Natna mak tak tak, awmze nei lo, i taksain thil mak tak tak ti tir thei i nei ve em? (Dysautonomia) chungchang hi han sawi teh ang!

I taksa hmun hrang hrangah natna leh natna i nei a, mahse pakhat mah i hre chiang thei lo va, inzawm lo ang maiin i inhria em? I chau reng emaw, i lu a buai reng emaw, thawk harsatna i nei emaw pawh a ni thei? Dysautonomia an tih hi a chhan a ni thei.

A awlsam zawngin sawi ila, he `(Dysautonomia)` hian kan taksaa `(Autonomic Nervous System - ANS)` chu a out of order tihna a ni. Tunah chuan he `(ANS)` hi eng nge ni tih i ngaihtuah ta. Kan taksa chhunga thil thleng kan ngaihtuah ngai lovin control tu super system a ni . Ngaihtuah teh, i lungphun, i thawk dan, i taksa lum leh vawt, thawk hah, leh chaw ei dan te hi i ngaihtuah lo em ni? An vai hian he ``ANS`` hian a enkawl vek a ni. Chuvangin, he system hi a inthlak danglam chuan harsatna a lo chhuak tan thin.

He `(Dysautonomia)` an tih hi a takah chuan i ngaihtuah angin a tlem lo. Khawvel pumah mi maktaduai 70 chuang zetin eng emaw chen chu an nei a ni. Mi thenkhat tan chuan congenital , a nih loh leh nun engtik lai pawhin a lo awm thei bawk. Mahse a tam zawkah chuan kum 50 leh 60 inkar a lo lang tan thin a, mahse, a chang chuan kan doctor te tan chuan hriat a harsa thei hle. A chhan chu hei hi a lan chhuah dan hi mi pakhatah a danglam thei hle a, kawng hrang hrangin a lo thleng thei bawk. Chuvangin natna hriatchhuah te, thil awmdan dik tak hriatthiam te, enkawl te hi a buaithlak deuh thei a ni.

Chuti a nih chuan Dysautonomia symptoms chu eng nge ni thei ang?

Okay, tunah chuan ``Dysautonomia'' vei hian eng ang thil nge a hriat theih ang tih i en ang u. Hei hian kan taksaa system tinte a nghawng avangin a symptoms hi a inang lo hle.

• Off balance anga inhriatna leh tlu fo thin.
• Fainting leh hriatna hloh, a bik takin ding lai.
• Nausea leh luak chhuak tih hriat.
• I thluak chu foggy (`Brain fog`) ang maia inhriatna, thil theihnghilh, thil pakhata ngaihtuahna sen harsat.
• Lung chak lutuk (`Tachycardia`) emaw, a hniam lutuk (`Bradycardia`) emaw.
• Zirlai te zawk (pinpoint pupils) emaw, zirlai lian zawk (unusually wide pupils) emaw te.
• Bowel function inthlak danglam (constipation emaw diarrhea emaw).
• Chau nia inhriatna, eng ang pawhin mut pawh nise hahdam lohna.
• Mipat hmeichhiatna lama harsatna nei.
• Chhung na emaw, nuam lo emaw hriat.
• Urinary incontinence chu zun tam lutuk emaw zun control theih lohna emaw a ni .
• Thâwk harsa (Dyspnea).
• Vun chu a vawt a, a thawmhnaw a hring emaw, a hring emaw a ni.
• Heart palpitations hi thil mak tak a ni.
• Harsatna i tiharhtu, i tiharhtu harsatna.
• Chaw ei harsa (Dysphagia).
• Thinlung thawk mumal lo (Arrhythmia).
• Thawm ri nasa tak leh êng êng tak takte laka sensitive nih.
• Luak chhuak, a bik takin ding lai.
• Thisen sugar level hniam (Hypoglycemia).
• A tlangpui aia tam, emaw, thawmhnaw tlem zawk, taksa hmun thenkhatah chauh pawh a ni mai thei.
• Mit vawt, emaw mittui tlak fo thin.
• Migraine emaw lu na fo emaw.
• Taksa lum leh vawt inthlak danglam nghal.
• Saliva tam tak a chhuak.
• Mood swing emaw, lungkham reng reng emaw.
• Vision problems (fiah taka hmuh loh, pawn lam khawvel nena insiamrem harsa).
• Exercise intolerance tih hi exercise laiin heart rate a inthlak loh chuan a ni.
• Zun chhuah fo thin.
• Vertigo a awm.

