I muthilh lai pawhin i tap ve bawk em? (Catathrenia - Zan lama Groaning) chungchang hi i zir dawn teh ang!

I mut laiin thawm mak tak tak i siam tih hi tu emaw chuan a hrilh tawh che em? I nupui emaw, i pasal emaw, i in chhunga mi dang emaw pawh a ni mai thei. Chutiang thil i hriat chuan mualpho deuh te, mualpho deuh te, hlauthawng deuh pawh ni se chu thil pangngai tak a ni. Mahse hei hi i tan thil danglam bik a ni lo. Mi tam takin hre lo mah se, he natna neia khawsa mi an awm. Vawiin hian he mutnaah hian chipchiar takin kan sawi dawn a, hei hi damdawi lam hawia `(Catathrenia)` emaw `(Nocturnal Groaning)` emaw kan tih hi a ni.

Catathrenia chu eng nge ni? A awlsam zawngin sawi ila...

Catathrenia hi mut vanga thawk lama harsatna a ni. I mut laiin thawk i chhuah laiin whistling emaw snoring sound emaw a awm thin. A thawm pawh a ri nasa thei khawp mai. Second tlemte atanga second 40 thleng a daih thei. Mi thenkhat tan chuan zan tin a thleng thei. Hei hi REM leh non-REM stage-ah te pawh a thleng thei tih hriat a pawimawh.

A tam zawkah chuan he thawm ri hian a tiharh lo che. I hre lo mai thei a, i tih angin i inhriat pawh a ni thei. Mahse, i mutpui (i kawppui) emaw, in chhunga mi dang emaw hian a hre hmasa ber tlangpui. A châng chuan, zing lamah chau takin i tho thei a, "Nizan khan ka mu ṭha lo" tih ang chi hi a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan catathrenia hi a awm fo lo. Hei hi khawvel ram hrang hranga zirchianna pahnih neihah a lang chiang hle. Entirnan, Japan rama kum 10 chhunga mi 15,052 chunga zirchianna an neihah chuan 0.17% (chu chu mi 25 a ni) chauhvin he natna hi an nei a ni. Norway rama kum khat chhunga mi 1,004 chunga zirchianna an neihah chuan 0.4% (chu chu mi 4 a ni) tih hmuhchhuah a ni.

Mahse, he natna vei tak tak hi heng statistics aiin a tam zawk mai thei. Hei hi mi tam takin an nei tih an hriat loh vang a ni a, a nih loh leh doctor hnena sawi tlak thila an ngaih loh vang a ni. Ṭhenkhat chuan bengchheng mai maiah pawh an ngai sual mai thei .

Catathrenia natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun chhinchhiahna ber leh langsar ber chu i mut laiin a ri hniam emaw, a ri emaw a ni. Hei hi thawk i chhuah hian a thleng thin. He aw hi i thawk chhuah hian a tawp thin. He aw hi kawng hrang hrangin hriat theih a ni:

• Thawm ri nasa tak a ni .
• Tone khata hriat theih ri (monotone).
• Mi thenkhat chuan hei hi mipat hmeichhiatna aw angin an hre thei bawk.
• Lungchhiatthlak, lungchhiatthlak tak a ni thei.
• Bee ang maia hum ri hniam tak a awm thei.
• maitheiAw chu a crack ang maiin a ri mai thei.
• A tawp berah chuan i thawk i la thei a, i bengchheng emaw, thawk hah emaw chungin i ding thei bawk.

He symptom hi zan tin a awm tlangpui. Catathrenia vei zawng zawng hian mut chungchangah complaint an nei vek lo nain, mi thenkhat chuan hetiang hian an report mai thei:

• A bengchheng hle.
• Kawngkhar thawk chhuak.
• Mut tihtawp a ni.

Chuvangin, zing i thawh chuan hetiang hi i tawng thei a ni:

• Chauhna nasa tak a awm.
• Grogginess, rilru hah lutuk.
• Kawng a vawt .
• Aw ri bengchheng tak .
• A rilru a na hle .
• A lu na .
• Thil ngaihtuah harsat .

