Nu emaw, pa emaw tu pawhin an fate chu a hlimthla, a rilru a buai a, a khelh zawh hnua leia a tlak thut chu an hmuh chuan engtiang chiahin nge an hlauh ang? Common parlance-ah chuan hei hi ‘fit nei’, ‘seizure neih’, ‘seizure neih’ kan ti thin. Hei hi hmuhnawm tak a ni. Mahse damdawi lam hawi chuan he dinhmun hi epilepsy kan ti a ni. A pawimawh ber chu eng nge a nih, engvangin nge a thlen tih leh naupang enkawl dan tur hriat chian a, hlauh ai chuan. Chuvangin hlau suh. Hei hi condition tha taka enkawl theih a ni. Engkim hi i hriatthiam theih tur awlsam takin sawi ila.
Naupangte zingah epilepsy hi eng nge ni tak tak?
A awlsam zawngin sawi ila, epilepsy hi naupang thluaka lo awm thin a ni. Thil thleng chu thluak cell inkara electrical signal inthlak danglamnaah thil dik lo tak a awm nghal a, chu chu ‘short circuit’ ang mai a ni. Hetiang electrical activity mumal lo tak avanga lo awm chu ‘seizure’ kan tih hi a ni.
Mi tam tak chuan fit hi taksa a hrual a, a hmui a hnim a, naupangin a hriatna a hlohna fit mai niin kan ngai a. Mahse fit zawng zawng hi chutiang chu a ni vek lo. Naupang thenkhat chuan hmun khat chu rei lo te chhung chu an en reng thei a, hriat loh ang maiin an en thei a, a nih loh leh an lungawi lo hle thei bawk.
Hetah hian hriat reng tur pawimawh tak a awm. Naupangin vawi khat seizure a neih vang mai mai chuan epilepsy an nei tihna a ni lo. Seizure hi chhan dang vang pawh a ni thei a, chu chu khawsik a san chuan febrile seizure a awm thei a ni. Doctor chuan epilepsy hi a hriat theih ang, naupang pakhatin a chhan chiang tak dang awm lovin vawi khat aia tam seizure a neih chuan.
Naupangte zingah epilepsy chi hrang hrang awm tam ber chu engte nge ni?
Epilepsy hi chi hrang hrang a awm a. An vai hian a inang vek lo. Naupangte zinga hmuh tur chi hrang hrang thenkhat han thlir ila.
| Epilepsy chi hrang hrang | A awlsam zawngin, hetah hian eng thil nge thleng? |
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| Absence epilepsy a awm lo | Hei hi naupangin an thil tih chu a titawp nghal a, second engemaw zat chhung chu a en reng a ni. Mumang khawvela bo ang maiin. Chutih laia anmahni i biak chuan naupang chuan a hre lo ang a, a chhang lo bawk ang. Tichuan engmah thleng lo ang maiin a pangngaiin an che chhunzawm zel ang. |
| Rolandic epilepsy natna a ni | Hetiang chi hi naupang mut emaw, zing thawh emaw a nih chuan hmuh tur a tam ber. Hetiang fit hi a lo awm hian hmai, hmui leh leiah natna a awm thei a, khur a awm thei a, tawng harsa a awm thei bawk. A châng chuan taksa sir khat chu a inher chhuak ang. |
| Naupangte zingah myoclonic epilepsy a awm thin | Hei hi naupangin puitlin hun a thlen veleh a intan tlangpui. A bik takin zing thawh hian kut emaw, kekawrte emaw ah chuan a rawn inher nghal zung zung thin. Electric shock ang maiin a lang. A châng chuan, kuta no ang chi thil chu paih mai theih a ni. |
| Nausen rilru natna (West syndrome) . | Hei hi natna khirh tak a ni a, nausen naupang tak takte pawh a nghawng thin. Naute chu a mut emaw, a harh emaw chuan a flex nghal a, a stretch a, a jerk nghal bawk. Heng jerk te hi second tlemte chhung a awm a, mahse chawlh rei lo te chhungin a zawnin vawi tam tak a awm thei. Hei hian naute thluak hmasawnna a nghawng thei a, enkawl vat a ngai a ni. |
| Lennox-Gastaut natna (LGS) natna hi a awm lo. | Hei hi epilepsy natna khirh tak a ni bawk. Hetah hian naupang hian fit chi hrang hrang a nei thei a ni. A châng chuan ruhte chu a nghetin a tla thut a, a châng chuan hriat loh ang maiin a lang bawk. Hetiang dinhmun hian naupang zirlai leh thanlenna a nghawng thei a ni. |
Fit hma leh fit lai hian eng symptoms nge hmuh theih?
