I kawr chhunga thisen kalna kawng pawimawh tak tak (Carotid Arteries) chungchangah hian heng thilte hi i hria em?

Vawiin hian kan taksa peng pawimawh tak tak, kan ngaihtuah vak vak loh chungchang kan sawi dawn a ni. Chu chu kan kawr sir lehlama awm, chunglam hawia kawngpui pahnih tlan ang maia thisen kalna kawng lian pahnih chu a ni. Medical science-ah chuan hengte hi carotid arteries an ti a. A awlsam zawngin, hengte hi kan thluak, hmai, leh kan kawr hmun nalh tak tak dangte thlenga thisen thianghlim, oxygen nei phurtu pipeline lian ber berte an ni . Tui motor atanga huan thlenga tui phurtu pipe ang a ni. Heng zingah hian blockage emaw blockage te tak te pawh hian a chang chuan i ngaihtuah phak bak harsatna lian zawk a thlen thei a ni. Chuvangin, hengte hi chipchiar taka tlem tal hriat belh chuan nang leh i chhungte tan a tangkai hle ang.

Heng carotid arteries te hi khawiah nge an awm tak tak? Engtin nge an tih?

Ngaihtuah teh, heng carotid arteries te hi i rilru chunglam atanga tan a ni a, i kawr bul tanna hnuai lam chiah a ni. Chuta tang chuan i kawr chungah an kal a, i luruh chhungah an kal lut ta a ni. I kawr sir lehlamah, veilam leh dinglamah hian he common carotid artery hi a awm a.

Tlem a sang zawkah, kawr lai vel velah chuan heng common carotid arteries pakhat zel hi branch pahnih dangah an inthen leh ta a ni. Kawngpui chu pahnih a inthen ang maiin. Hei hi split hi carotid bifurcation kan ti a . Chuta tang chuan branch pahnih inthen chu:

1. Internal Carotid Artery: Hei hi kan thluaka thisen direct a pe chhuaktu branch lian ber a ni . Hna pawimawh tak a thawk a ni.

2. External Carotid Artery: He branch hian kan hmai hmun hrang hrang, kan kawng pawn lam leh luruh hmun thenkhatah thisen a pe chhuak thin .

Heng chhungril leh pawn lam carotid arteries te hi branch tenau zawk tam takah an inthen darh a, chu chuan lu leh kawng chhunga taksa peng leh tissue zawng zawngte chu an mamawh ei tur tha, chu chu oxygen tamna thisen a pe chhuak vek a ni. Lui lian tak, lui lian tak tak, lui te tak te inzawmkhawma intan ang mai a ni a, chu chuan hmun pum a chawm a ni.

Kan circulatory system ah hian carotid artery hi a pawimawh hle a . Kan thluak hian a hnathawh that theih nan oxygen supply reng reng a mamawh a ni. Kan hmai leh kawr chhunga taksa peng nalh tak takte pawh chutiang bawk chu a ni. He thisen kal dan hi a muang a, a dal lo a nih chuan a tha ber. Mahse, he thisen kalna kawng chhungah hian thil a inkhar emaw, thisen zam a lo awm emaw a nih chuan hriselna lama harsatna lian tak a thlen thei a ni.

External Carotid Artery chungchang tlem han sawi leh ila.

External carotid artery hi a chunga kan sawi tak carotid bifurcation atang hian a intan a, chutah chuan common carotid artery chu pahnih ah a inthen a. A kawng atanga a kal chhoh zel chuan, beng bulah chuan hnah lian pahnih ah a inthen leh ta a ni. Chungte chu maxillary artery leh superficial temporal artery te an ni .