Hêng natna lan chhuahna engemaw zât chu vawi khatah i neih chuan a harsat dân tûr chu han ngaihtuah teh. A châng chuan natna pakhatah an tel ve lo niin a lang. Chuvang chuan hriat chian nan hun rei tak a ngai a ni.

Engvangin nge he `(Dysautonomia)` hi a lo awm? A chhante chu engte nge ni?

Dysautonomia hi a lo awm dan azirin chi hnih a awm a.

1. Primary: Chumi awmzia chu natna dang avanga lo awm ni lovin, amah chauha lo thang zel tihna a ni.

2. Secondary: Hei hian natna dang side effect angin a lo awm tihna a ni.

A hmasa berah chuan dysautonomia a awm

Hengte hi chhan dang awm lova lo thleng thinte an ni. Secondary te angin an awm lo.

Hei hi entirnan pakhat chu autonomic neuropathy chi khat ``Familial Dysautonomia`` an tih hi a ni.A hnuaia thilte avang hian i vei tam zawk mai thei:

• Juda (a bik takin Ashkenazi Juda) thlah i nih chuan.
• Europe hmar lam atanga lo piang i nih chuan.
• I chhungkuaa mi (a bik takin nu leh pa emaw unau emaw) hian `(Dysautonomia)` a nei a nih chuan.

Primary type dang chu ``idiopathic'' dysautonomia a ni a, chu chu doctor-te’n an hmuh theih loh leh an sawifiah theih loh chhan avanga lo awm tihna a ni.

Secondary dysautonomia a awm bawk

Hei hi natna dang avanga ``Dysautonomia'' lo awm hun a ni. Entirna tlemte (a dang pawh a awm thei) chu hetiang hi a ni:

• Amyloidosis natna a ni
• `ALS` (`Lou Gehrig natna` tia hriat bawk) `(Amyotrophic Lateral Sclerosis)`
• A rilru a buai em em a, a rilru a hah em em bawk a. Autoimmune Autonomic Ganglionopathy (AAG) .
• Autonomic Dysreflexia tih hi a ni
• Botulism tih hi a ni
• Brain tumor (cancer pawh tel) .
• Chiari Malformation a ni
• Complex Regional Pain Syndrome (CRPS) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a.
• COVID-19 infection (a bik takin “long COVID” condition, symptoms beisei aia rei a daih tihna)
• Ehlers-Danlos Syndrome (leh connective tissue natna dangte) .
• Guillain-Barré natna vei a ni
• Lewy Taksa Dementia a awm
• Lupus a ni
• Lyme Natna a ni
• Damdawi thenkhat emaw, damdawi lam enkawlna emaw.
• Multiple Sclerosis leh Neuromyelitis Optica natna te a ni
• A rilru a buai em em a, a rilru a hah em em bawk a. Multiple System Atrophy (MSA) .
• Neuroleptic Malignant Syndrome natna a ni
• Orthostatic hypotension (ding laia thisen sang tlahniam) .
• Parkinson natna a ni
• Porphyria (a bik takin acute intermittent porphyria) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
• Postural Orthostatic Tachycardia Syndrome (POTS) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• A rilru a hah lutuk chuan a rilru a buai em em a
• Autonomic Failure thianghlim tak a ni
• Rheumatoid Arthritis natna a ni
• Sarcoidosis natna (sarcoidosis) a ni
• Serotonin Syndrome natna a ni
• Sjögren-a natna (Sjögren-a Syndrome) a ni
• Spinal Cord Hliam a awm
• Thil tha lo, rimchhia emaw, thil rit tak tak (mercury, arsenic emaw pesticide-a awm organophosphates ang chi) .
• Thluak Hliam Natna (Traumatic Brain Injury) a awm
• Mi nghet (Stiff Person) natna (Stiff Person Syndrome) a ni
• Tetanus natna (Tetanus) a ni
• Type 2 Diabetes a ni
• Vasovagal syncope (``neurocardiogenic syncope'' tia koh bawk) .
• Vitamin B12 tlakchham vang a ni
• Wernicke-Korsakoff Syndrome (Vitamin B1 tlakchhamna) a awm a.

