Nang pawh chu rang takin i muhil a, i tlu bawk em? (Syncope) - Hemi chungchang hi han sawi ila!

Mi pakhat chu a muhil nghal tih i hmu ngai em? Nge i chungah a thleng tawh em? School-a zing inkhâwmpui neih laiin naupang pakhat chu a muhil emaw, mi pakhat chu line-a nghah laiin a muhil nghal mai emaw han mitthla teh. Hei hi a hlauhawm deuh. Keini doctor te hian hei hi syncope kan ti thin . A awlsam zawngin, hei hi fainting, a nih loh leh hriatna hloh a ni. Vawiin hian he thu hi chipchiar zawkin sawi ila, kan sawi dawn em ni?

Syncope hi eng nge ni tak tak?

A awlsam zawngin, syncope chu i thluaka thisen kal zat a tlahniam nghal a, rei lo te chhung atan a ni. Hei hi kan faint emaw, kan hriat lohna emaw a ni. A tam zawkah chuan thil tenawm leh rei lo te avanga lo awm a ni.

I thei:

• I thisen sang a tlahniam nghal a nih chuan.
• I heart rate a tlahniam a nih chuan.
• I taksa peng hrang hranga thisen awm zat a inthlak danglam chuan.

I faint chuan second emaw minute emaw chhungin i hriatna i nei leh ang. Mahse, chumi hnuah chuan rei lo te chhung chu i luak chhuak thei a, i chau thei bawk. I dam kim theih nan minute emaw darkar emaw a la ngai thei.

Mahse, he syncope an tih hi a chang chuan natna khirh zawk chhinchhiahna a ni thei. Chuvang chuan i faint a nih chuan Doctor pan a, a chhan hriat chian a, inenkawlna neih a pawimawh hle. Mi tam zawk chuan he natna hi uluk taka hmuhchhuah a, enkawlna \ha an dawn chuan an thunun thei a ni.

Syncope chi hrang hrang a awm em?

Ni e, syncope chi hrang hrang a awm . Eng nge an nih i en ang u:

• Vasovagal syncope: Neurocardiogenic syncope an ti bawk a, hei hi syncope chi khat zingah chuan a tam ber a ni. Fainting case zawng zawng zinga a chanve vel a ni.
• Situational syncope: Hei hi vasovagal syncope chi khat a ni bawk a, a chunga kan sawi tawh ang khan. Chu chu dinhmun bik takah chauh a thleng tihna a ni.
• Postural or orthostatic syncope: Postural hypotension tia sawi bawk a ni a, hei hi i dinhmun i thlak danglam (entir nan, khumah i mut atanga i tho thut) a lo awm thin a ni.
• Cardiac syncope: Hei hi thinlung emaw thisen kalna kawng emawa harsatna a awm avanga thluaka thisen kal a tlahniam chuan a thleng thin.
• Neurologic syncope: Hei hi nervous system natna avanga lo awm thei a ni.
• Postural Orthostatic Tachycardia Syndrome (POTS) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.Hemi kawngah hian thil thleng chu, thut emaw, mu emaw atanga i ding chuan heart rate chu nasa takin a sang nghal vek a ni.
• Syncope with an unknown cause: A chang chuan muhil chhan dik tak hriat a harsa thin.

Hei hi engtiang chiahin nge a hluar?

Syncope hi a awm fo thin. An dam chhungin mipa 3% vel leh hmeichhia 3.5% vel a nghawng a ni. Kum upat chhoh zel chuan a hluar zual a, kum 75 chunglam zinga 6% velin a nghawng a, kum eng pawhah a awm thei a, damdawi lam harsatna dang nei emaw nei lo emaw pawh a ni thei.

I muhil hmain eng symptom nge i neih?

