Sikula zing assembly-ah i awm emaw, bus-a mipui tam tak zingah i tlu lut emaw han mitthla teh. Vawilehkhatah i mit a sen a, i beng chu khawvel pum a khar ang maiin i hria a, i thawk a hah a, i taksa a vawt a, leiah i tlu ta a ni. Rei vak lo hnua i harh chuan mi zawng zawngin an lo en reng che a. Hetiang thil hi i tawng tawh em? A nih loh leh mi pakhatin a tih i hmu tawh em? Vawiin hian mi tam takin an tawn thin he natna tlanglawn tak hi kan sawi dawn a, chu chu muthilh leh hriatna hloh a ni a, chu chu damdawi lam tawng chuan ‘syncope’ an ti a ni.
A awlsam zawngin, syncope chu eng nge ni?
Fainting, a nih loh leh hriatna hloh chu kan thluaka thisen kalna tlahniam nghal, rei lo te chhunga tihhniam a ni . Kan inchhunga êngte a ‘dim’ thut ang bawkin, thluaka thisen kalna a tlahniam deuh chuan rei lo te chhung chu kan hriatna kan hloh thin.
Mahse hei hi a tlangpuiin second emaw minute tlemte emaw chauh a ni. I hriatna i neih leh hnuah chuan i rilru a buai deuh a, i chau deuh mai thei. Mahse darkar tlemte chhungin i normal leh tawh ang.
A pawimawh ber chu hei hi seizure ang chi condition nen a danglam a ni. Fainting hi chutiang chuan a pawi lo fo thin. Mahse, a châng chuan a hnuaia dinhmun khirh tak chhinchhiahna a ni thei bawk. Chuvangin hei hi hriat chian a pawimawh.
I taksain i muhil hmain eng chhinchhiahna nge a pek che?
A tam zawkah chuan hriatna i hloh nghal lo. I taksa hian a thlen hmain vaukhânna chhinchhiahna engemaw zat a pe che a ni. Heng symptoms te hi i hriat veleh fimkhur theih a ni.
| Symptom a ni | Engtin nge i awm ang |
|---|---|
| Lung hlim /Lawng hah | Ka lu a buai a, ding harsa ka ti bawk. |
| Vision a inthlak danglam thin | I mit hmaah dots dum i hmu a, a nih loh leh i mit velah hmun dum i nei a, chu chuan tube (Tunnel Vision) hmanga i en ang maiin a lang. |
| Nausea & Thawmhnaw hak | Ka luak dawn ang maiin ka inhria a, ka taksa chu a vawt hle a, rang takin ka thawmhnaw a chhuak nghal bawk. |
| Chaklohna | Ka taksa hian nunna a hloh ang maiin ka hria a, ka ke leh ke te chu a chak lo chho zel a. |
| Lu na | Mi thenkhat chuan an muhil hmain lu na an nei thin. |
Engvangin nge kan luak chhuak thin? A chhan berte chu engte nge ni?
Faint chhan tam tak a awm thei. A chi hrang hrangah chi hrang hrangah then ila.
1. Reflex Syncope: A tam ber leh hlauhawm lo ber chi a ni
Hei hi a tam ber chi a ni. Kan nervous system hian thil thenkhat a "overreact" hian a thleng thin. Chutiang a nih chuan kan heart rate leh blood pressure a tlahniam thut mai.
Hei hi a thlen thei thilte:
- Vasovagal Syncope: Hei hi a tam ber a ni.
- Thisen hmuh emaw, injection lak emaw avanga hlauhna lo awm thin.
- Thil mangang lutuk, lungngaihna emaw, hlauhna emaw nasa tak.
- Hun rei tak chhung hmun khata ding (e.g., zing inkhawm laiin, queue-a awm laiin).
- I nuih nasat lai te, i khuh lai te.
- Situational Syncope: Thil awmdan thenkhatah chauh thil thleng.
- I khuh nasat lai hian, tharum thawhna ang maia i khuh hian.
- Zun emaw , zun emaw chhuah laiin straining.
- Bungrua kan chawi dawnin.
2. Orthostatic Syncope: Position i thlak chuan eng nge thleng thin
Hei pawh hi a hluar hle. Khum a rei tak atanga i tho nghal a, i mit a sen a, i lu a buai tih i hre reng em? Chu chu a ni. Kan dinhmun kan thlak hian, a bik takin kan ding hian kan thisen sang a tlahniam thut mai. Hei hi damdawi lam hawi chuan ‘Postural Hypotension’ an ti a.
Hei hi a thlen thei thilte:
- Tui leh tui in tlem (dehydration).
- Thisen sang damdawi thenkhat .
- Damdawi lam harsatna thenkhat Diabetes Mellitus ang chi te.
- Hetiang dinhmun hi kum upat chhoh zel chuan a hluar zual zel a ni.
3. Cardiac Syncope: Lung natna avanga muhil hlauhawm ber a ni
Hei hi kan ngaihven ber tur chi, hlauhawm ber chi a ni.Heta fainting hi thinlung emaw thisen kalna kawng emawa harsatna lian tak avanga lo awm a ni. Hetiang dinhmun hi thinlungin thluaka thisen a pump chhuahna lama harsatna a awm chuan a thleng thin.
Hei hi a thlen thei thilte:
- Lung natna (Arrhythmia) . Lungphun chakna a san leh a tlahniam nghal.
- Heart valve natna te.
- Heart attack emaw heart failure emaw a awm thei .
