I chhungte zingah hetiang hian seizure na tak nei an awm em? Tonic-Clonic (Grand Mal tia hriat bawk) seizures chungchang hi i zir dawn teh ang!

Mi pakhatin a rawn jerk nghal a, a hriatna a hloh tih i hmu ngai em? An drool pawh a ni thei. Chutiang scene kan hmuh hian kan hlau vek a ni lawm ni? Hetiang hian seizure chi hrang hrang a awm a. Vawiin hian Tonic-Clonic (Grand Mal) seizure chungchang kan sawi dawn a, chu chu seizure na deuh mahse mi tam takin an hriat lar tak a ni. Eng nge a nih tak tak, engvanga lo awm nge a nih, a natna lan chhuah dan te, chutiang dinhmunah chuan eng nge kan tih tur tih te i lo en ang u.

Tonic-clonic emaw grand mal seizure emaw chu eng nge ni?

A awlsam zawngin, tonic-clonic seizure chu kan taksa sir lehlamah taksa ruhte chu a thawk nghal a, a inher chhuak nghal a, seizure na tak a ni. Hei hi mi tam zawkin "seizure" tih thumal an hriat hian an ngaihtuah thin chi a ni a, awlsam taka hriat theih a ni. Hmanlai chuan "Grand Mal" an ti thin. French tawng a ni a, a awmzia chu "natna lian tak" tih ang chi a ni.

"Tonic-Clonic" tih hming hian he seizure hian phase lian pahnih a nei tih a tilang.

1. Tonic phase: Hei hi taksa pum pui, a bik takin kut leh ke ruhte a inkhauh thut a ni.

2. Clonic phase: Hemi hnu hian taksa a jerking, a nih loh leh convulsions a awm thin.

Engtin nge he seizure hi seizure chi dang leh epilepsy nen a danglam?

Seizure hi chi hrang hrang a awm a. Ṭhenkhat chuan hming inang an nei a, chu chu a buaithlak thei hle. A danglamna berte han thlir ila:

• Atonic seizures: "Drop attacks" tia koh bawk, ​​hengte hi a duh loh zawnga taksa ruh inzawmkhawm nghal mai a ni a, chu chuan mi chu leiah a tla thla a ni. Hei hian tlu avanga hliam tuar theihna a tipung a ni.
• Tonic seizures: Hei hi tonic-clonic seizures nen a inang a, mahse clonic phase, a nih loh leh jerking hi a awm lo. Chu mi chuan a hriatna a hloh a, a nghet lo thei a, mahse jerking a awm lo.
• Clonic seizures: Hei hi seizure tonic phase nei lo, rang taka clonic phase-a lut a ni. Chumi awmzia chu taksa chu a nghet lo va, chu ai chuan a jerk tan a, hriatna pawh a hloh thei tihna a ni.
• Myoclonic seizures: Hei hi taksa peng hrang hranga jerking nghal mai a ni. Electric shock-in a rawn nuai ang mai a ni. Ke a nghawng chuan i tlu hial thei a ni. (Mahse, hei hi thil tlem a ni: Kan mut dawna kan taksa kan tiharh nghal hian `myoclonic jerk' an ti a. A pangngai a, seizure emaw epilepsy emaw a ni lo. )
• Epilepsy: Epilepsy hi thluak natna a ni a, a chhan hriat loha seizure a awm fo thin. Doctor-te chuan epilepsy hi hetiang hian an hmuchhuak thin :Darkar 24 aia rei chhunga unprovoked seizure vawi hnih tal i neih chuan emaw, seizure vawi khat i neih tawh a, kum 10 chhunga a dang neih theihna chance sang tak a awm chuan tih a ni tlangpui.

He natna hian tute nge a nghawng ber? Engtiang chiahin nge a hluar?

Tu pawhin seizure an nei thei a, mahse mi thenkhat chuan an vei duh zawk. Seizure hi naupang tê leh kum 65 chunglamte zingah a tam ber.

A pum puiin, seizure nei zinga 25% vel chuan tonic-clonic seizures an nei a ni. United States-a statistics atanga a lan dan chuan mi 11% velin an dam chhungin seizure an nei ang a, an zinga 3% vel chu epilepsy vei an ni ang. Emergency department-a damlo lo kal zinga 1% vel chu seizure vanga lo kal an ni.

