Mut laiin thawk i chawlhsan nghal bawk em? He (Central Sleep Apnea) chungchang hi i zir chiang ang u!

Zanah a chang chuan i harh thut em? Thâwk lak harsa i ti em? A nih loh leh nilengin i chau a, i muhil em? Hengte hi random thil mai a ni lo. Hei hi a chhan chu ``Central Sleep Apnea'' tih natna i neih vang pawh a ni mai thei. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

Central Sleep Apnea (CSA) hi eng nge ni?

A awlsam zawngin, `(Central Sleep Apnea)` tih hi mut laiin i thawk a chawlhsan hun a ni. Mahse hei hi `(Obstructive Sleep Apnea)` nen chuan a inang lo. Heta thil thleng hi i thluak hian thawkna ruhte hnenah signal a thawn tha lo a ni. A tam zawkah chuan he `(Central Sleep Apnea)` hi natna dang complication angin emaw, damdawi thenkhat hman vang emaw a lo awm thei a ni. Entirnan, thinlung natna nei te hian he natna hi an nei tam zawk. Chuvangin doctor-te chuan a chhan bulpui ber chu an enkawl tlangpui.

`(Central Sleep Apnea)` chi hrang hrangte chu engte nge ni?

``Central Sleep Apnea'' hi chi hrang hrang a awm a. Eng nge an nih i en ang u:

• Primary CSA: Hetiang a nih chuan Central Sleep Apnea awm chhan chiang tak hmuh a harsa hle. A thleng mai mai a ni.
• CSA with Cheyne-Stokes Breathing (CSB): Hetiang natna hi i neih chuan i thawk hi cycle hrang hrangin a thleng thin. Ngaihtuah teh, rei tak chhung chu rang takin i thawk a, chutah chuan rei lo te chhung chu thawk i chawlhsan ta a ni. I thawk rang leh a, chutah chuan i tawp leh ta a. Hetiang cycle khat hi second 40 leh 90 inkar a ni thei.
• Damdawi lam thil dang avanga CSA: Mi thenkhatah chuan he natna hi thinlung natna emaw, thluak lam natna emaw ang chi thil vang a ni thei.
• Treatment-emergent CSA: A chang chuan, ka sawi tawh ang khan Obstructive Sleep Apnea vei te hian CPAP machine (thâwk chhuahna hmanrua) an hman ṭan hnuah he natna thar Central Sleep Apnea an tih hi an nei thei ṭhin.
• Tlâng hmuna awm reng avanga CSA lo awm: Mi thenkhat chuan tlang sang hmuna rei tak an awm lai pawhin hetiang thawk harsatna hi an tawk thei a ni.
• Natna tihdamna damdawi avanga CSA: Hei hi doctor-te’n natna tidamtu damdawi thenkhat, a bik takin ``Opioids'' nei te, emaw, ``Opioid Use Disorder'' tih natna avanga lo awm thei a ni.

`(Central Sleep Apnea)` natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan i harh lai hian ``Central Sleep Apnea'' symptoms i nei thin. Heng symptoms te hi i nei em tih en rawh:

• Nilengin mutthilh reng reng, zan mut mut tawk lo ang maia inhriatna.
• Zing lamah lu na na tak.
• Kawng a vawt.
• Tlemte chauh a lungkham, awlsam taka thinrim.
• Thil pakhata ngaihtuahna seng harsa.

`(CSA)` i neih chuan chhan awm lovin zanlai pelh hnuah i harh thut mai thei. Mi dang i bula awm chuan i mut laiin i tossing leh turn nasa hle tih an hmu mai thei.

`(Central Sleep Apnea)` hi eng nge a chhan?

Hei hi thil pakhatin kan thluak hmun ``Brainstem'' an tih chu a nghawng hian a thleng thin. He ``Brainstem'' hi kan thawk dan thununtu a ni. Kan thawkna system chhunga taksa peng hrang hrangte thawk turin signal thawntu a ni.

