I fa hian a en reng che em ni? ‘Absence Seizure’ a ni thei! Kan inbe dawn em ni?

I fate hian i thusawi a play emaw, a ngaihthlak emaw hnuah a rawn en nghal che tih i hmu ngai em? He khawvelah hian a awm lo ang mai a ni. I biak hunah a chhang lo che. Second engemaw zat hnuah chuan a pangngaiin a awm leh ta. "Aw, mumang khawvelah a bo mai mai a ni," tiin i ngaihtuah mai thei. Mahse, a chang chuan, kan ngaihtuah angin a awlsam lo. Hei hi absence seizure an tih condition a ni thei .

He ‘Absence Seizure’ hi eng nge ni? A awlsam zawngin sawi ila...

Absence seizure, petit mal seizure tia hriat bawk hi hun rei lote chhunga seizure ang chi a ni. I chhehvel i hriat loh vek hian a thleng thin. Entîr nân, thil i ti a, mi i biak a, a nih loh leh thil i ngaithla a, rang takin i chawlhsan ta a ni . It starts without any warning , a tlangpuiin second thum atanga sawm leh panga chhung a daih. Tichuan i chawlhna hmun chu i la leh a, engmah thleng lo ang maiin i awm ta a ni.

Tunah chuan hei hi hre chiang lo miin a hmu a nih chuan i mumang angah emaw, i rilru chu hmun dangah emaw, a sawi tum chu i ngaihven lo emaw niin an ngai mai thei. Mahse thil thleng tak tak chu i thluak chhunga seizure te tak te, seizure ang chi condition a ni. He ‘Absence Seizure’ hi generalized seizure chi khat a ni a . Hei hi chi hnih a awm a, ``typical'' leh ``atypical'' te an ni. A tha ber chu doctor hian damdawi hmangin he natna hi a thunun thei a ni.

Absence seizures hi engtiang chiahin nge a awm? Tuin nge dawng tam ber?

Statistically chuan naupang kum 15 hnuai lam 100,000 zinga paruk atanga pariat inkar hian kum tin he ‘absence seizure’ hi an tawk thin niin an chhut. Mahse, puitling zingah chuan chutiang chuan a awm lo. Naupang tê tê zîngah hmuh a ni ber.

Hetiang natna lan chhuah dan hi engte nge ni? Engtin nge i hriat chian?

Absence seizure natna lan chhuah dan chu:

• Vawikhat chu rei vak lo chhung chu i en reng a, "blank stare" ang maiin.
• Ka chhehvela thil thlengte chu ka hrethiam tawh lo.
• Caesarean section-a i awm laia i thil tih thin (thusawi leh kal ang chi) te chu a tawp vek.
• A châng chuan mit khap, lu ti nghing, duh loh zawnga kut emaw, hmui emaw chetna ( hmui hrual ang chi) a awm thei bawk. Hengte hi ``automatic movements'' kan ti a.

Kaisara a zawh hnuah:

• I thil tih tawh kha i chhunzawm leh thei ang.
• I chhehvela thil thlengte chu i hloh ang maiin i inhria mai thei.
• A châng chuan engmah a thleng tih pawh i hre lo mai thei., ngaihtuahna fim tak leh rilru tha takin ka inhria.

Heng symptoms te hi ni khatah vawi tam tak a awm thei a, a awm lo thei bawk a, kar engemaw zat emaw thla engemaw zatah vawi khat emaw ang chi te pawh a awm thei bawk.

Absence seizure i neih lai hian i conscious em?

No. Absence seizure neih lai hian i conscious lo. Second tlemte chhungin natna lan chhuahna a awm avangin, he hun engemaw chen atana tihbuai hian i inbiakna emaw, i thiltih emaw chu a nghawng thei a, a nghawng lo thei bawk. Chumi hnuah chuan seizure a zawh veleh i kir leh thei ang.

Mahse, a zawna seizure vawi hnih emaw a aia tam emaw i neih chuan i buai hmel hle a, i chhehvela thil dangin a tibuai thei bawk. Entîr nân, i zirtîrtu thupêk emaw, mi pakhatin inbiaknaah i seizure i neih laiin a sawi emaw i hmu lo mai thei.

He Kaisara hi eng chen nge a awm tawh?

A tlangpuiin ``typical absence seizure'' hi second thum atanga second sawm leh panga (``3-15 seconds``) a ni. ``Atypical absence seizure'' hi a rei zawk thei.

