I thut lai hian i lu a buai em? I thinlung a na em? POTS pawh a ni thei!

Hetiang thil hi i chungah i thleng tawh em? Thut atanga i ding thut emaw, mut atanga i tho emaw hian i lu a na a, a chang chuan i thinlung a na zual thin. Hei hi thil pangngai ang maia lang mah se, a châng chuan Postural Orthostatic Tachycardia Syndrome , a tawi zawngin POTS tih ang chi natna lan chhuahna a ni thei bawk. Ngaihtuah buai suh, awlsam takin sawi ila.

Hei hi eng nge ni (POTS)? A awlsam zawngin i hrethiam ang u, kan hrethiam dawn em ni?

(Postural Orthostatic Tachycardia Syndrome) tih hi a hming sei tak i hriat chuan a hlauhawm deuh thei a ni lawm ni? Mahse, i ṭhen darh a, i hrethiam ang u.

• Postural: Hei hian i taksa dinhmun nena inzawm thil a kawk a ni . Chu chu i awm dan – thut emaw, ding emaw, mu emaw a ni.
• Orthostatic: Hei hian dinna nena inzawm thil a kawk a ni .
• Tachycardia: Hemi hi i hre tawh ngei ang. I thinlung chu minute khatah 100 aia chak zawk tihna a ni .
• Syndrome: Hei hian symptoms group khat, a awm dun tihna a ni .

A awlsam zawngin sawi ila, POTS hi thut emaw, mu emaw atanga i ding chhuah hian i heart rate a sang lo hle a ni . Hei hi orthostatic intolerance category ah a tla a ni .

Hei hi thil thleng tlangpui a ni. Kan taksa hian autonomic nervous system a nei a, chu chu kan taksaa manager tlemte ang mai a ni. Eng dinhmunah pawh ding ila kan heart rate leh blood pressure a balance reng a, hmun tinah thisen a kal tluang hle bawk. Mahse POTS vei mi pakhatah chuan he autonomic nervous system hian he balance hi a vawng tha thei lo. Chu chu thisen kalna kawng hrual leh heart rate control inkara coordination a tibuai tihna a ni. Tichuan, thisen sang chu a nghet thei lo. Hei vang hian symptom tin hi a lang chhuak thin.

Mahse thil pakhat hriat reng tur chu: POTS hian mi zawng zawng a nghawng dan inang lo. Mi thenkhat chuan symptoms lo thleng leh bo thin an nei a, a chang chuan kum tam tak chhung pawh an nei thin. A tha ber chu a tam zawkah chuan nunphung inthlak danglam te, ei leh in inthlak danglamna te, damdawi thenkhat te, leh exercise te nen chuan, chu natna chu enkawl theih a ni a, nunphung pawh a tha chho thei a ni

POTS hian tute nge a nghawng ber?

He natna, POTS tia koh hi hmeichhia kum 15 leh 50 inkar ah a tam ber a, mahse mipa pawhin an vei thei a ni.

A chang chuan POTS hi hun engemaw chen stress emaw tension nasa tak a awm hnuah a lo awm duh zawk thin. Entirna tlemte chu hetiang hi a ni:

• Natna khirh tak hnuah: Entirnan, Viral natna, mononucleosis ang chi hnuah emaw, natna khirh tak a kai hnuah emaw.
• Naupai lai hian.
• Taksa lama hlauhawmna nasa tak a awm chuan:Lu hliam ang maiin a lang.
• Surgery lian tak neih a nih hunah.

Tin, autoimmune condition thenkhat nei, Sjogren’s syndrome , lupus , leh celiac disease , kan immune system-in kan cell hrisel tak takte a beih thinte pawhin POTS an vei tam zawk bawk.

Engtiang chiahin nge (POTS) hi a hluar?

POTS hi a takah chuan i ngaihtuah aia tam zawk a ni. Entirnan, United States-ah hian mi maktaduai 1 leh maktaduai 3 velin he natna hi an vei nia chhut a ni. Sri Lanka ramah hian he natna vei hi an awm thei a, mahse an hriat chian loh vang a ni.

Engtin nge POTS hian ka taksa a nghawng?

