Nang pawh i muhil ve em? (Sleepwalking) – Hemi chungchang hi han sawi ila!

I harh a, hmun dangah i inhmu tawh em? A nih loh leh i in chhungah mi muthilh laia kal lai i hmu ngai em? Hei hi sleepwalking kan tih chu a ni . A chang chuan hlauhawm deuh thei mah se, a takah chuan chutiang khawpa harsatna lian chu a ni lo. Vawiin hian chipchiar zawkin sawi ila.

Mutthilh hi eng nge ni tak tak?

A awlsam zawngin, sleepwalking chu khum atanga tho a, i mut laiin i che vel hi a ni. A châng chuan kea kal mai aia tam i ti thei bawk. Hei hi scientific hmingah chuan somnabulism tih a ni . Hei hi mutna lama harsatna a ni a, chu chu parasomnia chi khat a ni . A tha ber chu he dinhmun hi chhungkuaah a kal fo thin a, chu chu i nu leh pate khan an nei a nih chuan nang pawhin i neih a rinawm zawk tihna a ni. Mahse lungngai suh, mi tam zawk chuan an upat deuh deuh chuan an outgrow ang. Khawvela mi 100 zinga 7 vel chuan an dam chhungin vawi khat tal an muhil dawn niin an chhut. Naupan lai atanga intan a ni tlangpui. Naupang kum 4 leh 8 inkar 100 zinga 5 leh 15 inkar chuan kum khat chhungin he thil hi an tawng ang a, puitling 100 zinga 1.5 zinga 1 velin an tawng ang.

Nang pawhin heng symptoms te hi i nei ve em?

A hming ang ngeiin muthilh lai mi tam tak chu an tho a, an mut laiin an kal kual thin. Mahse, hei hi a ni lo. Thil dang tam tak a thleng thei a ni. Eng nge an nih hi han thlir ila:

• Not quite awake: I active ta a, chu chu khum atangin i tho a, i inher kual tihna a ni a, mahse i harh kim lo tihna a ni. Mut leh harh inkar chanve vel ang mai a ni.
• Hun: Hei hi i mut hnu darkar hnih atanga darkar thum chhungin a thleng tlangpui . Chu chu mut thuk lai a ni.
• Taksa thununna tlakchhamna: I che vel chu a mak deuh niin a lang a, i ke ruhte chu a inzawm khawm ang maiin a lang a, thil engemaw chu harsatna nasa tak nen i ti thin.
• I chhehvel hriat lohna: I awmna hmun emaw, i chhehvela thil thleng emaw i hre lo mai thei. I mit meng chung pawhin i hmaa thil awm chu i chhân lêt thei lo mai thei. Room chhungah i kal kual a, mahse dawhkan nen i insu dawn ang maiin i inhria ang.
• I thil tih engmah i hrechhuak lo: Mut laia i thil tih zawng zawng kha i hre reng lovang. Zing i harh chuan, "Engtin nge hetah hian ka lo thlen?"
• Hna khirh tak tak thawh harsa: Entîr nân, ngaihtuahna tlemte mamawh hna, chabi hmanga kawngkhar hawn ang chite chu i thawk thei lo mai thei a, a chhan chu chutih laia i thluak chuan chutiang hna thawh tûra mamawh coordination skills chu a hmang lo a ni.
• I mumang thilte tak takah tih:A châng chuan i mumang ang thil chu i ti tak tak thei a ni. Entirnan, bathroom kal i mumang a nih chuan hmun remchang lo takah i zun tak tak mai thei. Mi thenkhat chu an muthilh laiin an tawng thin.
• Sleep eating: Hei hi mi thenkhat chunga thleng thin a ni bawk. I ei loh tur thil, entîr nân, i ei theih loh thil, a nih loh leh carbohydrate tamna ei tûr ei tûra thlêm i ni thei . Chaw chhum loh emaw, a chanve emaw chawhmeh chu kitchen-ah emaw, zing lamah i khumah emaw i hmu mai thei. Hetianga mut ei dan hian taksa rihna a tipung thei bawk.

Ngaihtuah teh, mi thenkhat chuan fridge an hawng a, muthilh laiin ice cream an ei a, mahse zing lamah chuan an hre reng lo!