He seizure hian engtin nge taksa a nghawng?

Seizure chu kan thluak cell, neuron an tih te hian electrical signal an thawn dan a inthlak emaw, a thawk tha lo emaw a ni. Seizure lai hian heng neurons te hian thunun theih lohvin an kap chhunzawm zel a, chu chu neuron dangteah a darh zel a ni.

Tonic-clonic seizure chu `generalized seizure` a ni. Chumi awmzia chu thluak sir lehlamah a nghawng tihna a ni. Hei hian hriatna a hloh a, taksa pum puiah taksa ruh a tichak lo va, thunun theih loh chetna a thlen a, chu chu jerking leh shaking ang chi a ni.

Status Epilepticus - Hei hi a hlauhawm hle mai!

Pawimawh: Mi pakhatin minute nga aia rei seizure a neih chuan, emaw, seizure pakhat a tawp a, a dang a lo awm leh hma lawk chuan status epilepticus an ti a ni. Hei hi nunna atana hlauhawm medical emergency a ni! Thluak a tichhe reng thei a, thihna thlengin a thlen thei bawk.

Seizure 98% vel chu minute nga aia rei lovah a tawp tlangpui. Status epilepticus hi eng chhan pawh vangin a awm thei a, chu chuan seizure a thlen thei a ni.

Miin i awm chhunga minute 5 aia rei seizure a neih chuan, emaw, a hmasa ber a tawp hmaa seizure dang a neih chuan 1990 (Sri Lanka emergency ambulance service) call nghal la, a nih loh leh damdawi in hnai ber pan rawh. Status epilepticus hi a daih rei chuan doctor-te tan tihtawp a harsa zawk a, thluak tihchhiat theihna a sang zawk bawk.

Tonic-clonic seizures natna lan chhuah dan chu engte nge ni?

Mi tam zawkin "seizures" an ngaihtuah hian tonic-clonic seizures an ngaihtuah thin. A symptoms hi a tlangpuiin a na lo va, hriat a awlsam hle. Stage lian pathum a awm a, chungte chu:

1. Tonic phase (second 10-30 vel): 1. A rilru a hah lutuk chuan a rilru a buai em em a.

• Chutiang a nih chuan i hriatna i hloh nghal vek a ni.
• Taksa pumpui ruh, a bik takin kut leh ke te chu a nghet ta hle mai. Taksa chu hnunglam hawiin a pum a rawn chhuak ang maiin a lang thei.
• Thâwkna ruhte a nghet chhoh zêl chuan lung aṭangin boruak a chhuak thei a, chu chuan whistling ri a siam thei a ni.
• Hetih lai hian i tlu a nih chuan, emaw, i ha i hrual a, i lei i seh chuan , i hliam thei.

2. Clonic phase (second 30-60, a chang chuan a rei zawk):

• Hei hi taksa pum pui a nghing leh khur (convulsions) tan hun a ni.
• I kâ atang pawhin mucus i chhuah chhuak thei bawk.
• Thawm te chu a tlahniam zauh zauh a, zawi zawiin a reh ta a ni.
• Hetiang stage tawp lamah hian zun leh bawlhhlawh a chhuak thei a, chu chu thawmhnaw chungah an lut thei tihna a ni.

3. Seizure hnua recovery phase (minute 30 vel):

• Mi tam zawk chuan seizure a tawp hnuah zawi zawiin an hriatna an nei leh thin.
• Mahse, i buai thei a, lu na i nei thei a, taksa na i nei thei bawk . Hengte hi thil pangngai a ni.
• Thil na tak tak thenkhatah chuan, a bik takin `Status epilepticus` ang chi natna a awm chuan hriatna a neih leh theih nan hun rei zawk a ngai thei.

Focal seizures leh aura te hi eng nge ni?

Mi tam tak chuan seizure an neih hmain feeling, foreboding an nei thin. Hei hi `prodrome` an ti a. A châng chuan he foreboding hi `aura` nen a inzawm thei bawk. Aura chu seizure a lo awm tan tirh atanga thluak hmun thenkhat a nghawng tih hriatna a ni.

