Lung natna hi hnam leh chi hrang hrangah a inang lo em? (Heart Disease & Ethnicity) Hemi chungchang hi han sawi ila!

Heart disease hi tun dinhmunah khawvela mi tam takin an hmachhawn mek a ni. Mahse, hnam thenkhatin he thinlung natna hi an vei theihna chance a sang zawk tih i hria em? Hei hi a chhan dik tak chu eng nge ni? Genes a ni em? Nge kan chenna khawtlang hi a ni em? Hemi chungchang hi chipchiar deuhin han sawi ila .

Lung natna chu eng nge ni? Engvangin nge mi thenkhat a nghawng nasa zawk?

Cardiovascular disease hi natna pakhat chauh a ni lo. Thinlung leh thisen kalna kawng tichhe thei natna chi hrang hrang sawina atana hman a ni. Puitling zingah thihna thlentu ber a ni. Amaherawhchu, mi thenkhat, a bik takin hnam tlem zawkte chuan an vei nasa zawk. Entirnan, mipa puitling zinga 47% chuan thinlung natna an vei tih hmuhchhuah a ni a, mipa puitling zinga 36% chuan an vei tih hmuhchhuah a ni.

Lung natna vei theihna tur risk factors chungchang sawi dawn chuan mi pawl thenkhat chu risk sang zawk an ni. Entirnan, zunthlum hi thinlung natna thlentu lian tak a ni. Hispanic hmeichhiate hi hmeichhe var aiin zunthlum vei an tam zawk a, a let hnih zetin an tam zawk. American Indian-te hi mipa hring aiin a let thum zetin zunthlum an vei tam zawk a ni.

"Health Disparities" tih hi eng nge ni? Genetic nge social factors hi a pawimawh em?

Hei hi hnam hrang hrang leh hnam hrang hrangte hriselna inang lote tan hriselna inthlauhna (`) kan sawifiah dan a ni. Health Disparities (`) hi khawvel hmun hrang hranga awm, harsatna khirh tak a ni.

Zirchiangtute chuan hnam leh chi hi ``biological`` trait ni lovin ``social construct`` a ni tih an sawi fo thin. Chu chu, hêng hrisêlna inthlâk danglamna thlentu ber chu genes ni lovin, kan khawsakna khawtlângah hian thil chi hrang hrang a ni.

Heng khawtlang thilte hi engte nge ni? Mihring hriselna tichhe thei khawtlang thil tam tak a awm a. Hengte hi ``Social Determinants of Health`` kan ti bawk. A bulpui ber thenkhat chu:

• Nunna atana mamawh bulpui phuhrukna tur sum leh pai .
• Zirna tha neih theihna hun remchang.
• Hriselna lama enkawlna tha tak dawn theihna.
• Thli thianghlim leh tui thianghlim awmna hmun him.
• Chaw tha tak tak, thei thar, leh thlai chi hrang hrang hmuh theihna tur resources.
• Mihring inlaichinna thlawptu, inthliarna leh tharum thawhna laka fihlim.

Heng thilte hi a inzawm tlat a ni. Entîr nân, retheihna chuan miin thinlung hrisel chaw ei tûr a tikhawlo thei a. Chu mi chu restaurant tha leh ei tur dawr tha lo "food desert"-ah a awm a nih chuan an duhthlanna chu a tlem zawk hle.

Heng khawtlang thilte hian mipa hring, Hispanic leh American Indian population te chu a tichhe hle. Economic leh social phurrit lian zawk an phur fo thin. Chumi avang chuan an hriselna a tuar nasa hle. Hnam dangte pawhin harsatna hrang hrang an tawk thei a, chu chuan thinlung natna an vei theihna a tichhe thei a ni.

Hypertension leh heart disease - population hrang hrang an nghawng dan

United States-ah hian hnam leh chi ṭhenkhat chu thisen sang leh type 2 diabetes vei an tam zawk a, chungte chu thinlung natna thlentu lian ber an ni.

Thisen sang (Hypertension) hi han thlir ila.

