Kan taksaa thisen sang kan hriat ringawt ni lovin, ‘Perfusion Pressure’ chungchang pawh kan zir tur em ni?

‘Blood pressure’ tih hi i hre tawh ngei ang, a dik em? Mahse vawiinah hian thil pawimawh ve ve kan sawi dawn a, mahse chu chu i la hre tam lo mai thei. Chu chu ‘Perfusion Pressure’ a ni. A awlsam zawngin sawi ila, hei hi kan taksa peng hrang hranga thisen dik taka pump theihna tura pressure mamawh chu a ni. He pressure hi a dik hunah chauh kan taksa peng hrang hrangte hian oxygen leh nutrients an mamawh chu an dawng thei ang.

‘Perfusion Pressure’ tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

Ngaihtuah teh, i huana thlai chi hrang hrangte tui pek tur chuan tui pump atanga lo chhuak pipe-ah hian pressure tha tak a awm a ngai a ni lawm ni? Chutiang bawkin kan taksa peng pawimawh ber ber, thinlung, thluak, kal, heng zawng zawngte hian thisen kaltlangin oxygen leh nutrients an dawng thei tur chuan he ‘perfusion pressure’ an tih hi a hmunah a awm a ngai a ni. A awlsam zawngin ‘perfusion pressure’ tih hi tissue emaw organ emaw-a thisen supply nana net pressure mamawh a ni. He pressure hi a level tawk a nih chhung chuan chu organ chuan thisen mamawh zat a dawng ang. Chuvangin hei hi kan circulatory system-a thil pawimawh tak a ni. Ngaihtuah teh, hmun ṭhenkhatah he pressure hi a tlahniam a nih chuan eng nge thleng ang? Chutah chuan harsatna lian tak tak a lo chhuak thin. Hetianga pressure tlahniam hi a hlauhawm thei hle a, a bik takin kan thinlung leh thluak lamah a hlauhawm hle. A chhan chu heng taksa peng hrang hrangte hian thisen an dawn mumal loh chuan natna khirh tak, a chang chuan nunna atana hlauhawm tak a thlen thei a ni.

He ‘perfusion pressure’ hian engtin nge hna a thawh?

Kan thinlung hi pump ang mai a ni. A thawk chhunzawm zel a ni lawm ni? Kan thinlung a nat apiangin thinlung a\angin thisen tlem a nawr chhuak a, kan taksa pum puia thisen kalna kawng (arteries)-ah a thawn chhuak \hin. Tichuan he thisen hi arteries atanga capillaries thlengin a kal thin. Chutah chuan thisena oxygen awm chu kan taksa cell te nen an inthleng a ni. Chu hna chu an thawh zawh chuan capillary-a thisen chu thisen kalna kawng hmangin thinlungah a kir leh a ni. He cycle hi thinlungin second tin a nalh apiangin a thleng thin. Chuvangin he process hi a thawk tha tur chuan ‘perfusion pressure’ an tih hi a pawimawh hle.

Engtin nge he ‘perfusion’ hi a kal tha em tih i hriat theih ang?

Taksa chhunga taksa peng hrang hrang tel lo perfusion test hi pulse oximeter an tih hmanrua atanga tan a ni tlangpui. I hmu tawh ngei ang, a chang chuan i thisena oxygen awm zat enfiah nan i kut zungtang-ah clip ang chi hmanrua i dah thin. Chu chu a ni. I vun kaltlangin red leh infrared light a thawn chhuak thin. Kan thisena molecule hemoglobin an tih hian oxygen a keng tel a. He hemoglobin hian oxygen a phurh lai leh a phur loh lai hian light a absorb dan a inang lo. Chu danglamna hmang chuan pulse oximeter chuan i thisenah oxygen engzat nge awm tih leh thisen chu hmun engemaw chen a thleng dik em tih a chhut thei a ni. Heng pulse oximeter thenkhat hi i kut zungtang i dah clip ang mai a ni. Ṭhenkhat chu i kut zungtang emaw hmun dangah emaw, sticker ang chi sensor i stick keng tel a ni. A chang chuan hei hi beng bulah emaw, hmaiah emaw a inzawm thei bawk.

Chuti a nih chuan he ‘Perfusion Index’ hi eng nge ni?

Perfusion Index (PI) hi i taksa peng bik pakhata thisen a kal that dan tehna a ni. Chu hmuna thisen oxygen awm zat chu deoxygenated thisen awm zat nen khaikhin chuan a teh a ni. Pulse oximeter-in thisena oxygen awm zat a teh theihna ang chiah hian Perfusion Index-ah pawh a pui bawk. Hemoglobin-in oxygen a phurh zat tehna hmang hian chu lai hmuna thisen thar (i.e. thisen oxygen la nei) engzat nge a luang tih teh theih a ni. Peripheral Perfusion Index hi he principle hmang hian doctor-te’n damlo an tehna leh an enkawl dan tur a ni. Value hniam tih awmzia chu i thinlung hian thisen a pump tlem tihna a ni emaw, i taksa peng hrang hrang, i thinlung atanga hla ber (i kut leh ke ang chi)-a thisen kal dik lohna tur thil a awm tihna a ni.

