Seizure pawh i nei fo em? He dinhmun hlauhawm tak hi i zir dawn teh ang? (Status Epilepticus) tih a ni.

Kan thiante leh chhungte thenkhat chu a zawnin seizures an nei tih i hmu tawh mai thei. A nih loh leh, seizure pakhat an nei a, chutah chuan an hriat leh hmain an nei leh thei bawk. Hei hi dinhmun pawi tak a ni. Vawiin hian he damdawi lam natna hlauhawm leh emergency tak ``Status Epilepticus`` tih hi kan sawi dawn a ni.

Status Epilepticus tih hi eng nge ni?

A awlsam zawngin sawi ila, Status Epilepticus (SE) hi mi pakhatin a rilru a hahdam leh theihna tur emaw, a dam leh theihna tur emaw hun remchang a neih loh avangin a rilru a hah chhunzawm zel emaw, a natna a awm chhunzawm zel emaw a ni. Hetiang dinhmun hi epilepsy vei zingah a tam zawk a, mahse epilepsy nei lote pawhin damdawi lam natna chi hrang hrang avang hian hetiang chi continuous seizures hi an nei thei bawk.

Hei hi nunna atana hlauhawm medical emergency a nih avangin damdawi lam pan vat a ngai a ni.

Nangmah emaw, i bula awm tu emaw chuan minute nga aia rei seizure i neih chuan, emaw, seizure hrang hrang i neih tawh a, i hriatna a la kim lo a nih chuan 1990 (ambulance) emaw, i awmna hmuna emergency number emaw call nghal rawh. Hei hi a pawimawh hle a, enkawlna i hmuh hma chuan a rah chhuah a tha zawk avangin.

He dinhmun hian tute nge a nghawng ber?

Tu pawhin seizure an nei thei a, status epilepticus (SE) pawh hi chutiang bawk chu a ni. Amaherawhchu, mi thenkhat chuan an nei tam zawk. Chung zingah chuan:

• Kum: Naupang kum khat hnuai lam leh puitling kum 60 chunglam te chuan he natna hi an vei tam zawk. Mahse, kum eng pawhah a thleng thei. Heng kum hnih te hi damdawi lam thil dang, status epilepticus (SE) thlen thei a nih avangin an hlauhawm zawk a ni (A chhan leh a lan chhuah dan en rawh).
• Gender: Mipa hian he natna hi an vei tam deuh hlek a.
• Epilepsy neih: Status epilepticus (SE) vei tam zawk chuan epilepsy an nei. Naupang tê 16% leh 38% inkar leh puitling 42% leh 50% inkar chuan epilepsy an vei tih hmuhchhuah a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Status epilepticus (SE) hi natna tlanglawn tak a ni lo a, mahse thluak lama medical emergency awm tam ber zinga mi a ni. Mithiamte chuan kum tin mi 100,000 zinga mi 7 leh 40 velin he natna hi an vei niin an chhut. Chumi awmzia chu, entîr nân, United States-ah chuan kum tin hri kai 23,000 aṭanga 131,800 vêl an awm tihna a ni. Seizure zawng zawng zinga 2% vel chu status epilepticus (SE)-ah an chang a, seizure thar zinga 23% vel chu hetiang dinhmunah hian an lo chang bawk.

Engtin nge status epilepticus hian taksa a nghawng?

Status epilepticus (SE) hi i thluak atanga tan ni mahse, i taksa pum puia system engemaw zatah nghawng hlauhawm tak a nei thei a ni. HeiChutiang thil a thlen dan hriatthiam nan chuan seizure tih hi eng nge a nih tih tlem tal hriatthiam a \angkai hle.

Thluak a nghawng dan

I thluaka nerve cell, neuron an tih te hian hun rei tak chhung chu thunun theih lohvin an kap thei lo. Electronic device chu electric tam lutuk a nih chuan a kang chhuak thei ang bawkin, status epilepticus (SE)-a convulsive activity control loh chuan i neurons a tichhe thei a ni. He chhiatna hi a awm reng fo thin. Chumi awmzia chu i thluak peng chhia te thunun theihna i hloh thei tihna a ni.

