Mi pakhat chu nikhaw hre lovin a tlu nghal a, a nghing tan tih i hmu ngai em? Hei hi ‘fit’ kan ti fo thin. Hei hi hmutu apiang chu an hlauthawng hle. Engtin nge tih tur an hre lo. Eng thil nge thleng tak tak? Engvangin nge hetiang hi a lo awm? Hei hi thil pawi tak a ni em? Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
Seizure a lo thlen chuan eng nge a awmzia tak?
A awlsam zawngin kan thluak hi circuit buaithlak tak ang mai a ni. Electrical signal te tak te hmanga inzawmkhawm nerve cell (neurons) maktaduai tam tak a awm a ni. Heng signal te hi controlled takin an thawk a, chuvang chuan kan ngaihtuah thei a, kan tawng thei a, kan kal thei a, engkim kan ti thei bawk.
Mahse, seizure a awm lai hian thluaka electrical activity chu a kal nghal mai thin. Electrical wiring system-a short circuit ang bawkin thluak cell thenkhat chuan thunun theih loh leh rate sang takin an kap tan thin. He ‘electrical surge’ hian kan taksaah thunun loha chetna leh hriatna hlohna a thlen a ni.
A pawimawh ber chu fit zawng zawng hi a inang vek lo. A châng chuan, i chhehvêla mite pawhin mi pakhatin fit a nei tih pawh an hre lo mai thei.
Eng ang fit chi nge awm?
Seizure hi thluaka khawi atanga tan nge tih a zirin chi hnih ah then theih a ni. Hei hi hriatthiamna chuan he dinhmun hi i hrethiam zawk ang.
1. Generalized Seizures: Hei hi thluak sir lehlamah a ruala electrical disturbances intan a ni. Chuvangin taksa sir lehlamah a nghawng thei a ni.
2. Focal Seizures: Hetiang seizure chi hrang hrangah hian electrical disturbance hi thluak hmun bik (focus) atanga tan a ni. Chuvangin, a tir lamah chuan taksa sir khatah chauh hmuh tur a awm thei. Mahse, a chang chuan hei hi a intan thei a, chutah chuan thluak pumpuiah a darh thei a, generalized seizure a lo ni ta a ni.
Heng chi lian tak tak hnuaiah hian sub-category dang engemaw zat a awm bawk. Eng nge an nih i en ang u.
| Fit chi hrang hrang | A awlsam zawngin, eng nge thleng? |
|---|---|
| Generalized Seizures (thluak sir lehlamah atanga tan) . | |
| Tonic-clonic Seizure (kan hmuh tam ber chi) . | Vawilehkhatah taksa ruhte chu a nghet ta (tonic), hriatna a bo a, chutah taksa chu a inher tan ta (convulsions/clonic). |
| Absence Seizure (naupang naupang zawkah a tam zawk) . | An thil tih chu an titawp nghal a, second engemaw zat chu mumang khawvela bo ang maiin an en reng a. Tichuan engmah thleng lo ang maiin hna an thawk chhunzawm ta a ni. |
| Atonic Seizure (Drop seizure) tih hi a awm lo. | Vawilehkhatah i taksa ruhte chuan chakna an hloh a, i ding chuan leiah i hrual ang a, i tlu ang. |
| Myoclonic Seizure a awm thin | Kut, ke emaw, taksa peng emaw chu electric-in a rawn nuai ang maiin a rawn inher nghal zung zung a. |
| Focal Seizures (thluak hmun khat atanga tan) . | |
| Focal Onset Aware Seizure tih a ni | Fit a lo thlen chuan i conscious. Thil thleng chu i hre thin a, i hre reng thin. Kut i beng mai mai emaw, rim mak tak mai i rim emaw, hlauhna i nei nghal mai emaw pawh a ni thei. |
| Focal Onset tihchak lohna awareness Seizure | Fit a lo thlen chuan consciousness a buai ta hle mai. I chhehvela thil thleng hi i hrethiam lo. I hmui ei emaw, i thawmhnaw hrual emaw ang chi thil mak tak tak i ti thei. Fit a zawh hnu chuan he hun chhunga thil thleng kha i hrechhuak tawh lo. |
A lan chhuah dan berte chu engte nge ni?
Fit chi hrang hrang a zirin symptoms hi a inang lo thei hle a, mahse symptoms tlangpui tlemte a awm.
- Hriatna hloh: A chang chuan hriatna i hloh vek thei a, a chang chuan i hriatna chu a buai deuh thei bawk.
