I 'Pulse Pressure' chungchang hi i hrechhuak ang u. (Pulse Pressure) Hei hi kan hriselna atan a pawimawh hle!

Blood Pressure, a nih loh leh kan sawi angin "pressure" chungchang hi i hre tam tawh ngei ang? I chhungkuaa tu emaw chuan a nei ve mai thei. Mahse, ‘Pulse Pressure’ chungchang hi i hre tam lo mai thei. Hei pawh hi kan thinlung hriselna chungchang sawi tam tak a ni. Chuvangin, vawiinah hian he ‘Pulse Pressure’ hi eng nge a nih, kan hriselna a nghawng dan , a pung emaw a tlahniam emaw a nih chuan eng nge thleng thin, leh a level tha taka awm reng tura kan tih tur te kan sawi mai ang.

‘Pulse Pressure’ tih hi eng nge ni?

A awlsam zawngin, i thisen sang i teh chuan value pahnih i hmu a ni. Pakhat chu top number a ni a, chu chu ‘Systolic Pressure’ an ti a ni . A dang chu a hnuai lam number a ni a, chu chu ‘Diastolic Pressure’ an ti a ni .

Ngaihtuah teh, kan thinlung hi tui pump ang mai a ni. Second tin kan taksa pum puiah thisen a pump chhuak thin.

• Systolic pressure, or the top number , chu i thinlung a inzawm (i.e. a beat) a, thisen chu thisen kaltlangin taksaah a nawr lut a, i thisen kalna kawngkhar a pressure sang ber a ni.
• ‘Diastolic Pressure’, a nih loh leh a hnuai lam number , chu thinlung a inzawm khawm a, a relax leh a, chu chu heartbeat pahnih inkar a arteries chhunga pressure hniam ber a ni.

Chuvangin, ‘Pulse Pressure’ hi a chunglam number (Systolic) leh a hnuai lam number (Diastolic) inthlauhna a ni. Hei hian kan thinlung leh thisen kalna kawng hriselzia tilangtu engemaw zat min pe a ni.

Engtin nge ‘Pulse Pressure’ hi kan zawn theih ang? A awlsam khawp mai!

Hei hi hriat chian nan hian fancy math tih a ngai lo. I thisen sang number hnuai lam (Diastolic) atanga top number (Systolic) i paih chhuah atanga value i hmuh chu ‘Pulse Pressure’ an ti a.

Entirnan, hetiang hi han ngaihtuah teh:

I thisen sang chu 120/80 mmHg (mercury millimeters) a ni.

Tichuan ‘Pulse Pressure’ chu:

120 (Systolic) - 80 (Diastolic) = 40 mmHg a ni .

A tlangpuiin puitling hrisel tak pulse pressure hi 40 mmHg vel niin kan ngai.

Mahse, kan tar chhoh zel chuan kan thisen kalna kawngte chu a nghet deuh a, chu chu an flexibility a hloh tihna a ni tih hre reng ang che. Hei hi thil awmdan pangngai a ni. He arterial stiffness hi diabetes mellitus leh chronic kidney disease nei te tan chuan a langsar hle a ni .

Heng arteries te hian an flexibility an hloh a, an lo nghet lo deuh deuh a, a tlangpuiin kum 50 an tlin hnuah hetiang hi a thleng thin:

• I Systolic Blood Pressure (a sang ber number) chu a sang chho zauh zauh tan a.
• I diastolic blood pressure (a hnuai lam number) chu a tlahniam zauh zauh tan ang.

Hei vang hian kan tar chhoh zel chuan pulse pressure a sang chho zel a ni.

Engvangin nge ka thisen sang ka check hian minute tlemte danah ‘Pulse Pressure’ hi a inthlak thin?

Ni e, i pulse pressure a danglam deuh hi thil pangngai tak a ni. Hei hi ‘Pulse Pressure Variation’ kan ti a. Ngaihtuah teh, i thawk lai pawhin i thinlungin thisen a pump zat hi a inang lo deuh a ni. Heng danglamna te hi 5 mmHg atanga 10 mmHg thlenga te a ni tlangpui. Tin, ni khat chhunga hun leh i dinhmun (ding, thut emaw, mut emaw) a zirin i thisen sang leh pulse pressure hi hun engemaw chen a danglam thei bawk. Chuvangin vawi khat i hmuh chuan lungngai lutuk suh.

‘Wide Pulse Pressure’ tih hi eng nge ni? A hlauhawm em?

Pulse pressure zau tak, a nih loh leh pulse pressure sang tak hian i thisen sang tehna chunglam leh hnuailam chhiar danah danglamna lian tak a awm tihna a ni. Pulse pressure sang, a tlangpuiin taksa chak lo tak takah chuan , hriselna lama harsatna awm mek emaw, awm thei emaw chhinchhiahna a ni thei.