• Puitling dum zinga 59% chuan thisen sang an nei a , hei hi hnam dang zawng zawng zingah a sang ber a ni.
• Asian puitling enkawlna zawng panga zinga pali chuan thisen sang control theih loh an la nei a ni. He zat hi Hispanic leh mipa hring puitling (pali zinga pathum) zingah chuan a hniam deuh hlek a ni.
• Hmeichhe dum hi naupai laiin thisen sang (`chronic hypertension` ) nei thei hi hmeichhe var aiin a let hnih in a tam zawk. Hetiang dinhmun hian nakin lawkah thinlung natna vei theihna a tipung a ni.
• Puitling dumte hi puitling var aiin thisen sang avanga internal organ damage an nei tam zawk . Chuvang chuan end-stage kidney disease an vei theihna chu a let liin an tam zawk a ni.
• Mihring dum puitling pawh hi mipa puitling aiin thisen sang leh a kaihhnawih natna avanga thi an tam zawk bawk .

Heng statistics te hi social factors pawhin a nghawng a ni. Entirnan, insurance nei lote hian thisen sang thunun theih loh an nei tam zawk. Tin , inthliarna tawk te hian thisen sang an nei bawk .

Thisen sang hian harsatna a thlen thei a, chungte chu:

• Coronary artery natna a ni
• Lung lam chak lohna
• Thai
• Peripheral artery natna a ni
• Pum chhunga aortic aneurysm a awm
• Kidney (renal) natna rei tak leh end-stage
• Dementia natna (dementia) a awm

Diabetes (Type 2 Diabetes) hian Lung natna a thlen dan - Mipui hrang hrang a nghawng dan

Type 2 diabetes hian i thinlung, thluak leh kal (kidney)-a thisen kalna kawng a tichhe thei a ni. Hetiang dinhmun hian i triglyceride leh LDL cholesterol level a tisang thei a ni. Zunthlum vei te hi zunthlum vei lo te aiin heart attack emaw stroke emaw an vei theihna hi a let hnih in an tam zawk.

American mi sawm zinga pakhat vel hian zunthlum chi khat an nei a, a tam zawk (90% - 95%) chu type 2 diabetes an nei a ni. Diabetes hi hriselna lama harsatna lian tak a ni a, mi zawng zawng a nghawng a ni. Amaherawhchu, hnam leh chi thenkhat chu a dang aiin a nghawng nasa zawk a ni.

Researcher thenkhat chuan zunthlum hi "exemplar health disparities disease" tiin an sawi. Chu chu, data-ah hian chi hrang hrang leh chi hrang hrangte inthlauhna chiang takin a lang tihna a ni. Hei hi khawtlang thil vang a ni. Zunthlum vei tam danah hnam leh chi hrang hrang inthlauhna thenkhat chu hetiang hi a ni:

• American Indian zingah chuan puitling pali zinga pakhat chuan zunthlum a vei a, mipa hring zingah chuan mi sawm leh pahnih zinga pakhat chauh a vei thung.
• Hispanic/Latinx, black, leh Asian American puitlingte hian puitling var aiin zunthlum an vei tam zawk.
• Mihring dumte hi mipa hring aiin kum naupang zawkin zunthlum an vei tih hmuhchhuah a ni a, chu chu an dam rei zawng a hniam tihna a ni.
• Hispanic/Latino mite hian zunthlum hmuhchhuah loh hi mipa hring aiin a let hnih zetin an tam zawk. Hei hi a chhan chu health insurance leh regular health care an neih theih loh vang a ni.
• Hispanic hmeichhiate hi hmeichhe var aiin zunthlum vei an tam zawk a, a let hnih zetin an tam zawk.
• Type 2 diabetes hian kum 45 chunglamte a vei tlangpui nachungin, zirchianna chuan tunah chuan thalai leh naupangte zingah a hluar chho zel tih a tarlang .
• He natna hmuhchhuah hi kum 2002 atanga 2015 thleng khan Hispanic/Latino leh naupang dum zingah a pung chak hle a ni.
• Thau lutuk hian type 2 diabetes vei theihna a tipung a ni. Diabetes hi Asian American, mipa hring, leh Hispanic/Latinos te zingah a tam zawk. Severe obesity (BMI 40 aia sang) hi puitling dum zingah a tam zawk.

Eng hnam nge lung natna nei tam ber?