Generalized seizures, tonic-clonic seizures ang chi hian aura a nei lo. Mahse, focal seizures – thluak sir khat chauh nghawng thei seizures – chu a chang chuan thluak pumpuiah a darh thei a, tonic-clonic seizure a lo ni thei bawk. Focal seizure hmaa aura awm hi tonic-clonic seizure a lo thleng dawn tih hriattirna a ni thei.

Aura hian a hnuaia mi ang hian a nei thei a ni:

• Sensory symptoms: I hriatna thununtu thluak peng hrang hrangte a nghawng chuan hriatna dik lo, i hmuh tak tak emaw, i hriat tak tak emaw i nei thei a ni. Entîr nân, êng rawng chi hrang hrang i hmu thei a, thil che lai i hmu thei a, thawm i hre thei a, duh leh rim mak tak tak i nei thei a, i vunah thil che lai i hre thei bawk.
• Emotion inthlak danglamna: Mi thenkhat chuan hlauhna leh lungkhamna ang chi emotion tha lo tak tak an nei thei. Mi dangte chuan hlimna leh phurna ang chi rilru ṭha tak tak an nei thei bawk. Ṭhenkhat chuan `déjá vu` (thil thar hriatna) emaw, `jamais vu` (thil thar hriatna) emaw ang chi rilru put hmang an nei thei.
• Autonomic symptoms: Hengte hian kan taksain a control theih thilte a nghawng thei a ni. Entirnan, thawk hah, hmui chhuah tam lutuk, vun dum emaw sen emaw, gastric uprising te.

Eng thilin nge tonic-clonic seizures hi a thlen?

Hetiang seizure hi chhan tam tak a awm thei. A bulpui berte hi han thlir ila:

• Thluak thisen kalna kawng chak lohna (`Aneurysms`).
• Heart rhythm irregularities (`Arrhythmias`), a bik takin thluaka thisen kal a chhiat chuan.
• Brain tumor (cancer leh cancer ni lo).
• Thluak lama oxygen tlakchham (`Cerebral hypoxia`).
• Lu-a hliam na tak (concussion leh traumatic brain injury) avanga hliam.
• Zawi zawiin thluak tichak lo thei natna, e.g. Alzheimer natna, hmalam hun (frontotemporal dementia) a ni.
• Ruihhlo leh zu (hei hian damdawi, intihhlimna atana ruihhlo chauh ni lovin, coffee-a caffeine awm pawh a huam tel).
• Ruihhlo emaw zu emaw hman tawh loh hnua thil awm dan.
• Eclampsia (naupaiten thisen sang avanga seizure an neihna) a ni.
• Taksa chi (salt) inthlauhna (a bik takin sodium tlem - `hyponatremia`, calcium tlem, magnesium).
• Fever, a bik takin high fever (naupangte zingah febrile seizures chungchang article hran kan nei).
• Light beam eng tak, eng chhuak (TV, movie, video game-a kan hmuh angin).
• Pianpui atanga lo piang natna (`Genetic disorders`).
• Hormone inthlak danglamna (e.g., catamenial epilepsy, hmeichhe thenkhatin an thlasik laiin seizure an neih tam zawkna).
• Infection (a bik takin encephalitis emaw meningitis emaw; hengte hi virus, bacteria, parasite, emaw fungi emaw avanga lo awm thei a ni).
• Immune system lama harsatna avanga autoimmune condition awm thin.
• Mut theih lohna leh mut harsatna dangte.
• Metabolic lama harsatna (a bik takin thisen sugar sang - `hyperglycemia` emaw thisen sugar hniam - `hypoglycemia` emaw).
• Rilru lam harsatna (hengte hi `psychogenic seizures` an ti a, e.g. `conversion disorder` an ti).
• Thluak insiam dan lama harsatna (a bik takin nausen pum chhunga thluak a lo thanglian zel avanga harsatna awm vang).
• Sepsis (nunna atana hlauhawm, natna hrik taksa pum puia darh a, immune system overreacted).
• Stroke emaw, transient ischemic attack (TIA) emaw a awm thei.
• Poison (e.g. carbon monoxide rimchhia, heavy metal rimchhia).

Provoked leh unprovoked seizures a awm thin

Doctor-te chuan seizure an hmuhchhuah hian `provoked` nge `unprovoked` tih pawh an en bawk.

