Mut laiin thawk a tawp em? He dinhmun hlauhawm tak (Obstructive Sleep Apnea) hi i zir dawn teh ang!

I pasal emaw, i nupui emaw, i in lama mi tu emaw chuan zanah a beng nasa em? A châng chuan chu bengchheng karah chuan thawk i chawlhsan thut mai a, second tlemte hnuah thawk la la, i thawk chhuak leh ta em? He thil i hmuh hian hlauhna i nei ngai em? Hei hi thil awlsam tak a ni lo tak zet a ni. Hei hi Obstructive Sleep Apnea (OSA) tih natna a ni thei a, tunlaia kan sawi tur hi a ni.

Obstructive Sleep Apnea (OSA) hi eng nge ni?

A awlsam zawngin, hei hian kan mut lai hian kan rilru chhunga taksa peng hrang hrangte chu a hahdam lutuk a, thawkna kawng chu a ti tawi emaw, a tikhawlo vek emaw tihna a ni.

Ngaihtuah teh, kan mut hian kan taksa ruh zawng zawng deuhthaw hi a relax vek. Chu chu thil pangngai a ni. Mahse OSA vei mi pakhatah chuan a rilru hnunglam (tongue, palate) a soft tissue te hian a ti hahdam lutuk a, thawkna kawng a tikhawlo thin. Tichuan second tlemte chhung chu thawk a tawp a, a chang chuan minute khat aia tam pawh a tawp thin.

Hetiang thil a lo thlen hian eng nge thleng? Thisen a oxygen level a tlahniam zauh zauh a. Hei hian kan thluak lamah signal a thawn a, "Hlauhawm a awm! Kan thaw thei lo!" Tichuan thluak chuan kan nunna chhanhim turin mut atangin min kaitho zo lo. A dik tak chuan mut thuk tak a\angin mut hlim takah min hruai lut a ni. Chutah chuan kawr chhunga thau te chu a nghet leh a, thawk dan tur a inhawng leh ta a ni. Tichuan, rang takin thawk kan la a.

Hei hi zan khatah vawi za tam tak a thleng thei a ni . Mahse buaina chu a mut lai hian a hre reng lo. Zankhuain a thaw tha lo tih a hre lo. Mahse hetianga a tihbuai reng avangin mut tha leh hahdam tak a nei ngai lo.

OSA vei hian eng symptom nge a lantir?

Chung chhinchhiahna thenkhat chu mut lai tan chuan a lang lo mai thei a, mahse an mutpui (an kawppui) tan chuan a lang chiang hle. Heng chhinchhiahnate hi eng nge ni tih i lo en ang u.

OSA vei mi pakhat bengchheng chu eng ang nge ni?

I kawppui chu a muhil tih han ngaihtuah teh. Hun rei tak chhung chu a bengchheng nasa hle. Vawikhatmah thawm chu a tawp ta... ngawi rengin a awm ta. I hlauthawng a, "Engvangin nge thawm a awm loh? A thawk a ni tih ka hre lo." Second 10, 20 vel, a aia rei pawh a ni mai thei, rang takin ‘hhhh’ thawm a chhuah a, thawk a la a, a bengchheng leh ta a. Chu chu OSA symptom lian ber pakhat a ni. Hei hi zan khatah vawi eng emaw zat a thleng thei.

Engvangin nge OSA hi a lo awm? Risk factors te chu engte nge ni?

Kan sawi tawh ang khan a chhan ber chu mut laiin kawr chhunga ruh (muscles) te hi a relax lutuk a, thawkna kawng a tikhawlo a ni. Mahse hei hi mi zawng zawngah a thleng lo. Hei hi nghawng thei risk factor bik engemaw zat a awm.

Hei hi enkawl loh chuan eng harsatna hlauhawm tak tak nge thleng thei?

Hei hi tihbuai mai mai anga kan ngaihthah chuan harsatna lian zawk a thlen thei a ni. Zankhuaa taksaa oxygen tlakchhamna leh mut tihbuai hian kan taksa pum a nghawng vek a ni.

• Nitin mutthilh lutuk: Hei hi a hlauhawm hle. Motor khalh lai emaw, machinery hman lai emawa mutthilh hian nunna a tichhe thei a ni.
• Lung natna: Hun rei tak chhunga oxygen tlakchhamna hian thinlungah harsatna nasa tak a siam a, chu chuan hypertension, heart attack, heart failure, leh arrhythmias te a tipung a ni.
• Stroke: OSA hian stroke vei theihna a tipung nasa hle.
• Type 2 Diabetes: OSA hian taksain insulin a do theihna a tipung a, zunthlum vei theihna a tipung a ni.
• Thihna thut:OSA hi a tlem hle nachungin, na tak, enkawl loh chuan mut laiin thinlung a titawp thei a, thihna thlengin a thlen thei bawk.

