Tui i in tam lutuk chuan eng nge thleng tak tak? Tui Intoxication chungchang hi han sawi ila!

Tui hi kan taksa peng pawimawh tak a ni. Kan thawmhnaw hak lai te, kan workout lai te, exercise kan tih lai te hian tui kan in nasa hle. Chu chu a tha takzet. Mahse tui i in tam lutuk, chu chu i taksain a tuar theih aia tam i in chuan chu pawh chu harsatna a ni thei tih i ngaihtuah ngai em? Ni e, a dik a ni. Vawiin hian dinhmun hlauhawm tak kan sawi dawn a ni. Hei hi tui ruih (water intoxication) an ti a.

Tui ruih hi eng nge ni tak tak?

A awlsam zawngin, tui ruih hi i taksain a mamawh aia tam tui a neih chuan a lo awm thin a ni. Chutiang a nih chuan he tui tam lutuk hi thawk hah emaw, zun emaw hmangin i paih chhuak thei lo.

Ngaihtuah teh, tui kan in tam lutuk hian kan thisen chu a lo hmin deuh thin. Tichuan thisena chi pawimawh tak sodium awm zat chu a tlahniam ta a ni . Hetiang dinhmun hi `(Hyponatremia)` kan ti a. Chumi avang chuan taksa cell chhungah tui a lut a, cell te chu a lo hring tan thin. A bik takin, hetianga kan thluak cell-te tui a khat hian thluak chhunga pressure a sang a, thluak hnathawh a tibuai a ni. Hei hian i hriatna, i chetna leh i nungchang (`altered mental status`) a tidanglam thei a ni. He tui ruih hi a châng chuan nunna atana hlauhawm tak a ni thei tih hriat reng a pawimawh bawk .

A tlangpuiin, kal hrisel nei tan chuan hei hi thil awlsam a ni lo. Mahse, kal natna ang chi natna i neih chuan, emaw, infiammi tui in tam tak i nih chuan, tui tlakchham laia tui tam tak i in thut a nih chuan fimkhur a tha hle. Tuihâl i hriat hunah tui in thin ang che. I tuihal tawh loh hnuah pawh tui in turin nawr luih suh.

Tui rimchhia tih hming dang a awm em?

Ni e, doctor-te chuan he natna hi hming dang engemaw zat an hmang a ni. Chung zinga ṭhenkhat chu:

• Tui Poisoning a awm
• Tui Toxicity a awm
• Hyperhydration (Tui tam lutuk) a awm
• Tui tam lutuk (overhydration) a ni
• Tui Toxemia a awm
• Dilutional Hyponatremia a awm thin
• Tui leh Electrolyte inthlauhna

Tui i in tam chuan i thi thei ang em?

Ni e, tui in tam lutuk hian a takah chuan thihna a thlen thei a, chuvangin hei hi thil awlsam tak a ni lo.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

Tui rimchhia chhinchhiahna a lang nghal lo mai thei. Mahse, hengte hi hre reng ang che:

• Nausea leh vomiting: I pum a inher ang maia inhriatna, luak chhuak.
• Bloating: I pum a puak ang maia inhriatna.
• Lu na: Lu na na tak a awm thei.
• Mutthilh: Mut theih reng reng.
• Muscle chak lohna, natna, emaw, rilru hahna: Ke ruh chu a hring emaw, a na emaw, a nghet lo (jam) emaw a ni thei.
• Rilru dinhmun inthlak danglamna:Buaina, thinrimna, luak chhuak.
• Swelling (Edema): Kut, ke leh pumah te hian a hring (swelling) hmuh tur a awm thei.

Mi pakhat chu hla taka intlansiaknaa tel angin han mitthla teh. A thawmhnaw a thawk nasa hle a, chuvang chuan dehydration hlauvin tui a in chhunzawm zel a ni. Hun engemaw chen hnuah chuan a lu a buai tan a, a ngaihtuahna a buai hle. Heng symptoms te hi a lan chhuah chuan tui rimchhia a nei a ni thei.

Engtin nge tui ka in tam lutuk tih ka hriat theih ang?

Chiang taka hriat a awlsam lo. Mahse i zun rawng hian i hriselna chungchang tam tak a hrilh thei che a ni. Tui i in tam chuan i zun chu a sen hring hring, straw emaw lemonade emaw ang chi a ni tur a ni. I zun chu tui ang maia rawng nei lo leh thianghlim a nih chuan tui i in tam lutuk mai thei.

Zun rawng nei lo leh a chunga kan sawi tak symptoms i neih chuan tui in kha bansan nghal rawh.