• Provoked seizures: Hengte hi damdawi lam dinhmun dang chhinchhiahna angin emaw, thil thleng bik (e.g., khawsik sang, thisen sugar hniam, damdawi, ruihhlo, zu in loh) avanga lo awm a ni.
• Unprovoked seizures: Hei hi hun rei lote chhunga natna emaw, thil thleng bik emaw chhinchhiahna anga lo awm lo seizures a ni. Ni sarih hnua seizure lo awm, lu hliam emaw, stroke emaw hnua lo awm pawh hi he category-ah hian a tel ve bawk.

Tonic-clonic seizures hi a kai theih em?

Ni lo, tonic-clonic seizures hi a kai thei lo.Amaherawhchu, thil \henkhat, hri kai, seizure thlentu ang chi te hi kai theih a ni (infection zawng zawng hian seizure a thlen vek lo nachungin). Tin, seizures thlentu condition thenkhat chu genetic (nu leh pa atanga fate hnena kai theih) a ni bawk.

Engtin nge tonic-clonic seizure hi hriat theih ?

I doctor, a tlangpuiin neurologist chuan tonic-clonic seizure hi a natna lan chhuah dan a zirin a hre thei fo thin. He seizure lai hian i hriatna i hloh avangin seizure hma leh seizure hnua i thil hriatte chauh i hre reng mai thei. Chutiang hunah chuan doctor chuan i bula awm mi tuemaw chu thil thleng sawifiah turin a ngen mai thei.

Mi pakhatin seizure a neih i hmuh chuan, a bik takin a khauh, a hrual, a nghing a nih chuan doctor chuan a natna lan chhuah dan sawi turin a ti thei che a ni. I thil hmuhte hrilh chu a chhan hriat nân a ṭangkai hle thei a ni.

Eng ang test nge tih thin?

Tonic-clonic seizures i neih leh neih loh hriat nan test engemaw zat a awm a. Test hman tlanglawn ber berte chu:

• Electroencephalogram (EEG): Hei hian thluaka electric hnathawh dan a teh a.
• Thisen test: Hengte hian metabolic disorder, thisen chemical inthlauhna, immune system lama harsatna, leh toxins te ang chi thil an zawng thin.
• Computerized tomography scan (CT scan): Thluak cross-sectional image a la thin.
• Magnetic resonance imaging (MRI): Hei hian thluak chipchiar taka thlalak a la bawk.
• Spinal tap (lumbar puncture): Thluak leh ruhroa natna hrik awm leh awm loh enfiah nan.

Epilepsy an hmuhchhuah hian doctor-te chuan thluaka hmun bik (`focal point`) chu seizures tanna hmun zawn an tum thin. He hmun hi an hmuh theih chuan enkawl danah nghawng lian tak a nei a ni.

Tonic-clonic seizures hian hriatna a hloh thei a, jaw clenching a thlen thei a, thil chi hrang hrang a tihbuai emaw, a tlakbuak emaw avanga hliam a awm thei bawk. Doctor-te chuan seizure avanga hliam dang emaw, harsatna dang emaw a awm nia an rin chuan a chunga tarlan bakah hian test dang tih belh an ti thei bawk. I doctor chuan i dinhmun nena inmil test engte nge tih leh engvangin nge tih a nih tih a hrilh thei ang che.

Tonic-clonic seizures hi engtin nge an enkawl? Hei hi tihdam theih a ni em?

Tonic-clonic seizures hi a tlangpuiin a mah chauhin a tawp thin. Chuvangin, seizure a awm lai hian direct treatment a awm lo. Mahse, status epilepticus (minute 5 aia rei seizure a awm a, a hmaa a awm tawh kha a tawp hmaa a dang a rawn zui leh) i neih chuan a danglam hle.

Seizure enkawl dan chu a tir atanga a thlentuah a innghat a ni. `Provoked seizure` i neih chuan, a chhan bulpui (underlying condition) chu enkawl emaw, tihdam emaw a nih veleh seizures chu a tawp tur a ni. A chhan bulpui chu tihdam theih a nih loh chuan doctor-te chuan seizures awm tam dan leh a nasat dan tihtlem an tum ang.