En teh, hei hi thlen thei thil tam tak a awm. Chuvangin a chang chuan hriat chian chu thil harsa tak a ni thei.

He `(Dysautonomia)` avang hian eng harsatna nge awm thei?

Dysautonomia hian kan taksaa thil pawimawh tam tak a nghawng avangin harsatna hrang hrang a thlen thei a ni. Vawi tam tak chu heng harsatna te hi Dysautonomia symptoms atanga lo chhuak a ni a, a bik takin a nasat emaw, nitin hnathawh a tibuai emaw a nih chuan.

Hengte hi symptom leh complication na tak tak anga ngaih theih a ni:

• Heartbeat problems (rang lutuk, slow lutuk, emaw irregular).
• Fainting (hei hian tlu leh hliam a thlen thei).
• Thâwk harsa.
• Digestive problems, chu chuan bloating, diarrhea, emaw harsatna dang a thlen thei.
• Kidney function lama harsatna a awm chuan urinary tract infection (UTIs) emaw incontinence emaw a thlen thei a ni.

I doctor hi eng harsatna nge i tawh theih tih te, i pumpelh dan tur te, leh a nghawng tihtlem dan tur te hrilhtu tur che tha ber a ni.

Doctor-te hian engtin nge dysautonomia hi an hriat theih?

Doctor chuan dysautonomia a hriat theih nan method leh test hrang hrang a hmang a. Most often , natna dang paih chhuah (process of elimination) hmanga hriat chhuah a ni. Tin, a natna lan chhuah dan te, engtikah nge a lan dan te, inzawmna a awm em tih te an en bawk.

Mahse, doctor tawnhriat ngah tak takte pawhin Dysautonomia hi hriat harsa an ti thei. Hei hi taksa pumpuiah symptoms a thlen theih vang a ni a, inzawm lo ang maiin a lang thei bawk. A châng chuan doctor-te chuan Dysautonomia thlentu natna dang aṭanga a lan chhuah dan chauh an sawi a, Dysautonomia pawh hi natna a ni tih an hre lo mai thei.

Dysautonomia (a nih loh leh natna dang paih chhuah) nana pui thei test thenkhat chu hetiang hi a ni:

• Taksa leh thluak lam exam.
• Tilt table test a ni. He test-ah hian tilted table-ah dahin i heart rate leh blood pressure te enfiah a ni.
• Lung test (a bik takin `ECG` - `Electrocardiogram`).
• Thawmhnaw hahna nena inzawm test (e.g. `Quantitative Sudomotor Axon Reflex Test - QSART`).
• Pupillometry hmanga enfiah a ni.
• Urinary incontinence awm leh awm loh ultrasound ang chi test te.
• Thisen test (a bik takin autoimmune natna tilangtu antibodies enfiah nan emaw, neurotransmitter thenkhat catecholamines ang chi level enfiah nan emaw).

I natna lan chhuah dan azirin test dang pawh tih theih a ni. I doctor chuan i tanpui thei tur test te a hrilh ang che.

Hei hi enkawl dan tur a awm em? Dam theih a ni em?

Dik tak chuan Dysautonomia hi damdawi a awm lo . Mahse, a symptoms hi a tam zawkah chuan control theih a ni. Dysautonomia enkawl dan hi thil tam takah a innghat a, a bik takin a chhanah a innghat a ni.

Enkawlna \angkai thei ṭhenkhat chu hetiang hi a ni:

• Ei leh in lama inthlak danglamna. Entirnan, i ei leh inah chi tlem tal i dah belh chuan thisen sang a tisang thei a, i ding chhuah huna thisen sang tlahniam nghal chu a ti tlem thei bawk.
• Hydration hmanga tui pek a ni. Tui tam in hian thisen sang a vawng reng thei a ni.
• Thisen sang tisangtu damdawi. Hengte hi orthostatic hypotension (ding laia thisen sang tlahniam) nei tan a tangkai hle.
• Immunosuppressant damdawi emaw, immune system enkawlna dang emaw. Hengte hian autoimmune conditions (autoimmune chu i taksa immune system-in i taksa a beih hian) nena lo awm dysautonomia chu a tidam thei a ni.