Eng thilin nge tui rimchhia a thlen theih?

Tui i in tam chuan tui rimchhia (water poisoning) i kai thei a ni. Hei hi a thlen theihna tur dinhmun engemaw zat a awm a:

• Exercise emaw infiamna emaw: He hlauhawmna hi tui tlakchhamna tur tui tam tak in hian a sang zawk a, a bik takin infiamna hun rei tak chhunga thawk hah, hla tak tlan, kea kal, emaw cycle khalh te hian a sang zawk a ni.
• Khua lum lutuka hnathawh: Pawn lama hnathawh laiin, emaw, in lum chhunga (e.g. foundry) hnathawh hunah.
• Psychogenic Polydipsia: Hei hi rilru lam natna a ni. Schizophrenia ang chi natna nei te zingah hmuh tur a awm tlangpui . Hetiang dinhmun hian taksain a mamawh aia tam tui a in tir thin.
• MDMA (ecstasy or molly) ruihhlo hman: MDMA hi rilru tibuaitu a ni. Energy level sang tak a siam thei a, hna thawhrimna a siam thei a, thawkrim tak tak a siam thei a, tui hloh thlak nan tui tam tak in tur a siam thei bawk.
• Taksa a hniam: Nausen kum khat hnuai lam chu awlsam takin tui a tlakchham thei. An taksa a te a, chuvangin tui tam tak an mamawh lo. Tui an mamawh zat chu nu hnute emaw formula emaw atang hian an hmu thin. Mahse i naute tui pek a ngai nia i hriat chuan ounces 3 (90 ml vel) aia tam pe suh. Tin, i naute chu tui chawi zir tura i hruai dawnin fimkhur rawh, a chhan chu tui an ei palh thei a ni.
• Damdawi thenkhat: Antidepressant leh antipsychotic damdawi thenkhat hian tuihal lutuk a thlen thei.

Tin, tui ruih hi damdawi lam thil engemaw vang pawh a ni thei a, chu chuan i kal (kidney)-in tui tam lutuk chu zun hmanga a paih chhuah a harsat phah a ni. Entir nan:

• Kidney natna rei tak a awm
• Liver Natna a awm
• Congestive Heart Failure a awm thin
• Antidiuretic Hormone Secretion (SIADH) dik lo (SIADH) avanga natna hrik (Sydrome) a awm thin.

Non-steroidal anti-inflammatory drugs (NSAIDs) hian i kal chhunga tui awm zat a tipung thei bawk.

Hetiang dinhmun thleng tur hian tui engzat nge i in ngai?

Tui tam lutuk avanga tui tam lutuk hi mi hrang hrangah a inang lo thei. I taksain tui a hman dan hi hriatthiam a pawimawh a, chutiang chuan engzat nge a tam lutuk tih i hre thei ang. I taksa hian tui tam lutuk chu zun hmangin a paih chhuak thin. Hei hi ni khatah a tlangpuiin ounces 32 atanga 64 (litre 1 atanga 2) vel a ni thei. Mi thenkhat tan chuan darkar khat emaw darkar hnih emaw chhunga tui gallon khat (litre 3 atanga litre 4) vel chauh in hian tui ruih natna lanchhuahna a thlen thei a ni.

Dehydration ven nan hengte hi i ti thei ang:

• Tuihâl i hriat hunah tui in thin ang che.
• I taksa chu ngaithla rawh.
• I tuihalna a reh hnuah tui in kha bansan rawh; in luih luih suh.

Tui rimchhia hian eng nge a rah chhuah pawi tak tak?

Enkawl loh chuan tui ruih na tak chhinchhiahna chu hetiang dinhmunah hian a kal thei a ni:

• Seizures (seizures) a awm thei.
• Delirium (delirium) a awm
• Coma ah a awm
• Thihna

Engtin nge doctor-te hian hei hi an hriat chian?

Tui rimchhia a nih leh nih loh hriat nan doctor chuan a hnuaia mi ang hian a ti hmasa ang:

• I medical history chu enfiah a ni ang.
• I symptoms te ka zawt a .
• Taksa enfiah a ni ang a, a bik takin kut, ke leh pum chhunga hliam awm leh awm loh enfiah a ni ang.
• I electrolyte level enfiah nan thisen leh zun test (urinalysis) i nei thei bawk .

Hei hi eng enkawlna nge ni?

