Thau lutuk avanga thawk harsa? (Obesity Hypoventilation Syndrome) chungchang hi han sawi ila!

A chang chuan thawk harsa i ti em? Nilengin i chau a, i muhil mai mai em ni? Heng thilte hi fimkhur a pawimawh a, a bik takin i thau lutuk a nih chuan. Vawiin hian hriat hlawh lo zawk, mahse na tak thei, thawk lama harsatna, thau lutuk nena inzawm thei chungchang kan sawi dawn a ni. Hei hi `(Obesity Hypoventilation Syndrome)` emaw OHS emaw an ti a. Lungngai suh, awlsam takin han sawifiah teh ang.

OHS (Obesity Hypoventilation Syndrome) tih hi eng nge ni?

A awlsam zawngin sawi ila, `(Obesity Hypoventilation Syndrome)` hi thau lutuk thenkhat zingah thawk lama harsatna awm thin a ni. Hei hi kan thisena carbon dioxide a punna leh oxygen a tlakhniam hun a ni. A tlangpuiin kan thawk chhuah hian oxygen kan la lut a, carbon dioxide kan thawk chhuak thin. Mahse thawk chakna a tlahniam a, lungah boruak a luh that loh chuan he balance hi a bo ta a ni. Hei hi `(Hypoventilation)` (thâwk tihtlem) an ti a.

Hypoventilation bakah hian OHS-ah hian mutna lama thawk tha lo a awm thei bawk. Dik tak chuan OHS nena inzawm mut lama thawk lama harsatna awm zinga 90% chu obstructive sleep apnea vang a ni.

Chuvangin, OHS hi thil pawimawh pathum inzawmkhawm ang mai a ni:

• Thau lutuk.
• Thâwk lak a tlahniam (Hypoventilation).
• Mut avanga thawk dan mumal lo.

He OHS hming dang a awm a, chu chu `(Pickwickian Syndrome)` tih a ni. He hming hi Charles Dickens novel-a mi pakhat, OHS symptoms nei vang a ni.

OHS hi thau lutuk avanga thawk lama harsatna lian tak a ni. Nunna atana hlauhawm hriselna lama harsatna thlen thei mah se, enkawlna tha tak tak a nei a ni.

Tute nge OHS vei tam zawk?

OHS hi hmeichhia aiin mipaah ​​a tam zawk. Hnam thenkhat inkara danglamna awm nia sawi a awm bawk. Mahse, a hlauhawm ber chu thau lutuk hi a ni.

Hei hi engtiang chiahin nge a awm tih sawi chian a harsa a, mahse zirchianna thenkhatah chuan puitling zinga za zela tlemte chauh a nghawng thei niin an sawi. Chumi awmzia chu a awm vak lo tihna a ni a, mahse mi tam tak nghawng thei thil a ni.

OHS natna lan chhuah dante chu engte nge ni?

OHS symptoms hi mut that loh vang leh thisena oxygen level hniam vang a ni tlangpui (Hypoxemia). Chung chhinchhiahna thenkhat chu:

• Thâwk a tawi.
• Chau tih hriat reng (Fatigue).
• Thahrui tlakchhamna.
• Nitin mutthilh lutuk (Daytime sluggishness).
• Lu na fo thin.
• Luak chhuak thei.
• Lungngaihna.

I mut lai hian i kawppui chuan hetiang hi a hmu mai thei:

• A bengchheng hle.
• Mut laiin i rilru a hah emaw, i thaw hah emaw ang maia inhriatna.
• Thâwk lakah a chawl a. Mi pakhatin, "Zan lama i mut hian, a chang chuan second tlemte chhung chu thawk i chawlhsan ang maiin a awm thin," a tih che kha han ngaihtuah teh. Chu chu chutiang thil chu a ni.

OHS hi engte nge ni?

Researcher-te chuan OHS thlentu hi eng nge ni tih chiang takin an la hre lo a, mahse thil hrang hrang inzawmkhawm vang a nih an ring:

• I thluak hian thawk a thunun danah hian thil dik lo a awm thei . Kan thawk "switch" ah hian glitch tlem a awm ang mai a ni.
• Chest area-a extra weight hian lung chu a ti inflate tha thei a, thawk thûk tak a siam thei bawk. I rilruah rit phur chunga thawk tum ang mai a ni.
• Kawng, rilru, leh pum ang chi hmuna thau tam lutuk hian hormone thenkhat siam chhuah a tipung thei a , chu chuan thawk dan a nghawng thei a ni.

