Mi pakhat injection emaw thisen lak emaw a nih hnua a muhil a, a tlu tih i hmu tawh em? Nangmah ngeiin i tawng tawh ngei ang. Hei hi mi tam tak ti hlauhawm tak ni mahse, a takah chuan hlauh tur a ni lo. Vawiin hian he fainting chi khat, damdawi lama Vasovagal Syncope tia hriat lar tak hi kan sawi dawn a ni.
Vasovagal Syncope hi eng nge ni?
A awlsam zawngin sawi ila, Vasovagal Syncope hi kan nervous system-a thil thleng avanga hriatna hloh nghal mai a ni a, chu chuan thisen sang leh heart rate a tlahniam nghal a ni. He hriatna hloh hi minute khat aia rei lo a ni tlangpui.
Hei hi automatic-a thleng, kan thunun theih loh thil a ni. Kan taksa hian autonomic nervous system a nei a. He system hian nerve pawimawh tak ‘Vagus’ an tih chu a nei a. He nerve hian kan heart rate leh blood pressure control-na kawngah hmun pawimawh tak a chang a ni. Eng emaw chhan vanga he vagus nerve hi a overstimulated a nih chuan kan heart rate leh blood pressure a tihhniam nghal a ni.
Hetianga pressure a tlakhniam thut chuan thluaka thisen kal chu rei lo te chhungin a tlahniam thin. Chutah chuan kan faint a, kan hriatna kan hloh ta a ni.
Kum eng pawha thleng thei mah se, fainting spell tam zawk hi he natna, Vasovagal Syncope tia hriat hi kum 40 hnuai lam zingah a ni tih an sawi a, a hmasa berah chuan hlauhawm tak angin lang mah se, a tlangpuiin natna hlauhawm tak a ni lo.
Menopause hmaa symptoms awmte chu engte nge ni?
Vawi tam tak chu, seizure a awm hma second 30-60 vel chhungin early warning sign thenkhat i hre tan ang. Heng chhinchhiahnate hi i hriat chian chuan seizure-in accident a thlen loh nan i veng thei a ni.
| A hmaa symptom a awm tawh | A awlsam zawngin... |
|---|---|
| Chau lutuk tih hriatna (Fatigue) . | Vawikhatmah chhan awm lovin i taksa chu nunna nei lo leh chau takin a awm tan ta a ni. |
| Hot tih hriatna | Vawilehkhatah ka taksa chhung atang chuan lumna a rawn chhuak tih ka hria. |
| Lung hlim /Lawng hah | Ka lu a inher ang maiin ka hria a, ka chhehvela thil awmte pawh a inher bawk. |
| Hmai hring (Pallor) . | Hmai chu thisen chhuahna a hloh a, a hring ta a ni. |
| Luhai | Ka luak chhuak duh khawp mai. |
| Profuse thawmhnaw a chhuak | Vawikhatmah ka thawmhnaw lum tak nen ka rawn chhuak tan ta. |
| Tunnel hmuhnawm tak a ni | Tube chhunga en ang mai a ni a, i chhehvel chu i hmu tlem tial tial a, a lai chauh i hmu thei bawk. |
Engvangin nge hetiang hi a lo awm? Engte nge trigger lian ber berte?
Hetiang dinhmun hi trigger bik a awm a. Chu chu, nervous system-a reaction chu thilthleng pakhat hmuh emaw hriat emaw avanga lo awm a ni tihna a ni. A chhan langsar zualte chu:
- Needle emaw damdawi hmanrua emaw hmuh: Hei hi mi thenkhat tan thisen lak lai te, injection an lak lai te, surgery atana hmanraw hman lai te an hmuh hian a thleng thei a ni.
- Thisen hmuh: Mahni thisen emaw, mi dang emaw thisen hmuh pawh hi a chhan lian tak a ni.
- Stress emaw, rilru natna emaw nasa tak: He dinhmun hi hlauhthawnna nasa tak, mangang, lungngaihna, emaw, natna avanga lo awm thei a ni.
- Chauh lutuk emaw, tui tlakchhamna emaw: Hmun khata rei tak ding, thawhrim lutuk leh tui tlakchhamna hian hahna a thlen thei bawk.
- Hmun lum leh mipui tamna hmuna awm: Hetiang dinhmun hi mipui tamna hmun, boruak tha lo hmuna i awm lai pawhin a awm thei bawk.
Engtin nge doctor hian hei hi a hriat chian ?
Hetianga seizure i neih chuan Doctor pan a tha ber. Thil thleng chungchang a zawt ang che. Chu chu seizure hmaa thil thleng, i hriat dan, etc. Chu bakah, a chhan hriat chian nan test thenkhat a awm thei bawk.
