Brain Aneurysm tih hi eng nge ni? I sawi dawn nia!

I thluak chhunga thisen kalna kawng te tak te pakhatin balloon ang chi te tak te a siam a, a lo lian a, a puak ta a nih chuan eng nge thleng ang tih i ngaihtuah ngai em? Chu chu vawiinah kan sawi dawn a, thluak thisen (brain aneurysm) a ni. He term hi i lo hre tawh ngei ang. Lungngai suh, awlsam takin han sawifiah teh ang.

Brain aneurysm tih hi eng nge ni?

A awlsam zawngin, cerebral aneurysm hi i thluak chhung emaw, a chhehvel emawa thisen kalna kawng (artery kan ti thin) a hmun chak lo tak chu a lo hring chhuak a, balloon ang maiin a bulge chhuak a ni. Tui pipe-a hmun chak lo ang maiin ngaihtuah la, chu chuan tui pressure chuan chu hmun chu a ti bulh ta a ni. Thisen a kal tlang chuan pressure chuan a chak lohna hmun chu a nawr chhuak lehzual a, bulge te tak te a siam a ni.

Thisenin balloon ang chi chu rang taka a luah khat chuan aneurysm chu a zau chho zel a ni. Hei hi balloon pakhat chu a chhunga boruak i vawrh luh chuan a thim deuh deuh a, chu chuan a puak darh awlsam zawk dan nen a inang a ni.

Brain aneurysm hi i thluak khawi hmunah pawh a lo awm thei. Mahse, i luruh bul hnaia thisen kalna kawng lian ber ber (major arteries)-ah an lo awm tam ber. Brain aneurysm nei zinga 10% leh 30% inkar chuan aneurysm pakhat aia tam an nei a ni. A tam zawkah chuan heng aneurysm te hi a te hle a, symptom engmah a awm lo.

Mahse, symptoms hi aneurysm chu a bul hnaia nerve emaw thluak tissue emaw press thei khawpa lian a nih chauhvin a lang thin. A hlauhawm ber chu aneurysm a rupture a, thisen a chhuah (leak) emaw, a puak chhuak emaw a ni. Hei hian thluaka thisen a chhuah tir thei a ni. Brain aneurysm ruptured hian nunna a tichhe thei a, emergency medical treatment a ngai bawk. Aneurysm ruptured chu a rei poh leh thihna emaw, permanent disability emaw a awm theihna a sang zawk.

Brain aneurysm a puak chuan eng nge thleng?

Hei hi a rupture chuan thisen chu a chhehvel thluak tissue-ah a leak lut thin. Hei hi ``Hemorrhage'' kan ti a. He thisen hian thluak tissue-ah a tul lova pressure a siam thei a, thluak a ti na thei bawk. A tlangpuiin, hetih lai hian lu natna nasa tak ``Thunderclap headache'' an tih hi a lan chhuah dan dang nen a awm thin.

Brain aneurysm ruptured hian hriselna lama harsatna lian tak a thlen thei a ni. Entirna tlemte chu hetiang hi a ni:

• Subarachnoid hemorrhage (SAH) : Hei hi i thluak khuh leh venghimtu membrane te tak te inkar ah thisen chhuah a ni (hei hi `arachnoid layer` kan ti a). SAH 90% hi thluak thisen (brain aneurysm) ruptured vang a ni.
• Hemorrhagic stroke : Hei hi i luruh leh i thluak inkar hmuna thisen chhuak a ni.

Heng dinhmunte hian thluak a tichhe reng thei a, a nih loh leh harsatna dang a thlen thei a, chungte chu:

• Vasospasm : Hei hi thisen kalna kawng a zim emaw, a khauh emaw a, thluaka oxygen a thlen tlem chuan a ni.
• Hydrocephalus : Hei hi thluak vel a cerebrospinal fluid emaw thisen emaw a awm khawm a, thluak chungah pressure nasa lutuk a siam a ni.
• Seizures : Seizure chu thluaka electrical activity chu hun eng emaw chen, thunun loha tihpun a ni. Hei hian thluak chhiatna a tizual thei a, chu chu aneurysm ruptured vang a ni.
• Coma : Hei hi hriat lohna dinhmun a ni a, ni khat atanga kar tam tak chhung a awm thin.
• Thihna : Damlo 50% vel chu thluak thisen (brain aneurysm) ruptured vangin an thi.

Tute nge thluaka thisen zam (brain aneurysm) vei?

Brain aneurysm hi tu pawhah, kum eng pawhah a lo awm thei. Mahse, kum 30 leh 60 inkar mi an vei tam ber a, hmeichhiaah pawh tlem a tam zawk.

