Mi pakhat chu a chhan hriat loha a muhil nghal a, a tlu tih i hmu ngai em? Nge i chungah a thleng tawh em? A chang chuan mi pakhatin thisen pe turin a kal a, a chhan chu needle hlau a, a tlu tih kan hmu fo thin a ni lawm ni? Hei hi hlauhawm deuh mahse, a tam zawkah chuan thil hlauhawm tak a ni lo. Vawiin hian hriatna hloh nghal mai chungchang kan sawi dawn a ni. Damdawi lam hawi chuan hei hi
( Vasovagal Syncope) an ti a.
Hei hi eng nge ni (Vasovagal Syncope)? A awlsam zawngin i hrethiam ang u!
A awlsam zawngin, Vasovagal Syncope hi i nervous system-a thil thleng nghal mai a ni a, chu chuan i
thisen sang leh heart rate a tlahniam nghal a , i muhil thei a ni. Mahse, lungngai suh, a tam zawkah chuan minute khat aia rei lovah i rilru a buai ang. Hei hi a takah chuan
Reflex Syncope chi khat a ni . Chu chu a takin a thleng tihna a ni a, kan thunun theih lohvin a thleng tihna a ni. Mi thenkhat chuan
Neurocardiogenic Syncope an ti bawk . Chu chu i thinlung emaw, i thluak emaw, a pahnih emaw a inrawlh vang a ni. Vasovagal Syncope tih hming hi hlauhawm takin a ri thei a, mahse hetiang chi muhil hi a
hlauhawm lo tlangpui . I ring lo ang, khawvela mi pathum zinga pakhat chuan an dam chhungin vawi khat tal Vasovagal Syncope an nei ang. Kum eng pawhah a thleng thei. Vasovagal syncope hi fainting thlentu ber a ni a, a bik takin kum 40 hnuai lam zingah chuan fainting episode zawng zawng zinga a chanve vel a ni thei. Vasovagal syncope hi ding emaw, thut emaw hian a awm tlangpui. I mut lai hian a thleng tlem hle.
(Vasovagal Syncope) hmaa a lan chhuah dante chu engte nge ni?
Vasovagal syncope i neih hma second 30 atanga 60 chhungin symptom thenkhat i nei thei. Chungte chu i hriat hma chuan tlu lo turin i veng thei mai thei. Heng symptoms te hi eng nge ni tih hi han thlir ila:
- Vawikhatmah hahna danglam tak .
- Ka taksaah hian ngaihtuah phak loh khawpa lumna ka nei a .
- Lightheadedness hi luak chhuak ang maiin a awm .
- I vun rawng a inthlak , a pale (pallor) tihna a ni.
- Nauseous tih hriatna .
- Hriselna lama thawk hah (profuse sweating).
- Pulse chu a slow deuh niin a lang.
- A harh reng (yawning).
- Vision chu a danglam deuh a, culvert (tunnel vision) atanga thlir ang mai a ni .
Heng symptoms pakhat emaw a aia tam emaw i neih chuan fimkhur a ngai tihna a ni.
Engvangin nge hetiang (Vasovagal Syncope) hi kan neih? A chhante chu engte nge ni?
Vasovagal syncope hi a takah chuan i taksain i chhehvela thil engemaw a tih avanga
a reflex reaction a ni. Mahse a chang chuan he reaction hi a thleng rang lutuk emaw, a hun dik takah emaw a thleng thin. A bul tanna chu i nervous system-a i ngaihtuah pawha automatic-a hnathawk thei part atanga tan a ni.
Autonomic Nervous System kan ti a . He system-a nerve pawimawh tak pakhat chu
Vagus Nerve a ni. Hei hi i heart rate leh thisen sang control tu a ni. Ngaihtuah teh, he Vagus Nerve hi a active lutuk a nih chuan i heart rate leh blood pressure a tlahniam nghal thei a ni. Chutiang chuan Vasovagal syncope a lo awm thin. Tichuan
thluak lamah thisen i lut tawk lo a, chuvang chuan hriatna i hloh ta a ni. Vawi tam tak chu i chunga thil thleng emaw, i chhehvela thil thleng emaw hian hetiang hi a thlen thei (Vasovagal Syncope). Hengte hi
"trigger" kan ti thin. Chu chu i thil hmuh, i hriat, emaw, i tawn emaw, i rilru hahdam lohna thlentu thilte tihna a ni.
Trigger tlangpui chu:
- Needles emaw damdawi hmanrua : Hei hi thisen lak lai te, thisen pek lai te, surgery hmanrua (scalpels) thenkhat nena inhmuh lai te pawhin a thleng thei.
- Thisen hmuh: Thisen hmuh avanga muthilh pawh hi vasovasal syncope thlentu a ni fo.
- Stress , anxiety , or severe emotional trauma : Hei hi lungngaihna nasa tak, hlauhna, emaw, hrehawmna nasa tak i neih hian a thleng thei bawk.