Vawi tam tak chu i muhil hmain heng ang symptoms hi i nei thei a ni:

• Mit chu a rawn sen (blacking out) ang maia hriat.
• Lu a lightheaded, lu a hah hle tih a hriat.
• Chhan awm lovin hnuai lam pan a nih.
• Mutthilh emaw, groggy emaw tih hriat.
• A bik takin ei leh in emaw exercise i tih zawh hnua chak lo anga inhriatna.
• Ding emaw, kal lai emawa nghet lo emaw, chak lo emaw anga inhriatna.
• Vision a inthlak - mit hmaa dots hmuh te, tunnel vision (tube hmanga en ang chi) te hi a ni.
• Lu na.

Pawimawh: Heng symptoms te hi i tawn fo chuan Doctor pan ngei ngei tur a ni.

Engvangin nge kan rilru a hah lutuk? (Eng nge a chhan?)

Fainting awm chhan ber chu thluaka thisen tling lo a ni. Hei hian chhan hrang hrang a nei thei a, a hmaa kan sawi tawh syncope chi hrang hrangte pawh a tel. Mi tam tak chuan an nervous system emaw, thinlung emaw tichhe thei, an hriat loh damdawi lam dinhmun (underlying medical condition) an nei thei a ni. A nih loh leh, i taksaa thisen kal dan tichhe thei dinhmun i nei thei a, chu chuan i dinhmun i thlak (entir nan, mutna atanga i ding) hian i thisen sang a ti tlahniam thei a ni.

Vasovagal Syncope awm chhan te

Hei hi a chhan chu i thisen sang a tlahniam nghal a, chu chuan i thluaka thisen kal a tihtlem phah a ni. Hei hi rei vak lo ding hnuah emaw, lungkhamna, lungngaihna, hlauhna nasa tak i tawh hunah a thleng fo thin. Ngaihtuah teh, zing inkhawmpui neihna tur i sikul main hall-ah ni chhuahnaah rei tak i ding a, chutah chuan rang takin i luak chhuak a, i muhil ta a ni. A tlangpuiin, kan din hian gravity hian kan thisen chu kan taksa hnuai lam, diaphragm hnuaiah a awm khawm a ni . Chutiang a nih chuan kan thinlung leh autonomic nervous system te hian kan thisen sang chu a nghet reng theih nan an thawk ho thin.

Mahse, hei hi vasovagal syncope a ni.Hetiang dinhmunah hian i heart rate leh thisen sang chu a tlahniam thut a, chu chuan thluaka thisen kal a tlahniam thei a, chu chuan i muhil thei a ni. A tam zawkah chuan hei hi a hlauhawm lo.

Situational Syncope awm chhan te

Hei hi i nervous system a nghawng a, i hriat lohna hmunah chauh a thleng thin. Chûng dinhmun ṭhenkhat chu:

• Tui tlakchhamna (dehydration).
• Emotional stress nasa tak, lungngaihna, lungkhamna.
• Hlau.
• Natna nasa tak a nei.
• Riltamna.
• Zu emaw ruihhlo emaw hman.
• Hyperventilation - Hei hian oxygen tam zawk lak luh a, a tul aia rang zawka carbon dioxide chhuah tir tihna a ni.
• Khuh nasa tak, kawr hawi, emaw, kawrfual bun ( carotid sinus hypersensitivity ) emaw a nih chuan.
• Zun chhuah laiin ( micturition syncope ).

Postural syncope awm chhan te

Hei hi postural hypotension emaw orthostatic hypotension emaw an ti bawk . I dinhmun i thlak thut a, entirnan, mut atanga i ding a, i thisen sang a tlahniam thut hian a thleng thin. Damdawi thenkhat leh tui tlakchhamna hian he natna hi a thlen thei a ni. Hetiang chi fainting nei te hian an ding chhuah hian an thisen sang 20 mmHg (a chung lam number) leh 10 mmHg (a hnuai lam number) tal a tlahniam thin.