Ngaihtuah teh, ṭhutna aṭangin i ding chhuak nghal a. Tichuan, gravity vangin i taksaa thisen 10% atanga 15% vel chu i pum, ke leh kut ah a awm khawm thin. Chumi awmzia chu i thluaka thisen kal zat chu tlem a tlahniam tihna a ni. Chuvang chuan a chang chuan i lu a hah deuh thin. Mahse POTS i neih loh chuan he luak chhuak hi chutiang chuan i hre lo, a chhan chu i ke ruh (muscles) te hian thisen chu i thinlungah a pump let leh thin a ni.

Chu mai ni lovin, i autonomic nervous system pawh a kick in a, i ding chhuah huna i thinlunga thisen kal tlem lutuk chu phuhruk nan i taksa chuan adrenaline leh norepinephrine tih hormone a tichhuak a ni.

Heng hormone te hian thinlung chu tlem a ti chak a, a ti na zual bawk. (Norepinephrine) hian thisen kalna kawng a tikhauh deuh bawk a, chu chu a constrict tihna a ni. Heng zawng zawng hian thisen chu thinlung leh thluaka a kalna tur dik taka a kal leh theihna tur a ni.

Mahse POTS vei te an ding chhuak hian a tlangpui aia nasa zawkin an thinlung hnuaia thisen kalna kawngah thisen a khawlkhawm thin. Chumi hnuah taksa chuan norepinephrine emaw epinephrine emaw tam zawk chhuahin thisen kalna kawngte chu tihkhauh tumin a bei thin. Mahse eng emaw chhan vangin an thisen kalna kawngte hian heng hormone te hi a chhang tha lo hle. Mahse thinlung hian heng hormone te hi a chhang let thei a, chuvangin heart rate hi a sang hle.

Hetianga inthlauhna hian symptom hrang hrang a thlen a, chu chu luak chhuak, muhil, leh hah lutuk te hi a ni.

POTS hi natna khirh tak a ni em?

(POTS) hi nunna atana hlauhawm tak a ni lo. Mahse, nitin hnathawhna kawngah daltu lian tak a ni thei. Thu lawmawm tak chu symptoms te hi enkawlna leh strategy hrang hrang hmanga enkawl theih a ni.

(POTS) natna lan chhuah dan chu engte nge ni?

POTS hi a lo thleng nghal thei a, a lo thleng zauh zauh thei bawk. Thut atanga ding chhuak emaw, minute engemaw zat hnuah emaw natna lanchhuahna a lang nghal thei. Symptom thenkhat chu mut hian a reh thei.

POTS chhinchhiahna tam tak a awm thei a, mi hrang hrangah a inang lo thei bawk. A lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Luak chhuak emaw, lu hah emaw: A bik takin ding emaw, hmun khata rei tak ding emaw, hla taka kea kal emaw a nih chuan.
• Faint emaw, faint emaw tihna.
• Theihnghilh leh ngaihtuahna seng harsa: Hei hi brain fog an ti bawk. I thluak chu vur in a khuh ang mai a ni.
• Palpitations emaw heart rate sang emaw.
• Chauhna/chau lutuk.
• Hahdam lo emaw, lungkhamna emaw neia inhriatna.
• Thinrim leh thawk hah lutuk.
• Thâwk harsa (dyspnea).
• A rilru a na.
• Lu na.
• Natna neia inhriatna.
• Bloating (bloating) a awm.
• Hmai chu a dum a, a ke ruhte chu thinlung level hnuai lam a nih chuan a sen (purple) a ni.
• Mut buai: rilru na vang te, heart rate sang vang te, zan lama thawk hah lutuk vang te.

A chang chuan heng symptoms te hi a na zawk thei bawk. A case thenkhat chu hetiang hi a ni:

• Khaw lum lai a nih chuan: Inbual lum lai, inbual lai emaw, ni lum takah emaw.
• I ding fo hian: queue-a i awm lai te, shopping i kal lai te ang khan.
• Exercise nasa tak neih lai hian.
• Natna i neih chuan: khawsik ang mai, natna hrik kai.
• Thlasik laiin.

POTS awm chhante chu engte nge ni?

