Nang pawhin i hriatna i hloh nghal em? Fainting / Syncope chungchang chiang takin i zir ang u

Queue-a ding emaw, i chau hle emaw, rang takin i mit a sen a, i beng a ri a, i chhehvel zawng zawng chu a hlim lo ang maiin han mitthla teh. A dawt leha i rilru a lo harh leh hunah chuan leiah i mu a ni. Hetiang thil hi i tawng tawh em? Mi tam takin ‘ khawvel tawp ’ kan tih hi eng dinhmun nge ni tak tak? Hei hi hlauh tur thil a ni em? A nih loh leh thil pangngai a ni em? Vawiin hian i zir belh leh ang u.

A tawpna siam tih awmzia tak chu eng nge ni?

A awlsam zawngin sawi ila, thluaka thisen supply a tlahniam rei vak lo avanga hriatna hloh nghal mai hi a ni. Damdawi lam hawi chuan hei hi ‘syncope’ kan ti a. Chutianga thluaka thisen kal a tlem chuan kan hriatna hlohin leiah kan tla thla thin. Mahse, hei hi hun rei lote chhung a ni tlangpui a, second tlemte atanga minute khat emaw minute hnih emaw chhung a ni. Kan hriatna kan neih leh hnu chuan rang takin kan dam leh thin.

A tam zawkah chuan lungphun hi natna khirh tak chhinchhiahna a ni lo. Mahse, a châng chuan a hnuaia dinhmun khirh tak, thinlung natna ang chi chhinchhiahna a ni thei bawk. Chuvangin thinlung natna i neih fo chuan ngaihthah mai mai a tha lo.

I doctor-in a zawh tur zawhnate

Stroke i neih avanga doctor i pan chuan thil thleng kimchang chu a zawt ang che. Heng zawhnate chhanna hian eng thilin nge stroke hi a thlen tih hriat theihna lian tak a pe thei che a ni. Chuvangin doctor i hmuh hmain heng thilte hi ngaihtuah hmasa phawt a \angkai hle ang .

Thihna chhan hriat tumin eng test nge tih thin?

I kum, hriselna dinhmun leh i thil chipchiar tak takte a zirin doctor chuan eng test nge mamawh tih a rel ang.

Clinical examination tlangpui neih a ni

I tih hmasak ber tur chu i full check tih hi a ni. A bik takin, muhil atanga ding chhuakin i pulse leh thisen sang enfiah tir turin an ti mai thei che a ni. Hei hi postural blood pressure check an ti a. Hei hian he dinhmun inthlak danglamna nen hian thisen sangah danglamna lian tham a awm em tih a enfiah thin. Thalai hrisel tan chuan he test ringawt hi a tawk mai thei.

Test bik neih a ni

Mahse, thinlung emaw, thluak emaw lama harsatna nei nia rinhlelhna a awm chuan doctor chuan test eng emaw zat tih belh leh tûrin a rawt thei a ni .

Lung lam nena inzawm test te

• ECG (Electrocardiogram): Hei hi mi tam takin an hriat chian em em test a ni. Thinlung electrical activity a record a, heartbeat-a thil danglam awm apiang, a nih loh leh arrhythmias awm apiang a hmu thei bawk.
• Holter Monitor: A chang chuan seizure a awm chuan ECG lak nghal theih a ni lo. Chuvangin ni khat emaw ni hnih emaw chhung chu i thinlung hnathawh dan enfiah chhunzawm thei tur hmanrua te tak te i rilruah dah a ni. Hei hian nitin i thinlung rhythm a record thin.
• Echocardiogram: Hei hi thinlung scan ang a ni. Thinlung insiam dan te, valve hnathawh dan te, thinlung ruh hnathawh dan te en nan hman a ni.
• Tilt-Table hmanga tehna:Hei hi fiahna bik a ni. Khum chungah mu turin siam i ni a, khum chu degree 60 atanga 70 velin vertical-ah a inher nghal a ni. Mi thenkhat chuan hetianga an dinhmun an thlak hian thisen sang a tlahniam nghal thei a, thinlung a na a, a muhil thei bawk. He test hi chutiang chu a thleng em tih hriat nan an ti thin. Thil ngaihtuah tur a awm lo, i mut leh meuh chuan thisen kal dan pangngaiin a lo let leh ang a, i hriatna a lo let leh ang.