He aneurysm hi engtiang chiahin nge a awm?

United States ang ramah chuan mipui 6% velin unruptured aneurysm an nei a. Mahse, thluak ruptured aneurysm hi chutiang chuan a awm lo. United States-ah hian kum tin mi 30,000 velin he natna hi an vei thin.

Brain aneurysm symptoms te chu engte nge ni?

Brain aneurysm symptoms hi a rupture leh rupture loh a zirin a inang lo.

Aneurysm ruptured natna lan chhuah dan

Hengte hi aneurysm ruptured symptoms te chu a ni:

• Thunderclap headache : Hei hi lu na tak, natna khirh tak a ni. Mi tam tak chuan "ka nun chhunga lu na ber" tiin an sawi.
• Luak chhuak leh luak chhuak.
• Neck stiffness (kawr ben harsa).
• Blurred vision emaw double vision emaw a awm thei.
• Eng laka hriatna (photophobia).
• Seizures a awm thin.
• Mitmeng a tla thla a, mitmeng a zau bawk.
• Mit chung leh hnunglam natna.
• Rilru tibuai.
• Chak lohna leh/ emaw, rilru hahna.
• Thil hriatna hloh.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan 911 i call nghal tur a ni a, a nih loh leh damdawi in hnai ber emergency department-ah i kal tur a ni. Hei hi emergency a ni!

A chang chuan thluaka thisen zam (brain aneurysm) atang hian thisen tlemte a chhuak thei bawk. Hei hi `sentinel bleed` an ti a, hetiang a lo awm chuan aneurysm a puak hma ni engemaw zat emaw, kar engemaw zat emaw hnuah `sentinel headaches` i nei thei a ni.

Aneurysm chhe lo (unruptured aneurysm) chhinchhiahna

A tam zawkah chuan intact brain aneurysm hian symptom a nei lo. Mahse, an lian tawk a nih chuan thisen kalna kawng chhunga balloon ang maia bulge hian a bul hnaia nerve emaw thluak tissue emaw chu pressure a siam thei a, chu chuan symptoms a thlen thei a ni:

• Lu na.
• Mit hmuhna lama inthlak danglamna.
• Pupil lian zawk (dilated pupil) a ni.
• Lu emaw hmai emaw a natna.
• Mit chung leh hnunglam natna.
• Seizures a awm thin.

Heng symptoms te hi i neih chuan a rang thei ang bera Doctor pan thin ang che.

Eng thilin nge thluaka thisen zam (brain aneurysm) hi a thlen?

Brain aneurysm hi i thluaka thisen kalna kawng (arteries) te chu a hring a, a chak lo a nih chuan a lo awm thin. Arteries inthenna hmunah an siam fo thin. A châng chuan, thluak thisen (brain aneurysm) neiin i piang thei bawk. Hei hi artery wall-a thil danglam (`birth defect`) vang a ni tlangpui. Thil dang engemaw zatin artery wall a tichak lo thei bawk.

A hnuaia nau piang thilte hian i thisen kalna (arteries) hriselna a nghawng thei a, thluaka thisen zam (brain aneurysm) i neih theihna a tipung thei bawk:

• `(Vascular Ehlers-Danlos natna)`
• ``(Autosomal dominant polycystic kal natna)'' tih hi a ni.
• `(Marfan syndrome)` tih a ni
• `(Fibromuscular dysplasia)` tih a ni
• Arteriovenous a awm lo
• Chhungkaw member hnai tak (biological brother, sister, or parent) chuan thluaka thisen zam (brain aneurysm) a nei tawh a.

Hun kal zelah i artery wall tichak lo thei tur dinhmun leh tih dan dangte chu hetiang hi a ni:

• Meizial zuk.
• Thisen sang a sang.
• Ruihhlo hman, a bik takin cocaine.
• Zu in tam lutuk.

Eng thilin nge thluak thisen (brain aneurysm) a puak chhan?

Thluak thisen (brain aneurysm) siamna atana puitu thilte tho hian a tikehsawm thei a, thisen a chhuak thei bawk.

Zirchiangtute chuan thisen sang hi thisen sang hi aneurysm rupture thlentu ber niin an ngai. Thisen sang a san chuan thisenin thisen kalna kawng bang a pressure a siam chu a sang chho zel a ni. Thisen sang hian thluak thisen (brain aneurysm) a tihchhiat theihna tur dinhmun engemaw zat a awm a:

• Stress chhunzawm zel hi rilru natna nasa tak a ni a, thinrimna rapthlak tak ang mai a ni.
• Thil rit tak tak (e.g., rit phurh, furniture sawn)-a phurh, hrual, emaw nawr laia strain lutuk.
• Thisen sang i neih tawh damdawi mumal ei loh.