Central Sleep Apnea vei tan chuan an thisena carbon dioxide (CO2) awm zat inthlak danglam chuan thluak bul hian a chhang tha lo hle. Carbon dioxide hi bawlhhlawh a ni a, kan taksa atanga kan thawk chhuah hian a chhuak thin. I thisena carbon dioxide level a san chuan i thluak bul hian i thawkna ruhte chu thawk chhuak tur leh thawk chhuak thuk zawk turin a hrilh a ni. Thâwk i la thuk zawk.

Mahse, i carbon dioxide level a tlahniam chuan thluak bul chuan chu ruhte chu thawk lut leh chhuak tlem turin a hrilh a ni. A tlangpui aia thuk lo zawkin i thawk a, thawk i la thuk lo zawk a, second tlemte chhung chu thawk i chawlhsan vek bawk. Hetiang kalphung chungchanga harsatna dang chu central sleep apnea bulpui ber a ni.

`(Central Sleep Apnea)` vei theihna tur risk factors te chu engte nge ni?

Hetiang natna hi i vei theihna chance a sang zawk thei a, chu chu:

• Kum 60 aia upa i nih chuan: Kan upat deuh deuh chuan kan thluak hian mut laiin thawk a thunun dan hi a danglam thei a ni.
• Mipa i nih chuan: Mipa hian he natna hi an nei tam zawk tih hmuhchhuah a ni.
• Lung lam natna (`(Congestive Heart Failure)` emaw `(Atrial Fibrillation)` ang chi) i neih chuan.
• Nervous system natna (`(Stroke)`, `(Amyotrophic Lateral Sclerosis - ALS)` emaw `(Myasthenia Gravis - MG)` ang chi) i neih chuan.
• `(Opioid)` awmna natna tidamtu i ei a nih chuan emaw, `(Opioid Use Disorder)` i vei a nih chuan.
• Hriselna lama natna thenkhat (`(Rett Syndrome)`, `(Prader-Willi Syndrome)` emaw `(Congenital Central Hypoventilation Syndrome)` ang chi) i neih chuan.
• Treatment-emergent sleep apnea (`(Treatment-emergent Sleep Apnea)`) emaw thisen oxygen level hniam (`(Hypoxemia)`) emaw i neih chuan.

`(Central Sleep Apnea)` avanga harsatna awm thei te chu engte nge ni?

Central Sleep Apnea hi mutna lama harsatna mai ni lovin a tam zawk a ni. I taksa hian thawk chhunzawm zel tur leh thawk tan leh turin nasa takin hna a thawk a ngai a ni. Central Sleep Apnea tih awmzia chu i taksa a tawp a, a thawk dan pangngai aia tam a thawk tan tihna a ni. He extra activity hian i chhungril taksa peng leh thisen kalna kawng a tichhe thei a ni.Central Sleep Apnea hian natna hrang hrang lo awm theihna a tipung thei a, chungte chu:

• Thinlung thawk mumal lo `(Arrhythmia)`
• Mut tibuaitu
• Nilengin hahna
• Mu thei lo

Ngaihtuah teh, motor ang mai a ni. Engine i start a, i off laia a chunga thil thleng te, i start leh off laia a chunga thil thleng te hi kan taksaah pawh a thleng ve tho a ni.

`(Central Sleep Apnea)` hi engtin nge kan hriat theih ang?

Doctor chuan i natna lan chhuah dan te, i chhungkuaa mi tu pawhin hetiang dinhmun hi an nei em tih te, leh Central Sleep Apnea thlen thei natna dang te a zawt hmasa ang che.

Tichuan, i doctor chuan central sleep apnea emaw obstructive sleep apnea emaw i neih leh neih loh hriat nan mut zirchianna neih a rawt thei ang. Mut zirchianna neih chhung hian mutna laboratory-ah zan khat i riak ang. Medical team hian i taksa chhunga system hrang hrangte hnathawh dan an enfiah ang a, an zirchiang ang. Entirnan, i thluak wave, heart rate leh thawk dan te an enfiah ang. Hei hian buaina chu eng nge ni tih chiang taka hriat theih nan a pui ang.

Central Sleep Apnea hi engtin nge enkawl a nih?

