Thisen sang teh dan dik i hria em?

Tunlai hian Sri Lanka ramah hian mi tam tak chuan an in chhungah machine te tak te, thisen sang tehna an nei a. Doctor hnenah emaw, damdawi dawrah emaw i kal emaw, tunah chuan awlsam takin i thisen sang i check thei tawh ang. Mahse, thisen sang tehna kan tihsual tenau te hian chhiar dan a thlak danglam vek thei tih i hria em? A dik tak chuan hei hi tehna dik tak a awm. Vawiin hian buaina awm lovin i thisen sang teh dan tur te, value hmuh chhuah te hian eng nge a awmzia tih te, eng hmun nge enkawl ngai tih te kan sawi dawn a ni.

A awlsam zawngin, he thisen sang tehna hi eng nge ni?

Thisen sang tehna hi test awlsam tak, natna nei lo, minute khat aia rei lo test a ni. I thisen sang chu a normal em, a sang em, a hniam em tih a enfiah thin. Hei hi in lamah i ti thei a, doctor hnenah pawh i teh thei bawk.

Tui pipe hi han ngaihtuah teh. Motor i on chuan tui chuan chu pipe bang chu pressure engemaw zat a pe a ni lawm ni? Chutiang bawkin kan thinlungin a pump laiin thisen kalna kawng (arteries) bang chunga pressure a awm chu thisen sang kan tih hi a ni. Heng vessels te hian kan taksa peng leh tissue tin ah oxygen leh nutrients te an phur a.

He test hi a pawimawh a, a chhan chu thisen sang an tih natna hriat theihna awmchhun a nih vang a ni. Thisen sang hi "silent killer" an ti fo thin. Chu chu taksaah kum tam tak chhung a awm thei tihna a ni a, natna lanchhuahna nei lovin a awm thei tihna a ni. Mahse he hun chhung hian ngawi rengin kan thinlung, thisen kalna kawng leh kal (kidney) te a tichhia a ni. Chuvang chuan, natna lanchhuahna a awm lo a nih pawhin thisen sang teh reng a pawimawh hle.

Thisen sang tehna hun tha ber chu eng nge ni?

Nitin i thisen sang i teh thei. Mahse a pawimawh ber chu nitin hun khata tih hi a ni . Entirnan, zing tin hun khatah leh/ emaw tlai tin hun khatah i teh thei bawk.

Hetiang dinhmunah hian thisen sang tehna hi a pawimawh hle a ni:

• Thisen sang damdawi i ei tan chauh a nih chuan: Damdawi i ei tan atanga kar hnih vel hnuah ni engemaw zat a zawnin i thisen sang tehna hmangin damdawi chu a thawk tha em tih chu nangmah ngeiin i hre thei ang.
• Doctor i pan hmain: I clinic date hma kar khat velin i thisen sang chhiarna chu in lamah la la, i ziak chhuak hmasa phawt ang. Mi thenkhat chuan clinic boruak avang hian doctor an pan dawnin an hlauthawng deuh a, an hlauthawng deuh thei bawk. Hei hi "White Coat Syndrome" kan ti a.Hei hi an ti bawk. Chuvang chuan clinic-a pressure tehna chu a sang deuhin a lang thei. Tin, mi thenkhat chuan in lamah pressure sang tak an nei a, clinic-ah normal an nei bawk. Chuvangin, in leh clinic-a reading pahnih lak vek hian doctor-in i dinhmun a hriatthiam theih nan a pui ang.

Doctor chuan i thisen sang chu hengte avang hian a teh thei ang:

• Damdawi in a enkawl lai hian i dinhmun enfiah thin ang che.
• Thisen sang emaw, BP hniam emaw i nei em tih enfiah thin ang che.
• Damdawi an pek che kha engtiang chiahin nge a hlawk tih en rawh.
• Lung natna emaw thisen kalna kawng natna emaw i vei theihna tur tehfung siam rawh.
• Surgery ṭhenkhat ang bawka damdawi lam thil tihte chu i tân eng angin nge risky a nih tih chu ngaihtuah rawh.
• Hna thenkhatah emaw, infiamna thenkhatah emaw i tling em tih en rawh.

Chhiar dik ber tur chuan hetiang hian inbuatsaih rawh!

Chhiar dik tur chuan i thisen sang i teh hmain inbuatsaihna tlem i neih hmasak phawt a ngai a ni. Heng step te hi i zawm chuan chhiar dik ber i hmu ang.

• Heng thilte hi minute 30 hmain bansan rawh: Zuk leh hmuam thil (cigarette ang chi), ei leh in, in tur (a bik takin coffee ang chi caffeine awmna) ei loh la, i thisen sang teh hmain minute 30 tal exercise la.
• Bathroom-ah kal rawh: I thisen sang reading chu i bladder a khat lai pawhin a sang deuh thei. Chuvangin tehna i lak hmain bathroom-ah kal hmasa phawt ang che.
• Minute 5 chawlh hahdam rawh: I thisen sang chhiarna hi i kal kual emaw, thil i tih zawh veleh la nghal suh. Sofa ang maia thut theihna tur chair-ah thu la, minute 5 tal chawlh hahdam rawh .
• Thut dan dik: Chair-ah i hnungzang dinglam hawiin thu la , i ke chu inzawm lo la, i ke chu leiah ding rawh .
• I kut dah dan: I thisen sang tehna tur i kut chu dawhkan chungah dah la. A pawimawh ber chu i kut chu heart level ah a awm a ni . I kut ah hian rit engmah dah suh, chawlh hahdam vek mai rawh.
• Cuff dik thlang rawh: I kut tan cuff te lutuk i dah chuan pressure reading chu dik lo takin a sang ang. Tin, cuff lian lutuk i dah chuan reading chu falsely low a ni ang. Mi tam zawk tan chuan puitling cuff lian tak chu a tha ang.
• I kut chungah cuff i khuh dan: Cuff chu i kut chunglam, elbow chung lam deuhah khuh tur a ni . I kut veilam emaw, dinglam emaw pawh i hmang thei. Mahse i thawmhnaw ha chungin i kut chungah cuff kha khuh suh. Cuff chu i vun nen a inmil tur a ni . Hei hian kawr ban tawi hak a ti awlsam hle.