Aneurysm puak theihna tur thil dang engemaw zat a awm bawk:

• Size leh shape : Aneurysm lian tak tak, a pianzia mumal lo aiin a rupture tam lo zawk.
• Growth : Hun kal zelah aneurysm a lian zawk chuan a chhe thei zawk.
• Hmun : Thluak hnung lama posterior communicating arteries leh thluak hma lama anterior communicating artery-a aneurysm te hi thluak hmun danga aneurysm aiin a rupture tam zawk.
• Hnam : Japanese emaw Finnish hnam chhuakte hi aneurysm rupture hlauhawmna a sang zawk.
• Kum upa zawk: Kum 70 chunglamte chu aneurysm rupture an vei theihna a sang zawk.

Mihring thluaka thisen zam pakhat aia tam nei emaw, a hmaa thisen chhuak tawh emaw te chu thluaka thisen zam (brain aneurysm) puak theihna chance sang ber an ni.

Engtin nge thluaka thisen zam (brain aneurysm) hi kan hriat theih ang?

Unruptured brain aneurysm nei tam tak chuan an nei tih pawh an hre lo. Damdawi lam thil dang avanga i thluak MRI emaw CT scan emaw i tih hian doctor chuan a hmu mai thei.

Brain aneurysm symptoms i neih chuan lu na lutuk ang chi i neih chuan 911 call emaw damdawi in pan nghal tur a ni. Doctor chuan thluak thisen (brain aneurysm) a rupture em tih enfiah turin a ti ang. Heng test-ah hian:

• (CT - computed tomography scan) : Hei hi doctor-in thluaka thisen a chhuah leh awm loh enfiah tura a tih tur imaging test hmasa ber a ni. ``CT scan`` hian X-ray leh computer hmangin i taksa cross-sectional image a la thin. Doctor-te chuan ``CT angiogram (CTA)`` tih test an hmang thei bawk. Hei hian thluaka thisen kal dan chipchiar zawkin a la thei a ni. ``CTA`` hian aneurysm lian leh te, a awmna hmun leh a pianzia a entir thei a, a chhe lo emaw, a chhe lo emaw pawh nise.
• (MRI - magnetic resonance imaging scan) : MRI hian magnet lian tak, radio wave leh computer hmangin i thluak chipchiar takin thlalak a la thin. Magnetic resonance angiography (MRA) hian thluaka thisen kalna kawngte chipchiar takin a la a, aneurysm lian leh te, a awmna hmun leh a pianzia a tarlang bawk.
• Cerebral angiography : Hei hi neurosurgeon emaw interventional neuroradiologist emaw test a ni. I groin emaw i kutphah emawa thisen kalna kawngah catheter an dah a, i thluak chhungah an thread a, i kawr leh thluaka thisen kalna kawng chipchiar zawkin an la thei a ni. He imaging test hian i thluak emaw, i kawr emawa thisen kalna kawng (arteries) a block tih a hmu thei a ni. Artery chhunga hmun chak lo tak tak, aneurysm ang chi te pawh a hriat theih bawk. Doctor-te chuan he test hi thluaka thisen chhuah chhan leh aneurysm awmna hmun, a lian leh a pianzia dik tak hriat nan an hmang a ni.
• (Cerebrospinal fluid - CSF analysis) : He test hian i thluak leh ruh (`spinal cord`) vel leh venhimtu tui chhunga thil awmte a teh thin. Doctor chuan `CSF` sample a la a, `spinal tap` emaw `lumbar puncture` emaw a la a. He analysis hian thluak chhehvelah thisen a chhuak em tih a hriat theih a ni.

Engtin nge thluaka thisen kalna (brain aneurysm) hi enkawl a nih?

Brain aneurysm enkawlna tum ber chu aneurysm chhunga thisen chhuak tihtawp emaw tihtlem emaw hi a ni. Brain aneurysm leak emaw ruptured emaw a awm chuan emergency surgery a ngai a ni.I dinhmun azirin, unruptured aneurysm chu enkawl a ngai thei a, a ngai lo thei bawk.

I medical team chuan i vascular anatomy, aneurysm lian leh te, leh thil dang engemaw zat a zirin, i tana tha ber tur treatment option(s) chu an rawn rawt ang che.

A tlangpuiin, ruptured aneurysm chu unruptured aneurysm aiin a dam rei zawk.

