Fainting spell ang mai a ni a, mahse i hriatna i hloh lo em ni? (Presyncope) chungchang hi han sawi ila!

Engtik lai pawhin hetiang hi i chungah a thleng tawh ngei ang. I ding lai hian, mipui pawlah pawh ni se, emaw, i ding nghal mai pawhin , i lu a buai a, i mit a dum a, khawvel pum pui chu i chhehvelah a inher kual vel a ni. "Aw, ka faint dawn" tih i ngaihtuah thin. Mahse mak tak maiin i hriatna i hloh lo va, i dam khawchhuak zo lo mai mai a ni. Chu chu damdawi lam mithiamte chuan ``presyncope'' (pre-sin-ka-pee tia lam tur) an tih chu a ni. Doctor thenkhat chuan ``near syncope'' an ti bawk.``syncope'' tih hi i hriatna hloh tak tak a, i tluk hi a ni.

`Presyncope` tih hi eng nge ni tak tak?

A awlsam zawngin, `(Presyncope)` chu i muhil dawn ang maia i inhriat a, mahse hriatna hloh tak tak lovin i conscious lo hle tihna a ni. Hei hi second tlemte atanga minute tlemte thleng a daih thei. Mi tam zawk tan chuan hei hi harsatna lian tak a ni lo. Mahse, mi tlemte tan chuan a hnua thil thleng tur chu tlem a pawi zawk thei. Mi thenkhat tan chuan `(Presyncope)` hian a takah chuan muthilh leh tlu a thlen thei a, chu chuan hliam a thlen thei a ni. Midang tan chuan `(Presyncope)` hi thil pawi zawk, thinlung lam natna ang chi a ni thei.

Hei hi eng symptoms nge ni?

Presyncope i neih hian heng symptoms zinga pakhat emaw a aia tam emaw i nei thei a ni:

• Lightheadedness: I lu chhungah engmah awm lo ang maiin a awm thei a, i tuiah a inphah ang maiin a awm thei .
• Chak lohna: I chakna hloh ang maiin i inhriat thut mai thei.
• Thawmhnaw: I thawmhnaw lum takah i rawn chhuak nghal mai thei.
• Pum natna: I luak chhuak dawn ang maiin i inhria mai thei.
• Heart palpitations: I rilru a na hle tih i hre thei a, i heart rate pawh a danglam thei bawk.
• I pum/ pum na: Mi thenkhat chuan i pum hnuai lam natna an nei thei.
• Mit hmuh fiah lo emaw, hmun dum hmuh emaw: TV-in signal a hloh ang bawkin, i mit hmaah line, dot, a nih loh leh thil chi hrang hrang i hmu thei.

Engvangin nge hetiang hi a lo awm? `Presyncope` awm chhan te

A chhan ber chu i thluaka thisen lut chu a tlahniam thut thin vang a ni. Ngaihtuah teh, i thluaka thisen kal chu second ruk atanga riat vel a tawp chuan i hriatna i hloh thei a ni. ``Presyncope`` ah chuan thisen kal chu a tlahniam deuh a, mahse a tawp vek lo.

Presyncope hi a chhan hrang hrang a awm a:

A chhan tlangpui, a na lo zawkte chu:

• Natna nasa tak, hlauhna, lungkhamna, a nih loh leh lungngaihna thlentu thilthleng: Entîr nân, thisen hmuh te, injection lak te, a nih loh leh accident hmuh te.
• Orthostatic hypotension a awm chuan:Hei hi mi tam tak chunga thil thleng a ni. Thut atanga i ding thut emaw, mut atanga i tho leh emaw chuan i thisen sang a tlahniam thut a, i lu a na hle. Hei hi tui tlakchham lai pawhin a thleng thei bawk.
• Vasovagal syncope: Hei hi a awm fo bawk. Hun rei tak ding lai te, khaw lum lai te, thawk i tihkhawtlai lai te (entir nan, khuh emaw, bawlhhlawh paih tura i hah lai emaw) a awm thei.

Tlem fimkhur tur chhan: 1.1.