Doctor-te chuan a tlangpuiin unprovoked seizure hmasa ber enkawl an rawt lo a, a chhan chu seizure dang a awm leh dawn leh dawn loh hriat chian theihna a awm lo va, a awm a nih chuan enkawl hian awmzia a nei lo.

Doctor-te chuan i medical history, EEG, CT scan, emaw MRI scan emaw enin seizure dang neih leh theihna i nei em tih an hre thei a ni.

Eng damdawi emaw, enkawlna chi hrang hrang nge hman?

Seizure chi hrang hrang ang bawkin epilepsy vanga tonic-clonic seizures hi enkawlna hrang hrang a awm a. Mi thenkhat chuan damdawi pakhat chauh hmangin an seizure an control thei. Mi dangte chuan damdawi leh enkawlna dang inzawmkhawm an mamawh mai thei.

Epilepsy vanga tonic-clonic seizures enkawl dan thenkhat chu:

• Damdawi: Seizures tihtawp nan IV damdawi pek theih a awm a; mahse, hengte hi status epilepticus-ah chauh pek a ni tlangpui. Pill pawh nitin ei thin, seizure venna emaw, a awm tam lohna tur emaw a awm bawk. Hengte hi epilepsy vanga seizure damdawi pek hmasak berte an ni.
• Epilepsy surgery: Damdawi ei hian hna a thawk lo a nih chuan a chang chuan seizures tihtawp nan surgery tih theih a ni a, chu chu seizures bul tanna thluak hmun (focal point) lakchhuah emaw, thluak hmun dang atanga isolate emaw hmanga tih theih a ni. Anti-seizure damdawi chi hnih a pek zat anga ei chung pawhin seizure a awm chhunzawm zel a nih chuan doctor-te chuan epilepsy surgery neih an rawt thei a ni.
• Dietary changes: Low-carb emaw no-carb diet (`ketogenic diets`) hian a chang chuan seizures hi a titawp vek thei a, seizures awm tamna pawh a ti tlem thei bawk. Heng ei leh in te hi zawm harsa tak ni mah se, damdawi ei lo emaw, damdawi ei avanga side effect na tak nei emaw tan chuan a \angkai thei hle. Operation neih duh lo tan pawh option an ni.
• Brain stimulation: Hei hian thluaka hmanrua te tak te dah luh a, thluaka electrical current thawn chhuah a ni. He current hian seizure pakhat electrical activity a tibuai a, tihtawp tumin a bei thin. Tunah hian hmanraw pahnih a awm a, deep brain stimulation leh responsive neurostimulation te an ni.
• Vagal nerve stimulation: Kan cranial nerve sawmna, vagal nerve hi thluak nen a inzawm tlat a ni. He nerve veilam hi electrical stimulation hmanga tihchak hian seizure awm tamna a ti tlem thei a ni.

Enkawlna hian side effect emaw complication emaw a nei em?

Heng enkawlnate hian a nghawng tha lo leh harsatna a thlen dan te, i hriselna leh i dinhmun te, leh epilepsy i neih chi hrang hrangah a innghat a ni. Hemi chungchang hi i doctor chuan a hrilh belh thei che a ni. Tin, fimkhur tur leh an nghawng tihtlem dan tur a hrilh thei bawk.

Engtin nge ka in enkawl ang a, ka symptoms te hi ka enkawl ang?

Seizure hi nangmah chauhin enkawl ngai suh, seizure mai mai anga ngaihin. Seizures hi thluak tibuaitu natna khirh tak chhinchhiahna a ni fo thin. Tonic-clonic seizures hian hriatna hloh a thlen avangin seizure lai hian eng nge thleng tih i hre lo mai thei.

Nangmah emaw, i hnaih ber emawin a vawi khatna atana seizure i neih chuan doctor pan a pawimawh hle. Doctor thiam tak chuan seizure natna lan chhuah dan leh a chhan awm thei te a enfiah thei a ni.

Ka awm lai hian mi pakhatin seizure a neih chuan engtin nge ni ang?

