Mi ding chungin leiah a tla thut i hmu ngai em? A nih loh leh i kal kual a, rang takin i black out emaw, i beng a hrual emaw a awm ngai em? Hetiang dinhmun hi " fainting " emaw "fainting" emaw kan ti tlangpui. Damdawi lamah chuan syncope kan ti a. Mi tam takin hei hi hlau mah se, a tam zawkah chuan hlauh tur a ni lo. Mahse, a chang chuan damdawi lam dinhmun chhinchhiahna a ni thei. Chuvangin, vawiin hian a chungchang hi i hrechiang lehzual ang u.
A awlsam zawngin, hei hi eng nge ni?
A awlsam zawngin sawi ila, fainting chu thluaka thisen kalna a tlahniam rei vak lo avanga hriatna hloh nghal, rei lo te a ni. A hluar hle mai. Dik tak chuan Emergency Department (ETU)-a lo kal damlo 3% chauh hi fainting neia present an ni.
A chang chuan hriatna hloh mai tur ang maiin kan inhria. Chumi awmzia chu kan mit a sen a, kan luak chhuak tihna a ni a, mahse kan hriatna kan hloh lo. He dinhmun hi ``Presyncope'' kan ti a. Kan hriatna kan hloh chuan ``Syncope'' a ni.
A tam zawkah chuan mi muhil chuan minute tlemte chhungin a hriatna famkim a nei leh thin. Mahse, hei hi kum upa lam tan chuan a hlauhawm deuh thei a, an muhil a, an tlu a nih chuan hliam na tak, ruh tliak ang chi te hi a tam zawk avangin.
Fainting chi hrang hrangte chu engte nge ni?
Fainting hi chi hnih ah then theih a ni ber.
1. Vasovagal Syncope a awm thei
Hei hi a tam ber chi a ni. Mi muhil zawng zawng zinga a chanve aia tam a nghawng a ni. A bik takin naupang leh tleirawlah a hluar hle. Hei hi kan nervous system tihchak a nih chuan a thleng thin a, chu chuan kan heart rate a ti hniam nghal a, kan thisen sang a tlahniam a, thluaka thisen kal zat a tlahniam bawk.
Hetiang dinhmun hi han mitthla teh: School-a zing inkhâwmpui neih laiin ni chhuahnaah rei tak i ding a. A nih loh leh thisen pekna hmuna needle i en reng a ni. Vawilehkhatah i lum a, i luak chhuak a, i mit a tlahniam zauh zauh a, i thim a, i hriatna a hloh bawk. Chu chu `` vasovagal syncope '' kan tih chu a ni. Hlauhna nasa tak, natna, leh rilru hahna ang chi thil vang pawh a ni thei bawk.
2. Lung lam natna (Cardiac Syncope) a awm
Hei hi ngaihven deuh deuh chi a ni. Hei hi lungin harsatna engemaw avanga thluaka thisen a pump tam theih loh hunah a thleng thin. Hei hi heartbeat mumal lo (arrhythmia), structural heart defects, leh heart valve problems te vang a ni thei. Hetiang chi fainting hi doctor-in a enfiah ngei ngei tur a ni.
Faint hmaa symptoms te chu engte nge ni?
Vawi tam tak chu kan taksa hian muthilh hmain signal engemaw zat min pe a, hengte hi kan hriat hmasak chuan tlu ang chi thil hi kan veng thei a ni.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| Lungkhamna leh chak lohna | Hrisel lohna, lungkham leh nunna nei lo anga inhriatna. |
| Luak chhuak leh thawk hah | Ka lu a lightheaded hle a, ka thawmhnaw lum tak nen ka break out bawk. |
| Vision a danglam thin | Mit hmaah thim a awm a, arsi i hmu ang maiin a lang a, a nih loh leh i mit a fiah lo. |
| Nausea leh luak chhuak | I pum a inher ang maiin a lang a, i luak pawh a ni thei. |
| Hmai a hring (paleness) a | Hmai lama thisen kal chu a tlahniam a, a sen vek bawk. |
| Numbness a awm | Ke leh ke ruh emaw hmai emaw a tingling sensation. |
Engvangin nge kan luak chhuak thin? A chhante chu engte nge ni?
Luak chhuak chhan hrang hrang a awm a. Ṭhenkhat chu thil pangngai an ni a, ṭhenkhat erawh chu damdawi lam dinhmun avanga lo awm an ni thei thung.