Taksa system dangte chunga nghawng a neih dan

Status epilepticus (SE) ah chuan i taksa ruh zawng zawng chu thunun theih loh, hmun zau takah a che thei a ni. Hei hian i taksa lumna a tisang a, i taksa ruhte a ti chau bawk. I taksa hian i thisenah chemicals a chhuah tir a, a compensate a tum a ni. Mahse hei hian hun bituk chhung chauh a pui a ni.

Status epilepticus (SE) hi rei tak a awm chuan i taksaa a hnuaia system te hi a nghawng thei a ni:

• Thinlung: Thisen a chemical inthlak danglamna hi a rei lutuk a nih chuan tanpuitu ni lovin a pawi thei hle. Hei hian thinlung thawk mumal lo emaw, thinlung tihchhiat emaw pawh a thlen thei. Seizures thenkhat chuan thinlung a ti slow (bradycardia) emaw, a tawp vek (asystole) pawh a thlen thei.
• Muscles: Thil tih reng reng hian taksa ruh a tichhe thei a, chu chu exercise i tih laiin i thawhrim lutuk hian a tichhe thei a ni. Hei hian i taksa ruh leh soft tissue dangte a ti hliam thei a ni. A nasat chuan he chhiatna hian i taksa ruh (muscle tissue) pawh a tikehsawm thei a ni.
• Kidney: Muscle tissue chhia tihchhiat atanga thil lo chhuak hi toxic a ni. I kal hian hengte hi a tlem berah a filter chhuak thei a, mahse a tam zawk chuan kal a buai thei a, kal a tichhe thei a ni.
• Thâwk: Status epilepticus (SE) hian i thawk theihna a tibuai thei bawk. Hei hian thluak leh taksaah oxygen tlakchhamna a thlen thei a, chu chuan a tawpah thihna a thlen thei a ni. Status epilepticus (SE) vei te hian an pum atanga tui chu an lungah an aspirate thei bawk a, hei hian pneumonia leh infection a thlen thei bawk.
• Taksa lumna sang: Khawsik sang ang bawkin status epilepticus (SE) hian i taksa lumna chu hlauhawm takah a tisang thei a ni. Hei hian i taksa system zawng zawng, a bik takin thluak a tichhe thei a ni.

Eng nge a lan chhuah dan?

Status epilepticus (SE) symptoms hi thluak a natna hmun a innghat a ni. Seizure hi thluak hmun hrang hrangah a awm avangin seizure chi hrang hrang a awm a. Chutiang chuan status epilepticus (SE) subtype hrang hrang a awm a. Anni chu:

• Convulsive status epilepticus `(Khawp chhuahna SE)`: 1.1.Hei hi taksa sir lehlamah thunun theih loha jerking leh shaking a ni. Generalized tonic-clonic seizures hi seizure chi khat, he natna thlen theitu ber a ni.
• Nonconvulsive status epilepticus `(Nonconvulsive SE)`: Hetah hian jerk, tremor, leh muscle movement control loh a awm lo. Mahse, taksa peng tenau thenkhat chu a awm thei. Entirnan, kut emaw, hmai thenkhat emaw, a hrual tlem te, zawi zawia tih nawn leh ang chi te. He `(Nonconvulsive SE)` hi thluak hmun tlemte chauh nghawng thei seizure chi hrang hrang `(Absence seizures)` leh `(Focal seizures)` avanga lo awm thei a ni.

Hei hi eng chhan nge ni?

Status epilepticus (SE) awm chhan awmchhun chu seizure vang a ni. Seizure a awm theih dan tlangpui pahnih a awm a, chungte chu:

• Provoked seizures: Hengte hi thil dang emaw, thil dang emaw avanga lo awm a ni. Entirnan, khawsik sang, zu emaw ruihhlo bânsan, thisen sugar hniam, stroke, thluaka natna hrik, leh encephalitis. Hetiang chi hi seizure zawng zawng 25% atanga 30% vel a ni. Seizure hi thluak chhiatna avanga lo awm a nih chuan acute symptomatic seizure an ti a, status epilepticus-a a lo chan theihna a sang zawk.
• Unprovoked seizures: Heng seizures te hi damdawi lam dinhmun emaw, a chhan bulpui emaw chhinchhiahna a ni lo. Mi thluak chu a mah chauha seizures nei tura awlsam taka trigger a nih chuan an lo awm thin. Lu hliam emaw, stroke emaw atanga ni sarih chhunga seizure lo awm pawh hi he category-ah hian a tel ve bawk.

