Doctor pan tura i kal hian i thisen sang i enfiah ngei ang, a dik em? I kut ah cuff an dah a, an pump chhuak a, reading an la bawk. Mahse, han ngaihtuah teh, chutih laia i chhiarna chuan i taksaa thil thleng kimchang tak a pe thei tak tak che em? A ni lo mai thei. Chu chu i doctor-in darkar 24 chhunga i thisen sang enfiah dan bik a hrilh che a ni. Chu chu vawiina kan sawi tum chu a ni.
A awlsam zawngin, Ambulatory Blood Pressure Monitoring hi eng nge ni?
A awlsam khawp mai. Darkar 24 chhung i thisen sang teh chhunzawm zel a ngai a, chutih lai chuan nitin hna pangngai i thawk bawk. I mut laiin readings a mamawh bawk. Machine te tak te a hmang a ni. I kut chunglam vel chu cuff dah a ni a, chu chu radio lian tham machine te tak te nen a inzawm a, chu chu tube te tak te hmangin i kawr chhungah i bun thei a ni.
A tlangpuiin i doctor chuan ni khatah vawi khat emaw vawi hnih emaw chauh i thisen sang a enfiah ang. Mahse he method hmang hian nitin vawi tam tak reading an la thin. A dik tak chuan, strap hian automatic in a tikhauh ang a, nitin minute 15-30 danah i thisen sang a teh ang a, zanah darkar khatah vawi khat i mut laiin a teh ang Chu mai ni lovin, i heart rate pawh a teh thei bawk. Ni tawp lamah chuan heng chhiar zawng zawng hmang hian doctor chuan i thisen sang chungchang hi chiang takin a hre thei ang.
Engvangin nge hetiang test hi kan tih? Chuta ṭang chuan eng nge kan zir theih?
Doctor-in he test hi tihsak tura a tih chhan hi chhan hrang hrang a awm thei.
- Thisen sang i nei tak tak tih hria ang che: A chang chuan, doctor pan mai mai pawhin i thisen sang tlem a sang thei. Hetiang method hmang hian nitin i thisen sang awm dan i hmu thei a, thisen sang (hypertension) i nei tak tak em tih chiang takin i hre thei bawk.
- Nitin hun hrang hranga i thisen sang a inthlak dan en rawh: I hnathawh lai, chawlh hahdam leh mut laiin i thisen sang a inthlak thin. Mi hrisel takah chuan zanah an mut laiin thisen sang hi 10% atanga 20% velin a tlahniam tlangpui. Mahse mi thenkhat tan chuan a ni lo. Hei hian pattern hriat theihna turin a pui thei che a ni.
- I thisen sang damdawi chu a thawk tha em tih enfiah rawh: Thisen sang damdawi i ei tawh a nih chuan hei hian darkar 24 chhungin i damdawi hian i thisen sang a control tha em tih chiang takin a hriat theih nan a pui ang che. Hei hian i doctor chu i damdawi ei hun tur i thlak a ngai em tih te, a dose i thlak a ngai em tih te, damdawi dang i dah belh a ngai em tih emaw a rel thei a ni.
- Doctor office leh in lama i thisen sangah danglamna a awm em tih zawng chhuak rawh: Hei hi a pawimawh hle. He danglamna hian thinlung natna vei theihna i nei em tih hriatna engemaw zat a pe thei bawk.
Hetiang hmang hian pressure pattern hrang hrang hmuh theih a ni.
