I fa te hian lu a na reng em? (Naupang Lu na) Hemi chungchang hi han sawi ila!

I fa hian lu na a nei fo niin i hria em? A nihna takah chuan naupang te te hian lu na hi a awm fo thin. A châng chuan khawsik tlem emaw, khawsik emaw nen an lo kal thei bawk. Mahse an awm reng emaw, an nasat lutuk emaw chuan nu leh pa kan nih angin kan buai hi thil awmdan pangngai a ni. Chuvangin vawiinah hian naupang lu na, chu chu `(Naupang Lu na)` tih hi han sawi ila.

Lu na chu eng nge ni? Engvangin nge naupangte hian an neih?

A awlsam zawngin sawi ila, lu na hi i fa lu emaw hmai emaw a na a ni. Naupang naupang 25% vel leh naupang kum upa zawk 75% vel, kum 10-12 vel te chuan lu na an nei thei a ni. Dik tak chuan lu natna chi khat na tak ``Migraine'' tih hi naupang lu na chi 5 hmuh tur lian ber zinga mi a ni. Lu natna chi hrang hrang 150 chuang a awm tih i hriat chuan mak i ti hle mai thei! Mahse, lungngai suh, a chi hrang hrangte hi han sawi ila.

Naupang lu na chi hrang hrangte chu engte nge ni?

Heng lu natna chi hrang hrangte hi a tlangpuiin chi paliah then theih a ni.

1. Migraine natna (Migraine) a awm

Hei hi lu na ber a ni. Migraine hi lu na tak a ni a, thla khatah vawi eng emaw zat a awm thin. Chutiang a nih chuan naupang chuan êng chu a hmu thei lo va, thawm pawh a hre thei lo mai thei . Hemi rual hian nausea leh vomiting a awm thei bawk. Migraine hi thlahtute atanga lo chhuak a ni thei. Migraine vei zinga 60% chuan chhungkaw member (nu, pa, unau) he natna hi an nei a ni.

2. Tension lu na

Hei pawh hi chi khat a ni. Hei hi chi hrang hrang a awm a:

• Episodic tension headache : Hei hi thla khatah ni 15 aia rei lovah a awm thin.
• Chronic tension headache: Thla khatah ni 15 aia tam he lu natna hi i neih chuan.
• Nitin tension headache: Nitin lu na lo awm thin .
• Chronic non-progressive headache: Hei hi nitin emaw thla khatah vawi engemaw zat emaw a awm a, mahse migraine natna lan chhuahna dang ( nausea , vomiting , pawn lam thawm hriatna) hi a tam lo hle.

3. Lu natna chi hrang hrang/Chronic migraine/Transformed migraine

Hei hi ``Migraine'' leh ``Chronic non-progressive tension headache'' pahnih inzawmkhawm a ni. I fa hian thla khatah ni 15 aia tam lu na a nei a, chubakah ``Migraine'' symptoms a neih chuan hetiang lu na hi a ni thei.

4. Thluaka pressure emaw infection emaw avanga lu na (`Traction leh inflammatory headaches`) .

Hetiang lu na hi fimkhur tur a ni.. A chhan chu hengte hi damdawi lam dinhmun emaw, naupang thluak hliam emaw avanga lo awm thei a ni. Brain tumor emaw thluaka thisen chhuak ang chi pawh a ni thei. Mahse, hetiang thil pawi tak avang hian lu na hi a tlem hle tih hre reng ang che.

Naupang zingah lu na hi engtiang chiahin nge a awm? Thil ngaihtuahawm tak a ni em?

Naupang zingah lu na hi a tam hle. Naupang kum 5 leh 17 inkar zinga 20% vel chuan lu na an nei tih an sawi. He kum lama lu natna chi hrang hrang awm tam ber chu tension headaches (15% vel) leh migraine (5% vel) te an ni. Nu leh pa tam tak chuan, "Ka nau lu na hi thluak natna vang a ni em?" Mahse thudik tak chu, lu na 3% aia tlem lo chu damdawi lam dinhmun khirh tak avanga lo awm a ni. Naupang lu na tam zawk hi stress leh nunphung lama harsatna vang a ni.

