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

I fa hian lu na a nei fo em? A nih loh leh naupang tê a nih chuan a tap fo em, a ei lo va, a rilru a hahdam lo hle niin a lang em? Lu na vang pawh a ni mai thei. Naupang tê tê tan chuan lu na hi a tam hle. Mahse nu leh pa kan nih angin kan fain hetiang khawpa na a tawrh lai hian kan lungngai lo em ni? Vawiin hian heng lu nate hi eng nge an nih, a lo awm chhan leh kan fate kan tanpui theih dan tur te han sawi ila.

Lu na chu eng nge ni? A awlsam zawngin...

A awlsam zawngin, lu na hi lu emaw, kawr emaw a na a ni. Naupang tê tê zîngah a hluar hle. Chhan hrang hrang avangin a lo awm thei a, natna level hrang hrang a awm bawk. Lu na thenkhat chu rei vak lo hnuah a reh a, thenkhat erawh chu a na hle thei. Chuvangin hei hi thil pangngai a ni em tih hriat a pawimawh hle a, damdawi lam pan ngai dinhmun a ni em tih hriat a pawimawh hle.

Lu natna lanchhuahna chu engte nge ni? Engtin nge i hriat chian?

Naupangte hian lu natna chi hnih a awm a, chungte chu tension headaches leh migraines te an ni .

Tension lu na chu eng nge ni?

Hei hi naupangte tawrh fo thin lu natna tlanglawn tak a ni. Lu emaw, kawr emaw a taksa ruhte a inzawm lutuk a, chu chu an stress tihna a ni. He natna hi hetiang hian a awm tlangpui:

• Mi pakhatin lu hmalam, hnunglam emaw, a sir lehlamah emaw a nawr ang maiin a lang.
• Natna dull, na tak a ni.
• A natna awm reng.
• Mi thenkhat chuan an lu bulah belt an khih ang maiin an hria niin an sawi.

Ngaihtuah teh, hetiang hi naupangin sikul hna tam tak a thawh tawh hunah emaw, exam lo awm tur chungchangah a hlauthawng deuh emaw a nih chuan a thleng thei a ni.

Chuti a nih chuan migraine hi eng nge ni?

Hei hi tension lu na nen chuan a danglam deuh hlek. Tin, a tlem deuh bawk. Mahse a lo thlen chuan tlem chuan a lo lang fo thei. Migraine natna i hmuh theih thenkhat chu hetiang hi a ni :

• Lu sir khat emaw, a sir lehlamah emawa natna na tak, hliam na tak, thluak-in a vuak ang maia natna .
• Luak chhuak .
• Pum a na.
• Luak chhuak leh/ emaw, luak chhuak .
• A châng chuan i mit hmaah êng eng chhuak i hmu ang maiin i inhria thei a, a nih loh leh hmun te te i hmu thei bawk. Hei hi aura an ti a .

Migraine tam zawk hi minute 30 atanga darkar tlemte chhung a ni. A nasat chuan ni hnih emaw ni thum emaw an daih thei. Naupang chu a tlan kual lai te, a inkhelh lai te, êng êng tak kara a awm lai te, rim na tak tak te, a nih loh leh thawm ri nasa tak karah te a na zual thei a ni. A châng chuan migraine a lo awm hmain naupang chuan a mit a nei thei aRipple emaw, light eng tak emaw i hmu mai thei. Chu chu aura kan tih chu a ni.

Naupang tê têin lu na a neih hian "hetah leh khawiah pawh a na" tih chiang taka hriat a harsa ṭhin, a dik em? Tichuan, nu leh pa kan nih angin naupang chu a rilru a hahdam lo mai mai a, bawnghnute a in tlem a, a ei lo va, a hma angin a khel lo va, a tap nasa hle tih kan hmu mai thei. A châng chuan an luak chhuak thei a, an hmai pawh a sen emaw, a sen emaw pawh a ni thei.

Engvangin nge heng lu na hi a lo awm? A chhante chu engte nge ni?

Lu natna hi lu chhunga chemical, nerve, emaw thisen kalna kawng hrang hrang inthlak danglam vang nia ngaih a ni. Heng inthlak danglamna te hian thluak lamah natna signal a thawn chhuak thin.