Seizures awm chhan bik

Seizure a awm theihna chhan tam tak a awm. Kum thenkhatah chuan chhan bik vangin status epilepticus (SE) vei an tam zawk. Chungte chu:

• Khawsik, a bik takin khawsik sang: Hengte hi ``Febrile seizures'' an ti a, naupang kum khat hnuai lamte seizures thlentu ber an ni.
• Stroke, aneurysm, leh thluaka thisen chhuak: circulatory system-a harsatna eng pawh thluak tichhe emaw, thluak hnathawh tibuaitu emaw chuan seizures a thlen thei. Stroke leh a kaihhnawih harsatna, aneurysm leh thluaka thisen chhuak te hi kum 60 chunglamte zingah seizure thlentu lian ber a ni.

A chhan dangte chu:

• Brain tumor (cancer pawh tel) a awm.
• Thluak lama oxygen tlakchham (Cerebral hypoxia).
• Lu hliam na tak `(Concussion na tak leh thluak hliam na tak)`.
• Zawi zawiin thluak tichhe thei natna, entirnan Alzheimer’s disease emaw frontotemporal dementia emaw.
• Ruihhlo leh zu (hei hian damdawi, intihhlimna atana ruihhlo, caffeine thlengin a huam a ni).
• Ruihhlo emaw zu emaw hman atanga inhnukdawk.
• Eclampsia hi naupai laiin thisen sang vangin seizure a ni.
• Electrolyte harsatna, a bik takin hyponatremia, calcium emaw magnesium tlakchhamna.
• Eng eng emaw, eng eng emaw laka sensitivity.
• Genetic diseases (pian tirh atanga nu leh pa atanga rochun natna).
• Hormone inthlak danglamna (entir nan, catamenial epilepsy, thlasik nei te natna hian cycle chhunga hun engemaw chen chu seizure a thlen tam thei a ni).
• Infection (a bik takin virus, bacteria, parasite, emaw fungi emaw avanga natna hrik, encephalitis emaw meningitis emaw ang chi).
• Immune system natna avanga inflammation (i immune system in mahni thluak a beih hian).
• Metabolic lama harsatna, a bik takin thisen sugar sang (Hyperglycemia) emaw thisen sugar hniam (Hypoglycemia) emaw a awm thei.
• Thluak insiam dan (a bik takin nau piang laia awm) lama harsatna awm.
• Sepsis (thisen avanga rimchhia).
• Toxins leh poisons (carbon monoxide poisoning emaw heavy metal poisoning ang chi).

Engtin nge Status Epilepticus hi an hriat theih?

Doctor chuan chu mi chu a seizure symptoms te, seizure hian eng chen nge a daih tih te, leh seizure vawi khat aia tam a neih inkara dam leh theihna hun a awm leh awm loh te a zirin status epilepticus (SE) hi preliminary diagnosis a siam thei a ni. Mahse, chu mi chuan status epilepticus (SE) thlentu seizure a neih chhan hriat a pawimawh bawk. Hei hian kawng hrang hrang a huam tlangpui.

He natna hi hriat theih nan eng test nge tih thin?

Electroencephalogram (EEG) test hi seizure eng pawh hriat theihna tha ber a ni a, status epilepticus (SE) pawh a tel. He test-ah hian sensor sticky, electrically conductive gel hmanga khuh i lu vunah dah a ni. He gel hian sensor te chu i thluaka electrical activity te chu a hriat theih nan a pui thin.

Doctor-te chuan i thluak hnathawh dan (pattern) enin seizure i nei tih an hre thei a ni. Miin seizure a neih chhunzawm zel a nih chuan, emaw, a zawna seizure vawi tam tak a neih chuan doctor chuan status epilepticus (SE) a hmuchhuak thei a ni. Nonconvulsive status epilepticus (Nonconvulsive SE) nei tan chuan EEG hi a pawimawh hle.