Thluak thisen zam (brain aneurysm) te tan microvascular clipping

He surgery-ah hian neurosurgeon chuan i luruh ah khur te tak te a siam a, aneurysm awmna hmunah a kal thin. Microscope leh instrument te tak te hmangin surgeon chuan aneurysm bul lamah metal clip te tak te a dah a, a khar ta a ni. Hei hian aneurysm chhunga thisen chhuak chu a titawp a ni. He surgery hian thluaka thisen chhuah a titawp thei a, a nih loh leh unruptured aneurysm a lian emaw, a puak emaw a veng thei bawk.

Aneurysm ruptured (kar engemaw zat atanga thla engemaw zat) leh unruptured (a tlangpuiin kar hnih atanga kar li) te dam hun chhung hi a inang lo. Aneurysm clip kim vek tawh chu thisen a chhuak leh tawh lo (recur) tlangpui.

Endovascular coiling hmanga thluaka thisen kalna (aneurysm) te

Hetiang tihnaah hian neurosurgeon emaw interventional neuroradiologist emaw chuan i groin emaw i kutphah emaw a thisen kalna kawngah catheter (a flexible tube) a dah a, i thluak chhungah a thread lut a ni. Catheter hmang hian doctor chuan wire nem tak tak coil te tak te chu aneurysm chhungah a dah lut a.

Doctor-in he coil hi aneurysm chhungah a dah hnuah thisen kal dan tur a thlak danglam a, thisen zam (blood clot) a siam a ni. He thisen zam hian aneurysm chhunga thisen kal chu a titawp a, seal a siam a, clip ang maiin a siam a ni.

Thluak lama thisen zam (brain aneurysm) te tan flow diversion stent hman a ni

Hetiang tih danah hian neurosurgeon emaw interventional neuroradiologist emaw chuan i groin emaw i kutphah emaw a thisen kalna kawngah catheter a dah a, i thluak chhungah a thread lut a ni. Catheter hmang hian doctor chuan thisen kalna kawng chhunga aneurysm awmna hmunah mesh tube a dah lut a. He mesh hian i thisen kal chu aneurysm chhungah luh ai chuan a divert (or "divert") zawk a ni.

Brain aneurysm te tan WEB device hman a ni

Hetiang hmanruaah hian a chunga kan sawi tawh ang khan doctor chuan thluak chhungah catheter hmangin aneurysm chhungah metal mesh ang chi cube emaw sphere emaw a dah lut a. Hei pawh hian coil ang maiin hna a thawk bawk. Chu chu, aneurysm chungah seal a siam a, a chunga thisen a luang tur chu a titawp a, a lian emaw, a puak emaw loh nan a veng tihna a ni.

Brain aneurysm ruptured a awm chuan enkawlna dang

Aneurysm ruptured i neih chuan i medical team chuan i symptoms control leh complication venna atan enkawlna dang an hmang ang. Heng enkawlnate hi a hnuaia mi ang hian a ni thei:

• Antiseizure damdawi hman tur: Heng damdawi te hian aneurysm ruptured nena inzawm seizures a veng thei a ni.
• Calcium channel blockers : Heng damdawi te hian vasospasm vanga stroke awm theihna a tihziaawm thei a ni.
• Shunt : Hei hi thluak atanga taksa peng danga cerebrospinal fluid (CSF) a kal theihna tura puitu tube a ni. Hei hian hydrocephalus venna kawngah a pui thei a ni.

Aneurysm ruptured vei tawhte chuan hnathawh hloh tawhte an neih leh theih nan leh chak lohna nghet tak nena nun an zir theih nan physical therapy, speech therapy, leh occupational therapy an mamawh fo thin.

Brain aneurysm chhe lo (unruptured brain aneurysm) avanga enkawlna ka mamawh em?

Brain aneurysm te tak te, chhe lo, symptoms awm lo i neih a, risk factor dang kaihhnawih i neih loh chuan i doctor chuan enkawl loh a rawt thei ang.

Chu ai chuan i doctor chuan a hun hunah imaging test a order ang a, chu chuan a danglamna emaw, a lo thang lian emaw a enfiah ang. Meizial i zu a nih chuan meizuk bansan tur leh i thisen sang thunun turin an fuih bawk ang che.

Symptoms i neih chuan, emaw, repeat imaging test neih laiin aneurysm-ah danglamna a awm a nih chuan doctor pan nghal tur a ni.

