Nang emaw, i fa emaw chu nikhaw hre lovin i tlu thut em? Chumi (Atonic Seizure) chungchang chu han sawi ila.

Miin chakna a hloh thut a, chhan awm lovin leiah a tlu ta hi i hmu ngai em, i chungah a thleng tawh em? I kut a thil awm chu leiah a tla a, i mit a chhing... Hei hi a hlauhawm deuh tak zet a ni. A châng chuan, nu leh pate chuan naupang tê tak tê inkhelh lai leh nunna nei lo ang maia leiah a tlu thut an hmuh hian engtiang chiahin nge an hlauthawng? Vawiin hian chutiang dinhmun pakhat chu kan sawi dawn a ni. Chu chu seizure chi khat (Atonic Seizure) an tih a ni. Ngaihtuah buai suh, thumal awlsam takin engkim kan sawi dawn a ni.

Hei hi eng nge ni (Atonic Seizure)?

A awlsam zawngin, atonic seizure chu thluaka electrical activity hloh nghal vat a ni a, chu chuan kan taksa chhunga taksa peng hrang hrangte chu a thunun thei lo va, a nih loh leh taksa peng hrang hrangte chu a tichhe vek a ni .

Puppet pakhat chu hrui hmanga innghat han mitthla teh. Puppet chu kan hrui kan chhuah hma loh chuan a ding reng a ni lawm ni? String kan tihzauh hian eng nge thleng? Puppet chu nunna nei lovin a tlahniam a, a tla thla ta a ni. Hei hi chutiang chu a ni. (Atonic Seizure) a lo awm chuan puppet hrui a lo chhuak ang mai a ni a, kan taksa ruhte pawhin an chakna a hloh a, kan ding thei lo. Chuvang chuan leiah kan tlu thut mai a ni.

Mahse hei hi chu hun eng emaw chen atan a ni . Seizure a zawh chuan i taksa ruhte chuan a thunun leh ang a, i ding thei tawh ang a, i kal thei tawh ang. Doctor-te chuan hengte hi akinetic seizures , emaw ‘ drop seizures ’ emaw ‘drop attacks’ emaw an ti fo thin a, a chhan chu leiah a tlu nghal mai thin a ni.

Atonic seizures i neih chhunzawm zel chuan i doctor chuan i invenna atana fimkhur tur i neihte chu a hrilh ang che.

Hei hi eng symptoms nge ni?

Atonic seizure chhinchhiahna ber chu a rang lama, rei lo te chhunga a hloh hi a ni:

• I taksa hmun khatah chauh (entir nan, i lu a tla thei), i taksa pum puiah emaw i taksa ruh (muscle tone) i hloh thei bawk. Hei hian i taksa ruhte chu a lo chhuak nghal a , a chak lo nghal tihna a ni . Nunna nei lo ang maiin.
• A châng chuan, hriatna hloh a awm thei bawk. Chu chu i chhehvela thil thleng leh i chhehvela thil thleng hriatna chu rei lo te chhung atan a bo tihna a ni.

Mahse a pawimawh ber chu (atonic seizure) a zawh hnuah i taksa ruhte hian an chakna an nei leh ta a ni.

(Atonic Seizures) hi a hlauhawm em?

Dik tak chuan atonic seizures hmanga hliam tuar theihna a sang hle . Ngaihtuah teh, thil i tih lai, naupang nen in inkhelh lai pawh ni se, i taksa i thunun theih loh thut chuan eng nge thleng ang? I tlu thei a, i thil chelh chu a tla thei a, i mit a chhing thei bawk. Thil him tak nia i ngaih thil i tih lai pawhin, i taksa ruhte i thunun loh thut a nih chuan thil thleng thei ṭhenkhat chu hetiang hi a ni:

• Cut leh lacerations te a awm bawk
• A hliam (Bruises) a awm
• Ruh tliak
• In some severe cases , lu hliam na tak (traumatic brain injury) pawh a awm thei.

Kawngpuiah i kal lai emaw, chaw i siam lai emaw, chair-a i thut lai emaw, naupang infiamna chunga a lawn lai emaw pawhin hetiang hi i chungah thleng ta se han ngaihtuah teh? Hliam hi a awm thei ngei ang, a dik em? Chuvangin he natna vei te hian fimkhur hle a ngai a ni.

Tin, i ngaihtuahna zawng zawng mamawh hna i thawh laiin hetiang hian seizure i neih chuan a hlauhawm hle a, chu chu lirthei khalh emaw, machine rit tak tak hman emaw a ni A chhan chu second tlemte chhung ngaihvenna i hloh pawhin nunna atana hlauhawm tak a thlen thei a ni.

Atonic seizure hi eng chen nge a awm tawh?

Atonic seizure hi hun rei lote chhung, second 15 vel a ni tlangpui . A tlem zawk pawh a ni thei. Seizure a zawh hnuah, i buai deuh mai thei , like, "Eng nge ka chungah thleng?" Mahse a tam zawkah chuan i dam thuai a, i thil tih lai kha i kir leh thei a ni.