I awm laiin mi pakhatin seizure a neih chuan first aid i tih theih tur thenkhat a awm. Thil tih tur leh tih loh tur thenkhat chu hetiang hi a ni:

Thil tih tur (Dos):

• A thaw thei em tih en rawh. A kawr vela thawmhnaw chu phelh rawh.
• A chhehvela thil hlauhawm awm zawng zawng chu paih chhuak rawh. Thil chhe thei emaw, a chunga tla thei thil emaw chu paih chhuak rawh. Glasses a bun a nih chuan fimkhur takin phelh la, a sir lamah dah rawh.
• A sir lamah (rescue position) hawitir rawh. Hetiang dinhmun hian thawk a ti awlsam a , thawkna kawngah hmui emaw riltam emaw a luh loh nan a veng bawk .
• A theih ang anga seizure hun chhung record tum ang che. He thu hi doctor tan chuan a pawimawh hle thei a ni. Emergency medical help mamawh leh mamawh loh hriat theihna turin a pui thei bawk.
• Seizure a zawh hnuah leh a hriatna an neih leh hma loh chuan chu mi bulah chuan awm rawh. Seizure nei tawh chuan a hriatna a neih leh chuan a buai a, a hlauthawng thei bawk. Thlamuan la, fuih rawh.
• A hriatna a lo let leh hnuah a dam tha em tih enfiah thin ang che. Seizure avanga hliam a neih leh neih loh leh damdawi lam pan a ngai em tih enfiah thin ang che. A lu a vuak tawh a nih chuan, emaw, a kawr emaw, a hnungzang emaw a hliam a awm thei nia i ngaih chuan, damdawi lam pan a him ber. Tichuan kan hmuh theih loh hliam na tak a awm leh awm loh kan enfiah thei ang.
• Status epilepticus i neih chuan tanpuina ko rawh. Seizure hi minute nga aia rei a nih chuan, emaw, a hmasa ber a tawp hmaa a dang a awm chuan 1990 (Sri Lanka emergency ambulance service) call nghal rawh. Hei hi nunna atana hlauhawm tak a ni!

Tih loh tur:

• Amah chu chelh tum suh la, che tir tum suh. Nang emaw, midang emaw chu i hliam thei a ni.
• I kâah engmah dah suh. Seizures chungchangah hian thudik lo tam tak a awm. Pakhat chu i lei i seh loh nan i hmuiah spoon emaw belt emaw ang chi thil i dah tur a ni. Khawngaihin chutiang chu ti suh.Seizure nei mekte ka chhungah engmah dah mai mai a tha lo. Nangmah emaw, midang emaw i ti na thei bawk.
• Lungngai suh. Ngawi rengin awm rawh. I chhehvela mite an lungkham chuan anni pawh thlamuan rawh.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

Dam leh hun chhung chu eng enkawlna nge pek a nih leh eng thilin nge seizure a thlen tih a innghat a ni. Hemi chungchang hi i doctor chuan a hrilh belh thei che a, eng chen nge a daih dawn tih leh engtikah nge i rilru a hahdam dawn tih te a hrilh thei che a ni.

Engtin nge hetiang thil hi ka tihziaawm theih ang? Seizures hi ven theih a ni em?

Tu pawhin dinhmun dik takah seizure an neih theih avangin seizure hi ven kim theih a ni lo. Mahse, mi thenkhat chuan seizure an nei tam zawk. Chuvangin, i risk tihziaawmna tur thil i tih theih a awm.

Seizure i neih theihna tur tihtlem nan thil tha ber berte chu:

• Ei leh in inthlau tak ei la, taksa rihna hrisel tak vawng reng rawh. Hei hian circulatory system natna (e.g. stroke) leh electrolyte imbalances te a veng thei a ni.
• Infection hi ngaihthah suh. Infection enkawl hian seizures hlauhawmna a ti tlem thei a, chu chu infection vang emaw, a kaihhnawih khawsik sang vang emaw pawh nise.
• Hriselna atana hmanraw hman tur. Helmet leh seat belt hian lu hliam avanga seizure awm lo turin a pui thei a ni.
• Zu te, damdawi te, ruihhlo te hmang sual suh. Chungte hman emaw, tihtawp emaw chuan seizures a thlen thei. Zu emaw ruihhlo emaw addict i nih chuan i chhungkaw doctor chuan hmun leh specialist service zawngin a pui thei che a, chu chuan a chhuahsan thei che a ni.
• I hriselna dinhmun enkawl rawh. Seizure hi natna khirh tak avang emaw, seizure nena inzawm thil dang vang emaw a ni thei. Entirnan, zunthlum (Type 1 diabetes emaw Type 2 diabetes) i neih chuan i thisen sugar level control la.
• Seizure thlen thei thilte chu pumpelh rawh. Tun hmaa êng êng ang chi thil avanga seizure nei tawhte chuan chutiang thil chu a theih ang anga pumpelh tur a ni.