Sometimes a fit can come on without any warning , mahse naupang thenkhat chuan fit a thlen hmain chhinchhiahna an lantir thin.
Fit hmaa lang thei chhinchhiahna hmasa ber:
- Tlem a lu a hah deuh tih hriatna.
- A chhehvel hriatna hloh, buaithlak.
- Hmun khatah chuan blank takin a en reng.
- Hriatna, hmuhna, rim leh ei leh in lama inthlak danglamna.
- I pum thlenga natna tih hriat te, rilru hah emaw, i taksa lumna a danglam ang maia hriat te.
Fit laiin symptoms hmuh theih te:
Fit hi minute tlemte chauh a ni tlangpui. Chumi chhung chuan hetiang thil hi a thleng thei a ni:
- Thil hriatna hloh vek leh leia tlak.
- Taksa peng pakhat chu a thunun theih loha taksa peng pakhat a inthlak danglam, a inthlak danglam emaw, a inthlak chhunzawm zel emaw.
- Thusawi thiam lohna, hmui hrual emaw, hmui hmanga chewing movement siam emaw.
- Lung na tak tak.
- Thâwk rang tak.
A pawimawh ber chu naupang zawng zawng hian fit an nei vek lo. Fit thenkhatah chuan movement engmah a awm lo. Tin, naupang upa zawk aiin naupang tê têah fit tih hriat a harsa thei bawk. Chuvângin, i fate thiltih danglam emaw, mak emaw i hmuh chuan eng chen nge a lo awm tawh tih ziak la, i doctor nên inbia ang che.
Fit hnuah chuan naupang chu a chau hle thei a, a buai hle thei bawk . Chutih laia thil thleng chu a hre reng lo mai thei. Fit hnua lu na hi a awm fo bawk.
Engvangin nge naupangte hian epilepsy an vei?
Kan sawi tawh ang khan epilepsy hi thluaka electrical activity mumal lo vang a ni. Mahse, engvangin nge a lo awm? A châng chuan a chhan chiang tak hmuh a harsa ṭhin. Mahse naupangte zingah epilepsy thlen thei chhan tlangpui thenkhat a awm.
- Lu hliam: Accident na tak avanga lu hliam vang a ni.
- Nau piang laia harsatna awm thei: Pian tirh laia thluaka oxygen tlakchhamna ang chi.
- Infection: Thluak tichhe thei natna, entirnan meningitis emaw encephalitis emaw.
- Brain Developmental Abnormalities: Nausen pum chhunga a lo thanglian laia thluak thanna lama chhiatna a awm.
- Genetic causes: Chhungkaw zinga mi pakhatin epilepsy a neih chuan naupang pawhin a vei theihna tur risk engemaw zat a awm.
A châng chuan epilepsy hi a chhan hriat lohvin a awm thei bawk. Hemi chungchangah hian zirchianna a la kal zel a ni.
Epilepsy hian naupang tan harsatna dang a thlen thei em?
Ni e, epilepsy hian naupang taksa leh rilru hriselna a nghawng thei a ni.
- Taksa lama hliam: Fit laiin nikhaw hre lovin i tlu thei a ni.
- Fit dang neih hlauhna: He hlauhna hi naupang leh nu leh pateah pawh a awm thei.