Eng ang naupang nge lu na an neih tam zawk?

I fa chhungte hnai tak (nu, pa, unau) tu emaw chuan lu na a neih fo chuan i fa pawhin lu na a vei theihna a sang zawk. Chutiang bawkin naupang lungkhamna nasa tak hnuaia awmte pawhin lu na an nei tam zawk thei bawk.

Lu na hian naupang thluak a nghawng em? Thluak a tichhe dawn em ni?

Hei hi nu leh pa tam takin an zawh thin a ni. Ni lo, lu na pangngai hian naupang thluak a tichhe lo. Naupang thluak hnathawhnaah nghawng tha lo an nei lo. Chuvangin ngaihtuah buai suh.

Naupang lu na leh puitling lu na hi a danglamna a awm em?

Ni e, inthlak danglamna tenau tlemte a awm a:

• Naupang lu na hi puitling angin a rei lo fo (darkar hnih atanga darkar 72 chhung a daih).
• Naupangte chuan an lu zawng zawngah natna hi an hre vek a, puitling ang bawkin lu sir khatah chauh a awm a rinawm loh.
• Naupangte chuan lu na bakah pum na, luak chhuak, leh luak chhuak tam zawk an nei thei bawk.

Naupangte lu natna lanchhuahna chu engte nge ni?

Naupang lu na chi hrang hrang a zirin symptoms a inang lo thei.

Lu na lutuk

Hei hi a lan chhuah dan chu a intan nghal a, hun rei tak a la awm lo.

• Natna na tak, hliam na tak.
• Lu, kawr, a nih loh leh hmaiah natna .

Acute recurrent lu na emaw migraine emaw a awm thin

Hetiang lu na hi darkar khat emaw darkar hnih emaw chhung a daih thei a, a tlangpuiin thla khatah vawi hnih, vawi thum emaw vawi li emaw a awm thin.

• Lu hmalam emaw, a sir lehlamah emaw a na.
• Vun a hring (`Pallor`) a awm.
• Pum natna, luak chhuak, leh luak chhuak.
• Thinrimna, thinrimna.
• Pawn lam, thawm leh rim thenkhat hriat theihna.
• Luak chhuak .
• Khawsik.
• Mit hmuhna a fiah lo .
• A tlangpui aia mut hahdam zawka inhria.

Chronic nonprogressive lu na emaw Tension lu na emaw

Chungte chu nitin, a nih loh leh lo awm fo, emaw, hun rei tak chhunga lo awm leh lo awm thin lu natna a ni. Mahse, thluak lam natna (neurological symptoms) an thlen lo. Thla khatah ni 15 aia tam heng lu na i neih chuan, sikul kal theih loh khawpa na a nih chuan, emaw, damdawi i hman fo a nih chuan lu natna lama mithiamte i pan ngei ngei tur a ni.

• A throbbing, constricting pain, a hmai sir zawng zawngah belt an khih ang mai.

Lu na zual zel

Hetiang dinhmunah hian thil thleng chu lu na tamna a pung zauh zauh a, lu na nasat dan pawh a pung zauh zauh a ni.

• Lu na hi a pung zauh zauh a.
• Zawi zawiin lu na nasat zual zel.

Pawimawh: Heng `(Chronic progressive headaches)` te hi neurological symptoms dang (entir nan, kea kal laiin balance hloh, mit a inthlak) nen a inzawm a nih chuan, `Hydrocephalus`, `Inflammation of the brain`, emaw `Tumor` ang chi natna khirh tak chhinchhiahna a ni thei. Chuvangin heng symptoms te hi i neih chuan Doctor pan vat tur a ni.

Naupang lu na hi engte nge ni?

Naupang lu na chhan tam tak a awm thei. Chung zinga ṭhenkhat chu:

• Natna tlanglawn, entirnan, khawsik, khawsik leh natna dang.
• Sinus natna a awm.
• Hrawk thip.
• Beng natna a awm.
• Lu natna (lu trauma) a ni.
• Rimtawng.
• Hlauhthawnna.
• Lungngaihna.
• Rilru lam tension.
• Exercise tam lutuk (entir nan, infiammi zingah).
• A chhan awm lo mahse pawi tak tak:
• Meningitis (thluak leh ruhro khuh tu membrane infection emaw swelling emaw).
• Encephalitis (thluak a hring chhuak).
• Hemorrhage (thluaka thisen chhuak).
• Thluak natna (`Tumor` - taksa peng hrang hranga taksa peng hrang hrang) a ni.

