Thâwk lak harsa, thawk rang takin i thawk chhuak nghal em? (Hyperventilation Syndrome chungchang sawi ila)

A châng chuan thawk harsa i ti thut em? Hlauhna leh lungkhamnain i rilru a hah a, i thawk pawh a tla chak hle niin i hria em? I rilru pawh a pound a, chutih lai chuan i lu a buai em? Hei hi mi tam takin an tawn thin a ni. Vawiin hian he natna `(Hyperventilation Syndrome)` tih hi han sawi ila. Hei hi eng nge a nih, engvangin nge a lo awm tih leh engtin nge kan thunun theih ang tih hi i hrethiam mai ang u.

He thawk harsatna, chu chu Hyperventilation Syndrome hi eng nge ni?

A awlsam zawngin, `(Hyperventilation Syndrome)` hi thawk chak leh tam tak, damdawi lama harsatna awm lo, a hnuaia awm lo. Mi thenkhat chuan "overbreathing" an ti bawk. It can last from a few minutes to an hour , chutah chuan a tlangpuiin a mah chauhin a dam leh thin. Ngaihtuah teh, kan taksain a mamawh zat `(Oxygen)` kan lakluh theih nan leh `(Carbon Dioxide)` hnawhchhuah nan kan thawk tlangpui. Mahse `(Hyperventilation)` a nih chuan thawk rang tak leh thuk takin i thawk tan thin . I hre lo pawh a ni thei. Mahse hetiang taka i thawk rang hian i thisena `(Carbon Dioxide)` level chu a tlahniam nghal a ni. Damdawi lamah chuan hei hi `(Respiratory Alkalosis)` kan ti thin. Tunah chuan `(Carbon Dioxide)` hniam tak neih hi a tha em tih i ngaihtuah mai thei. Dik tak chuan kan taksaa thil awm zawng zawng hi a inthlau a ngai a ni. `(Carbon Dioxide)` a tlahniam chuan kan thisen kalna kawngte, a bik takin thluaka thisen petu thisen kalna kawngte chu a inzawm khawm tan thin . Tui pipe hrual ang mai a ni. Tichuan thluaka thisen kal zat chu a tlahniam ta a ni. Chuvangin, luak chhuak, thawk harsa, leh rilru na tak ang chi symptoms i nei tan thin. A tam zawkah chuan he `(Hyperventilation Syndrome)` vei te hian an thawk dan pangngai lo tih an hre lo. Hetianga thawk dan inthlak danglamna avanga symptom dangte chu an hre mai thin.

Hei hi eng symptoms nge ni? A nih loh leh, engtin nge i ngaih?

He ``(Hyperventilation)`` dinhmun hi rilru natna, lungngaihna, hlauhna, thinrimna ang chi i neih hian a lo awm thei a ni. A châng chuan chhan awm lovin a inṭan thut thei bawk. Minute tlemte atanga darkar khat thleng a daih thei a, damdawi bik engmah ei lovin a reh thei bawk. I thawk chak leh thuk tih i hriat loh pawhin heng symptoms te hi i nei thei a ni:

• Lung hlim, luak chhuak leh nunna nei lo anga inhria. I inher kual a, i paih kual vel ang maiin.
• Thâwk harsa (doctor-te pawhin hei hi ``Dyspnea'' an ti bawk). I thawk a hah emaw, i rilru a buai emaw ang maiin a lang thei.
• A rilru a na emaw a tight emaw hriat .
• I thinlung a na hle a, i rilru a na hle tih hriatna.
• Kut leh hmui chhehvela rilru hahna, rulhut tlan kual vel ang maia hriat.
• Muscle spasms hi kut leh ke ah a inher leh a inher chhuak thin .
• Thil ngaihtuah harsa, i rilru hmun khata dah theih lohna.
• Ka rilruah a lut reng a, pum a khat ang maiin a awm.
• Kawng a vawt.
• Lu na.

Vawi khata heng symptoms pakhat emaw a aia tam emaw i tawn chuan `(Hyperventilation)` vang a ni thei.

Engvangin nge hetiang hi kan chungah a lo thlen? A chhan engte nge ni?