Symptoms, risk factors, leh/ emaw aneurysm a lian a nih chuan, nang leh i doctor chuan surgery leh/ emaw endovascular treatment atana a thatna, a chhiatna leh duhthlan tur te in sawiho ang. He thutlukna hi thil engemaw zatah a innghat ang a, chung zingah chuan:

• i kum zat.
• I hriselna zawng zawng leh natna dang i neih theih apiang.
• Aneurysm awmna hmun, a lian leh te, a danglamna dangte.
• I vascular anatomy a ni.
• Chhungkaw history-a natna nei.
• Puak thei khawpa hlauhawm.

Engtin nge aneurysm vei theihna tur i tihziaawm theih ang?

Brain aneurysm vei theihna tur risk factor thenkhat, i kum emaw, i genetic condition emaw te chu i veng thei lo va, i thlak thei lo bawk. Mahse, thluaka thisen zam (brain aneurysm) i neih theihna tur tihtlem nan a hnuaia mite hi i ti thei ang:

• Damdawi leh/ emaw nunphung tihdanglamna hmanga thisen sang hrisel vawn.
• Meizial zu lo emaw, zu in loh emaw.
• Zu hmansualna leh/ emaw, ruihhlo hmansualna avanga tanpuina lak, leh cocaine ang chi stimulant hman loh.

Brain aneurysm ruptured a awm chuan eng prognosis nge ni?

Brain aneurysm ruptured atanga dam lehna tur prognosis hi thil engemaw zat ah a innghat a, chung zingah chuan:

• I kum leh i hriselna zawng zawng.
• Neurological condition awm tawh i neih leh neih loh.
• Aneurysm awmna hmun.
• Aneurysm atanga thisen engzat nge hloh.
• Engtiang chiahin nge enkawlna i dawng thuai.
• Aneurysm enkawlna a hlawhtling em tih.

Brain aneurysm ruptured nei zinga 25% vel chu darkar 24 chhungin an thi. 50% vel chu an rupture atanga thla thum chhungin complication vangin an thi thin.

Damchhuak zinga 66% vel chuan thluak a tichhe vek a ni. Mi thenkhat chu rualbanlo tlemte emaw, chak lohna nei lo emaw pawhin an dam leh thin.

Brain aneurysm nei hian rei tak i dam thei ang em?

Brain aneurysm te tak te, chhe lo nei tam tak chuan symptom an nei ngai lo va, an hriselna pawh a nghawng lo.

Mahse, thluak ruptured aneurysm vanga thihna rate hi a sang hle.

Engtikah nge thluaka thisen zam (brain aneurysm) chungchangah ka doctor ka hmuh ang?

Unruptured brain aneurysm i neih chuan i doctor pan fo a ngai ang a, chu chu a lian leh te enfiah nan leh risk factors, thisen sang ang chi te control turin i ngai ang.

Brain aneurysm ruptured i neih tawh chuan i medical team te hmuh fo a ngai ang a, harsatna awm thei te enfiah tur leh aneurysm dang i neih loh nan i enfiah fo ang.

Stroke symptom nei emaw nei lo emaw, lu na tak, na tak i neih chuan thluaka thisen zam (brain aneurysm) chhinchhiahna a ni thei. 911 call nghal la, damdawi in emergency room-ah kal rawh. Damdawi lam tanpuina i dawn hma poh leh i nunna chhanhim theihna chance a sang zawk.

Unruptured brain aneurysm i neih chuan i doctor nen enkawlna leh enkawl dan hrang hrang a thatna leh that lohna te sawipui rawh. I tanpui turin an inpeih reng a ni.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur thil thenkhat i hriat nawn tir ang che:

• Brain aneurysm chu thluaka thisen kalna kawng chak lo takah bulge ang maia bulge a ni.
• A tam zawkah chuan aneurysm te te hian symptom a siam lo. Mahse, "i nunah lu na ber" ang chi, lu na tak, na tak i neih chuan, chu chu aneurysm ruptured chhinchhiahna a ni thei. Hetiang a nih chuan damdawi in pan nghal tur a ni.
• Thisen sang leh meizuk ang chi thil te hi thisen sang (aneurysm) siam leh rupture thlentu ber a ni.
• Doctor chuan unruptured aneurysm nei te chu thil engemaw zat a zirin enkawlna an mamawh leh mamawh loh a rel thin.
• Aneurysm ruptured hi nunna atana hlauhawm emergency a ni. Enkawlna rang tak neih a pawimawh.
• Nun hrisel taka nun leh risk factors control-na hmangin aneurysm vei theihna a tlahniam thei a ni.

Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Hei hi an hrilhfiah belh ang che.

`Brain aneurysm, cerebral aneurysm, lu na, thisen sang, thluaka thisen chhuak, thluak lam natna, aneurysm surgery