Queue-ah emaw, ni chhuahnaah emaw i awm a, rang takin i mit a sen a, i beng a rawn pop a, i chhehvel engmah i hmu thei lo em ni? I tlu pawh a ni mai thei. Hei hi ‘fainting’ kan ti tlangpui. Damdawi lamah chuan he natna hi syncope kan ti thin. Mi tam tak chungah thleng thin mah se, engvangin nge hetiang thil hi a thlen tih chiang taka hriat a pawimawh a, ngaihtuahawm tur thil a ni em tih te, engtikah nge doctor i hmuh tur tih te hriat a pawimawh.
A awlsam zawngin, eng nge fainting chu?
Fainting, a nih loh leh ``Syncope`` tih hi thluaka thisen supply tlahniam rei vak lo avanga hriatna hloh nghal, rei lo te chhunga taksa thunun theih lohna a ni. Vawi tam tak chu, hetiang thil a thlen hma hian i lu a hah emaw, i lu a hlim lo emaw a ni thei. Hei hi ``Presyncope`` kan ti a.
Hei hi a hluar hle. Hemi avang hian emergency department (ED)-a lo kal damlo 3% chauh admit an ni. A chang chuan damdawi lam harsatna nei lo mi hrisel tak chungah a thleng thei bawk. Amaherawhchu, kum upa tawh tak chu a muhil a nih chuan a tlu avanga hliam na tak an tuar tam zawk. A tha ber chu a tam zawkah chuan mi muhil chuan minute tlemte chhungin a hriatna famkim a nei leh thin.
Faint chhan ber leh chi hrang hrang
Faint chhan tam tak a awm thei. Ṭhenkhat chu a awlsam hle a, a then erawh chu a serious zawk a, ngaihven a ngai hle. A chi lian ber pahnih hi han thlir ila.
1. Vasovagal Syncope a awm thei
Hei hi a tam ber chi a ni . Mi muhil zawng zawng zinga a chanve aia tam chuan he chi hi an nei vek a ni. A bik takin naupang leh tleirawlah a hluar hle. Kan nervous system-a emergency response avanga lo awm a ni.
Hetiang hian han ngaihtuah teh. Thisen pe turin i kal a, a zung i hmuh chuan emaw, natna nasa tak i neih emaw, rilru natna nasa tak i neih emaw chuan kan nervous system hian heart rate a ti hniam nghal a, thisen sang a ti hniam nghal bawk. Tichuan, thluaka thisen kal zat chu a tawk lo va, fainting a awm ta a ni. Hei hi `Vasovagal Syncope` emaw `Neurally Mediated Syncope` emaw an ti a.
2. Lung lam natna (Cardiac Syncope) a awm
Hei hi kan ngaihtuah ber tur chi chu a ni . Hei hi lungin harsatna avanga thluaka thisen a pump tam theih loh hunah a thleng thin.
- Lungphun mumal lo (heart rate chak lutuk emaw, slow lutuk emaw) .
- Thinlung structure lama chhiatna, thinlung valve te narrowing ang chi te
- Pulmonary Embolism natna a awm
Hetiang chi muthilh hi a chhan hrang hrang avang hian a awm thei a ni: Hei hi a tlangpuiin natna khirh tak a nih avangin damdawi lam thurawn lak nghal a pawimawh hle.
Naupai hmaa i taksain eng chhinchhiahna nge a pek?
Vawi tam tak chu, i hriatna i hloh nghal hmain i taksa chuan ‘cue’ tlemte a pe ang che. Chûngte chu i hriat chian chuan, tlu chu i pumpelh thei a, him takin i ṭhu thei emaw, i mu thei emaw a ni mai thei.
I muhil dawn nia i hriat chuan a rang thei ang bera thu la, i khup inkar ah i lu dahin chair-ah thu la, a nih loh leh leiah chuan i ke tlem phar chungin mu rawh.
Thil awm dan tlangpui thenkhat chu hetiang hi a ni:
- Khawsik ang maia thawk hah
- Lu hring, luak chhuak, mit sen hring tih hriatna
- Thâwk harsa
- Mit hmuh a danglam (mit vel a thim a, dots hmuh) .