Researcher te chuan POTS thlentu hi eng nge ni tih chiang takin an la hre lo. Tunah hian a chhan awm thei eng emaw zat a awm niin an ngai. POTS hi heng chhan hrang hrang atanga thlirin subtype engemaw zatah then a ni a:

• (Neuropathic POTS): Hei hi peripheral denervation avanga lo awm a ni a, hei hian thisen kalna kawng, a bik takin ke leh core-a thau te a tichak lo hle.
• (Hyperadrenergic POTS): Hei hi i sympathetic nervous system a thawk nasa lutuk vang a ni.
• Hypovolemic POTS: POTS hi taksaa thisen volume tlahniam vang pawh a ni thei. Thisen volume tlahniam symptoms hi POTS chi dang pahnih symptoms nen a inang thei.

Tin, tunah chuan POTS hi autoimmune disease a ni tih finfiahna a awm tawh a, chu chu kan immune system hian chhan hriat loh vangin tissue hrisel tak tak a bei mai thei tihna a ni.

Engtin nge POTS hi hmuhchhuah a nih?

POTS hi doctor tan chuan hriat a harsa thei hle a, a chhan chu hun kal zelah symptoms a lo awm thei a ni. Mi thenkhat chuan a tawpah POTS an vei tih hmuhchhuah hmain thla tam tak emaw, kum tam tak emaw chhung pawh symptoms an nei thei.

Doctor chuan i natna lan chhuah dan te, damdawi i ei dan te, leh i damdawi lam chanchin te a zawt ang che. A taksa enfiahna pawh a ti dawn a ni.

POTS hriat dan ber chu tilt table test hi a ni.He test hian i dinhmun i thlak danglam rualin i heart rate leh blood pressure a teh thin. Table pakhatah i mu a, dawhkan chu zawi zawiin ding chungin a tilt a.

Tilt table test bakah hian i doctor chuan POTS a awm leh awm loh finfiah nan emaw, a chhan dang hriat chian nan emaw test dang a ti thei bawk. Chung zinga ṭhenkhat chu:

• Thisen leh zun test hmanga POTS leh POTS ang chi natna dang awm thei te hriatchhuah a ni.
• (QSART): Hei hian thawmhnaw control tu autonomic nerves a teh thin.
• Autonomic breathing test: Hei hian exercise i tih hian i heart rate leh blood pressure a chhan dan a teh a ni.
• Skin nerve biopsy neih a ni.

POTS enkawl dan tur chu engte nge ni?

Vanduaithlak takin POTS hi damdawi a awm lo. Mahse, doctor-te chuan POTS symptoms enkawl nan hian strategy hrang hrang an hmang thin. Treatment hi i symptoms leh i tana tha ber tur ang zela siam a ni.

Enkawl dan tlangpui chu:

• Exercise leh taksa tihchakna.
• Ei leh in leh ei leh in.

Tin, special medical compression stockings hman hian ke kaltlangin thisen a nawr chho a, POTS symptoms tihziaawmna kawngah pawh a pui thei bawk.

Exercise leh taksa tihchakna

POTS enkawlna atan hian exercise leh taksa tihchak hi a pawimawh hle .

POTS vei tam tak chuan thinlung hrisel nei mah se, i doctor chuan cardiac rehab program -ah a refer thei che a ni . He exercise program hian i taksa chakna a neih leh theih nan leh i POTS a enkawl theih nan exercise a hmang thin. POTS enkawlna atana evidence tha ber ber thenkhat chu cardiac rehab atanga lo chhuak a ni.

Research chuan reclined aerobic exercise , tui chawi, lawng khalh, leh recumbent bicycle khalh te hian rah tha ber a pe tih a tarlang. I core leh kea taksa ruhte tihchak hian a hlawkpui hle bawk.

Exercise program i tan dawna i hriat tur pawimawh thenkhat chu hetiang hi a ni. Heng exercise chungchangah hian i doctor hnenah thupek chiang tak zawt rawh.

