Hetiang "fit" pawh i nei ve em? Mahse, chu chu epilepsy a ni lo maw? (Psychogenic Nonepileptic Seizure - PNES) Hemi chungchang hi han sawi ila!

Ngaihtuah teh, rang takin seizure i nei ang maiin i inhria a, i taksa a nghing a, i hriatna a hloh mai thei... epilepsy i vei ang chiah hian. Mahse i hria em, thluak chhunga electrical activity eng emaw zat inthlak danglamna avanga seizure awm vangin hetiang hi a thleng ngai lo. A châng chuan thil danglam tak a ni thei a, mahse chutiang chuan a lang thei bawk. Vawiin hian chutiang dinhmun kan sawi dawn a, chu chu doctor-te chuan `(Psychogenic Nonepileptic Seizure - PNES)`, emaw `(Functional Seizures - FS)` an ti a ni. Hei hi thil buaithlak deuh angin lang mahse, awlsam takin i hrethiam ang u.

Hei hi eng nge ni tak tak `(PNES)`?

A awlsam zawngin, PNES hi thil thleng hrang hrang, epilepsy natna lan chhuah dan nen a inang hle a, chu chu thil thleng hrang hrang, "fit" ang maia lo thleng leh kal zel a ni. Mahse a pawimawh ber chu hengte hi thluaka electrical activity pangngai lo avanga lo awm a ni lo . Epilepsy hi thluaka electrical activity tihbuai vang a ni. Mahse PNES-ah chuan chutiang chu a ni lo.

Chuti a nih chuan engvangin nge heng thilte hi a lo thlen? Kan nervous system, chu chu kan taksa sensory system-a thil engemaw chhanna angin an lo awm tak tak a ni . Chu thilte chu eng nge ni?

• Taksa lam chhan: Hliam a ni mai thei, natna awm reng ang chi thil a ni.
• Environment influences: I chhehvel atanga rilru lam nawrna nasa tak, chu chu stress tihna a ni.
• Hun kal tawha thil thleng rapthlak tak takte: I theihnghilh theih loh thil thleng a awm mai thei a, chu chuan i rilruah nghawng thui tak a nei a ni.

A pawimawh ber chu hetiang dinhmun hi i neih chuan "fit" i neih hi a tak tak a ni. Tumruh taka i tih emaw, fake emaw i tih a ni lo. A lo thlen hunah i thunun thei lo va, i thunun theih loh thil a ni. Hei hi hriatthiam hmasak a pawimawh hle. Hetiang dinhmun hi i nun tibuaitu lian tak a ni thei a, mahse tanpuina i hmuh theih a ni.

A chang chuan doctor ten he natna hi `(Functional Neurological Disorder - FND)` an ti thin. A chhan chu heng symptoms te hi thluak inbiakpawhna kalphung tibuaitu anga sawifiah theih a ni. Ṭhenkhat chuan hei hi computer-a ``software'', chu chu program-te harsatna ang chi angin an sawifiah a. Hei hi ``psychogenic nonepileptic attacks``, ``episodes`` emaw ``spells`` emaw an ti bawk.

`(PNES)` natna lanchhuahna chu engte nge ni?

Hetiang dinhmun chhinchhiahna ber chu "fit" an tih hi a ni. Mahse hei hi mi tin a inang lo thei.

Mi thenkhat chuan taksa pum pui a jerking leh shaking an nei thei a, chu chu ``Tonic-clonic seizures,`` ang bawkin epilepsy natna khirh ber a ni. Mi dangte chuan an ke ruhte chu a hrual leh a inher chhuak thei bawk. A châng chuan, ``Absence seizures,`` ang bawkin, hun rei lo tê chhûng hriatna hloh angin an lang thei a, a nih loh leh ``Drop attacks'' ang bawkin leiah an tla nghal mai thei bawk.`` A danglamna chu heng zinga pakhat mah hi thluaka electrical wave pangngai lo vanga lo awm a ni lo.

