I thisen kalna kawngte chu a thim em? Arteriosclerosis hi eng nge a nih chiang takin i zawng chhuak ang u!

Kan taksa chhunga thisen kalna kawng (arteries) te hi pipe ang mai an ni tih i ngaihtuah ngai em? Hengte hi kan thinlung atanga thisen thianghlim , oxygen tamna taksa pum pui thlenga phurtu an ni. Chuvangin, heng thisen kalna kawngte hi pipe mai ni lovin, an flexible a, rubber tube thar ang mai an ni. Mahse a chang chuan, heng thisen kalna kawngte hi a khauh tan a, a thim tan thin. Chu chu damdawi lam chuan ( Arteriosclerosis ) emaw “thickening of the artery walls” emaw “hardening of the arteries” emaw kan tih chu a ni. Hei hi thawnthu pawi deuh a ni a, a chhan chu hetiang hi kan chungah a thleng thin a, kan hriat loh pawhin.

(Arteriosclerosis) tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, Arteriosclerosis chu thisen phurtu thisen kalna kawng lian ber ber, i thisen kalna kawngkhar bangte chu zawi zawiin a thim a, an elasticity a hloh a, a nghet lo tihna a ni. Ngaihtuah teh, tui pipe thar chu engtiang chiahin nge awlsam takin a ben theih ang? Mahse, a tar a, ni leh ruah a tlak chuan a elasticity a hloh a, i ben tum chuan a chhe thei hial a ni lawm ni? Chu chu kan arteries-ah a thleng thin.

Heng arteries te hi system pawimawh tak a ni. Kan thinlung a na apiang hian thisen thianghlim, oxygen tamna chu taksa pum puiah, taksa peng leh tissue tinah, heng thisen kalna kawngte kaltlangin a kal zel a ni. So, when these arteries become stiff , thisen kal chu a tikhawlo thei a ni. Tichuan kan circulatory system zawng zawng chu a buai thei a ni.

He natna (Arteriosclerosis) an tih hi ni khat emaw ni hnih emaw chhungin a lo awm lo. Kum tam tak chhungin a lo thang zauh zauh thin. A hlauhawm ber chu a tir lamah asymptomatic a ni thei. Hun rei tak chhung chu engmah i hre lo mai thei a, chutah chuan thisen kalna kawng (arteries) a khauh vanga harsatna dang a lo chhuah hunah chauh i hrechhuak ang. Hei hian rilru lam natna, chu chu thinlung leh thisen kalna kawng nena inzawm natna i vei theihna a tipung hle.

Mi tam tak chuan (Arteriosclerosis) leh (Atherosclerosis) tih thumal hi an tibuai a, pakhat angin an hmang thin. Mahse, an pahnih inkarah hian danglamna tlem a awm.

• Arteriosclerosis chu eng thil pawh avanga thisen kalna kawng ( artery walls) a thick leh hardening tihna a ni .
• Atherosclerosis hi thisen kalna kawngkhar chhungah plaque a lo awm khawm a, chu chuan a khauh phah thin . Hei hi arteriosclerosis chi khat bik a ni. Hei hi i hriat tam ber thumal a ni ngei ang.

Tunah hian arteriosclerosis chi dangte leh kan taksa a nghawng dan chipchiar zawkin han thlir ila.

(Arteriosclerosis) chi hrang hrangte chu engte nge ni?

Arteriosclerosis hi chi thum a awm a, chungte chu:

1. Atherosclerosis (Atherosclerosis)

Hei hi kan sawi tawh ang chi type zingah chuan a tlangpui ber a ni. Atherosclerosis chu i thisen kalna kawng lian lo leh lian lo tak takte bang chhunga thau (plaque emaw atheroma) awm zawi zawia lo awmkhawm hi a ni. Tui pipe chhunga rust lo awm ang maiin han ngaihtuah teh. He thau layer hi plaque'' kan ti thin.