- Mut harsatna: Mut buai.
- Mahni inngaihhlutna hniam: Naupang dangte aiin an danglamin an inhriat vang a ni.
- Thil ngaihtuah harsa: Zirna a nghawng.
- Depression leh Anxiety: Rilru lama harsatna nei.
Seizure lai hian naute venhim a pawimawh hle. I fain seizure a neih i hriat chuan leiah dah nghal rawh. Hmun khauh takah an awm chuan an lu hnuaiah thil nem tak, puan ang chi dah la. Seizure hi tihtawp tum suh . Hei hian i fa chu a ti hliam thei a ni. An kâah engmah dah suh. Minute tlemte chhungin seizure hi a mah chauhin a tawp ang. Seizure hi minute 5 aia rei a nih chuan doctor hnenah eng nge tih tur tih zawt rawh.
Epilepsy natna khirh tak tak thenkhat chu nunna atana hlauhawm tak a ni thei. Entirna pakhat chu status epilepticus an tih hi a ni. Hei hi seizure pakhat a zawna i neih emaw, seizure pakhat emaw i neih chuan a dang atanga i dam leh hma chuan a ni. Hei hi medical emergency a ni.
Engtin nge doctor chuan hei hi epilepsy a nih leh nih loh a hriat?
He natna hi hriat chian tumin Doctor hian test eng emaw zat a nei mek a ni.
- Thu hriatna khawlkhawm leh taksa enfiahna: Naupang fit tan dan te, eng chen nge a awm tih te, chhungkaw zingah hian hetiang dinhmun hi nei an awm em tih te chu a chipchiar zawng zawng zawh che a ni ang.
- Neurological exam: Naupang thluak leh nervous system hnathawh dan an enfiah thin.
- Thisen test: Fit thlentu damdawi lam thil awm thei awm leh awm loh enfiah rawh.
- Imaging test: Thluak thlalak lakna test. Hei hian MRI scan pawh a huam thei .
- EEG (Electroencephalogram) test: Hei hi test pawimawh ber a ni. Hei hian natna nei lovin naupang lu-ah sensor te te dah a, thluak electrical pattern record a huam a ni. Thinlung ECG tih ang mai a ni. Hei hian thluaka electrical activity pangngai lo eng pawh a hmuchhuak thei a ni.
Epilepsy natna enkawl dan tur chu engte nge ni?
Vanneihthlak takin epilepsy control nan hian enkawlna tha tak tak a awm a.
- Antiseizure damdawi: Hei hi damdawi hman tam ber a ni. Heng damdawi te hian thluaka electrical activity mumal lo control leh seizures venna hmangin hna an thawk a ni. A pawimawh ber chu doctor-in damdawi a pek ang chiah chiah, a hun takah leh a dose dik takah, ni khat pawh tlai lova pek hi a ni.
- Surgery: Damdawi hmanga control theih loh, thluak hmun bik atanga lo chhuak epilepsy tan chuan operation hi tih a tha \hin.
- Damdawi hmanraw dah luh: Vagus nerve stimulator emaw Deep brain stimulator emaw hi a chang chuan naupang damdawi ei duh lote tan hman a ni.Hetiang hmanrua hi taksaah hian dah a ni. Chungte chuan thluak lamah electrical signal an thawn a, chu chuan fit chu a control a ni.
- Ketogenic diet: Hei hi eitur bik a ni a, thau tamna leh carbohydrates tlem a ni. He ei leh in hi naupang thenkhat, epilepsy thunun harsa tak tak tan chuan a hlawkthlak thei hle. Amaherawhchu hei hi doctor leh nutritionist te uluk taka enkawlna hnuaiah chauh tih tur a ni.
Engtin nge ka fa epilepsy vei hi ka humhim theih ang?
Nu leh pa i nih angin i fate himna tur ngaihtuah hi thil pangngai tak a ni. Fit hi engtik lai pawhin a thleng thei a, chuvangin i fa him nan heng thilte hi fimkhur rawh.
