Intracranial Hemorrhage tih hi eng nge ni? Hei hi i fimkhur ang u

I dam chhunga i la neih ngai loh angin lu na nasa tak i nei nghal mai ang tih han ngaihtuah teh. Chumi rual chuan i lu a buai a, i rilru a buai bawk. Hetiang thil hi ngaihthah mai mai chu thil tha a ni lo. A chhan chu hei hi thluaka thisen chhuak ang chi natna khirh tak chhinchhiahna a ni thei a ni. Hei hi damdawi lam pan vat ngai dinhmun a ni. Chuvangin vawiin hian he thu hi chiang takin sawi ila.

A awlsam zawngin, thluak thisen chhuahna chu eng nge ni?

Thluak thisen chhuak, damdawi lama ``Intracranial Hemorrhage'' tia hriat chu i luruh chhungah thisen a chhuak a ni. Hei hi stroke chi khat a ni .

Kan thluak hian a mah chauhin oxygen a khawlkhawm thei lo. Chuvangin a hnathawh theih nan oxygen leh nutrients supply reng reng a mamawh a ni. He hna hi thluak zawng zawnga thisen kalna kawng nalh tak tak network hmanga thawk a ni. Thluak thisen a chhuah chuan heng thisen kalna kawng pakhat atang hian thisen a chhuak emaw, thisen kalna kawng chu a puak emaw a ni.

Chutiang a nih chuan luruh chhungah thisen a awm tan thin. He thisen inzawmkhawm hian thluak ah pressure nasa tak a siam a ni. Hetiang pressure hian thluak cell te chu an mamawh oxygen leh nutrients te chu a dawng tawh lo va, chu cell te chu an thi tan ta a ni.

Hetiang dinhmun hi accident hnuah a awm fo thin a, chu chu tlu emaw, lu-a vuak emaw ang chi a ni. Tin, thisen sang control tha lote zingah pawh a tam zawk.

Brain hemorrhage chi hrang hrang berte chu engte nge ni?

"Thluak chhunga thisen chhuak" tia sawi ni mah se, hei hi doctor-te tan chuan thupui zau tak a ni. A chhan chu luruh chhunga thisen chhuahna hmun a zirin chi hrang hrangah a inthen a ni. He classification hi enkawl dan tur tehnaah a pawimawh hle.

Hei hi hrethiam tur chuan lu chhunga thil awmte hi han thlir hmasa ila. Kan thluak leh luruh ruh inkarah hian membrane te tak te pathum invenna khuhna a awm a. Hengte hi ``meninges`` kan ti thin. Heng membrane pathumte hi pawn lam atanga ``dura mater``, a laiah ``arachnoid``, leh thluak ngeia inzawm ``pia mater`` te an ni. Heng membrane inkarah emaw, thluak tissue chhungah emaw thisen a chhuak thei a ni.

Thisen chhuahna hmun azirin chi hnihah then theih a ni:

1. Luruh chhungah, mahse thluak tissue pawnah.

2. Thluak tissue chhung ngeiah.

Brain hemorrhage symptoms te chu engte nge ni?

Thisen chhuahna chi leh hmun a zirin symptoms a inang lo thei. Mahse chhinchhiahna tlanglawn thenkhat hmuh theih a awm. Nangmah emaw, i hriat miin emaw heng zinga pakhat emaw, a aia tam emaw i tawn chuan damdawi lam thurawn lak nghal a pawimawh hle.

Eng thilin nge thluaka thisen chhuah chhan?

Thluaka thisen kalna kawng khat hian thisen a leak emaw, a puak emaw theih chhan hrang hrang a awm.

• Lu natna: Hei hi lu hi na taka vuak a nih chuan a thleng thei a, chu chu infiamna khelh laiin tlu emaw, car accident emaw, accident dang emaw a nih chuan a thleng thei a ni.
• Thisen sang: Hei hi a chhan tam ber a ni. Rei tak pressure control loh chuan thluaka thisen kalna kawng nalh tak takte bang chu a chak lo thei a, a puak thei bawk.
• Atherosclerosis: Thisen kalna kawng chhungah thau a awm khawm a, chu chuan thisen kalna kawng a tikhawlo thin.
• Cerebral aneurysm: Thluaka thisen kalna kawng bang a chak lo va, balloon ang maia a bulh tir thin. Hei hi a puak darh nghal thei.
• Arteriovenous malformation (AVM): Pianpui atanga lo chhuak, thisen kalna kawng leh thisen kalna kawng (veins) te chu a dik lo taka inzawmkhawmna a ni. Chungte chuan thisen a leak thei a ni.
• Brain tumor: Thluaka tumor awm hian a chhehvela thisen kalna kawngte chu pressure a siam a, thisen a chhuah tir thei bawk.
• Blood thinners/Anticoagulants: Heng damdawi, thinlung natna thenkhat tan pek thin te hian thisen chhuah theihna a tipung deuh a ni.
• Meizial leh ruihhlo hman.

