Ni khata hahna tihziaawmna turin i muhil tha hle tih han ngaihtuah teh. Mahse, rang takin thawk hahdamna rapthlak tak nen i harh a, i rilru a na hle. Tuia pil ang mai a ni a, thawk tur chuan i beih a ngai a ni. Hei hi mi tam takin an tawn thin a ni a, mahse sawi chhuah an hlau hle a, a hlauhawm hle. Damdawi lamah chuan he natna hi Paroxysmal Nocturnal Dyspnea, a tawi zawngin PND kan ti thin. Hei hi thil dang mai a ni lo va, i taksain a pek che signal pawimawh tak a ni thei bawk.
PND hi eng nge ni tak tak?
A awlsam zawngin sawi ila, PND chu thawk harsa taka i mut hnu darkar khat emaw darkar hnih emaw chhunga i harh thut hi a ni. Hei hian a tibuai hle fo thin. Thâwk lak harsa i ti thei a, thawk i la chak a, i khuh pawh a ni thei.
A pawimawh ber chu he PND an tih hi i mut lai chauh a awm thin . Hei hi i harh laia i mut laia thawk hah (orthopnea an tih) nen a danglam a ni.
Mahse, hahdamna engemaw chen a awm. Hetianga i harh chuan khumah i ṭhut chuan minute 10 atanga 15 chhungin i thawk dan pangngaiin a lo kir leh tlangpui a, i lungawi lohna chu a bo zauh zauh ang.
Zana ka mut hian engvangin nge hetiang hi a lo awm? A chhan berte chu engte nge ni?
PND hi natna a ni lo va, a hnuaia damdawi lam dinhmun (underlying medical condition) chhinchhiahna a ni. A chhan hi chi thum ah then theih a ni a, chungte chu:
| A thlen theihna hmunpui ber | A awlsam zawnga sawifiah chuan... |
|---|---|
| Lung Natna | Kan sir lama kan mut hian kan kea thisen leh tui te chu kan rilruah a luang kir leh a, chu chu gravity avanga kan lung awmna hmun a ni. Thinlung hrisel chuan awlsam takin he thisen tam zawk hi taksaah a pump chhuak thei a ni. Mahse thinlungah chak lohna (Congestive Heart Failure ang chi) a awm chuan he extra fluid hi lungah a awm khawm thei a, pressure a siam thei a, thawk pawh a ti harsa thei bawk. |
| Thluak lam dinhmun | Damdawi lam natna, Asthma emaw COPD (Chronic Obstructive Pulmonary Disease) ang chi i neih chuan nilengin thawk harsa i ti thei. Heng dinhmunte hi zan lama i taksaa inthlak danglamna avang hian a zual thei hle. |
| Neurological Issues chungchang a ni | Kan thawk dan hi thluak atanga signal lo chhuakin a thunun a ni. Sleep Apnea ang dinhmunah chuan he signaling process hi a thawk tha lo hle. Thli kawng chu a block emaw, thluak chuan thawk turin signal pek chu rei lo te chhung a chawlhsan emaw a ni thei. Hei hian thawk a titawp a, rang takin i harh chhuak thin. |
PND nghawng thei damdawi lam dinhmun bik
- Sleep Apnea: Mut laiin thawk tihtawp nawn fo thin.
- Congestive Heart Failure: Thinlung pump theihna chak lo.
- Pulmonary Hypertension: Pulmonary Hypertension: Lung chhunga thisen kalna kawng hrang hranga pressure sang.
- COPD (Chronic Obstructive Pulmonary Disease): Hun rei tak chhunga lung natna a ni.
- Asthma natna a ni
- Pulmonary Edema: Lung chhunga tui awm khawm.
- Parkinson natna a ni
- Nocturnal Panic Attacks: Zanah a lo awm nghal mai thin.
- Thau lutuk: Thau lutuk hian thawkna kawngah pressure a siam thei bawk.
Hei hi engtin nge enkawl a nih?