Hengte hi thisen kalna kawng (arteries) a nghawng ber thenkhat chu an ni:

• Aorta – Kan taksaa thisen kalna kawng lian ber.
• Coronary arteries – thinlunga thisen pe thei thisen kalna kawng.
• Carotid arteries – thluaka thisen pe chhuaktu thisen kalna kawng lian ber berte.
• Femoral arteries te a awm
• Iliac arteries te a awm

He (plaque) hi artery wall chhungril ber (tunica intima)-ah a awm a ni. A tir lamah chuan hei hian harsatna leh symptom a thlen lo. Mahse he thau layer hi a lo lian zauh zauh a, thisen kalna kawng (lumen) chu thisen kalna kawng (lumen) chu a zim ta hle a ni. Tichuan thisen kalna tur hmun chu a tlahniam ta a ni. Tin, he (plaque) chungah hian thisen zam a lo awm theihna a awm bawk. Heng thisen zamte hian thisen kalna kawng chu a tikhawlo vek thei a ni. Chutiang a nih chuan emergency, heart attack emaw stroke emaw a awm thei a ni.

2. Arteriosclerosis (Arteriolosclerosis) tih hi a awm thei lo

(Atherosclerosis) hian thisen kalna kawng (medium and large arteries) a nghawng laiin, (Arteriolosclerosis) hian thisen kalna kawng te te a nghawng thung. Heng artery te te hi (arterioles) kan ti a. Hengte hi thisen kalna lian leh capillary te zawk (capillaries) te inzawmna hna thawktu an ni. Heng (arterioles) te hian kan thisen sang ( blood pressure ) control-na kawngah hmun pawimawh tak an chang a ni

Arteriolosclerosis chu heng thisen kalna kawng te (arterioles) te bang te hi a thim tihna a ni. Hei hian kan kal leh thluaka thisen kalna kawng te te pawh a nghawng thei bawk. Heng bang te hi a thim chuan an thawk tha thei lo. Tichuan taksa peng hrang hrangte hian thisen an hmu tlem a, harsatna chi hrang hrang a awm thei a ni.

3. Mönckeberg medial calcific sclerosis (Mönckeberg atanga lo chhuak)

Hei hi a hming dang chu medial arterial calcification. tih a niHe middle layer-ah hian calcium deposit a lo awm chuan artery wall chu a nghet ta hle a ni . Hei hi kum 50 chunglamte zingah a lang tam ber a, mahse, natna khirh tak tak (entir nan, kal natna khirh tak) nei te tan chuan a lo awm hma thei a ni.

Hetiang dinhmun hian thisen kal dan a tibuai bawk a, chu chuan rilru lam harsatna a thlen theihna a tipung a ni.

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(Arteriosclerosis) natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan Arteriosclerosis avanga harsatna lo awm hma chuan symptoms a awm lo. Symptoms awm mahse, harsatna chi leh a nghawng dan azirin a danglam nasa hle. A lan chhuah dan tlangpui thenkhat chu:

• Kea kang emaw, na emaw hriatna, a bik takin ke, chawlh lai pawhin.
• Zun chhuah tam dan a inthlak danglam.
• Chhuak na emaw, nuam lo emaw.
• Luak chhuak thei.
• Vun vawt, itchy , emaw numb emaw.
• Chau lutuk tih hriat (Fatigue).
• Lung na tak tak.
• Kal laiin ke natna (hla rei vak lo kal hian ke a na a, i din chuan a reh bawk) – hei hi intermittent claudication an ti.
• Nausea emaw, luak chhuak emaw.
• Thâwk a tawi.
• Thusawi thiam lo emaw, ngaihdan sawi chhuah harsa emaw.
• Ke hliam (a dam nan hun rei tak a ngai).
• A hring (edema) a awm.
• Mit pakhata hmuh theih lohna.
• Taksa sir khata chak lohna.

Pawimawh: Heart attack, stroke, transient ischemic attack (TIA) (mini-stroke ang chi), pulmonary embolism (PE) (lung chhunga thisen zam), emaw acute mesenteric ischemia (intestines-a thisen petu thisen kalna kawng khar) emaw i neih chuan 911 emaw i awmna hmuna emergency number emaw i call nghal tur a ni.

(Arteriosclerosis) hi engte nge ni? Risk factors te chu engte nge ni?

Arteriosclerosis hi artery wall a inthlak danglam vang a ni. Heng inthlak danglamna te hi cellular level-ah a thleng hmasa ber a, a te lutuk a, kan hmu thei lo. Entirnan, thisen kalna kawng (endothelium) chhung lam a chhiat chuan atherosclerosis a thlen thin.

Heng inthlak danglamna tam zawk hi kan tar chhoh zel hian a thleng thin. Kum upat ruala thil hlauhawm lo awmte hi kan titawp thei lo. Chuvangin kan control theih leh kan enkawl theih tur risk factor dangte hriat a pawimawh hle. Nunphung tihdanglamna hian hei hi nasa takin a pui thei a ni.