Tonic-clonic seizure pakhat emaw a aia tam emaw ka neih tawh chuan eng nge ka beisei ang?

Unprovoked seizure nei tawh zinga a chanve vel chuan a dang an nei leh ang. Seizure vawi hnihna nei tawh zinga 75% vel chuan an nei tam zawk ang. Chuvangin doctor-te chuan second unprovoked seizure chu epilepsy tiin an hmuchhuak a, enkawlna an tan ta a ni.

Damdawi ei tan tawhte tan chuan damdawi pakhat chauh ni lovin, damdawi engemaw zat, emaw, damdawi inkawp enchhin a ngai mai thei. Damdawi hian a pui lo a nih pawhin, seizure awm tam dan leh a nasat dan tihziaawm thei tur enkawlna dang a awm bawk.

Hetiang dinhmun hi eng chen nge a daih ang?

`Provoked` seizures hi a tawp dawn leh dawn loh chu a chhan natna emaw, harsatna emaw awm chhan chu enkawl theih a nih leh nih lohah a innghat. Mi tam zawk tan chuan harsatna bulpui chu a bo tawh chuan seizures hi a awm leh tawh lovang, a lo let leh loh chuan.

Epilepsy hi dam chhung zawnga natna a ni a, a chhan chu tihdam theih a nih loh vang a ni. Mahse, a then phei chuan seizures awm chhan bulpui ber chu enkawl theih a ni. Chutianga tih a nih a, seizure-free-a i awm theih chuan i dinhmun chu "in remission" a ni an ti.

Tonic-clonic seizures awm dan tur chu eng nge ni?

Provoked tonic-clonic seizures tan chuan prognosis chu a hnuaia awm dinhmunah a innghat a ni. Condition hi enkawl theih a nih a, enkawlna i hmuh hma chuan prognosis a tha tlangpui. I doctor chuan i dinhmun tur prognosis chu eng nge ni tih leh i tih theih tur chu a hrilh thei ber che a ni.

Provoked seizures, damdawi lam dinhmun nghet emaw, na tak emaw (e.g., cancer, thluak chhiatna nghet) nena lo awm chu enkawl theih ni mahse, a chhan bulpui avang hian prognosis a tha lo tlangpui. Genetic leh congenital condition avanga seizures pawh hian prognosis a chhe zawk a ni.

Unprovoked seizures awm theihna tur thlirna chu thil engemaw zatah a innghat a, chung zingah chuan a bulpui ber, seizures nasat dan, a lo awm fo dan, leh enkawlnain a puih leh puih loh te pawh a tel.

Epilepsy natna (SUDEP) natna avanga beisei loh taka thihna thleng .

SUDEP hi natna hlauhawm tak a ni a, epilepsy vei tu pawh a vei thei a, mahse enkawl a nih chuan a awm tam lo hle. Epilepsy enkawl loh mi 150 zinga pakhat chu SUDEP vei theihna a ni a, epilepsy enkawl tawh mi 1,000 zinga pakhat chu SUDEP vei an ni thung.

Mithiamte chuan SUDEP hi a thlen chhan chiang takin an la hre lo. Tuna sawifiahna tha ber chu thinlung emaw thawk lama harsatna avanga lo awm a ni a, chu chu seizures nen a awm thei a ni.

Engtin nge ka in enkawl ang?

Vawi khat tonic-clonic seizure i neih tawh chuan a dang i neih chuan eng nge i tih tur tih hriat a tha. Seizure dang i neih emaw, seizure thlen thei damdawi lam harsatna i neih chuan a rang thei ang bera doctor pan tur a ni.