Hengte hi PNES natna lan chhuah dan tlangpui thenkhat chu an ni:

• Taksa che vel dan inthlak danglam: kut leh ke inthlak danglam leh inher dan hrang hrang.
• Hriat reng chungin taksa a khur: A châng chuan taksa chu a nghing chung pawhin eng emaw chen chu i chhehvela thil thlengte chu i la hre thei tho.
• Mit khar leh chhan loh.
• Taksa pum puia natna minute 10 aia rei: Epileptic "fits" hi hetiang hian a rei lo tlangpui.
• Thil hriatna hloh.
• Limbs te chu inrem lo taka kal.
• Pelvic movement hrang hrang.
• Lu chu a sir lehlamah rang takin a nghing.

He "fit" bakah hian rilru hriselna lama harsatna awm thei avang hian symptom dang i nei thei bawk. Entir nan:

• Hlauhthawnna
• Lungngaihna
• Panic attack a awm thin
• Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.

`(PNES)` awm chhante chu engte nge ni?

Researcher te chuan FS symptoms hi stressor hrang hrang inzawmkhawm avanga lo awm niin an ngai a, chu chuan i taksa, rilru leh khawtlang inlaichinna a nghawng a ni. Hei hi biopsychosocial model an ti bawk. Hei hian a awmzia chu biological, psychological leh social lam atanga nghawng pathum atanga lo chhuak a ni thei tihna a ni.

Chu bâkah, heng thilte hian he dinhmun hi a thlen thei a ni:

• Hriatthiamna leh rilru put hmang sawi chhuah harsa: Mi thenkhat chuan an rilru put hmang dik tak chu thuin an sawi thei lo.
• Sensorimotor processing problems: Chumi awmzia chu thluak hian kan hriatna atanga thuchah, kan mit leh beng atanga rawn lut chu thiltih ah a chantir harsa tihna a ni.
• Taksa leh rilru lama harsatna tawkte chhanna dik lo: Thinrim lutuk leh harsatna tenau tak pawh tuar thei lo.

Hetiang dinhmun lo thleng tur hian eng emaw chen chu genetic influences hian chanvo a nei thei tih rinna a awm bawk.

Vawi tam tak chu, rilru hriselna dinhmun hnuaia awm chu heng "fits" te hi a thlen thei a ni. Thil awm dan hmuh tam ber chu:

• Anxiety disorder leh panic attack te a awm bawk
• Depression natna (depressive disorder) a awm thin
• Dissociative natna (dissociative disorder) a awm thin
• Mood disorder (Mood disorder) a awm thin
• Mihring nihna lama harsatna (personality disorders) a awm
• Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.
• Somatic symptom natna a awm
• Substance hmansualna (substance hmansualna) te

`(PNES)` tihhmasawn theihna tur risk factors

Hetiang natna hi i vei theihna chance a sang zawk thei a, chu chu:

• Naupang i nih laia taksa, mipat hmeichhiatna, emaw rilru lama tihduhdahna emaw, ngaihsak lohna emaw i tawk tawh a nih chuan.
• Thil harsa tak emaw, lungchhiatthlak tak emaw i tawng tawh a nih chuan.
• Natna khirh tak, natna khirh tak tak, natna khirh tak emaw fibromyalgia emaw i vei a nih chuan.

PNES hi puitling naupang takah a intan tlangpui a, mahse kum eng pawhah a intan thei.

`(PNES)` avanga harsatna awm thei

Hetiang "fit" hi a lo awm chuan awareness emaw consciousness emaw i hloh vek thei. Chuvangin, chetsualna leh hliam tuar theihna a sang hle. A \henah chuan hei hian nunna a tichhe thei hial a ni. Lirthei khalh lai emaw, hmun sâng taka awm lai emawa hetiang thil hi thleng ta se eng nge thleng ang tih han ngaihtuah teh.

