I rilru a buai em, i buai em? Altered Mental Status (AMS) chungchang hi han sawi ila!

Nangmah emaw, i hriat mi emaw chuan a rilru a buai deuh hlek a, a inang lo hle tawh em? A châng chuan an thusawi chu an sawi uar a, tu nge an nih leh khawiah nge an awm tih an hre thei lo va, mak tak maiin an che ṭan ṭhin. Hei hi a awlsam zawngin ‘altered mental status’ emaw, doctor-te’n an tih angin , ‘altered mental status’ (AMS) kan tih chu a ni. Hei hi natna bik a ni lo va, kan thluak tibuaitu thil chi hrang hrang avanga kan rilru hnathawhna lama inthlak danglamna lian tak a ni. Hemi chungchang hi chipchiar zawkin han sawi ila, a tha em?

Altered Mental Status (AMS) hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Altered Mental Status (AMS) hi i thluak hnathawh dan pangngaia a thawh loh vang a ni. Hei hi natna vang emaw, taksa hliam vang emaw, lu hliam vang emaw a ni thei. Hei hian i hriatna, i hriatthiamna, i nungchang, leh i kalna thlengin a tidanglam thei a ni. Computer software lama harsatna awm, a thawk tha tawh lo ang maiin han ngaihtuah teh.

Altered Mental Status (AMS) chi hrang hrangte chu engte nge ni?

He (AMS) dinhmun hi kawng pawimawh pathum hmangin kan hmu thei a ni. Chûngte chuan mizia hrang hrang an nei ṭheuh a.

1. Delirium (delirium) a awm thin

Hei hi thil awm dan rang tak, rang tak a ni. Delirium hi damdawi lam emergency a ni. Chutah chuan mi chu a rilru a buai thei a, a rilru a buai thei a, a nungchang pawh a danglam thei hle. I pi tar tawh tak chuan nangmah emaw, a chhehvela mite emaw chu a hre lo nghal vat a, a au chhuak ta tih han mitthla teh. Mahse a tha ber chu enkawl dan dik a nih chuan he natna hi a dam vek thei a ni.

2. Zawi zawiin hriatrengna hloh (Dementia) .

Dementia hi natna zual zel, hriatrengna leh ngaihtuahna tibuaitu a ni a, nitin nunah nghawng lian tak a nei thei a ni. Kum upa lam ah a tam ber. Natna a zual zel chuan miten tu nge an nih, khawiah nge an awm tih leh an hmangaih tak takte chu an theihnghilh mai thei. Thil awmdan lungchhiatthlak tak a ni thei.

3. Rilru lam natna (Psychosis).

A pathumna chu Psychosis a ni. Hemiah hian mi chuan thil tak tak leh fantasy a thliar hrang thei lo. Thil awm lo an hmu a, an hre thei a, ngaihtuahna mak tak tak an nei a, rinhlelhna an nei thei bawk. Hei hi natna thenkhat emaw, damdawi thenkhatin nghawng a neih vang emaw a ni thei. A dik tak chuan mumang khawvelah an awm ang maiin a lang thei.

Engvangin nge hetiang (Altered Mental Status - AMS) hi a lo awm? A chhante chu engte nge ni?

Dementia ang dinhmunah chuan natna chi hrang hrang a zirin hriatna hloh zauh zauh a ni. Mahse AMS natna lo chhuak nghal delirium emaw psychosis emaw a nih chuan kan taksa peng hrang hranga harsatna awm chu a chhan a ni thei. A chhan ber chu eng nge ni tih i lo en ang u.

Central nervous system chungchangah harsatna a awm

Kan thluak hian kan chungchang engkim a thunun vek a. Chuvangin thluaka harsatna a awm chuan kan hriatna (consciousness) chu direct-in a nghawng a ni.