- Thisen chhuak, lung (Pulmonary Embolism) .
Exercise laiin emaw, tlan laiin emaw i muhil a nih chuan, i rilru natna nena inzawm i muhil a nih chuan, emaw, i chhungte zinga mi pakhatin cardiac death nghal a neih tawh chuan hei hi cardiac syncope a ni thei. Chutiang hunah chuan doctor pan nghal tur a ni.
Engtin nge hei hi i hmuh theih, Doctor?
I faint a nih chuan doctor chuan eng chi fainting nge i neih tih hriat tumin zawhna tam tak a zawt ang che.
- Thil thleng kimchang: I muhil hma khan eng thil nge thleng? Khawiah nge i awm? Eng thil nge i tih?
- Medical history: Natna dang i neih leh damdawi i ei dan te an zawt ang.
- Chhungkaw chanchin: Chhungkaw zingah thinlung natna nei an awm em tih zawt rawh.
Tichuan enfiah i ni ang a, a tul chuan hetiang test eng emaw zat nei turin an ti ang che.
| Fiahna | A awlsam zawngin, he thilah hian eng nge i hmuh? |
|---|---|
| ECG (Electrocardiogram) hmanga tih a ni. | Thinlung electrical activity chu heartbeat-ah harsatna a awm leh awm loh enfiah thin a ni. |
| Echocardiogram hmanga tih a ni | Hei hi heart scan ang a ni. Thinlung insiam dan te, a valve te, a pump dan te a en thin. |
| Tilt Table Test a ni | I thisen sang leh heart rate chu khum bik i mut a, khum chu zawi zawiin dinglam hawiin i teh ang. Hei hi position thlak dawna luak chhuak leh luak loh enfiah nan an ti thin. |
| Thisen Test neih a ni | Anemia an enfiah a, taksaa chi leh sugar level inthlak danglam a awm leh awm loh an enfiah thin. |
Mi a muhil a, a tlu a nih chuan engtin nge kan tih ang?
Mi pakhat a muhil a, i hmaah a tlu a nih chuan hlauthawng suh la, heng thilte hi ti rawh.
1. Thâwk lak dan enfiah: A hmasa berin chu mi chu a thaw thei em tih enfiah hmasa phawt ang che. A nih loh chuan ambulance ko nghal rawh.
2. Mi chu mu rawh: Fimkhur takin leiah mu rawh.
3. Ke chawi sang: Mi keah pillow emaw bag emaw dah la, a thinlung aia sang deuhin chawi sang rawh. Hei hian thluaka thisen kal a tipung a ni.
4. Tight tight clothing: Collar emaw belt ang chi tight clothing i neih chuan phelh rawh.
5. Hriatna i neih leh hnuah: Hriatna i neih leh hnuah tho nghal suh. Mi chu minute 10-15 tal thut emaw, mu emaw tir rawh. Tichuan tui in tur pe rawh.
Pawimawh tak: Mi hriat lohna hmuiah tui emaw thil dang emaw dah tum ngai suh. Thlawhna kawngah a lut thei a, thil awmdan chu a ti hlauhawm zual thei a ni.
Fainting hi ven theih a ni em?
Ni e, a tam zawkah chuan a theih. Enkawlna chu i luak chhuak chhan a innghat a ni.
- Nunphung inthlak danglamna:
- Tui leh tui tam tak in thin ang che.
- Chaw ei skip lovin a hun takah chaw ei thin ang che.
- Hun rei tak hmun khata ding loh tur. I ding a ngai a nih chuan i ke kha ticheng zel la, i ke ruhte chu tikehsawm zel ang che.
- Khum a\anga tho emaw, thutthleng a\anga tho emaw chuan tho thut suh, zawi zawiin tho tur a ni.
- I chaw eiah hian chi tlem tal dah belh la, i doctor-in a hrilh che chuan.
- I faint tih i hriat chuan:
- Thu la emaw, mu nghal rawh. Hei hi a pawimawh ber a ni. Hei hian tlu leh lu hliam theihna a ti bo ang.
- I ke chu cross la, tikhauh rawh (leg crossing).
- I kut innghahna (hand gripping) hian i thisen sang tlem a tisang thei a ni.
- Damdawi lam enkawlna:
- A chhan chu thinlung natna a nih chuan damdawi emawPacemaker ang chi hmanrua dah a ngai mai thei.
- A chang chuan thisen sang control nan damdawi an pe thin.
I doctor chuan i dinhmun nena inmil ber damdawi chu a hrilhfiah ang che.
Take-Home Thuchah a ni
- Syncope hi thluaka thisen kal dan a tlahniam rei lo hle. A tam zawkah chuan a pawi lo hle.
- Mahse, a châng chuan hei hi natna khirh zawk, thinlung natna hnuaia awm ang chi chhinchhiahna a ni thei bawk. Chuvangin vawi khat i muhil a nih pawhin a chhan hriat tumin doctor pan a tha ber.
- I rilru a hah (lizzy, lightheaded) i tih chuan , thu nghal emaw, mu emaw rawh. Hei hian tlu avanga hliam laka venhimna kawngah a pui thei che a ni.
- Mi a muhil a, a tlu a nih chuan a ke chu sang deuhin mu rawh. An hriat loh lai hian ka-in engmah pe suh.
- Fainting hian rilru natna, thawk harsa, lu na nasa tak ang chi symptoms a neih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.











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