• Practice Isometric exercises: Heng exercise-ah hian i taksa tihchak tak tak lovin i taksa ruhte chu tihkhawtlai a ni. Hei hian taksa ruhte a tikhauh a, thisen chu i thinlungah a nawr let leh thin. Hengte hi tih a awlsam hle a, khumah muin emaw, thutthlengah emaw thuin i ti thei bawk. Hengte hi khumah i thawh hmaa tih a tha. Hei hian i taksa chu thut leh ding turin a buatsaih ang.
• Position i thlak dawnin a hnuaia mi ang hian ti rawh:I reclining position atang khan tho la, khumah chuan thu rawh. Minute engemaw zat chutah chuan awm la, i taksa chu a dinhmun inthlak danglamnaah a insiamrem theih nan. Ding zawhah i kal hmain minute engemaw zat nghak la, i thisen sang chu a insiamrem leh thei ang. Engtik lai pawhin i luak chhuak a nih chuan chutiang dinhmunah chuan minute engemaw zat awm la, a reh em tih en rawh. Chutiang a nih loh chuan i dinhmun hmasaah khan kir leh rawh. A pawimawh ber chu i posture-a hnathawh hi a ni.
• Kal program tenau tak tan rawh: Symptoms nei lovin step engzat nge i kal theih tih en rawh. Chu chu i bul tanna a ni. Ni khatah vawi khat kea kal atanga tan la, zawi zawiin hun, hlat zawng, a nih loh leh ke pen zat tipung rawh. I rilru a hahdam chuan ni khatah a vawi hnihna atan ke la. Step chhiar dan awlsam tak chu nitin darkar khatah step 100-300 vel kal hi a ni. Fitness tracker hi step chhiar nan hman a awlsam hle. Ni khata i ke pen zawng zawng kha tipung la, kar khatah vawi khat emaw, kar tlemte danah emaw.
• Yoga exercise awlsam tak tak practice rawh: Thâwk lam ngaih pawimawh yoga exercise bulpui tih hian POTS symptoms a tihziaawm thei a ni.

Ei leh in leh ei leh in

POTS symptoms enkawlna atana thil pawimawh dang chu ei leh in leh ei leh in hi a ni.

Hypovolemic POTS (thisen volume hniam) i neih chuan i doctor chuan i thisen volume tihpun nan tui leh chi tam zawk in turin a fuih mai thei che.

Chaw tam tak ei hnuah POTS symptoms hi a na zual thei. Hei hi a chhan chu taksain thisen tam tak chu chaw ei kawngah a divert thin a, chu chuan chaw ei kawngah a pui thin. Hei vang hian doctor-te chuan chaw lian pahnih emaw pathum emaw ei ai chuan ni khatah chaw tenau engemaw zat ei an rawt fo thin.

Nutritionist emaw dietitian emaw chuan i ei leh in lamah a pui thei che a ni. He thurawn hi celiac natna emaw, ei leh in lama harsatna dang emaw i neih chuan a \angkai hle.

Ei leh in thlak danglam dan tur kaihhruaina tlangpui thenkhat chu hetiang hi a ni:

• Ni khatah i eitur ah chi 3,000 atanga 10,000 vel (mg) vel dah la .
• Ni khatah tui litre 2 atanga 2.5 vel in thin tur a ni . Tui hi a tha ber.
• Chaw lian engemaw zat ei ai chuan chaw te te ei fo thin ang che.
• Fiber leh complex carbohydrates tamna diet ei hian thisen sugar level sang tak tak chu a tihziaawm thei a, POTS symptoms pawh a ti tlem thei bawk.
• Protein, thlai, bawnghnute leh thei chi hrang hrangte nen ei leh in inthlau tak nei rawh.
• Snacks chi hrisel nei thlang rawh: chu chu broth, pickles, olives, sardines, sprats, leh nuts te hi a ni. Chi atan biscuit leh cracker ang chi thil chauh ring suh.
• Grocery store i kal dawnin list siam la, ei tur hrisel thlang la, i POTS supplies (fluids, salt supplements) te keng tel ngei ngei tur a ni tih hre reng ang che. I chak lo nia i hriat chuan, mi pakhatin thil phurh, chawi, leh in lama phurh chhuahpui turin hrilh rawh.

Damdawi chi hrang hrang

POTS enkawlna tur damdawi bik U.S. Food and Drug Administration (FDA)-in a pawmpui lo. Mahse, doctor-te chuan POTS symptom thenkhatte tanpui nan damdawi thenkhat (off-label) , chu chu natna dang atana phalsak damdawi an pe thei a ni.