• Thluak chhunga thisen chhuak (Hemorrhage): Hei hi accident vang emaw thil dang vang emaw a ni thei.
• Brain tumor : Hei hi hriatna inthlak danglamna thlentu lian tak a ni bawk.
• Hepatic encephalopathy : He natna hi thin (liver) a thawk tha lo a, bawlhhlawh thluaka a luh chuan a lo awm thin.
• Thluak chhunga tui awmkhawm avanga pressure sang (Obstructive hydrocephalus): Hei pawh hi natna khirh tak a ni bawk.
• Seizure : Mi thenkhat chu seizure an neih hnuah pawh hun engemaw chen an buai thei.
• Stroke : Hei hi thluaka thisen kalna a tawp emaw, thisen kalna kawng a puak emaw hian a thleng thei.

Metabolic lama harsatna (metabolic disorder) a awm

Hetiang dinhmun (AMS) hi kan taksaa chemical awmte balance a tihbuai hian a lo awm thei a ni.

• Dehydration : I taksaah tui a tlakchham chuan tuihal leh luak chhuak nasa tak i nei thei a, i buai thei bawk.
• Hypothermia : Hei hi taksa a vawt lutuk hian a thleng thei.
• Thisen a oxygen level tlahniam (Hypoxemia): Hei hi thawk harsat vang a ni thei.
• Hypoglycemia : Hei hi zunthlum vei te tan chuan a awm fo thin. Mite chu rang takin an thawk chhuak thei a, an buai thei a, an hriatna pawh an hloh thei bawk.
• Thisen a sodium level tlahniam (Hyponatremia) .
• Thisen a calcium level tlahniam (Hypocalcemia) .
• Hypothyroidism : Hei hian hriatrengna a nghawng zauh zauh thei bawk.

Damdawi thenkhat side effects (Damdawi prescription avanga adverse reactions) .

Natna atana damdawi kan ei \henkhat hian side effect angin hriatna a tidanglam thei bawk.

• Antiseizure damdawi hman tur
• Muscle spasms control thei damdawi thenkhat (Anticholinergics) .
• `(Corticosteroids)` damdawi chi hrang hrang
• Sedatives te pawh a awm
• Mut theihna damdawi

Pawimawh: Damdawi eng pawh ei la, i ei hnua i hriatnaah danglamna danglam tak i neih chuan doctor hnenah i hrilh nghal tur a ni.

Infection awm thei te

Taksaa natna thenkhat, a bik takin a nasat chuan thluak a nghawng thei a, hriatna a tidanglam thei bawk.

• Urinary tract infection (UTIs): Mi, a bik takin kum upa zawkte’n urinary tract infection an neih chuan rang takin an buai thei a, an hriatna an hloh thei bawk. Hei hi kum upa zawkte hriatna hloh thut chhan a ni fo thin.
• Encephalitis : Thluak tissue a hring chhuak.
• Meningitis natna (Meningitis) a awmMeningitis: Thluak leh ruhro khuh tu membrane-a natna hrik awm.
• Pneumonia : Lung natna pawh a zual thei bawk.

A chhan dang

Hei bakah hian chhan dang pawh a awm.

• Shock na tak (e.g., heart attack avanga cardiogenic shock) .
• Ruihhlo emaw zu emaw hmansual emaw, inhnukdawk emaw avanga withdrawal symptoms
• Thluak hliam na tak

Altered Mental Status (AMS) natna lan chhuahna chu engte nge ni?

Mi pakhat hriatna a inthlak chuan symptom chi hrang hrang a nei thei a. Anni hi chi hrang hrangah then theih a ni.

Cognitive function leh awareness lama inthlak danglamna

• Hriat lohna tlahniam emaw, hriatna hloh vek emaw (Coma) .
• Buaina, rilru buai
• Disorientation ( hmun, hun leh mihring hriat theih lohna ) .
• Amnesia leh hriatrengna lama harsatna dangte
• Thil awm lo hmuh emaw hriat emaw (Hallucinations) .
• Rinna pangngai lo, dik lo (Delusions) .
• Thusawi chu awmze nei lo a lo ni a, thu chu a buaithlak ta a ni
• Zawhna chhan leh chhan tlai

I thianpa chuan rang takin a hre lo che a, a ni engtin nge a awm tih i zawh pawhin a chhang thei lo a, a thusawi chuan awmzia a nei lo a nih chuan han ngaihtuah teh. Chutiang chu a ni.