Lung natna vei zat hi a hriat danah a innghat a ni. American zirchianna atanga thil hmuhchhuah pawimawh thenkhat chu hetiang hi a ni:

Lung lam chak lohna

• Mipa dum aiin mipa dum aiin 70% in heart failure an nei tam zawk.
• Hmeichhe dum aiin hmeichhe dum aiin 50% in he natna hi an vei tam zawk.
• Puitling dumte hi puitling varte aiin heart attack vangin damdawi ina awm an tam zawk hi a let hnih zetin an tam zawk. Damdawi inah hun an hmang tam zawk a, ni 90 chhunga dah leh an nih a rinawm zawk.
• Hispanic puitlingte pawhin puitling var aiin thinlung natna an vei tam zawk bawk.

Coronary Artery Disease leh Lung lam natna te

• Hmeichhe dum aiin hmeichhe dum aiin heart attack an nei tam zawk.
• Mihring dum puitlingte hi mipa puitling aiin thinlung natna avanga thi an tam zawk.
• Asian puitlingte hian hnam dang aiin coronary artery disease an vei tlem zawk. Amaherawhchu, hnam hrang hrangah hian danglamna engemaw zat a awm. Asian Indian mipa, Filipino mipa leh Filipino hmeichhia te hi mipa hring aiin an hlauhawm zawk.
• Hispanic hmeichhe naupang heart attack nei te hi Hispanic mipa naupang aiin an thih theihna a sang zawk a, chubakah puitling dum leh var te aiin an thih theihna a sang zawk bawk.

Thai

• Hnam leh chi dang nena khaikhin chuan , puitling dumte hi stroke an vei tam zawk. An neih hunah pawh naupang zawk an ni duh bawk.
• Puitling dumte hi puitling var aiin stroke vangin an thi tam zawk.
• Mexican American puitlingte hian mipa puitlingte aiin paralysis an vei tam zawk.
• Zirchianna pakhatah chuan Filipino hmeichhiate chu hmeichhe var aiin a let hnih zetin stroke an vei tam zawk tih a tarlang.
• Vietnamese mipa leh Korean hmeichhia te hi mipa hring aiin hemorrhagic stroke an nei tam zawk.
• Filipino puitling, Japanese mipa leh Vietnamese mipa te hi mipa puitling aiin stroke vangin an thi tam zawk.

Chutiang inthlauhna a awm chu a pawi hle mai, a ni lawm ni? Mahse heng thilte hi hriat chian a pawimawh hle.

Hemi chungchangah hian eng nge i tih theih ang? (In lama hruai tur thuchah)

Heart disease hi America rama thihna thlentu lian ber a ni. Mahse mi thenkhat chu midang aiin risk sang zawk an ni. Hriselna lama enkawlna leh enkawlna quality-a inthlauhna tawk pawla tel i nih chuan i doctor nen i hlauhawmna chungchang sawipui rawh. Doctor pangngai i neih loh chuan khawtlang pawl leh tualchhung resources pakhat nena inzawm thei tur zawng rawh.

Kum naupan lai atanga health checkup neih tan a pawimawh. I thisen sang, cholesterol leh thisen sugar level te enfiah tir rawh. Heng hlutnate hian eng nge a awmzia tih hi i doctor nen sawiho rawh. Tin, i chhungte zingah hian thinlung natna vei theihna tur risk factor nei emaw, thinlung natna vei nia hriat emaw an awm chuan i doctor hnenah hrilh bawk ang che. He thu hian nang leh i doctor te chu in hlauhawmna tihtlem nan a pui thei a ni.

Hriselna lama harsatna tawk lote chuan a dawngtu te tan dinhmun siam\hatna kawngah an pui thei a ni. Hriselna lama rawngbawlna inang tlanga hmuh theihna tura puitu tualchhung pawl zawng rawh. Tin, i doctor nen thawk ho la, i mimal hlauhawmnate chu hriatchhuah a, chu chu tihtlem dan tur zawng rawh.A pawimawh ber chu mahni hriselna enkawl hi a ni.

` Lung natna, hnam, chi, hriselna inthlauhna, thisen sang, zunthlum, khawtlang thil hrang hrang