Doctor-te chuan Central Sleep Apnea natna lan chhuah dan tur ven nan Positive Air Pressure (PAP) system (thâwk laka boruak pressure pe thei hmanrua) an hmang a. Chung zingah chuan:

• `(Continuous Positive Air Pressure - CPAP)` machine: Hei hian boruak chu pressure awm rengin a pe a.
• `(Bilevel Positive Air Pressure - BiPAP)` machine: Hei hian thawk chhuah laiin pressure pakhat a pe a, thawk chhuah laiin pressure dang a pe bawk.
• `(Adaptive Servo-Ventilation - ASV)` machine: Hei hi a hmasawn deuh a ni. I thawk dan a zirin a tul angin boruak pressure a siamrem thei.

I doctor chuan i dinhmun atan eng device nge tha ber tih a hrilhfiah ang che.

`(Central Sleep Apnea)` hmang hian rei tak dam theih a ni em?

Hei hi mi tam takin an zawh thin a ni. ``Central Sleep Apnea`` hian i dam rei zawng direct-in a nghawng lo. Mahse, a enkawl that loh chuan a hmaa ka sawi tawh ang khan harsatna a thlen thei a, i nunphung a nghawng thei bawk.

Engtin nge ka in enkawl ang?

Central Sleep Apnea hi natna dang avanga harsatna a ni fo thin. Chuvangin, a hnuaia awm i nih chuan i enkawl chhunzawm zel ang. Chutiang a nih loh chuan chutiang tur chuan enkawlna dawng rawh.

Central Sleep Apnea i neih chuan doctor pan fo a, checkup neih a pawimawh hle.Chumi hnuah chuan i enkawlna chu a thawk tha em tih leh harsatna dang a awm em tih an enfiah thei ang. I doctor chuan test dang neih belh a rawt thei bawk a, chu chu ``Sleep Study'' tih ang chi hi a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• Engtin nge `(Central Sleep Apnea)` ka vei tih chiang taka i hriat theih?
• Eng treatment nge ka tan i recommend?
• Eng chen nge he enkawlna hi ka ei a ngai dawn?
• Heng enkawlnate hian ``Central Sleep Apnea'' hi a tidam vek thei ang em?

Central Sleep Apnea (CSA) i neih chuan nitin nun hman harsa i ti thei a, chu chu zan lama mut theih loh te, harh nghal mai te, eng ang pawhin mut pawh nise i chau tih te hi a ni.

Lung lam natna emaw, damdawi lam natna dang emaw avang hian CSA i nei thei bawk. A nih loh leh, a châng chuan, a chhan chiang tak hmuh theih a ni lo. Eng pawh ni se, CSA hian tuna i nunphung a nghawng thei a, nakin lawkah hriselna lama harsatna dang i neih theihna a tipung thei bawk. Thu lawmawm tak chu doctor-te hian CSA enkawlna atana pui thei tur enkawlna an nei a ni. Chuvângin, nang pawh zan mut hahdam zâwk i nei thei a, harh tharin i harh thei bawk.

Mut harsatna i neih chuan doctor pan ngei ngei tur a ni. I dinhmun dik takin an zirchiang ang a, i tana enkawlna tha ber an rawt ang.

Hriat reng tur pawimawh ber ber (Take-Home Message) .

• Central Sleep Apnea hi thluak signal nena inzawm harsatna a ni a, mut laiin thawk rei lo te chhung a titawp thin.
• Hei hi chhan hrang hrang a awm a; natna dang, damdawi thenkhat, a nih loh leh a chhan awm lo pawh ni se.
• Nitin mut tam lutuk, zing lu na, leh ngaihtuahna seng harsa tih ang chi symptom i neih chuan i ringhlel mai thei.
• ``Sleep Study`` hi a dik taka hriat theih nan a pawimawh hle.
• `(CPAP)`, `(BiPAP)`, leh `(ASV)` tih ang chi enkawlna a awm bawk.
• Hetiang dinhmun hi ngaihthah a nih chuan lung natna ang chi harsatna a awm thei a ni.
• Heng symptoms te hi i neih chuan doctor advice la ngei ang che. Thil ngaihtuah tur a awm lo, he natna hi enkawl dan dik tak nen uluk taka control theih a ni.

` Mut, thawk, central sleep apnea, CSA, thluak, mut harsatna, CPAP