Dik tak chuan zirchiangtute chuan he `(Hyperventilation Syndrome)` hi eng nge a thlen tih chiang takin an la hre chiang lo. A châng chuan, he dinhmun hi lungkhamna, hlauhna, leh lungkhamna ang chi thilte avânga lo awm thei a ni . Exam a hnaih lai te, hnathawhna hmuna harsatna a awm lai te, chhungkaw harsatna eng emaw avanga nawrna nasa tak i neih lai te hi han ngaihtuah teh. Mahse, mi thenkhat tan chuan chhan bik awm lovin hetiang hian thawk an thawk chak zawk nghal mai thin. "Hei hi ka chungah hetiang thil hi a thleng chhan a ni," an ti thei lo. He stress hian engtin nge thawk a tihpun tih erawh a chiang lo. Mahse zirchiangtute chuan kan taksa "fight-or-flight response" nen a inzawm niin an ngai. A awlsam zawngin kan taksa hian `(Sympathetic Nervous System)` tih system a nei a. Hei hi kan taksa chu hlauhawma kan awm lai emaw, emergency-ah emaw, pressure nasa tak kan tawh hunah emaw a buatsaihtu a ni. Hetiang hunah hian kan taksa ruhte hian `(Oxygen)` an mamawh tam zawk. Chuvang chuan kan thaw chak zawk thin. Amaherawhchu, chutih laia tlan emaw, insual emaw kan mamawh tak tak loh chuan he thawk chak tak hi `(Hyperventilation) ah a chang thei a ni. Entîr nân, kawngpuiah i kal a, rang takin ui pakhatin a rawn um zui che niin han mitthla teh. I thinlung a na a, i thawk a chak a, i thawk a hah bawk. Heng zawng zawng hi chu hlauhawm laka chhanchhuak turin i taksain a inbuatsaih vang a ni. Mahse, in lamah chauh i awm a, i rilruah harsatna a awm avangin chutiang bawka chhanna i neih chuan chutah chuan "tlânchhuahna" a awm tak tak lo. Chutah chuan he thawk dan hi a buai ta a ni.

(Hyperventilation Syndrome) leh (Panic Attacks) hi thil hrang hrang pahnih a ni em?

Tunah chuan he `(Hyperventilation Syndrome)` hi kan hriat tawh `(Panic Attacks)` nen hian a inang em tih i ngaihtuah mai thei. Hêng pahnih chhinchhiahna hi a châng chuan inang mah se, hengte hi dinhmun hrang hrang pahnih a ni . A (Panic Attack) chu hlauhna nasa tak leh taksa lama thil thleng hrang hrang, thil awmdan pangngaia thleng, hlauhawm awm lo a ni. `(Panic Attacks)` hi beisei loh taka a lo awm fo chuan `(Panic Disorder)` kan ti thin. Hei hi lungkhamna (anxiety disorder) a ni. `(Panic Disorder)` ziarang pawimawh tak pakhat chu heng `(Attacks)` te hi vaukhânna awm lovin an lo thleng a, rilru leh taksa natna dang avanga lo awm an ni lo. (Hyperventilation Syndrome) a awm thei lo.Pakhatah chuan thawk chakna hi hlauhna, thinrimna, lungkhamna te ang chi rilru natna nasa tak avanga lo awm thei a ni. A châng chuan chhan awm lovin a thleng thei bawk. Tin, a chang chuan he `(Hyperventilation)` hian hlauhna leh lungkhamna a thlen leh thei bawk. Cycle ang mai a ni. Research atanga a lan dan chuan `(Panic Disorder)` vei zinga a chanve vel chuan `(Hyperventilation Syndrome)` an vei bawk . Tin, `(Hyperventilation Syndrome)` vei zinga 25% vel chuan `(Panic Disorder)` an nei bawk . Chuvangin an pahnih inkarah hian inzawmna a awm thei a, mahse thil inang an ni lo.

Engtin nge hei hi i hriat chian tak? Eng test nge tih thin?

Hyperventilation syndrome dik tak hriat theihna tur diagnostic test bik a awm lo . Doctor-te chuan taksa lama thawk chakna chhan dangte chu hyperventilation syndrome a nih thu an sawi hmain an paih chhuak ṭhin. Doctor i hmuh chuan i natna lan chhuah dan leh i damdawi lam chanchin an zawt hmasa ang che . Tichuan taksa enfiahna an nei ang. A tam zawkah chuan thawk chakna thlen thei dinhmun tlanglawn tak takte tihbo nan a hnuaia test hi an ti thei a ni:

• Pulse Oximetry: Hei hian i thisena oxygen awm zat a teh thin. Hyperventilation syndrome nei chuan oxygen level 100% emaw a hnaih ber emaw a nei tlangpui. 95% hnuai lam chhiar chu a hnuaia awm dinhmun dang chhinchhiahna a ni thei bawk.
• Chest X -ray : Hei hian lung a harsatna a awm leh awm loh a enfiah thei .
• An ECG (Electrocardiogram - EKG): Hei hian thinlung lama harsatna awm leh awm loh a enfiah thei a ni.

Heng bakah hian taksa lama thawk chakna chhan dang engemaw zat a awm a, chuvangin doctor chuan a tul chuan thisen test dang leh imaging test dang pawh a ti thei bawk. Heng zawng zawng hi natna khirh tak dang a awm loh nan tih a ni.

Hei hi eng enkawlna nge ni?

Okay, tunah chuan eng nge a nih, engvangin nge a lo awm tih leh engtin nge kan hriat theih ang tih kan hre ta. Chuti a nih chuan a enkawlna tur engte nge ni? He thu hi i hriat chuan i thlamuang mai thei. A chhan chu a enkawlna ber chu reassurance leh breathing retraining a ni. I doctor-in a chhan dang zawng zawng a paih chhuah hnuah, i thawk hah leh chhinchhiahna dangte chu a hnuaia dinhmun khirh tak chhinchhiahna a ni lo tih a hrilh ang che. Chu chu hriatna chuan i lungkhamna chu a tiziaawm ang. Tichuan, a lo thleng leh tawh loh nan hma i la thei ang.Thâwk lak dan tur thenkhat a zirtir ang che.

