Luak chhuak reng reng i tuar em? PPPD (Persistent Postural-Perceptual Dizziness) chungchang hi han sawi ila!

A châng chuan chhan awm lovin i lu a buai a, i ding emaw, i ṭhut emaw laiin i balance a hloh a, lawnga i inhnim pil ang maiin i inhria em? Hetiang luak chhuak nen hian ni tam tak chhung nun chu a harsa hle a ni lawm ni? Hemi chungchangah hian lungngai leh hlauhna nasa tak pawh i nei thei. Vawiin hian hetiang hun rei tak chhunga luak chhuak hi kan sawi dawn a, chu chu thla thum emaw a aia rei emaw a daih tihna a ni. Doctor-te chuan hei hi PPPD (Persistent Postural-Perceptual Dizziness) tiin an sawi thin. A hming hi sei deuhin lang mahse, a awlsam zawngin i dah ang u.

PPPD (Persistent Postural-Perceptual Dizziness) hi eng nge ni? A awlsam zawngin...

PPPD awmzia chu thumal atang ngeiin kan hre thei a ni.

• Persistent: Hei hian a awm reng a, rei tak a daih tihna a ni . Hetiang luak chhuak hi thla thum tal i nei tawh a, ni tam zawk chu i tawng tawh a ni.
• Postural: Hei hi taksa dinhmun nen a inzawm a ni . Hetianga luak chhuak hi i ding emaw, i thut emaw, ding chungin emaw a na zual thin.
• Perceptual: Hei hi kan perception nen a inzawm a, chu chu thil kan hmuh dan nen a inzawm a ni . Nangmah emaw, i chhehvel emaw chu a inthlau lo ang maiin i inhria. Lei a nghing ang maiin a lang a, a nih loh leh nangmah ngei pawh i nghing ang maiin a lang.
• Luak chhuak: Hei hi luak chhuak a ni . Mahse thil a inher kual velna ``Vertigo'' ang kha a ni lo. PPPD-ah chuan i rock ang maiin, lawnga chuang ang maiin, a nghet lo ang maiin a lang .

A awlsam zawngin, PPPD hi thil thleng hnua intan a, rei tak a awm a, ding lai pawhin a pung a, nangmah emaw i chhehvel emaw chu off-balance-a inhriat tir a, i inthlak danglam ang maiin a awm a ni.

Kan taksa hian kan balance control tu system complex tak a nei a. Kan mit, taksa ruh, kan beng chhunga vestibular system, leh thluak te a huam a ni . Heng zawng zawng hi kan thawk dun a, team anga thawkin, kan tlu lo turin kan thawk dun a ni. Hei hi a pianphungah a thleng a, kan hriat loh pawhin a thleng thin.

Mahse PPPD vei miah chuan he system peng hrang hrangte inbiakpawhna hi a chhe emaw, a inmil lo emaw a awm thin. Chu chu mit, taksa leh beng chhung lam atanga signal lo lut zawng zawng chu thluaka kal vek a, an inzawm khawm danah harsatna a awm tihna a ni. A pawimawh ber chu he system peng hrang hrang (mit, beng leh thluak ang chi) ah hian natna leh chhiatna a awm lo . Mahse an "sync" dun lo. Chuvang chuan i dinhmun a nghet lo va, i lu a buai hle bawk.

He PPPD natna hi engtiang chiahin nge a awm?

PPPD hi a takah chuan tuna hun rei tak chhunga luak chhuaktu anga hriat chhuah zingah chuan natna tlanglawn ber a ni thei. Mahse, diagnosis thar tak a ni.. Kum 2017 khan medical expert-te chu he natna atana tehfung siam turin an inkhawm a ni. Chuvangin zirchianna tam tak a la awm a, zir tur tam tak a la awm bawk. Tun hma chuan heng symptoms nei te hi dik taka hriat theih a ni lo mai thei.

PPPD natna lan chhuah dante chu engte nge ni?

PPPD vei chuan a tam zawkah chuan lu a buai thin . Hei hian kar khatah ni sarih aia tam an luak chhuak thei tihna a ni. A châng chuan he luak chhuak hi darkar tam tak chhung a awm thei a, ni a liam zêl chuan a na zual thei bawk . A nih loh leh, engmah pattern awm lovin a lo kal thei a, a kal thei bawk.