A chhan pangngai leh tlangpui
A tam zawkah chuan fainting hi thil pawi lo vang a ni.
- Hlauhna lutuk, hrehawmna, emaw, rilru lama lungngaihna emaw
- riltam leh thisen sugar level hniam (Hypoglycemia) .
- Taksaah tui tlakchham (dehydration) .
- Hmun khata rei tak ding
- Orthostatic hypotension (thut emaw, mut emaw atanga ding nghal vanga thisen sang tlahniam) .
- Thisen tlakchhamna (Anaemia).
- Zu emaw ruihhlo emaw hman
- Chauh lutuk
Ngaihtuah tur chhan
- Lung natna: Sawi tawh ang khan heart rhythm mumal lo, heart valve chhiatna, leh heart attack ang chi dinhmun te.
- Autonomic Nervous System natna: Kan thunun theih loh thil, kan thinlung thawk leh thawk dan control tu system-a harsatna awm. Diabetes Mellitus ang natna te hian he system hi a tichhe thei a ni.
- Damdawi thenkhat: Thisen sang, lungngaihna, leh epilepsy damdawi thenkhat hian luak a tichhuak thei.
- Special cases: Mi thenkhat chuan khuh lutuk (Cough Syncope) emaw, zun (Micturition Syncope) emaw hian fainting spell an nei thei.
"Blackout" leh "Fainting" hi a inang em?
Mi tam takin heng thumal pahnih hi an buaipui a, mahse a danglamna chiang tak a awm.
- Fainting/Syncope: Thil hriatna hloh. Chu chu thluaka thisen kal tlem avanga i chhehvela thil thleng hriat lohna hun rei lote chhunga awm tihna a ni.
- Blackout: Hei hi hriatrengna hloh a ni. Hetah hian hriatna (consciousness) a awm a ni. Chu mi chuan thu a sawi a, a che a, mahse a hnuah chuan chutih hun chhunga thil thleng chu a hrechhuak lo. Hei hi a chhan ber chu zu in tam lutuk vang a ni.
Engtin nge muhil i ven theih ang?
I rilru a hah, chu chu luak chhuak emaw, i mit a sen emaw a nih chuan heng thilte hi ti nghal rawh.
- A theih chuan i ke chu i thinlung chungah tlem dahin mu nghal rawh . Hei hian thluaka thisen kal a tipung ang.
- Mutna tur hmun a awm loh chuan rang takin thu la, i khup inkar ah i lu dah rawh.
- Tui tam tak in tur a ni a, a bik takin exercise lak lai leh khaw lum lai hian in thin ang che.
- Hmun khatah rei tak ding suh. Tlemin inher kual la, i ke kha han vawrh rawh.
- Mipui tamna, boruak tleh tha lo leh hmun lum te chu pumpelh tur a ni.
Engtikah nge muhil chungchangah doctor kan hmuh ang?
Vawikhat i faint chuan hlauthawng a ngai lo. Mahse, i doctor i pan ngei tur a ni a, chu chu:
- Luak chhuak fo i neih chuan.
- Exercise laiin i rilru a hah a nih chuan , hei hi thinlung natna chhinchhiahna a ni thei.
- I rilru natna, thawk harsa, emaw, rilru natna ruala i rilru natna (heartbeat) chak/ruang lo i neih chuan.
- Chhungkaw zingah tu emaw chuan sudden cardiac death history nei an nih chuan.
- I muhil a, i tlu a, i lu na tak i vuak a nih chuan.
Chutiang dinhmunah chuan 1990 call nghal emaw, damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai emaw:
- Mi muhil lo chu a hriatna a neih leh theih nan minute tlemte aia rei a hman chuan.
- Lu na nasa tak i la neih chuan, mit i la fiah lo a, i hriatna i neih leh hnuah pawh i la buai a nih chuan.
- Fainting nen hian seizure (fit) ang chi condition a awm chuan.
Take-Home Thuchah a ni
- Syncope hi thluaka thisen pek tlem rei vak lo avanga hun rei lote chhunga hriatna hloh a ni.
- Vasovagal syncope, a tam ber chi chu a nasat loh tlangpui a, mahse cardiac syncope hi hriat tur a ni.
- I muhil nia i hriat chuan i mu nghal a, i ke chawi sangin i veng thei a ni.
- I luak chhuak fo a, exercise i tih laiin i muhil fo a, i rilru natna ang chi natna dang i nei a nih chuan hun khawhral suh la, doctor pan rawh.
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