Engvangin nge absence seizures hi a awm thin? Eng nge a chhan?

A awlsam zawngin, i thluaka neurons atanga electrical activity puak nghal vanga lo awm a ni . Heng neuron te hian thupek dik lo an dawng a, thluak hmun hrang hrangah electrical signal tam lutuk an thawn thin.

Zirchiangtute chuan he natna hi genetic component a awm thei niin an ngai. He natna hi thlah khat atanga thlah danga a darh dan leh a kaihhnawih gene bikte zirchianna chu kalpui mek a ni.

Hetiang dinhmun thlentu (triggers) te hi engte nge ni?

`Triggers` chu i chhehvela thil awmte, heng symptoms te tichhuak thei a ni. Hetiang thil hian absence seizure a thlen thei a ni:

• Light eng tak, eng mawi tak tak.
• Thâwk chhuah ring tak leh thuk tak (hyperventilating) .

Tute nge hetiang hi vei theihna hlauhawm zawk?

Absence seizure i neih theihna chance a sang zawk thei a, chu chu:

• Seizure chi dang (``grand mal seizures'', ``myoclonus'', emaw ``atonic seizures'' ang chi) neih.
• Seizure damdawi thenkhat (e.g., phenytoin, carbamazepine, leh gabapentin) hian a chang chuan absence seizures a tipung thei bawk.

Naupangte zingah absence seizures chungchanga hriat tur awmte

Absence seizure hi kum eng pawhah awm thei mah se, naupang tê têah a tam ber. Kum 3 leh 13 inkar atanga tan an ni tlangpui a, kum 6-7 vel atanga an tam ber.

Absence seizure hi a hlauhawm em?

"A tlangpuiin hengte hi a hlauhawm lo."

Hei hi a chhan chu rei lo te an nih fo vang a ni a, convulsion pawh a tlem vang a ni. Entirnan, ding chungin absence seizure i neih chuan leiah i tlu a rinawm loh. Chu ai chuan second tlemte chhung chu i awmna hmunah i awm reng ang.

Hei hian eng harsatna nge a thlen theih?

Absence seizure i neih chi hrang hrang leh a lo awm fo dan azirin heng thilte hi a thleng thei a ni:

• Concentrate a harsa khawp mai.
• Thupek zawm harsat.
• Sikul -a zir harsat .
• Accidental inhliam a awm thin.

Tin, ngaihven kim ngai thiltih – lirthei khalh, tui chawi, leh kea kal te pawh hi a dinhmun a thunun hma chuan a him lo thei bawk. I doctor chuan i natna lan chhuah dan control nan damdawi a pe ang a, heng thilte hi him takin i ti thei ang. Hetiang dinhmun hi i neih chuan i doctor chuan him taka awm dan tur a zirtir bawk ang che.

Engtin nge doctor hian absence seizure dik taka a hriat theih ang?

Doctor chuan taksa enfiahna leh test dang a neih hnuah absence seizure a nei tih a hmuchhuak ang. Exam chhung hian i doctor chuan i symptoms te a zawt ang che. Eng symptom nge i neih tih leh seizure hma, seizure lai leh seizure hnua eng nge thleng tih hriat reng a pawimawh. Hêng thilthlengte hi sikul emaw, hnathawhna hmun emawa thleng a nih chuan, hun tam tak i hmanpui ṭhin mi pakhat nên sawi la, nungchang danglam tak a hriat leh hriat loh zawt rawh.

Hetiang test hi i ti thei ang:

• Hyperventilation test: Thâwk chak lutuk (hyperventilating) hian absence seizure a thlen thei. Doctor chuan nangmah emaw, i fa emaw chu lehkha emaw, toy wind chime emaw-ah minute hnih vel zet puak chhunzawm zel turin a ti ang.
• EEG (electroencephalogram) test: He test-ah hian i lu vunah sensor dahin i thluaka electrical activity a enfiah thin. Absence seizures hi thluak wave pattern bik hmanga hriat theih a ni.
• MRI (magnetic resonance imaging) emaw CT scan (computed tomography scan): Heng imaging test-te hian thluaka thil dik lo awm thei, seizure thlen thei zawng zawng an zawng thin.
• Thisen leh zun test: I doctor chuan heng test te hi a order thei a, chu chu seizures thlentu medical condition dang a awm leh awm loh a enfiah thei a ni.