- Chauhna emaw, hah lutuk emaw : Hei hi thawhrim lutuk vang a ni thei a, rei tak ding pawh a ni thei.
Hetiang dinhmunah hian eng harsatna nge thleng thei?
Vasovagal Syncope i neih chuan hengte hi a thleng thei a ni:
- Hun engemaw chen chu disorientation emaw confusion emaw a awm thei.
- Mit chu inhawng mah se, mit chu a inher chhuak thei a, lu chu a sir lamah a inher thei bawk .
- I hriatna i hloh veleh i tlu thei a, i hruai nghal mai thei bawk .
- Bladder control hloh pawh a awm thei bawk.
- Taksa chungahTwitching movement a awm thei bawk. Mi thenkhat chuan hei hi seizure tiin an ngai sual mai thei.
Vawikhat hriatna i neih leh chuan second 20-30 chhungin i normal leh tawh tlangpui. Chumi hnuah chuan hetiang hi i hre mai thei:
- Lungkhamna emaw, hlauhna emaw .
- Luak chhuak .
- Chau .
- Lu na .
- Luhai .
- Vun dum / vun dum (pale skin ) a ni.
- Thawmhnaw hak .
- Poop chhuah duhna a ni .
Vasovagal syncope vawi khat i neih hnuah pawh a thleng leh thei tih hre reng ang che, a bik takin fainting episode hmasa ber atanga minute 30 chhunga i ding leh chuan.
Engtin nge doctor-te hian he natna (Vasovagal Syncope) hi an hriat theih?
Doctor chuan i mut theih lohna chhan chu eng nge ni thei tih zawhna a zawt ang che. Tun hnaia i hriselna lama inthlak danglamna emaw, i natna lan chhuah dan danglam emaw, i tan chuan thil pawimawh lo anga lang pawh ni se, i doctor hnenah i hrilh tur a ni. Chûngte chuan diagnosis dik tak siam nân a ṭanpui ang. Doctor chuan damdawi leh supplement i ei tur eng pawh a zawt bawk ang. I thisen sang leh heart rate pawh a check ang. I natna lan chhuah dan azirin doctor chuan a hnuaia test te hi a ti thei bawk ang:
- Thisen test: Chûngte chuan mut theih lohna thlen thei dinhmun, thisen tlakchhamna ang chite chu a hmu thei a ni.
- Electrocardiogram (EKG emaw ECG): Hei hian i thinlung electrical activity a teh a, heart rhythm dik lo a awm leh awm loh a enfiah thei bawk.
- Echocardiogram: He test hian i thinlung insiam dan a en thei a. Lungphung pangngai lo thlentu harsatna a awm leh awm loh hriat theih nan a pui thei a ni.
- Electroencephalogram (EEG): Hei hian i thluak electrical activity a teh a. Hei hian seizure i neih leh neih loh hriat theih nan a pui thei a ni.
- Tilt-table test: He test-ah hian dawhkan chungah i mu a, doctor chuan a chungah a tilt che a. Vasovagal syncope vei te chu he test chhung hian an muhil thei a, an muhil hnaih thei bawk.
- Hemodynamic test: Hei hian X-ray chi khat bik (gamma camera) hmangin taksaa radioactive substance (tracer) inject tawh chu a hmuchhuak thin. Hei hian i thisen kal dan leh harsatna a neih theihte hriat theihna turin a pui thei a ni.
Vasovagal Syncope hi engtin nge enkawl a nih?
Vasovagal syncope vei tam zawk hi chu enkawl ngai lovin anmahni chauhin an dam leh thin. Mi dangte chuan enkawlna an mamawh thei a, chungte chu:
- IV fluids: I taksaah tui a tlakchham chuan hengte hi a tangkai hle.
- Trigger hriat leh pumpelh: Vasovasal syncope thlentu hriatna hmang hian chutiang trigger chu i pumpelh thei a, a tlem berah chuan i inpeih thei bawk. Syncope pawh i veng thei vek mai thei.
- Damdawi: Heart rhythm disorder emaw thisen sang emaw damdawi thenkhat hian a pui thei. Entirnan, damdawi Fludrocortisone leh Midodrine .
- Compression stockings: Medical grade stockings kawr thlenga lo thleng hi a tha ber. Hengte hi hak nuam lo a nih chuan infiammiten compression thawmhnaw an ha thei a ni.
- Counter-pressure maneuvers: Hengte hi i ke cross leh second tlemte chhung i ke ruh tense te, chubakah i kut zungtang inzawmkhawm leh i kut te i sir lam hawia chhuah tir te a ni. Heng exercise te hian i thisen sang a tisang thei a, i muhil lo thei bawk.
- Pacing devices: A tlem hle a, i thinlung a ding lo tur leh hriatna hloh loh nan pacemaker emaw device dang emaw i mamawh mai thei.