Hriselna atana hmalakna tlangpui
- Infiamna i khelh hunah emaw, bike i khalh hunah emaw, helmet ang chi invenna hmanrua bun ngei ngei tur a ni.
- I fa chu inkhelh leh exercise a tih hian puitling enkawlna hnuaiah dah la. I fa dinhmun leh fit an neih chuan eng nge tih tur tih chiang takin enkawltu leh sikul zirtirtute hnenah hrilh rawh.
- I fa chu a naupang a nih chuan i doctor nen inbia la, driver license i lak hmain thurawn la rawh .
- I fa chu bunk bed chung berah muttir tir suh .
- Thingkung leh tlang lawn ang chi, hmun sang taka thiltih i tih hian ngaihven zual rawh.
Tui hlauhawm awm thei laka inven nan heng thilte hi hre reng ang che
Tui kaihhnawih chetsualna thlen theihna a sang hle.
- Bathroom kawngkhar chu khar lohvin dah la .
- I fa chu bath-ah, bathtub-ah emaw, swimming pool bulah emaw chauh dah ngai suh. Supervise reng tur a ni.
- Naupang chu amah chauhva tui chawi tir suh.
- Bathtub chhunga tui level chu hniam takin dah tur a ni.
- Electric hmanrua te chu bathtub leh sink atanga hla takah dah tur a ni.
Engtikah nge Doctor ka hmuh ang? Engtikah nge ETU ah hian ka kal ang?
He inthlauhna hi chiang taka hriat a pawimawh hle.
| Hetiang hunah hian doctor hmu rawh. | Chutiang dinhmunah chuan ETU (Emergency Treatment Unit) pan nghal mai tur a ni. |
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Ka fa hian epilepsy natna neiin nun pangngai a hmang thei ang em?
Absolute takin a ni. Naupang epilepsy vei zinga 70% vel, a nih loh leh sawm zinga pasarih te chuan an kum rualpui naupang dangte ang bawkin nun pangngai, hlim takin an hmang thei a ni. An hmasâwnna leh nitin hnathawhna lamah nasa takin nghawng a nei lo. A danglamna awm chhun chu nitin an damdawi ei hun inang an ei a ngai tih hi a ni mai thei.
Tin, naupang epilepsy vei zinga 60% aia tam, a nih loh leh sawm zinga paruk chuan an puitlin hunah chuan he natna hi an phak lo vek ang . Chumi awmzia chu an lo upat deuh deuh chuan a lo ṭha chho vek dawn tihna a ni.
Mahse naupang thenkhat chuan he dinhmun avang hian rilru lam harsatna engemaw zat an tawk thei a ni. Mi dangte nêna danglamna an neih avângin an zak a, an lungngai a, an lungngai thei bawk. Chutiang hunah chuan naupang tan chuan i hmangaihna leh i thlawpna hi a pawimawh hle a ni. A tul chuan rilru lam hriselna lama thurawn petu tanpuina dil pawh naupang tan chakna nasa tak a ni ang.
Take-Home Thuchah a ni
- Epilepsy hi thluak natna enkawl theih a ni. Zahpui tur leh thup tur thil a ni lo.
- Fit zawng zawng hi a inang vek lo. I fate mizia danglam bikte chu hre reng ang che.
- I fa chu doctor-in damdawi a pek ang chiah, ni khat pawh tlai lovin pe rawh.
- Fit laiin i fa humhim dan tur zir rawh. Hlauthawng suh la, thlamuang takin awm rawh.
- Fit hi minute 5 aia rei a nih emaw, naupangin hriatna a neih leh harsatna a neih chuan emergency a ni. Naupang chu ETU-ah hruai nghal rawh.
- He zinkawngah hian nangmah chauh i ni lo. I doctor nen inzawmna nei reng la, zawhna zawt la, i mamawh tanpuina dawng rawh.
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