Mahse, doctor chuan chu mi seizures chu ``Provoked'' nge ``Unprovoked'' tih a hriat chian a ngai bawk.Hei hian test leh examination hrang hrang a mamawh a ni. Entir nan:

• Thisen test: Hengte hian thil tam tak a hmuchhuak thei a, chu chu metabolic leh blood chemistry inthlauhna te, immune system lama harsatna te, toxins leh poisons te hi a ni.
• CT scan (Computerized Tomography - CT scan) hmanga enfiah a ni.
• MRI (Magnetic Resonance Imaging - MRI) hmanga enfiah a ni.
• Spinal tap / Lumbar puncture tih a ni.

I doctor chuan test dang pawh a rawt thei bawk. Hei hi thil tam takah a innghat thei a, chu chu hliam i neih leh neih loh, i medical history, seizure i neih chi hrang hrang leh a dangte a ni. I doctor (a nih loh leh i tan damdawi lam thutlukna siamtu tur i thlan tu emaw) chuan eng test nge i tan a tha ber tih a hrilh ang che a, engvangin nge a tha ber tih a hrilh ang che.

Engtin nge enkawl a nih? Dam theih a ni em?

Status epilepticus (SE) hi kawng hrang hrang hmanga enkawl a ni. Hei hi a chhan chu status epilepticus (SE) hian harsatna lian tak emaw, nunna atana hlauhawm emaw a thlen thei a, chu chuan taksa pum a nghawng thei a ni. Heng hmanrua te hi:

• Damdawi chi hrang hrang.
• Intubation hmanga tih a ni.
• A chhan bulpui (a awm chuan) enkawl.
• Adjunctive therapy hmanga enkawl a ni.

Status epilepticus (SE) hian enkawlna a dawn loh chuan refractory SE an ti a. Mahse, enkawl dan tur a la awm tho.

Damdawi chi hrang hrang

I thluaka seizure activity tihtawp nan damdawi hi a pawimawh hle. Damdawi hian harsatna dang, status epilepticus (SE) avanga lo awm thei, heart rhythm problems te pawh a tidam thei bawk.

Seizure tihtawp nana damdawi hman tlanglawn ber berte chu:

• Benzodiazepines (Benzos): Heng damdawi te hian i neurons electrical activity a block a, seizure a titawp a ni. I taksaah direct-a injection hmanga pek an ni tlangpui a, intravenous (IV) line hmanga pek an ni bawk. Hnar spray emaw gel emaw angin an rawn thleng thin. Kawng emaw, ril emaw hmanga pek theih a ni (gels hi ka leh rectum tissue-in a hip lut awlsam zawk). Chung zinga a tam zawk chu first-line drugs an ni. Mahse ṭhenkhat chu damdawi dangin hna a thawh loh huna hman tur atan dah a ni.
• Antiseizure damdawi: Benzodiazepines chauh hian seizure hi 50% vel chauh a titawp thei. A dang 50% ah chuan seizure hi a intan leh thin a, chu chu a tir lama damdawi hman tawh kha a lo ral tawh thin. Chuvangin, heng damdawi te hian hun rei tak chhung seizures a lo awm leh tawh loh nan a pui thei a ni. Antiseizure damdawi hian i thluak hnathawh dan a thlak danglam bawk a, i thluaka electrical activity a ti tlem bawk. Heng damdawi te hi IV angin pek thin a ni.
• General anesthesia: A nasat ber lai chuan doctor-te chuan mi pakhat chu damdawi lam avanga coma-a dah nan anesthesia an hmang thin. Hei hian mi thluak leh taksa chu status epilepticus (SE) avanga chhiatna thleng chhunzawm zel lakah a humhim a ni.

Intubation hmanga tih a ni

Intubation chu mi pakhat thlipui (bronchi ) chhunga tube dahna a ni. Tube hian chu mi thlipui chu a inhawng reng tih a tichiang a ni. Tin, medical staff te pawhin manual resuscitation bag emaw ventilator emaw hmangin i thawk thei bawk.

A chhan bulpui (underlying causes) enkawl

Miin provoked seizure a neih chuan a chhan bulpui enkawlna chu a seizure tihtawp nan a tawk fo thin. Entirnan, damdawi, toxins, zu emaw ruihhlo inhnuhdawh avanga seizure, emaw metabolic problems, sodium emaw potassium level sang emaw hniam emaw te.