‘Perfusion Index’ leh ‘Blood Pressure’ hi eng nge an danglamna?

Heng pahnih hi kan circulatory system hnathawh that dan tehna a ni. Mahse a hman dan erawh a inang lo va, thil inang an teh lo.

• Perfusion Index: Hei hi hmun khata thisen kal zat tehna a ni. Value sang zawk chuan thisen kal tha zawk a tilang . Value hniam zawk chuan i thinlung emaw thisen kalna kawng emaw a harsatna a awm tih a tilang thei .
• Blood Pressure : Hei hian i thisen kalna kawng chhunga pressure a teh a, mercury millimeter (mm/Hg)-a teh a ni. A chunglam leh a hnuai lam a awm. Upper value (`Systolic` pressure) chu thinlung a na apianga thisen kalna kawng (arteries) -a pressure awm zat a ni. A hniam zawk (` Diastolic` pressure) chu heartbeat pahnih inkar a arteries-a pressure awm hi a ni.

Pawimawh: Heng pahnih hian thil an teh dan a inang lo a, pakhat chu a tha a, a dang pawh a tha tih i ring thei lo. An pahnih hian an pawimawh.

Engtin nge ‘perfusion pressure’ hian i thinlungah hna a thawh?

Kan thinlung hi kan dam chhung zawnga thawk chhunzawm zel ngai thau a ni. A hna dik taka thawk tur chuan thinlung hian oxygen supply reng reng a mamawh a ni. Hei hi thisen kalna kawng bik coronary arteries an tih atang hian a dawng thin . Ngaihtuah teh, heng artery kal tlanga oxygen kal tlang hi thinlung hian 70% leh 80% inkar a hmang thin! Organ dang reng reng hian oxygen hi chutiang zat chu an hmang lo.Coronary Perfusion Pressure (CPP) hi heng thisen kaltlanga thisen kal zel tur a ni. He pressure hi a tlak hniam chuan thinlungin thisen leh oxygen a dawng tlem hle. Hei hian nunna atana hlauhawm harsatna a thlen thei a ni.

Engtin nge hei hi i hmuh?

Pulse oximetry hmanga coronary perfusion pressure (CPP) tehna hman a ni lo. Hei hi tehna atan hian doctor-te chuan tehna dang pahnih an la a, chu chu coronary perfusion pressure chhiar nan an hmang a ni. Heng tehnate hi echocardiography (thinlung scan) emaw, heart catheterization ( thinlung chhunga tube te tak te dahna test) hmanga teh theih a ni. A tehna pahnih chu: 1. Aortic Diastolic Pressure: Hei hi i aorta (thinlung atanga taksa peng dang panna thisen kalna kawng lian ber) a heartbeat inkar a pressure awm chu a ni. Hei hi i ‘thisen sang’ pangngai tehna hmanga hmuh theih a ni. Hei hi i thisen sang number hnuai lam (`Diastolic` pressure) a ni. 2. ‘Left Ventricular End-Diastolic Pressure` (LVEDP): Hei hi thinlung hnuai lam chamber pahnih zinga pakhat, left ventricle chhunga heartbeat pahnih inkara pressure awm chu a ni. Tunah chuan he ‘coronary perfusion pressure’ (CPP) hi hetiang hian kan hmu ta a ni: ‘Aortic Diastolic Pressure’ - ‘Left Ventricular End-Diastolic Pressure’ = ‘Coronary Perfusion Pressure’.

Chuti a nih chuan he ‘perfusion pressure’ hian engtin nge thluak hi a nghawng?

Thinlung hnuaiah hian taksa peng pawimawh dang, oxygen mamawh chu kan thluak hi a ni. Cerebral Perfusion Pressure (CPP) hi thluak hmun tinah thisen a kal tluang taka a kal theih nan a enkawl a ni. Thluak hian thisen a hmuh tlem chuan second tlemte chhungin i hriatna i hloh thei a ni. Chu chu a pawimawh em em a ni.

Engtin nge hei hi i hmuh?

Tin, thluak ‘cerebral perfusion pressure’ (CPP) chhut nan test pahnih neih a ngai bawk. 1. Thisen sang: A hmasa berin ‘thisen sang’ hi teh a ni. Tichuan, doctor-te chuan ‘Mean Arterial Pressure’ (MAP) . He MAP hi cardiac cycle khat (i thinlung a inzawm leh a relax hun chhung) chhunga i arteries-a pressure average a ni. He MAP hi a hnuaia mi ang hian chhut a ni:

• I ‘thisen sang’ (`Diastolic` pressure) hnuai lam number chu pahnihin puntir rawh.
• A chunga value (`Systolic` pressure) hi chhanna i hmuhah hian dah la.
• An vaia belhkhawm la, a result value chu 3. (MAP = [Systolic BP + (2 x Diastolic BP)] / 3)

2. Intracranial Pressure (ICP): Intracranial tih awmzia chu "luruh chhungah" tihna a ni. Kan thluak leh luruh ruh inkarah hian cerebrospinal fluid (CSF) a awm a.Intracranial pressure an tih chu tui a awm a. He ICP hi i thluak, a chhunga thisen leh CSF fluid avanga luruh chhunga pressure awm zawng zawng a ni. Hei hi tehna atana hmanraw bik a awm a, a chang chuan luruh chhungah hian hmanraw nalh tak i dah a ngai thin. Tunah chuan ‘cerebral perfusion pressure’ (CPP) chu hetiang hian kan hmu ta a ni: ‘Mean Arterial Pressure’ (MAP) - ‘Intracranial Pressure’ (ICP) = ‘Cerebral perfusion pressure’ (CPP) .