Mood leh rilru hriselna chungchang

• Agitation leh thinrimna
• A tul lova hlauhna, lungkhamna
• Depression, eng thil pawh ngaihven lohna
• Emotional outbursts , chu chu rilru natna chhuak nghal, tap, etc. te hi a ni.
• Chhan awm lovin hlimna danglam tak neia inhriatna (Euphoria) .
• Social withdrawal , midang laka inthiarfihlim tum
• Thiltih dan danglam tak

Additional altered mental status symptoms a awm bawk

• Chauh lutuk, hah lutuk `(Fatigue)`
• Hyperactivity, restlessness, hmun khata awm theih lohna
• Thâwk harsa, thawk hah `(Respiratory distress)`

Engtin nge he (AMS) natna hi hriat chhuah a nih?

Mi pakhat chu a hriatna danglam tak neia damdawi ina hruai a nih chuan doctor-te tih hmasak ber chu rang taka a chhan hriat tum hi a ni. A tam zawkah chuan heng test te hi emergency room-ah an ti thin.

Doctor-te chuan i natna lan chhuah dan leh a nasat dan a zirin i test tur an ruahman thin. A hmasain, nangmah (a nih loh leh i tawng thei lo a nih chuan i bula awm tu emaw) i damdawi lam dinhmun leh damdawi chungchang an zawt che a. Tichuan basic physical exam an ti leh thin. A hnuaia mite hi an zawng thin:

• Airway: A inhawng em tih leh a dinhmun a tha em tih enfiah thin ang che.
• Thâwk lak: Stethoscope hmanga lung ngaihthlak.
• Circulation: Pulse, thisen sang, leh heart rate te a enfiah thin.
• Neurological deficits: Neurological deficits awm leh awm loh enfiah thin, taksa sir khata hriatna hloh emaw paralysis emaw ang chi te.
• Full body examination (Exposure): Lu atanga ke thlengin hliam, bandage, etc. te enfiah thin a ni.

Eng dang nge i test leh?

He initial examination zawhah hian AMS condition awm chhan dik tak hriat theih nan test eng emaw zat tih belh a ngai dawn a ni.

• Thisen test : Hengte hian thil tam tak a hmuchhuak thei a, chu chu natna hrik, sugar level, chi level, leh liver function te hi a ni.
• CT scan : Thluaka thisen chhuak, tumor, leh stroke ang chi thil a hmu thei.
• Chest X-ray : Lung infection, pneumonia ang chi te enfiah nan.
• ECG : Lungphungah thil dik lo zawng rawh.
• EEG : Thluak electrical activity tehna test a ni a, seizures ang chi condition te hriatchhuahna atan a pui thin.
• Urinalysis : Urinary tract infection ang chi thil te zawng chhuak rawh.
• Thisen thlum test : Hypoglycemia a awm leh awm loh enfiah thin.

AMS enkawlna tur engte nge ni?

AMS enkawl dan chu a thlentu damdawi lam dinhmun leh AMS chi hrang hrangah a innghat nghal vek a ni.

Entirna tlemte pe tur chuan:

• Infection vang a nih chuan antibiotics \ha tak tak pek a ni ang.
• Damdawi pakhat side effect vang a nih chuan damdawi chu thlak emaw, tihtawp emaw a ni ang.
• Thisen thlum a hniam (hypoglycemia) chuan glucagon injection pek thin a ni.
• Taksaah tui tlakchhamna (dehydration) a awm chuan saline (intravenous fluids) pek thin a ni.
• Damdawi (e.g. opioids) i overdose chuan antidote (e.g. Naloxone) pek i ni ang.
• Seizure a nih chuan a tihtawp nan damdawi an pe che a ni.
• A châng chuan, lungkhamna tichhe thei emaw, rilru tibuaitu damdawi emaw pawh an pe thei bawk.
• Thisen chhuah emaw, thluaka pressure emaw a awm chuan, chu chu paih chhuah nan operation neih a ngai mai thei.
• Thisenah oxygen a awm tawk lo a nih chuan supplementary oxygen pek thin a ni.