Mi tam zawk chuan mut laiin hna harsa tak tak an thawk thei lo a, mahse mut laiin lirthei khalh emaw, chaw siam emaw an nih thu report a awm tlem hle . Hei hi a bik takin ni eng emaw zat mut that loh (darkar 24 aia tam) i mut a nih chuan a dik hle.

Engvangin nge hetiang hian i mutpui? A chhan engte nge ni?

Doctor-te chuan mutthilh hi engvangin nge a awm tih chiang takin an la sawi thei lo. Mahse tun thlenga a chhan ber hmuhchhuah chu genetics a ni . Chhungkaw hrang hranga kal thin thil a ni tihna a ni.

• I nu leh pa zinga pakhatin a muhil a nih chuan i muhil ve theihna chance 47% i nei bawk.
• Nu leh pa pahnih hi an muhil a nih chuan a chance chu 62% ah a pung a ni .
• Tin, zirchianna chuan Caucasian zingah hian `HLA-DQB1*05` tih hming pu genetic mutation nei te chu mutthilh theihna an nei sang zawk tih hmuhchhuah a ni bawk.

Mutthilh theihna atana risk factors

Mutthilh theihna chhan dang pawh a awm a, a nih loh leh mutthilh theihna tipung thei risk factor thenkhat pawh a awm bawk. Eng nge an nih hi han thlir ila:

• Sleep deprivation : Mi muthilh tawk lote chu an mutpui duh zawk. Tin, mut tlachhamte hian mutthilh laiin hna harsa tak tak an thawk tam zawk bawk.
• Mut lama harsatna dang : Mut harsatna dang, sleep apnea , i neih chuan mut theihna a thlen thei bawk a, heng natna te hian i mut dan a nghawng avangin.
• Zu: Mut hmaa zu in hian i mut a tichhe thei a, chu chuan mutthilhna a thlen thei a ni.
• Mental health : Research atanga a lan dan chuan anxiety , stress , naupan laia traumatic events, leh post-traumatic stress disorder (PTSD) ang chi thil te hian mutthilh theihna a tipung a ni.
• Thyroid harsatna: Thyroid chak lutuk ( hyperthyroidism ) hian a chang chuan mutthilh theihna a thlen thei a, mahse hei hi a awm lo.
• Brain-related diseases: Sleepwalking hi thluak hnathawh tichhe thei natna , Parkinson’s disease , thluak bul a nghawng chuan a lo awm thei a ni. Tin, mutthilh hi hmasawnna lama harsatna awm lo, Smith-Magenis syndrome ang chi avanga lo awm thei a ni bawk.
• Environmental influences (i risk sang zawk a nih chuan): Natna lo thleng leh kal lo, khawsik, full bladder , emaw, thawm ri nghal mai, leh mutthilh duhna i neih chuan a lo awm thei a ni.

Damdawi thenkhat pawhin hei hi a nghawng em?

Ni e, zirchianna atanga a lan dan chuan damdawi thenkhat hian mutthilh theihna a thlen thei bawk. Damdawi hman tlanglawn tak tak thenkhat chu:

• `Zolpidem (Ambien®)` tih a ni
• `Quetiapine (Seroquel®) tih hi a awm a ni
• `Metoprolol (Lopressor®) tih hi a awm a ni

Damdawi i ei avanga i (or i hnaih ber tu emaw) i muhil nia i ngaih chuan doctor biak nghal a pawimawh . I doctor chuan i damdawi eite chu a enfiah thei a, hlauhawmna a awm leh awm loh a hrilh thei che a ni.

Engtin nge sleepwalking hi kan hriat theih ang?

Doctor chuan i mutthilh dan tur zawtin i natna hi a hre thei tlangpui. Hei hi i mut lai hmutu chhungte hnen atanga thu hriat hian a pui thei a ni. A châng chuan, phone emaw, security camera emaw aṭanga video hmuh chu a ṭangkai thei hle. Zan tin sleepwalking hi a thleng ngai lo a, sleep study hmangin hriat a harsa thei hle. Mutthilh tih finfiah dan tha ber chu mut dan zirchianna kimchang tak neih hi a ni a, chu chu polysomnography an ti a ni. Mahse, hei hi a tul reng reng lo. I doctor (or i fa doctor) chuan heng test zinga pakhat hi a order thei a, chu chu:

• I doctor chuan i mut theihna symptoms hi damdawi lam thil dang avanga lo awm a nih a rinhlelh chuan, mut chhuahna leh mut avanga seizures emaw REM behavior disorder emaw te chu a thliar hrang duh mai thei bawk.
• Mutthilh avanga hliam i tuar a nih chuan, emaw, i nungchang hian in chhunga midangte mut a tibuai a nih chuan.

