Doctor-in i kawr sir lehlamah stethoscope hmanga a ngaithla che i hmu tawh em? Ngaithla lai hian doctor chuan i kawr chhunga thisen kalna kawng atang hian "whooshing" ri a hre thei a, a nih loh leh tui luang chhuak ang maia ri a hre thei bawk. Chu chu ``Carotid Bruit'' ("carotid bruee" tia lam tur) kan tih chu a ni. Hei hi hlauh tur a ni lova, mahse a fimkhur a pawimawh hle.
He aw mak tak mai `(Carotid Bruit)` an tih hi eng nge ni?
A awlsam zawngin sawi ila, `(Carotid Bruit)` hi i kawr chhunga thisen kalna kawng lian ber pakhat emaw, a aia tam emaw, `(Carotid Artery)`-a thisen a luang chhuah hian ri danglam tak, buaithlak tak a ni. Chu chu han mitthla teh, lui reh tak chuan lungpui a rawn deng nghal a, a luang chhuak nasa hle ang. Chutiang chuan thisen chu thisen kalna kawng (veins)-a luang chhuak a nih chuan `(Turbulent Flow)` kan ti a, chu chu mumal tak leh kawng khata luang chhuak lovin, mahse a buaithlak deuh a, a buaithlak deuh a ni Heng `(Carotid Artery)` thisen kalna kawngte hi i thluak mamawh oxygen leh nutrients rawn kengtu an ni . Chuvangin, heng vessels-ah hian harsatna a awm chuan kan thluak hnathawh a nghawng thei a ni.
Doctor chuan he `(Carotid Bruit)` ri hi doctor-in a enfiah laiin a hre mai thei. He aw hriat hi i `(Carotid Artery)` chu thau awmna (fatty deposits) avanga a tawi tihna a ni thei (hei hi `(Plaque)` kan ti bawk) . Mahse, a chang chuan hrisel `(Carotid Artery)` nei te pawhin he thawm hi an hre thei bawk. Tin, mi thenkhat chuan an thisen kalna kawng a zim hle a nih pawhin he thawm hi an hre lo mai thei bawk. Chuvangin, doctor chuan he `(Carotid Bruit)` chhinchhiahna hi puzzle lian zawka thil te tak te pakhat chauh angin a hmang thin. Chu chu, he aw hriat ringawt hian natna khirh tak i nei tih a hril lo va, test leh enkawlna dang neih belh a ngai em tih hriatna kawngah tanpuitu chauh a ni.
`(Carotid Bruit)` hi eng ang nge a ri?
He `(Carotid Bruit)` aw hi lui luang chak tak ri nen a inang a , "hush hush" tih ang chi a ni. Hei hi nangmah chauhin i hre thei lo. He thawm hi doctor-in a stethoscope (i rilru emaw, i hnungzang emawa bun thin instrument) chu zawi zawiin i kawr hmun hrang hrangah a hmet a, a ngaithla chauhvin i hre thei ang. Doctor chuan thawk la la, rei vak lo chelh turin a ti mai thei. Chu chu thisen luang thawm chiang taka ngaihthlak tur tihna a ni.
Doctor chuan hetiang hian ``Carotid Bruit'' a hriat chuan a hrilhfiah ang che, eng nge a awmzia a awm theih ang tih te, test dang neih belh a ngai em tih te. Chuvangin, lungngai suh, a tha em?
Engvangin nge he `(Carotid Artery)` hian he aw hi a siam? A chhante chu engte nge ni?
He ``Carotid Bruit`` thlentu ber leh awm tam ber chu ``Atherosclerosis`` an tih hi a ni.
Atherosclerosis hi hmelma ber a ni!
`( Atherosclerosis )` tih hi damdawi lam tawngkam a ni. A awlsam zawngin, i taksa chhunga thisen kalna (arteries) chhungah hian thau tak, a dik zawka sawi chuan `(Plaque)` a awm a, chu thisen kalna tur hmun (`(Lumen)` kan ti bawk) chu a tlahniam zauh zauh tihna a ni. Hun kal zelah tui pipe chhungah bawlhhlawh a lo awm khawm a, pipe chu a tikhawlo a, chutiang bawkin heng thau layer `(Plaque)` te pawh hi kan thisen kalna chhungah an lo awm khawm a, thisen kalna tur hmun a ti tlem a ni tih han ngaihtuah teh. He `(Plaque)` buildup hian thisen zam a siam thei a ni. He thisen zam hian a siamna hmuna thisen kal chu a titawp thei a, a nih loh leh thisen nen a kal dun thei a, hmun danga thisen kalna kawng a tikhawlo thei bawk.
Chuvangin, i Carotid Artery-a plaque a lo awm a, artery a tihtlem chuan Carotid Artery Stenosis kan ti thin. Carotid Bruit hriat hi he natna hi i nei thei tih hriattirna a ni thei .