Nang pawh mi dangte lakah i inhnukdawk ṭan thei a, khawtlângah i inthiarfihlim ṭan mai thei a, chu chu hriat lohna avângin, mualphona avângin, a nih loh leh hlauhna avângin a ni. Chu chuan i hmangaih tak takte, i ṭhiante, leh i hlim ṭhin thilte a\angin i inhlat thei a ni.

Hetiang fit neih hian i rilru hriselnaah nghawng lian tak a nei thei bawk. Fit (FS) neih hian mahni intihhlum duhna i neih theihna a tipung thei a ni. Heng ngaihtuahnate hi i neih chuan tanpuina la rawh. Nangmah chauh i ni lo. I rintlak tak nen inbiakna nei la, doctor emaw, counselor thiam tak emaw hmu rawh. Ṭanpuina dawng tur chuan harsatna i tawh hma chu i nghah ngai ngai lo.

Doctor-te hian engtin nge PNES hi an hriat theih?

PNES hi hriat a harsa thei hle a, a chhan chu a natna lan chhuah dan hi epilepsy nen a inang hle a ni. I doctor chuan video (EEG - electroencephalogram) test hmangin seizure record hmangin a hre thei ang.

EEG hian i thluaka electrical signal awmte chu a teh a, a record bawk. EEG i tih hian technician pakhatin i lu vunah metal plate te te (electrode) a dah a. Heng electrode te hi machine nen an inzawm a, chu chuan doctor hnenah i thluak hnathawh dan tur a hriattir a ni.

I "fit" neih chu `(PNES)` a nih chuan i thluak hnathawh danah harsatna a awm tihna a nih chuan `(EEG)` test hian "fit" lai pawhin thluak electrical activity chu a normal tih a tarlang ang. Mahse, epilepsy vei tan chuan `(EEG)` hian "fit" laiin electrical activity pangngai lo a lantir ang.

Hetiang natna vei tam tak hi a tir lamah chuan epilepsy vei nia hriat sual an ni. Tin, a tlem hle bawk, ​​mi pakhatin epileptic "fits" leh ``PNES'' a nei ve ve thei bawk.

Engtin nge `(PNES)` hi enkawl a nih?

Research atanga a lan dan chuan psychotherapy chi khat Cognitive Behavioral Therapy (CBT) tih hi PNES enkawlna tha ber a ni .

I doctor chuan i fits thlentu tur underlying conditions (depression ang chi) eng pawh enkawl turin a pui bawk ang che. Hei hian CBT bakah doctor-in a tih angin antidepressant damdawi ei a huam thei bawk.

A pawimawh ber chu antiseizure damdawi hian he natna (PNES) enkawlnaah hian a hlawk lo hle.

`(PNES)` enkawlna tur `(CBT)` chungchang tlem tal

Cognitive Behavioral Therapy (CBT) hi counseling chi khat a ni a, i rilru leh taksain trigger hrang hrang a chhan dan tur a hriat theih nan a pui thin. I ngaihtuahnain i rilru put hmang leh nungchang a nghawng dan hriatthiamna a pe bawk. Mental health counselor chuan i ngaihtuahna, rilru put hmang leh nungchang hrisel lote hriatchhuah leh thlak danglam turin a pui thei che a, thil lungchhiatthlak tak takte chu a hlawhtling zawka i hmachhawn theih nan a pui thei bawk che a ni.

CBT hi i tan a fit tha lo nia i hriat chuan i doctor chuan i rilru lama harsatna i tawhte i enkawl theih nan "FIT" emaw counseling method dang emaw a rawn rawt thei che a ni.