• Damdawi thenkhat: Thisen sang leh thinlung natna thenkhat damdawi te pawhin hetiang hi a thlen thei bawk.
• Pulmonary embolism: Lung chhunga thisen zam a awm.
• Pulmonary hypertension: Lung chhunga thisen sang a sang.
• Sepsis: Taksa a natna hrik awm avanga natna khirh tak a ni.
• Aortic dissection: Thisen kalna kawng lian tak (aorta) lining-a te.
• Heart valve natna: Heart valve a thawk tha lo.
• Hypertrophic cardiomyopathy: Lung ruh a thim dan pangngai lo.
• Myocardial ischemia: Thinlung hian thisen a hmu tlem hle.
• Lung natna.
• Carotid artery disease: Thluak lama thisen phurtu kawng chhunga thisen kalna kawng lian ber berte khap.
• Cardiac tamponade: Thinlung chhehvela bawm chhunga tui awmkhawm, thinlung a compress.
• Lungphung lama harsatna (`Arrhythmia`) a awm.
• Anemia: Entirnan, pum emaw, intestines-a thisen chhuak (gastrointestinal bleeding) hian thisen a hloh thei a.
• `Postural orthostatic tachycardia syndrome (POTS):` Ding chunga thinlung chakna (heart rate) a san dan pangngai lo.

Pawimawh: Heng chhante hi i hmuh chuan hlauthawng suh. A tam zawkah chuan ``Presyncope'' hi thil awlsam tak avanga lo awm a ni. Mahse, a lo thleng fo a nih chuan, a nih loh leh symptom dang nen a lo awm a nih chuan doctor pan a tha ber.

Tute nge `presyncope` vei theihna hlauhawm zawk?

Hetiang dinhmun hi tu chungah pawh lo awm thei mahse, mi thenkhat chu an hlauhawm zawk a ni:

• Thisen sang nei tan.
• Zunthlum vei tan.
• Zuk leh hmuam thil (cigarette, beedis ang chi) hmangtute tan.
• ``Presyncope'' nei tawh tan chuan.
• Hetiang dinhmun hi mipa aiin hmeichhiaah hian a tam zawk deuh hlek a ni.

Engtin nge doctor hian hei hi a hriat chhuah?

Doctor i pan hunah i medical history a zawt hmasa ang che.I damdawi ei chungchang a zawt ang . Tichuan, taksa enfiahna an nei ang . Doctor chuan hetiang zawhna hi a zawt thei a:

• "Hetiang symptoms te hi i hriat tan tirh khan eng nge i tih?"
• "Hetiang hi a thleng tawh em?"
• "Hetiang taka i awm tan hma khan eng nge i tih?"
• "Chhungkaw zingah hian natna khirh tak emaw, thinlung natna emaw nei an awm em?"

Post-mortem examination te hi engte nge ni?

A hnuaia test te hian a chhan hriat theih nan a pui thei a ni:

• Electrocardiogram (ECG/EKG): Thinlung electric hnathawh dan enfiahna test a ni.
• Heart rhythm monitor: Ni khat emaw ni hnih emaw chhunga hman tur hmanrua, Holter monitor ang chi emaw, kar khat emaw kar hnih emaw chhunga hman tur, Zio® patch ang chi hian heart rhythm a enfiah thin.
• `Exercise stress test`: Exercise i tih laiin `ECG` lak a ni.
• Thisen test: Thisen sugar level (glucose) leh thisen tlakchhamna ang chi thil te enfiah thin ang che.
• Tilt table test: He test-ah hian khum bikah mu turin an siam che a, khum chu a ding nghal thei turin an siamrem a, i heart rate leh thisen sang chu an enfiah thin.
• Thluak `CT scan` (Computed tomography) hmanga tih a ni.
• Echocardiogram: Thinlung ultrasound hmanga enfiah a ni.

`Presyncope` enkawl dan tur chu engte nge ni?

Enkawlna chu presyncope awm chhan a innghat a ni.

Nangmah ngeiin i tih theih tur (nakin lawkah ang chi):

• Mut emaw, thu nghal emaw rawh. A theih chuan i ke chu tlem han chawi sang la.
• I kut, ke emaw, i pum ruh emaw te chu tension rawh. Entirnan, i ke kha cross emaw, i kut chu clench emaw la. Chungte chu counter-pressure maneuver an ti a. Hei hian thluaka thisen kalna chu tlemin a tipung thei a ni.

Damdawi lam enkawlna:

• Saline pek (IV fluids): Taksa tui a tlakchham chuan saline sodium nen pek theih a ni.
• Damdawi: A chhan azirin natna hrik a awm chuan antibiotics pek theih a ni a, thisen zam tur venna atan thisen tithianghlimtu damdawi pek theih a ni bawk.
• Surgery emaw procedure thenkhat: Thisen zam lakchhuah emaw, heart valve thlak emaw ang chi thil.
• Pacemaker dah emaw, Ablation tih damdawi emaw: Lungphun mumal lo (arrhythmia) siamthat nan.

Presyncope vei chuan eng ang hmalam hun nge a beisei theih ang?