Chutiang damdawi thenkhat chu:

• (Fludrocortisone): Chi (salt retention) a siam a, thisen volume a tipung bawk.
• (Pyridostigmine): Tachycardia a tihziaawm thei.
• (Midodrine): Thisen kalna kawng a tikhawlo (vasoconstrict).
• Beta-blockers: Ding laia heart rate sang (upright tachycardia) a tihziaawm thei.

Heng damdawi zawng zawng hian side effect a nei thei vek a ni. I doctor chuan damdawi chu i tan a tha em tih a sawipui ang che.

POTS enkawl dan tur dang eng nge ka tih theih ang?

Exercise leh ei leh in thlak danglam bakah hian POTS enkawlna atana i tih theih dangte chu i pulse leh blood pressure enfiah reng te, leh mut that te hi a ni.

Pulse leh thisen sang enfiah

I thisen sang leh pulse rate tehna leh record hian POTS hriatthiamna a pe thei a, i doctor pawhin enkawlna ruahmanna a siamsak thei bawk.

Nitin (zing leh tlaiah) i thisen sang leh pulse chu a rualin enfiah thin ang che. Hei hi natna hmuhchhuah hnu thla hmasa berah chuan a \angkai hle. Tin, i dam loh lai pawhin i thisen sang leh i pulse enfiah thin ang che.

Damdawi dawr tam zawkah emaw, online-ah emaw, damdawi hmanrua hralhna hmunah emaw thisen sang enfiahna i lei thei a ni.

POTS hmanga mut dan enkawl dan

(POTS) hian i mut a tibuai thei. Mut hi i hriselna zawng zawng atan a pawimawh em em a, chuvangin i ngaih pawimawh ber tur a ni. Heng general tips te hian a pui ang che:

• POTS symptoms tihtlem nan i khum lu chu inches ruk atanga inches sawm velin chawi sang rawh. Khum pum pui chu angle inang vek tur a ni. Hetianga i khum lu chawi sang hian zing lamah i circulatory system-a tui awm zat a tipung a ni. Hei hian awlsam zawkin i harh theih nan a pui thei che a ni.
• I mutna pindan chu a lumna tur dik takah dah la, mut hahdam rawh.
• Mut hun pangngai neih tum ang che . Nitin hun khatah mut la, a rualin harh bawk ang che. Mut thianghlimna leh mut hahdamna tha ber chu nitin i mut hun tur ruahmanna siam that atanga lo chhuak a ni.
• Nitin mut tam lutuk loh tur, hei hian zan mut a tibuai thei a ni.
• Khumah a thu aTV en tam lutuk te, phone hman tam lutuk te, computer hman tam lutuk te pumpelh tur a ni. Heng technological devices te hian mut thatna a tibuai thei a ni.

POTS vangin i mut a buai hle a nih chuan i doctor nen inbia ang che.

POTS hi ven theih a ni em?

Vanduaithlak takin POTS a lo awm loh nan engmah tih theih a awm lo. Mahse, i symptoms tichhuaktu chu i zir thei a, pumpelh i tum thei bawk.

Symptoms nasat lohna tur general tips thenkhat chu hetiang hi a ni:

• Temperature mumal tak vawn reng: POTS vei tan chuan temperature mumal tak vawn reng hi a pawimawh hle. Khua lum lutuk, a bik takin khaw lum lutuk hian natna lan chhuahna a tizual thei a ni. Air conditioning, cooling vest, handheld misters, fan te te, leh temperature inthlak danglam dan tur insiamrem turin thawmhnaw layer bun te hian a pui thei a ni. Inbual hunah tui lum hman tum ang che , tui lum leh vawt pawhin POTS symptoms a tizual thei a ni. Shower chair hman pawh a \angkai hle.
• Hun rei tak ding loh tur: POTS vei tam tak chuan hun rei tak an din chuan natna lan chhuahna an nei nasa zawk. Hun rei tak i ding a ngai a nih chuan, i ke leh i taksa ruhte flex leh squeezing , emaw, i rit zawng chu ke pakhat atanga ke dangah sawn emaw ang chi thil tih tum ang che .
• Zu in loh: Zu hian i taksa a ti tui lo a, symptoms a ti na zual thei bawk.

POTS hi eng prognosis nge ni?