Thluak nena inzawm test te

• EEG (Electroencephalogram): A chang chuan seizure ang maia lang chu ‘ seizure ’ a ni thei. Chu chu rinhlelh a nih chuan i doctor chuan EEG a order ang a, chu chuan thluaka electrical activity a teh ang.

Nervous system lama harsatna a awm

Hei hi \halaite zingah a chhan tam ber a ni fo. Kan nervous system-a kan thisen sang leh heart rate control tu chu ‘trigger’ engemaw vangin hun engemaw chen chu a thawk tha tawh lo. He trigger hi natna nasa tak, lungkhamna nasa tak, hlauhna, emaw thisen hmuhna ang chi thil a ni thei. Chumi avang chuan kan heart rate leh blood pressure a tlahniam thut a, chu chuan kan muhil ta a ni.

Mi a muhil a, a tlu a nih chuan engtin nge kan tih ang? (A hmasa ber atan) .

I hnaih ber tu emaw accident a tawk a nih chuan hlauthawng suh la, heng thilte hi ti rawh.

• Mi tu emaw a ṭhut laiin a muhil a nih chuan a tlu loh nan fimkhur takin chelh la, khup inkarah a lu dah hniam rawh.
• Leiah a mu a nih chuan hawi let la, a ke chu a lu atanga feet khat vel chawi sang rawh. Hei hian thluaka thisen kal a tipung ang.
• Lu chu a sir lamah hawi rawh. Hetiang hian lei hian thawkna kawng a tikhawlo lovang a, luak chhuak a chhuah chuan lung chhungah a lut lovang.
• I hmai leh i kawr chu puan tui lum takah hnim hmin la.
• A pawimawh ber chu: Hriatna i neih leh hnuah tho nghal suh! Minute engemaw zat i ke chu chawi sangin dah la. Tichuan rei vak lo thut tir la, chutah chuan tho rawh. Fimkhur rawh, convulsion chu a lo lang leh thei a ni.

Minute khat emaw minute hnih emaw chhunga i hriatna a lo let leh loh chuan, i tluk laia i lu i vuak nasat chuan, i rilru a na emaw, thawk harsa emaw i neih chuan, chu mi chu damdawi in Emergency Department (ETU)-ah hruai nghal tur a ni.

Baldness enkawlna tur engte nge ni?

Enkawlna chu i dinhmun chhanah a innghat vek a ni.

• A chhan a nasat loh chuan: Lung lam natna avanga lo awm lo, a chang chuan a rilru a buai a, enkawlna bik a ngai lo mai thei. Nunphung tihdanglam theih tlemte a awm. Entirnan, hmun khata rei tak ding lo la, tui tlakchham loh nan tui tam tak in la, i muhil emaw i hriat veleh i lu nghatin leiah mu emaw, thu emaw rawh.
• Natna hnuaia awm vang a nih chuan:Palpitations awm chhan chu heart rhythm disorder a nih chuan damdawi emaw, vun hnuaiah hian heart rhythm control tu pacemaker an tih hmanraw te tak te dah a ngai mai thei.
• Thiltih dan dang: Mi thenkhat chu thisen sang control thei tur stocking chi khat (support hose) bun turin an hrilh thei bawk. Midangte chu an eitur ah chi tlem tal dah belh turin an ti mai thei a , damdawi lam thurawn chauhvin . Hei hian thisen volume a tipung thei a, thisen sang a control thei bawk. Mahse hei hi doctor-in a tih phawt chuan tih tur a ni.