He test hian pressure condition hrang hrang engemaw zat a hmuchhuak thei a ni. An hriatthiam theih nan a hnuaia table hi en la.
| Pressure awm dan | A awlsam zawngin, eng nge ni? |
|---|---|
| White coat hmanga thisen sang (hypertension) a awm | Hei hi mi tam takin harsatna an neih chu a ni. Doctor an hmuh emaw, damdawi ina an kal emaw chuan an thisen sang chu hlauhna leh lungkhamna tlem nen a sang chho thin. Mahse in lama an awm chuan an thisen sang chu a pangngaiin a awm thin. |
| Hypertension nghet tak a awm | Hei hian pressure a sang reng tihna a ni a, in lamah pawh doctor-in a sawi ang ngeiin a sang reng tihna a ni. Hetiang dinhmun hi enkawl a ngai tak zet a ni. |
| Masked hmanga thisen sang (hypertension) a awm | Hei hi a lehlamah a ni. Doctor, i thisen sang chu a normal a ni. Mahse in lamah, i nun pangngaiah chuan i thisen sang a sang chho zel a. Hei hi a hlauhawm deuh a, a chhan chu harsatna thup, awlsam taka hriat theih loh a nih vang a ni. |
| Zan lama thisen sang lutuk | A tlangpuiin zan lamah thisen sang a tlahniam tur a ni. Amaherawhchu, he natna vei teah hian zan lama an mut laiin an thisen sang a sang thin. Hei hi zunthlum leh kal natna nei te zingah hmuh tur a awm tlangpui. |
He test hi tuin nge tel duh?
I doctor chuan a hnuaia thil awmte hi i neih chuan he test hi tihsak turin a ti thei che a ni.
- Damdawi la ei tan lote tan chuan doctor thisen sang tehnaah an sang tih a lang chung pawhin.
- Tuna an thisen sang damdawi thlak danglam duh tan.
- Damdawi ei chung pawha thisen sang a la control tha lo tan.
- Thisen sang tichhe thei damdawi dang ei thinte tan.
- I luak chhuak emaw, thisen sang (hypotension) i neih chuan.
- Naupai laia thisen sang nei te tan.
Test hmain engtin nge i inbuatsaih thin?
Hei hian inbuatsaihna tam tak a mamawh lo a, mahse thil tlemteah fimkhur a ngai.
Thil tih tur
- I test neihna tur ni pangngai thlang rawh: I tih dan pangngai nena inhnaih thei ang bera ni thlang rawh. Hnathawh tur i kalna ni pangngai chu a tha ber a, weekend aiin.
- Diary vawng reng rawh: I doctor chuan darkar 24 kalta chhunga i thil tih zawng zawng ziak vek turin a hrilh ang che. Entîr nân, zînga i thawh hun te, i damdawi ei hun te, i ei hun te, i exercise lai te, i mut lai te. Tin, i luak chhuak emaw, thawk harsatna i neih emaw chuan a hun nen ziak tel bawk ang che.
Thil tih loh tur
- Exercise hah lutuk: Thil tih dan pangngai tih chu a pawi lo a, mahse he ni hian thawk hah, exercise hahthlak tak tak tih loh tur.
- Inbual emaw, tui chawi emaw: He hmanrua hi tui a tlak loh avangin darkar 24 chhung chu inbual emaw, tui chawi emaw theih a ni lo.
- Machine lakchhuah dan: Doctor thurawn lo chuan machine emaw, i kut a strap emaw chu la chhuak ngai suh.
Engtin nge hetiang hi ka tih ang? Test ni hian eng nge thleng?
Pakhatnaah chuan doctor hmu turin appointment pek i ni ang. I kal hunah chuan, .
1. I kut velah cuff dahin machine chu i bulah a inbun ang.
2. A hnathawh dan, i tih tur leh i tih loh tur zawng zawng a sawifiah vek.
3. Tichuan i haw thei tawh ang. Machine chu i taksaah a inzawm tlat a ni.
Hei hi in lama i haw hnua thil thleng chu a ni:
- Wrist strap chu automatic in a tight: A hmaa kan sawi tawh ang khan wrist strap hi a hun takah a tight a, pressure pawh a teh thin. Chutih hunah chuan i kut chu a tight deuh tih i hria ang. Second tlemte hnuah a bo mai ang. A pawimawh ber chu i kut chu dinglam hawia dah a, strap a khauh hunah a theih ang anga sawn loh hi a ni. Chumi hnuah chauh chuan chhiarna dik tak i hmu thei ang.
