtw;wpd; %yk; Foe;ij gpwf;f Kd;dNu %isKlf;F thjk; Vw;gLtjw;fhd tha;g;Gfisf; fz;lwpa Kay;fpd;wdu;. ,e;j Muhl;rpfs; ntw;wpaspf;Fk; gl;rj;jpy; Foe;ij tapw;wpypUf;Fk; NghNj kUj;Jtu;fshy; %isKlf;F thjj;jpw;fhd rhj;jpaq;fisf; fz;lwpa KbAk;.
Periventricular white matter damage - %isapd; nts;isg;gFjp rpijtiljy;- jputk; epuk;gpa %isapd; ntspg;Gwj;jpd; nts;isg;gFjpapy; fyd;fs; ,wj;jNy %isKlf;F thjj;jpw;fhd kpf Kf;fpa fhuzkhFk;. %isapd; ,t; ntspg; gilapNyNa clypd; Vida gFjpfspd; jirfSf;Fr; rkpf;iQfisf; nfhz;L nry;Yk; euk;Gj; jpRf;fs; fhzg;gLfpd;wd. %isapd; nts;isg; gil rpijTfisj; jLg;gjw;fhd rpfprr;ir Kiwfisf; fz;Lgpbf;Fk; Muhl;rpfSk;; eilngw;W tUfpwJ. Erythropoietin vDk; clypy; fhzg;gLk; xUtifg; gjhu;j;jk; Fiwg;gpurtf; Foe;ijfspy; %is Klf;F thjj;ijj; Njhw;Wtpf;fpwjh vd;W fz;Lgpbf;Fk; Muhl;rpfSk; eilngw;W tUfpwJ.
Constraint Induced Therapy (CIT)- %is Klf;Fthjj;jpw;fhd rpfpr;irfspy; kpfTk; ek;gpf;ifahd xU rpfpr;ir KiwahFk;. thjj;jhy; ghjpf;fg;glhj ,aq;f epiyapYs;s if> fhy;fis ,aq;f tplhky; fl;b itj;J ghjpf;fg;gl;l tYtpse;j if fhy;fis ,aq;Ftjw;Fj; J}z;litf;fg;gLfpwJ. ,r; nraw;ghL xt;nthUehSk; eilngWtJld; rpy thuq;fSf;Fj; njhlug;gLk;. ,r; rpfpr;ir nra;ag;gl Ntz;ba fhyg;gFjp gw;wpa Muhl;rpfs; eilngw;W tUfpwJ. KO Neur; rpfpr;ir> gFjp Neur; rpfpr;irfs; gps;isfspd; NkYlk;gpd; typikiaf; $l;Ltjw;F vt;thW cjTfpd;wd vd;W Muhl;rpfs; fhz Kay;fpd;wd. %is Klf;F thjKs;stu;fspd; ,aq;F epiyia tho;ehs; KOtJk; NgZtjw;fhd topfis ,t; Muhl;rp KbTfs; ntspf;nfhz;L tuKbAk;.
Functional Elecrical Stimulation (FES)- Fiwe;j msT kpd;rhuj;ijj; jirfSf;Fr; nrYj;jp ,oe;J Nghd nraw;ghl;il kPl;gjd; %yk; ,Wf;fkhd jirfSf;F rpfpr;ir mopf;Fk; KiwahFk;. ,jdhy; ,Jtiu eilngwhj elj;jy;> mbnaLj;J itj;jy; Nghd;w nraw;ghLfis kPz;Lk; nray;gLj;j KbAk;. fl;bsk; gUtj;jpdupy; ,Lg;gpw;Ff; fPNo cs;s gFjpfis tYT+l;Ltjw;F FES assisted stationary cycling Kiw vt;thW cjTfpwJ vd;gij Muhl;rpahsu;fs; fzpj;JtUfpd;wdu;. Robotic therapy MdJ elf;Fk; NghJ ehy;fisj; J}f;fpa Neuj;jpYUe;J kPz;Lk; jiuapy; itg;gjw;fpilapyhhd Neuj;jpy; (swing phase) fhy;fSf;F mOj;jj;ijf; nfhLf;fpwJ. ,e;j Muhl;rpfshy; %is Klf;FthjKs;s gps;isfs; cyhtpj;jpuptjw;F Vw;w Kd;Ndw;wq;fs; ntsptuyhk;.