I counseling session chhung hian i counselor nen in inhmu fo ang. In pahnih hian in ngaihtuahnain in rilru put hmang a nghawng dan leh in "fit" dan te chu in zir belh ang. Tichuan, in thawhhona chuan thil tum in siam ang a, chu chu hlen chhuah tumin in thawk ang. PNES i enkawl hian thil tum i nei thei a, chungte chu:

• I diagnosis chungchang zir belh zel.
• Tun hma emaw, tunlai emawa stressor awm thei te hriatchhuah a, chu chu chhuahsan theih dan tur zawn.
• "Fit" pakhat tana common triggers hriatchhuah leh enkawl.
• Emotional management thiamna (e.g. relaxation techniques) tihhmasawn.
• I nunphung (inzawmna, zirna, hnathawh, etc.) siam that leh.

I thil tum chu hetiang chiah hian a inang lo a nih chuan a pawi lo. Mi tin hian kan mamawh dan azirin kan tum a inang lo.

Puitling tan chuan i doctor chuan ``Neurobehavioral therapy'' tih program a rawt thei ang.Hei hi therapy chi khat, workbook hmanga siam a ni a, class lak ang chiah a ni. Kar tin inkhawmah i tel a, chu chu minute 45 vel therapy neih a ni. In lama tih tur ``practice assignment'' pek i ni bawk. Hei hian journal vawn emaw, social event-a tel emaw ang chi thiltih a huam thei a ni. Kar tin i thil zirte chu i siam ṭha thei a, thiamna ṭhenkhat i thiam hma loh chuan hei hi i chhunzawm thei a ni.

Engtikah nge ka doctor ka hmuh ang?

Counselling hian i tihkhawtlai emaw, i ngaihtuah loh emaw pawh ni thei rilru natna tam tak a rawn thlen thei a ni. I rilru natna chu a thunun theih loh nia i hriat chuan, emaw, him lo nia i hriat chuan, i counselor chu he zinkawngah hian pui turin a awm tih hre reng ang che. I enkawl dan chungchanga zawhna i neih apiang sawipui tur emaw, tanpui turin emaw i doctor-te biak a pawimawh hle.

`(PNES)` enkawl hnuah eng nge ka beisei theih ang?

PNES hi i nunah nghawng lian tak nei thei dinhmun a ni. Mahse, uluk taka enfiah leh enkawl a nih chuan a natna lan chhuah dan a tha thei hle.Mi thenkhat chuan an doctor thurawn zawm leh counseling-a active taka an tel avangin an "fits" chu a bo vek emaw, nasa takin a tlahniam emaw niin an sawi. I doctor chuan i dinhmun a zirin i beisei tur chungchangah information tha ber ber a pe thei che a ni.

Stress hian i PNES a thlen tih hriat chu a ti buai zual thei! Mahse a nih a ngai lo. I healthcare team te chu i diagnosis hriatthiam theih nan rorelna awm lovin an awm a ni. In pahnih hian in natna lan chhuah dan tihtlem dan tur ruahmanna siam thei a, rilru hriselna lama harsatna awm thei zawng zawng pawh enkawl thei bawk ang che.

I doctor-te chuan i counseling session-a i thiamna i zirte chu practice turin an fuih ang che. Nunna atana thil dang ang bawkin, i thawhrimna tam poh leh i result a tha zawk ang. Thiamna thar siam chhuah nan hun a duh a, chuvangin i hmuh nghal loh chuan beidawng suh. I doctor-te chuan i kalna apiangah an thlawp ang che.

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

PNES hi condition tak tak a ni a, tumruh taka i tih a ni lo. Hriatchhuah harsa tak ni thei mah se, a bik takin CBT hmang hian dik taka hriat leh enkawl a nih chuan nasa takin enkawl theih a ni. Heng symptoms te hi i neih chuan doctor thurawn lak hi zak leh hlau suh. Nangmah chauh i ni lo tih hre reng la, tanpuina a awm bawk. I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. Chuvangin chu pawh chu lo buaipui rawh.

`PNES, functional seizures, nonepileptic seizures, psychogenic seizures, seizures, stress, non-epileptic seizures, rilru hriselna, fit