Lu na hi thil dang nen a inzawm fo thin:

• Infection: Beng natna, virus (flu emaw khawsik emaw ang chi), rilru natna ( strep throat ang chi), meningitis , emaw sinus infection .
• Lu hliam: Tlemte tlu emaw, khawi emaw laia i lu vuak vang emaw a ni thei.
• Damdawi thenkhat: Lu na hi damdawi thenkhat side effect angin a awm thei.
• Mut tlem emaw, mut dan inthlak danglam nghal emaw.
• Dehydration: Naupangin nitin tui a dawn tlem chuan.
• Stress na tak : Sikul hnathawh, exam, leh homework ang chi thil.
• Allergy: Entirnan, hay fever ang chi dinhmun .
• Thla tin thlasik lai hian hormone level a inthlak danglam thin (a bik takin hmeichhe naupang te).
• Chaw ei skip.
• Computer hmaa hun hman tam lutuk emaw, TV en emaw.
• Mitdelna a awm.
• Car emaw bus emaw hmanga zin rei tak.
• Hla ngaihthlak ring tak tak.
• Meizial zuk (naupang bula mite meizuk hian a nghawng thei bawk).
• Hriak rimtui: Thil rimtui, meikhu, car thenkhat rim thar, leh carpet thar rim te.
• Caffeine ei tam lutuk: Caffeine hi energy drink, in tur thenkhat, coffee, tea leh chocolate-ah te a awm a.
• Chaw thenkhat: zu, cheese, nut, pizza, chocolate, ice cream, chaw thau, sausage, hot dog, yogurt, aspartame(sugar aiah hman thin sweetener), MSG (Monosodium glutamate) ang chi thil .

Heng lu na hi tuin nge vei tam zawk?

Naupang tê tê leh tleirawl zingah lu na hi a hluar hle. A bik takin migraine hi chhungkuaah a kal tlangpui. Chumi awmzia chu i nu emaw, i pa emaw, i pi emaw, i pi emawin an neih chuan i fain a lo nei tam zawk tihna a ni. Naupang thenkhat chu heng triggers te hi midang aiin an sensitive zawk thin.

Engtin nge lu na chhan hi i zawn chhuah? Doctor hian eng nge a tih?

Doctor emaw nurse emaw hnena i fa i hruai dawn chuan naupang chu a enfiah hmasa ang a, naupang damdawi lam dinhmun a zawt hmasa ang. Hetiang hian doctor chuan lu na chhan chu eng nge ni tih hriat a tum ang. Doctor chuan hetiang hi a zawt thei a ni:

• Lu na hi engtiang chiahin nge a nat? Engtiang chiahin nge a awm fo?
• Hei hi engtikah nge a lo intan?
• Lu na hi engtin nge a awm? Khawiah nge a na?
• Lu natna lo awm danah hian pattern a awm em? Hun kal zelah a danglam em?
• Symptom dang a awm em? (e.g. khawsik, luak chhuak, mit hmuh dan inthlak danglam) .
• Tun hnaiah lu na i nei tawh em?
• I lu natna thlentu ang maia lang thil a awm em?
• Naupang ei leh in dan te, mut dan te, leh lu na tihziaawmna emaw, tipungtu emaw thilte chu engte nge ni?
• Naupang hian rilru hahna emaw, lungngaihna emaw a tawk em?
• Natna lian tham i nei tawh em?
• Naupang hian damdawi eng emaw a ei em?
• Allergy i nei em?
• I chhungkuaa mi tu emaw hian lu na fo thin an awm em?

He harsatna hi chiang taka hriat theih nan doctor-te chuan nu leh pate – naupang upa zawk leh puitling naupangte pawh – lu natna diary ziak turin an ngen \hin . He diary-a i record tur chu hetiang hi a ni:

• Lu na zawng zawng chungchang.
• An thanlen hun a ni tawh.
• Eng chen nge a lo awm tawh?
• A thlentu ni thei nia ka ngaih thilte chungchang tawi te te.

Ngaihtuah teh, Nisal fapa hian Zirtawpni zing apiangin lu na a nei tih a sawi. A nu chuan a diary-a a ziah lai chuan Nisal hian Friday zan apiangin TV a en rei a, a mu tlai thin tih a hmuchhuak a. He diary hian chutiang pattern hriat theihna turin a pui a ni.

Chu bakah, doctor chuan neurological exam kimchang tak a nei ang . Hei hian mit en te, nerve enfiah te, naupang chu kal emaw, an hnar khawih emaw ang chi thil ti tura tih te a huam thei a ni. Lu natna thlen thei dinhmun dang tihbo nan doctor chuan test a ti thei bawk a, chungte chu:

• Thisen test a ni
• Imaging test: Thluak CAT scan emaw MRI scan emaw pawh tih theih a ni.

Lu na hi engtin nge kan enkawl ang?

Lu na enkawl dan chu doctor-in a chhan nia a hriatah a innghat a, mahse lu na tam zawk hi chu in lamah enkawl theih a ni.

Natna tihziaawmna tura pui turin i fa chu hetiang hian hrilh rawh:

• Room lum, thim leh reh takah chuan mu rawh.
• I hmaiah emaw, i mitah emaw puan hnim dah la.
• Chawl.
• Thâwk hahdam takin thawk la, thûk takin thawk rawh.

I fain thil a ei a, tui a in tam a, tui a tlakchham lo tih hria ang che. Naupang migraine vei te hian mut an duh fo thin. An thawh chuan an rilru a hahdam mai thei. Migraine enkawlna atana thil pawimawh tak chu triggers te pumpelh hi a ni. Chutah chuan lu na diary hian a pui thei hle.