Botulium Toxin (Botox) cypy; Crp kUe;jhf Vw;wg;gLk; ,k; kUe;J jir ,Og;G thjk; cs;s gps;isfSf;Fg; nghJthf toq;fg;gLk; rpfpr;ir KiwahFk;. kpUfq;fspy; nra;j Muhl;rpfs; rpy Botox Crp kUe;J vd;Gfspd; tPupaj;ijf; Fiwg;gjhff; fhl;bdhYk; kpdpju;fspy; mt;thwhd khw;wq;fs; Vw;gLtjhf rhd;Wfs; VJk; ,y;iy. NtW rpy Muhl;rpfs; %is Klf;FthjKs;s gps;isfspd; fPo;Gw clypd; typikiaf; $l;Ltjw;F low intensity vibration rpfpr;ir cjTtjhff; fhl;Lfpd;wd. xU GJikahd Ma;tpy; vd;GfSf;Fk; jirfSf;Fk; Botox kw;Wk; low intensity vibration rpfpr;irAk; Nru;j;J toq;fg;gl;L tpisTfs; mtjhdpf;fg;gl;L tUfpd;wd.
Systematic hypothermia- clypd; ntg;gepiyia kUj;Jt Kiwfs; %yk; Fiwg;gjhy; %is ghJfhf;fg;gl;L Fwpg;gpl; Cdq;fs;> FiwghLfshy; Vw;gLk; ,wg;G tPjj;ijf; Fiwf;fpwJ vd ek;gg;gLfpwJ. epiw khjj;jpy; my;yJ gpe;jpa Fiwg; gpurtj;jpy; gpwe;j Foe;ijfspy; hypoxic-ischemia (Nky; fPo; ghf;fthjj;ij Vw;gLj;jf; $baJ) Vw;gLk;NghJ hypothermia cjtpahf ,Ug;gjhf Kd;du; nra;ag;gl;l fw;iffs; Fwpg;gpLfpdwd. HIE cs;s Foe;ijfspy; ntt;NtW Kiwahd Fspu;r;rpg; gLj;Jk; Kiwfs; vt;tifshd jhf;fj;ijf; nfhLf;fpd;wd vd;gijf; fzpf;Fk; Muhl;rpfs; elj;jg;gLfpd;wd. kpUfq;fspy; gpwg;gpw;F Kd; my;yJ gpd;du; xl;rprd; jilg;gLtjhy; Vw;gLk; %is njhlu;ghd FiwghLfs; cs;s kpUfq;fspy; hypothermia kw;Wk; erythropoietin (,uj;jj;jpy; rptg;Gf; fyq;fspd; vz;zpf;ifia mjpfupj;J xl;rprd; cs;thq;fiyf; $l;Lk; N`hu;Nkhd;) rpfpr;irfs; Nru;e;J toq;fg;gLk; NghJ Vw;gLk; gyd;fisAk; mit jdpj;jdpNa toq;fg;gLk; NghJ Vw;gLk; gyd;fisAk; xg;gpLk; Muhl;rpfSk; eilngWfpd;wd.
%is Klf;F thjk; gw;wpa mwpT tsUk; NghJk; Muhl;rpfs; %yk; Gjpa rpfpr;ir Kiwfs; fz;Lgpbf;fg;gLk; NghJk; %isKlf;F thjKs;s gps;isfspd; tho;f;ifj; juk; Kd;NdWk; tha;g;Gfs; mjpfkhfpd;wd. %isKlf;F thjk; kw;Wk; ,J Nghd;w NtW FiwghLs;s gps;isfisg; ghuhkupg;gjw;fk; Gjpa topfs; Njhd;Wk;.