- Thisen test: Damdawi dang, iron tlakchham vanga thisen tlakchhamna (anemia) te enfiah thin ang che.
- ECG (Electrocardiogram): Hei hian heart rhythm-a thil awm dan pangngai lo emaw, inthlak danglamna emaw a awm chuan a hriat theih nan a pui a ni.
- Echocardiogram: Hei hi thinlung ultrasound scan ang a ni. Thinlung insiam dan a en thei a, thil danglam a awm leh awm loh a hre thei.
- EEG (Electroencephalogram): He test hi hriatna hloh chhan chu thluak lama harsatna, seizure ang chi a nih leh nih loh hriat nan an ti thin.
- Tilt-table test: He test-ah hian khum bik-ah i mu a, khum chu zawi zawiin dinglam hawiin i tilt a. I thisen sang leh heart rate te chu enfiahin i lu a buai em tih enfiah thin a ni.
Engtin nge hei hi ven leh enkawl theih ang?
Mi tam zawk chuan hemi atan hian enkawlna bik an mamawh lo. A pawimawh ber chu i triggers te hriatchhuah a, pumpelh hi a ni. Mahse, zun chhuah duhna chu a lo thlen hunah tihtawp nan thil engemaw i tih theih a awm.
Counter-pressure hmanga thil tih dan
Heng hmanrua te hian taksa ruhte a tikhauh a, thisen sang tlahniam a titawp bawk.
1. Leg Crossing: I ding a nih chuan ke pakhat hnung lamah cross la. Tichuan i ke, i pum leh i hnute ruh te chu khauh takin khauh rawh.
2. Kut hrual: I kut zungtang kha hrual la, inzawm khawm la, pawn lam hawiin hrual rawh. I kut chu hrual chhuah tum ang maiin.
3. Ball hrual: Rubber ball ang chi thil i kuta vawn a, nghet taka hrual hian pressure vawng reng turin a pui bawk.
Heng bakah hian i doctor chuan hetiang thilte hi a rawn rawt thei bawk ang:
- Tui tam tak leh chi tlem in tur: Tui tam tak in a pawimawh a, chu chuan dehydration a awm loh nan. Mi thenkhat chu an chaw eiah chi tlem tal dah belh turin an hrilh mai thei bawk. Amaherawhchu, hei hi Doctor thurawn ang chauha tih tur a ni.
- Compression stockings: Hei hi socks bik a ni a, kea bun thin a ni. Kea thisen awm zat tihtlem nan leh pressure vawng reng turin an pui bawk.
- Damdawi: Hetiang dinhmun hi a lo awm fo chuan i doctor chuan thisen sang control nan damdawi thenkhat (e.g. fludrocortisone, midodrine) a pe thei ang.
- Pacemaker: Heart rate a tlahniam tlem chuan pacemaker dah a ngai mai thei.
Engtikah nge Doctor hmuh a tha ber ang?
A pawimawh ber chu i dam chhunga a vawi khatna atana muhil i tawk a nih chuan a chhan dik tak hriat tumin doctor i pan ngei tur a ni, a chhan chu a chang chuan muhil hi thinlung natna ang chi natna khirh tak tak vang pawh a ni thei a ni.
Chu bakah, heng thil thlengah hian damdawi lam thurawn la ngei ang che:
- I tlu a, i lu i vuak chuan , hliam tenau chauh nei mah la, ETU (Emergency Treatment Unit) ah kal nghal rawh.
- Thisen tihthianghlimna damdawi i ei a nih chuan i tlu hnuah doctor pan ngei ngei tur a ni.
- Seizure awm tam lutuk emaw, symptoms a inthlak emaw chuan.
Take-Home Thuchah a ni
- Vasovagal syncope hi a awm fo a, a tlangpuiin a hlauhawm lo. Mahse, i dam chhunga a vawi khatna atana syncope i neih chuan a chhan hriat chian nan doctor i pan ngei ngei tur a ni.
- I luak chhuak chhan (triggers) te chu hriatchhuah tir rawh. Entirnan, injection i lak dawn a nih chuan muhil hian tlu lo turin a pui thei a ni.
- I luak chhuak tih i hriat chuan a theih chuan mu emaw, thu emaw. Hei hian i lu leh hmun danga hliamte chu a tlak loh nan a pui thei a ni.
- Counter-pressure maneuver, i ke cross leh cramp lo awm i hriat hunah i kut i clench ang chi te hian cramp lo awm tur chu a titawp thei a ni.
- Concussion avanga lu na i neih chuan, emaw, hetiang dinhmun hi a lo awm fo a nih chuan, rei lovah doctor pan tur a ni.
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