Cardiac syncope awm chhan te

I thinlung emaw thisen kalna kawng emawa i thluaka thisen kal dan tur tichhe thei dinhmun i neih chuan cardiac syncope i nei thei a ni. Heng condition hrang hrangte hi:

• Lungphung dik lo ( arrhythmia ).
• Thinlung insiam dan ( hypertrophic cardiomyopathy ) avanga thinlunga thisen kal chak lohna ( hypertrophic cardiomyopathy ).
• Thinlung chhunga thisen kalna kawng ( myocardial ischemia ).
• Lung valve natna.
• Aortic stenosis - Hei hian aorta a ti tawi tihna a ni.
• Thisen chhuak a ni.
• Lung lam chak lohna.

If you have cardiac syncope , cardiologist hmuh a pawimawh hle a, enkawlna dik tak neih a pawimawh hle a, hei hi a pawi hle thei a ni.

Neurologic Syncope awm chhan te

Hei hi neurological condition i neih chuan seizure, stroke, emaw transient ischemic attack (TIA) emaw i neih chuan a thleng thei a ni. Tin, migraine te pawh a awm bawkTin , normal pressure hydrocephalus ang chi natna tlanglawn lo zawk pawh hian neurologic syncope a thlen thei bawk .

Postural Orthostatic Tachycardia Syndrome (POTS) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.

POTS i neih chuan i thut emaw, mut emaw atanga i ding chuan i heart rate a sang hle ( tachycardia ) thei. I heart rate hi minute khatah beat 30 emaw a aia tam emaw in a sang thei. Hetianga a punna hi ding atanga minute 10 chhungin a thleng tlangpui.

Syncope a awm chhan hriat theih loh

Mi muhil zinga 33% vel chuan an muhil chhan dik tak an hmu thei lo. Mahse, damdawi thenkhat chuan side effect angin muhil theihna a tipung thei bawk. I muhil chhan i hriat loh chuan doctor pan ngei ngei tur a ni.

Engtin nge doctor hian hei hi a hriat chhuah?

I faint chuan doctor pan ngei ngei tur a ni. Syncope specialist hnenah full evaluation neihpui turin a refer thei che a ni.

Specialist chuan taksa a enfiah ang che a, medical history kimchang tak a la ang che. I natna lan chhuah dan leh i muhil lai te - i muhil hmaa i neih leh neih loh te, engtikah nge i muhil tih leh khawiah nge i muhil tih te a zawt ang che.

Tin, dinhmun hrang hrang (muh, thut, ding) i awm laiin i heart rate leh thisen sang a teh thei bawk.

Tichuan, i muhil chhan hriat tumin test pakhat emaw a aia tam emaw i neih a ngai mai thei. Heng test te hian thil chi hrang hrang an zawng thin:

• I thinlung dinhmun.
• I heart rate chu.
• I taksaa thisen awm zat.
• I dinhmun hrang hranga i awm laiin i thisen a kal dan.

Hemi atan hian eng test nge tih a nih?

Fainting chhan hriat theihna tur test te chu:

• Laboratory testing: Anemia emaw, metabolic inthlak danglamna emaw enfiah thin .
• Electrocardiogram (EKG): I thinlung electric hnathawh dan chhinchhiahna test a ni.
• Exercise stress test: Exercise i tih lai emaw, i thinlung damdawi pek avanga stress na tur test tam tak a awm. Stress test thenkhatah chuan EKG inthlak danglamna an en emaw, thinlung ultrasound an ti thin. Stress test pawh nuclear imaging hmangin tih theih a ni bawk .
• Ambulatory monitor: I bun hmanraw pakhat, electrode hmanga i heart rate leh rhythm chungchanga information record thei.
• Echocardiogram: Sound wave hmanga i thinlung insiam dan lem siamna test a ni.
• Tilt table test (head-up tilt test): Table chunga i mut laiin i thisen sang leh heart rate chu minute khat hnu minute khat emaw, beat khat hnu beat khata record a ni a, table chu level hrang hranga tilt a ni. He test hian cardiovascular reaction pangngai lo, muhil thei lo a hmuchhuak thei a ni.
• Autonomic reflex testing: Test hrang hrang hmanga i thisen sang, thisen kal dan, heart rate, vun lum leh vawt te tehna a ni. Heng tehnate hian i doctor chu i autonomic nervous system a thawk tha em tih emaw, nerve chhiatna i neih leh neih loh emaw a hriat theih nan a pui thei a ni.

