I mut atanga i harh chuan i lu chhungah bomb a puak em? (Exploding Head Syndrome) Hemi chungchang hi han sawi ila!

I muhil chak hle tih han ngaihtuah teh... Vawikhatmah i lu chhungah chuan beng tichhe thei thawm i hre ta a. Bomb puak ang mai a ni a, silai ri nasa tak ang mai a ni. A bul tanna nen i harh a, i rilru a na hle a, i taksa chu a thawkrim hle. Mahse, i han en kual chuan engmah a thleng lo. In chhunga awm zawng zawng chu an muhil nghal vek. He thawm hi tumahin an hre lo. He thawm rapthlak tak hi nangmah chauhin i hre tawh a ni. Hei hi mumang a ni em? Eng thil nge thleng tak tak? He thil tawn hi i hriat chian em em a nih chuan aura tia hriat natna bik i tawk a ni mai thei.

Chuti a nih chuan Exploding Head Syndrome (EHS) hi eng nge ni?

A hming hi a hlauhawm deuhin a ri a ni lawm ni? Mahse, lungngai suh. A awlsam zawngin sawi ila, Exploding Head Syndrome (EHS) hi mut avanga natna a ni. Doctor te chuan parasomnia an ti a . I lu chhunga thawm ri nasa tak, puak chhuak ri i hriat hian a ni a, i mut dawn lai emaw, i harh dawn emaw pawh nise.

A pawimawh ber chu he aw hi a tak tak a ni lo tih hi a ni. Chu chu i chhehvelah hian aw tak tak a awm lo tihna a ni. I thluak siam sensation mai a ni. Chuvang chuan in chhunga mi dangte pawhin an hre thei lo. Hei hi thil hlauhawm leh buaithlak tak ni mahse, hriat reng tur pawimawh tak chu EHS hi dinhmun hlauhawm tak a ni lo tih hi a ni. I thluak leh taksa tan harsatna a thlen lo.

Engvangin nge he thil mak tak hi kan chungah a lo thlen?

Hei hi chhan pakhat, chiang tak a la awm lo. Hemi hi zirchiangtute chuan an la zirchiang mek a ni. Mahse hei hi a pui thei tur theory engemaw zat a awm.

• Thluaka electrical activity inthlak danglam nghal: Kan thluak hian kan hriatna (kan hriat, kan hmuh leh hriat) control tu cell chi khat a nei a. Chungte chu sensory neurons an ti a. Ṭhenkhat chuan heng neurons te hi rang tak leh beisei loh takin an kap a, chu chuan thawm a siam niin an ngai.
• Inner ear problems: Hetiang dinhmun hi kan beng chhung lam harsatna emaw, tihchhiat emaw avanga lo awm thei a ni tih ngaihdan a awm bawk.
• Minor brain seizures: He aw hi kan thluak temporal lobe-a seizures tenau tak tak, rang tak avanga lo awm a ni thei.
• Abnormal sleep-wake transition: Kan mut a, kan harh hian thluak hian kalphung a zawm a. Hetiang kalphung (abnormal sleep-wake transition) hi a thleng dik lo a nih chuan thluak hian a tiharh palh thei che a ni.
• Migraine nena inzawmna: Mi thenkhat chuan migraine lu na hmain auras an nei thin. EHS pawh hi aura ang chiah a ni thei tih theory a awm bawk.
• Damdawi ei tawh loh avanga nghawng tha lo awm thei:He natna hi doctor thurawn tel lova tihtawp nghal a nih chuan lungngaihna leh lungkhamna lama harsatna, SSRI (selective serotonin reuptake inhibitors) emaw benzodiazepines , ang chi natna enkawlna atana hman damdawi thenkhat side effect angin a awm thei bawk.

EHS vei mi pakhatin eng symptoms nge a neih?

Hetiang dinhmun chhinchhiahna ber chu a hmaa kan sawi tawh ang khan thawm ri nasa tak kha a ni. Mahse chu mai ni lovin, a kaihhnawih thei symptom dang engemaw zat a awm bawk. Hengte hi table pakhatah chiang takin i hmu ang u.