Engtin nge hei hi hriatchhuah leh enkawl a nih?

Damdawi ina admit i nih hunah doctor chuan rang takin a enfiah ang che. I natna lan chhuah dan te, i hriatna te, leh i taksa chakna te a enfiah ang.

Tichuan, thisen chhuah a awm leh awm loh chiang taka en turin imaging test atan refer i ni ang a, a awm a nih chuan khawiah nge a awm tih leh engzat nge a lian tih hriat theih a ni bawk ang.

• CT scan (Computed Tomography scan): Hei hian rang takin lu chhung lam thlalak a la thei a, thisen a chhuah leh awm loh a enfiah thei bawk.
• MRI scan (Magnetic Resonance Imaging): Hei hian thluak tissue thlalak chiang zawk, chipchiar zawk a siam thei a ni.

Hei bakah hian thisen test leh ECG test-ah te thisen chhuah chhan hriat theih a ni bawk.

Enkawl dan tur

Enkawlna chu thisen chhuah chhan, hmun leh a lian leh teah a innghat a ni. A tum ber chu thisen chhuah tihtawp leh thluaka pressure tihziaawm hi a ni.

1. Damdawi chi hrang hrang:

• Thisen sang control nana damdawi.
• Thluak natna tihziaawmna damdawi.
• Seizure tihtawp nan damdawi.
• Natna leh lungkhamna damdawi.

2. Surgery tih tur: 1.1.

• A châng chuan thisen awm khâwm chu paih chhuakin, pressure tihziaawm nân operation neih a ngai mai thei. Hei hian thisen chhuahna tur luruh chhungah khur te tak te siam (decompression) emaw, pressure tihziaawmna turin luruh thenkhat chu rei lo te chhung lakchhuah (craniectomy) emaw a ni thei.
• Thisen chhuah chhan chu aneurysm emaw AVM emaw a nih chuan siamthat nan operation pawh a ngai dawn a ni.

Damlo hi a dinhmun a ṭhat hma loh chuan intensive care unit (ICU)-ah dah a ni a, thawk leh heart rate ang chi thilte chu enfiah reng a ni.

Enkawl hnuah eng nge thleng? Rehabilitation hi a ngai em?

Ni e, rehabilitation hi a ngai fo thin a, a chhan chu thluak a chhiat chuan taksa hnathawh thenkhat a nghawng thei a ni. Entir nan:

• Hriatrengna hloh.
• Thusawi leh hriatthiam harsa.
• Kal leh balance lama harsatna.
• Taksa hmun thenkhata nunna hloh (paralysis).
• Mit hmuhna lama harsatna a awm.

Rehabilitation therapy hian heng theihna hloh tawhte hi zawi zawiin a neih let leh theih nan a pui a ni. Hei hian physical therapy, speech therapy, leh occupational therapy te a huam a ni. Chakna siam thar leh ang a ni. Hemi atan hian damlo leh an chhungte inpekna a pawimawh hle.

Risk tihziaawmna tur thil kan tih theih a awm em?

A chhan ṭhenkhat, accident ang chi chu kan pumpelh vek thei lo va, mahse nunphung tihdanglamna hmang hian he natna khirh tak hi nasa takin kan tihtlem thei a ni.

• I thisen sang control: Thisen sang i neih chuan i doctor-in damdawi a pek chu a hun takah ei thin ang che. I thisen sang kha enfiah fo thin ang che.
• Meizial zuk loh vek tur a ni.
• Zu in hi tihtlem rawh.
• Chaw hrisel ei: Chi, hriak leh sugar te tihtlem. I ei tur ah thlai, thei leh greens tam zawk telh la.
• Exercise neih fo thin ang che.
• I taksa rihna hrisel tak vawng reng rawh.
• Zunthlum i neih chuan control tha rawh.
• Accident laka inveng rawh: Lirthei a chuan laiin seat belt vuah la, bicycle/motorcycle khalh dawnin helmet vuah bawk ang che.