- Thil tih dan thunun loh (Convulsions): .Taksa tihnghing, kut leh ke inthlak, taksa ruh hring (muscle twitching) ang chi thil.
- Staring blankly: Hmun khatah second engemaw zat chhanna awm lovin en reng.
- Emotion inthlak danglam nghal: chhan awm lovin hlauhna, hlim, emaw lungawi lohna emaw a awm nghal.
- Ha hrual, ka atanga phlegm chhuak.
- Mit chu a sir khatah roll a.
- Hriat loha zun emaw, bawlhhlawh emaw pass.
- Thawm mak tak tak siam.
Heng symptoms te hi second tlemte atanga minute tlemte thleng a awm thei.
Fit a nih chhante chu engte nge ni?
Seizure awm chhan pakhat chauh a awm lo a, mahse thil tam takin a thlen thei a ni. A châng chuan, a chhan engmah hmuh theih a ni lo. Hengte hi ``idiopathic seizures`` kan ti a. A tlangpuiin seizure awm chhan hi chi hnih ah then theih a ni.
1. Provoked Seizures: Hei hi hun eng emaw chen atana thil thleng emaw thil thleng emaw avanga seizure lo awm a ni. Seizure hi a chhan lak chhuah hnuah a lo kir leh tawh lo.
- Khawsik sang: A bik takin naupang tê têah chuan khawsik sang hian fit a thlen thei. Hei hi ``Febrile seizures`` kan ti a.
- Thisen sugar level: a hniam lutuk (hypoglycemia) emaw a sang lutuk emaw.
- Lu na : Lu hliam na tak a ni.
- Mut tlakchhamna: Ni tam tak chhung mut that loh.
- Zu emaw ruihhlo emaw: Zu in emaw, ruihhlo thenkhat emaw i chawlhsan thut a, zu in inhnukdawk.
- Damdawi thenkhat.
- Electric light: Eng zung zung chak tak.
2. Unprovoked Seizures: Hengte hi trigger chiang tak awm lovin a thleng thin. An lo awm fo chuan chu natna chu Epilepsy kan ti thin.
- Epilepsy: A natna a ni a, a natna chu a rilru a buai fo thin.
- Thluak natna (brain tumor) a awm.
- Thai.
- Thluak natna: `(Meningitis)` emaw `(Encephalitis)` emaw ang chi.
- Congenital thluak lama harsatna awm thei.
- Genetic atanga lo chhuak a ni.
Miin fit a neih chuan engtin nge kan tih ang? (A hmasa ber atan) .
Hei hi a pawimawh ber a ni. Mi pakhatin seizure a neih i hmuh chuan hlauthawng suh. First aid dik tak pek hian chu mi tana harsatna awm thei zawng zawng chu a veng thei a ni.
Fit a lo thlen hunah kan titawp thei lo tih hre reng ang che. Kan tih theih awmchhun chu chu mi chu hlauhawma a luh loh nan boruak buatsaih hi a ni.
| Thil tih tur (Do's) . | Tih loh tur |
|---|---|
| ✅ Ngawi rengin awm rawh. Midangte pawh thlamuang takin awmtir rawh. | ❌ Hmuh loh tur leh hrual loh tur. Contraction chu tharum hmanga tihtawp tum suh. Hei hian ruh a tikehsawm thei a ni. |
| ✅ A chhehvel atanga thil hrual, khauh tak tak (dawhkan, ṭhutphah) te chu paih chhuak tur a ni. | ❌ I kâah engmah dah suh. I ka chhungah spoon, thir, puan chi hrang hrang ang chi thil dah suh. Chutianga tih chuan ha a tikehsawm thei a, a tikehsawm thei a, i lei seh tawh lo turin hrilh che pawh ni se. |
| ✅ A theih chuan i lu hnuaiah thil nem (pillow, thawmhnaw folded) dah la, hliam i neih loh nan. | ❌ Tui leh chaw pek tum suh. Miin a hriatna a neih leh hma loh chuan ka chhungah engmah dah suh. |
| ✅ Glasses i bun a nih chuan , uluk takin la chhuak rawh. | ❌ Mi chu a thawk a nih chuan CPR pek loh tur . |
| ✅ Contractions a tawp hnuah , uluk takin mi chu an sir lamah (recovery position) hawitir rawh. Hei hian ka atanga mucus awm chu a tifai a, thawk pawh a ti awlsam bawk. | ❌ An hriatna an neih leh hma loh chuan kalsan suh. An hriatna an neih leh hnuah rei vak lo an bulah awm rawh. Tlemte chuan an buai deuh a, an chau deuh mai thei. |
| ✅ Fit hun chhung en rawh. Hei hi Doctor tan chuan a pawimawh hle. |
Engtikah nge damdawi in (ETU) ah hruai nghal tur?