I fa chu natna tidamtu acetaminophen (e.g. Panadol) emaw ibuprofen (e.g. ibuprofen) emaw i pe thei bawk. Mahse, a label chu ngun takin chhiar la, a hun takah dose dik tak i pe tih i chiang tur a ni. Engzat nge pek tur tih zawhna i neih chuan doctor zawt la. I fa chu kum 2 hnuai lam emaw, damdawi lam harsatna dang nei emaw a nih chuan, natna tidamtu damdawi engmah i pek hmain i doctor nen inbiakna neih hmasa phawt ang che. A pek leh pek loh tur leh pek tur zat (i fa rih zawng leh kum a zirin) a hrilh ang che.

Vaukhânna: Doctor-in a hrilh loh chuan nausen emaw naupang tê emaw chu aspirin pe ngai suh. Aspirin hian natna khirh tak, nunna atana hlauhawm tak Reye syndrome an tih chu a thlen thei a ni.

I fain migraine a vei fo chuan doctor chuan a tan tirh atanga ei tur damdawi a pe thei a, nitin ei tur damdawi (lu na venna atan) emaw a pe thei bawk.

I doctor nen pain management chungchang sawipui rawh. Hei hian damdawi tel lova i tih theih thilte a huam thei a, entirnan:

• Relaxation exercise te pawh a awm
• Stress tihziaawmna hmanrua te
• Triggers te pumpelh

Eng dang nge ka hriat ngai?

I fain lu na (splitting headache) a neih hian hlauhna i neih hi thil pangngai a ni. Mahse a tam zawkah chuan lu na hi thil pawi tak a ni lo.

Mahse, hetiang thil thlengah hian doctor i biak ngei ngei tur a ni:

• Lu na hi a tlangpui aia tam a nih chuan .
• Awlsam taka a tlak loh chuan.
• Natna nasa tak i neih chuan .
• A tam zawkah chuan zing lamah (naupang a harh hunah, a bik takin naupang chu lu na vanga a harh chuan) a lo thleng thin .

Tin, lu natna nena inzawm symptom dang zawng bawk ang che. Hengte hian doctor chu a chhan zawng turin a pui thei a ni. I fain lu na nen heng symptoms te hi a neih chuan doctor nen inbia ang che:

• A tlangpui aia fimkhur lo zawka i lan chuan.
• I luak chhuak a nih chuan.
• Lu hliam hnu emaw, hriatna hloh hnu emawa lu na i neih chuan .
• Fit (seizures) i neih chuan.
• Mit hmuh danah inthlak danglamna a awm chuan .
• I taksaah natna i hriat chuan .
• I chak lo tih i hriat chuan .
• I taksa peng hrang hrangah clumsiness i neih chuan .
• Skin rash i neih chuan .
• Kal emaw, ding emaw a harsat chuan.
• Thusawi a har a nih chuan.
• Kawng na emaw i stiffness emaw i neih chuan .
• Khawsik emaw natna dang emaw i neih chuan .
• Mihring nihna inthlak danglamna lian tak i hmuh chuan .
• Tui in tam emaw, zun tam emaw chuan.
• Lu na hian sikul kal thei lo emaw nitin hna thawk thei lo khawpa a nghawng che a nih chuan .

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan thil pawimawh tak tak thenkhat chu i hre reng thei ang.

• Lu na zawng zawng hi a hlauhawm vek lo: Naupang tê tête lu na tam zawk hi chu thil pangngai a ni. Mahse, anmahni hi en reng a pawimawh.
• A chhante hriat chian rawh: I fate ei leh in, mut leh rilru dinhmun ang chi thilte hian lu na hi a nghawng em tih en rawh. Lu natna diary vawn hi a \angkai hle thei.
• In lama i tih theihte: Thil awlsam tak tak, chawlh hahdam, boruak reh tak, silfai hnim, leh tui tam tak in hian hahdamna a pe thei a ni.
• Painkillers fimkhur takin: Doctor-in a tih angin a dose dik tak pe rawh. Naupang tê tête chu aspirin pe ngai suh.
• Vaukhânna chhinchhiahnate hre rawh: I lu natna nena inzawm, khawsik, luak chhuak, buai, emaw, fits ang chi natna lan chhuahna i neih chuan doctor pan nghal rawh.
• Hlau suh, tanpuina dil rawh: I fate lu na chungchangah rinhlelhna emaw, lungkhamna emaw i neih chuan Doctor nena inbiakna neih a tha ber.

I fa chu hrisel leh hlim taka awm turin duhsakna kan hlan e!

` Lu na, Naupang Lu na, Migraine, Tension Lu na, Lu na chhan, Lu na Enkawlna, Naupang enkawlna, naupang lu na, naupang lu na, lu na, tension lu na, naupang hriselna, Sinhala medical article