Mahse a chang chuan, heng seizures te hi a series-in a awm thei a, pakhat hnu pakhatin a awm thei bawk. Heng seizures te hi cluster i neih chuan minute engemaw zat atanga darkar engemaw zat chhung chu i paralyzed a, i che thei lo mai thei. Minute 15 aia rei seizures i neih chuan medical emergency anga ngaih a ni . Hetiang a nih chuan damdawi in pan nghal tur a ni.

(Atonic Seizure) hnuah eng nge thleng?

Sawi tawh ang khan atonic seizure a zawh chuan i taksa chakna chu a lo let leh thin. Mahse, mi ṭhenkhat chuan temporary paralysis , an taksa chu an seizure a tawp hnuah second engemaw zat chhung chu an che thei lo thei a ni.

Thil thleng chungchangah hian tlem chuan i buai deuh mai thei. Hei hi a chhan chu seizure hmaa i dinhmun ang kha i ni lo mai thei. Entîr nân, i ding a nih chuan i hriatna i neih leh hunah leiah i mu a ni mai thei. Hliam i neih chuan rei vak lo chawlh hahdam a ngai mai thei bawk.

Mahse thil mak tak chu, naupang tê tam zawk chuan , hliam an tuar loh chuan, atonic seizure hnuah an rilru a na lutuk lo. An taksa ruhte chu an chak leh meuh chuan an seizure hmaa an thil tih emaw, an thil tih emaw chu an thawk leh thei ta a ni.

Engvangin nge hetiang (Atonic Seizure) hi a lo awm?

Hei hi kan thluaka taksa peng hrang hrang (muscle tone control) – entirnan , frontal lobe leh brainstem-ah electrical activity a surge nghal vang a ni . Short circuit te tak te ang mai a ni. Mahse hei hi a chhan dik tak hriat chian a harsa fo thin .

Hengte hi tuin nge nei tam zawk? (Risk Factor hrang hrang) 1.1.

Atonic seizures i vei theihna chance a sang zawk thei a, chu chu:

• Kum 18 hnuai lam i nih chuan (hei hi naupan lai atanga tan a ni fo).
• Naupang i nih laiin seizures i nei tawh a nih chuan, chu chu nausen lai (history of infantile spasms) .
• Damdawi lam natna dang bik i neih chuan, chu chu Lennox-Gastaut syndrome emaw Dravet syndrome emaw a ni.

Atonic seizure thenkhat chu puitling thlengin a awm thei a, mahse puitling tan chuan he natna hi hmuhchhuah thar hi a awm lo.

Engtin nge doctor hian atonic seizure a hriat theih ang? (Diagnosis) tih a ni.

Doctor chuan atonic seizures chu taksa enfiahna , thluak enfiah leh test dangte hmangin a hriat theih ang . Heng test neih chhung hian doctor chuan i seizure symptoms te chu uluk takin a ngaithla ang.

Doctor i pan dawnin i seizure hmutu – chhungte emaw, ṭhian emaw – i bula awm a pawimawh hle . I thei lo a nih chuan an thil hmuhte chu ziak chhuah tir pawh a tha. Hei hian doctor chu thil thleng chu a hrethiam thei ang. A châng chuan, i phone hmanga seizure video i lak theih chuan chu chuan a ṭangkai hle thei a ni.

Special test hian i doctor-in i seizures chhan a nemnghet thei a, a nih loh leh taksa ruh chak lohna leh hriatna hloh nghal thei dinhmun dang pawh a paih chhuak thei bawk. Hetiang test hi tih theih a ni:

• Thisen test a ni
• Electroencephalogram (EEG) test – Hei hian thluaka electrical pattern a enfiah a, seizures nena inzawm thil danglam a awm leh awm loh a enfiah thin.
• Magnetic Resonance Imaging (MRI) scan – thluak insiam danah harsatna a awm leh awm loh en nan.
• Positron Emission Tomography (PET) scan – thluak hnathawh dan en nan.

I seizure lai khan hliam i neih chuan i doctor chuan test dang a tih belh a ngai mai thei, entirnan, ruh a tliak em tih hriat nan X-ray te hi a ni.

Hei hi eng enkawl dan nge ni ang?

Doctor chuan atonic seizure enkawlna atan heng ang chi antiseizure damdawi a pe thei a:

• Benzodiazepines (e.g. clonazepam emaw clobazam emaw) te hi a tha hle.
• (Felbamate) tih a ni.
• (Levetiracetam) tih a ni.
• (Topiramate) tih a ni.
• (Valproic acid) (valproate) tih a ni.
• (Zonisamide) a ni.

Heng damdawi te hi i doctor-in a ruat a, i dinhmun a zirin a ni. Seizure laiin hliam i neih chuan chu pawh chu i doctor pawhin a enkawl nghal ang .