Vawi tam tak chu, absence seizure i nei tih hre lote chuan prank emaw, mumang emaw angin an ngai sual mai thei. Mi tam tak tân chuan he inhriatthiam lohna hian natna hriat chhuah hun a tikhawtlai thei a ni.

‘Typical’ leh ‘Atypical’ Absence Seizures te hi eng nge an danglamna?

Absence seizure hi chi hnih a awm a, chungte chu ‘typical’ leh ‘atypical’ te an ni.

• Absence seizure pangngaiah chuan thil thleng awm chhun chu i en reng a, i hriatna i hloh mai mai a ni.
• Atypical absence seizures -ah chuan taksa lam thil dang, mitmeng leh hriatna hloh te, mitmeng leh kut inthlak te pawh i hmu thei bawk. Chungte chu a tlangpuiin a rei zawk tlangpui. Atypical absence seizures hi seizure chi dang nen a awm dun tlangpui a, naupang zirlai harsatna nei leh epilepsy na tak nei te pawh a nghawng tam zawk.

Hei hi eng enkawlna nge ni?

Absence seizure hi antiseizure damdawi hmanga enkawl a ni . I doctor chuan i symptoms te chu a evaluate ang a, i tana tha tur damdawi a rawn rawt ang che.

A châng chuan damdawi i ei ṭhat loh chuan i doctor chuan ketogenic diet . Hei hi thau tamna, carb tlem ei dan tur ruahmanna a ni. Hetiang cancer chi hrang hrang tan hian he ei leh in hian hlawkna a thlen tih finfiahna tlemte chauh awm mah se, mi thenkhat tan chuan a \angkai thei hle.

Damdawi leh nunphung tihdanglam hmanga symptoms control theih loh chuan doctor chuan operation tih a ngaihtuah thei a ni .

Damdawi pek a ni

Doctor chuan absence seizures enkawlna atan heng damdawi zinga pakhat hi a pe thei ang:

• `Ethosuximide (Zarontin ®)` hmanga siam a ni
• `Lamotrigine (Lamictal ®)` tih a ni
• `Topiramate (Topamax ®)` tih a ni
• `Valproate (Depakene ®)` tih a ni

Anticonvulsant damdawi thenkhat – entirnan, phenytoin, carbamazepine, gabapentin, pregabalin, leh vigabatrin te hi absence seizure enkawlna atan hman a ni lo. Seizures te chu an ti na zual thei.

I natna lan chhuah dan a zual emaw, i damdawi ei avanga side effect i neih emaw chuan i doctor hnenah hriattir ngei ang che. Dose thlak danglam emaw, damdawi dang hmanga thlak emaw hmangin hahdamna i hmu thei.

Medical team hian tu nge puih che?

Specialist team chuan i absence seizures enkawl danah an pui ang che. He team hian:

• Neurologist te an ni
• Chhungkaw doctor (Primary care physician - PCPs) te chuan an zirtir a.
• Ei leh in lama mithiamte
• Rilru lam hriselna lama mithiamte

Absence seizures hi ven theih a ni em?

Vanduaithlak takin a tir lamah chuan absence seizures hi ven theih a ni lo. Hei hi a chhan lian ber chu genetic factors vang a ni. Mahse, a natna hmuhchhuah a nih veleh seizures venna tha ber chu i damdawi ei tur ang chiah chiah ei a, doctor nena inbiak pawhna hnai tak neih hi a ni.

Absence seizure nei chuan eng nge a beisei ang?

Hun rei lote chhung ni mah se, absence seizures hian a tibuai hle. I nei tlem emaw, i nei tam lo emaw pawh a ni thei. Mi thenkhat chuan ni khatah absence seizure vawi 10 atanga 30 vel an nei tih an sawi. A chang chuan, a bik takin naupangteah chuan ni khatah seizure za tam tak a awm thei. I zir theihna leh hna pakhata i rilru i pek theihna a nghawng thei a ni. Mahse, enkawl dan tha tak tak a awm a, damdawi hian a natna lan chhuah dan chu hlawhtling takin a thunun thei tlangpui.

Naupang tam tak chuan tleirawl lai hian an absence seizures an outgrow thin. A bik takin naupang absence seizures chauh nei leh seizure chi dang nei lote chu an outgrow vek duh ber.