A then phei chuan doctor chuan electromyography emaw electroencephalography emaw a order thei bawk.Test dang pawh tih a tha thei a, chu chu mutthilhna nena inzawm thei dinhmun dang tihbo nan a ni.

Hei hi enkawl dan tur a awm em? Tihdam theih a ni em?

A tam zawkah chuan mutthilh hian enkawlna bik a ngai lo. Chutiang chu ni mah se, i doctor-in a rawt theih tur damdawi ni lo enkawlna a awm. Chung zingah chuan:

• Relaxation leh stress management technique: Stress tihtlem hian mutthilh theihna a ti tlem thei.
• Mutthilh theihna tur natna dang enkawl dan: Entirnan, obstructive sleep apnea ang chi natna enkawl hian mutthilh theihna a ti tlem thei.
• Psychotherapy: Rilru lam hriselna lama mithiamte hmuh hian lungkhamna, lungkhamna leh mutthilh theihna tur thil dangte a tihziaawm thei a ni.
• Scheduled waking: Sleepwalking hi hun bituk (a tlangpuiin mut atanga darkar tlemte chhungin) a thleng fo thin. Chuvangin, mutthilh a awm theih nia i ngaih hma minute 15-30 chhunga nangmah (or i fate) harh chuan mutthilh lohna tur a veng thei a ni.

Mut chhuahna damdawi

Mutthilhna atana damdawi bik phalsak a awm lo. Thil engemaw takah chuan doctor chuan neurotransmitter level tidanglam thei damdawi a pe thei a, mahse a hlawk tih finfiahna a awm lo. Neurotransmitters hi i thluak hmanga message thawn leh nervous system zawng zawnga process control nan a hman thin chemical a ni. Neurotransmitters tichhe thei damdawi te chu:

• `Gabapentin` tih a ni
• Antidepressant damdawi a ni

I doctor chuan mut laiin harh theihna tur a tihziaawm theih nan sedative a pe thei bawk.

Mutthilh hi a veng thei ang em?

Sleepwalking hi kan beisei loh ber laiin a thleng a, doctor-te pawhin an hriatthiam kim loh chhan vang a ni. Chumi awmzia chu a tir lamah chuan kan dang thei lo tihna a ni. Amaherawhchu, mutthilh fo lohna tur thil kan tih theih a awm a:

• Mut leh harh hun mumal tak nei rawh (doctor-te chuan hei hi mut thianghlimna tha an ti).
• A theih ang anga mut hun siam la , mut tlakchhamna hi pumpelh rawh.
• Mut tichhe thei thil, zu leh caffeine ang chite lakah inthiarfihlim rawh.
• I stress leh lungkhamna chu thunun rawh .
• Mut lama harsatna awm fo, obstructive sleep apnea, mut chakna tipung thei te enfiah thin ang che.

I doctor chuan i mut theih lohna tur thil dang i tih theih dan tur a hrilh thei che a ni.

Mutthilh lai chuan eng nge a beisei theih ang?

Sleepwalking hi thil hlauhawm tak a ni . I tlu thei a, i tlu thei a, a nih loh leh i harh kim a, i fimkhur hle a nih chuan i tih loh tur thil i ti thei bawk. A tlem berah chuan mutthilh thin ṭhenkhat chuan mi dangte tana thil ṭha lo emaw, him lo emaw an ti thei a ni. Entîr nân, mipat hmeichhiatna lama thil dik lo ( sexsomnia tia hriat bawk) an nei thei a ni. Mi dangte chu an harh chuan an buai emaw, an thinrim emaw pawh a ni thei. Heng avang hian mutthilh loh tum a, himna atana fimkhur a pawimawh hle.

Mutthilh hi eng chen nge a daih?

Sleepwalking hi naupangte puitling an nih chuan a mah chauhin a bo thin . Naupan laia muhil thin zinga 1% vel chauhvin puitling an nih pawhin mut an chhunzawm zel a ni. An ti a nih pawhin an upat deuh deuh chuan mutthilh tamna chu a tlahniam zel a ni.