PPPD avanga luak chhuak hi lawng chu tuipuiin a rawn vawrh chhuah ang maiin a awm thei a, a nih loh leh i inher ang maiin a awm thei a, i ke chu leiah i dah thei lo ang maiin i awm thei bawk Hei hi chhan bik nei lovin a thleng thei a, mahse a then phei chuan a na zawk thei bawk. Entir nan:

• I ding lai te, ding taka i thut lai te, emaw, rang taka i dinhmun inthlak lai (e.g. khum atanga tho chhuah lai).
• Kea i kal emaw, lirthei (car, bus, rel)-a i chuan laiin .
• Vawi khata thil tam lutuk i hmuh chuan . Supermarket-a thil lei tur shelf-a en reng emaw, i phone-a social media scroll emaw kha han ngaihtuah teh. Hetianga mit hmuhna (visual stimulation) hian luak chhuak a tipung thei a ni.

Heng symptom lian ber berte bakah hian symptom dang pawh PPPD nen hian a awm thei bawk:

• Brain fog: Hei hian ngaihtuahna fim tak leh ngaihtuahna fim tak a harsa tihna a ni.
• Hun rei lote chhunga hriatrengna hloh: Thil tenau te theihnghilh thuai.
• Thil ngaihtuah harsa: Thil pakhat ngaihtuah emaw, hna pakhat thawh chhunzawm emaw chu a harsa hle.

PPPD hian i taksa, i chhehvel leh mi dangte nena inzawmna nei lo anga inhriatna a siam thei che a, mumang ang maiin . I luak chhuak nasa zawk hlauvin khawtlang nun leh nitin hnathawh te pawh i pumpelh thei bawk. Hei hian i nunphungah nghawng lian tak a nei thei a ni.

PPPD awm chhante chu engte nge ni?

PPPD hi a tlangpuiin i balance tichhe thei "trigger" event hnuah a intan thin . Chumi awmzia chu a hmain lu na i lo nei tawh mai thei tihna a ni a, PPPD hi a dam hnuah pawh a chhunzawm zel thei tihna a ni.

PPPD thlen thei trigger thenkhat chu hetiang hi a ni:

• Vawikhatmah luak chhuak nasa tak (Acute vertigo).
• Benign Paroxysmal Positional Vertigo (BPPV) hi i lu i sawn chuan lu a ti na thin.
• Lu hliam (e.g., a concussion).
• Beng chhung lam natna, Ménière natna ang chi te.
• Panic attack a ni.
• A `Stroke` (paralysis) natna a ni.
• `Vestibular migraine` tih hi migraine nena lo awm thin luak chhuak a ni.
• Vestibular neuritis hi beng chhungril lama nerve pakhat inflammation a ni.

PPPD-a thil thleng chu a tir lama luak chhuak emaw natna emaw a liam hnuah pawh i thluak hian "loss of balance" experience kha a hre reng thin I hriat lohvin i balance tichhe thei thil, i taksa dinhmun leh a chhehvel te hi i hyperaware tan thin. He hyperawareness hian i lungkham reng thei bawk.

Kawngpuiah i tlu a, i tlu ang tih han ngaihtuah teh. Chumi hnuah chuan chu kawngpuiah chuan i kal apiangin i fimkhur hle ang a, hnuai lam i hawi a, i ke pen tin i ngaihtuah apiangin i fimkhur hle ang, a dik em? Chutiang bawkin PPPD-ah pawh i thluak hian balance chungchang a ngaihtuah lutuk tan a, fimkhur takin i awm tan thin.

He hypersensitivity hian a puih ai chuan i thluak hian i mit, ruh leh beng chhung lam atanga sensory information te chu a process tha thei lo va, chu chuan i dinhmun a ti nghet reng a ni. Mithiamte chuan i thluak hian i hriatna (senses) i hriat tam ber (e.g., i thil hmuh, i taksa i vawn dan) a rinchhan lutuk a , i hriatna i hriat tlem ber (e.g., i beng chhungril atanga chetna fiah lo tak tak chungchang information) te chu a hmang tlem hle niin an sawi . Chu inmil lohna chu i symptoms thlentu a ni.

Hei hi a tibuai hle a, a chhan chu PPPD nei lo tan chuan balance vawn reng hi a pianphungah a awm ang bawkin, he hypersensitivity hi PPPD vei tan pawh a pianphungah a lo thleng bawk.