Test dang pawh i nei thei bawk a, chu chu electrophysiology studies , autonomic nervous system testing , neurological evaluation, leh CT scan (Computed Tomography - CT scan) te hi a ni. I beng chhung lam harsatna a awm loh nan vestibular function testing i nei thei bawk. Test dang i mamawh chuan i doctor chuan eng nge a nih leh i mamawh chhan a hrilhfiah ang che.

Mi a faint chuan engtin nge kan tih ang?

Mi a faint chuan heng step te hi zawm tur a ni:

1. A thaw chhuak em tih enfiah thin ang che.

2. Leiah muttir tir la, a nih loh leh a lu chu a khup inkar ah dah la, minute 10-15 tal mut tir rawh.

3. Tui lum in tur pe rawh.

Fainting enkawlna tur engte nge ni?

Treatment options chu i fainting chhan leh i test result atanga a lan danah a innghat a ni. Enkawlna tum ber chu i muhil leh tawh lohna tur ven hi a ni.

Syncope vei enkawlna tur kawng hrang hrang chu:

• Damdawi ei, emaw, damdawi i ei tawhte tihdanglam emaw.
• Thisen kal dan tichak turin supportive clothing emaw compression stockings emaw ha.
• I ei leh in lama inthlak danglamna siam. I doctor chuan chaw te tak te, ei fo thin tur te, i eitur ah chi (sodium) tlem te te dah belh tur te, tui in tam tur te, i eitur a potassium awm zat tipung tur te, caffeine leh zu te tihtlem tur te a hrilh thei che a ni.
• Thawh chhuah dawna fimkhur hle.
• Mut laiin khum lu chu chawi sangin dah la. Hei hi extra pillow hmangin emaw, khum lu lama ke hnuaiah risers dah emaw hmangin i ti thei ang.
• Fainting thlen thei dinhmun emaw "trigger" emaw (hun rei tak ding, lumna, leh stressful situation ang chi) pumpelh.
• Heartbeat chak tak control nan biofeedback training neih a ni.
• Structural heart diseases a awm chuan enkawl tir rawh.
• Heart rate normal taka awm tir turin Pacemaker hman a niPakhat siamthat nan (hei hi damdawi lam dinhmun bik thenkhat tan chauh a ni).
• Cardioverter defibrillator (ICD) dah theih a nih chuan . He device hian i heart rate leh rhythm a enfiah reng a, rhythm chak leh pangngai lo eng pawh (again, condition thenkhat tan chauh) a siam tha thin.

I medical team chuan i tana tha tur treatment plan an siam ang a, i enkawlna tur kawng hrang hrang an sawiho ang che.

Hemi atan hian damdawi a awm em?

Fainting enkawlna atana hman damdawi thenkhat chu:

• Midodrine a ni
• Fludrocortisone (brand hming Astonin® emaw Florinef® emaw) a ni.

Heng damdawi te hian side effect thenkhat a thlen thei a, chu chu rilru na, luak chhuak, luak chhuak, zun harsa, pum na, leh khawsik te hi a ni. Chuvang chuan doctor-in a hrilh ang chiaha damdawi hman a pawimawh.

Fainting hi tihtlem/ven theih a ni em?

I muhil hlauhawmna tihziaawm nan chuan eng thil nge a chhan tih i hriat a ngai a ni. Dehydration hi harsatna a nih chuan hydrated reng leh tui tam tak in hian i risk a tihziaawm thei a ni. Lung natna avanga i muhil a nih chuan damdawi emaw, thinlung thawk dan pangngai lo enkawlna tur hmanrua emaw i mamawh mai thei.

