I taksa chhunga balloon te tak te ang chi thil? He aneurysm chungchang hi han sawi ila!

‘Aneurysm’ tih thumal hi i hre tawh em? I thian emaw chhungte emaw pawhin an nei tih i hre tawh mai thei. A nih loh leh doctor-in a sawi i hre tawh mai thei. A hming hi a hlauhawm deuhin a lang thei a, mahse eng nge a nih chiang taka kan hriat chuan hlauhna tul lo tak chu kan pumpelh thei a ni. Chuvangin, vawiinah hian kan sawi dawn em ni?

Aneurysm hi eng nge ni tak tak?

A awlsam zawngin, aneurysm chu kan taksaa thisen kalna kawng bang a chak lo, balloon ang maia bul chhuak a ni. I hria em, kan thisen kalna kawngte hi thinlung atanga taksa peng dang thlenga oxygen tamna thisen phurtu tube lian tak takte an ni. Chuvangin, he thisen kalna kawngkhar chhunga hmun pakhat a chak lo a nih chuan thisen luang chak takin a siam pressure chuan chu hmun chak lo chu a ti bulh ta a ni. Chu bulge chu aneurysm kan tih chu a ni.

A tam zawkah chuan aneurysm nei angin kan inhria lo va, na pawh kan hre lo. Amaherawhchu, rang taka a phelh chuan a hlauhawm hle thei a, a chang chuan nunna pawh a tichhe thei bawk. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Aneurysm chi hrang hrang a awm em? Khawiah nge an insiam?

Ni e, kan taksa chhunga artery eng pawhah hian aneurysm a lo awm thei. Chumi awmzia chu thinlung, pum, thluak, leh ke ang chi hmun hrang hrangah an insiam thei tihna a ni. Aneurysm chi hi a lo pian danah a innghat a ni.

Aneurysm chi khat hmuh tam ber chu aortic aneurysm a ni . Kan taksaah hian aorta hi artery lian ber a ni tih i hria em? Thinlung atanga taksa pum puia thisen phurtu artery a ni. Aorta ni lo artery dangah aneurysm lo awm chu peripheral aneurysm an ti a.

A chi lian ber tlemte han thlir ila:

• Abdominal Aortic Aneurysm (AAA): Hei hi a tam ber a ni. Aorta (aorta) atanga a hnuai lam panna hmunah a lo thang lian thin.
• Cerebral Aneurysm/Brain Aneurysm: A hming ang bawkin thluaka thisen kalna kawng pakhatah a thleng thin. Hei hi subtype tlanglawn ber chu saccular aneurysm a ni a, berry aneurysm tia hriat bawk a ni . A hmel chu bawm te tak te, thisen kalna kawng (artery)-a inzawm, berry ang maia khat ang mai a ni.
• Thoracic Aortic Aneurysm: Hei hi pum chhunga Aortic Aneurysm aiin a te deuh a ni. Aorta chunglam, rilru lam area-ah a awm thin.
• Carotid Aneurysm: Hengte hi carotid arteries-ah a lo awm a, chu chuan kan thluak, kan kawng leh hmaiah thisen a pe chhuak thin. Hengte hi a tlem hle.
• Popliteal Aneurysm: Hei hi khup hnung lama kal artery-ah a awm thin.
• Mesenteric Artery Aneurysm: Hetiang aneurysm hi kan intestines-a thisen petu artery-ah a lo awm a.
• Splenic Artery Aneurysm: Hei hi spleen lam panna artery-ah a thleng thin.

He aneurysm hi engtiang chiahin nge a awm?

Unruptured brain aneurysm hi mi hrisel 2% atanga 5% ah a awm tih i hria em? Tin, chutiang zinga 25% vel chuan aneurysm pakhat aia tam an nei bawk. A tam zawkah chuan puitlingah an lo thang lian a, mahse naupangah pawh an awm thei. Kum 50 vel an ni tlangpui a, mahse a tha ber chu, thluaka thisen kalna (brain aneurysm) tam zawk hi a chhe lo.

Aortic aneurysms (AAAs) hi kum upat dan azirin a tam zawk. A bik takin, abdominal aortic aneurysm (AAAs) hi hmeichhia aiin mipaah ​​a let li atanga a let ruk velin a tam zawk a ni. Kum 55-64 inkar mipa 1% chauhvin an nei. Mahse, he percentage hi kum sawm danah 2% atanga 4% in a pung thin.

