Chronic fatigue syndrome nen engtin nge kan nun theih ang?

Zing lamah chakna nei lo ang maiin i inhria em? Hna tlemte thawh hnuah pawh ni tam tak chhung khum atanga tho thei lo khawpin i chau em? Hei hi hahna pangngai mai a ni lo mai thei. Vawiin hian Chronic Fatigue Syndrome (CFS), Myalgic Encephalomyelitis (ME) tia hriat bawk natna neia nun awlsam zawk dan tur kan sawi dawn a ni. Hei hi i nunah nghawng lian tak nei thei dinhmun khirh tak a ni. Mahse lungngai suh, he dinhmun hi kan enkawl theih dan tur leh kan nun that theih dan tur a awm.

Natna awm dan hriatthiamna: hun \ha leh hun \ha lo

Hetiang dinhmun nen hian i nunpui hunah chuan thil pakhat i hrethiam hle ang. Chu chu engkim hi a inang vek lo tihna a ni. A natna lanchhuahna a nasat em em a, taksain hun harsa tak a paltlang theih hun a awm bawk. Hei hi ``relapse`` kan ti a, chu chu natna a zual zel hun a ni. Tichuan, rei vak lo hnuah a natna lanchhuahna a reh hun a awm thei a, taksa chu tlem a hahdam deuh hun a awm thei bawk. Hei hi ``remission`` period kan ti a.

I taksa chakna chu phone battery angin ngaihtuah rawh. He natna vei hian battery a drain rang hle a, charge nan pawh hun rei tak a ngai bawk. Chuvangin, battery kan hman danah kan fimkhur hle a ngai a ni.

Nitin hnathawh leh chakna hman dan

Relapse lai hian zing lama inbual emaw, thawmhnaw thlak emaw ang chi hna awlsam tak tak tih a harsa mai thei. Chuvângin, hna harsa i tihte tân hun dang dah belh rawh. Hlauthawng suh. Anmahni chu ti mai rawh.

Mahse, `remission` hun lai hian, "Aw, vawiin hian ka dam tha tawh a, hna engemaw zat ka thawh a ngai a ni," tiin i ngaihtuah mai thei. Chutiang chu ti suh! I thawhrim lutuk thut mai chuan ni hnih emaw ni thum emaw chhungin i chau vek thei a ni. Hetianga i chhunzawm chuan `relapse` na tak i neih a rinawm zawk.

Chuvangin, hriselna tha kan neih lai pawhin chawlh leh hnathawh inkara inthlauhna tha tak neih a pawimawh hle . I chakna level hi hre reng ang che.

Exercise: Fimkhur taka tih tur thil

Exercise hi hriselna atana pawimawh a nih laiin, exercise hi a harsa deuh thei a, chronic fatigue syndrome nei tan chuan fimkhur a ngai hle. Exercise na lo tak pawh hian tuar theih loh khawpa hahna a thlen thei. He natna hi hming bik a awm a, chu chu `Post-Exertional Malaise (PEM) tih a ni. A awlsam zawngin, thawhrimna tlemte pawh hnua hah lutuk leh natna lan chhuahna a zual zel hi a ni.

Chuti a nih chuan eng nge i tih ang?

A tha ber chu i doctor emaw physical therapist emaw nen inbia a, taksa leh rilru lama i taksain eng nge a tuar theih tih chiang taka hriat hi a ni. Hei hi i "energy envelope" an ti a. Hetiang range chhungah hian awm reng a ngai a, chawlh leh thiltih inthlauhna siam i zir a ngai bawk. Hei hian kan sawi tak "PEM" condition kha i pumpelh thei ang.

• I exercise plan chu physical therapist hnenah siam tir rawh.
• Hna thawkrim lutuk ngai suh.
• Pacing hi a pawimawh ber a ni.

Diet hian danglamna nasa tak a thlen thei a ni

I ei tur ei tur ngaihtuah hian i natna lan chhuah dan enkawlna kawngah kawng thui tak a zawh thei a ni. A bik takin, i allergy nei ei tur, i sensitive ei tur leh chemical awmna ei tur te chu pumpelh rawh.