Seizures awm lohna tura enkawlna

Kawng dang chu seizures a awm loh nan a ni a, chu chuan status epilepticus (SE) a lo awm leh tawh loh nan a veng thei a ni. Seizure venna atana hmanraw hman tlanglawn tak tak thenkhat (a nih loh leh a nasat dan emaw, a tam dan emaw tihtlem nan) chu:

• Damdawi chi hrang hrang.
• Epilepsy operation tih a ni.
• Ei leh in inthlak danglamna (a bik takin carbohydrate tlem emaw nei lo emaw ``Ketogenic diets'').
• Nervous system tihchak (thluak thuk tak tihchak emaw vagus nerve tihchak emaw ang chi).

Enkawlna dang

I case leh i dinhmun bik a zirin enkawlna leh tih dan dang a awm thei bawk. I doctor (a nih loh leh i tan damdawi lam thutlukna siam tura phalna nei mi) chuan eng damdawi nge i tan a tha ber tih a rawn rawt thei ang a, a chhan pawh a sawifiah thei bawk ang.

Enkawlna avanga harsatna emaw, a side effect emaw chu engte nge ni?

Status epilepticus (SE) enkawlna avanga harsatna emaw, side effect emaw awm thei chu thil tam takah a innghat a ni. Chung zingah chuan:

• Hriatrengna hloh.
• Rilru hriselna lama harsatna (depression leh/ emaw lungkhamna ang chi).
• Treatment bik i dawn kha.
• Seizure awm chhan (doctor ten an hmuh theih chuan).
• I medical history leh i medical condition awm tawh zawng zawng.

I doctor hi harsatna awm thei leh a side effect awm thei sawifiahtu tha ber a ni a, a theih chuan a ven dan tur emaw, tih tlem dan tur emaw tips a pe thei bawk.

Engtin nge ka in enkawl theih ang emaw, symptoms ka enkawl theih ang?

Status epilepticus (SE) hi nunna atana hlauhawm damdawi lam emergency a ni. Hetiang natna vei te hian anmahni an in enkawl thei lo va, seizure hi direct-in an titawp thei lo bawk. A natna hriatchhuah leh enkawl dan him ber chu emergency room - emaw emergency medical facility dang - hmanrua leh bungrua mamawh awmnaah kal hi a ni. Heng avang hian he dinhmun hi 1990 (Emergency Medical Service) emaw, i awmna hmuna emergency number emaw biak a, damdawi lam pan nghal tur a ni fo thin.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Status epilepticus (SE) atanga dam leh hun chhung leh a enkawl dan hi thil tam takah a innghat a ni. Recovery time tichiangtu pawimawh ber chu i status epilepticus thlentu leh eng chen nge a awm tawh tih hi a ni. I doctor hi i case-a i dam leh hun tur hrilhtu tha ber a ni.

Engtin nge status epilepticus vei theihna tihziaawm theih ang?

Seizure awm chhan tam tak a awm a, a tam zawk chu sawi lawk theih loh a ni. Chuvangin seizures leh status epilepticus (SE) te hi a taka ven theih dan a awm lo. Mahse, seizure i neih theihna tur tihtlem dan tur a awm. Chutianga tih chuan seizure chu status epilepticus (SE)-a a lo chan theihna chance a ti tlem ang. Seizure i neih theihna tur tihziaawmna tura i tih theih thenkhat chu hetiang hi a ni:

• Chhanchhuahna damdawi chu kutah dah rawh: Seizure disorder an nei tih hretute tan chuan "chhanchhuahna" damdawi an kuta neih hian danglamna nasa tak a thlen thei a ni. Entirnan, benzodiazepines te chu hnar spray-a lo awm thin te hi a ni. Mi pakhatin seizure tihtawp nan hengte hi a pe thei che a ni. Entirna dang chu ka chhunga a hmin tablet hi a ni. Hei hi seizures inkar ah i ei thei a, seizure hrang hrang tihtawp nan. Mi dangin seizure an neih chuan seizure a reh hnuah a prescribed pill chu pe thin ang che.
• Ei leh in inthlau tak ei la, taksa rihna hrisel tak vawng reng rawh: I thisen kalna leh thinlung hriselna nena inzawm natna tam tak, a bik takin stroke hian i thluak hmun thenkhat a tichhe thei a ni. Hei hi kum 60 chunglamte seizure thlentu lian tak a ni a, i ei leh in enkawl hian electrolyte harsatna (entir nan, sodium tam lutuk emaw, tlem lutuk emaw) avanga seizure awm lo turin a pui thei bawk. Mi thenkhat chuan seizures ven nan low-carb emaw no-carb diet an mamawh mai thei. Doctor chuan heng ei leh in chungchangah hian a kaihruai thei che a, a pui thei bawk che a ni.
• Infection enkawl: Mit leh beng natna enkawl hi a pawimawh zual hle. Infection hi thluak ah a darh thei a, khawsik sang tak a thlen thei bawk. Heng pahnih hian seizure a thlen thei a ni.
• Safety gear bun: Lu hliam hi concussion thlentu lian tak a ni. A tul apianga safety gear, helmet leh seat belt bun hian hliam tuar thei, concussion thlen thei tur venna atan a pui thei a ni.
• Zu, damdawi, leh intihhlimna atana ruihhlo hman sual loh tur: Chûngte hman dik loh chuan seizures a thlen thei a ni. Tin, heng thilte hi addict i nih chuan i hman tawh loh hunah seizures i la nei thei bawk.
• I hriselna dinhmun enkawl rawh: Chronic conditions enkawl hian seizures a veng thei a, a bik takin thisen sugar level sang avanga lo awm, type 1 diabetes leh type 2 diabetes te hi a veng thei a ni. Epilepsy i neih chuan anti-seizure damdawi ei hi i natna enkawlna kawngah pawh a tel ve a ni.

Status epilepticus ka neih chuan eng nge ka beisei theih ang?

Status epilepticus `(SE)` i neih chuan i hriatna i hloh a, a chhan chu seizure hian i thluak hnathawh a tibuai a ni. Seizure lai hian i thluak a thawk tha lo va, thil thleng chu i hrethiam thei lo va, tumruh takin engmah i ti thei lo bawk. I taksa a nghawng dik tak chu status epilepticus `(SE)` thlentu seizure chi hrang hrangah a innghat a ni. Status epilepticus `(SE)` nei te pawhin an hnaih ber thila tlu emaw, intlansiak emaw hmangin an inhliam thei bawk.

Status epilepticus hi eng chen nge a awm?

Status epilepticus (SE) hi minute nga tal a awm thei. Seizure a rei poh leh a mah chauha a tawp theihna a tlem zawk. Hei hian a awmzia chu status epilepticus (SE) hi he natna avanga thihna thleng thlengin a awm a rinawm ber tihna a ni.

Hetiang dinhmun hi eng nge a thlir ang?

Status epilepticus (SE) hi medical emergency a ni a, a chhan chu enkawl loh chuan thihna a thlen tlangpui a ni. Mahse, enkawlna kawng hrang hrangah nasa takin hma a sawn a ni. Tunah chuan status epilepticus (SE) chauh hi 0.5% atanga 2% chauhvin a thihpui thei a ni.

A tlangpuiin naupang leh naute, khawsik natna avanga status epilepticus (SE) vei te hian hmalam hun tha ber an nei thin. Mahse, natna khirh tak, stroke ang chi nen a lo awm chuan thihna (status epilepticus (SE) atanga emaw, natna dang atanga emaw) a sang hle. Hei vang hian kum 60 chunglam puitling zingah status epilepticus (SE) damchhuahna rate a hniam hle.

Engtin nge ka in enkawl ang? (Seizures venna atan) .

Status epilepticus (SE) history i neih chuan seizures ven hi i invenna atana i tih tur pawimawh ber a ni. Seizures laka invenna atana i tih theih pawimawh ber berte chu:

• Chhanchhuahna damdawi te chu i hnenah dah la: I doctor-in emergency damdawi a pek i neih chuan engtik lai pawhin i hnenah dah reng ang che. An tel lovin in chhuahsan suh. I dinhmun leh damdawi mamawh emaw allergy emaw i neih leh neih loh card-ah dah la, a nih loh leh medical information bracelet bun tum bawk ang che. Hei hi damdawi lam tanpuina i mamawh a, i dinhmun hretu tumah i bulah an awm loh chuan first aider-te tanpui nan a tangkai thei hle.
• I damdawi ei tur chu a tih angin ei rawh: I anti-epilepsy damdawi ei hian i seizures awm fo leh a nasat dan a ti tlem thei a ni. Hei hi status epilepticus (SE) laka inven nan a pawimawh hle. I rilru a hahdam emaw, hun rei tak chhung seizure i nei lo emaw pawh nise, i damdawi ei kha i chawlhsan ngai lo tur a ni. Doctor thurawn ang chauha ei kha i bansan tur a ni.
• I doctor nen duhthlan tur chungchang sawipui rawh: I damdawi ei tihtlem emaw, damdawi dang hman i duh emaw chuan i doctor chuan a theih leh theih loh leh i duhthlan tur chu eng nge ni tih a hrilh thei che a ni. A tihtawp emaw, thlak emaw theih a nih chuan i doctor chuan him takin a pui thei che a ni.
• I doctor hmu fo rawh: I doctor chuan i hmuh theih nan schedule a siam ang. Heng appointment te hi i dinhmun enkawlna leh damdawi emaw enkawlna dik tak hmuhna atan a pawimawh hle.
• Symptoms ngaihthah suh: I doctor chuan seizure hmaa lo awm thei warning signs emaw symptoms emaw hriat theihna turin a pui thei che a ni. I seizure kaihhnawih symptoms emaw, i damdawi hman tangkai danah emaw inthlak danglamna i hmuh chuan i doctor hnenah i hrilh tur a ni.
• Seizure triggers pumpelh rawh: Seizure i neih theihna tipung thei tur condition i neih chuan, light eng emaw, mut theih lohna emaw a nih chuan, a theih phawt chuan chutiang thil chu pumpelh rawh.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

Status epilepticus `(SE)` hi damdawi lam emergency a ni. Status epilepticus `(SE)` i neih chuan nangmah ngeiin 911 (Emergency Medical Service) i call thei lo a, chuvangin midang tih tir hian danglamna nasa tak a thlen thei a ni. Status epilepticus `(SE)` history i neih a, i neih leh theihna tur hlauhawma i awm chuan i chhungte, i hmangaih te, i thawhpui te, leh i thiante nena inbiakna neih hi a \angkai thei ang. Ṭanpuina dîl hun tûr hriattîr chuan i nunna emaw, mi dang emaw nunna a chhanhim thei a ni.

I bula awm mi pakhatin minute nga aia rei seizure a neih chuan, emaw, vawi khat aia tam seizure a neih a, a dam lo a nih chuan 1990 (Emergency Medical Service) emaw, i awmna hmuna emergency number emaw call nghal rawh. Mi pakhatin status epilepticus (SE) enkawlna a dawn hma chuan result tha tak a chhuah theihna chance a sang zawk.

Ka bula mi pakhatin seizure a neih chuan engtin nge ka tih ang?

I bula awm mi pakhatin seizure a neih chuan seizure first aid-a i tih theih tlemte a awm. Seizure minute nga aia rei a nih chuan, emaw, chu mi chuan a dam kim hmaa seizure dang a neih chuan 1990 (Emergency) emaw, i awmna hmuna emergency number emaw call nghal rawh.

Miin seizure a neih laiin i tih tur leh tih loh tur thenkhat chu hetiang hi a ni:

Thil tih tur: 1.1.