Tute nge aneurysm vei theihna chance sang zawk?

Aneurysm chi hrang hrang hian mi pawl hrang hrang a nghawng a ni. Entirnan, thluak (brain aneurysm) hi mipa aiin hmeichhiaah a tam zawk. Chutiang bawkin aortic aneurysm hi hmeichhia aiin mipaah ​​a tam zawk.

Abdominal aortic aneurysms (AAA) hi a tam ber chu:

• Mipa tan chuan.
• Kum 60 chunglam tan.
• Meizial zu thinte tan. (Hei hi risk factor lian tak a ni!)
• Mihring var tan (mahse eng hnam pawhah a lo thang lian thei).

Aneurysm natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan mi pakhatin aneurysm a nei tih a hre lo. Taksa chhungah ngawi rengin a lo thang lian thei a ni. Mahse, aneurysm a puak chuan medical emergency a ni! Enkawlna i lak nghal a ngai a ni. Nangmah emaw, i bula awm tu emaw chuan aneurysm ruptured chhinchhiahna a neih chuan 911 (1990 Suwaseriya in Sri Lanka) ah call nghal rawh.

Aneurysm ruptured symptoms chu a lo lang nghal vek a:

• Lung hlim /luak chhuak.
• Thinlung thawk chak tak.
• Lu na tak tak, rilru, pum emaw, hnungzang emaw natna.
• Lu na na tak hnuah Sudden Loss of Consciousness.

Pawimawh: Aneurysm ruptured hi nunna emaw thihna emaw a nih avangin heng symptoms te hi i neih chuan second khat pawh tihkhawtlai suh.

Aneurysm a puak lo a nih pawhin a awmna hmun a zirin symptoms a awm thei fo. Shock symptoms i nei thei a, chu chu thisen sang hniam, thawk hah, rilru hahna, leh thinlung na chak lutuk te hi a ni.

A lan chhuah dan dangte chu:

• Buaina emaw, luak chhuak emaw tih hriat.
• Chaw ei harsa.
• Chau.
• Lu na (a bik takin thluaka thisen zam (brain aneurysm) a awm chuan).
• Nausea emaw, luak chhuak emaw.
• I pum, I rilru emaw I hnungzang emaw a na.
• Pulsating Abdominal Mass emaw I Neck-a Swelling emaw a awm.
• Lungphun chak tak.
• Vision a inthlak danglam thin.

Aneurysm avanga harsatna awm thei te chu engte nge ni?

Aneurysm a rupture chuan chhungril thisen a chhuak thin. A awmna hmun azirin a rupture hi a hlauhawm hle thei a, nunna pawh a tichhe thei bawk.

Ngaihtuah teh, i kawr chhunga thisen zam (aneurysm)-ah thisen zam a lo awm a, i thluak lamah a kal a nih chuan eng nge thleng ang? Chu thisen zam chuan i thluaka thisen kal chu a tikhawlo a nih chuan stroke a awm thin.

Brain aneurysm a puak chuan subarachnoid hemorrhage an ti a. Mi thenkhat chuan he stroke chi hi thluak thisen (brain bleed) an ti. Mite chuan "an nunah lu na ber" an tawk tlangpui. Chumi hnuah chuan rilru hahna, tawng harsa leh chhinchhiahna dangte a awm thei.

Engvangin nge he aneurysm hi a lo awm? A chhante chu engte nge ni?

A châng chuan, mi hi an pianpui aneurysm nei an ni. Chumi awmzia chu an pian laiin an awm tihna a ni. Amaherawhchu, nunah engtik lai pawhin an lo thanglian thei a ni. A tam zawkah chuan aneurysm awm chhan chiang tak hmuh a harsa thin. Mahse, a chhan awm thei engemaw zat a awm a:

• Atherosclerosis: Hei hi thisen kalna kawng (arteries)-a thau (fatty deposit) a lo awm a, chu chuan a ti tawi a ni. Hei hian arteries bang a tichak lo thei a ni.
• Chhungkaw history-a aneurysm awm tawh: I nu, i pa emaw, i unaute emaw hian he natna hi an vei tawh a nih chuan nang pawhin i vei theihna a hlauhawm hle.
• Thisen sang: Thisen sang a san reng chuan thisen kalna kawng (artery walls) te chu a chhe thei a, a chak lo thei bawk.
• Accident emaw aorta hliam emaw .