A pawimawh ber chu he dinhmun hi a hlauhawm lo tih hriatthiam hi a ni. Chu chu i hriat veleh hahdamna nasa tak i nei ang.

Hetiang thawk dan hi zirtir leh theih dan pakhat chu `(Diaphragmatic Breathing)` (Diaphragmatic Breathing) emaw, pum chhunga thawk emaw hi a ni. Hei hian i rilru aiin i pum (abdominal cavity) atanga thawk lak a huam a ni. Hetiang hmang hian i thawk chakna chu i ti hniam thei a, `(Hyperventilation)` lo awm tur chu i titawp thei a, i titawp thei bawk. Chutianga practice tur chuan a hnuaia mite hi ti rawh: 1. Leiah mu rawh. 2. Kut pakhat chu i rilruah dah la, kut dang chu i pum (i rib cage hnuai chiah) ah dah rawh. 3. Tunah chuan i hnar hmangin zawi zawiin thawk la. 4. I thaw chhuah lai hian i kut a han chhoh dan leh a tlak dan hi chhinchhiah ang che. 5. I tum ber chu i pum chunga kut chu i rilru chunga kut aiin a sang zawka kai chhoh hi a ni tur a ni. Hun engemaw chen hnuah chuan he thawk dan hi i hlim lehzual tawh ang. Rilru hriselna dinhmun hnuaia awm, lungngaihna emaw, lungkhamna emaw i neih chuan i hyperventilation syndrome a thlen thei bawk. Chutiang a nih chuan, i doctor chuan psychotherapy (talk therapy) leh a ṭul chuan chutiang natna enkawlna tûr damdawi a rawt thei bawk.

Hei hi a thlen leh tawh loh nan ven theih a ni em?

Kan sawi tawh ang khan a chhan dik tak kan hriat loh avangin ven theih vek a ni em tih sawi a harsa hle. Mahse, a lo thlen leh theihna tur tihtlem nan thil i tih theih a awm . A bik takin i hyperventilation hi stress leh lungkhamna avanga lo awm a nih chuan heng stress management leh relaxation technique te hian a pui thei che a ni:

• Thâwk lak dan: A hmaa kan sawi tawh `( Diaphragmatic Breathing )` ang khan.
• Exercise neih fo : I duhzawng thil, kea kal te, tlan te, tui chawi te.
• Progressive Muscle Relaxation: Hei hian taksa peng tina thau te chu tensing a, chumi hnuah relaxing a huam a ni.
• Ngaihtuahna (`(Ngaihtuahna)`).
• Yoga exercise (`( Yoga )`) tih hi a ni.
• Practicing Mindfulness: Hei hian tunlai hun chauh ngaihven tihna a ni.

Heng thilte hi i nunah i dah tel hian i rilru hahna i tihziaawm thei a, i rilru a hahdam thei bawk. Hei hian ``hyperventilation'' awm theihna a ti tlem thei bawk.

Hemi chungchangah hian engtikah nge doctor kan hmuh ang?

He `(Hyperventilation Syndrome)` hi a hlauhawm deuhin ri mah se, `(Hyperventilation)` ngei pawh hi taksa lamah a tichhe lo. Mahse, a châng chuan thawk chak lutuk hi chhan lian tak dang avânga lo awm thei a ni bawk . Chuvangin, hetiang ang case-ah hian doctor i pan ngei ngei tur a ni:

• Natna, lu hliam , khawsik, emaw thisen chhuak emaw i neih chuan.
• I hyperventilation a nasat emaw, a lo awm fo emaw a nih chuan, in lama enkawlna i tih hnuah pawh.
• Symptom thar dang i neih chuan.

Hetiang hunah hian a rang thei ang bera doctor pan a, thurawn lak a tha ber.

Chuvangin, heng zawng zawng atanga kan hriat reng tur chu...

Hetianga thawk chak lutuk, a nih loh leh `(Hyperventilation)` hi i tawn hian a hlauhawm tak zet thei a ni. I rilru hriselna a nghawng thei bawk. Mahse chanchin lawmawm tak chu he natna `(Hyperventilation Syndrome)` an tih hian i taksa hriselna atan a tichhe lo. Tin, i thawk dan tur retraining, a bik takin `(Diaphragmatic Breathing)` method kan sawi tawh kha, chutiang dinhmun lo thleng leh tawh lo turin a pui thei bawk. Thâwk lakna exercise ringawt atanga hahdamna i hmuh loh chuan i doctor pan hlau suh. Kaihhruaina leh puihna dik tak nen chuan he dinhmun hi i enkawl tha thei ang.

---