Lu na hi naupangin zunthlum a vei tih chhinchhiahna a ni em?

Lu na hi zunthlum chhinchhiahna a ni lo. Mahse, naupang thisen sugar level a hniam (`Low blood sugar`) chuan lu na a awm thei . Thisen thlum hniam hi zunthlum chhinchhiahna a ni thei bawk.

Doctor-te hian naupang lu na hi engtin nge an hriat theih?

I fa lu na chhan zawng chhuak tur chuan Doctor chuan i fa chu uluk takin a enfiah ang. Anni chuan hetiang hi an zawng ang:

• Khawsik i nei em?
• Thisen sang a sang em?
• Muscle te hi a chak lo em?
• Kal lai hian balance problem i nei em?
• Mit lama harsatna i nei em?

Doctor pawhin nang leh i fate zawhna a zawt bawk ang. Doctor i hmuh hmain i fate lu na zawng zawng diary-a ziah hmasak phawt chuan a \angkai thei hle. Doctor chuan hetiang zawhna hi a zawt thei a:

• Engtik lai khan nge lu na hi a lo intan?
• Eng chen nge he lu na hi i neih tawh?
• Engzat nge i lo kal thin?
• Lu na chhan bik a awm em? (e.g. ei tur thenkhat, dinhmun thenkhat, taksa tihchakna, damdawi)
• Chhungkuaa mi dangin hetiang hian lu na an nei em?
• Lu na i neih loh lai hian symptom danglam dang a awm em? (e.g., chak lohna, mit a danglam, hriatna hloh) .
• Lu na vangin sikul i kal thei lo em ni? Sikul-ah buaina i siam em?
• Engtin nge lu na hian i fate nitin nun a nghawng? Khumah a mu rei tawh em? A thiante nen an inkhel thei lo em ni?
• Khawiah nge a natna chu?
• Engtin nge a natna chu a awm? (e.g., tight, throbbing, pressure ang chi) .
• Eng chen nge natna hi a awm tawh?
• Natna tihziaawmna turin eng nge i tih theih ang?
• Nitin engtik laiin nge lu na hi a lo awm thin?
• Lu na hi a intan nghal em?
• Lu na hma hian vaukhânna chhinchhiahna (`Aura`) a awm em? (e.g., mit a danglam, mit hmaa êng hmuh, rilru hahna) .
• Lu natna nen hian eng symptom dang nge awm? (e.g., chak lohna, rilru hahna, êng/aw hriatna, ei duh lohna, nungchang inthlak danglamna)
• In lamah eng enkawlna nge i lo enchhin tawh? (damdawi, ice pack, light off te)
• Doctor dang i hmu tawh em? Lu natna specialist i hmu tawh em?

Lu na chhan hriat nan eng test nge tih thin?

A châng chuan, i doctor chuan i lu na chhan chiang taka hriat theih nân heng ang imaging test hi a ti thei a ni:

• MRI (Magnetic Resonance Imaging) hmanga enfiah a ni.
• `MRA (Magnetic Resonance Angiography)` - Hei hian thluaka thisen kalna kawng a en a.
• `CT scan (Computed Tomography)` hmanga enfiah a ni.

Mahse lu na zawng zawng hian heng scan te hi a mamawh vek lo. An tul leh tul loh chu doctor-in a rel ang.

Naupang leh naupang tête lu na hi engtin nge kan enkawl ang?

Naupang lu na enkawl hian doctor-te chuan hengte hi an ngaihtuah thin:

• Naupang kum zat.
• Lu na chi hrang hrang.
• Engzat nge lu na i neih?
• Lu natna thlentu a ni.

Enkawlna chi li a awm a. I doctor chuan heng zinga pakhat emaw a aia tam emaw a rawt thei ang:

• Damdawi chi hrang hrang.
• Lu natna zirtirna.
• Nunphung a inthlak danglam thin.
• Stress enkawl dan tur.