‘Perfusion pressure’ nena inzawm harsatna avanga damdawi lam dinhmun tlanglawn tak takte chu engte nge ni?

I taksa hmun dangah pawh ‘perfusion pressure’ a tlem chuan harsatna lian ber chu ‘ischemia’ an ti a. Chumi awmzia chu chu lai hmun chuan thisen a dawng tlem hle a, chuvangin oxygen leh nutrients a dawng tlem hle tihna a ni. He ‘ischemia’ hi kut emaw ke emaw-ah a awm chuan chu lai hmuna tissue chu a thi tan thei a ni. Hei hian ‘gangrene’ (tissue rot) ang chi thil a thlen thei a, natna hrik a thlen thei bawk. Hei hian taksa peng lian tak a nghawng chuan, chu taksa peng chu zawi zawiin a hlawhchham ṭan thei a, chu chuan harsatna nasa zâwk, thihna thlen thei hial a thlen thei a ni. ‘Perfusion pressure’ lama harsatna avanga lo awm thei emaw, a kaihhnawih emaw dinhmun thenkhat chu hetiang hi a ni:

• Lung natna
• Lung lam chak lohna
• Coronary artery natna a ni
• Thai
• Cardiogenic shock vang a ni
• Cerebral hypoxia (thluaka oxygen tlakchham vanga thluak chhiatna) .
• Atherosclerosis natna a ni
• Ke leh ke ulcer a awm
• Raynaud natna (a taksa peng hrang hranga thisen kal tlem) .

Ka ‘perfusion pressure’ chu him taka awm reng turin eng nge ka tih theih ang?

I ‘perfusion pressure’, a bik takin i thinlung leh thluak-ah hian i thinlung leh i circulatory system inrawlhna natna bik i neih loh chuan harsatna a awm lo tlangpui. Amaherawhchu, heng natnate hi venna atan emaw, tihkhawtlai nan emaw hengte hi i ti thei ang:

• I taksa rihna hrisel tak vawng reng rawh. A lian lutuk leh cher lutuk hi a tha lo.
• Ei leh in hrisel ei rawh. Ei tur hriak, chi, leh sugar tlem, thei leh thlai tamna ei tur.
• Zuk leh hmuam thil (smokeless tobacco leh vaping te pawh tel) hman tawh loh tur. Chungte chuan thisen kalna kawngte nasa takin a tichhia a ni.

"Ngaihtuah teh, nun hrisel hi kan taksa enkawl ang a ni. Car a dinhmun tha taka a awm theih nan service kan tih ang bawkin kan taksa hi kan enkawl tha a ngai a ni."

‘Perfusion pressure’ tichhe thei harsatna awm thei hriat theihna kawng tha ber chu kum tin taksa enfiahna neih hi a ni.Hei hi ‘wellness check’ an ti bawk. I doctor appointment-a test awlsam tak tak i tih chuan, i natna lan chhuahna pawh i lan hmain harsatna lian tak tak i hmuchhuak thei fo. I man hma chuan enkawlna i dawng thei a, chhiatna awm reng chu i titawp thei a, an nghawng pawh a ti tlem thei bawk. ‘Perfusion pressure’ tichhe thei dinhmun i neih tawh chuan doctor pan fo la, i dinhmun enfiah la, a tul chuan enkawl bawk ang che. Tin, i doctor thupek zawm la, i damdawi ei tur a tih angin ei bawk ang che. Zawhna i neih emaw, tanpuina i mamawh emaw a nih chuan i doctor hi biak tur tha ber a ni.

Take-Home Thuchah hnuhnung ber

Kan taksa peng tin, taksa peng tinreng hnathawh that nan perfusion pressure hi a pawimawh hle. He ‘perfusion’ tel lo chuan thisen hi a mamawhna hmun zawng zawngah a luang chhuak vek lo. Hetianga thisen kal lohna hian hun kal zelah nghawng na tak a nei thei a, a nih loh leh harsatna lian tak, nunna atana hlauhawm tak a thlen thei bawk. He ‘perfusion pressure’ chungchang leh a nghawng dan i hriat duh chuan Doctor nen inbia ngei ang che. I mamawh leh i in enkawl dan tur dik tak hrilh thei tur che tha ber an ni. Tichuan i hriselna i enkawl thei ang a, i tana thil pawimawh ber berte ah hun i hmang thei ang. Hriselna aia hlu hi a awm lo, a dik em?

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Perfusion pressure, thisen sang, thinlung hriselna, thluak hriselna, thisen kal dan, oxygen, hriselna