A chang chuan i buai ang maiin i inhria em? I sawi duh chu i theihnghilh thut a, pindan pakhata i kal chhan i hre thei lo, a nih loh leh mi hming hriat reng nan hun rei tak a ngai a ni. Hengte hi thil tenawm tak tak kan chunga thleng fo thin a ni. Mahse damdawi lamah chuan "confusion" tih hian natna danglam deuh, a chang chuan a na zawk, a kawk a ni. Kan thluak hnathawh danah harsatna a awm tih tilangtu symptom a ni. Vawiin hian he theihnghilh dan pangngai leh kan ngaihtuah ngai tak tak buaina inthlauhna kan sawi dawn a ni.
Buaina chu eng nge ni? Eng thil nge min tibuaitu chu?
Nitin nunah hian "confusion" tih thumal hi minor lapses sawina atan kan hmang thin. Mahse damdawi lamah chuan awmzia thuk zawk a nei a ni. A awlsam zawngin sawi ila, buaina hi kan hriatrengna, kan ngaihtuahna, kan ngaihsakna leh kan chhehvela khawvel hriatna tibuaitu a ni.
Ngaihtuah teh, kan thluak hi computer ang mai a ni. Thluak peng hrang hrang hi hna hrang hrang atan hman a ni. A châng chuan, a ṭhen engemaw zât chu thawh dun a ngai ṭhîn. Heng part te hian hna an thawk tha lo a nih chuan buaina a awm thin.
He danglamna hi a hnuaia table atang hian awlsam takin i hrethiam thei ang.
| Hengte hi buaina (thil pangngai) a ni lo . | Hengte hi Confusion an tih condition symptoms te an ni. |
|---|---|
| Mi pakhat hming dik lo hmanga koh, thil sawi hriatthiam loh. | A chhehvel hriatna tlahniam: I chhehvela thil thleng hriat lohna. |
| Thil engemaw hriat reng nan hun rei vak lo hman. Ngaihtuah chungin, "Eng nge sawi tura ka lo kal?" | Disorientation: I awmna hmun, eng ni nge tih, engtik lai nge ni, ram president chu tu nge tih ang chi thil awlsam tak tak hriat loh. |
| A rawng hming dik tak hriat reng loha thil inang sawi (e.g. dark red ni lovin ‘red’ tih). | Hriatrengna lama harsatna nasa tak: minute tlemte kalta a thil sawi theihnghilh, chhungkaw member hriat loh leh midang anga inngaih. |
| Thil tihsual tenau, i rilruah tlemte i chhut laiin tihsual ang chi te. | Ngaihtuahna thiam lohna: Sawm atanga chhiar tlak loh, thla khat atanga a sir lehlama sawi theih loh ang chi thil. |
| Hallucinations leh Delusions: Thil awm lo tak tak hmuh (mi awm loh laia aw hriat ang chi), thil tak tak tihsual (sock dum chu ui dum anga hmuh), leh sawifiahna zawng zawng karah rinna dik lo vawn tlat. |
Buaina thlentu awm thei te chu engte nge ni?
Thluak hnathawh tibuaitu eng thil pawh avang hian buaina a awm thei. Hei hian a thlen thei thil chi hrang hrang a awm tihna a ni. A châng chuan, thil engemaw zat inzawmkhawmin he natna hi a thlen thei bawk.
A chhan lian ber ber thenkhat chu hetiang hi a ni:
- Zu in tam lutuk .
- Thisen sugar level sang lutuk (Hyperglycemia) emaw, thisen sugar level hniam lutuk (Hypoglycemia) emaw.
- Thluak a thisen chhuak .
- Brain cancer emaw thluaka natna dang emaw a awm thei.
- Dehydration (taksa chhunga tui tlakchhamna).
- Electrolyte imbalances , entirnan, sodium tlem.
- Hormone lama harsatna , a bik takin thyroid natna (Hypothyroidism / Hyperthyroidism).