Altered Mental Status (AMS) hi ven theih a ni em?

A chhan thenkhat, dementia ang chi hi kan tan chuan ven kim a harsa hle. Amaherawhchu, thil dang tam tak atanga AMS vei theihna tihziaawmna tur thil kan tih theih a awm.

• Diabetes, epilepsy, thyroid natna ang chi natna khirh tak tak i neih chuan i doctor thupek chu uluk takin zawm tur a ni. Heng natnate hi thunun reng a pawimawh hle.
• Damdawi doctor-in a pek chu a hun takah leh a pek zat angin ei tur a ni. Mi dang tana damdawi pek hi tihpun emaw tihhniam emaw ngai suh.
• Damdawi lam thurawn tel lo chuan ruihhlo leh zu engmah hmang suh. Anmahni pumpelh a tha ber.

(AMS) nena khawsak hi eng ang nge ni? Damdawi a awm em?

Consciousness inthlak danglamna hi delirium emaw psychosis emaw avanga lo awm a nih chuan a natna lan chhuah dan chu enkawl hnuah a reh tlangpui a, chu mi chu a dam thuai thin. Hun engemaw chen hnuah i nun pangngaiah i kir leh thei tawh ang. Mahse, doctor thupek zawm a, checkup neih fo a pawimawh hle a, he natna hi a lo awm leh thei a ni. Entirnan, AMS hi hypoglycemia avanga lo awm a nih chuan i thisen sugar level enfiah fo tur a ni a, control tur a ni.

Mahse, dementia ang chi dinhmunah chuan enkawlna hian nunna atana hlauhawm tak tak (e.g., infection) a thunun thei a, mahse hriatrengna leh thluak hnathawh chu a tlahniam zauh zauh chhunzawm zel a ni. Mahse, chu damlote chu nunphung ṭha tak vawng reng tûra ṭanpui theih dân a awm.

Altered Mental Status (AMS) hi thluak hnathawh tihdanglamna a ni tih hre reng ang che. Hun eng emaw chen chauh a ni thei a, mahse nunna atana hlauhawm tak a ni thuai thei. Nangmah emaw, i hriat miin emaw heng symptoms te hi i lo nei a nih chuan, tihkhawtlai lova damdawi lam pan a pawimawh hle.

Thu tawite hriat reng tur

Kan sawi tawh Altered Mental Status (AMS) hi thil awlsam tak a ni lo. Kan thluak hnathawh dan pangngaia inthlak danglamna a ni.

• Hetiang dinhmun (AMS) hi chhan hrang hrang avangin a lo awm thei a, natna chi hrang hrang, taksa lama harsatna, accident, leh damdawi ei te pawh a awm thei.
• Hemi chi thum hi Delirium, Dementia, Psychosis te hi a ni.
• Symptom tam tak hmuh tur a awm a, chu chu rilru buai, hriatrengna hloh, nungchang danglam tak, leh thusawi thiam loh te hi a ni.
• A châng chuan hei hi rei lo tê chauh a ni a, enkawlna hmanga tihdam theih a ni. Mahse, a châng chuan nunna atana hlauhawm tak a ni thei.
• Chuvangin, nangmah emaw i hriat tu emaw hian heng hriatna danglam tak takte hi i tawng a nih chuan doctor pan nghal mai a tha ber. Chu chu a tha ber a ni. Panic ni lovin, thil tih vat chuan chhiatna lian tham a veng thei a ni.

` Rilru dinhmun danglam, AMS, Thil hriatna danglam, Thluak lama harsatna, Delirium, Dementia, Psychosis, Damdawi lam thurawn, Rilru lama harsatna, Rilru buai