`(Carotid Artery)` hi kan thluak hi oxygen tamna thisen supply tu a ni tih hre reng ang che . Chuvangin, he thisen kalna kawng hi `(Plaque)`-in a khar a nih chuan `(Transient Ischemic Attack - TIA)` (hei hi thluaka thisen supply tihtawp hun eng emaw chen kan ti bawk a, thenkhat chuan "mini stroke" an ti bawk), emaw , `(Ischemic Stroke)` (thluak supply tu thisen kalna kawngkhar a block avanga paralysis) i neih theihna chance a sang zawk a ni. Heng pahnihah hian thluaka thisen kal chu a tlahniam emaw, a bo vek emaw a ni.
Chuvang chuan ` (Carotid artery stenosis) ` i nei em tih hriat a pawimawh a, i neih chuan engtiang chiahin nge a nasat tih hriat a pawimawh. `(Carotid Bruit)` hi vaukhânna chhinchhiahna chauh a ni a, `(Plaque)` i neih zat chiah a hril lo. Chuvangin, Doctor chuan `(Carotid Artery Stenosis)` i neih vang mai maiin `(Carotid Bruit)` i nei tih a rel lo ang a, chhui chian hmasak ber atan a hmang zawk ang.
Chhan dang a awm thei ang em?
Plaque buildup hi carotid bruit thlentu ber ni mahse, thisen kalna kawng (anatomy) inthlak danglam vang pawh a ni thei bawk. Entirnan, Fibromuscular Dysplasia (FMD) ang chi natna hlauhawm tak nei te pawhin carotid bruit an hre thei bawk. I doctor chuan i medical history chu a enfiah ang a, i carotid bruit awm chhan hriat tumin a bei ang.
`(Carotid Bruit)` neih hi thil pawi tak a ni em?
``Carotid Bruit'' hi a chang chuan harsatna lian tak a ni.A thleng thei a, mahse a thleng ngai lo. A chang chuan `(Carotid Artery Stenosis)` i nei mai thei tih light sen ang mai a ni. I `(Stenosis)`, emaw, thisen kalna kawng tawi (narrowing of the artery) a nasat chuan `(TIA)` emaw `(Stroke) emaw i neih theihna tur tihziaawmna turin enkawlna i mamawh ngei ang. I doctor chuan i dinhmun a nasat em tih leh enkawlna i mamawh leh mamawh loh a hrilh ang che. Chuvangin hlauthawng suh la, i doctor thusawi chu ngun takin ngaithla rawh.
``Carotid Bruit'' hi thil pangngai a ni thei ang em?
Ni e, `(Carotid Bruit)` i hriat hian `(Carotid Artery Stenosis)` i nei tihna a ni ngai lo. Mi thenkhat `(Carotid Bruit)` nei te hian an thisen kalna kawngah `(Plaque)` deposit lian tham an nei lo thei a, an hrisel thei bawk. Mi thenkhat chuan an thisen kalna kawng insiam danah inthlak danglamna an nei thei a, chu chu thil pangngai a ni thei a, `(FMD)` ang natna vang pawh a ni thei bawk. Chuvangin `(Carotid Bruit)` hi `(Carotid Artery)` kaihhnawih natna hriatchhuah leh enkawl dan hmasa ber chauh a ni.
Doctor chuan ``Carotid Bruit'' a awm a tih chuan eng nge thleng leh ang?
I doctor hian ``Carotid Bruit'' a hriat chuan thil dik lo a awm tih hriattirna a ni thei. Chumi hnuah chuan doctor chuan i ``Carotid Artery'' dinhmun dik tak hriat theih nan test dang neih belh leh turin a ti thei ang.
Test dang engte nge awm?
Hetih lai hian test tih tam ber chu Carotid Duplex Ultrasound a ni . Hei hi natna nei lo, non-invasive test a ni. I Carotid Artery-a thisen kal dan te, thisen kalna kawng chu a tawi em tih te, a tawi a nih chuan engtiang chiahin nge a tawi tih te a en thei a ni. Nu naupai tan ultrasound scan an tih nen a inang a, mahse hei hi chu a kawngah tih a ni.
Risk factors pawhin a nghawng em?
Ni e, `(Carotid Bruit)` i neih a, chutih rual chuan `(Carotid Artery Stenosis)` vei theihna tur risk factor pakhat emaw a aia tam emaw i neih chuan doctor chuan a hmaa kan sawi tawh ang khan `(Carotid Duplex Ultrasound)` ang test hi a order ngei ang. Heng risk factors te hi:
- Coronary artery disease i neih chuan .
- Zunthlum (Type 1 emaw Type 2) i neih chuan.
- Chhungkaw zinga mi pakhatin stroke a lo vei tawh a nih chuan.
- Thisen sang i neih chuan .
- I thisenah cholesterol level sang tak i neih chuan .
- Kum upa zawk i nih chuan (a tlangpuiin kum 65 aia upa, a nih loh leh risk factor dang a awm chuan kum 55 aia upa).
- Peripheral Artery Disease, ke emaw, kut emaw a thisen kalna kawng a zim tirtu natna a niA awm chuan.
- Zuk leh hmuam leh cigarette hman .