Tute nge PPPD vei theihna chance sang zawk?

Zirna thenkhatah chuan hmeichhiate hian mipa aiin a let li velin PPPD an vei tam zawk tih hmuhchhuah a ni . Tin, balance tichhe thei pre-existing condition (vestibular disorder) emaw, mental health condition anxiety emaw depression ang chi nei te chuan a chunga kan sawi tawh triggering event pakhat an tawn hnuah PPPD an vei tam zawk bawk.

I mizia pawhin hmun a chang thei bawk. Zirna hrang hrangah PPPD hi introvert-ah a tam zawk tih hmuhchhuah a ni a, introverted zawk an ni .

Engtin nge PPPD hi hmuhchhuah a nih?

PPPD hriatchhuah hi a harsa thei hle a, a chhan chu i balance system hmun hrang hrangah natna a awm loh vang a ni. Chuvangin, routine balance test, vestibular test ang chi te chu a normal leh thei .

Chuvangin, i doctor chuan i symptoms nena inzawm criteria panga hmangin PPPD i nei tih a hmuchhuak ang che . Heng tehfungte hi i tlin chuan PPPD i vei tih hmuhchhuah a ni:

1. Ni tam zawkah chuan thla thum tal (spinning sensation awm lovin) i luak chhuak emaw, i nghet lo emaw a ni .

2. Chhan bik nei lovin symptoms a pung thei a, mahse ding emaw, kea kal emaw, thil tam tak en hian luak chhuak a na zual thei .

3. Spinning tan rawh.Triggering event (hun eng emaw chen atana thil thleng emaw, hun rei tak chhunga natna emaw) i nei tawh a ni.

4. I natna lan chhuah dan hian i nitin nun leh nunphung a nghawng tha lo hle a ni .

5. I symptoms te hi damdawi lam thil dang avanga lo awm a ni lo tih i hriat chian a ngai (condition dang i neih loh nan test i neih a ngai mai thei).

PPPD enkawl dan tur chu engte nge ni?

Tunah hian PPPD hi damdawi a la awm lo . Mahse, i luak chhuak tihreh thei tur enkawlna engemaw zat a awm. I doctor chuan heng zinga pakhat emaw, a aia tam emaw a rawt thei ang.

Enkawl dan tlangpui chu:

• Vestibular Rehabilitation Therapy (VRT): Hei hi taksa lam enkawlna bik a ni. I taksa hyper-sensitivity (hyperfocus) hian i lu a tihbuai dan hriatthiamna a pe a ni. Thil thleng i hriatthiam hnu chuan i symptoms enkawl dan tur strategy i zir thei ang. Balance exercise bik tih a huam a ni.
• Talk therapy: Cognitive Behavioral Therapy (CBT) ang chi enkawlna hian PPPD symptoms tizual thei lungkhamna enkawlna kawngah a pui thei hle. I vertigo avanga socially withdrawn i nih chuan social leh confident lehzual theihna tur strategy siam turin a pui thei bawk.
• Damdawi: I doctor chuan damdawi chi khat SSRI (Selective Serotonin Reuptake Inhibitors) emaw, chutiang a nih loh chuan SNRI (Serotonin-Norepinephrine Reuptake Inhibitors) emaw a pe thei a ni. Hengte hi lungngaihna leh lungkhamna atana a bik taka pek damdawi an ni. Hengte hian PPPD tana hnathawh dan dik tak zirchianna chu kalpui mek ni mahse, PPPD nena inzawm lungkhamna leh hypersensitivity tihziaawmna tura puitu niin an ngai.

Eng ang doctor nge PPPD hi enkawl?

PPPD symptoms i neih chuan i family doctor (PCP) hmu hmasa phawt ang che . A tul chuan specialist hnenah a refer thei che a ni. PPPD vei leh enkawltu specialist-te chu:

• Otolaryngologist (ENT) te chuan an rilru a buai em em a.
• Otologists - ENTs, beng chhung lam dinhmun lama tui tak takte
• Neurologist te an ni
• Psychologist emaw Psychiatrist emaw te pawh an awm thei
• Vestibular taksa lam enkawltu te

PPPD hi tihdam theih vek a ni em?