Engtin nge doctor-te hian aneurysm hi an hriat theih? (Diagnosis) tih a ni.

Aneurysm tam tak chu engmah chhinchhiahna awm lovin a lo awm thin. I doctor chuan routine checkup emaw scan dang emaw a neih laiin a hmu mai thei.

Aneurysm i neih theihna tur symptom i neih chuan doctor chuan imaging test eng emaw zat a ti ang. Aneurysm hmuhchhuah leh hriat theihna tura pui thei test-te chu:

• CT Scan hmanga tih a ni
• CT emaw MRI Angiography: Hei hi thisen kalna kawng thlalak bik lak nan hman a ni.
• Ultrasound hmanga scan (Ultrasound) hmanga tih a ni

Doctor hian engtin nge aneurysm hi a classified?

I doctor chuan aneurysm chu a lian leh te leh a lo pian dan a zirin a classified ang. Classification hrang hrang a awm a:

• Fusiform aneurysm: Hetah hian artery chu a sir zawng zawng atangin a bulge chhuak thin.
• Saccular Aneurysm: Hei hi artery sir khat chauh a bulge (a hmaa kan sawi tawh Berry Aneurysm nen a inang) a ni.
• Mycotic Aneurysm: Hei hi natna kai hnua artery wall a chak loh chuan (a tam zawk chu heart valve-ah) a awm thin.
• Pseudoaneurysm emaw False Aneurysm emaw: Hetah hian artery wall pawn lam ber chauh a bulge thin. Hei hi artery chhung lam a chhiat hnuah (dissection) a awm thei.

Engtin nge aneurysm hi enkawl a nih?

Doctor-in unruptured aneurysm i nei tih a hriat chuan uluk takin an lo enfiah ang che. Enkawlna tum ber chu aneurysm a rupture loh nan a ni.

Aneurysm chi, hmun leh a lian leh te a zirin enkawlnaah hian damdawi emaw, operation emaw pawh a tel thei. Doctor chuan thisen kal thatna tur te, thisen sang tihhniam nan te, cholesterol control nan emaw damdawi a pe thei a. Heng enkawlnate hian aneurysm a lian lo tur a control thei a, artery wall-a pressure a tihziaawm thei bawk.

Aneurysm lian tak tak, puak hlauhawm tak takte chu operation a ngai thei. Tin, aneurysm a rupture chuan operation a ngai ngei ang. Surgery hi chi hrang hrang a awm a:

• Endovascular Aneurysm siamthatna (EVAR): 1. A rilru a hah lutuk chuan a rilru a buai em em a.He endovascular surgery-ah hian doctor chuan thisen kalna kawngah catheter (tube te tak te) a dah a. Catheter hmang hian surgeon chuan graft (tubing specialized piece) a dah a, chu chuan thisen kalna chu a tichak emaw, a siam that emaw a ni. Thoracic aneurysm tan chuan he tih dan hi Thoracic Endovascular Aneurysm Repair (TEVAR) an ti a. Graft specialized opening nei hman a nih chuan Fenestrated Endovascular Aneurysm Repair (FEVAR) an ti a.
• Open Surgery: A then phei chuan surgeon chuan incision (open surgery) a siam thei a, graft dah emaw, aneurysm lakchhuah emaw a ni thei.
• Endovascular Coiling: Hetiang tih hian cerebral aneurysms a enkawl a. Surgeon chuan catheter hmangin aneurysm chhungah coil engemaw zat (i.e., platinum wire coil) a dah lut a, a khat ta a ni. Hei hian aneurysm chhunga thisen kal zat a tihtlem bakah a puak theihna a ti tlem bawk.
• Microvascular Clipping: Hei hi cerebral aneurysm te tan pawh open brain surgery chi khat a ni bawk. Surgeon chuan thisen supply tihtawp nan aneurysm bul lamah metal clip a dah a.
• Catheter Embolization: Hetiang tih dan hi aneurysm-a thisen chhuah tihtawp nan hman a ni. Surgeon chuan a natna thisen kalnaah hian catheter a dah a, chu tube hmangin thisen chhuah titawp thei damdawi emaw embolic agents emaw a inject a ni.

