I thisen sang chu engtin nge a awm? Eng nge a nih chiang takin i zawng chhuak ang u.

I dam em? Vawiin hian thupui pakhat, mi tam tak tana pawimawh, mahse a chang chuan hriatthiam kim loh kan sawi dawn a ni. Chu chu ‘Blood Pressure’ emaw kan tih angin ‘pressure’ emaw a ni. Kan taksa chhunga thisen kalna kawng lian tak tak, kan thisen kal tlanga thisen a luang chhuah huna pressure kan neih ang a ni. I thinlungin second a na apiangin taksa pum puia thisen phurtu thisen kalna kawng (arteries)-ah thisen a pump lut thin. Hei hi minute khatah vawi 60 leh 100 inkar, ni khatah darkar 24 chhung a thleng thin. Heng arteries te hi i taksa pum puia oxygen leh nutrients phurtu leh i taksa hnathawh thatna tura puitu an ni.

‘Blood Pressure’ leh ‘Heart Rate’ hi thil chi hrang hrang pahnih a ni em?

Tunah chuan mi thenkhat chuan ‘Blood Pressure’ leh ‘Heart Rate’ emaw, thinlung thawk chak dan hi a inang vek niin an ngai ta. Mahse chutiang chu a ni lo. An pahnih hian thinlung nen inkungkaih ni mah se, hengte hi thil chi hrang hrang pahnih a ni. Ngaihtuah teh, ‘Blood Pressure’ tih hi i thisen chu i thisen kalna kawng a kal chak dan leh eng chakna nge a nih tih hi a ni. ‘Heart Rate’ tih hi minute khata i thinlung na vawi engzat nge tih a ni.

Heart rate sang hian thisen sang pawh a sang tihna a ni ngai lo. Pressure dik tak hriat tur chuan blood pressure cuff leh gauge hman a ngai a ni.

Engvangin nge thisen sang hi a inang reng loh?

I thisen sang hi a inang reng reng lo. I thil tih dan azirin a danglam thin. Exercise i tih emaw, i stress emaw hian i pressure a sang chho thin. I mut a, i hahdam lai chuan i pressure a tlahniam thin.

Chu mai ni lovin, heng thilte hian i thisen sang a tidanglam thei bawk:

• Kum: Kum upat deuh deuh hian thisen sang a danglam thei.
• Damdawi i ei dan: Damdawi thenkhat chuan thisen sang a nghawng a.
• Posture thlak danglam: Ding atanga i ṭhut thut ang chi, posture inthlak danglamna tlem a awm thei bawk.

Engvangin nge thisen sang chungchang hi kan ngaihtuah nasat a ngaih? ‘Silent killer’ a ni em?

Thisen sang, thisen sang tia hriat bawk hi a then chuan "silent killer" an ti a, a chhan chu a natna lanchhuahna engmah a thlen loh vang a ni. Engmah hre lo mah la, thisen sang hian i thinlung, kal leh thluak a tichhe thei a ni.

Thisen sang hi rilru lam natna vei theihna tur risk factor lian tak a ni. Enkawl loh chuan thisen sang hian hetiang dinhmun hi a thlen thei a ni:

• Transient ischemic attack (TIA) hi a awm thei lo.
• Thai
• Lung natna
• Thinlung lian zawk
• Lung lam chak lohna
• Peripheral artery disease - Hei hian kea thisen kal a tlem a, na a awm tihna a ni.
• Artery wall chak lo leh bulh (`Aneurysms`) .
• Kal natna
• Mit chhunga thisen kalna kawng te te te chu a puak darh ta a.

Ngaihtuah teh, taksa chhungah thil tam tak a thleng thei a nih chuan, i thisen sang enkawl hi a va pawimawh tak em!

Tute nge pressure nei tam zawk?

A hnuaia chhan hrang hrang i neih chuan thisen sang i vei theihna a sang zawk a ni:

• Chhungkaw zingah thisen sang, lung natna, zunthlum (`Diabetes Mellitus`) nei an awm chuan.
• Mihring dum i nih chuan (hei hi genetic effect a ni).
• Kum 60 aia upa i nih chuan.
• Thisen a cholesterol level a san chuan.
• Birth control pill (`oral contraceptives`) i hman chuan.
• I thau lutuk a nih chuan.
• Zunthlum (`Diabetes Mellitus`) i neih chuan.
• Zuk leh hmuam thil (cigarette, beedis ang chi) i hman chuan.
• Exercise tha i tih loh chuan.
• Chaw chi tamna i ei fo chuan.