Engtin nge OSA i vei tih chiang taka i hriat theih ang?

Nangmah emaw, i chhungte zinga tu emaw hian heng natna lan chhuah dan hi i neih chuan, i tih hmasak ber tur chu doctor pan hi a ni . Doctor chuan i natna lan chhuah dan a zawt ang che a, i kawr, i hmui leh i kawng a enfiah ang che.

Tichuan, he dinhmun hi finfiah nân, test bik , sleep study tih chu an order ang. Chungte chu kawng lian pahnihin an ti thin.

1. Polysomnogram (PSG): Hei hi a dik ber a ni. Hetah hian damdawi in emaw, specialized sleep center (sleep lab) emaw-ah zan khat i riak a ngai dawn a ni. Chutah chuan i mut laiin i thluak wave, heart rate, thawk dan, thisen oxygen level leh taksa che vel te chu machine-a sensor dah hmangin zankhuain an enfiah thin.

2. Home Sleep Apnea Testing (HSAT): Hei hi test awlsam tak a ni a, in lama tih theih a ni. In lama i mut laiin damdawi inin a pek hmanrua te tak te i ha thei. Thil bulpui tlemte, thawk leh oxygen level te a teh thin. PSG angin chipchiar lo mah se, OSA i neih leh neih loh hriat nan a tawk fo.

Hei hi eng enkawlna nge ni?

Vanneihthlak takin OSA hi condition tha taka enkawl theih a ni. Enkawlna kawng hrang hrang a awm. Doctor chuan a natna nasat dan leh damlo dinhmun a zirin enkawlna tha ber a ruat ang.

• Nunphung inthlak danglamna:
• I taksa rihna tihtlem: I taksa rihna 5-10% tihtlem pawhin i OSA symptoms-ah danglamna nasa tak a thlen thei.
• I mut dan thlak danglam: I hnungzang chunga i mut hian i lei chu a tla leh a, i thawkna kawng a tikhawlo thei zawk. Chuvangin, i sir lama mut a tha ber .
• Zu leh mutna damdawi ei loh tur: Hengte hian zanah hman loh tur a ni a, a chhan chu rilru ruhte a ti hahdam zual sauh a ni.

• CPAP machine (Continuous Positive Airway Pressure) hmanga siam chhuah a ni.

Hei hi OSA enkawlna tha ber leh hman lar ber a ni.. Hei hi machine `mask` te tak te nei, hnar chungah emaw, hnar leh hmui pahnih chungah emaw bun thin a ni. A tih chu kan mut laiin kan thawkna kawng hawn reng tura pressure mamawh pressure-a boruak pe chhunzawm zel hi a ni. Tichuan kan thawk a reh lo. A tir lamah chuan hman thiam harsa deuh mah se, mi tam tak chuan an duh chhan chu mut hahdam tak a pek vang leh nilengin a thara hriatna a neih vang a ni.

• Oral Appliances hman tur: 1.1.

Hei hi dentist-in i hmui atana custom-made a siam device a ni. I mut laiin i hak chuan i hmui hnuai lam chu hmalam hawi deuh turin a pui a, i thawkna kawng chu a inhawng reng a ni. OSA na lo leh na lo nei tan a tha tlangpui.

• Inzai:

Enkawlna dang a hlawhtlin loh emaw, taksaa structural problem a awm emaw chuan operation tih a tha thei.

• Uvulopalatopharyngoplasty (UPPP): Kan rilru hnung lama tissue tam lutuk lakchhuah.
• Tonsillectomy/Adenoidectomy: Tonsils emaw adenoids te hi a lian a nih chuan lakchhuah a ni.
• Nerve stimulation: Taksaah hian nerve stimulation device dah a ni a, chu chuan mut laiin thawkna kawng hawn rengtu thau te chu a tichak a ni.

Engtikah nge Doctor ka hmuh ang?

Nangmah emaw, i chhûngkaw zînga mi tu emaw chuan he thuziaka târ lan ang chi natna lan chhuahna i neih chuan doctor pan hmasa phawt ang che . Bik takin,

• I kawppui chuan i bengchheng leh thawk hah lutuk chungchangah a phunnawi a nih chuan.
• Nitin mutthilh lutuk leh chau lutuk i tih chuan.
• Zing lama i thawh chuan lu na tak i nei a nih chuan.

Rikrum!

Thâwk harsa i neih thut a nih chuan, emaw, heart attack (ril na, thawmhnaw) emaw, paralysis symptoms (taksa sir khata chakna hloh, tawng harsat) i neih chuan, damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.