A châng chuan dysautonomia hi damdawi emaw, damdawi emaw avanga lo awm a nih chuan, a hmasa berah chuan damdawi chu tihtawp emaw, enkawlna chu tihdanglam emaw a ni.

`(Dysautonomia)` enkawl dan hrang hrang a awm avangin i doctor chuan i tana tha tur enkawlna tur a fuih thei ber ang che. I dinhmun leh mamawh nena inmil ber duhthlan tur a hrilhfiah ang che. A side effect awm thei te, harsatna awm thei te, leh a pumpelh dan tur te pawh a sawifiah bawk ang.

`(Dysautonomia)` vei hian eng ang thil tawn nge a hmachhawn?

Dysautonomia hi mi zawng zawng tan a danglam hle . Chhungkaw chhungah pawh a danglam thei. I symptoms hi midang symptom nen a danglam vek thei. Tin, i natna lan chhuah dan leh i nun a nghawng dan pawh a inang lo vek bawk.

Mi tam tak chuan Dysautonomia an vei em tih hriat harsa an ti thei. I lungngaihna, hlauhna, emaw, i natna lan chhuah dân chungchânga ngaihtuahna harsa dang i neih chuan, nangmah chauh i ni lo . Dysautonomia vei tam tak tan chuan hetiang rilru put hmang hi thil pangngai tak a ni.

Hei hi eng chen nge a daih ang?

``Dysautonomia'' chi thenkhat chu hun eng emaw chen atan a ni thei a, mahse a tam zawkah chuan dam chhung zawnga natna a ni .

Nakinah engtin nge thil a kal zel ang?

Dysautonomia hi sawi lawk harsa tak leh chiang taka sawifiah theih loh a ni. Mi thenkhat chuan symptom an nei reng thei. Mi dangte chuan thla tam tak emaw, kum tam tak emaw chhung chu natna lan chhuahna an nei lo thei bawk. Dysautonomia natna vei hian i nun chu eng ang nge a nih dawn tih chiang taka sawi a harsa a, mahse i doctor chuan thil thleng thei tur leh i nunah nghawng a neih tlem theih nan eng nge i tih theih tih hriatthiamna kawngah a pui thei che a ni.

A chhan a zirin Dysautonomia hi harsatna tenau tak a ni thei. Mahse chi thenkhat, a bik takin tihdam theih loh leh awm reng te hian nghawng lian tak a nei thei a ni. A nasat chuan symptoms hian hnathawh theihna leh i thil hlimawm tak takah i tel theihna a nghawng thei a ni. He natna hian nunna atana hlauhawm harsatna pawh a thlen thei a ni.

Hei hi a veng thei lo em ni?

Dysautonomia hi beisei loh takin a lo awm a, chu chu mithiamte’n an la hriatthiam kim loh chhan vang a ni. Chuvangin tun dinhmunah chuan a vei theihna tur leh a vei theihna tur tihtlem dan tur a awm lo.

`(Dysautonomia)` ka neih chuan engtin nge ka in enkawl ang?

Dysautonomia hi natna khirh tak a ni. A vei tam tak chuan doctor hmuchhuak thei tur leh enkawl thei tur an hmu harsa hle. Mi tam tak chuan an natna lan chhuah chhan an hriat loh avangin damdawi lam enkawlna chungchangah lungawi lo emaw, hlauhna emaw an nei thei a, doctor-te pawhin an tan chhan an hmu thei lo.