He pawn lam carotid artery hian branch tenau zawk pariat vel a chhuah chhuak thin. Heng branch te hian kan kawr leh hmai hmun tam takah thisen an pe chhuak thin. Entir nan:

• Kan thyroid gland (`Superior thyroid artery`)-a thisen pe chhuaktu branch pakhat .
• Thlalak chhunga thisen pe chhuaktu branch (`Ascending pharyngeal artery`) .
• Kan lei (`Lingual artery`) a thisen pe chhuaktu branch pakhat .
• Hmai ruh leh vun (`Facial artery`) a thisen pe chhuaktu branch.
• Lu hnung lam (`Occipital artery`) a thisen pe chhuaktu branch pakhat .
• Beng hnung lama thisen pe chhuaktu branch (`Posterior auricular artery`) .

Hetiang hmun tam takah hian he pawn lam carotid artery atanga branch chhuak branch te hian thisen an pe thin.

Internal Carotid Artery chungchang pawh i zir ve ang u.

Hei hi kan thawnthua mi pawimawh ber pakhat a ni. Internal carotid artery pawh hi carotid bifurcation atang hian a intan a, a kawr thlengin a kal nghal bawk. Chumi hnuah chuan luruh bul lama khur pakhat hmangin luruh chhungah a lut a ni. He khur hi carotid canal an ti a . Hei hi artery extracranial part leh intracranial part inthenna ramri a ni.

Luruh chhunga a luh hnu chuan internal carotid artery chuan kawng engemaw chen a inzawm khawm a, a inzawm khawm a. Doctor-te chuan luruh chhunga he hmun, `intracranial` segment hi hming dangin an ko thin. Entirnan, segment pasarih vel a awm a, chungte chu `C2: Petrous segment`, `C3: Lacerum segment`, `C4: Cavernous segment` te hi a ni. Doctor thenkhat chuan classification system dang an hmang bawk.

Mahse, heng hming zawng zawng hi i zir vek a ngai lo. Mi tam zawk chuan an dam chhungin heng hmingte hi an hriat a ngai tawh lovang. Mahse, aneurysm a lo awm chuan doctor-te chuan heng hmingte hi hmangin a awmna hmun dik tak an hrilh che a ni. Hetiang hunah hian he thu hi a pawimawh thei hle.

Internal carotid artery hian luruh chhungah hian branch pawimawh dang engemaw zat a pe chhuak thin. Hengte hi kan thluak leh mit ah thisen supply tu an ni . A bulpui berte chu:

• Ophthalmic artery hian mit hi thisen a pe chhuak thin.
• Branch hrang hrang Anterior Cerebral Artery leh Middle Cerebral Artery te hian thluak hmun hrang hrangah thisen an pe chhuak thin.

Heng carotid arteries te hian eng ang natna nge an thlen theih?

Hun kal zelah tui pipe chu rust-in a tikhawlo thei ang bawkin kan carotid arteries pawhin harsatna chi hrang hrang a nei thei bawk. Eng nge an nih hi han thlir ila:

1. Carotid Artery Disease: Hei hi Carotid Artery Stenosis an ti bawk. Stenosis tih awmzia chu "narrowing" tihna a ni. Hei hi a chhan ber chu thisen kalna kawngah thau leh cholesterol (atherosclerosis) thick layer a lo awm vang a ni . He deposit hi plaque an ti a.Tui pipe chhunga blockage ang mai a ni. Heng plaque deposit te hi common carotid artery bulah a lo awm fo thin a, chutah chuan pahnih (`Carotid Bifurcation`) ah a inthen thin. He artery hi a block chuan thluaka thisen kal zat a tlahniam thin. Tin, he plaque chungah hian thisen zam a lo awm thei a, chu thisen zam chu a chhe thei a, thluaka thisen kalna kawng te tak te a tikhawlo thei bawk. Chutiang a nih chuan `Transient Ischemic Attack` (TIA) , chu chu mini-stroke ang chi condition a ni a, stroke na tak a awm theihna tur a sang zawk hle. A châng chuan plaque chu a chhe thei a, a ṭhen khat chu a chhe thei a, thluaka thisen kalna kawng a tikhawlo thei bawk.