Damdawi chi hrang hrang

Lu na chhan leh a chi hrang hrang a zirin i fa hian a hnuaia damdawi te hi a mamawh thei a ni:

• Symptomatic relief: Hengte hian lu na, luak chhuak, leh luak chhuak te chu a tiziaawm a ni. Entirnan: Ibuprofen (e.g., Advil®, Motrin®), Naproxen (e.g., Aleve®), Acetaminophen (e.g., Tylenol®, Panadol®) te hi a ni. Hengte hi doctor-in a tih ang chauhin hmang ang che.
• Abortive therapy: Heng damdawi te hi migraine chhinchhiahna hmasa berah ei tur a ni. Migraine symptoms natna, rilru hahna, leh light sensitivity te venna atan an pui thin. Hemi atan hian over-the-counter pain reliever bakah hian damdawi triptans (e.g., sumatriptan leh frovatriptan) an tih te pawh an hmang bawk. Hengte pawh hi Doctor prescription chauha lei theih a ni.
• Preventative therapy: Heng damdawi te hi lu natna lo awm fo thin, tension headaches, migraines emaw, a pahnih inzawmkhawm emaw venna atan hman a ni . Nitin he damdawi hi ei hian lu natna awm tam lehzual loh nan a pui thei a ni. I fa tana damdawi tha ber chu lu na chhan bulpui leh thil dang dangah a innghat ang. Entirnan, damdawi chi hrang hrang, antidepressant (depression tan), antihistamines (allergy tan), leh beta-blockers (thisen sang tan) te hi a chang chuan lu na tur ven nan an hmang thin. Heng damdawi te hi a bulpui (underlying condition) atan chauh ni lovin, a chang chuan lu na tan pawh a puih theih avangin hman a ni.

Lu natna zirtirna

Doctor chuan i fa hnenah lu natna tizual thei thil thenkhat (`Triggers`) a hrilh ang. `Trigger` hman tlanglawn tak takte chu:

• Mut tlakchhamna.
• Dish thenkhat.
• Caffeine awmna in tur (tea, coffee, soda) te.
• Chocolate.
• `Nitrates` (sa siam chhuah - sausage, ham, bacon, pepperoni, hot dog) awmna ei tur.
• Cheese dah theih (`Tyramine` awmna ei tur, e.g. pizza-a cheese chi thenkhat).
• Chaw ei tur `MSG (Monosodium Glutamate)` (flavoring agent) awmna.

Nunphung a inthlak danglam thin

Lu na hi nunphung avânga lo awm thei a ni bawk. Lu na lo awm tur tihziaawm nan hengte hi fimkhur hle ang che:

• Zan tin darkar 8 tal mut tha rawh.
• Ni khatah tui glass 6-8 tal in thin tur a ni.
• Ni khatah chaw tha tak tak main meal vawi thum ei thin ang che.
• Cardio exercise - Hei hian thinlung tana tha exercise (e.g. kea kal, tlan, cycle khalh) kar khatah vawi thum minute 45 tal tih tihna a ni.
• Chawlh hahdam leh chawlh hahdamna.

Stress enkawl dan tur

Relaxation technique hmang hian lu natna leh/ emaw lu na tam lutuk tihziaawmna tur a ni. Heng ang thilte hian a pui thei a ni:

• Thâwk thûk taka exercise lak.
• Mindfulness leh meditation (`Mindfulness` emaw `Meditation`) din.
• Mental imagery tih hahdamna.
• Hla ngaihthlak (`Music therapy`).
• Counselling pek a ni.

Ka fa lu na hi tuin nge enkawl ang? Specialist ka hmuh tur em ni?

I fa chhungkaw doctor chuan heng specialist chi hrang hrangte hnenah hian a refer thei che a, a tul chuan:

• Lu na lam specialist a ni.
• Mit lam doctor (mit lama harsatna nei tan).
• Beng, hnar leh kawr lama mithiam (ENT specialist - balance lama harsatna nei tan).
• Gastroenterologist (riltam lama harsatna nei tan).
• Psychologist (or Psychiatrist - rilru hahna leh rilru lama harsatna nei tan).