Arteries khauh theihna tur risk factor lian ber berte chu:

• Kidney natna rei tak awm thei.
• Thisen sang a sang.
• Thisenah cholesterol level sang tak a awm.
• Kum a lo sang chho zel.
• Taksa exercise neih loh vang.
• Metabolic natna (Metabolic syndrome) a ni.
• Zuk leh hmuam hman (zuk leh hmuam, cigar, chewing gum, etc.).
• Type 2 Diabetes Mellitus a ni.

I doctor nen inbia la, i risk factors i neih theih zawng zawng chu hriatchhuah tir rawh. Entirnan, heng ang damdawi lam dinhmun (underlying medical conditions) i neih chuan nunphung thlak danglam leh damdawi hmanga enkawl hian i thisen kalna kawng hrisel taka awm theihna kawngah kawng thui tak a zawh thei a ni.

(Arteriosclerosis) hian eng nge a nghawng? (Buaina awm thei) .

Arteriosclerosis hian kan taksaa thisen kal dan pangngai a tibuai a. Arteries a khauh chuan , taksa peng leh tissue te oxygen leh nutrients supply a tichhe thin. Chuvangin, thisen kalna kawng (arteries) a khauh chuan harsatna hrang hrang a thlen thei a, entirnan:

• Aneurysms (artery lian tham tak) a awm.
• Carotid artery natna a ni.
• Coronary artery natna (CAD) a ni.
• Critical limb ischemia hi natna khirh tak a ni a, taksa peng hrang hranga thisen pek tlem vang a ni.
• Lung natna.
• Kidney tha lo a awm.
• Intestine-a thisen kalna a tlahniam (Mesenteric ischemia).
• Peripheral artery natna (PAD) 10. A rilru a hah lutuk chuan a rilru a buai em em a.
• Pulmonary embolism a awm thin.
• Renal artery stenosis a awm thin.
• Thai.
• Thisen chhuak (Thrombosis).
• Transient ischemic attack (TIA) natna lan chhuah dan.

A châng chuan mi pakhatin arteriosclerosis chi khat aia tam a nei thei a, an nghawng inzawmkhawm chuan a tlangpui aia hmain harsatna a thlen thei bawk.

Entirnan, zirchianna thenkhatah chuan mi pakhatin (medial arterial calcification) (artery wall layer layer-a calcium awm) nei pawhin (atherosclerosis) (thau deposit) a neih chuan, thisen kalna kawng (arteries) tihtlem dan chu a chak zawk thei a ni. Hei hi a chhan chu, a tlangpuiin, artery wall (intima) chhung lam layer-a thau awmkhawm chuan artery wall chu pawn lamah a zau a, thisen a luang lut thei a ni. Amaherawhchu, middle layer (media) chu calcium deposit avanga tihkhauh a nih chuan artery wall chu pawn lamah a zau thei lo. Chuvangin, inner layer-a thau awmte hian thisen kal theihna (lumen) chu direct-in a ti tawi a ni.

Engtin nge (Arteriosclerosis) hi hriat chhuah a nih?

Doctor-te chuan he natna hi hetiang hian an hmuchhuak thin:

• Taksa enfiahna (physical examination) neih a ni.
• I chhûngkaw damdawi lam chanchin, nun dân, leh natna lan chhuah dân chungchâng zawhna zawt rawh .
• Test hrang hrang neih a ni.

(Arteriosclerosis) hriat theihna tur test neih thin

I doctor chuan i thisen kalna kawng hriselna, thisen kal dan leh thinlung hnathawh dan enfiah turin test hrang hrang a ti thei ang. Chung zinga ṭhenkhat chu:

• Pum chhunga ultrasound hmanga tih a ni.
• Angiography – X-ray hi arteries-ah dye inject a ni.
• Ankle-brachial index (ABI) – kea thisen kal zat tehna a ni.
• Carotid ultrasound hmanga tih a ni.
• Chest X-ray neih a ni.
• CT scan (Computed tomography (CT) hmanga enfiah) tih a ni.
• Echocardiogram – echo) – ultrasound hmanga thinlung enfiahna a ni.
• E.C.G.-in a sawi. Test (Electrocardiogram – EKG/ECG) – Thinlung electric hnathawh dan tehna a ni.
• Exercise stress test – Hei hian exercise neih laiin thinlung hnathawh dan a test thin.