Doctor i hmuh veleh damdawi inah dah i ni thei a, a nih loh leh enkawl a, in lamah thawn haw i ni thei bawk. Chumi hnuah chuan i primary care physician (PCP) hnenah follow-up turin i hmu tur a ni.

Doctor-in harsatna lian tak a hmuh chuan cardiologist emaw, specialist dang emaw i pan a ngai mai thei. I presyncope nasat dan chu a chhan ah a innghat ang.

Zirna pakhatah chuan presyncope vei mi pakhatin heng symptoms te hi a neih chuan natna khirh tak chhinchhiahna a ni thei tih a hmuchhuak a:

• Lung lam chak lohna.
• Thâwk a tawi.
• `Pressure` (Systolic blood pressure) sang ber chu 90 mmHg aia tlem a nih chuan. (Hei hi a normal value aiin a hniam zawk).
• `ECG` test-a thil dik lo awm.
• `Hematocrit test` result 30% aia tlem a nih chuan i thisenah thisen zam (red blood cells) percentage a tlem tihna a ni a, chu chu thisen tlakchhamna (anemia) i nei tihna a ni.

Presyncope hi ven theih a ni em?

Ni e, a chhan i hriat chuan `(Presyncope)` venna kawngah i pui thei ang. Heng thilte hi i tih hian i risk i tihtlem thei ang:

• Thisen pek hma emaw, injection lak hmain tui tam tak in thin tur a ni. Injection lak lai hian thut reng rawh.
• I lungkham tirtu thil (e.g., horror movie en) chu a theih ang anga pumpelh rawh.
• Vawikhatah tho vek suh, zawi zawiin tho rawh.
• Vawi khatah ei tam suh, chaw te te ei thin ang che.
• Presyncope thlentu damdawi lam harsatna a awm chuan uluk taka enkawl tir rawh.

Engtin nge ka in enkawl ang?

Presyncope i neih chhan i hriat chuan a ven theih nan theihtawp chhuah rawh. Entîr nân, hmun lum leh mipui tamna hmunah i nei duh tih i hriat chuan, chu hmuna i kal hunah ruahmanna siam lawk rawh. Fan te tak te keng la, window bulah thu la, pawnah tlem tal chhuak la, boruak thianghlim i la thei ang.

I muhil dawn nia i hriat apiangin thut emaw, mu emaw tum thin ang che. I kut chu inzawm khawm la, i ke chu cross rawh.

Engtikah nge Doctor ka hmuh ang?

Presyncope i neih chuan doctor pan la, follow-up i nei tur a ni. A tam zawkah chuan i doctor chuan a chhan chu a hmu thei ang a, a nih loh leh tanpui theitu hnenah a refer thei ang che. I hriatna i hloh tak tak (fainting) chuan emergency a ni. I bula awm tu emaw chuan ambulance ko nghal tur a ni.

Doctor hnenah eng zawhna nge i zawh tur?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• "Eng thilin nge he `(Presyncope)` hi ka neih chhan?"
• "Hei hi damdawi lam thil avanga lo awm a nih chuan damdawi ka zawng tur em ni?"
• "Engtiang chiahin nge rang taka enkawl theih a nih?"
• "Ka chhungkuaa midangte hi `(Presyncope)' vei theihna hlauhawmah an awm em?"

Presyncope hi i vawi khatna emaw, a lo awm leh emaw pawh nise, thil hlauhawm leh nuam lo tak a ni thei. "Ka tlu dawn em ni? Ka hliam dawn em ni?" A nih loh leh, mi zawng zawngin, "I ṭha em?" Mahse a pawimawh ber chu a chhan zawng chhuakin i mamawh enkawlna i hmuh hi a ni. Tichuan condition chu i control thei tawh ang.

A tawp berah chuan hei hi hre reng ang che.

``(Presyncope)`` chu i muhil ang maia i inhriat laiin, i hriatna i hloh lo. A tam zawkah chuan hei hi chhan awlsam tak vang a ni a, mahse a chang chuan thil pawi tak, thinlung natna ang chi avanga lo awm thei a ni.

Chuvangin, he thil tawn hi i tawng tawh a nih chuan, a bik takin a lo awm fo a nih chuan, emaw, a lan dan dang, rilru na, thawk hah, etc. te nen a inzawm a nih chuan damdawi lam thurawn la rawh. Hlau suh, hlau suh. Diagnosis leh treatment dik tak nen chuan i dam thei ang. I hriselna chu i kutah a awm!

` Presyncope, muthilh, hriatna hloh, luak chhuak, vertigo, thluaka thisen tlakchham, thinlung natna