Mi tam tak chuan Mediterranean Diet ang chi ei leh in hi he natna tan hian a hlawkthlak an ti. Chu chu saturated fats leh refined carbohydrates tlem, polyunsaturated leh monounsaturated fats tamna ei tur a ni.

Another thing is that eating several small meals throughout the day , chaw lian tak pakhat ei ai chuan, i chakna level a inmil theih nan a pui thei a ni. Entirnan, main meals 3 leh a inkar ah snack te te 3 ei a tha zawk. Hei hian nausea control nan a pui thei bawk.

Hriatrengna hloh leh "Brain Fog".

Hetiang dinhmun chhinchhiahna lian dang chu hriatrengna hloh leh ``brain fog'' tih hi a ni. Thil i theihnghilh a, ngaihtuahna i seng nasa hle. Hemi kawngah hian tanpui theih dan awlsam tlemte a awm a:

• Diary emaw ``Day-planner`` emaw hmang rawh: I hnathawh tur, appointment leh to-dos te chu a chhungah ziak rawh.
• I phone-a hriat nawn tirna siam: Hmun danga kal emaw, thil tih emaw i mamawh huna hriat nawn tirna tur hriattirna siam rawh.
• List siam: Shopping i kal huna i ken tur thilte list siam la, chu chu ni khat chhunga i tih tur list ang chi hi a ni.
• Sticky note hmang rawh: I hriat reng tur thilte chu lehkha te teah ziak la, hmuh awlsamna hmunah stick rawh.
• I thluak exercise la: Puzzle te, thumal game te, leh card game te hian i rilru a tichak thei a. Chûngte chuan i hriatrengna a tichak thei bawk.

Hnathawh, inlaichinna leh rilru hriselna

Hna

Hetiang dinhmun nena hnathawh hi thil harsa tak a ni thei. Hnathawhna hmuna harsatna i neih chuan i hnathawhna hmuna he thu hi i sawipui tur a ni. Hnathawh hun tur inthlak danglam thei, hnathawh laiin chawlh hun engemaw chen, a nih loh leh hriatrengna lama harsatna i neih avangin ziaka thupek ang chi thil i mamawh mai thei. Chungte chu i natna lan chhuah dan leh i hnathawh dan azirin a danglam ang. I dinhmun a nasat a, hna i thawk thei lo a nih chuan i doctor nen eng step nge i tih theih tih sawipui ang che.

Inzawmna te

Hei hi a harsa ber pawh a ni mai thei. He dinhmun hi i chhungte, i thiante leh i kawppui tan hriatthiam a harsa hle thei. "I bo tawh," emaw, "I bula awm vang mai maia i chau tawh" tih ang chi thu an sawi mai thei. A chhan chu pawn lam mi tan chuan he hahna hi hmuh theih loh a ni.

Hetiang dinhmun hian i khawtlang nun, i fate nena inkhelh leh mimal inlaichinna a nghawng thei a ni. Hengte hi tlang taka sawi a, mi zawng zawng hriatthiamna neih a pawimawh hle.

Rilru hriselna leh tanpuina dawn

Nangmah chauh i ni lo tih hre reng ang che. Chutiang thil tawk mek midangte nena inbiakna chu thlamuanna nasa tak a ni thei. I awmna hmuna support group hrang hrangte chu i doctor hnenah zawt rawh.

Hetiang dinhmun nen hian depression hi a awm tam zawk. Depression symptom thenkhat chu he natna nen hian a inang a, chuvangin a pahnih hi thliar hran a harsa thei hle. Beiseina nei lo anga inhriat te, lungngai reng reng te, hlutna nei lo anga inhriatna te, leh nun tawp mai tur ngaihtuahna neih te hi lungngaihna chhinchhiahna a ni thei vek a ni.

I lungngai mai thei nia i hriat chuan i doctor nen inbia ang che. Damdawi leh thusawi hmanga enkawlna hian taksa leh rilru lama natna lan chhuahnaah a pui thei a ni. Mahni intihhlum tumna i neih chuan damdawi in Emergency Unit (ETU) ah kal nghal la, a nih loh leh National Institute of Mental Health of Sri Lanka on 1926 ah call rawh.