- Catheter ablation: A tlem berah chuan doctor-te chuan cardioneuroablation tih chu an hmang ṭhin. Hei hian i thinlung chhunga nerve te chu a target a ni.
Engtikah nge Doctor ka hmuh ang?
I muhil a nih chuan
emergency medical attention i pan nghal tur a ni . Vasovagal syncope hi natna khirh tak, nunna atana hlauhawm tak a ni thei. Chuvangin, i muthilh chhan chu natna khirh zawk vang a nih leh nih loh hriat nan doctor-in i endik nghal tur a ni. Tin, i muhil
a, i tlu laiin i lu (tlemte pawhin) i vuak chuan damdawi lam thurawn lak a pawimawh hle. Thisen tihthianghlimna damdawi i ei a nih chuan i tlu hnuah doctor thurawn i la ngei ang. Heng damdawi te hian i chhungril thisen chhuah theihna a tipung thei a ni. Doctor nen in inbia tur a ni a, chu chu:
- Vasovagal syncope i la nei ngai lo a, rang takin i muhil a nih chuan.
- Vasovagal syncope nei ngai lovin near-fainting episode engemaw zat i nei tawh a nih chuan.
- Vasovagal Syncope i vei tih hmuhchhuah a nih chuan, i natna lan chhuah dan a danglam a, a nih loh leh i muhil tam lutuk a nih chuan.
I doctor hnenah hetiang thil hi i zawt thei ang:
- Eng thilin nge ka tan he thil (Vasovagal Syncope) hi a thlen?
- Hetiang thil hi a thlen leh loh nan eng nge ka tih ang?
- Test tam zawk tih ka ngai em?
- Enkawlna ka mamawh em?
Hei hi ven theih a ni em?
Ni e, vasovagal syncope venna atana pui thei tur thil engemaw zat a awm.
Chûng zîngah chuan tui in tam te, i ei tûra chi tlem te dah te (mahse, chi i dah hmain i doctor zawt hmasa phawt ang che, chi hian thisen sang a tisang thei a ni), leh ding nghet taka ding te a ni Vasovagal syncope vei tam tak chuan an nunah nghawng a neih chu a tihtlem thei a ni. Vasovagal syncope hi a lo thlen hmain a symptoms hriat thiam an zir thei a, a thlentu trigger te pawh an pumpelh thei bawk. A thlen hmaa i rilru put hmang i hriat chuan i mu thei a, i thu thei bawk. Tichuan i tlu leh hliam a tlem tawh ang. A thlen hmaa i hriat theih chuan i titawp thei mai thei. I doctor chuan i thisen sang chu i muhil lo thei ang bera awm tir turin tips thenkhat a pe ang che. Chung zingah chuan:
- Foam emaw rubber ball emaw khauh taka hrual: Hetianga i kut khauh taka hrual hian i ngaihtuahna a fimkhur reng thei a ni.
- Arm-tensing: I kut pahnih chu thil i vawn ang maiin inzawm khawm rawh. I kut inzawm chu hook khawm la, kut pakhat kutphah chu kut dang kutphah hnuaiah leh kut dang kutphah chu kutphah chungah i chelh ang maiin. Tichuan, an inthen darh tum ang che.
- Leg-crossing: Ding laiin i ke chu khup pakhat chu a hnung lamah a awm theih nan cross la. Balance vawng reng la, i ke, i pum leh i hnute ruh te kha tikhauh rawh.
Vasovagal syncope hian nitin nun a tibuai thei a, khawi hmunah pawh kal hlauhna a siam thei bawk. Mahse, a tlangpuiin a hlauhawm lo. Hemi chungchangah hian doctor hnenah thurawn leh thlawpna dil rawh. An thil tum ber chu he dinhmun hi i hmachhawn theih nan leh i nun nuam tihna hun remchang i hloh loh nan a ni.
Take-Home Thuchah a ni
Okay, chuti a nih chuan tunah chuan vawiin a kan sawi (Vasovagal Syncope) kha i hrethiam tawh niin ka hria. A tam zawkah chuan a pawi lo tih hre reng ang che. Mahse,
i muhil fo a nih chuan, emaw, i muhil laiin i tlu a, i lu i vuak a nih chuan, emaw, natna dang damdawi i ei a nih chuan doctor i pan ngei ngei tur a ni. A bulpui ber chu hetiang thil thlentu (triggers) te hriatchhuah a, anmahni atanga inthiarfihlim hi a ni. Tin, muthilh hmaa natna lan chhuah dan hriat chian a, fimkhur a pawimawh hle bawk. Tui tam tak in la, ei leh in inthlau tak ei la, rang taka tho ni lovin zawi zawiin tho rawh. Hetiang thil awlsam tak takte hian he dinhmun hi i thunun thei a ni. Lungngai suh, nangmah chauh i ni lo!
vasovagal syncope, muthilh, muhil, luak chhuak, thisen sang hniam, nervous system, vagus nerve
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