Doctor-te chuan pulse pressure 100 mmHg aia tam chu ‘widened’ (a sang hle) niin an ngai tlangpui . Mahse, i pulse pressure chu a normal value 40 mmHg aia sang a nih tan chuan a sang tlem pawhin i thinlung leh thisen kalna kawngah harsatna i neih theihna a tipung thei a ni.

Hei hi ngaihtuah teh: Research atanga a lan dan chuan i ‘Pulse Pressure’ 10 mmHg a san apiangin ‘Coronary Artery Disease’ vei theihna chu 23% velin a pung a ni.

I pulse pressure 50 mmHg aia sang a nih chuan:

• Lung natna
• Lungphun lama harsatna (‘Arrhythmia’) .
• Thai

Tin, pulse pressure value sang hian zunthlum ang chi natna avanga mit leh kal chhiatna a tipung thei bawk.

Mahse, taksa chak tak tak, hla taka tlan te pawhin ‘Pulse Pressure’ an nei sang thei bawk. Mahse doctor-te chuan harsatna lian takah an ngai lo. Hei hi a chhan chu an thinlung hian mi pangngai aiin thisen a pump tam zawk vang a ni. Tin, exercise an tih fo avangin an artery te chu a flexible a, a hrisel bawk.

‘Wide Pulse Pressure’ awm chhante chu engte nge ni?

• Aortic valve (thinlung chhunga valve lian ber) chu a leak emaw, a tawi emaw a ni.
• ‘Atherosclerosis’ - Chumi awmzia chu thisen kalna bang a thau a awm avangin thisen kalna kawng a zim a, a khauh phah tihna a ni.
• A châng chuan, damdawi ina awmte pawhin natna hrik emaw, inflammation emaw an neih chuan ‘Wide Pulse Pressure’ hmuh tur a awm bawk .

‘Narrow Pulse Pressure’ tih hi eng nge ni?

‘Narrow Pulse Pressure’ emaw ‘Pulse Pressure’ value hniam emaw chuan i ‘Pulse Pressure’ chu i Systolic Pressure (a sang ber number) hmun li a\anga hmun khat (1/4) aia tlem a ni tihna a ni.

Hetiang dinhmun hi a lo awm a:

• I thinlungin thisen a pump tha lo lai hian. Entirnan, ‘Heart Failure’ (thinlung hnathawh chak lohna) leh ‘Cardiac Tamponade’ (thinlung chhehvela tui a punkhawmna) ang chi case-ah te
• Tin, accident avanga chhungril lama thisen chhuak a awm emaw, taksa atanga thisen tam tak a bo emaw chuan hetiang hi a thleng thei bawk.

Engvangin nge ‘Pulse Pressure’ hi uluk taka enkawl a pawimawh?

I pulse pressure kha control a pawimawh hle. Pulse pressure sang chuan i thinlung chu a hma aia nasa zawkin a thawk tihna a ni thei a, i thisen kalna kawngte chu a awm tur angin a inthlak danglam lo tihna emaw, a pahnih emaw a ni thei bawk.

Heng harsatna pahnihte hian thinlung leh thisen kalna lama harsatna lian tak tak, heart attack emaw stroke emaw i neih theihna chu nasa takin a tipung a ni. He hlauhawmna hi kum 55 chunglam tan a sang hle a , a chhan chu chutiang kum chuan harsatna pahnih hi a awm dun tam zawk a ni.

Ka pulse pressure level tha tak a awm theih nan eng nge ka tih ang?

I ‘Pulse Pressure’ enkawl dan leh i thisen sang zawng zawng control reng hi thil pahnih a ni lo, pakhat a ni. Chuvangin, i thisen sang tihtlem nan thil tam tak i tih theih a awm a:

• Kum khatah vawi khat tal medical checkup la rawh: Thisen sang leh a kaihhnawih harsatnate hian natna a nasat em avangin a lan chhuah loh fo thin. Kan u Sunil ang bawk khan natna a nei lo niin ka hria. Mahse kum tin checkup ka neih lai khan pressure a sang deuh tih ka hrechhuak. Tichuan rang takin ka thunun thei ta a. Chuvang chuan kum khatah vawi khat tal Doctor hmu a, checkup neih a pawimawh hle a, chutiang chuan harsatna a awm a nih chuan rang takin i hre thei ang.
• Chaw tha ei: Chi (sodium) tlem ei hian i thisen sang a thunun thei a ni. I doctor chuan ni khata chi i ei zat chu milligram 2,300 chauh tihtlem turin a hrilh mai thei che a ni. Chu chu teaspoon khat aia tlem a ni.
• Tay active: Taksa exercise hi i thinlung leh thisen kalna atan a tha hle. Aerobic exercise (kea kal, tlan, leh cycle khalh ang chi) hi a hlawkpui hle. Ni khatah minute 30 tal exercise lak tum ang che.
• Zu in tlem zawk rawh: Hmeichhiain ni khatah zu pakhat aia tam in loh tur (kar khatah 7 aia tam lo) leh mipain ni khatah vawi hnih aia tam (kar khatah 14 aia tam lo) in tur a ni. Chu aia tam in chuan i thisen sang a tisang thei a ni.
• I hlauhawmna hre rawh: I chhungkuaa tu pawhin lung natna, thisen sang, zunthlum, cholesterol sang emaw an neih chuan i chhungkaw doctor hnenah hrilh rawh. I chhungkuaa tu pawhin heng zinga pakhat emaw, a aia tam emaw i neih theihna chance a sang zawk mai thei.
• I damdawi pek ang chiah chiah ei rawh: I doctor-in i thisen sang a hriat chian a, damdawi a pek chuan a pek ang chiah chiah, a pek hun laiah ei rawh. I damdawi chu i hriatreng lai chauh i ei a nih chuan, emaw, i appointment hma ni khatah chauh i ei a nih chuan, nakin lawkah harsatna i tawk thei a ni.
• In lamah i thisen sang enfiah rawh: I duh chuan in lamah i thisen sang i enfiah thei ang. ‘Blood Pressure Cuff’ hi Damdawi dawr atangin emaw online-ah emaw lei theih a ni. I thisen sang i enfiah fo chuan i thisen sang chu a pangngai aia sang reng reng a nih leh nih loh i hre thei ang. Chumi hnuah chuan i doctor nen in sawi dun thei ang.

Engtikah nge ka pulse pressure chungchangah doctor ka hmuh ang?

In lama i thisen sang i teh fo chuan hetiang thil i hmuh chuan doctor pan a, sawipui a tha ang:

• I ‘Pulse Pressure’ chu a pangngai lo taka ‘wide’ (i.e. 60 mmHg aia sang) a nih chuan.
• I ‘Pulse Pressure’ chu ‘narrow’ a nih reng chuan (chu chu i ‘Pulse Pressure’ chu i upper limit hmun li a\anga hmun khat (1/4) aia tlem a ni tihna a ni).

A chang chuan i thisen sang chhiar sang leh hniam i hmuh hian eng thil nge thleng tih i hre thei lo. Chutiang hunah chuan chhungkaw doctor nen inbia ang che. Kum upa lam thil pangngai mai a nih leh nih loh emaw, hriselna lama harsatna dang vang emaw a nih leh nih loh a hrilhfiah thei che a ni.

I pulse pressure hian doctor-te chu i thinlung leh thisen kalna kawng hriselna chungchang a hriat belh theih nan a pui a ni. I pulse pressure emaw thisen sang emaw chungchanga zawhna i neih chuan zawh tur tha ber chu i doctor a ni. I zawhnate chu a chhang thei a, a tul chuan specialist dang hnenah a refer thei bawk. Chutiang chuan, a hnua i beisei tûr chu ngaihtuahna ṭha zâwk i nei thei ang.

He thawnthu atang hian eng nge kan in lama hruai haw duh ber? (In lama hruai tur thuchah)

Okay, chuti a nih chuan vawiinah hian 'Pulse Pressure' chungchang hi kan sawi nasa hle a ni lawm ni? Hengte hi hriat reng tur pawimawh tak takte chu hetiang hi a ni:

• Pulse pressure hi i thinlung leh thisen kalna kawng hriselna tehna pawimawh tak a ni. Number chauh a ni lo.
• In lama i thisen sang i check laiin i pulse pressure vawi khat a san emaw a tlahniam emaw i hmuh chuan hlau suh. Amaherawhchu, chutiang inthlâk danglamna chu i hmuh chhunzawm zêl chuan, chu mi chungchâng chu i doctor hnênah sawipui rawh.
• Nunphung hrisel hi a pawimawh ber a ni. Ei leh in tha, exercise lak leh zu in tlem te ang chi thilte hian i pulse pressure chauh ni lovin, i hriselna zawng zawng pawh a tha zawngin a awm reng thei a ni.
• I doctor hi i advisor tha ber a ni. Zawhna emaw, ngaihtuahna emaw i neih apiang chu a hnenah sawipui rawh. Mahni inhriatthiamna nei suh.

Chuvangin, i ‘Pulse Pressure’ pawh hi ngaihven rawh. I thinlungin a sawi che thawnthu a ni thei!

` pulse pressure, thisen sang, systolic, diastolic, thinlung natna, hriselna, Sri Lanka