Fit chu minute 1-2 chhungin a tawp tlangpui. Mahse, heng thil thlengah hian ambulance ko nghal tur a ni a, damlo chu Emergency Treatment Unit (ETU) ah hruai tur a ni.
- Fit hi minute 5 aia rei a nih chuan .
- Fit pakhat a tawp a, i hriatna i neih leh hmaa pakhat a lo kal chuan .
- Fit neitu chuan thawk harsatna a neih chuan .
- Fit hian hliam na tak a thlen a nih chuan .
- Hei hi chu mi chuan a nunah a fit hmasak ber a ni .
- Fit chu tuiah a lo thleng a nih chuan .
- Fit neitu chu nu naupai emaw zunthlum vei emaw a nih chuan .
Engtin nge hei hi i hmuh theih, Doctor?
Doctor hmu tura i kal chuan nangmah leh a fit hmutu hnenah a chipchiar zawngin a zawt hmasa ang. Fit hmaa thil thleng te, fit laia thil thleng te, a tawp hnua i rilru put hmang te.
Tin, a chhan hriat nan hetiang test hi tih theih a ni bawk:
- Thisen test: Thisen sugar, chi level, leh infection status te enfiah thin ang che.
- EEG (Electroencephalogram): Hei hian i thluaka electric awm dan a test thin. Thluaka electrical activity pangngai lo eng pawh a hmuchhuak thei.
- CT Scan emaw MRI Scan: Heng scan chi hrang hrang hian thluak chhunga tumor, thisen zam emaw, harsatna dang emaw a awm leh awm loh a enfiah thin.
Enkawlnate chu engte nge ni?
Enkawlna chu a fit chhan, a chi leh a fit tam danah a innghat a ni.
- A chhan enkawl dan: Fit awm chhan chu hun rei lote chhunga thil awm, khawsik emaw thisen sugar hniam emaw a nih chuan enkawl chuan fit lo leh tur chu a titawp ang.
- Antiseizure Damdawi: Seizure i neih fo chuan (epilepsy ang chi) i doctor chuan nitin ei tur damdawi a pe thei ang. Heng damdawi te hian thluaka electrical activity pangngai lo control-in hna an thawk a ni. Heng damdawi te hi i doctor-in a hrilh ang chiah, a hun takah, hun dik takah ei a pawimawh. I duh duhin i ei kha i bansan tur a ni lo.
- Surgery: A then phei chuan damdawi hmanga control theih loh fit tan chuan thluaka fit tanna hmun bik a awm chuan chu hmun chu surgery hmangin lakchhuah theih a ni.
- Enkawlna dang: Tunlai damdawi ``Brain stimulation'' leh ei leh in dan thenkhat ``ketogenic diet'' te pawhin mi thenkhat a pui bawk.
Fit neih hi thil hlauhawm tak a ni thei. Tin, a hmutute pawhin an ti thei bawk. Mahse hei hi hriat chian a pawimawh .Hriatthiamna hmang hian chu hlauhna chu i hneh thei a, mi harsa tak chu i ṭanpui thei a ni. Nangmah emaw, i hriat miin emaw he natna hi i neih chuan doctor pan hreh suh. Enkawlna dik tak i neih chuan he natna hi i thunun thei a, nun pangngaiin i nung thei bawk.
Take-Home Thuchah a ni
- Seizure chu thluaka electrical activity rei lo te chhunga tihbuai a ni. Rilru natna a ni lo.
- Fit zawng zawng hian twitch a siam vek lo. Fit thenkhat chu a fiah lo hle thei a, blank taka en reng ang chi te pawh a ni thei.
- Miin fit a nei a nih chuan hlauhawma an awm loh nan boruak chu ruahman rawh. Mahse, tharum hmanga khap tum ngai suh la, an hmuiah engmah dah tum ngai suh.
- Fit hi minute 5 aia rei emaw, i nunah a vawi khatna atana lo thleng emaw a nih chuan emergency a ni. Damdawi in pakhat emergency room (ETU) ah kal nghal rawh.
- Nangmah emaw, i hnaih ber emawin fit i neih chuan, a natna hriat chian leh enkawl dan tur dik tak neih theih nan damdawi lam thurawn la ngei ang che.
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