- Zanah i mut a buai deuh mai thei: Zanah darkar khatah vawi khat i harh thei a, chu chu belt a inkhauh chuan a ni. Hei hi thil pangngai a ni. Ngaihtuah buai suh. A theih ang anga ngaihthah tum la, mu leh rawh.
- Stay normal: Nitin hnathawh dan pangngai angin ti rawh. Doctor-in a tih angin diary siam rawh.
A pawimawh ber chu he test chhung hian i doctor hnenah i damdawi ei dan tur zawt la, a thupek dik tak zawm rawh.
Hetiang hmanrua hi eng nge a thatna leh a that lohna?
Eng thil pawh ang bawkin hei hian a thatna bakah harsatna tenau thenkhat a nei thei bawk.
Hlawkpuina
- I nawrna chungchânga thlalak dik zâwk nei rawh: Ni khat chhûnga chhiar chhuah chuan i dinhmun dik tak chu vawi khatah en mai mai ai chuan, i dinhmun dik tak chu chiang zâwkin a hriat theih che a ni.
- "White coat syndrome" i nei em tih i nemnghet thei: Hei hian a tul lovah thisen sang damdawi ei a ngai lo thei a ni.
- Masked Hypertension hriat theih a ni: Hei hi hriat chian chuan nakin lawka heart attack leh stroke laka invenna atan a pui thei a ni.
- Enkawlna ruahmanna siamna kawngah tanpuitu ropui tak a ni: Hei hian doctor chu damdawi pek tur che chu a dik em tih te, a hman dan tur dik tak a nih leh nih loh leh enkawlna dik ber a pek theih nan a pui a ni.
A that lohna te
- Kut na tlem: Kut chunglam chu a na deuh thei a, a chhan chu belt a innghah reng vang a ni.
- Mut buai: Zanah reading lak hian mut a tibuai thei.
- Vun natna tenau: A tlem berah chuan mi thenkhat chuan belt an vuahna hmunah hian vun natna tenau an nei thei. Hei hi a mah chauhin a reh tlangpui.
Report ka dawnah hian eng nge awm?
Darkar 24 a ral hnuah machine chu i rawn thawn let leh a ngai a ni. Chumi hnuah doctor chuan computer-ah data chu a dah lut ang a, a zirchiang ang. I report-ah hian hetiang thu hi a awm ber ang.
- Darkar 24 chhunga thisen sang zat: Ni khat chhunga a zatve.
- Nitin thisen sang pangngai: I harh laia a zatve (average value).
- Zan lama thisen sang pangngai: I mut laiin a zatve (average value).
- Nocturnal dipping: Zan lama pressure tlahniam zat leh nitin pressure tlahniam zat .
A tlangpuiin hriselna level chu:
- Darkar 24 chhunga a zatve: 125/75 mmHg aia tlem lo.
- Nitin: 130/80 mmHg aia tlem lo.
- Zanlai: 110/65 mmHg aia tlem lo.
- Zan lama tlahniam: 10% leh 20% inkar a tlahniam.
I result a zirin i doctor chuan a tul anga enkawlna, nunphung thlak danglam leh thurawn a pe ang che.
Take-Home Thuchah a ni
- Darkar 24 chhunga Ambulatory Blood Pressure Monitoring hi test pawimawh tak a ni a, chu chuan i thisen sang chu chiang tak leh dik takin a tarlang thei a ni.
- Test ni hian harsatna tenau (kut na, mut buai) a awm thei a, mahse a hlawkna nen khaikhin chuan thil lian tak a ni lo.
- Hei hian "white coat hypertension" (doctor i hmuh huna thisen sang sang) ang chi natna avanga damdawi tul lo ei tihtawp nan a pui a ni.
- Hei hian pressure lama harsatna thup awmte hriatchhuahna kawngah leh nakin lawka natna lian tham lo awm thei laka invenna kawngah a pui a ni.
- He test i tih hian i doctor thupek dik tak zawm rawh. Harsatna i neih chuan phone la.
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