Nilengin emaw, TV en lai emaw, bus-a i chuan lai emaw pawhin i muhil nghal bawk em? Office-a inkhawm laiah pawh a chang chuan i mit i chhing thin em? Hei hi mi tam takin harsatna an neih a ni. Kan rilruin, "Zan lama kan mut that loh vang a ni mai thei," tiin ngaihtuah mah ila, a chang chuan he mut tam lutuk hnuaiah hian hriselna lama harsatna kan hriat loh a awm thei. Vawiin hian nitin mutthilh lutuk chungchang hriat theihna atana hmanraw awlsam tak, mahse pawimawh tak tak kan sawi dawn a ni.
Epworth Sleepiness Scale (ESS) hi eng nge ni?
A awlsam zawngin sawi ila, Epworth Sleepiness Scale (ESS) hi zawhna tawi tak a ni a, nitin i mut duh zat tehna a ni. I mutthilh dan self-assessment a ni a, nangmah ngeiin i fill up thei a ni. I mutthilhna tur 'report card' ang mai a ni.
He zawhna bu hian zawhna awlsam tak tak 8 a nei a. Heng zawhnate hi kan nitin nunah kan hmachhawn dan tlangpui chungchang a ni. Entirnan, zawhna "Lehkhabu i chhiar laiin i muthilh theihna chance engzat nge?" I tih tur chu thil awmdan tinah i mut theih dan azirin 0 atanga 3 thleng score i pe mai tur a ni.
A pawimawh ber chu hei hi diagnostic test a ni lo. Chumi awmzia chu he zawhna bu hian natna engemaw i neih leh neih loh a hrilh chiang thei lo tihna a ni. Mahse, i doctor hnenah nitin i mut theih dan tur ngaihtuahna tha tak a pe thei a ni. Test lian zawka kal hmaa ‘screening test’ te tak te ang mai a ni.
Engvangin nge doctor-te hian he ESS zawhna chhanna hi an hman?
Doctor-in he zawhna awlsam tak hi a hman theih chhan hrang hrang a awm.
1. I mutthilhna hian i nun a nghawng dan hrethiam rawh: Mi thenkhat chuan nitin mutthilh hi an tawng thin a, mahse an nitin hnathawh a tibuai lo. Mi dangte tân chuan, he mutthilhna hian hnathawhna hmuna hna an thawh theihna te, lehkha zir theihna te, a nih loh leh lirtheia kal theihna te a tibuai thei a ni. He zawhna bu hian i doctor chu i mutthilh nasat dan tur a hriat theih nan a pui thei a ni.
2. Enkawlna hlawhtlinna teh rawh: I doctor-in nitin mut tam lutuk thlentu, Obstructive Sleep Apnea ang chi natna i nei tih a hmuchhuak ang che. Tichuan, enkawl tan a ni. Tunah chuan, enkawlna a hlawhtling em tih leh i mutthilhna a tlahniam em tih hriat i duh a ni. Chutih hunah chuan he ESS zawhna hi fill up turin an ti ang che, vawi khat chu enkawlna i tan hmain leh vawi khat chu enkawlna i tan hnuah. Score a tlahniam a nih chuan enkawlna a hlawhtling tihna a ni.
3. Test neih belh a ngai em tih rel rawh:I ESS score a san chuan i doctor chuan i mutthilh chhan dik tak hriat theih nan test dang neih belh a ngai tih a rel mai thei. Entirnan, hei hian mutna zirchianna (polysomnography), mut test bik (specialized sleep test) neihpui turin a pui thei che a ni.
ESS zawhna chhanna hi engtin nge kan fill up ang? Zawhnate chu engte nge ni?
Hei hian minute tlemte chauh a la ngai dawn a ni. I tih tur chu a hnuaia table-a scenario tinte hi ngaihtuah la, chutih hunah chuan i mut theih dan tur emaw, i mit i chhing theihna tur emaw chu rinawm takin chhinchhiah mai tur a ni.
Hetah hian goal khung dan tur chu:
- 0 - A muhil ngai lo / mit a chhing ngai lo
- 1 - Mutna tur hmun tlem a awm.
- 2 - Mutna tur hmun pangngai a awm.
- 3 - Muthilh theihna chance a sang hle.
Tunah chuan chu zawhna 8 te chu eng nge ni tih i en ang u.
| Hun remchang (a lo thleng) . | I score (0-3) a ni. |
|---|---|
| Lehkhabu emaw chanchinbu emaw ang chi thil i ṭhut lai hian | |
| TV en laiin | |
| Mipui hmuna ngawi renga thut laiin (e.g., inkhawmnaah, movie theater-ah) . | |
| Car-a passenger anga darkar khat vel zet ding lovin kan kal laiin | |
| Nilengin chawlh hahdam tura mut laiin | |
| Mi ṭhut leh inbiaknaah | |
| (Zu tel lovin) Chawhmeh ei khama ngawi renga thut laiin | |
| Car khalh laiin, traffic jam vangin minute engemaw zat an din chuan |
Heng zawhna pakhat zel hi mark pein mark 8 chu i belhkhawm thei ang. I total score chu engzat nge ni ?
Total score hian eng nge a awmzia?