Engtin nge OHS i neih leh neih loh i hriat theih ang?

Doctor i pan hunah i natna lan chhuah dan an zawt ang a, an enfiah ang che. I san zawng leh i rih zawng an teh ang a, i Body Mass Index (BMI) an chhut ang. Mi thau lutuk te hian BMI 30 aia tam an nei a.

Chumi hnuah chuan doctor chuan OHS i neih leh neih loh hriat nan test eng emaw zat tih belh leh turin a ti thei ang. Chung zinga ṭhenkhat chu:

• Arterial blood gas test: Hei hian i artery atanga thisen tlemte lak a, a chhunga carbon dioxide leh oxygen awm zat tehna a ni. Hei hi i thisenah CO2 a tam em tih leh O2 a tlem em tih i hre thei ang.
• Pulse oximeter: Hei hi i hmu tawh mai thei, clip ang chi hmanrua te tak te, i kut zungtang-a i dah thin. I thisena oxygen awm zat a teh thei a ni. Mahse, carbon dioxide a teh thei lo va, thisen sample angin a dik lo bawk.
• Pulmonary function tests: Heng test te hian i lung hnathawh that dan a enfiah a, thawk hahna chhan dang a zawng bawk.
• Chest X-ray: Hei hian thawk hahna chhan dang pawh a paih chhuak thei bawk.
• Sleep study `(Polysomnography):` Hei hi test bik a ni. Damdawi ina zan khat i awm hnuah i mut laiin i thawk dan, heart rate leh thluak wave te chu an enfiah thin. Hei hian `(Sleep Apnea)` i vei leh neih loh leh, a nih chuan engtiang chiahin nge a nasat tih hriat theih nan a pui thei bawk.

OHS enkawlna tur engte nge ni?

OHS enkawlnaah hian taksa rihna tihtlem leh thawk lama tanpuina a tel ber.

Thil thau tihtlem

I taksa nena inmil tur taksa rihna hrisel tak neih leh vawn reng hi OHS enkawlna atana hmalakna hmasa ber leh pawimawh ber a ni.A châng chuan, taksa rihna tihtlem mai mai hian natna lan chhuah dân a thunun thei a, a dinhmun a ti ṭha thei bawk. Nun hrisel tak neih hian nasa takin a pui thei a ni. Entir nan:

• Ei leh in hrisel ei. Entirnan, Mediterranean diet ang chi ei leh in inthlau tak.
• Ni khatah minute 30 tal exercise neih.
• Mut dan tha tak siam rawh.

I dinhmun azirin i doctor chuan i taksa rihna tihtlem nan operation, gastric bypass surgery ang chi chu a rawt thei ang.

Thâwk lakna ṭanpui

I doctor chuan thawk chhuahna tur mechanical ventilation machine hman a rawt mai thei. Hengte hi noninvasive device an ni a, chu chu operation lian tham nei lovin hman theih a ni tihna a ni. Heng machine te hian zanah i mut laiin i thawkna kawng a hawng reng a, chu chuan i thisena oxygen a tipung a ni. I mut laiin mask bik i vuah a, chu machine chuan tube hmangin boruak a pe chhuak thin. Machine chi hrang hrang a awm a:

• CPAP (Continuous Positive Airway Pressure) Machine: CPAP machine hian i thawk chhuah leh i thawh chhuah hian pressure inangah boruak a pe chhuak thin.
• BiPAP (Bilevel Positive Airway Pressure) Machine: BiPAP machine hian thawk chhuah hunah pressure sang zawkin boruak a pe chhuak a, thawk chhuah hunah pressure hniam zawkin boruak a pe chhuak thin. Hei hi a then chuan brand name ``(BiPAP®)`` an ti bawk.

A tlem hle a, heng ``Positive Airway Pressure'' machine te hian natna hi an control thei lo a nih chuan ``Tracheostomy'' tih a ngai mai thei. Chumi awmzia chu surgeon chuan i kawr chhungah khur a siam a, i thlipui (windpipe)-ah a thlunzawm a, chu chuan thawk turin a pui tihna a ni. Hei hi a tawp ber a ni fo thin.

Engtin nge OHS vei theihna tur i tihziaawm theih ang?