`(Dysautonomia)` symptoms i neih chuan heng feelings te hi i neih chuan nangmah chauh i ni lo . Tin, nangmah tanpui turin hma i la thei a, diagnosis i nei thei a, enkawlna i la thei bawk. I tih theih ṭhenkhat chu hetiang hi a ni:

• I rintlak doctor zawng rawh. I doctor leh i inzawmna hi i dysautonomia hriatchhuahna, enkawlna leh enkawlnaah a pawimawh hle. Doctor nena inbiak harsatna i neih chuan, an thusawi an ngaithla lo ang che, emaw, i dinhmun hrethiam tur leh enkawl thei tur experience an nei lo niin a lang a nih chuan ngaihdan pahnihna la la emaw, doctor dang zawng la.
• I natna lan chhuah dan te, i thil tih te, leh i rilru put hmang te chu nitin journal-ah ziak thin ang che. I thuziak chungchangah hian chipchiar takin sawi rawh. I thu lakkhawmte hian doctor-in i thil tawn chu a chiang zawka a hriat theih nan a pui thei a, i enkawlna pawh a thlak danglam thei bawk.
• Engkim hi felfai takin vawng reng rawh. I natna lan chhuah dan te, i dinhmun te, leh i enkawlna te hriat reng theihna tur kawng i neih hian danglamna nasa tak a thlen thei a ni. I doctor-te hnenah i thil tawn chungchang hriat belh duhna a pe thei a, thil thleng chungchang sawi hlauhna pawh a tihziaawm thei bawk.
• Inbuatsaih rawh. `(Dysautonomia)` chungchanga research article ang chi thilte chu i kutah dah la (i bag-ah, i car-ah, etc.), a tul chuan doctor hnenah pe rawh. Tin, eng appointment pawh i kal emaw, doctor i hmuh emaw chuan tui bottle khat, chawhmeh tlemte, leh damdawi i mamawh apiang ei thin ang che. Chûngte chuan hun harsa tak kara natna lan chhuahna lo langte chu a veng thei a, a ti tlem thei bawk.
• Nangmah thu sawi rawh (a nih loh leh mi pakhat tanpuina dil rawh). I ṭhian rintlak emaw, i chhungte i bula kal thei tur i neih chuan ṭanpuina dil rawh. Anmahni biak hmasa la, i lungkhamna leh an puih theih dan tur hrilhfiah rawh.

I hriselna i hre chiang ber tih hre reng la, chuvangin i rilru put hmang chu i doctor hnenah rinawm takin sawi rawh.

`(Dysautonomia)` i neih lai hian eng thil nge i ei tur/in loh tur?

Dysautonomia i neih chuan i doctor chuan i ei leh inah inthlak danglamna engemaw zat siam turin a hrilh mai thei che. Heng thupekte hian a huam thei (mahse a huam chin erawh a ni lo):

• Zu in loh tur.
• Hydration atan tui tam tak in thin ang che.
• Chaw ei tur chu a sawi angin chi telh la.
• Mut leh chawlh hahdam hi dah pawimawh ber rawh.
• I stress kha control rawh.
• Nangmah tan chuan taksa rihna hrisel tak vawng reng rawh.
• A tul angin chawlh hahdam rawh.
• Khua lum loh tur (inbual dawnin tui lum aiah tui lum hmang zawk rawh).
• Hmun khata thut emaw, ding rei lutuk emaw ai chuan, inher kual rawh.
• Caffeine hman danah fimkhur rawh (Doctor-in a hrilh angin).
• I damdawi ei tur chu a tih angin ei la, vitamin thar emaw supplement thar emaw i ei hmain i doctor nen inbia ang che.

Engtikah nge Doctor ka hmuh ang? A nih loh leh emergency room-ah kal rawh?

I doctor chuan tlawh hun tur chiang tak a pe ang che. I appointment te chu vawng reng a pawimawh a , danglamna i neih loh pawhin . Hei hian i doctor chu i symptoms (a danglam lo a nih pawhin) a hriat reng theih nan a pui ang. I thisen sang ang chi thil a check thei bawk a, chu chu i hre lo mai thei a, mahse dysautonomia chhinchhiahna pawimawh tak a ni.

Hetiang hunah pawh hian doctor i biak emaw, i tlawh emaw tur a ni:

• I natna lan chhuah dan (a tha emaw a chhe emaw) a inthlak tih i hriat chuan.
• I damdawi hman tangkai danah inthlak danglamna i hmuh chuan.
• I nunah emaw, mimal dinhmun emaw a inthlak danglam a, chu chuan i natna lan chhuah dan emaw, i enkawl dan emaw a nghawng a nih chuan.