- Lu hliam , a bik takin concussions.
- Infection , a bik takin thluak tibuaitu natna `Encephalitis`, `Meningitis`, leh nunna atana hlauhawm infection `Sepsis` te.
- Stroke ang chi natna hian thluaka thisen kal a tibuai a.
- Thluak lama oxygen tlakchham (Cerebral hypoxia).
- Damdawi emaw damdawi emaw thenkhat hman .
- Rilru lam natna , entirnan, rilru lam natna (schizophrenia) ang chi natna te.
- Migraine natna (Migraine) a awm .
- Neurological natna Alzheimer natna emaw, dementia emaw .
- Organ lian tak tak liver emaw kidney emaw te a hlawhchham .
- Seizures , a bik takin seizure hnuah.
- Carbon monoxide a ni`(Carbon monoxide)` ang chi toxic gas inhal emaw, toxin dang ei emaw. Chutiang hunah chuan Colombo National Hospital-a National Poison Information Center-ah thurawn dil theih a ni.
A pawimawh ber chu, hetiang symptom i neih chuan ngaihthah suh. A hnuaia dinhmun khirh tak chhinchhiahna a ni thei bawk.
He natna hi engtin nge enkawl a nih?
Dik tak chuan doctor-te hian Confusion symptom hi an enkawl lo va, a thlentu medical condition hnuaia awm chu an enkawl zawk a ni.
Nangmah emaw, i hnaih ber emaw pawhin heng symptoms hi an neih chuan mahni invenna leh in lama tih tum suh. A bik takin hei hi thil thar a nih chuan a chhan hriat tumin doctor pan a tha ber ngei ang.
Doctor chuan a tul anga test a ti ang a, a chhan chu eng nge ni tih a zawng chhuak ang a, chu natna enkawlna atana \ha ber ber a pe ang che.
Enkawl loh chuan eng nge thleng ang?
Buaina hi kan ngaihtuahna, kan thiltih leh kan sawite thunun theihna tibuaitu a ni. Chuvangin, he natna vei hian chutiang harsatna chu an nei tih a hre lo mai thei.
Enkawl loh chuan a hnuaia hlauhawmnate hi a thleng thei a ni:
- Nungchang inthlak danglamna: Sudden agitation, aggression, leh chuvang chuan hliam.
- Tlu leh chetsualna: Buaina hian tlu leh hliam na tak tuar theihna a tipung a ni.
- Mahni hna thawh theih lohna: Hun a kal zel a, mahni chauha thil tih theih loh leh midangte chunga innghat a lo ni thei.
- Thluak natna dang a vei theihna: A bik takin kum 65 an tlin hnuah buaina hian naupan laiah dementia ang chi natna a vei theihna a tipung thei a ni.
- Rilru lama harsatna: Rilru natna, lungngaihna ang chi a awm thei.
Buaina hi pumpelh theih a ni em?
Buaina hi pumpelh vek theih a ni lo va, mahse a thlentu dinhmun thenkhat lo awm theihna tur chu kan tihtlem thei a ni.
- Natna rei tak enkawl: Zunthlum, thisen sang, epilepsy ang chi natna i neih chuan i doctor thupek leh damdawi te dik takin zawm tur a ni.
- Safety gear bun: Lu hliam hi a chhan lian ber a ni. Chuvangin, bicycle leh motor a khalh dawnin helmet vuah la, lirtheia chuang dawnin seat belt vuah theihnghilh suh.
- Ei leh in inthlau (balanced diet) ei: Ei leh in tha hian taksaa chi (salt) leh ei leh in lama tlakchhamna a veng thei a ni.
- Active takin awm rawh: Exercise leh taksa rihna hrisel neih hian thluak tibuaitu natna tam tak a veng thei a ni.
- Ruihhlo leh zu in loh tur:Chungte chuan thluak hnathawhna chu direct-in a nghawng a ni. Doctor-in damdawi a pek pawh hi a dose dik takah ei tur a ni.