Hetiang zing lama i rilru hahna hi i mut laiin i thawk dan (i hmui hmanga thawk chauh) leh i mut thatna a nghawng dan vang a ni ber. Hei hian i mut a ti hahdam lo thei a, zan lamah i harh fo thei bawk.

Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?

Dik tak chuan catathrenia thlen chhan dik tak hi hriat a la ni lo. Mahse, zirchiangtute chuan kan thluaka thawkna hmun (Medulla Oblongata)-a nerve cell (neurons) thenkhat hnathawh that loh vang a ni thei niin an sawi. Heng nerve cell te hian kan thawk dan an thunun a. He malfunction hian thawk chhuah rei tak a thlen thin. Tichuan, i thawk chhuah chuan i vocal cords te chu a vibrate a, chu chu chu wheezing sound siamtu chu a ni.

Lungkhamna hi hei hi a ni em?

Lungkhamna hian catathrenia a thlen em tih erawh hriat chian a la ni lo. Hemi chungchangah hian zirchianna dang neih mek a ni. Tin, dinhmun dang, stress na tak te hian heng symptoms te hi a tizual thei em tih pawh zirchian mek a ni bawk.

Hei hi thlah kal zel atanga lo chhuak thil a ni em?

Tuna zirchianna atanga a lan dan chuan i chhungkuaa mi tu emaw, a bik takin thisen lama i chhungte pawhin he natna hi an neih chuan ``Nocturnal Groaning'' vei theihna i nei bawk.

Catathrenia hi natna hlauhawm tak a ni em?

Thu lawmawm tak chu catathrenia hi i taksa hriselna tichhe thei khawpa hlauhawm a ni lo tih hi a ni. Mahse, i mut thatna a ti tlem thei a, midang nena in inlaichinna a nghawng thei bawk.

Catathrenia hian mi thenkhat tan chuan stress nasa tak emaw, khawtlang nun mualphona emaw a thlen thei a ni.A thleng thei. I mut laiin i taksa atanga thawm lo chhuakte i thunun theih loh chuan a lungchhiatthlakzia han ngaihtuah teh. Chuvang chuan mi thenkhat chuan midangte nena zan khat riah ang chi dinhmunte chu an pumpelh duh hle a, midangte chuan an hre ang tih te, a tibuai ang tih te, an mualpho ang tih te an ngaihtuah thin.

Engtin nge doctor-te hian he natna hi an hriat theih?

Doctor chuan clinical examination a neih hnuah catarrhal syndrome a nei tih a hmuchhuak a. Hei hian i natna lan chhuah dan (medical history) zawh che te, taksa enfiahna te, leh test dang thenkhat tih te pawh a huam thei. Doctor chuan zing i thawh huna i rilru put hmang te, i mut laia midangte hriat leh hmuh tawhte a zawt bawk ang che.

A theih chuan i mut laiin i aw kha record la. Hei hian i doctor chu a ngaithla thei ang a, mut thu leh bengchheng ang chi thil dang a thliar hrang ang.

I Primary Care Physician chuan mutna lama mithiam (`(Somnologist)`) hnenah a refer thei che a ni. Mut zirchianna (`(Polysomnogram)`)-ah pawh i tel a ngai mai thei. Hei hian mutna hmuna zan riah a huam a ni. Chutah chuan i mut laiin i thluak hnathawh dan, thawk dan leh taksa kalphung dangte chu enfiah a ni.

Hei hi eng enkawlna nge ni?

Catathrenia hi enkawl a ngai ngai lo. Mahse, natna lan chhuah dan a nasat emaw, i nun a nghawng emaw a nih chuan, i doctor chuan a hnuaia enkawlna pakhat emaw, a aia tam emaw a rawt thei ang:

• Oral appliances (i ha dahna tur retainer ang chi) hi zanah i bun thin. Hei hian zan lamah i upper airway chu a inhawng reng thei a ni.
• Zanah CPAP (Continuous Positive Airway Pressure) machine hman. Hei hian tube hmangin i hnar emaw i hmuiah emaw boruak a pump lut a, i thawkna kawng chu a inhawng reng thei a ni.
• Surgery neih a ngai em tih enfiah turin beng, hnar leh kawr lam specialist (`(Otolaryngology specialist / ENT specialist)`) hnenah refer.