Engtin nge aneurysm a lo awm loh nan ka ven theih ang?

Unruptured aneurysm hi a awm fo thin. Engtik lai pawhin an dang thei lo. Mahse, nunphung hrisel tak i neih chuan aneurysm vei theihna i tihziaawm thei a ni:

• Thinlung hrisel ei rawh: Oil, chi, leh sugar ei tlem la, thlai leh thei ei tam rawh. Kan ramah hian leafy greens, herbs, leh sangha thar ang chi thil te hi a tha hle.
• Exercise neih fo: Ni khatah minute 30 tal kea kal, tlan, tui chawi ang chi thil ti rawh.
• I taksa rihna hrisel tak vawng reng rawh: I san zawng nena inmil rihna vawn reng hi a pawimawh hle.
• Meizial Zuk loh emaw, Bansan emaw: Hei hi tih ngei ngei tur a ni. Meizial zuk hi aneurysm thlentu lian ber pakhat a ni.

Aneurysm vei tan chuan eng prognosis nge a awm?

Ruptured aneurysms hi nunna atana hlauhawm emergency a ni. Thluaka aneurysm a rupture chuan stroke a thlen thei a ni. Enkawl nghal loh chuan thihna thlen thei a ni. Enkawlna rang tak a nih chuan a rah chhuah chu a inang lo thei. Mi tam zawk chu rehabilitation leh enkawlna dang hmangin an dam tha hle.

Doctor-te chuan aneurysm te tak te, chhe lo nei te chu an pui thei tlangpui. I doctor chuan i dinhmun chu uluk takin a lo enfiah ang. Damdawi emaw, surgery emaw hian rupture hlauhawmna a ti tlem thei a ni.

Engtikah nge Doctor ka hmuh ang?

Hetiang symptoms i neih chuan doctor i pan nghal tur a ni:

• Lung hring (lightheadedness) a awm.
• Lungphun chak tak.
• Lu na tak tak, rilru, pum emaw, hnungzang emaw natna.

Heng symptoms te hi ruptured aneurysm chhinchhiahna a ni thei a, chuvangin hun khawhral lovin damdawi lam thurawn lak a pawimawh hle.

Doctor hnenah eng zawhna nge ka zawh ang?

Aneurysm i neih nia i rinhlelh chuan, emaw, i neih tawh chuan, i doctor hnenah hetiang zawhna hi i zawt thei ang:

• Aneurysm vei theihna hlauhawmah ka awm em?
• Aneurysm hmuhchhuah nan imaging test neih a ngai em?
• Engtin nge ka aneurysm hi a na zual emaw, a puak emaw loh nan ka ven theih ang?
• Ka risk tihziaawmna turin eng nunphung tihdanglam nge ka tih theih ang?

Kan taksaa thisen kalna kawng eng pawhah hian aneurysm a lo awm thei tih hre reng ang che. I doctor chuan aneurysm chu a enfiah thei a, a puak theihna tur a tihziaawm theih nan a enkawl thei bawk. Mahse, aneurysm a puak chuan medical emergency a ni. Damdawi lam tanpuina i zawng nghal tur a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuti a nih chuan vawiin hian aneurysm chungchang hi kan sawi nasa hle a ni lawm ni? A awlsam zawngin kan thisen kalna kawng pakhata balloon ang maia bul chhuak chhuak chak lo tak an ni. A tam zawkah chuan i hrechiang lo a, mahse an puak chuan an hlauhawm hle thei.

A pawimawh ber chu i risk factors te hriat chian hi a ni. Meizial zuk, thisen sang, chhungkaw history ang chi thil i neih chuan medical checkup neih fo a tha.

Emergency symptoms, rang taka lu na, rilru na, emaw, hriatna hloh emaw i neih chuan, tihkhawtlai lovin damdawi in pan rawh.

Nunphung hrisel, ei leh in \ha te, exercise lak te, leh zu in loh te hian he hlauhawmna hi a tihziaawm thei a ni. Chuvangin, i taksa pawh enkawl ve rawh. A chhan chu hriselna hi a pawimawh ber a ni!