OHS vei theihna tihtlem dan tha ber chu i taksa rihna hrisel tak neih hi a ni. I doctor-in CPAP emaw BiPAP emaw a pek chuan a thupek ang chiaha hman a pawimawh.

Tin, thlawhna hmanga i kal dawn emaw, eng operation pawh i tih dawn emaw a nih chuan doctor hnenah hrilh hmasa phawt ang che, chutiang hunah chuan harsatna lian tham i neih theihna a sang zawk a ni.

OHS vei mi pakhat hriselna dinhmun chu eng nge ni?

Enkawlna hmang hian OHS symptoms chu a tlahniam thei a, a bo vek thei bawk. Mi thenkhat tan chuan taksa rihna tihtlem mai pawh hian a pui thei a ni. Enkawlna hi a pawimawh a, a chhan chu i nunphung a tichangtlung thei a, harsatna dang a thlen theihna a ti tlem thei bawk. Thâwk lakna hmanrua hmanga enkawl hmasak hian OHS vanga thihna hi 10%-in a tihniam tih hmuhchhuah a ni.

Mahse, enkawl loh chuan OHS hian nunna atana hlauhawm harsatna a thlen thei a, a bik takin thinlung leh thisen kalna kawngah harsatna a thlen thei a ni. Oxygen tlakchhamna hian thinlungah harsatna nasa tak a siam a ni. Mut that lohna avanga harsatna i tawk nasa bawk. Enkawlna tel lo chuan i nunphung a tlahniam ang a, damdawi ina awm a ngai tawh zawk ang.

Enkawlna dawng lote tan prognosis a tha vak lo. OHS enkawl loh chuan dam rei zawng a ti tawi thei a ni. Natna dang nei zingah thla 18 chhunga OHS vanga thihna hi 23% vel a ni.

OHS avanga harsatna awm thei te chu engte nge ni?

Enkawl loh chuan obesity hypoventilation syndrome hian mut avanga harsatna a thlen thei a ni. Chung zingah chuan:

• Lungngaihna.
• Agitation leh thinrimna.
• Accident thlen theihna a sang zawk.
• Mipat hmeichhiatna nun leh inlaichinna lama harsatna awm thei.

OHS hian thinlung natna a thlen thei bawk a, entirnan:

• Thisen sang (Hypertension).
• Dinglam atanga thinlung natna.
• Pulmonary hypertension a awm bawk.

Engtikah nge doctor i hmuh ang?

A hnuaia thil awm danah hian doctor i pan ngei tur a ni:

• I thau lutuk a, OHS nena inzawm symptom dang i neih chuan.
• I kawppui chuan zanah i bengchheng nasa hle a, i thawk a tawp deuh tih ang chi thilte chu i hmu tih a sawi em?
• Nilengin i chau lutuk a, i muhil a nih chuan.

Obesity Hypoventilation Syndrome (OHS) hi thau lutuk avanga thawk lama harsatna lian tak a ni. I thau lutuk emaw, thawk harsa i tih emaw, mut kaihhnawih harsatna i neih chuan Doctor pan nghal tur a ni. I tanpui turin an awm reng a ni. Doctor-in OHS i vei tih a hriat chuan enkawlna tur ruahmanna felfai ber an pe ang che.

A tawp berah chuan thil hriat reng tur

Okay, chuti a nih chuan, kan sawi tawh atang khan thil pawimawh tak tak thenkhat chu hre reng turin ka ngen ang che.

• Obesity Hypoventilation Syndrome hi thawk lama harsatna a ni a, a na hle thei a, thau lutuk nen a lo thleng bawk.
• Hemi a thil thleng chu thisenah carbon dioxide a pung a, oxygen a tlahniam bawk.
• A tha ber chu, hei hi enkawlna a awm! I taksa rihna tihtlem leh CPAP/BiPAP ang chi thawkna hmanrua hman hi a pawimawh ber a ni.
• A hmaa hmuhchhuah leh enkawl hian nun chhiatna lian tham a veng thei a, nunphung pawh nasa takin a tichangtlung thei bawk.
• I thau lutuk a, thawk hah, nitin mutthilh, zan lama bengchheng ang chi symptom i neih chuan doctor rawn la. Hlauh tur leh zah tur a awm lo. I hriselna hi a pawimawh ber a ni.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Thau lutuk Hypoventilation Syndrome, OHS, Pickwickian Syndrome, thau lutuk, thawk harsa, mut lama thawk hah, CPAP, BiPAP