PPPD does not go away completely , leh i vertigo control theihna tur damdawi dik tak hmuh nan hun engemaw chen a la ngai thei bawk.

Mahse, thu lawmawm tak chu PPPD vei tam tak chuan therapy leh damdawi hmangin hlawhtling takin an enkawl thei a ni.Mithiamte chuan mimal enkawlna leh enkawlna inzawmkhawm hmanga PPPD vei te tan engtin nge a puih theih tih an la zirchiang mek a ni.

PPPD vei angin engtin nge ka in enkawl ang?

PPPD i neih chuan mahni in enkawl tih awmzia chu i tanpui thei tur enkawlna zawng tura i beih laiin nangmah leh nangmah i dawhtheih tihna a ni . He natna hi thil thar a nih avangin enkawlna tha ber ber zirchianna chu a la tan tirh lamah a la awm reng a ni. I tana tha ber tur i hmuh hmain enkawlna leh damdawi hrang hrang i enchhin a ngai mai thei.

Tin, he diagnosis nena nun dan i zir hian nangmah leh nangmah i chungah ngilnei rawh . PPPD vei tam tak chuan an thil tawn chu midangte hnena sawifiah a harsa hle niin an sawi. Mi dangte chuan, "An hrethiam lo," emaw, "I lu-ah a awm vek" tih ang chi thu an sawi mai thei.

Mahse chutiang chu a ni lo. PPPD hi i taksa chhunga i dinhmun nghet tak tibuaitu dinhmun tak tak a ni. I control harsa tur condition a ni. Mahse, tanpui tura inpeihtu doctor an awm.

PPPD i neih chuan i khalh thei ang em?

PPPD i neih chuan lirthei khalh a him em tih doctor zawt rawh . Hetiang natna vei thenkhat chuan lirthei khalh laiin an luak chhuak nasa hle. Car chu a tlakbuak ang maiin an inhria mai thei. Hetianga balance hloh hian him taka lirthei khalh a ti harsa thei hle. Mi thenkhat chuan an khalh thei a, mahse speed limit posted aia sang zawkah chauh an khalh thei.

I dinhmun chu i vertigo nasat dan leh i control theihna tur damdawi i hmuh leh hmuh lohah a innghat a ni. Chance la ngai suh.

PPPD hi lungkhamna mai a ni em?

PPPD leh lungkhamna hi dinhmun hrang hrang pahnih a ni . Mahse, lungkhamna (anxiety disorder) i neih tawh a, chutah chuan thil thleng (triggering event) i tawn chuan PPPD vei theihna i nei sang zawk mai thei. Tin, PPPD hmanga enkawl loha nun hian negative feedback loop a siam thei a, chu chuan lungkhamna a tizual thei bawk.

Chuvangin lungkhamna enkawlna (e.g., CBT, damdawi) te hi PPPD enkawlna ruahmannaah hian a tel fo thin.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah hetiang zawhna hi i zawt thei ang:

• Ka PPPD awm chhan ber chu eng nge ni?
• Luak chhuak zual zel tur ven nan eng trigger nge ka pumpelh tur?
• Ka diagnosis-a ka tih tur him lo thenkhat (e.g., lirthei khalh, hmun sang taka hnathawh) te chu engte nge ni?
• Eng treatment nge ka tan i recommend?
• Eng tehfung hmangin nge enkawlna a hlawhtling tih kan hriat?
• Heng enkawlnate hian side effect a nei em?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chhan awm lova i luak chhuak reng a nih chuan doctor pan nghal rawh.PPPD hi i balance harsatna thlentu a ni em tih hriat nan hun engemaw chen a ngai mai thei. Mahse , ṭanpuina i zawn hma chuan, kawng dik zawh leh tûra ṭanpui thei tûr enkawlna ruahmanna i hmu thuai thei ang .

PPPD hi dam chhung zawnga natna a ni thei a, mahse i nunphung a tihtlem a ngai lo. Damdawi lam thurawn leh enkawlna dik tak nen chuan enkawl dan i zir thei a, nun tha tak i nei thei bawk. Nangmah chauh i ni lo va, he zinkawng zawh tura pui turin doctor leh therapist an awm bawk.

` PPPD, Luak chhuak, Balance, Vestibular System, Lungkhamna, Enkawlna, Vertigo