I doctor-in epilepsy i vei tih a hriat chuan, i natna enkawlna atana pui turin thil engemaw zat i tih theih a ni:

• I damdawi ei tur chu a tih angin ei rawh. I damdawi ei chhunzawm zel a pawimawh a, i rilru a hahdam a nih pawhin i ei chhunzawm zel a pawimawh. Doctor nena inbiak hnuah leh doctor-in a tih che chuan i damdawi ei kha i chawlhsan mai tur a ni.
• I duhthlan tur chungchang chu i doctor nen sawiho rawh. I damdawi ei tlem emaw, damdawi dang hmanga thlak emaw i duh chuan i doctor nen inbia ang che. Hei hi him taka tih theih dan tur leh duhthlan tur awmte chu a kaihruai thei che a ni.
• Ruahman angin doctor hmu rawh.Heng appointment te hi i dinhmun enkawl nan te, enkawl nan te, i damdawi leh enkawlna te hian a thawk tha em tih enfiah nan a pawimawh hle.
• A symptoms te chu ngaihthah suh. Hriat hmasak leh enkawl hian seizures leh epilepsy enkawlnaah danglamna nasa tak a thlen thei a ni.

Engtikah nge emergency room-ah ka kal ang?

I hriatna hloh nana thil thleng i neih a, a chhan i hriat loh chuan emergency room-ah i kal tur a ni. Mi tam tak chuan an seizure hmasa ber an neih hian an bulah mi an nei a, mahse mi zawng zawngin an nei vek lo. Nangmah chauha awm a, i seizure hmasa ber i neih nia i hriat chuan doctor pan nghal tur a ni.

Seizure nei chuan epilepsy a vei tih a hriat chuan ambulance koh a ngai lo fo thin. Mahse, seizure hian hliam a thlen a nih chuan damdawi lam pan an ngai mai thei.

Engtikah nge tanpuina ka dil ang?

I awm laiin mi pakhatin seizure a neih chuan hengte hi hre reng ang che:

• Hei hi a seizure hmasa ber a nih chuan tanpuina zawng rawh. Mi tupawh first seizure nei, rinhlelh emaw, finfiah emaw pawh nise, doctor-in a endik tur a ni. Seizures hi hriselna lama harsatna lian tak chhinchhiahna a ni fo thin.
• Status epilepticus i neih chuan tanpuina zawng rawh. Seizure hi minute nga aia rei a nih chuan, emaw, a hmasa ber a tawp hmaa a dang a awm chuan 1990 (Sri Lanka emergency ambulance service) call nghal rawh. Hei hi nunna atana hlauhawm tak a ni! Seizure a reh hnu minute 10-15 aia rei i hriatna i neih leh loh emaw, i chhanna tha lo emaw a nih chuan emergency tanpuina i zawng tur a ni. Hei hi i che lo mai thei a, mahse thluaka seizure chu a la awm reng tih chhinchhiahna a ni thei.

Epilepsy ka vei a nih chuan damdawi ei laiin naupai hi a him em?

Hmeichhia epilepsy vei te hian fa an nei thei fo. Amaherawhchu, epilepsy enkawlna atana hman damdawi tam tak hi naupai laiin ei a him lo hle a, nausen pum chhunga naute thanlenna a tibuai thei a ni.

Vanneihthlak takin naupai lai, a nih loh leh naupai lai hun engemaw chen atana hman theih damdawi dang a awm bawk. Hemi chungchang sawipui tur tha ber chu i doctor a ni. Amah hian direct guidance a pe thei che a, specialist hnenah pawh a refer thei che a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Tonic-clonic seizure hi seizure chi khat, hriat awlsam leh hlauhawm tak a ni fo. Anmahni i hmuh emaw, i neih lai emawa hlauhthawn hi thil pangngai tak a ni. Mahse, a tam zawkah chuan minute tlemte chhungin anmahni chauhin an ding thin. Chhan tam tak avangin lo awm thei mahse, heng seizures te hi a bo tlangpui a, a bik takin a hnuaia natna awm chu enkawl a nih chuan. Heng seizures te hi epilepsy nen a lo awm hian enkawl dan hrang hrang a awm a. Enkawlna \ha tak a awm chuan heng seizures vei tam tak – epilepsy vei te pawh hi nun hlim tak, hlawhtling tak leh hlim takin an nung thei a ni.

Chuvangin, nangmah emaw, i hriatte emaw hian hetiang thil hi harsatna i neih chuan damdawi lam thurawn zawng hlau suh. Enkawlna rang tak hian thil tam tak chu a tha zawngin a tidanglam thei a ni.

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