Engtin nge leh engtikah nge i thisen sang i check thin?

I thisen sang a normal a nih chuan kum tin i check-up chhungin i doctor chuan a enfiah tur a ni. Amaherawhchu, i doctor i tlawh huna i thisen sang (blood pressure reading) a sang a nih chuan, in lamah i thisen sang enfiah turin a hrilh mai thei che a ni. Hei hi ni khatah vawi engemaw zat a ni thei a, kar khatah vawi khat pawh a ni thei bawk.

A pawimawh ber chu nitin a hun laia i thisen sang enfiah hi a ni . Vawi hnih emaw vawi thum emaw a zawnin i check thei a, mahse chhiar apiang inkarah minute khat vel nghak rawh. I tih zawh chuan i reading pahnih emaw pathum emaw i lak zat average chu la rawh.

A châng chuan i doctor chuan darkar 24 chhunga thisen sang enfiahna bun turin a ti thei che a, chu chuan i thil tih pangngai i tih laiin minute 15 emaw 30 emaw danah i thisen sang chu a teh nghal mai ang.

Thisen sang enkawl dan tur engte nge ni?

Thisen sang hi rilru lam natna thlentu lian tak a ni. Enkawl loh chuan a hmaa kan sawi tawh TIA, Stroke, leh Heart attack ang chi natna khirh tak tak a thlen thei a ni. Chuvangin, enkawlna chu i doctor sawi angin inthlak danglamna siam hi a ni.

Ei leh in leh nunphung inthlak danglamna

• I taksa nena inmil tur weight nei la, vawng reng rawh.
• Exercise neih fo thin ang che.
• Ei leh in inthlau tak, thinlung tana tha tak, chi, thau leh cholesterol tlem, thei leh thlai thar tamna ei thin ang che. Ei leh in tha hi i thisen sang enkawlna atana thil pawimawh tak a ni. DASH (Dietary Approaches to Stop Hypertension) ei dan tur ruahmanna leh sodium (salt) tihtlem hian thisen sang control nan a pui thei a ni. I doctor hnenah dietitian hnenah refer turin hrilh la, chu chuan i tana tha tur meal plan siam turin a pui ang che.
• Zu in hi tihtlem rawh. Mipa tam zawk chu ni khatah zu vawi hnih aia tam in lo turin an fuih a, hmeichhia leh mipa te zawkte chu ni khata zu pakhat aia tam in lo turin an fuih bawk. (In tur pakhat chu beer ounces 12 vel, wine cooler ounces 12 vel, wine ounces 5 vel, zu khauh ounces 1.5 vel a ni.)
• Stress leh thinrimna thunun rawh.
• Zuk leh hmuam leh nicotine awmna thil zawng zawng hi pumpelh vek tur a ni.
• Tin, thisen lipid level (LDL, Cholesterol, Triglycerides) leh hriselna dang, zunthlum ang chi control a pawimawh bawk.

Doctor leh damdawi siamtu nen inhmuhkhawmna

• I doctor-in damdawi a pek zawng zawng chu a tih angin ei vek rawh. Damdawi engmah ei tan emaw, chawlhsan emaw suh, doctor nen inbiakna nei lovin. Blood pressure damdawi i ei tawh loh hnuah pawh a thawk chhunzawm zel lo.
• Over-the-counter damdawi thenkhat, decongestants te hian i thisen sang damdawi hnathawh dan a nghawng thei a ni.
• I ni ruat saah doctor hmuh theihnghilh suh. I thisen sang a enfiah thei a, damdawi a tul apiang a siamrem thei a, i thinlung natna hlauhawmna tur a enkawl thei bawk.

I doctor pawhin in lama i thisen sang enfiah a, ziak chhuak turin a hrilh thei bawk che a ni. A hrilh che chuan a thupekte chu zawm dik rawh.

I thisen sang i check hmain engtin nge i inbuatsaih thin?

I thisen sang dik taka teh tur chuan hengte hi hre reng ang che:

• Meizial zu, exercise i tih zawh chauh a nih chuan, i thisen sang i enfiah hmain minute 30 vel nghah hmasa phawt ang che.
• Toilet ah kal la, i bladder kha khar rawh.
• I kawr kawr chu roll up rawh. I kawr kawr chungah belt bun suh.
• Minute nga chhung chu thu sawi lovin ngawi rengin thu rawh.
• Dinglam hawiin thu la, ke pahnih chu leiah dah rawh. I ke kha cross suh.
• I kut chu heart level-ah table chungah dah rawh.