Hei hi hriat reng a pawimawh: PND hi a natna lan chhuah dan chauh ni lovin, a chhan bulpui (underlying condition) avang hian enkawl a ni. I doctor chuan a enfiah ang che, a tul chuan test thenkhat a run ang a, a chhan dik tak chu a zawng chhuak ang. Tichuan, chu chhan a\angin enkawlna an \an ang.
| Chhan | Enkawlna pek tlangpui |
|---|---|
| Lung natna | Damdawi chi hrang hrang, diuretics leh blood pressure control damdawi (ACE inhibitor, beta-blockers) te pek thin a ni. |
| Mut Apnea (Sleep Apnea) a awm | Mut laiin thawkna kawng hawn reng turin CPAP emaw BiPAP ang chi machine hman hi a pawimawh hle bawk. Tin, taksa rihna tihtlem hi a pawimawh hle bawk. |
| Thluak lam natna (asthma/COPD) . | Inhaled bronchodilators leh inhaled corticosteroids te hman a ni. |
| Rilru hriselna lama harsatna nei | Cognitive Behavioral Therapy emaw anti-anxiety damdawi emaw hi zan lama panic attack ang chi natna atan pek thin a ni. |
PND ven nan eng nge kan tih theih ang?
A tha ber chu i underlying condition enkawlna dik tak neih hi a ni. I doctor-in damdawi a pekte chu a hun taka ei a pawimawh. Chu bâkah, heng thilte hian i thinlung leh lung hrisel taka vawng reng tûrin a ṭanpui thei bawk:
- Exercise: I doctor nen i tana tha tur exercise level him tak chungchang sawipui la, nitin exercise la. Hei hian i thinlung leh i lung a tichak ang.
- Thâwk lakna exercise: Thâwk thûk taka exercise leh relaxation technique te hian thawk harsatna leh lungkhamna te chu a thunun thei a ni.
- Meizial zuk loh tur: Meizial i zuk chuan vawiin hian bansan rawh. Meizial hi lungpui thattu lian ber a ni. Asthma leh COPD ang chi dinhmun a tichhe thei a, natna thar pawh a thlen thei bawk.
Doctor hmuh ka ngai em?
Chumi chhanna chu a awlsam hle. Ni e, a dik ngei ang!
Zanah thawk hah vanga i harh tawh a nih chuan ngaihthah mai mai suh. I taksaa natna khirh tak hnuaia awm tih hriattirna hmasa ber a ni thei. So , i chhungkaw doctor hmu nghal rawh. Amah emaw chuan dik takin a kaihruai thei ang che.
I thawk hah lutuk, i rilru natna emaw, i rilru hahna emaw a awm chuan, i hnai ber damdawi inah Emergency Department (ETU) -ah tlai lovin kal la, tih hre reng ang che.
Mut that hi kan taksa leh rilru tan a pawimawh hle. PND avanga chu mut tihbuai chuan nunphungah nghawng lian tak a nei thei a ni. Chuvangin he symptom hi ngaihthah suh. Damdawi lam thurawn dik tak la la, a chhan chu enkawl la, i mutthilh leh theihna tur nun hmang tan rawh.
Take-Home Thuchah a ni
- PND chu zan lama muthilh atanga thawk harh nghal vat hi a ni. Hei hi thil hlauhawm tak a nih theih laiin, ngaihthah tur chhinchhiahna a ni lo.
- Hei hi thinlung natna, thawkna lam natna, emaw nervous system lama harsatna Sleep Apnea ang chi vang a ni ber.
- Vawi khat pawh hetiang hi i tawng a nih chuan Doctor pan nghal tur a ni. Natna khirh tak chhinchhiahna hmasa ber a ni thei.
- Enkawlna chu a symptom vang ni lovin, a chhan bulpui (underlying condition) vang a ni.
- Nunphung hrisel (exercise, meizuk loh) hian PND thlentu dinhmunte chu a thunun thei a ni.
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