I score zawng zawng hi 0 atanga 24 thleng a ni thei a, tunah chuan i score hian eng nge a sawi tih kan en ang.
| Score range a awm thei | Awmzia |
|---|---|
| 0 - 5 a ni | Nitin mut theih lohna (normal) - Nitin mut i nei tlem hle. Hei hi level tha tak a ni. |
| 6 - 10 inkar a ni | Nitin mutthilh tam (normal) - Nitin mut theih lohna level engemaw zat i nei thin. Hei pawh hi normal range chhungah a awm laiin, zan lama mut harsatna i neih leh neih loh ngaihtuah tlem a tha. |
| 11 - 12 chhung a ni | Mildly excessive daytime sleepiness - Hei hi kan ngaihtuah a ngai a ni. Nitin mutthilh i neih zat hi a pangngai aia sang a ni. |
| 13 - 15 chhung a ni | Nitin mutthilh nasat lutuk - Tunah chuan i mutthilhna hian nitin hnathawhna a tibuai tawh a ni. Hemi chungchangah hian doctor i biak ngei ngei tur a ni. |
| 16 - 24 chhung a ni | Nitin mutthilh lutuk nasat lutuk - Hei hi a hlauhawm hle . Engtik lai pawhin i muhil thei. Hei hi lirthei khalh emaw, machinery i hman emaw chuan a hlauhawm hle. Damdawi lam thurawn zawng nghal rawh. |
Score chu 11 aia tam a nih chuan engtin nge ni ang?
I score zawng zawng chu 11 aia sang a nih chuan "Excessive Daytime Sleepiness" (EDS) i nei tihna a ni. Hei hi natna a ni lo va, symptom a ni zawk. Khawsik ang maiin. Khawsik hi a chhinchhiahna a ni. Infection avanga lo awm thei a ni. Chutiang bawkin he mutthilh lutuk hi chhan a awm ngei ang.
Hlau suh. Hei hi i taksain signal a pe che a ni. Hei hi i taksain, "A chhungah thil dik lo a awm, a chhungah en rawh," a tih dan a ni.
Eng thilin nge mutthilh lutuk thlen thei?
A chhan tam tak a awm thei. A bulpui ber thenkhat chu hetiang hi a ni:
- Mut tam loh: Hei hi a chhan awlsam ber a ni thei. Puitling chuan ni khatah darkar 7-8 tal mut a ngai a ni. Zan rei takah i mut a, zingkar hma taka i thawh chuan nilengin mutthilh i neih hi thil mak a ni lo.
- Mut lama harsatna nei:
- Obstructive Sleep Apnea (OSA): Hei hi thil awm dan tlangpui a ni. Mut laiin thawk a tawp rei chuan snoring a awm thin. Hei hi zan khatah vawi za tam tak a thleng thei a ni. Tichuan taksain oxygen a hmu tlem a, mut a tibuai ta a ni. Zing lamah chakna nei lovin i tho thin. Nilengin i muhil tih i hria.
- Narcolepsy: Hei hi thluak lam natna hmuh tur awm lo tak a ni a, nitin mutthilh nghal mai, thunun theih loh khawpa mut a thlen thin.
- Damdawi lam thil dang: Mut tam lutuk hi natna tam tak chhinchhiahna a ni thei a, chu chu zunthlum, hypothyroidism, lungngaihna, kal natna, leh thinlung natna te hi a ni.
- Damdawi \henkhat: Antihistamine, thisen sang damdawi \henkhat, leh rilru lam natna damdawi \henkhat te hian nitin mutthilhna a thlen thei bawk.
Tunah hian engtin nge ka tih ang?
He quiz hi i la tawh a, i score chu 11 aia sang a nih chuan, i tih tur pawimawh ber chu i doctor hmu la, he thu hi sawi rawh .
Doctor i pan chuan hengte hi a lo thleng thei a ni:
1. Zawhna dang zawh: Doctor chuan thil tam tak a zawt ang che, chu chu i mut dan te, i bengchheng em tih te, zan lama thawk hah i nih leh nih loh te, damdawi dang i ei dan te, i nunphung chu eng ang nge tih te a zawt ang che.
2. Taksa enfiahna: I rih zawng, i san zawng, leh i thisen sang tehna a ni ang. I beng chu enfiah a ni ang.
3. Thisen test: Thisen test tur hian thyroid hormone level leh sugar level te enfiah turin thupek a ni thei.
4. Referral for a Sleep Study: Sleep Apnea ang chi natna i vei nia i rinhlelh chuan sleep specialist hnenah refer a ni ang a, chu chu nemnghet turin Sleep Study (Polysomnography) tihsak i ni ang.
Nitin mutthilh lutuk hi ngaihthah tur a ni lo tih hre reng ang che. I nunphung, i hnathawh, i mimal inlaichinna, leh i himna thlengin a nghawng thei a ni. Chuvang chuan hei hi hriat chian a pawimawh a, a tul chuan damdawi lam thurawn lak a pawimawh.
Take-Home Thuchah a ni
- Epworth Sleepiness Scale (ESS) hi mahni inrintawkna awlsam tak a ni a, nitin mut theih lohna tehna a ni.
- Hei hi natna hriat theihna test a ni lo va, mahse i mut dan tur hriatna tha tak pe theitu hmanraw pawimawh tak a ni.
- I total score 11 aia sang a nih chuan doctor ngaihven ngai level i nei tihna a ni.
- Mut tam lutuk chhan chu mut tam loh ang chi thil awlsam tak atanga Sleep Apnea ang chi damdawi lam natna khirh tak thlengin a ni thei.
- I score a sang a nih chuan khawngaihin hlau lo la, ngaihthah suh, mahse i doctor nen inbia ang che. A chhan dik tak zawn leh enkawlna dawn hian nun nung tak i nei leh thei a ni.











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