2. Carotid Artery Aneurysm: Hei hi carotid artery wall a chak lo a, balloon ang maia bulge chhuak a ni. He bulge (`Aneurysm`) hi hun kal zelah a lian thei hle. He aneurysm chhungah hian thisen zam a lo awm thei a, thluaka thisen kal chu a tikhawlo thei a ni. Tin, a lian lutuk chuan a puak thei (`Rupture`). Chutiang a nih chuan emergency a ni.

3. Carotid Artery Dissection: Hei hi artery wall chhungril layer-a tear chhuak a ni. He mittui hian thisen kal chu a ti slow thei a, a titawp vek thei bawk. Hei hian stroke ang chi natna khirh tak tak a thlen thei bawk.

4. Fibromuscular Dysplasia (FMD): Hei hi natna awm lo tak a ni. Thisen kalna kawng bang siam dan a chhiat vang a ni. Hei hian carotid arteries a ti tawi thei a, aneurysm a siam thei a, dissection a siam thei bawk.

Engtin nge heng arteries-ah hian harsatna a awm leh awm loh kan hriat theih ang? (A lan chhuah dan leh test dan)

Vawi tam tak chu heng carotid artery natna te hian a tir lamah chuan engmah an lantir lo . Buaina hi medical emergency, `TIA` emaw `Stroke` emaw a lo thlen hunah chauh hmuhchhuah a ni. Chuvang chuan hei hi hriat chian a pawimawh hle.

Heng symptoms te hi fimkhur hle ang che!

Nangmah emaw, i hriat mi tu emaw chuan a hnuaia symptoms te hi a neih nghal chuan 1990 (ambulance) call nghal la, a nih loh leh damdawi in hnai ber emergency room-ah kal rawh Chûngte chu stroke chhinchhiahna a ni thei a, enkawl vat chuan nunna a chhanhim thei a, hun rei tak chhûnga chak lohna a tihziaawm thei bawk.

• Hmai sir khatah tlak emaw nunna hloh emaw.
• I thusawi laiin i thusawi chu a inzawm khawm ang maia inhriatna, emaw, thumal i dahkhawm thiam loh emaw.
• Mit pakhat emaw, mit pahnih emawa mit hmuhna hloh nghal emaw, a fiah lo emaw. Mit hmaah puan dum a tla ang maiin a lang thei.
• Taksa sir khatah (kut, ke emaw, a pahnih emaw) rilru hahna, chak lohna emaw, nunna nei lo anga inhriatna emaw.
• Taksa sir khata hriatna hloh.

A châng chuan heng symptoms te hi a lo awm hian tanpuina i dil thei lo mai thei. Chuvangin, i chhungte leh i thiante chu heng symptoms te hi hriattir thin ang che. Tichuan, chu chu an hre thei a, ṭanpuina i mamawh hunah an che vat thei bawk.

Engtin nge doctor te hian carotid arteries te hi an enfiah thin?

Doctor hmu tura i kal hian i kawr chhungah stethoscope an dah a, thisen kalna kawng (arteries) atanga thisen luang ri chu an ngaithla thei a ni. A châng chuan, thisen kalna kawng a block chuan "whoosh" ri (a `carotid bruit`) i hre thei bawk. Hei hian thisen kal danah blockage a awm tih a tilang a, plaque deposit vang pawh a ni thei.

Chutiang thawm i hriat chuan, emaw, i doctor-in rinhlelhna chhan dang a neih chuan, test dang tih belh leh turin an ti thei che a, chu chu:

• Carotid Ultrasound: He test hian sound wave hmangin artery chhung lam thlalak a siam a. Blockage a awm leh awm loh leh a nasat zia a lantir thei.
• CT Scan (`Computed Tomography - CT Scan`): Hei hian thisen kalna kawng chipchiar tak tak a siam thei bawk.
• Carotid Angiogram: He test-ah hian thisen kalna kawng (artery)-ah dye bik inject a, thisen kal dan tur X-ray lak a ni.
• MRA (Magnetic Resonance Angiogram - MRA): He test hian magnetic field leh radio wave hmangin thisen kalna kawng (arteries) thlalak a siam thin.

Heng arterial blockage te hi eng enkawlna nge ni?