Lu natna nei naupangte hmalam hun tur chu eng nge ni?

Lu na hian naupang sikul hnathawh, homework leh nitin nun a nghawng thei a ni. Mahse, lu natna thlentu pumpelh a, enkawlna \ha tak neih hian naupang nunphung nasa takin a ti \ha thei a ni.

Engtikah nge naupang chu sikul/daycare-ah hruai kir leh theih a nih?

I lu na nasat dan leh a awm fo dan tur chu i doctor nen sawiho rawh. Sikul/daycare-a kal an rawt mai thei. Tin, i fa zirtirtu leh enkawltute hnenah pawh he dinhmun hi hrilh bawk ang che.

Engtin nge naupang lu na laka inven theih ang?

Lu natna hlauhawmna chu triggers te pumpelh leh invenna damdawi ei hian i ti tlem thei a ni. I fa tana damdawi tha ber tur i doctor zawt la.

Engtin nge ka fa lu na (`Triggers`) tirtu thilte ka pumpelh theih ang?

Naupang tin hi an danglam vek a, an ``Triggers`` pawh chutiang bawk chu an ni. Tum pakhat chu eng ``Triggers`` te hian lu na hi a thlen tih hriat a, lu natna venna atana pumpelh hi a ni. Hetah pawh hian ``Triggers`` hman tlanglawn ber berte chu:

• Mut tlakchhamna.
• Dish thenkhat.
• Caffeine awmna in tur (tea, coffee, soda) te.

Naupang an lo puitlin chuan lu na hi a reh em?

I fa a lo upat deuh deuh chuan lu na hi a reh thei a, mahse a chang chuan a hnuah a lo let leh thei bawk.

Engtikah nge ka fa chu doctor hnenah ka hruai ang?

• I fa hian a chang chuan lu na aiin lu na a nei tam zawk a nih chuan.
• Naupang lu na a na hle a nih chuan.
• I fa lu na a intan thut a nih chuan.

Engtikah nge ka fa chu emergency room-ah ka hruai ang?

I lu na nen hian heng symptoms te hi i neih chuan emergency room-ah kal nghal hreh suh:

* Thil hriatna hloh.

* Diarrhea emaw, luak chhuak emaw tihtawp theih loh.

* Mit hmuhna hloh emaw, hmuh fiah lo emaw.

* Buaina, hriatna tichhe thei.

* Khawsik.

* Luak chhuak.

* Numbness a awm.

* Thâwk harsa.

* Kawng khauh (neck bend theih lohna).

* Beng, kawr, mit, hnar-a inthlak danglamna eng pawh.

Doctor hnenah ka fa lu na chungchang eng zawhna nge ka zawh ang?

Doctor i hmuh hian hetiang zawhna hi i zawt thei ang:

• Ka fa hian eng ang lu na nge a neih?
• Enkawlna tha ber chu eng nge ni?
• Ka lu na diary-ah eng nge ka ziah ang?
• Ka fate rilru hahna tihziaawmna tur kawng tha ber chu eng nge ni?
• In lamah eng enkawlna nge tih theih ang?
• Eng specialist nge ka fa hi ka hmuh ang?
• Damdawi inhmeh ber chu eng nge ni?
• Ka naute zirtirtu hnenah a dinhmun chu eng nge ka hrilh ang?
• Ka fa ka tanpui theih dan tha ber chu eng nge ni?

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Naupangin lu na a neih hi thil mak a ni lo tih hre reng ang che. A awm fo thei a, a tibuai thei a, a na hle thei bawk a, mahse lu na hian thluak a tichhe vek lo. Tin, thluak natna (brain tumor) chhinchhiahna an nih a rinawm loh bawk. I fain lu na a vei a nih chuan doctor pan nghal rawh. Tin, i fate damdawi ei dan leh nunphung a thlak danglam dante pawh ngun takin en reng ang che. I fa enkawlna tha ber i hmuh theih nan i tanpuina a pawimawh hle.

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` Lu na, Naupang Lu na, Migraine, Tension Lu na, Lu na chhan, Lu na Enkawlna, Naupang Natna