He aw hi eng ang pawhin a tak tak angin lang mah se, i beng a tichhe lo vang. Taksa natna engmah a thlen lovang. Mahse, chutih laia hlauhna i neih chu a nasa thei hle.

Hetiang dinhmun hi eng chen nge a lo awm?

Mi tin a inang lo. Mi thenkhat tan chuan zan khatah vawi tam tak hetiang hi a thleng thei. Midang tan chuan ni eng emaw zat a zawnin a thleng thei bawk. Mahse mi ṭhenkhat tân chuan he thil tawn hi kar engemaw zât emaw, thla engemaw zât emaw chhûngin vawi khat chauh a thleng ṭhin.

Notebook i la thei a, hetiang thil i tawn ni te, chu ni a i ni chu eng ang nge a nih tih te, i chau emaw, i stress emaw, etc. te i ziak thei a, chutah chuan hei hi nghawng thei pattern a awm em tih chu nangmah ngeiin i hrethiam thei ang.

Engtin nge hei hi EHS a ni tih chiang taka i hriat theih ang?

Heng symptoms te hi i neih chuan a tha ber chu i doctor pan hi a ni. I symptoms te chu a zawt ang che.

• Eng symptom nge i neih?
• Eng chen nge hetiang hian a awm tawh?
• Eng chen nge a lo awm thin?
• Tun hnaiah hian stress emaw, lungkhamna emaw i nei em?
• Tun hmain mut harsatna i nei tawh em?

I doctor hnenah engkim chiang tak leh engmah thup lovin hrilh rawh. A chang chuan mutna lama mithiam (Somnologist) hnenah refer i ni thei bawk.

Diagnostic test te pawh a awm

Doctor chuan test eng emaw zat a nei thei a, chutiang bawka natna lan chhuah theihna tur natna dang a awm leh awm loh a enfiah thei bawk.

• Mut zirchianna (Polysomnography): Hei hian damdawi inah zan khat i riak a. I mut lai hian machine te hian i thluak wave te, heart rate te, leh thawk dan te an enfiah thin.
• EEG (Electroencephalogram): Hei hian thluaka electric hnathawh dan a test thin. Hei hian seizures ang chi condition te a hriat theih nan a pui thin.
• MRI (Magnetic Resonance Imaging) scan: Hei hian thluak insiam dan a enfiah a, harsatna dang a awm loh nan a enfiah thin.

Hei hi enkawl dan tur a awm em?

EHS hi enkawlna bik a awm lo a, mahse i doctor chuan a kaihhnawih lungkhamna, lungkhamna leh mut theih lohna te chu a enkawl thei che a ni.

A then phei chuan mutna lama harsatna dang enkawlna atana hman tur damdawi te pawh a tha thei bawk. Entirnan, damdawi Topiramate, Nifedipine, Amitriptyline, leh Clomipramine te.

EHS ven dan tur a awm em?

A chhan dik tak hriat a nih loh avangin a thlen loh nan engtin nge kan ven theih ang tih sawi a harsa hle. Mahse, symptoms lo lang leh theihna tur tihtlem nan thil tlemte i tih theih a awm.

• Mut dan tha siam rawh: Nitin mut leh harh hun inangah. Mut hma darkar khat tal i phone, tablet, TV hman kha bansan rawh. I mutna pindan chu thim leh reh takin siam rawh.
• Calming techniques practice: Mut hmain ngaihtuahna seng la, yoga ti la, thawk slow exercise ti rawh. Heng thilte hian i rilru a ti thlamuang thei a, zan mut hahdam turin a pui thei che a ni.
• Damdawi lam thil dang enkawl: I mut tichhe thei damdawi dang i neih chuan uluk taka enkawl la, uluk taka enkawl rawh.
• I rilru hriselna enkawl rawh: I rilru hah emaw, i lungkham emaw a nih chuan rilru lam hriselna lama mithiamte nen sawiho rawh.

EHS tih hming hi a hlauhawm hle a, zanlai pelh hnua i lu chhunga puak ri hriat ai chuan thil mak zawk a awm lo. A hlauhawm thei ang bera, EHS hi i thluak leh taksa tichhe lo, natna nei lo a nihzia i hriat hunah chuan hahdamna engemaw chen i nei ang.