Engtin nge thisen sang hi teh a nih?

I thisen sang hi kut hmanga teh a nih chuan doctor emaw nurse emaw chuan hetiang hian a ti ang:

• Band bik (`cuff`) - meter (`gauge` emaw `Sphygmomanometer`) nena inzawm - chu i kut chunglam (elbow chunglam)-ah i khuh a.
• Tichuan band chu i kut bulah a tight thlengin inflated a ni. Band-a ball ang chi hmanrua te tak te, an inbun chu an hrual a. Hei hian i brachial artery chu a compress a, chuta thisen kal chu rei lo te chhung atan a titawp a ni. Hetiang hunah hian meter hian 200 mmHg vel a chhiar tur a ni.
• A dawtah chuan stethoscope hmanga i arm artery atanga thisen luang chhuak thawm i ngaihthlak laiin, cuff chu zawi zawiin a deflated (cuff-a valve inbun hmangin). Chumi hnuah chuan meter-a needle chu a chhuk tan ang.
• Thisen luang ri (pulse ri) i hriat tan chuan meter-a a hlutna chu i en a. Chu chu systolic value a ni a, chu chu top value a ni.
• Tichuan, valve chu hawn belh lehin band chu a lo chhuak vek a ni. Tichuan, arm artery-a pressure chu a reh a, thisen chu a pangngaiin a luang leh ta a ni. Band a thlah a, thisen luang ri a reh chuan meter-a value chu chhiar a ni. Chu chu diastolic value a ni a, chu chu a hnuai lam value a ni.

Tin, in lama i hman theih tur automatic blood pressure monitor a awm bawk.

Thisen sang endik hnuah eng nge thleng?

Doctor pan tura i kal hunah i hlauthawng a, i lungkham a nih chuan i thisen sang chhiar dan chu a nihna tak aiin a sang zawk mai thei. Hei hi "White Coat Syndrome" an ti a. Doctor kawr dum i hmuh chuan i thisen sang a sang ang mai a ni. Chutiang a nih chuan i doctor chuan nilengin in lamah i thisen sang enfiah turin a hrilh mai thei che a ni. Tichuan i thisen sang chhiar dan chu ziakin i doctor hnenah i entir thei ang.

Thisen sang tehna hian side effect a nei em?

I thisen sang i teh chuan i kut vel cuff i inflate hian i tight deuhin i hria. Mahse hun rei lote chhung chauh a daih. Tichuan a pangngaiin a let leh ta a ni. Side effect lian tham a awm lo.

Thisen sang value kan hmuhte chu engte nge ni?

I thisen sang chhiar danah hian tehna pahnih a awm a:

• Systolic blood pressure (top/first number): Hei hi i thinlung a thawk a, i thisen kalna kawng chhunga thisen a pump luh hian i thisen kalna chhunga pressure a ni.
• Diastolic blood pressure (bottom/second number): Hei hi thinlung a chawlh lai, heartbeat hnih inkar, arteries chhunga pressure awm chu a ni.

Doctor-te chuan heng tehnate hi mercury millimeter (mm Hg)-ah an pe thin. Chutianga an tih chhan chu tun hma chuan pressure tehna hmanruaah mercury a awm thin vang a ni.

Thisen sang pangngai chu eng nge ni?

Thisen sang pangngai chu 120/80 mm Hg aia hniam a ni.

‘Blood pressure’ 120-129 (a chung lam number) a nih a, a hnuai lam chu 80 `mm Hg` aia tlem a nih chuan ‘elevated blood pressure’ (a sang deuh) anga ngaih a ni. Hetiang category-a mite hian an pressure tihziaawmna tur thil an tih loh chuan an pressure a sang lehzual thei.

Thisen sang engzat nge hlauhawm taka sang?

I top number chu 180 emaw a aia sang emaw a nih chuan, leh/ emaw i bottom number chu 120 aia sang a nih chuan emergency medical attendance zawng nghal la, a nih loh leh damdawi inah mi pakhatin hruai nghal rawh. Hei hi dinhmun hlauhawm tak ``Hypertensive Crisis`` an tih a ni.