Heng risk factors te hi i neih tam poh leh ``Carotid Artery Stenosis'' i vei theihna chance a sang zawk thin.
Tin, `(Coronary Artery Bypass Grafting - CABG)` ang chi heart surgery neih tura ruahman i nih chuan i doctor chuan operation hmain i `(Carotid Artery)` dinhmun a enfiah duh mai thei bawk. Hei hi a chhan chu `(Carotid Artery Stenosis)` i neih chuan heart surgery thenkhatah emaw, i neih zawh hnuah emaw `(Stroke)` i neih theihna chance a sang zawk a ni. Chutiang a nih chuan, chu hlauhawmna tihziaawmna tûrin operation hmain enkawl i ni thei bawk.
Hei hi eng enkawl dan nge ni ang?
`(Carotid Bruit)` nei zawng zawng hian enkawl an mamawh vek dawn lo. Amaherawhchu, mi thenkhat chuan `(TIA)` emaw `(Stroke)` emaw an neih theihna tur tihziaawm nan enkawlna an mamawh dawn a ni. Enkawlna tum ber chu i `(Carotid Artery)` kaltlanga thisen kal dan tihchangtlun hi a ni.
Damdawi hmanga control
A tam zawkah chuan, a bik takin i carotid artery a zim lutuk loh chuan damdawi hi enkawlna hmasa ber a ni. I dinhmun azirin i doctor chuan a hnuaia damdawi pakhat emaw a aia tam emaw a rawn rawt thei ang:
- Thisen sang damdawi .
- Cholesterol tihhniamna damdawi .
- A chang chuan thisen zam tur venna damdawi aspirin ang chi te pawh hman a ni.
Nunphung thlak danglam hi a pawimawh hle mai!
I nunphung tihdanglamna engemaw zat siam hian i thisen kalna kawng (arteries)-a plaque awm zat control-na kawngah kawng thui tak a zawh thei a ni. Heng thilte hi lo enchhin ve ngei ang che:
- Meizial leh zuk leh hmuam thil zawng zawng hi pumpelh vek tur a ni. Zuk leh hmuam hi i thisen kalna tur a tha lo hle. Natna tam tak, thinlung natna te pawh a tipung bawk. Meizial zuk bansan tura tanpuina i mamawh chuan doctor zawt la, tih dan tur a awm.
- Thinlung hrisel ei tur ei rawh . Hei hian saturated fat, sodium leh sugar ei tlem tihna a ni. Sa sen chu sa thau lo, vawk, turkey, leh sangha te hmangin thlak leh rawh. Thlai, thei, legumes, leh nut ei tam zawk rawh.
- Exercise tih fo thin ang che . Vawi khatah lian lutuk tan tir suh. Tlemte atanga tan la, kar khatah minute 150 vel exercise chakna (moderate-intensity exercise) neih tum ang che. Exercise program thar i tan hmain i doctor hnenah eng nge i tana tha leh him tih zawt hmasa phawt a tha.
Surgery emaw tih dan dang emaw
I ``Carotid Artery Stenosis'' a nasat zawk chuan operation emaw special procedure dang emaw i mamawh mai thei. Chung zinga ṭhenkhat chu:
- `(Carotid Endarterectomy) tih a ni: Hei hi surgery a ni. Hei hian `(Carotid Artery)` hawn a, a chhunga `(Plaque)` lo awm tawh chu paih chhuah a huam a ni.
- `(Carotid Angioplasty and Senting)` : Hemiah hian balloon ang chi hmanrua te tak te chu `(Carotid Artery)` a zim tawhah dahin, thisen kalna kawng zau zawka siam turin inflated a ni. Tichuan, artery chhungah hian mesh tube te tak te `(Stent)` an tih chu a zim leh tawh loh nan dah a ni.
Mahse hre reng ang che, ``Carotid Bruit'' nei zawng zawng hian thisen zam an nei vek lo va, enkawl an ngai dawn a ni. I ``Carotid Bruit'' hian engtin nge a nghawng tih chiang takin i doctor nen inbia ang che.
A tawp berah chuan thil hriat reng tur (Take-Home Message) .
I doctor chuan ``(Carotid Bruit)`` i nei tih a hrilh che chuan hlauthawng suh la, hlau suh . Hlauhawm tak i tawk tihna a ni hauh lo. Doctor-in i thisen kalna kawng hriselna a enfiahna atana a hman chhinchhiahna mai a ni.
Chuvangin, he thu hi i doctor nen sawiho la, hrechiang zawk rawh. Tin, atherosclerosis (arteries hardening) vei theihna tur i risk factors te leh i risk tihtlem nan eng nge i tih theih tih te pawh zawng bawk ang che. Hrisel taka nun hi heng dinhmunte laka invenna kawng tha ber a ni fo thin. I hriselna enkawl chu i kutah a awm!
` carotid bruit, kawr chhunga thawm ri, carotid artery, stroke, TIA, atherosclerosis, thisen kalna kawng khar, thluaka thisen pek
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