Engtikah nge doctor i hmuh ang?
Sudden-onset confusion hi medical emergency a ni. Natna khirh tak, stroke ang chi chhinchhiahna a ni thei. Chutiang hunah chuan damlo chu a hnai ber hospital emergency room (ETU)-ah tlai lovin hruai thin ang che.
Tin, nangmah emaw i chhungte zinga mi emaw hian heng buaina chhinchhiahna te hi zawi zawiin an lo nei tan a nih chuan doctor pan pawh a tha hle. A chhan hriat chian hma chuan enkawl a awlsam zawk.
Confusion leh Delirium inthlauhna
`Delirium` tih thumal hi i hre tawh mai thei. `Delirium` hi Confusion aiin a na zawk, a bik takin a awm a ni. A tlangpuiin natna emaw, accident emaw, thil dang emaw avanga thluak pressure nasa lutuk a awm chuan a lo thleng rang hle. `Delirium` vei dinhmun hi darkar khat atanga darkar khatah a danglam thei. Confusion zawng zawng hi `Delirium` a ni lo va, `Delirium` hi Confusion chi khat na zawk a ni.
Take-Home Thuchah a ni
- Thil tenawm tak theihnghilh leh damdawi lama Confusion tia hriat chu a danglamna lian tak a awm. Hun, hmun leh ngaihtuahna hriat loh ang chi thilte hi chhinchhiahna pawi tak a ni.
- Buaina hi natna a ni lo va, a hnuaia awm dinhmun (underlying condition) chhinchhiahna a ni. Chuvangin a chhan zawn chhuah a pawimawh hle.
- Nangmah emaw, i hmangaih tak emaw in hriatna a hloh thut a nih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU)-ah hruai nghal rawh.
- Mahni inenkawl tum suh. Medical professional thiam tak thurawn la fo ang che. Enkawlna rang tak hian thil tam tak avanga buaina awm chu a tidam thei a, a thunun thei bawk.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Confusion / Delirium tih hi eng nge ni? A hlauhawm em?
Hei hi theihnghilh dinhmun a ni lo! ‘Confusion’ tih hi natna hlauhawm tak, mi pakhat chu rang takin/darkar tlemte chhungin a rilru a buai a, a sawi chu a hrethiam thei lo va, a hmuna a vawt emaw, a au chhuak a, a che vel tan emaw (Agitation) a ni. Hei hi Emergency a ni!
💬 Miin hriatna a hloh thut (Confusion/Delirium) chhan lian ber berte chu engte nge ni?
Hei hi rilru lam natna a ni lo, hei hi taksa chhunga natna khirh tak avanga lo awm a ni! A chhan ber chu: 1) ‘Thihna thlen thei (Sepsis/UTI)’ - Kum upa lam ten zun kawng/lung infection (Pneumonia) an neih hian khawsik hmaa thil thleng hmasa ber chu hriatna hloh hi a ni! 2) Thluak lama oxygen/thisen tlakchham (Stroke/Heart Attack). 3) Thisen a ‘sugar’ a tlahniam vek (Hypoglycemia/Diabetic Coma). 4) Zu/drug poisoning emaw rang taka chawlhsan (Zu inhnukdawk).
💬 Engvangin nge kan mite zinga pakhat hi hetianga an buai a nih chuan damdawi inah dah nghal mai ang?
Mi pakhatin a tawng tha hle a, hetiang hian minute emaw ni emaw chhungin a hriatna a hloh (Acute onset) a nih chuan an thluak/thinlung chu a tlakbuak tawh tihna a ni (Impending system failure)! Tin, 1) ke/hmai hloh (Stroke), 2) tuar theih loh khawsik leh khur (Infection), 3) thawk harsa, emaw 4) fit (Seizures) an neih chuan damlo chu ambulance hmangin damdawi inah hruai nghal vat a ngai a, coma-ah an tlu a, an thi thei a ni!
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