• A thaw thei em tih enfiah: A kawr vela thawmhnaw chu phelh la, a thawk a nih leh nih loh enfiah rawh.
• Thil hlauhawm tak takte chu a hnen atangin hla takah dah rawh: Hei hian thil chhe thei emaw, tlu thei emaw, hliam tuar thei thilte pawh a huam a ni. Glasses a bun a nih chuan fimkhur takin la chhuakin a bulah dah rawh.
• `Chhanchhuahna hmunah` ah chantir rawh:Chu mi chu an sir lamah hawitir rawh. Hetiang dinhmun hian an thawkna kawng a venghim a, tui chi hrang hrang, hmui emaw, riltam emaw an inhnim loh nan a pui bawk. An lu chu an ruhro nen inmil tir tum ang che (an kut phar, pillow emaw, an lu hnuaia thil dang emaw dahin), chuti lo chuan an kawr angle chuan an thawkna kawng a tikhawlo thei a, thawk pawh a ti harsa thei a ni.
• Seizure hi a hnaih thei ang bera time: Doctor hnenah seizure hi eng chen nge a awm tih hrilh hi thu pawimawh tak a ni thei. Emergency medical attention mamawh leh mamawh loh hriat theihna turin a pui thei bawk.
• Seizure atanga an dam leh hunah anmahni bulah awm rawh: Seizure nei tawhte chu an seizure atanga an dam leh chuan an buai leh hlauthawng fo thin. Thlamuan tûr leh thlamuan tûrin ṭanpui ang che.
• Mi chu a hriatna a neih leh hnuah a dam tha em tih enfiah rawh: Seizure hnua hliam a neih chuan damdawi lam pan a ngai em tih en rawh. Chu mi chuan a lu a lo deng tawh a nih chuan, emaw, a lu, a kawr, a hnungzang a hliam theihna a awm a nih chuan, a him ber chu damdawi lam pan a, i hmuh theih loh hliam na tak a awm loh nan enfiah a ni.
• Minute 10-15 chhunga a dam loh chuan tanpuina zawng rawh: Seizure a reh hnu minute 10-15 aia rei a dam loh chuan, emaw, a chhan loh chuan emergency medical attention i pan tur a ni. Hei hi taksa a che lo a nih pawhin seizure a kal zel tih chhinchhiahna a ni thei.

Thil tih loh tur: 1.1.

• Hlauthawng suh: Ngawi rengin awm rawh. I chhehvela mi dangte an hlauthawng a nih chuan, a theih ang anga muangchangin sawipui la, i theih ang anga thlamuan tum ang che.
• Seizure nei chu ``Restrain`` suh: chu mi chu i ti na thei a, nangmah pawh i ti na thei bawk.
• Seizure nei mi hmuiah engmah dah suh: Seizure leh epilepsy chungchangah hian thudik lo tam tak a awm a. Thudik lo pakhat chu mi kaa belt emaw spoon emaw ang chi thil dah chuan a lei a ei emaw, a seh emaw a titawp ang tih hi a ni. Hetiang hian ti suh. Seizure nei mi hmuiah engmah i dah ngai lo tur a ni. Anmahni emaw, nangmah emaw pawh i ti na thei.

Seizure nei ang maia ka inhriat chuan engtin nge ka tih ang?

Mi tam tak chuan seizure an neih dawn hian warning sign an nei thin. Seizure i nei nia i hriat chuan inbuatsaihna leh invenna atan hengte hi i ti thei ang:

• A him thei ang bera insiam rawh: I tlu a, i inhliam loh nan thu la, mu rawh. Lirthei khalh te, machine rit tak tak hman te, ralthuam hman ang chi thil i tih chuan i tih pawh i bansan tur a ni.
• I rintlak mi pakhat phone la, tanpuina dil rawh: i awmna hmun leh i hmuh theih dan tur hrilh rawh.
• I hriat mi i biak theih loh chuan i hnaih ber hnenah hrilh rawh: Mawhphurhna emaw thuneihna nei emaw mi pakhat zawng la, seizure i nei nia i hriat thu hrilh rawh. Entîr nân, police officer emaw, security guard emaw, zirtîrtu emaw, dawr hnathawk emaw hnênah i hrilh thei a ni.

Thupui tawi leh Take-Home Message

Status Epilepticus (SE) hi nunna atana hlauhawm medical emergency a ni a, seizure minute nga aia rei a nih chuan, emaw, seizure atanga a dam kim theihna hun a awm loh chuan a thleng thin. Seizures leh status epilepticus (SE) vei hlauhawma awm emaw, hmangaih tak pakhatin hun rei tak seizure a neih lai hmuh emaw hian lungkhamna leh hlauhna a thlen thei a ni.

Mahse, enkawl vat a nih chuan mi tam tak chu he natna atang hian an dam chhuak a, an dam leh ta a ni. Damdawi lam enkawlna, damdawi leh enkawlna dang pek chhunzawm zel a nih chuan status epilepticus (SE) vei tawh tam tak chu an dam leh thei a, an nun an hmang leh thei a ni.

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Miin minute 5 aia rei seizure a neih emaw, seizure inkara a hriatna a neih leh loh chuan 911 emaw emergency medical service emaw call nghal rawh tih hre reng ang che!

` Seizures, status epilepticus, epilepsy, thluak, emergency treatment, symptoms, first aid