Heng seizure damdawi te hian hna a thawk lo a nih chuan, emaw, hliam na tak tuar thei seizure i neih reng chuan i doctor chuan enkawlna dang a ngaihtuah thei ang. Chung zingah chuan:

• Surgery – entirnan, tih dan pakhat corpus callosotomy . Hei hian thluak hemisphere pahnih inkara electrical signal duh loh luang chhuak chu a ti tlem a ni.
• Vagus nerve stimulation – Nerve tichaktu hmanrua te tak te chu rilru vun hnuaiah dah a ni. Hei hian seizures tihziaawmna atan a pui thin.
• Lu khuhna venna bun – tlu a nih chuan lu hliam tihtlem nan. Hei hi naupang tlu fo thin tan chuan a pawimawh hle.

Thil engemaw takah chuan, i doctor chuan ei leh in bik, thau tamna, carb tlemna ei leh in ketogenic diet tih ang chi hi zawm turin a rawt thei che a ni. Hei hian seizures control nan a pui tih hmuhchhuah a ni bawk.

Hetiang dinhmun hi eng nge a thlir ang? (Hmuh dan tur) .

I doctor chuan i thlirna chu a hrilh thei ber che a, mi hrang hrangah a inang lo . Anti-seizure damdawi leh enkawlna dangte hian i seizure neih tam lohna a ti tlem thei a ni. Mahse, drop seizure-a hliam i neih chuan i outlook a nghawng thei a ni. I doctor chuan seizure laiin hliam i neih loh dan tur thurawn a pe thei che a ni.

Engtikah nge Doctor ka hmuh ang?

Atonic seizures i nei tam lehzual nia i hriat chuan , emaw, hliam i tuar tam zawk a nih chuan , doctor pan ngei ngei tur a ni. Chumi hnuah chuan i doctor chuan i enkawlna tur ruahmanna chu i tan a inmil zawkin a siamrem thei a, i humhim thei bawk.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Chutiang a nih chuan emergency room (ER) -ah i kal ngei tur a ni a, emergency services-ah i call ngei tur a ni:

• I nunah a vawi khat nan seizure i neih chuan .
• Seizure laiin hliam na tak i tuar a nih chuan (entir nan, ruh tliak, lu-a vuak na tak).
• A zawna seizure tam tak i neih chuan (chu chu minute 30 chhunga seizure vawi thum aia tam i neih chuan, a nih loh leh seizure pakhat chu a hnu lawkah seizure dang i neih leh chuan).

Doctor hnenah eng zawhna nge ka zawh ang?

(Atonic Seizures) i neih chuan doctor hnenah hetiang zawhna hi zawh a tha ang:

• Doctor hian eng ang enkawlna nge min rawt?
• He enkawlna hian side effect a nei em? A nih chuan eng nge ni?
• Ka tan chuanKa khalh thei ang em? A nih loh leh eng fimkhurna nge ka tih ang?
• Eng thiltih nge him taka ka tih theih ang? Eng thil nge ka pumpelh ang?

Atonic leh tonic seizures hi eng nge an danglamna?

Hei hi mi tam takin an zawt thin a ni. Atonic leh tonic seizures danglamna ber chu thluaka electrical activity tihbuai nghal a nih chuan i taksa ruhte chunga thil thleng hi a ni:

• (Atonic) Seizures: I taksa ruhte chu a chak lo va, nunna nei lovin a awm ta a ni. Puan hrui ang maiin an tla thla a.
• (Tonic) Seizure: I taksa ruhte chu a nghet a, lung ang maiin a lo nghet ta a ni. I taksa chu a rigid a, plank ang maiin leiah i tla mai thei.

Atonic seizure-ah chuan nunna nei lo ang maiin leiah i tla nghal mai thei a, a nih loh leh ding atanga i tla thla thei bawk. Tonic seizure-ah chuan thing phun tawh ang maiin leiah i tla nghal mai thei. Atonic seizures-ah chuan convulsion a awm lo tlangpui a, mahse i hriatna i hloh thei.

Thâwk khata kan sawi dun (Take-Home Message) .

(Atonic Seizure) I taksa thunun thei lova i hriatna hloh nghal a, leia i tluk hian nang leh i chhungte tan chuan thil hlauhawm tak a ni tak zet a ni. I tlu hunah in man hun i nei lo mai thei a, hliam na tak tak pawh i tuar thei bawk. Hei hian sikul kal thei lo, hnathawhna leh i duhzawng thil tih theih lohvin a awmtir thei che a ni.

Heng seizures te hi beisei loh takin a lo awm fo avangin damdawi lam pan a pawimawh hle. I enkawlna tur ruahmanna chu i mamawh bik leh i taksa mamawh ang zela siam a ni ang. Atonic seizures chungchanga zawhna i neih emaw, him taka awm dan tur i hriat duh chuan doctor nen inbiakna neih hreh suh. Enkawlna leh hriatthiamna dik tak i neih chuan he natna hi i thunun thei a, nun him takin i nung thei tih hre reng ang che. Ngaihtuah buai suh, tunlai hian medical science a lo changkang hle.

` Atonic Seizure, convulsion, taksa ruh chak lohna, drop seizure, akinetic seizure, epilepsy, thluak natna