I carotid artery a block chuan damdawi, surgery leh enkawlna dang a awm a. I doctor chuan i dinhmun a zirin i tan enkawlna tha ber a ruat ang.

Damdawi chi hrang hrang: 1.1.

• Antiplatelet damdawi: Chungte entirnan aspirin ang chi damdawi te hi a ni.
• Thisen sang damdawi.
• Cholesterol tihhniamna damdawi: Statin damdawi ang chi.

Surgery leh tih dan dangte:

• Carotid Endarterectomy: Hei hi surgery a ni a, thisen kalna kawng hawn a, a chhunga plaque awmte chu paih chhuakin, thisen kalna kawng chu a inzawm khawm leh a ni. Hei hian thisen kal dan a siam tha leh thin.
• Carotid Angioplasty leh Stenting: Hei hian thisen kawng khar chhungah tube te tak te dahin, balloon ang chi hmanga thisen kalna chu zauh a, a khar leh loh nan mesh ang chi hmanrua te tak te (stent) dah a ni. Hei hi surgery aiin invasive lo zawk a ni.

Engtin nge kan carotid arteries te hi kan hrisel theih ang?

Heng thisen kalna kawng pawimawh tak takte hi hrisel taka awm reng tur chuan i cholesterol level control hmasak a pawimawh . A tul chuan doctor in damdawi a rawn pe ang che.

Chu bâkah, i nun dâna hêng inthlâk danglamna awlsam tak takte hian i thisen kalna kawng zawng zawng, i thinlung pawh tiamin, hrisel taka awmtîr tûrin a ṭanpui thei bawk:

• Meizial i zuk chuan chawlhsan nghal rawh. Vape leh zuk leh hmuam thil dang hman tawh loh tur. Doctor hnenah tanpuina dil rawh.
• Thinlung hrisel ei tur ei rawh. Entirnan , Mediterranean Diet hi a tha hle. Thlai, thei, legumes, fiber tamna ei tur leh sangha ei tam zawk rawh. Oil, sugar leh chi te chu tihtlem la.
• Ni khatah minute 30 tal exercise la. Mahse, exercise thar i tan hmain doctor rawn hmasa phawt a tha.
• I san zawng atan taksa rihna hrisel tak vawng reng rawh.

Ka doctor hnenah eng nge ka zawh ang?

Doctor i hmuh hian carotid arteries chungchang zawhna an zawt thei che a, chungte chu:

• Carotid artery disease ka vei theihna tur risk factors te chu engte nge ni?
• Ka carotid arteries hrisel taka awm theih nan eng nunphung tihdanglam nge ka tih theih ang?
• Ka carotid arteries dinhmun enfiah nan imaging test (scan ang chi) ka neih a ngai em?
• Ka carotid artery-ah blockage ka neih chuan eng treatment nge ka ngaihtuah ang?

Take-Home Thuchah hnuhnung ber

Chuvangin, tunah chuan heng carotid arteries te hi kan taksa tan an pawimawh zia i hrethiam ta. Heng thisen kalna kawngte hi hrisel taka vawn reng a pawimawh hle a, chu chuan thluak leh lu peng dangah oxygen tamna thisen a phur a ni.

Heng artery problem tam tak hi a tir lamah a lang lo tih hre reng ang che. Chuvangin, risk factors (cholesterol sang, thisen sang, zunthlum, meizuk, emaw chhungkaw history-a heng natna te hi i neih chuan) i neih chuan medical checkup neih fo a pawimawh.

Nun hrisel neih hian i thisen kalna kawng chauh ni lovin i thisen kalna kawng (arteries) te chu a hrisel theih nan a pui thei a ni. Hemi chungchang hi hriat belh i duh chuan i chhungkaw doctor nen inbiakna neih hreh suh. Thu belhchian dawl zawk a pe thei che a ni.

` Carotid artery, kawr chhunga thisen kalna kawng, thluaka thisen pek, stroke, atherosclerosis, TIA, aneurysm, carotid natna, nun hrisel