Seizures hian i rilru hriselna, mahni inrintawkna leh mahni inngaihhlutnaah nghawng lian tak a nei thei a ni. Mi tam tak chuan enkawlna dang an dawn laiin rilru lam hriselna lama counselor nena inbiakna neih chu a \angkai hle niin an hria.

Engtin nge ka fa hian mumang mai mai emaw, absence seizure a nei emaw tih chiang taka ka hriat theih ang?

Hei hi zawhna pawimawh tak a ni. I fain mumang a nei em tih hriat theihna kawng awlsam tak chu biak hi a ni.

• Daydreaming: A tlangpuiin boredom atanga lo chhuak a ni a, zawi zawiin a intan thin. I biak chuan a chhang let ngei ang che.
• Absence Seizure: I fain ‘absence seizure’ a neih chuan seizure lai hian an chhang thei lovang. An ngaihvenna hloh chu a thleng thut a, tihtawp theih a ni lo.

I fa chu a inkhelh lai han mitthla teh. An hming i lam a, an en che a, "Eng nge ni ta, Mom/Dad?" Mahse, vawi tam tak i biak hnuah pawh chhanna pe lovin an en reng che a nih chuan absence seizure a ni thei.

Childhood Absence Epilepsy (CAE) leh typical absence seizure te hi eng nge an danglamna?

Absence seizure hi Childhood Absence Epilepsy (CAE) anga classified a nih leh nih loh tichiangtu berte chu:

• Kum lo awm tan: CAE natna lan chhuahna hi naupan lai atanga tan a ni a, a tlangpuiin kum 3 leh 8 inkar a ni.
• Symptoms lo lang leh: CAE nena lo awm absence seizures hi a awm fo thei a, ni khatah vawi engemaw zat, a then chu ni khatah vawi 200 thleng a awm thei bawk.
• Patterns of symptoms: CAE symptoms hi a intan nghal a, second engemaw zat a daih.

Absence seizures hi epilepsy hmuhchhuah hmasak loh pawhin a awm thei. Entirnan, absence seizure hi kum eng pawhah a awm thei a, a tam dan pawh a inang lo thei a, pattern bik a awm lo thei bawk.

Engtik hunah nge doctor ka hmuh ang?

Absence seizure symptom i neih nia i hriat chuan doctor pan ngei ngei tur a ni. A tlangpuiin, i hun hmanpui tam ber chu heng symptoms te hi a hre hmasa ber thin a, i chungah a thleng tih i hriat loh vang a ni.

Doctor-in absence seizures i nei tih a hriat tawh chuan, i natna lan chhuah dan thar i neih chuan, i natna a zual a nih chuan, i damdawi ei avanga side effect i neih chuan i doctor hnenah hriattir rawh.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

I doctor hnenah hetiang zawhna hi i zawt mai thei:

• Engvangin nge kei/ka fa hian heng cramps te hi kan neih?
• Kei/ka fate tana tih tur him tak takte chu engte nge ni? Eng nge ka pumpelh ang?
• He ‘absence seizure’ hi nakin lawkah engtin nge kan ven theih ang?
• Eng ang enkawlna nge i rawt?
• Enkawlna avang hian side effect a awm em?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Absence seizure symptoms nena nun hi a buaithlak thei a, a lungchhiatthlak thei bawk. Engtikah nge an lo kal dawn tih i sawi lawk theih loh avangin i thil tih apiang atang hian an hruai bo thei che a ni. Ngaihtuah teh, fiamthu i ngaithla a, chhanna dik i sawi hmain seizure a lo awm ta... I harh chuan i chhehvela mi zawng zawng chu an nui vek a, mahse a chhan chu i hre thei lo.

Absence seizures hi hun rei lote chhung a ni a, mahse ni khatah za tam tak thleng a awm thei. Mahse, lungngai suh. Doctor chuan heng seizure chi hrang hrangte hi a enkawl thei che a ni. Antiseizure damdawi hian a natna lan chhuah dan a tiziaawm thei tlangpui. Hei hian engtik lai pawhin i hriatna famkim leh i chhehvel khawvel nena inzawmna nei reng turin a phalsak ang che.

Nangmah emaw i fa emaw hian heng symptoms te hi i nei tih rinhlelhna tlemte pawh i neih chuan doctor rawn la. Hriat hmasak leh enkawl dan dik chuan nun a ti awlsam thei hle.

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