‘Hypertensive Crisis’ i neih lai hian natna lan chhuahna te chu i nei thei a, chungte chu:

• Thâwk harsa.
• A rilru a na.
• Mit fiah lo emaw, tawng harsa emaw.
• Hnung lam natna.
• Thil hriatna hloh emaw, rilru hahna emaw.

Pressure hniam zawk, mahse sang zawka chhiar chuan ‘Stage 1’ emaw ‘Stage 2’ emaw hypertension i nei thei tihna a ni.

• Stage 1 hypertension: Upper reading 130-139 emaw a hnuai lam reading 80-89 emaw.
• Stage 2 hypertension: A chunglam chu 140 aia tam a ni a, a hnuai lam chu 90 aia tam a ni.

I thisen sang chhiar dan chu ‘Stage 1’ emaw ‘Stage 2’ emaw a nih chuan i doctor chuan nunphung thlak danglam turin a hrilh ang che a, i thisen sang tan damdawi pawh a pe bawk ang che.

Thisen sang engzat nge hniam lutuk?

Pressure reading 90/60 mm Hg aia hniam chu thisen sang hniam anga ngaih a ni. Mi thenkhat chuan thisen sang an hniam reng thei a, chu chu an tan chuan thil pangngai a ni. Mahse midang tan chuan thisen sang hniam hian thil dik lo a awm tihna a ni. An taksa peng pawimawh takah thisen an dawng tlem hle mai thei.

Top value nge a hnuai lam value hi a pawimawh zawk?

I doctor chuan thisen sang i neih leh neih loh hriat nan a chung lam number emaw, a hnuai lam emaw hmangin a hre thei ang. Mahse, kum 50 chunglam i nih chuan thinlung natna thlentu atan top number (the systolic number) hi an ngaihtuah zawk tlangpui.

I tar deuh deuh chuan hun kal zelah i thisen kalna kawngte chu a nghet zual sauh sauh a, thau leh cholesterol (plaque) a lo pun zel chuan i thisen sang a sang chho zel bawk.

Results hmuh theih nan eng chen nge hun a duh?

I thisen sang reading i hmu nghal thei bawk. Mahse, i doctor chuan thisen sang i neih leh neih loh hriat nan reading vawi hnih emaw a aia tam emaw (ni hrang hranga lak) a mamawh ang. Ni dangah check dang nei leh turin a ti thei che a ni.

Engtikah nge Doctor ka hmuh ang?

I in lama thisen sang chhiar dan pangngai aia sang emaw a hniam emaw chuan doctor ko rawh. I reading chu 180/120 mm Hg a nih chuan, emaw, chutiang value zinga pakhat emaw chu a sang zawk a nih chuan 911 call nghal la, emergency room-ah kal rawh.

Symptoms nei lo mah la, i thisen sang a sang thei. Chuvangin, i thisen sang hi a normal range chhungah a awm em tih enfiah fo a pawimawh. Thisen sang i neih chuan i damdawi ei tur chu i doctor-in a tih ang chiah khan ei la. Doctor nen inbia lovin i damdawi ei tan emaw, chawlhsan emaw suh. Blood pressure damdawi i ei tawh loh hnuah pawh a thawk tawh lo. I doctor chu a hun takah hmu la, chutiang chuan i thisen sang a enfiah thei ang a, i damdawi ei tur a tul apiang a tidanglam thei ang a, i thinlung natna hlauhawmna a enkawl theih nan a pui thei ang che.

I hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawiho atang hian ‘thisen sang’ chungchangah hian ngaihdan tha tak i neih ka beisei. A tawi zawngin:

• Thisen sang hi i taksa hriselna atan a pawimawh hle.
• I thisen sang enfiah fo a pawimawh hle a, a bik takin risk factors i neih chuan.
• Thisen sang hi "silent killer" a ni thei a, chuvangin a natna lan chhuah hun nghak suh.
• Nunphung hrisel (ei leh in tha, exercise, meizuk bânsan, stress management) hi thisen sang control-na kawngah a ṭangkai hle.
• Doctor-in damdawi a pek chuan a pek ang chiah chiah ei tur a ni. Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh.
• I thisen sang chhiar dan hre reng la, a bik takin 180/120 mm Hg ang chi level hlauhawm tak tak te chu hre reng la, a lo awm chuan doctor lam pan nghal rawh.

I hriselna chu i kutah a awm! Chuvangin hei hi enkawl a tha ber.

` Thisen sang, thisen sang, lung natna, hriselna, thisen sang tehna, pressure, hypertension