Hei hian eng harsatna nge a thlen theih?

Sleepwalking hi a tlangpuiin natna khirh tak a ni lo. Mahse, muhilte chu hliam an tuar theihna a sang hle . Hei hian stairs atanga tlu te, window atanga zuang chhuak te, mut laiin lirthei khalh te, mut laiin chaw ei te, leh mut laiin chaw ei te a huam thei a ni. Mutthilh laia tharum thawhna chet dan report a awm bawk. Vanneihthlak takin tharum thawhna hi a tlem hle .

Engtin nge kan himna hi kan enkawl ang?

Hliam emaw thil dang chhiatna emaw tihziaawmna turin thil engemaw zat i tih theih a awm a:

• Kawngkhar leh tukverh khar tlat rawh: Mut lai hian harsatna chinfel leh hna khirh tak tak thawh kawngah harsatna an nei fo thin. Lock leh latches hian sleepwalker-in a kal theihna tur hlat zawng a tihtlem thei a, hliam a veng thei bawk.
• Thil chhe thei te paih chhuah: Glass window leh sliding door-a glass chu thil dang emaw, glass chhe thei lo emaw hmangin thlak rawh. Lamp leh decorations ang chi thil chhe thei te chu paih chhuak rawh.
• Bell emaw, sound-activated, motion-sensitive device emaw hmang rawh: Chûngte chuan mutthilh i nih chuan a tiharh thei che a, i hmangaih tak emaw, naupang emaw mutthilh a nih chuan a hriattir thei che a ni.
• I in chei dan leh bungrua dah dan thlak danglam rawh: Dawhkan te te, stairs te, leh power cord te hian tlu theihna a tipung thei a ni. Anmahni chu paih chhuak emaw, a hlauhawmna tihziaawmna hmunah sawn emaw rawh. Stairs-a gate ang chi thil dahin tlu pawh i veng thei bawk. Bunk bed pumpelh leh ground floor-a room-a chauh mut pawh hian a pui thei bawk.
• Thil hlauhawmte chu him takin vawng rawh: Hmun chu eng ang pawhin tlem mah se, hliam thlen thei thil eng pawh chu him taka dah tur a ni. Hei hian silai, chem ang chi thil hriam tak tak, leh hmanrua te a huam a ni.

Mutthilh lai kaihthawh hi a hlauhawm em? Engati nge?

Mutthilh lai i kaihthawh chuan an buai ang a, an buai ang.A theih a ni. A tlem hle a, anmahni kaihthawhtu thil – emaw, mi – emaw chu hlauhna emaw, thinrimna emaw nen an chhang let thei. Mutthilh lai i kaihthawh a ngai a nih chuan, zawi zawiin ti la, tihbuai emaw, tithinur emaw lovin .

Mutthilh lai tan chuan thil him ber chu zawi zawiin khumah hruai leh hi a ni . A tam zawkah chuan an muhil leh ang a, thil thleng chu an hrechhuak tawh lo ang.

Mutthilh lai hian eng nge an hmuh?

Sleepwalker te hian an mit an meng fo thin a, mahse an harh kim lo tih erawh a chiang hle. An hmuh theihna field-a thil awm tur chu an chhang lo va, an hre lo niin a lang tlangpui. Mutthilhte hian an thil hmuh chu an hre reng lo a nih avangin an thil hmuh chu sawi theih a ni lo. Medical record-ah chuan an thil hmuhte chu a lang lo.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Mutthilh hi a pawi lo tlangpui a, mahse hlauhawmna a nei tho. Chuvang chuan a theih phawt chuan ven a pawimawh a, a tlem berah chuan inhliam theihna hi tihtlem a pawimawh. Mi muthilh lai kaihthawh a ngai a nih chuan a tichhe lovang. Mahse, episode atanga an harh chuan an buai hi thil pangngai tak a ni tih hre reng ang che. Minute engemaw zat chu an muhil thei a, an rilru a buai thei bawk. A him ber leh tha ber chu zawi zawiin khumah dah leh hi a ni. Thil thleng chu an hre reng lovang, mahse an him tih hriain i chawlh hahdam thei. He thu hi a \angkai ka beisei. Hemi chungchanga zawhna dang i neih chuan Doctor biak hreh suh.