Hetiang dinhmun nen hian nakin lawkah nun chu eng ang nge ni ang? `(Hmuh dan)`

Catathrenia hian hun rei tak chhunga hriselna lama harsatna lian tham a thlen tih hriat a ni lo. Zan lama i au thawm hriat chu i ṭhiante emaw chhungte tan chuan hlauhawm deuh mah se, he natna hian i rilru hriselnaah nghawng lian tak a nei thei a ni.

A tha ber chu, he zan lama bengchheng hi tihtlem emaw, tihtawp vek emaw thei tur enkawlna a awm.I doctor chuan nonsurgical treatment options a rawn rawt hmasa mai thei. Mi tam tak chuan CPAP machine an hman tan hnuah an natna lan chhuah dan chu a bo vek tih an hmuchhuak.

Chu bâkah, heng chhinchhiahnate hian an rilru hrisêlna emaw, an khawtlâng inlaichînna emaw a nghawng a nih chuan, mi tam tak chuan rilru lam hrisêlna lama mithiamte biak avângin hahdamna an hmu a ni .

Engtikah nge doctor i hmuh ang?

Zan lama bengchheng duhna i neih chuan, emaw, miin a hrilh che a nih chuan doctor pan ngei ngei tur a ni. Tin, i mut tlem hle nia i hriat chuan chu chu i doctor nen pawh sawipui rawh. A chhan chu nun hrisel neih nan mut that a pawimawh em em a ni.

I doctor hnenah heng zawhnate hi i zawt thei bawk ang:

• Mut zirchianna (Sleep Study / Polysomnogram)-ah hian ka tel a ngai em?
• Doctor hian ka mut laia ka thil hriatte hi ka mutna kawppui hnenah sawipui turin min duh em?
• Eng ang enkawlna nge min rawt?
• Heng enkawlnate hian side effect a nei em?

Catathrenia leh Snoring hi eng nge an danglamna?

Catathrenia leh snoring hi i mut laia lo awm thei ri pahnih a ni a, mahse an pahnih inkarah hian danglamna chiang tak a awm.

• Snoring hi i thawk chhuah hian a awm thin .
• Catathrenia-ah chuan thawk i chhuah hian thawk hah a awm thin .
• Catathrenia-ah chuan wheezing sound chu i vocal cord (larynx, emaw voice box) atanga lo chhuak a ni.
• Rilru thawm hi i kawr chunglam (`(Pharynx)`) atanga lo chhuak a ni.

I kawppui chuan zanlai pelh hnuah, "I tap/thawm mak tak mai" a tih chuan i rilruah zawhna engzat nge lo awm ang tih han ngaihtuah teh. Chu chu ngaihthah a, mut leh chu chutih lai chuan solution awlsam ber angin a lang thei a, mahse zing i thawh hunah chauh i chau zawk ang. I kawppui nen hian zan tin mut harsatna in nei ve ve a nih chuan doctor nena inbiakna neih hi a tha ber ngei ang.

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

Chuvangin, tunah chuan vawiin a kan sawi tawh catarrhenia hi in hriatthiam ka beisei. A pawimawh ber chu hei hi natna hlauhawm tak a ni lo tih hi a ni. Mahse, i nunah i thlamuanna, i rilru hlimna a nghawng thei a ni.

• Nangmah chauh i ni lo: chutiang dinhmuna ding mi dang pawh an awm. Chuvangin zak leh hlau suh.
• Enkawlna a awm: He thawk hahna hi tihziaawm thei emaw, titawp thei emaw enkawlna a awm. ``(CPAP)`` machine hian mi tam tak tan hlawhtlinna a thlen thin.
• Damdawi lam thurawn zawng rawh:Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. I tih tur dik tak an hrilh ang che.
• Rilru hriselna pawh a pawimawh: Hei hian lungngaihna a thlen che a nih chuan rilru lam hriselna counselor tanpuina zawng hreh suh.

I mut hi i hriselna zawng zawng atan a pawimawh hle a, chuvangin mut chungchangah harsatna i neih chuan ngaihthah suh.

` Catathrenia, Zan lama bengchheng, Mut harsatna, Thluak lama harsatna, Hrisel lohna, CPAP, Mut harsatna