POTS thlirna hi a tlangpuiin a tha a, mahse nitin nun a tibuai nasa thei hle. POTS symptoms hi kum tam tak chhung chu a lo thleng thei a, a kal zel thei bawk. 80% vel ah chuan natna hi a tha chho zel a, mahse mi tam tak chuan residual symptoms an nei thei thung.

POTS vei tan chuan hlauhawm ber chu an muhil a, an tlu a nih chuan hliam an tuar a ni.

POTS hian dam rei zawng a ti tawi em?

POTS vei te hian dam chhung hun pangngai an nei thin . Hetiang dinhmun hian dam rei zawng a ti tawi lo.

POTS ka neih chuan engtin nge ka in enkawl ang?

POTS nena nun hi a harsa thei hle. Mahni in enkawl dan tur i tih theih thenkhat chu hetiang hi a ni:

• I POTS diagnosis chungchang hi i hmangaih tak takte nen zalen tak leh dik takin sawi rawh. He dinhmun nena in hlauhna te, beiseina te, i harsatna te leh i harsatna te sawi rawh. I thlawptute chu POTS chungchang zir belh turin fuih rawh.
• Mut tha la, chaw ei tha la, stress control nan a pui ang.
• POTS support group (online emaw, mimal emaw) zawm tum rawh. Chûngte chuan inhlat taka inhriatna tihziaawmna tûrin a ṭanpui thei a ni.
• Damdawi lam ni lo leh mimal atanga fimkhur rang tak lakah fimkhur hle ang che. Quick fixes hian POTS hi a pui lo tlangpui a, a takah chuan stress nasa zawk a thlen thei bawk.
• Hun rei tak chhunga hriselna lama harsatna awm tawhte hmachhawn dan zir turin psychotherapy zawn chu ngaihtuah rawh. Counselling hian POTS a nghawng tha lo thei rilru lam hriselna dinhmun dangte pawh a enkawl thei bawk.
• Ngaihtuah la, a nih loh leh minute engemaw zat chu chawlh hahdam emaw, i POTS symptom thenkhat tihziaawmna turin time-out emaw hmang rawh . Emotion hian i nitin nun leh hriselnaah nghawng lian tak a nei thei a ni. Heng rilru put hmangte hriat chian nan counselor emaw POTS support group emaw nena inbiakna neih hi a \angkai thei hle.

POTS chungchangah hian engtikah nge doctor ka hmuh ang?

I ding chhuah laiin symptom danglam tak tak, luak chhuak emaw, heart rate chak tak emaw i neih chuan doctor pan rawh.

POTS i neih chuan POTS lama thiamna nei doctor pan tum la, enkawl dan tha ber i hmu ang. I hriselna leh hriselna tlangpui enkawl turin primary care physician i mamawh bawk ang.

Postural Orthostatic Tachycardia Syndrome (POTS) i vei tih i hriat chuan thil mak tak a ni thei. Mahse, i natna lan chhuah dan tur enkawltu tur enkawlna leh nunphung tihdanglamna engemaw zat a awm tih hre reng ang che. POTS vei mi pahnih hi a inang lo hle a, chuvangin i dinhmun nena inmil personalized care neih a pawimawh hle. I doctor hnenah POTS chungchang zawhna zawh hreh suh. Anni hi tanpui turin an rawn kal a ni.

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

• Thut emaw, mu emaw atanga i ding veleh i lu a na emaw, i thinlung a na emaw a nih chuan POTS a ni thei. Nghak mai mai suh, Doctor hmu rawh.
• POTS hi nunna atana hlauhawm a ni lo nain nitin hnathawhna a tibuai thei a ni.
• A tha ber chu nunphung thlak danglam te, ei leh in te, exercise te, leh a chang chuan damdawi te hmangin a thunun tha thei a ni .
• Position thlak fo te, tui leh chi tlem in te, chaw te te ei fo te hian a pui thei a ni.
• Nangmah chauh i ni lo. Support group leh counseling te hian he dinhmun hi hmachhawn turin a pui thei che a ni.
• Beiseina chu bansan ngai suh! Enkawlna mumal tak nen chuan POTS hmang pawhin nun tha tak i hmang thei ang.

` POTS, postural orthostatic tachycardia syndrome, luak chhuak, thinlung thawk, autonomic nervous system, thisen sang, muhil