(Arteriosclerosis) hi eng enkawlna nge ni?

(Arteriosclerosis) enkawlnaah hian:

• Nunphung thlak danglam (e.g., exercise lak, ei leh in hrisel ei, zuk leh hmuam hman tawh loh).
• Damdawi hman tur .
• Damdawi lam kalphung emaw surgery emaw .

I doctor chuan i enkawlna tur ruahmanna chu i mamawh angin a siam ang. I thisen kal dan tihchangtlunna tur ruahmanna an siam ang a, harsatna i neih theihna tur tihtlem nan leh i natna lan chhuah dan tur pawh an enkawl ang. I tana tha ber tur hriat tumin i doctor nen inbia ang che.

Arteriosclerosis hi ven theih a ni em?

Arteries hardening hi chu ven theih a ni lo mai thei. Mahse, i risk tihziaawm nan hengte hi i ti thei ang:

• Zuk leh hmuam hman zawng zawng (meizuk, vaping, chewing gum, etc.) pumpelh tur a ni .
• Lung hrisel ei tur (e.g. Mediterranean Diet) ei rawh .
• Kar khatah ni nga tal exercise la, ni khatah minute 30 tal exercise la.
• I tan taksa rihna hrisel tak vawng reng rawh.
• Damdawi lam dinhmun (zunthlum leh thisen sang ang chi) awmte chu uluk taka control reng tur a ni.

(Arteriosclerosis) ka neih chuan eng nge ka beisei ang?

Arteriosclerosis hian nunna atana hlauhawm harsatna a thlen thei a ni. Mahse, a hmaa hriatchhuah leh enkawl a nih chuan i thunun thei a, dam rei tak, hrisel takin i nung thei a ni. I beisei tur hriat belh duh chuan i doctor nen inbia ang che. Nang leh i medical history hi an hre chiang ber.

Engtikah nge ka doctor ka hmuh ang?

Kum tin taksa enfiahna nei turin doctor hmu rawh. Tin, i doctor-in a rawt follow-up test eng pawh neih theihnghilh suh.

Engtik lai pawhin i doctor chu ko la, hetiang hian:

• Symptom thar i neih chuan emaw, i symptoms a danglam chuan.
• I treatment plan chungchanga zawhna i neih chuan.
• Enkawlna hian side effect a neih chuan.

Kan thisen kalna kawngte hian thalai tuikhuah a nei lo. Kan taksa dang ang bawkin an upa tawh. Chumi awmzia chu hun kal zelah kan thisen kalna kawngte chu zawi zawiin a nghet zual a, a inthlak danglam thei lo tihna a ni. Risk factor thenkhat chuan he thil hi a ti chak thei hle.

Thu lawmawm tak chu doctor-te chuan i hlauhawmna chu an hre thei a ni. I thisen kalna kawng hriselna chungchang te, fimkhur tur te, harsatna lo awm tur venna atana i tih theih dan te zawt rawh. Anni chuan nunphung thlak danglam emaw, i thisen kalna kawngte a rei thei ang bera hrisel taka awmtir thei damdawi emaw an rawt thei a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh thenkhat i hriat reng tur chu khaikhawm ila:

• Arteriosclerosis chu thisen kalna kawng (artery wall) a thick leh hardening a ni. Hei hi a thleng fo thin.
• Atherosclerosis hi chutiang chi khat a ni a, thisen kalna kawng chhungah thau a awm khawm a ni.
• Vawi tam tak chu a tir lamah chuan symptoms a awm lo va, chuvangin medical checkup neih fo hi a pawimawh hle.
• Thisen sang, cholesterol sang, zunthlum, zuk leh hmuam leh exercise lak loh te hi a hlauhawmna lian ber a ni.
• Hei hian harsatna lian tak tak, heart attack leh stroke te a thlen thei a ni.
• Mahse, he natna hi nunphung tihdanglam te, a tul chuan damdawi ei te, leh damdawi lam thurawn zawm te hian control theih a ni a, a hlauhawmna pawh tihziaawm theih a ni .

Chuvangin, i thinlung leh thisen kalna kawng hriselna hi uluk takin enkawl rawh. Vawiin hian nun hrisel nei turin ke pen rawh!