Awle, tunah chuan thisen sang tehna dik tak i en ang u.

Automatic machine hmanga teh dan

Hetiang machine hi in lamah kan hmang fo thin. A awlsam khawp mai.

1. A hmaa kan sawi tawh ang khan ṭhut ṭha la, i kut chu chelh la, cuff chu dik takin hnawih rawh.

2. Machine a button awm chu hmet la, on rawh. Chumi hnuah chuan cuff chu boruakin a khat ang a, a tight tan ang.

3. Tichuan, cuff chhunga boruak chu a tlahniam zauh zauh a, pressure a teh thin.

4. Minute khat vel hnuah machine screen-ah i pressure value pahnih a rawn lang ang.

A tha ber chu vawi khat tehna lak a, minute khat nghah a, chutah chuan tehna dang lak leh hi a ni . Chutiang chuan ngaihtuahna dik zawk i hmu thei ang.

Doctor ten an hman dan (Manual Method) .

I doctor-in i thisen sang a tehna chu stethoscope leh kut chhuak pressure cuff hmangin i hmu tawh mai thei. Hetah hian thil thleng chu a awm:

1. Cuff chhungah boruak an pump lut a, i kut an tikhauh thin.

2. Tichuan stethoscope chu i elbow (brachial artery)-a vein pakhat chungah dahin cuff chu a inflated rang hle.

3. Chutianga i tih chuan thisen thisen a luang tan tirh atanga i hriat hmasak ber nen value pakhat i record thin.

4. I puak chhunzawm zel chuan a ri bo na hmunah chuan value dang chu chhinchhiah rawh.

Hetiang tih dan hian tawnhriat tlem a mamawh avangin in lamah automatic machine hman kan rawt a ni.

I thisen sang chhiar dan hian eng nge a awmzia? I hrethiam ang u!

I thisen sang i teh zawh chuan number pahnih i hmu a. Entirnan, 120/80 mmHg. Heng number pahnih hian eng nge a awmzia i en ang u.

• Systolic pressure: Hei hi number sang ber a ni. I thinlung a na a, chu chu thisen pump tura a contract lai a ni.
• Diastolic pressure: Hei hi a hnuai lam number a ni. Heartbeat inkar a arteries-a pressure hniam ber a ni a, chutih lai chuan heart chu thisenin a khat leh theih nan a relax a ni.

Heng value te hi mercury millimeter (mmHg) hmanga teh a ni.

Pressure a sang deuh niin a lang a nih chuan lungngai suh!

Ni khat chu in lama i thisen sang i tehnaah chhiar sang deuh i hmuh chuan hlauthawng suh. High reading vawi khat chauh hian thisen sang i nei tihna a ni lo.

Doctor chuan ni engemaw zat chhunga hun hrang hranga reading engemaw zat lak chu a sang reng a nih chuan thisen sang i nei tih a sawi chhuak ang.

Thisen sang i nei tih hmuhchhuah a nih chuan i doctor chuan i tan damdawi dik tak a pe ang che. I damdawi ei bakah emaw, i ei hmain emaw nunphung tihdanglamna engemaw zat, hengte hi siam turin a fuih bawk ang che:

• I taksa rihna hrisel tak vawn reng: I san zawng a zirin taksa rihna hrisel tak neih tum ang che.
• Exercise: Kar khatah minute 150 tal (ni khatah minute 30, kar khatah ni 5) exercise, kea kal emaw, cycle khalh emaw ang chi.
• Salt control: I chaw eiah chi i dah zat tihtlem. Ni khatah chi miligram 1,500 aia tlem ei a tha ber.
• Ei leh in hrisel: I eitur ah thei, thlai leh buh chi tam zawk telh la, oil leh thau tamna ei tur (a bik takin saturated fat) te pawh tihtlem bawk ang che.
• Meizial zuk loh: Meizial i zuk chuan bânsan vek a pawimawh.
• Zu khap rawh: Zu i in chuan a tlem berah ti rawh.

Hetiang a nih chuan Doctor pan nghal mai rawh!

In lama i thisen sang i teh a, a chhiar a sang hle a nih chuan hlau suh, minute 5 vel nghah la, teh leh rawh. Readings a sang chhunzawm zel chuan doctor nen inbia ang che. A bik takin i chhiar dan chu "Hypertensive Crisis" level (180/120 mmHg aia sang) a nih chuan damdawi lam thurawn zawng nghal rawh.

Thisen sang hi a buaithlak ang bawkin thisen hniam pawh hi a buaithlak hle.A ni thei. Heng symptoms te hi i neih chuan chu pawh chu fimkhur rawh.

• Hnathawh hahthlak tak a ni
• Luak chhuak thei
• Luak chhuak thei
• Fainting a ni

Heng symptoms te hi i neih chuan i doctor nen pawh sawipui thin ang che.

I thisen sang tehna hi mahni hriselna hriatthiamna hmanraw hlu tak a ni. In lama i thisen sang teh dan dik zir hian engtik lai pawha, khawi hmunah pawh, awlsam taka tih theihna zalenna a pe che a ni. I hlutnate chu a range dik takah a awm chuan rilru thlamuanna a pe thei che a ni. Tin, thisen sang hi chhinchhiahna awm lovin hriatchhuah leh enkawl turin a pui thei bawk.