Tui rimchhia enkawlna hman tlanglawn tak takte chu a hnuaia mite hi an ni:

• Tui ei khap emaw tihtlem emaw.
• Tui ruih chhan hi enkawl rawh. Hei hian damdawi thenkhat tihtawp pawh a huam thei.
• A chhan a zirin diuretics emaw intravenous fluid emaw pek i ngai thei bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

A tam zawkah chuan tui in i chawlhsan hnu darkar tlemte chhungin i rilru a hahdam tan tur a ni.

Tui rimchhia i vei chuan eng nge i beisei ang?

Enkawlna dik tak a awm chuan tui rimchhia atanga dam leh theihna chance a tha hle. A nasat loh chuan darkar tlemte chhungin i dam tan ang. A nasat chuan a dam leh theih nan ni eng emaw zat a ngai thei.

Tui rimchhia avanga thihna hi a tlem hle.

Tui rimchhia hi a veng thei ang em?

Tui ruih vang zawng zawng hi ven theih a ni lo va, a bik takin i kal (kidney)-in tui a vawn tlat theihna tur dinhmun thenkhat chu ven theih a ni lo. Risk i nei thei nia i hriat chuan doctor nen inbia ang che.

Mahse a tlangpuiin i taksa hi enkawl rawh:

• Tuihâl i hriat hunah tui in thin ang che. Mahse hun rei lote chhunga tui tam tak in loh tur – darkar khata tui ounces 32 (liter khat vel) aia tam in hi a tam lutuk fo.
• I zun rawng kha ngaihven rawh. I zun chu a sen hring hring a ni tur a ni. Colorless, clear urine tih awmzia chu i taksaah tui tling tawk aia tam i nei tihna a ni.
• I rilru a hah, i puak emaw, lu na emaw i neih chuan tui in kha bansan rawh. Hengte hi tui i in tam lutuk tih hriattirna hmasa ber a ni thei.

I thawmhnaw tam lutuk hian electrolyte drinks, thei tui 100% emaw, orange tui emaw in tam lutuk hian dehydration a veng thei bawk a, i taksaa tui leh sodium ang chi chi te chu a thlak danglam thei a ni.

Engtikah nge Doctor i hmuh ang?

Nangmah emaw, i hriat miin emaw tui rimchhia (water poisoning) symptoms i neih chuan a rang thei ang bera doctor pan rawh. Enkawlna i zawn hma poh leh harsatna lian tak tak a awm theihna a tlem zawk.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hnenah zawhna hetiang hi i zawt thei ang:

• Engtin nge tui rimchhia hi i hriat theih?
• Engtiang chiahin nge ka tui rimchhia hi a nasat?
• Tui rimchhia hi tui ni lo in tur dang avanga lo awm thei a ni em?
• Engtin nge nakin lawkah tui rimchhia kan ven theih ang?
• Sports drinks ka in tur em ni? Engzat nge leh engzat nge?

Ni khatah tui engzat nge i in tur?

I taksa hi a danglam bik a ni. Ni tin tui i mamawh zat chu mi dangte mamawh nên a danglam thei. Mahse a tlangpuiin doctor-te chuan puitlingte chu nitin hetiang zat tui hi in turin an rawt a ni:

• Mipa tan: 125 ounces (3.7 litres) a ni.
• Hmeichhia tan: 91 ounces (2.7 litres)

Exercise tam tak i tih chuan, emaw, khaw lum emaw hmun sang takah emaw i awm a nih chuan, hetiang zat zat aia tui in tam hi a pawi lo. Mahse tui engzat nge i in tur tih i chiang lo a nih chuan doctor nen inbia ang che. Eng zat nge i tan a dik tih a hrilh thei che a ni.

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

Marathon khel tura training i neih emaw, huana hnathawk tura ni khat i hman emaw pawh nise, hydrated taka awm hi a pawimawh hle. Mahse, i thawmhnaw tam tak pawh nise, a pawimawh ber chu engkim hi a tlem berah tih a ni.

Tui hi nunna atan a pawimawh hle. Mahse zu in tam lutuk hian harsatna a thlen thei. I taksa thu hi ngaithla fo ang che. Tuihâl i hriat hunah tui in thin ang che. I zun rawng kha ngaihven rawh. I thawmhnaw a tam chuan sports drink emaw thei tui emaw in la, electrolyte i hloh tawhte chu thlak rawh. Kidney lama harsatna i neih chuan i doctor nen sawiho la, tui engzat nge i in tur tih sawipui ang che. Hrisel takin awm rawh!

` tui ruih, hyponatremia, tui tam lutuk, tui rimchhia, electrolytes, tui tlakchham, kal hriselna