Vawi tam tak chu, i muhil dawn ang maiin i inhria. I luak chhuak thei a, i luak chhuak thei a, i rilru natna (i rilru natna (irregular heartbeat) i rilru a na lutuk emaw, "pounding" emaw ang maia hriat) i nei thei bawk. I muhil lo turin i pui thei ang, i tih chuan:

• Rang takin thu la, mu la, i ke chu chawi sang rawh.
• I kut chu dah khawm rawh.
• I kut kha khauh rawh.
• I ke kha cross emaw, i kekawrte chu hrual khawm emaw rawh.

I faint chuan eng nge thleng? Hlauh tur thil a ni em?

Diagnosis dik tak leh enkawl a nih chuan syncope hi i control thei ang . Vawi khat i muhil tawh a nih chuan i muhil leh theihna chance 30% vel a awm. I muhil leh theihna tur leh a nghawng dan tur chu thil engemaw zatah a innghat a - a chhan, i kum, i mipa leh hmeichhia, leh i damdawi lam harsatna dangte. I risk chungchanga zawhna i neih chuan i doctor nen inbia ang che.

Syncope i vei tih hmuhchhuah a nih chuan i ram/region-a dan awmte enfiah rawh. Ram/region thenkhatah chuan driver faint chuan driver license office-ah report a ngai a ni. Doctor chuan a chhan zawng chhuakin, i lirthei khalh hmain enkawl turin a hrilh ang che.

A tam zawkah chuan fainting hi a hlauhawm lo. Mahse, heart rhythm pangngai lo emaw, neurological condition emaw i neih chuan nunna atana hlauhawm tak a ni thei. Lung natna emaw, thluak lam natna nei te chuan doctor hnen atangin enkawlna an dil ngei ang.

Engtikah nge Doctor ka hmuh ang? Emergency Treatment Unit (ETU) chuan a ti a.I kal a ngaih chang a awm em?

I muhil chhan a zirin damdawi in emaw outpatient department emawa enkawl i nih atanga kar hnih atanga kar li vel hnuah doctor pan a ngai ang a, follow-up appointment i nei ang. Doctor chuan i thinlung structure emaw rhythm emaw-ah harsatna a hmuh chuan follow-up appointment dang i siam a ngai ang.

Mi pakhat chu a muhil a, a thawk a chawlhsan a, heart attack nei ang maia a awm chuan CPR (Cardiopulmonary Resuscitation) pe la, ambulance i ko tur a ni. Mi tam tak chu an muhil hnuah Emergency Department (ETU) -ah an kal thin. I muhil a nih chuan, a bik takin a vawi khatna atan emaw, i rilru a na emaw, thawk harsa emaw, natna dang na tak i neih chuan doctor thurawn i la ngei ang.

I doctor zawh tur zawhna pawimawh

I doctor hnenah heng zawhnate hi i zawt thei ang:

• Eng thilin nge ka muhil tih i hria em?
• Ka muhil chi khat kha a lo thleng leh tawh loh nan eng nge ka tih ang?
• Test tam zawk emaw, follow-up appointment emaw ka mamawh em?

A tawi zawngin (Take-Home Message) .

Syncope , a nih loh leh muthilh hi a tak tak aiin a pawi zawkin a lang thei a, a chhan chu a thleng nghal a, mi dangte ngaihven a hlawh a ni. Mahse, mi tam zawk tan chuan hun rei lote chhunga awm a nih avangin hriselna lama harsatna lian tham a awm tih a tilang lo. I muhil hnua doctor i hmuh chuan natna khirh tak i nei lo tih i inhriat theih nan a pui thei che a ni. I fainting hi thinlung natna avanga lo awm a nih chuan enkawlna lak a pawimawh.

I hriselna chungchangah rinhlelhna emaw, lungkhamna emaw i neih chuan doctor nena inbiakna neih a tha ber tih hre reng ang che.

Fainting , syncope, hriatna hloh, cerebral ischemia, vasovagal syncope, cardiac syncope, muthilh chhan, muthilh enkawlna