- Nausea leh luak chhuak
- Hmai a hring (paleness) a
- Vun chu a clammy a, a vawt bawk
- Ke ruh leh ke ruh (limbs) a natna (numbness) a awm
- Hrisel lohna, hlauhna
| Fainting thlentu tlanglawn dangte | A sawifiahna awlsam tak |
|---|---|
| Ding chhuak nghal zat | Hei hi ``Orthostatic Hypotension'' an ti a. Position thlak nghal maia thisen sang control tha lo a nih chuan a thleng thin. Tar leh damdawi thenkhat ei thinte zingah a awm fo thin. |
| Dehydration leh riltam | Taksa a tui tlakchham a, thisen sugar level a tlahniam (hypoglycemia) chuan thluaka thisen supply a tlahniam thei a, chu chuan muhil a thlen thei a ni. |
| Thisen tlakchhamna (Anaemia). | Taksaah thisen a awm loh avangin thisen hian oxygen a phurh theihna a tlahniam a. Hei hian thluak hian oxygen a dawng tlem phah thei bawk a, chu chuan a muhil thei a ni. |
| Damdawi thenkhat | Thisen sang, lungngaihna leh epilepsy damdawi thenkhat chuan muthilh theihna a tipung thei a ni. |
| Naupai lai | Naupai lai hian hormone inthlak danglam leh thisen sang inthlak danglam vangin muhil hi a awm fo thin. |
‘Blacking out’ leh ‘fainting’ hi thil hrang hrang a ni em?
Ni e, hei hi mi tam takin an buaipui thin a ni. Hengte hi dinhmun hrang hrang pahnih a ni.
- Fainting: Hei hian hriatna hloh tihna a ni . I chhehvela thil thlengte chu i hre lo va, leiah i tlu ta a ni.
- Blackout: Hei hi hriatrengna hloh a ni . Hemi hun chhung hian i conscious a ni. I tawng a, i thawk a, i kal bawk. Mahse, nakin lawka i han thlir kir chuan, chutih hunlaia thil thleng engmah chu i hrechhuak lo.
Blackout awm chhan ber chu zu in tam lutuk vang a ni. Tin, lu hliam (concussions) leh epilepsy (epilepsy) te pawh hian hetiang chi hriatrengna hloh hi a thlen thei bawk.
Engtikah nge Doctor i hmuh nghal tur?
A tlangpuiin vawi khat emaw vawi hnih emaw muhil hi harsatna lian tak a ni lo. Mahse, i faint fo chuan , chu chu damdawi lam dinhmun hnuaia awm chhinchhiahna a ni thei. Chuvang chuan a chhan hriat tumin doctor pan a pawimawh.
Damdawi lam thurawn lak nghal a pawimawh hle a, a bik takin a hnuaia thil awmteah hian:
| Damdawi in (ETU) pan nghal ngai dinhmunte! | |
|---|---|
| Exercise neih laiin muhil lo: | Hei hi thil pangngai a ni lo va, lung lam harsatna chhinchhiahna a ni fo bawk. |
| Chest na emaw palpitations emaw: 1.1. | I rilru a na, i tight emaw, i rilru a na emaw i hriat chuan, i muhil hma emaw, i muhil lai emaw, i bengchheng hnuah emaw. |
| Hriatna neih leh theihna tura hun rei tak hman: | Minute tlemte aia rei i hriat loh chuan. |
| A lan chhuah dan dangte: | Lu na nasa tak i neih chuan, mit a fiah lo a, tawng harsa i nei a, i hriatna i neih leh hnuah pawh i buai a nih chuan. |
| Tlu avanga lu hliam: | I muhil a, i tlu a, i lu na tak i vuak chuan medical checkup i neih ngei ngei tur a ni. |
Pawimawh: Zu emaw, ruihhlo dang emaw avanga harsatna i sawi a ngai a nih chuan National Hospital of Sri Lanka-a National Poisons Information Center-ah i phone thei ang. Zu in avanga harsatna awm thei leh rilru lam hriselna puihna atan National Institute of Mental Health (NIMH) hotline 1926 ang chi service atang pawhin tanpuina i dawng thei bawk.
Take-Home Thuchah a ni
- Syncope hi thluaka thisen kal dan a tlahniam rei vak lo vanga hriatna hloh rei vak lo a ni.
- Fainting spell tam zawk (a bik takin ‘vasovagal’ type) hi a na lo hle a, mahse thenkhat chu natna khirh zawk, thinlung natna ang chi chhinchhiahna a ni thei.
- I muhil tih i hriat veleh i ke chu tlem han chawi sangin leiah mu rawh. A nih loh leh, thu la, i khup inkar ah i lu kha hniam rawh.
- Fainting a awm fo a nih chuan, exercise laiin a awm fo a, a nih loh leh rilru na leh thawk hah ang chi symptom a awm chuan doctor pan ngei ngei tur a ni.
- Fainting hi ngaihthah ngai suh, a bik takin kum upa lam tan chuan tlu hian hliam na tak a thlen thei a ni.
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