Engtikah nge emergency room-ah ka kal ang?

Dysautonomia hian natna khirh tak tak a thlen thei a, a bik takin i thisen sang nena inzawm a ni. I ṭhut emaw, i mut emaw hian luak chhuak leh vertigo a ṭha fo ṭhin (hei hian thluaka thisen kal a ti ṭha ṭhin). Hei vang hian mi tam tak chu an muhil a, chutah chuan an hriatna an nei leh ta a ni.

Mahse, symptom thenkhat chu medical emergency atanga thliar hran a harsa thei hle. Ringhlel i neih chuan 1990 emaw, i awmna hmuna emergency number emaw call fo ang che. Heng natna lan chhuah dan thenkhat, ngaihven nghal ngai (mahse a huam chin erawh a ni lo):

• A rilru a na.
• Thâwk harsa.
• Heart palpitations hi a pangngai lo taka chak, racing, pounding heartbeat, emaw, i tum pawha hrehawm lo tihna a ni.

Symptom dang i hriat tur a awm thei bawk. I doctor chuan eng symptom nge damdawi lam pan ngai tih a hrilh ang che.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor zawh tur zawhna thenkhat chu hetiang hi a ni:

• Ka Dysautonomia chi hi engtiang chiahin nge a nasat?
• Eng symptom dang nge i office call emaw, damdawi lam pan emaw tir tur che?
• Eng harsatna chhinchhiahna nge ka fimkhur tur?
• Ka `(Dysautonomia)` hian eng autonomic process nge a nghawng?
• Eng enkawlna leh nunphung thlak danglam nge ka tan a tha ber?
• Nakin lawkah ka hriselna atan eng nge ka beisei ang?
• Eng ang support group nge awm?
• Ei leh in, rilru hriselna, leh stress management ang chi thila pui thei tur expert emaw counselor emaw an awm em?

Dysautonomia symptoms awm chhante chu engte nge ni?

Dysautonomia symptoms lo lang nghal thei emaw, a zual deuh emaw theihna tur trigger a awm thei. Eng trigger nge i neih tih hriat a, chu chu (a bik takin diary-ah) chhinchhiah reng hian chutiang chu pumpelh turin a pui thei che a ni. Trigger langsar tak tak thenkhat chu:

• Zu in a in thin.
• Tui tlakchhamna (dehydration).
• Rimtawng.
• Thawmhnaw tight tak ha chungin.
• Hmun lum takah awm.
• Damdawi lam thurawn tel lova damdawi hman (a bik takin nervous system tichhe thei damdawi, benzodiazepines emaw opioids emaw ang chi).

He list-a tel lo ``Trigger`` dang i nei thei bawk. Ringhlelna i nei a, mahse i chiang lo a nih chuan i doctor hnenah hrilh rawh. A enfiah theih dan tur emaw, test emaw a rawn rawt thei mai thei.

A tawp berah chuan thil hriat reng tur

Dysautonomia hi thil hlauhawm tak a ni thei a, a bik takin eng nge a nih leh engvangin nge a thlen tih i hriat loh chuan. Mi thenkhatin an neih leh neih loh an hriat theih nan thla tam tak, kum tam tak pawh a ngai thei. Hriatchhuah leh enkawl harsa tak ni thei mah se, mi tam tak chuan an natna lan chhuah dan chu an enkawl thei a, buaina lian tham awm lovin an nun an hmang thei a ni.

Dysautonomia i vei nia i rinhlelh chuan doctor chuan i natna lan chhuah dan tur a sawipui thei che a, chu natna enkawlna lama tawnhriat nei specialist zawng turin a pui thei che a ni. Chutiang chuan i natna lan chhuah danin nghawng a neih chu i tihtlem thei a, i tana thil pawimawh tak takte chu i ngaihtuah thei a, i nitin i kal zel thei bawk.

` Dysautonomia, Autonomic Nervous System, ANS, A lan chhuah dan, Luak chhuak, Luak chhuak, Luak chhuak, Dysautonomia